Dhaqdhaqaaqyo fudud sida gacmo-dhaqashada ayaa yarayn kara khatarta
Bakteeriyada staph ( Staphylococcus aureus) , caadi ahaan waxay ku nool yihiin maqaarka iyo mararka qaarkood marinka sanka. Waa sababta ugu badan ee maqaarka iyo caabuqyada unugyada jilicsan ee waddamada badankooda. Waxaa jira noocyo badan oo S. aureus ah oo adduunka ah, laakiin cidhiidhiga muhiimka ah ee muhiimka ah waa methicillin-resistant Staphylococcus aureus ( MRSA ).
MRSA looma dilo antibiyootikada caadiga ah ee ka baabi'isa staph, laakiin dhakhaatiirta ayaa weli daaweynaya cadaadiska.
Raadi xaqiiqooyinka calaamadaha iyo astaamaha infekshanka staph-ka iyo sidoo kale xulashada cudurka iyo daaweynta dib-u-eegista.
Guudmarka
S. aureus wuxuu sababaa cudurrada maqaarka sida " folliculitis" , furuncles , carbuncles and cellulitis . Caadi ahaan infekshannadaas waxaa lagu daaweeyaa koox antibiyootiko ah oo loo yaqaan 'antibiotics', laakiin antibiyootigyadaas ma dili karaan MRSA. Tusaalooyinka antibiyootiko ee β-lactam waxaa ka mid ah:
- Penicillins sida benzathine penicillin, nafcillin, iyo dicloxacillin
- Cephalosporins sida cephalexin, cefuroxime, iyo ceftriaxone
- Monobactams sida aztreonam
- Carbapenems sida imipenem
Halkee MR MRSA ka timid?
S. aureus, sida bakteeriyada badan, ayaa awood u leh inay isbeddelaan si ay u noolaadaan. Maadaama bakteeriyadu ay soo gaadhay antibiyootikada, waxaa jiray isbaddallo yar yar oo isbeddel ah oo ku yimid DNA-da bakteeriyada u oggolaanaysa inay la qabsato oo ay noolaato. Noocyada qaarkood ee bakteeriyiin isku mid ah ayaa horumariya kuwaas oo leh hanti kala duwan iyo qalabka kala duwan.
MRSA ayaa dib u soo ceshatay cadaadiskii 1950-yadii oo lagu magacaabo nooca faaffaalka 80/81 taas oo loo yaqaanay suurtagalnimada in uu sababo caabuqyo halis ah.
Noocyada
MRSA waxaa loo qeybiyay labo nooc oo kala duwan:
- CA-MRSA: Bulshada oo loo yaqaan MRSA
- HA-MRSA: Isbitaal-qaadashada MRSA
Guud ahaan HA-MRSA waa mid ka sii daran labada nooc.
Si kastaba ha noqotee, way adag tahay in la xakameeyo xaqiiqooyinka ku saabsan farqiga u dhexeeya infekshannadaas sababtoo ah waxaa jira qeexitaano kala duwan ee noocyada hoose. Sidoo kale, sababtoo ah nooca caabuqa bakteeriyada, noocyada noocyada isbeddelka ah ayaa isbedela.
Ciladeynta
Sida ugu macquulsan ee lagu ogaado cudurka MRSA waa in lagu sameeyo bakteeriyada bakteeriyada malax laga soo qaado boogta cudurka leh. Waqtiga xaraaminta dheecaanka ka yimaada gudaha sanka ayaa la sameeyaa si loo ogaado haddii qofku yahay bakteeriyada.
Daaweynta
Cudurrada maqaarka yar yar mararka qaarkood daaweynta kaliya ee loo baahan yahay waa in la duufsado malaxda. Tan waxaa loo yaqaan ' I & D', ama qashin iyo dheecaan . Dheecaan ayaa sidoo kale loo isticmaalaa infakshannada halista ah oo ay weheliyaan antibiyootigyada loo isticmaalo in lagu dilo bakteeriyada. Waxaa jira antibiotics oo daaweynaya MRSA, laakiin iska caabinta qaar ka mid ah antibiyootigaan ayaa bilaabaya in ay horumariyaan meelaha qaarkood. Mararka qaarkood isku-darka antibiyootikada ayaa loo isticmaalaa si looga hortago in is-difaac dheeraad ah laga koro. Antibiyootigyada sida caadiga ah loo isticmaalo waxaa ka mid ah:
- Trimethoprim-sulfamethoxazole (Septra ama Bactrim)
- clindamycin
- linezolid
- tetracycline
- vancomycin
Ka hortagga
Tallaabooyinka nadaafadda shakhsiga ayaa fure u ah kahortagga infekshannada MRSA. Waxaa jira waxyaabo khatar ah oo ku saabsan infakshanka MRSA iyo ogaanshaha waxa kuwani ay kaa caawin karaan inaad ka fogaato xaaladahaas.
Tilmaamaha gaarka ah ee la raacayo waxaa ka mid ah:
- Dabool si tartiib ah u mara boogaha
- Ha taaban boogaha qof kale
- Ha la wadaagin walxaha shakhsiyadeed sida shukumaanada iyo miirayaasha
- Gacmaha si joogta ah u dhaq iyada oo isticmaalaya saabuunada bakteeriyada ama dareeraha khamriga
Ilaha:
Gould, IM. "Antibiyootikada, infekshanka maqaarka iyo jilicsan iyo stafylococcus aureus ee methicillin-u adkaysata: Sababta iyo saameynta." Int Jarmal Antimicrob Agents. 34 Sahay 1 (2009): S8-11.
Kil, EH iyo al. "Staphylococcus aureus oo ah daawada methicillin-u-adkeysi: cusbooneysiinta maqaarka, Qeybta 2aad: Calaamadaha loo yaqaan 'Pathogenesis iyo Cannabis'. 81 (2008): 247-54.
Miller, LG iyo SL Kaplan. "Staphylococcus aureus: jimicsi bulsheed." Rugaha Cudurrada Cudurada ee Waqooyiga Ameerika. 23 (2009): 35-52.