Mareenka caloosha iyo mindhicirka, afka iyo afka maqaarku, waxaa jira microflora bakteeriya, taas oo ka kooban dhowr nooc oo microbes ah. Mid ka mid ah sheyga caadiga ah ee pathogenka ah ee ka mid ah flora caadiga ah microscopic waa Klebsiella pneumonia (Klebsiella pneumoniae). Inkasta oo magaca, proteobacteria noocan ahi waxay ka dhalanaysaa ma aha oo kaliya cudurrada neefsiga ee halista ah, laakiin sidoo kale hababka kale ee bararsan.
Sidee loo kala qaadaa Klebsiella Pneumonia?
Ilaha infekshanka waa qofka jirkiisu ku dhaco infakshanka klebsiellosis. Caabuqa wuxuu ku dhacaa dhowr siyaabood:
- raacsanayn heerarka nadaafadda shakhsi ahaaneed;
- khudradda wasakhaysan, miraha;
- inta lagu jiro qufaca iyo hindhisada.
Sababaha dhalmada ee Klebsiella Pneumonia
Dadka qaba naafanimada nidaamka difaaca jirka ayaa ah kuwa ugu nugul cudurka. Waxay sababi karaan:
- Tallaalka aan la garanayn ee ku dhasha;
- diabetes mellitus;
- sii xumeynta cudurrada daba dheeraada;
- marin-biyoodyada;
- burooyinka qanjirada;
- da'da ku-xirnaanta jirka;
- isbeddel ku yimaada microflora mindhicirka iyo dheecaanka.
Intaas waxaa sii dheer, infakshanka badanaa wuxuu dhacaa ka dib marka xubnaha jidhka iyo unugyada loo beddelo sababtoo ah jawaab aan difaac lahayn (gardaro) oo jirka ah.
Calaamadaha Klebsiella Neefsasho Xumad Leh
Inta lagu guda jiro wareegga nolosha ayaa lagu soo bandhigay bakteeriyada saddexda nooc ee sunta sunta:
- membronotoxin (wuxuu leeyahay firfircoonida jeermiska, dhaawaca unugyada caafimaadka qaba);
- endotoxin (oo lagu sameeyay dhamaadka nolosha nafaqada, inta lagu jiro kala-soocidda);
- Enterotoxin-kani wuxuu saameynayaa epithelium dusha sare ee mindhicirrada mindhicirka, wuxuu ka xanaajiyaa buuxinta lumen ee dareeraha).
Taas awgeed, cudurku wuxuu keenaa bakteeriyada Klebsiella pneumonia waxay leedahay noocyo kala duwan oo daaweyn ah iyada oo ku xiran nidaamka infekshanka.
Xaaladda Klebsiella Pneumonia, calaamadaha soo socda ayaa lagu arkay:
- qandho, heerkulku wuxuu u kaca 39 digrii;
- dhidid;
- sarreynta;
- qarqaryo;
- xanaaq iyo daciifnimo;
- neefta gaaban ;
- neefta xun;
- qallajin (marxaladaha hore) iyo qufac qoyan, oo leh dheecaan balaadhan oo qadar ah, oo la gooyo xididdada dhiigga.
Inta lagu jiro baaritaanka, xiiqdheerta sanbabada, hoos u dhac ku yimaada xoogaaga buuxinta, codka jilitaanka inta lagu jiro rafcaanka ayaa lagu xusay.
Badanaa Klebsiella pneumonia waxaa laga helaa kaadida, taas oo keenta geedi socodka nabarrada sida cystitis, pyelonephritis oo ah qaab dareen iyo dabadheeraad ah. Xaaladdan, calaamadaha ma aha kuwo ka duwan laf-dhabarka bakteeriyada kale:
- xanuun ama gubasho dhammaadka kaadida;
- kordhinta heerkulka jidhka ilaa subfebrile;
- culeyska dhinaca dhinaca, kalluunka iyo dhexda;
- dareemidda haraad.
Marka caabuqa mareenka sare ee neefta, waxaa jira astaamo sida:
- granulomas on membranes ee sanka iyo naasofarynx;
- ciriiriga sanka ee daran;
- qarsoodi ee alaabta nadiifka ah ee sanka leh ur ur xun;
- dhismaha qolofka gudaha;
- heerkulka sare, qiyaastii 38 darajo;
- atrophy ee xuubka xabka ee trachea iyo sanka.
Jebinta habka dheef-shiidka waxaa lagu gartaa:
- xanuunka aagga caloosha;
- lallabbo;
- qalafsanaan;
- xumaanta cuntada oo ka sii daraysa;
- daciifnimada guud;
- qabsashada weerarrada xiidmaha;
- dareeraha dareeraha ah ee dareeraha leh (dheecaan, malax ama dhiig).
Daaweynta infakshanka bakteeriyada Klebsiella Pneumonia
Daaweynta, 3 nooc oo daroogo ah ayaa loo isticmaalaa:
- wakiilada antibiyootiko;
- Probiotics (Enterol) sababtoo ah maadada nooc gaar ah ee fungi oo leh waxqabadyo antimicrobial ah oo ka soo horjeeda bakteeriyada iyada oo tixgelinaysa;
- bakteeriyada.
Daaweynta ugu waxtarsan ee infakshanka Klebsiella oof-wareenka leh antibiotics, gaar ahaan:
- aminoglycosides;
- Cephalosporins (jiilalka hore);
- penisillin khafiif ah;
- tetracyclines.