Klebsiella kaadida, daaweynta cudurka

cudurka Klebsiella - mid ka mid ah cudurada ugu caamsan sawirka ballaadhan caafimaad oo ka calaamado khafiif ah si daliilka septic. Noole iska leh category ee fursad, in uu yahay, kuwa ku noolaan karaan in xuubka, oo aan ku keeni karo horumarka cudurada.

Klebsiella kaadida, saxarada ama dareerayaasha jirka ee kale waa arrin muhiim ah ogaanshaha u baahan in baaritaan buuxa iyo go'aanka daaweyntu socoto.

Waa maxay nooca shaqeeyo?

Klebsiella - wakiil ah enterobacteria, taas oo ah qayb ka mid ah microflora ee mareenka caloosha aadanaha. Waxay leedahay sifooyinka soo socda:

• Gram-negative bacilli;
• size yar yar,
• go'an,
• Waa hal, laba laba ama qaab silsilad;
• anaerobe (tarmaa ay ka maqan yihiin oxygen, laakiinse waan noolaan karo iyo haddii ay jirto),
• Waxa uu awood u leeyahay in la soo maaxanaysay si ay u gudbiyaan shuruudaha loo kasin.

By nooc ka mid ah kala duwanaansho u pneumonia klebsiellu, Klebsiella oksitoku, Bir-Frisch Volkovich, Bir iyo Aabeel Lavenberga, Klebsiella Terrigenous, Klebsiella plantikolu. Inta badan, in guuldaradii ee u shaqeeyo lug labada nooc ee hore ee bakteeriyada.

Sababaha cudurka

Qofka qaba cudurka noqdo il faafidda cudurka. cudurradana mariyo laga yaabaa in geedi socodka bararka sida sambabada. Xaaladdan oo kale, bakteeriyada geli shaqeeyo qaba hawada neefsado, marka laga hadlayo, qufaca, hindhisada. wadada Fecal-afka caabuq caan ku yahay nooc bahal galo mareenka caloosha iyo mindhicirka. Tani waxay dhacdaa iyada oo gacmo nijaasaysan, cunto.

Khatarta cudurka kor u kooxaha soo socda:

• carruurta laga bilaabo dhalashada iyo dhallaanka sabiga ah,
• dadka waayeelka ah,
• Bukaanka qaba heley chronic;
• Bukaan-socodka ah oo leh taariikh-tallaalidda;
• ka cabanaya Khamriga chronic, qabatinka daroogada.

Klebsiella noqon kartaa waqti dheer ka dib markii uu qofku cuno cadaadis aamin ah. Laakiin waxaa jira qaar ka mid ah qodobada keenaya provocateurs guurka bakteeriyada xaalad cudur by koritaanka iyo isku dhufashada firfircoon:

• Heerarka hoose ee ilaalinta difaaca (HIV, dhicisnimada, daciifaan oo jidhka ka dib markii cudurada faafa);
• xaaladaha nadaafadda xumida iyo xad gudub ku ah heerarka caafimaadka - gacmo nijaasaysan, dufta xayawaanka, iyo xataa caanaha naaska waxay keeni kartaa in la ogaado Klebsiella kaadida;
• isticmaalka daba dheeraaday ee antibiotics,
• cudurada viral-mareenka;
• cudurka systemic (tus, diabetes);
• qabatinka (daawooyinka, aalkolada).

pneumonia

Iyadoo ku xiran wadooyinka ee noole waa lesions nidaamyada kala duwan: neefsashada, genitourinary, wareegga dhiigga, mareenka caloosha iyo mindhicirka, sanka iyo neef-mareenka sare. Bukaan-socodka dhibsadayoo kaca fiiqan ee heerkulka, daciifnimo, dhidid, gariir. Waxay u muuqataa qufac qalalan, taasi oo markii dambe ay qoyaan la joogitaanka xariijimo in dheecaan dhiig iyo malax. Xaako waa urta waxa qudhmay, neefta oo ku qabata xataa nasan. On X-ray dhexgalay la arki karo ee size kala duwan, taas oo laga yaabaa in hal ama ku milmaan kasta oo kale. La'aanta daaweynta waqtigii keenaysaa in guud ah cudurka la lug ah xubnaha kale (maskaxda, beerka, kelyaha).

Taasi cad Klebsiella. Pneumonia kaadida waxaa lagu ogaan karaa by ay soo galo ee dhiiga in xubnaha nidaamka Fistula.

Rinoskleroma iyo guuldaradii ee aagga sare ee neefsashada

xub-axaleedka muuqan granulomas, kuwaas oo ah bakteeriyada goosgoos ah. Bukaanka ayaa ka cabanaya ciriiriga joogto ah, taas oo aan la dhaqaajin karin daawooyinka vasoconstrictor. The qalalin sanka muuqan, shanqarta urayaa dhiig inta lagu guda jiro saarista.

Later xabka atrophies, qofka jireyso Arkaa urta ku filan. Qaddar yar oo xab adag viscous oo ay adag tahay inuu tago. Weheliyay a dareen ah buro ah ee cunaha, ku taataabanayaan, xummad-fasalka hooseeyo.

infekshanka caloosha iyo mindhicirka

Cudurku waxaa uu inta badan waxa keena laba nooc oo ah ulaha: pneumonia Klebsiella oo oksitokoy. Iyadoo ku xiran meesha ay bakteeriyada ku yaalaan, waxa dhici karta gastritis, enterocolitis, enteritis. bukaanka ku dhacdaa calaamadaha soo socda ee cudurka:

• calool xanuun,
• joog- laab;
• lallabo iyo matag,
• la'aanta oo luma;
• itaaldarro,
• qandho sare,
• saxaro dareere ah soo noqnoqda xariijimo leh dhiig, xab, jaamaha cagaaran uu leeyahay ur xun.

Klebsiella oxytoca kaadida, iyo sidoo kale bakteeriyada pneumonia, go'aamiyey ku saabsan asalka ah ee kacaya ama dhicidda cudurka wadada hematogenous. Tani waa caadiga ah ee dhallaanka iyo carruurta yaryar, iyo dadka waayeelka ah, kuwaas oo sababo caafimaad isu uma aad adeegi kartaan.

guuldarada nidaamka genitourinary

Klebsiella kaadida ilmo ama qof weyn kala hadli kartaa oo ku saabsan cudurka ugu weyn ee mareenka kaadida iyo habka taranka. Cudurku wuxuu ku dhici karaa baylonfiritis daran ama joogtada, cystitis, caabuq Prostatic. daliilka Clinical cudurka jirin cayimayo kala duwan, sidaas darteed, waxay u baahan yihiin cudurka kala duwan sax ah.

Waayo, cystitis klebsielleznogo waxa lagu gartaa:

• kaadida oo xanuun badan soo noqnoqda,
• cuncun iyo gubasho,
• kaadida noqdo dropwise turbid qoondeeyey, waxay yeelan karaan nijaasta dhiig;
• qandho-fasalka hooseeyo;
• lalabo,
• Klebsiella kaadida, wixii la goostay by hababka bakteeriyadda.

Baylonfiritis lagu muujiyay sida soo socota:

• qandho,
• murqo xanuun gobolka lumbar ah;
• ibta oo ay la socdaan danqasho;
• calaamadaha dyspeptic sida lallabo iyo matag,
• calaamadaha sarkhaan,
• Klebsiella kaadida, wixii la goostay by hababka bakteeriyadda.

Calaamadaha prostatitis:

• gubta,
• dareen in kaadi haysta waa joogto ah oo buuxa,
• xanuun ka gumaarka iyo caloosha,
• cudurada shaqada galmada;
• yaacsanaan, niyad-jabka,
• Klebsiella kaadida dareemi by cilmiga bakteeriyadda.

Features cudurka dumarka uurka leh

Infagshanka unugyada sambabada uur yeelan karaan cawaaqib xun, waayo, ilmaha caloosha ku, tan iyo bakteeriyada leeyihiin hantida la xirrira dhexgalay dheeraad bedelay by unugyo. nidaamka noocan oo kale ah waxa ay yaraynaysaa qadarka oksijiin waxaa bixisey ma aha oo kaliya in hooyada, laakiin sidoo kale in ay ilmaha.

Sidee loo daaweeyaa Klebsiella? Pneumonia kaadida inta aad uurka leedahay waxay u baahan tahay isticmaalka antibiotics, iyo marxaladaha hore ee horumarinta SNMna waa ben cilado dhalasho oo Isbedelo. In si loo yareeyo halista ah ee aan caadi ahayn sida, dumarka uurka leh waa antibiotics qoray halkii bacteriophages. Waxay sidoo kale waa wax ku ool ka dhanka ah Klebsiella, laakiin ka yar argagaxa jirka ilmaha.

Caabuqa ee dhallaanka iyo carruurta yaryar

Cudurka ayaa ah mid caan ku ah caruurta dhiciska qaba calaamadaha dhaawaca ah ee qaabka dareenka dhexe iyo nidaamka muruqa ah. bacilli Gram-negative saamayn kartaa wax kasta oo xubin horumarinta dhiigga oo sumooba. Against asalka ah ee dhallaanka sumoobo xoog lumin kartaa ilaa 0.5 kg ee culeyska hoose iyo wixii la mid ah 2-3 maalmood gudahood, laga bilaabo bilawga cudurka. Maqaarka noqdo markaas cirradayda calaamadaha acrocyanosis. Waxaad heli rugta caafimaadka soo socda:

• qalal,
• qandho sare,
• disorder hemodynamic;
• waxyeello muruqa wadnaha;
• aysiidh sumaysan.

Klebsiella kaadida ee dhallaanka iyo dhallaan u muuqan karaan sababtoo ah iyada hematogenous hit ama kor u kacaya iyada oo xubnaha kaadida xiriir la saxarada.

Hababka for go'aan ah ee Klebsiella kaadida

Kuwa soo socda hababka ogaanshaha:

• Microscopy - qalab waxaa laga codsadaa on saxan Petri, ay qabatay xayd Gram.
• Habka bakteeriyadda - wax lagu beeray on dhul rays iyo qiimeeyo waxqabadka koritaanka microbial.
• Habka fuliyo - ogaado jiritaanka iyo heerka unugyada difaaca jirka ee serum ah ee bukaanka in wakiilka sababaya cudurka.
• baaritaan caafimaad oo Common coprogram, hababka xarkaha.

Features therapy

Klebsiella kaadida, daaweynta taas oo noqon waa waqtiga oo dhamaystiran, waxay u baahan tahay magacaabidda therapy ah sababaha, pathogenetic iyo posindromalnoy. daliilka Light cudurka ogolaan daaweynta bukaan-socodka, laakiin xaaladaha kale ee u baahan in cusbitaal isbitaalka qaybta cudurada faafa.

Waayo, therapy bukaan-socod loo isticmaalo:

• Fogaado - daroogada, yaraynta waxqabadka ee microflora caadiga ah. Wakiilada - "Bifiform", "Lactobacterin", "Bifikol", "Linex". Qaado 10-14 maalmood.
• Bacteriophages waxaa loo isticmaali karaa laga bilaabo dhalashada. qiyaasta ayaa la doortay dhakhtarka ku xiran da'da qofka bukaanka ah.

Mabda'a ah daawada loo isticmaalo this iyo haddii Klebsiella go'aamiyey in kaadida inta aad uurka leedahay.

Caruurta ilaa ay qaan, iyo dadka qaba qaab daran cudurka, u baahan tahay in isbitaal khasabka ah. Xaaladaha noocaas ah maamula wakiilada bakteeriyada la qabanaya wakiilada qeexidda of dareen in ay daroogada. Iyada oo ku xidhan da'da ee la doortay ee antibiotics soo socda:

• benisiliinta - "Ampicillin", "Ampioks";
• aminoglycosides - "streptomycin", "monomitsin";
• cephalosporins - "cefotaxime" "ceftriaxone";
• tetracycline'nada - "tetraolean" "tetracycline";
• fluoroquinolones - "Ciprofloxacin", "Ofloxacin".

therapy Pathogenetic u baahan tahay isticmaalka yaraysa xummada, naanin daroogada, iyo sidoo kale lacag fuuq. takhasuska kuu qori karaa daawooyinka ah antiemetic iyo expectorant, dhirta. Tallaalka ayaa la soo saaray ka hortagga cudurka la Klebsiella. tallaabooyin ka hortag ah waa waxbarasho nadiif ah carruurta, xoojinta habka difaaca jirka iyo daaweynta waqtiga ee Axdigu chronic cudurka jidhka ku.