Enterococci i loko o ka haukaʻe. E mākou e makau?

Ke ahonui a me ka ia'ku ... Aloha mea e like ai. Inā mākou i ole e kamailio e pili ana i pathogens. A ka mea, ua like me enterococci, a me ka mea, aole ia i ae mai, e hoʻonānea i loko o ke kaua me ia. Kēiaʻenemi i kekahi manawa paʻakikī loa e eo ai. Akā, - paha i kaʻikeʻoe e loaʻa i loko o kēia 'atikala.

Pehea nā enterococci i loko o ka haukaʻe i? Ka Ikepili hōʻike kaula, ka mea e hele ana i kēia mau pathogens. Ka mea, i ia akulla 'ia e kekahi e paka nā'ūhū, a ina na nā mea'aʻaʻa akomi i loko o ko lākou koko.

A hoʻokaʻawale headache kauka - ia enterococcus "ola" i loko o ka haukapilaʻo a malaila lilo he nunui-hoʻopale i ka likeʻole antibiotics, aʻo ka mea kaua e ku e ia ia e pilikia. Ma hope o nā mea a pau, enterococci ua kauoha aku e ke hakuloli i aneane a pau ano o antibiotics a hiki i ka nui a uuku loa. New antibiotics (linezolid, no ka laʻana) a ka mea hiki ke hana aku me ka enterococci, akā, i kekahi manawa ma ka 'inikua nā puke he mau lono e pili ana i ka ia'ku o kēia mau pathogens i ka mea hou antibiotics. No laila, ke paio mau. Ua pono, i ke kino, a me ka mea ia i hiki i ke kaua ana, a me kēia mau ai 'i ka maikai kauka Hawaii me ka adjuvant.

Kahi i loko o ke kino ka hoopau i pathogens? Loa pinepine enterococci akomi i loko o ka mimi. Naʻe, ka mea e loli i ke kipi iwi o ka naau, ka mea hiki ke iho mailoko o palapu, koʻohune noho a puni ka catheter, a ua hoʻolauna i ka hoʻomanawanui chronically. I kekahi manawa, i kēia mau pathogens komo i loko o ka lua, a mahuahua ma ka koko (kapa bacteremia). Ua hana ia na koʻohune triggered meningitis, pleural hakahaka.

Enterococci e pinepine e noho i loko o ka digestive'āpana ole ma o na la i kekahi lapaʻau hoikeana o ka maʻiʻaʻai. Eia naʻe, e pono e mālama i kēia kaʻina hana ma lalo o ana, no ka mea, o ka hapanui o nā mea maʻi i lilo ka maʻi i ka hopena, ua i enterococci i loko o ko lākou naʻau liʻiliʻi a hiki i ka hoouka kaua ana i ka maʻi. No ia mea, enterococci i loko o ka haukaʻe mai ka rectum - he kumu e hoʻomaka lalau hana.

No ka mea keia maʻiʻaʻai no ka poe e hoomanawanui i ka poe i hana eha iaʻi mai ka loa a me ka hoʻolōʻihiʻia (oiaio hoi no ka poe i papa loa o antibiotics), inā pilikia ka haumānaʻoki kino i ka hui, transplants a me nā mea maʻi me ka oncological maʻi o ke koko. Ua mea i pilikia loa enterococci no ola 'Oihana. 'Ākena o ka aoao hana ka poe inu corticosteroids a me ka loaa ana parenteral kino.

Naʻe, ina ia mea,ʻaʻole he gut, akā, me ka cervical Canal, ia mea,ʻaʻole pilikia ina na koʻohune loaʻa iki. Enterococci i loko o ka haukaʻe i lapaʻau komo ai i ka noʻonoʻo, ina ke kauka manaoio i ka hoʻomanawanui koi iapaau ana i nā mea a pau. E like me ka rula, enterococci i loko o ka vagina - i kekahi hapa o ka mea maʻamau flora, no laila, mai panic a me ka uuku au.

Enterococci i loko o ka haukaʻe i mea pilikia wale nō inā i lawe i ka swab, mai ka urethra. Nō hoʻi, ke kulana mea ino, inā e loaʻa kēia mau pathogens i loko o ke koko, ka mea e manao ana ka mea, ua hohola mawaena o ke kino. Loa kākaʻikahi, akā, ua nō i loaʻa ka mea, i loko o ka cerebrospinal loli, akā, ia i hookuu ka hana i loko o ke kāʻei kua meningitis (he infrequent hihia). Huai ae enterococci a me ka pus ia, mai ka pahee nā'aʻaʻa.

Oia nā mea palahēhē i malamaia lakou nei, me antibiotics me ka hou (streptogramin, teicoplanin, oritavancin). Ma mau, e like me ka "kaumaha mea kaua" hiki ke hoʻohana wale ka wā e ho'āʻo ai i ka alo o ka enterococci wahi i ka mea e noho pilikia (ka vagina, a me ka cervix, aole ia i helu). A hou hanauna o antibiotics e powerless e ku e ia nā mea hoʻomaʻi, no laila, pono i ka hoʻoʻino keʻano o ka hanaʻana ka mea, i ole i hoakakaia, pono keʻena hoʻokolohua hoike o ia enterococci.

Inā 'oe e ole kāpae'ōlelo i ka eha a me ka discomfort i loko o ka urinary'āpana, a me ka koke halawai me kou kauka, e hiki ke pale aku i na weliweli ka hopena o enterococcal nā mea palahēhē e like me endocarditis a me ka meningitis. Just mai hoopoina no oe ia oe iho, i kou kino nele noonoo.