Contents
17.03.2017
ʻO Enterococcus he ʻano bacteria liʻiliʻi oval i ʻāpana o ka microflora ʻōpū maʻamau o ke kanaka (ma mua, ua helu ʻia kēlā mau microorganisms ma ka hui D streptococci).
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Ka hoʻomaʻamaʻa a me ka ʻike o ka lapaʻau
Ke nānā iki nei i mua, ʻike mākou ua ʻike maopopo ka poʻe hoʻoponopono e ʻimi nei ka poʻe heluhelu i ka ʻike hou aku pehea e ho'ōla ai i ka enterococcus. No kēia kumu, hāʻawi mua mākou iā ʻoe i ka ʻike e pili ana i kā mākou Forum, kahi e kūkākūkā ikaika ai i ke kumuhana o ka mālama ʻana i ka maʻi bacterial enterococcal i nā kāne. Eia kekahi mau kumuhana kaulana i loaʻa ka ʻike i kākoʻo ʻia e ka hana.
Enterococcus faecalis – Ke kumuhana me kahi noiʻi e pili ana i nā hopena o ka mālama ʻana Ua make ʻo Enterococcus! A ʻaʻole au i kēia manawa – ʻO ka ʻike lapaʻau No hea mai ka pua ʻōpū o ka prostate – Pono ʻoe e ʻike i kēia
Ke kono nei mākou i nā mea a pau e komo i ke kūkākūkā! Ke holo nei ka ʻaha kūkā mai ka makahiki 2006. He hale kūʻai o ka ʻike hana ma ke kahua o ke olakino kāne.
Eia naʻe, ʻaʻole hoʻopau ka ʻike hana i ka pono o ka ʻike metodological. No laila e hoʻomau kākou…
Nā ʻano enterococci. Nā kumu o ka maʻi
ʻO ka helu Enterococci ma mua o 16 mau ʻano, hiki i kekahi o lākou ke hana i nā maʻi infectious o ka ʻōnaehana genitourinary, endocarditis, etc. ʻO ka mea maʻamau ʻo Enterococcus faecalis (fecal enterococcus) a me Enterococcus faecium. ʻOiai ka noho maʻamau o enterococci ʻo ka ʻōpū, ma kahi o 25% o nā kāne olakino, aia ʻo Enterococcus faecalis ma ka ʻaoʻao mua o ka urethra. ʻO ia ke kumu i helu ʻia ai ka enterococci ma ke ʻano he opportunistic (transient) microflora o nā ʻano genitourinary. ʻO Enterococcus faecium ke kuleana no ka hapa nui o nā maʻi enterococcal kū'ē i ka vancomycin. He pilikia koʻikoʻi o ka lāʻau lapaʻau o kēia wā ka insensitivity o ka bacteria i nā lāʻau antibiotic.
Loaʻa iā Enterococci nā mea ʻelua, ma muli o ke ʻano kūikawā, a loaʻa ke kū'ē antibiotic. Hāʻawi kēia i kahi haʻawina nui o kēia mau bacteria i ka ulu ʻana o nā maʻi nosocomial a kaupalena i ka hiki o nā kauka e pili ana i kahi ʻano koʻikoʻi e like me ka mālama ʻana i ka enterococcus.
ʻO Enterococcus i loko o nā kāne (ʻoi aku ka pinepine - Enterococcus faecalis) hiki ke hoʻoulu i nā maʻi o nā ʻāpana o ka ʻāpana urogenital, ʻoi aku hoʻi i nā poʻe i hoʻopaʻa ʻia i ka hoʻokolokolo instrumental kūpono a / a i ʻole nā antibiotics:
• prostatitis; • balanoposthitis; • urethritis; • epididymitis / orchoepididymitis; • cystitis, etc.
Nā ala maʻi:
• ka pilina pili kino (ʻoi aku ka hoʻololi ʻana o ka genital-genital a me anal-genital); • ka maʻemaʻe pono ʻole ma hope o ka hoʻohana ʻana i ka lua; • ka lawe ʻana mai ka makuahine i ka hānau hou; • kakaʻikahi - i ka hoʻololi ʻana o ke kino.
I ke komo ʻana i loko o nā ʻōpū genitourinary, hiki i ka enterococci ke noho i loko o lākou mai kekahi mau hola a hiki i nā pule, a laila e luku ʻia e nā mīkini pale. Kapa ʻia kēia mokuʻāina he kaʻa manawaleʻa a transit paha. I kēia hihia, hiki i ka mea lawe ke hoʻouna i ka pathogen i ka hoa moe. Hiki ke ʻike i ka enterococcus me ke kaʻa manawaleʻa me nā ʻano kikoʻī kiʻekiʻe (no ka laʻana, PCR).
Eia kekahi, hiki i ka enterococci ma kahi liʻiliʻi ke noho mau i loko o nā ʻāpana genitourinary (kaʻa mau). Hoʻopilikia ʻia ko lākou ulu ʻana e nā ʻano pale like a me ka microflora maʻamau. Me ka emi ʻana o ka nui o nā microorganism maʻamau a me / a i ʻole ka hōʻino ʻana i ka pale o enterococci, hoʻomaka lākou e hoʻonui wikiwiki, e ulu ana ke kaʻina o ka mumū. ʻO ke kaʻa hoʻomau ka maʻamau asymptomatic, koe wale no ka manawa o ka exacerbation, hiki ke ʻike i ka enterococcus e PCR, kahi ʻano moʻomeheu o ka noiʻi. I kēia hihia, aia nō ka maʻi o ka hoa.
I ka pau ʻana o ke kino i ke kāohi ʻana i ka ulu ʻana o ka enterococci, ʻike ʻia ka maʻi. ʻO nā kumu mua i ka ulu ʻana o ka maʻi enterococcal:
• ke alo o nā maʻi koʻikoʻi; • nā maʻi gonococcal/chlamydial i hala; • ka uhaki ʻana i nā ʻōnaehana pale o nā ʻāpana genital (ʻo ia mau ʻano me kahi ʻano neutral/weakly alkaline environment i ka urethra, prostate antimicrobial factor, mechanical, local immunological protection) prostate antimicrobial factor - zinc-peptide complex); • ka lāʻau antibiotic lōʻihi; • ka hoʻomāinoino ʻana i nā anesthetics kūloko, e alakaʻi ana i ke ahi o ka urethra; • ka catheterization o ka mimi a i ʻole nā mea hoʻokolohua ʻē aʻe, hiki ke hōʻeha i ka ʻeha o ka mucous membranes; • ʻelemakule, etc.
Nā hōʻailona maʻi enterococcal
ʻAʻohe hōʻailona kikoʻī o ka pōʻino i ka ʻōnaehana genitourinary e enterococcus. Me ka hoʻomohala ʻana o ke kaʻina pathological, hōʻike nā mea maʻi i nā hoʻopiʻi ʻano o kekahi ʻano maʻi (e pili ana i ka localization o ka mumū).
ʻO ka urethritis e hele pū me:
• hoʻonui pinepine, hōʻike ʻeha i ka wā urination; • nā mea huna urethral; • kaʻulaʻula, ka huhū, ka pilikia ma ka urethra.
Hōʻike ʻia ka prostatitis e:
• ka maʻi ma ke ʻano o ka ʻeha a me ka ʻeha i loko o ka perineum, ka ʻeha i loko o ka testicles, cramps / ʻeha i ka urethra, ke ahi ma hope o ka moekolohe; • ka maʻi maʻi urination (ka piʻi ʻana, ka manaʻo o ka hoʻokaʻawale ʻole ʻana, ke kahawai nāwaliwali / intermittent); • ka hewa o ka orgasm, ejaculation (ʻeha, ʻaʻahu orgasm, ejaculation premature a i ʻole ka moekolohe lōʻihi); • i ka hui pū ʻana me ka urethritis maʻi - hoʻokuʻu mucopurulent.
Me ka balanitis / balanoposthitis, hoʻopiʻi ka poʻe maʻi i ka ʻeha a me ka ʻulaʻula ma ka wahi o ka penis glans, ʻulaʻula (erosion, ʻeha, māwae), plaque, pehu, hoʻokuʻu. ʻO ka Orchiepididymitis kahi hui o ka mumū o ka testicle (orchitis) a me ka epididymis o ka hope (epididymitis). I ka maʻi maʻi, ʻeha nui loa i ka scrotum, hoʻonui / paʻakikī o hoʻokahi testicle a i ʻole nā mea ʻelua, hyperemia o ka ʻili o ka scrotum, hoʻonui / paʻakikī o ka epididymis me ka ʻeha nui. Hoʻemi ʻia ka ʻeha ma ka scrotum ke hāpai ʻia. Hōʻike ʻia kahi maʻi maʻi ma muli o nā hōʻailona polū, i kekahi manawa ke ʻano o ke koko i loko o ka puna.
Nā ʻōnaehana Diagnostic
ʻO ka hōʻoia ʻana o ka enterococcus i loko o nā ʻāpana o ke kāne urogenital tract e pili ana:
• ka hoʻokolokolo ʻana e kekahi loea; • nā ho'āʻo nui o ka mimi a me ke koko; • ka hopena o ke kaulahao polymerase (ʻae e ʻike i kahi microorganism me ke kaʻa asymptomatic); • nā haʻawina moʻomeheu (i ʻole ka inoculation bacteriological) me ka hoʻoholo ʻana i ka naʻau antibiotic; • nā keʻena hana ʻē aʻe, e like me RIF, ELISA, smear microscopy, etc., a me nā haʻawina instrumental (ultrasound, urethroscopy, MRI, CT) e haʻalele i nā kumu ʻē aʻe o ka maʻi (nā maʻi genital non-enterococcal, nā kaʻina tumor, etc.) Nānā ʻia nā laʻana mimi i loko o ke keʻena hana, semen, prostate secretion, urethral discharge.
Ma ke alo o nā hōʻike maikaʻi ʻole mai ka ʻāpana urogenital, he mea nui e hoʻomaopopo ʻo enterococcus ke kumu o ia mau pilikia. Inā ʻaʻole i hōʻike ʻia nā hoʻokolohua i ke alo o nā pathogens ʻē aʻe, pono paha e hoʻomaʻamaʻa hou (i kekahi manawa ma kahi keʻena ʻokoʻa). Ma hope wale nō o ka haʻalele ʻana i nā pathogens ʻē aʻe (Trichomonas, gonococci, chlamydia, a me nā mea ʻē aʻe) kahi papa therapeutic kanaka i kuhikuhi ʻia e hoʻopau i ka enterococci.
Nā ʻano lapaʻau Enterococcus
I ka hihia o ka ʻike ʻole ʻia o ka enterococcus i ka wā o ka hoʻokolokolo maʻamau, ʻōlelo ʻia ka mālama ʻana inā loaʻa nā ʻano hoʻopiʻi, e hoʻolālā ana i nā hana ʻokiʻoki ma nā ʻāpana o ka genitourinary tract (i kekahi mau kūlana, hiki i ke kauka ke ʻōlelo i ka lāʻau kūpono i ka wā e hoʻolālā ai i ka hāpai ʻana). ʻO kēia ma muli o ka loaʻa ʻana o ia microorganism i nā kāne olakino maikaʻi loa.
ʻO Enterococcus titers o ke kauoha o 1 * 10 ma ke kēkelē 6 i manaʻo ʻia he diagnostically nui (i ka loaʻa ʻole o nā hōʻike clinical). I ka manawa like, asymptomatic bacteriuria (ʻike i ka enterococcus i loko o ka mimi) e koi wale i ka nānā ʻana o ke kauka a, inā pono, nā hoʻokolohua manawa: nā huaʻai hou. I nā keikikāne me ka ʻole o nā hōʻailona o ka maʻi urinary tract, ʻaʻole ʻōlelo ʻia ka ʻike ʻana i ka enterococcus maʻamau.
Inā manaʻo ʻia ʻo enterococcus wale nō ke kumu o nā pilikia i loko o ke kanaka mai ka ʻāpana urogenital (urethritis, prostatitis pyelonephritis, cystitis, etc.), pono ka lāʻau antibiotic kūpono. Ma muli o ka piʻi ʻana o ke kūʻē ʻana o ia mau microorganism i ka hana o nā lāʻau antibacterial, makemake nui ʻia e hoʻoholo i ka naʻau kūpono ma mua o ka hoʻomaka ʻana i ka mālama ʻana (akā, he hana hoʻopau manawa kēia a ʻaʻole hiki ke hoʻopanee i ka hoʻomaka ʻana o ka mālama ʻana).
I ka nui o nā maʻi ʻeha o ka ʻōnaehana genitourinary i nā kāne, ʻo ke kumu o ka maʻi he fecal enterococcus (Enterococcus faecalis). ʻO kēia ʻano enterococcus maʻamau:
• maʻalahi i ka rifaximin, levofloxacin, nifuratel, kekahi mau pilikia - i ka doxycycline; • maʻalahi i ka ciprofloxacin; • paʻakikī iki (no ka nui o nā maʻi) i ka tetracycline; • pili 'ole i ka lincomycin.
ʻO nā penicillins, kekahi cephalosporins, fluoroquinolones mua ʻaʻole hana a nāwaliwali paha i ka fecal enterococcus.
No ka mālama ʻana, ma ke ʻano he kānāwai, lawa ka lāʻau hoʻokahi; inā ʻaʻole kūpono, hiki ke kuhikuhi ʻia kahi ʻē aʻe a hui pū paha. Ma hope o ka pau ʻana o ka papa, lawe ʻia kahi maʻi lua o ka enterococcus. Hoʻomaʻamaʻa ʻia ka hoʻomaʻamaʻa ʻana o ka hoa pili ma ka ʻōlelo a ke kauka (pinepine i ka hihia o ka hoʻolālā hāpai). I ka hihia o kahi maʻi i hui pū ʻia, koho ʻia nā lāʻau lapaʻau e hana no kēlā me kēia pathogen.
ʻO kahi papa o ka lāʻau antibiotic ka mea maʻamau i lawa no ka hoʻōla piha. Eia naʻe, i kekahi mau hihia, hiki i ke kauka ke kuhikuhi hou aku:
• nā kaʻina hana physiotherapeutic like ʻole; • kahi papa o ka lomilomi (hoʻohana pinepine ʻia no nā pathologies inflammatory o ka prostate gland); • nā hoʻomākaukau enzyme; • nā huaora; • nā mea hana immunomodulating; • ka mālama homeopathic; • ka lāʻau lapaʻau maʻamau (nā ʻauʻau o nā decoctions a me nā infusions o nā lāʻau lapaʻau, inu wai cranberry, etc.); • ka lāʻau lapaʻau kūloko (infusions, i kapa ʻia he instillations, i loko o ka urethra o nā hopena o nā lāʻau lapaʻau like ʻole, e like me nā antiseptics).
ʻO ka nānā ʻole ʻana i nā ʻōlelo aʻoaʻo olakino, ka hoʻomaʻamaʻa ponoʻī nui a me nā lāʻau lapaʻau ʻaʻole hiki ke alakaʻi wale i ka hoʻihoʻi ʻana, akā e hōʻeha nui hoʻi i ke kūlana o ka mea maʻi. No ka laʻana, ʻo ka hoʻohana ʻana i ka infusion o nā hopena antiseptic i loko o ka urethra e alakaʻi pinepine ai i kahi kuni mucosal, kahi i lilo ai i mea hoʻonāukiuki no ka hoʻomohala ʻana i kahi maʻi bacterial.
Nā pilikia
I ka loaʻa ʻole o ka lāʻau lapaʻau kūpono no ka maʻi enterococcal, hiki i kēia mau mea:
• ka hāʻawiʻana i ke kaʻina hana o ka mumū i nā kino a me nā kino'ē aʻe; • ka hoʻololiʻana o ka maʻi i kahiʻano maʻamau; • ka hoʻohaʻahaʻa ʻana i ka maikaʻi o ka sperm a, no laila, ka hoʻomohala ʻana o ka male infertility; • ka uhaki i ka hana erectile, etc.
Kāohi
ʻO ka pale ʻana i ka maʻi enterococcal:
• ka hoʻokō ʻana i nā lula o ka moe kolohe (hoʻohana ʻana i nā ʻano pale pale, hoa paʻa); • kaʻike kūpono a me ka hoʻopau / hoʻoponoponoʻana i nā maʻi maʻi; • ka hoʻomaʻamaʻa kūpono o nā maʻi maʻi i ʻike ʻia (ʻoi aku ka gonococcal, trichomonas); • ke ola olakino (normalization o ke aupuni o ka hana a me ka hoʻomaha, piha-fledged kiʻekiʻe-maikaʻi meaʻai, haʻahaʻa kino hoʻoikaika kino, minimization o stressful kulana, etc.), etc.
Hoʻoponopono ʻia a hoʻohui ʻia ma 14.03.2021/XNUMX/XNUMX.
Nā kumu hoʻohana
1. Ka nui o ka bacteria o ka genus Enterococcus i ke ola kanaka. ʻO ka puke pai ʻepekema uila "Nā pilikia o ka ʻepekema a me ka hoʻonaʻauao hou". Krasnaya Yu.V., Nesterov AS, Potaturkina-Nesterova NI FSBEI HPE "Ulyanovsk State University". 2. Nā hualoaʻa o kahi noiʻi multicenter no ka maʻalahi o ka maʻi antibiotic o enterococci. Sidorenko SV, Rezvan SP, Grudinina SA, Krotova LA, Sterkhova GV State Research Center for Antibiotics, Moscow