Clostridia endleni kwi umntwana ukuthini?

ZeClostridium - bona abameli eziqhelekileyo flora emathunjini womntu. Baya kakhulu abahlala Amathumbu amakhulu, kodwa kungabonwa kwezinye iinxalenye inkqubo yokwetyisa, kwakunye kwisiqwenga angasese kunye nesikhumba.

Yintoni zeClostridium?

ZeClostridium - i gram-HIV iintsholongwane. Bona cell enzayimi efunekayo cleavage le protini ibe acid. "Clostridia" kusho Greek "edibanise". Eli gama kungenxa inkqubo yazo phindo (kweli xesha, iibhaktheriya kuba yatyeba embindini kunye tapered kwi eziphelweni).

Inani clostridia, ezo yinxalenye yabantu abanempilo amathumbu izihluma utshintsho. Inani labo ixhomekeke ubudala bomntwana. Xa abantwana ukuya ngonyaka udidi 1000 cfu gram nganye, abantwana konyaka abadala ngaphezu kwesinye - izinga ukuya ku-100 000. Konke oku kuthathelwa ingqalelo ngexesha loxilongo.

Le zeClostridium eyingozi ngakumbi?

Klostridiozy - sisifo etsolo esosulelayo, nto leyo ichaphazela abantu kunye nezilwanyana. izifo eziyingozi Clostridia isizathu ezifana ukudumba okwenziwa sisilonda pseudomembranous, utyatyazo isibulala-zintsholongwane, yesi sifo, babe igesi, uminxano, ukutyhefa enteritis necrotic. iintsholongwane izifo ukuphembelela ngenxa nokukhululwa ityhefu A no-B kunye protein, xi ucutheko emathunjini.

ukudumba okwenziwa sisilonda Pseudomembranous nokurhuda zintsholongwane-ezinxulumene, usuleleko kwenzeka ubukhulu becala esibhedlele. Oku kungenxa yokuba esibhedlele usebenzise ezahlukeneyo elwa izibulali, nto leyo ekhuthaza ukusekwa ezincinane ezo abanganyangekiyo izibulali. Kwakhona, ukuthatha antibiotics ngumba igalelo kukuvela clostridia sandise amanani zabo. Ngexesha unyango ngala machiza kuphela kutshabalalisa iibhaktheriya amathumbu yayintsholongwane eyosulela, kodwa ubunzima ngqo microflora yayo.

Ukuba bafumana clostridia endleni e umntwana, abazali akuyomfuneko ukuba alamu. Kufuneka kukhunjulwe ukuba ezi bacterium ummeli microflora esempilweni amathumbu ababandakanyekayo cleavage kwe kwiproteni kudaleke peristalsis. Kodwa ukuze aphephe kuphuhliso kwezifo, kufuneka ukugcina umkhondo ngokwenani labo, oko kukuthi, ukuhlola rhoqo.

Izinto ezibangela klostridioza

Le zeClostridium uhlobo iquka iintlobo ezingaphezu kwe-100, nto leyo yahlulwe ngamaqela 5. Uninzi lwazo ayingozi ebantwini. Clostridia bahlala emathunjini ngabantu kunye nezilwanyana. Nge isitulo iintsholongwane bangene emhlabeni, apho aphile ixesha elide ngohlobo imbewu, njengoko inokufumaneka emanzini. imithombo Klostridioza zizilwanyana kunye nabantu.

Ukudluliselwa Indlela - ilindle-ngomlomo. route losulelo - zoqhagamshelwano-khaya (ngokusebenzisa izixhobo, izinto zokudlala, impahla kunye nezandla). Unobangela usulelo clostridial ubukhulu becala impatho embi yemigaqo kococeko lomntu buqu.

Yeyiphi kuchaphazela nokwakhiwa microflora emathunjini?

Imiba echaphazela microflora wamathumbu zahlulwe zibe ngaphandle kunye nezo ziphuma ngaphakathi.

yangaphandle:

• iimeko yokusingqongileyo kwindawo yokuhlala esisigxina;

• zeleka rhoqo;

• uhlobo yonikezelo (clostridia endleni zifumaneka umntwana, ukuba usana zidluliselwe kusasa yokondla ngumntu, ukwanda ngokutya ukutya kunye ezikhabhathini elide kwi ingozi yokuba klostridioza abadala);

• Thatha nemithi, iihomoni kunye neziyobisi immunosuppressive.

lwasekhaya:

• ubuthathaka iimpendulo ibakhusela eziphilayo;

• ukukhubazeka engqondweni (hypoxia kokubeleka);

• Ukungakhuli kwenkqubo luvo;

• prematurity;

• usulelo iintsholongwane emathunjini nosocomial;

• ukuphazamiseka kokulala;

• utyando;

• izifo ezihlasela zosulele ngokuphefumla wentsholongwane egazini.

Clostridia: Iimpawu

Antibiotikodissotsiirovannye urhudo ukuphuhlisa nje ngenxa clostridia. Ingaba kwakhona amagciwane iSalmonella, Candida, Staphylococcus aureus, Klebsiella. Olu hlobo urhudo kubangelwa zizifo nosocomial. Kodwa neentsana ayikho kalula lo sifo, ngenxa yokuba ubisi lwebele bafumane inani elikhulu lemiba omzimba ukuba zinqanda ukukhula clostridia.

Antibiotikodissotsiirovannye urhudo liqulathe iimpawu ezahlukeneyo ukusuka ngobulali lurhudo kakhulu, okwenziwa sisilonda pseudomembranous, nto leyo xa kungekho unyango ngowama-30% amatyala ekhokelela ekufeni.

ukudumba okwenziwa sisilonda Pseudomembranous senzeka ngomhla 4-10-th ukusukela ekuqaleni konyango isibulala-zintsholongwane. Iimpawu eziphambili zezi:

• luphawulwa ukuqala oyingozi;

• iqondo lobushushu emzimbeni kuyenyuka ngaphezu 39,5 ° C;

• ukuqumba;

• kabukhali kunciphise emnyama;

• Ukwehla kobunzima kwenzeka;

• qala ngokukhawuleza ukubonisa iimpawu ukunxila okanye kakhulu;

• ezimandundu cramping neentlungu esiswini;

• waphinda ihlanza;

• Ngokucofa nomonde kuba lusiva intlungu yangasese;

• isitulo intabalala, zingcakacile, anzongonzongo, eluhlaza kunye nevumba elinukayo;

• isipho ithe yencindi, igazi kunye bechola-seqela fibrinous.

Enteritis - yeyona sifo wobulali ngokuqhelekileyo kuphelela kungekho naziphi na iingxaki. Symptomatology kwesifo akukho iimpawu ezithile.

enteritis Necrotic umiselwa ukuyilwa izilonda kunye erosions, batshabalalisa isifo. zimpawu:

• I-ukuvela kwiindawo ukopha necrosis ekuqaleni emathunjini amancinci;

• iindawo sophele elibomvu;

• kukho ukuvala kwi komtshiso oko kwamathumbu;

• Ukugodola nomonde, kukho umkhuhlane omkhulu;

• Ukuphalaza;

• angqindilli utyatyazo wamagazi.

Clostridia kwiintsana kubangela iintlobo kakhulu kwesi sifo. Klostridioz ingozi iintsana ngaphambi kwexesha. zimpawu:

• ngesiquphe ukonakala ebonakalayo umntwana;

• ukuphefumla nzulu olukhawulezileyo;

• ukwandisa iimpawu yetyhefu kunye exsicosis;

• ukungalolongi umzimba;

• ileus unedumbe.

Xa kubelekwa, iintsana ngaphambi kwexesha ngenxa yokuba esi sifo badla ngaphezu abantwana abadala, umonakalo kwesisu ibunjiwe peritonitis. Kwiimeko ezininzi, iintsana klostrodioz ziyabulala.

Xa kuyimfuneko ukuphanda flora emathunjini?

• kukho izifo elide amathumbu akukho zifo.

• zeClostridium endleni ka komntwana kunokuba, ukuba babekho kule yencindi isitulo, amaqhekeza ukutya undigested; Umbala ngokungalinganiyo esitulweni.

• isitulo Uxhaphazelayo.

• flatulence kunye amahlaba isisu, izinto ezo iSADC unyango.

• igazi, yamathambo.

• Atopic dermatitis iziqalelo zosulelo eziziisekondari.

• izifo rhoqo ezihlasela zosulele ngokuphefumla wentsholongwane egazini.

• nokudumba.

uphethwe klostridiozov

Uxilongo klostridioza kwenzeka ezi mpawu zilandelayo: (a imbali yesigulana):

• Uphuhliso bond aphezulu esi sifo kunye ulwamkelo ngamalungiselelo antibacterial;

• Kwiimeko ezininzi, esi sifo sichaphazela abantwana;

• klostridioz luphawulwa ukuqala oyingozi;

• umkhuhlane omkhulu;

• Iimpawu uphawu kunxilwe kakhulu;

• iimpawu sikabhobhosi.

isifo Laboratory:

• clostridia endleni emntwaneni yafunyanwa iimviwo bacteriological (izityalo uyakhetha inkcubeko medium):

• oqeshwe endoscopy;

• Kwezinye iimeko, ibonisa biopsy le ndizayo uxakaxa;

• CT scan ukufumanisa ubukho nokudumba kunye ukuqina kodonga wamathumbu.

Clostridia: unyango

Phambi unyango klostridiozov kubalulekile ukuba ayeke ukuthatha antibiotics.

Ukuba umntwana sele kufunyenwe clostridia, unyango kufuneka ibe ukubuyisela microflora esempilweni emathunjini. Ukuze ezi njongo, amisele iziyobisi "Bifidumbacterin", "Lactobacterin", "Bifikol", "Hilak-Forte", "Linex" kunye nabanye.

Uninzi Amaqela Clostridia avelana eendaba "Vancomycin" "Metronidazole". Xa iintlobo kakhulu sisifo nomonde unyango ukumnika yenzelwa ukubuyisela ilahleko kwiincindi zomzimba.

Kuzo zonke iimeko, unyango clostridia abantwana nabantu abadala iquka eubiotics, amalungiselelo enzyme ( "Mezim-Forte", "Omez" et al.), Vitamins (group B) kunye chelators ( "Polisorb", "Smecta", "Enterosgel "et al.).

Prevention klostridioza

Lo mqathango engundoqo azizithintelo ukunceda ukunqanda ukusuleleka clostridia, liyithobele imigangatho yococeko: ukuhlamba izandla rhoqo (emva kokuba uhambe, phambi kokuba udle, emva kokuba kwiindawo zikawonke), ukuhlamba kunye abilayo iziqhamo kunye nemifuno kokuba kudliwe, iimveliso unyango ubushushu ixesha elide. Ukongeza, imfuneko ukugcina rhoqo a flora esempilweni amathumbu kunye amajoni omzimba. Okubalulekileyo: Ukusetyenziswa antibiotics kufuneka iqale emva kagqirha kagqirha.