Feem ntau ntawm cov tshuaj tua kab mob muaj nyob rau hauv kev ua lag luam niaj hnub no los ntawm 80s, lub npe hu ua lub hnub nyoog kub ntawm kev kho tshuaj tua kab mob. Tam sim no peb tab tom ntsib qhov tsis sib xws loj ntawm qhov kev thov rau cov tshuaj tshiab thiab lawv cov khoom siv. Lub caij no, raws li WHO, lub sijhawm tom qab tshuaj tua kab mob nyuam qhuav pib. Peb tham nrog prof. dr hab. med. Waleria Hryniewicz.

  1. Txhua xyoo, cov kab mob uas tiv taus cov tshuaj tua kab mob ua rau kwv yees li. 700 txhiab. kev tuag thoob ntiaj teb
  2. "Kev siv tsis raug thiab siv tshuaj tua kab mob ntau dhau txhais tau hais tias feem pua ​​​​ntawm cov kab mob resistant maj mam nce, ua rau lub avalanche cim txij li thaum kawg ntawm lub xyoo pua xeem," - hais tias Prof. Waleria Hryniewicz
  3. Swedish cov kws tshawb fawb ntawm cov kab mob tseem ceeb hauv tib neeg cov kab mob, xws li Pseudomonas aeruginosa thiab Salmonella enterica, tsis ntev los no tau tshawb pom lub npe hu ua gar gene, uas txiav txim siab tiv thaiv ib qho ntawm cov tshuaj tua kab mob tshiab tshaj plaws - plasomycin
  4. Raws li prof. Hryniewicz nyob rau hauv teb chaws Poland yog qhov teeb meem loj tshaj plaws nyob rau hauv lub teb ntawm cov tshuaj tiv thaiv kab mob NewDelhi-type carbapenemase (NDM) zoo li KPC thiab OXA-48

Monika Zieleniewska, Medonet: Nws zoo li peb tab tom sib tw tawm tsam cov kab mob. Ntawm qhov tod tes, peb tab tom qhia cov tiam tshiab ntawm cov tshuaj tua kab mob uas muaj qhov dav dav ntawm kev ua, thiab ntawm qhov tod tes, ntau thiab ntau cov kab mob tau ua rau lawv tiv taus…

Prof. Waleria Hryniewicz: Hmoov tsis zoo, qhov kev sib tw no yeej los ntawm cov kab mob, uas tuaj yeem txhais tau tias qhov pib ntawm kev siv tshuaj tua kab mob tom qab siv tshuaj. Lo lus tau siv thawj zaug hauv "Kev Qhia Txog Tshuaj Tiv Thaiv Kab Mob" luam tawm los ntawm WHO hauv 2014. Cov ntaub ntawv hais txog tias tam sim no, txawm tias mob me me tuaj yeem ua rau tuag taus thiab nws tsis yog apocalyptic fantasy, tab sis ib daim duab tiag tiag.

Nyob rau hauv European Union ib leeg, muaj 2015 txoj hauj lwm nyob rau hauv 33. cov neeg tuag vim muaj kab mob nrog ntau cov kab mob resistant rau uas tsis muaj kev kho mob zoo. Hauv tebchaws Poland, tus naj npawb ntawm cov xwm txheej zoo li no tau kwv yees kwv yees li ntawm 2200. Txawm li cas los xij, Lub Tsev Haujlwm Saib Xyuas Kev Tiv Thaiv thiab Tiv Thaiv Kab Mob Asmeskas (CDC) hauv Atlanta tsis ntev los no tau tshaj tawm tias. nyob rau teb chaws USA vim muaj tus kab mob zoo sib xws txhua 15 feeb. tus neeg mob tuag. Raws li kev kwv yees ntawm cov kws sau ntawv ntawm tsab ntawv ceeb toom tau npaj los ntawm pab pawg ntawm tus kws tshaj lij Askiv tus kws tshaj lij nyiaj txiag J. O'Neill, txhua xyoo hauv ntiaj teb cov tshuaj tua kab mob tiv thaiv kab mob ua rau kwv yees. 700 txhiab. kev tuag.

  1. Nyeem kuj: Cov tshuaj tua kab mob tsis ua haujlwm. Yuav tsis muaj tshuaj rau superbugs sai sai no?

Cov kws tshawb fawb piav qhia txog kev kub ntxhov ntawm cov tshuaj tua kab mob li cas?

Kev nplua nuj ntawm pab pawg tshuaj no txo ​​qis peb kev ceev faj. Feem ntau, cov kab mob resistant raug cais nrog kev qhia txog cov tshuaj tua kab mob tshiab, tab sis qhov tshwm sim no tau pib tsis zoo. Tab sis nws txhais tau hais tias cov microbes paub yuav ua li cas tiv thaiv lawv tus kheej. Vim yog siv cov tshuaj tua kab mob tsis raug thiab ntau dhau, feem pua ​​​​ntawm cov kab mob resistant maj mam nce, noj cov cim zoo li avalanche txij thaum xaus ntawm lub xyoo pua xeem.. Lub caij no, cov tshuaj tua kab mob tshiab tau tshaj tawm tsis tu ncua, yog li muaj qhov tsis txaus ntseeg loj ntawm qhov kev thov, piv txwv li qhov kev thov rau cov tshuaj tshiab, thiab lawv cov khoom siv. Yog tias tsim nyog tsis tau ua tam sim ntawd, kev tuag thoob ntiaj teb los ntawm cov tshuaj tiv thaiv kab mob tuaj yeem nce mus txog 2050 lab ib xyoos los ntawm 10.

Vim li cas kev siv tshuaj tua kab mob ntau dhau ua rau muaj kev phom sij?

Peb yuav tsum daws qhov teeb meem no tsawg kawg yog peb yam. Thawj yog ncaj qha ntsig txog kev ua ntawm cov tshuaj tua kab mob rau tib neeg. Nco ntsoov tias txhua yam tshuaj tuaj yeem ua rau muaj kev phiv. Lawv tuaj yeem ua mob me, xws li xeev siab, mob hnyav, tab sis lawv tuaj yeem ua rau muaj kev phom sij rau lub neej, xws li kev poob siab anaphylactic, mob siab lossis teeb meem plawv.

Tsis tas li ntawd, cov tshuaj tua kab mob cuam tshuam rau peb cov kab mob ntuj tsim, uas, los ntawm kev tiv thaiv kev sib npaug ntawm cov kab mob lom, tiv thaiv cov kab mob tsis zoo (xws li Clostridioides difficile, fungi), suav nrog cov tshuaj tiv thaiv kab mob.

Qhov thib peb qhov tsis zoo ntawm kev noj tshuaj tua kab mob yog qhov tsim ntawm kev tiv thaiv ntawm peb lub npe hu ua ib txwm muaj, tus phooj ywg muaj peev xwm kis tau rau cov kab mob uas muaj peev xwm ua rau mob hnyav. Peb paub tias pneumococcal tsis kam mus rau penicillin - ib qho tseem ceeb ua rau tus kab mob ntawm tib neeg cov kab mob - los ntawm qhov ncauj streptococcus, uas yog ib txwm rau peb txhua tus tsis ua mob rau peb. Ntawm qhov tod tes, kev kis tus kab mob pneumococcal tiv thaiv kab mob ua rau muaj teeb meem kho mob loj thiab kis mob. Muaj ntau ntau yam piv txwv ntawm kev hloov pauv ntawm cov noob tiv thaiv kab mob, thiab ntau cov tshuaj tua kab mob peb siv, cov txheej txheem no ua haujlwm tau zoo dua.

  1. Kuj nyeem: Feem ntau siv tshuaj tua kab mob tuaj yeem ua rau mob plawv

Yuav ua li cas cov kab mob no tuaj yeem tiv thaiv cov tshuaj tua kab mob uas nquag siv, thiab qhov kev hem thawj ntau npaum li cas rau peb?

Cov txheej txheem ntawm cov tshuaj tiv thaiv kab mob hauv cov xwm txheej tau muaj nyob rau ntau pua xyoo, txawm tias ua ntej lawv nrhiav tshuaj. Cov kab mob uas tsim cov tshuaj tua kab mob yuav tsum tiv thaiv lawv tus kheej tawm tsam lawv cov teebmeem thiab, txhawm rau kom tsis txhob tuag ntawm lawv tus kheej cov khoom, lawv muaj tsis kam gene. Tsis tas li ntawd, lawv muaj peev xwm siv cov txheej txheem physiological uas twb muaj lawm los tawm tsam cov tshuaj tua kab mob: los tsim cov qauv tshiab uas ua kom muaj sia nyob, thiab tseem tuaj yeem pib lwm txoj hauv kev biochemical yog tias cov tshuaj raug thaiv.

Lawv qhib ntau lub tswv yim tiv thaiv, xws li tso tawm cov tshuaj tua kab mob, txwv tsis pub nws nkag mus rau hauv lub cell, los yog deactivate nws nrog ntau yam kev hloov kho lossis hydrolysing enzymes. Ib qho piv txwv zoo tshaj plaws yog cov beta-lactamases dav dav hydrolyzing pawg tseem ceeb tshaj plaws ntawm cov tshuaj tua kab mob, xws li penicillins, cephalosporins lossis carbapenems.

Nws tau raug pov thawj tias tus nqi ntawm qhov tshwm sim thiab kis ntawm cov kab mob resistant yog nyob ntawm theem thiab qauv ntawm kev noj tshuaj tua kab mob. Hauv cov tebchaws uas muaj kev txwv tsis pub siv tshuaj tua kab mob, kev tiv thaiv tau khaws cia nyob rau theem qis. Cov pab pawg no suav nrog, piv txwv li, lub tebchaws Scandinavian.

Lo lus "superbugs" txhais li cas?

Cov kab mob muaj ntau yam tshuaj tiv thaiv kab mob, piv txwv li lawv tsis raug rau thawj kab lossis txawm tias cov tshuaj thib ob, piv txwv li cov tshuaj zoo tshaj plaws thiab nyab xeeb tshaj plaws, feem ntau tiv taus txhua yam tshuaj muaj. Lub sij hawm yog Ameslikas siv rau methicillin thiab vancomycin insensitive multibiotic-resistant hom staphylococcus aureus. Tam sim no, nws yog siv los piav txog hom kab mob ntawm ntau hom kab mob uas muaj ntau yam tshuaj tiv thaiv kab mob.

Thiab lub tswb kab mob?

Cov kab mob ceeb toom yog cov kab mob superbug, thiab lawv cov lej tau nce tas li. Kev kuaj xyuas lawv hauv tus neeg mob yuav tsum ua rau lub tswb nrov thiab siv cov kev txwv tshwj xeeb uas yuav tiv thaiv lawv qhov kis mus ntxiv. Cov kab mob ceeb toom nthuav tawm ib qho ntawm cov teeb meem kho mob loj tshaj plaws niaj hnub noQhov no yog vim ob qho tib si rau cov kev txwv tseem ceeb ntawm kev kho tau zoo thiab muaj cov yam ntxwv sib kis ntau ntxiv.

Kev kuaj mob microbiological ntseeg tau, pab pawg tswj xyuas kab mob ua haujlwm tau zoo thiab cov kev pabcuam kabmob kis tau ua lub luag haujlwm tseem ceeb hauv kev txwv tsis pub kis tus kabmob no. Peb xyoos dhau los, WHO, raws li kev soj ntsuam ntawm cov tshuaj tiv thaiv kab mob hauv cov tswvcuab hauv xeev, tau faib cov kab mob sib kis ntau yam ua rau peb pawg nyob ntawm qhov ceev ntawm kev qhia cov tshuaj tua kab mob tshiab.

Cov pab pawg tseem ceeb suav nrog cov kab mob hauv plab, xws li Klebsiella pneumoniae thiab Escherichia coli, thiab Acinetobacter baumannii thiab Pseudomonas aeruginosa, uas tau nce ntxiv rau cov tshuaj zaum kawg. Kuj tseem muaj mycobacterium tuberculosis resistant rau rifampicin. Ob pawg tom ntej no suav nrog, ntawm lwm cov kab mob staphylococci, Helicobacter pylori, gonococci, thiab Salmonella spp. thiab pneumococci.

Cov ntaub ntawv uas cov kab mob uas muaj feem rau kis kab mob sab nraum tsev kho mob muaj nyob rau hauv daim ntawv teev npe no. Cov tshuaj tua kab mob dav dav ntawm cov kab mob no yuav txhais tau tias cov neeg mob yuav tsum raug xa mus rau kev kho mob hauv tsev kho mob. Txawm li cas los xij, txawm nyob hauv cov tsev kho mob, kev xaiv ntawm kev kho kom zoo yog txwv. Cov neeg Asmeskas suav nrog gonococci hauv thawj pab pawg tsis yog vim lawv qhov kev tiv thaiv ntau, tab sis kuj vim lawv txoj kev sib kis tau zoo heev. Yog li, peb puas yuav kho tus kab mob gonorrhea hauv tsev kho mob sai sai?

  1. Nyeem kuj: Cov kab mob sib kis loj heev

Cov kws tshawb fawb Swedish tau tshawb pom cov kab mob hauv Is Nrias teb uas muaj cov tshuaj tiv thaiv kab mob, uas yog hu ua gen gar. Nws yog dab tsi thiab peb tuaj yeem siv qhov kev paub no li cas?

Kev tshawb pom ntawm cov noob qoob loo tshiab yog txuam nrog kev txhim kho ntawm qhov hu ua ib puag ncig metagenomics, piv txwv li kev tshawb fawb ntawm tag nrho DNA tau los ntawm ib puag ncig ntuj, uas tseem tso cai rau peb txheeb xyuas cov kab mob uas peb tsis tuaj yeem loj hlob hauv chav kuaj. Qhov kev tshawb pom ntawm gar gene yog kev ntxhov siab heev vim nws txiav txim siab tsis kam mus rau ib qho ntawm cov tshuaj tua kab mob tshiab tshaj plaws - cov tshuaj plazomycin - sau npe xyoo tas los.

Kev cia siab siab tau muab tso rau ntawm nws vim tias nws muaj zog heev tiv thaiv kab mob resistant rau cov tshuaj laus hauv pab pawg no (gentamicin thiab amikacin). Lwm qhov xov xwm tsis zoo yog tias cov noob no nyob rau ntawm lub xov tooj ntawm tes hu ua integron thiab tuaj yeem sib kis kab rov tav, thiab yog li ntawd tau zoo heev, ntawm cov kab mob sib txawv txawm tias muaj plasomycin.

Cov noob gar noob tau raug cais tawm ntawm cov kab mob tseem ceeb hauv tib neeg cov kab mob, xws li Pseudomonas aeruginosa thiab Salmonella enterica. Kev tshawb fawb hauv Is Nrias teb muaj kev txhawj xeeb txog cov khoom siv los ntawm cov dej hauv qab uas cov dej phwj tuaj tawm. Lawv tau qhia txog kev nthuav dav dav ntawm cov noob caj noob ces nyob hauv ib puag ncig los ntawm kev ua haujlwm ntawm tib neeg lub luag haujlwm. Yog li ntawd, ntau lub teb chaws twb tau txiav txim siab tua cov dej khib nyiab ua ntej nws tawm mus rau ib puag ncig. Cov kws tshawb fawb Swedish kuj tseem hais txog qhov tseem ceeb ntawm kev tshawb nrhiav cov noob tiv thaiv hauv ib puag ncig ntawm thawj theem ntawm kev qhia cov tshuaj tua kab mob tshiab, thiab txawm tias ua ntej lawv tau txais los ntawm cov kab mob.

  1. Nyeem ntxiv: Cov kws tshawb fawb los ntawm University of Gothenburg pom tias yav dhau los tsis paub cov noob rau tshuaj tua kab mob tau kis

Nws zoo nkaus li - ib yam li cov kab mob - peb yuav tsum tau ceev faj txog kev rhuav tshem ecological teeb meem thiab kev ncig mus ncig thoob ntiaj teb.

Tsis tsuas yog tourism, tab sis kuj muaj ntau yam kev puas tsuaj ntuj tsim xws li av qeeg, tsunami thiab tsov rog. Thaum nws los rhuav tshem cov kab mob ecological los ntawm cov kab mob, ib qho piv txwv zoo yog qhov nce sai ntawm Acinetobacter baumannii hauv peb thaj chaw huab cua.

Nws yuav tsum ua nrog Thawj Tsov Rog Gulf, los ntawm qhov chaw uas nws tau coj mus rau Tebchaws Europe thiab Asmeskas feem ntau yog los ntawm cov tub rog rov qab los. Nws pom cov kev nyob zoo nyob rau ntawd, tshwj xeeb tshaj yog nyob rau hauv lub ntsiab lus ntawm lub ntiaj teb no warming. Nws yog ib puag ncig microorganism, thiab yog li tau txais txiaj ntsig nrog ntau yam sib txawv uas ua rau nws muaj sia nyob thiab sib npaug. Cov no yog, piv txwv li, tsis kam mus rau cov tshuaj tua kab mob, rau cov ntsev, nrog rau cov hlau hnyav, thiab kom muaj sia nyob hauv cov av noo siab. Acinetobacter baumannii yog ib qho teeb meem loj tshaj plaws ntawm cov kab mob nosocomial hauv ntiaj teb niaj hnub no.

Txawm li cas los xij, kuv xav ua tib zoo saib xyuas tus kab mob sib kis, lossis yog tus kab mob kis thoob qhov txhia chaw, uas feem ntau khiav tawm ntawm peb txoj kev xav. Nws yog kev sib kis ntawm cov kab mob ntau yam kab mob nrog rau kab rov tav kis ntawm kev txiav txim siab tsis kam (genes). Kev tawm tsam tshwm sim los ntawm kev hloov pauv hauv chromosomal DNA, tab sis kuj tau txais ua tsaug rau txoj kab rov tav hloov pauv ntawm cov noob tiv thaiv, piv txwv li ntawm transposons thiab conjugation plasmids, thiab nrhiav tau ntawm kev tiv thaiv raws li kev hloov pauv caj ces. Nws yog qhov tshwj xeeb tshaj yog siv nyob rau hauv ib puag ncig uas cov tshuaj tua kab mob tau siv dav thiab raug tsim txom.

Hais txog kev koom tes ntawm kev ncig xyuas thiab kev taug kev ntev mus rau kev sib kis ntawm kev tiv thaiv, qhov zoo tshaj plaws yog kev sib kis ntawm cov kab mob hauv plab hnyuv uas tsim cov carbapenemases muaj peev xwm hydrolyzing tag nrho beta-lactam tshuaj tua kab mob, suav nrog carbapenems, ib pab pawg ntawm cov tshuaj tseem ceeb hauv kev kho mob hnyav. kab mob.

Hauv tebchaws Poland, feem ntau yog carbapenemase ntawm NewDelhi hom (NDM), nrog rau KPC thiab OXA-48. Tej zaum lawv tau coj tuaj rau peb los ntawm Is Nrias teb, Tebchaws Asmeskas thiab North Africa, feem. Cov kab no kuj muaj cov noob rau kev tiv thaiv rau ntau lwm cov tshuaj tua kab mob, uas txwv tsis pub cov kev xaiv kho mob, faib lawv ua cov kab mob tswb. Qhov no yeej yog qhov teeb meem loj tshaj plaws hauv thaj chaw tshuaj tiv thaiv kab mob hauv tebchaws Poland, thiab tus naj npawb ntawm cov kab mob thiab cov neeg nqa khoom tau lees paub los ntawm National Reference Center for Antimicrobial Susceptibility tau dhau 10.

  1. Nyeem ntxiv: Hauv tebchaws Poland, muaj avalanche ntawm cov neeg kis tus kab mob New Delhi uas tuag taus. Feem ntau cov tshuaj tua kab mob tsis ua haujlwm rau nws

Raws li cov ntaub ntawv kho mob, ntau tshaj li ib nrab ntawm cov neeg mob tsis tau txais kev cawmdim hauv cov ntshav los ntawm cov kab mob plab hnyuv uas tsim carbapenemases. Txawm hais tias cov tshuaj tua kab mob tshiab tawm tsam carbapenemase uas tsim cov kab mob tau qhia, peb tseem tsis muaj cov tshuaj tua kab mob zoo hauv kev kho NDM.

Ntau qhov kev tshawb fawb tau luam tawm qhia tias peb lub plab zom mov tau yooj yim colonized nrog cov kab mob hauv zos thaum mus ncig ua si. Yog tias cov kab mob resistant muaj nyob rau ntawd, peb muab lawv tso rau qhov chaw peb nyob thiab lawv nyob nrog peb ob peb lub lis piam. Tsis tas li ntawd, thaum peb noj cov tshuaj tua kab mob uas tiv taus lawv, muaj kev pheej hmoo ntawm kev sib kis.

Ntau yam ntawm cov tshuaj tiv thaiv tau pom nyob rau hauv cov kab mob ua rau tib neeg kis tau los ntawm ib puag ncig thiab zoonotic microorganisms. Yog li, tus kab mob kis thoob plaws ntawm plasmid nqa cov colistin tsis kam gene (mcr-1) tsis ntev los no tau piav qhia, uas tau kis tus kab mob Enterobacterales ntawm tsib lub teb chaws hauv ib xyoos. Nws yog Ameslikas cais los ntawm npua hauv Suav teb, tom qab ntawd hauv cov nqaij qaib thiab cov khoom noj.

Tsis ntev los no, muaj ntau tham txog halicin, tshuaj tua kab mob tsim los ntawm kev txawj ntse. Cov khoos phis tawj puas tau hloov pauv tib neeg hauv kev tsim tshuaj tshiab?

Kev tshawb nrhiav tshuaj nrog cov khoom xav tau siv kev txawj ntse zoo li tsis tsuas yog nthuav, tab sis kuj xav tau heev. Tej zaum qhov no yuav muab sijhawm rau koj kom tau txais cov tshuaj zoo tshaj plaws? Cov tshuaj tua kab mob uas tsis muaj kab mob tuaj yeem tiv taus? Nrog kev pab los ntawm cov qauv tsim hauv computer, nws muaj peev xwm sim ntau lab ntawm cov tshuaj sib txuas hauv lub sijhawm luv luv thiab xaiv cov kev cog lus zoo tshaj plaws ntawm cov tshuaj tua kab mob.

Tsuas yog ib qho "discovered" Cov tshuaj tua kab mob tshiab yog halicin, uas tshuav nws lub npe rau HAL 9000 lub computer los ntawm cov yeeb yaj kiab "2001: A Space Odyssey". Kev tshawb fawb ntawm nws cov kev ua hauv vitro tiv thaiv ntau yam kab mob Acinetobacter baumannii yog qhov zoo, tab sis nws tsis ua haujlwm tawm tsam Pseudomonas aeruginosa - lwm yam kab mob hauv tsev kho mob tseem ceeb. Peb soj ntsuam ntau thiab ntau lub tswv yim ntawm cov tshuaj muaj peev xwm tau los ntawm cov txheej txheem saum toj no, uas tso cai rau luv luv thawj theem ntawm lawv txoj kev loj hlob. Hmoov tsis zoo, tseem muaj kev tshawb fawb tsiaj thiab tib neeg los txiav txim siab txog kev nyab xeeb thiab kev ua tau zoo ntawm cov tshuaj tshiab nyob rau hauv cov xwm txheej tiag tiag ntawm kev kis kab mob.

  1. Nyeem kuj: Nws yooj yim mus ntes tus kab mob… hauv tsev kho mob. Koj kis tau dab tsi?

Yog li peb puas yuav tso siab rau txoj haujlwm ntawm kev tsim cov tshuaj tua kab mob tshiab rau cov khoos phis tawj programmed kom zoo rau yav tom ntej?

Qhov no twb tshwm sim ib nrab lawm. Peb muaj cov tsev qiv ntawv loj loj ntawm ntau lub tebchaw nrog cov khoom paub thiab cov txheej txheem ntawm kev ua. Peb paub tias qhov concentration, nyob ntawm qhov koob tshuaj, lawv ncav cuag hauv cov ntaub so ntswg. Peb paub lawv cov tshuaj lom neeg, lub cev thiab cov yam ntxwv lom neeg, nrog rau kev ua rau muaj tshuaj lom. Nyob rau hauv cov ntaub ntawv ntawm cov tshuaj antimicrobial, peb yuav tsum sib zog ua kom nkag siab txog cov yam ntxwv lom ntawm cov kab mob uas peb xav tau los tsim cov tshuaj zoo. Peb yuav tsum paub txog cov txheej txheem ua rau muaj qhov txhab thiab qhov ua rau muaj kab mob.

Piv txwv li, yog tias cov tshuaj lom yog lub luag haujlwm rau koj cov tsos mob, cov tshuaj yuav tsum txwv nws cov khoom. Nyob rau hauv cov ntaub ntawv ntawm ntau cov tshuaj tua kab mob-resistant kab mob, nws yog tsim nyog los kawm txog cov mechanisms ntawm kev tiv thaiv, thiab yog hais tias lawv tshwm sim los ntawm zus tau tej cov enzyme uas hydrolyzes cov tshuaj tua kab mob, peb nrhiav nws inhibitors. Thaum ib qho kev hloov pauv receptor tsim cov txheej txheem tiv thaiv, peb yuav tsum nrhiav ib qho uas yuav muaj kev sib raug zoo rau nws.

Tej zaum peb kuj yuav tsum tau tsim cov thev naus laus zis rau kev tsim cov tshuaj tua kab mob "tso-ua", haum rau cov kev xav tau ntawm cov neeg tshwj xeeb lossis cov kab mob tshwj xeeb?

Nws yuav zoo heev, tab sis ... tam sim no, nyob rau hauv thawj theem ntawm kev kho tus kab mob, peb feem ntau tsis paub qhov etiological yam (ua rau tus kab mob), yog li peb pib kho nrog ib tug tshuaj nrog ib tug dav spectrum ntawm kev txiav txim. Ib hom kab mob feem ntau yog lub luag haujlwm rau ntau yam kab mob tshwm sim hauv cov ntaub so ntswg sib txawv. Cia peb ua piv txwv ntawm golden staphylococcus, uas ua rau, ntawm lwm tus, kab mob ntawm daim tawv nqaij, mob ntsws, sepsis. Tab sis pyogenic streptococcus thiab Escherichia coli kuj muaj lub luag haujlwm rau tib yam kab mob.

Tsuas yog tom qab tau txais cov kab lis kev cai tshwm sim los ntawm chav kuaj microbiological, uas yuav qhia tsis tau tsuas yog cov kab mob twg ua rau kis tus kab mob, tab sis kuj zoo li nws cov tshuaj tiv thaiv zoo li, tso cai rau koj xaiv cov tshuaj tua kab mob uas "tsim" rau koj cov kev xav tau. Tseem nco ntsoov tias tus kab mob tshwm sim los ntawm tib cov kab mob nyob rau lwm qhov hauv peb lub cev yuav xav tau cov tshuaj sib txawvvim tias qhov ua tau zoo ntawm txoj kev kho yog nyob ntawm nws cov concentration ntawm qhov chaw ntawm tus kab mob thiab, ntawm chav kawm, rhiab heev ntawm etiological yam. Peb xav tau cov tshuaj tua kab mob tshiab sai sai, ob qho tib si dav-spectrum, thaum qhov tsis paub txog etiological (kev kho empirical) thiab nqaim, thaum peb twb tau txais cov txiaj ntsig kev kuaj mob microbiological (kev kho lub hom phiaj).

Yuav ua li cas txog kev tshawb fawb ntawm tus kheej probiotics uas yuav tiv thaiv peb cov microbiome?

Txog tam sim no, peb tsis tuaj yeem tsim cov probiotics nrog cov yam ntxwv xav tau, peb tseem paub tsawg dhau ntawm peb cov microbiome thiab nws cov duab hauv kev noj qab haus huv thiab kab mob. Nws yog ntau haiv neeg, nyuaj, thiab cov txheej txheem ntawm kev yug me nyuam classic tsis pub peb nkag siab nws. Kuv vam tias qhov ntau thiab ntau dua ua tiav cov kev tshawb fawb metagenomic ntawm txoj hnyuv yuav muab cov ntaub ntawv tseem ceeb uas yuav tso cai rau cov phiaj xwm kho mob hauv microbiome.

Tej zaum koj kuj yuav tsum xav txog lwm txoj kev kho mob rau cov kab mob uas tshem tawm cov tshuaj tua kab mob?

Peb yuav tsum nco ntsoov tias cov ntsiab lus niaj hnub ntawm cov tshuaj tua kab mob txawv ntawm qhov qub, piv txwv li tsuas yog cov khoom ntawm microbial metabolism. Ua kom yooj yim dua, Tam sim no peb xav txog cov tshuaj tua kab mob yog txhua yam tshuaj tua kab mob, suav nrog cov khoom siv hluavtaws, xws li linezolid lossis fluoroquinolones.. Peb tab tom nrhiav rau cov tshuaj tua kab mob ntawm cov tshuaj siv hauv lwm cov kab mob. Txawm li cas los xij, cov lus nug tshwm sim: koj puas yuav tsum tso lawv cov kev qhia hauv thawj qhov taw qhia? Yog tias tsis yog, peb yuav muaj peev xwm tsim kev tawm tsam rau lawv sai.

Muaj ntau qhov kev sib tham thiab kev tshawb fawb txog kev sib txawv rau kev sib ntaus sib tua ntau dua li yav dhau los. Tau kawg, txoj hauv kev zoo tshaj plaws yog los tsim cov tshuaj tiv thaiv. Txawm li cas los xij, nrog xws li ntau yam microbes, qhov no tsis tuaj yeem ua tau vim muaj kev txwv ntawm peb txoj kev paub txog cov txheej txheem pathogenic, nrog rau cov laj thawj kev siv nyiaj thiab kev siv nyiaj. Peb siv zog los txo lawv cov pathogenicity, xws li los ntawm kev txwv kev tsim cov co toxins thiab enzymes tseem ceeb nyob rau hauv lub pathogenesis ntawm tus kab mob los yog los ntawm depriving lawv ntawm cov ntaub so ntswg colonization, uas feem ntau yog thawj theem ntawm tus kab mob. Peb xav kom lawv nyob kaj siab lug nrog peb.

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Prof. dr hab. med. Waleria Hryniewicz yog tus kws tshaj lij hauv kev kho mob microbiology. Nws yog tus thawj coj ntawm Lub Tsev Haujlwm Saib Xyuas Kabmob thiab Kho Mob Microbiology ntawm National Medicines Institute. Nws yog tus thawj tswj hwm ntawm National Antibiotic Protection Program, thiab txog rau thaum 2018 nws yog tus kws pab tswv yim hauv teb chaws hauv kev kho mob microbiology.

Lub editorial board pom zoo:

  1. Tib neeg tau txais tus mob coronavirus pandemic ib leeg - kev xam phaj nrog prof. Waleria Hryniewicz
  2. Mob qog noj ntshav hauv txhua tsev neeg. Interview nrog prof. Szczylik
  3. Txiv neej ntawm tus kws kho mob. Kev xam phaj nrog Dr. Ewa Kempisty-Jeznach, MD

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