Kei te mamae tō puku, kei te korere rānei koe mō ētahi rā? He maha ā tātou whakaaro, 'Āe, he paitini pea tēnei kai', 'He rewharewha huaketo pea.' Engari i ētahi wā ka puta mai ēnei tohu i tētahi mate kitakita kino ake ka kino ai ō tātou whekau. Ko tētahi o aua mate ko te C. diff (Clostridioides difficile).
He aha te C. diff (Clostridioides difficile)?
He kupu ngāwari noa iho, he momo huakita te C. diff. Ko te ingoa tuturu ko `(Clostridioides difficile)`. Ka taea e tēnei huakita te whakararu i tō whekau nui, arā, `(koroni)`. Koinei te wā e puta ai ngā tohu whakararuraru pērā i te mate korere. Nā, kia titiro tātou, he mea noa te pāngia o tō tātou whekau nui e ngā mate huakita. Ko te nuinga o ēnei kāore i te tino kino.
Engari he ahua kino ake tēnei mate C. diff. Ko te take he huakita `(Clostridioides difficile)` e whakaputa ana i ngā paitini. Ka kino ēnei paitini i ngā pūtau i roto i ō tātou whekau. Ka puta te mumura o te arai o te whekau me te whekau nui, arā, te mumura (colitis). Ko te whanaketanga o ngā tohu me te kaha o aua tohu ka whakawhirinaki ki te nui o te kino i puta mai i ēnei paitini. I ētahi wā
ka taea e tēnei āhuatanga te whakararu i te ora. I mua ko te ingoa o tēnei huakita ko `(Clostridium difficile)`. Ināianei ko te ingoa hou ko `(Clostridioides difficile)`.
He pēhea te noa o te pangia e te mate C. diff?
He raruraru hauora ā-ao te mate C. diff, arā, te CDI. Heoi, kāore he tatauranga tika mō tōna horapa puta noa i te ao. I te Hononga o Amerika, e kiia ana he tata ki te 500,000 ngā mate i ia tau, ā, tata ki te 15,000 ngā mate. Nō reira, ehara tēnei i te mea hei whakaaro māmā noa iho.
He aha ngā tohu o te mate C. diff?
Ko te tohu tuatahi, ko
te tohu tino kitea ko te mate korere wai. I ngā wā ngawari, ka puta te mate korere tae atu ki te toru ngā wā i te rā, ā, tera pea ka mamae te puku. I te haere tonu o te mate C. diff, ka piki ake te auau o te mate korere. Ka taea te puta tae atu ki te 10-15 ngā wā i te rā. Tērā pea ka kitea he toto i roto i tō tūtae. Ko ētahi atu tohu ko:
I te tīmatanga, ka rite ngā tohu o te C. diff ki te paihana kai, ki te rewharewha puku rānei. Mena kei te tango koe i ngā paturopi, tera pea ka pohehe koe i te korere hei pānga taha o te rongoā.
Engari kia maumahara, i ētahi wā ka pā mai ngā mate C. diff me te kore he mate korere .
He aha te āhua o te tūtae ina pāngia koe e te C. diff? He aha te kakara?
He rite te āhua o te mate korere C. diff ki te whakapiri, kāore i te wai katoa. I ētahi wā ka kakariki, engari ka pā mai anō hoki tēnei ki ētahi atu mate kitakita. He onge te kitea o te toto, te hūpē, te pūhā rānei i roto i te tūtae. He maha ngā tāngata e kī ana
he kakara motuhake tō te mate korere C. diff. E ai ki a rātou he tino kakara, ā, he reka kē te reka. Tērā pea nā te mea ka whakanui ake a C. diff i ngā taumata o ngā waikawa au i roto i te tūtae.
He aha ngā take o te mate C. diff?
I te nuinga o te wā, ka ārai te tangata whai pūnaha ārai mate hauora i ngā huakita C. diff i roto i tōna puku, kia kore ai e pā mai he mate. Ko te raruraru ina tīmata te tipu nui rawa o ēnei huakita me te kore e whakahaeretia pērā. Ko te take o tēnei, ka ngaro te taurite i waenga i ngā huakita "pai" me ngā huakita "kino" i roto i tō tātou puku. He huakita kei roto i te puku o te katoa. Ka āwhina ēnei huakita pai ki te pupuri i ētahi atu huakita pērā i te C. diff kia āraihia.
Ko te take matua mō te mate C. diff ko te whakamahinga o ngā `(paturopi)`. Ina whakamahia ngā paturopi, ka whakararuraruhia te taurite i waenga i ngā huakita pai me ngā huakita kino i roto i tō tātou puku (te `(pūmua puku)`). Kātahi ka kaha te tipu o ngā huakita C. diff, ka nui rawa te tipu.
Me pēhea te tuku i te C. diff?
Ka horapa te Clostridium difficile mā te tuku i ngā pua. He tino iti ēnei pua, ā, ka kitea i runga i tō tātou kiri, i runga i ngā mea e karapoti ana i a tātou, me ngā mata pērā i ngā tēpu me ngā tūru. Ko te tikanga tēnei, ki te pā atu koe ki tētahi mea kei roto ēnei pua, kātahi ka kai tahi me taua mea, ka pā atu rānei ki tō waha, ka pāngia koe e te C. diff.
He aha i tere ai te horapa o te C. diff?
I waho o ō tātou tinana, ka hangaia e ngā huakita C. diff he pua. He tino uaua ki te patu i ēnei pua, i roto, i waho hoki o ngā whekau.
He ātete rātou ki te wera, ki te waikawa, ki ngā momo paturopi, me ngā patu huakita. Ka taea hoki e rātou te ora i runga i ngā mata mō ngā marama. E ai ki ngā kairangahau, tata ki te 5% o te taupori he huakita C. diff kei roto i ō rātou koroni, kāore he tohu e puta. Ko te tikanga o tēnei, ahakoa kei te whakahaeretia tō C. diff, ka taea tonu e koe te hora atu ki ētahi atu.
Ka taea e koe te whakawhanaunga me tētahi tangata he C. diff tōna?
Āe, ka taea e koe. Engari mēnā ka whai koe i ngā tikanga haumaru. Hei whakaiti i te horapa o te mate, me mahi koe i ēnei e whai ake nei:
- Horoia pai ō ringaringa ki te hopi i ngā wā katoa.
- Kaua e pā ki tō ihu, waha, me ō kanohi.
- Whakakorea ngā mata e karapoti ana.
- Ngā karapu, ngā kopare kanohiWhakamahia ngā taputapu tiaki, pērā i ngā kākahu (ina koa mēnā kei te tiaki koe i tētahi tūroro).
Ko wai kei te mōrearea nui ake ki te pāngia e te C. diff?
Tērā ētahi āhuatanga hauora ka whakaiti i te kaha o te parepare o tō tinana ki te mate C. diff. Kei roto i ēnei ko:
- Mate Puku Mumura ( IBD ): Ko ngā mate puku mumura mau tonu, pērā i te mate a Crohn me te mate puku ulcerative, ka ngoikore ai ngā whekau i roto i te wā. Ka kino ēnei i te mucosa, te arai o ngā whekau, ā, ka whakaiti i te ārai mate o te whekau.
- Pūnaha ārai mate ngoikore: Mena he mate ngoikore tōu pūnaha ārai mate, he mate pūmau rānei e pā ana ki tō pūnaha ārai mate, pērā i te mate pukupuku, te HIV , te mate tākihi, te mate huka rānei, tera pea kua ngoikore tō pūnaha ārai mate whānui, ehara i te mea ko tō puku anake. He pono rawa tēnei mena kei te tango koe i ngā rongoā ārai mate.
Ko ētahi atu āhuatanga mōrearea e pā ana ki te mate C. diff ko:
- Tau: He nui ake te mōrearea o te hunga neke atu i te 65 tau te pakeke ki te pangia e te mate C. diff. Tērā pea nā te ngoikore o te pūnaha ārai mate, he maha ngā rongoā e tangohia ana i te wā kotahi, kei te noho rānei i ngā hōhipera, i ngā whare tiaki kaumātua rānei. Ka pāngia hoki ngā tamariki nohinohi e te mate C. diff.
- Te noho hōhipera, ngā wāhi kīkī rānei (hei tauira, ngā whare herehere): Ka horapa ngāwari te C. diff i ngā wāhi kīkī. Ka taea e ngā spore te ora mō ngā marama i runga i ngā mata noa. Ka taea te horapa mai i te tangata ki te tangata mā roto i ngā wāhi e whakamahia whānuitia ana, pērā i ngā wharepaku.
Engari i ētahi wā, kāore he tino take mō te mate C. diff. Ahakoa he maha ngā āhuatanga ka pā ki te pūnaha ārai mate o tō puku, he mea nui kia mōhio koe ka
taea e koe te pāngia e tēnei mate ahakoa kāore he āhuatanga mōrearea .
He aha ngā raruraru pea ka pā mai i te mate C. diff?
Ka puta pea ngā raruraru me ngā mate kino ake.
Ko te kaha o tō mate ka whakawhirinaki ki ētahi āhuatanga, tae atu ki te momo huakita e pangia ana koe, me te kaha o tō pūnaha ārai mate. Ko te hunga he take mōrearea ki te pangia e te mate C. diff ka nui ake te mōrearea ki te pangia e te mate kino ake, ki te pangia anō rānei e ngā mate. Ka nui ake te kino ka puta i tēnei i roto i te wā. Ko ngā raruraru noa ko:
- Te mate urutā: Tata ki te 20% o te tangata ka pāngia anō i roto i ngā wiki e rua ki te waru i muri i te otinga o te maimoatanga. Whai muri i tēnā, ka pāngia anō pea ētahi atu 40%.
- Te maroke me te ngaronga o ngā electrolytes:Ki te ngaro wawe atu ngā wai me ngā electrolytes i tō tinana i tō rātou kaha ki te whakakapi, ka pā mai pea ngā pānga taha kino pērā i te iti o te toto, te toto toto iti, tae atu ki te ngoikore o te whatukuhu i ngā wā tino kino.
- Pseudomembranous colitis: He momo colitis kino tēnei. Ka taea e ia te hanga i tētahi paninga matotoru, kiripaka ki te arai o tō koroni.
I te mea ka nui haere te kino i puta mai i ngā paitini i roto i te koroni, ka puta pea ētahi atu raruraru:
- Te turuturu wai: Tērā pea ka tīmata te turuturu o te wai mai i tō koroni ki roto i te kōhao o tō puku (e kiia ana tēnei ko te ascites), ka pupuhi tō puku. Tērā pea ka ngaro te pūmua mai i tō koroni, ka heke ai ō taumata albumin. Ka puta pea ngā tohu pēnei i te pupuhi me te ngenge.
- Te mate rumatiki tauhohe: Ka taea e te mate kino te whakaputa i tētahi āhuatanga e kiia nei ko te "mate rumatiki tauhohe." Ka taea e tēnei te whakaputa i te mumura, te pupuhi, me te mamae i roto i ō hononga me ētahi atu wāhanga o tō tinana.
- Te megacolon paitini: He mate onge engari he tino morearea te megacolon paitini. Ka puta tēnei ina tino kaha te pupuhi i puta mai i te mumura, ā, ka kore e mahi tika te koroni. Ka taea e tēnei te arahi ki te sepsis (te paitini toto).
Me pēhea te tātaritanga o te mate C. diff?
Mena kei te whakapae tō tākuta kei te pangia koe e te mate C. diff i runga i ō tohumate, ka tangohia e ia he tauira o tō paru ka tukuna ki te taiwhanga hei tirotiro mō ngā paitini C. diff. Mena he pai ngā hua o tō whakamātautau, arā, kei a koe te mate, ka mahi pea tō tākuta i ētahi atu whakamātautau hei kimi i te kaha o te mate. Kei roto pea i tēnei ko ngā whakamātautau toto me ngā whakamātautau whakaahua hei tirotiro i roto i tō koroni.
Me pēhea te rongoā i te mate C. diff?
Ka rongoatia te mate C. diff i runga i tōna kaha. Mena ka pāngia koe e te C. diff i a koe e tango ana i ngā paturopi, ka mutu pea te tango a tō tākuta i te rongoā. Mō ētahi tāngata, koinā anake te mea e hiahiatia ana. Ka tīmata anō te mahi a tō rātou pūnaha ārai mate puku, ā, ka whakahaere i te mate. Ki te kore, ka tohua pea e tō tākuta ētahi atu momo paturopi hei aukati i te C. diff. Ko ētahi momo paturopi mō te C. diff ko:
- `(Metronidazole)`
- `(Vancomycin)`
- `(Fidaxomicin)`
Mena he mate pāwera ngawari tōu, ka taea e koe te hoki ki te kāinga ka tango i tāu rongoā. Ka tīmata te nuinga o te tangata ki te ora ake i roto i ētahi rā. Engari ki te kino te mate, me noho koe ki te hōhipera. I te hōhipera, ka hoatu e tō tākuta he paturopi ki a koe, mā te uaua pea (IV - intravenous). Ka hoatu hoki e rātou he mea pēnei i te tote hei ārai i te matewai. I ētahi wā, ka hoatu tika te rongoā ki roto i te koroni hei enema.
Me aha koe mō ngā mate urutā uaua o C. diff?
Mena he nui ngā raruraru ka pā mai ki a koe, me rongoatia pea koe i roto i te wāhanga tiaki nui. He onge noa iho, ka tūtohu pea ngā tākuta i te pokanga ohorere (colectomy) hei tango i te pūtake o te mate i roto i tō koroni. Mena ka ora koe engari ka pāngia tonutia e ngā mate i muri i te maimoatanga, ko āu kōwhiringa ko:
- Maimoatanga paturopi anō: Tērā pea ka hoatu e tō tākuta he rongoā rerekē ki a koe, he rongoā ōrite rānei mō te wā roa. Whai muri i te rongoā paturopi, ka tūtohu pea tō tākuta kia tangohia he probiotics hei āwhina i te whakaora i ngā huakita i roto i tō puku.
- Te Whakatōnga Maikoroiti Tūtae (FMT): Kua whakaatuhia he tino whai hua tēnei tikanga ki te ārai i ngā mate urutā C. diff i muri i te korenga o te maimoatanga paturopi maha. Ko te tikanga he whakawhiti i tētahi tauira tūtae mai i tētahi tangata hauora ki roto i tētahi koroni mate. Ka whakamahia tēnei tauira hei whakataurite anō i ō maikoroiti puku. Whakaarohia he rite ki te tāpiri i ētahi oneone pai ki tētahi māra me ētahi tipu kino, me te whakatō i ētahi tipu pai.
He aha ngā mahi haumaru ka taea te mahi hei ārai i te horapa o te C. diff?
Ka āta tupato ngā kaimahi hauora ina pāngia rātou e te mate C. diff hei ārai i te horapa o tēnei mate hopuhopu. Ka taea e koe te whai i tā rātou tauira hei tiaki i ētahi atu:
- Te Wehenga: Ki te pāngia koe e te mate, he pai ake te wehe i a koe i roto i tō ake rūma. Me mau karapu whakakorekore te hunga e haere mai ana ki te rūma ki te tiaki i a koe, ā, me tango atu i a rātou ina puta atu i te rūma. Nā te mea ka horapa te mate mā roto i ō paru, me karo koe i te whakawhitiwhiti wharepaku me ētahi atu. Ki te tino hiahia koe ki te whakawhitiwhiti, horoia te kakau, te nohoanga wharepaku, me te rohe e karapoti ana ki te wai horoi kei roto he wai mā i muri i te whakamahinga.
- Te horoi ringa: Nā te mea kāore te horoi ringa e pā ki te C. diff, he mea nui kia horoia ō ringaringa ki te hopi me te wai wera i ngā wā katoa. He mea nui tēnei mō te hunga katoa e pā atu ana koe.
- Te patu huakita: Kāore te nuinga o ngā patu huakita e mahi ki te C. diff. Engari ka taea e ngā hua kei roto he wai mā. He mea nui kia patu huakitahia ngā mata katoa e pā atu ana koe, inā koa i roto i te wharepaku.
- Te tango i ngā paturopi e ai ki te whakahaunga: Kaua e tango i ngā paturopi a ētahi atu, ā, kaua e penapena i ngā paturopi mō te whakamahinga a muri ake nei.
He aha ngā mea ka taea e koe te tumanako mēnā ka whiwhi koe i te C. diff?
He ngawari te nuinga o ngā mate C. diff, ā, ka memeha haere mā te rongoā. Heoi, i ētahi wā ka tere te horapa o ngā āhuatanga e puta ai te mate C. diff. Ka pā whakarere mai te mate C. diff, ā, ka kino rawa atu. Mena he take mōrearea tōu mō te mate C. diff, he nui ake te tūponotanga ka pāngia koe e te mate kino, ka pāngia rānei koe e ngā mate e hiahia ana kia nui ake te rongoā.
Ka ngaro noa iho a C. diff?
Āe, ki te taea e ō huakita puku hauora te hoki ki te āhua noa me te whawhai ki tēnā, tera pea ka ora ake koe i a koe anō. He nui ake te tūponotanga o tēnei mena he kaha tonu ō huakita puku, ā, kāore he raruraru hauora roa e ngoikore ai rātou. Mena i puta te mate i te tango i ngā paturopi, tera pea ka ora ake koe ina mutu te tango. Engari kaua e tatari roa. Ki te kore koe e pai ake i roto i ētahi rā,
tirohia tonutia he tākuta. Kia whiwhi koe i te C. diff, kei reira tonu?
I muri i te maimoatanga, tera pea ka toe tonu ētahi huakita. Engari ka taea e koe te noho roa me te kore e pangia e te mate. I te mea kei te noho tonu ngā huakita pai o te puku, ka āwhina rātou ki te whakahaere i te Clostridium difficile. Ki te pāngia koe e ngā mate urutā, nā te mea kāore anō ēnei atu huakita kia hoki ki te āhua noa. Ko ngā mate urutā he hokinga mai anō pea o te mate taketake, engari ehara i te mea koinei tonu te āhua. I ētahi wā he mate hou.
He raruraru roa kei muri i te pangia e te C. diff?
Ko te raruraru roa e tino kitea ana ko ngā mate pūmau, ngā mate pūmau rānei o te Clostridium difficile. Ka puta tēnei ina uaua te whakaora katoa o tō koroni. Tērā pea ka puhoi te whakaora o tō koroni mō ēnei take:
- Mena i pāngia koe e te mate kino i pakaru ai te arai o ō whekau.
- Mena i roa te wā i pau i a koe te tango paturopi, i pau rānei i a koe te tango paturopi mō te C. diff i muri i te tango i ētahi atu paturopi.
- Mena he mate hauora roa tōu e pā ana ki tō whekau, ki tō pūnaha ārai mate rānei.
- Mena kua neke atu i te 65 tau tō pakeke.
He onge te pānga o ngā mate pūnaha ārai mate ki ētahi tāngata i muri i te mate kino. Ko te tikanga o tēnei, ka mahi tonu tā rātou pūnaha ārai mate me te mea he mate kei roto, ahakoa kua kore te mate. Ko ngā mate pūnaha ārai mate ka tīmata i muri i te mate C. diff ko te IBS muri i te pangia (te mate puku irritable) me te rumatiki tauhohe.
He aha ngā pātai me pātai atu koe ki tō tākuta mō te mate C. diff?
Ka taea e koe te pātai i ngā pātai penei:
- Kia pēhea te kino o taku mate urutā?
- Kei te tūpono ahau ki ngā raruraru?
- Me pēhea taku mōhio kei te pai haere te C. diff?
- Āhea ahau me waea atu ki a koe? Āhea ahau me haere ki te rūma ohorere?
- Me toro atu ahau ki tētahi tohunga gastroenterologist?
- He aha ngā kōwhiringa maimoatanga mō ngā mate urutā e hokihoki mai ana?
He huakita noa te Clostridium difficile e noho ana i roto i ō whekau me te kore e pā kino. Engari ina tīmata te kaha rawa, ka tino kino. Tērā pea ka āwangawanga koe mō te mate korere i ngā wā katoa, me tōna pānga ki tō oranga. Tērā pea ka whakama koe ki te kōrero mō tētahi mate e pā ana ki ō nekehanga puku.
Engari kaua e tukua aua kare ā-roto kia aukati i a koe ki te rapu āwhina.Kāore te nuinga o te tangata e pāngia e ngā raruraru mai i te C. diff, ā, ka tere te memeha me te tino memeha. Engari ki te mea he nui ake tō mōrearea nā ētahi āhuatanga mōrearea, ka kino pea. He tino hopuhopu hoki, ka roa pea, ā, ka hoki mai anō. Ki te pāngia koe e te mate korere i muri i te tango i ngā paturopi,
me kōrero tonu ki tō tākuta. Kaua e tango i ngā rongoā hei whakamutu i te mate korere, nā te mea e kore e āwhina, ā, ka kino ake pea. Ki te whakapae koe kei a koe te C. diff,
me toro atu ki te tākuta tonu. Nā, he aha ngā mea hei maumahara mā tātou i tēnei pūrākau?
He huakita te C. diff ka pā he mate ki roto i tō tātou whekau nui. Ka puta ngā tohu pēnei i te korere me te mamae o te puku.
>
Ka puta pinepine tēnei ina patua ngā huakita pai i roto i te puku e ngā paturopi, ka taea ai te tipu o te C. diff.
>
He tino hopuhopu tēnei, nō reira he mea tino nui te horoi i ō ringaringa me te tiaki i te ma.
>
Ko te hunga kaumātua, ko te hunga he ngoikore te pūnaha ārai mate, me te hunga e noho ana i te hōhipera, ko rātou te hunga tino tūpono ka pāngia e tēnei mate.
>
Ki te puta mai ngā tohu, rapua tonutia he tohutohu hauora. Nā te mea, ki te tika te rongoā, ka taea e koe te ora. Heoi, ki te kore e rongoātia, ka puta pea ngā raruraru.
>
He mea nui kia tangohia e koe te rongoā kia rite ki te whakahau a tō tākuta, ā, i te wā tika hoki.
Nō reira, ko tāku tumanako he whai hua ēnei kōrero ki a koe. Kia ora tonu!
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment