Ngaba wakha waba nentlungu yesisu okanye intsholongwane yesisu emva kokuthatha ikhosi yee-antibiotics? Ihlala iphela emva kosuku okanye ezimbini. Nangona kunjalo, ngamanye amaxesha le meko inokuba yingozi ngakumbi. Namhlanje siza kuthetha ngesinye sezifo ezinzima kakhulu ezinokunxulunyaniswa nokusetyenziswa kwee-antibiotics. Le yiPseudomembranous Colitis. Nangona igama lisenokuvakala lingaqhelekanga, kubaluleke kakhulu ukwazi ngayo.
Ngamafutshane, yintoni iPseudomembranous Colitis?
Olu luvuvuko olukhulu (i-colitis enzima) oluvela emathunjini ethu amakhulu (ikholoni), oko kuthetha ukudumba nokwenzakala. Khawuthelekelele ukuba kukho into eyonakalisa ulwelo oluthambileyo (i-mucosa) ngaphakathi emathunjini ethu amakhulu. Lo monakalo unokubangelwa yibhaktiriya, ityhefu eveliswa yiloo bhaktiriya, okanye esinye isifo.
Xa lo monakalo usenzeka, iiplaque ezijiyileyo nezinamaqhuqhuva zenzeka phezu kweendawo ezonakeleyo. Njengokuba iqhuqhuva lenzeka eluswini lwethu xa sinenxeba. Kodwa ezi azinamaqhuqhuva okwenyani. Zenziwe ziiseli ezifileyo kunye neeseli ezimhlophe zegazi. Ezi membrane zimthubi-mhlophe zizinto oogqirha abazibiza ngokuba "zii-pseudomembranes." Igama elithi "Pseudo" lithetha "ubuxoki." Oko kuthetha ukuba zii-membranes zobuxoki. Le meko yile siyibiza ngokuba yi-pseudomembranous colitis.
Zithini iimpawu zale meko?
Umntu onesi sifo unokufumana iimpawu ezahlukeneyo, kodwa kukho izinto ezimbalwa eziphambili ezinokubonwa.
| Uphawu | Inkcazo |
|---|---|
| Urhudo oluqatha | Olu luphawu oluphambili. Usenokuba nesisu esihamba malunga nezihlandlo ezili-10-15 ngemini. Ngamanye amaxesha unokubona igazi okanye ubomvu buphuma kunye nendle. |
| Intlungu zesisu | Kusenokuba kukho iintlungu eziqatha zesisu kunye nokuthamba. Isisu sinokuba buhlungu xa usichukumisa. |
| Ifiva | Umkhuhlane usenokuvela emzimbeni. Oku kuthetha ukuba kukho usulelo olusasazeka emzimbeni. |
| Isicaphucaphu | Usenokuziva ngathi uza kuhlanza. Abanye abantu banokude bahlanze. |
Kutheni olu hlobo lwesifo lusenzeka? Yintoni eyona nto ibangela esi sifo?
Eyona nto iphambili neyona ixhaphakileyo yoku kusulelwa yintsholongwane iClostridium difficile , esiyibiza ngokuba yiC. diff ngamafutshane. Le yimbangela yamatyala angaphezu kwama-90%.
Ngoku usenokuba uzibuza ukuba le ntsholongwane ye-C. diff inokubangela njani isifo esinjalo. Ibali lihamba ngolu hlobo:
Izigidi zeebhaktheriya, ezilungileyo nezingalunganga, zihlala emathunjini ethu. Ezi bhaktheriya zilungileyo zenza lukhulu emizimbeni yethu. Khawuthelekelele ukuba ugqirha ukunika ii-antibiotics zesinye isifo (umzekelo, usulelo lomphimbo). Ezi antibiotics zibulala iibhaktheriya emizimbeni yethu. Kodwa xa zenza loo nto, ayizizo kuphela iibhaktheriya ezimbi ezibangele eso sifo, kodwa nenani elikhulu leebhaktheriya ezilungileyo emathunjini ethu ziyatshatyalaliswa.
Kodwa into emangalisayo kukuba i-C. diff ayixhathisi kwiintsholongwane ezininzi. Ngoko ke xa ezinye iintsholongwane zisifa, i-C. diff inethuba lokwanda ngokukhawuleza kangangoko ifuna, ngaphandle kokhuphiswano.
Oku kukhula kakhulu kwebhaktheriya ye-C. diff kuqala ukuvelisa iityhefu ezonakalisa ulwelo lwamathumbu ethu amakhulu. Ezi tyhefu zibangela ukuba iiseli zamathumbu zife kwaye zenzakale, zenze ii-pseudomembranes esithethe ngazo ngaphambili.
Ii-antibiotics ezidla ngokubangela usulelo lwe-C. diff
Nangona naluphi na uhlobo lokubulala iintsholongwane lunokubangela le ngozi, ezinye iintlobo zinokubangela le ngozi. Ezinye zezi ziquka:
- I-Clindamycin
- Iintlobo zeCephalosporins
- Iintlobo zePenicillin
- Iintlobo zeFluoroquinolones
Ngaba zikho ezinye izizathu ngaphandle kwe-C. diff?
Ewe. Nangona usulelo lwe-C. diff luyimbangela ephambili, le meko inokubakho ngenxa yezinye izizathu, kunqabile kakhulu.
- Ezinye izifo ezibangelwa ziintsholongwane (umz. *Staphylococcus aureus*, *E. coli*)
- Usulelo lweCytomegalovirus
- Ukuncipha kokuhamba kwegazi ukuya kwikholoni (i-Ischemic colitis)
- Amanye amayeza e-chemotherapy omhlaza
- Ezinye izifo ezihlasela umzimba
Ngubani osengozini enkulu yokuhlaselwa sesi sifo?
Nangona nabani na enokuba nale meko, abanye abantu basengozini enkulu.
- Abantu abafumana unyango ezibhedlele: Izibhedlele ziindawo apho iintsholongwane ezifana ne-C. diff zinokusasazeka lula khona.
- Abantu abasandula ukuthatha amayeza okubulala iintsholongwane: Njengoko sithethe ngako ngaphambili, le yeyona nto iphambili ebangela umngcipheko.
- Abantu abangaphezu kweminyaka engama-65 ubudala: Kuba amasosha omzimba ayancipha xa ekhula.
- Abantu abakwiikhaya zabantu abadala:
- Abantu abaneenkqubo zomzimba ezibuthathaka: (umz. abantu abane-HIV, izigulane ezinomhlaza)
- Abantu abanezifo zokuzikhusela komzimba: (umz. Isifo samathumbu esibangelwa kukudumba - IBD)
- Abantu ababekhe baba nosulelo lwe-C. diff ngaphambili:
Zeziphi iingxaki ezinokuvela ukuba oku kuba yingozi?
Oku kusenokuvakala kukoyika kancinci. Kodwa khumbula, ezi ngxaki zihlala zenzeka kuphela xa isifo siba sibi kakhulu kwaye unyango olufanelekileyo lunganikwa. Yiyo loo nto sicebisa ukuba ubonane nogqirha kwangethuba.
- Ukuphelelwa ngamanzi emzimbeni kunye nokungalingani kwe-electrolyte: Xa usenza intshukumo yamathumbu eli-10-15 ngosuku, ulahlekelwa ngamanzi amaninzi kunye ne-electrolytes. Ukuba oku kuba nzima, kunokukhokelela kwiimeko eziyingozi ezifana noxinzelelo lwegazi oluphantsi kunye nokungasebenzi kakuhle kwezintso.
- I-Megacolon Enobuthi: Le yimeko eyingozi kakhulu. Okwenzekayo kukuba ukudumba kwekholoni kuba nzima kangangokuba ikholoni ayisebenzi kakuhle, igesi kunye nendle ziyabanjwa, kwaye ikholoni iba nkulu kangangokuba inokuqhuma.
- Ukugqobhoka kwamathumbu: Ukwenzakala okukhulu kunokubangela umngxuma eludongeni lwamathumbu. Ukuba oku kuyenzeka, iintsholongwane ezivela emathunjini zingangena kwisisu zize zibangele usulelo olusongela ubomi (i-peritonitis, i-sepsis).
- I-Sepsis: Imeko esongela ubomi apho usulelo lusasazeka emzimbeni wonke kwaye amalungu omzimba aqala ukungasebenzi kakuhle.
Musa ukoyika ezi zinto. Ezi zinto azifane zenzeke. Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngokukhawuleza nje xa kuvela iimpawu.
Ugqirha uluchonga njani ngokuchanekileyo olu sifo?
Xa usiya kugqirha, uza kukubuza ngeempawu zakho, nawaphi na amayeza owasele kutshanje (ingakumbi amayeza okubulala iintsholongwane), aze emva koko enze uvavanyo oluthile ukuqinisekisa ukuba unesifo.
1. Uvavanyo lwesitulo: Olu lolona vavanyo lubalulekileyo. Kuthathwa isampulu yendle yakho ize ivavanywe ukuba ikhona na i-C. diff bacteria okanye iityhefu eziveliswa yintsholongwane.
2.Uvavanyo lwegazi: Olu vavanyo lunceda ekujongeni usulelo kunye nokwanda kwamanani eeseli ezimhlophe zegazi.
3. I-Colonoscopy: Oku kuquka ukufaka ityhubhu encinci enekhamera nge-anus ukuze kuhlolwe ingaphakathi lamathumbu amakhulu. Oku kusenza sikwazi ukubona ngamehlo omabini ukuba kukho ii-pseudomembranes esithethe ngazo. Ukuba kuyimfuneko, iqhekeza elincinci lesicwili (i-biopsy) lingathathwa ukuze lihlolwe.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kwisizathu kunye nobunzima besifo.
- Ukunyanga unobangela: Ukuba usulelo lwe-C. diff luyimbangela, ugqirha wakho uya kukunika i-antibiotic ethile enokubulala iintsholongwane. I-Metronidazole, iVancomycin, kunye neFidaxomicin zezinye zezi ziyobisi.
- Ukhathalelo oluxhasayo: Oku kungabandakanya ukunika ulwelo lwe-IV ukuthintela ukuphelelwa ngamanzi emzimbeni kunye nokunika isondlo semithambo ukuze amathumbu aphumle.
- Utyando: Kwiimeko ezinzima kakhulu, ezifana neengxaki ezifana ne-megacolon enobuthi, ukususwa kwenxalenye eyonakeleyo yekholoni (i-colectomy) kunokufuneka ngotyando. Nangona kunjalo, oku kunqabile kakhulu.
Esi sifo siyanyangeka ngokupheleleyo. Ngonyango olufanelekileyo, uninzi lwabantu luyaphila ngokukhawuleza.
Simele senze ntoni ukuze sisinde kule meko?
Ukuthintela oku kubaluleke kakhulu, ingakumbi kwiindawo ezifana nezibhedlele kunye namakhaya abantu abadala.
- Hlamba izandla zakho rhoqo: I-C. diff ayixhathisi kwii-sanitizers zezandla ezisekelwe kutywala, ngoko ke ukuhlamba izandla zakho kakuhle ngesepha namanzi yeyona ndlela ilungileyo yokuzikhusela.
- Ukuzahlula: Kwizibhedlele, izigulane ezine-C. diff infection zinyangwa kwigumbi elahlukileyo.
- Ukucoca iindawo: I-C. diff ingaphila kwiindawo ezihlala ixesha elide. Kubalulekile ukucoca iindawo rhoqo ngesibulali-ntsholongwane esisekelwe kwi-chlorine.
Sifanele siye nini kugqirha ngokukhawuleza?
Ukuba unezinye zeempawu ezilandelayo, bonana nogqirha ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
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Nangona kuqhelekile ukuba nesisu esibuhlungu emva kokuthatha amayeza okubulala iintsholongwane, akulula kangako. Ngamanye amaxesha kunokuba sisiqalo semeko enzima efana nePseudomembranous Colitis. Yiyo loo nto kubaluleke kakhulu ukumamela umzimba wakho. Ukuba unamathandabuzo malunga neempawu zakho, ungathandabuzi ukuthetha nogqirha wakho. Ngonyango olufanelekileyo, unokuphila ngokupheleleyo kule meko.
Umyalezo Wokuya Ekhaya
- Ungaze uyithathe lula into yokuba urhudo kunye nentlungu yesisu emva kokuthatha amayeza okubulala iintsholongwane.
- I-Pseudomembranous Colitis ibangelwa yintsholongwane ebizwa ngokuba yi-C. diff. Ibangelwa kukutshatyalaliswa kweentsholongwane ezilungileyo emathunjini ngenxa yee-antibiotics.
- Ukuba uneempawu ezifana norhudo olunzima, umkhuhlane, okanye iintlungu zesisu eziqatha, bonana nogqirha wakho ngokukhawuleza ngaphandle kokulibazisa.
- Kukho unyango olusebenzayo kakhulu kwesi sifo. Ngoko ke akukho mfuneko yokoyika. Eyona nto ibalulekileyo kukufumanisa isifo kwangethuba uze uqale unyango.
- Ukuhlamba izandla zakho kakuhle ngesepha yeyona ndlela ilungileyo yokuzikhusela kwiintsholongwane ezifana ne-C. diff.
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