He aha te C. Difficile? Tohutohu, Take, me te Maimoatanga

Ko te C. difficile tētahi momo huakita e taea ai te whakaeke kino i roto i tō whekau nui, mai i te ruaki ngawari ki te mumura mate-kino. Ka puta tēnei mate i te wa e pakaru ai ngā huakita ora i roto i tō puku, i te nuinga i muri i te tango i ngā rongoā.

Ahakoa he whakawehi te ingoa, ka taea e te mārama ki tēnei āhuatanga te āwhina i a koe ki te mohio wawe ki ngā tohu, ā, ki te rapu i te tiaki tika. Ka ora te nuinga o te iwi ki te maimoatanga tika, ā, he huarahi whai hua hei ārai i ngā mate i muri mai.

He aha te C. Difficile?

Ko te Clostridioides difficile, e kiia ana ko te C. diff, he huakita e noho ana i roto i ngā whekau nui o te nuinga o te iwi, kaore hoki e whakaeke. Ka tīmata te raruraru ina pakaru te toenga o ngā huakita pai i roto i tō whekau nui, ā, ka taea e te C. difficile te tere te tupu me te whakaputa i ngā pokanoa.

Ka whakaiti enei pokanoa i te papanga o tō whekau nui, ā, ka arahi ki te mumura me ngā tohu tino kitea o te mate C. diff. Ka hanga e ngā huakita ngā pūtau e ora ana i runga i ngā papa mo ngā marama, ā, ka tino ngawari te horapa i roto i ngā whare hauora me ngā hapori.

Kua tino piki haere te maha o ngā mate C. difficile i ngā tekau tau rua kua hipa. Koinei inaianei tētahi o ngā mate tino nui e hono ana ki te hauora, e pā ana ki ngā rau mano tangata ia tau i te United States anake.

He aha ngā Tohutohu o te C. Difficile?

Ka rereke ngā tohu o te C. difficile, mai i te koretake o te puku ki ngā raruraru kino, mate-kino. Ka tīmata te mate i te nuinga ki ngā huringa i roto i ō nekehanga o te whekau, ā, ka taea te haere tonu ki te kore e maimoatia.

Ko ēnei ngā tohu tino noa ka kitea e koe:

• Te ruaki wai e toru, e whā rānei ia rā
• Te mamae o te puku, i te nuinga i raro i te puku
• Te kirika, i etahi wā ka tae ki te 101°F (38.3°C) neke atu rānei
• Te ngaro o te hiahia kai me te ruaki
• Te pupuhi me te mamae o te puku
• Te toto, te wai ranei i roto i ō kakau

I ngā take kino atu, ka kite pea koe i ētahi atu tohu whakatupato. Hei tāpiri atu, ko te mamae nui o te puku, te kirika nui i runga ake i te 102°F (38.9°C), te tere o te ngākau, me te maroke nui mai i te ruaki maha.

Ka whanake etahi i te mea e kiia ana e ngā tākuta he "kino" te "fulminant" C. difficile colitis. Ka taea e tēnei momo kino te whakaeke i te toxic megacolon, kei reira te nui o tō whekau nui, te pakaru ranei o te whekau, e hiahia ana ki te pokanga āwangawanga.

He aha ngā Take o te C. Difficile?

Ka puta ngā mate C. difficile ina pakaru te toenga noa o ngā huakita i roto i tō whekau nui, ka hangaia he taiao e taea ai e te C. diff te tupu. Ka puta tēnei pakaru i te nuinga i muri i te tango i ngā rongoā, engari he maha atu ngā take e taea ai te whakaeke.

Ko ngā take matua ko ēnei:

• Te whakamahinga o ngā rongoā, ina koa ngā rongoā whānui penei i te clindamycin, fluoroquinolones, me ngā cephalosporins
• Te noho roa i te whare hauora, te kāinga rongoa rānei
• Te pokanga tata nei, ina koa ngā mahi o te puku
• Te chemotherapy, ngā rongoā ranei e whakaiti ana i tō pūnaha mate
• Ngā kaihoroi pupuri proton e whakamahia ana mō te reflux waikawa
• Te hono tika ki ngā papa poke, ki ngā tangata kua pangia rānei

Ko ngā rongoā te take tino nui, nā te mea ka whakamate i ngā huakita kino me ngā huakita pai i roto i tō puku. Ina whakaitihia ō huakita tiaki, ka taea e ngā pūtau C. difficile te tupu me te kore e tirotirohia.

Ka horapa ngā huakita mā te huarahi kakau-waha, arā, ka taea e koe te pangia mā te pā ki ngā papa poke, katahi ka pā ki tō waha, te kai rānei kaore he horoi ringa tika. Ko ngā whare hauora ngā wāhi tino horapa, nā te mea ka āhei ngā pūtau C. diff ki te maha o ngā hua horoi noa.

Nōhea te Tiro ki te Tākutu mō te C. Difficile?

Me whakapiri atu koe ki tō kaiwhakarato hauora tonu mena ka whanake koe i te ruaki roa, ina koa i muri i te tango i ngā rongoā, te noho rānei i te whare hauora. Ka taea e te maimoatanga wawe te ārai i ngā raruraru kino me te whakaiti i te tūponotanga o te horapa o te mate ki ētahi atu.

Rapua te awhina hauora tonu mena ka pāngia koe e toru, e whā rānei ngā kakau ngawari ia rā mō ngā rā rua, me te mamae o te puku, te kirika rānei. Kaua e tatari kia pai ake ngā tohu, nā te mea ka kino ake ngā mate C. difficile ki te kore e maimoatia tika.

Karangahia te tiaki āwangawanga mena ka whanake koe i ngā tohu kino penei i te mamae nui o te puku, te kirika nui i runga ake i te 102°F, ngā tohu o te maroke, te toto rānei i roto i ō kakau. Ka taea e ēnei te tohu i te mate kino e hiahia ana ki te whakauru hauora tonu.

He aha ngā Take Tūpono mō te C. Difficile?

Ka taea e te mārama ki ō take tūpono te āwhina i a koe ki te tango i ngā mahi ārai me te mohio ina pea ka nui ake tō tūponotanga ki te mate. Ka nui ake te piki o ētahi take i ētahi atu, ā, he maha ngā tangata he maha ngā take tūpono.

Ko ngā take tūpono tino nui ko ēnei:

• Te pakeke i runga ake i te 65 tau
• Te whakamahinga o ngā rongoā tata nei i roto i ngā marama toru kua hipa
• Te noho i te whare hauora inaianei, tata nei rānei
• Te noho i te whare tiaki roa
• Te mate whatukuhu roa, te mate whekau mumura rānei
• Te pūnaha mate ngoikore mai i te mate, ngā rongoā rānei
• Te mate C. difficile o mua
• Te whakamahinga noa o ngā kaihoroi pupuri proton

Ka nui ake te tūponotanga o ngā kaumātua, nā te mea ka ngoikore pea ō rātou pūnaha mate, ā, ka nui ake pea te tango i ngā rongoā maha. Ka nui ake te piki o te tūponotanga o te whiwhi anō i te mate C. difficile i mua, me ngā reiti whakahokinga mai i te 15-35%.

He nui ake te tūponotanga o ngā kaimahi hauora me ngā whānau e tiaki ana i tetahi kua pangia e te C. difficile, nā te tūponotanga o te whakaeke. Engari, kaore te nuinga o ngā tangata hauora me ngā pūnaha mate kaha e whanake i ngā mate ahakoa te whakaeke.

He aha ngā Raruraru Ka Taea o te C. Difficile?

Ahakoa ka mutu te nuinga o ngā mate C. difficile me te maimoatanga tika, ka taea e ētahi te whanake i ngā raruraru kino e hiahia ana ki te tiaki hauora nui. Ka āwhina te mārama ki ēnei tūponotanga ki te mohio ina ka kino ake ngā tohu, me te hiahia tonu ki te aro.

Ko ngā raruraru noa ko ēnei:

• Te maroke nui mai i te ruaki roa
• Ngā koretake o te waikawa e pā ana ki te ngākau me te mahi uaua
• Te mate whatukuhu na te maroke me ngā pokanoa
• Ngā mate whakahokinga e hoki mai ana i muri i te maimoatanga

Ka taea e ngā raruraru kino ake te mate-kino, me te maimoatanga āwangawanga. Ka puta te toxic megacolon ina mumura nui tō whekau nui, ka taea te pakaru. Ka hangaia e te pakaru o te whekau ngā rua i te pakitara o te whekau, ka taea ai e ngā huakita te rere ki tō puku.

Ko te fulminant colitis te momo tino kino, me te mumura whānui o te whekau nui e taea ai te whakaeke i te pakaru me te korenga o ngā whekau. Ka taea te whanake i te sepsis ina horapa te mate ki tō toto, e pā ana ki ngā whekau maha puta noa i tō tinana.

Ko te rongo pai, me te mohiotanga tere me te maimoatanga tika, ka taea te ārai i te nuinga o ngā raruraru, te whakahaere rānei. Ka tirotiro tata atu tō rōpū hauora ki a koe mena kei te nui ake tō tūponotanga ki te mate kino.

Me pēhea te Ārai i te C. Difficile?

Ko te ārai i te mate C. difficile e aro ana ki te whakaiti i tō whakaeke ki ngā huakita me te pupuri i te microbiome whekau hauora. Ka taea e ngā mahi horoi ngāwari me te whakamahinga tika o ngā rongoā te whakaiti nui i tō tūponotanga.

Ko ngā rautaki ārai whai hua ko ēnei:

• Te horoi pai o ō ringa ki te hopi me te wai mō te 20 hēkona neke atu rānei
• Te whakamahinga o ngā rongoā anake ina tohua, me te whakaoti i te akoranga katoa
• Te karo i te whakamahinga rongoā koretake mō ngā mate huaketo
• Te horoi i ngā papa ki ngā hua e whai pāhare pāporo ana i roto i ngā whare hauora
• Te whai i ngā whakaritenga motuhake ina toro atu ki ngā turoro kua pangia
• Te pupuri i te hauora me te kai pai

Kaore ngā kai horoi ringa anake e whai hua ki ngā pūtau C. difficile, no reira ko te hopi me te wai te tiaki pai rawa mōu. Mena kei te whare hauora koe, te kāinga rongoa rānei, kaua e whakaroa ki te whakamahara ki ngā kaimahi hauora kia horoi ō rātou ringa i mua i te tiaki i a koe.

Ka taea e te tango i ngā probiotics i roto i te maimoatanga rongoā me muri iho te āwhina i te pupuri i ngā huakita puku hauora, ahakoa kei te whanake tonu te mōhio. Taria tēnei kōwhiringa ki tō tākutu, ina koa ki te mea kua pangia koe e ngā mate C. difficile i mua.

Me pēhea te Whakataurite i te C. Difficile?

Ko te whakataurite i te C. difficile e whakauru ana i te whakamātautau i te tauira kakau mō te noho o ngā pokanoa, ngā huakita rānei. Ka whakaaro pea tō tākutu he C. diff mena he tohu tino kitea kei a koe, ina koa i muri i te whakamahinga o ngā rongoā tata nei, te whakaeke rānei ki te hauora.

Ko ngā whakamātautau whakataurite tino noa ko ngā whakamātautau enzyme immunoassays e kitea ana ngā pokanoa C. difficile i roto i ō kakau, me ngā whakamātautau polymerase chain reaction (PCR) e tautuhi ana i te rauemi ira o ngā huakita. He tino pai ake ngā whakamātautau PCR, ā, ka taea te kite i ngā mate i mua atu i ngā whakamātautau pokanoa.

Ka tono pea tō tākutu i ētahi atu whakamātautau hei aromatawai i te kino o tō mate. Ka taea e ēnei te whakamātautau toto hei tirotiro i ngā tohu o te mumura, te maroke rānei, me ngā rangahau whakaahua penei i ngā CT scans mena ka whakaaro rātou ki ngā raruraru penei i te toxic megacolon.

He mea nui te whiwhi i te whakataurite tika tere, nā te mea e hiahia ana te C. difficile ki ngā maimoatanga motuhake e rereke ana i ētahi atu momo mate ruaki. Ka hiahia hoki tō kaiwhakarato hauora ki te whakakore i ētahi atu take o ō tohu.

He aha te Maimoatanga mō te C. Difficile?

Kua tino whanake te maimoatanga mō te C. difficile i ngā tau tata nei, me ngā rongoā hou e tino whai hua ana i ngā kōwhiringa tawhito. Ko te maimoatanga motuhake ka tohua e tō tākutu e whakawhirinaki ana ki te kino o tō mate, me te mea he wa tuatahi tēnei, he whakahokinga mai rānei.

Ko ngā maimoatanga rārangi tuatahi ko ēnei:

• Vancomycin (waha), e tangohia ana i te whā ia rā mō ngā rā 10
• Fidaxomicin, he rongoā hou me ngā reiti whakahokinga iti
• Metronidazole, e whakamahia ana mō ngā take ngawari, te kore rānei o ētahi atu kōwhiringa

Mō ngā mate whakahokinga, ka tono pea tō tākutu i ngā akoranga rongoā roa, ngā huarahi hou rānei penei i te fecal microbiota transplantation (FMT). Ka whakauru te FMT i te whakawhiti i ngā huakita hauora mai i te kaihoko ki te whakahoki i te toenga noa o tō puku.

Mena ka whanake koe i ngā raruraru kino penei i te toxic megacolon, te pakaru ranei o te whekau, ka hiahia pea koe ki te pokanga hei tango i ngā wāhanga kua pakaru o tō whekau nui. Engari, ka pai te whakautu o te nuinga o te iwi ki te maimoatanga rongoā kaore e hiahia ana ki te whakauru pokanga.

Ka aro hoki tō rōpū hauora ki te tiaki tautoko, tae atu ki te whakakapi wai hei ārai i te maroke me te tirotiro mō ngā raruraru. Ka mutu pea e rātou ngā rongoā koretake e āwhina ana ki te mate.

Me pēhea te Tango i te Maimoatanga Kāinga i te Wā o te C. Difficile?

Ko te whakahaere i te C. difficile i te kāinga e hiahia ana ki te aro nui ki te ārai i te maroke, te pupuri i te kai, me te karo i te horapa o te mate ki ngā whānau. Ko te nuinga o te maimoatanga ka puta i te kāinga ki te kore koe e whanake i ngā raruraru kino.

Aro atu ki te pupuri i te wai mā te inu i te wai mā, ngā wai kohua, me ngā otinga waikawa. Karohia ngā hua waiū me ngā kai nui-pūtau i te tīmatanga, nā te mea ka taea e ēnei te whakaiti i te ruaki me te mamae.

Tangohia ō rongoā kua tohua tika i te ara i tohua, ahakoa ka tīmata koe te pai ake i mua i te mutunga o te akoranga. Ka taea e te ngaro o ngā horoinga, te mutu rānei i te wa wawe te arahi ki te korenga o te maimoatanga me te piki ake o te tūponotanga o te mate whakahokinga.

Whakamahia ngā tikanga horoi kaha hei tiaki i tō whare. Horohorohia ō ringa ki te hopi me te wai, horoia ngā papa kaukau ki ngā hua e whai pāhare pāporo ana, ā, karohia te whakarite kai mō ētahi atu i te wā e tohu ana koe.

He mea nui te okioki mō te ora, no reira kaua e tere ki ngā mahi noa. E hiahia ana tō tinana ki te kaha hei whawhai ki te mate me te whakaora i te mumura i roto i tō whekau nui.

Me pēhea te Whakamahere mō tō Hui Tākutu?

Ka taea e te whakamahere mō tō hui te āwhina i te whakarite kia whiwhi koe i te whakataurite tika me te maimoatanga tika. Kohikohia ngā mōhiohio mō ō tohu, te hītori hauora tata nei, me ngā rongoā o nāianei i mua i tō toro.

Tuhia te wā i tīmata ai ō tohu, te maha o te ruaki, me ētahi atu tohu kua kitea e koe. Tāpirihia te whakamahinga o ngā rongoā tata nei, ngā noho whare hauora, te whakaeke rānei ki ngā whare hauora i ngā marama torutoru kua hipa.

Mauria he rārangi katoa o ngā rongoā, ngā taapiri, me ngā hua hua e tangohia ana e koe inaianei. Hei tāpiri atu, ngā rongoā kore-tohu me ētahi atu huringa ki tō maimoatanga rongoā.

Whakamahia ngā pātai mō tō āhuatanga, ngā kōwhiringa maimoatanga, me te mea e tatari ana koe i te wā whakaora. Pātaihia te ārai i te whakahokinga mai me te wā ka taea e koe te hoki ki ngā mahi noa.

Mena ka taea, mauhia he tauira kakau mena ka taea e te tari o tō tākutu te tukatuka, te whakarite rānei ki te hoatu i tētahi i te wā o tō toro. Ka taea e tēnei te tere ake i te tukanga whakataurite me te āwhina i a koe ki te whiwhi maimoatanga tere ake.

He aha te Tino Tango mō te C. Difficile?

Ko te C. difficile he mate huakita kino engari ka taea te maimoatanga e pā ana ki ngā tangata kua pakaru ō rātou huakita puku e ngā rongoā, ētahi atu take rānei. Ahakoa ka taea te whakaeke i ngā raruraru kino, ka ora te nuinga o te iwi ki te maimoatanga rongoā tika.

He mea nui te mohiotanga wawe me te maimoatanga mō ngā hua pai rawa atu. Mena ka whanake koe i te ruaki roa, ina koa i muri i te tango i ngā rongoā, te noho rānei i ngā whare hauora, kaua e whakaroa ki te whakapiri atu ki tō kaiwhakarato hauora.

Ko te ārai tonu tō rautaki pai rawa atu, e aro ana ki te horoi ringa tika, te whakamahinga tika o ngā rongoā, me te pupuri i te hauora pai. Me te tiaki tika me te maimoatanga, ka taea e koe te wikitoria i te mate C. difficile me te tango i ngā mahi hei ārai i ngā wāhanga i muri mai.

Kia mahara ko te whiwhi C. difficile kaore e whakaatu i te horoi kino, te he rānei kei a koe. He mate tino nui e hono ana ki te hauora e taea ai te pā ki te tangata i raro i ngā āhuatanga tika.

Ngā Pātai Nui e Uihia ana mō te C. Difficile

Q1. E hā roa te roa o te C. difficile me te maimoatanga?

Ka tīmata te nuinga o te iwi te pai ake i roto i ngā rā 2-3 o te tīmatanga o te maimoatanga rongoā tika, me ngā tohu e mutu ana i roto i ngā rā 7-10. Engari, ka raru pea ētahi i ngā raruraru puku roa mō ngā wiki maha i te wā e toenga ana ō rātou huakita puku. Mena ka roa ngā tohu, te kino rānei i muri i ngā rā torutoru o te maimoatanga, whakapiri atu tonu ki tō kaiwhakarato hauora.

Q2. Ka taea te hoki mai o te C. difficile i muri i te maimoatanga?

Ae, ka taea te whakahoki mai o te C. difficile ki te 15-35% o te iwi, i roto i ngā wiki 2-8 i muri i te whakaoti i te maimoatanga. Ka puta te whakahokinga mai nā te mea ka taea e ngā pūtau te ora i roto i tō whekau nui, ka whakahokia mai ina pai ngā āhuatanga. Ka tono pea tō tākutu i ētahi atu rongoā, ngā maimoatanga hou rānei penei i te fecal microbiota transplantation mō ngā mate whakahokinga.

Q3. He ngawari te C. difficile ki ngā whānau?

Ka taea te horapa o te C. difficile ki ngā whānau mā te pā ki ngā papa poke, engari kaore te nuinga o ngā tangata hauora me ngā huakita puku noa e whanake i ngā mate. Whakamahia te horoi ringa pai, horoia ngā kaukau ki ngā hua e whai pāhare pāporo ana, ā, karohia te whakawhāiti i ngā taonga whaiaro. Kaore te nuinga o ngā whānau e hiahia ana ki te whakamātautau ki te kore e whanake i ngā tohu.

Q4. Ka taea e ngā probiotics te āwhina i te ārai i te C. difficile?

Ka whakaatu mai ētahi rangahau ko ētahi probiotics ka taea te āwhina i te ārai i ngā mate C. difficile, ina koa ina tangohia i te wā o te maimoatanga rongoā. Engari, kei te whanake tonu te mōhio, ā, kaore ngā probiotics katoa e rite te whai hua. Taria te whakamahinga o te probiotic ki tō kaiwhakarato hauora, ina koa ki te mea kei te nui tō tūponotanga ki te mate C. difficile.

Q5. He aha ngā kai me karo i te wā o te mate C. difficile?

I te wā o te mate, karohia ngā hua waiū, ngā kai nui-pūtau, ngā kai kawa, me ētahi atu mea e raru ana i tō puku. Aro atu ki ngā kai ngawari, ngāwari te kai penei i ngā panana, te raihi, te aporo, me te taro (te kai BRAT). Pupuri i te wai ki ngā wai mā, ā, whakahokia ngā kai noa i te wā e pai ake ana ō tohu.