Malinga ndi kafukufuku wofalitsidwa mu Annals of Internal Medicine, fyuluta yamadzi yamalonda ingakhale inathandiza kuti odwala anayi opaleshoni ya mtima adwale ku Brigham ndi Women's Hospital, atatu mwa iwo amwalira.
Matenda a M. abscessus okhudzana ndi zaumoyo, omwe amatchulidwa kuti ndi "pathogen ya nosocomial yosowa koma yodziwika bwino", yomwe poyamba inkatchedwa "machitidwe amadzi oipitsidwa" monga makina oundana ndi madzi, zowonongeka, mabomba a chipatala, kwa odwala omwe akuchitidwa opaleshoni yodutsa, kutentha. ndi zipangizo zozizirirapo, mankhwala ndi mankhwala ophera tizilombo.
Mu June 2018, Brigham ndi Chipatala cha Akazi choyang'anira matenda adanena kuti Mycobacterium abscessus subsp.abscessus yalowa mwa odwala angapo omwe amachitidwa opaleshoni ya mtima. Matenda a abscess, omwe angayambitse matenda a magazi, mapapo, khungu, ndi minofu yofewa, makamaka kwa anthu omwe ali ndi chitetezo chofooka.
Ofufuzawo adachita kafukufuku wofotokozera kuti amvetsetse bwino magulu a matenda. Anayang’ana zinthu zofanana pakati pa milandu, monga zida zotenthetsera ndi kuziziritsira zogwiritsiridwa ntchito, kapena zipinda zochitira opaleshoni, pansi ndi zipinda zachipatala, ndi kupeza zipangizo zina. Ofufuzawo adatenganso zitsanzo za madzi m'chipinda chilichonse chomwe odwala amakhalamo, komanso kuchokera ku akasupe awiri akumwa ndi opanga ayezi pamalo opangira opaleshoni yamtima.
Odwala onse anayi "adathandizidwa mwachangu ndi mankhwala oletsa antimycobacterial," koma atatu mwa iwo adamwalira, Klompas ndi anzawo adalemba.
Ofufuzawa adapeza kuti odwala onse anali pachipatala chimodzi koma analibe zinthu zina zomwe zimafanana. Pofufuza opanga ayezi ndi zoperekera madzi, adawona kukula kwakukulu kwa mycobacteria pamagulu amagulu, koma osati kwina kulikonse.
Kenaka, pogwiritsa ntchito kutsatizana kwa matupi athu onse, anapeza zinthu zofanana mwachibadwa m’akasupe akumwa ndi makina oundana pansi pa chipatala chimene odwala matendawo anali. Madzi omwe amapita kumagalimoto amadutsa pamadzi oyeretsera madzi a kaboni omwe amawunikira kuwala kwa ultraviolet, komwe ofufuzawo adapeza kuti amachepetsa kuchuluka kwa chlorine m'madzi, zomwe zitha kulimbikitsa mycobacteria kuti azikhala m'magalimoto.
Odwala omwe ali pachiwopsezo chachikulu atasinthira kumadzi osabala osungunuka, adawonjezera kukonza zoperekera madzi, kuzimitsa njira yoyeretsera, panalibenso milandu.
"Kuyika zida zamalonda zamalonda kuti ziwongolere kukoma ndi kuchepetsa fungo la madzi akumwa a odwala kungakhale ndi zotsatira zosayembekezereka za kulimbikitsa kufalikira kwa tizilombo toyambitsa matenda ndi kubereka," ofufuzawo analemba. madzi (monga kuchuluka kwa madzi obwezerezedwanso kuti achepetse kutentha) kungathe kuonjezera chiopsezo cha odwala matenda mwangozi mwa kuchepetsa chlorine ndi kulimbikitsa kukula kwa tizilombo toyambitsa matenda."
Klompas ndi anzake anamaliza kunena kuti kafukufuku wawo “akusonyeza kuopsa kwa zotsatirapo zosayembekezereka zobwera chifukwa cha makina opangidwa kuti athandize kuti madzi azigwiritsidwa ntchito bwino m’zipatala, kutengera kwa tizilombo toyambitsa matenda towononga madzi oundana ndi akasupe akumwa, ndiponso kuopsa kwa zimenezi kwa odwala.” kuthandizira mapulogalamu oyendetsa madzi kuti ayang'anire ndi kupewa matenda a nosocomial mycobacterial.
"Mochulukira, zomwe takumana nazo zimatsimikizira kuopsa kogwiritsa ntchito madzi apampopi ndi ayezi posamalira odwala omwe ali pachiwopsezo, komanso kufunikira kwa njira zatsopano zochepetsera kuwonekera kwa odwala omwe ali pachiwopsezo kuti apeze madzi apampopi ndi ayezi panthawi yosamalira," adalemba. .