C. diff (Clostridioides difficile) infεkshכn: Lε wi no εksεkεkt wetin dis bεlε at de bכt.

Sɔntɛnde yu kin gɛt bɛlɛ at ɔ yu kin gɛt dayarɛa we kin las fɔ sɔm dez? Bɔku tɛm wi kin tink se, ‘O, dis it go dɔn gɛt pɔyzin smɔl’ ɔ ‘I go mɔs bi se na vayral flu.’ Bɔt sɔntɛnde, dɛn sik ya kin kam bikɔs ɔf wan sik we de ambɔg wi bɔdi we gɛt mɔ siriɔs sik we kin pwɛl wi insay. Wan pan dɛn kayn infɛkshɔn ya na C. diff (Clostridioides difficile).

Wetin na C. diff (Klɔstridioides difficile)?

Fɔ tɔk am simpul wan, C. diff na wan kayn baktri. Di ekzak nem na `(Clostridioides difficile)`. dis baktri kin mek infεkshכn na yu big intestinal, dat na, `(kכlon)`. Na da tɛm de sɔm sayn dɛm wae nɔr kin fayn lɛk dayarɛa kin apia. Naw, lɛ wi si, i kɔmɔn fɔ mek wi big intestinal gɛt baktriyal infɛkshɔn. Bɔku pan dɛn nɔ rili siriɔs. Bɔt dis C. diff infɛkshɔn na smɔl mɔ siriɔs. di rizin na dat dis `(Clostridioides difficile)` baktri de mek tכxin dεm. Dɛn pɔyzin ya kin pwɛl di sɛl dɛn we de insay wi insay. dis kin mek di layn na di intestinal εn di big intestכn inflameshn, dat na inflameshn (colitis). If yu gɛt di sik ɛn aw dɛn kin tranga, i kin dipen pan aw dɛn pɔyzin ya kin pwɛl yu. Sɔntɛnde, dis sik kin ivin mek pɔsin in layf de pan denja. Dis baktri dεn bin de kכl am fכs `(Clostridium difficile)`. Naw di nyu nem na `(Clostridioides difficile)`.

Aw kכmכn na C. diff infεkshכn?

C. diff infεkshכn, כ CDI, na wan gכl hεlth prכblεm. Bɔt no di rayt nɔmba nɔ de fɔ sho aw i de ɔlsay na di wɔl. Insay Amɛrika, dɛn se na lɛk 500,000 pipul dɛn kin gɛt di sik ɛvri ia, ɛn na lɛk 15,000 pipul dɛn kin day. So dis nɔto sɔntin we wi fɔ tek am layt.

Wetin na di sayn dɛm fɔ C. diff infɛkshɔn?

Di fɔs ɛn kɔmɔn sayn na wata we gɛt dayarɛa. If i nɔ tu te, dayarɛa kin apin tri tɛm insay di de, ɛn sɔm bɛlɛ kin kramp. As di C. diff infεkshכn de go bifo, di frεkuεns fכ dayariya de inkrεs. I kin apin te to 10-15 tɛm insay di de. Yu kin notis bak se blɔd de na yu stɔl. Ɔda sayn dɛn we de sho se yu gɛt dis sik na:

• Fɔ gɛt bɛlɛ we de at ɔltɛm
• Di bɛlɛ ful-ɔp ɛn swel.
• Nɔs ɛn vɔmit
• Fil fɔ it
• Fiva
• Di at rit we de go ɔp

Fɔs, di sayn dɛm fɔ C. diff kin fil lɛk fɔ it pɔyzin ɔr bɛlɛ flu. If yu de tek antibayɔtik, yu kin mistek tink se di dayarɛa na sayd ɛfɛkt we di mɛrɛsin gɛt.

Bɔt mɛmba se, sɔmtɛm C. diff infɛkshɔn kin apin we yu nɔ gɛt dayarɛa .

Aw stɔl kin tan lɛk we yu gɛt C. diff? Aw i de smɛl?

C. diff dayarɛa kin gɛt wan kɔnsistɛns we tan lɛk paste, we nɔ kin gɛt wata ɔlsay. Sɔmtɛm i kin bi grɛn, bɔt dis kin apin bak wit ɔda baktri infɛkshɔn. Na smɔl tɛm nɔmɔ dɛn kin si blɔd, mכkus, ɔ pus na di stɔl. Bɔku pipul dɛn kin ripɔt se C. diff dayarɛa gɛt difrɛn smel . Dɛn se i nɔ kɔmɔn ɛn i gɛt wan strenj swit teys. dis kin bi biכs C. diff de inkrεs di lεvεl dεm fכ di bayl asid dεm na di stכl.

Wetin kin mek C. diff infεkshכn?

nכmal wan, pכsin we gεt hεlty imyun sistεm de kip C. diff baktri dεm in chεk na in gכt, so dεn nכ de mek infεkshכn. Di prɔblɛm na we dis bɔdi kin bigin fɔ gro tumɔs we dɛn nɔ gɛt da kayn kɔntrol de. di rizin fכ dis na di bεlε bitwin di "gud" baktri dεm εn di "bad" baktri dεm na wi gכt de lכs. Ɔlman gɛt baktri na in bɔdi. dis gud baktri dεm de εp fכ kip כda baktri dεm lεk C. diff in chεk. di men rizin fכ wan C. diff infεkshכn na di yus fכ `(antibiotics)`. we dεn yuz antibaytik, di bεlε bitwin di gud εn bad baktri dεm na wi gכt (di `(gut maykrobaym)` de disrupt. dεn di C. diff baktri dεm kin bi dכminant εn gro pasmak.

Aw dɛn kin transmit C. diff?

di klostridium difficile de spre bay we i de rilis di spot dεm. dis spot dεm rili sכm εn yu kin fכnshכn na wi skin, pan tin dεm we de rawnd wi, εn pan say dεm lεk tebul εn chia. Dis min se if yu tɔch sɔntin we gɛt dɛn spot ya pan am, ɛn afta dat yu it wit am ɔ tɔch yu mɔt, yu kin gɛt C. diff.

Wetin mek C. diff de skata kwik kwik wan?

autsay wi bכdi, C. diff baktri dεm de fכm spכr dεm. dis spot dεm kin rili at fכ kil, insay εn ausayd di intestinal. Dɛn nɔ kin gɛt ɔt, asid, bɔku antibayɔtik, ɛn disinfɛkt. Dɛn kin liv bak pan sɔfays fɔ sɔm mɔnt. Risach pipul dεn εstimat se lεk 5% pan di pipul dεm gεt C. diff baktri dεm na dεn kכlon we nכ de kכz εni simptom. Dis min se ivin if yu gɛt C. diff ɔnda kɔntrol, yu kin stil spre am to ɔda pipul dɛn.

Yu kin hang out wit pɔsin we gɛt C. diff?

Yɛs, yu kin ebul. Bɔt na if yu fala di tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt prɔblɛm. Fɔ mek di sik nɔ go bɔku, yu fɔ du dɛn tin ya:

• Wash yu an fayn fayn wan wit sop ɔltɛm.
• Nɔ tɔch yu nos, yu mɔt, ɛn yu yay.
• Disinfɛkt di say dɛn we de rawnd.
• Glɔv, fes maskYuz tin dɛn fɔ protɛkt yusɛf, lɛk gɔn (espɛshali if yu de kia fɔ pɔsin we sik).

Udat de pan ay risk fɔ gɛt C. diff?

Sɔm mεdikal kכndyushכn dεm de wae kin lכs yu bכdi in difεns εgεst C. diff infεkshכn. Dɛn tin ya na:

• Inflammatory Bowel Disease ( IBD ): Di sik dɛm we de kam pan di bɔdi we nɔ de mɛn, lɛk Crohn’s disease ɛn ulcerative colitis, kin mek di intestines wik as tɛm de go. dis dεm de pwεl di mכkus, di layn na di intestinal dεm, εn dεn de rεdכks di intestinal imyuniti.
• Wikɛd imyun sistɛm : If yu gɛt wan sik we de ambɔg yu imyun sistɛm ɔ ɔda sik we nɔ de mɛn we de afɛkt yu imyun sistɛm, lɛk kansa, HIV , kidni sik, ɔ dayabitis, yu ɔl imyun sistɛm kin wik, nɔto jɔs yu gut. Dis kin bi mɔ if yu de tek mɛrɛsin we de mek yu bɔdi nɔ gɛt bɛtɛ wɛlbɔdi.

Ɔda risk factor dɛm we gɛt fɔ du wit C. diff infɛkshɔn na:

• Ej: Pipul wae pas 65 ia kin gɛt bɔrku risk fɔ gɛt C. diff. Dis kin bi bikɔs dɛn nɔ gɛt bɛtɛ wɛlbɔdi, dɛn de tek bɔku mɛrɛsin dɛn di sem tɛm, ɔ dɛn de na ɔspitul ɔ say usay dɛn de kia fɔ ol pipul dɛn. Yɔŋ pikin dɛn kin gɛt C. diff bak.
• Ospitul ɔ krawd ples (e.g., prizin): C. diff kin spre izi wan na ples we krawd. di spot dεm kin liv fכ mכnt pan kכmכn sεf dεm. I kin pas frɔm wan pɔsin to ɔda pɔsin tru say dɛn we dɛn kin sheb, lɛk batrum.

Bɔt sɔmtɛm, no klia kɔz nɔ de fɔ C. diff infɛkshɔn. Pan ɔl we bɔku tin dɛn de we kin afɛkt yu gut in imyun sistɛm, i impɔtant fɔ no se yu kin gɛt dis infɛkshɔn ivin if yu nɔ gɛt ɛni risk .

Wetin na di poshubul komplikashכn dεm we C. diff infεkshכn kin gεt?

Kɔmplikɛshɔn kin apin wit mɔ siriɔs infɛkshɔn. Aw yu infekshɔn tranga kin dipen pan sɔm tin dɛm, lɛk di kayn baktri dɛm we yu gɛt, ɛn di trɛnk we yu imyun sistɛm gɛt. Pipul dεm wae gεt risk fכ gεt C. diff infεkshכn kin gεt hכy risk fכ gεt mכr siriכs infεkshכn כ fכ gεt infεkshכn ripit. Dis kin mek mɔ damej as tɛm de go. Di prɔblɛm dɛn we kin apin na:

• Infekshɔn we kin kam bak: Na lɛk 20% pan pipul dɛn kin gɛt am bak insay tu to et wik afta dɛn dɔn dɔn di tritmɛnt. Afta dat, ɔda 40% kin gɛt am bak.
• Di wata we de kɔmɔt na di bɔdi ɛn we di ilɛktrɔlayt dɛn de lɔs:If yu lɔs wata ɛn ilɛktrɔlayt frɔm yu bɔdi kwik pas aw yu go ebul fɔ riples dɛn, yu kin gɛt denja sayd ɛfɛkt lɛk we yu blɔd nɔ de bɔku, yu blɔd prɛshɔn smɔl, ɛn ivin yu kidni nɔ wok fayn if yu gɛt siriɔs kes.
• Pseudomembranous colitis: Dis na wan kayn kɔlayt we rili bad. insay dis kכndishכn, wan tik, krεs mεmbran kin fכm pan di layn na yu kכlon.

As di damej we di tכxin dεm we de na di kכlon de mek de bכku, כda kכmplikεshכn dεm kin apin:

• Fluid lik: Fluid kin bigin fɔ lik frɔm yu kɔlon insay yu bɛlɛ (dɛn kɔl dis ascites), we kin mek yu bɛlɛ swel. Yu kin lɔs prɔtin bak frɔm yu kɔlon, we kin mek yu albumin lɛvɛl go dɔŋ. Dis kin mek yu gɛt sɔm sayn dɛm lɛk fɔ swel ɛn taya.
• Riaktiv at: Wan bad bad infεkshכn kin mek yu gεt wan kכndyushכn we dεn kכl ``riaktiv at.'' Dis kin mek yu jכyn, swel, εn pen na yu joyn dεm εn כda pat dεm na yu bכdi.
• Toxic megacolon: Pɔyzin megakolon na wan sik we nɔ kin apin so ɔltɛm bɔt i kin rili denja. Dis kin apin we di swɛlin we inflamɛns kin mek kin so bad dat di kɔlon nɔ kin wok fayn. Dis kin mek i gɛt sɛpsis (blɔd pɔyzin).

Aw dɛn kin no se pɔsin gɛt C. diff infɛkshɔn?

If yu dɔktɔ sɔspɛkt se yu gɛt C. diff infɛkshɔn bay di sayn dɛm we yu gɛt, i go tek wan sɛmpul pan yu stɔl ɛn sɛn am to lab fɔ chɛk fɔ C. diff pɔyzin. If yu tɛst rizɔlt na pɔsitiv, we min se yu gɛt di infekshɔn, yu dɔktɔ kin du mɔ tɛst fɔ no aw di infekshɔn siriɔs. Dis kin inklud blɔd tɛst ɛn imej tɛst fɔ luk insay yu kɔlon.

Aw dɛn kin trit C. diff infɛkshɔn?

C. diff infεkshכn dεn kin trit am dipכnt pan aw i siriכs. If yu gɛt C. diff we yu de tek antibayɔtik, yu dɔktɔ kin fɔs stɔp fɔ tek di mɛrɛsin. Fɔ sɔm pipul dɛn, na dat nɔmɔ i nid. dεn nεchכral gut imyun sistεm go bigin fכ wok bak εn kכntrכl di infεkshכn. If i nɔ du dat, yu dɔktɔ kin gi yu ɔda kayn antibayɔtik we kin stɔp C. diff. Sɔm kayn antibayɔtik fɔ C. diff na:

• `(Mɛtronidazɔl)`
• `(Vankomaysin)`
• `(Fidaksomisin)`

If yu gɛt smɔl infekshɔn, yu kin go na os ɛn tek yu mɛrɛsin. Bɔrku pipul kin bigin fɔ wɛl insay sɔm dez. Bɔt if di sik bad, yu go nid fɔ de na ɔspitul. Na ɔspitul, yu dɔktɔ go gi yu antibayɔtik, sɔntɛm tru wan vein (IV - intravenous). Dɛn go gi yu tin dɛn bak lɛk salin fɔ mek yu nɔ gɛt wata na yu bɔdi. Sɔntɛnde, dɛn kin gi di mɛrɛsin dairekt insay di kɔlon as ɛnima.

Wetin fɔ du fɔ kɔmplikɛt C. diff infɛkshɔn?

If yu gɛt siriɔs prɔblɛm, yu kin nid tritmɛnt na say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan. Na smɔl tɛm nɔmɔ, dɔktɔ dɛn kin se yu fɔ du ɔpreshɔn kwik kwik wan (colectomy) fɔ pul usay di infekshɔn kɔmɔt na yu kɔlon. If yu wɛl bɔt yu de kɔntinyu fɔ gɛt infɛkshɔn we de kam bak afta yu dɔn trit yu, di tin dɛn we yu go ebul fɔ du na:

• Antibayɔtik tritmɛnt bak: Yu dɔktɔ kin gi yu difrɛn mɛrɛsin, ɔr di sem mɛrɛsin fɔ lɔng tɛm. Afta yu dɔn gi yu antibayɔtik, yu dɔktɔ kin tɛl yu bak se yu fɔ tek probayotik fɔ ɛp fɔ mek di baktri dɛn we de na yu bɔdi kam bak.
• Fecal Microbiota Transplant (FMT): Dɛn dɔn sho se dis we ya rili wok fɔ mek dɛn nɔ gɛt C. diff infɛkshɔn bak afta we dɛn dɔn ripit di antibayɔtik tritmɛnt nɔ wok. I involv fɔ transfa wan stɔl sɛmpul frɔm pɔsin we gɛt wɛlbɔdi to wan kɔlon we gɛt sik. dis sεmpl dεn de yuz fכ ribalεns yu gut maykrobayom. Tink bɔt am lɛk fɔ ad sɔm gud grɔn to gadin we gɛt sɔm bad plant dɛn ɛn plant sɔm gud plant dɛn.

Us sefty mɛsej dɛn kin tek fɔ mek C. diff nɔ skata?

Di wan dɛn we de wok fɔ di wɛlbɔdi biznɛs kin tek spɛshal tin fɔ tek tɛm we dɛn de dil wit C. diff infɛkshɔn fɔ ɛp fɔ mek dis sik we kin pas bad bad wan nɔ go skata. Yu kin fala dɛn ɛgzampul fɔ protɛkt ɔda pipul dɛn:

• Isolation: If yu gɛt infekshɔn, i bɛtɛ fɔ isolate yusɛf na yu yon rum. Ɛnibɔdi we kam insay di rum fɔ kia fɔ yu fɔ wɛr glɔv we dɛn kin yuz wan tɛm nɔmɔ, ɛn dɛn fɔ pul am we dɛn kɔmɔt na di rum. Bikɔs di sik kin pas tru yu fes, yu fɔ avɔyd fɔ sheb tɔylɛt wit ɔda pipul dɛn. If yu rili nid fɔ sheb, klin di handel, di tɔylɛt sit, ɛn di say we de rawnd am wit klin we gɛt blich afta yu dɔn yuz am.
• Wash yu an: Bikɔs C. diff nɔ de afɛkt wit han sanitayza, i impɔtant fɔ was yu an ɔltɛm wit sop ɛn ɔt wata. Dis impɔtant fɔ ɔlman we yu kam fɔ no.
• Disinfεkshכn: כl di kכmכn disinfεkshכn dεm nכ de wok pan C. diff. Bɔt prɔdak dɛn we gɛt blich kin. I impɔtant fɔ disinfɛkt ɛni say we yu tɔch, mɔ na di bafa.
• Fɔ tek antibayɔtik lɛk aw dɛn tɛl yu fɔ tek: Nɔ tek ɔda pipul dɛn antibayɔtik, ɛn nɔ kip antibayɔtik fɔ yuz leta.

Wetin yu kin ɛkspɛkt if yu gɛt C. diff?

Mɔs pan di C. diff infɛkshɔn dɛn nɔ kin at ɛn dɛn kin sɔlv wit tritmɛnt. כltu, di kכndishכn dεm we de mek C. diff infεkshכn kin spre kwik kwik wan sכmtεm. C. diff infεkshכn kin kam wan wan εn i kin tranga. If yu gɛt tin dɛn we kin mek yu gɛt C. diff infɛkshɔn, yu kin gɛt siriɔs infɛkshɔn, ɔ yu kin gɛt infɛkshɔn we kin kam bak ɛn we nid mɔ tritmɛnt.

C. diff de go away pan in yon?

Yɛs, if yu wɛl bɔdi bɔdi baktri dɛm kin kam bak to nɔmal ɛn fɛt am, yu kin bɛtɛ fɔ yusɛf. Dis kin apin mɔ if yu gut baktri dɛm nɔmal fɔ strɔng ɛn yu nɔr gɛt ɛni lɔng tɛm wɛl bɔdi prɔblɛm wae de mek dɛn wik. If na bikɔs yu tek antibayɔtik, yu kin wɛl wans yu dɔn stɔp fɔ tek am. Bɔt nɔ wet fɔ lɔng tɛm. If yu nɔr fil fayn insay sɔm dez, go to dɔktɔ wantɛm wantɛm.

Wans yu get C. diff, e de olwes de?

Afta dɛn dɔn trit am, sɔm baktri dɛn kin lɛf. Bɔt yu kin go fɔ sɔm tɛm we yu nɔ gɛt infɛkshɔn. as lεng as di gud gכt baktri dεm de, dεn go εp fכ kכntrכl Clostridium difficile. If yu gɛt infɛkshɔn we de kam bak, na bikɔs dɛn ɔda baktri ya nɔr dɔn kam bak to nɔmal yet. Infεkshכn we de kam bak kin bi we di כrijinal infεkshכn de kam bak, bכt nכto dat kin bi כltεm. Sɔntɛnde, dɛn kin bi nyu infɛkshɔn.

εni prכblεm de fכ lכng tεm afta C. diff infεkshכn?

Di prɔblɛm we kin apin fɔ lɔng tɛm na di infɛkshɔn we kin kɔntinyu ɔ we kin kam bak wit Clostridium difficile. Dis kin apin we yu kɔlon gɛt prɔblɛm fɔ wɛl ɔltogɛda. Yu kɔlon kin slo fɔ wɛl fɔ dɛn rizin ya:

• If yu bin gɛt siriɔs infɛkshɔn we bin pwɛl di layn na yu insay.
• If yu fɔ tek antibayɔtik fɔ lɔng tɛm, ɔ if yu fɔ tek antibayɔtik fɔ C. diff afta yu dɔn tek ɔda antibayɔtik.
• If yu gɛt lɔng tɛm wɛl bɔdi prɔblɛm wae de afɛkt yu intestin ɔr imyun sistɛm.
• If yu dɔn pas 65 ia.

Na smɔl tɛm nɔmɔ sɔm pipul dɛn kin gɛt ɔtoimyun disɔda afta dɛn dɔn gɛt siriɔs infɛkshɔn. dis min se dεn imyun sistεm de kכntinyu fכ du lεk se infεkshכn de, ivin afta di infεkshכn dכn klin. כtoimyun dizכrd dεm we kin bigin afta C. diff infεkshכn inklud post-infεkshכn IBS (irritable bowel syndrome) εn riaktiv atraytis.

Us kwɛstyɔn yu fɔ aks yu dɔktɔ bɔt C. diff infɛkshɔn?

Yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw bad mi infɛkshɔn de?
• A de pan denja fɔ gɛt prɔblɛm dɛn?
• Aw a go no if C. diff de kam bɛtɛ?
• Ustɛm a fɔ kɔl yu? Ustɛm a fɔ go na di imejensi rum?
• A nid fɔ go to dɔktɔ we de mɛn di bɛlɛ?
• Wetin na di tritmɛnt opshɔn fɔ infɛkshɔn we de kam bak?

Clostridium difficile na wan kɔmɔn baktri we kin liv na yu intestinal we nɔ kin du ɛni bad tin. Bɔt we i bigin fɔ strɔng tumɔs, i kin rili siriɔs. Yu kin fil wɔri fɔ gɛt dayarɛa ɔltɛm ɛn aw e de afɛkt yu layf. Yu kin shem bak fɔ tɔk bɔt wan sik we de afɛkt di we aw yu de muv yu bɔdi. Bɔt nɔ mek dɛn filin dɛn de stɔp yu fɔ go fɛn ɛp.Bɔrku pipul nɔr kin gɛt kɔmplikeshɔn frɔm C. diff, ɛn i kin klia kwik ɛn kɔmplit wan. Bɔt if yu gɛt mɔ risk bikɔs ɔf sɔm tin dɛn we kin mek yu gɛt prɔblɛm, i kin rili bad. I kin pas bak bad bad wan, i kin kɔntinyu fɔ de, ɛn i kin kam bak bak ɛn bak. If yu gɛt dayarɛa afta yu dɔn tek antibayɔtik, tɛl yu dɔktɔ wantɛm wantɛm. Nɔ tek mɛrɛsin we de stɔp dayarɛa, bikɔs i nɔ go ɛp ɛn i kin ivin mek i wɔs. If yu saspek se yu gɛt C. diff, go to dɔktɔ wantɛm wantɛm.

So, wetin na di tin dɛn we wi fɔ mɛmba frɔm dis stori?

C. diff na baktri we kin mek infεkshכn na wi big intestin. Dis kin mek yu gɛt sɔm kayn sik lɛk dayarɛa ɛn bɛlɛ pen.

>

dis kin apin bכku tεm we antibaytik dεm de kil di gud baktri dεm na di gכt, we de alaw C. diff fכ gro.

>

Dis kin rili pas, so fɔ was yu an ɛn tek kia ɔf klin ples rili impɔtant.

>

Di wan dɛn we dɔn ol, di wan dɛn we nɔ gɛt bɛtɛ wɛlbɔdi, ɛn di wan dɛn we de na ɔspitul kin gɛt dis.

>

If yu gɛt sɔm sayn dɛn, go to dɔktɔ wantɛm wantɛm. Bikɔs, if dɛn trit yu fayn, bɔku tɛm yu kin wɛl. Bɔt if dɛn nɔ trit am, prɔblɛm dɛn kin apin.

>

I impɔtant fɔ tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am ɛn di rayt tɛm.

So, a op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!