Vanachiremba vezvokurapa vanobatana neKlebsiella pneumoniae neine pneumonia inobata vanhu vasina pokugara vanovimba nedoro. Zvisinei, bhakitiriya Klebsiella pneumonia inowanikwa muzvirongwa zvechipatara uye chinokonzera chinokonzera ushu hwedu. ("Nosocomial" ndiyo chirwere chezvoutano uye rinoreva zvirwere zvinotangira muchipatara.)
Klebsiella pneumoniae iganda re gram-negative rakasvibiswa mukati mejenya re polysaccharide capsule.
Pamusoro penyaya inofananidzwa, iyi sopule yakareba inoita kuti mabhakitiriya ave akaoma kurapa nemishonga inorwisa mabhakitiriya.
Mishanu muzana yevanhu, Klebsiella pneumoniae anogara mumatumbo (feces) uye nzira yekufema. Kusiyana neE E. coli , imwewo inowanzo muvhu (enteric) mabhakitiriya, Klebsiella inowanikwawo munzvimbo dzakasikwa dzakasikwa semarara, ivhu uye pamusoro pemvura. Inonyangadza muviri kuburikidza ne endotoxin iri mukati mebhakitiriya uye kwete ne (excreted) exotoxin.
Sezvo iwe unogona kunge unofunga kubva kune zita racho, Klebsiella pneumoniae inogona kukonzera bhakitiriya pneumonia. Chirwere chepamuviri chirwere chemapapu chinokonzera fever, chills, kupera kwekufema, kuneta uye nezvimwe. Kazhinji, Klebsiella pneumonia inowanikwa kunze kwekuti pakati pevanhu vemunharaunda vane doro rekudhakwa.
Klebsiella pneumonia kazhinji inokonzera kurudyi kwepamapapu lobe uye inoguma mu cavitation uye pyogenic (aka pus-producing) kufa kwechifu (aka necrosis); izvi zvakasiyana-siyana zvepathophysiology zvinowanikwa pachifukidzo x-ray.
Muzvirongwa zvechipatara, Klebsiella pneumoniae inogona kukwira ichibva mumatumbo uye inokonzera chirwere chekuvhenekera kana kukanganisa kuburikidza nekateti yenyuchi. Uyezve, kunyanya pakati pevana vari muchipatara mune chirwere chechipatara ICU (PICU), Klebsiella pneumoniae inogona kukonzera kutyisa ropa (aka septicemia) uye septic shock.
Mune nhoroondo, pane michero yeKlebsiella pneumoniae inokonzera zvirwere zvakanyanya: Klebsiella ozaenae uye Klebsiella rhinoscleromatis. Kutapurirana neKlebsiella ozaenae kunogona kukonzera kusasuruvara kunotyisa (atrophy) yemakumbo emumakumbo. Zvimwewo zvakafanana, Klebsiella rhinoscleromatis inokonzera rhinoscleroma, kuparadza kunokonzera kuvhuvhuta kwemhino nehuro.
Kuongororwa kweKlebsiella pneumoniae kunobva pane zvakaitika mune zvehutano, kuongorora mumuviri, kuongororwa kwekuongorora (funga x-ray) uye kuongororwa kwe laboratori. Kana zvichibvira, vanachiremba vanosarudza kubata Klebsiella pneumoniae ne quinolones kana chechitatu-kana chechina chizvarwa cephalosporins. Zvisinei, mamwe maitiro eKlebsiella pneumoniae anoramba asinganzwisisiki nemishonga inorwisa mabhakitiriya, uye mapurogiramu ekudzivirira mabhakitiriya anofanira kuongororwa paanenge achiedza nekurapa chirwere chacho.
Kutanga muma1970, matambudziko eKlebsiella pneumoniae asingagamuchiri neaminoglycosides akatanga kutora. Matambudziko aya akakurumidza kuteverwa nekuwedzera-spectrum beta-lactamase inobereka Klebsiella iyo yakanga isinganzwisisi ne penicillins uye cephalosporins.
Munguva pfupi yapfuura, matambudziko eKbabsiella anorwisa carbapenem akabuda muzvipatara. Carbapenems mishonga inorwisa mabhakitiriya inoshandiswa sekupedzisira kurapa.
Ichokwadi chokuti Klebsiella akashandura zvishoma kuti arwise mishonga iyi inonetseka nhengo dzezvechiremba.
Nokuti Klebsiella pneumoniae inowanzokonzera kutapurirwa muzvipatara nevarwere-zvikuru avo avo vave vari muchipatara kwenguva refu uye vasina simba rekudzivirirwa kwezvirwere (funga ICU) -kukosha kwevashandi vehutano hwehutano vanoedza nepavanogona napo kuderedza kupararira kwebhakitiriya.
Mukuwedzera pakuchengetedza midziyo yezvokurapa kuchenesa nekuderedza urefu hwenguva iyo kugara kwekateti kuiswa, kushambidza maoko kunonyanya kuzvidzivirira kune utachiona. Kunyange semunhu waunoda kushanyira shamwari kana nhengo yemhuri muchipatara, iri pfungwa yakanakisisa yekuchengeta maoko ako akageza uye kubva pamishonga yezvokurapa.
Pamashoko ekupedzisira, kwemakore anodarika makumi mana, vatsvakurudzi vanga vachitsvaka chirwere chekudzivirira utachiona neKlebsiella pneumoniae. Parizvino, kune mazvikamu akawanda akazvimiririra anoshandisa chirwere chakadaro.
Sources:
Chinyorwa chinonzi "Kuvandudzwa kwezvirwere zvinopesana neKlebsiella pneumonia" naT TA Ahmad uye vanyori vanyori vakaparidzirwa muHIV vaccine muna 2012.
Brooks GF, Carroll KC, Butel JS, Morse SA, Mietzner TA. Chitsauko 15. Enteric Gram-Negative Rods (Enterobacteriaceae). Mu: Brooks GF, Carroll KC, Butel JS, Morse SA, Mietzner TA. eds. Jawetz, Melnick, & Adelberg's Medical Microbiology, 26e. New York, NY: McGraw-Hill; 2013.
Levinson W. Brief Summary dzeMitemo Inokosha Zviviri. Muna: Levinson W. eds. Kudzokorora kweAradic Microbiology uye Immunology, 13e. New York, NY:
Nyaya yakanzi "Klebsiella spp. seNosocomial Pathogens: Epidemiology, Taxonomy, Typing Methods, uye Pathogenicity Fact "" naR Podschun naU Ullmann vakaparidzirwa muCliniki Microbiology Reviews.