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He aha ka C. diff (Clostridioides difficile)?
I ka ʻōlelo maʻalahi, he ʻano bacteria ʻo C. diff. ʻO ka inoa pololei ʻo (Clostridioides difficile). Hiki i kēia bacteria ke hoʻoulu i kahi maʻi i loko o kou ʻōpū nui, ʻo ia hoʻi, (colon). ʻO ia ka manawa e ʻike ʻia ai nā hōʻailona ʻoluʻolu ʻole e like me ka maʻi diarrhea. I kēia manawa, e nānā kākou, he mea maʻamau no ko kākou ʻōpū nui ke loaʻa i nā maʻi bacteria. ʻAʻole koʻikoʻi ka hapa nui o lākou. Akā, ʻoi aku ka koʻikoʻi o kēia maʻi C. diff. ʻO ke kumu, ʻo kēia bacteria (Clostridioides difficile) e hana i nā mea ʻawahia. Hoʻopōʻino kēia mau mea ʻawahia i nā ʻāpana i loko o ko kākou ʻōpū. Hoʻoulu kēia i ka mumū o ka uhi o ka ʻōpū a me ka ʻōpū nui, ʻo ia hoʻi, ka mumū (colitis). Inā loaʻa iā ʻoe nā hōʻailona a me ke koʻikoʻi o lākou, pili ia i ka nui o ka pōʻino i hana ʻia e kēia mau mea ʻawahia. I kekahi manawa hiki i kēia kūlana ke hoʻoweliweli i ke ola. Ua kapa mua ʻia kēia bacteria (Clostridium difficile). I kēia manawa, ʻo ka inoa hou ʻo (Clostridioides difficile).Pehea ka maʻamau o ka maʻi C. diff?
He pilikia olakino honua ka maʻi C. diff, a i ʻole CDI. Eia nō naʻe, ʻaʻohe helu pololei e pili ana i kona laha ʻana ma ka honua. Ma ʻAmelika Hui Pū ʻIa, ua manaʻo ʻia he 500,000 mau maʻi i kēlā me kēia makahiki, a ma kahi o 15,000 mau make. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.
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Check Availability →He aha nā hōʻailona o ka maʻi C. diff?
ʻO ka hōʻailona mua a maʻamau ka maʻi diarrhea wai. I nā hihia palupalu, hiki mai ka diarrhea a hiki i ʻekolu manawa i ka lā, a aia paha kekahi mau ʻeha o ka ʻōpū. I ka holomua ʻana o ka maʻi C. diff, piʻi ka pinepine o ka diarrhea. Hiki ke hana a hiki i 10-15 mau manawa i ka lā. Hiki paha iā ʻoe ke ʻike i ke koko i loko o kou ʻōpala. ʻO nā hōʻailona ʻē aʻe:- Ke loaʻa nei ka ʻeha mau o ka ʻōpū
- Ua piha ka ʻōpū a ua pehu.
- Ka luaʻi a me ka luaʻi
- Makemake nui
- kuni
- Hoʻonui ʻia ka helu o ka puʻuwai
Akā e hoʻomanaʻo, i kekahi manawa hiki ke loaʻa nā maʻi C. diff me ka ʻole o ka maʻi pākī .
Pehea ke ʻano o ka ʻōpala ke loaʻa iā ʻoe ʻo C. diff? Pehea kona ʻala?
ʻO ka maʻamau, he ʻano like me ka paʻi ka maʻi diarrhea C. diff, ʻaʻole piha i ka wai. I kekahi manawa hiki ke ʻōmaʻomaʻo, akā hiki nō hoʻi kēia ke hana me nā maʻi bacteria ʻē aʻe. I kekahi manawa, ʻike pinepine ʻia ke koko, ka mucus, a i ʻole ka pus i loko o ka ʻōpala. Hōʻike ka nui o ka poʻe he ʻala ʻokoʻa ko ka maʻi diarrhea C. diff. Wahi a lākou he ʻawaʻawa loa ia a he ʻono ʻē kona. Malia paha no ka mea hoʻonui ʻo C. diff i nā pae o nā waikawa bile i loko o ka ʻōpala.He aha ke kumu o ka maʻi C. diff?
ʻO ka maʻamau, mālama ke kanaka me ka ʻōnaehana pale olakino i ka bacteria C. diff i loko o ko lākou ʻōpū, no laila ʻaʻole lākou e hoʻoulu i kahi maʻi. ʻO ka pilikia ke hoʻomaka kēia bacteria e ulu nui me ka ʻole o ia kaohi. ʻO ke kumu o kēia, ua nalowale ke kaulike ma waena o ka bacteria "maikaʻi" a me ka bacteria "ʻino" i loko o ko kākou ʻōpū. Loaʻa i nā kānaka a pau ka bacteria i loko o ko lākou ʻōpū. Kōkua kēia mau bacteria maikaʻi i ka mālama ʻana i nā bacteria ʻē aʻe e like me C. diff. ʻO ke kumu nui o ka maʻi C. diff ʻo ia ka hoʻohana ʻana i nā (antibiotics). Ke hoʻohana ʻia nā antibiotics, ua hoʻopilikia ʻia ke kaulike ma waena o ka bacteria maikaʻi a me ka bacteria maikaʻi ʻole i loko o ko kākou ʻōpū (ka (gut microbiome). A laila hiki i ka bacteria C. diff ke lilo i mea nui a ulu nui.Pehea e hoʻoili ʻia ai ʻo C. diff?
Hoʻolaha ʻia ka Clostridium difficile ma ka hoʻokuʻu ʻana i nā spores. He liʻiliʻi loa kēia mau spores a hiki ke loaʻa ma ko mākou ʻili, ma nā mea a puni mākou, a ma nā ʻili e like me nā papa ʻaina a me nā noho. ʻO ia hoʻi, inā ʻoe e hoʻopā i kahi mea nona kēia mau spores ma luna, a laila e ʻai pū me ia a i ʻole e hoʻopā i kou waha, hiki iā ʻoe ke loaʻa iā C. diff.No ke aha i laha koke ai ʻo C. diff?
Ma waho o ko kākou kino, hana nā bacteria C. diff i nā spores. He mea paʻakikī loa kēia mau spores e pepehi, ma loko a ma waho o nā ʻōpū. Kūʻē lākou i ka wela, ka waikawa, nā antibiotic he nui, a me nā disinfectants. Hiki iā lākou ke ola ma luna o nā ʻili no nā mahina. Manaʻo nā kānaka noiʻi aia ma kahi o 5% o ka heluna kanaka he bacteria C. diff i loko o ko lākou mau colons me ka ʻole o ka hōʻailona ʻana i kekahi mau hōʻailona. ʻO ia hoʻi, inā loaʻa iā ʻoe ka C. diff ma lalo o ka mana, hiki nō iā ʻoe ke hoʻolaha iā ia i nā poʻe ʻē aʻe.Hiki iā ʻoe ke launa pū me kekahi mea nona ka C. diff?
ʻAe, hiki iā ʻoe. Akā inā wale nō ʻoe e hahai i nā hana palekana. No ka hōʻemi ʻana i ka laha ʻana o ka maʻi, pono ʻoe e hana i kēia mau mea:- E holoi mau i kou mau lima me ke kopa.
- Mai hoʻopā i kou ihu, waha, a me nā maka.
- E hoʻomaʻemaʻe i nā ʻili a puni.
- Nā mikina lima, nā pale makaE hoʻohana i nā lako palekana, e like me nā ʻaʻahu komo (ʻoi aku hoʻi inā e mālama ana i kahi maʻi).
ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o C. diff?
Aia kekahi mau kūlana olakino e hiki ke hoʻohaʻahaʻa i nā pale o kou kino e kūʻē i ka maʻi C. diff. ʻO kēia mau mea:- ʻO ka maʻi mumū o ka ʻōpū ( IBD ): ʻO nā maʻi mumū mau o ka ʻōpū, e like me ka maʻi Crohn a me ka ulcerative colitis, hoʻonāwaliwali i nā ʻōpū i ka hala ʻana o ka manawa. Hoʻopōʻino kēia i ka mucosa, ka uhi o nā ʻōpū, a hōʻemi i ka palekana o ka ʻōpū.
- ʻŌnaehana pale kino nāwaliwali: Inā loaʻa iā ʻoe kahi maʻi pale kino a i ʻole kekahi maʻi maʻi ʻē aʻe e hoʻopilikia ai i kāu ʻōnaehana pale kino, e like me ke kanesa, HIV , maʻi puʻupaʻa, a i ʻole ka maʻi diabetes, e nāwaliwali paha kāu ʻōnaehana pale kino holoʻokoʻa, ʻaʻole wale kou ʻōpū. He ʻoiaʻiʻo kēia inā ʻoe e lawe ana i nā immunosuppressants.
- Makahiki: ʻOi aku ka nui o ka pilikia o ka poʻe ma luna o 65 mau makahiki i ka loaʻa ʻana o C. diff. Hiki paha kēia no ka mea he nāwaliwali ko lākou ʻōnaehana pale maʻi, ke lawe nei i nā lāʻau lapaʻau he nui i ka manawa like, a noho paha i nā haukapila a i ʻole nā hale mālama. Hiki i nā keiki ʻōpio ke loaʻa iā C. diff.
- Ka hoʻokipa ʻia ʻana ma ka haukapila a i ʻole nā wahi piha kanaka (e.g., nā hale paʻahao): Hoʻolaha maʻalahi ʻo C. diff ma nā wahi piha kanaka. Hiki i nā spores ke ola no nā mahina ma nā ʻili like. Hiki ke hoʻolaha ʻia mai ke kanaka a i ke kanaka ma o nā wahi i kaʻana like ʻia, e like me nā lumi ʻauʻau.
He aha nā pilikia e hiki mai ana o ka maʻi C. diff?
Hiki ke loaʻa nā pilikia me nā maʻi ʻoi aku ka koʻikoʻi. ʻO ke koʻikoʻi o kāu maʻi e pili ana i kekahi mau kumu, me ke ʻano o ka bacteria āu i loaʻa ai, a me ka ikaika o kāu ʻōnaehana pale. ʻO ka poʻe i loaʻa nā kumu pilikia no ka hoʻomohala ʻana i ka maʻi C. diff e ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kahi maʻi ʻoi aku ka koʻikoʻi a i ʻole ka loaʻa ʻana o nā maʻi hou. Hiki i kēia ke hana i nā pōʻino hou aʻe i ka hala ʻana o ka manawa. ʻO nā pilikia maʻamau:- Ka maʻi hou: Ma kahi o 20% o nā kānaka e loaʻa hou i loko o ʻelua a ʻewalu pule ma hope o ka pau ʻana o ka lāʻau lapaʻau. Ma hope o kēlā, hiki i kekahi 40% ke loaʻa hou.
- Ka maloʻo a me ka nalowale o nā electrolytes:Inā nalowale ʻoe i nā wai a me nā electrolytes mai kou kino ma mua o ka hiki iā ʻoe ke pani iā lākou, hiki iā ʻoe ke loaʻa nā hopena ʻino e like me ka haʻahaʻa o ke koko, ke koko haʻahaʻa, a me ka hāʻule ʻana o nā puʻupaʻa i nā hihia koʻikoʻi.
- Pseudomembranous colitis: He ʻano colitis koʻikoʻi kēia. I kēia kūlana, hiki ke hana ʻia kahi membrane mānoanoa a ʻōpala ma ka uhi o kou kolona.
- Ka liki ʻana o ka wai: Hiki ke hoʻomaka ka wai e liki mai kou kolona i loko o kou lua ʻōpū (ua kapa ʻia kēia he ascites), e hoʻoulu ai i kou ʻōpū e pehu. Hiki paha iā ʻoe ke nalowale i ka protein mai kou kolona, e hoʻohaʻahaʻa ai i kāu mau pae albumin. Hiki i kēia ke hana i nā hōʻailona e like me ka pehu a me ka luhi.
- ʻO ka maʻi ʻāʻī: Hiki i kahi maʻi koʻikoʻi ke hana i kahi kūlana i kapa ʻia ʻo "reactive arthritis." Hiki i kēia ke hoʻoulu i ka mumū, ka pehu, a me ka ʻeha i kou mau hono a me nā ʻāpana ʻē aʻe o kou kino.
- Megacolon ʻawahia: He ʻano laha ʻole akā he mea weliweli loa ka megacolon ʻawahia. Hana ʻia kēia i ka wā e lilo ai ka pehu i hoʻokumu ʻia e ka mumū i mea koʻikoʻi a lilo ka kolone i mea hana ʻole. Hiki i kēia ke alakaʻi i ka sepsis (ka lāʻau make koko).
Pehea e ʻike ʻia ai ka maʻi C. diff?
Inā kānalua kāu kauka i kahi maʻi C. diff ma muli o kāu mau hōʻailona, e lawe ʻo ia i kahi hāpana o kou ʻōpala a hoʻouna aku i kahi keʻena hoʻokolohua e nānā i nā mea ʻawahia C. diff. Inā maikaʻi kāu mau hopena hoʻāʻo, ʻo ia hoʻi he maʻi kou, hiki i kāu kauka ke hana i nā hoʻokolohua hou aʻe e ʻike ai i ke koʻikoʻi o ka maʻi. Hiki i kēia ke komo pū me nā hoʻokolohua koko a me nā hoʻokolohua kiʻi e nānā i loko o kou kolona.Pehea e mālama ʻia ai ka maʻi C. diff?
Hoʻōla ʻia ka maʻi C. diff ma muli o kona koʻikoʻi. Inā loaʻa iā ʻoe ka C. diff i ka wā e lawe ana i nā lāʻau antibiotic, e hoʻōki mua paha kāu kauka i ka lawe ʻana i ka lāʻau. No kekahi poʻe, ʻo ia wale nō ka mea e pono ai. E hoʻomaka hou kā lākou ʻōnaehana pale ʻōpū maoli e hana a kāohi i ka maʻi. Inā ʻaʻole, hiki i kāu kauka ke kuhikuhi i nā ʻano lāʻau antibiotic ʻē aʻe e hiki ke hoʻōki i ka C. diff. ʻO kekahi mau ʻano lāʻau antibiotic no C. diff:- ʻO ka Metronidazole
- ʻO Vancomycin
- ʻO Fidaxomicin
He aha e hana ai no nā maʻi paʻakikī o C. diff?
Inā loaʻa iā ʻoe nā pilikia koʻikoʻi, pono paha ʻoe e mālama ʻia ma kahi keʻena mālama koʻikoʻi. He mea kākaʻikahi loa, hiki i nā kauka ke ʻōlelo aku i ke ʻoki kino ulia pōpilikia (colectomy) e wehe i ke kumu o ka maʻi i loko o kou kolona. Inā hoʻōla ʻoe akā e loaʻa mau ana nā maʻi ma hope o ka mālama ʻana, ʻo kāu mau koho:- Lapaʻau antibiotic hou: Hiki i kāu kauka ke hāʻawi iā ʻoe i kahi lāʻau lapaʻau ʻokoʻa, a i ʻole ka lāʻau lapaʻau like no kahi manawa lōʻihi. Ma hope o nā antibiotics, hiki i kāu kauka ke ʻōlelo aku i ka lawe ʻana i nā probiotics e kōkua i ka hoʻihoʻi ʻana i ka bacteria i loko o kou ʻōpū.
- ʻO ka Fecal Microbiota Transplant (FMT): Ua hōʻike ʻia kēia ʻano hana he mea kūpono loa ia i ka pale ʻana i nā maʻi C. diff hou ma hope o ka hāʻule ʻana o ka lāʻau antibiotic pinepine. Pili ia i ka hoʻoili ʻana i kahi hāpana lepo mai kahi kanaka olakino i loko o kahi colon maʻi. Hoʻohana ʻia kēia hāpana e hoʻoponopono hou i kou microbiome ʻōpū. E noʻonoʻo e like me ka hoʻohui ʻana i kahi lepo maikaʻi i kahi māla me kekahi mau mea kanu maikaʻi ʻole a me ke kanu ʻana i kekahi mau mea kanu maikaʻi.
He aha nā hana palekana e hiki ke hana ʻia e pale aku ai i ka laha ʻana o C. diff?
Lawe nā limahana mālama ola i nā hana palekana kūikawā i ka wā e hana ai me ka maʻi C. diff e kōkua i ka pale ʻana i ka laha ʻana o kēia maʻi lele loa. Hiki iā ʻoe ke hahai i kā lākou laʻana e pale aku i nā poʻe ʻē aʻe:- Ka Hoʻokaʻawale ʻana: Inā loaʻa iā ʻoe kahi maʻi, ʻoi aku ka maikaʻi o ka hoʻokaʻawale ʻana iā ʻoe iho i loko o kou lumi ponoʻī. ʻO kēlā me kēia mea e hele mai i loko o ka lumi e mālama iā ʻoe e ʻaʻahu i nā mīkina lima hoʻolei ʻia, a pono lākou e wehe iā lākou ke haʻalele lākou i ka lumi. No ka mea ua laha ka maʻi ma o kou mau ʻōpala, pono ʻoe e pale i ka kaʻana like ʻana i nā lua me nā poʻe ʻē aʻe. Inā pono ʻoe e kaʻana like, e hoʻomaʻemaʻe i ka lima, ka noho lua, a me ka ʻāina a puni me kahi mea hoʻomaʻemaʻe me ka bleach ma hope o ka hoʻohana ʻana.
- Holoi lima: No ka mea, ʻaʻole i hoʻopilikia ʻia ʻo C. diff e ka mea hoʻomaʻemaʻe lima, he mea nui e holoi pinepine i kou mau lima me ke kopa a me ka wai wela. He mea nui kēia no nā mea a pau āu e launa pū ai.
- Hoʻomaʻemaʻe: ʻAʻole hana ka hapa nui o nā mea hoʻomaʻemaʻe maʻamau i ka C. diff. Akā hiki i nā huahana i loaʻa ka bleach. He mea nui e hoʻomaʻemaʻe i nā ʻili āpau āu e hoʻopā ai, ʻoiai hoʻi i loko o ka lumi ʻauʻau.
- ʻO ka lawe ʻana i nā lāʻau antibiotic e like me ke kauoha: Mai lawe i nā lāʻau antibiotic a haʻi, a mai mālama i nā lāʻau antibiotic no ka hoʻohana ʻana ma hope.
He aha kāu e manaʻo ai inā loaʻa iā ʻoe ʻo C. diff?
He ʻoluʻolu ka hapa nui o nā maʻi C. diff a hoʻopau ʻia me ka mālama ʻana. Eia nō naʻe, hiki i nā kūlana e hoʻoulu ai i ka maʻi C. diff ke laha koke i kekahi manawa. Hiki i ka maʻi C. diff ke hele koke mai a koʻikoʻi. Inā he mau kumu pilikia kou no ka maʻi C. diff, ʻoi aku ka nui o kou loaʻa ʻana i kahi maʻi koʻikoʻi, a i ʻole he mau maʻi hou paha kāu e pono ai ka mālama hou ʻana.Nalowale wale anei ʻo C. diff?
ʻAe, inā hiki i kāu bacteria ʻōpū olakino ke hoʻi i ke ʻano maʻamau a hakakā iā ia, hiki iā ʻoe ke hoʻomaikaʻi iā ʻoe iho. ʻOi aku ka nui o kēia inā ikaika kāu bacteria ʻōpū a ʻaʻohe ou pilikia olakino lōʻihi e hoʻonāwaliwali nei iā lākou. Inā ua hoʻokumu ʻia ka maʻi ma ka lawe ʻana i nā antibiotics, hiki iā ʻoe ke hoʻomaikaʻi ke hoʻōki ʻoe i ka lawe ʻana iā lākou. Akā, mai kali lōʻihi. Inā ʻaʻole ʻoe e ʻoluʻolu i loko o kekahi mau lā, e ʻike koke i ke kauka.Ke loaʻa iā ʻoe ʻo C. diff, aia mau nō ia ma laila?
Ma hope o ka mālama ʻana, hiki ke noho kekahi mau bacteria. Akā hiki iā ʻoe ke hele no kekahi manawa me ka loaʻa ʻole o ka maʻi. Inā e noho ana nā bacteria maikaʻi o ka ʻōpū, e kōkua lākou i ka kaohi ʻana i ka Clostridium difficile. Inā loaʻa iā ʻoe nā maʻi e hoʻi hou ana, no ka mea ʻaʻole i hoʻi hou kēia mau bacteria ʻē aʻe i ka maʻamau. Hiki i nā maʻi e hoʻi hou ana ke lilo i ka hana hou ʻana o ka maʻi mua, akā ʻaʻole ia ka hihia mau. I kekahi manawa he mau maʻi hou lākou.Aia kekahi mau pilikia lōʻihi ma hope o ka maʻi C. diff?
ʻO ka pilikia lōʻihi maʻamau ka maʻi mau a i ʻole nā maʻi hou me Clostridium difficile. Hana ʻia kēia i ka wā e paʻakikī ai kou kolona e ho'ōla piha. Hiki ke lohi kou kolona e ho'ōla no kēia mau kumu:- Inā loaʻa iā ʻoe kahi maʻi koʻikoʻi i hōʻino i ka uhi o kou ʻōpū.
- Inā pono ʻoe e lawe i nā lāʻau antibiotic no ka manawa lōʻihi, a inā pono ʻoe e lawe i nā lāʻau antibiotic no C. diff ma hope o ka lawe ʻana i nā lāʻau antibiotic ʻē aʻe.
- Inā he maʻi olakino lōʻihi kou e hoʻopilikia ai i kou ʻōpū a i ʻole ka ʻōnaehana pale.
- Inā ʻoe ma luna o 65 mau makahiki.
He aha nā nīnau āu e nīnau ai i kāu kauka e pili ana i ka maʻi C. diff?
Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:- Pehea ka ʻino o koʻu maʻi?
- Aia wau i ka pilikia o nā pilikia?
- Pehea e ʻike ai au inā e holomua ana ʻo C. diff?
- Āhea wau e kāhea aku ai iā ʻoe? Āhea wau e hele ai i ka lumi pilikia?
- Pono anei iaʻu e ʻike i kahi gastroenterologist?
- He aha nā koho lapaʻau no nā maʻi i hoʻi hou mai?
No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo?
He bacteria ʻo C. diff e hiki ke hoʻoulu i kahi maʻi i loko o ko kākou ʻōpū nui. Hoʻoulu kēia i nā hōʻailona e like me ka maʻi pākī a me ka ʻeha o ka ʻōpū.>
Hana pinepine kēia i ka wā e pepehi ai nā lāʻau antibiotic i nā bacteria maikaʻi i loko o ka ʻōpū, e ʻae ana iā C. diff e ulu.>
He mea laha loa kēia, no laila he mea nui ka holoi ʻana i kou mau lima a me ka mālama ʻana i ka maʻemaʻe.>
ʻO ka poʻe ʻelemakule, ka poʻe me nā ʻōnaehana pale kino nāwaliwali, a me ka poʻe i hoʻopaʻa ʻia i ka haukapila, ʻoi aku ka nui o ka loaʻa ʻana o kēia.>
Inā loaʻa iā ʻoe nā hōʻailona, e ʻimi koke i ke kōkua lapaʻau. No ka mea, inā mālama pono ʻia, hiki iā ʻoe ke ho'ōla pinepine. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia.>
He mea nui e lawe i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka a i ka manawa kūpono.No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!
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