Kodi muli ndi mavuto m'mimba mutamwa mankhwala opha tizilombo? Tiyeni tikambirane za mabakiteriya oopsa a C. diff (Clostridioides difficile).

Kodi mwamaliza kumwa mankhwala opha tizilombo toyambitsa matenda kenako n’kuyamba kupweteka kwambiri m’mimba kapena kutsegula m’mimba pafupipafupi komanso kopanda madzi? Kapena kodi wokondedwa wanu, makamaka munthu wachikulire, akukumana ndi zizindikirozi atabwera kuchokera kuchipatala? Choyambitsa chingakhale bakiteriya yomwe simunamvepo, koma yomwe ingakhale yoopsa kwambiri: C. diff (Clostridioides difficile).

Mwachidule, kodi C. diff ndi chiyani?

C. diff , kapena yodziwika mwasayansi kuti Clostridioides difficile , ndi mtundu wa bakiteriya womwe ungalowe m'matumbo mwanu, zomwe zimapangitsa kutupa kwakukulu kwa m'matumbo komwe kumatchedwa colitis . Matendawa nthawi zambiri amawonekera mutagwiritsa ntchito maantibayotiki pa matenda ena. Nthawi zina, amatha kukula kukhala mwadzidzidzi womwe ungawononge moyo wanu .

C. Ma spores osiyanasiyana amapezeka paliponse m'chilengedwe chathu—m'nthaka, mumlengalenga, m'madzi, komanso m'zimbudzi za anthu ndi nyama. Ganizirani za ma spores awa ngati mabakiteriya "ogona" omwe amatha kukhalabe m'chilengedwe kwa miyezi ingapo popanda kuvulala. Ma spores awa akangolowa m'thupi lanu kudzera mkamwa ndikufika m'matumbo mwanu, amayamba kugwira ntchito ndikuyambitsa matenda.

Kodi zizindikiro za matenda a C. diff ndi ziti?

Zizindikiro za matenda a C. diff zimatha kuyambira pang'ono mpaka kufika poipa kwambiri. Tiyeni tiwone zomwe muyenera kusamala nazo:

Nanga bwanji za mawonekedwe ndi fungo la ndowe?

Odwala nthawi zambiri amanena kuti ali ndi fungo loipa, loipa, kapena loipa kwambiri lokhudzana ndi ndowe za C. diff . Ena amanena kuti fungo lake ndi lokoma ngati ndulu. Ponena za mawonekedwe ake, ndoweyo ingawoneke yopyapyala ngati oatmeal kapena imawoneka ngati matope. Muthanso kuwona ntchofu kapena magazi, ndipo nthawi zina imatha kukhala ndi mtundu wobiriwira.

Chofunika kudziwa: Ngati kutsegula m'mimba kwanu kuli koopsa, kawirikawiri, kapena ngati mukumva kufooka, pitani kuchipatala nthawi yomweyo. Kutsegula m'mimba kwambiri kumabweretsa kutaya madzi m'thupi mwachangu, zomwe zingakhale zoopsa ku moyo.

Nchifukwa chiyani C. diff imachitika ndipo ndani ali pachiwopsezo?

Monga tanenera kale, vuto lalikulu ndi kugwiritsa ntchito maantibayotiki.Matumbo anu amadalira mabakiteriya abwino ndi oipa. Mukatenga maantibayotiki kuti muchiritse matenda, nthawi zambiri amapha mabakiteriya abwino pamodzi ndi oipa. Izi zimapangitsa kuti mabakiteriya a C. diff asayang'anitsidwe kuti achuluke ndikutulutsa poizoni omwe amawononga matumbo.

Zinthu zomwe zimawonjezera chiopsezo:

• Kugwiritsa Ntchito Maantibayotiki: Zoopsa zimakhala zambiri ndi maantibayotiki amphamvu monga Cephalosporins, Clindamycin, Fluoroquinolones, ndi Penicillins .
• Zaka: Anthu opitirira zaka 65 ali pachiwopsezo chachikulu.
• Kugonekedwa m'chipatala: Zipatala ndi malo osungira okalamba ndi malo omwe anthu ambiri amapatsirana tizilombo toyambitsa matenda kudzera mwa ogwira ntchito zachipatala kapena zida zodetsedwa.
• Chitetezo cha Mthupi Chofooka: Anthu omwe ali ndi khansa, omwe akulandira chithandizo cha chemotherapy, kapena omwe ali ndi matenda enaake oletsa chitetezo cha mthupi.
• Matenda a m'mimba omwe analipo kale: Anthu omwe ali ndi matenda a kutupa m'matumbo (IBD) kapena khansa ya m'matumbo.

Kodi mavuto omwe angakhalepo chifukwa cha C. diff ndi ati?

Ngati sichinachiritsidwe, C. diff ingayambitse mavuto aakulu:

• Kusowa Madzi M'thupi Kwambiri: Kutaya madzi ambiri ndi ma electrolyte kungakhudze momwe impso zimagwirira ntchito komanso kuthamanga kwa magazi.
• Megacolon yoopsa: Matenda omwe angawononge moyo pomwe m'matumbo mumayamba kutupa kwambiri ndipo simungathe kutulutsa mpweya kapena ndowe, zomwe zingayambitse kubooka. Izi zimafuna opaleshoni yadzidzidzi.
• Kubowoka kwa Matumbo: Bowo m'matumbo limalola mabakiteriya kulowa m'mimba, zomwe zimayambitsa matenda oopsa otchedwa peritonitis.
• Pseudomembranous Colitis: Poizoni wochokera ku C. diff amachititsa kuwonongeka kwa khoma la m'mimba, zomwe zimapangitsa zilonda ndi kutupa kwa ma plaque.

Ngati mukukumana ndi zizindikiro zoopsa izi, mungafunike chithandizo chamankhwala mwachangu kuchipatala. Nthawi zonse funsani dokotala wanu zizindikiro zikayamba.

Kuchiza ndi Kupewa

Dokotala wanu mwina adzatsimikizira kuti muli ndi kachilombo ka C. diff kudzera mu kuyesa kwa ndowe.

Njira Zochiritsira

Chodabwitsa n'chakuti, vutoli limachiritsidwa ndi maantibayotiki enaake omwe cholinga chake ndi kuthana ndi mabakiteriya a C. diff okha.

• Fidaxomicin
• Metronidazole
• Vancomycin

Izi ziyenera kumwedwa monga momwe dokotala wanu wanenera. Ndikofunikanso kubwezeretsanso madzi omwe amatayika chifukwa cha kutsegula m'mimba—kumwa madzi ambiri, madzi oyeretsera, supu, ndi madzi a zipatso.

Pa milandu yoopsa, opaleshoni ingafunike kuchotsa zigawo zowonongeka za m'matumbo.

Malangizo azakudya panthawi ya matenda

Samalirani zakudya zopanda chakudya, zosavuta kugaya, komanso zokhuthala:

• Zokoka
• Mbatata zophikidwa kapena mbatata zotsekemera
• Mpunga ndi phala la mpunga
• Ufa wa oatmeal
• Supu
• Ndiwo zamasamba zophikidwa
• Nthochi

Momwe mungapewere kufalikira kwa matendawa

• Ngati muli kuchipatala, kumbutsani ogwira ntchito zachipatala kuti azisamba m'manja asanakuyeseni komanso atakuyezani.
• Onetsetsani kuti zipangizo zilizonse zachipatala zomwe zimagwiritsidwa ntchito m'chipinda chanu zatsukidwa bwino.
• Musamwe mankhwala opha maantibayotiki mosafunikira. Imwani kokha ngati dokotala wakupatsani mankhwala ndipo malizitsani kumwa mankhwala onse.

Ngati mukusamalira munthu amene ali ndi C. diff , valani magolovesi ndipo nthawi zonse muzitsuka malo monga zimbudzi, zogwirira zitseko, ndi maswichi a magetsi pogwiritsa ntchito chotsukira chopangidwa ndi bleach.

Nirogi Lanka: C. diff, Clostridioides difficile, kutsegula m'mimba, kupweteka m'mimba, maantibayotiki, matenda a bakiteriya, matenda a m'matumbo