, nā ʻōuli a pehea ka lāʻau

Anter

• Pehea e maʻi ai ka maʻi
• Nā ʻōuli o ke ahulau e ʻO Acinetobacter sp.
• Kuhi o ka maʻi maʻi ma ʻO Acinetobacter sp.
• Pehea e hōʻalo ai a mālama ai
• Lapaʻau pae

ʻO Acinetobacter pili like i ka genus o koʻohune pili pinepine me nā maʻi e pili ana i ke olakino kaiapuni, ka HAI, ʻo ia ka lunamakaʻāinana nui o kēia genus ka Acinetobacter baumannii, ka mea i hoʻohui ʻia me nā maʻi i loko o ka haukapila e hōʻike nei i ke kūʻē ʻana i ka hapa nui o nā lāʻau ʻino i hoʻohana ʻia, e paʻakikī ana i ka lāʻau.

Kuhi ʻia kēia koʻohune he opportunityistic, no ka mea he kumu ia i nā maʻi i nā poʻe i loaʻa nā kumu e makemake i kāna hanana, e like me ka hoʻemi ʻana i ka hana o ka ʻōnaehana pale a me ka lōʻihi o ka noho ʻana i ka Intensive Care Unit (ICU). ʻ ʻO Acinetobacter sp. hiki ke loaʻa pinepine ma ka ʻili, eia naʻe i ka poʻe i hōʻola ʻia ʻike pinepine ʻia i ka ʻāʻī a me nā huna hanu.

Pehea e maʻi ai ka maʻi

Maʻi kīnā me ʻO Acinetobacter sp. hana ʻia ia ma kahi ʻano o ka haukapila ma o ka launa ʻana me nā papa i hoʻohaumia ʻia a i ʻole ma o ka pili ʻana me kekahi kanaka ʻē aʻe, e noʻonoʻo ʻia nā lima ke ala nui o ka lawe a me ka maʻi.

ʻOi aku ka maʻalahi o kēia ʻano maʻi i nā poʻe i loaʻa i ka haukapila no nā wā lōʻihi i ka haukapila ma ka Intensive Care Unit (ICU), he ʻeha o ka ʻili, loaʻa ʻole kahi ʻōnaehana pale maʻi, nā mea e hanu me ke kōkua o nā hāmeʻa, a i ʻole nā ​​catheter , o kahi laʻana.

ʻO kēia no ka mea hiki i nā bacteria ke hana i ke ʻano biofilm i loko o nā mea olakino, i kūlike i kahi ʻano kūʻē i hiki ai i ka bacteria ke hoʻopaʻa i ka ʻili o ka hāmeʻa a hoʻonui pono loa, hana i ka lāʻau paʻakikī a alakaʻi i nā pilikia.

No laila, i kahi nohona haukapila, maʻi e ʻO Acinetobacter sp. pili pū paha ia i nā lāʻau lapaʻau i hoʻohana ʻia i kēlā me kēia lā.

Nā ʻōuli o ke ahulau e ʻO Acinetobacter sp.

Hiki ke hoʻololi ʻia nā ʻōuli o ka maʻi ma muli o kahi e loaʻa ai nā bacteria. No laila, inā i loko o ka ʻōnaehana hanu, ka ʻO Acinetobacter sp. hiki ke alakaʻi i ke ʻano o nā hōʻailona a me nā ʻōuli o ka niumonia, e like me ka paʻakikī o ka hanu ʻana, ka fiva a me ka ʻeha o ka umauma.

Ke hiki i ka ʻōnaehana urinary, hiki ke hopena i ke ʻano o nā ʻōuli o ka maʻi urinary, e like me ka ʻeha a me ke kuni ʻana i ka wā he mimi, koi pinepine e hele i ka lua a me ka mimi ʻohu.

I ka poʻe i loaʻa ka ʻōnaehana paleʻoniʻoni ʻoi aku a i ʻole i hōʻoki ʻia i ka haukapila no kahi wā lōʻihi, he mea maʻamau ka hiki ʻana o ke koʻohune i ke kahe o ke koko a alakaʻi i ke ʻano o nā ʻōuli e hōʻike ana i ka bacteremia, i kūlike i ke alo o nā koʻohune i ka ke koko, aia paha ke kiʻekiʻe a hoʻomau i ke kuni, hoʻemi i ke kahe o ke koko, nausea a me ka puʻupuʻu. Eia pehea e ʻike ai i nā hōʻailona o ka maʻi koko.

Kuhi o ka maʻi maʻi ma ʻO Acinetobacter sp.

ʻO ke kuhi o ka maʻi e ʻO Acinetobacter sp. hana ʻia ia i loko o kahi nohona haukapila, ʻoiai ʻo ka hapanui o ka poʻe i loaʻa i kēia maʻi i hoʻokipa ʻia i ka haukapila, ma o ka hōʻiliʻili ʻia ʻana o kahi hāpana koko, ka hūnā tracheal a me / a i ʻole ka mimi, i hoʻouna ʻia i ke keʻena hoʻokolohua microbiology no ka loiloi.

Hoʻopili a kālailai ʻia nā laʻana e like me ka macro a me ka microscopic o nā kolamu bacteria i loaʻa ma hope o ka hoʻoulu ʻia ʻana ma 37ºC, ʻo ia ka mahana wela no ka ulu ʻana o ka maʻi. A laila, ʻike ʻia nā koʻohune a hana ʻia ka antibiogram, kahi e hōʻoia ʻia ai ka ʻike o nā koʻohune a me ke kūpaʻa ʻana i nā lāʻau ʻino, he mea nui kēia ʻike i hiki i ke kauka ke hōʻike i ka lāʻau kūpono loa no ke kanaka a hiki iā ia ke hoʻopau. ka bacteria. Hoʻomaopopo i ka hana ʻia ʻana o ka antibiogram.

Pehea e hōʻalo ai a mālama ai

E like me ʻO Acinetobacter sp. he kūpaʻa multidrug, ʻo ia hoʻi, he mau ʻano kūʻē kūʻē i nā lāʻau ʻonika i hoʻohana mau ʻia, a he hiki iā lākou ke hana i biofilm, ʻo ia ka hiki o ke koʻohune e hoʻopili i nā pono lāʻau a hoʻonui, paʻakikī ka lāʻau.

No laila, ke kanaka i ʻike ʻia me ka maʻi maʻi e ʻO Acinetobacter sp. pono ka multiresistant e noho i ka haukapila ma kahi kaʻawale a me ka mālama pono ʻana, i ka manawa like me ka mālama ʻana me nā lāʻau ʻalopika i mālama ʻia ai ka maʻi bacteria, no ka mea, pale kēia i ka microorganism mai ka hoʻolaha ʻana a me nā poʻe ʻē aʻe mai ka haumia.

I mea e hōʻalo ai i ka maʻi, ʻo ka hana nui e hana ai ka holoi pololei ʻana o nā lima, ʻoiai ke kūlike o nā lima i ke kumu nui o ka lawe ʻia ʻana o nā maʻi i ke kaiapuni. Eia hou, he mea nui ʻaʻole e hoʻohana i nā lāʻau ʻaloʻalo me ke koi ʻole a ke kauka, no ka mea hiki ke hoʻoulu i ka ulu ʻana o ke kūpaʻa antibiotic, a i ka wā i ka haukapila, pale i ka pili ʻana i nā mea maʻi e noho kaʻawale ana a i ʻole inā pono e hoʻopili aku. holoi lima ma mua a ma hope o ka launa ʻana me ke kanaka a komo i nā pono hana pale pilikino. E aʻo hou e pili ana i ka hōʻalo ʻana i nā maʻi maʻi o ka haukapila.

Lapaʻau pae

ʻO ka mālama kino ʻana, i kapa ʻia hoʻi ʻo phage therapy, kahi ʻano lapaʻau e hoʻohana ʻia ai nā bacteriophages e hakakā i nā maʻi i paʻakikī e mālama nui ʻia ma muli o ke kūpaʻa multidrug i nā antibiotic. ʻO nā bacteriophages, a i ʻole nā ​​phages maʻalahi, he mau virus i loaʻa ka hiki ke luku i nā bacteria a, no laila, hiki ke hoʻohana pono ʻia ka hoʻohana ʻana i ka mālama ʻana i nā maʻi maha-kūpaʻa.

ʻO kēlā me kēia bacteriophage ke kuleana no ka hakakā ʻana i hoʻokahi a i ʻole kahi hui o nā bacteria a, no laila, i ka mālama ʻana i nā maʻi, hiki ke hana ʻia i ka cocktail kikoʻī o nā bacteriophages e hakakā i kahi maʻi i hāʻawi ʻia. I kēia mau lā, ua mana ka phage therapy i ka mālama ʻana Acinetobacter baumannii multidrug-resistant, kahi i hiki ai i nā bacteriophages ke hoʻopau i nā bacteria a no laila e hakakā i ka maʻi a hoʻomaikaʻi i ke ola o ke kanaka.

ʻOiai he ʻano hana kahiko, ua kaulana ka mālama ʻana me nā bacteriophages i nā makahiki i hala aku nei ma muli o ka nui o nā microorganism multi-resistant. E aʻo hou aʻe e pili ana i nā bacteriophages.