Zviri nyore kuchinja sekushambidza maoko kunogona kuderedza ngozi
Iyo bhakitiriya staph ( Staphylococcus aureus) , kazhinji inorarama paganda uye dzimwe nguva mumapapiro. Ndicho chinonyanya kukonzerwa nehutachiona uye hutachiona hutachiona hwezvirwere munyika dzakawanda dzenyika. Iko kune matambudziko akawanda eS S. aureus munyika mazuva ano, asi kubatika kunokosha ndiko Methicillin-resistant Staphylococcus aureus ( MRSA ).
MRSA haisi kuurawa nemaitiro anorwisa mabhakitiriya anobvisa staph, asi vanachiremba vanoramba vachipa kurapwa kwematambudziko.
Wana chokwadi pamusoro pezviratidzo uye zviratidzo zve staph zvirwere uye pamusoro pekuongororwa uye nzira dzekurapa nekudzokororwa uku.
Overview
S. aureus inokonzera zvirwere zveganda zvakadai se folliculitis , furuncles , carbuncles uye cellulitis . Kazhinji zvirwere izvi zvinorapwa neboka remishonga inorwisa mabhakitiriya rinonzi β-lactam antibiotics, asi aya maantibiotic haaurayi MRSA. Mienzaniso ye β-lactam antibiotics inosanganisira:
- Penicillins yakadai sebenathine penicillin, nafcillin, uye dicloxacillin
- Cephalosporins yakafanana ne cephalexin, cefuroxime, uye ceftriaxone
- Monobactam yakadai seAztreonam
- Carbapenems yakadai semipenem
Ndeipi MRSA Yakabva?
S. aureus, kufanana nemabhakitiriya mazhinji, ane simba rekugadzirisa hupenyu kuti urarame. Sezvo bhakitiriya yave yakarongedzwa nemishonga inorwisa mabhakitiriya, kwakave kuine zvishoma, kuwedzera kwekuwedzera muDNA yebhakitiriya inobvumira kuti ichinje uye igare. Zvimwe zvinetso zvebhakitiriya imwechete zvinokura izvo zvine zvakasiyana siyana uye zvakasiyana-siyana.
MRSA yakave yakadzokera kumashure mumatambudziko muma1950 inonzi phage type 80/81 iyo yaizivikanwa nokuda kwekugona kwayo kukonzera zvirwere zvakakomba.
Aina
MRSA yave yakakamurwa kuva mhando mbiri dzakasiyana:
- CA-MRSA: Mhuri-yakagadzirirwa MRSA
- HA-MRSA: Chipatara-chakawana MRSA
Kazhinji HA-MRSA ndiyo inonyanya kukosha yezvinyorwa zviviri.
Zvisinei, zvakaoma kuputsa pasi chokwadi pamusoro pekusiyana pakati pezvipembenene izvi nokuti kune tsanangudzo dzakasiyana dzemasere. Uyezve, nekuda kwehutano hwekubhakitirika kwebhakitiriya, i-sub-types ivo vari kuchinja.
Kuziva
Nzira yakananga yekuziva kuti chirwere cheMRSA ndechekuita tsika yebhakitiriya pus kubva pachironda chetachiona. Dzimwe nguva kuunganidza mvura inobva mukati memhino inogadzirwa kuziva kana munhu ari kutakura mabhakitiriya.
Mishonga
Kune zvirwere zviduku zviduku dzimwe nguva chirwere bedzi chinodiwa ndechokubvisa pus. Izvi zvinonzi I & D, kana incision uye mvura . Mvura inoshandiswawo inoshandiswawo kune dzimwe zvirwere zvakakomba pamwe nemishonga inorwisa mabhakitiriya inoshandiswa kuuraya mabhakitiriya. Kune mishonga inorwisa mabhakitiriya inobata MRSA, asi kurwisa mamwe emishonga iyi inotanga kukura mune dzimwe nzvimbo. Dzimwe nguva kusanganiswa kwemishonga inorwisa mabhakitiriya inoshandiswa kudzivirira kumwe kusagadzikana kubva pakukura. Mishonga inorwisa mabhakitiriya inowanzoshandiswa inosanganisira:
- trimethoprim-sulfamethoxazole (Septra kana Bactrim)
- clindamycin
- linezolid
- tetracycline
- vancomycin
Kudzivirira
Maitiro ehutano hwepanyama ndiyo inokosha yekudzivirira hutachiona hweMRSA. Kune zvimwe zvipingamupinyi zvinokonzera kukura kweMMSA uye kuziva izvo izvi zvinogona kukubatsira kuti usapinda mamiriro ezvinhu.
Mirayiridzo inotevera yekutevera inosanganisira:
- Dzadzai muchikuvadza kubvisa mavanga
- Usabata mavanga omumwe munhu
- Usataurirana zvinhu zvaunofanana nezvitauro uye razors
- Edza maoko nguva dzose uchishandisa saga antibacterial kana gorosi-based gels
Sources:
Gould, IM. "Mishonga inorwisa mabhakitiriya, ganda uye utachiona hutachiona hutachiona uye methicillin-resistant Staphylococcus aureus: chinokonzera uye chiitiko." Int J Antimicrob Agents. 34 Suppl 1 (2009): S8-11.
Kil, EH et al. "Methicillin-resistant Staphylococcus aureus: chiitiko chedermatologist, Chikamu 2: Pathogenesis uye zviratidzo zvinoratidzika." Cutis. 81 (2008): 247-54.
Miller, LG, uye SL Kaplan. "Staphylococcus aureus: nharaunda inonzi pathogen." Mishonga inopindirana nehutachiona hweNorth America. 23 (2009): 35-52.