Kuongororwa kwekunzwisisana nemishonga inorwisa mabhakitiriya: chinonyanya kukosha, kutora sei, kududzira

Kuongororwa kwemaitiro ekurapa mabhakitiriya kunomirirwa apo chiremba anofungidzira kuti chirwere ichi chirwere chebhakitiriya mune zvakasikwa. Izvi zvinokonzerwa nechikonzero chokuti vanachiremba vanoedza kudzora kusarudzwa kwemishonga iyi, kuitira kuti vasasimudzira kuchinja uye kwete kukonzera kusagadzikana mune zvipembenene.

Tsanangudzo

Mishonga inorwisa mabhakitiriya inokonzerwa nehutano ndiyo nzira yekuraira mishonga iyo ichava nemigumisiro yakakura pamaruva epatigenic munyaya iyi yechirwere.

Panguva ino, kurapwa kwemishonga inorwisa mabhakitiriya inoshandiswa zvakakwana pane iyo inofanirwa, uyewo kana isingadiwi, nokuda kwekusimbiswa kwezvinetso zvinogona kuitika. Semuenzaniso, mushure mekunge chikamu chekuvhara, maitiro aparascopic, kubviswa kwezvipfeko kubva kuitsvo kana ureter, nezvimwewo.

Mishonga yemishonga inogona kupa mhando dzakasiyana dzemishonga pamwe chete maererano nemutengo uye maererano nekubudirira. Kuti urege "kuvhara munwe mudenga" uye kuratidza mushonga unorwisa mabhakitiriya, unoda kudyara mbeu yekushushikana.

Zviratidzo

Pamberi pachiremba asarudza kurapa, murwere anoda kupedza zvimwe zviedzo. Kudyara kunzwisiswa nemishonga inorwisa mabhakitiriya inorayirwa kana zvakakosha kutsvaga mushonga, uyo munyaya ino ichava yakakodzera. Kazhinji kacho, chidzidzo ichi chinorayirwa kurapwa kwezvirwere zvepabonde, kana zvirwere zveSDD. Kune vana, zvisinei, kudiwa kwemishonga inorwisa mabhakitiriya inokosha.

Mukuwedzera, tsanangudzo yekunzwisisika inofanirwa kuti irege kudzivisa mabhakitiriya kurapa. Kana murwere achangobva kurapwa nemishonga inorwisa mabhakitiriya, uye iye zvino chikamu chechipiri chinodiwazve, saka kushandiswa kwemishonga kunodiwa. Izvi zvinobvumira kushandisa maduku maduku echirwere uye kwete kukonzera kuchinja mutachiona. Muzvipembenene zvinoputira chirwere, antibiotics inoshandiswa kwemwedzi miviri kusvika kumwedzi mitatu.

Iyi kuongororwa inofanirwa mune zvakaitika apo murwere ane chirwere chinopesana neboka guru remishonga inorwisa mabhakitiriya.

Kusiyanisa nzira

Urine kuongororwa kwekunzwisisana nemishonga inorwisa mabhakitiriya, uye kwete iye oga, inogona kuitwa nenzira dzakawanda. Yokutanga yeiyi ndiyo nzira ye disk. Kuzvibata nenzira inotevera. Agari inodururirwa muPitri dish, uye kana itonhora, nyaya yekuongorora inoshandiswa nechinhu chakakosha. Zvadaro, pamusoro pearar, mapepa epepa, akabatanidzwa nemishonga inorwisa mabhakitiriya, anoiswa kunze. Mushure mekunge kapu yakavharwa ndokuiswa mu thermostat. Zvishoma nezvishoma, disk inomirirwa mu gelatin, uye mishonga inorwisa mabhakitiriya inopararira munzvimbo yakapoteredza. Nzvimbo ye "kukura kukura" inoumbwa kupoteredza pepa. Mikombe inobatanidzwa mu thermostat kwemaawa gumi nemaviri, zvino iyo inobviswa uye kubwinya kwemaodzanyemba kuri kuyerwa.

Chechipiri nzira ndiyo nzira E-test. Izvo zvakafanana neyo yapfuura, asi panzvimbo pepasikisi discs vanoshandisa chidimbu, iyo yakareba yakakonzerwa nemishonga inorwisa mabhakitiriya mumadhigirii akasiyana. Mushure memaawa gumi nemaviri ekutsvaira mu thermostat, chikafu chePetri chinotorwa kunze uye chinotarisa kuti nzvimbo yekukura inokura inosangana nekapi pepa pepa. Ichi chichava hutsika hwepasi hwemishonga inoda kurapa chirwere ichi.

Kubudirira kwekuedzwa uku ndiko kukurumidza uye nyore kwekuita kwavo.

Nzira dzekubereka

Kuongororwa kwemaruva uye kunzwisiswa kwemishonga inorwisa mabhakitiriya kunogona kuitwa mune imwe nzira. Iyi nzira inobva pakugadziriswa kusingagumi kwehuwandu hwemishonga inorwisa mabhakitiriya (kubva pahupamhi kusvika pahupamhi) kuitira kuti uone kuti ndeipi yemirasi inomisa kusungirwa kwebhakitiriya kukura.

Kutanga, gadzira mishonga yekushandisa mishonga. Zvadaro zvinopindirwa mumusviki wemvura uye mabhakitiriya (muto kana agar). Zvose matatya usiku (iawa maawa gumi nemaviri) zvinowanikwa mu thermostat pakushambidzika kwema 37 degrees, uye mangwanani vanoongorora zviwanikwa zvakawanikwa. Kana zviri mukati mechikwata chekuedza kana chikafu chePetri chiri chisingadi, izvi zvinoratidza kukura kwebhakitiriya uye, nokudaro, kusagadzikana kwemishonga inorwisa mabhakitiriya pane imwe nzvimbo yekufungidzirwa. Iyo yekutanga test tube, umo kukura kwemakoloni emakorikari hazvizogadziriswa maziso, kuchaonekwa sekukwanira kwakakwana kwehutano.

Izvi zvinoshandiswa pakubudiswa kwechirwere zvinowanzozonzi kusanyanya kuderedza kufungidzirwa (MIC). Inoyerwa mumamirigiramu nereta kana micrograms pamamiriyoni.

Kutsanangurwa kwemigumisiro

Kuongororwa kwekunzwisisana nemishonga inorwisa mabhakitiriya inofanirwa kunge isingakwanise chete kuita zvakanaka, asi ichinyatsojekesa. Maererano nemigumisiro yakawanikwa, zvipukanana zvose zvakaparadzaniswa kuva zvisinganzwisisiki, zvisingakwanisi kugadzikana uye zvinopesana. Kuti vazviparadzanise pakati pavo, zvinokonzerwa nemiganhu yemiganhu yezvinodhaka zvinoshandiswa.

Aya maitiro haagari nguva dzose uye anogona kusiyana zvichienderana nekugadzikana kwei microorganisms. Kubudirira nekudzokorora kwezvinangwa izvi zvakapiwa kugadzirisa chemotherapist uye microbiologists. Imwe yezvivako zvepamutemo zveiyo ndiyo National Committee for Clinical Laboratory Standards muUnited States. Maitiro avakagadzira anozivikanwa munyika yose kushandiswa pakuongorora basa rerabiobiotic, kusanganisira maitiro akawandisa akawanda.

Pane nzira mbiri dzekuongorora migumisiro yemigumisiro yekurapa maitiro ekuongororwa: kliniki uye microbiological. Microbiological evaluation inotarisa pakupararira kwehutano hwemishonga yemishonga inorwisa mabhakitiriya, uye kliniki - pamhando yehutano hwemishonga inorwisa mabhakitiriya.

Kurwisana uye hutachiona hutachiona

Kuongorora - kusarudzwa kwekunzwisisana nemishonga inorwisa mabhakitiriya - inopiwa kuti ione hutachiona husingaiti uye husingaiti.

Kunzwisisika kunonzi mazvirwere, izvo zvinogona kurapwa nemishonga inorwisa mabhakitiriya muvhareji yekurapa maitiro. Kana pasina ruzivo rwechokwadi pamusoro pekunzwisisika kwema microorganism, ipapo iyo yakawanikwa pasi pematoriro ehurongwa inotorwa. Zvinosanganiswa nezivo ye pharmacokinetics yemishonga inoshandiswa, uye mushure mekushandiswa kwemashoko aya, kupedzisa kunoitwa pamusoro pekukanganisa kwebhakitiriya kune mishonga.

Kurwisana, kureva, kusagadzikana, michina inokonzera mabhakitiriya aya anoramba achikonzera zvirwere kunyange kana achishandisa kuwandisa kwemishonga yemishonga.

Kupikisa kwemaviri kunotangwa muitiko apo chirwere panguva yekurapa chinogona kuva nemigumisiro yakawanda. Kudzorerwa kwemurwere kunogona kuitika pakushandisa marefu emishonga yemishonga inorwisa mabhakitiriya kana munyaya yekutsvaga kuwedzerwa kwemishonga panzvimbo yehutachiona.

Ihwo huwandu hweBactericidal concentration

Kuongororwa kwe microflora uye kunzwisiswa kwemishonga inorwisa mabhakitiriya kunogadzirisa chiratidzo chakadai sechidiki chinonzi bactericidal concentration, kana MBK. Iyi ndiyo mamiriro ekudzikisa pasi pemishonga, iyo iri pasi pematambudziko e laboratori inokonzera kubviswa kwemamwe machirinomwe mukati meawa gumi nemaviri.

Zivo yechirwere ichi chinoshandiswa pavanoshandisa kurapwa kwete bhakteriicidal, asi mishonga ye bacteriostatic. Kana mumamiriro ezvinhu apo chirwere chinorwisa mabhakitiriya hachibatsiri. Kazhinji kacho, kuongorora uku kunorayirwa kune varwere vane bacterial endocarditis, osteomyelitis, uyewo zvirwere zvinopindira.

Chii chinogona kuva muenzaniso?

Kuongororwa kwekunzwisisika kumishonga inorwisa mabhakitiriya kunogona kuitwa kuburikidza nehutachiona chemvura:

- saliva;

- ropa;

- urini;

- semen;

- mukaka wemvere.

Mukuwedzera, nokuda kwekunzwa kwekunzwa kwenzvimbo, smear inounganirwa kubva muhutachi, kervical canal uye kumusoro kwepamusoro.

Kugadzirira kuongorora

Buck. Kuongororwa kwekunzwisisana nemishonga inorwisa mabhakitiriya hakudi kuti varwere vagadzirire zvakawanda, asi pane zvimwe zvisingakwanisi.

1. Chidzidzo chacho chinoshandisa chikamu chemazana emambakwedza emangwanani akabatanidzwa muzvisina kumira. Pamberi peizvi, murwere anofanira kunge achifanira kuita chimbuzi chemuviri wekunze uye maoko.
2. Mukaka wemazamu unounganiswa usati watanga mwana. Chikamu chokutanga chakasvibiswa, uye ipapo mashoma milliliters anodururirwa mumhando imwe neimwe isina kuberekwa kubva pane imwe nese.
3. Usati watanga smear kubva kumasopharynx zvakakosha kurega kugamuchira zvokudya mukati ma5 maawa matanhatu.
4. Muchiitiko chekutora smear kubva pamagadzirirwo emukadzi, zvinokurudzirwa kurega zvepabonde kwemazuva mashoma.

Kusvika iye zvino, hapana kliniki kana ma laboratory nzira iyo inogona ne 100% zvichida inofanotaura kuitika kwemishonga inorwisa mabhakitiriya. Asi panguva imwecheteyo, kutarisa kunzwisiswa kwebhakitiriya kune zvinodhaka kunogona kutungamira vanachiremba mukusarudza nekugadziriswa kwehutano.