He aha ka moʻomeheu mimi me ka antibiogram, pehea e hana ai a no ke aha ia

Anter

• He aha ke kumu o ka moʻomeheu mimi me ka antibiogram
• Pehea e maopopo ai i ka hopena
• UrocULT me ka antibiogram no ʻO Escherichia coli
• Pehea e hana ai

ʻO Uroculture me ka antibiogram kahi hōʻike hoʻokolohua i noi ʻia e ke kauka e makemake ana e ʻike i ka microorganism e kumu ai i ka maʻi urinary tract a me ke ʻano o kona ʻike a me ke kūpaʻa ʻana i nā lāʻau antibiotic i hoʻohana mau ʻia e mālama i ka maʻi. No laila, mai ka hopena o ka hoʻokolohua, hiki i ke kauka ke hōʻike i ka antimicrobial kūpono loa no ke kanaka.

Hōʻike pinepine ʻia ka hana o kēia hoʻokolohua ke hōʻike ke kanaka i nā hōʻailona a me nā ʻōuli o ka maʻi urinary, akā hiki nō ke noi ʻia ke nīnau ʻia ke ʻano o ka mimi I, ua ʻike ʻia ka EAS, bacteria a me nā leukosit he nui i ka mimi, no ka mea o kēia mau loli. he hōʻailona o ka maʻi urinary, he mea nui e ʻike i ke microorganism kuleana.

He aha ke kumu o ka moʻomeheu mimi me ka antibiogram

ʻO ka hoʻāʻo moʻomeheu mimi me ka antibiogram lawelawe e ʻike i ka microorganism kuleana no ka loli urinary a i antimicrobial hiki ke hoʻohana maikaʻi loa i kāna hakakā.

Hōʻike nui ʻia kēia hōʻike ma ka hihia o ka maʻi urinary, a hiki ke kauoha ʻia ma hope o ka hopena o ka hōʻike mimi ʻano 1, ka EAS, a i ʻole he hōʻailona ko ke kanaka a me nā ʻōuli o ka maʻi urinary, e like me ka ʻeha a me ke ahi i ka wā e mimi ai a me ka makemake pinepine. e loaʻa iā Pee. ʻIke pehea e ʻike ai i nā ʻōuli o ka maʻi urinary tract.

Hoʻomaopopo kēia hōʻike i ke alo a me ka ʻike o ka ʻike i nā antimicrobial o kekahi mau microorganism, ʻo nā mea nui:

• ʻO Escherichia coli;
• Klebsiella pneumoniae;
• Candida sp.;
• Proteus mirabilis;
• Pseudomonas spp.;
• ʻO Staphylococcus saprophyticus;
• Streptococcus agalactiae;
• Enterococcus faecalis;
• Nā mākaʻi Serratia;
• Morganella morganii;
• Acinetobacter baumannii.

ʻO ka ʻike ʻia o nā microorganism ʻē aʻe e pili pū paha i ka maʻi urinary tract, e like me Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma spp. a Gardnerella vaginalis, no ka laʻana, ka hapa nui o ka manawa ʻaʻole i hana ʻia ma o ka moʻomeheu mimi, kahi e noi pinepine ʻia ai e hōʻiliʻili i kahi huna puʻupuʻu a penile paha i hiki ke ʻike ʻia ka microorganism a me ka antibiogram, a i ʻole ka nānā mimi ma o nā hana molekola.

Pehea e maopopo ai i ka hopena

Hāʻawi ʻia ka hopena o ka moʻomeheu mimi me ka antibiogram i ke ʻano o kahi hōʻike, kahi e hōʻike ʻia ai inā maikaʻi ʻole a maikaʻi paha ka hoʻāʻo ʻana, a ma kēia mau hihia, kahi i ʻike ʻia ka microorganism, ka nui o ka mimi a me nā lāʻau ʻona i ua maʻalahi a kūpaʻa ia.

Manaʻo ʻia ka hopena he maikaʻi ʻole ke ulu wale nei ka nui o nā microorganism i maʻa kūlohelohe i ka ʻōnaehana urinary. Ma ka ʻaoʻao ʻē aʻe, maikaʻi ka hopena ke hoʻonui ʻia ka nui o nā microorganism i ʻāpana o ka microbiota maʻamau a i ʻole ke hōʻoia ʻia ke alo o kahi microorganism maʻamau.

E pili ana i ka antibiogram, i ka hoʻohui ʻana i ka hoʻomaopopo ʻana inā maʻalahi a kūpaʻa paha ka microorganism i ka lāʻau antibiotic, hōʻike pū ʻia ka Minimum Inhibitory Concentration, i kapa ʻia ʻo CMI a i ʻole MIC, i kūlike i ka palena iki o ka antibiotic i hiki ke pale i ka ulu microbial. ʻo kēia ka ʻike nui a koʻikoʻi no ke kauka e hōʻike ai i ka lapaʻau kūpono loa.

[hōʻike-hōʻike manaʻo nui]

UrocULT me ka antibiogram no ʻO Escherichia coli

KA ʻO Escherichia coli, ʻike ʻia ʻo E. coli, ʻo ia ka bacteria i pili pinepine ʻia me nā maʻi urinary. Ke maikaʻi ka moʻomeheu mimi no ka maʻi koʻohune, ʻo ka nui i hōʻike ʻia i ka mimi, i ʻoi aku ma mua o nā kolone 100,000, e hōʻike ʻia i loko o ka hōʻike, a i nā antibiotics e maʻalahi, ʻo ia hoʻi ʻo Phosphomycin, Nitrofurantoin, Amoxicillin me Clavulonate, Norfloxacino a me Ciprofloxacino.

Hoʻohui ʻia, hōʻike ʻia ka MIC, a ma ka hihia o ʻO Escherichia coli, no ka laʻana, hoʻoholo ʻia ka MIC no Ampicillin ma lalo a i ʻole 8 µg / mL e hōʻike nei i ka maʻalahi o ka lāʻau antibiotic, a paipai ʻia ka hoʻohana ʻana no ka mālama ʻana, ʻoiai ʻoi aku ka nui o nā waiwai ma mua o 32 µg / mL e hōʻike i ke kūpale ʻana o nā bacteria.

No laila, e like me nā hopena i loaʻa i ka moʻomeheu mimi a me ka antibiogram, hiki i ke kauka ke hōʻike i ka lapaʻau maikaʻi loa no ka maʻi.

Pehea e hana ai

ʻO ka hoʻāʻo moʻomeheu mimi kahi hōʻike maʻalahi i hana ʻia mai kahi laʻana mimi, a pono e hōʻiliʻili a mālama ʻia i kahi ipu kūpono i hāʻawi ʻia e ka hale hana. No ka hoʻokō ʻana i ka hōʻiliʻili, pono e hoʻomaʻemaʻe mua i ka wahi pili me ke kopa a me ka wai a hōʻiliʻili i ka mimi mua o ka lā, a pono ke kanaka e nānā ʻole i ke kahe mua o ka mimi a ʻohiʻohi i ke kahawai waena.

He mea nui e lawe ʻia ka laʻana i ke keʻena hoʻokolohua ma loko o 2 mau hola i hiki ke ola ʻia no ka moʻomeheu mimi a me ka antibiogram. I loko o ke keʻena hoʻokolohua, waiho ʻia ka laʻana i loko o kahi moʻomeheu e makemake i ka ulu ʻana o nā microorganism maʻa mau i ka mimi. Ma hope o 24h a 48h, hiki ke hōʻoia i ka ulu ʻana o nā microorganism a, no laila, hiki ke hoʻokō i nā hoʻokolohua ʻike microbial.

Eia hou, mai ka manawa e ʻike ʻia ka ulu ʻana o nā microorganism i ka moʻomeheu moʻomeheu, hiki ke nānā ʻia i ka nui o nā microorganism, a hiki ke hōʻike ʻia he kolone a maʻi paha ia, a he mea hiki ke hana i ka antibiogram. , kahi e hoʻāʻo ʻia ai ka microorganism no nā lāʻau ʻokoʻa ʻokoʻa, ke nānā ʻia nei no ka mea e hopohopo a kūʻē paha nā antibiotic. Hoʻomaopopo hou e pili ana i ka antibiogram.