Kutheni le nto ndinePhuphu elimnandi?

Umxholo

• Usulelo lweBacteria
• Imiba yomngcipheko kwi-CDI
• Ukuchonga ivumba
• Ungalichaza ivumba likaC. Diff?
• Kutheni ndinevumba elimdaka?
• Yise kude

“Ukuva ivumba elimnandi” akusoloko kuchazwa okunxulumene nesitulo somntu, nangona kukho usuleleko lwebhaktiriya olunokubangela ilindle elimdaka eligulayo: Clostridioides ezahlukeneyo usulelo.

Usulelo lweBacteria

Ngamanye amaxesha, xa umntu emiselwe unyango lwe -antibiotic, inkqubo eqhelekileyo yamathumbu iyaphazamiseka. Kwaye olu tshintsho lunokukhokelela kusulelo lwebacteria kunye nezifo ezingapheliyo zokukrala kwamathumbu.

Olunye usulelo lwebacteria lunokuvela IClostridioides (ngaphambili IClostridium) ezahlukeneyo, kwaziwa njenge C. ezahlukeneyo, ibhaktiriya evelisa ityhefu yokuvelisa ityhefu ebangela isifo sokudumba esinxulumene ntsholongwane. C. eyahlukileyo Usulelo (CDI) luhlala lubandakanya:

• iicampu
• ifiva
• urhudo
• isicaphucaphu
• leukocytosis (iiseli ezimhlophe ngaphezulu kohlobo oluqhelekileyo egazini)

Olunye uphawu lweklinikhi ngamanye amaxesha oluhamba ne-CDI livumba elimnandi lesitulo esidla ngokufaniswa nomgquba wehashe.

Imiba yomngcipheko kwi-CDI

Nangona nayiphi na i-antibiotic inokubangela ukuba i-CDI ichaphazeleke, ii-antibiotics ezichaphazeleka rhoqo kwi-CDI zezi:

• cephalosporins
• clindamycin
• iifluoroquinolones
• iipenicillins

Ezinye izinto ezinobungozi zibandakanya:

• ungaphezulu kweminyaka engama-65
• ukulaliswa esibhedlele kutshanje
• Ukusetyenziswa kwepompon inhibitor

Ukuchonga ivumba

Kwenziwa ngo-2013 ukuqeqesha ibhungane ukuze lichonge elona vumba C. ezahlukeneyo. Inja yakwazi ukuchonga ngokuchanekileyo i-25 yamatyala angama-30 e-CDI kunye nama-265 angama-270 eqela lolawulo olungasulelekanga.

Ungalichaza ivumba likaC. Diff?

Ibiyintsomi ekudala ikho yokuba abongikazi banokuchonga izigulana C. eyahlukileyo kuphela livumba lesitulo sabo. Uphononongo lwango-2007 lwagqiba kwelokuba, ngokusekwe kuphando lwabongikazi abali-138, abongikazi babenobuzaza ngeepesenti ezingama-55 kunye nepesenti ezingama-83 ezithile ekuchongeni C. eyahlukileyo ngevumba lesifo sorhudo.

Ukulandelelwa ngo-2013, kwindawo elawulwa elebhu kwagqitywa ukuba abongikazi hayi Ndiyakwazi ukubona iisampulu zelindle kunye C. eyahlukileyo ngevumba.

Olu phononongo lucebise ukuba iziphumo zahlukile kuba kwizifundo zangaphambili abongikazi babengafakwanga kakuhle kwaye babekwazi ukubona iimpawu zezigulana kunye nezihlalo zabo ngexesha lovavanyo lwe-sniff.

Ilivo ledolophu alichaswanga.

Kutheni ndinevumba elimdaka?

Ukuba isitulo sakho siye saqala ukunuka kakubi, kunokuba kungenxa yento oyityileyo. NgokweYunivesithi yaseCalifornia eSan Diego Health, inyama kunye nokutya okunezipayisi kuya kuhlala kukhokelela kwivumba elibi elibi.

Abanye aboni abanamandla banokubandakanya imifuno emnqamlezayo, ukutya okunamafutha kunye neswekile kunye namaqanda.

Kananjalo, isitulo esinobungozi rhoqo sinokuba sisalathiso semeko yezonyango enje:

• isifo se-celiac
• Isifo sikaCrohn
• usulelo
• Ukunyamezelana kwe-lactose
• malabsorption
• ukudumba komzimba
• ukudumba okwenziwa sisilonda sikabhobhosi

Ukuba i-stool yakho ivumba iye yahlala ingathandeki, thetha ngayo nogqirha wakho.

Yise kude

Ukuba unayo Clostridioides ezahlukeneyo (C. eyahlukileyousulelo (i-CDI), lunokubangela urhudo olunephunga elingaqhelekanga abanye abanokuthi bachaze njengobumnandi. Izinto ezinobungozi obuphezulu be-CDI zibandakanya ukuba ngaphezulu kweminyaka yobudala engama-65, ngoku ndisesibhedlele, kwaye ndigqibile ikhosi ye-antibiotics.

Ukuba uyayithelekisa le nkcazo kwaye unengxaki yokungasebenzi kakuhle kwamathumbu, ngakumbi ukuba ubona isongo esinuka kamnandi, thetha nogqirha wakho malunga nokwenzeka kwe-CDI.