Yu dɔn ɛva gɛt bɛlɛ we nɔ fayn afta yu dɔn tek antibayɔtik? Lɛ wi lan bɔt C. diff (Clostridioides difficile)!

Yu dɔn bigin fɔ gɛt siriɔs dayarɛa i nɔ tu te yet afta yu dɔn tek wan antibayɔtik? Ɔ yu dɔn de gɛt bɛlɛ pen ɛn dayarɛa fɔ sɔm dez? E kin bi bikɔs ɔf baktri infεkshɔn wae wi nɔr yɛri bɔrku bɔt, bɔt i kin rili denja. Tide, lɛ wi tɔk bɔt wetin na C. diff, wetin mek i kin apin, ɛn aw wi go protɛkt wisɛf.

Wetin na C. diff (Klɔstridioides difficile)?

Fɔ tɔk am simpul wan, C. diff na di shɔt nem we dɛn gi wan kayn baktri. I ful nem na *Clostridioides difficile*. dis baktri kin infεkt wi big intestinal (kכlon). We i du dat, i kin mek pɔsin gɛt dayarɛa ɛn bɔku ɔda sayn dɛn we nɔ kin fayn fɔ am.

Na nɔmal tin fɔ gɛt baktriyal infɛkshɔn na yu insay, ɛn bɔku pan dɛn nɔr siriɔs. Bɔt dis C. diff infɛkshɔn kin siriɔs smɔl, ɛn i kin pwɛl yu kɔlon. dis na biכs di C. diff baktri dεm de mek tכxin dεm na yu intestכn dεm. Dɛn pɔyzin ya kin pwɛl di sɛl dɛn we de layn yu insay, ɛn dis kin mek dɛn swel. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis kɔlayt . If yu gɛt di sayn dɛm ɛn aw dɛn kin tranga, i kin dipen pan aw di pɔyzin dɔn pwɛl yu insay. Sɔntɛnde, dis sik kin mek pɔsin in layf de pan denja.

Wetin na di sayn dɛm fɔ C. diff infɛkshɔn?

Di men ɛn fɔs sayn fɔ dis infɛkshɔn na we yu de muv yu bɔdi we gɛt wata (dayarɛa) . If di infekshɔn nɔ bad, yu kin gɛt lɛk tri tɛm fɔ muv yu bɔdi insay wan de, we kin kam wit smɔl bɛlɛ kramp.

As di infekshɔn de wɔs, di dayarɛa de wɔs. Yu kin gɛt tɛn ɔ fayvtin bɔdi muvmɛnt ɛvride. Yu kin notis bak se blɔd de na yu stɔl. Dis na ɔda sayn dɛm wae kin apun wae de sik tranga.

Fɔs, dɛn sayn ya kin tan lɛk se yu de it pɔyzin ɔ yu bɛlɛ flu. If yu de tek antibayɔtik, yu kin mistek tink se dis bɛlɛ we de at na nɔmal sayd ɛfɛkt fɔ di mɛrɛsin.

Wetin na di kayn stɔl we de na C. diff infɛkshɔn?

Insay C. diff dayarɛa, di stɔl kin tan lɛk pɔrit ɛn tik, i nɔ kin gɛt wata ɔlsay. Sɔntɛnde, i kin gɛt grin kɔlɔ. Wan wan tɛm, dɛn kin si blɔd, mכkus, ɔ pus.

Bɔku pipul dɛn kin ripɔt se C. diff dayarɛa gɛt difrɛn smel . Dɛn kin tɔk bɔt am se i strɔng, i kin rili swit pas di nɔmal stɔl. dis kin bi biכs di C. diff baktri dεm de inkrεs di lεvεl dεm fכ di bayl asid dεm na wi stכl.

Wetin mek wi kin gɛt C. diff?

Tink bɔt wi gut lɛk fayn flawa gadin. Insay dis gadin, gud flawa dɛn de ɛn sɔm gras dɛn de. insay di gכt fכ pכsin we gεt hεlty imyun sistεm, bכku "gud" baktri dεm de (lεk flawa) εn "bad" baktri dεm (lεk gras) de kכntrכl. C. diff na baktri we nכmal fכ liv insay wi gכt sכm sכm.

If dis balans disrupt, we min se gud baktri dεm nכ de sכm, bad baktri dεm lεk C. diff gεt di chans fכ spre lεk gras εn tek ova.

Aw dɛn kin transmit C. diff?

di C. diff baktri dεm na rili snik. we i kכmכt na di bכdi, i de mek wan sכl we rili tranga we dεn kכl spכr. Dɛn spɔt dɛn ya tan lɛk smɔl smɔl sid dɛn we di bɔdi gɛt. Dɛn kin de na wi an ɛn pan tin dɛn we wi de tɔch (doknob, tebul, tin dɛn fɔ yuz fɔ was). If wi tɔch say we gɛt dɛn spot ya, wi kin sik, ilɛksɛf na fɔ it it wit di sem an ɔr fɔ put wi an na wi mɔt.

Dɛn spot ya kin rili at fɔ kil. Dɛn nɔ kin gɛt ɔt, asid, ɛn bɔku antibayɔtik ɛn disinfɛktant. Dɛn kin liv bak pan sɔfays fɔ sɔm mɔnt. Na dat mek dis sik kin prɛd kwik kwik wan, mɔ na say dɛn lɛk ɔspitul.

Udat de pan ay risk fɔ gɛt C. diff?

Sɔm pipul dɛn kin gɛt dis sik. Dɛn na:

• Pipul wae dɔn pas 65 ia: De risk kin bɔrku bikɔs di imyuniti kin go dɔŋ wae dɛn de ol, dɛn kin tek bɔrku mɛrɛsin fɔ ɔda sik dɛm, ɛn dɛn kin de na ɔspitul ɔr say fɔ kia fɔ ol pipul dɛm.
• Yɔŋ pikin dɛn: Na bikɔs dɛn imyun sistɛm nɔ dɔn ful-ɔp yet.
• Pipul dεm na כspitul: Ospitul na ples usay C. diff spכr kin izi fכ spre. I kin izi fɔ mek i pas tru pɔblik batrum ɛn tɔylɛt.
• Pipul wae gɛt wik imyun sistɛm: Pipul wae gɛt sik lɛk kansa, HIV, kidni sik, ɛn dayabitis gɛt wikɛd imyun sistɛm. Pipul dεm wae de tek immunosuppressant dεm dεn tu de pan hεvi risk.
• Pipul dɛn we gɛt sik na dɛn intestinal: Pipul dɛn we gɛt sik dɛn lɛk Inflammatory Bowel Disease (IBD) , lɛk Crohn’s disease ɛn ulcerative colitis, kin gɛt infɛkshɔn mɔ bikɔs di layt we de protɛkt di intestinal kin wik.

Bɔt mɛmba se ivin pɔsin we nɔ gɛt ɛni wan pan dɛn risk factor ya kin gɛt C. diff.

Wetin na di poshubul komplikashɔn dɛm fɔ C. diff?

Bɔrku tɛm, C. diff infεkshɔn nɔr kin siriɔs. Bɔt sɔntɛnde, mɔ if dɛn nɔ trit am, siriɔs prɔblɛm dɛn kin apin.

• Infεkshכn we de kam bak: Ivin afta dεn trit am, lεk 20% pan pipul dεm go gεt di sik bak insay tu to et wik.
• Di wata we nɔ de na di bɔdi: If yu gɛt dayarɛa pasmak, dat kin mek di bɔdi nɔ gɛt bɔku wata ɛn ilɛktrɔlayt. If dis kin tranga, i kin mek yu blɔd prɛshɔn smɔl ɛn ivin mek yu kidni nɔ wok fayn.
• Pseudomembranous kolaytis we gɛt di sik:Dis na wan bad bad sik (colitis). di insay pat pan di intestin de inflamed εn tik lεk mεmbran.
• Toxic megacolon: Dis na wan sik wae nɔr kin bɔrku bɔt i kin rili denja. Di kɔlon kin so swel dat i kin stɔp fɔ wok kpatakpata. Dis kin mek yu gɛt sɛpsis, we na wan sik we di bɔdi kin gɛt bɔku bɔku bɔdi.

If tin tranga lɛk dis, i kin ivin nid fɔ mek dɛn du ɔpreshɔn fɔ pul di pat pan di intestin we gɛt di sik.

Dɔktɔ, aw yu kin no dis sik? Wetin na di tritmɛnt?

If yu dɔktɔ sɔspɛkt se yu gɛt C. diff infɛkshɔn bay di sayn dɛm we yu gɛt, i go aks yu fɔ gi yu stɔl sɛmpul. Dɛn go sɛn am na lab fɔ mek dɛn tɛst am fɔ si if C. diff pɔyzin de.

If dɛn kɔnfyus di sik, dɛn kin du blɔd tɛst ɛn sɔntɛm skan fɔ luk insay di intestinal fɔ no aw di infekshɔn tranga.

Di we aw dɛn kin trit am

Di tritmɛnt dipen pan aw di infekshɔn siriɔs.

• Fɔ stɔp antibayɔtik: If yu gɛt C. diff we yu de tek antibayɔtik fɔ ɔda sik, di fɔs tin we yu dɔktɔ go du na fɔ stɔp di mɛrɛsin. Fɔ sɔm pipul dɛn, na dat nɔmɔ dɛn nid fɔ du. di gud baktri dεm na yu gכt go gro bak εn di infεkshכn go klin insεf.
• C. diff-specific antibiotics: If dat nɔ wok, yu dɔktɔ kin gi yu wan patikyula antibayɔtik we kin kil di C. diff baktri dɛm. Fɔ ɛgzampul , (Metronidazole) , (Vancomycin) , ɔ (Fidaxomicin) .
• Ɔspitul: If di infekshɔn rili bad, yu kin nid fɔ go na ɔspitul, usay dɛn kin gi yu salin (IV fluid) ɛn antibayɔtik we dɛn kin put insay yu bɛlɛ.

Wetin fɔ du bɔt di sik dɛn we de kam bak?

Sɔm pipul dɛn kin gɛt dis sik bak afta dɛn dɔn trit dɛn. If na so i bi, di tin dɛn we yu go ebul fɔ du na:

• Ripit antibayɔtik tritmɛnt: Dɛn kin gi yu difrɛn antibayɔtik ɔ mɛrɛsin fɔ lɔng tɛm.
• Fecal Microbiota Transplant (FMT): Dis nem kin saund likli strenj, bכt na rili ifektiv tritmεnt fכ C. diff we de kam bak. Fɔ tɔk am simpul wan, i min fɔ pul di ‘gud’ baktri dɛm frɔm wan stɔl sɛmpul frɔm pɔsin we gɛt wɛlbɔdi ɛn injɛkt dɛm na di pɔsin in gɛt. dis de mek di bכlεns fכ gud baktri dεm we dεn dכn lכs na di gכt kam bak.

Wetin wi fɔ du fɔ mek C. diff nɔ skata?

Bikɔs dis sik kin pas am bad bad wan, wi nid fɔ tek tɛm bad bad wan. Ɛspɛshali if pɔsin na di famili gɛt dis sik, mek shɔ se yu du dɛn tin ya.

• Isolation: I bɛtɛ fɔ mek di pɔsin we gɛt di sik de na wan sɛpret rum if i pɔsibul. I bɛtɛ ivin if dɛn ebul fɔ yuz sɛpret tɔylɛt. If yu de yuz pɔblik tɔylɛt, ɔltɛm was di tɔylɛt dɔŋ wit klin we gɛt blich afta yu dɔn yuz am.
• Klin di say we yu de klin: Klin di say dɛn we yu kin tɔch bɔku tɛm (doknob, layt switch) wit sɔlvushɔn we gɛt blich.
• Yuz antibayɔtik kɔrɛkt wan: Nɔ ɛva tek antibayɔtik we dɔktɔ nɔ tɛl yu. Tek di ful kɔs fɔ di mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt dɛn sik ya, go to yu dɔktɔ wantɛm wantɛm.

• If yu gɛt dayarɛa afta yu dɔn bigin fɔ tek antibayɔtik.
• If dayarɛa bad bad wan (mɔ pas 10 tɛm insay di de).
• If yu si blɔd na yu stɔl.
• If yu gɛt bad bad bɛlɛ pen ɛn fiva.
• If yu de vɔmit te yu nɔ ebul fɔ it ɔ drink.

If yu gɛt ɛni wan pan dɛn sik ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm:

• Sayn dεm fכ di wata we de dכn (dray mכt, di yay dεm we dεn sכnk, di urine we de kכmכt bכku bכku wan, yu taya pasmak).
• Bɛlɛ pen bad bad wan we pɔsin nɔ go ebul fɔ bia.
• Mɛmori kɔnfyushɔn.

C. diff nɔto sik we pɔsin fɔ tek am layt wan. Bɔt nɔ panik. If yu go to dɔktɔ di rayt tɛm ɛn gɛt tritmɛnt, i kin wɛl ɔl.