Enterococci in a smear. Ngaba simele ukoyika?

Ukunyamezela nokumelana ... umgangatho Good. Ukuba sithetha ngamagciwane. Kwaye ke loo enterococci, yaye akasivumeli ukuba bakhululeke kumlo nabo. Olu tshaba ngamanye amaxesha kunzima kakhulu zokoyisa. Kodwa - mhlawumbi ulwazi uya kufumana kweli nqaku.

Njani enterococci kwi smear? Uhlalutyo lubonisa ityathanga, abahenyuza kwezi kwamagciwane. Bona ukubonwa abanye ukuvelisa enzyme, kwaye ukuba ii-antibodies labonwa igazi labo.

A oogqirha olwahlukeneyo yintloko - ukuba enterococcus "ubomi" ezibhedlele kwaye kukho liba multi-enganyangekiyo elwa ezahlukahlukeneyo, nto leyo eyenza umlo ochasene ukuba kube nzima. Ngapha koko, enterococci sakwazi ukuqhelana phantse kuzo zonke iintlobo antibiotics ukuya ithile enoba kukancinane okanye. antibiotics New (linezolid, umzekelo) de kuyisombulula loongxaki enterococci, kodwa ngamanye amaxesha kwiijenali zezonyango kukho iindaba malunga ukuxhathisa ezi kwamagciwane ukuya antibiotics yakutshanje. Ngoko ke umzabalazo usaqhubeka. Kaloku, umzimba, yena nako ukulwa ngempumelelo, kwaye la machiza ziyindlela elungileyo ephatha ugqirha nje adjuvant.

Apho emzimbeni sokulungisa kwamagciwane? Kaninzi enterococci labonwa yokuchama. Nangona kunjalo, oku kuchaphazela yangaphakathi iqokobhe wentliziyo, amanxeba zingakotshwa bosulelekile, iintsholongwane izinze ngeenxa catheter, nto leyo esaziswa isigulane onesifo. Ngamanye amaxesha ezi amagciwane angene kuloo ndawo ibinomthwebeba, nande egazini (ebizwa ngokuba bacteremia). Kuyenzeka ukuba iintsholongwane izakufunyanwa meningitis, izithuba pleural.

Enterococci badla bahlale nje wokugaya ngaphandle ebangela naziphi kubonakaliswa kwezonyango usulelo. Nangona kunjalo, kufuneka sihlale kule nkqubo phantsi kolawulo, ngenxa yokuba uninzi lezigulane wagula ngenxa yoko, baye enterococci apha emathunjini azo nokuqalisa kwesi sifo. Ngoko enterococci endaweni smear evela isikali - isizathu sokuba uqale ukuthatha inyathelo.

Ingakumbi yingozi le usulelo kwabo izigulane abaphethwe kakhulu wayolula (ingakumbi abo izifundo elide antibiotics), utyando abanamava ukuya nokufakelwa amalungu omzimba kunye nezigulane abanezifo oncological egazini. Kwakhona enterococci yingozi kakhulu ukuba iingcali zempilo. Ingozi yokusuleleka abo asele corticosteroids nokufumana isondlo parenteral ngayo.

Kodwa ke, ukuba akukho amathumbu, kodwa emjelweni wesibeleko, akukho nto kuyingozi ukuba iintsholongwane ezifumaneka kancinane. Enterococci ngendlela unyango smear ifaka elula, ukuba ugqirha ukholelwa ukuba isigulana kufuna unyango konke konke. Njengomgaqo, enterococci kwi ikuku - inxalenye izilwanyana eziqhelekileyo, ngoko musani ukuphakuzela ukukhathazeka.

Enterococci ngendlela smear ziyingozi kuphela xa swab lathatyathwa urethra. Kwakhona, embi imeko, ukuba ezi kwamagciwane zifumaneka igazi, oko kuthetha ukuba wonke umzimba. kunqabile kakhulu, kodwa ke nangoku zifumaneka ulwelo lwe-cerebrospinal, kodwa ngokuqhelekileyo eyenzeka meningitis yangasemva (ityala yimiyalezo). Ukubona enterococci kunye ubomvu ethatyathiweyo kulo kwizihlunu ezithambileyo.

izifo ezifana babacukucezela antibiotics ezintsha (streptogramin, teicoplanin, oritavancin). Ngokubanzi, i "zokudubula enzima" ezinjalo zingasetyenziswa ubukho enterococci kuphela xa kukho ubungqina bona ngqo apho ayingozi (lobufazi kwaye wesibeleko akuthathwa). Isizukulwana esitsha antibiotics ukumelana nxamnye iintsholongwane, ngoko nje kwiinkqubo ukudumba zinganikezelwanga emiselweyo, kuyimfuneko ilabhoratri ubungqina kuyo enterococci.

Ukuba awunalo igama ngoyaba intlungu kuhlolwe kwi womchamo, yaye ngoko nangoko udibane nogqirha wakho, unako intlungu enjalo abangcangcazelisi izifo enterococcal ezifana endocarditis kunye meningitis. Nje musa ukulibala ngawe, umzimba wakho kufuneka ingqalelo.