Koj puas tau mob plab tom qab noj tshuaj tua kab mob? Cia peb kawm txog cov kab mob txaus ntshai no, C. diff (Clostridioides difficile).

Koj puas tau mob plab tom qab noj tshuaj tua kab mob, lossis koj puas tau pib raws plab ntau zaus hauv ib hnub? Los yog puas muaj ib tug neeg hauv koj tsev neeg, tshwj xeeb yog ib tug neeg laus, raug kev txom nyem los ntawm qhov teeb meem no tom qab rov qab los tsev los ntawm tsev kho mob? Qhov ua rau muaj qhov teeb meem no tej zaum yuav yog kab mob bacterial uas ntau tus neeg tsis tau hnov ​​​​​​dua, tab sis nws tuaj yeem ua rau muaj kev phom sij heev. Qhov ntawd yog qhov peb tab tom tham txog hnub no. Nws yog ib hom kab mob hu ua C. diff.

Hais yooj yim xwb, C. diff yog dab tsi?

C. diff, lossis Clostridioides difficile , yog ib hom kab mob. Cov kab mob no tuaj yeem ua rau muaj kev kis kab mob hauv peb txoj hnyuv thiab ua rau mob hnyav, lossis o, hauv peb txoj hnyuv. Cov kws kho mob hu qhov mob no ua mob plab hnyuv . Feem ntau, qhov kev kis kab mob no pib tom qab koj siv tshuaj tua kab mob rau lwm yam kab mob. Qee zaum, nws tuaj yeem ua rau mob hnyav thiab ua rau tuag taus . Cov noob ntawm cov kab mob C. diff no tuaj yeem pom txhua qhov chaw nyob ib puag ncig peb, hauv huab cua, av, dej, thiab txawm tias hauv cov quav ntawm tib neeg thiab tsiaj txhu. Xav txog nws zoo li cov kab mob pw tsaug zog. Lawv tuaj yeem nyob hauv ib puag ncig tau ntau lub hlis yam tsis ua rau muaj kev phom sij. Txawm li cas los xij, cov noob no tsuas yog rov ua haujlwm dua thaum lawv nkag mus rau hauv koj lub cev los ntawm koj lub qhov ncauj thiab mus rau hauv koj txoj hnyuv.

Cov tsos mob ntawm C. diff yog dab tsi?

Cov tsos mob ntawm tus kab mob C. diff muaj txij li me me mus txog rau hnyav heev. Cia peb saib seb lawv yog dab tsi.

Cov quav uas muaj tus kab mob C. diff zoo li cas thiab tsw li cas?

Muaj ib txhia neeg hais tias tus kab mob C. diff ua rau lawv cov quav tsw txawv. Feem ntau nws tsw qab dua, tsis zoo. Lwm tus hais tias cov kua tsib hauv cov quav muaj ntxhiab qab zib me ntsis. Thaum nws los txog rau qhov tsos ntawm cov quav, qee zaum nws yuav xoob, zoo li oatmeal, lossis zoo li av nkos. Qee zaum nws yuav muaj ntshav lossis hnoos qeev. Nws kuj tseem yuav muaj xim ntsuab. Qhov tseem ceeb tshaj plaws: Yog tias koj raws plab hnyav, txhais tau tias koj muaj nws ntau zaus hauv ib hnub, lossis koj xav tias tsis muaj zog, nrhiav kev kho mob tam sim ntawd. Raws plab hnyav tuaj yeem ua rau lub cev qhuav dej sai sai thiab txawm tias tuag.

Vim li cas tus kab mob C. diff thiaj tshwm sim? Leej twg muaj feem yuav muaj feem ntau dua?

Raws li peb tau tham ua ntej lawm, qhov laj thawj tseem ceeb rau qhov no yog kev siv tshuaj tua kab mob. Xav txog nws, ob qho tib si cov kab mob zoo thiab cov kab mob phem nyob hauv qhov sib npaug hauv peb txoj hnyuv. Thaum koj noj tshuaj tua kab mob rau kev kis kab mob, cov tshuaj ntawd tsis tsuas yog tua cov kab mob phem xwb, tab sis kuj tua cov kab mob zoo uas pab peb. Thaum ntawd cov kab mob C. diff uas tsis tswj tau muaj lub sijhawm los nthuav dav, tsim cov tshuaj lom, thiab ua rau txoj hnyuv puas tsuaj.

Cov yam uas ua rau muaj kev pheej hmoo ntau ntxiv:

• Kev siv tshuaj tua kab mob: Cov neeg uas siv tshuaj tua kab mob muaj zog, tshwj xeeb tshaj yog cephalosporins, clindamycin , fluoroquinolones , thiab penicillins, muaj kev pheej hmoo siab dua.
• Hnub nyoog: Cov neeg uas muaj hnub nyoog tshaj 65 xyoos yuav muaj feem kis tus kab mob no ntau dua.
• Kev Nyob Hauv Tsev Kho Mob: Cov noob ntawm cov kab mob no yuav kis tau yooj yim rau hauv cov chaw xws li tsev kho mob thiab cov tsev laus. Hauv cov chaw zoo li no, nws tuaj yeem kis tau yooj yim los ntawm cov neeg ua haujlwm lossis los ntawm cov khoom siv hauv tsev kho mob.
• Lub cev tiv thaiv kab mob tsis muaj zog:Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog vim yog mob qog noj ntshav, kev kho mob qog noj ntshav, lossis lwm yam kab mob muaj feem yuav muaj feem ntau dua.
• Lwm yam kab mob plab hnyuv: Cov neeg uas muaj kab mob xws li kab mob plab hnyuv (IBD) lossis mob qog nqaij hlav colorectal kuj muaj feem yuav mob ntau dua.

Cov teeb meem dab tsi uas tuaj yeem tshwm sim vim yog C. diff?

Yog tias tus kab mob C. diff tsis raug kho sai, ces yuav muaj teeb meem loj heev tshwm sim.

• Kev Qhuav Dej Hnyav: Kev raws plab ntau dhau tuaj yeem ua rau dej thiab ntsev ploj ntawm lub cev, cuam tshuam rau kev ua haujlwm ntawm lub raum thiab ntshav siab.
• Toxic Megacolon: Qhov no yog ib qho mob txaus ntshai heev. Hauv qhov no, txoj hnyuv loj yuav o tuaj ua rau nws tsis tuaj yeem tso pa lossis quav. Qhov no tuaj yeem ua rau txoj hnyuv loj tawg. Qhov no yog qhov txaus ntshai rau lub neej thiab yuav tsum tau phais mob ceev.
• Kev Txhaws Plab: Ib lub qhov hauv txoj hnyuv loj tuaj yeem ua rau cov kab mob txaus ntshai nkag mus rau hauv lub plab, ua rau muaj kev kis kab mob loj heev hu ua peritonitis .
• Kab mob plab hnyuv loj (Pseudomembranous colitis): Cov tshuaj lom uas C. diff tsim tawm ua rau cov hlwb ntawm sab hauv ntawm txoj hnyuv puas tsuaj, ua rau muaj cov qhov txhab thiab cov plaques tuab.

Yog tias qhov no yog ib qho mob hnyav heev, tej zaum koj yuav tsum tau mus rau hauv chav kho mob ceev (ETU) ntawm tsev kho mob. Yog li ntawd, yog tias koj muaj cov tsos mob, mus ntsib kws kho mob sai li sai tau.

Kev kho mob thiab kev tiv thaiv

Raws li koj cov tsos mob, koj tus kws kho mob yuav paub tseeb tias koj puas muaj tus kab mob C. diff los ntawm kev kuaj cov quav.

Cov kev kho mob

Qhov xav tsis thoob yog, tus kab mob uas tshwm sim los ntawm tshuaj tua kab mob no kuj tseem kho tau nrog lwm cov tshuaj tua kab mob tshwj xeeb. Cov no tsuas yog tua thiab tua cov kab mob C. diff xwb.

• Fidaxomicin
• Metronidazole
• Vancomycin

Cov tshuaj no yuav tsum tau siv raws li koj tus kws kho mob qhia. Nws tseem ceeb heev rau kev hloov cov kua dej uas poob los ntawm kev raws plab. Qhov no txhais tau tias haus dej ntau, kua zaub, porridge, kua zaub, thiab kua txiv hmab txiv ntoo. Hauv qee kis mob hnyav, tej zaum yuav tsum tau phais tshem tawm cov hnyuv uas puas lawm.

Cov khoom noj zoo noj thaum koj muaj tus kab mob C. diff

Thaum koj raws plab, nws yog qhov zoo tshaj plaws los noj cov khoom noj uas yooj yim rau lub plab thiab muaj hmoov txhuv nplej siab.

• Cov ncuav qab zib
• Qos yaj ywm siav, qos yaj ywm qab zib
• Mov, mov porridge
• Qos yaj ywm
• Cov hom kua zaub
• Cov zaub siav
• Txiv tsawb

Yuav ua li cas thiaj tiv thaiv koj tus kheej ntawm kev kis kab mob?

• Yog koj nyob hauv tsev kho mob, thov kom cov kws kho mob thiab cov kws tu mob uas saib xyuas koj ntxuav lawv txhais tes ua ntej thiab tom qab tuaj xyuas koj.
• Nug seb cov khoom siv kho mob uas coj los rau hauv koj chav puas tau ntxuav lawm.
• Tsis txhob noj tshuaj tua kab mob yam tsis tsim nyog. Tsuas yog noj cov tshuaj raws li koj tus kws kho mob tau hais xwb, thiab noj kom tag lub sijhawm uas tau teem tseg.

Yog tias koj tab tom saib xyuas ib tus neeg uas muaj tus kab mob C. diff, nco ntsoov hnav hnab looj tes. Tsis tas li ntawd, ntxuav chav dej, lub qhov rooj, thiab cov qhov hloov uas tus neeg siv nrog cov tshuaj ntxuav uas muaj chlorine (bleach) . C. diff, Clostridioides difficile, raws plab, mob plab, tshuaj tua kab mob, kab mob bacterial, mob plab hnyuv