Isizathu Esivamile Kunazo zonke Zesifo sohudo Sokubhedlela
I-diarrhea yinkinga evamile kubantu abaphila negciwane lesandulela ngculazi. Ngezinye izikhathi, isifo sohudo singase sibe nomthelela ohlangothini wemithi ethile esetshenziselwa ukwelapha i- HIV . Kodwa, ngezinye izikhathi, kungumphumela wokutheleleka kwesimiso samathumbu, ngezinhlobo eziningi ezikhona nezimbangela.
Esinye sezimbangela ezivame kakhulu kubantu abane-HIV yi-bacteria eyaziwa ngokuthi iClostridium difficile (ebizwa nangokuthi C. difficile .) C. difficile yimizimba evame ukutholakala emkhakheni womuntu wesisu , okubalwa cishe ngamaphesenti amathathu e-flora kubantu abadala abanempilo.
Kodwa-ke, uma umsebenzi wokuzivikela omzimba ukhungathekile, izinhlelo ezigcina ukwanda kwebhaktheriya ekuhloleni zingase zihambe kancane, okuvumela ukuba C. kunzima ukwandisa inani labantu kuze kube yilapho limele khona kusuka kumaphesenti angu-10 ukuya kwangu-30 we-flora ebantwini eziguli ezigulayo. Lokhu kukhula kunika imithi ebangelwa yilapho kokubili isifo sohudo esithathelwanayo nokuvuvukala kwamathumbu amakhulu (okuthiwa yi-colitis).
Izimpawu eziyisisekelo zihlanganisa:
- isifo sohudo, ngezinye izikhathi ngegazi noma pus
- umkhuhlane
- ubuhlungu besisu, ukuchotshozwa, noma isisa
Izimbangela zeCorrhea
Ngaphezu kokutheleleka nge-HIV, isifo sohudo e- C. difficile singabangelwa ezinye izici:
- Ukusetshenziswa kwama-antibiotic : Uma i-antibiotic ibulala amabhaktheriya amabili "amabi" futhi "okuhle" emathangeni emathunjini, i-overgrowth ingenzeka. Eqinisweni, ezinye izifundo zikhomba ukuthi cishe amaphesenti angama-90 azo zonke izifo ezithinta ezempilo ezihlobene ne- C. difficile ziwumphumela wokusetshenziswa kwama-antibiotics.
- Imithi yokulwa nesilonda: Imithi yokulwa nesilonda inciphisa i-acidity yesisu. Ngokwenza kanjalo, ngezinye izikhathi ziguqule isisu sobumswakama, okuvumela ukuthi C. kunzima ukukhula kungahlosiwe.
- Isikhathi eside esibhedlela sihlala: Ukucindezeleka okubambisene nokugula, ubuthakathaka ekubekeni eduze kombhede esibhedlela, kanye nokukwazi ukungcoliswa kwesiguli kuya kwesiguli kungandisa amathuba okutheleleka kwe- C .. Eqinisweni, uC C. difficile ukhonjelwa njengesizathu esivame kakhulu sohudo oluhambisana nesibhedlela.
- Ubudala obudala nangokweminyaka: Abantu abaneminyaka engaphezu kwengu-65 ubudala bangengozi enkulu njengoba umsebenzi wabo wokuzivikela omzimba uvame ukubuthakathaka, kanti izingane ezincane nezinsana nazo zingase zibe ngaphansi kokutheleleka ngenxa yokuphendula komzimba.
Kanjani Ukusabalala Okumnyama ?
C. difficile ukhona esitokisini sabantu abathintekayo, ekwakheni izinhlamvu ezingadluliselwa ngokuxhumana ngokuqondile nezindlu zangasese, imilayezo yokulala, ithawula, njll. Abantu bangaphinde basakaze izinhlamvu kusuka esandleni kuya emlonyeni lapho bexhumana nezindawo ezingcolile.
Izinhlamvu ze- C. difficile zingaphila ezinyangeni ezinhlanu ezindaweni eziphilayo. Abulawa kalula ngama-disinfactory yendabuko futhi ngokuvamile adinga ukuhlushwa kwe-chlorine bleach engu-1:10 ukuqinisekisa ukupheliswa ngokuphelele kwezinhlamvu.
Ukugeza izandla kuyindlela eyinhloko yokuvimbela ukusabalala kwe- C. difficile kusuka komuntu kuya komuntu. Izakhiwo kumele zihlanjululwe kahle, kanye nezitsha noma izinto zokuhlanzeka okungenzeka ukuthi zithintana nabantu abagulayo noma abagulayo. Gwema ukuhlanza ophuza utshwala njengoba bengasebenzi kakhulu ekubulaweni kwezinhlamvu ze-C. difficile.
Ngabe isifo se- C. esiyingozi sithathwa kanjani?
Ukwelapha ukutheleleka kwe- C. difficile kudinga izindlela ezimbili: ukuphatha izimpawu nokuphatha imbangela.
Kwezinye iziguli, lokhu kungase kube nzima, ngokuvamile kudinga ukwelashwa phakathi nezinyanga eziningana ngisho nangonyaka. Ukuvela kwezidakamizwa eziphikisana nezidakamizwa kuyinkimbinkimbi kuphela, ikakhulukazi ezigulini ezinamasosha omzimba ahlasele kakhulu.
Ukwelashwa kungabandakanya:
- Ama-antibiotic afana no- Flagyl no-Vancomycin (okugcina okusebenza kahle ngokumelene nemithi engamelana nezidakamizwa).
- I-hydal hydration ngamanzi kanye ne-electrolyte esikhundleni sokuxazulula izixazululo, kanye nokufakelwa kwamanzi okugcoba kweziguli ezikhungethwe kahle.
- Ukukhululeka kobuhlungu kungasetshenziswa kodwa kuphela ngokuqapha njengoba ngezinye izikhathi kungabonakalisa izimpawu zesisu, ngaleyo ndlela kuphuza ukuxilongwa kwesifo esingaphansi. Imithi eminingi efana ne-Tylenol ingasetshenziselwa ukunciphisa ubuhlungu obunzima ukuya ekunciphiseni. Ama-Narcotics kufanele asetshenziswe ngokucophelela ngoba angathinta umsebenzi wesisu, kuyilapho i-Motrin kufanele igwenywe ngoba ingabangela ukucasuka kwamathumbu okuqhubekayo.
Okokugcina, enye yezokwelashwa ezisha ezigcinwe ezimweni ezinzima kunazo zonke ukufakelwa kwamafecal . Akuvamile yini ukusetshenziselwa, kepha kuhilela inqubo yokukhipha isitifiketi kumuntu onempilo nokufakelwa ngaphakathi kumuntu onenkinga ye- C difficile .
Kucatshangelwa kabanzi ngenqubo yokwelashwa ekhulayo futhi ngakho-ke kufanele kwenziwe ngumchwepheshe wezinsikazi ohlangene ne-bacteriology ye-fecal.
> Imithombo:
> I-Canadian Association of Gastroenterology Clinical Affairs. "I-Clostridium difficile-isifo sohudo (CDAD) neProton Pump Inhibitor Therapy." I-Canadian Journal ye-Gastroenterology . Juni 1, 2005; 19 (6): 1272-1276.
> Association for Professionals in Infection Control and Epidemiology. " Umhlahlandlela Wokuvimbela Izifo ZaseClostridium Hardile ." Februwari 2013: ISBN: 1-933013-54-0.
> Brown K .; I-Khanafer, i-N .; UDaneman, uN., et al. "Ukuhlaziywa kwemithi yama-antibiotic kanye nobungozi bokutheleleka kwe-Clostridium difficile ehlobene nomphakathi." Ama-Antimicrobrial Agents ne-Chemotherapy . May 2013; 57: 2326-2332.
> Kahn, S; I-Gorawara-Bhat, R .; noRubin, D. "I-bacteriotherapy ye-Fecal ye-colcer s: Iziguli zilungele, akunjalo?" Ukuphazamiseka kwezifo ze-Bowel. May 2011; I-DOI: 10.1002 / ibd.21775.