): he aha lākou, nā ʻano nui a me nā ʻōuli
Anter
Kūlike ʻo Staphylococci i kahi hui o nā koʻohune gram-maikaʻi i loaʻa ke ʻano o ka pōʻai, ʻike ʻia i hui ʻia i nā hui, e like me ka hui o nā hua waina a kapa ʻia ka genus ʻO Staphylococcus.
Aia kūlohelohe kēia mau koʻohune i ka poʻe me ka ʻole o ka hōʻailona o ka maʻi. Eia nō naʻe, ke hoʻomohala ʻia ka ʻōnaehana paleʻea, e like me nā keiki hānau hou, a nāwaliwali paha, ma muli o ka hoʻomaʻamaʻa chemotherapy a i ʻole ʻelemakule, no ka laʻana, ʻo ka bacteria o ka genus ʻO Staphylococcus hiki iā lākou ke komo i ke kino a hana i ka maʻi.
ʻAno nui
Liʻiliʻi nā Staphylococci, bacteria hoʻoneʻe ʻole i hoʻonohonoho ʻia i nā puʻupuʻu a hiki ke loaʻa kūlohelohe i ka poʻe, keu hoʻi i ka ʻili a me nā membrane mucous, ʻaʻole e hana i kekahi ʻano maʻi. ʻO ka hapa nui o nā ʻano staph he facerative anaerobic, ʻo ia hoʻi, hiki iā lākou ke ulu i kahi kaiapuni me a i ʻole ka oxygen.
Ke ʻano o ʻO Staphylococcus hiki ke hoʻokaʻawale ʻia i ʻelua mau pūʻulu e like me ke kū a me ka ʻole o ka coagulase enzyme. No laila, ua kapa ʻia nā ʻano i loaʻa ka enzyme i ka coagulase maikaʻi, ka Staphylococcus aureus ʻo ka mea wale nō i kēia hui, a ʻo nā ʻano i loaʻa ʻole iā ia, ua kapa ʻia he coagulase staphylococci maikaʻi ʻole, nona ka ʻano nui. ʻO Staphylococcus epidermidis a ʻO Staphylococcus saprophyticus.
1. Staphylococcus aureus
ʻ Staphylococcus aureus, a i ʻole S. aureus, he ʻano staphylococcus maʻamau i loaʻa i ka ʻili a me ka mucosa o ka poʻe, ʻo ka hapa nui i ka waha a me ka ihu, ʻaʻole maʻi. Eia naʻe, ke nāwaliwali ka ʻōnaehana pale, ka S. aureus hiki iā ia ke komo i ke kino a hana i nā maʻi i hiki ke akahai, e like me folliculitis, a i ʻole koʻikoʻi, e like me sepsis, no ka laʻana, hiki ke hoʻoweliweli i ke ola o kekahi kanaka.
Hiki ke ʻike maʻalahi ʻia kēia koʻohune i loko o kahi nohona haukapila, a hiki i nā maʻi kūpilikiʻi paʻakikī ke mālama ʻia ma muli o ke kūʻē ʻana o ka microorganism i nā lāʻau ʻokoʻa like ʻole.
ʻ Staphylococcus aureus hiki iā ia ke komo i loko o ke kino ma o nā ʻeha a nila paha, keu hoʻi i ka hihia o ka poʻe i hōʻola ʻia, ka poʻe e hoʻohana i nā lāʻau injectable a i ʻole e pono e lawe pinepine i nā injection penicillin, no ka laʻana, akā hiki ke lawe ʻia mai kēlā me kēia kanaka ma o ka pili pololei ʻana a i ʻole nā droplets i kēia manawa i ka lewa mai ke kaʻe ʻana a me ka mimiki ʻana.
Ka ʻike ʻia o ka maʻi e Staphylococcus aureus hana ʻia ia ma o nā hoʻokolohua microbiological i hiki ke hana ʻia ma nā mea āpau, ʻo ia hoʻi, ka hūnā ʻana o ka ʻeha, ka mimi, ka ʻū a i ʻole ke koko. Hoʻohui ʻia, ka ʻike o ka S. aureus hiki ke hana ʻia ma o coagulase, ʻoiai ʻo ia wale nō ka ʻO Staphylococcus i loaʻa i kēia ʻenemema a no laila ua kapa ʻia ʻo coagulase maikaʻi. E ʻike hou aʻe e pili ana i ka ʻike ʻana S. aureus.
Nā hōʻailona nui: Nā ʻōuli o ke ahulau e S. aureus ʻokoʻa e like me ke ʻano o ka maʻi, ke ʻano o ka maʻi a me ke kūlana o ke kanaka. No laila, ʻeha paha, ʻulaʻula a pehu i ka ʻili, ke hoʻolaha ka bacteria i ka ʻili, a i ʻole ke kuni kiʻekiʻe, ʻehaʻeha, ʻeha ke poʻo a me nā malaise āpau, ka mea maʻa mau e hōʻike ana aia ka bacteria i loko o ke koko.
Pehea e hana ai i ka lapaʻau: Iapaau ana o ka maʻi maʻi e Staphylococcus aureus ʻokoʻa e like me kāu ʻike pilikino i nā antimicrobial, ʻokoʻa paha e like me ke kanaka a me ka haukapila āu e noho nei, inā ʻo kēia ka hihia.Hoʻohui ʻia, noʻonoʻo ke kauka i ke kūlana olakino o ka mea maʻi a me nā ʻōuli i hōʻike ʻia e ka mea maʻi, a me nā maʻi ʻē aʻe i loaʻa. ʻO ka mea maʻamau a ke kauka e paipai nei e hoʻohana iā Methicillin, Vancomycin a i ʻole Oxacillin no 7 a 10 mau lā.
2. ʻO Staphylococcus epidermidis
ʻ ʻO Staphylococcus epidermidis a i ʻole S. epidermidis, a ʻo nā S. aureus, maʻa mau i ka ʻili, ʻaʻole e hoʻokumu i kekahi ʻano maʻi. Eia naʻe, ʻo ka S. epidermidis hiki ke noʻonoʻo ʻia he mea kūpono, ʻoiai he hiki ke hana i ka maʻi ke hoʻonāwaliwali a hoʻomohala ʻia paha ka ʻōnaehana pale, e like me ke ʻano o nā keiki hānau.
ʻ S. epidermidis ʻo ia kekahi o nā microorganism nui i hoʻokaʻawale ʻia i nā mea maʻi i loaʻa i ka haukapila, ʻoiai aia ia i ka ʻili, a noʻonoʻo pinepine ʻia kona hoʻokaʻawale ʻia me he haumia o ka laʻana. Eia naʻe, ʻo ka S. epidermidis ua hoʻopili ʻia i kahi helu nui o nā maʻi i loko o ka haukapila ma muli o ko lākou hiki ke kolone i nā mea hana maʻa, nā ʻeha nui, nā prostheses a me nā puʻuwai puʻuwai, a hiki ke hoʻopili ʻia me nā sepsis a me nā endocarditis, no ka laʻana.
ʻO ka hiki ke kolone i nā pono lāʻau e hana i kēia microorganism kūʻē i nā lāʻau ʻino he nui, hiki ke hana i ka mālama ʻana i ka maʻi i mea paʻakikī a waiho i ka ola o ke kanaka i kahi makaʻu.
ʻO ka hōʻoia ʻana i ka maʻi e S. epidermidis hana ia ke maikaʻi ʻelua a ʻoi mau moʻomeheu koko no kēia microorganism. Hoʻohui, hiki ke hoʻokaʻawale i ka S. aureus o ka S. epidermidis ma o ka hoʻāʻo coagulase, kahi a ka ʻO Staphylococcus epidermidis ʻaʻohe ona enzyme, ke kāhea ʻia ʻo coagulase maikaʻi ʻole. Hoʻomaopopo pehea ka ʻike o ka ʻO Staphylococcus epidermidis.
Nā hōʻailona nui: Nā ʻōuli o ke ahulau e ʻO Staphylococcus epidermidis ʻike wale lākou i ka wā o ke koʻohune i loko o ke kahe o ke koko, a aia paha he kuni kiʻekiʻe, ʻeha ke poʻo, malaise, pōkole o ka hanu a paʻakikī paha i ka hanu ʻana a me ke kahe haʻahaʻa, no ka laʻana.
Pehea e hana ai i ka lapaʻau: Iapaau ana o ka maʻi maʻi e S. epidermidis ʻokoʻa e like me ke ʻano o ka maʻi a me nā ʻano o ka microorganism kaʻawale. Inā pili ka maʻi i ka noho ʻana o nā lāʻau lapaʻau, no ka laʻana, hōʻike ʻia ka pani o nā hāmeʻa, a pēlā e hoʻopau ai i nā bacteria.
Ke hōʻoia ka maʻi, hiki i ke kauka ke kuhikuhi i ka hoʻohana ʻana i nā lāʻau ʻaloʻalo, e like me Vancomycin a me Rifampicin, no ka laʻana.
3. ʻO Staphylococcus saprophyticus
ʻ ʻO Staphylococcus saprophyticus, a i ʻole S. saprophyticus, a ʻo nā S. epidermidis, manaʻo ʻia he coagulase maikaʻi ʻole staphylococcus, a pono nā hoʻokolohua ʻē aʻe e hoʻokaʻawale i kēia mau ʻano ʻelua, e like me ka hoʻāʻo novobiocin, kahi antibiotic ia S. saprophyticus ʻoʻoleʻa ka paʻakikī a ʻo ka S. epidermidis a lahilahi.
Hiki ke loaʻa kūlohelohe kēia koʻohune ma ka ʻili a ma ka genital, ʻaʻole e loaʻa nā ʻōuli. Eia nō naʻe, ke loaʻa ke kaulike ʻole i ka genbi microbiota, ka S. saprophyticus a ke kumu i ka maʻi urinary tract, keu hoʻi i nā wahine, ʻoiai hiki i kēia bacteria ke hoʻopili i nā hunaola o ka ʻōnaehana urinary o nā wahine o ka hānau hānau.
Nā hōʻailona nui: Nā ʻōuli o ke ahulau e S. saprophyticus like lākou me ka maʻi urinary tract, me ka ʻeha a me ka paʻakikī e hele i ka mimi, ka mimiki ʻōpua, ka manaʻo o ka hiki ʻole ke hoʻoneʻe i ka hakahaka a me ka hoʻomau mau i ka wela.
Pehea e hana ai i ka lapaʻau: Iapaau ana o ka maʻi maʻi e S. saprophyticus hana ʻia me ka hoʻohana ʻana i nā lāʻau antibiotic, e like me Trimethoprim. Eia nō naʻe, pono e hōʻike ʻia ke kauka ʻana me nā lāʻau antibiotic e ke kauka i ke alo o nā ʻōuli, ke ʻole e aloha paha i ka puka ʻana o nā bacteria kūpaʻa.