Isizathu esona siqhelekileyo se-Diarrhea edibene neZibhedlele
I-diarrhea yingxaki eqhelekileyo kubantu abaphila ne-HIV. Ngamanye amaxesha, ihudo linokuba yimpembelelo yamacandelo athile asebenzisa unyango lwe- HIV . Kodwa, ngamanye amaxesha, kubangelwa sisifo seenkqubo zesisu, kunye namaqela amaninzi afanelekileyo kunye nezizathu.
Esinye sezizathu eziqhelekileyo kubantu abanentsholongwane kaGawulayo yi-bacteria ebizwa ngokuba yiClostridium difficile (ekwabizwa ngokuba yiC C. difficile .) C. difficile ngumzimba oqhelekileyo kwisigxina somntu , esabila malunga neepesenti ezingama-3 zeziqhamo zebhaktheriya abadala abadala.
Nangona kunjalo, xa umsebenzi wokugonywa komzimba ukhuselekisiwe, iinkqubo ezigcina ukukhula kwebhakethi kwi-check ihamba ngokukhawuleza, ukuvumela i- C. difficile ukwandisa kubemi kude kube yimiba evela kwi-10 ukuya kwi-30 ekhulwini ye-britterial flora kwizigulane ezigulayo. Olu lukhulu luvelisa i-toxins ebangela ukuba isifo sohudo esichengeni sisifo kunye nokuvuvukala kwamathumbu amakhulu (okubizwa ngokuba yi-colitis).
Izimpawu eziphambili ziquka:
- ihudo lomlambo, ngamanye amaxesha ngegazi okanye pus
- umkhuhlane
- ubuhlungu besisu, ukunyanyisa okanye ukunyamezela
Iingxaki zeC C. Unzima uhudo
Ukongeza kwintsholongwane kaGawulayo, isifo sohudo esithintekayo senziwa nguC C. sinokubangelwa ezinye izinto:
- Ukusetyenziswa kwe-Antibiotics : Xa i-antibiotics ibulala amabhakteria "ambi" kwaye "ayenzileyo" kwindlela yokuxhamla isisu, ininzi iyakwenzeka. Enyanisweni, ezinye iingcaphephe zibonisa ukuba malunga ne-90% yazo zonke izifo ezichaphazelekayo zonyango lwe- C. ezibangelwa yi-anti-antibiotic usetyenziso.
- Iyeza-anti-ulcer: Iyeza-anti-ulcer zinciphisa i-asidi yesisu. Ngokwenza njalo, kwaye ngezinye iinguqu ukuguqula isisu se-acid, ukuvumela i-C. difficult to grow unchecked.
- Isibhedlele sihlala ixesha elide: Ukuxinwa kokuxhatshazwa kwisifo, ubuthathaka bokubekwa kwiibhedi zesibhedlele, kwaye ukuxhamla isigulane ngesigulane kunokunyusa amathuba okusuleleka. Enyanisweni, uC C. difficile icatshulwa njengesizathu esivakalayo sesifo sohudo esibandakanya isibhedlele.
- Umdala kunye nentsha: Abantu abaneminyaka engama-65 ubudala banomngcipheko omkhulu njengoko umsebenzi wabo wokuzivikela unobuthakathaka, ngelixa abantwana abasebancinci kunye neentsana nazo zingaxhomekeke kwisifo ngenxa yokuphendula kwabo.
Kwenzeka njani C. Kunzima ukusasazeka ?
I-C. difficile ikhona kwisigxina se-HIV, i-spores engadluliselwa ngokuqhagamshelana ngqo kunye nezindlu zangasese, ii-bed rails, i-tack racks, njl njl. Abantu banokusasaza i-spores ukusuka kwisandla ukuya emlonyeni xa bedibana neendawo ezingcolileyo.
Ii-C. difficile spores zingaphila kwiinyanga ezintlanu kwiindawo ezendalo. Akunakubulawa ngokulula ngamachiza omzimba kwaye kaninzi badinga i-1:10 ingxube ye-chlorine bleach ukuqinisekisa ukupheliswa ngokupheleleyo kwe-spores.
Ukuhlamba izandla kuyindlela ekhuselekileyo yokuthintela ukusasazeka kweC C. nzima ukusuka kumntu kumntu. Imihlaba kufuneka ihlambuluke ngokufanelekileyo, kunye neempahla okanye izinto zokuhlambulula umntu othe wadibana nabantu abagula okanye ababhedlele. Gwema abahlambululi basebenzisa i-alcohol-based as they are less effective in the killing of C. difficult spores.
Kwenzeka njani iC .
Ukunyanga i- C. difficile intsholongwane ifuna indlela ebini: ukunyanga iimpawu kunye nokunyangwa kwesi sizathu.
Kwezinye izigulane, oku kungabonakala kunzima, ngokuqhelekileyo kufuna ukuba unyango kwiinyanga eziliqela ukuya kunyaka. Ukuvela kwamachiza angagxininisi kuphela kuyinkcenkcesha le nto ingakumbi, ngakumbi kwizigulane ezinesistim somzimba ezikhuselekileyo.
Unyango luyakuthi lubandakanye:
- Amayeza anjenge- Flagyl kunye neVancomycin (ekugqibeleni ekusebenziseni ngakumbi kwimimandla engagxininiswa neziyobisi).
- I-hydal hydration kunye namanzi kunye nezixazululo zokutshintshwa kwe-electrolyte, kwakunye nokutshintshwa kwamanzi kwintsholongwane ezigulisa kakhulu.
- Uncedo lweentlungu lungasetyenziselwa kodwa ngokulumkisa nje ngokuba ngamanye amaxesha bambiza iimpawu zesisu, ngoko kukulibazisa ukuxilongwa kwesifo esingaphantsi. Amachiza anjenge-Tylenol angasetyenziselwa ukunciphisa intlungu ephantsi. I-Narcotics kufuneka isetyenziswe ngokuqaphela njengoko inokuchaphazela umsebenzi wesisu, ngelixa i-Motrin kufuneka igwenywe njengoko inokubangela ukucasuka kwamathumbu omzimba.
Ekugqibeleni, enye yonyango olutsha olugcinwe kwiimeko ezinzima kakhulu kukufakelwa kwefecal . Ngaba ayisetyenziswa ngokuqhelekileyo, kodwa kubandakanyeka inkqubo yokususa isitulo kumntu ophilileyo kunye nokutshintshela kumntu onenkinga yeC .
Kuqwalaselwa ngakumbi kwenkqubo yokwelapha ephuhlisayo kwaye ngoko kufuneka kwenziwe ngumbono wesisu esiswini kwi-bacteriology ye-fecal.
> Imithombo:
> I-Canadian Association of Gastroenterology Imicimbi Yokliniki. "I-Clostridium difficile-isifo sohudo (CDAD) kunye neProton Pump Inhibitor Therapy." I-Canadian Journal yeGastroenterology . Juni 1, 2005; 19 (6): 1272-1276.
> Umbutho wezoBugcisa kwi-Infection Control and Epidemiology. " Isikhokelo sokukhusela i-Clostridium difficile Infections ." NgoFebruwari 2013: I-ISBN: 1-933013-54-0.
> Brown K .; Khanafer, N; UDaneman, uN., et al. "Uhlalutyo lwe-meta-antibiotic kunye nomngcipheko we-Clostridium difficile." Agent Agrobrients and Chemotherapy . Meyi 2013; 57: 2326-2332.
> Kahn, S; Gorawara-Bhat, R .; kunye noRubin, D. "I-bacteriotherapy ye-Fecal yesifo sezilonda: izigulane zikulungele, ngaba thina?" Ingxaki yokuxhamla. Meyi 2011; INGXELO: 10.1002 / ibd.21775.