Koj puas tau muaj mob plab tom qab noj tshuaj tua kab mob? Cia peb kawm txog C. diff (Clostridioides difficile)!

Koj puas nyuam qhuav pib mob raws plab hnyav tom qab noj tshuaj tua kab mob? Los yog koj puas tau mob plab thiab raws plab tau ntau hnub lawm? Tej zaum yuav yog vim muaj kab mob bacterial uas peb tsis tau hnov ​​​​dua txog, tab sis nws tuaj yeem ua rau muaj kev phom sij heev. Hnub no, cia peb tham txog C. diff yog dab tsi, vim li cas nws thiaj tshwm sim, thiab peb yuav tiv thaiv peb tus kheej li cas.

C. diff (Clostridioides difficile) yog dab tsi?

Hais yooj yim xwb, C. diff yog lub npe luv uas muab rau ib hom kab mob. Nws lub npe tag nrho yog *Clostridioides difficile*. Cov kab mob no tuaj yeem kis rau peb txoj hnyuv loj (colon). Thaum nws ua li ntawd, nws ua rau raws plab thiab ntau yam tsos mob tsis xis nyob.

Nws yog ib txwm muaj cov kab mob hauv koj txoj hnyuv, thiab feem ntau ntawm lawv tsis loj heev. Tab sis qhov kev kis tus kab mob C. diff no hnyav dua me ntsis, thiab nws tuaj yeem ua rau koj txoj hnyuv puas tsuaj. Qhov no yog vim tias cov kab mob C. diff tsim cov tshuaj lom hauv koj txoj hnyuv. Cov tshuaj lom no ua rau cov hlwb hauv koj txoj hnyuv puas tsuaj, ua rau lawv o. Hauv cov lus kho mob, peb hu qhov no ua mob plab hnyuv . Txawm koj muaj cov tsos mob thiab lawv hnyav npaum li cas nyob ntawm seb cov tshuaj lom tau ua rau koj txoj hnyuv puas tsuaj ntau npaum li cas. Qee zaum, qhov mob no tuaj yeem ua rau tuag taus.

Cov tsos mob ntawm tus kab mob C. diff yog dab tsi?

Cov tsos mob tseem ceeb thiab thawj zaug ntawm tus kab mob no yog tso zis ua dej (raws plab) . Yog tias tus kab mob tsis hnyav, koj yuav tso zis li peb zaug hauv ib hnub, nrog rau mob plab me ntsis.

Thaum tus kab mob zuj zus tuaj, qhov raws plab kuj zuj zus tuaj. Tej zaum koj yuav muaj kaum lossis kaum tsib zaug quav ib hnub. Tej zaum koj kuj yuav pom ntshav hauv koj cov quav. Cov no yog lwm cov tsos mob uas yuav tshwm sim thaum tus mob hnyav heev.

Thaum xub thawj, cov tsos mob no yuav zoo li lom zaub mov lossis mob plab. Yog tias koj noj tshuaj tua kab mob, koj yuav xav yuam kev tias qhov mob plab no yog ib qho kev mob tshwm sim ib txwm muaj ntawm cov tshuaj.

Cov quav hauv tus kab mob C. diff yog dab tsi?

Thaum muaj tus kab mob C. diff raws plab, feem ntau cov quav zoo li mov nplej thiab tuab, tsis yog dej kiag li. Qee zaum nws yuav muaj xim ntsuab. Qee zaum, yuav pom ntshav, hnoos qeev, lossis kua paug.

Muaj coob tus neeg tshaj tawm tias tus kab mob C. diff raws plab muaj ib qho tsw tshwj xeeb . Lawv piav qhia tias nws yog ib qho tsw qab zib dua li cov quav ib txwm. Qhov no tej zaum yog vim cov kab mob C. diff ua rau cov kua qaub hauv peb cov quav ntau ntxiv.

Vim li cas peb thiaj tau txais C. sib txawv?

Xav txog peb lub plab zoo li lub vaj paj zoo nkauj. Hauv lub vaj no, muaj paj zoo thiab qee cov nroj tsuag. Hauv lub plab ntawm ib tus neeg uas muaj lub cev tiv thaiv kab mob zoo, muaj ntau cov kab mob "zoo" (zoo li paj) thiab cov kab mob "phem" (zoo li cov nroj tsuag) tswj tau. C. diff yog ib hom kab mob uas feem ntau nyob hauv peb lub plab me me.

Yog tias qhov sib npaug no raug cuam tshuam, txhais tau tias muaj tsawg dua cov kab mob zoo, cov kab mob phem xws li C. diff muaj lub sijhawm los kis mus zoo li cov nroj tsuag thiab noj.

C. diff kis tau li cas?

Cov kab mob C. diff no zais zais heev. Thaum nws tawm hauv lub cev, nws tsim ib lub plhaub tawv heev hu ua spore. Cov spores no zoo li cov noob me me ntawm cov kab mob. Lawv tuaj yeem nyob rau ntawm peb txhais tes thiab rau ntawm cov khoom uas peb kov (lub qhov rooj, rooj, chav dej). Yog tias peb kov ib qho chaw uas muaj cov spores no, peb tuaj yeem mob, txawm tias nws yog noj zaub mov nrog tib txhais tes lossis muab peb txhais tes rau hauv peb lub qhov ncauj.

Cov noob kab mob no nyuaj tua heev. Lawv tiv taus cua sov, kua qaub, thiab ntau yam tshuaj tua kab mob thiab tshuaj tua kab mob. Lawv kuj tseem muaj sia nyob rau ntawm cov chaw tau ntau lub hlis. Yog vim li cas tus kab mob no thiaj kis tau sai heev, tshwj xeeb tshaj yog nyob rau hauv cov chaw xws li tsev kho mob.

Leej twg muaj feem yuav mob C. diff ntau dua?

Muaj ib txhia neeg uas yuav muaj tus kab mob no ntau dua. Lawv yog:

• Cov neeg hnub nyoog tshaj 65 xyoos: Qhov kev pheej hmoo siab dua vim tias kev tiv thaiv kab mob txo qis thaum lawv laus, lawv noj ntau yam tshuaj rau lwm yam kab mob, thiab lawv nyob hauv tsev kho mob lossis tsev laus.
• Cov menyuam mos: Vim tias lawv lub cev tiv thaiv kab mob tseem tsis tau tsim kho tag nrho.
• Cov neeg nyob hauv tsev kho mob: Cov tsev kho mob yog qhov chaw uas cov noob kab mob C. diff tuaj yeem kis tau yooj yim. Nws tuaj yeem kis tau yooj yim los ntawm chav dej thiab chav dej pej xeem.
• Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog: Cov neeg uas muaj cov kab mob xws li mob qog noj ntshav, HIV, kab mob raum, thiab ntshav qab zib muaj lub cev tiv thaiv kab mob tsis muaj zog. Cov neeg uas noj cov tshuaj tiv thaiv kab mob kuj muaj feem yuav mob ntau dua.
• Cov neeg uas muaj kab mob plab hnyuv: Cov neeg uas muaj kab mob xws li Kab mob plab hnyuv (IBD) , xws li kab mob Crohn thiab mob ulcerative colitis, yuav kis tau kab mob yooj yim dua vim tias txheej tiv thaiv ntawm txoj hnyuv tsis muaj zog.

Tiam sis nco ntsoov, txawm tias ib tug neeg uas tsis muaj ib qho ntawm cov yam no uas ua rau muaj kev pheej hmoo no kuj tuaj yeem mob C. diff.

Cov teeb meem uas yuav tshwm sim los ntawm C. diff yog dab tsi?

Feem ntau, cov kab mob C. diff tsis loj heev. Tab sis qee zaum, tshwj xeeb tshaj yog tias tsis kho, cov teeb meem loj tuaj yeem tshwm sim.

• Kev kis kab mob rov tshwm sim: Txawm tias tom qab kho mob lawm los xij, kwv yees li 20% ntawm cov neeg yuav rov muaj tus kab mob dua hauv ob mus rau yim lub lis piam.
• Kev Qhuav Dej: Kev raws plab ntau dhau ua rau lub cev poob dej thiab electrolytes ntau heev. Yog tias qhov no hnyav zuj zus, nws tuaj yeem ua rau cov ntshav qis thiab ua rau lub raum tsis ua haujlwm.
• Kab mob plab hnyuv pseudomembranous:Qhov no yog ib qho mob hnyav heev (mob plab hnyuv loj). Sab hauv ntawm txoj hnyuv yuav o thiab tuab zoo li daim nyias nyias.
• Toxic megacolon: Qhov no yog ib qho mob uas tsis tshua muaj tab sis txaus ntshai heev. Txoj hnyuv loj yuav o tuaj ua rau nws tsis ua haujlwm kiag li. Qhov no tuaj yeem ua rau muaj sepsis, uas yog ib qho mob uas cov kab mob kis thoob plaws lub cev.

Hauv cov mob hnyav zoo li no, tej zaum yuav tsim nyog phais kom tshem tawm qhov mob ntawm txoj hnyuv.

Kws kho mob, koj kuaj mob li cas ? Yuav kho li cas?

Yog koj tus kws kho mob xav tias koj muaj kab mob C. diff raws li koj cov tsos mob, nws yuav hais kom koj muab cov qauv quav. Nws yuav raug xa mus rau chav kuaj mob kom kuaj seb puas muaj cov tshuaj lom C. diff.

Yog tias tus kab mob tau lees paub tseeb lawm, yuav tau kuaj ntshav thiab tej zaum yuav tau luam theej duab saib sab hauv plab hnyuv kom paub seb tus kab mob hnyav npaum li cas.

Cov kev kho mob

Kev kho mob nyob ntawm seb qhov mob hnyav npaum li cas.

• Tsum tsis txhob siv tshuaj tua kab mob: Yog tias koj muaj tus kab mob C. diff thaum noj tshuaj tua kab mob rau lwm yam mob, thawj qhov koj tus kws kho mob yuav ua yog tsum tsis txhob siv tshuaj. Rau qee tus neeg, qhov ntawd yog txhua yam uas lawv yuav tsum ua. Cov kab mob zoo hauv koj txoj hnyuv yuav loj hlob rov qab thiab tus kab mob yuav ploj mus ntawm nws tus kheej.
• Cov tshuaj tua kab mob tshwj xeeb rau C. diff: Yog tias qhov ntawd tsis ua haujlwm, koj tus kws kho mob yuav sau ntawv rau cov tshuaj tua kab mob tshwj xeeb uas tuaj yeem tua cov kab mob C. diff. Piv txwv li , (Metronidazole) , (Vancomycin) , lossis (Fidaxomicin) .
• Kev Mus Kho Mob Hauv Tsev Kho Mob: Yog tias tus kab mob hnyav heev, koj yuav tsum tau mus kho mob hauv tsev kho mob, qhov chaw uas koj yuav tau txais cov tshuaj saline (cov kua dej IV) thiab cov tshuaj tua kab mob hauv cov hlab ntsha.

Yuav ua li cas txog kev kis tus kab mob rov tshwm sim?

Muaj ib txhia neeg rov qab mob dua tom qab kho tas. Hauv cov xwm txheej zoo li no, cov kev xaiv yog:

• Rov kho cov tshuaj tua kab mob dua: Tej zaum yuav muab tshuaj tua kab mob sib txawv lossis tshuaj siv ntev.
• Kev Hloov Kab Mob Hauv Qhov Quav (FMT): Lub npe no tej zaum yuav zoo li txawv me ntsis, tab sis nws yog ib txoj kev kho mob zoo heev rau cov kab mob C. diff uas rov tshwm sim dua. Hais yooj yim xwb, nws cuam tshuam nrog kev rho tawm cov kab mob 'zoo' los ntawm cov qauv quav los ntawm ib tus neeg noj qab haus huv thiab coj lawv mus rau hauv tus neeg mob lub plab. Qhov no rov qab kho qhov sib npaug ntawm cov kab mob zoo uas tau ploj mus hauv lub plab.

Peb yuav tsum ua li cas thiaj li tiv thaiv tau tus kab mob C. diff kom tsis txhob kis mus rau lwm tus?

Vim tias tus kab mob no sib kis tau yooj yim heev, peb yuav tsum ceev faj heev. Tshwj xeeb tshaj yog tias muaj ib tug neeg hauv tsev neeg muaj tus kab mob no, nco ntsoov ua cov no.

• Kev Cais Tawm: Yog ua tau, zoo dua yog tias lawv siv tau chav dej sib cais. Yog koj siv chav dej pej xeem, yuav tsum so chav dej kom huv si nrog cov tshuaj ntxuav uas muaj bleach tom qab siv tas.
• Kev Ntxuav Qhov Chaw: Ntxuav cov chaw uas nquag kov (lub pob qhov rooj, lub qhov hloov teeb) nrog cov tshuaj uas muaj bleach.
• Siv cov tshuaj tua kab mob kom raug: Tsis txhob noj cov tshuaj tua kab mob uas tsis tau kws kho mob sau ntawv kom noj. Noj cov tshuaj kom tag nrho raws li tau sau tseg.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj cov tsos mob no, mus ntsib koj tus kws kho mob tam sim ntawd.

• Yog koj raws plab tom qab noj tshuaj tua kab mob.
• Yog tias raws plab hnyav heev (ntau tshaj 10 zaug hauv ib hnub).
• Yog koj pom ntshav hauv koj cov quav.
• Yog koj mob plab heev thiab kub taub hau.
• Yog koj ntuav mus txog rau qhov uas koj noj tsis tau lossis haus tsis tau.

Yog tias koj muaj cov tsos mob no, mus rau chav kho mob ceev (ETU) tam sim ntawd:

• Cov cim qhia tias lub cev qhuav dej (qhov ncauj qhuav, qhov muag poob qis, zis tso tawm tsawg heev, qaug zog heev).
• Mob plab hnyav heev, ua tsis taus pa.
• Kev tsis meej pem ntawm kev nco.

Kab mob C. diff tsis yog ib yam kab mob uas yuav tsum tau saib yooj yim xwb. Tab sis tsis txhob ntshai. Yog tias koj mus ntsib kws kho mob thaum lub sijhawm zoo thiab tau txais kev kho mob, nws tuaj yeem kho tau tag nrho.