Wakambova nekurwadziwa mudumbu here kana kuti tupukanana mudumbu mushure mekutora mushonga wemishonga inorwisa mabhakitiriya? Kazhinji zvinopera mushure mezuva rimwe kana maviri. Zvisinei, dzimwe nguva chirwere ichi chinogona kunge chakakomba zvishoma. Nhasi tichataura nezvechimwe chirwere chakakomba chinogona kusanganiswa nekushandiswa kwemishonga inorwisa mabhakitiriya. Tinochidaidza kuti Pseudomembranous Colitis. Kunyangwe zita racho ringanzwika serisinganzwisisike, zvakakosha kuziva nezvazvo.
Zvichitaurwa zviri nyore, chii chinonzi Pseudomembranous Colitis?
Uku kuzvimba kwakanyanya (severe colitis) kunoitika muura hwedu hukuru (colon), zvinoreva kuzvimba nekukuvara. Fungidzira kuti chimwe chinhu chinokuvadza jira rakatetepa (mucosa) riri mukati meura hwedu hukuru. Kukuvara uku kunogona kukonzerwa nebhakitiriya, chepfu inogadzirwa nebhakitiriya iyoyo, kana chimwe chirwere.
Kana kukuvara uku kukaitika, mavanga akakora, ane goko anoumbwa panzvimbo dzakakuvara. Sekunge goko rinoumbwa paganda redu kana tine ronda. Asi aya haasi magoko chaiwo. Anoumbwa nemasero akafa nemasero machena eropa. Magoko aya eruvara rweyero-chena ndiwo anonzi nachiremba "pseudomembranes." "Pseudo" zvinoreva "nhema." Izvi zvinoreva kuti magoko enhema. Iyi mamiriro ndiwo atinodaidza kuti pseudomembranous colitis.
Ndezvipi zviratidzo zvechirwere ichi?
Munhu ane chirwere ichi anogona kusangana nezviratidzo zvakasiyana-siyana, asi pane zvinhu zvishoma zvikuru zvinogona kuonekwa.
| Chiratidzo | Tsananguro |
|---|---|
| Manyoka akanyanya | Ichi ndicho chiratidzo chikuru. Ungave uchibuda tsvina kanenge ka10-15 pazuva. Dzimwe nguva unogona kuona ropa kana hurwa zvichibuda pamwe chete netsvina. |
| Marwadzo emudumbu | Panogona kunge paine kurwadziwa kwakanyanya mudumbu uye kurwadza. Dumbu rinogonawo kurwadza kubata. |
| Kupindwa nechando | Fivha inogona kutanga mumuviri. Izvi zvinoreva kuti hutachiona huri kupararira mumuviri. |
| Kusvotwa | Unganzwa sekunge ucharutsa. Vamwe vanhu vanogona kutorutsa. |
Sei chirwere chakadai chichiitika? Chii chinonyanya kukonzera chirwere ichi?
Chikonzero chikuru uye chinonyanya kukonzera izvi hutachiona hweClostridium difficile , hwatinoti C. diff muchidimbu. Ichi ndicho chikonzero chezviitiko zvinopfuura 90%.
Zvino ungave uchishamisika kuti bhakitiriya iyi yeC. diff inogona sei kukonzera chirwere chakadai. Nyaya yacho inoti:
Mamiriyoni emabhakitiriya, akanaka neakaipa, anogara muura hwedu. Mabhakitiriya aya akanaka anoita zvakawanda kumuviri wedu. Fungidzira chiremba achikupa mishonga inorwisa mabhakitiriya kune chimwe chirwere (semuenzaniso, chirwere chehuro). Mishonga iyi inouraya mabhakitiriya ari mumiviri yedu. Asi painodaro, kwete mabhakitiriya akaipa chete akakonzera chirwere, asiwo huwandu hwakawanda hwemabhakitiriya akanaka ari muura hwedu hunoparadzwa.
Asi chinoshamisa ndechekuti C. diff haipindi mishonga yakawanda inorwisa mabhakitiriya. Saka kana mamwe mabhakitiriya akafa, C. diff ine mukana wekubereka nekukurumidza sezvainoda, pasina makwikwi.
Kuwanda uku kwebhakitiriya reC. diff kunotanga kuburitsa chepfu dzinokuvadza jira remukati meura redu guru. Chepfu idzi dzinokonzera kuti masero emudumbu afe uye akuvara, zvichiita kuti pave nemapseudomembrane atakataura nezvawo kare.
Mishonga inorwisa mabhakitiriya inonyanya kukonzera hutachiona hweC. diff
Kunyange hazvo chero mushonga unorwisa mabhakitiriya uchigona kukonzera njodzi iyi, mimwe mishonga ine mukana mukuru wekurwisa njodzi iyi. Mimwe yacho inosanganisira:
- Clindamycin
- Mhando dzeCephalosporins
- Mhando dzePenicillin
- Mhando dzeFluoroquinolones
Pane zvimwe zvikonzero kunze kweC. diff here?
Ehe. Kunyangwe hutachiona hweC. diff huri ihwo hunonyanya kukonzera, chirwere ichi chinogonawo kuitika nekuda kwezvimwe zvikonzero, kashoma.
- Zvimwe zvirwere zvebhakitiriya (semuenzaniso *Staphylococcus aureus*, *E. coli*)
- Utachiona hweCytomegalovirus
- Kuderera kweropa rinoyerera kuenda muura (Ischemic colitis)
- Mimwe mishonga yechemotherapy yekenza
- Zvimwe zvirwere zve autoimmune
Ndiani ari panjodzi huru yekubatwa nechirwere ichi?
Kunyange hazvo munhu wese achigona kuva nechirwere ichi, vamwe vanhu vari panjodzi huru.
- Vanhu vari kurapwa muzvipatara: Zvipatara inzvimbo dzinogona kupararira utachiona hwakaita seC. diff zviri nyore.
- Vanhu vachangobva kutora mishonga inorwisa mabhakitiriya: Sezvatakambotaura, ichi ndicho chinhu chikuru chinokonzera njodzi.
- Vanhu vane makore anopfuura 65 ekuberekwa: Nekuti dziviriro yemuviri inoderera nekukura.
- Vanhu vari mudzimba dzevakwegura:
- Vanhu vane masoja emuviri asina simba: (semuenzaniso vanhu vane HIV, varwere vegomarara)
- Vanhu vane zvirwere zve autoimmune: (semuenzaniso Inflammatory Bowel Disease - IBD)
- Vanhu vakambova nechirwere cheC. diff:
Ndezvipi zvinetso zvingamuka kana izvi zvikakura?
Izvi zvinganzwika sekutyisa kwauri. Asi yeuka, matambudziko aya anowanzoitika chete kana chirwere chacho chanyanya uye pasina kurapwa kwakakodzera. Ndosaka tichikurudzira kuona chiremba nekukurumidza.
- Kushaya mvura mumuviri uye kusashanda zvakanaka kwe electrolyte: Kana ukaita mafambiro edumbu ka10-15 pazuva, unorasikirwa nemvura yakawanda uye electrolyte. Kana izvi zvikanyanya, zvinogona kukonzera matambudziko ane njodzi akadai se BP yakaderera uye itsvo dzakatadza kushanda zvakanaka.
- Megacolon ine Chepfu: Ichi chirwere chine njodzi zvikuru. Chinoitika ndechekuti kuzvimba kwemuura kunova kwakanyanya zvekuti muura unoita basa risiri kushanda zvakanaka, gasi netsvina zvinobatwa, uye muura unoita mukuru zvekuti unogona kuputika.
- Kuboorwa kwedumbu: Kukuvara kwakanyanya kunogona kukonzera buri muura. Kana izvi zvikaitika, mabhakitiriya anobva muura anogona kupinda mudumbu okonzera hutachiona hunogona kutyisidzira hupenyu (peritonitis, sepsis).
- Sepsis: Chirwere chinouraya apo utachiona hunopararira mumuviri wese uye nhengo dzemuviri dzinotanga kusashanda zvakanaka.
Usatya zvinhu izvi. Zvinhu izvi hazviwanzoitiki. Chinhu chakakosha ndechekutsvaga rubatsiro rwechiremba kana zviratidzo zvangoonekwa.
Chiremba anonyatsoongorora sei chirwere ichi?
Paunoenda kunoona chiremba, achakubvunza nezvezviratidzo zvako, chero mishonga yawakashandisa munguva pfupi yapfuura (kunyanya mishonga inorwisa mabhakitiriya), uye anogona kukuitira bvunzo kuti asimbise chirwere chacho.
1. Kuongororwa kwetsvina: Iyi ndiyo bvunzo inonyanya kukosha. Muenzaniso wetsvina yako unotorwa woongororwa kuti uone kana paine mabhakitiriya eC. diff kana chepfu inogadzirwa nebhakitiriya.
2.Kuongororwa kweropa: Izvi zvinobatsira kuona kana paine hutachiona uye huwandu hwemasero machena eropa hwakakwira.
3. Colonoscopy: Izvi zvinosanganisira kuisa chubhu tete ine kamera kuburikidza nepaburi kuti tiongorore mukati meura hukuru. Izvi zvinotibvumira kuona nemaziso ese kana paine ma pseudomembranes atakataura nezvawo. Kana zvichidikanwa, chidimbu chidiki chenyama (biopsy) chinogona kutorwa kuti chiongororwe.
Ndezvipi zvinorapwa izvi?
Kurapwa kunoenderana nechikonzero uye kuoma kwechirwere.
- Kurapa chinokonzera: Kana chirwere cheC. diff chiri icho chinokonzera, chiremba wako achakupa mushonga unorwisa mabhakitiriya unogona kuuraya mabhakitiriya. Metronidazole, Vancomycin, uye Fidaxomicin ndedzimwe dzemishonga iyi.
- Kutarisira Rutsigiro: Izvi zvinogona kusanganisira kupa mvura inobuda mutsinga kuti isapere mvura mumuviri uye kupa chikafu chinovaka muviri mutsinga kuti ura huzorore.
- Kuvhiyiwa: Muzviitiko zvakakomba, zvakaita sematambudziko akadai se megacolon ine chepfu, kubviswa kwechikamu chakakuvara cheura (colectomy) kunogona kudiwa. Zvisinei, izvi hazviwanzoitiki.
Chirwere ichi chinorapika zvachose. Kana vanhu vazhinji vakarapwa zvakanaka, vanopora nekukurumidza.
Chii chatinofanira kuita kuti tipone mumamiriro ezvinhu aya?
Kudzivirira izvi kwakakosha zvikuru, kunyanya munzvimbo dzakadai sezvipatara nedzimba dzevakwegura.
- Geza maoko ako nguva nenguva: C. diff haipindi mishonga yekuchenesa maoko ine doro, saka kugeza maoko ako nesipo nemvura ndiyo nzira yakanakisisa yekudzivirira.
- Kuzviparadzanisa: Muzvipatara, varwere vane chirwere cheC. diff vanorapwa muimba yavo yega.
- Nzvimbo dzekuchenesa: C. diff inogona kugara panzvimbo kwenguva yakareba. Zvakakosha kuchenesa nzvimbo nguva dzose nemushonga wekuuraya utachiona une chlorine.
Tinofanira kuona chiremba rini nekukurumidza sezvinobvira?
Kana uine chimwe chezviratidzo zvinotevera, enda kuna chiremba nekukasika kana kuenda kuchipatara cheEmergency Department (ETU).
| Zviratidzo zvekunyevera zvekutarisira | |
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Kunyangwe zvakajairika kusangana nekurwadziwa mudumbu mushure mekutora mishonga inorwisa mabhakitiriya, hazvisi nyore nguva dzose. Dzimwe nguva zvinogona kuva kutanga kwechirwere chakakomba sePseudomembranous Colitis. Ndosaka zvichikosha kuteerera muviri wako. Kana uine kusava nechokwadi nezvezviratidzo zvako, usazeza kutaura nachiremba wako. Nekurapwa kwakakodzera, unogona kupora zvachose kubva pachirwere ichi.
Mharidzo Yekuenda Nayo Kumba
- Usambofa wakaderedza manyoka nekurwadziwa kwemudumbu mushure mekutora mishonga inorwisa mabhakitiriya.
- Pseudomembranous Colitis inokonzerwa nebhakitiriya rinonzi C. diff. Inokonzerwa nekuparadzwa kwebhakitiriya rakanaka muura nekuda kwemishonga inorwisa mabhakitiriya.
- Kana uine zviratidzo zvakaita semanyoka akanyanya, fivha, kana kurwadziwa kwakanyanya mudumbu, enda kuna chiremba wako nekukasika pasina kunonoka.
- Kune mishonga inoshanda zvikuru yechirwere ichi. Saka hapana chikonzero chekutya. Chinhu chakakosha ndechekuongorora chirwere ichi nekukurumidza uye kutanga kurapwa.
- Kugeza maoko ako nesipo zvakanaka ndiyo nzira yakanakisisa yekuzvidzivirira kubva kuzvirwere zvakaita seC. diff.
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