He aha te Kolitis Pūwhenua? Tohutohu, Take, me te Maimoatanga

Ko te kolitis pūwhenua he mumura nui o tō whekau nui (koroni) e hanga ana i ngā papatahi kikorangi, kōwhai e kiia nei ko ngā pūwhenua i runga i te pakitara o te whekau. Ka puta tēnei āhuatanga ina tangohia e ngā pūtau kino tō whekau i muri i te whakangaro i ngā pūtau pai, te nuinga mai i te whakamahinga o ngā rongoā mate huaketo.

Whakaarohia tō koroni he paparanga tiaki o ngā pūtau pai e pupuri ana i te taurite o ngā mea katoa. Ka whakangarohia ēnei pūtau ora e ngā rongoā mate huaketo, ka taea e ngā pūtau kino penei i te Clostridioides difficile (C. diff) te tere te tupu me te tuku i ngā pokanoa e whakarawe ana i tō paparanga whekau.

He aha ngā tohu o te kolitis pūwhenua?

Ko te tohu tuatahi tino noa ko te ruaki wai e puta ana i te wa e inu ana i ngā rongoā mate huaketo, i muri rānei. Ka kite pea koe he kakara rereke tēnei ruaki, ā, ka maha ngā wā i te rā.

Ko ēnei ngā tohu me titiro atu koe, mā te tīmata ki ngā mea tino noa:

• Te ruaki wai maha (3 wā neke atu rānei i te rā)
• Te mamae o te kopu
• Te kirika me te wiri
• Te ruaki me te ngaro o te hiahia kai
• Te toto, te wai ranei i roto i te paru
• Nga tohu o te maroke penei i te mokemoke, te waha maroke ranei

I roto i ngā take kino ake, ka pāngia pea koe e te tere o te ngākau, te pupuhi nui o te kopu, te tohu ranei o te maroke nui. Ka puta tēnei tohu i roto i ngā rā torutoru ki ngā wiki maha i muri i te tīmatanga o ngā rongoā mate huaketo, ahakoa ka puta pea i muri i ngā marama.

He aha ngā take o te kolitis pūwhenua?

Ko te take matua ko te tupu nui o te pūtau Clostridioides difficile i roto i tō koroni i muri i te whakakorenga o ō pūtau whekau noa. Ka puta tēnei whakakorenga i te wa e inu ana koe i ngā rongoā mate huaketo e whakamate ana i ngā pūtau kino me ngā pūtau pai.

Tirohia ngā mea e arahi ana ki tēnei āhuatanga:

• Te whakamahinga o ngā rongoā mate huaketo (inā te clindamycin, fluoroquinolones, cephalosporins, me ngā penicillins)
• Ngā rongoā mate pūngao
• Ngā kaihoroi pupuri pomu proton mō te whakaheke o te waikawa
• Te noho whare hauora, te noho roa ranei i ngā whare tiaki
• Ngā mate C. diff o mua

I roto i ngā take onge, ka taea te whanake o te kolitis pūwhenua kaore he whakamahinga rongoā mate huaketo. Ka puta pea tēnei na te mate kino, te mate whekau mumura, te rongoā ranei e whakakore ana i tō pūnaha mate.

Nōhea te haere ki te taote mō te kolitis pūwhenua?

Me whakapiri atu koe ki tō kaiwhakarato hauora tonu mēnā ka puta he ruaki roa i te wa e inu ana koe i ngā rongoā mate huaketo, i roto rānei i ngā marama rua i muri i te mutu.

Rapua te tiaki mate tere ina pāngia koe e te mamae nui o te kopu, te kirika nui i runga ake i te 101.3°F (38.5°C), ngā tohu o te maroke, te toto ranei i roto i tō paru. Ka tohu ēnei tohu i ngā raruraru kino e hiahia ana ki te maimoatanga tere.

Ahakoa ngā tohu ngawari, e tika ana te tiaki hauora, na te mea ka taea te kino o te kolitis pūwhenua. Ka pai ake te whakatau me te maimoatanga wawe i tō hua me te aukati i ngā raruraru kino.

He aha ngā take morearea mō te kolitis pūwhenua?

Ka piki ake tō morearea ki te mea kua inu koe i ngā rongoā mate huaketo, inā ngā mea whānui e whakamate ana i te maha o ngā pūtau. He mea nui hoki te tau, me ngā tāngata neke atu i te 65 tau te pakeke e pā ana ki te morearea nui ake na te huringa o te mahi pūnaha mate me ngā pūtau whekau.

He maha ngā mea ka kaha ake ai koe ki te whanake i tēnei āhuatanga:

• Te maimoatanga rongoā mate huaketo hou (i roto i ngā marama 2-3)
• Te pakeke neke atu i te 65 tau
• Te noho whare hauora, te noho whare tiaki ranei
• Te pūnaha mate ngoikore
• Te mate C. diff o mua
• Te mate whekau mumura
• Te mate whatukuhu roa
• Te whakamahinga o ngā kaihoroi pupuri pomu proton

Ka nui ake te morearea o ngā kaimahi hauora me ngā tāngata e toro ana ki ngā whare hauora. Kaore te maha o ngā take morearea e whakamana ana ka whanake koe i te āhuatanga, engari ko te tikanga me tino mataara koe ki ngā tohu mēnā kei te inu koe i ngā rongoā mate huaketo.

He aha ngā raruraru pea o te kolitis pūwhenua?

Ahakoa ka ora te nuinga o te iwi me te maimoatanga tika, ka taea e te kolitis pūwhenua te arahi ki ngā raruraru kino mēnā kaore i te maimoatia. Ko te take tino awangawanga ko te maroke nui mai i te ruaki roa.

Ko ēnei ngā raruraru ka taea te whanake, mai i te mea noa ake ki te mea onge engari kino:

• Te maroke nui me ngā koretake o te waikawa
• Ngā raruraru whatukuhu mai i te maroke
• Te megacolon pokanoa (te pupuhi kino o te koroni)
• Te pakaru o te koroni (te rua i roto i te pakitara whekau)
• Te sepsis (te mate kino e horapa ana)
• Te mate i roto i ngā take kino, kaore i te maimoatia

Ka pāngia e ngā mate hou te 20-25% o te iwi, ko te tikanga ka taea te hoki mai o te āhuatanga ahakoa te maimoatanga angitu. Ka puta tēnei na te mea ka taea e ngā pūtau o te pūtau C. diff te ora i roto i ō whekau ka whakahohe ano i muri mai. Ka whakautu te nuinga o ngā mate hou ki te maimoatanga, ahakoa ka hiahia pea etahi i ngā rongoā motuhake.

Me pēhea te whakatau o te kolitis pūwhenua?

Ka tīmata tō taote mā te uiui mō tō whakamahinga rongoā mate huaketo hou me ngā tohu, ka tono rānei i ngā whakamātautau paru hei titiro ki ngā pūtau C. diff me ō rātou pokanoa. Ko ēnei whakamātautau te mea tuatahi me te mea nui rawa atu i te whakatau.

Ko te tukanga whakatau i te nuinga o te wā he maha ngā huarahi hei whakamana i te āhuatanga me te aromatawai i tōna kino. Ka kohikohi pea tō kaiwhakarato hauora i ngā tauira paru maha, na te mea kaore ngā pūtau C. diff me ngā pokanoa i roto i ia tauira.

Ka uru pea ngā whakamātautau atu ki te mahi toto hei tirotiro i ngā tohu o te mate me te maroke. I roto i ngā take kino, ka tūtohu pea tō taote i te CT scan o tō kopu hei titiro ki ngā raruraru penei i te pupuhi koroni, te pakaru ranei.

I etahi wā, he mea tika te colonoscopy hei tiro tika i ngā papatahi kōwhai (pūwhenua) i runga i te pakitara o tō koroni. Ka āwhina tēnei tukanga ki te whakamana i te whakatau ina kore ngā whakamātautau paru e mārama ana, ina ranei e whakapae ana ngā raruraru.

He aha te maimoatanga mō te kolitis pūwhenua?

Ka aro te maimoatanga ki te mutu o te rongoā mate huaketo (mēnā kei te inu tonu koe i tētahi), me te tīmatanga o ngā rongoā motuhake e whakapae ana i ngā pūtau C. diff. Ko ngā maimoatanga tino whakamahia ko te vancomycin waha, te fidaxomicin ranei.

Ka tīpako tō taote i te rongoā pai rawa atu e hāngai ana ki te kino o tō āhuatanga me tō hītori hauora. Ko te vancomycin te mea tuatahi i te nuinga o te wā mō ngā take tūturu ki te kino, ā, ka pai pea te fidaxomicin mēnā kua pāngia koe e ngā mate o mua.

Mō ngā take ngawari, ka tūtohu pea etahi taote i te metronidazole, ahakoa he iti ake tēnei inaianei. Ka roa te maimoatanga i te 10-14 rā, me tīmata koe te pai ake i roto i ngā rā torutoru i muri i te tīmatanga o te rongoā.

I roto i ngā take kino me ngā raruraru, ka hiahia pea koe ki te noho whare hauora mō ngā wai IV, te tirotiro tata, te pokanga ranei. Ko te whakawhiti microbiota fecal (FMT) he whiringa maimoatanga hou mō te iwi me ngā mate hou kaore e whakautu ki ngā rongoā mate huaketo noa.

Me pēhea te tiaki i a koe i te wa e maimoatia ana te kolitis pūwhenua?

Ko te noho makuku tō mea nui rawa atu, na te mea ka taea e te ruaki te tere te arahi ki te maroke. Inuhia te wai mā, te hupa, te wai waikawa ranei i te rā katoa.

He mea nui te okioki mō tō ora, na kaua e whakatenatena koe ki te pupuri i ngā mahi noa i te wa e ora ana koe. E hiahia ana tō tinana ki te kaha hei whawhai ki te mate me te whakatika i tō paparanga whekau.

Kai ngawari, ngāwari ki te kai ina pai koe ki te kai. Ka taea e te kai BRAT (panana, raihi, aporo, totoa) te ngawari ki tō puku, engari kaua e whakaiti koe ki ēnei kai anake mēnā ka taea e koe te kai atu.

Kaua e kai i ngā hua waiu, ngā kai momona, ngā kai nui-waiora rānei kia pai ake ngā tohu, na te mea ka taea e ēnei te kino ake o te ruaki. Kaore e tūtohutia ngā probiotics i te wa e maimoatia ana na te mea ka raru pea ki ō rongoā mate huaketo.

Me pēhea te aukati i te kolitis pūwhenua?

Ko te rautaki aukati tino whai hua ko te whakamahi i ngā rongoā mate huaketo anake ina tino hiahiatia me te tika e tohutohu ana tō kaiwhakarato hauora. Kaua e tiaki i ngā rongoā mate huaketo toenga, kaua hoki e tuwha ki ētahi atu.

He mea nui te horoi ringa pai, inā i ngā wāhi hauora ka taea e ngā pūtau C. diff te ora i runga i ngā mata mō ngā marama. Horohorohia ō ringa ki te hopi me te wai kaua e whakawhirinaki ki ngā kai horoi waipiro, kaore e whakamate i ngā pūtau C. diff.

Mēnā kei te whare hauora koe, te whare tiaki roa ranei, kia mahara ngā kaimahi hauora e horoi ana i ō ringa i mua i muri i te tiaki ia koe. Kaua e whakaroa ki te whakamahara atawhai ki a rātou mēnā ka kite koe kua wareware rātou.

Pupurihia he oranga hauora me te kai pai me te whakakori tinana kia tautoko ai i tō pūnaha mate me te hauora whekau. Ahakoa kaore e taea e koe te aukati katoa i te pānga ki te C. diff, ka āwhina tō pūnaha mate kaha ki tō tinana ki te whakakahore i te mate.

Me pēhea te whakarite mō tō hui taote?

Tuhia katoa ō tohu, tae atu ki te wā i tīmata ai rātou me te auau o te putanga. Kia tino mōhio ki te auau me te ahua o tō ruaki, na te mea ka āwhina tēnei korero ki tō taote ki te aromatawai i te kino.

Kawe mai he rārangi katoa o ngā rongoā katoa kua inu koe i roto i ngā marama toru kua pahure, tae atu ki ngā rongoā mate huaketo, ngā rongoā-kore-whakahaunga, me ngā taapiri. Whakauruhia ngā ingoa, ngā rā, me ngā rā i inu ai koe.

Whakaritea ngā pātai mō ō whiringa maimoatanga, te wā ora e tumanakohia ana, me te wā e whai ake ai koe. Pātaihia mō ngā tohu whakatūpato e hiahia ana ki te tiaki hauora tere.

Whakaarohia te kawe mai i tētahi mema whānau, hoa ranei hei āwhina ia koe ki te mahara ki ngā korero nui, inā kua kore koe e pai. Ka taea hoki e rātou te tautoko me te āwhina i te tautoko i tō tiaki mēnā e hiahiatia ana.

He aha te mea nui mō te kolitis pūwhenua?

Ko te kolitis pūwhenua he āhuatanga kino engari ka taea te maimoatanga e tupu ana i te nuinga o te wā i muri i te whakamahinga o ngā rongoā mate huaketo. Ka arahi te mohiotanga me te maimoatanga wawe ki ngā hua pai mō te nuinga o te iwi.

Ko te mea nui rawa atu hei mahara ko te ruaki roa i te wa e inu ana i ngā rongoā mate huaketo, i muri rānei, kaore i te noa me te hiahia ki te aromatawai hauora. Kaua e ngana ki te kaha ki te whakatau i te āhuatanga, kaua hoki e whakaaro ka mutu ake.

Me te maimoatanga tika, ka ora te nuinga o te iwi i roto i te wiki kotahi ki te rua. Ko te whai i ngā tohutohu a tō taote katoa me te tiaki ia koe i te wa e ora ana ka hoatu ki a koe te tupono pai rawa atu mō te tukanga whakaora tino, kaore he raruraru.

Ngā pātai e uiuihia pinepine ana mō te kolitis pūwhenua

P1. Ka taea e au te whiwhi kolitis pūwhenua kaore he inu rongoā mate huaketo?

Ae, ahakoa he iti rawa te noa. Ka taea e koe te whanake i tēnei āhuatanga mai i ngā rongoā mate pūngao, etahi rongoā waikawa puku, te mate kino ranei e whakakore ana i ō pūtau whekau. Heoi, ko te 90% o ngā take e hono ana ki te whakamahinga o ngā rongoā mate huaketo hou.

P2. E hia te roa o te ora mai i te kolitis pūwhenua?

Ka tīmata te nuinga o te iwi te pai ake i roto i ngā rā 2-3 i muri i te tīmatanga o te maimoatanga, me te ora katoa e toru wiki ki te rua wiki. Heoi, ka hiahia pea tō paparanga whekau ki ngā wiki maha hei whakatika katoa, na te mea ka mau tonu etahi ngoikoretanga o te whekau ahakoa te mutu o ētahi atu tohu.

P3. He mate ka taea te horapa te kolitis pūwhenua?

Ka taea e te pūtau C. diff e arahi ana ki tēnei āhuatanga te horapa mai i te tangata ki te tangata mā ngā mata poke me te horoi ringa kino. Heoi, ko te tikanga ka whanake koe i ngā tohu anake mēnā kua whakakoretia ō pūtau whekau e ngā rongoā mate huaketo, etahi atu mea ranei.

P4. Ka taea te hoki mai o te kolitis pūwhenua i muri i te maimoatanga?

Aroha mai, ae. Ka pāngia e te 20-25% o te iwi te hoki mai, i roto i ngā wiki 2-8 i muri i te whakaoti i te maimoatanga. Ka puta tēnei na te mea ka taea e ngā pūtau C. diff te ora i roto i ō whekau ka kaha ano.

P5. He pānga roa o te kolitis pūwhenua?

Ka ora te nuinga o te iwi katoa kaore he pānga roa. Heoi, ka pāngia pea etahi e ngā huringa wa poto i ngā tikanga o te whekau, te nui ake ranei o te ngawari ki ētahi kai mō ngā marama torutoru. He onge, ka taea e ngā take kino te arahi ki ngā raruraru whekau roa, engari he onge tēnei me te maimoatanga tika.