Wakambova nedumbu rakagumbuka here mushure mekutora mishonga inorwisa mabhakitiriya? Ngatidzidzei nezvebhakitiriya iri rine njodzi, C. diff (Clostridioides difficile).

Wakamborwadziwa nemudumbu mushure mekutora mushonga unorwisa mabhakitiriya here, kana kuti wakatanga kuva nemanyoka ane mvura kakawanda pazuva? Kana kuti mumwe munhu mumhuri mako, kunyanya munhu mukuru, ari kutambura nedambudziko iri mushure mekudzoka kumba kubva kuchipatara? Chikonzero chingave hutachiona hwebhakitiriya husati hwambonzwa nezvahwo nevanhu vazhinji, asi hunogona kuva nengozi. Ndizvo zvatiri kutaura nezvazvo nhasi. Ibhakitiriya inonzi C. diff.

Zvichitaurwa zviri nyore, chii chinonzi C. diff?

C. diff, kana kuti Clostridioides difficile , rudzi rwebhakitiriya. Bhakitiriya iri rinogona kukonzera hutachiona muura hwedu uye kukonzera kuzvimba kwakanyanya, kana kuzvimba, muura hwedu. Vanachiremba vanodana chirwere ichi kuti colitis . Kazhinji, hutachiona uhwu hunotanga mushure mekunge wapedza kushandisa mushonga unorwisa mabhakitiriya kune chimwe chirwere. Dzimwe nguva, hunogona kutove hwakakomba uye hunotyisidzira hupenyu . Mabhakitiriya aya eC. diff anogona kuwanikwa kwese kwese kwakatipoteredza, mumhepo, muvhu, mumvura, uye kunyange mutsvina yevanhu nemhuka. Funga nezvazvo sebhakitiriya rakarara. Anogona kugara munzvimbo iyi kwemwedzi yakawanda asingakuvadzi. Zvisinei, mabhakitiriya aya anongotanga kushanda zvakare kana apinda mumuviri wako nemuromo wako uye muura hwako.

Ndezvipi zviratidzo zveC. diff?

Zviratidzo zvehutachiona hweC. diff zvinogona kubva pazvishoma kusvika pazvikuru. Ngationei kuti ndezvipi.

Chituru cheC. diff chinotaridzika sei uye chinonhuwirira sei?

Vamwe vanhu vanoti chirwere cheC. diff chinokonzera shanduko mukunhuhwirira kwetsvina yavo. Kazhinji kacho chinovava, hachina kunaka. Vamwe vanoti nyongo iri mutsvina inogona kuita kuti iite hwema hunotapira zvishoma. Kana zvasvika pakuonekwa kwetsvina, dzimwe nguva inogona kunge yakasununguka, senge oatmeal, kana kuita sematope. Dzimwe nguva inogona kunge iine ropa kana madzihwa. Inogonawo kunge ine ruvara rwegirini. Chinonyanya kukosha: Kana manyoka ako akakomba, zvichireva kuti unoanwa kakawanda pazuva, kana kuti uchinzwa usina simba, tsvaga rubatsiro rwechiremba nekukasika. Manyoka akakomba anogona kukurumidza kukonzera kupera mvura mumuviri uye kutofa.

Sei C. diff ichikura? Ndiani ari panjodzi huru?

Sezvatakambokurukura, chikonzero chikuru cheizvi kushandiswa kwemishonga inorwisa mabhakitiriya. Funga nezvazvo, mabhakitiriya akanaka neakaipa anogara akaenzana muura hwedu. Paunotora mishonga inorwisa mabhakitiriya yehutachiona, mishonga iyoyo inouraya kwete mabhakitiriya akaipa chete, asiwo mabhakitiriya akanaka anotibatsira. Ndipo apo mabhakitiriya eC. diff asingadzoreki anova nemukana wekuwanda, kugadzira chepfu, uye kukuvadza ura.

Zvinhu zvinowedzera njodzi:

• Kushandisa mishonga inorwisa mabhakitiriya: Vanhu vanoshandisa mishonga inorwisa mabhakitiriya yakasimba, kunyanya cephalosporins, clindamycin , fluoroquinolones , uye penicillins, vari panjodzi huru.
• Zera: Vanhu vane makore anopfuura 65 vane mukana wakakura wekuwana chirwere ichi.
• Kupinda muchipatara: Mabhakitiriya aya anowanzo pararira munzvimbo dzakadai sezvipatara nedzimba dzevakwegura. Munzvimbo dzakadaro, anogona kupararira zviri nyore kuburikidza nevashandi kana kuburikidza nemidziyo yechipatara.
• Kusasimba kwemuviri wekudzivirira zvirwere:Vanhu vane masoja emuviri asina simba nekuda kwekenza, kurapwa nekenza, kana zvimwe zvirwere vari panjodzi huru.
• Zvimwe zvirwere zvemudumbu: Vanhu vane zvirwere zvakaita sechirwere chemudumbu chinozvimba (IBD) kana kenza yemudumbu vari panjodzi yakakura.

Ndezvipi zvinetso zvinogona kuitika nekuda kweC. diff?

Kana hutachiona hweC. diff hukasarapwa nekukasika, matambudziko akakomba anogona kuitika.

• Kushaya Mvura Yakawanda: Manyoka akawandisa anogona kukonzera kuti mvura nemunyu zvirasikirwe mumuviri, zvichikanganisa mashandiro eitsvo neBP.
• Megacolon ine Chepfu: Ichi chirwere chine njodzi zvikuru. Muchiitiko ichi, ura hunozvimba zvekuti hazvigoneke kubuda mweya kana tsvina. Izvi zvinogona kutokonzera kuti ura huputike. Izvi zvinoisa upenyu panjodzi uye zvinoda kuvhiyiwa nekukurumidza.
• Kuboorwa kweMatumbu: Buri riri muura guru rinogona kubvumira mabhakitiriya ane njodzi kupinda mudumbu, zvichikonzera chirwere chakakomba chinonzi peritonitis .
• Pseudomembranous colitis: Chepfu inogadzirwa neC. diff inokuvadza masero emukati meura, zvichikonzera maronda uye mavanga akakora.

Kana chirwere ichi chakakomba, ungatofanira kugamuchirwa kuEmergency Treatment Unit (ETU) yechipatara. Saka kana uine zviratidzo, enda kuna chiremba nekukurumidza.

Kurapa nekudzivirira

Zvichienderana nezviratidzo zvako, chiremba wako achasimbisa kana uine hutachiona hweC. diff nekuyedza stool sampuro.

Nzira dzekurapa

Zvinoshamisa kuti chirwere ichi chinokonzerwa nemishonga inorwisa mabhakitiriya chinorapwawo nemamwe mishonga chaiyo. Mishonga iyi inorwisa uye inouraya mabhakitiriya eC. diff chete.

• Fidaxomicin
• Metronidazole
• Vancomycin

Mishonga iyi inofanira kushandiswa sezvakarairwa nachiremba wako. Zvakakoshawo kutsiva mvura inorasika kubva mumanyoka. Izvi zvinoreva kunwa mvura yakawanda, muto, porridge, soup, uye muto wemichero. Mune zvimwe zviitiko zvakakomba, zvikamu zveura zvakakuvara zvingatoda kubviswa nekuvhiyiwa.

Zvikafu zvakanaka zvekudya kana uine chirwere cheC. diff

Zvakanakisisa kudya chikafu chinonaka mudumbu uye chine starch kana uine manyoka.

• Zvikwekwe
• Mbatatisi dzakabikwa, mbatatisi
• Mupunga, porridge yemupunga
• Oatmeal
• Mhando dzesobho
• Muriwo wakabikwa
• Bhanana

Ungazvidzivirira sei kubva kuhutachiona?

• Kana uri muchipatara, kumbira vanachiremba nevanamukoti vanokutarisira kuti vageze maoko avo vasati vakushanyira uye mushure mekukushanyira.
• Bvunza kana michina yekurapa yaunzwa mukamuri mako yakacheneswa.
• Usatore mishonga inorwisa mabhakitiriya zvisina kufanira. Ingotora mushonga sezvawakarairwa nachiremba wako, woutora kwenguva yese yawakarairwa.

Kana uri kutarisira munhu ane chirwere cheC. diff, iva nechokwadi chekupfeka magirovhosi. Uyewo, gara uchichenesa chimbuzi, magonhi, uye maswichi anoshandiswa nemunhu ane muchina wekuchenesa une chlorine (bleach) . C. diff, Clostridioides difficile, manyoka, kurwadziwa mudumbu, mishonga inorwisa mabhakitiriya, hutachiona hwebhakitiriya, colitis