Enterococci endaweni smear. Akufanele yini nathi esabe?

Ukukhuthazela kanye ukumelana ... izinga Good. Uma thina lapha asikhulumi ngama-Amagciwane. Futhi kwaba enterococci enjalo, futhi akavumi ukuba uphumule ekulweni nabo. Lokhu isitha ngesinye isikhathi kunzima kakhulu ukunqoba. Kodwa - mhlawumbe ulwazi uzothola kulesi sihloko.

kanjani enterococci endaweni smear? Uhlaziyo libonisa uchungechunge, abahamba kulezi Amagciwane. Basuke Kutsho ezinye ukukhiqiza ama-enzyme uma amasosha omzimba Kutholwe egazini labo.

A ahlukene ikhanda odokotela - ukuthi enterococcus "ukuphila" ezibhedlela nasemakhaya lapho iba multi-anenkani ezihlukahlukene, okwenza ekulweni ke kube nzima. Phela, enterococci bakwazile ukuzivumelanisa cishe yonke zozifozonke ngokwezinga elikhulu noma elincane. imithi emisha elwa namagciwane (linezolid, isibonelo) baze bakwazi ukubhekana enterococci, kodwa ngezinye izikhathi emaphephabhukwini ezokwelapha zikhona izindaba mayelana nokumelana yalezi Amagciwane ukuze antibiotic yakamuva. Ngakho umzabalazo uyaqhubeka. Nokho, umzimba, futhi ikwazi ukulwa ngempumelelo, futhi le mithi Uyi ezinhle udokotela awukudla njengenhlangano adjuvant.

Lapho emzimbeni axazulule Amagciwane? Ngokuvamile enterococci zitholiwe umchamo. Nokho, kungase kuthinte yangaphakathi igobolondo inhliziyo, izilonda bangakwazi itheleleke, ama-bacterium axazulule emhlabeni ipayipi, okuyinto wethulwa isiguli onesifo. Ngezinye izikhathi lezi Amagciwane ukungena ngaphakathi komgodi, nande egazini (okuthiwa bacteremia). Kwenzeka ukuthi leli gciwane kwabangela meningitis, izikhala pleural.

Enterococci bavame nje bazohlala ipheshana wokugaya ukudla ngaphandle kokudala iyiphi ukubonakaliswa emitholampilo ukutheleleka. Nokho, kudingeka sigcine le nqubo ngaphansi kolawulo, ngoba Iningi leziguli eziza wagula ngenxa yalokho, kuye kwadingeka enterococci e amathumbu abo kuqala lesi sifo. Ngakho-ke enterococci endaweni smear kusukela ingemuva - isizathu ukuqala yokungathathi izinyathelo.

esiyingozi Ikakhulukazi lokhu ukutheleleka yalezo ziguli uhlushwa ezinzima futhi isikhathi eside (ikakhulukazi labo izifundo eside kwamaphilisi), ukuhlinzwa asebenolwazi isitho Ukufakelwa kanye neziguli nezifo oncological yegazi. Libuye enterococci kuyingozi kakhulu bezempilo. Esengozini yokungenwa yigciwane le labo abaphuza corticosteroids nokwamukela umsoco parenteral.

Nokho, uma akuyona esiswini, kodwa umsele wesibeletho, akusiyo yingozi uma amagciwane atholakala kancane. Enterococci e ukwelashwa smear kuhilela elula, uma udokotela ukholelwa ukuthi isiguli zidinga ukwelashwa nhlobo. Njengomthetho, enterococci e sangasese - ingxenye flora evamile, ngakho musa ukwethuka nokukhathazeka.

Enterococci endaweni smear ayingozi kuphela uma swab lathathwa urethra. Futhi, isimo esibi, uma lezi Amagciwane atholakala egazini, kungase kusho ukuthi baye zasakazekela umzimba. Kakhulu akuvamile, kodwa namanje ezitholakala i-cerebrospinal fluid, kodwa kuvame kwenteka meningitis isizinda (i icala ukungasebenzisi). Thola enterococci futhi ubomvu ethathwe kwezicubu ezithambile.

izifo ezifana ziphathwa ngemithi elwa namagciwane nge new (streptogramin, teicoplanin, oritavancin). Ngokuvamile, "wezikhali esindayo" ezinjalo ingasetshenziswa kuphela lapho khona enterococci kubonakaliswa ncamashi bakuphi eziyingozi (sangasese kanye wesibeletho awubalwa). Isizukulwane esisha kwamaphilisi amandla kawakho amagciwane, ngakho nje izinqubo ukuvuvukala kungukuthi ebekiwe, kudingekile laboratory ubufakazi bayo enterococci.

Uma ungayizibi izinhlungu nokuphatheka kabi e ngomgudu womchamo, futhi ngokushesha uxhumane nodokotela wakho, ungagwema nemiphumela esabekayo izifo enterococcal ezifana endocarditis futhi meningitis. Vele ungakhohlwa ngawe, umzimba wakho idinga ukunakwa.