Ho bonolo ho tsamaea joaloka ho hlatsoa matsoho ho ka fokotsa kotsi
Baktheria staph ( Staphylococcus aureus) , hangata e phela letlalong 'me ka nako e' ngoe e phela litemaneng. Ke sesosa se tloaelehileng ka ho fetisisa sa mafu a letlalo le a bonolo a liphatsa linaheng tse ngata tsa lefats'e. Ho na le mefuta e mengata ea S. aureus lefatsheng kajeno, empa mathata a bohlokoa a fetoha ke Staphylococcus aureus ( MRP ) e thibelang Methicillin .
MRSA ha e bolaeloe ke lithibela-mafu tse tloaelehileng tse felisang staph, empa lingaka li ntse li fana ka kalafo bakeng sa khatello.
Fumana lintlha ka lipontšo tsa matšoafo a staph hammoho le mekhoa ea ho hlahloba le ea kalafo ka tlhahlobo ena.
Kakaretso
S. aureus e baka mafu a letlalo a kang folliculitis , furuncles , carbuncles le cellulitis . Hangata tšoaetso ena e tšoaroa ka sehlopha sa lithibela-mafu tse bitsoang li-anti-antibiotic tsa β-lactam, empa lithibela-mafu tsena ha li bolaee MRSA. Mehlala ea lithibela-mafu ea β-lactam e kenyelletsa:
- Li-penicillin tse kang benzathine penicillin, nafcillin le dicloxacillin
- Cephalosporins e kang cephalexin, cefuroxime le ceftriaxone
- Monobactam e kang aztreonam
- Carbapenems e kang imipenem
MRSA e tsoa hokae?
S. aureus, joaloka libaktheria tse ngata, o na le bokhoni ba ho feto-fetoha. Ha libaktheria li ntse li pepesoa likokoana-hloko, ho bile le liphetoho tse nyenyane, tse eketsehileng DNA ea baktheria e lumellang hore e fetohe le ho phela. Mefuta e meng ea libaktheria tse tšoanang e ba le mefuta e sa tšoaneng le li-adaptation tse fapaneng.
MRSA e 'nile ea khutlisetsoa morao ho lihlopha tsa bo-1950 tse bitsoang phage type 80/81 e neng e tsebahala ka bokhoni ba eona ba ho baka tšoaetso e tebileng.
Mefuta
MRSA e arotsoe ka mefuta e 'meli e sa tšoaneng:
- CA-MRSA: MRSA e nang le sechaba
- HA-MRSA: Sepetlele se fumanoe MRSA
Ka kakaretso HA-MRSA ke eona e tebileng haholoanyane mefuteng ena e 'meli.
Leha ho le joalo, ho thata ho fokotsa lintlha tse mabapi le phapang pakeng tsa tšoaetso ena hobane ho na le litlhaloso tse fapaneng tsa mefuta-futa. Hape, ka lebaka la ho hanyetsa libaktheria, li-sub-mefuta e ntse e fetoha.
Tsejoa
Tsela e tobileng ea ho hlahloba tšoaetso ea MRSA ke ho etsa setso sa baktheria ho pus leqeba le nang le tšoaetso. Ka linako tse ling ho hlophisa mokelikeli o tsoang ka hare ho nko ho etsoa ho fumana hore na motho ke mojaro oa libaktheria.
Litlhare
Bakeng sa maloetse a mangata a letlalo, ka linako tse ling phekolo feela e hlokahalang ke ho tlosa pus. Sena se bitsoa " I & D," kapa "incision" le drainage . Ho noa metsi ho boetse ho sebelisetsoa ho tšoaetsoa mafu a tebileng hammoho le lithibela-mafu tse sebelisetsoang ho bolaea libaktheria. Ho na le lithibela-mafu tse tšoarang MRSA, empa ho hanyetsa tse ling tsa li-antibiotics li qala ho ntshetsa pele libakeng tse ling. Ka linako tse ling motsoako oa li-antibiotics o sebelisetsoa ho thibela ho hanyetsa ho eketsehileng ho se tsoele pele. Li-antibiotics tse tloaelehileng li sebelisoa li kenyeletsa:
- trimethoprim-sulfamethoxazole (Septra kapa Bactrim)
- clindamycin
- linezolid
- tetracycline
- vancomycin
Thibelo
Mehato ea bohloeki ea botho ke senotlolo sa ho thibela tšoaetso ea MRSA. Ho na le mabaka a mang a kotsi a ho hlahisa tšoaetso ea MRSA le ho tseba hore na ke eng e ka u thusang ho qoba maemo ao.
Tsamaiso e tobileng e latelang e kenyeletsa:
- Koahela ka matla ho ntša maqeba
- U se ke ua ama maqeba a motho e mong
- U se ke ua arolelana lintho tse kang lithaole le mahare
- Hloko matsoho a hloekileng a sebelisa sesepa sa antibacteria kapa li-gels tse thehiloeng joala
Lisebelisoa:
Gould, IM. "Likokoana-hloko, letlalo le tšoaetso e bonolo ea lisele le mokhoa o thibelang methapocillin Staphylococcus aureus: sesosa le phello." Int J Antimicrob Agents. 34 Tlhahiso ea 1 (2009): S8-11.
Kil, EH le al. "Staphylococcus aureus e thibelang Methicillin: phetoho bakeng sa dermatologist, Karolo ea 2: Pathogenesis le litšoantšiso tse senyehileng." Cutis. 81 (2008): 247-54.
Miller, LG, le SL Kaplan. "Staphylococcus aureus: likokoana-hloko tsa sechaba." Litliniki tsa mafu a tšoaetsanoang a North America. 23 (2009): 35-52.