Kua pāngia koe e te mamae o te puku i muri i te tango i ngā paturopi? Me ako tātou mō te C. diff (Clostridioides difficile)!

Kua tīmata kē koe ki te pāngia e te mate korere kino i muri i te tango i te rongoā paturopi? Kua roa rānei koe e mamae ana te puku me te mate korere? Tērā pea nā te mate kitakita kāore anō kia rongohia, engari he tino morearea. I tēnei rā, me kōrero tātou mō te C. diff, te take e puta ai, me pēhea hoki tātou e tiaki ai i a tātou anō.

He aha te C. diff (Clostridioides difficile)?

Ki te whakarapopoto, ko C. diff te ingoa poto mō tētahi momo huakita. Ko tōna ingoa katoa ko *Clostridioides difficile*. Ka taea e tēnei huakita te pangia tō tātou whekau nui (koroni). Ina pā mai, ka puta te mate korere me te maha atu o ngā tohu whakararuraru.

He mea noa te pāngia o ō whekau e ngā mate kitakita, ā, ko te nuinga o ēnei kāore i te kino. Engari he kino ake tēnei mate C. diff, ā, ka taea e ia te kino i tō koroni. Nā te mea ka whakaputa paitini ngā kitakita C. diff i roto i ō whekau. Ka kino ēnei paitini i ngā pūtau e piri ana ki ō whekau, ka pupuhi ai. I roto i ngā kupu hauora, ka kiia tēnei ko te mate puku . Ko te pānga o ngā tohu me te kaha o aua tohu ka whakawhirinaki ki te nui o te kino kua pā mai i ngā paitini ki ō whekau. I ētahi wā, ka taea e tēnei mate te whakararu i te ora.

He aha ngā tohu o te mate C. diff?

Ko te tohu matua me te tohu tuatahi o tēnei mate ko te rere o te whekau wai (korere) . Ki te kore e kino te mate, tera pea e toru ngā rere o te whekau i te rā, me te mamae ngawari o te puku.

I te kaha haere o te mate, ka kino haere hoki te mate korere. Tērā pea ka tekau, ka tekau mā rima rānei ō puku e puta ana i te rā. Tērā pea ka kitea he toto i roto i tō tūtae. Ko ēnei ētahi atu tohu ka puta mai ina tino kino te mate.

I te tīmatanga, tera pea ēnei tohu e rite ana ki te paihana kai, ki te rewharewha puku rānei. Mena kei te tango koe i ngā paturopi, tera pea ka whakaaro hē koe he pānga taha noa tēnei mamae o te puku o te rongoā.

He aha te āhua o te tūtae i te mate C. diff?

I roto i te mate korere C. diff, he rite te tūtae ki te parāoa, he matotoru, kāore i te tino wai. I ētahi wā ka kakariki te tae. I ētahi wā, ka kitea pea he toto, he hūpē, he pūhā rānei.

He tokomaha te hunga e kī ana he kakara motuhake tō te mate korere C. diff. E whakaahuahia ana e rātou he kakara kaha ake, he kakara reka ake i te tūtae noa. Tērā pea nā te mea ka whakanui ake ngā huakita C. diff i ngā taumata o ngā waikawa au i roto i ō tātou tūtae.

He aha tātou ka whiwhi ai i te C. diff?

Whakaarohia tō tātou puku hei māra putiputi ataahua. I roto i tēnei māra, he putiputi pai, me ētahi taru kino. I roto i te puku o te tangata he pūnaha ārai mate hauora tōna, he maha ngā huakita "pai" (pērā i ngā putiputi) ā, ko ngā huakita "kino" (pērā i ngā taru kino) kei te whakahaere. Ko te C. diff he huakita e noho noa ana i roto i tō tātou puku i roto i ngā rahinga iti.

Ki te whakararuraruhia tēnei taurite, arā, he iti ake ngā huakita pai, ka whai wāhi ngā huakita kino pērā i te C. diff ki te horapa pērā i te taru ka riro mai.

Me pēhea te tuku i te C. diff?

He tino pukumahi te huakita C. diff. Ina puta atu i te tinana, ka hangaia he anga pakari e kiia nei he spore. He rite ēnei spore ki ngā kākano ririki o te huakita. Ka noho pea rātou ki ō tātou ringaringa, ki ngā mea hoki e pā atu ana tātou (ngā kakau tatau, ngā tēpu, ngā taputapu kaukau). Ki te pā atu tātou ki tētahi mata kei roto ēnei spore, ka pāngia tātou e te mate, ahakoa he kai kai mā te ringa kotahi, he kuhu rānei ō tātou ringaringa ki roto i ō tātou waha.

He tino uaua ki te patu i ēnei pua. He ātete ki te wera, ki ngā waikawa, me te maha o ngā paturopi me ngā patu huakita. Ka taea hoki e rātou te ora i runga i ngā mata mō ngā marama. Koia te take ka tere te horapa o tēnei mate, inā koa i ngā wāhi pēnei i ngā hōhipera.

Ko wai kei te mōrearea nui ake ki te pāngia e te C. diff?

Ko ētahi tāngata ka nui ake te tūponotanga ka pāngia e tēnei mate. Ko rātou ēnei:

• Ngā tāngata neke atu i te 65 tau te pakeke: Ka nui ake te mōrearea nā te mea ka heke te ārai mate i te kaumātuatanga, he maha ngā rongoā e tangohia ana e rātou mō ētahi atu mate, ā, e noho ana rātou i ngā hōhipera, i ngā whare tiaki kaumātua rānei.
• Ngā pēpi nohinohi: Nā te mea kāore anō kia tino whanake te pūnaha ārai mate o rātou.
• Ngā tāngata i roto i ngā hōhipera: He wāhi ngāwari te horapa o ngā pua C. diff i ngā hōhipera. Ka taea te horapa mā roto i ngā wharepaku me ngā wharepaku tūmatanui.
• Ngā tāngata whai pūnaha ārai mate ngoikore: Ko ngā tāngata whai mate pēnei i te mate pukupuku, te HIV, te mate tākihi, me te mate huka kua ngoikore ō rātou pūnaha ārai mate. He nui ake te mōrearea o te hunga e tango ana i ngā rongoā ārai mate.
• Te hunga whai mate puku: Ko te hunga whai mate pēnei i te Inflammatory Bowel Disease (IBD) , pēnei i te mate a Crohn me te ulcerative colitis, ka ngawari ake te pangia e te mate nā te mea kua ngoikore te paparanga tiaki o te puku.

Engari kia maumahara, ahakoa te tangata kāore i te whai i ēnei āhuatanga mōrearea, ka taea tonu e ia te whakawhanake i te C. diff.

He aha ngā raruraru pea ka pā mai i te C. diff?

I te nuinga o te wā, kāore e kino rawa ngā mate C. diff. Engari i ētahi wā, ina koa ka kore e rongoatia, ka puta he raruraru nui.

• Te mate urutā: Ahakoa i muri i te maimoatanga, tata ki te 20% o te iwi ka pāngia anō e te mate i roto i ngā wiki e rua ki te waru.
• Te matewai: Ka ngaro te nui o te wai me ngā electrolytes i te tinana i te nui o te mate korere. Mēnā ka kino rawa atu tēnei, ka heke te toto toto, ka ngoikore hoki te whatukuhu.
• Te mate koriri pseudomembranous:He mate kino tēnei (colitis). Ka mumura te roto o te whekau, ka matotoru hoki, pērā i te kiriuhi.
• Te megacolon paitini: He mate onge tēnei engari he tino morearea. Ka pupuhi rawa te koroni, ā, ka mutu tana mahi. Ka arahi pea tēnei ki te sepsis, he mate e horapa ai ngā huakita puta noa i te tinana.

I ngā āhuatanga kino pēnei, me mahi pokanga pea hei tango i te wāhanga pangia o te whekau.

E te tākuta, me pēhea te tautuhi i tēnei mate? He aha te rongoā?

Ki te whakapae tō tākuta kei te pangia koe e te mate C. diff i runga i ō tohumate, ka tono ia kia homai e koe he tauira paru. Ka tukuna atu ki te taiwhanga hei whakamātautau mō te aroaro o ngā paitini C. diff.

Mena ka whakaūtia te mate, ka mahia pea he whakamātautau toto, me te tirotiro pea i roto i ngā whekau hei whakatau i te kaha o te mate.

Ngā tikanga maimoatanga

Ka whakawhirinaki te maimoatanga ki te kaha o te mate.

• Te whakamutu i ngā paturopi: Ki te pāngia koe e te C. diff i a koe e tango ana i ngā paturopi mō tētahi atu mate, ko te mea tuatahi ka mahia e tō tākuta ko te whakamutu i te rongoā. Mō ētahi tāngata, koinā anake te mea e hiahiatia ana e rātou. Ka tupu anō ngā huakita pai i roto i tō puku, ā, ka memeha haere te mate.
• Ngā paturopi motuhake mō te C. diff: Ki te kore e mahi, ka tohua pea e tō tākuta he paturopi motuhake hei patu i ngā huakita C. diff. Hei tauira , (Metronidazole) , (Vancomycin) , (Fidaxomicin) rānei.
• Te whakaurunga ki te hōhipera: Mena he kino rawa te mate, me whakauru pea koe ki te hōhipera, ka hoatu pea he tote (wai IV) me ngā paturopi ā-uaua.

Me aha koe mō ngā mate urutā e hokihoki mai ana?

Ka hoki anō ētahi tāngata ki te mate i muri i te maimoatanga. Mō ēnei āhuatanga, ko ngā kōwhiringa ko:

• Te rongoā paturopi anō: Ka taea te tohu i tētahi atu paturopi, i tētahi atu rongoā roa rānei.
• Te Whakatōnga Maikoroiti Tūtae (FMT): He ahua rerekē pea tēnei ingoa, engari he maimoatanga tino whai hua mō te C. diff e hokihoki mai ana. He māmā noa iho, ko te tikanga he wehe i ngā huakita 'pai' mai i tētahi tauira tūtae o tētahi tangata hauora, ka werohia ki roto i te puku o te tūroro. Ka whakahokia mai te taurite o ngā huakita pai kua ngaro i roto i te puku.

Me aha tātou hei ārai i te horapa o te C. diff?

Nā te mea he tino horapa tēnei mate, me tino tupato tātou. Ina koa mēnā he mate tēnei kei roto i te whānau, me mahi i ēnei mea.

• Wehenga: He pai ake te pupuri i te tangata pangia ki tētahi rūma motuhake mēnā ka taea. He pai ake anō mēnā ka taea e rātou te whakamahi i tētahi wharepaku motuhake. Ki te whakamahi koe i tētahi wharepaku tūmatanui, horoia tonutia te mata o te wharepaku ki te wai horoi kei roto he wai mā i muri i te whakamahinga.
• Te horoi mata: Horoia ngā mata e pāngia pinepinetia ana (ngā kakau tatau, ngā pana rama) ki te wai kei roto he mā.
• Te whakamahi tika i ngā paturopi: Kaua rawa e tango i ngā paturopi kāore anō kia tohua e te tākuta. Tangohia te rongoā katoa e ai ki te whakahaunga.

Āhea ahau me toro atu ki te tākuta?

Ki te pā mai ēnei tohu ki a koe, me toro atu ki tō tākuta tonu.

• Mena ka pāngia koe e te mate korere i muri i te tīmatanga o te rongoā paturopi.
• Mena he kino te mate korere (neke atu i te 10 ngā wā i te rā).
• Ki te kite koe i te toto i roto i tō tūtae.
• Mena he nui te mamae o tō puku me te kirika.
• Mena kei te ruaki koe ā, kāore e taea e koe te kai, te inu rānei.

Ki te pāngia koe e tētahi o ēnei tohu, haere tonu ki te Tari Urupare (ETU) o te hōhipera:

• Ngā tohu o te matewai (waha maroke, kanohi totohu, iti rawa te mimi e puta ana, ngenge nui).
• Mamae nui, kore e taea te manawanui i te puku.
• Te pōhēhē o te mahara.

Ehara te mate C. diff i te mate e tika ana kia māmā noa iho. Kaua e mataku. Ki te toro atu koe ki te tākuta i te wā tika, ā, ki te whiwhi maimoatanga koe, ka taea te whakaora katoa.