Wakambonzwa kurwadziwa mudumbu here mushure mekutora mishonga inorwisa mabhakitiriya? Ngatidzidzei nezve C. diff (Clostridioides difficile)!

Wakatanga kuva nemanyoka akanyanya mushure mekutora mushonga unorwisa mabhakitiriya here? Kana kuti wave uchirwadziwa nemudumbu uye manyoka kwemazuva akawanda here? Zvinogona kunge zvichikonzerwa nehutachiona hwebhakitiriya hwatisati tanzwa zvakawanda nezvahwo, asi hunogona kuva nengozi. Nhasi, ngatitaurei nezve C. diff chii, nei ichiitika, uye kuti tingazvidzivirira sei.

Chii chinonzi C. diff (Clostridioides difficile)?

Zvichitaurwa zviri nyore, C. diff izita pfupi rinopiwa rudzi rwebhakitiriya. Zita rayo rakazara ndi *Clostridioides difficile*. Bhakitiriya iri rinogona kutapukira muura hwedu hukuru (colon). Kana rikadaro, rinokonzera manyoka nezvimwe zviratidzo zvakawanda zvisingafadzi.

Zvakajairika kuwana hutachiona hwemabhakitiriya muura hwako, uye hwakawanda hwacho hahuna kuipa. Asi hutachiona hweC. diff uhwu hwakanyanya kuipa, uye hunogona kukuvadza ura hwako. Izvi zvinodaro nekuti mabhakitiriya eC. diff anogadzira chepfu muura hwako. Chepfu idzi dzinokuvadza masero ari muura hwako, zvichiita kuti azvimbe. Mukurapa, tinodana izvi kuti colitis . Kana uine zviratidzo uye kuti zvakakomba sei zvinoenderana nekuti chepfu yacho yakakuvadza sei ura hwako. Mune zvimwe zviitiko, chirwere ichi chinogona kutyisidzira hupenyu hwako.

Ndezvipi zviratidzo zvehutachiona hweC. diff?

Chiratidzo chikuru uye chekutanga chehutachiona uhu itsvina inoyerera nemvura (manyoka) . Kana hutachiona husina kunyanya kuipa, unogona kuita tsvina katatu pazuva, pamwe nekurwadza mudumbu zvishoma.

Sezvo hutachiona huchikura, manyoka anowedzera kuipa. Ungangove nekufamba-famba kwetsvina kagumi kana gumi neshanu pazuva. Ungangoonawo ropa mutsvina yako. Izvi zvimwe zviratidzo zvinogona kuoneka kana dambudziko racho ranyanya.

Pakutanga, zviratidzo izvi zvingaita sekuti une chepfu muchikafu kana furuu yemudumbu. Kana uri kutora mishonga inorwisa mabhakitiriya, ungafunga zvisiri izvo kuti kurwadziwa kwemudumbu uku imhedzisiro yenguva dzose yemushonga.

Chii chinonzi tsvina muhutachiona hweC. diff?

Mumanyoka eC. diff, tsvina inowanzoita seporiji uye yakakora, isina mvura zvachose. Dzimwe nguva inogona kuva neruvara rwegirini. Dzimwe nguva, ropa, madzihwa, kana hurwa zvinogona kuonekwa.

Vanhu vazhinji vanoti manyoka eC. diff ane hwema hwakasiyana . Vanoatsanangura sekunhuhwirira kwakasimba, kunotapira kupfuura tsvina yakajairika. Izvi zvinogona kunge zvichikonzerwa nekuti mabhakitiriya eC. diff anowedzera huwandu hwema acids mutsvina yedu.

Sei tichiwana C. diff?

Funga nezvedumbu redu semunda wemaruva wakanaka. Mumunda uyu, mune maruva akanaka uye mamwe masora. Mudumbu remunhu ane masoja ekudzivirira muviri ane hutano, mune mabhakitiriya akawanda "akanaka" (akaita semaruva) uye mabhakitiriya "akaipa" (akaita semasora) ari kutonga. C. diff ibhakitiriya inowanzogara mudumbu redu muhuwandu hushoma.

Kana kuenzana uku kukakanganiswa, zvichireva kuti mabhakitiriya akanaka mashoma, mabhakitiriya akaipa akadai seC. diff ane mukana wekupararira semasora uye kutora nzvimbo.

C. diff inotapuriranwa sei?

Mabhakitiriya eC. diff anonyengera zvikuru. Paanobuda mumuviri, anoumba goko rakaomarara rinonzi spore. Maspores aya akafanana nembeu diki dzebhakitiriya. Anogona kuva mumaoko edu uye pazvinhu zvatinobata (machira emusuwo, matafura, zvigadziko zvekugezera). Kana tikabata pamusoro pechinhu chine maspores aya, tinogona kurwara, kungave kuri kudya chikafu neruoko rumwe chete kana kuisa maoko edu mumuromo medu.

Ma spores aya akaoma kuuraya. Haapindi mukupisa, acid, uye mishonga yakawanda inorwisa mabhakitiriya nemishonga inouraya utachiona. Anogonawo kurarama pamusoro pemvura kwemwedzi yakati wandei. Ndosaka chirwere ichi chichipararira nekukurumidza, kunyanya munzvimbo dzakadai sezvipatara.

Ndiani ari panjodzi huru yekubatwa nechirwere cheC. diff?

Vamwe vanhu vane mukana mukuru wekuwana chirwere ichi. Izvi ndeizvi:

• Vanhu vane makore anopfuura makumi matanhatu nemashanu ekuberekwa: Njodzi yacho yakakura nekuti dziviriro yemuviri inoderera nekukura, vanotora mishonga yakawanda yezvimwe zvirwere, uye vanogara muzvipatara kana mudzimba dzevakwegura.
• Vacheche vadiki: Nekuti masoja avo ekudzivirira muviri haasati akura zvakakwana.
• Vanhu vari muzvipatara: Zvipatara inzvimbo iyo C. diff spores inogona kupararira zviri nyore. Inogona kutapuriranwa zviri nyore kuburikidza nedzimba dzekugezera dzevanhu vose nezvimbuzi.
• Vanhu vane masoja ekudzivirira muviri asina simba: Vanhu vane zvirwere zvakaita sekenza, HIV, chirwere cheitsvo, uye chirwere cheshuga vane masoja ekudzivirira muviri asina simba. Vanhu vanotora mishonga inodzvinyirira masoja ekudzivirira muviri vari panjodzi huru.
• Vanhu vane zvirwere zvemudumbu: Vanhu vane zvirwere zvakaita seInflammatory Bowel Disease (IBD) , zvakaita seCrohn's disease uye ulcerative colitis, vanonyanya kubatwa nezvirwere nekuti dziviriro yemudumbu inenge isina simba.

Asi yeuka, kunyange munhu asina chero chimwe chezvinhu izvi zvinogona kukonzera C. diff.

Ndezvipi zvinetso zvinogona kuitika zveC. diff?

Kazhinji, hutachiona hweC. diff hahuna kuipa. Asi dzimwe nguva, kunyanya kana hukasarapwa, matambudziko akakomba anogona kuitika.

• Kurwara kunowanzoitika: Kunyangwe mushure mekurapwa, vanhu vanosvika 20% vanozorwara zvakare mukati memavhiki maviri kusvika masere.
• Kushaya mvura mumuviri: Manyoka akawandisa anoita kuti muviri urasikirwe nemvura yakawanda uye ma electrolytes. Kana izvi zvikanyanya, zvinogona kukonzera BP yakaderera uye kutotadza kushanda zvakanaka kweitsvo.
• Pseudomembrane colitis: chirwere chemudumbu:Ichi chirwere chakakomba (colitis). Mukati meura munozvimba uye mukora seganda.
• Megacolon ine chepfu: Ichi chirwere chisingawanzoitiki asi chine njodzi zvikuru. Dumbu rinozvimba zvekuti rinomira kushanda zvachose. Izvi zvinogona kutungamira ku sepsis, chirwere chinoita kuti mabhakitiriya apararira mumuviri wese.

Muzviitiko zvakakomba seizvi, zvingatove zvakakodzera kuvhiyiwa kubvisa chikamu cheura chine hutachiona.

Chiremba, munoona sei chirwere ichi? Mushonga wacho chii?

Kana chiremba wako achifungidzira kuti une hutachiona hweC. diff zvichienderana nezviratidzo zvako, achakukumbira kuti utore sampuli yetsvina. Ichatumirwa kurabhoritari kuti iongororwe kana paine chepfu yeC. diff.

Kana chirwere ichi chikaonekwa, kuongororwa kweropa pamwe nekuongororwa mukati meura kunogona kuitwa kuti kuonekwe kuti chirwere chacho chakanyanya sei.

Nzira dzekurapa

Kurapwa kunoenderana nekuoma kwechirwere.

• Kumisa mishonga inorwisa mabhakitiriya: Kana ukava nechirwere cheC. diff paunenge uchitora mishonga inorwisa mabhakitiriya kune chimwe chirwere, chinhu chekutanga chichaita chiremba wako kumisa mushonga. Kune vamwe vanhu, ndizvo chete zvavanofanira kuita. Mabhakitiriya akanaka ari mudumbu mako achakura zvakare uye hutachiona huchapera hwega.
• C. mishonga inorwisa mabhakitiriya yakasiyana-siyana: Kana izvozvo zvikasashanda, chiremba wako anogona kukupa mushonga unorwisa mabhakitiriya unogona kuuraya mabhakitiriya eC. diff. Semuenzaniso , (Metronidazole) , (Vancomycin) , kana (Fidaxomicin) .
• Kupinda muchipatara: Kana hutachiona hwacho hwakanyanya, ungangoda kuenda kuchipatara, uko unogona kupihwa mvura yemunyu (IV fluids) uye mishonga inorwisa mabhakitiriya inopinzwa mutsinga.

Chii chekuita nezvirwere zvinoramba zvichiitika?

Vamwe vanhu vanodzokera shure mushure mekurapwa. Muzviitiko zvakadaro, sarudzo ndeidzi:

• Dzokorora kurapwa kwemishonga inorwisa mabhakitiriya: Unogona kunyorerwa mushonga wemishonga yakasiyana inorwisa mabhakitiriya kana mushonga wenguva refu.
• Kudyara Fecal Microbiota (FMT): Zita iri ringanzwika serisinganzwisisike, asi mushonga unoshanda zvikuru weC. diff inodzokororwa. Zvichitaurwa zviri nyore, zvinosanganisira kubvisa mabhakitiriya 'akanaka' kubva mutsvina yemunhu ane hutano uye kuabaya mudumbu remurwere. Izvi zvinodzorera kuenzana kwemabhakitiriya akanaka akange arasika mudumbu.

Chii chatinofanira kuita kudzivirira kupararira kweC. diff?

Nekuti chirwere ichi chinotapukira zvakanyanya, tinofanira kungwarira zvikuru. Kunyanya kana mumwe munhu mumhuri aine chirwere ichi, iva nechokwadi chekuita zvinhu izvi.

• Kuzviparadzanisa: Zvakanaka kuchengeta munhu ane hutachiona mukamuri rake ega kana zvichibvira. Zviri nani kana vakashandisa chimbuzi chavo vega. Kana muchishandisa chimbuzi cheveruzhinji, pukutai chimbuzi nechinochenesa chine bleach mushure mekushandisa.
• Kuchenesa pamusoro: Chenesa nzvimbo dzinobatwa nguva dzose (magonhi, maswichi emwenje) nemushonga une bleach.
• Kushandisa mishonga inorwisa mabhakitiriya nemazvo: Usambofa watora mishonga inorwisa mabhakitiriya isina kunyorerwa nachiremba. Inwa mishonga yese sezvawakanyorerwa.

Ndinofanira kuona chiremba rini?

Kana uine zviratidzo izvi, enda kuna chiremba wako nekukasika.

• Kana ukatanga manyoka mushure mekutanga kushandisa mishonga inorwisa mabhakitiriya.
• Kana manyoka akanyanya (kanopfuura kagumi pazuva).
• Kana ukaona ropa mutsvina yako.
• Kana muine kurwadziwa kwakanyanya mudumbu nefivha.
• Kana uchirutsa zvekusvika pakutadza kudya kana kunwa.

Kana ukaona chimwe chezviratidzo izvi, enda kuchipatara kuEmergency Department (ETU) nekukasika:

• Zviratidzo zvekushaya mvura mumuviri (muromo wakaoma, maziso akanyura, weti shoma, kuneta kwakanyanya).
• Kurwadziwa kwakanyanya mudumbu, kusingatsungiririki.
• Kuvhiringidzika kwendangariro.

C. diff hachisi chirwere chekurerutsa. Asi usatya. Kana ukaona chiremba panguva yakakodzera wobva wawana kurapwa, chinogona kurapwa zvachose.