Staphylococcus aureus mumbwa

Zvikonzero uye causative agents zvechirwere

Staphylococcus aureus imhando yebhakitiriya yakaparadzirwa zvakanyanya munyika. Zvikonzero zvekupararira kwechirwere ichi zvinosanganisira kupikisa kwakanyanya kwemabhakitiriya aya kumishonga, kukwanisa kwe staphylococci kugadzira zvakasiyana-siyana zvehupfu, chimwe nechimwe chinogona kuita zvakasiyana. Zvose izvi zvinokanganisa kushandiswa kwenzira dzakasiyana-siyana dzekudzivirira nekudzivirira. Uyewo, zvidzidzo zvakasiyana-siyana zvesayenzi kune zvikonzero zvekupararira kwe staphylococcus aureus zvinosanganisira kukanganisa kwezvakatipoteredza, kudya kusina kuenzana kwemhuka dzinovaraidza, uye chinonyanya kukosha, kushandiswa kusingadzorwi kwemishonga inorwisa mabhakitiriya nevaridzi vemhuka.

Kana ari hutachiona hwehutachiona, kune marudzi akadai e staphylococcus mumbwa se:

• saprophytic staphylococcus (Staphylococcus saprophyticus);
• epidermal staphylococcus aureus (Staphylococcus epidermidis);
• Staphylococcus aureus (Staphylococcus aureus);
• hemolytic staphylococcus (Staphylococcus haemolyticus);
• asi kazhinji muimbwa coagulase-positive staphylococcus aureus (Staphylococcus intermedius) inoitika.

Zvaimbotendwa kuti ese ari pamusoro apa marudzi estaphylococcus anogona kukonzera chirwere, asi nekuda kwekubudirira kwesainzi yemazuva ano, kunyanya kuongorora phylogenetic, zvakaonekwa kuti kazhinji ndeye Staphylococcusps eudintermedius, inova subspecies yeStaphylococcus intermedius, iyo inokonzera zviratidzo zvekliniki.

Zvinyorwa zvekare zvinoratidza kuti chirwere chinogona kukonzerwa neStaphylococcus aureus, asi panguva ino zvinotendwa kuti kuvhiringidzika kwacho kwaikonzerwa nekuti zvirwere zvinokonzerwa nemararamiro akafanana uye nzira dzekare dzekuongororwa kwerabhoritari hadzina kuvabvumira kuti vasiyane kubva kune mumwe.

Chokwadi: Staphylococcus aureus haina kuitika mumbwa! (inoratidzwa chipfuwo chine otitis media - imwe yezvinogona kuratidzwa zvechirwere)

Hemolytic staphylococcus aureus mumbwa inofanirwa kutaurwa. Hemolytic Staphylococcus ibhakitiriya inokonzera kutapukira uye kuzvimba maitiro mumuviri wemunhu. Hemolytic microorganism yakawana zita rayo nekuda kwekugona kwayo hemolysis, kureva, kuparadzwa. Hemolytic staphylococcus is conditionally pathogenic bacteria kuvanhu, inokwanisa kukonzera akasiyana purulent maitiro. Dzimwe nguva mumigumisiro yetsika yebhakitiriya, muridzi wacho anosangana nemashoko akadai se "hemolytic coagulase staphylococcus aureus positive mumbwa." Asi zvinongoreva kuvapo mukudyara kwe microorganism iyo chikamu cheyakajairika microflora yembwa, ndiko kuti, haigoni kukonzera utachiona, uye haufaniri kunetseka pamusoro pemigumisiro yakadaro.

Ko staphylococcus inogona kutapurirwa kubva kumbwa kuenda kuvanhu?

Mubvunzo unowanzobvunzwa kune veterinarian ndewekuti: zvinokwanisika here kuwana staphylococcus aureus kubva kune imbwa? Iyo yakakosha mhando ye staphylococcus aureus mumbwa ine njodzi kuvanhu - intermedius? Zvinosuruvarisa, munyaya iyi, mhinduro ndihungu. Pasinei nokuti maererano nemashoko achangobva kuitika zvakaonekwa kuti mumbwa chirwere chacho chinonyanya kukonzerwa nekukoloni kweStaphylococcus pseudintermedius, uye muvanhu neStaphylococcus aureus uye epidermal, colonization ye "canine" isingagadziriswi "canine" inogonawo kuitika mukati. vanhu. Muchiitiko ichi, vanhu vane hutachiwana husina simba, kushaya mavitamini, pamwe chete nevana vaduku uye vakwegura vanofanira kungwarira.

Kuti udzivise hutachiona panguva yekurapa uye mushure mekusangana nemhuka inorwara, geza maoko ako zvakakwana. Iwe unofanirwa kuchenjerera panguva yekurapa uye usabvumira maoko asina kushambwa emunhu kuti asangane neake mucous membrane uye maronda paganda.

zviratidzo

Zviratidzo zvehutachiona hwe staphylococcal zvinoenderana nerudzi rwehutachiona uye nhengo yakakanganiswa. Panguva ino, staphylococcosis yakatarisana uye yakazara. Iyo yakajairika fomu inofanirwa kutariswa zvakanyanya, izvo zvinogona kutungamirira kune sepsis uye kufa kwemhuka.

Zvinocherechedzwa kuti hutachiona hwe staphylococcal hunogona kuitika nemhando dzakasiyana-siyana dzezviratidzo: kubva kune zvisingaperi septic process, zvichiperekedzwa nekukura kweabscesses panhengo dzemukati, kune akasiyana maronda eganda anogona kuratidza se conjunctivitis, cystitis, otitis media, rhinitis, pyometra; polyarthritis, gingivitis, etc. Asi zvakakosha kuziva kuti kazhinji chikonzero chechirwere hachisi kunyanya kuvapo kwe staphylococcus mumuviri, asi zvimwe zvikonzero.

Zvisinei, kuratidzwa kwakanyanya kwe staphylococcus mumbwa panguva ino chiratidzo chepyoderma, kana purulent kuzvimba kweganda, kureva, imbwa ichava necocci paganda. Ichi chirwere, zvichienderana nekuoma, chakakamurwa kuva chepamusoro uye chakadzika, uye purulent otitis inoparadzaniswawo zvakasiyana. Mumhuka duku, pyoderma inowanzozviratidza muchimiro chepustules padumbu, chifuva, musoro uye nzeve (acute uye chronic otitis media ine purulent discharge). Ne otitis, kunhuhwirira kwefetid kubva munzeve kunoonekwa, imbwa dzinoputika, dzinozunungusa nzeve dzavo. Zvinofanira kuonekwa kuti otitis media inogona kuva chete kuratidzwa kwechirwere.

Iyo generalized fomu inogona kunge iri mhedzisiro yekushaikwa kwekurapa kweiyo focal process kana kukura kune kumashure kwezvimwe zvirwere nekutyorwa kwakanyanya kwekutendeseka kweganda uye vascular permeability. Zvakare, iyo yakajairika fomu inogona kusimuka inopesana nekumashure kwerapi isiriyo - semuenzaniso, kana yakakwira dosi yeasiri-steroidal anti-kuzvimba mishonga inosanganiswa pamwe chete nemishonga yecorticosteroid, izvo zvinotungamira kuderera kwakanyanya mukupokana kwemuviri.

Diagnostics

Munyika yemazuva ano, hazvina kuoma kuongorora "staphylococcosis". Mune ganda mafomu echirwere - semuenzaniso, pamberi pe staphylococcus aureus munzeve dzembwa kana kana maronda eganda (apo staphylococcus inowanikwa chete paganda), zvakakwana kuti chiremba atore smear imprint cytology. kuita chirwere. Asi ne systemic maronda, pamwe chete nezvirwere zvinoputika zvedundira (kureva, kana staphylococcus inowanikwa mukuongororwa weti), kuongororwa kwakazara kwechipfuwo kunodiwa: kuverengerwa kweropa, biochemistry yeropa uye sampling kubva kunhengo dzakakanganisika. bacteriological tsika ine inosungirwa titration yemigumisiro kune mishonga inorwisa mabhakitiriya.

Kurapa kwe staphylococcus

Nzira yekurapa staphylococcus aureus mumbwa? Zvakakosha kunzwisisa kuti pakurapa staphylococcus, zvakakosha kushandisa nzira yakabatanidzwa inosanganisira zvose zvemunharaunda uye systemic therapy. Zvechokwadi, munhu haagoni kuita pasina nzira yemishonga inorwisa mabhakitiriya yechirwere ichi, asi muridzi wacho anofanira kunzwisisa kuti hazvibviri kusarudza mushonga, chiyero uye nzira yemishonga inorwisa mabhakitiriya kumba - izvi zvinofanira kuitwa nenyanzvi yemhuka. Uyewo, muzviitiko zvakawanda zvechirwere, kunyanya kupiwa dambudziko rekukura kwemaitiro asingagadziriswi e staphylococci, kuziva rudzi rwemishonga inorwisa mabhakitiriya, zvakakosha kuita tsika yebhakitiriya nekutsunga kwe subtitration kune antibiotics.

Asi mune zvimwe zvirwere (somuenzaniso, mukurapa kweganda zvirwere), empiric antibiotic therapy inoshandiswawo, kureva, zviratidzo, apo bacteriological senitivity haina kutsanangurwa. Icho chokwadi ndechekuti paganda rembwa kune huwandu hukuru hwe microflora, kusanganisira yakachengeteka zvachose, saka mhedzisiro yekudyara kazhinji kazhinji yenhema yakanaka. Mumamiriro ezvinhu akadaro, chiremba anosarudza kushandiswa kwemishonga inorwisa mabhakitiriya yakawanda. Uyewo, zvinosuruvarisa, mune dzimwe nguva, mishonga inorwisa mabhakitiriya inofanira kushandiswa kwenguva yakareba (kusvika kune imwe kana mwedzi miviri mumutsara) kurapa zvirwere zvinowanzoitika zve staphylococcal.

Mukuwedzera kune mishonga inorwisa mabhakitiriya, mishonga yakadai sehomoni corticosteroid kana antihistamines (somuenzaniso, kumisa pyoderma nekuda kwekudya kwekudya), hepatoprotectors, choleretic mishonga yekurapa zvirwere zvechiropa, kugadzirira kwevhitamini yezvirwere zvinokonzerwa nekushaya zvokudya zvinovaka muviri zvinoshandiswa. kurapa staphylococcal zvirwere mumbwa. , pamwe chete nekudya kwakakosha (somuenzaniso, kudya neprotein hydrolysate).

Topical therapy inoshandiswa pakuratidzwa kweganda re staphylococcus aureus uye inogara ichidikanwa pamwe chete ne systemic therapy kuitira kuderedza nguva yekurapa uye kuderedza kupararira kwehutachiona hwepamusoro. Kurapa kwemunharaunda kunosanganisira kushandiswa kwemishonga inorwisa mabhakitiriya nekuomeswa uye kuuraya utachiona. Imwe yemishonga yakakurumbira ndeye 0,05% mhinduro ye chlorhexidine, pamwe chete nemiramistin, furacillin. Nemaronda akawandisa eganda, kushandiswa kweakakosha veterinary shampoos ine 4-5% mhinduro yeklorhexidine inoruramiswa. Ne purulent dermatitis, mishonga inorwisa mabhakitiriya, yakadai se terramycin spray kana chemi spray, ine maitiro akanaka ekurapa. Muhupo hwe staphylococcus aureus munzeve, madonhwe enzeve nemishonga inorwisa mabhakitiriya anoshandiswa. Asi zvakakosha kuyeuka kuti kushandiswa kwemishonga yemunharaunda muzviitiko zvakawanda hakuna kukwana.

Zvechokwadi, imbwa dzinokura staphylococci mumashure ezvimwe zvirwere dzinoda kugamuchira kurapa kwakakodzera kwechirwere chinokonzera kunze kwekurapa kwehutachiona hwehutachiona. Semuenzaniso, ne purulent kuzvimba kwechibereko (pyometra), kurapwa kwekuvhiya kwechirwere ichi kunoshandiswa.

Zvinonakidza kuziva kuti nzira dzekurapa dzeS. aureus muvanhu uye S. intermedius mumbwa hadzina kunyanya kusiyana.

Zvinogona kuitika

Zvinetso zvinogoneka zvehutachiona hwe staph mumbwa zvinosanganisira kugadzirwa kwemishonga inorwisa mabhakitiriya. Zvinosuruvarisa, pari zvino, kune tsika yekupararira kwakapararira kwe-multi-resistant staphylococcus aureus, kureva, inopesana nemishonga inorwisa mabhakitiriya, pasi rose. Nekuda kwetsvagiridzo, zvakaratidzwa kuti muimbwa dzakabatwa ne staphylococcus yakawanda-inodzivirira staphylococcus aureus inogona kuparadzaniswa kwegore rose mushure mekupora, saka, mhuka dzinovaraidza dzakadaro dzinofanirwa kutorwa sechingangove chitubu chekupararira kwengozi iyi ine ngozi. utachiona.

staphylococcus aureus muvana

Kunyanya kukoshesa kwakakodzera staphylococcus aureus mumbwa. Zviratidzo zve staphylococcus aureus mumucheche zvinosanganisira zvose zvirwere zvehurongwa (kurutsira, manyoka) uye zviratidzo zvemunharaunda (dermatitis). Kukura kwechirwere muvana kunonyanya kubatanidzwa nezera-ane hukama hwemaitiro ekudzivirira uye metabolism, iyo inobatsira mukukura kwezvirwere zvakasiyana-siyana.

Kusagadzikana kweSystem kunoperekedzwa negag reflexes, kazhinji yakasununguka stools, izvo zvinogona kutungamirira mukuderera kwakanyanya kwemuviri wembwa. Kunyange rufu runobvira. Mhosva dzinotsanangurwa apo kunze kune hutano hwakakwana marara embwa akangoerekana afa. Mune zvimwe zviitiko, kuputika kunoonekwa mudumbu uye groin, kuwedzera kwema-lymph nodes anooneka.

Zvakakoshawo kuziva kuti maitiro ekuita kwezvinodhaka mumapupi akasiyana zvakanyanya nemhuka dzakura. Semuyenzaniso, hazvikurudzirwi kupa puppies nemuromo mishonga inorwisa mabhakitiriya nokuti anogona kukanganisa intestinal microflora. Uyewo, zvinosuruvarisa, zvinofanira kutorwa mupfungwa kuti chirwere cheganda chinowanzoitika mumbwa chinogona kutungamirira kune chirwere chetachiona (sepsis). Naizvozvo, kurapwa nekudzivirira kwezvirwere mumapupi kunofanirwa kurapwa nekunyatsotarisirwa. Chinhu chakanaka chete ndechekuti nekurapa kwakakodzera, vana vanopora nekukurumidza kupfuura mhuka dzakura, uye nekudaro, vanoda kosi pfupi yemishonga inorwisa mabhakitiriya.

Zvaive zvakare zvakatendwa kuti chikonzero chekukura kwe purulent conjunctivitis muvana ndeye Staphylococcus aureus, sezvo yakawanikwa muzvirimwa kubva ku conjunctival sac. Asi munguva pfupi yapfuura zvakaratidzwa kuti mabhakitiriya haasi iwo anonyanya kukonzera kukura kwe conjunctivitis, zvinogara zvichidikanwa kutsvaga imwe etiological factor - inogona kuva allergies, mechanical damage, anatomical features (somuenzaniso, ectopic eyelashes), nezvimwewo. .

Nzira dzekudzivirira

Nekudzivirira kwehutachiona hwe staphylococcal, zvinofanirwa kunzwisiswa kuti bhakitiriya iri ndere mamiriro epathogenic microflora, kureva kuti, mhuka dzese dzine hutano kazhinji dzine staphylococcus aureus. Zvinotungamirira kuchirwere chete mune mamwe mamiriro ezvinhu. Naizvozvo, kuchengetedza kwakakodzera kwembwa kunonyanya kukosha, kusanganisira kudya kwakakwana (chikafu chemumaindasitiri kana chikafu chemumba chakaenzana pakubvunza nyanzvi yezvekudya), hutsanana, kufamba kwakakwana, uye kuuraya mhuka dzisingabatanidzwe mukuzvara.

Zvinosuruvarisa, panguva ino kune humbowo hwekugara kwenguva refu kwe-multidrug-resistant staphylococcus pane zvakatipoteredza zvinhu (kusvika kumwedzi mitanhatu mushure mekudzorerwa kwemhuka dzinovaraidza). Nokudaro, kunze kwekurapa murwere pachake, kunyanya kukoshesa kunofanira kubhadharwa kune disinfection yezvakatipoteredza.

Uye yeuka kuti kuongororwa kwakaitwa nemazvo uye kurapwa kwakanyatso kunyoreswa kunokubvumira kuti urape chipfuyo chako uye usasangana nemishonga inorwisa mabhakitiriya microflora!

Chinyorwa hachisi kudana kuita!

Kuti uwane ruzivo rwakadzama rwedambudziko, tinokurudzira kubata nyanzvi.

Bvunza chiremba wemhuka

11 September 2020

Yakagadziridzwa: Kukadzi 13, 2021