Kua mutu i a koe te rongoā paturopi, ā, ka pāngia koe e te mamae nui o te puku, te mate korere wai rānei? Kei te raru rānei tētahi o ō whanaunga, inā koa tētahi kaumātua, i ēnei tohu i muri i tō hokinga mai i te hōhipera? Tērā pea he huakita kāore anō kia rongohia e koe, engari he tino morearea: C. diff (Clostridioides difficile).
He aha te C. diff i ngā kupu māmā noa iho?
Ko te C. diff , e mōhiotia whānuitia ana ko Clostridioides difficile , he momo huakita ka pangia ō whekau, ka arahi ki te mumura nui o te koroni e mōhiotia ana ko te colitis . Ka puta pinepine tēnei mate i muri i te whakamahinga o ngā paturopi mō tētahi atu mate. I ētahi wā, ka taea te huri hei āhuatanga ohorere hauora e morearea ana ki te ora .
Kei ngā wāhi katoa o tō tātou taiao ngā pua C. diff —i roto i te oneone, i te hau, i te wai, tae atu ki ngā paru tangata me ngā paru kararehe. Whakaarohia ēnei pua he huakita "moe" ka taea te ora i roto i te taiao mō ngā marama me te kore e pā kino. Kia uru ēnei pua ki roto i tō tinana mā te waha, ka tae ki tō puku, ka kaha rātou, ka puta te mate.
He mea whakamiharo, kei roto i ētahi tāngata ēnei huakita i roto i ō rātou whekau, kāore he tohu e puta. Nā te mea ko ngā huakita "pai" i roto i tō puku ka pupuri noa i ngā huakita "kino".
He aha ngā tohu o te mate C. diff?
Ka rerekē ngā tohu o te mate C. diff mai i te ngawari ki te tino kino. Me titiro tātou ki ngā mea hei tirotiro māu:
| Taumata Kaha | Ngā tohu |
|---|---|
| Mate Māmā |
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| Mate pāwera nui |
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He aha te āhua me te kakara o te tūtae?
He maha ngā tūroro e kōrero ana mō te kakara motuhake, te kakara kino, te kakara tino whakarihariha rānei e pā ana ki ngā tūtae o te C. diff . Ko ētahi e whakaahua ana i te kakara reka, rite tonu ki te au o te toto. Mō te āhua, tera pea te tūtae he angiangi pērā i te ōti, he paru rānei. Tērā pea ka kite koe i te hūpē, i te toto rānei, ā, i ētahi wā ka kakariki te tae.
He mea nui: Ki te nui rawa tō mate korere, he maha tonu, he ngoikore rānei koe, rapua tonutia he awhina hauora. Ka tere te matewai i te mate korere nui, ā, ka morearea pea te ora.
He aha i puta ai te C. diff, ā, ko wai kei te mōrearea?
E ai ki te kōrero, ko te take matua ko te whakamahinga o ngā paturopi.Ka whakawhirinaki tō puku ki te taurite o ngā huakita pai me ngā huakita kino. Ina tango koe i ngā paturopi hei rongoā i tētahi mate, ka patua e rātou ngā huakita pai me ngā huakita kino. Ka waiho tēnei kia kore e taea te whakanui i ngā huakita C. diff me te tuku i ngā paitini e kino ai te arai o te puku.
Ngā āhuatanga e whakanui ake ai i te mōrearea:
- Te Whakamahinga o ngā Paturopi: He nui ake ngā mōrearea me ngā paturopi kaha pēnei i te Cephalosporins, Clindamycin, Fluoroquinolones, me ngā Penicillins .
- Tau: He nui ake te mōrearea o te hunga neke atu i te 65 tau te pakeke.
- Te whakaurunga ki te hōhipera: He wāhi noa ngā hōhipera me ngā whare tiaki kaumātua mō te horapa o ngā spore ma roto i ngā kaimahi hauora, i ngā taputapu poke rānei.
- Te Pūnaha Ārai Mate kua ngoikore: Te hunga mate pukupuku, te hunga e rongoāhia ana ki te rongoā chemotherapy, te hunga rānei e pāngia ana e ngā mate e pehi ana i te pūnaha ārai mate.
- Ngā Mate Puku o Mutunga: Ngā tāngata e pāngia ana e te Mate Puku Mumura (IBD) me te mate pukupuku koroni rānei.
Kia maumahara, he tino hopuhopu tēnei huakita. Ka taea e ngā spore te noho mō ngā marama i runga i ngā mata pēnei i ngā kākahu, ngā moenga, ngā kakau tatau, me ngā taputapu kaukau. Ki te pā atu koe ki tētahi mata kua poke, kātahi ka pā atu ki tō waha, ki tō ihu rānei, ka ngāwari te pangia e te mate.
He aha ngā raruraru pea ka pā mai i te C. diff?
Ki te kore e rongoatia, ka arahi pea a C. diff ki ngā raruraru nui:
- Te matewai nui: Ka pā te nui o te wai me te electrolyte ki te mahi a te whatukuhu me te toto toto tiketike.
- Te Megacolon Paitini: He mate morearea tēnei ina mumura rawa te koroni, ā, kāore e taea te whakaputa hau, te puta rānei he tūtae, ka puta pea he pokanga. Me mahi pokanga ohorere tēnei.
- Te Pūnaha o te Puku: Ka taea e te kōhao i roto i te koroni te whakauru i ngā huakita ki roto i te kōhao puku, ka puta he mate kino e kiia nei ko te peritonitis.
- Pseudomembranous Colitis: Ka pā kino ngā paitini o te C. diff ki te pakitara o te puku, ka puta he mariao me he papa matotoru, mumura.
Mena ka pāngia koe e ēnei tohu kino, me tere pea te haere ki te hōhipera. Me whakapā atu ki tō kaiwhakarato hauora i te wā tuatahi ka puta ngā tohu.
Te Maimoatanga me te Ārai
Tērā pea ka whakaū tō tākuta he mate C. diff tēnei mā te tātaritanga tauira paru.
Ngā Kōwhiringa Maimoatanga
He mea whakamīharo, ko tēnei mate ka rongoatia ki ngā paturopi motuhake i hangaia hei aro atu me te whakakore i ngā huakita C. diff anake.
- Fidaxomicin
- Metronidazole
- Vancomycin
Me tango ēnei kia rite ki te whakahau a tō tākuta. He mea nui anō hoki kia whakakīia anō ngā wai i ngaro i te mate korere—inuhia he nui te wai, ngā wai electrolyte, ngā hupa, me ngā wai hua.
I ngā wā tino kino, me mahi pokanga pea hei tango i ngā wāhanga kua pakaru o te koroni.
Ngā taunakitanga kai i te wā e pangia ana
Kia mau ki ngā kai māngaro, ngāwari ki te nakunaku, he māngaro hoki:
- Keke
- Rīwai kohuatia, kūmara rānei
- Raihi me te raihi paraoa
- Ōti
- Ngā hupa
- Huawhenua kohuatia
- Panana
Me pēhea te ārai i te horapa
Te horoi ringa: Koinei te taahiraa tino nui. Horoia ō ringaringa kia tino pai ki te hopi me te wai rere mō te 20 hēkona pea, ina koa i muri i te whakamahinga o te wharepaku me mua i te kai. Kāore e whai hua ngā horoi ringa ki te patu i ngā pua o te C. diff.
- Mena kei roto koe i te hōhipera, whakamaharatia ō kaiwhakarato hauora kia horoi i ō rātou ringa i mua atu, ā, i muri hoki i te tirotiro i a koe.
- Me whakarite kia horoia pai ngā taputapu hauora e whakamahia ana i roto i tō rūma.
- Kaua e tango i ngā paturopi mēnā kāore e hiahiatia. Me tango noa i te wā i tohua ai e te tākuta, ā, me whakaoti katoa te horopeta.
Mena kei te tiaki koe i tētahi tangata whai C. diff , mauria he karapu, ā, horoia tonutia ngā mata pēnei i ngā wharepaku, ngā kakau tatau, me ngā pana rama mā te whakamahi i tētahi kaihoroi kei roto he mā.
Karere Tangohia ki te Kāinga
- He mate kitakita kino te C. diff ki te puku e puta pinepine ana i te whakamahinga o ngā paturopi.
- Kia tūpato ki te korere wai tonu, te mamae o te puku, te kirika, me te toto i roto i te tūtae.
- Ko ngā kaumātua, ko te hunga kei te hōhipera, me te hunga he ngoikore te pūnaha ārai mate ngā mea e tino mōrearea ana.
- He tino hopuhopu. Ko te horoi ringa pai ki te hopi te parepare pai rawa atu; kāore e whai hua ngā horoi ringa.
- Ki te pāngia koe e te mate korere nui i muri i te tango i ngā paturopi, whakapā atu ki tō tākuta tonu. Mā te maimoatanga wawe ka ārai i ngā raruraru nui.
Nirogi Lanka: C. diff, Clostridioides difficile, korere, mamae puku, paturopi, mate kitakita, mate puku
