Liithuti tsa bongaka li kopana le Klebsiella pneumoniae ka pneumonia e amang batho ba se nang bolulo ho itšetlehile ka joala. Leha ho le joalo, baktheria Klebsiella pneumonia e atile haholo sepetlele le sesosa se ka sehloohong sa tšoaetso ea nosocomial. ("Nosocomial" ke taba ea bongaka 'me e bolela lefu le hlahang sepetlele.)
Klebsiella pneumoniae ke molamu oa gram-negative o kentsoeng ka capsule e teteaneng ea polysaccharide.
Tlhahisoleseding e amanang le ena, capsule ena e teteaneng e etsa hore baktheria e be thata ho phekola ka lithibela-mafu.
Ka karolo ea bohlano lekholong ea baahi, Klebsiella pneumoniae e lula ka har'a merobo (litlhapi) le pampiri ea phefumoloho. Ho fapana le E. coli , libaktheria tse ling tse tloaelehileng tsa methapo (enteric), Klebsiella e boetse e fumanoa libakeng tsa tikoloho tse kang sekepe, mobu le metsi a holim'a metsi. E chefofatsa 'mele ka ho e-na le li-endotoxin tse ka hare ho libaktheria, eseng ka exotoxin (exreted).
Joalokaha u ka 'na ua phahama ka lebitso la eona, Klebsiella pneumoniae e ka baka pneumonia ea baktheria. Pneumonia ke tšoaetso ea matšoafo a bakoang ke feberu, ho tsieleha, phefumoloho e khutšoanyane, mokhathala le ho feta. Ka tloaelo, Klebsiella pneumonia ha e fumanehe haese feela har'a litho tsa setjhaba tse itšetlehileng ka joala.
Klebsiella pneumonia hangata e otla ka holimo matšoafo a phahameng a lobe 'me e fella ka lefu la cavitation le pyogenic (aka pus-producing) lefu la aka (ac neisros); mokhoa ona o khetholloang ke lefu la x-ray.
Ha maemo a sepetlele, Klebsiella pneumoniae e ka nyoloha marung 'me ea baka tšoaetso ea moriana kapa ea tšoaetsanoang ka catheter ea moriana. Ho feta moo, haholo-holo har'a bana ba kenngoa sepetlele ho bana ba likhutsana le ba tlokotsing ba ICU (PICU), Klebsiella pneumoniae e ka baka tšoaetso ea tšoaetso ea mali (aka septicemia) le tšabo ea septic.
Hape, ho na le li-subspecies tsa Klebsiella pneumoniae tse bakang boloetse bo tšabehang haholo: Klebsiella ozaenae le Klebsiella rhinoscleromatis. Ho tšoaetsoa ke Klebsiella ozaenae ho ka fella ka ho senyeha ha lintho tse nyenyane (atrophy) ea liphatsa tsa mongobo oa masapo. Ka tsela e tšoanang, Klebsiella rhinoscleromatis e bakisa rhinoscleroma, ho ruruha ha nodoma le nko ea senya.
Tlhahlobo ea Klebsiella pneumoniae e itšetlehile ka histori ea bongaka, tlhahlobo ea 'mele, tlhahlobo ea ho hlahloba (nahana ka x-ray) le tlhahlobo ea laboratori. Ha ho khoneha, lingaka li khetha ho tšoara Klebsiella pneumoniae le quinolones kapa cephalosporins ea boraro kapa ea bone. Leha ho le joalo, mefuta e itseng ea Klebsiella pneumoniae ha e khahlanong le lithibela-mafu tse tloaelehileng, 'me litlaleho tsa ho hanyetsa libaktheria li lokela ho hlahlojoa ha li lekoa le ho phekola lefu lena.
Ho tloha lilemong tsa bo-1970, mefuta ea Klebsiella pneumoniae e hananang le aminoglycosides e ile ea qala ho tšoara. Kapele-pele likhahla tsena li ile tsa lateloa ke beta-lactamase e atolositsoeng e hlahisang Klebsiella e neng e le khahlanong le penicillin le cephalosporins.
Morao tjena, likokoana-hloko tsa Klebsiella tse hanyetsanang le carbapenem li hlahile lipetlele. Carbapenems ke lithibela-mafu tse matla tse sebelisoang kalafo ea ho qetela.
Taba ea hore Klebsiella e fokolisitsoe haholo bakeng sa ho hanela matšoenyeho ana a lithethefatsi litho tsa sechaba sa bongaka.
Hobane Klebsiella pneumoniae hangata e baka tšoaetso bathong ba lipetlele-haholo-holo ba kileng ba le sepetlele nako e telele 'me ba fokolise mekhoa ea ho itšireletsa mafung (nahana ka ICU) -ho hlokahalang hore basebeletsi ba tlhokomelo ea bophelo bo botle ba meriana ba ikitlaetse ho fokotsa ho ata ha baktheria.
Ho phaella ho boloka lisebelisoa tsa bongaka li hloekile le ho fokotsa bolelele ba nako eo likarathe tsa bolulo li behoang ho tsona, ho hlatsoa matsoho ke tšireletso e kholo khahlanong le tšoaetso. Esita le ha motho eo u mo ratang a etetse motsoalle kapa setho sa lelapa sepetlele, ke khopolo e ntle ho boloka matsoho a hao a hlatsoa le ho theola thepa ea bongaka.
Tlalehong ea ho qetela, ka lilemo tse fetang 40, bafuputsi ba 'nile ba batla ente e thibelang tšoaetso ea Klebsiella pneumoniae. Hona joale, ho na le lihlopha tse ikemetseng tse ikemetseng tse sebetsang ka ente e joalo.
Lisebelisoa:
Sehlooho se nang le sehlooho se reng "Ntšetso-pele ea liteko tsa ente khahlanong le Klebsiella pneumonia" ke TA Ahmad le ba-mongoli ba kopanetsoeng ba hatisitsoeng ka Vaccine ka 2012.
Brooks GF, Carroll KC, Butel JS, Morse SA, Mietzner TA. Khaolo ea 15. Enteric Gram-Negative Rods (Enterobacteriaceae). Ho: Brooks GF, Carroll KC, Butel JS, Morse SA, Mietzner TA. eds. Jawetz, Melnick, le Medical Microbiology ea Adelberg, ea 26e. New York, NY: Hill ea McGraw; 2013.
Levinson W. Litlhaloso Tse Khutšoanyane tsa Mekhoa ea Bohlokoa ea Meriana. Ho: Levinson W. eds. Tlhahlobo ea Bongaka ba Likokoana-hloko le ea Immunology, ea bo13. New York, NY:
Article e bitsoang "Klebsiella spp. joaloka likokoana-hloko tsa Nosocomial: Epidemiology, Taxonomy, Mekhoa ea ho Tšoaea, le Lintho tsa Pathogenicity "ka R Podschun le U Ullmann tse hatisitsoeng ho Clinical Microbiology Reviews.