Wake waba nobuhlungu besisu obubi ngemva kokuthatha umuthi wokulwa namagciwane, noma waqala ukuba nesifo sohudo esinamanzi izikhathi eziningana ngosuku? Noma ingabe othile emndenini wakho, ikakhulukazi umuntu osekhulile, ubhekene nale nkinga ngemva kokubuya esibhedlela? Imbangela ingaba ukutheleleka ngamagciwane abantu abaningi abangakaze bazwe ngakho, kodwa kungaba yingozi kakhulu. Yilokho esikhuluma ngakho namuhla. Yibhaktheriya ebizwa ngokuthi i-C. diff.
Kalula nje, kuyini i-C. diff?
I-C. diff, noma
i-Clostridioides difficile , uhlobo lwebhaktheriya. Leli bhaktheriya lingabangela ukutheleleka emathunjini ethu futhi libangele ukuvuvukala okukhulu, noma ukuvuvukala, emathunjini ethu. Odokotela babiza lesi simo
ngokuthi i-colitis . Esikhathini esiningi, lokhu kutheleleka kuqala ngemva kokuqeda ukusebenzisa umuthi wokulwa namagciwane kwesinye isifo. Ngezinye izikhathi,
kungaba yingozi futhi kusongela impilo . Ama-spores aleli bhaktheriya le-C. diff angatholakala yonke indawo esizungezile, emoyeni, enhlabathini, emanzini, ngisho nasendle yabantu nezilwane. Cabanga ngakho njengamabhaktheriya alele. Angahlala endaweni ezungezile izinyanga ngaphandle kokubangela umonakalo. Kodwa-ke, la ma-spores aqala ukusebenza futhi uma engena emzimbeni wakho ngomlomo wakho nasemathunjini akho.
Into emangazayo ukuthi abanye abantu banaleli gciwane emathunjini abo kodwa ababonisi zimpawu. Lokho kungenxa yokuthi amabhaktheriya "amahle" emathunjini ethu ayawalawula la mabhaktheriya "amabi".
Ziyini izimpawu ze-C. diff?
Izimpawu zokutheleleka kwe-C. diff zingasukela kwezincane kuya kwezinzima kakhulu. Ake sibheke ukuthi ziyini.
| Izinga lezimpawu | Izimpawu ezibonisa |
|---|
| Uma kwenzeka ukutheleleka okuncane | - Ukuhamba kwamathumbu ngamanzi ( uhudo ) kathathu kuya kane ngosuku izinsuku eziningana.
- Ubuhlungu besisu , ukuqunjelwa, noma ukuqina kwesisu uma kuthintwa.
|
| Uma kwenzeka ukutheleleka okukhulu | |
Ibukeka kanjani futhi inuka kanjani indle ye-C. diff?
Abanye abantu bathi ukutheleleka kwe-C. diff kubangela ushintsho ephunga lendle yabo. Ngokuvamile kuyacasula, akumnandi. Abanye bathi inyongo endle ingasinika iphunga elimnandi kancane. Uma kukhulunywa ngokubukeka kwendle, ngezinye izikhathi ingaba yimbi, njenge-oatmeal, noma ibukeke njengodaka. Ngezinye izikhathi ingaba negazi noma i-mucus. Kungase futhi kube nombala oluhlaza okotshani.
Okubaluleke kakhulu: Uma uhudo lwakho lubi kakhulu, okusho ukuthi uluthola izikhathi eziningana ngosuku, noma uzizwa ubuthakathaka,
funa usizo lwezokwelapha ngokushesha. Uhudo olubi kakhulu lungaholela ngokushesha ekuphelelweni amanzi emzimbeni ngisho nasekufeni.
Kungani i-C. diff ikhula? Ubani osengozini enkulu?
Njengoba sixoxile ngaphambili, isizathu esiyinhloko salokhu
ukusetshenziswa kwama-antibiotic. Cabanga ngakho, amabhaktheriya amahle namabi ahlala ngokulinganisela emathunjini ethu. Uma uthatha
ama-antibiotics ukuze uthole ukutheleleka, lawo ma-antibiotic awabulali amabhaktheriya amabi kuphela, kodwa futhi nama-bacteria amahle asiza. Yilapho-ke ama-bacteria e-C. diff angalawulwa eba nethuba lokwanda, akhiqize ubuthi, futhi alimaze amathumbu.
Izici ezandisa ingozi:
- Ukusetshenziswa kwama-antibiotic: Abantu abasebenzisa ama-antibiotic anamandla, ikakhulukazi ama-cephalosporins, i-clindamycin , i-fluoroquinolones , kanye nama-penicillin, basengozini enkulu.
- Ubudala: Abantu abangaphezu kweminyaka engu-65 banamathuba amaningi okuthola lesi sifo.
- Ukulaliswa esibhedlela: Ama-spores aleli gciwane avame ukusabalala ezindaweni ezifana nezibhedlela kanye nezindawo zokuhlala asebekhulile. Ezindaweni ezinjalo, angasabalala kalula ngabasebenzi noma ngemishini yesibhedlela.
- Isimiso somzimba esibuthakathaka:Abantu abanezivikeli mzimba ezibuthakathaka ngenxa yomdlavuza, ukwelashwa komdlavuza, noma ezinye izifo basengozini enkulu.
- Ezinye izifo zamathumbu: Abantu abanezifo ezifana nesifo samathumbu esivuvukalayo (IBD) noma umdlavuza we-colorectal nabo basengozini enkulu.
Okubaluleke kakhulu, leli gciwane liyathelelana kakhulu. Ama-spores angaphila izinyanga kunoma iyiphi indawo engcoliswe yindle yomuntu one-C. diff, njengezingubo, imibhede, izibambo zomnyango, kanye nezinto zokugezela. Uma uthinta indawo enjalo bese uthinta umlomo noma impumulo yakho ngesandla esifanayo, ungangenwa yileli gciwane.
Yiziphi izinkinga ezingase zivele ngenxa ye-C. diff?
Uma ukutheleleka kwe-C. diff kungelashwa ngokushesha, kungaba nezinkinga ezinkulu.
- Ukuphelelwa amanzi emzimbeni Okukhulu: Uhudo oluningi lungabangela ukulahleka kwamanzi nosawoti emzimbeni, okuthinta ukusebenza kwezinso kanye nomfutho wegazi.
- I-Megacolon Enobuthi: Lesi yisimo esiyingozi kakhulu. Kulesi simo, ikholoni ivuvukala kangangokuthi akunakwenzeka ukuphuma umoya noma indle. Lokhu kungabangela ngisho nokuqhuma kwekholoni. Lokhu kusongela ukuphila futhi kudinga ukuhlinzwa okuphuthumayo.
- Ukubhoboka Kwamathumbu: Imbobo emathunjini amakhulu ingavumela amabhaktheriya ayingozi ukuba angene emgodini wesisu, okubangela ukutheleleka okukhulu okubizwa ngokuthi i-peritonitis .
- I-Pseudomembranous colitis: Ubuthi obukhiqizwa yi-C. diff bulimaza amangqamuzana olwelwesi lwangaphakathi lwamathumbu, okubangela izilonda kanye nama-plaque ajiyile.
Uma lesi kuyisimo esibucayi, kungadingeka ukuthi ungeniswe e
-Emergency Treatment Unit (ETU) yesibhedlela. Ngakho-ke uma unezimpawu,
bona udokotela ngokushesha. Ukwelashwa nokuvimbela
Ngokusekelwe ezimpawini zakho, udokotela wakho uzoqinisekisa ukuthi unesifo se-C. diff ngokuhlola isampula yendle.
Izindlela zokwelapha
Ngokumangalisayo, lesi sifo esibangelwa ama-antibiotic siphathwa nangamanye ama-antibiotic athile. Lawa ahlasela futhi abulale ama-bacteria e-C. diff kuphela.
- I-Fidaxomicin
- I-Metronidazole
- I-Vancomycin
Le mithi kufanele isetshenziswe njengoba nje udokotela wakho ekuyalile. Kubalulekile futhi ukufaka esikhundleni soketshezi olulahlekile ngenxa yohudo. Lokhu kusho
ukuphuza amanzi amaningi, umhluzi, iphalishi, isobho, kanye nojusi wezithelo. Kwezinye izimo ezimbi kakhulu, izingxenye zamathumbu ezilimele zingadinga ngisho nokususwa ngokuhlinzwa.
Ukudla okuhle ongakudla uma une-C. diff infection
Kungcono ukudla ukudla okulula ukudla esiswini futhi okuqukethe isitashi uma unesifo sohudo.
- Ama-cracker
- Amazambane abilisiwe, amazambane amnandi
- Ilayisi, iphalishi lelayisi
- I-oatmeal
- Izinhlobo zesobho
- Imifino ebilisiwe
- Ibhanana
Ungazivikela kanjani ekuthelelekeni?
Ukugeza izandla: Lena yinto ebaluleke kakhulu. Geza izandla zakho kahle ngensipho namanzi agobhozayo okungenani imizuzwana engama-20. Ikakhulukazi ngemva kokusebenzisa indlu yangasese nangaphambi kokudla. Isihlanzi sezandla asibulali ama-spores e-C. diff.
- Uma usesibhedlela, cela odokotela nabahlengikazi abakunakekelayo ukuthi bageze izandla zabo ngaphambi nangemva kokukuvakashela.
- Buza ukuthi imishini yezokwelapha engeniswe ekamelweni lakho ihlanziwe yini.
- Ungathathi imithi elwa namagciwane ngokungadingekile. Thatha imithi njengoba uyalelwe udokotela wakho kuphela, bese uyithatha isikhathi esiphelele.
Uma unakekela umuntu onesifo se-C. diff, qiniseka ukuthi ugqoka amagilavu. Futhi, hlanza njalo indlu yangasese, izibambo zomnyango, kanye nezinkinobho ezisetshenziswa ngumuntu
onesihlanzi esine-chlorine (i-bleach) .
Umlayezo Wokuya Nawe Ekhaya
- I-C. diff iyigciwane eliyingozi elithinta amathumbu futhi livame ukwenzeka ngemva kokusetshenziswa kwama-antibiotic.
- Izimpawu eziyinhloko uhudo olumanzi oluhlala izinsuku eziningana, ubuhlungu besisu, umkhuhlane, kanye negazi esitulweni.
- Abantu asebekhulile, labo abalaliswe esibhedlela, kanye nalabo abanezivikeli mzimba ezibuthakathaka basengozini enkulu.
- Lokhu kuyathelelana kakhulu. Ukugeza izandla zakho kahle ngensipho namanzi kuyindlela engcono kakhulu yokuzivikela ekuthelelekeni. Ama-sanitizer ezandla awasebenzi kahle.
- Uma unesifo sohudo esibi kakhulu ngemva kokuthatha ama-antibiotic, bona udokotela wakho ngokushesha. Ukwelashwa okusheshayo kungavimbela izinkinga ezinkulu.
C. diff, Clostridioides difficile, isifo sohudo, ukucasuka kwesisu, ama-antibiotic, ukutheleleka ngamagciwane, i-colitis
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