Wakapedza mushonga wemishonga inorwisa mabhakitiriya wobva watanga kurwadziwa mudumbu zvakanyanya kana manyoka anonaya mvura nguva nenguva here? Kana kuti mumwe munhu waunoda, kunyanya munhu mukuru, ari kunetseka nezviratidzo izvi here mushure mekudzoka kubva kuchipatara? Chikonzero chingave bhakitiriya rausingambonzwa nezvaro, asi rinogona kuva nengozi: C. diff (Clostridioides difficile).
Nemashoko akareruka, chii chinonzi C. diff?
C. diff , kana inozivikanwa nesainzi seClostridioides difficile , imhando yebhakitiriya inogona kukanganisa ura hwako, zvichikonzera kuzvimba kwakanyanya kwemudumbu kunozivikanwa secolitis . Utachiona uhwu hunowanzoonekwa mushure mekunge washandisa mishonga inorwisa mabhakitiriya kune chimwe chirwere. Mune zvimwe zviitiko, hunogona kukura kuita dambudziko rehutano rinotyisidzira hupenyu .
C. maspores akasiyana anowanikwa kwese kwese munzvimbo yedu—muvhu, mumhepo, mumvura, uye kunyangwe mutsvina yevanhu nemhuka. Funga nezvemaspores aya semabhakitiriya "anorara" anogona kurarama munzvimbo iyi kwemwedzi yakawanda asina kukuvara. Kana maspores aya apinda mumuviri wako nemuromo uye asvika mudumbu mako, anova nesimba uye anokonzera hutachiona.
Zvinoshamisa kuti vamwe vanhu vanotakura mabhakitiriya aya mudumbu ravo vasingaratidzi zviratidzo. Izvi zvinodaro nekuti mabhakitiriya "akanaka" ari mudumbu mako anochengetedza "akaipa" ari pasi pesimba.
Ndezvipi zviratidzo zvehutachiona hweC. diff?
Zviratidzo zvehutachiona hweC. diff zvinogona kubva pahudiki kusvika pahukanyanya. Ngationei zvekungwarira:
| Chikamu Chekuoma | Zviratidzo |
|---|---|
| Utachiona Husina Kusimba |
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| Utachiona Hwakanyanya |
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Zvakadini nechitarisiko uye kunhuwa kwetsvina?
Varwere vanowanzotaura nezvekunhuhwirira kwakasiyana, kwakashata, kana kuti kunonyanya kusvota kunokonzerwa netsvina yeC. diff . Vamwe vanotsanangura kunhuhwirira kunotapira, kwakaita sekwebvudzi. Kana tichitarisa chitarisiko, tsvina yacho inogona kutaridzika seye oatmeal kana kuita seine matope. Unogonawo kuona madzihwa kana ropa, uye dzimwe nguva inogona kuva neruvara rwegirini.
Chinhu chakakosha: Kana manyoka ako akanyanya, achiitika kakawanda, kana kuti uchinzwa usina simba, tsvaga rubatsiro rwechiremba nekukasika. Manyoka akanyanya anokonzera kushaya mvura mumuviri nekukurumidza, izvo zvinogona kuisa hupenyu panjodzi.
Sei C. diff ichiitika uye ndiani ari panjodzi?
Sezvambotaurwa, chikonzero chikuru chechirwere ichi kushandiswa kwemishonga inorwisa mabhakitiriya.Ura hwako hunovimba nekuenzana kwemabhakitiriya akanaka neakaipa. Paunotora mishonga inorwisa mabhakitiriya kurapa hutachiona, inowanzo uraya mabhakitiriya akanaka pamwe chete neakaipa. Izvi zvinosiya mabhakitiriya eC. diff asina kutarisirwa kuti awedzere uye aburitse chepfu inokuvadza ura hwemukati.
Zvinhu zvinowedzera njodzi:
- Kushandisa Mishonga Inorwisa Mabhakitiriya: Njodzi dzinowanda kana mishonga inorwisa mabhakitiriya ine simba yakaita seCephalosporins, Clindamycin, Fluoroquinolones, uye Penicillins .
- Zera: Vanhu vane makore anopfuura 65 vane njodzi yakakura.
- Kupinda muchipatara: Zvipatara nenzvimbo dzinochengeterwa vakwegura inzvimbo dzakajairika dzekutapurirana kwezvipembenene kuburikidza nevashandi vehutano kana midziyo ine utachiona.
- Kusasimba kweSimba reMuviri: Vanhu vane kenza, avo vari kurapwa chemotherapy, kana avo vane zvirwere zvinodzvinyirira immune system.
- Matambudziko emudumbu akambovapo: Vanhu vane chirwere cheIBD kana kenza yemudumbu.
Yeuka kuti hutachiona uhwu hunotapuriranwa zvakanyanya. Mabhakitiriya anogona kugara kwemwedzi yakawanda panzvimbo dzakadai sembatya, magumbeze, mibato yemasuo, uye zvinhu zvekugezera. Kana ukabata nzvimbo ine utachiona wobva wabata muromo wako kana mhino, unogona kutapurira hutachiona nyore nyore.
Ndezvipi zvinetso zvinogona kuitika zveC. diff?
Kana ikasarapwa, C. diff inogona kukonzera matambudziko akakomba:
- Kushaya Mvura Yakawanda: Kurasikirwa nemvura yakawanda uye electrolyte zvakanyanya kunogona kukanganisa mashandiro eitsvo uye BP.
- Megacolon ine Chepfu: Chirwere chinotyisidzira hupenyu apo ura hunozvimba zvakanyanya uye husingakwanise kubuda negasi kana tsvina, zvingangokonzera kubooka. Izvi zvinoda kuvhiyiwa nekukurumidza.
- Kuboorwa kweMatumbu: Buri riri muura rinogona kubvumira mabhakitiriya kupinda mudumbu, zvichikonzera chirwere chine njodzi chinonzi peritonitis.
- Pseudomembranous Colitis: Chepfu inobva kuC. diff inokonzera kukuvara kwemadziro emudumbu, zvichiita kuti pave nemaronda uye mapundu akakora, anozvimba.
Kana ukaona zviratidzo izvi zvakakomba, ungangoda rubatsiro rwekuchipatara nekukurumidza. Gara uchibvunza chiremba wako kana zviratidzo zvako zvatanga.
Kurapa uye Kudzivirira
Chiremba wako angangosimbisa hutachiona hweC. diff kuburikidza nekuongorora stool.
Sarudzo dzeKurapwa
Zvinoshamisa kuti, chirwere ichi chinorapwa nemishonga chaiyo inorwisa mabhakitiriya akagadzirirwa kurwisa nekubvisa mabhakitiriya eC. diff chete.
- Fidaxomicin
- Metronidazole
- Vancomycin
Izvi zvinofanirwa kutorwa sezvakarairwa nachiremba wako. Zvakakoshawo kudzorera mvura inorasika panguva yemanyoka—kunwa mvura yakawanda, mvura ine electrolyte, soups, uye muto wemichero.
Muzviitiko zvakakomba, kuvhiyiwa kunogona kudiwa kubvisa zvikamu zvakakuvara zveura.
Mazano ekudya panguva yehutachiona
Gara uchidya chikafu chisina kusimba, chiri nyore kugaya, chine starch:
- Zvikwekwe
- Mbatatisi dzakabikwa kana mbatatisi
- Mupunga neporiji remupunga
- Upfu hweoatmeal
- Masobho
- Muriwo wakabikwa
- Mabhanana
Maitiro ekudzivirira kupararira kwechirwere ichi
Kugeza maoko: Iri ndiro danho rakakosha zvikuru. Geza maoko ako zvakanaka nesipo nemvura inoyerera kwemasekondi makumi maviri, kunyanya mushure mekushandisa chimbuzi uye usati wadya. Mishonga yekuchenesa maoko haishande zvakanaka pakuuraya spores dzeC. diff.
- Kana uri muchipatara, yeuchidza vanachiremba vako kuti vageze maoko avo vasati vakuongorora uye mushure mekukuongorora.
- Iva nechokwadi chekuti chero michina yekurapa inoshandiswa mukamuri rako yakacheneswa zvakanaka.
- Usatore mishonga inorwisa mabhakitiriya zvisina kufanira. Ingotora chete kana wanyorerwa nachiremba wobva wapedza mushonga wacho wese.
Kana uchitarisira munhu ane C. diff , pfeka magirovhosi uye gara uchichenesa nzvimbo dzakadai sezvimbuzi, mibato yemagonhi, uye maswichi emwenje uchishandisa muchina wekuchenesa une bleach.
Mharidzo Yekuenda Nayo Kumba
- C. diff chirwere chine njodzi chebhakitiriya mudumbu chinowanzo konzerwa nekushandiswa kwemishonga inorwisa mabhakitiriya.
- Chenjerera manyoka anobuda mvura nguva dzose, kurwadziwa mudumbu, fivha, uye ropa riri mutsvina.
- Vakwegura, avo vari muchipatara, uye avo vane dziviriro yemuviri isina simba ndivo vari panjodzi huru.
- Inotapuriranwa zvakanyanya. Kugeza maoko nesipo zvakakwana ndiyo nzira yakanakisisa yekudzivirira; mishonga yekuchenesa maoko haishande zvakanaka.
- Kana ukaita manyoka akanyanya mushure mekutora mishonga inorwisa mabhakitiriya, taura nachiremba wako nekukasika. Kurapwa nekukurumidza kunodzivirira matambudziko akakomba.
Nirogi Lanka: C. diff, Clostridioides difficile, manyoka, kurwadziwa mudumbu, mishonga inorwisa mabhakitiriya, hutachiona hwebhakitiriya, colitis
