Iwe haugoni kunyange kufungidzira kuti mangani akasiyana-siyana emabhakitiriya aripo. Vanachiremba zvekugadzirira vakasarudza kuparadzira zvose mumapoka makuru maviri: gram-negative uye gram-positive mabhakitiriya. Kusiyanisa michina inokonzera yakaipa maererano nenzira yeGram. Nheyo yemugadziriro iyi inobva pakudonha kwebhakitiriya ine chinhu chakakosha.
Mhando dzakasiyana-siyana dzeBrit-positive mabhakitiriya
Gram-positive ndiyo iyo mabhakitiriya ayo, mushure mekusvibisa maererano nemaitiro eGram, anosviba-¬ violet. Vanogara uye vanobereka mumamiriro ezvinhu, zvipenyu zvemhuka nevanhu. Kufanana nemamwe mabhakitiriya akawanda, vamiririri veboka re-gram-vanogona kunyatsobatana nemunhu wacho, pasina kumubata zvakaipa, chero bedzi kubereka kwavo kunokonzerwa nehutachiona hwakasimba. Pangosanganisa zvipembenene zvinokuvadza zvingawana mukana wekuwedzera, vachazvishandisa.
Mabhakitiriya ane gram-positive anosanganisira marudzi akadaro:
- staphylococci;
- mycobacteria;
- Listeria;
- peptococci;
- actinomycetes;
- bhinzi;
- clostridia;
- streptococci ;
- lactobacilli nevamwe.
Mamwe acho ari muzvinyorwa anoshandiswa se gram-positive anaerobic mabhakitiriya. Izvo zvipukanana zvinoratidzirwa nekuti vanogona kukwanisa kupona uko pasina oxygen inopiwa. Asi mumhepo itsva vanofa pedyo pakarepo. Dzimwe nhengo dzeboka revanaerobic Gram-positive microorganisms inokwanisa kugadzira spores (somuenzaniso, clostridia).
Kurapa kwehutachiona hunokonzerwa neBritain-bacteria
Nokukurumidza kurwisana nemabhakitiriya kunotanga, kukurumidza, kusuruvara uye kubudirira ichapfuura. Sezvakaratidzwa zvinoratidzira, kubudirira zvechokwadi kunogona kungorangarirwa nzira yekurapa yekurapa, kusanganisira mishonga inorwisa mabhakitiriya. Mishonga iyi chete inobatsira kuparadza mabhakitiriya ose uye kudzorera muviri mushure mekuguma kwemigumisiro yavo.
Kazhinji uye mabhakitiriya anerobic gram-positive anogona kurapwa nenzira dzakadaro:
- beta-lactams;
- macrolides ;
- oxazolidinones uye vamwe.
Dambudziko guru nderokuti mabhakitiriya akadzidza kugadzirisa mishonga yakawanda. Uye zvakadaro, maantibayoti mamwe emakiromita kuti ashande. Nhasi, kukurumidza kushandiswa kwemishonga mitsva iri kuitika. Pakati pezvishandiso zvinobudirira zvemazuva ano:
- Daptomycin;
- Quinupristin;
- Tajciclin.