Chifukwa Chosavuta Kwambiri cha Matenda Otsekula M'chipatala
Kutsekula m'mimba ndi vuto lalikulu mwa anthu omwe ali ndi HIV. Nthawi zina, kutsekula m'mimba kungakhale mbali imodzi ya mankhwala omwe amachiza HIV . Koma, nthawi zina, ndi zotsatira za matenda a m'mimba, ndi ambiri omwe angatheke komanso omwe amachititsa.
Chinthu chimodzi chomwe chimayambitsa anthu omwe ali ndi kachilombo ka HIV ndi mabakiteriya otchedwa Clostridium difficile (amatchedwanso C. difficile .) C. difficile ndi thupi lomwe limapezeka m'matumbo a anthu , omwe amawerengera pafupifupi 3 peresenti ya zomera zabakiteriya ali ndi thanzi labwino.
Komabe, pamene chitetezo cha mthupi chimasokonekera, machitidwe omwe amachititsa kuti tizilombo toyambitsa matenda tiwoneke amatha kuwonjezereka, kuti C. difficile kuwonjezeka kwa anthu mpaka atha kuimira paliponse pakati pa 10 ndi 30 peresenti ya mabakiteriya omwe akudwala matenda aakulu. Kuwonjezeka kumeneku kumabala poizoni zomwe zimayambitsa kutsekula m'mimba kwambiri ndi kutupa kwa matumbo akulu (otchedwa colitis).
Zizindikiro zoyambirira zimaphatikizapo:
- kutsekula m'madzi, nthawi zina ndi magazi kapena pus
- malungo
- kupweteka m'mimba, kupweteka, kapena chikondi
Zifukwa za C. Matenda otsegula m'mimba
Kuphatikiza pa kachilombo ka HIV, kutsekula m'mimba kwa C. difficile kungayambitsedwe ndi zifukwa zina:
- Mankhwala a antibiotic : Pamene antibiotic imapha mabakiteriya onse "oipa" ndi "abwino" m'matumbo a m'mimba, kuwonjezereka kumachitika. Ndipotu, kafukufuku wina amasonyeza kuti pafupifupi 90 peresenti ya matenda okhudzana ndi thanzi la C. C. difficile ndi omwe amapezeka chifukwa cha ma antibiotic ambiri.
- Mankhwala oletsa zilonda: Mankhwala oletsa zilonda amachepetsa acidity m'mimba. Pochita zimenezi, nthawi zina amasinthasintha m'mimba, ndipo zimalola kuti C. difficile kukula mosalephereka.
- Kukhala ndi chipatala chautali: Kuphatikizidwa kwa matenda, kufooka kwa kukhala pogona pabedi, ndi kuthekera koyambitsa matenda odwala ndi odwala kungapangitse kachilombo ka C. difficile . Ndipotu, C. difficile amatchulidwa ngati chifukwa chofala cha kutsekula m'mimba.
- Okalamba: Anthu omwe ali ndi zaka zoposa 65 ali ndi chiopsezo chachikulu pamene chitetezo cha mthupi chawo chimakhala chofooka, pamene ana ang'onoang'ono ndi makanda angathenso kutenga kachilombo ka HIV chifukwa cha msana wawo.
Kodi Kumavuta Bwanji Kufalitsa?
C. difficile alipo mu chitsime cha anthu omwe ali ndi kachilomboka, kupanga spores zomwe zingathe kusamutsidwa mwachindunji ndi zipinda zamkati, njinga zamabedi, zopukutira zovala, etc. Anthu amatha kufalitsa spores kuchokera kumanja mpaka pakamwa pamene akukumana ndi malo oipitsidwa.
Miyendo ya C. difficile ikhoza kukhala ndi miyezi isanu pa malo a chilengedwe. Sizimangophedwa mosavuta ndi mankhwala osokoneza bongo ndipo nthawi zambiri zimafuna chlorine bleach kuti zitha kuthetseratu spores.
Kusamba m'manja ndi njira yoyamba yopewera kufalikira kwa C. difficile kuchokera kwa munthu ndi munthu. Malo operewera amayenera kutsukidwa bwino, komanso ziwiya kapena zaukhondo zomwe zikhoza kukhala zogwirizana ndi anthu odwala kapena odwala. Pewani oyeretsa mowa mwauchidakwa pamene sakuphwanya kwambiri C. kupha spores.
Kodi Kachilombo kovuta kamakhala bwanji?
Kuchiza matenda a C. difficile kumafuna njira ziwiri: kuchiza zizindikiro ndi kuthana ndi vutoli.
Odwala ena, izi zingakhale zovuta, nthawi zambiri zimafuna chithandizo kwa miyezi ingapo mpaka chaka. Kuyamba kwa mankhwala osagwira ntchito kumangowonjezera nkhaniyi makamaka, makamaka kwa odwala omwe ali ndi mphamvu zambiri zoteteza thupi.
Mankhwala angaphatikizepo:
- Mankhwala opha tizilombo monga Flagyl ndi Vancomycin (omwe amatha kupambana ndi mankhwala osagwira mankhwala).
- Mankhwala otsekemera ndi madzi ndi njira zowonjezeredwa ndi electrolyte, komanso kusamalidwa kwa madzi odwala kwambiri.
- Kupweteka kwapweteka kungagwiritsidwe ntchito koma mosamala monga momwe nthawi zina zingasamalire zizindikiro za m'mimba, motero kuchepetsa kuyezetsa matenda omwe akudwala. Mankhwala owonjezera monga Tylenol angagwiritsidwe ntchito kuthetsa kupweteka pang'ono. Mankhwala amphwayi ayenera kugwiritsidwa ntchito mosamala monga momwe angagwiritsire ntchito kathupi, pamene Motrin ayenera kupeĊµa chifukwa angayambitse kupweteka kwa m'mimba.
Pomalizira, imodzi mwa mankhwala atsopano omwe amasungidwa ndi milandu yoopsa kwambiri ndi kuika kwachangu . Sichigwiritsidwa ntchito, koma chimaphatikizapo kuchotsa chitukuko kuchokera kwa munthu wathanzi ndikumaika munthu yemwe ali ndi C difficile .
Amagwiritsidwa ntchito kwambiri ngati njira yothandizira yokhayokha ndipo kotero iyenera kuchitidwa ndi katswiri wa m'mimba omwe amapezeka mu bacteriology.
> Zotsatira:
> Association of Canadian Gastroenterology Clinical Affairs. "Kutsegula m'mimba kwa Clostridium difficile (CDAD) ndi Proton Pump Inhibitor Therapy." Canadian Journal of Gastroenterology . June 1, 2005; 19 (6): 1272-1276.
> Association for Professionals in Infection Control ndi Epidemiology. " Cholinga cha Kuteteza Matenda a Clostridium difficile ." February 2013: ISBN: 1-933013-54-0.
> Brown K.; Khanafer, N .; Daneman, N., et al. "Kupenda meta za mankhwala opha tizilombo komanso chiopsezo chotenga matenda a Clostridium difficile." Antimicrobrial Agents ndi Chemotherapy . May 2013; 57: 2326-2332.
> Kahn, S; Gorawara-Bhat, R .; ndi Rubin, D. "Bacecotherapy ya Fecal kwa zilonda zam'mimba: Odwala ali okonzeka, sichoncho?" Kutupa Kwambiri Kwambiri. May 2011; DOI: 10.1002 / ibd.21775.