Waizviziva here kuti ura hwako hune mabhakitiriya akanaka neakaipa? Chero bedzi maviri aya ari muchimiro chakanaka, hutano hwedu hunenge hwakanaka. Asi dzimwe nguva, kunyanya kana ukatora mishonga inorwisa mabhakitiriya ine simba, mabhakitiriya aya akanaka anoparadzwa uye mabhakitiriya akaipa anotanga kutora nzvimbo. Ndipo paunotanga kuva nematambudziko akakomba akadai sekurwadziwa mudumbu nemanyoka zvinogara kwemazuva. Saka, nhasi tichataura nezvekurapa kusinganzwisisike asi kunoshanda zvikuru kunogona kupiwa panguva dzakadai.
Chii chinonzi kuisirwa tsvina?
Zita racho ringanzwika serisinganzwisisike, asi inzira iri nyore uye yesainzi. Muchidimbu, kurapwa uku kunosanganisira kuisa tsvina diki kubva kumunhu ane hutano muura hwemunhu anorwara .
Funga nezvebindu rakazara nemasora. Kuti bindu iroro rikure zvakare, tinofanira kuwedzera ivhu rakanaka, mbeu dzakanaka, nezvirimwa zvitsva. Ndizvo zvazviri neizvi. Muenzaniso wetsvina kubva kumunhu ane hutano ivhu rakanaka nembeu ine zviuru zvetupukanana tunobatsira (microbiota) twakarasika mudumbu remunhu anorwara. Kana tutupukanana utwu twakanaka twakapinzwa mudumbu rine chirwere, tunorwisa utachiona hunokuvadza ipapo uye tinodzorera kuenzana kwetupukanana tudiki.
Kurapa uku kunoshanda sei?
Ura hwedu inyika diki ine mabhakitiriya akawanda. Inzvimbo ine hutachiona husina kusimba. Mabhakitiriya mazhinji aya anobatsira kwatiri, akakosha pahutano hwedu. Ndiwo anodzora utachiona hunokuvadza uye anotidzivirira kubva kuzvirwere.
Zvisinei, mimwe mishonga (kunyanya mishonga inorwisa mabhakitiriya), zvirwere, nezvimwe zvinhu zvinogona kuparadza shamwari dzakanaka idzi dziri muura hwedu. Izvi zvinoita kuti utachiona hwakaipa hukure, uye kuenzana kwemudumbu kunokanganiswa. Kuisirwa tsvina kwakagadzirirwa kudzoreredza kusiyana uku kwakarasika. Zviuru zvehutachiona hwakanaka kubva musampuli yetsvina ine hutano zvinozadzazve muura hune chirwere, zvichidzorera hutano hwahwo.
Ndezvipi zvirwere zvinogona kurapwa nekuisirwa tsvina?
Parizvino, mushonga uyu unoshanda zvakanyanya uye unokurudzirwa kune rimwe hutachiona hwebhakitiriya. Kureva, hutachiona hweClostridium difficile (CDI) hunodzokororwa . Iyi C. diff ibhakitiriya ine simba risingaperi iro dzimwe nguva risingakwanise kudzorwa nemishonga inorwisa mabhakitiriya, zvichikonzera manyoka akanyanya. Kana mishonga inorwisa mabhakitiriya ikatadza kurapa hutachiona, kurapwa kwekuisirwa tsvina kunoshanda zvikuru.
Chinonyanya kukosha ndechekuti, kurapwa uku kwakangoratidzwa kuti kune hutachiona hweC. diff chete, asi tsvakiridzo iri kuenderera mberi.
Vanachiremba vari kutsvaga kana nzira iyi yekurapa ingabatsira kune zvimwe zvirwere zvakawanda, nekuti hutano hwedumbu redu hunokanganisa zvakananga kugaya kwedu, mashandiro emuviri, uye masoja ekudzivirira muviri.
| Zvirwere zvinogona kubatsira mune ramangwana (danho rekutsvagisa) | |
|---|---|
| Zvirwere zvekugaya chikafu | Chirwere cheMatumbu Anozvimba (IBD), Chirwere cheMatumbu Anokanganisa (IBS) |
| Zvirwere zvemuviri | Kufutisa, Chirwere cheshuga |
| Mamwe mamiriro ezvinhu | Kurwara nechikafu, Autism Spectrum Disorder (ASD), Kuora Mwoyo, Multiple Sclerosis (MS) |
Kurapwa uku kunoitwa sei?
Kune nzira dzakasiyana-siyana dzekuisa tupukanana utwu mumuviri wemurwere. Chiremba wako ndiye achasarudza nzira yakakunakira.
- Kuburikidza necolonoscopy: Iyi ndiyo nzira inonyanya kushandiswa. Chubhu yakatetepa ine kamera inopinzwa nepaburi remudumbu yopfuudzwa nepaburi remudumbu guru. Mvura yakagadzirwa yetsvina inozopfuudzwa zvakananga muura kuburikidza neburi remudumbu.
- Kuburikidza ne endoscopy: Muizvi, chubhu inopinzwa nemuromo kana mhino uye mvura inopinzwa mudumbu kana muura hudiki. Zvisinei, nzira iyi haibudiriri zvakanyanya nekuti tupukanana tunofanira kufamba daro refu kuti tisvike muura hukuru.
- Enema: Mvura inopinzwa kuburikidza nechubhu inopinzwa murectum. Izvi zvinoshanda zvakanyanya nekuti tupukanana tunopinda zvakananga muura hukuru.
- Kapisiyumu Yokunwa: Izvi zvakafanana nekumedza piritsi. Kune makapisiyumu ane tupukanana twakaoma, twakagadzirwa. Makapisiyumu aya akagadzirwa kuti aende zvakananga muura hukuru, pane kunyungudika mudumbu.
Maitiro ekugadzirira kurapwa muchimiro che capsule
Kazhinji, chiremba wako anokuudza kuti utange kutora mapiritsi aya mazuva maviri kana matatu mushure mekunge wapedza kutora mishonga inorwisa mabhakitiriya yehutachiona hweC. diff. Iyi imishonga yemazuva matatu. Uchafanira kumedza mapiritsi mana pazuva. Zuva risati rasvika rekuti utange, uchafanira kutora mushonga wekusunungura ura hwako. Zvadaro, haufanirwe kudya kana kunwa chero chinhu kwemaawa masere usati watora mapiritsi ekutanga. Izvi zvese zvinofanirwa kuitwa sezvakarairwa nachiremba wako .
Unowana kupi tsvina inodiwa pakuita izvi? Ndiani anopa rubatsiro?
Nekuda kweizvi, tsvina inopihwa nevanozvipira vane hutano hwakanaka . Mupi uyu anosarudzwa mushure mekuongororwa kwakasimba.
Usangofunga kuti ichi chinhu chaunogona kuita uri kumba. Danho rega rega, kubva kune anopa rubatsiro kusvika kumurwere, rinofanira kuitwa pasi pekutarisirwa nachiremba uye munzvimbo isina utachiona.
Munhu asati ava mupi weropa, anoongororwa ropa, anoongororwa tsvina, uye anoongororwawo zvimwe zvakawanda. Izvi zvinoitirwa kuve nechokwadi chekuti hapana zvirwere zvinogona kutapuriranwa kuburikidza netsvina. Munhu wese ane zvinotevera haazosarudzwe semupi weropa.
- Zvimwe zvirwere zvakakomba zvebhakitiriya (semuenzaniso E. coli)
- Utachiona hwemavhairasi (semuenzaniso chiropa, HIV, COVID-19)
- Zvipembenene muura
- Kana uchangobva kushandisa mishonga inorwisa mabhakitiriya
- Kushandisa zvinodhaka
- Zvirwere zvakaita seInflammatory Bowel Disease (IBD)
- Zvirwere zve autoimmune
- Kuva nenhoroondo yemhuri yekenza
Sample yetsvina, iyo inoongororwa zvakanaka nenzira iyi, inosanganiswa nesaline murabhoritari uchishandisa nzira yakakosha, yoseferwa, yogadzirwa kuita mvura yakachena. Kana kuti inoomeswa yogadzirwa kuita makapisi.
Ndezvipi zvakanakira uye njodzi dzekurapa uku?
Chinhu chikuru chinobatsira munhu ane chirwere cheC. diff ndechekuti mushonga uyu unorapwa nekukurumidza . Kurapa uku kunoshanda ne80% - 95% mukudzivirira kudzoka kweutachiona mushure memishonga inorwisa mabhakitiriya. Uku kubudirira kukuru zvechokwadi.
Migumisiro Yakashata:
Migumisiro midiki inogona kuitika kwezuva rimwe kana maviri mushure mekurapwa. Izvi zvakajairika uye hapana chekunetseka nazvo.
- Kuzvimba uye gasi
- Kusvotwa nekurutsa
- Kusagadzikana kwemudumbu
- Vamwe vanhu vane fivha nechando.
Njodzi Dzakakomba:
Pane njodzi isingawanzoitiki, asi yakakura. Kureva kuti, mukana wekuti utachiona hwakanga hwakarongwa mumuviri wemupi hunogona kutanga kushanda kana hukapinda mumuviri wemurwere ane dziviriro yemuviri isina simba. Asi kuderedza njodzi iyi, vanopa vanoongororwa nokungwarira uye zvigadzirwa zvinotenderwa zvinoshandiswa. Saka,Zvakakosha kutevedzera nzira yakakurudzirwa uye yakatenderwa nachiremba wako chete.
Zvingaita sezvisinganzwisisike kwatiri kuti tsvina inogona kushandiswa semushonga, asi kune munhu anga achitambura kwemwedzi yakawanda nechirwere chakakomba seC. diff, pfungwa itsva iyi tariro huru.
Mharidzo Yekuenda Nayo Kumba
- Kuisirwa tsvina inzira inoshanda zvikuru uye yakachengeteka yekurapa hutachiona hweC. difficile (CDI) hunodzokororwa.
- Izvi zvinosanganisira kuisa tupukanana twakagwinya muura hune chirwere uye kudzoreredza kuenzana kwahwo kwechisikigo.
- Nekuda kweizvi, vanopa vanounganidza tsvina vanoongororwa zvakanyanya nachiremba. Saka, njodzi yekubatwa nezvirwere zvinotapukira yakaderera zvikuru.
- Izvi hazvisi zvinhu zvinogona kuitwa kumba kana wega. Zvinofanira kuitwa muchipatara kana kukiriniki uchitarisirwa nachiremba.
- Kana iwe kana mumwe munhu waunoziva aine chirwere ichi, taura nachiremba wako nezvenzira iyi yekurapa kuti udzidze zvakawanda.
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