Kua pāngia koe e te mamae o te puku i muri i te tango i ngā paturopi? Me ako tātou mō tēnei huakita kino, arā, ko te C. diff (Clostridioides difficile).

Kua pāngia koe e te mamae puku kino i muri i te tango i te rongoā paturopi, kua tīmata rānei koe ki te pāngia e te mate korere wai i ngā wā maha i te rā? Kei te pāngia rānei tētahi o tō whānau, inā koa he kaumātua, e tēnei raruraru i muri i te hokinga mai i te hōhipera? Tērā pea ko te take he mate kitakita kāore anō kia rangona e te tini o te tangata, engari he tino morearea. Koinei tā tātou e kōrero nei i tēnei rā. He kitakita e kiia nei ko C. diff.

He aha te C. diff?

Ko te C. diff, ko te Clostridioides difficile rānei, he momo huakita. Ka taea e tēnei huakita te whakararu i ō tātou whekau, ka puta he mumura nui, he pupuhi rānei, i roto i tō tātou koroni. Ka kiia tēnei mate e ngā tākuta ko te colitis . I te nuinga o te wā, ka tīmata tēnei mate i muri i te mutunga o te whakamahi i tētahi paturopi mō tētahi atu mate. I ētahi wā, ka kino rawa atu, ka mōrearea hoki te ora . Ka kitea ngā spora o tēnei huakita C. diff i ngā wāhi katoa e karapoti ana i a tātou, i te hau, i te oneone, i te wai, tae noa ki ngā paru o te tangata me ngā kararehe. Whakaarohia he rite ki ngā huakita moe. Ka taea e rātou te noho ki te taiao mō ngā marama me te kore e whara. Heoi, ka hoki anō ēnei spora ina uru ki roto i tō tinana mā roto i tō waha, ki roto hoki i ō whekau.

He aha ngā tohu o te C. diff?

Ka rerekē ngā tohu o te mate C. diff mai i te ngawari ki te tino kino. Me titiro tātou he aha ēnei tohu.

He aha te āhua me te kakara o te tūtae o te C. diff?

E kī ana ētahi tāngata ka huri te kakara o te tūtae i te mate C. diff. He nui ake te kakara, he kino hoki. E kī ana ētahi ka puta he kakara reka mai i te au o te tūtae. Mō te āhua o te tūtae, he rite ki te ōti, he rite rānei ki te paru. I ētahi wā ka toto, ka hūpē rānei. Tērā pea he kakariki te tae. Ko te mea nui: Ki te kino rawa tō mate korere, arā, he maha ngā wā i te rā, ki te ngoikore rānei koe, rapua tonutia he awhina hauora. Ka tere te mate korere kino ki te matewai, tae atu ki te mate.

He aha i puta ai te C. diff? Ko wai kei te mōrearea nui ake?

E ai ki tā tātou i kōrero ai i mua ake nei, ko te take matua mō tēnei ko te whakamahinga o ngā paturopi. Whakaarohia, ka noho taurite ngā huakita pai me ngā huakita kino i roto i ō tātou whekau. Ina tangohia e koe he paturopi mō te mate, ka patua e aua rongoā ngā huakita kino, tae atu ki ngā huakita pai e āwhina ana i a tātou. Ko te wā tēnā ka whai wāhi ngā huakita C. diff kāore i te whakahaeretia ki te whakatipu, ki te whakaputa paitini, me te kino i ngā whekau.

Ngā āhuatanga e whakanui ake ana i te mōrearea:

• Te whakamahinga o ngā paturopi: Ko te hunga e whakamahi ana i ngā paturopi kaha, inā koa ko ngā cephalosporins, clindamycin , fluoroquinolones , me ngā penicillins, he nui ake te mōrearea ki tēnei mate.
• Tau: Ko te hunga neke atu i te 65 tau te pakeke ka nui ake te tūponotanga ka pāngia e tēnei mate.
• Te noho hōhipera: He nui ake te tūponotanga ka horapa ngā pua o tēnei huakita ki ngā wāhi pēnei i ngā hōhipera me ngā whare tiaki kaumātua. I ēnei wāhi, ka taea te horapa ngāwari mā roto i ngā kaimahi, mā roto rānei i ngā taputapu hōhipera.
• Pūnaha ārai mate ngoikore:He nui ake te mōrearea o te hunga he ngoikore te pūnaha ārai mate nā te mate pukupuku, nā ngā maimoatanga mate pukupuku, nā ētahi atu mate rānei.
• Ētahi atu mate whekau: Ko te hunga whai mate pēnei i te mate whekau mumura (IBD) me te mate pukupuku colorectal rānei, ka nui ake te mōrearea ki tēnei mate.

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

Ki te kore e rongoatia wawetia te mate C. diff, ka pā mai pea ngā raruraru nui.

• Te matewai nui: Ka ngaro te wai me te tote i te tinana i te nui o te mate korere, ka pā ki te mahi a te whatukuhu me te toto toto tiketike.
• Te Megacolon Paitini: He tino morearea tēnei āhua. I tēnei wā, ka pupuhi rawa te koroni, ā, kāore e taea te whakaputa hau, te tuku tūtae rānei. Ka taea hoki e tēnei te pakaru o te koroni. He mea morearea tēnei ki te ora, ā, me pokanga ohorere.
• Te Pūnaha o te Puku: Ka taea e te pūnaha i roto i te whekau nui te tuku i ngā huakita kino ki te tomo ki te kōhao puku, ka puta he mate kino e kiia nei ko te peritonitis .
• Pseudomembranous colitis: Ka pakaru ngā pūtau o te arai o roto o te whekau i ngā paitini i hangaia e te C. diff, ka puta he mate pukupuku me he papa matotoru.

Mena he mate kino tēnei, me whakauru pea koe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera. Nō reira, ki te pā mai ngā tohu, me toro atu ki te tākuta i runga i te wā tonu.

Te maimoatanga me te ārai

I runga i ō tohu, ka whakaū tō tākuta mēnā he mate C. diff tōu mā te whakamātautau i tētahi tauira paru.

Ngā tikanga maimoatanga

He mea whakamiharo, ka rongoatia hoki tēnei mate i puta mai i te paturopi ki ētahi atu paturopi motuhake. Ka aro atu ēnei ki ngā huakita C. diff anake, ā, ka patua e rātou.

• Fidaxomicin
• Metronidazole
• Vancomycin

Me whakamahi ēnei rongoā kia rite tonu ki ngā tohutohu a tō tākuta. He mea nui anō hoki kia whakakapia ngā wai i ngaro i te mate korere. Ko te tikanga me inu nui i te wai, i te hupa, i te parāoa, i te hupa, me te wai hua. I ētahi wā tino kino, me tango pea ngā wāhanga kua pakaru o te whekau mā te pokanga.

Ngā kai pai hei kai māu ina pāngia koe e te mate C. diff

He pai ake te kai i ngā kai e ngāwari ana ki te puku, ā, kei roto hoki he māngaro ina pāngia koe e te mate korere.

• Keke
• Rīwai kohuatia, kūmara reka
• Raihi, raihi parāoa
• Ōti
• Ngā momo hupa
• Huawhenua kohuatia
• Panana

Me pēhea te tiaki i a koe mai i te mate urutā?

• Mena kei roto koe i te hōhipera, tonoa ngā tākuta me ngā nēhi e tiaki ana i a koe kia horoi i ō rātou ringa i mua atu, ā, i muri hoki i te haerenga ki te tirotiro i a koe.
• Pātai atu mēnā kua horoia ngā taputapu hauora i kawea mai ki roto i tō rūma.
• Kaua e tango i ngā paturopi me te kore e hiahiatia. Me tango noa te rongoā kia rite ki te whakahau a tō tākuta, ā, me tango mō te wā katoa kua whakaritea.

Ki te mea kei te tiaki koe i tētahi e pangia ana e te mate C. diff, kia mau karapu. Horoia hoki te wharepaku, ngā kakau tatau, me ngā pana e whakamahia ana e te tangata me te wai horoi kei roto he chlorine (he wai māori) . C. diff, Clostridioides difficile, korere, mamae puku, paturopi, mate kitakita, mate puku