Kua pāngia koe e te mamae puku roa me te korere e roa ana mō ētahi rā? He maha ngā wā ka whakaarohia ēnei he mate paihana kai noa iho, he huaketo puku rānei. Heoi, i ētahi wā ka tohu ēnei tohu i tētahi mate kitakita kino ake ka taea te kino nui ki tō ara nakunaku. E mōhiotia ana tēnei mate ko te C. diff (Clostridioides difficile).
He aha te C. diff (Clostridioides difficile)?
Ki te whakarapopototanga, he momo huakita a C. diff e mōhiotia whānuitia ana ko Clostridioides difficile . Ka taea e tēnei huakita te pangia tō whekau nui (koroni), ka puta ai ngā tohu whakararuraru pēnei i te mate korere.
Ahakoa he mea noa te mahi a ngā huakita i roto i te koroni, he tino kino te mate C. diff. Nā te mea ka puta mai i te Clostridioides difficile ngā paitini e kino ai ngā pūtau e hangai ana ki tō koroni, ka puta ai te mumura e mōhiotia ana ko te colitis. Ko te kaha o ō tohumate ka whakawhirinaki ki te nui o te kino i puta mai i tēnei paitini, ā, i ētahi wā, ka taea e tēnei mate te whakararu i te ora.
I mua ko Clostridium difficile te ingoa hauora hou, ko Clostridioides difficile ināianei.
He pēhea te noa o te mate C. diff?
He take hauora nui te mate C. diff (CDI) o te ao. Ahakoa he rerekē ngā tatauranga o te ao whānui, i te Hononga o Amerika anake, e 500,000 ngā keehi kua pūrongohia i ia tau, ā, e 15,000 pea ngā mate e pā ana ki tēnei mate. Ehara tēnei i te āhuatanga hei mea ngāwari noa iho.
He aha ngā tohu o te mate C. diff?
Ko te tohu tōmua tino kitea ko te tūtae wai, te paru. Mō ngā take ngawari, ka pāngia pea koe e te korere i te iti rawa e toru ngā wā i te rā me te mamae ngawari o te puku.
I te haere tonu o te mate, ka piki ake te auau o te mate korere—i ētahi wā tae atu ki te 10–15 ngā wā i te rā. Tērā pea ka kitea e koe he tohu toto i roto i tō tūtae. Ko ētahi atu tohu ko:
- Te mamae tonu o te puku
- Te pupuhi me te pupuhi o te puku
- Whakapairuaki me te ruaki
- Te ngaronga o te hiahia kai
- Kirika
- Te tere o te ngakau
I te tīmatanga, ka rite pea 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 hē te kī he pānga taha rongoā te mate korere.
Kia maumahara: Ka taea tonu te pangia e te mate C. diff ahakoa kāore he mate korere.
He aha te āhua me te kakara o te tūtae o te C. diff?
I roto i te mate C. diff, he rite te tūtae ki te paraoa pokepoke, ki te parāoa rānei, kaua ki te wai katoa. Tērā pea ka āhua kakariki te āhua i ētahi wā, engari ka pā mai pea tēnei ki ētahi atu mate kitakita. He onge pea te kite i te toto, te hūpē, te pūkahukahu rānei i roto i te tūtae.
He maha ngā tūroro e kī ana he kakara motuhake, he kakara kawa e pā ana ki te mate korere C. diff. E whakaahuatia ana he kakara tino kaha me te kakara reka, āhua kino, e puta ana pea i te nui haere o ngā waikawa ate i roto i te tūtae nā te mate.
He aha ngā take o te mate C. diff?
I roto i te tangata hauora, ka taea e te puku te whakahaere i ngā huakita C. diff. Ka puta te raruraru ina pakaru te taurite taiao i waenga i ngā huakita "pai" me ngā huakita "kino" i roto i tō puku. He mea nui aua huakita āwhina hei pupuri i ngā huakita whai hua pēnei i te C. diff kia kore e pāngia.
Ko te tino take o te mate C. diff ko te whakamahinga o ngā paturopi. Ka taea e ngā paturopi te whakararuraru i tō microbiome puku, ka taea ai e C. diff te horapa me te kore e ārai.
Me pēhea te horapa o te C. diff?
Ka horapa te Clostridioides difficile mā te tukunga o ngā pua. Ka taea e ēnei pua moroiti te ora i runga i ngā mata, i ngā tūru, i ngā tēpu, me te kiri. Ki te pā koe ki tētahi mata kua poke, kātahi ka pā ki tō waha, ka kai rānei koe me ō ringaringa, ka pangia koe e te mate.
He aha i ngāwari ai te horapa o te C. diff?
I waho o te tinana tangata, ka huri a C. diff hei pua. He tino pakari ēnei pua—ka ātete ki te wera, ki ngā waikawa, ki te nuinga o ngā paturopi, me ngā patu huakita noa. Ka taea e rātou te ora i runga i ngā mata mō ngā marama.
E ai ki ngā whakatau a ngā kairangahau, tata ki te 5% o te taupori kei roto i ō rātou koroni te mate C. diff, engari kāore he tohu e puta. Ko te tikanga, ahakoa kei te whakahaeretia e koe, tera pea ka horahia e koe ki ētahi atu.
Ka taea e au te noho tahi me tētahi tangata he C. diff tōna?
Ae, engari me whai koe i ngā tikanga haumaru tino pakari hei whakaiti i te horapa:
- Horoia ō ringaringa kia tino horoia, kia maha hoki ki te hopi me te wai.
- Kaua e pā ki tō ihu, waha, kanohi rānei.
- Me patu huakita ngā mata o te whare i ia wā.
- Whakamahia ngā taputapu tiaki whaiaro (PPE) pēnei i ngā karapu, ngā kopare kanohi , me ngā kākahu mēnā kei te tiaki koe i tētahi tūroro.
Ko wai kei te mōrearea nui ake ki te mate C. diff?
Ka taea e ētahi āhuatanga hauora te whakaiti i ngā parepare o tō tinana ki te C. diff, tae atu ki:
- Mate Puku Mumura (IBD): Ko ngā āhuatanga pēnei i te mate a Crohn me te mate puku ulcerative ka pā kino ki te arai whekau (mucosa), ka whakaiti i te ārai mate ā-rohe.
- Pūnaha ārai mate ngoikore: Mena he mate pāwera tōu, he mate pukupuku, he mate HIV , he mate tākihi, he mate huka rānei, tera pea ka ngoikore tō urupare ārai mate whānui. He pono anō hoki tēnei mena kei te tango koe i ngā rongoā ārai mate.
Ko ētahi atu āhuatanga mōrearea ko:
- Tau: Ko te hunga neke atu i te 65 tau te pakeke ka nui ake te mōrearea nā te ngoikore o te pūnaha ārai mate, te maha o ngā rongoā, te noho rānei i roto i ngā whare hauora. Ka pāngia hoki ngā pēpi nohinohi e te C. diff.
- Te noho hōhipera, te noho ā-iwi rānei: Ka horapa ngāwari te C. diff i ngā taiao kiato nui pērā i ngā hōhipera, i ngā whare tiaki rānei. Ka noho pea ngā spore ki runga i ngā mata noa mō ngā marama, ā, ka tere te horapa o ngā kaukau tahi.
I ētahi wā, kāore e taea te tohu i te tino pūtake o te mate C. diff. Ahakoa he maha ngā āhuatanga e pā ana ki te hauora o tō puku, he mea nui kia mārama koe ka taea e koe te pāngia e tēnei mate ahakoa kāore he āhuatanga mōrearea e kitea ana.
He aha ngā raruraru pea ka pā mai i te mate C. diff?
Ka taea e ngā mate kino te arahi ki ngā raruraru nui. Ko te kaha o tō mate ka whakawhirinaki ki ētahi āhuatanga, tae atu ki te momo motuhake o te huakita, te kaha o tō pūnaha ārai mate, me tō hauora whānui.
Mena he nui ake ō āhuatanga mōrearea, he nui ake tō tūponotanga ki te pāngia e te mate kino, e ngā mate urutā anō rānei, ka arahi pea tēnei ki te kino haere tonu i te roanga o te wā.
Ko ngā raruraru noa ko:
- Te mate urutā: Tata ki te 20% o ngā tūroro ka hoki anō te mate i roto i ngā wiki e rua ki te waru i muri i te otinga o te maimoatanga, me te mōrearea anō o te 40% o te mate urutā i muri mai.
- Te matewai me te ngaronga o ngā electrolytes: Ki te tere ake te ngaronga o ngā wai me ngā electrolytes i roto i tō tinana i tō taea te whakakapi, ka pāngia pea koe e ngā pānga kino pēnei i te iti o te toto me te toto toto iti. I ngā take kino, ka arahi pea tēnei ki te ngoikore o te whatukuhu.
- Pseudomembranous colitis: He momo colitis kino tēnei e tohuhia ana e te whanaketanga o ngā kiriuhi mumura matotoru, rite ki te kirinuku i te taha o roto o tō koroni.
I te piki haere o te kino mai i ngā paitini huakita, ka ara ake pea ētahi atu raruraru:
- Te turuturu wai: Tērā pea ka turuturu te wai mai i tō koroni ki roto i tō puku (he āhuatanga e mōhiotia ana ko te ascites), ka pupuhi nui te puku. Tērā pea ka ngaro hoki ngā pūmua, ka iti ai te taumata o te albumin, ka hua ake ai te pupuhi me te ngenge.
- Te mate rumatiki tauhohe: Ka taea e te mate kino te whakaoho i te mate rumatiki tauhohe, ka puta te mumura, te pupuhi, me te mamae i roto i ō hononga me ētahi atu wāhanga o te tinana.
- Te megacolon paitini: Ahakoa he onge, he mate morearea tēnei ina mutu te mahi a te koroni i te mumura nui. Ka taea e tēnei te arahi ki te sepsis (te paihana toto).
Me pēhea te tātaritanga o te mate C. diff?
Mena kei te tohu ō tohu i te mate C. diff, ka kohia e tō tākuta he tauira paru hei tuku ki te taiwhanga hei tirotiro mō te aroaro o ngā paitini C. diff.
Mena he pai ngā hua o tō whakamātautau, ka whakahaerehia pea e tō tākuta ētahi atu whakamātautau hei whakatau i te kaha o te mate. Kei roto pea i tēnei ko ngā whakamātautau toto me ngā whakamātautau whakaahua hei tirotiro i tō koroni.
Me pēhea te rongoā i te mate C. diff?
Ka whakaritea te maimoatanga mō te C. diff kia rite ki te kaha o te mate. Mena i puta tō mate nā te whakamahinga o ngā paturopi, ka mutu pea aua rongoā e tō tākuta i te tuatahi.
Ki ētahi, he rawaka tēnei, nā te mea ka taea e ngā parepare taiao o tō puku te whakahoki mai i te taurite me te whakahaere i te mate. Ki te kore, ka tohua e tō tākuta he paturopi motuhake kua hangaia hei aro ki te C. diff.
Ko ngā paturopi noa e whakamahia ana mō te C. diff ko:
- Metronidazole
- Vancomycin
- Fidaxomicin
Mena he mate ngawari tōu, ka taea e koe te whakahaere i te maimoatanga i te kāinga, ā, ka tīmata te pai ake i roto i ētahi rā. Heoi, ki te kino rawa te mate, me whakauru pea koe ki te hōhipera.
I te hōhipera, ka whiwhi pea koe i ngā paturopi mā roto i te uaua (IV) me ngā wai hei ārai i te matewai. I ētahi wā, ka tukuna tika pea ngā rongoā ki roto i te koroni mā te enema.
Ā, me pēhea ngā mate urutā C. diff uaua, kino rānei?
Mena he nui ngā raruraru ka pā mai ki a koe, me rongoatia pea koe i roto i te wāhanga tiaki nui. I ētahi wā onge, ka tūtohu pea ngā tākuta kia pokanga ohorere (colectomy) hei tango i te pūtake o te mate i roto i te koroni.
Mena kei te raru koe i ngā mate pūmau, e hokihoki ana i muri i te maimoatanga, ko āu kōwhiringa ko:
- Te rongoā paturopi roa: Tērā pea ka tohua e tō tākuta tētahi atu paturopi, he maimoatanga roa ake rānei. Tērā pea ka tūtohu rātou i ngā probiotics hei āwhina i te whakaora i ngā huakita o tō puku i muri i ngā rongoā paturopi.
- Te Whakatōnga Maikoroiti Tūtae (FMT): Ina kore e angitu ngā maimoatanga paturopi maha, kua kitea te angitu nui o te FMT ki te aukati i te hokinga mai o te C. diff. Ko te tikanga o tēnei ko te whakawhiti i te tūtae mai i tētahi kaituku hauora ki roto i te koroni o te tūroro hei whakataurite anō i te maikoroiti puku—whakaarohia he tāpiri "oneone hauora" ki tētahi māra hei tuku i ngā tipu pai kia tupu me te pana atu i ngā taru.
He aha ngā mahi ārai ka taea e koe te mahi hei ārai i te horapa o te C. diff?
He tino pakari ngā tikanga a ngā tohunga hauora hei ārai i te horapa o tēnei mate hopuhopu. Ka taea e koe te tiaki i ētahi atu mā te whai i ēnei tikanga:
- Wehenga: Ki te pangia koe e te mate, ko te mahi pai ko te noho ki tētahi rūma motuhake. Me mau karapu whakakorekore te hunga e tomo ana ki tō rūma, ā, me maka atu i te wā e wehe atu ana. Nā te mea ka horapa te mate mā roto i te tūtae, kaua e whakawhitiwhiti i ngā wharepaku. Ki te kore e taea te karo i te whakawhitiwhiti, horoia rawatia te kakau, te nohoanga wharepaku, me te rohe e karapoti ana me te horoi mā te wai whakamā i muri i ia whakamahinga.
- Te horoi ringa: Kāore e whai hua ngā horoi ringa ki te C. diff, nō reira he mea nui te horoi pai i ō ringaringa ki te hopi me te wai mahana. E pā ana tēnei ki te hunga katoa e tiaki ana i a koe.
- Te patu huakita: He maha ngā patu huakita noa kāore e patu i te C. diff. Heoi, he whai hua ngā hua kei roto he wai mā. Me patu huakita tonu ngā mata katoa e pā ana koe, inā koa i roto i te wharepaku.
- Tangohia ngā paturopi kia rite ki te whakahaunga: Kaua rawa e tango i ngā paturopi a tētahi atu, ā, kaua e penapena i ngā toenga paturopi mō ngā whakamahinga ā muri ake nei.
He aha ngā mea ka taea e koe te tumanako mēnā ka pāngia koe e te C. diff?
He ngawari te nuinga o ngā mate C. diff, ā, ka memeha haere mā te rongoā. Heoi, nā te āhua o te mate, ka tere tonu te whanaketanga i ētahi wā.
Mena he take mōrearea tōu mō te C. diff, he nui ake tō mōrearea ki te mate kino, ki ngā mate urutā rānei e hiahia ana kia aro tonu ki te hauora.
Ka whakatauhia e C. diff ia ia anō?
Ae, ka taea e tō tinana te whakakore i te mate mena ka hoki mai te kaha o ō huakita puku hauora, ā, ka hinga i te C. diff. Tērā pea ka pēnei mena he pakari tō microbiome puku, ā, kāore he raruraru hauora mau tonu kei roto i a koe.
Mena i puta mai tō mate i ngā paturopi, tera pea ka pai ake ina mutu aua rongoā. Heoi, kaua e tatari roa; ki te kore koe e kite i te pai ake i roto i ētahi rā, rapua tonutia he awhina hauora.
Ki te whiwhi ahau i te C. diff kotahi, ka mau tonu ahau mō ake tonu atu?
Tērā pea ka toe ētahi huakita i muri i te maimoatanga, engari kāore pea koe e kite i ngā tohu. Mēnā kei te ora tonu ō huakita pai o te puku, ka āwhina rātou ki te pupuri i te *Clostridioides difficile* kia kore ai e pāngia.
Ki te pāngia koe e ngā mate urutā anō, he maha ngā wā nā te mea kāore anō ō huakita pai kia tino ora. Ko ngā mate urutā anō he putanga mai pea o te momo taketake, ahakoa i ētahi wā he mate hou katoa.
He āwangawanga hauora mō te wā roa i muri i te mate C. diff?
Ko te āwangawanga roa e tino kitea ana ko te mate pūmau, te mate rānei (Clostridioides difficile) . He maha ngā wā ka puta tēnei nā te mea he uaua ki tō koroni te ora katoa. Tērā pea ka whakaroa te whakaora o tō koroni mēnā:
- I pāngia koe e te mate kino i kino ai te arai o tō puku.
- I hiahiatia he maimoatanga paturopi mō te wā roa, i tangohia rānei ētahi atu paturopi hei rongoā i te C. diff tonu.
- Kei a koe ngā mate hauora mau tonu e pā ana ki tō puku, ki tō pūnaha ārai mate rānei.
- Neke atu i te 65 tau tō pakeke.
I ētahi wā onge, ka pāngia ētahi tāngata e ngā mate pūnaha ārai mate whai muri i te mate kino. Ka puta tēnei ina noho tonu tō pūnaha ārai mate i roto i te āhua "whakahohe", ka haere tonu te mahi me te mea kei te noho tonu he mate ahakoa kua whakakorea ngā huakita.
Ko ngā mate noa i muri i te pangia e pā ana ki te C. diff ko te Irritable Bowel Syndrome (IBS) i muri i te pangia me te mate rumatiki tauhohe.
Ngā pātai hei pātai atu ki tō tākuta mō te C. diff
Ka hiahia pea koe ki te kōrero ki tō kaiwhakarato hauora mō ēnei mea e whai ake nei:
- Kia pēhea te kaha o taku mate pāwera i tēnei wā?
- He nui te mōrearea o te whakawhanaketanga o ngā raruraru?
- He aha ngā tohu e whakaatu ana kei te ora ake ahau?
- Āhea ahau me whakapā atu ki a koe, ā, āhea ahau me rapu awhina āwhina ohorere?
- Me tuku atu ahau ki tētahi tohunga gastroenterologist?
- He aha ngā huarahi maimoatanga ka taea e au mēnā ka hoki mai anō te mate?
(Clostridioides difficile) he huakita ka noho ora i roto i tō puku, kāore he kino. Heoi, ina kaha rawa, ka arahi pea ki ngā raruraru hauora nui. He mea noa te āwangawanga mō te mate korere tonu me tōna pānga ki tō kounga o te oranga. Tērā pea ka whakama koe ki te kōrero mō ngā raruraru puku. Kaua e tukua aua kare ā-roto kia aukati i a koe ki te rapu i te āwhina e hiahiatia ana e koe.
Mō te nuinga o te iwi, kāore te mate C. diff e arahi ki ngā raruraru, ā, ka tere tonu te ora me te tino ora. Heoi, ki te mea he āhuatanga mōrearea tōu, ka kino pea te āhua. Kia maumahara he tino hopuhopu tēnei mate, he pumau, ā, he ngāwari ki te hoki anō.
Ki te pāngia koe e te mate korere i muri i te tango (paturopi) , whakapā atu ki tō tākuta tonu. Kaua e tango i ngā rongoā ārai-korere e hokona kore-tohu, nā te mea ka kino ake pea te āhua i ētahi wā. Ki te whakapae koe kei a koe te mate C. diff, rapua tonutia he awhina hauora.
Ngā kōrero matua hei maumahara
He huakita te C. diff ka taea te whakararu i ngā mate pukupuku kino, ka arahi ki ngā tohu pēnei i te korere me te mamae o te puku.
I te nuinga o te wā ka puta i muri i te whakamahinga o ngā paturopi (paturopi) , ka taea e tēnei te patu i ngā huakita hauora i roto i tō puku, ka nui rawa te tipu o te C. diff.
He tino horapa te mate, nā reira he mea nui te horoi ringa me te mahi akuaku.
Ko ngā kaumātua, ko te hunga he ngoikore te pūnaha ārai mate, me te hunga kei roto i ngā hōhipera, he nui ake te mōrearea.
Ki te kite koe i ngā tohu, rapua tonutia he tohutohu hauora. Mēnā ka tika te maimoatanga, ka taea te whakahaere, engari ka taea e ngā whakaroa te arahi ki ngā raruraru.
Me whakaoti tonu tō akoranga rongoā kia rite ki te mea i tohua e tō tākuta.
Ko te tumanako ka āwhina ēnei mōhiohio i a koe i tō haerenga ki te whakaoranga. Kia ora tonu koe me Nirogi Lanka!
