Klebsiella pneumoniae - He aha ka mea? Ke bacterium Klebsiella pneumoniae: Description

Klebsiella pneumoniae - He aha ka mea? He He bacterium i hiki i nui hoʻoʻino mai o ka ÷ naehana hanu, digestive a me urinary nenoai. Na hihia e noi mai ana akahele lapaau a me ka manao mālama '. A me ia, kena ae la nosocomial nā mea palahēhē e hoʻopale Inc ma muli o ia i ka nui helu o ka laha 'ana o ka pathogen.

liluwelo waiwai

Ke, he pono ole ke kanaka mea paakiki e noonoo ai i na mea ia nana e like Klebsiella pneumoniae, i ia mea. Morphologically ia mea he liʻiliʻi wahi kookoo i hiki ke kai piha nā singly, a ma ka pūʻulu. He He Gram-io bacterium i ka mea, i ka wa i kohuia me ke hematoxylin-eosin, e lilo ia i nonono (Hōʻike i ke alo o na capsules).

He 'Oi ka makemake e Kamakawiwo Ole ma wahi me ka i kaupalena' ia ka hookipaia ana o oxygen, akā, i loko o kona alo, 'aʻole kona moʻomeheu waiwai i lilo aku. I ke keʻena hoʻokolohua, ke bacterium Klebsiella pneumoniae e ulu ana ma ka p ÷ haku a me ke kinowai ai nutrient me Media, ho okumu i ka nani poʻohina-keʻokeʻo panalāʻau. Ua loaa kona inoa ma ka inoa o ka discoverer - ka pathologist Edwin Klebs.

ano o Klebsiella

Microbiologists mai o ka puka manawa o ka microorganism hōʻike 'eono laha' o Klebsiella:

- Klebsiella pneumoniae (Friedlander bacillus).
- Klebsiella oxytoca.
- Klebsiella rhinoscleromatis (bacillus o Frisch - Volkovich).
- Klebsiella ozaenae (maile Abela - Lavenberga).
- Klebsiella terrigena.
- Klebsiella planticola.

Ma kānaka, i ka loa e like me ka kumu o ka maʻi i ka mua elua, akā, me ka emi ma e hoʻonele, a me ka 'ē aʻe? Ueo e pathogenic. I ola kanaka i loko o ka gut mea i Klebsiella pneumoniae, kona uku e ole oi aku 105 koʻohune no 1 gram o ke chyme. Eia hou kekahi, mau microorganisms i mau makana i loko o kaʻili, a mucousʻili lahilahi o ka bronchial laau. e hiki ke malama i ko lakou mau waiwai ma kaʻai me nā huahana ma ka wai a me ka lepo no ka lōʻihi manawa, no laila, i ka maʻiʻaʻai ana lakou.

kumu o ka maʻiʻaʻai

Mawaena o na mea he nui'ē aʻe i anthroponotic nā mea palahēhē hiki ke wahi, a me Klebsiella pneumoniae. He aha ka mea? Kēia 'o ia hoʻi i kekahi hiki ia i ke kumu o ka maʻi maʻi kanaka a me nā moku halihali mokulele o pathogens i aʻole' oe i symptoms. Loko o ka meaola Klebsiella loaʻaʻino me kaʻai a me kaʻino mau lima. Inā ua hahau iho la i ka maʻiʻaʻai bronchopulmonary'ōnaehana, i ka laha ana o koʻohune e kaʻoi loa airborne droplets (ma ka puʻu, a kihe). All kanaka i susceptible i Klebsiella, akā, na keiki opiopio, i ka kūpuna a me na kanaka me ka immunodeficiency i kiekie ae-kamepiula pae, mai ke kumu kāki i obligate intestinal microflora endogenously aneane lāʻau.

Noho ma ke kino, i ka bacterium produces endotoxin i ua hookuu wale ma hope o ka make ana o ka microbe lawe. Ua ke kumu no ke kuni, a me ka intoxication. Aia he mau hou exotoxin: enterotoxin a me ka membranotoksin. Me Kinohi e loli ai i ka poe uuku liʻiliʻi mucosa, a me ka lua o ka luku ia ma luna o erythrocytes, ma o na la anaemia.

pneumonia

Pneumonia ua kena ae la e, e koho koke ia, o Klebsiella pneumoniae. A ano hiʻona o kēia 'ano o ka li nui o ka helehelena o ka ai iiiaanoaa o ka uuku foci o ka li nui, a ke merge i kekahi i kekahi ma ka malamalama ili. Ma nā mea maʻi me ke kiʻekiʻe kuni (i hiki i ke kanakolu-eiwa degere), nawaliwali, lethargy, sweating. I ka hoʻomaka o ka maʻi i ka cough mea maloo, akā, ma ka waenakonu o ka noho pulu, me ka admixture o mucus a me ka pus i ke onionio i ke koko. Wehewehe aku ma ka pokole o ka hanu, a, ma ka loa a pau - naehana ka hoʻokō 'ole a me ka pulmonary edema.

Ma physical ninaninau, ma kaʻaoʻao o ka li nui audible crackles a me palpation - hua'ōleloʻo o percussion kani. Ma umauma radiograph a kīloi paʻewa wānana mea nui i nanaia malu, mālama, e hoʻopiha.

Inā ka maʻi ua diagnosed i ka manawa, a hāʻawi aku i ka pololei lapaʻau, ia mea hoomaikai ia paha i ka hoʻoʻino kaʻina hiki ke keʻakeʻa i ka loa kinohi mai, ma mua ka mea, he manawa e hohola iho la maluna o ka holoʻokoʻa ili o na ia maʻiʻaʻai. Akā, ma ka hihia o ka pololei ole lapaʻau a lohi lapaau i loko o ka haukapila, loa paha, ke hoʻomanawanui, e i ke kiʻi o ka sepsis (generalized li nui), a ma ia ka hihia o loa kiʻekiʻe fatality kōmi.

I ka make ana o ka digestive'ōnaehana

Ua maʻi ua kekahi, kena ae la ia e Klebsiella pneumoniae. Eia naʻe, ka mea, ua "masked" ma gastroenterological maʻi, e ka mea paakiki e diagnose a me ka hana. Ke hoomanawanui accesses he gastroenterologist me ka hoopii o kaʻeha i loko o ka opu a me ka piko, heartburn, nausea, ua hoʻemi ikaika loa ka makemake, akā, EGD (fibrogastroduodenoscopy) hōʻike maʻamau 'ole iki wela ai gastric mucosa. Ua hiki ole hoopa aku i ke kauka i ka manaʻo o Klebsiella. Kaupalena naʻe,ʻo ia, e kau i ka gastritis, a i hoakaka ia kūpono lapaʻau.

Akā, ka hapanui o nā mea a pau Klebsiella hoike mai ai ia ia iho i loko o ka digestive'āpana (gastrointestinal'āpana) me enteritis paha enterocolitis. Ke hoomanawanui hele i infectious haukapila hoohewa aku o ke kuni, nawaliwali, nausea, abdominal cramping a me ka noho 'aʻe' (profuse diarrhea me ke koko a me ka mucus laulau puaʻa). Kēia kahua e mau no ka elua i elima mau lā.

Maʻi o ka genitourinary'ōnaehana

Loa pinepine Klebsiella pneumoniae i loko o ka urogenital'ōnaehana hoike mai ai ia ia iho i loko o ka palapala o ka pyelonephritis, cystitis a me ka prostatitis. Ke kaumaha ma muli o ka nui o ka hewa, e hoomanawanui i ohumu o kaʻeha i loko o ka lumbar'āina, pilikia mimi a me ka erectile kuleana pili i.

Inā ka'ōnaehana paleʻea'ōnaehana ua hana pono, i ka maʻi He huʻi, a me ka pono hana i ke kanaka ola anei loa. Akā, ma ka hihia o ka inferiority ke kino i ka pale aku ia lakou (nā kūpuna a me na keiki, immunodeficiency), ka maʻi i ka maʻi a recurrent papa.

complications

I loa klebsiellezov i hoʻokoe 'ia complications:

- pulmonary edema;
- ITSH (ʻawahia kŰia);
- hemorrhagic maʻi pale;
- nani o ka lolo.

Kēia ola-na olelo hooweliweli au ana, kela mea keia mea o ka a i kekahi kala fatally. A ina ka mea, e hui, ka pahiki o ka make maoli. Ma hope iho o ka mua maʻiʻaʻai o ka hoʻomanawanui i hana i kekahi transient e hoʻonele,ʻo ia hoʻi, i loko o na parlance, ma hope o kekahi manawa, i ke kanaka ke kiʻi maʻi hou.

Ano o ka maʻi i loko o nā keiki a me nā wāhine hāpai

Klebsiella pneumoniae i hāpai keiki - he kŰia ole he pohihihi keia. Ke kino, uaʻike piʻi i ka papalua kaumaha, hoemiia e hoʻonele, a me ka hoomahuahua i ka likelihood o obligate microflora, piʻi pū. Mai ke kulana o ke kino, e lawe paha,ʻaʻole e lawe antibiotics, ke kauka hoʻoholo. A pau hilinaʻi nui ma luna o ka lōʻihi o ka gestation, na dala Klebsiella pneumoniae i loko o ka haukaʻe i mai ka wahine'āpana, a me ka nui o keʻokeʻo koko keena. Ka mahele lāʻau Ua hoi like pākahi. I ole hihia e ole e hana ma ka hale.

Ke kahua He pinepine ka wā i hāpai nīnau mea ole ke kauka, a me kona mau hoa ma luna o ka bacterium Klebsiella pneumoniae. He aha ka mea, a ia hiki ole pohihihi mai. A laila, ka lapaʻauʻia hewa i inevitable, hou, ka mea hiki ke pilikia i ke keiki.

No ka mea, o ka hoʻonāwaliwaliʻia e hoʻonele na kamalii uuku, a me na keiki opiopio no hoi pinepine e ae mai opportunistic microflora. Klebsiella pneumoniae i na kamalii uuku ke kumu no ka wi intoxication, ka generalization o ka li nui, a sepsis. Loa pinepine ia mea dysbiosis me typical symptoms (belching, rejection o ka umauma, kaumaha poho, a me ka 'aʻe' ana o ka noho).

lapaʻau '

Clinically diagnose mea, kena ae la i ka maʻiʻaʻai ua Klebsiella pneumoniae, Ua paʻakikī, e like me ka mea mau i ho'ākāka 'ia i symptoms e kuhikuhi ia ia. No laila,ʻike, Ua syndromic, a laila, hookupaa iho la ia bacteriologically. E like me ka mea kupono i ke koko, mimi, sputum, cerebrospinal loli, bile a me ka mahele mea.

Klebsiella pneumoniae ma ka mimi ua 'akomi i ka moʻomeheu a me microscopic ninaninau. No keia mea i waihoʻoluʻu paʻa ma luna o kekahi nutrient meakino a kulu ma luna o ke aniani kiʻiaka, a hookolokolo aku la ia ma lalo o ka microscope.

Na ia mau ano hiki ke loaʻa i loko o ka feces o Klebsiella pneumoniae, akā, wale i ka mea hōʻikeʻikeʻuʻuku o ka mea o kekahi okoa. No ka qualitative noiʻiʻia e e haawi i ke keʻena hoʻokolohua i loko o ka hapalua o ka hola ma hope o ka pa.

Ma hope o elua pule mai ka hoouka kaua ana o ka maʻi, e hiki ke hoouna aku nei au i ke koko serology. Ua apono mai i ke kiÿeleo i ka oolea o ke kaʻina hana, a me ka'ōnaehana paleʻea nenoaia.

lapaʻau

Nā kaʻa mokulele o ka lapaau i ke kauka e wae mai ai no kēlā me kēia hihia. Kēia hilinaʻi nui ma luna o ke kino o ka mea maʻi, kona oolea a me ka ano o ka hoʻomanawanui. Loa pinepine, e hoomanawanui i loaa outpatient lapaau.

First kekahi bacteriophages kohoia. Ka mea, Pono,ʻekolu manawa i ka lā e e lawe muaʻai. No hoi e hikiʻano moʻolelo hoʻoponopono o ka lāʻau i loko o ke kino ma ka enema. I ka papa o ka lapaʻau make i mai elima a hiki i na la he umi. I kekahi kahua o nā probiotics i koi 'ia e hoihoi i ka maʻamau intestinal flora. Ka mea, e inu i ka liʻiliʻi umi lā e pono ai, a me kaʻoi loa elua a ekolu pule.

Of antibiotics i koho cephalosporins a me fluoroquinolones nō ke kolu a me ka ha o ka hanauna, aminoglycosides a me tetracyclines.

Ma ka haukapila, i hospitalized hoʻomanawanui iki mai no ka mea kēia nāʻikepili: he aggravation o symptoms, kiʻekiʻe kuni, septicemia. Pono i symptomatic a pathogenetic Inc nona ma kamaʻilio akula i nā symptoms o ka maʻi a me ka mea e kōkua ai i ka hoʻomanawanui ka kulana.

Nonspecific prophylaxis no ka klebsiellezov ua i lawe mai, e like me ka mea, aohe laʻau koʻokoʻo. No laila, ka mea a pau ke hele mai ia i ke ola hoʻonaʻauao 'ana o nā keiki a me nā mākua, a me ka poe paakiki, o ka' āwīwī pono a me ka hana ana o infectious ka maʻi.