yintoni, iimpawu kunye nonyango

Umxholo

• Ungaluchonga njani usulelo ngo S. epidermidis
• Uxilongo lwenziwa njani
• Yintoni i S. epidermidis ukumelana
• Unyango lwenziwa njani

O I-Staphylococcus epidermidis, okanye S. epidermidis, yibacteria ye-gram-positive ebonakalayo kwindalo kulusu, ingenzi monakalo emzimbeni. Le microorganism ithathwa njengengenelelayo, njengoko inako ukubangela izifo xa amajoni omzimba ebuthathaka, umzekelo.

Ngenxa yokuba ikhona ngokwasemzimbeni emzimbeni, I-Staphylococcus epidermidis ayiqwalaselwa ngokubanzi kunyango, kuba ixesha elininzi libekelwe bucala elebhu kuthetha ukungcoliseka kwesampulu. Nangona kunjalo, le microorganism iyakwazi ukukhula ngokulula kwizixhobo zonyango, ukongeza ekuxelweni ukuba iyamelana neentsholongwane ezahlukeneyo, ezenza kube nzima ukunyanga usulelo.

Ungaluchonga njani usulelo ngo S. epidermidis

Olona hlobo luphambili losulelo ngu S. epidermidis yi-sepsis, ehambelana nokusuleleka egazini, kuba le bhaktiriya ingena ngokulula emzimbeni, ngakumbi xa amajoni omzimba esengozini, ukongeza ekubeni unxulunyaniswa ne-endocarditis. Ke, usulelo ngu S. epidermidis inokuchongwa ngohlalutyo lweempawu, ezona ziphambili zezi:

• Umkhuhlane ophezulu;
• Ukudinwa kakhulu;
• Intloko ebuhlungu;
• Ukugula ngokubanzi;
• Nciphisa uxinzelelo lwegazi;
• Ukuphefumla kancinci okanye ukuphefumla nzima.

O S. epidermidis ihlala inxulunyaniswa nosulelo esibhedlele ngenxa yesakhono sayo sokwenza ikholoni kwizixhobo ze-intravascular, amanxeba amakhulu kunye ne-prostheses, umzekelo, ukulawula ukukhula nokwala unyango.

Uxilongo lwenziwa njani

Kwilabhoratri, ukuchongwa kwale bhaktiriya kwenziwa ngovavanyo, olona luphambili kuvavanyo lwecoagulase, olwahlula S. epidermidis ye IStaphylococcus aureus. O S. epidermidis ayinayo le enzyme kwaye, ke ngoko, kuthiwa yi-coagulase negative, kwaye ithathwa njenge-coagulase negative staphylococcus ebaluleke kakhulu kwezonyango, kuba inxulunyaniswa nongcoliseko lwesampulu, usulelo olungenelelayo kunye nokuthanjiswa kwezixhobo zonyango.

Ukwahlula kwezinye iintlobo ze-coagulase-negative staphylococci, uvavanyo lwe-novobiocin luhlala lusenziwa, olwenziwa ngenjongo yokujonga ukunganyangeki okanye ubuntununtunu kuleyeza yokubulala iintsholongwane. O S. epidermidis ihlala inovakalelo kuleyeza lokubulala iintsholongwane, kwaye ihlala iyeza eliboniswe ngugqirha. Nangona kunjalo, kukho iintlobo ze S. epidermidis esele inendlela yokumelana nxamnye nale ntsholongwane, eyenza ukuba unyango lube nzima.

Rhoqo ubukho be S. epidermidis egazini oko akuthethi ukuba usulelo, kuba kuba lulusu, ngexesha lenkqubo yokuqokelela igazi, iibacteria zinokungena ekuhambeni, kuthathelwa ingqalelo ukungcoliseka kwesampulu kwiimeko ezininzi. Ke ngoko, ukuxilongwa kosulelo ngu S. epidermidis kwenziwa kuhlalutyo lweenkcubeko ezimbini okanye nangaphezulu zegazi, ezihlala ziqokelelwa kwiindawo ezahlukeneyo ukunqanda iziphumo ezingezizo.

Ke, ukuxilongwa kosulelo ngu S. epidermidis Iqinisekisiwe xa zonke iinkcubeko zegazi zilungile kule ntsholongwane. Xa inye kuphela inkcubeko yegazi elungileyo S. epidermidis kwaye ezinye zilungile kwenye i-microorganism, ithathwa njengongcoliseko.

Yintoni i S. epidermidis ukumelana

Rhoqo ungcoliseko lwesampulu ngu S. epidermidis itolikwa gwenxa ziilebhu kwaye yaboniswa njengosuleleko kwisiphumo sovavanyo, esenza ukuba ugqirha abonise ukusetyenziswa kwee-antibiotics ngokuchasene "nosulelo". Ukusetyenziswa okungafanelekanga kwee-antibiotics kunokuxhasa ukwenziwa kweentsholongwane ezinganyangekiyo, kusenza unyango lube nzima.

Okwangoku, usulelo ngu S. epidermidis bahlala rhoqo kwizigulana ezibhedlele kwaye, ngenxa yoko, baye bafumana ukubaluleka kweeklinikhi kungekuphela ngenxa yokusetyenziswa ngokungakhethiyo kwee-antibiotics, kodwa kwanokubanakho kokwenza i-biofilm kwizixhobo zonyango, ezithanda ukwanda kwale bhaktiriya kunye nokumelana nonyango.

Unyango lwenziwa njani

Unyango losulelo ngu I-Staphylococcus epidermidis ihlala isenziwa ngokusetyenziswa kwee-antibiotics, nangona kunjalo, i-antimicrobial of choice iyahluka ngokweempawu zebacteria, kuba uninzi lunendlela yokumelana. Ke, ukusetyenziswa kweVancomycin kunye neRifampicin, umzekelo, kunokucetyiswa ngugqirha.

Ukongeza, unyango lwe S. epidermidis kuboniswa kuphela xa usulelo luqinisekisiwe. Kwimeko yokungcolisa isampulu ekrokrisayo, iisampulu ezintsha ziyaqokelelwa ukukhangela ukuba akukho kungcoliseka na okanye oko kubonisa usulelo.

Kwimeko yekolonitha yeecatheters okanye zokufakelwa ngu S. epidermidis, ihlala icetyiswa ukutshintsha isixhobo sonyango. Okwangoku, ezinye izibhedlele zamkela ukusetyenziswa kwezixhobo ze-antiseptic ezithintela ukwenziwa kwe-biofilm kunye nophuhliso lwe I-Staphylococcus epidermidis, ukuthintela usulelo.