Kodi munayamba mwavutikapo ndi m'mimba mutamwa mankhwala opha tizilombo? Tiyeni tiphunzire za mabakiteriya oopsa awa, C. diff (Clostridioides difficile).

Kodi munayamba mwadwalapo m'mimba mutamwa mankhwala opha tizilombo toyambitsa matenda, kapena munayamba kutsekula m'mimba mopanda madzi kangapo patsiku? Kapena kodi pali wina m'banja mwanu, makamaka munthu wokalamba, amene akudwala vutoli atabwera kunyumba kuchokera kuchipatala? Chifukwa chake chingakhale matenda a bakiteriya omwe anthu ambiri sanamvepo, koma akhoza kukhala oopsa kwambiri. Ndicho chimene tikukamba lero. Ndi bakiteriya wotchedwa C. diff.

Mwachidule, kodi C. diff ndi chiyani?

C. diff, kapena Clostridioides difficile , ndi mtundu wa mabakiteriya. Mabakiteriya amenewa angayambitse matenda m'matumbo mwathu ndikuyambitsa kutupa kwambiri, kapena kutupa, m'matumbo mwathu. Madokotala amatcha vutoli kuti colitis . Nthawi zambiri, matendawa amayamba mutamaliza kugwiritsa ntchito mankhwala opha tizilombo toyambitsa matenda. Nthawi zina, amatha kukhala oopsa komanso oopsa . Mabakiteriya a C. diff amapezeka paliponse mozungulira ife, mumlengalenga, m'nthaka, m'madzi, komanso m'ndowe za anthu ndi nyama. Taganizirani ngati mabakiteriya ogona. Amatha kukhalabe m'chilengedwe kwa miyezi ingapo popanda kuvulaza. Komabe, mabakiteriyawa amayamba kugwira ntchito akangolowa m'thupi mwanu kudzera mkamwa mwanu komanso m'matumbo mwanu.

Kodi zizindikiro za C. diff ndi ziti?

Zizindikiro za matenda a C. diff zimatha kukhala zofatsa mpaka zowopsa kwambiri. Tiyeni tiwone zomwe zili.

Kodi chopondapo cha C. diff chimawoneka bwanji komanso chimanunkhiza bwanji?

Anthu ena amati matenda a C. diff amayambitsa kusintha kwa fungo la ndowe zawo. Nthawi zambiri zimakhala zopweteka kwambiri, zosasangalatsa. Ena amati ndulu yomwe ili mu ndowe imatha kupangitsa kuti ikhale ndi fungo lokoma pang'ono. Ponena za mawonekedwe a ndowe, nthawi zina imatha kukhala yotayirira, ngati oatmeal, kapena kuoneka ngati matope. Nthawi zina imatha kukhala ndi magazi kapena ntchofu. Ikhozanso kukhala yobiriwira. Chofunika kwambiri: Ngati kutsegula m'mimba kwanu kuli koopsa, zomwe zikutanthauza kuti mumadya kangapo patsiku, kapena mukumva kufooka, pitani kuchipatala nthawi yomweyo. Kutsegula m'mimba kwambiri kumatha kubweretsa kutaya madzi m'thupi komanso imfa.

N’chifukwa chiyani matenda a C. diff amayamba? Ndani ali pachiwopsezo chachikulu?

Monga tafotokozera kale, chifukwa chachikulu cha izi ndi kugwiritsa ntchito maantibayotiki. Taganizirani izi, mabakiteriya abwino ndi mabakiteriya oipa amakhala bwino m'matumbo mwathu. Mukatenga maantibayotiki kuti mulandire matenda, mankhwala amenewo amapha osati mabakiteriya oipa okha, komanso mabakiteriya abwino omwe amatithandiza. Pamenepo ndi pamene mabakiteriya osalamulirika a C. diff amakhala ndi mwayi wochulukana, kupanga poizoni, ndikuwononga matumbo.

Zinthu zomwe zimawonjezera chiopsezo:

• Kugwiritsa ntchito maantibayotiki: Anthu omwe amagwiritsa ntchito maantibayotiki amphamvu, makamaka cephalosporins, clindamycin , fluoroquinolones , ndi penicillin, ali pachiwopsezo chachikulu.
• Zaka: Anthu azaka zopitilira 65 ali ndi mwayi waukulu wopeza matendawa.
• Kugonekedwa m'chipatala: Tizilombo ta mabakiteriyawa timafalikira kwambiri m'malo monga m'zipatala ndi m'nyumba zosungira okalamba. M'malo otere, imatha kufalikira mosavuta kudzera mwa ogwira ntchito kapena kudzera mu zida za m'chipatala.
• Chitetezo chamthupi chofooka:Anthu omwe ali ndi chitetezo chamthupi chofooka chifukwa cha khansa, mankhwala a khansa, kapena matenda ena ali pachiwopsezo chachikulu.
• Matenda ena a m'matumbo: Anthu omwe ali ndi matenda monga matenda otupa m'matumbo (IBD) kapena khansa ya m'matumbo nawonso ali pachiwopsezo chachikulu.

Kodi ndi mavuto otani omwe angabwere chifukwa cha C. diff?

Ngati matenda a C. diff sachiritsidwa mwachangu, mavuto aakulu angachitike.

• Kutaya Madzi M'thupi Kwambiri: Kutsegula m'mimba kwambiri kungayambitse kutaya madzi ndi mchere m'thupi, zomwe zimakhudza ntchito ya impso ndi kuthamanga kwa magazi.
• Megacolon yoopsa: Imeneyi ndi vuto loopsa kwambiri. Pankhaniyi, m'mimba umatupa kwambiri moti sizingatheke kutulutsa mpweya kapena ndowe. Izi zingayambitsenso kuphulika kwa m'mimba. Izi zimaika moyo pachiswe ndipo zimafuna opaleshoni yadzidzidzi.
• Kubowoka kwa Matumbo: Bowo m'matumbo akulu limalola mabakiteriya oopsa kulowa m'mimba, zomwe zimayambitsa matenda oopsa otchedwa peritonitis .
• Matenda a m'matumbo otchedwa Pseudomembranous colitis: Ma poizoni opangidwa ndi C. diff amawononga maselo a mkati mwa matumbo, zomwe zimayambitsa zilonda ndi ma plaque okhuthala.

Ngati vutoli ndi lalikulu, mungafunike kulowetsedwa ku Emergency Treatment Unit (ETU) ya chipatala. Choncho ngati muli ndi zizindikiro, pitani kwa dokotala mwamsanga.

Kuchiza ndi kupewa

Kutengera ndi zizindikiro zanu, dokotala wanu adzatsimikizira ngati muli ndi kachilombo ka C. diff poyesa ndowe.

Njira zochizira

Chodabwitsa n'chakuti, matenda oyambitsidwa ndi maantibayotiki amenewa amachiritsidwanso ndi maantibayotiki enaake. Maantibayotiki amenewa amalimbana ndi mabakiteriya a C. diff okha.

• Fidaxomicin
• Metronidazole
• Vancomycin

Mankhwalawa ayenera kugwiritsidwa ntchito monga momwe dokotala wanu wanenera. Ndikofunikanso kusintha madzi omwe amatayika chifukwa cha kutsegula m'mimba. Izi zikutanthauza kumwa madzi ambiri, msuzi, phala, supu, ndi madzi a zipatso. Nthawi zina, matumbo owonongeka angafunike kuchotsedwa opaleshoni.

Zakudya zabwino zoti mudye mukakhala ndi matenda a C. diff

Ndi bwino kudya zakudya zomwe sizimadya kwambiri komanso zokhala ndi sitachi mukamatsegula m'mimba.

• Zokoka
• Mbatata zophikidwa, mbatata zotsekemera
• Mpunga, phala la mpunga
• Ufa wa oatmeal
• Mitundu ya supu
• Ndiwo zamasamba zophikidwa
• Nthochi

Kodi mungadziteteze bwanji ku matenda?

• Ngati muli kuchipatala, pemphani madokotala ndi anamwino omwe amakusamalirani kuti asambe m'manja mwawo asanakuwoneni komanso atapita kukakuonani.
• Funsani ngati zipangizo zachipatala zomwe zabweretsedwa m'chipinda chanu zatsukidwa.
• Musamwe mankhwala opha maantibayotiki mopanda chifukwa. Imwani mankhwala okhawo monga mwalangizidwira ndi dokotala wanu, ndipo muwamwe kwa nthawi yonse yomwe mwalangizidwa.

Ngati mukusamalira munthu amene ali ndi matenda a C. diff, onetsetsani kuti mwavala magolovesi. Komanso, yeretsani chimbudzi nthawi zonse, zogwirira zitseko, ndi maswichi omwe munthuyo amagwiritsa ntchito pogwiritsa ntchito chotsukira chokhala ndi chlorine (bleach) . C. diff, Clostridioides difficile, kutsegula m'mimba, kuvutika m'mimba, maantibayotiki, matenda a bakiteriya, matenda a m'matumbo