Klebsiella pneumoniae - yog dab tsi? Cov kab mob Klebsiella pneumoniae: hauj lwm

Klebsiella pneumoniae - yog dab tsi? Nws yog ib tug kab mob uas yuav ua rau loj inflammatory kab mob ntawm lub ntsws, digestive thiab urinary systems. Xws li mob yuav tsum tau ceev faj kev kho mob thiab ceev faj kev kho mob. Thiab nws tshwm sim los nosocomial kab mob yog resistant txoj kev kho vim muaj ib tug xov tooj tseem ceeb ntawm hom ntawm cov pathogen.

lom zog

Cov txiv neej yog ib qho nyuaj rau xav txog tej yam dab tsi nws zoo li Klebsiella pneumoniae, nws yog dab tsi. Morphologically nws yog ib tug me me nyob ruaj ruaj pas nrig uas yuav tsum tau nyob ob leeg singly thiab nyob rau hauv pab pawg. Qhov no yog ib tug kab-tsis zoo kab mob uas yog, thaum tsuas nrog hematoxylin-eosin, nws yuav liab (qhia lub xub ntiag ntawm lub tsiav tshuaj).

Nws prefers yug nyob rau hauv tej thaj chaw uas tsis muaj kev nkag tau ntawm oxygen, tab sis nyob rau hauv nws lub xub ntiag, tsis poob nws cov kev cai zog. Nyob rau hauv lub laboratory, tus kab mob Klebsiella pneumoniae yog loj hlob nyob rau hauv khoom thiab kua as xov xwm, txoj kev ib tug zoo nkauj gray-dawb zos. Nws tau txais nws lub npe los ntawm lub npe ntawm tus discoverer - lub pathologist Edwin Klebs.

hom Klebsiella

Microbiologists los ntawm cov lus qhib lub sij hawm ntawm lub microorganism qhia tau rau hom Klebsiella:

- Klebsiella pneumoniae (Friedlander Bacillus).
- Klebsiella oxytoca.
- Klebsiella rhinoscleromatis (Bacillus ntawm Frisch - Volkovich).
- Klebsiella ozaenae (Wand Abel - Lavenberga).
- Klebsiella terrigena.
- Klebsiella planticola.

Nyob rau hauv tib neeg, feem ntau ua rau tus kab mob no thawj thawj ob tug, tab sis nrog ib tug txo nyob rau hauv kev tiv thaiv, thiab lwm yam hom ua pathogenic. Nyob rau hauv cov neeg noj qab nyob rau hauv lub gut yog tseem Klebsiella pneumoniae, nws tus nqi yuav tsum tsis txhob ntau tshaj 105 cov kab mob ib 1 gram ntawm chyme. Nyob rau hauv tas li ntawd, cov kab mob yog ib txwm tam sim no nyob rau hauv daim tawv nqaij thiab txheej membrane ntawm lub bronchial tsob ntoo. Lawv yog cov tau kom lawv cov khoom nyob rau hauv khoom noj khoom haus cov khoom rau hauv dej thiab av rau ib ntev lub sij hawm, yog li ntawd tus kab mob tshwm sim.

qhov chaw ntawm kab mob

Cov ntau lwm tus neeg rau anthroponotic kab mob yuav tsum tau ntaus nqi, thiab Klebsiella pneumoniae. Yuav ua li cas yog nws? Qhov no txhais tau tias yog yuav ua tau rau qhov chaw ntawm kev mob kev nkeeg rau cov neeg mob los yog muaj ntawm pathogens uas tsis muaj cov tsos mob. Hauv tus kab mob Klebsiella tau txais qias neeg nrog cov zaub mov los yog qias neeg txhais tes. Yog hais tias tus kab mob no yog ntaus bronchopulmonary system, kis ntawm cov kab mob yuav dua plav mob (los ntawm kev hnoos thiab txham). Tag nrho cov neeg yog raug rau Klebsiella, tab sis cov me nyuam yaus, cov neeg laus thiab cov neeg nrog immunodeficiency nyob rau hauv ntau dua-risk pab pawg neeg, txij thaum lub tu tub tu kiv obligate plab hnyuv microflora endogenously tsis yog tswj.

Ib zaug nyob rau hauv lub cev, tus kab mob ua endotoxin uas yog tso tawm tsuas yog tom qab kev tuag ntawm tus microbe cab kuj. Nws ua rau kub ib ce thiab intoxication. Muaj ob ntau exotoxin: enterotoxin thiab membranotoksin. Keeb kwm muaj feem xyuam rau cov hnyuv mucosa, thiab lub thib ob tug nyhuv on erythrocytes, ua anemia.

mob ntsws muaj dej

Mob Ntsws Txheem Dej yog tshwm sim los ntawm, koj guessed nws, ntawm Klebsiella pneumoniae. Ib tug yam ntxwv feature ntawm no hom ntawm o yog cov tsos ntawm ib tug plurality ntawm me me foci ntawm o, uas tej zaum yuav ua hauj lwm ua ke nrog txhua lwm yam nyob rau hauv lub teeb nto. Nyob rau hauv cov neeg mob uas muaj ib tug kub taub hau (muaj li peb caug cuaj degrees), tsis muaj zog, nkees, tawm hws. Thaum pib ntawm tus kab mob hnoos qhuav, tab sis nyob rau hauv lub midst ntawm ntub, nrog ib tug admixture ntawm hnoos qeev thiab kua paug tej zaum yuav streaked nrog cov ntshav. Yus ua tsis taus pa thiab, nyob rau hauv loj heev zaum - ua pa tsis ua hauj lwm thiab koj muaj teebmeem kev edema.

Nyob rau lub cev xeem, nyob rau hauv sab ntawm o audible crackles thiab palpation - shortening ntawm percussion suab. Nyob rau hauv siab radiograph thiab sab projection focal pom ntxoov ntxoo, nyhav sau ua ib pawg.

Yog hais tias tus kab mob no thiaj paub tias yog nyob rau hauv lub sij hawm thiab muab qhov tseeb kev kho mob, nws yog ib co yuav hais tias lub inflammatory txheej txheem yuav tsum tu ncua thaum pib, ua ntej nws muaj lub sij hawm kis tau tshaj tag nrho saum npoo ntawm lub ntsws. Tab sis nyob rau hauv cov ntaub ntawv ntawm tsis yog kev kho mob los yog lig kho mob nyob rau hauv lub tsev kho mob, feem ntau yuav, tus neeg mob yuav muaj ib daim duab ntawm sepsis (generalized o), thiab nyob rau hauv xws li ib tug cov ntaub ntawv phem npaum li cas yog heev.

Lub yeej ntawm lub digestive system

Tus kab mob no yog tseem tshwm sim los ntawm Klebsiella pneumoniae. Tu siab, nws yog "masked" los ntawm gastroenterological cov kab mob, ua rau nws tsis yooj yim rau kev tshawb nrhiav thiab kho. Tus neeg mob accesses ib gastroenterologist kev tsis txaus siab ntawm qhov mob nyob rau hauv lub plab thiab ntaws, kub siab, xeev siab, tsis qab los noj mov, tab sis EGD (fibrogastroduodenoscopy) qhia tau hais tias ib txwm los yog ib nyuag kub lug pais plab mucosa. Nws yuav tsis kov li tus kws kho mob rau lub tswv yim ntawm Klebsiella. Tiamsis, nws yuav muab ib tug gastritis thiab muab tsim nyog kho mob.

Tab sis feem ntau ntawm tag nrho cov Klebsiella manifests nws tus kheej nyob rau hauv cov hnyuv (mob huam) raws li enteritis los yog enterocolitis. Tus neeg mob mus rau kis tsev kho mob complaining ntawm kub taub hau, tsis muaj zog, xeev siab, mob plab ntswj thiab quav ua txhaum (profuse raws plab nrog cov ntshav thiab hnoos qeev odorous). Qhov no qhov teeb meem no tej zaum yuav kav rau ob mus rau tsib hnub.

Kab mob ntawm cov genitourinary system

Feem ntau cov feem ntau Klebsiella pneumoniae nyob rau hauv lub urogenital system manifests nws tus kheej nyob rau hauv daim ntawv ntawm cov pyelonephritis, cystitis thiab prostatitis. Nyob nyob rau theem ntawm kev raug mob, cov neeg mob tsis txaus siab ntawm qhov mob nyob rau hauv lub lumbar cheeb tsam, teeb meem tso zis thiab erectile muaj nuj nqi.

Yog hais tias lub cev yog ua hauj lwm zoo, tus kab mob no yog mob, thiab nrog rau txoj kev kho mob rau tus neeg zaug kiag li. Tab sis nyob rau hauv cov ntaub ntawv ntawm inferiority lub cev defenses (cov neeg laus los yog cov me nyuam, immunodeficiency), tus kab mob yuav siv sij hawm ib tug mob los yog recurrent kawg.

teeb meem

Thaum lub sij hawm muaj mob loj klebsiellezov tsis cais xws teeb meem:

- pulmonary edema;
- ITSH (toxic poob siab);
- hemorrhagic syndrome;
- o ntawm lub paj hlwb.

Qhov no txoj sia mob, txhua tus uas tej zaum yuav fatally. Thiab yog hais tias lawv cov chav, qhov tshwm sim rau txoj kev tuag tsub kom. Tom qab ib tug yav dhau los kab mob ntawm tus neeg mob tsim ib lub nraum kev tiv thaiv, uas yog, nyob rau hauv ntau parlance, tom qab ib co sij hawm, tus neeg yuav tau txais rov mob dua.

Cov yam ntxwv ntawm tus kab mob nyob rau hauv cov me nyuam thiab poj niam xeeb tub

Klebsiella pneumoniae thaum lub sij hawm cev xeeb tub - ib tug tshwm sim tsis dhau tsawg. Lub cev yog muaj ib tug muab ob npaug rau tsim txom, txo kev tiv thaiv, thiab ua rau kom qhov yuav ntawm obligate microflora yuav tsub kom. Txij li thaum lub txoj hauj lwm ntawm ilv, coj los yog tsis txhob coj tshuaj tua kab mob, tus kws kho mob txiav txim siab. Tag nrho cov nyob ntawm qhov ntev ntawm hnub, tus nqi Klebsiella pneumoniae nyob rau hauv ib tug smear los ntawm qhov chaw mos huam thiab cov theem ntawm cov ntshav dawb. Cov koob tshuaj no kuj tom ib lub zuj zus. Nyob rau hauv tsis muaj cov ntaub ntawv yuav tsum tsis txhob yuav kho nyob rau hauv tsev.

Qhov teeb meem no feem ntau yog thaum ib tug cev xeeb tub lo lus nug tsis yog ib tug kws kho mob, thiab nws tus phooj ywg nyob rau hauv tus kab mob Klebsiella pneumoniae. Yuav ua li cas yog nws, thiab nws tsis tau paub tseeb. Thiab ces cov tshuaj uas tsis yog inevitable, tas, nws muaj peev xwm ua mob rau tus me nyuam.

Vim hais tias ntawm tsis muaj zog txaus tiv thaiv cov me nyuam mos thiab cov me nyuam yaus feem ntau kuj raug kev txom nyem los ntawm opportunistic microflora. Klebsiella pneumoniae nyob rau hauv cov me nyuam mos ua mob loj heev intoxication, lub generalization mob thiab sepsis. Feem ntau cov feem ntau nws yog dysbiosis uas raug cov tsos mob (belching, rejection ntawm lub mis, poob phaus thiab ib tug ua txhaum ntawm lub rooj zaum).

diagnostics

Clinically kev tshawb nrhiav dab tsi tshwm sim tau tus kab mob yog Klebsiella pneumoniae, yog heev nyuaj, raws li muaj tsis muaj ib yam tsos mob uas yuav kis tau rau nws. Yog li ntawd, mob yog syndromic thiab ces paub tseeb hais tias kab mob. Raws li cov ntaub ntawv uas haum cov ntshav, zis, hnoos qeev, hlwb txha nqaj qaum kua, kua tsib thiab sectional khoom.

Klebsiella pneumoniae nyob rau hauv cov zis yog kuaj tau los ntawm kab lis kev cai los yog tsom. Yuav kom qhov no cov ntaub ntawv uas yog daim phiab on ib tug as nruab nrab los yog poob mus rau ib lub khob swb thiab nais maum kuaj nyob rau hauv ib tug tshuab kuaj kab mob.

Cov tib txoj kev yuav mus nrhiav tau nyob rau hauv cov quav ntawm Klebsiella pneumoniae, tiam sis tsuas yog ib tug piv txwv ntawm cov ntaub ntawv uas yog sib txawv dog dig. Rau qhov zoo tshawb fawb cov ntaub ntawv uas yuav tsum tau xa mus rau lub chaw kuaj tsis pub dhau ib nrab ib teev tom qab cov laj kab.

Tom qab ob lub lis piam los ntawm qhov pib ntawm tus kab mob, koj muaj peev xwm xa cov ntshav serology. Nws tso cai rau peb los laij rau tus heev ntawm tus txheej txheem thiab lub cev.

kev kho mob

Tactics ntawm kev kho mob cov kws kho mob xaiv rau txhua cov ntaub ntawv. Qhov no yog nyob rau hauv daim ntawv ntawm tus kab mob no, nws heev thiab cov yam ntxwv ntawm tus neeg mob. Feem ntau cov feem ntau, cov neeg mob tau txais pw kho mob.

Thawj tsa tej bacteriophages. Lawv yuav tsum tau noj peb zaug ib hnub ua ntej noj mov. Tsis tas li ntawd tau embodiment qhov ncauj thawj coj ntawm ib tug yeeb tshuaj mus rau hauv lub cev los ntawm ib tug enema. Hoob no ntawm kev kho mob yuav ntsuas pib ntawm tsib mus rau kaum hnub. Cov theem tom ntej ntawm probiotics yuav tsum tau rov qab kho cov qub plab hnyuv muaj. Lawv yuav tsum tau haus yam tsawg kawg kaum hnub, thiab dua li ob los yog peb lub lis piam.

Ntawm tshuaj tua kab mob yog xaiv cephalosporins thiab fluoroquinolones yog cov thib peb thiab thib plaub tiam, aminoglycosides thiab tetracyclines.

Nyob rau hauv lub tsev kho mob, cov neeg mob yog raug rau cov nram qab no indications: ib tug aggravation ntawm cov tsos mob, kub taub hau, Septicemia. Tas ua symptomatic thiab pathogenetic txoj kev kho tswj qhov cov tsos mob ntawm tus kab mob thiab pab txhawb rau tus neeg mob tus mob.

Nonspecific prophylaxis rau klebsiellezov yog tsis nqa tawm, raws li muaj yog tsis muaj tshuaj txhaj tiv thaiv. Yog li ntawd, nws tag nrho tawm mus rau lub noj qab haus huv kev kawm ntawv ntawm cov me nyuam thiab cov laus, thiab hardening ntawm raws sij hawm thiab zoo kev kho mob ntawm kis kab mob.