Antibiotics i ei hnuah i pum a na tawh ngai em? He natna hrik hlauhawm tak, C. diff (Clostridioides difficile) chungchang hi i zir chiang ang u.

Antibiotic i ei hnuah i pum na na tak i nei tawh em, a nih loh leh ni khatah vawi tam tak tui ril i nei tan tawh em? Nge i chhungkuaa mi tu emaw, a bik takin kum upa lam, damdawi in atanga lo haw hnuah he harsatna hi a tuar em? A chhan chu mi tam takin an hriat ngai loh bacteria infection a ni thei a, mahse a hlauhawm khawp mai. Chu chu vawiina kan sawi tum chu a ni. Bacteria pakhat C. diff an tih a ni.

A awlsam zawngin, C. diff chu eng nge ni?

C. diff, a nih loh leh Clostridioides difficile , hi bacteria chi khat a ni. He bacteria hian kan intestines-ah infection a siam thei a, kan colon-ah inflammation na tak, a nih loh leh swelling nasa tak a thlen thei bawk. Doctor te chuan he natna hi colitis an ti a . A tam zawkah chuan he natna hi natna dang atana antibiotic i hman zawh hnuah a intan thin. A châng chuan, a pawi hle thei a, nunna atân pawh a hlauhawm thei bawk . He C. diff bacteria spore hi kan chhehvel hmun tinah te, boruakah te, leiah te, tuiah te, mihring leh rannung bawlhhlawh ah te pawh hmuh tur a awm a. Bacteria muhil ang maiin ngaihtuah rawh. Thla tam tak chhung chu boruakah chhiatna thlen lovin an awm thei a ni. Mahse, heng spore te hi i ka atanga i taksaa an luh leh i intestines chhunga an luh chauhvin an active leh thin.

C. diff natna lan chhuah dan chu engte nge ni?

C. diff natna lan chhuah dan chu a na lo atanga a nasat lutuk thlengin a awm thei. Eng nge an nih i han thlir teh ang.

C. diff stool hi eng ang nge a nih a, eng ang nge a rim?

Mi thenkhat chuan C. diff infection hian an ek rim a tidanglam thin niin an sawi. A tlangpuiin a rimchhia zawk, a nuam lo zawk. Mi dangte chuan stool chhunga bile hian rimtui tlem a pe thei niin an sawi bawk. Stool hmel chungchang sawi dawn chuan a chang chuan a lo hring thei a, oatmeal ang maiin a awm thei a, mual ang maiin a lang thei bawk. A châng chuan thisen emaw, mucus emaw a awm thei bawk. A rawng pawh greenish a ni thei bawk. A pawimawh ber: I riltam a nasat em em a, chu chu ni khatah vawi tam tak i vei tihna a ni a, a nih loh leh i chak lo nia i hriat chuan damdawi lam pan nghal rawh. Diarrhea na tak chuan rang takin tui tlakchhamna leh thihna thlengin a thlen thei a ni.

Engvangin nge C. diff hi a lo awm? Tute nge risk sang zawk?

A hmaa kan sawi tawh ang khan a chhan ber chu antibiotics hman vang a ni. Ngaihtuah teh, bacteria tha leh bacteria tha lo te hi kan intestine ah hian balance in an nung vek a. Infection pakhat atana antibiotics i ei hian chu damdawi chuan bacteria tha lo chauh ni lovin, min puitu bacteria tha tak takte pawh a that bawk. Chutah chuan control theih loh C. diff bacteria te hian an pung thei a, toxin an siam a, intestines an tichhe thei bawk.

Risk tipungtu thilte:

• Antibiotic hman dan: Antibiotic chak tak hmangtute, a bik takin cephalosporins, clindamycin , fluoroquinolones , leh penicillins te hi an hlauhawm zawk.
• Kum: Kum 65 chunglam te hian he natna hi an vei tam zawk.
• Hospitalization: He bacteria spore hi damdawi in leh nursing home ang chi hmunah te a darh tam zawk. Chutiang hmunah chuan hnathawktute kaltlangin emaw, damdawi in hmanrua hmangin emaw awlsam takin a darh thei a ni.
• Immune system chak lo: 1.1.Cancer, cancer enkawlna emaw, natna dang emaw avanga immune system chak lo nei te chu an hlauhawm zawk.
• Bowel natna dang: Inflammatory bowel disease (IBD) emaw colorectal cancer ang chi natna nei te pawhin an hlauhawmna a sang hle.

C. diff avanga harsatna awm thei te chu engte nge ni?

C. diff infection hi enkawl vat a nih loh chuan harsatna nasa tak a awm thei a ni.

• Severe Dehydration: Luak tam lutuk hian taksa atanga tui leh chi (salts) a bo a, kal hnathawh leh thisen sang a tichhe thei a ni.
• Toxic Megacolon: Hei hi natna hlauhawm tak a ni. Chutiang a nih chuan colon chu a lo hring nasa lutuk a, boruak emaw, bawlhhlawh emaw pawh a kal thei lo. Hei hian colon pawh a tipuak thei a ni. Hei hi nunna atana hlauhawm tak a ni a, emergency surgery a ngai a ni.
• Bowel Perforation: Intestine lianah khur a awm chuan bacteria hlauhawm tak tak chu pum chhungah a lut thei a, chu chuan natna khirh tak peritonitis tih a thlen thei a ni.
• Pseudomembranous colitis: C. diff atanga toxins siam hian intestine chhunga cell te a tichhia a, ulcer leh plaques thickened a siam thin.

Hei hi natna khirh tak a nih chuan damdawi in Emergency Treatment Unit (ETU) -ah pawh dah a ngai mai thei . Chuvangin symptoms i neih chuan Doctor pan hmasa phawt ang che.

Enkawlna leh invenna

I symptoms a zirin i doctor chuan C. diff infection i neih leh neih loh chu stool sample test hmangin a finfiah ang.

Enkawl dan tur

Mak tak maiin he antibiotic-induced disease hi antibiotics bik dang hmanga enkawl a ni bawk. Hengte hian C. diff bacteria chauh an target a, an that thin.

• Fidaxomicin hmanga siam a ni
• Metronidazole a ni
• Vancomycin hmanga siam a ni

Heng damdawi te hi doctor-in a tih ang chiah hian hman tur a ni. Diarrhea avanga tui hloh te pawh thlak a pawimawh bawk. Hei hian tui, broth, porridge, soup, leh thei tui tam tak in tihna a ni. Thil na tak tak ṭhenkhatah chuan, intestine hmun chhia chu operation hmanga lak chhuah pawh a ngai thei.

C. diff infection i neih huna ei tur tha

Pumpui tana awlsam leh starch awmna ei tur ei a tha ber.

• Crackers te pawh a awm
• Alu hmin, sweet potato
• Rice, buhfai chi hrang hrang
• Oatmeal a ni
• Soup chi hrang hrang
• Thlai chi hrang hrang chhum
• Balhla

Engtin nge hri kai lakah i inven theih ang?

• Damdawi inah i awm a nih chuan i enkawltu doctor leh nurse-te chu an rawn tlawh hma leh i tlawh hnuah kut sil turin hrilh rawh.
• I room chhunga damdawi hmanrua rawn luh chu tihfai a ni tawh em tih zawt rawh.
• A tul lovah antibiotics ei loh tur. Damdawi hi i doctor-in a tih angin chauh ei la, a pek hun chhung zawng zawng ei rawh.

C. diff natna vei i enkawl a nih chuan kutkawr vuah ngei ngei tur a ni. Tin, toilet, kawngkhar khar, leh miin a hman switch-te chu chlorine (bleach) awmna cleaner hmangin silfai fo bawk ang che . C. diff, Clostridioides difficile, luak chhuak, pum na, antibiotics, bacteria infection, colitis