Pseudomembranous colitis: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Unyango lwenziwa njani

I-Pseudomembranous colitis kukudumba kwenxalenye yokugqibela yamathumbu, ikholoni kunye ne-rectum, kwaye ihlala inxulunyaniswa nokusetyenziswa kwamayeza okubulala ukumodareyitha ukuya kuthi ga kubanzi, anje nge-Amoxicillin kunye neAzithromycin, kunye nokwanda kwebacteria IClostridium difficile, ekhupha ityhefu kwaye ikhokelele kwiimpawu ezinje ngesifo sorhudo, umkhuhlane kunye nentlungu esiswini.

I-Pseudomembranous colitis ixhaphake kakhulu kwizigulana ezinamajoni omzimba abuthathaka kwaye, ke, zinokwenzeka kubantu abadala, ebantwaneni, kwizigulana ezinezifo ezizimele okanye ezifumana ichemotherapy. Le meko iyanyangeka, kwaye ihlala iboniswa ukuba utshintshe okanye umise i-antibiotic kunye nokusetyenziswa kweeprobiotic ukulinganisa i-microbiota yamathumbu.

Iimpawu eziphambili

Iimpawu zepseudomembranous colitis zihambelana nokwanda kwe IClostridium difficile kunye nokuveliswa kunye nokukhutshwa kwetyhefu, ekhokelela ekubonakaleni kwezi mpawu zilandelayo:

• Urhudo ngokungaguquguquki kolwelo kakhulu;
• Ukukrakra okukhulu esiswini;
• Isicaphucaphu;
• Umkhuhlane ongaphezu kwama-38ºC;
• Ilindle elinobofu okanye umchamo.

Ukuxilongwa kwe-pseudomembranous colitis kwenziwa ngugastroenterologist ngokuvavanya iimpawu kunye neempawu ezivezwe ngumntu kunye nokwenza ezinye iimvavanyo, ezinje nge-colonoscopy, uviwo lwesitulo okanye i-biopsy yento eqokelelweyo eludongeni lwamathumbu.

Unyango lwenziwa njani

Unyango lwe-pseudomembranous colitis kufuneka lukhokelwe yi-gastroenterologist kwaye luhlala lusenziwa kuphela ngokunqumamisa ukufunxwa kwe-antibiotiki ebangele ingxaki. Nangona kunjalo, kwimeko apho isifo sokudumba singanyamalali emva kokugqiba isibulala-zintsholongwane, ugqirha unokucebisa ukuba kusetyenziswe enye i-antibiotiki, enje nge-Metronidazole okanye i-Vancomycin, njengoko zichasene ngqo neentsholongwane ezikhula emathunjini.

Kwiimeko ezinzima kakhulu, apho kungekho nyango lwangaphambili lunceda ukunciphisa iimpawu zesifo sepseudomembranous, ugqirha unokucebisa unyango ngotyando ukuze kususwe isahlulo esincinci samathumbu achaphazelekayo okanye uzame ukufakelwa kwesitulo ukulinganisa i-microbiota yamathumbu. Jonga ukuba ukufakelwa kwesitulo kwenziwa njani.