Ingabe usuqedile inkambo yama-antibiotics bese uba nobuhlungu obukhulu esiswini noma uhudo oluhlala luphuma emanzini? Noma ingabe othandekayo, ikakhulukazi umuntu omdala, ulwa nalezi zimpawu ngemva kokubuya esibhedlela? Imbangela ingaba yigciwane okungenzeka ukuthi awukaze ulizwe, kodwa elingaba yingozi kakhulu: i-C. diff (Clostridioides difficile).
Ngamagama alula, kuyini i-C. diff?
I-C. diff , noma eyaziwa ngokwesayensi ngokuthi i-Clostridioides difficile , uhlobo lwebhaktheriya elingathelela amathumbu akho, okuholela ekuvuvukeni okukhulu kwekholoni okwaziwa ngokuthi i-colitis . Lokhu kutheleleka kuvame ukuvela ngemva kokusebenzisa ama-antibiotic kwesinye isifo. Kwezinye izimo, kungakhula kube yisimo esiphuthumayo sezokwelapha esisongela ukuphila .
Ama-spores e-C. diff atholakala yonke indawo endaweni yethu—enhlabathini, emoyeni, emanzini, ngisho nasendle yabantu neyezilwane. Cabanga ngala ma-spores njengamagciwane “alele” angaphila endaweni ezungezile izinyanga ngaphandle kokulinyazwa. Uma la ma-spores engena emzimbeni wakho ngomlomo futhi efika emathunjini akho, ayaqala ukusebenza futhi abangele ukutheleleka.
Ngokumangalisayo, abanye abantu baphatha leli gciwane emathunjini abo ngaphandle kokubonisa izimpawu. Lokhu kungenxa yokuthi amabhaktheriya "amahle" emathunjini akho ngokwemvelo agcina lawo "amabi" elawulwa.
Ziyini izimpawu zokutheleleka kwe-C. diff?
Izimpawu zokutheleleka kwe- C. diff zingasukela kwezincane kuya kwezinzima kakhulu. Ake sibheke ukuthi yini okufanele uyiqaphele:
| Izinga Lobunzima | Izimpawu |
|---|---|
| Ukutheleleka Okuncane |
|
| Ukutheleleka Okukhulu |
|
Kuthiwani ngokubukeka nephunga lendle?
Iziguli zivame ukubika iphunga elihlukile, elibi, noma elicasulayo elihambisana nendle ye -C. diff . Ezinye zichaza iphunga elimnandi, elifana ne-bile. Ngokuphathelene nokubukeka, indle ingase ibukeke incane njenge-oatmeal noma ibonakale inodaka. Ungase futhi uqaphele i-mucus noma igazi, futhi ngezinye izikhathi ingaba nombala oluhlaza okotshani.
Inothi elibalulekile: Uma uhudo lwakho lubi kakhulu, luvame ukwenzeka, noma uma uzizwa ubuthakathaka, funa usizo lwezokwelapha ngokushesha. Uhudo olubi luholela ekuphelelweni amanzi ngokushesha, okungaba yingozi empilweni.
Kungani kwenzeka i-C. diff futhi ubani osengozini?
Njengoba kushiwo, imbangela eyinhloko ukusetshenziswa kwama-antibiotic.Amathumbu akho athembele ekulinganiseni kwamagciwane amahle namabi. Uma uthatha ama-antibiotic ukuze welaphe ukutheleleka, avame ukubulala amagciwane amahle kanye namabi. Lokhu kushiya amagciwane e -C. diff engalawulwa ukuze ande futhi akhiphe ubuthi obulimaza ulwelwesi lwamathumbu.
Izinto ezandisa ingozi:
- Ukusetshenziswa Kwama-antibiotic: Izingozi ziphezulu ngama-antibiotic anamandla njenge -Cephalosporins, i-Clindamycin, i-Fluoroquinolones, kanye ne-Penicillins .
- Ubudala: Abantu abangaphezu kweminyaka engu-65 basengozini enkulu.
- Ukulaliswa esibhedlela: Izibhedlela nezindawo zokuhlala asebekhulile ziyizindawo ezivamile zokudluliselwa kwe-spore ngabasebenzi bezempilo noma imishini engcolile.
- Isimiso Sokuzivikela Esibuthakathaka: Abantu abanomdlavuza, labo abenza i-chemotherapy, noma labo abanezimo ezicindezela amasosha omzimba.
- Izimo Zezibilini Ezikhona Ngaphambilini: Abantu Abanesifo Sokuvuvukala Kwamathumbu (IBD) noma Umdlavuza We-Colorectal.
Khumbula, leli gciwane liyathelelana kakhulu. Ama-spores angaphila izinyanga ezindaweni ezifana nezingubo, imibhede, izibambo zeminyango, kanye nezinto zokugezela. Uma uthinta indawo engcolile bese uthinta umlomo noma impumulo yakho, ungayithola kalula igciwane.
Yiziphi izinkinga ezingaba khona ze-C. diff?
Uma ingelashwa, i-C. diff ingaholela ezinkingeni ezinkulu:
- Ukuphelelwa amanzi emzimbeni Okukhulu: Ukulahlekelwa uketshezi oluningi kanye nama-electrolyte kungathinta ukusebenza kwezinso kanye nomfutho wegazi.
- I-Megacolon Enobuthi: Isimo esisongela ukuphila lapho ikholoni ivuvukala kakhulu futhi ingakwazi ukuphuma igesi noma indle, okungaholela ekubhobokeni. Lokhu kudinga ukuhlinzwa okuphuthumayo.
- Ukubhoboka Kwamathumbu: Imbobo emathunjini ingavumela amabhaktheriya ukuthi angene emgodini wesisu, okubangela ukutheleleka okuyingozi okubizwa ngokuthi i-peritonitis.
- I-Pseudomembranous Colitis: Ubuthi obuvela ku -C. diff bubangela umonakalo odongeni lwamathumbu, budale izilonda kanye nama-plaque aqinile, avuvukele.
Uma uhlangabezana nalezi zimpawu ezinzima, ungadinga ukunakekelwa okuphuthumayo esibhedlela. Xhumana nomhlinzeki wakho wezempilo njalo lapho kuqala izimpawu.
Ukwelashwa Nokuvimbela
Udokotela wakho cishe uzoqinisekisa ukutheleleka kwe -C. diff ngokuhlaziywa kwesampula yendle.
Izinketho Zokwelapha
Ngokumangalisayo, lesi simo selashwa ngama-antibiotic athile aklanyelwe ukuhlasela nokuqeda amabhaktheriya e-C. diff kuphela.
- I-Fidaxomicin
- I-Metronidazole
- I-Vancomycin
Lokhu kumele kuthathwe njengoba nje udokotela wakho ekuyalele. Kubalulekile futhi ukugcwalisa uketshezi olulahleka ngesikhathi sohudo—phuza amanzi amaningi, izixazululo ze-electrolyte, amasobho, kanye nojusi wezithelo.
Ezimweni ezimbi kakhulu, kungase kudingeke ukuhlinzwa ukuze kususwe izingxenye ezilimele zekholoni.
Izincomo zokudla ngesikhathi sokutheleleka
Namathela ekudleni okuthambile, okulula ukukugaya, okunesitashi:
- Ama-cracker
- Amazambane abilisiwe noma amazambane amnandi
- Ilayisi nephalishi lelayisi
- I-oatmeal
- Izisobho
- Imifino ebilisiwe
- Ubhanana
Indlela yokuvimbela ukusabalala
Ukugeza izandla: Lesi yisinyathelo esibaluleke kakhulu. Geza izandla zakho kahle ngensipho namanzi agobhozayo okungenani imizuzwana engama-20, ikakhulukazi ngemva kokusebenzisa indlu yangasese nangaphambi kokudla. Ama-sanitizer ezandla awasebenzi kahle ekubulaleni ama-spores e-C. diff.
- Uma usesibhedlela, khumbuza abahlinzeki bakho bezempilo ukuthi bageze izandla zabo ngaphambi nangemva kokukuhlola.
- Qinisekisa ukuthi noma yimiphi imishini yezokwelapha esetshenziswa ekamelweni lakho ihlanzwe kahle.
- Ungathathi ama-antibiotic ngokungadingekile. Wathathe kuphela uma unikezwe udokotela bese uqedela yonke inkambo yawo.
Uma unakekela umuntu one- C. diff , gqoka amagilavu futhi uhlanze njalo izindawo ezifana nezindlu zangasese, izibambo zeminyango, kanye nezibani usebenzisa isihlanzi esenziwe nge-bleach.
Umlayezo Wokuya Nawe Ekhaya
- I-C. diff iyigciwane eliyingozi elibangelwa amagciwane amathumbu elivame ukubangelwa ukusetshenziswa kwama-antibiotic.
- Qaphela uhudo oluhlala lumanzi, ubuhlungu besisu, umkhuhlane, kanye negazi esitulweni.
- Asebekhulile, labo abalaliswe esibhedlela, kanye nalabo abanamandla okuzivikela omzimba abuthakathaka basengozini enkulu.
- Iyathelelana kakhulu. Ukugeza izandla kahle ngensipho kuyindlela engcono kakhulu yokuzivikela; izihlanzi-zandla azisebenzi kahle.
- Uma unesifo sohudo esibi kakhulu ngemva kokuthatha ama-antibiotic, xhumana nodokotela wakho ngokushesha. Ukwelashwa okusheshayo kuvimbela izinkinga ezinkulu.
I-Nirogi Lanka: C. diff, Clostridioides difficile, isifo sohudo, ubuhlungu besisu, ama-antibiotic, ukutheleleka ngamagciwane, i-colitis
