I-CRE yi-Carbapenem-Inqaba yokungena kwi-intracteriaceae . Ezi ziyi-bacteria ezilwa kwaye ziphumelele ngokuchasene namayeza. Iibhaktheriya ziyaxhathisa kwaye zinqobe ii-antibiotics ezenzelwe ukusikhusela. Ezi bhaktheriya zisisondeza kwixesha eliphambi kwe-antibiotics.- okanye njengoko sithethayo, ixesha eliyingozi emva kokuba lithemba ukuba liza kwenzeka.
Masiqhekeze phantsi
I-Carbapenems yiklasi yamayeza.
Le klasi ye antibiotics ngokuqhelekileyo ngumgca wokugqibela wokuzikhusela kakuhle kwiibhaktheriya ezinqabileyo. Oogqirha bavame ukufikelela kule mijelo yezabiyoti xa ezinye i-antibiotics ingasebenzi, ngokuqhelekileyo ngenxa yokuchaswa kwamagciwane. La ma antibiotics kaninzi into esiyibiza ngokuba yi-antibiotics yesibini. Le klasi ibandakanya i-meropenem, i-ertapenem, imipenem, kunye ne-doripenem .Lezi antibiotics ziphatha ezininzi iintlobo ezahlukeneyo zebhaktheriya ( igram efanelekileyo kunye neyobubi , i-aerobic kunye ne-anaerobic) kwiindawo ezininzi ezahlukahlukeneyo zomzimba ezivela esikhumbeni ukuya kwigazi entliziyweni ukuya kwi-genitourinary phecana. Ngaloo ndlela, ezi antibiotics zihlala zigcinwe izifo ezinzulu xa ezinye iziza-antibiotics zingasebenzi.
Iibhaktheriya ezinqandekileyo yizo ezingaphenduliyo kwii-antibiotics. Sikhetha i-antibiotic ngokuthe ngqo uhlobo lwesifo okanye isicatshulwa esithile esicacisiweyo sosulelo. Ngamanye amaxesha i-antibiotics iyeka ukusebenza, i-Oftentimes kuba ifumene iigesi ezivumela ukuba zigqithise indlela iibhaktheriya ezinxibelelana ngayo ne-antibiotic.
Oku kuthetha ukuba i-antibiotic ayikwazi ukulimaza ibhaktheriya - okanye ayikwazi ukwenza ngokufanelekileyo ukuba isebenze.
I-Enterobacteroacae yintsapho ye-gram bhakteria egxile kwimilo. Iibhaktheriya ezivela kule ntsapho ziqhelekileyo zifumaneka kumaphepheni ethu emathumbu. Ziyinxalenye yesiqhelo samanzi esisityalo - i-microbiome.
Ngamanye amaxesha nangona kunokusenza sigule. Zingabangela nantoni na ukusuleleka kwi-urinary tract to a babyingitis to the pneumonia ukuya kuhudo ukuya kwiintsholongwane zegazi kumathambo.
Iibhaktheriya eziqhelekileyo ezivela kule ntsapho ziyi-Enterobacter, i-Escherichia, iKlebsiella, i-Proteus, i-Providencia, i-Salmonella, i-Shigella, neSerratia.
Ngubani Ofumana Ezi Zifo?
I-CRE ivame ukuchaphazela umntu osele esibhedlele, kwikhaya lokunakekelwa, okanye enenkqubo eklinikhi yokugula. Abo banalo naluphi na uhlobo lwefowuni lwangaphandle okanye izixhobo zonyango ezifakweyo zisengozini. Oku kuthetha ukuba abo banekathatha yokucoca, umgca we-IV, okanye kwi-ventilator ukubanceda baphephe bangengozi. Abo bathatha amaninzi amayeza asemngciphekweni.
Ukuthunyelwa ngokuqhelekileyo kubakho kwizandla zabasebenzi bezempilo okanye kwizixhobo zonyango ezingakhange zikhutshwe ngokupheleleyo phakathi kokusetyenziswa. Kwakukho ukugqabhuka phakathi kwabo babenomdla wesisu esasibandakanya ibhaktheriya, nangona idivaysi ihlambulukile kwaye ikhutshelwe i-disinfected.
Ngokuqhelekileyo, abantu abasempilweni abafumani CRE.
Oku kuthetha ukuba abo bafumana i CRE badla ngokugula. Oku kunokunceda ukufaka isandla ekufeni kwabantu abaphezulu, mhlawumbi njengama-50% abo basulelekileyo.
Ezi zintsholongwane zinokumelana nazo zonke ii-antibiotics.
Ngaba Abantu Abaninzi Bakuthola Oku?
Asekho e-US. Ukuxhalaba kukuba ukuba kuqale ukusabalalisa ukuba asiyi kuba ne-antibiotics ukuyeka ukusabalalisa kwizibhedlele.
Iphi?
Ezi Superbugs zifumaneka kwihlabathi lonke ukusuka eNdiya ukuya eGrisi ukuya ePuerto Rico naseNew York City. Abaqhelekanga apho ezi zidakamizwa zinqabile kakhulu, njengamazwe aphantsi komhlaba. Kukho ama-hotspots athile ehlabathini lonke apho izinga lokusuleleka.
Ngaba Wonke umntu Ofumana Igciwane Uyagula?
Akunjalo, abanye abantu baqeshwe. Oku kuthetha ukuba ibhaktheriya ihlala kwindawo ethile emzimbeni ngaphandle kokubangela ukusuleleka.
Ezi bhaktheriya zingahlala emanzini ngaphandle kokubangela nayiphi na ingxaki zempilo. Nangona kunjalo, banokudlula ukuxhatshazwa kwamanye amabhaktheriya emathunjini kwaye, ngekamva, bangabangela ukusuleleka, njengokwanda kwephepha lomchamo.
Iibhaktheriya Ziba njani Ukumelana?
Ngamanye amaxesha utshintsho lukhula. I-Oftentimes, i-plasmids, equlethe izinto eziphathekayo ze-genetic, idlule ukuxhatshazwa kwibhakteria enye ukuya kwelinye.
Ngaba kukho iintlobo ezahlukeneyo?
Kukho iintlobo ezininzi . Oogqirha bazi nge-Klebsiella pneumoniae carbapenemase (KPC), i-New Delhi metallo-β-lactamase (NDM), i-Verona integron encoded metallo-β-lactamase (VIM), i-imipenemase metallo-β-lactamase (IMP) kunye ne-oxacillinase-48 (i-OXA- 48).
E-US, i-KPC ixhaphake kakhulu. Yenza udonga lweseli lungadlulanga lula.
Okuxhalabisayo ngakumbi kukuba yi-carbapenemase (i-KPC, i-NDM, i-VIM, i-IMP kunye ne -OXA- 48). Ezi ziqalise ukusasazeka kwihlabathi jikelele.
Oku Kuhluke Kanjani Kwezinye Iingxaki Ezintle?
Ezi bhaktheriya zihlobo oluthile lweebhaktheriya ezibizwa ngokuba yi-gram hasi. Oku kwenza i-CRE ihluke kwezinye i-Superbugs ezininzi ezinjenge-MRSA kunye ne-VRE, eziyi-gram ezinobomi bhaktheriya. Iibrteria ezilungileyo zeGraam zithatha iindiza ezichasene neentlobo ezinokuthi zingaphathi unyango lwegrime. Kukho amayeza athile angaphatha bobabini.