Ðe wò dɔgbo gbã le dɔlékuiwutikewo nono vɔ megbe kpɔa? Mina míasrɔ̃ nu tso dɔlékui sia si me afɔku le, si nye C. diff (Clostridioides difficile) ŋu.

Ðe wò dɔgbo ve wò vevie le dɔlékuiwutike nono vɔ megbea, alo ɖe nèdze aɖuɖɔtoe si me tsi le xɔxɔ gɔme zi geɖe gbesiagbea? Alo ɖe wò ƒomea me tɔ aɖe, vevietɔ ame tsitsi aɖe, le kuxi sia me tom le esi wògbɔ tso kɔdzia? Nusi gbɔ wòtso ate ŋu anye dɔlékui ƒe dɔléle si ŋu ame geɖe mese nu tsoe gɔ̃ hã o, gake ate ŋu anye afɔku gã aɖe. Emae nye nusi ŋu míele nu ƒom tsoe egbea. Enye dɔlékui aɖe si woyɔna be C. diff.

Kpuie ko la, nukae nye C. diff?

C. diff, alo Clostridioides difficile , nye dɔlékui ƒomevi aɖe. Dɔlékui sia ate ŋu ana dɔlékui aɖe nadze míaƒe dɔgbowo me eye wòana míaƒe dɔgbo naxɔ abi vevie, alo avuvu. Ðɔktawo yɔa nɔnɔme sia be dɔgbo ƒe dɔléle . Zi geɖe la, dɔlékui sia dzea egɔme ne èwu dɔlékuiwutike zazã nu na dɔléle bubu. Ɣeaɖewoɣi la, ate ŋu ava zu nu sesẽ aɖe gɔ̃ hã eye wòade ame ƒe agbe afɔku me . Woate ŋu akpɔ C. diff dɔlékui sia ƒe lãmenugbagbeviwo le afisiafi si ƒo xlã mí, le ya, anyigba, tsi, kple amewo kple lãwo ƒe aɖuɖɔ gɔ̃ hã me. Bu eŋu abe dɔlékui siwo le alɔ̃ dɔm ene. Woate ŋu anɔ nutoa me ɣleti geɖe evɔ womagblẽ nu le wo ŋu o. Gake ne woto wò nu me ge ɖe wò ŋutilã me hege ɖe wò dɔgbo me ko hafi dɔlékui siawo gadzea dɔ gɔme ake.

Nukae nye C. diff ƒe dzesiwo?

C. diff dɔlékui ƒe dzesiwo ate ŋu atso esiwo mesẽ o dzi va ɖo esiwo nu sẽ ŋutɔ dzi. Na míalé ŋku ɖe nusiwo wonye ŋu.

Aleke C. diff stool ƒe dzedzeme kple ʋeʋẽ le?

Ame aɖewo gblɔna be C. diff dɔlékui nana woƒe aɖuɖɔ ƒe ʋeʋẽ trɔna. Zi geɖe la, esẽna wu, mevivina o. Ame bubuwo gblɔna be ʋuka si le aɖuɖɔ me ate ŋu ana wòaʋẽ vie. Ne míeƒo nu tso aɖuɖɔa ƒe dzedzeme ŋu la, ate ŋu anɔ gbadzaa ɣeaɖewoɣi, abe oatmeal ene, alo adze abe anyikpe ene. Ɣeaɖewoɣi la, ʋu alo ʋuʋudedi ate ŋu anɔ eme. Ate ŋu anye amadede dama hã. Vevietɔ wu: Ne wò aɖuɖɔtoea nu sẽ, si fia be edzea dziwò zi geɖe gbesiagbe, alo nèsena le ɖokuiwò me be yegbɔdzɔ la, yi atikewɔƒe enumake. Aɖuɖɔtoe sesẽ ate ŋu ana tsi nagbɔdzɔ kabakaba eye wòaku gɔ̃ hã.

Nukatae C. diff va dona? Amekawoe le afɔku me wu?

Abe alesi míedzro eme va yi ene la, nusi koŋ gbɔ esia tsoe nye dɔlékuiwutikewo zazã. Bu eŋu kpɔ, dɔlékui nyuiwo kple dɔlékui gbegblẽwo siaa nɔa agbe le dadasɔ me le míaƒe dɔgbowo me. Ne èno dɔlékuiwutikewo na dɔlékui aɖe la, menye dɔlékui gbegblẽawo koe atike mawo wua o, ke boŋ dɔlékui nyui siwo kpena ɖe mía ŋu hã. Ɣemaɣie mɔnukpɔkpɔ sua C. diff dɔlékui siwo dzi womeɖu o la si be woadzi ɖe edzi, awɔ aɖinuwo, eye woagblẽ nu le dɔgboa ŋu.

Nusiwo nana afɔkua dzina ɖe edzi:

• Dɔlékuiwutikewo zazã: Ame siwo zãa dɔlékuiwutike sesẽwo, vevietɔ cephalosporins, clindamycin , fluoroquinolones , kple penicillins, le afɔku me wu.
• Ƒe: Amesiwo xɔ wu ƒe 65 ate ŋu axɔ dɔlékui sia.
• Kɔdziyiyi: Dɔlékui sia ƒe dɔlékuiwo kaka ɖe teƒewo abe kɔdziwo kple ame tsitsiwo dzikpɔƒewo ene wu. Le teƒe mawo la, woate ŋu akakae bɔbɔe to dɔwɔlawo dzi alo to kɔdzidɔwɔnuwo dzi.
• Dɔlélenutsiŋutete si gbɔdzɔ:Amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ le kansa, kansa dada, alo dɔléle bubuwo ta la le afɔku me wu.
• Dɔgbomedɔ bubuwo: Amesiwo ŋu dɔlélewo abe dɔgbo ƒe dɔléle si naa dɔgboa ƒe dɔléle (IBD) alo dɔgbo me dɔdzẽ le hã le afɔku me wu.

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

Ne womeda C. diff dɔlékuia kaba o la, kuxi sesẽwo ate ŋu ado mo ɖa.

• Tsikunɔamesi Sesẽ: Aɖuɖɔtoe si gbɔ eme ate ŋu ana tsi kple dze nabu le ŋutilãa me, si agblẽ nu le ayiku ƒe dɔwɔwɔ kple ʋu ƒe sisi ŋu.
• Toxic Megacolon: Esia nye nɔnɔme si me afɔku le ŋutɔ. Le go sia me la, dɔgboa vuvu ale gbegbe be manya wɔ be ya alo aɖuɖɔ nato eme o. Esia ate ŋu ana dɔgboa gɔ̃ hã nagbã. Esia dea ame ƒe agbe afɔku me eye wòhiã be woawɔ dɔ na ame kpata.
• Dɔgbo ƒe Dodo: Do ​​si le dɔgbo gã la me ate ŋu ana dɔlékui siwo me afɔku le nage ɖe ƒodoa me, si ana dɔlékui sesẽ aɖe si woyɔna be peritonitis .
• Pseudomembranous colitis: Aɖi siwo C. diff wɔna gblẽa nu le dɔgboa ƒe akpa si le eme ƒe lãmenugbagbeviwo ŋu, si wɔnɛ be abi kple kpe gbadzɛwo ƒoa ƒu.

Ne esia nye nɔnɔme sesẽ aɖe la, ahiã gɔ̃ hã be woaxɔ wò ɖe kɔdzia ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) . Eyata ne dzesiwo le ŋuwò la, yi ɖɔkta gbɔ kaba.

Atikewɔwɔ kple mɔxexe ɖe enu

Wò ɖɔkta anɔ te ɖe wò dzesiwo dzi aɖo kpe edzi nenye be C. diff dɔlékui aɖe le ŋuwò to aɖuɖɔ ƒe kpɔɖeŋu dodokpɔ me.

Dɔdamɔnu siwo wozãna

Nukutɔe la, wotsɔa dɔlékuiwutike tɔxɛ bubuwo hã daa dɔléle sia si dɔlékuiwutikewo hena vɛ. Esiawo tɔa ŋku C. diff dɔlékuiawo ko eye wowua wo.

• Fidaxomicin ƒe atike
• Metronidazole ƒe atike
• Vancomycin si wozãna tsɔ wɔa dɔe

Ele be nàzã atike siawo abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ. Ele vevie hã be woaɖɔli tsi siwo bu le aɖuɖɔtoe me. Esia fia be woano tsi, mɔli, mɔli, mɔli, kple atikutsetse me tsi geɖe. Le nɔnɔme sesẽ aɖewo me la, ahiã be woawɔ dɔ na dɔgboa ƒe akpa siwo gblẽ gɔ̃ hã.

Nuɖuɖu nyui siwo nàɖu ne C. diff dɔlékui le ŋuwò

Anyo wu be nàɖu nuɖuɖu siwo le bɔbɔe na dɔgbo eye starch le wo me ne aɖuɖɔtoe le ŋuwò.

• Crackers ƒe lãgbalẽgolowo
• Mɔli si woɖa, mɔli vivi
• Bli, bli ƒe mɔli
• Oatmeal ƒe nuɖuɖu
• Mɔli ƒomeviwo
• Amagbe siwo woɖa
• Akɔɖu

Aleke nàwɔ akpɔ ɖokuiwò ta tso dɔlékuiwo xɔxɔ me?

• Ne kɔdzie nèle la, bia tso ɖɔkta kple dɔnɔdzikpɔla siwo kpɔa dziwò si be woaklɔ asi hafi wova srã wò kpɔ kple ne wova srã wò kpɔ vɔ megbe.
• Bia nenye be wokɔ atikewɔnu siwo wotsɔ va wò xɔ me la ŋu.
• Mègano dɔlékuiwutikewo madzemadzee o. Ðeko nàno atike la abe alesi wò ɖɔkta gblɔe ene, eye nànoe hena ɣeyiɣi bliboa si nèŋlɔ nɛ.

Ne èle ame aɖe si ŋu C. diff dɔlékui le dzi kpɔm la, kpɔ egbɔ be yedo asigɛwo. Azɔ hã, tsɔ atike si me chlorine (bleach) le klɔ nugododeƒea, ʋɔtrutiwo, kple switch siwo amea zãna edziedzi . C. diff, Clostridioides difficile, aɖuɖɔtoe, dɔgbo ƒe vevesese, dɔlékuiwutikewo, dɔlékuiwo ƒe dɔléle, dɔgbo ƒe dɔléle