Analysis ntawm rhiab heev rau tshuaj tua kab mob: lub essence ntawm yuav ua li cas kom dhau, seev suab

Analysis ntawm rhiab heev rau tshuaj tua kab mob yog yuav tsum tau thaum ib tug kws kho mob vim hais tias ib tug neeg mob muaj yog ib tug kab mob ntawm cov kab mob hauv paus chiv keeb. Qhov no yog vim lub fact tias cov kws kho mob ua tiag tswj lub sij hawm ntawm cov tshuaj, thiaj li tsis mus tsim kho lub kev hloov thiab tsis ntxias kuj nyob rau hauv microorganisms.

txhais

Tshuaj ntsuam rau rhiab heev rau tshuaj tua kab mob - ib tug kuaj txoj kev paub ib cov tshuaj uas yuav pab tau zoo nyob rau hauv lub pathogenic muaj nyob rau hauv cov ntaub ntawv ntawm tus kab mob.

Thaum lub caij, tshuaj tua kab mob no yog siv lug qhov twg nws yuav tsum tau, raws li tau zoo raws li nyob rau hauv tus neeg mob qhov twg nws yog tsis tsim nyog rau kev tuav pov hwm tiv thaiv tau teeb meem. Piv txwv li, tom qab phais plab seem, laparoscopic phais, tshem tawm ntawm lub pob zeb los ntawm ob lub raum los yog lub ureter thiab t. D.

Cov kev lag luam kws yuav muaj ib tug ntau yam ntawm cov khoom nyob rau hauv ob qho tib si cov nqe lus ntawm cov nqi thiab nyob rau hauv cov nqe lus ntawm cov hauj lwm zoo. Nyob rau hauv thiaj li tsis mus "taum ib tug ntiv tes nyob rau hauv lub ntuj" thiab kom taw ib tug zoo tshuaj tua kab mob, nws yog tsim nyog los tuav lub cov qoob loo nyob rau hauv rhiab heev.

zaj lus tim khawv

Ua ntej tus kws kho mob yuav xaiv txoj kev kho, tus neeg mob yuav tsum xeem dhau ib co kev ntsuam xyuas. Qoob loo rau rhiab heev rau tshuaj tua kab mob yuav muab yog tias tsim nyog los mus txiav txim cov tshuaj, uas nyob rau hauv cov ntaub ntawv no yuav kom tsim nyog tshaj. Feem ntau cov feem ntau, qhov no txoj kev tshawb no qhia rau cov kev kho mob ntawm cov kab mob, kev sib deev kis cov kab mob, los yog mob kas cees. Rau cov me nyuam kuj xav tau kev los txheeb xyuas cov tshuaj tua kab mob - nws yog ib tug yuavtsum tau kawm uantej.

Nyob rau hauv tas li ntawd, lub rhiab heev ntawm lub ntsiab txhais yog tsim nyog nyob rau hauv kev txiav txim kom tsis txhob muaj kab mob kuj rau kev kho mob. Yog hais tias ib tug neeg mob nyuam qhuav kho nrog tshuaj tua kab mob, thiab tam sim no dua xav tau ib tug rov cov hoob kawm, tus yuav tsum tau hloov cov tshuaj. Qhov no yuav tso cai rau kev siv ntawm me me koob tshuaj ntawm cov tshuaj noj thiab tsis ntxias change nyob rau hauv lub pathogen. Nyob rau hauv purulent phais pawg ntseeg tshuaj tua kab mob hloov txhua txhua ob peb lub hlis.

Qhov no tsom xam yog tseem yuav tsum tau nyob rau hauv cov kev tshwm sim hais tias lub ntsiab pab pawg neeg ntawm tshuaj tua kab mob cov neeg mob muaj ib tug tsis haum cov tshuaj tiv thaiv.

diffusion txoj kev

Urinalysis rau nyhav rau tshuaj tua kab mob, thiab tsis tsuas yog nws muaj peev xwm yuav nqa tawm nyob rau hauv ob peb txoj kev. Cov Thawj zaug ntawm lawv - ib tug qauv ntawm cov discs. Siv nws raws li nram no. Nyob rau hauv ib Petri tais ntawm agar yog poured thiab thaum nws hardens, ib tug tshwj xeeb cov cuab tam yog thov mus rau lub xeem cov ntaub ntawv uas. Tom qab ntawd, agar nto nteg ntawv discs impregnated nrog tshuaj tua kab mob. Tom qab lub khob twb kaw thiab muab tso rau hauv ib lub ntsuas sov thiab. Maj mam tus disk raus nyob rau hauv lub gelatin thiab cov tshuaj tua kab mob diffuses mus rau hauv lub surrounding chaw. Zone yog tsim nyob ib ncig ntawm lub daim ntawv "inhibiting txoj kev loj hlob". Khob ua nyob rau hauv ib qhov cub rau kaum ob teev thiab ces coj thiab lawv tej kev ntsuas txoj kab uas hla ntawm hais tias cheeb tsam.

Qhov thib ob hom - ib txoj kev E-xeem. Nws yog zoo li tus ib yav dhau los, tab sis es tsis txhob siv daim ntawv discs sawb, uas yog nyob rau txoj kev cia rau cov zaubmov impregnated tshuaj tua kab mob. Tom qab kaum ob teev ntawm raug nyob rau hauv ib qhov cub Petri tais tawm thiab saib, qhov twg txoj kev loj hlob inhibition cheeb tsam ntawm kev sib cuag nrog lub sawb ntawm daim ntawv. Qhov no yuav tsum tau tus nqi qis tshaj concentration ntawm yeeb tshuaj uas yog tsim nyog los kho tus kab mob no.

Qhov kom zoo dua ntawm cov kev ntsuam xyuas yog cov kev ceev thiab yooj yim ntawm kev siv.

yug me nyuam rau txoj kev

Analysis rau tus muaj thiab rhiab heev rau tshuaj tua kab mob yuav nqa tawm nyob rau hauv lwm txoj kev. Qhov no yog raws li ib tug tshwm sim txo nyob rau hauv lub concentration ntawm tshuaj tua kab mob (los ntawm ntau tshaj rau qis tshaj) nyob rau hauv kev txiav txim los mus txiav txim uas ntawm lub containment raj nres kab mob loj hlob.

Ua ntej, npaj cov tshuaj daws teeb meem. Lawv ces nkag tau rau hauv nruab nrab lub kua nrog rau cov kab mob (broth los yog agar). Tag nrho cov hlab nyob rau hmo ntuj (ie 12 teev) yog muab tso rau hauv ib qho kev incubator ntawm ib tug kub ntawm 37 degrees nyob rau hauv thaum sawv ntxov, tsom xam qhov tshwm sim. Yog hais tias tus txheem ntawm lub raj los yog Petri tais pos huab, no qhia cov kev loj hlob ntawm cov kab mob thiab, yog li ntawd, inefficiencies nyob rau hauv lub tshuaj tua kab mob concentration. Tus thawj raj nyob rau hauv uas yog tsis pom kev txiav txim los ntawm txoj kev loj hlob ntawm teb chaws Asmesliskas ntawm kab mob yuav tsum tswv txaus concentration rau kev kho mob.

Qhov no formulation dilution yog hu ua yam tsawg kawg nkaus inhibitory concentration (MIC). Nws yog ntsuas nyob rau hauv milligrams ib liter los yog micrograms per milliliter.

txhais lus ntawm tau

Analysis ntawm rhiab heev rau tshuaj tua kab mob yuav tsum tau tsis tsuas zoo tshaj plaws ua, tab sis kuj intelligently decipher. Raws li cov kev tshwm sim tau, tag nrho cov kab mob yog muab faib ua raug, moderately resistant thiab resistant. Yuav kom paub qhov txawv nruab nrab ntawm lawv, siv zwj ceeb ciam teb npaj concentration.

Cov qhov tseem ceeb yog tsis taag thiab tej zaum yuav txawv nyob ntawm seb lub adaptability ntawm microorganisms. Txoj kev loj hlob thiab kho nqi lus ntawm cov kev cai rau chemotherapists thiab microbiology. Ib tug ntawm cov nom lub lug ntawm no zoo yog lub National Committee rau soj ntsuam Kuaj Standards United States. Lawv tau tsim qauv paub tias nws nyob ib ncig ntawm lub ntiaj teb no rau siv nyob rau hauv qhov kev soj ntsuam ntawm tshuaj tua kab mob ua, nrog rau across multicenter kev tshawb fawb.

Muaj ob txoj kev mus rau lub kev luj xyuas ntawm kev tshwm sim ntawm tus tsom xam rau rhiab heev rau tshuaj tua kab mob: ib tug soj ntsuam thiab microbiological. Microbiological kev ntsuam xyuas tsom nyob hauv lub tsev ntawm zoo tsi ntsees ntawm tshuaj tua kab mob, thiab kev soj ntsuam - qhov zoo tshaj ntawm tshuaj tua kab mob.

Resistant thiab rhiab kab mob

Analysis - kev txiav txim ntawm tshuaj tua kab mob rhiab heev - muab qhia hais tias yuav rhiab thiab resistant microorganisms.

Hu rhiab pathogens uas yog kho tau nrog tshuaj tua kab mob nyob rau hauv siab kho ntau. Yog hais tias txhim khu kev qha cov ntaub ntawv ntawm lub microorganism rhiab heev qeb uas ploj lawm, ces coj mus rau hauv tus account cov ntaub ntawv tau nyob rau hauv cov kev kuaj. Lawv ua ke nrog rau cov kev txawj ntse nyob rau hauv cov tshuaj ntawm tus neeg saib xyuas siv, thiab tom qab synthesis ntawm cov ntaub ntawv no pom tias lub nyhav ntawm cov kab mob mus rau ib tug yeeb tshuaj.

K resistant, i.e. ruaj khov kab mob yog cov kab mob uas mus txuas ntxiv mus ua kab mob txawm thaum uas siv cov nyiaj pab ntau tshaj cov tshuaj ntau.

Intermediate kuj yog teev nyob rau hauv cov kev tshwm sim hais tias tus kab mob no thaum lub sij hawm kev kho mob tej zaum yuav muaj ob peb ua tau zoo. Tus Neeg Mob rov qab yog tau nyob rau hauv cov ntaub ntawv ntawm qhov kev siv ntawm siab koob tshuaj tshuaj tua kab mob los yog nyob rau hauv cov ntaub ntawv ntawm tej yam txuam nrog ntawm cov tshuaj nyob rau hauv cov qhov chaw ntawm kab mob.

Tsawg heev bactericidal concentration

Analysis ntawm lub microflora thiab tshuaj tua kab mob rhiab heev sij ib qhov taw qhia xws li yam tsawg kawg nkaus bactericidal concentration los yog MBC. Qhov no yog tus nqi qis tshaj tshuaj concentration, uas nyob rau hauv laboratory tej yam kev mob ua rau cov tshem tawm ntawm ze li ntawm tag nrho cov kab mob tsis pub dhau kaum ob teev.

Paub txog qhov no parameter cov kws kho mob siv tau thaum xeem txoj kev kho yog tsis bactericidal thiab bacteriostatic tshuaj. Los yog nyob rau hauv tus neeg mob qhov twg ib tug qauv antimicrobial txoj kev kho yog tsis zoo. Feem ntau cov feem ntau, qhov no phau ntawv ntsuam rau cov neeg mob nrog tus kab mob endocarditis, osteomyelitis, thiab opportunistic kab mob.

Yuav ua li cas yuav ua tau ib tug qauv?

Analysis rau tshuaj tua kab mob rhiab heev tej zaum yuav tau siv roj ntsha kua:

- qaub ncaug;

- ntshav;

- zis;

- phev;

- niam cov kua mis.

Tsis tas li ntawd, los mus txiav txim rau lub zos nyhav khoom laj kab smears los ntawm lub qhov zis, lub ncauj tsev menyuam, thiab Upper pa ib ntsuj av.

Kev npaj rau kev tsom xam

Buck. Analysis rau rhiab heev rau tshuaj tua kab mob yuav tsum tau tseem ceeb kev npaj ntawm cov neeg mob, tab sis ib txhia kev txwv tseem muaj.

1. Rau kev tshawb fawb qhov nruab nrab feem ntawm yav sawv ntxov cov zis, uas yog sau nyob rau hauv ib tug menyuam tsis taus thawv. Ua ntej no, tus neeg mob yuav tsum tau nqa lub tais plob mus ntawm sab nraud genitals thiab ob txhais tes.
2. Mis nyuj yog mus rau tus me nyuam noj. Tus thawj feem yog drained thiab ces decanted rau hauv ib tug menyuam tsis taus ntim nrog ib tug ob peb milliliters ntawm txhua lub mis.
3. Ua ntej tej yam nasopharyngeal kua ntswg yuav tsum caiv txhob noj rau tsib los yog rau cov sij hawm.
4. Nyob rau hauv cov ntaub ntawv ntawm ib tug kua ntswg los ntawm qhov chaw mos huam, nws yog pom zoo kom tsis txhob muaj kev sib deev com rau ib tug ob peb hnub.

Rau hnub tim yog tsis muaj kev soj ntsuam los sis kuaj txoj kev uas nrog tsis muaj tseeb yuav twv tej yam uas tshuaj tua kab mob. Tab sis nyob rau tib lub sij hawm los mus txiav txim qhov rhiab heev ntawm cov kab mob tshuaj yuav ua tau ib daim ntawv qhia rau cov kws kho mob nyob rau hauv lub xaiv thiab hloov ntawm kev kho mob.