Kev kho tus mob Staphylococcus aureus yog ib qho teeb meem tshwm sim los ntawm cov neeg laus thiab menyuam yaus. Peb tab tom tham txog Staphylococcus aureus - kab mob aerobic immobile uas yog tus neeg sawv cev ntawm ntau yam kab mob. Feem ntau, tus kab mob no tshwm sim thaum ntxov.
Cov kab mob no tau txais nws lub npe vim yog lub ntsej muag kub tshwj xeeb uas tshwm sim thaum sown rau ntawm cov khoom noj nruab nrab. Zoo li ntau lwm tus neeg sawv cev ntawm cov kab mob pathogenic microflora, Staphylococcus aureus muaj peev xwm nyob hauv huab cua, muaj lub ntsej muag kheej kheej (coccus hauv Greek txhais tau tias "spherical"). Los ntawm txoj kev, nyob rau hauv lub tshuab kuaj kab mob, cov kab mob zoo ib yam li cov txiv hmab txiv ntoo - qhov no tuaj yeem yooj yim piav qhia thawj feem ntawm nws lub npe (staphyle - "poob").
Ib kab mob aerobic tau dav dav hauv ib puag ncig. Qhov tseeb, nws muaj nyob rau txhua qhov chaw, cov khoom siv hauv tsev, cov khoom ua si menyuam yaus, thiab txawm tias cov cuab yeej kho mob. Ib qho me me ntawm Staphylococcus aureus, cov tsos mob thiab kev kho mob uas ua rau muaj kev ntxhov siab ntau, tuaj yeem ua raupom txawm nyob rau hauv cov mis "tsis muaj menyuam" thiab ntawm daim tawv nqaij ntawm tus neeg noj qab haus huv.
Puas yog microbe txaus ntshai
Kev kho mob ntawm Staphylococcus aureus tsuas yog yuav tsum tau thaum nws tus lej tshaj li tus qauv. Nws muaj nyob hauv lub cev ntawm peb txhua tus, tab sis ntawm no yog qhov peculiarity: tus kab mob staphylococcal tsis yog ntau tus neeg noj qab haus huv kiag li. Nyob rau hauv ib tug neeg uas muaj zog tiv thaiv kab mob, "muaj txiaj ntsig" microflora inhibits kev loj hlob ntawm cov kab mob pathogenic thiab tsis tso cai rau lawv los qhia lawv cov kab mob. Nyob rau hauv cov kev tshwm sim ntawm ib tug tsis muaj zog tiv thaiv rog, lub microbe yog activated thiab dhau los ua tus neeg sawv cev ntawm tej yam kab mob. Qhov txaus ntshai tshaj plaws yog meningitis thiab ntshav lom.
kab mob Staphylococcus aureus (kev kho mob hauv cov neeg laus feem ntau yog siv tshuaj tua kab mob) yog vim peb yam:
- Cov kab mob no tiv taus cov tshuaj tua kab mob thiab kev cuam tshuam ib puag ncig. Cov kab mob tsis tuag txawm tias tom qab kaum feeb ntawm boiling, ziab, khov, kho nrog ethyl cawv, hydrogen peroxide.
- Kev kho tus mob Staphylococcus aureus hauv cov menyuam yaus yam tsis muaj tshuaj tua kab mob yuav tsis ua rau muaj txiaj ntsig. Nyob rau tib lub sijhawm, qhov peculiarity ntawm tus kab mob no nyob rau hauv lub peev xwm los tsim penicillinase thiab lidase, enzymes uas tiv thaiv nws los ntawm kev ua ntawm yuav luag tag nrho cov tshuaj tua kab mob ntawm penicillin series. Penicillinase thiab lidase yooj yim nkag mus rau cov hlwb ntawm cov epidermis, suav nrog los ntawm cov qog hws, thiab ua rau lawv txoj kev tob rau hauv lub cev.
- Staphylococcus aureus tsim cov tshuaj endotoxin, ib yam khoom uas ua rau cov zaub mov lom thiab ua rau qaug dab peg. Nyob rau hauv cov xwm txheej hnyav, tus kab mob staphylococcal tuaj yeem hem txoj kev loj hlob ntawm fulminant toxic shock.
Nws tsis tuaj yeem hais txog qhov tseeb tias tus neeg tsis muaj kev tiv thaiv kab mob Staphylococcus aureus. Tus neeg mob, ib zaug tau kis kab mob, tsis muaj kev tiv thaiv los ntawm kev kis kab mob. Tib txoj hauv kev kom txo qis kev pheej hmoo kis tus kab mob yog ua kom muaj kev nyiam huv ntawm tus kheej thiab zam kev sib cuag nrog cov neeg mob.
Nyob hauv pab pawg muaj kev pheej hmoo tshwj xeeb rau tus kab mob, cov menyuam yug tshiab thiab cov menyuam yaus ntawm thawj xyoo ntawm lub neej. Kev kho mob ntawm Staphylococcus aureus nyob rau hauv cov me nyuam mos yog txuam nrog ib tug xov tooj ntawm cov teeb meem vim tsis tshua muaj txiaj ntsig ntawm cov tshuaj tua kab mob uas twb muaj lawm thiab cov kev mob tshwm sim loj uas lawv ua. Hauv polyclinics thiab cov chaw kho mob hauv tsev kho mob, qhov concentration ntawm staphylococcus nyob rau hauv ib puag ncig feem ntau tshaj li cov qauv - koj yuav tsum nco ntsoov qhov no thaum mus ntsib kws kho mob.
Yog vim li cas
Nws yooj yim: tus neeg sawv cev ntawm tib lub npe tau hais los saum toj no tuaj yeem ua rau muaj tus kab mob staphylococcal. Kev kis tus kab mob microbe tshwm sim thaum tsis muaj kev tiv thaiv. Cov hauv qab no feem ntau ua rau lub cev tsis muaj zog tiv thaiv:
- siv sijhawm ntev ntawm cov tshuaj tua kab mob lossis tshuaj steroids;
- cov xwm txheej ntxhov siab, muaj zog kev ntxhov siab;
- kev noj haus tsis txaus;
- caij nyoog lossis pathological beriberi;
- muaj nyob hauv lub cev ntawm kev tsom mus rau qhov mob ntev;
- plab hnyuv dysbacteriosis;
- tsis quav ntsej cov cai ntawm kev tu tus kheej;
- yug ntxov ntxov;
- khoom noj khoom haus;
- lig latch rau.
Type of infection
Conventionally paub qhov txawv ntawm cov kab mob dav dav thiab hauv zos ntawm cov menyuam yaus thiab cov neeg laus nrog Staphylococcus aureus. Kev kho mob, cov tsos mob hauv cov neeg mob thiab qhov xwm txheej ntawm tus kab mob no feem ntau nyob ntawm nws hom. Qhov nyuaj thiab txaus ntshai tshaj plaws yog daim ntawv dav dav (septicopyemia thiab septicocemia). Ntau hom kab mob hauv zos xav tau kev kho mob ntawm Staphylococcus aureus hauv cov hnyuv, pob qij txha, kab mob ua pa, qog mammary, mucous daim nyias nyias, thiab daim tawv nqaij. Ib pawg cais suav nrog kev lom zaub mov los ntawm cov kab mob endotoxin.
Nws tseem ceeb heev uas yuav tsum nco ntsoov tias tus kab mob staphylococcal tuaj yeem yog thawj thiab thib ob. Raws li cov txheej txheem ntawm tus kab mob, cov ntaub ntawv mob thiab mob ntev yog qhov txawv.
Cov tsos mob tshwm sim los ntawm kab mob pathogenic
Cov kev kho mob rau Staphylococcus aureus hauv cov neeg laus thiab cov menyuam yaus kuj nyob ntawm qhov chaw ntawm cov kab mob ua kom pom tseeb ntawm tus kab mob hauv lub cev thiab qhov hnyav ntawm cov tsos mob. Daim duab kho mob, nyob rau hauv lem, yog txiav txim los ntawm lub degree ntawm qaug zog ntawm lub cev tsis muaj zog thiab qhov chaw ntawm qhov txhab. Cov yam ntxwv ntawm tus kab mob staphylococcal suav nrog:
- -kub taub hau, ua daus no;
- pronounced intoxication syndrome;
- lethargy thiab general tsis muaj zog;
- tsis qab los;
- pob me me ntawm lub cev.
Umbilical qhov txhab microbe puas
Tus kab mob no hu ua omphalitis, tshwm sim hauv cov menyuam mos. Ib tug yam ntxwv feature yog qhov o ntawm lub umbilical nplhaib, muaj purulent tawm ntawm qhov txhab. Thaum tsis muaj kev kho mob raws sij hawm ntawm Staphylococcus aureus, txoj hlab ntaws ntawm txoj hlab ntaws tau koom nrog hauv cov txheej txheem pathological - thaum soj ntsuam, zoo li yuav thickened. Lub hyperemia ntawm ib puag ncig ntawm daim tawv nqaij ua pom pom.
kab mob tawv nqaij
Raws li twb tau hais lawm, Staphylococcus aureus ib txwm muaj nyob rau ntawm daim tawv nqaij ntawm txhua tus neeg, yog li, hais txog kev kis tus kab mob no, lawv txhais tau tias yog hom kab mob thib ob. Cov xwm txheej zoo rau kev yug me nyuam ntawm Staphylococcus aureus tiv thaiv keeb kwm yav dhau los ntawm kev tiv thaiv tsis muaj zog yog:
- Pseudofurunculosis (kev puas tsuaj rau cov qog hws). Pathology yog yus muaj los ntawm cov tsos ntawm ntom reddish nodules nyob rau hauv daim tawv nqaij folds, qhov chaw ntawm tsub zuj zuj ntawm hws qog. Thaum cov kab mob staphylococcus qhib, cov ntaub so ntswg tshwm sim.
- Vesiculopustulosis. Nws yog tus cwj pwm los ntawm kev tsim cov vesicles nrog cov ntsiab lus exudative, uas qhib spontaneously, yog li tsim txoj hauv kev rau kev nkag mus ntawm staphylococcus aureus.
- Exfoliative dermatitis. Cov kws kho mob hu tus kab mob no "scalded skin syndrome", raws li nws externally manifests nws tus kheej raws li cov hlwv loj loj uas zoo li hlawv cov cim. Tom qab qee lub sijhawm, daim tawv nqaij pib tev tawm, qhib qhov txhab tshwm, hauvuas tau staph.
- Abscess thiab phlegmon - kev puas tsuaj rau cov txheej txheem sib sib zog nqus ntawm cov epidermis lossis cov ntaub so ntswg subcutaneous nrog pom pom hyperemia thiab induration. Kev nkag mus ntawm Staphylococcus aureus rau hauv kab noj hniav ua rau muaj kev txhim kho ntawm qhov mob thiab suppuration.
- Panaritium yog ib yam kab mob uas tshwm sim los ntawm qhov mob ntawm cov phalanges ntawm cov ntiv tes.
Eye mucosa
Kev txhim kho ntawm conjunctivitis thaum cov kab mob nkag mus rau hauv cov mucous membrane ua rau muaj cov tsos mob ntawm tus kab mob. Cov neeg mob yws txog cov tsos mob xws li:
- photophobia;
- mob siab lacrimation;
- puffiness ntawm daim tawv muag;
- liab ntawm sclera;
- kev tso tawm purulent.
Rau kev kho mob ntawm Staphylococcus aureus, uas ua rau mob conjunctivitis, tshuaj tua kab mob thiab ua ke qhov muag tee yog siv, qhov muag raug ntxuav nrog tshuaj tua kab mob, tshuaj poov tshuaj permanganate.
mob ua pa nyuaj
Kev xav tau kev kho mob ntawm Staphylococcus aureus hauv caj pas thiab qhov ntswg yuav tshwm sim los ntawm ntau cov tsos mob uas tuaj yeem tsis meej pem nrog tus mob khaub thuas. Feem ntau, cov neeg mob tsis txawm paub tias lawv tsis yog mob xwb nrog cov kab mob ua pa ntev, tab sis lawv txoj kev ua pa cuam tshuam los ntawm cov kab mob. Koj yuav tsum tau kuaj thiab pib kho Staphylococcus aureus hauv qhov ntswg thiab caj pas yog:
- ib tug kua ntswg tsis ploj mus tshaj 10 hnub;
- xav mob caj pas thaum nqos;
- kuaj mob liab thiab o ntawm tonsils;
- nce lymphnodes;
- muaj kub taub hau tsis tu ncua;
- xav kom tsis muaj zog thiab tsis xis nyob.
Koj tsis tuaj yeem tsis quav ntsej txog cov tsos mob ntawm tus kab mob ntawm cov kab mob ua pa. Yog tsis muaj kev kho mob rau Staphylococcus aureus hauv caj pas hauv cov neeg laus thiab menyuam yaus, cov teeb meem tuaj yeem pib thaum tus kab mob kis thoob plaws lub cev. Nyob rau hauv cov xwm txheej hnyav, txoj hlab ntsws stenosis kuj tuaj yeem tshwm sim.
Staphylococcal meningitis
Los ntawm kev nkag mus rau hauv cov hlab ntsha, cov kab mob pathogenic tuaj yeem nkag mus rau hauv lub hlwb. Feem ntau, qhov teeb meem no tshwm sim hauv cov menyuam yaus uas muaj kev tiv thaiv kab mob. Meningitis thiab lub hlwb abscess yog cov kab mob uas ua rau lub neej nyuaj heev, kub taub hau thiab qaug dab peg. Lub lumbar puncture yog ua kom paub meej qhov kev kuaj mob.
Kab mob ntawm lwm yam kabmob thiab lub cev
Ntxiv rau cov teeb meem saum toj no tshwm sim los ntawm kev kis tus kab mob Staphylococcus aureus, nws tuaj yeem ua rau cov kab mob tso zis, pob qij txha, thiab plab hnyuv.
Cov kab mob no muaj peev xwm ua rau muaj kab mob urethritis, cystitis, pyelonephritis, cov tsos mob ntawm cov tsos mob xws li: tso zis ntau zaus, mob plab hauv plab, kub taub hau. Nyob rau hauv cov zis ntawm cov neeg mob no, muaj protein ntau, tso cai tus naj npawb ntawm leukocytes yog ntau tshaj, thiab bakposev paub meej tias muaj Staphylococcus aureus nyob rau hauv cov zis.
Thaum cov pob txha thiab pob qij txha kis tau, mob caj dab thiab osteomyelitis tshwm sim. Zaub mov intoxication thiab plab hnyuv puas yog lwm yam scenario tom qabnoj zaub mov tsis huv los yog lwj. Tshuaj lom tshwm sim nrog cov tsos mob ntawm tus mob enterocolitis: kub taub hau, xeev siab, ntuav ntuav thiab cov quav ntsuab.
Kev Tshawb Fawb
Cov kev kuaj mob ntau tshaj plaws siv los lees paub qhov kev kuaj mob:
- kuaj ntshav kuaj ntshav (cov kws kho mob tshwj xeeb saib xyuas cov ntsuas ntawm leukocytes, neutrophils, ESR);
- dav dav urinalysis (kev kis kab mob yog pov thawj los ntawm cov protein, nce cov leukocytes);
- bacteriological noob ntawm cov khoom siv roj ntsha ntawm cov khoom noj khoom haus (nrhiav cov kab mob microflora).
Txoj kev kawm kawg yog ua tiav txhawm rau txheeb xyuas cov kab mob, tsim kom muaj nws qhov rhiab heev thiab tiv thaiv cov tshuaj tua kab mob ntawm ntau yam spectrums.
Kev tshuaj ntsuam faeces kuj tseem qhia tau tias xav tau kev kho mob Staphylococcus aureus. Hauv cov quav, cov tseb uas tau nqa tawm tsis pub dhau 3 teev tom qab tso quav tso, hnoos qeev thiab kab mob pom.
Smears los ntawm cov mucous daim nyias nyias ntawm lub caj pas thiab lub qhov ntswg yog coj los ntawm lub plab khoob, ua ntej noj tshuaj thiab txhuam koj cov hniav; rau cov kab mob conjunctivitis, cov qauv raug coj los ntawm daim tawv muag hauv qab uas siv cov tshuaj tua kab mob uas tsis muaj dej los ntawm cov dej distilled. Txhawm rau kom paub meej tias tus kab mob staphylococcal ntawm daim tawv nqaij, smears tau noj tom qab kho ua ntej ntawm epidermis nyob ib ncig ntawm lub qhov txhab nrog cov tshuaj tua kab mob thiab tshem tawm cov khoom tuag.
Kev kho mob
Cov kev kho mob raug xaiv nyob ntawmlocalization ntawm qhov txhab. Kev kho tus kab mob staphylococcal hauv cov menyuam yaus thiab cov neeg laus yog ua los ntawm cov kws kho mob kis kab mob. Feem ntau, cov neeg mob Staphylococcus aureus tau mus pw hauv tsev kho mob.
Nyob rau hauv hom mob me me, tsis muaj tshuaj tua kab mob. Nyob rau hauv cov ntaub ntawv ntawm deterioration ntawm kev noj qab haus huv thiab mob hnyav ntawm daim duab kho mob, kev kho mob pib nrog kev siv cov semi-synthetic penicillins ("Amoxiclav"). Ceftriaxone thiab Kefzol, uas tau sau tseg rau kev kho mob ntawm ntau tus kab mob, feem ntau tsis muaj txiaj ntsig vim qhov tsis kam ntawm Staphylococcus aureus rau penicillins thiab cephalosporins.
Lub sijhawm ntawm kev kho yog nyob ntawm qhov mob hnyav ntawm tus kab mob, qhov txhab ntawm daim tawv nqaij lossis cov kabmob sab hauv. Nyob rau hauv ib txwm muaj kev kis tus kab mob, nws yuav siv sij hawm 7-14 hnub kom tshem tawm cov kab mob microflora tag nrho, tab sis qee zaum, kev kho mob tuaj yeem siv sij hawm ntev li ob peb lub hlis.
Cov kab mob Pyoinflammatory ntawm daim tawv nqaij nrog kev sib ntxiv ntawm cov kab mob staphylococcal yog cov lus qhia rau kev sau tshuaj tua kab mob "Mupirocin" thiab pleuromutilin derivatives. Nrog rau qhov mob me me, cov qhov txhab raug kho nrog tshuaj tua kab mob (cov tshuaj ntsuab ci ntsa iab, manganese, hydrogen peroxide) thiab tshuaj tua kab mob (Bactroban, Tetracycline, Oxycort). Nyob rau hauv cov ntaub ntawv ntawm kev loj hlob ntawm abscesses los yog phlegmon, abscesses yog phais qhib kom ntws cov kua paug.
Yog tias muaj cov khoom noj lom los ntawm Staphylococcus aureus, tsis tau tshuaj tua kab mob, tsuas yog siv Staphylococcal Anatoxin. Tsis tas li ntawd,Tus neeg mob yuav tsum ntxuav lub plab thiab ua kom lub ntim ntawm cov ntshav ncig nrog drip infusions thiab kev tswj hwm qhov ncauj ntawm cov tshuaj ntsev (glucose daws, sodium chloride, Regidron, thiab lwm yam). Rau kev kho mob ntawm Staphylococcus aureus thiab kev tiv thaiv ntawm plab hnyuv dysbacteriosis, nws raug nquahu kom siv tshuaj tua kab mob ("Diflucan", "Nystatin") ib txhij nrog tshuaj tua kab mob. Nyob rau tib lub sijhawm, nrog rau txhua qhov chaw ntawm cov kab mob lesion, tus neeg mob tau muab tshuaj immunomodulators, vitamin-mineral complexes.
Yuav ua li cas tiv thaiv kab mob ua pa
Kev saib xyuas tshwj xeeb tsim nyog tau txais kev kho mob ntawm Staphylococcus aureus hauv caj pas thiab qhov ntswg. Thaum cov tshuaj tua kab mob tsis kam ntawm cov kab mob uas cuam tshuam rau lub cev tau txiav txim siab, kev kho mob tuaj yeem pib. Koj tuaj yeem tua staphylococcus nrog kev pab ntawm cov tshuaj tua kab mob tshwj xeeb, tshuaj tsuag, tee, infusions. Nyob rau hauv rooj plaub ntawm kev kawm nyuaj, koj yuav tau mus rau kev siv tshuaj antistaphylococcal.
Chlorophyllipt roj tee yog tsim rau kev kho mob ntawm Staphylococcus aureus nyob rau hauv lub qhov ntswg ntawm cov neeg laus thiab cov me nyuam. Los ntawm txoj kev, nws raug nquahu kom yaug qhov ntswg qhov ntswg thiab gargle nrog tib cov kua dej cawv. Rau tib lub hom phiaj, Furacilin yog tshuaj - tshuaj tua kab mob (1-2 ntsiav tshuaj yog siv rau ib khob dej kub boiled). Txhawm rau ntxiv dag zog rau kev tiv thaiv hauv zos, cov tshuaj "IRS-19" yog siv.
Analgesics thiab antipyretics yog siv thaum qhia (ua npaws, mob taub hau). Tsis tas li ntawd, nrog rau cov kab mob, nws yog ib qho tsim nyog yuav tsum tau ua kom cov kua dej ntau ntxiv txhua hnub.
