Kei te mumura tō koroni pēnei? Me ako tātou mō te Pseudomembranous Colitis!

He mamae nui tō puku me te korere i ngā wā maha i te rā? Tērā pea ka whakapairuaki koe me te kirika? Ina koa, i puta mai ēnei tohu i muri i tō tango i ngā paturopi mō tētahi mate? Mēnā koinā, he mea nui pea tēnei ki a koe. I tēnei rā ka kōrero tātou mō tētahi mate e kiia nei ko te 'Pseudomembranous Colitis'. Kaua e manukanuka, ki te mōhio tika koe ki tēnei, ka taea e koe te whiwhi maimoatanga me te ora wawe.

He aha te Pseudomembranous Colitis?

I te whakarapopototanga, ko te 'Pseudomembranous Colitis' he mate mumura kino e puta ana i roto i tō tātou whekau nui, i te koroni rānei. I roto i tēnei, mō tētahi take (tērā pea he huakita, he paitini, he mate kē atu rānei), ka pakaru te pakitara o roto o tō whekau nui, te kiriuhi mucous rānei (`mucosa`). Nā tēnei kino ka puta he papa māwhero-mā, he matotoru, he kiripaka ki ngā wāhi kua pakaru. Ka karangatia ēnei e ngā tākuta he 'pseudomembranes'.

He aha ngā 'pseudomembranes'?

Ko ngā pseudomembranes ngā mea ka puta mai i te wā e mate ai ngā pūtau i roto i te arai o te whekau nui, pērā i te arai o te whekau nui. Whakaarohia pēnei: ​​ina whara, ka tukuna e tā tātou pūnaha ārai mate ngā toto toto mā ki te wāhi. Waihoki, i konei anō hoki, ka honoa ngā kongakonga pūtau mate ki ngā toto toto mā (ina koa ko ngā neutrophils) hei hanga pseudomembranes. E 2 henimita te whānui o ēnei, he mā-kōwhai, ā, he paku piki ake ngā paparanga i runga i te mata.

He aha ngā tohu o tēnei mate?

Tērā pea ka pāngia te tangata e te mate pseudomembranous colitis e ngā tohu pēnei i:

• Te mamae nui o te puku.
• Korere. Ka puta pea tēnei i ētahi wā i te rā, i ētahi wā he wai.
• Te kirika.
• Whakapairuaki.
• I ētahi wā, ka kite pea koe i te toto, i te pūkahukahu rānei e puta mai ana i tō tūtae, engari kāore tēnei e pā ki te katoa.

He aha ngā take o te Pseudomembranous Colitis?

Ko te tino take, ko te tino take hoki o tēnei ko te mate i te huakita `C. diff` (Clostridioides difficile). Ka kino te arai o te whekau nui i ngā paitini e whakaputaina ana e ēnei huakita. Tata ki te 10% o ngā mate `C. diff` ka taea te whanake ki tētahi mate kino ake e kiia nei ko te `pseudomembranous colitis.` Inaa, 90% o ēnei take i puta mai i te huakita `C. diff`. Heoi anō, ka taea hoki e ētahi atu mate mumura o te whekau te whakararu i tēnei momo kino.

He aha te pānga o te huakita C. difficile ki tēnei?

Ka whakaputa te huakita C. difficile i ngā paitini e whakangaro ana i ngā pūtau e hangai ana ki tō tātou whekau nui. Ka tere ake te horapa o tēnei mate, ā, ka kino atu i tō whakaaro.

I te nuinga o te wā, ka pāngia koe e te mate C. diff nā te mea he mate kē atu tōu.I muri i te whakamahinga o ngā paturopi. Whakaarohia, ina tangohia e koe ngā paturopi, ko ngā huakita "pai" kē atu i roto i tō tātou puku e āwhina ana i a tātou kia mate. Heoi, kāore e taea e te nuinga o ngā paturopi te patu i ēnei huakita 'C. diff'. Nō reira, ina ngaro aua huakita pai, ka whai wāhi ngā huakita 'C. diff' ki te tipu me te horapa me te kore e ārai, ka puta ai ēnei raruraru me te kore whakataetae.

Ko ēhea ngā rongoā paturopi e tino whai hua ana i tēnei āhuatanga?

Ina hoki, ko tētahi paturopi e patu ana i ngā huakita pai i roto i ō tātou whekau, ā, kāore e pā ki ngā huakita C. diff, ka taea e ia te mate C. diff, ka puta ko te mate puku pseudomembranous. Heoi, e whakaarohia ana he nui ake te mōrearea o ētahi paturopi. Ko ētahi o ēnei:

• Clindamycin
• Ngā rongoā o te akomanga Cephalosporin
• Rōpū rongoā Penicillin
• Ngā Fluoroquinolones
• Ātereonama
• Ngā Carbapenems

He mea nui: Ehara tēnei i te kī he kino ēnei paturopi. Mēnā ka tohua e te tākuta, me whakamahi i ngā wā e tika ana. Heoi, mā te whakamahi koretake i ngā paturopi ka ara ake pea ēnei momo mōrearea.

He take anō kei reira?

Ka puta anō hoki te mate puku pseudomembranous ina puta te mumura o te koroni nā ētahi atu take, ehara i te C. diff. Anei ētahi tauira:

• Mate pāwera Staphylococcus aureus
• Te mate urutā E. coli `(Te mate urutā E. coli)`
• Te mate pukupuku Cytomegalovirus
• Te mate pukupuku iti
• Te mate a Behçet
• Te mate puku ischemic (mumura i puta mai i te whakahekenga o te rere o te toto ki te koroni)
• Ngā rongoā ārai matepukupuku `(Ngā rongoā chemotherapy)`
• Te whakamahinga o te kōkāina
• Vasculitis (mumura o ngā oko toto)
• te paihana konganuku taumaha

I ēnei āhuatanga, he kino ake, he uaua ake rānei te mate i te mate puku noa. I ētahi wā, ka heke te rere o te toto ki te pakitara o roto o te koroni (ischemia), ka mate te kiko (necrosis), ā, ka puta he pseudomembranes. Waihoki, ko ngā mate kua pāngia e ngā mate pēnei i te Inflammatory Bowel Disease (IBD) ka taea hoki te whakaraerae i te koroni ki tēnei mate.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

He nui ake te tūponotanga ka pāngia koe e te mate kolitis pseudomembranous mēnā:

• Mena kei te hōhipera koe.
• Mena kua whakamahia e koe ngā paturopi tata nei.
• Mena kua oti kē koe te pokanga i ngā wā tata nei.
• Mena kei te noho tetahi i roto i te whare tiaki kaumātua.
• Mena kua neke atu i te 65 tau tō pakeke.
• Mena he mate pūnaha ārai mate tōu.
• Mena he ngoikore tō pūnaha ārai mate.
• Mena kua pāngia kē koe e te mate C. diff.

He aha ngā raruraru ka pā mai i te Pseudomembranous Colitis?

Ki te kaha rawa atu tēnei āhuatanga, ā, ka uaua ki te whakahaere, ka puta pea ētahi raruraru kino. Nō reira, he mea nui kia mōhio koe ki tēnei.

• Te maroke me te ngaronga o ngā electrolyte: I roto i te mate puku pseudomembranous kino, ka taea e te mate korere te puta ki te 10-15 ngā wā i te rā. Ka taea e tēnei te arahi ki te maroke me te ngaronga o ngā electrolyte. Ka taea e tēnei te arahi ki ngā āhuatanga morearea pēnei i te iti o te toto, te toto toto iti, me te ngoikore o te whatukuhu.
• Te turuturu wai: Ka turuturu te wai mai i te pakitara pakaru o te whekau nui ki roto i te kōhao puku, ka pupuhi te puku. Ka kiia tēnei ko te ascites. Ka ngaro hoki ngā pūmua pēnei i te albumin mai i te whekau nui. Ina iti te albumin, ka turuturu te wai mai i ngā oko toto, ka pupuhi ngā peka (edema).
• Megacolon paitini: He mumura kino, kāore e taea te whakahaere o te koroni, ka pupuhi nui te koroni, ka mutu te mahi. I te tīmatanga, ka mutu te whakawhāiti o ngā uaua o te koroni, ka aukati i te haere o te paru. I te pupuhi tonu o te koroni, ka pakaru pea ōna pakitara, ka turuturu ngā mea o roto ki te kōhao puku. Ka kiia tēnei ko te peritonitis. Ka taea e tēnei te whakararu i te ora.
• Te poka o te puku: Ka puta he kōhao i te pakitara o te whekau nui me te kore he megacolon paitini. Ka puta tēnei mena ka puta he mate pukupuku i roto i te whekau nui ka puta mā roto i te pakitara, mena rānei he mate nui o te kiko (necrosis) i roto i te pakitara o te whekau nui. Ina turuturu ngā huakita i roto i te whekau nui ki roto i te kōhao puku (peritonitis), ka horapa ki roto i te toto (septicemia).
• Sepsis: Ko te Sepsis he mate e puta mai ana i te kohikohinga o ngā huakita i roto i te toto (septicemia). He mate kino te Sepsis, he mate morearea ki te ora e horapa ana puta noa i te tinana. Ka taea e tēnei te arahi ki te ohorere septic, te ngoikore o ngā okana maha, tae noa ki te mate.

He mea whakamataku pea te rongo mō ēnei raruraru. Engari kia maumahara, kāore e pā ki te katoa. Mā te tautuhi wawe me te maimoatanga tika ka ārai i ēnei mate kino.

Me pēhea te tautuhi i tēnei mate?

Ka pātai tuatahi te tākuta ki a koe mō ō tohu me tō hītori hauora. Kātahi ka tonoa pea e rātou he whakamātautau hei kimi i te pūtake o ō tohu. Hei tauira, ka tonoa pea e rātou he whakamātautau toto, he whakamātautau whakaahua pēnei i te matawai, me ngā whakamātautau paru. Ka rapua e ēnei whakamātautau te mate, te mumura, me ētahi atu āhuatanga mōrearea.

Mā tō whakamātautau tūtae e tirotiro tika mēnā he mate C. diff. Mēnā ka kitea, ka tīmata tonu te maimoatanga. Mēnā kāore he raruraru, ā, kei te pai te urupare ki te maimoatanga, kāore pea he take motuhake hei tirotiro i roto i tō whekau nui mō ngā pseudomembranes.

I ētahi wā, ka taea e ngā whakamātautau whakaahua (pērā i te matawai CT) te whakaatu i ngā tohu o te pseudomembranous colitis. Mēnā kua matotoru te pakitara o te koroni (he rite ki te "tohu tohu koromatua" te "tohu accordion" rānei), ka whakatau pea te tākuta ki te mahi i ētahi atu whakamātautau.

Muri iho, hei tirotiro hohonu ake, me mahi he whakamātautau e titiro ana ki roto i te whekau nui. Ko te ingoa o tēnei he colonoscopy. I roto i tēnei, ka whakamahia he ngongo me te kāmera hei tirotiro i roto i te whekau nui. Ki te kite koe i te mea e kiia nei ko te 'pseudomembrane', ka tangohia he wahi kiko iti (he koiora) mai i reira ka tukuna ki te taiwhanga hei whakaū i te mate.

He aha ngā maimoatanga?

Ko te maimoatanga e whakawhirinaki ana ki te take o tēnei mate.

• Mena he mate kitakita pērā i te C. diff, me hoatu e koe he rongoā paturopi motuhake e whai hua ana mōna.
• Mena i puta mai tēnei āhuatanga i tētahi atu rongoā e tangohia ana e koe, i kino ake rānei, me mutu pea taua rongoā, me whakarerekē rānei.
• I ētahi wā, ka tohua pea he rongoā hei whakaiti i te mumura i roto i te whekau nui.

Ko ētahi tāngata e hiahia ana ki te tiaki tautoko anake. Hei tauira, ko ngā wai werohanga (ngā wai werohanga) hei āwhina i te pupuri wai, ko te kai werohanga rānei hei āwhina i te okiokinga o te koroni. Ko ētahi atu me rongoā mō ngā raruraru, i roto pea i te wāhanga tiaki nui. Ko ētahi tāngata he mate puku kino, he raruraru rānei, me mahi pokanga (he pokanga hei tango i te wāhanga kua pakaru o te koroni).

He aha ngā rongoā matua e hoatu ana mēnā ko te 'C. diff' te take?

Mena he mate C. diff te pūtake o te mate pseudomembranous colitis, he maha ngā rongoā e wātea ana hei rongoā. Mā tō tākuta e whiriwhiri te mea e pai ana māu. Ko ngā rongoā e hoatu ana mō te mate C. diff ko:

• Metronidazole
• Vancomycin
• Fidaxomicin

Ka taea te ārai i te Pseudomembranous Colitis?

Ko te huarahi tino nui hei ārai i tēnei mate ko te whakahaere i te horapa o ngā huakita C. diff i roto i ngā hapori mōrearea (ina koa ko ngā hōhipera me ngā whare tiaki kaumātua). He nui ake te tūponotanga o te pangia e te tangata i roto i ēnei taiao, ā, ka pāngia e ngā tohu kino pērā i te pseudomembranous colitis.

Nō reira, ka mahi ngā kaimahi hauora i roto i ēnei momo whare hauora i ngā mahi motuhake hei whakahaere i te mate C. diff:

• Wehenga: Ka whakanohoia te hunga kua pangia e te C. diff ki tētahi rūma motuhake, ki tētahi rūma rānei e noho tahi ana me ētahi atu tāngata kua pangia. Ka whakamahia ngā karapu whakakorekore ina tomo ki te rūma.
• Te horoi ringa: Ko te horoi pinepine i ō ringaringa ki te hopi me te wai mahana te huarahi pai hei tiaki i a koe mai i te C. diff. He ātete tēnei huakita ki ngā wai horoi ringa. He mea tino nui kia horoia ō ringaringa i mua i te pā atu ki te kai.
• Te patu i te mate: Kāore e taea e ngā patu i te mate noa te patu i te C. diff. Heoi, ka taea e ngā hua kei roto he chlorine. He mea nui kia patu pai i ngā mata katoa kua pā atu te tangata pangia.

Ka taea te whakaora katoa i tēnei mate? He aha te auau mate?

Ae, ka taea te whakaora katoa i te mate puku pseudomembranous mā te rongoā. I te nuinga o te wā, ka tere te memeha o ngā tohu. Heoi, tera pea ētahi tāngata e hiahia ana ki te rongoā nui ake, me te roa ake hoki o te wā i ētahi atu. Mena he mate C. diff tōu e mau tonu ana, e uaua ana ki te whakahaere, me mahi pea koe i tētahi pokanga iti hei rongoā. I ētahi wā, tera pea e hiahiatia he pokanga.

Mō te mate, e 2% noa iho o ngā tūroro e pāngia ana e te pseudomembranous colitis ka mate. Heoi, mō te hunga e tiakihia ana mō te wā roa, ā, e ngoikore ana hoki ō rātou pūnaha ārai mate, ka eke pea tēnei reiti ki te 15%. Mēnā ka puta te raruraru kua whakahuatia ake nei, arā, ko te toxic megacolon, ka piki ake te reiti mate ki te 35%. Koia te mea nui o te maimoatanga tere.

Āhea koe me toro atu ki te tākuta?

Mena kei a koe ētahi o ēnei tohu, rapua tonutia he tohutohu hauora:

• Te mamae nui o te puku, te pupuhi rānei.
• Mena he nui atu i te rima ngā wā e pāngia ana koe e te korere i te rā.
• Mena he toto kei roto i te tūtae.
• Mena kāore koe i totohu mō ngā rā e toru.
• Mena kāore koe i mimi mō te rā kotahi, mena rānei he mangu te tae o tō mimi.
• Mena he kirika tōu neke atu i te 39 nekehanga Celsius (102 nekehanga Fahrenheit) mō ngā rā e toru.

Hei whakamutunga, ngā mea hei maumahara

He mea noa ngā mate kitakita e puta ai te mate puku, ā, i te nuinga o te wā kāore i te kino. Ehara i te mea ko te hunga katoa e pāngia ana e te C. diff ka pāngia e te mate puku pseudomembranous. Heoi, ki te pāngia koe, ka paku mataku pea. He mea whakamataku te mōhio kei te pakaru tō koroni mai i roto, me ngā tohu pēnei i te mamae me te toto.

Ki te puta mai ēnei tohu i a koe, me aro nui pea koe ki te hauora. Engari kia maumahara, mā te maimoatanga tika, ka taea e tō kōpū te ora.He pai te ora o ngā kiriuhi mucous, pērā i te arai o te koroni, ina kore e pakaru. Ki te mea kei te whakaaro koe kāore ō tohumate colitis e pai ake ana, kōrero ki te tākuta. Ka taea e ia te āwhina i a koe ki te kimi i te pūtake o tō mate, te mahi i ngā mea e tika ana hei whakamutu, me te hoatu i te okiokinga ki tō koroni. Ko te mea nui ko te kaua e mataku, me te rapu tohutohu hauora wawe tonu.

Pseudomembranous Colitis, C. diff, korere, mamae puku, colitis, paturopi