C. diff (Clostridioides difficile) dɔlékui: Mina míanya nusi tututu ƒodo ƒe vevesese sia nye.

Ðe ƒodo ɖua wò ɣeaɖewoɣi alo aɖuɖɔtoe si nɔa anyi ŋkeke ʋɛ aɖewoa? Zi geɖe la, míesusuna be, ‘Oo, aɖi anya nɔ nuɖuɖu sia me vie’ alo ‘Anye be dɔlékuiwo ƒe dɔlélee wònye.’ Gake ɣeaɖewoɣi la, dɔlékui aɖe si nu sẽ wu si ate ŋu agblẽ nu le míaƒe dɔgbowo ŋu gbɔe dzesi siawo tsona. Dɔlékui mawo dometɔ ɖekae nye C. diff (Clostridioides difficile).

Nukae nye C. diff (Clostridioides difficile)?

Kpuie ko la, C. diff nye dɔlékui ƒomevi aɖe. Ŋkɔa tututue nye `(Clostridioides difficile)`. Dɔlékui sia ateŋu ahe dɔlékui vɛ le wò dɔgbo gã la me, si nye `(dɔgbo)`. Ɣemaɣie dzesi siwo meɖea dzi ɖi o abe aɖuɖɔtoe ene dzena. Azɔ, mina míakpɔe ɖa be ebɔ be dɔlékuiwo naxɔ míaƒe dɔgbo gã la. Wo dometɔ akpa gãtɔ metsɔa ɖeke le eme nenema gbegbe o. Gake C. diff dɔlékui sia nu sẽ vie wu. Nusitae nye be `(Clostridioides difficile)` dɔlékui sia wɔa aɖinuwo. Aɖi siawo gblẽa nu le lãmenugbagbevi siwo le míaƒe dɔgbowo me ŋu. Esia nana dɔgboa ƒe lãkusi kple dɔgbo gã la ƒe dɔdzẽ, si nye dɔdzẽ (dɔgbo ƒe dɔléle). Ne dzesiawo dzea dziwò kple alesi gbegbe wosẽnae la nɔ te ɖe alesi gbegbe aɖi siawo gblẽnae dzi. Ɣeaɖewoɣi la, nɔnɔme sia ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã. Woyɔa dɔlékui sia tsã be `(Clostridium difficile)`. Fifia ŋkɔ yeyeae nye `(Clostridioides difficile)`.

Aleke gbegbee C. diff dɔlékuiwo bɔe?

C. diff dɔlékui, alo CDI, nye xexeame katã ƒe lãmesẽkuxi. Gake akɔntabubu aɖeke meli tututu ku ɖe alesi wòkeke ta le xexeame ŋu o. Le United States la, wobu akɔnta be ame siwo ade 500,000 ye xɔa dɔa ƒe sia ƒe, eye ame siwo ade 15,000 kuna. Eyata esia menye nusi woabu nu tsɛe o.

Nukae nye C. diff dɔlékui ƒe dzesiwo?

Dzesi gbãtɔ kple esi bɔ wue nye aɖuɖɔtoe si me tsi le. Le nɔnɔme siwo mesẽ o me la, aɖuɖɔtoetetedɔ dzɔna zi etɔ̃ gbesiagbe, eye dɔgbo ƒe ʋuʋu aɖewo ate ŋu anɔ anyi. Ne C. diff dɔlékuia le ŋgɔ yim la, aɖuɖɔtoetetedɔa dzina ɖe edzi. Ate ŋu adzɔ zi 10-15 gbesiagbe. Àte ŋu ade dzesi ʋu le wò aɖuɖɔ me hã. Dzesi bubuwoe nye:

• Dɔgbo ƒe veve ɣesiaɣi
• Dɔgboa yɔ fũ eye wòvuvu.
• Aɖuɖɔtoe kple ʋuʋudedi
• Nudzroame
• Asrã
• Dzi ƒe tsotso ƒe dzidziɖedzi

Gbã la, C. diff ƒe dzesiwo ate ŋu ase le wo ɖokui me abe nuɖuɖu me aɖi alo dɔgbo me dzamezã ene. Ne èle dɔlékuiwutikewo zãm la, àte ŋu abu vodadatɔe be aɖuɖɔtoea nye atike la ƒe nugbegblẽ le ame ŋu.

Gake ɖo ŋku edzi be ɣeaɖewoɣi la, C. diff dɔlékuiwo ate ŋu adzɔ aɖuɖɔtoe manɔmee .

Aleke aɖuɖɔ le ne C. diff le ŋuwò? Aleke wòʋẽnae?

Zi geɖe la, C. diff aɖuɖɔtoe ƒe nɔnɔme nɔa abe atike ene, ke menye tsi keŋkeŋ o. Ate ŋu anye amadede dzẽ ɣeaɖewoɣi, gake esia ate ŋu adzɔ le dɔlékui bubuwo hã gome. Ƒã hafi woate ŋu akpɔ ʋu, ʋuʋudedi, alo ʋuʋudedi le aɖuɖɔ me. Ame geɖe ka nya ta be ʋeʋẽ tɔxɛ aɖe le C. diff aɖuɖɔtoe ŋu . Wogblɔ be eƒe ʋeʋẽ lilili si mebɔ o eye wòvivina nukutɔe. Esia ate ŋu atso esi C. diff dzia ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ ɖe edzi le aɖuɖɔ me ta.

Nukae hea C. diff dɔlékui vɛ?

Zi geɖe la, amesi ƒe dɔlélenutsiŋutete le lãmesẽ me nana C. diff dɔlékuiwo nɔa woƒe dɔgbo me, eyata womehea dɔlékui vɛ o. Kuxiae nye ne dɔlékui sia te tsitsi fũ akpa evɔ womeɖua wo dzi nenema o. Nusitae nye be dadasɔ si le dɔlékui "nyui" kple dɔlékui "vɔ̃ɖi" siwo le míaƒe dɔgbo me dome la bu. Dɔlékuiwo le amesiame ƒe dɔgbo me. Dɔlékui nyui siawo kpena ɖe ame ŋu be dɔlékui bubuwo abe C. diff ene nɔa wo ɖokui si. Susu vevitɔ si gbɔ C. diff dɔlékui le enye `(dɔlékuiwutikewo)` zazã. Ne wozã dɔlékuiwutikewo la, dɔlékui nyui kple vɔ̃ siwo le míaƒe dɔgbo me ƒe dadasɔ (`(gut microbiome)` la gblẽna. Emegbe C. diff dɔlékuiwo ate ŋu aɖu dzi eye woatsi akpa.

Aleke C. diff kakae?

Clostridium difficile kaka to spores ƒe dodo me. Dɔlékui siawo le sue ŋutɔ eye woate ŋu akpɔ wo le míaƒe ŋutigbalẽ dzi, le nusiwo ƒo xlã mí dzi, kple le anyigba abe kplɔ̃wo kple zikpuiwo ene dzi. Esia fia be ne èka asi nane si dzi lãmenugbagbevi siawo le ŋu, eye emegbe nèɖu nu kplii alo ka asi wò nu ŋu la, àte ŋu axɔ C. diff.

Nukatae C. diff kaka kabakaba nenema gbegbe ɖo?

Le míaƒe ŋutilã godo la, C. diff dɔlékuiwo wɔa spores. Esesẽna ŋutɔ be woawu dɔlékui siawo, le dɔgboa me kple egodo siaa. Wote ŋu nɔa te ɖe dzoxɔxɔ, acid, dɔlékuiwutike geɖe, kple dɔlékuiwutikewo nu. Woate ŋu anɔ agbe le anyigba dzi hã ɣleti geɖe. Numekulawo bu akɔnta be C. diff dɔlékui le ameawo dometɔ siwo ade 5% ŋu le woƒe dɔgbo me evɔ womehea dzesi aɖeke vɛ o. Esia fia be ne C. diff le asiwò le wò ŋusẽ te hã la, àte ŋu akakae ɖe ame bubuwo me kokoko.

Àte ŋu anɔ ha kple ame aɖe si ŋu C. diff lea?

Ẽ, àte ŋui. Gake ne èwɔ ɖe dedienɔnɔ ƒe ɖoɖowo dzi ko hafi. Be dɔlékuiawo ƒe kaka dzi naɖe akpɔtɔ la, ele be nàwɔ nu siwo gbɔna:

• Klɔ asi nyuie kple adzalẽ ɣesiaɣi.
• Ƒo asa na asikaka wò ŋɔti, nu, kple ŋku ŋu.
• Tsɔ dɔlékuiwutikewo de teƒe siwo ƒo xlãe.
• Asigɛwo, modzakaɖetikewoZã ametakpɔnu, abe awudziwui ene (vevietɔ ne èle dɔnɔ aɖe dzi kpɔm).

Amekawoe le afɔku gã me be woaxɔ C. diff?

Atikewɔwɔ ƒe nɔnɔme aɖewo li siwo ate ŋu aɖe wò ŋutilã ƒe ametakpɔnu siwo tsi tre ɖe C. diff dɔlékui ŋu dzi akpɔtɔ. Esiawo dometɔ aɖewoe nye:

• Dɔgbo ƒe Dɔléle ( IBD ): Dɔgbo ƒe dɔléle siwo nɔa anyi didi, abe Crohn ƒe dɔléle kple dɔgbo ƒe dɔléle ene, nana dɔgboa gbɔdzɔna le ɣeyiɣi aɖe megbe. Esiawo gblẽa nu le lãkusi, si nye dɔgboa ƒe lãkusi ŋu, eye woɖea dɔgboa ƒe dɔlélenutsiŋutete dzi kpɔtɔna.
• Dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ : Ne dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie alo dɔléle bubu aɖe si nɔa anyi didi si gblẽa nu le wò dɔlélenutsiŋutete ŋu, abe kansa, HIV , ayikudɔ, alo suklidɔ ene, le ŋuwò la, wò dɔlélenutsiŋutete bliboa ate ŋu agbɔdzɔ, ke menye wò dɔgbo ɖeɖeko o. Esia nye nyateƒe vevietɔ ne èle dɔlélenutsiŋutete ƒe atikewo zãm.

Afɔku bubu siwo do ƒome kple C. diff dɔlékui la dometɔ aɖewoe nye:

• Ƒe: Ame siwo xɔ wu ƒe 65 la le afɔku gã aɖe me be woaxɔ C. diff. Esia ate ŋu atso esi woƒe dɔlélenutsiŋutete gbɔdzɔ, wole atike geɖe nom le ɣeyiɣi ɖeka me, alo wole kɔdziwo alo ame tsitsiwo dzikpɔƒewo ta. Ðevi suewo hã ate ŋu axɔ C. diff.
• Kɔdziyiyi alo teƒe siwo amewo sɔ gbɔ ɖo (e.g., gaxɔwo): C. diff kakana bɔbɔe le teƒe siwo amewo sɔ gbɔ ɖo. Spores ate ŋu anɔ agbe ɣleti geɖe le anyigba siwo bɔ dzi. Ate ŋu akaka tso ame ɖeka me ayi ame bubu gbɔ to teƒe siwo wowɔa dɔ ɖekae, abe tsileƒewo ene.

Gake ɣeaɖewoɣi la, nusi me kɔ aɖeke meli si gbɔ C. diff dɔlékuia tso o. Togbɔ be nu geɖe li siwo ate ŋu akpɔ ŋusẽ ɖe wò dɔgbo ƒe dɔlélenutsiŋutete dzi hã la, ele vevie be nànya be àte ŋu axɔ dɔlékui sia ne afɔku aɖeke mele ŋuwò o gɔ̃ hã .

Nukawoe nye kuxi siwo ate ŋu ado tso C. diff dɔlékui xɔxɔ me?

Kuxiwo ate ŋu ado mo ɖa ne woxɔ dɔlékui siwo nu sẽ wu. Alesi wò dɔlélea nu sẽe nɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye dɔlékui ƒomevi si ŋu nèxɔ, kple wò dɔlélenutsiŋutete ƒe ŋusẽ. Ame siwo ŋu afɔku le be woaxɔ C. diff dɔlékuia la le afɔku gã aɖe me be woaxɔ dɔlékui si nu sẽ wu alo woaxɔ dɔlékuiawo enuenu. Esia ate ŋu agblẽ nu geɖe wu le ɣeyiɣi aɖe megbe. Kuxi siwo bɔ dometɔ aɖewoe nye:

• Dɔlékuiwo xɔxɔ enuenu: Ame siwo ade 20% gaxɔe le kwasiɖa eve va ɖo enyi me le atikewɔwɔ vɔ megbe. Le ema megbe la, 40% bubu ate ŋu agaxɔe ake.
• Tsikuɖiɖi kple elektrikŋusẽ ƒe bu:Ne tsi kple elektrikŋusẽ bu le wò ŋutilã me kabakaba wu alesi nàte ŋu aɖɔlii la, àte ŋu akpɔ nugbegblẽ le ame ŋu siwo me afɔku le abe ʋu ƒe agbɔsɔsɔ si bɔbɔ, ʋu ƒe sisi, kple ayiku ƒe dɔmawɔmawɔ nyuie gɔ̃ hã le nɔnɔme sesẽwo me.
• Pseudomembranous colitis: Esia nye dɔgbo ƒe dɔléle sesẽ aɖe. Le nɔnɔme sia me la, lãkusi si le ɣie si le ƒuƒuie ate ŋu adzɔ ɖe wò dɔgbo ƒe lãkusi dzi.

Ne aɖi siwo le dɔgboa me gblẽna le ame ŋu le dzidzim ɖe edzi la, kuxi bubuwo ate ŋu ado mo ɖa:

• Tsi ƒe sisi: Tsi ate ŋu adze sisi tso wò dɔgbo me ayi wò ƒodo me (woyɔa esia be ascites), si ana wò ƒodo navuvu. Àte ŋu abu protein hã le wò dɔgbo me, si ana wò albumin ƒe agbɔsɔsɔ naɖiɖi. Esia ate ŋu ahe dzesiwo abe abi kple ɖeɖiteameŋu ene vɛ.
• Reactive arthritis: Dɔlékui sesẽ ateŋu ahe nɔnɔme si woyɔna be ``reactive arthritis.'' Esia ateŋu ahe abi, avu, kple vevesese vɛ le wò ƒunukpeƒewo kple wò ŋutilã ƒe akpa bubuwo.
• Aɖi megacolon: Aɖi megacolon nye nɔnɔme si mebɔ o gake afɔku le eme ŋutɔ. Esia dzɔna ne abi si dɔdzẽ hena vɛ la nu sẽ ale gbegbe be dɔgboa megawɔa dɔ nyuie o. Esia ate ŋu ana ame naxɔ sepsis (ʋu me aɖi) mlɔeba.

Aleke wowɔa dea dzesi C. diff dɔlékui?

Ne wò ɖɔkta susui be C. diff dɔlékui aɖe le ŋuwò le wò dzesiwo ta la, atsɔ wò aɖuɖɔ ƒe kpɔɖeŋu aɖe aɖoe ɖe dodokpɔxɔ me be wòalé ŋku ɖe C. diff ƒe aɖiwo ŋu. Ne wò dodokpɔ me tsonu nyuiwo, si fia be dɔlélea le ŋuwò la, wò ɖɔkta ate ŋu awɔ dodokpɔ geɖe wu atsɔ anya alesi dɔlékuia sesẽe. Esia ate ŋu anye ʋudodokpɔ kple nɔnɔmetatawo dodokpɔ be woatsɔ alé ŋku ɖe wò dɔgbo me.

Aleke wodaa dɔlékui si nye C. diff?

Wodaa C. diff dɔlékuia le eƒe sesẽme nu. Ne C. diff dze dziwò esime nènɔ dɔlékuiwutikewo zãm la, wò ɖɔkta ate ŋu adzudzɔ atikeawo nono gbã. Le ame aɖewo gome la, ema koe hiã. Woƒe dzɔdzɔme dɔgbo ƒe dɔlélenutsiŋutete agadze dɔwɔwɔ gɔme ake eye wòaɖu dɔlékuia dzi. Ne mewɔe o la, wò ɖɔkta ate ŋu aŋlɔ dɔlékuiwutike ƒomevi bubu siwo ate ŋu atɔ te C. diff. Dɔlékuiwutike ƒomevi aɖewo na C. diff dometɔ aɖewoe nye:

• `(Metronidazole ƒe atike)`
• `(Vancomycin)`
• `(Fidaxomicin)`

Ne dɔlékui aɖe si nu mesẽ o le ŋuwò la, àte ŋu ayi aƒeme aɖano wò atike. Ame akpa gãtɔ dzea hayahaya gɔme le ŋkeke ʋɛ aɖewo megbe. Gake ne dɔlékuia nu sẽ la, ahiã be nànɔ kɔdzi. Le kɔdzi la, wò ɖɔkta ana dɔlékuiwutikewo wò, ɖewohĩ to vein (IV - intravenous) dzi. Woana nuwo abe saline ene hã wò be tsi nagage ɖe lãme na wò o. Le go aɖewo me la, woate ŋu atsɔ atike la ade dɔgboa me tẽ abe enema ene.

Nukae woawɔ na C. diff dɔlékui sesẽwo?

Ne kuxi sesẽwo le ŋuwò la, ɖewohĩ ahiã be woawɔ atike na wò le dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ le vevie. Ƒã ŋutɔ la, ɖɔktawo ate ŋu aɖo aɖaŋu be woawɔ dɔ kpata (colectomy) be woaɖe afisi dɔlékuia tso le wò dɔgbo me. Ne èhaya gake wòyi edzi le dɔlékuiwo xɔm enuenu le atikewɔwɔ vɔ megbe la, tiatia siwo nàte ŋu awɔe nye:

• Dɔlékuiwutikewo dada ake: Wò ɖɔkta ate ŋu ana atike bubu, alo atike ma ke wò hena ɣeyiɣi didi wu. Le dɔlékuiwutikewo zazã vɔ megbe la, wò ɖɔkta ate ŋu aɖo aɖaŋu hã be nàno probiotics be wòakpe ɖe ŋuwò nàgaɖo dɔlékui siwo le wò dɔgbo me la me.
• Fecal Microbiota Transplant (FMT): Wokpɔe be mɔnu sia wɔa dɔ ŋutɔ le mɔxexe ɖe C. diff dɔlékui siwo gbugbɔna nu ne dɔlékuiwutikewo zazã enuenu do kpo nu vɔ megbe. Ebia be woatsɔ aɖuɖɔ si woɖe tso ame si le lãmesẽ me gbɔ ayi dɔgbo si ŋu dɔléle le me. Wozãa kpɔɖeŋu sia tsɔ gbugbɔa wò dɔgbo me nugbagbevi suesuesuewo da sɔ. Bu eŋu abe anyigba nyui aɖe tsɔtsɔ kpe ɖe abɔ si me numiemie gbegblẽ aɖewo le ŋu kple numiemie nyui aɖewo dodo ene.

Dedienɔnɔ ƒe afɔɖeɖe kawoe woate ŋu awɔ atsɔ axe mɔ ɖe C. diff ƒe kaka nu?

Lãmesẽdɔwɔlawo wɔa afɔɖeɖe tɔxɛwo ne wole nu wɔm kple C. diff dɔlékui be woakpe ɖe wo ŋu woaxe mɔ ɖe dɔléle sia si xɔa ame ŋutɔ la ƒe kaka nu. Àte ŋu asrɔ̃ woƒe kpɔɖeŋu atsɔ akpɔ ame bubuwo ta:

• Ðokuiɖeɖeɖeaga: Ne dɔlékui aɖe le ŋuwò la, anyo wu be nàɖe ɖokuiwò ɖe aga le wò ŋutɔ wò xɔ me. Ele be amesiame si ava xɔa me be yeakpɔ dziwò la nado asigɛ siwo wotsɔna ƒua gbe, eye woaɖe wo ɖa ne wodo le xɔa me. Esi wònye be dɔlékuia kakana to wò aɖuɖɔ me ta la, ele be nàƒo asa na nugododeƒe nɔnɔ kple ame bubuwo. Ne ele be miakpɔ gome le eme godoo la, ke tsɔ atike si me bleach le klɔ asiléƒea, nugododeƒezikpui, kple teƒe siwo ƒo xlãe ŋu ne èzãe vɔ.
• Asikɔklɔ: Esi wònye be asikɔklɔ mekpɔa ŋusẽ ɖe C. diff dzi o ta la, ele vevie be nàtsɔ adzalẽ kple tsi dzodzoe aklɔ asi enuenu. Esia le vevie na amesiame si nèdo goe.
• Dɔlékuiwutike: Dɔlékuiwutike siwo bɔ akpa gãtɔ mewɔa dɔ ɖe C. diff dzi o. Gake nusiwo me bleach le ate ŋu. Ele vevie be nàwu dɔlékuiwo le teƒe ɖesiaɖe si nàka asi ŋu, vevietɔ le tsileƒe.
• Dɔlékuiwutikewo nono abe alesi woŋlɔe ene: Mègazã ame bubuwo ƒe dɔlékuiwutikewo o, eye mègadzra dɔlékuiwutikewo ɖo be nàzã emegbe o.

Nukae nàte ŋu akpɔ mɔ na ne èxɔ C. diff?

C. diff dɔlékui akpa gãtɔ mesẽna o eye wodzudzɔna ne woda wo. Gake nɔnɔme siwo hea C. diff dɔlékui vɛ ate ŋu akaka kabakaba ŋutɔ ɣeaɖewoɣi. C. diff dɔlékui ate ŋu ava kpata eye wòasẽ ŋutɔ. Ne afɔku siwo ate ŋu axɔ C. diff dɔlékui le ŋuwò la, anɔ eme be dɔlékui sesẽ aɖe adze dziwò, alo dɔlékui siwo gbugbɔna vaa dziwò si hiã be woawɔ atike na wò geɖe wu.

Ðe C. diff nu yina le eɖokui sia?

Ẽ, ne wò dɔgbo me dɔlékui siwo le lãmesẽ me ate ŋu atrɔ ava nɔ nɔnɔme nyuitɔ me ahawɔ avu kplii la, àte ŋu ahaya le ɖokuiwò si. Esia ate ŋu adzɔ ne wò dɔgbo me dɔlékuiwo sesẽ le dzɔdzɔme nu eye lãmesẽkuxi aɖeke mele ŋuwò ɣeyiɣi didi si le wo gbɔdzɔm o. Ne dɔlékuiwutikewo nono gbɔe dɔlélea tso la, àte ŋu ahaya ne ènya dzudzɔ wo nono ko. Gake mègalala ɣeyiɣi didi akpa o. Ne wò lãme mesẽ le ŋkeke ʋɛ aɖewo megbe o la, yi ɖɔkta gbɔ enumake.

Ne ènya xɔ C. diff ko la, ɖe wònɔa anyi ɣesiaɣia?

Le atikewɔwɔ vɔ megbe la, dɔlékui aɖewo ate ŋu anɔ anyi. Gake àte ŋu ayi ɣeyiɣi aɖe dɔlékui aɖeke maxɔ wò o. Zi alesi dɔgbo me dɔlékui nyuiawo gakpɔtɔ li ko la, woakpe ɖe wo ŋu woaɖu Clostridium difficile dzi. Ne dɔlékui siwo gbugbɔna vaa dziwò la, ke esi dɔlékui bubu siawo megatrɔ va woƒe nɔnɔme nyuitɔ me haɖe o tae. Dɔlékui siwo gbugbɔna ate ŋu anye dɔlékui gbãtɔa ƒe gbugbɔgadzɔ, gake menye nenemae wònɔna ɣesiaɣi o. Ɣeaɖewoɣi la, wonyea dɔlékui yeyewo.

Ðe kuxi aɖewo li siwo nɔa anyi didi le C. diff dɔlékui xɔxɔ vɔ megbea?

Kuxi si bɔ wu ɣeyiɣi didi enye Clostridium difficile ƒe dɔlékui siwo nɔa anyi ɖaa alo esiwo gbugbɔna. Esia dzɔna ne esesẽna na wò dɔgboa be wòahaya keŋkeŋ. Ðewohĩ wò dɔgbo nahaya blewu le susu siawo ta:

• Ne dɔlékui sesẽ aɖe si gblẽ nu le wò dɔgbo ƒe lãkusi ŋu la le ŋuwò.
• Ne ele be nàno dɔlékuiwutikewo ɣeyiɣi didi, alo ne ele be nàno dɔlékuiwutikewo na C. diff le dɔlékuiwutike bubuwo nono vɔ megbe.
• Ne lãmesẽkuxi aɖe le ŋuwò ɣeyiɣi didi si gblẽa nu le wò dɔgbo alo dɔlélenutsiŋutete ŋu.
• Ne èxɔ ƒe 65 kple edzivɔ.

Ƒã hafi ame aɖewo xɔa dɔlélenutsiŋutete ƒe dɔlélewo le dɔléle sesẽ aɖe xɔxɔ vɔ megbe. Esia fia be woƒe dɔlélenutsiŋutete yia edzi wɔa nu abe ɖe dɔlékui aɖe le wo ŋu ene, ne dɔlékuia kɔ vɔ gɔ̃ hã. Dɔlélenutsiŋutete ƒe dɔléle siwo ate ŋu adze egɔme le C. diff dɔlékui xɔxɔ vɔ megbe dometɔ aɖewoe nye IBS (dɔgbo ƒe dɔléle si doa dziku na ame) le dɔlélea xɔxɔ vɔ megbe kple ƒunukpeƒetetedɔ si wɔa dɔ.

Nya kawoe wòle be nàbia wò ɖɔkta tso C. diff dɔlékui ŋu?

Àte ŋu abia nya siawo tɔgbe:

• Aleke gbegbee nye dɔlélea gblẽe?
• Ðe mele afɔku me be kuxiwo ate ŋu ado mo ɖaa?
• Aleke mawɔ anya ne C. diff le nyonyom ɖe edzi?
• Ɣekaɣie wòle be maƒo ka na wò? Ɣekaɣie wòle be mayi xɔ si me wowɔa dɔ kpata le?
• Ðe wòhiã be mayi dɔgboŋutinunyala gbɔa?
• Nukawoe nye atikewɔmɔnu siwo woate ŋu azã na dɔlékui siwo gbugbɔna?

Clostridium difficile nye dɔlékui aɖe si bɔ si ate ŋu anɔ wò dɔgbo me evɔ magblẽ nu le ŋuwò o. Gake ne edze ŋusẽdodo gɔme akpa la, ate ŋu anye nu sesẽ ŋutɔ. Ðewohĩ àtsi dzimaɖi ɖe aɖuɖɔtoedɔléle ɣesiaɣi kple alesi wòle ŋusẽ kpɔm ɖe wò agbe dzii ŋu. Ðewohĩ ŋu akpe wò hã be nàƒo nu tso nɔnɔme aɖe si gblẽa nu le wò dɔgbo ŋu. Gake mègana seselelãme mawo naxe mɔ na wò be màgadi kpekpeɖeŋu o.Ame akpa gãtɔ mexɔa kuxiwo tso C. diff gbɔ o, eye wòkɔna kabakaba eye wòkɔna keŋkeŋ. Gake ne afɔku geɖe le ŋuwò le afɔku aɖewo ta la, ate ŋu asẽ ŋutɔ. Exɔa ame hã ŋutɔ, ate ŋu anɔ anyi, eye ate ŋu atrɔ ava zi gbɔ zi geɖe. Ne aɖuɖɔtoetetedɔ dze dziwò le dɔlékuiwutikewo nono vɔ megbe la, gblɔe na wò ɖɔkta enumake. Mègano atike siwo ana aɖuɖɔtoetetedɔ natsi o, elabena makpe ɖe ŋuwò o eye ate ŋu ana wòagagblẽ ɖe edzi gɔ̃ hã. Ne èsusu be C. diff le ye ŋu la, yi ɖɔkta gbɔ enumake.

Eyata nu kawo dzie wòle be míaɖo ŋkui le ŋutinya sia me?

C. diff nye dɔlékui si ate ŋu ahe dɔlékui aɖe vɛ le míaƒe dɔgbo gã la me. Esia hea dzesiwo abe aɖuɖɔtoe kple dɔgbo ƒe veve ene vɛ.

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Zi geɖe la, esia dzɔna ne dɔlékuiwutikewo wu dɔlékui nyui siwo le dɔgboa me, si wɔnɛ be C. diff tsina.

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Esia xɔa ame me ŋutɔ, eyata asikɔklɔ kple dzadzɛnyenye dzi kpɔkpɔ le vevie ŋutɔ.

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Ame tsitsiwo, amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ, kple amesiwo woxɔ ɖe kɔdzi ate ŋu axɔ esia.

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Ne dzesiwo le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Elabena, ne wowɔ atike na wò nyuie la, àte ŋu ahaya zi geɖe. Gake ne womewɔ atike nɛ o la, kuxiwo ate ŋu ado mo ɖa.

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Ele vevie be nàno wò atikeawo abe alesi tututu wò ɖɔkta gblɔe ene eye nànoe ɖe game dzi.

Eyata, mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!