Ua loaʻa anei iā ʻoe kahi ʻōpū ʻeha ma hope o ka lawe ʻana i nā lāʻau antibiotic? E aʻo kākou e pili ana i kēia bacteria weliweli, ʻo C. diff (Clostridioides difficile).

Ua loaʻa anei iā ʻoe kahi ʻeha ʻōpū nui ma hope o ka lawe ʻana i kahi lāʻau antibiotic, a ua hoʻomaka paha ʻoe e loaʻa i ka maʻi diarrhea wai i nā manawa he nui i ka lā? A i ʻole kekahi o kou ʻohana, ʻoi aku hoʻi he kanaka ʻelemakule, e ʻeha nei i kēia pilikia ma hope o ka hoʻi ʻana mai ka haukapila? ʻO ke kumu paha he maʻi bacteria i lohe ʻole ʻia e ka poʻe he nui, akā hiki ke lilo i mea weliweli loa. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā. He bacteria i kapa ʻia ʻo C. diff.

I ka ʻōlelo maʻalahi, he aha ʻo C. diff?

ʻO C. diff, a i ʻole Clostridioides difficile , he ʻano bacteria. Hiki i kēia bacteria ke hoʻoulu i kahi maʻi i loko o ko kākou ʻōpū a hoʻoulu i ka mumū nui, a i ʻole ka pehu ʻana, i loko o ko kākou colon. Ua kapa nā kauka i kēia maʻi he colitis . ʻO ka hapa nui o ka manawa, hoʻomaka kēia maʻi ma hope o kou hoʻopau ʻana i ka hoʻohana ʻana i kahi antibiotic no kekahi maʻi ʻē aʻe. I kekahi manawa, hiki ke lilo i mea koʻikoʻi a hoʻoweliweli i ke ola . Hiki ke loaʻa nā spore o kēia bacteria C. diff ma nā wahi a puni mākou, i ka lewa, ka lepo, ka wai, a me nā ʻōpala o nā kānaka a me nā holoholona. E noʻonoʻo iā ia e like me nā bacteria moe. Hiki iā lākou ke noho i loko o ke kaiapuni no nā mahina me ka ʻole o ka hōʻeha. Eia naʻe, lilo hou kēia mau spores i ka wā e komo ai lākou i kou kino ma o kou waha a i loko o kou ʻōpū.

He aha nā hōʻailona o C. diff?

Hiki i nā hōʻailona o ka maʻi C. diff ke ʻano like ʻole mai ka ʻoluʻolu a i ka ʻino loa. E nānā kākou i ke ʻano o lākou.

Pehea ke ʻano a me ke ʻala o ka ʻōpala C. diff?

Wahi a kekahi poʻe, ʻo ka maʻi C. diff ke kumu o ka loli ʻana o ke ʻala o ko lākou ʻōpala. ʻOi aku ka ʻawaʻawa a me ka ʻoluʻolu ʻole. Wahi a kekahi poʻe, hiki i ka bile i loko o ka ʻōpala ke hāʻawi iā ia i kahi ʻala ʻono iki. I ka wā e pili ana i ke ʻano o ka ʻōpala, hiki i kekahi manawa ke wehe, e like me ka oatmeal, a i ʻole e like me ka lepo. I kekahi manawa aia paha ke koko a i ʻole ka mucus. Hiki ke ʻōmaʻomaʻo ke kala. ʻO ka mea nui loa: Inā koʻikoʻi kou maʻi diarrhea, ʻo ia hoʻi, loaʻa iā ʻoe i nā manawa he nui i ka lā, a i ʻole ʻoe e manaʻo nāwaliwali, e ʻimi koke i ke kōkua lapaʻau. Hiki i ka maʻi diarrhea koʻikoʻi ke alakaʻi koke i ka maloʻo a me ka make.

No ke aha e ulu ai ʻo C. diff? ʻO wai ka mea i ʻoi aku ka pilikia?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui o kēia ka hoʻohana ʻana i nā antibiotics. E noʻonoʻo e pili ana i ia mea, noho kaulike nā bacteria maikaʻi a me nā bacteria ʻino i loko o ko kākou ʻōpū. Ke lawe ʻoe i nā antibiotics no kahi maʻi, pepehi kēlā mau lāʻau lapaʻau ʻaʻole wale i nā bacteria ʻino, akā, i nā bacteria maikaʻi hoʻi e kōkua iā kākou. ʻO ia ka manawa e loaʻa ai i ka bacteria C. diff i kāohi ʻole ʻia ka manawa kūpono e hoʻonui, hana i nā mea ʻawahia, a hōʻino i nā ʻōpū.

Nā kumu e hoʻonui ai i ka pilikia:

• Ka hoʻohana ʻana i nā lāʻau antibiotic: ʻO ka poʻe e hoʻohana ana i nā lāʻau antibiotic ikaika, ʻoiai hoʻi nā cephalosporins, clindamycin , fluoroquinolones , a me nā penicillins, ʻoi aku ka nui o ka pilikia.
• Makahiki: ʻOi aku ka nui o ka poʻe ma luna o 65 mau makahiki e loaʻa i kēia maʻi.
• Ka Hoʻokipa ʻana ma ka Halemai: ʻOi aku ka nui o ka laha ʻana o nā spores o kēia bacteria ma nā wahi e like me nā haukapila a me nā hale mālama. Ma ia mau wahi, hiki ke laha maʻalahi ma o nā limahana a i ʻole nā ​​​​lako haukapila.
• ʻŌnaehana pale kino nāwaliwali:ʻOi aku ka pilikia o ka poʻe me nā ʻōnaehana pale maʻi nāwaliwali ma muli o ke kanesa, nā lāʻau lapaʻau no ka maʻi kanesa, a i ʻole nā ​​​​maʻi ʻē aʻe.
• Nā maʻi ʻōpū ʻē aʻe: ʻO ka poʻe me nā maʻi e like me ka maʻi ʻōpū mumū (IBD) a i ʻole ke kanesa colorectal e piʻi nui ana ka pilikia.

He aha nā pilikia e hiki ke kū mai ma muli o C. diff?

Inā ʻaʻole e mālama koke ʻia ka maʻi C. diff, hiki ke loaʻa nā pilikia koʻikoʻi.

• Ka maloʻo nui: Hiki i ka maʻi pākī nui ke hoʻopau i ka wai a me nā paʻakai mai ke kino, e hoʻopilikia ana i ka hana o nā puʻupaʻa a me ke koko.
• Megacolon ʻawahia: He kūlana weliweli loa kēia. I kēia hihia, pehu loa ke kolona a hiki ʻole ke hoʻokuʻu i ka ea a i ʻole ka ʻōpala. Hiki i kēia ke kumu o ka pahū ʻana o ke kolona. He mea hoʻoweliweli kēia i ke ola a pono e hana ʻoki kino koke.
• Ka Perforation o ka ʻōpū: Hiki i kahi lua i loko o ka ʻōpū nui ke ʻae i nā bacteria weliweli e komo i loko o ka lua ʻōpū, e hana ana i kahi maʻi koʻikoʻi i kapa ʻia ʻo peritonitis .
• Pseudomembranous colitis: ʻO nā mea ʻawahia i hana ʻia e C. diff e hōʻino i nā pūnaewele o ka uhi o loko o ka ʻōpū, e hana ana i nā ʻōpū a me nā palaki mānoanoa.

Inā he maʻi koʻikoʻi kēia, pono paha ʻoe e komo i ka Emergency Treatment Unit (ETU) o ka haukapila. No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​e ʻike koke i ke kauka.

Ka mālama ʻana a me ka pale ʻana

Ma muli o kāu mau hōʻailona, ​​​​e hōʻoia kāu kauka inā loaʻa iā ʻoe kahi maʻi C. diff ma ka hoʻāʻo ʻana i kahi hāpana ʻōpala.

Nā ʻano lapaʻau

ʻO ka mea kupanaha, ua mālama ʻia kēia maʻi i hoʻoulu ʻia e ka antibiotic me nā antibiotic kikoʻī ʻē aʻe. Hoʻopaʻa kēia mau mea a pepehi wale i ka bacteria C. diff.

• ʻO Fidaxomicin
• Metronidazole
• Vancomycin

Pono e hoʻohana pono ʻia kēia mau lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka. He mea nui hoʻi e hoʻololi i nā wai i nalowale mai ka maʻi pākī. ʻO ke ʻano kēia o ka inu ʻana i ka nui o ka wai, ka wai momona, ka porridge, ka sopa, a me ka wai huaʻai. I kekahi mau hihia koʻikoʻi, pono paha e wehe ʻia nā ʻāpana i hōʻino ʻia o ka ʻōpū ma ke ʻoki ʻana.

Nā meaʻai maikaʻi e ʻai ai i ka wā e loaʻa ai iā ʻoe ka maʻi C. diff

ʻOi aku ka maikaʻi o ka ʻai ʻana i nā meaʻai maʻalahi i ka ʻōpū a loaʻa ka starch i ka wā e loaʻa ai iā ʻoe ka maʻi diarrhea.

• Nā Keke Paʻi
• ʻUala i hoʻolapalapa ʻia, ʻuala
• Laiki, ʻōpala laiki
• ʻOatmeal
• Nā ʻano sopa
• Nā mea kanu i hoʻolapalapa ʻia
• Maiʻa

Pehea e pale ai iā ʻoe iho mai ka maʻi?

• Inā ʻoe ma ka haukapila, e noi i nā kauka a me nā kahu maʻi e mālama iā ʻoe e holoi i ko lākou mau lima ma mua a ma hope o ke kipa ʻana iā ʻoe.
• E nīnau inā ua hoʻomaʻemaʻe ʻia nā lako lapaʻau i lawe ʻia mai i loko o kou lumi.
• Mai lawe i nā lāʻau antibiotic me ke kumu ʻole. E lawe wale i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, a e lawe no ka manawa piha i kauoha ʻia.

Inā ʻoe e mālama ana i kahi mea me ka maʻi C. diff, e hōʻoia e komo i nā mīkina lima. Eia kekahi, e hoʻomaʻemaʻe mau i ka lua, nā ʻūpā puka, a me nā kuapo i hoʻohana ʻia e ke kanaka me kahi mea hoʻomaʻemaʻe i loaʻa ka chlorine (bleach) . C. diff, Clostridioides difficile, maʻi pākī, ʻeha ʻōpū, antibiotics, maʻi bacteria, colitis