Yala kɔnɔdimi kɛra aw la banakisɛfagalanw tali kɔfɛ wa? An ka kunnafoni sɔrɔ Pseudomembranous Colitis kan!

Yala aw delila ka kɔnɔdimi walima kɔnɔdimi sɔrɔ banakisɛfagalanw tali kɔfɛ wa? A ka ca a la a bɛ ban tile kelen walima tile fila kɔfɛ. Nka, tuma dɔw la, o bana in bɛ se ka juguya dɔɔni. Bi an bɛna kuma o bana jugu sugu dɔ kan min bɛ se ka kɛ ni banakisɛfagalanw tali ye. An bɛ o wele ko Pseudomembranous Colitis. Hali n’a tɔgɔ bɛ se ka kɛ ko a tɛ mɔgɔ kabakoya dɔɔnin, a nafa ka bon kosɛbɛ k’a dɔn.

N’an y’a fɔ cogo nɔgɔman na, Pseudomembranous Colite ye mun ye?

Nin ye funu jugumanba ye (kɔnɔnatumu jugumanba) min bɛ sɔrɔ an ka banakɔtaa la (kɔnɔna), o kɔrɔ ye funu ni joginni ye. Miiri k’a filɛ, fɛn dɔ bɛ an ka banakɔtaa kɔnɔna nɔgɔlen (mucosa) tiɲɛ. O tiɲɛni bɛ se ka sɔrɔ banakisɛ dɔ fɛ, baga min bɛ bɔ o banakisɛ fɛ, walima bana wɛrɛ fɛ.

Ni o tiɲɛni in kɛra, kurukuru belebelebaw ni kurukuruw bɛ bɔ yɔrɔ joginlenw kan. I n’a fɔ kurukuru bɛ ​​kɛ an fari la cogo min na ni joginda bɛ an na. Nka ninnu tɛ kurukuru lakikaw ye. U bɛ kɛ ni farikolokisɛ salenw ni joli kuru finmanw ye. O fɛnɲɛnamafagalan jɛman-finmanw ye fɛn ye dɔgɔtɔrɔw bɛ min wele ko "pseudomembranes". "Pseudo" kɔrɔ ye "nkalon" ye. O kɔrɔ ye k’u ye nkalontigɛ-minɛnw ye. O bana in ye an bɛ min wele ko pseudomembranous colitis.

Nin bana in taamasiɲɛw ye jumɛnw ye?

Nin bana in bɛ mɔgɔ min na, o tigi bɛ se ka taamasiɲɛ suguya caman sɔrɔ, nka fɛn kunbaba damadɔw bɛ yen minnu bɛ se ka ye.

Mun na nin bana sugu bɛ kɛ? O sababuba ye mun ye?

O sababuba min ka teli ka kɛ, o ye banakisɛ ye min bɛ wele ko Clostridium difficile , an bɛ min wele ko C. diff ni kuma surun ye. O de ye banaw sababu ye ka tɛmɛ 90% kan.

Sisan, aw bɛ se k’aw yɛrɛ ɲininka cogo min na nin C. diff banakisɛ in bɛ se ka o bana sugu lase mɔgɔ ma. Maana bɛ taa nin cogo la:

Banakisɛ miliyɔn caman, ɲuman ni juguman, bɛ balo an banakɔtaa la. Nin banakisɛ ɲumanw bɛ caman kɛ an farikolo la. Sisan, aw k’a miiri ko dɔgɔtɔrɔ dɔ bɛ banakisɛfagalanw di aw ma bana wɛrɛ kama (misali la, galakalabana). Nin banakisɛfagalanw bɛ banakisɛw faga an fari la. Nka n’u y’o kɛ, banakisɛ jugu minnu ye bana in bila mɔgɔ la, u tɛ olu dɔrɔn de faga, nka u bɛ banakisɛ ɲuman caman fana faga an banakɔtaa la.

O C. diff banakisɛw falenni kojugu bɛ daminɛ ka bagaw bɔ minnu bɛ an ka banakɔtaa kɔnɔna tiɲɛ. O baga ninnu bɛ kɛ sababu ye ka banakɔtaa banakisɛw faga ani ka jogin, ka kɛ sababu ye ka ɲɛgɛnɛsira nkalonmaw dilan an ye minnu kofɔ ka tɛmɛ.

Banakisɛfagalanw minnu ka teli ka C. diff banakisɛ bila mɔgɔ la

Hali ni banakisɛfagalan suguya bɛɛ bɛ se ka nin farati in lase mɔgɔ ma, a suguya dɔw ka teli ka nin farati in lase mɔgɔ ma. Olu dɔw ye ninnu ye:

• Kilindamisini (Clindamycine).
• Sɛfalosporini suguyaw
• Penisilini suguyaw
• Fluoroquinolones suguyaw

Yala sababu wɛrɛw bɛ yen C. diff kɔfɛ wa?

Awɔ. Hali ni C. diff banakisɛ de ye a sababuba ye, o bana in bɛ se ka sɔrɔ fana sababu wɛrɛw fɛ, a man teli kosɛbɛ.

• Banakisɛ wɛrɛw (misali la *Staphylococcus aureus*, *E. coli*) .
• Sitomegalovirusi banakisɛ sɔrɔli
• Joli bɔli dɔgɔyali kolotuguda la (Ischemic colitis) .
• Chimiothérapie fura dɔw kansɛri furakɛli la
• Bana dɔw bɛ sɔrɔ farikolo tangalanw fɛ

Jɔn de farati ka bon ka nin bana in sɔrɔ?

Hali ni mɔgɔ o mɔgɔ bɛ se ka nin bana in sɔrɔ, mɔgɔ dɔw ka farati ka bon.

• Mɔgɔ minnu bɛ furakɛli kɛ dɔgɔtɔrɔsow la: Dɔgɔtɔrɔsow ye yɔrɔw ye banakisɛw i n’a fɔ C. diff bɛ se ka jɛnsɛn yɔrɔ minnu na nɔgɔya la.
• Mɔgɔ minnu ye banakisɛfagalanw ta kɔsa in na: I n’a fɔ an y’a fɔ cogo min na ka tɛmɛ, o de ye faratiba ye.
• Mɔgɔ minnu si tɛmɛna san 65 kan: Barisa farikolo tangacogo bɛ dɔgɔya ni mɔgɔ si hakɛ ye.
• Mɔgɔ minnu bɛ mɔgɔkɔrɔbaw ka so:
• Mɔgɔ minnu farikolo tangacogo ka dɔgɔn : (misali la, sidabanakisɛ bɛ mɔgɔ minnu na, kansɛribanatɔw) .
• Bana minnu bɛ sɔrɔ farikolo tangalanw fɛ: (misali la, banakɔtaa funubana - IBD) .
• Mɔgɔ minnu ye C. diff banakisɛ sɔrɔ ka kɔrɔ:

Gɛlɛya jumɛnw bɛ se ka sɔrɔ ni o kɛra ko jugu ye?

O bɛ se ka kɛ siranfɛn ye dɔɔni i bolo. Nka aw hakili to a la, a ka ca a la, o gɛlɛyaw bɛ sɔrɔ dɔrɔn ni bana juguyara, ni furakɛli ɲuman ma kɛ. O de kama an b’a ɲini aw fɛ aw ka taa dɔgɔtɔrɔso la joona.

• Farikolojidɛsɛ ni kuran balanbaliya : Ni aw bɛ banakɔtaa 10-15 kɛ tile kɔnɔ, aw bɛ ji ni kuran caman bɔ aw la. Ni o juguyara, o bɛ se ka kɛ sababu ye ka bana juguw lase mɔgɔ ma i n’a fɔ tansiyɔn jiginni ani sugunɛbaralabana.
• Megakolon toxic : Nin ye bana ye min farati ka bon kosɛbɛ. Min bɛ kɛ, o ye ko kolotuguda funu bɛ juguya fo kolotuguda tɛ baara kɛ, gazi ni banakɔtaa bɛ siri, kolotuguda bɛ bonya fo a bɛ se ka pɛrɛn.
• Kɔnɔbara basigilen : Jogin juguman bɛ se ka kɛ sababu ye ka dingɛ don banakɔtaa kogo la. Ni o kɛra, banakisɛ minnu bɛ bɔ banakɔtaa la, olu bɛ se ka don kɔnɔbara la ka banakisɛw lase mɔgɔ ma minnu bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la (peritonitis, sepsis).
• Sepsis (banakisɛfagalanw) : O ye bana ye min bɛ mɔgɔ ka ɲɛnamaya bila farati la, bana dɔ bɛ jɛnsɛn farikolo fan bɛɛ la ani farikolo yɔrɔw bɛ daminɛ ka dɛsɛ.

Dɔgɔtɔrɔ bɛ bana in sɛgɛsɛgɛ cogo di ka ɲɛ?

Ni aw taara dɔgɔtɔrɔso la, a bɛna aw ɲininka aw ka bana taamasiɲɛw la, aw ye fura minnu ta kɔsa in na (kɛrɛnkɛrɛnnenya la banakisɛfagalanw), o kɔfɛ, a bɛ se ka sɛgɛsɛgɛli dɔw kɛ walasa ka bana in sɛgɛsɛgɛ.

1. Nɔgɔ sɛgɛsɛgɛli : Nin ye sɛgɛsɛgɛli ye min nafa ka bon kosɛbɛ. Aw bɛ aw ka banakɔtaa ta ka a sɛgɛsɛgɛ ni C. diff banakisɛw walima baga minnu bɛ bɔ banakisɛw fɛ, olu bɛ a la.

2. 2. .Joli sɛgɛsɛgɛliw : Olu bɛ dɛmɛ ka banakisɛw ni joli kuru finmanw hakɛ caya.

3. Kolonkɔni : O ye ka tubabufura finman dɔ don ni kamera ye ka tɛmɛ kɔnɔbara fɛ walasa ka banakɔtaa kɔnɔna sɛgɛsɛgɛ. O b’a To an bɛ Se k’a Ye ni ɲɛ fla bɛɛ ye ni pseudomembrane dɔw bɛ yen an ye kuma minnu kan. Ni a mago bɛ a la, aw bɛ se ka farikolo yɔrɔ dɔɔni (biopsie) ta ka taa a lajɛ.

O furakɛcogo jumɛnw bɛ yen?

Furakɛli bɛ bɔ bana in sababu ni a juguya de la.

• A sababu furakɛcogo : Ni C. diff banakisɛ de ye a sababu ye, dɔgɔtɔrɔ bɛna banakisɛfagalan kɛrɛnkɛrɛnnen dɔ di aw ma min bɛ se ka banakisɛw faga. Metronidazole, Vancomycine ani Fidaxomicine ye fura ninnu dɔw ye.
• Ladonni dɛmɛnan : O bɛ se ka kɛ jimafɛnw dili ye IV la walasa ka farikolojidɛsɛ bali ani ka balo di jolisira fɛ walasa ka banakɔtaa lafiɲɛ.
• Opereli : Ni bana jugumanba don, i n’a fɔ gɛlɛyaw i n’a fɔ megakolon toxic, opereli bɛ se ka kɛ ka kolotuguda yɔrɔ tiɲɛnen bɔ (colectomy). Nka, o ka dɔgɔ kosɛbɛ.

An ka kan ka mun kɛ walisa ka kisi nin ko in ma?

O kunbɛnni nafa ka bon kosɛbɛ, kɛrɛnkɛrɛnnenya la yɔrɔw la i n’a fɔ dɔgɔtɔrɔsow ani mɔgɔkɔrɔbaw ka so.

• Aw bɛ to ka aw tɛgɛw ko: C. diff tɛ se ka kɛ bololabaarakɛminɛnw ye minnu bɛ kɛ ni dɔlɔ ye, o la ka aw tɛgɛ ko ka ɲɛ ni safinɛ ni ji ye, o de ye aw tangacogo ɲuman ye.
• A danfara : Dɔgɔtɔrɔsow la, C. diff banakisɛ bɛ banabagatɔ minnu na, olu bɛ furakɛ so wɛrɛ kɔnɔ.
• Yɔrɔw saniyacogo : C. diff bɛ se ka balo yɔrɔw kan waati jan kɔnɔ. A nafa ka bon ka yɔrɔw saniya tuma bɛɛ ni banakisɛfagalan ye min bɛ bɔ kulori la.

Tuma jumɛn na an ka kan ka taa dɔgɔtɔrɔso la joona?

Ni nin taamasiɲɛ ninnu dɔ bɛ aw la, aw bɛ taa dɔgɔtɔrɔso la joona walima aw bɛ taa dɔgɔtɔrɔso la kɔrɔtɔko yɔrɔ la (ETU).

Hali ni a ka ca a la, kɔnɔdimi bɛ sɔrɔ banakisɛfagalanw tali kɔfɛ, a man nɔgɔn o cogo la tuma bɛɛ. Tuma dɔw la, a bɛ se ka kɛ bana jugu dɔ daminɛ ye i n’a fɔ Pseudomembranous Colitis. O de kama a nafa ka bon kosɛbɛ ka i farikolo lamɛn. Ni siga dɔ bɛ aw la aw ka bana taamasiɲɛw la, aw kana siga ka kuma aw ka dɔgɔtɔrɔ fɛ. Ni aw furakɛra ka ɲɛ, aw bɛ se ka kɛnɛya pewu ka bɔ nin bana in na.