Clostridia mumakwenzi emwana zvinorevei?

Clostridia ndivo vamiririri vemaitiro ezvinyorwa zvemukati wemunhu. Kazhinji vanogara munharaunda yemukati huru, asi inogona kuwanika kune dzimwe nzvimbo dzenhengo dzekudya, uyewo mumagadzirirwo emadzimai uye paganda.

Chii chiri Clostridium?

Clostridia i -gram-positive mabhakitiriya. Vanoshandisa imwe enzyme inobatanidzwa mukuparara kweproteine kusvika kumamino acids. "Clostridia" kubva muchiGiriki inoshandura se "spindle". Iri zita rinokonzerwa nekugadzirisa kwekuberekwa kwavo (munguva ino mabhakitiriya thicken ari pakati nepakati uye akapera pamigumo).

Nhamba ye clostridia, iyo inhengo yehutano hwemutsipa microflora, inosiyana. Nhamba yavo inoenderana nezera remwana. Muvana kusvikira pagore, chimiro chacho chikamu chikamu 1000-kuumba zvikamu pa gramu, muvana vakwegura kupfuura gore rimwe chete, zvinowanzoita kusvika ku100 000. Zvose izvi zvinofungidzirwa panguva yekuongorora.

Chii chakaipa Clostridia?

Clostridiosis chirwere chakanyanya kupararira chinobata vanhu nemhuka. Clostridia inokonzera zvirwere zvakadai sepseudomembranous colitis, antibiotic-inosangana nehutachiona, botulism, chirwere chegesi, tetanus, zvirwere zvinotyisa uye necrotic enteritis. Iyo pathogenic inoitika mabhakitiriya inokonzerwa nokusunungurwa kwezvinokonzera A uye B uye proteine inhibitisa kupesana kwemukati.

Pseudomembranous colitis uye antibiotic-inosangana nehutachiona hutachiona inowanzoitika muchipatara. Izvi zvinokonzerwa nechikonzero chokuti chipatara chinoshandisa mhando dzakasiyana dzakasiyana-siyana dzemishonga inorwisa mabhakitiriya uye zvinokonzera majekiseni, izvo zvinoita kuti kuumbwa kwemakiromita anoramba kusagadzikana nenzira dzekudzivirira mweya. Uyezve, kutora mishonga inorwisa mabhakitiriya chinhu chinokonzera kuonekwa kwevhastridia kana kuwedzera mumanani avo. Munguva yekurapa nemishonga yakadaro, kwete chete mabhakitiriya emapatenia emukati anoparadzwa, asi microflora yake inotamburawo.

Kana clostridia inowanikwa mumucheka wemwana, saka vabereki havadi kurira inzwi. Inofanira kurangarirwa kuti mabhakitiriya aya vamiririri vehutano hwemakumbo madiki, iyo inobatanidzwa mukuparara kwemapuroteni uye kukurudzira kumira. Asi kuti urege kudzivirirwa kwezvirwere zvakakomba, zvakakosha kuongedza huwandu hwavo, kureva, kugara uchiita kuongororwa.

Zvinokonzera Clostridiosis

Ivhastridium inosanganisira marudzi anopfuura zana, ayo akaparadzaniswa kuva mapoka mashanu. Vakawanda vavo haisi ngozi kune vanhu. Clostridia anogara mumatumbo evanhu nemhuka. Nevafecal masses, mabhakitiriya anopinda pasi, maanogona kurarama kwemarefu kwenguva yakafanana nemafuta, uye anogona kuwanika mumvura. Mhedziso ye clostridiosis mhuka nevanhu.

Nzira yekufambisa inofanirwa-kutaura. Nzira yekutapukira ndeyekutarisana-imba (kuburikidza nemidziyo, madiki, mbatya nevashumiri 'maoko). Chinokonzera utachiona ne clostridia inonyanya kutyora mitemo yehutsanana.

Chii chinokonzera kuumbwa kwepachiviri microflora?

Zvimwe zvinokonzera hutachiwana microflora zvakakamurwa kuva kunze uye mukati.

Kunze:

• mamiriro ezvemamiriro okunze munzvimbo yekugara nekugara;

• kunetseka nguva dzose;

• chimiro chekudya zvinovaka muviri (clostridia mumucheka wemwana anowanikwa kana mwana akangotamiswa kudyidzana, kana munhu mukuru mukana wekugadzira clostridiosis inowedzera nekudya zvokudya zvine upenyu hwakareba refu);

• A primer of antibacterial, hormonal uye immunosuppressant drugs.

Pakati:

• kusava nesimba kwekudzivirirwa kwemuviri;

• kutadza mupfungwa (hypocia postinatal);

• kusakwana kwepakati penheyo system;

• kutanga;

• Kuvharirwa kwemukati uye bhakitiriya re nosocomial;

• matambudziko ekurara;

• kupindira kwekuvhiya;

• zvakanyanya kupemha zvirwere.

Clostridia: Zviratidzo

Mishonga inorwisa mabhakitiriya inosanganiswa nemapirisaiti inotanga kwete chete nekuda kwevhastridia. Izvo zvinokonzera kukonzera chirwere chacho zvakare salmonella, candida, Staphylococcus aureus, Klebsiella. Urwu urwu hwehutachiona hunokonzerwa nesocomial utachiona. Asi vacheche havakwanisi kutarisana nechirwere ichi, sekufanana nemukaka waamai vanogamuchira nhamba yakawanda yezvirwere zvekuzvidzivirira izvo zvinodzivisa kukura kwevhastridia.

Mishonga inorwisa maantibhakitiriya inogona kuendesa zviratidzo zvakasiyana-siyana: kubva kune chirwere chemahara chinokonzera kukanganisa kwepisudomembranous colitis, iyo pasina kusarudzwa mumatambudziko makumi matatu kubva kune makumi matatu (30%) emhosva inotungamirira kuhutu hunouraya.

Pseudomembranous colitis inowedzera musi wechina-10 kubva pakutanga kwemishonga inorwisa mabhakitiriya. Zviratidzo zvikuru ndezvi:

• inozivikanwa nekutanga kunopinza;

• kupisa kwemuviri kunokwira kumusoro kwe39.5 ° C;

• kubvisa;

• Chido chinoderera zvakanyanya;

• Kune kurasikirwa kwekuyera;

• Zviratidzo zvekudhakwa kwakasimba zvinotanga kuonekwa nokukurumidza;

• kurwadza kwakanyanya mumimba;

• kudzokorora kurutsa;

• pakuneta murwere anonzwa kuora kwemukati;

• hove yakawanda, mvura, mvura, yegorosi ine furo yakawanda;

• Chigadziko chinosvina, ropa uye zvimedu zve fibrinous.

Kupindirana ndiko chirwere chiri nyore, icho, sekutonga, chinoguma pasina zvinetso. Symptomatology yechirwere haina zvimwe zvikamu.

Necrotic enteritis inotsanangurwa nekuumbwa kwezvironda uye kukanganisa kunoparadza mucous membrane. Zviratidzo:

• kutaridzika kwenzvimbo dze hemorrhagic necrosis pakutanga kwemukati mudumbu;

• nzvimbo dzakasvibirira dzvuku;

• kuderera kwechiedza chemukati munzvimbo yekuvhiringidza;

• murwere ari kudedera, fivha yakasimba inoonekwa;

• kurutsa;

Ropa ropa rinokonzera chirwere.

Clostridia mucheche anoita zvirwere zvakanyanya zvechirwere. Especially clostridiosis inowanzokonzera vana vasati vasvika. Zviratidzo:

• kuora kunoshamisa kwemamiriro emwana;

• kufema nokukurumidza;

• kuwedzera zviratidzo zve toxicosis uye exsicosis;

• Kunyengera;

• kuoma mitezo emimba.

Muzvinyorwa zvevana vasati vasvika nekuda kwechirwere ichi kakawanda pane vana vakwegura, matumbo uye peritonitis zvipembenene zvinoumbwa. Muzviitiko zvakawanda, clostridiosis mucheche inopera mumugumisiro unouraya.

Ndezvipi zvakakosha kuongorora mumukati microflora?

• Kurwara kwepamuviri kwenguva refu isingagoni kurapwa.

• Clostridia mumucheka wemwana inogona kuva kana mutsara uripo muzvigaro, zvidimbu zvezvokudya zvisina kuvekwa; Kudonhedzera kusina kwechigaro.

• Kusagadzikana unhu hwechigaro.

• Kugadzikana uye kubatwa kwepamu musina kupindura kurapa.

• Anemia, rickets.

• Atopic dermatitis nezvimwe zvechirwere chechipiri.

• Kakawanda kunowedzera kupemha kwezvirwere zvehutachiwana.

• Sepsis.

Kuongororwa kwevhastridiosis

Kuongororwa kwevhastridiosis kunoitika maererano nezviratidzo zvinotevera (anamnesis wemurwere):

• kushamwaridzana kukuru kwekuvandudzwa kwechirwere nekushandiswa kwemishonga inorwisa mabhakitiriya;

• muzviitiko zvakawanda, chirwere chinokanganisa vana vaduku;

• Clostridiosis inoratidzirwa nehutachiona hunotyisa;

• fivha yakasimba;

• zviratidzo zvekudhakwa kwakanyanya;

• Zviratidzo zvehutachiona.

Kuongorora kwekurapa:

• clostridia mumucheka wemwana anowanikwa nekuongorora kwebhakitiriya (zvirimwa zvekusarudza mishonga yevhisi):

• Endoscopic yekuongorora inorayirwa;

• Pane dzimwe nguva bhiopsy yemucosa inoratidzwa;

• Computed tomography inogona kuona kuvepo kwekuwedzera uye edema yerusvingo rwekoloni.

Clostridia: kurapa

Usati watanga kurapwa ne clostridiosis, zvinokosha kurega kutora maantibioti.

Kana mwana ane clostridia, kurapwa kunofanira kunge kuri kudzorera utano hwakanaka hwemakumbo microflora. Nokuda kwezvinangwa izvi ipai zvinodhaka "Bifidumbacterin", "Lactobacterin", "Bifikol", "Hilak-forte", "Lineks", nezvimwewo.

Mazhinji emapoka e clostridia anonzwa "Vancomycin", "Metronidazole". Mune maitiro akakomba ekurwara, murwere anopiwa chirwere chinoputika kuti adzorere kusakara kwemvura mumuviri.

Muzviitiko zvose, kurapwa kwe clostridia muvana uye vakuru kunosanganisira eubiotics, maitiro enzyme (Mezim-forte, Omez, etc.), mavitamini (boka B), uye inosorbents (Polysorb, Smecta, Enterosgel "Uye vamwe).

Prophylaxis ye clostridiosis

Chirwere chikuru chekudzivirira chinobatsira kudzivirira utachiona ne clostridia ndiko kuchengetwa kwehutsanana uye hwehutsanana: kushambidza maoko nguva dzose (mushure mokufamba, vasati vadya, mushure mekushanyira nzvimbo dzevanhu), kushambidza uye kupisa nemiriwo nemichero vasati vashandise, kupora kwenguva yakareba kurapwa kwemishonga. Mukuwedzera, zvakakosha kuchengetedza microflora ine utano hwemukati uye basa rezvirwere zvemuviri. Zvinokosha: kutora mishonga inorwisa mabhakitiriya inofanira kutanga mushure mekugadzwa kwachiremba.