So wo yafunu ayɛ wo yaw pɛn bere a woanom nnuru a ekum ɔyare mmoawa awie no? Momma yensua mmoawa a wɔn ho yɛ hu, C. diff (Clostridioides difficile) yi ho ade.

So wo yafunu ayɛ wo yaw kɛse pɛn bere a woanom nnuru a ekum ɔyare mmoawa akyi, anaasɛ woafi ase anya akisikuru a nsu wom mpɛn pii da biara? Anaasɛ obi a ɔwɔ w’abusua mu, titiriw obi a ne mfe akɔ anim, rehu ɔhaw yi bere a ofi ayaresabea aba fie no? Ebia nea ɛde ba ne ɔyare mmoawa a nnipa pii nte ho asɛm mpo, nanso ebetumi ayɛ nea asiane wom koraa. Ɛno ne nea yɛreka ho asɛm nnɛ. Ɛyɛ ɔyare mmoawa bi a wɔfrɛ no C. diff.

Sɛ yɛbɛka no tiawa a, dɛn ne C. diff?

C. diff, anaa Clostridioides difficile , yɛ mmoawa bi. Saa mmoawa yi betumi de ɔyare mmoawa aba yɛn dwensɔtwaa mu na ama yɛn dwensɔtwaa mu ayɛ hyew kɛse, anaasɛ ɛho ahonhon. Nnuruyɛfo frɛ tebea yi sɛ akisikuru . Mpɛn pii no, saa ɔyare mmoawa yi fi ase bere a wode aduru a ekum ɔyare mmoawa adi dwuma awie ama yare foforo no. Ɛtɔ mmere bi mpo a ebetumi abɛyɛ aniberesɛm na ɛde nkwa to asiane mu . Yebetumi ahu C. diff mmoawa yi nkwaboaa wɔ baabiara a atwa yɛn ho ahyia, wɔ mframa, asase, nsu, ne nnipa ne mmoa nsu mu mpo mu. Fa no sɛ ɛyɛ mmoawa a wɔada. Wotumi tra nneɛma a atwa yɛn ho ahyia no mu asram pii a wɔrempira wɔn. Nanso, saa nkwaboaa yi san yɛ adwuma bio bere a ɛfa w’ano hyɛn wo nipadua mu na ɛkɔ wo dwensɔtwaa mu nkutoo.

Dɛn ne C. diff ho sɛnkyerɛnne ahorow?

C. diff yare no ho sɛnkyerɛnne betumi afi nea emu nyɛ den so kosi nea emu yɛ den yiye so. Momma yɛnhwɛ nea wɔyɛ.

C. diff stool te sɛn na ne hua te dɛn?

Nnipa binom ka sɛ C. diff yare no ma wɔn nsu hua sesa. Mpɛn pii no, ɛyɛ den kɛse, ɛnyɛ dɛ. Afoforo ka sɛ bile a ɛwɔ nsu mu no tumi ma ɛyɛ huam kakra. Sɛ ɛba sɛnea nsu a ɛwɔ nsu mu no te so a, ɛtɔ mmere bi a ebetumi ayɛ nea ɛho ayɛ hare, te sɛ oatmeal, anaasɛ ɛte sɛ atɛkyɛ. Ɛtɔ da bi a, ebia mogya anaa nsuo a ɛwɔ mu. Ebia ne kɔla nso yɛ ahabammono. Nea ɛho hia sen biara: Sɛ wo dwensɔtwaa no mu yɛ den, a ɛkyerɛ sɛ wowɔ no mpɛn pii da biara, anaasɛ wote nka sɛ woayɛ mmerɛw a, kɔ ayaresabea ntɛm ara. Atiridiinini a emu yɛ den betumi ama nsu atɔ no ntɛmntɛm na wawu mpo.

Dɛn nti na C. diff nyin? Henanom na wɔwɔ asiane kɛse mu?

Sɛnea yɛadi kan aka ho asɛm no, ade titiriw nti a ɛte saa ne nnuru a ekum ɔyare mmoawa a wɔde di dwuma. Susuw ho hwɛ, mmoawa pa ne mmoawa bɔne nyinaa tra ase kari pɛ wɔ yɛn dwensɔtwaa mu. Sɛ wonom nnuru a ekum ɔyare mmoawa ma ɔyare mmoawa bi a, ɛnyɛ mmoawa bɔne no nko na saa nnuru no kunkum wɔn, na mmom mmoawa pa a wɔboa yɛn no nso. Ɛno ne bere a C. diff mmoawa a wontumi nni wɔn so no nya hokwan dɔɔso, wɔyɛ awuduru, na wɔsɛe dwensɔtwaa no.

Nneɛma a ɛma asiane no yɛ kɛse:

• Nnuru a ekum ɔyare mmoawa a wɔde di dwuma: Nnipa a wɔde nnuru a ano yɛ den a ekum ɔyare mmoawa, titiriw cephalosporins, clindamycin , fluoroquinolones , ne penicillins di dwuma no wɔ asiane kɛse mu.
• Mfe a wɔadi: Nnipa a wɔadi boro mfe 65 no taa nya saa yare yi.
• Ayaresabea: Ɛda adi sɛ ɔyare mmoawa yi mmoawa no trɛw wɔ mmeae te sɛ ayaresabea ne nkwakoraa ne mmerewa afie. Wɔ mmeae a ɛtete saa no, ɛnyɛ den sɛ wobetumi atrɛw denam adwumayɛfo anaa ayaresabea nnwinnade so.
• Nkwammoaa a ɛko tia nyarewa a ɛyɛ mmerɛw:Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw esiane kokoram, kokoram ayaresa, anaa nyarewa afoforo nti no wɔ asiane kɛse mu.
• Ntini mu nyarewa afoforo: Nnipa a wɔwɔ nyarewa te sɛ inflammatory bowel disease (IBD) anaa colorectal cancer nso wɔ asiane kɛse mu.

Dɛn ne nsɛnnennen a ebetumi aba esiane C. diff nti?

Sɛ wɔansa C. diff yareɛ no ntɛm a, nsɛnnennen a emu yɛ den betumi aba.

• Nsuo a Ɛma Nsuo a Ɛyɛ Fɛ: Sɛ obi dwensɔ boro so a, ebetumi ama nsu ne nkyene ayera afi nipadua no mu, na aka asaabo dwumadi ne mogya mmoroso.
• Toxic Megacolon: Eyi yɛ tebea a ɛyɛ hu yiye. Wɔ eyi mu no, akyi berɛmo no hohoro araa ma ɛrentumi nyɛ yiye sɛ mframa anaa nsu bɛfa mu. Eyi betumi ama akyi berɛmo no apae mpo. Eyi de nkwa to asiane mu na egye oprehyɛn a egye ntɛmpɛ.
• Dwonku mu Tokuru: Tokuru a ɛwɔ dwensɔtwaa kɛse no mu betumi ama mmoawa a wɔn ho yɛ hu akɔ yafunu no mu, na ɛde ɔyare mmoawa a emu yɛ den a wɔfrɛ no peritonitis aba.
• Pseudomembranous colitis: Awuduru a C. diff de ba no sɛe nkwammoaa a ɛwɔ dwensɔtwaa no mu, na ɛde akuru ne ntini a ɛyɛ den ba.

Sɛ eyi yɛ tebea a emu yɛ den a, ebia ɛho behia mpo sɛ wɔde wo kɔ ayaresabea hɔ Emergency Treatment Unit (ETU) . Enti sɛ wowɔ sɛnkyerɛnne bi a, kɔ oduruyɛfo nkyɛn a ɛnkyɛ.

Ayaresa ne nea wɔde siw ano

Wo duruyɛfo no gyina wo sɛnkyerɛnne ahorow so si so dua sɛ ebia wowɔ C. diff yare no denam nsu a wɔde yɛ nhwehwɛmu a ɔbɛsɔ ahwɛ so.

Akwan a wɔfa so sa yare

Nea ɛyɛ nwonwa no, wɔde nnuru pɔtee afoforo a ekum ɔyare mmoawa nso sa yare a nnuru a ekum ɔyare mmoawa de ba yi. Eyinom de wɔn ani si C. diff mmoawa nkutoo so na wokunkum wɔn.

• Fidaxomicin a wɔde yɛ nnuru
• Metronidazole a wɔde ma
• Vancomycin a wɔde yɛ aduru

Ɛsɛ sɛ wode nnuru yi di dwuma sɛnea wo duruyɛfo kyerɛ no pɛpɛɛpɛ. Ɛho hia nso sɛ wɔde nsu a ɛyera esiane akisikuru mu no si ananmu. Eyi kyerɛ sɛ wobɛnom nsu, nsu, akutu, soup, ne nnuaba mu nsu pii. Wɔ tebea horow bi a emu yɛ den mu no, ebia ebehia mpo sɛ wɔyɛ oprehyɛn yi dwensɔtwaa no afã horow a asɛe no.

Nnuan pa a ɛsɛ sɛ wudi bere a wowɔ C. diff yare no

Ɛyɛ papa sɛ wubedi nnuan a ɛnyɛ den ma yafunu na starch wom bere a woayɛ akisikuru no.

• Krak a wɔde yɛ krak
• Ɛmo a wɔanoa, ɛmo a ɛyɛ dɛ
• Aburow, aburow a wɔde ayɛ akutu
• Oatmeal a wɔde yɛ aduan
• Soup ahorow a wɔde yɛ soup
• Nnuadewa a wɔanoa
• Kwadu

Ɔkwan bɛn so na wobɛbɔ wo ho ban afi ɔyare mmoawa ho?

• Sɛ wowɔ ayaresabea a, ka kyerɛ nnuruyɛfo ne ayarehwɛfo a wɔhwɛ wo no sɛ wɔnhohoro wɔn nsa ansa na wɔabɛsra wo ne bere a wɔabɛsra wo awie no.
• Bisa sɛ wɔasiesie nnuruyɛ ho nnwinnade a wɔde aba wo dan mu no anaa.
• Nnom nnuru a ekum ɔyare mmoawa a ɛho nhia. Fa aduru no sɛnea wo duruyɛfo akyerɛ wo no nkutoo, na fa bere a wɔakyerɛw ama wo no nyinaa.

Sɛ worehwɛ obi a ɔwɔ C. diff yareɛ a, hwɛ hu sɛ wobɛhyɛ nsateaa. Afei nso, fa ade a wɔde tew nneɛma ho a chlorine (bleach) wom hohoro tiafi, apon ano nhama, ne switch ahorow a onipa no de di dwuma no ho daa . C. diff, Clostridioides difficile, akisikuru, yafunu a ɛyɛ yaw, nnuru a ekum ɔyare mmoawa, ɔyare mmoawa, akisikuru