Pseudomembranous colitis: kuyini, izimpawu kanye nokwelashwa
-Delile
I-Pseudomembranous colitis ukuvuvukala kwengxenye yokugcina yamathumbu, i-colon kanye ne-rectum, futhi kuvame ukuhlotshaniswa nokusetshenziswa kwama-antibiotics aphakathi nendawo kuya kubanzi, njenge-Amoxicillin ne-Azithromycin, nokwanda kwamagciwane IClostridium difficile, ekhipha ubuthi futhi iholele ezimpawu ezifana nohudo, imfiva nobuhlungu besisu.
I-Pseudomembranous colitis ivame kakhulu ezigulini ezinamasosha omzimba abuthakathaka, ngakho-ke, kungenzeka kubantu asebekhulile, ezinganeni, ezigulini ezinezifo ezizimele noma ezilashwa ngamakhemikhali. Lesi simo siyelapheka, futhi kuvame ukukhonjiswa ukuthi lokho kuzoguqula noma kumise i-antibiotic kanye nokusetshenziswa kwama-probiotic ukulinganisa i-microbiota yamathumbu.
Izimpawu eziyinhloko
Izimpawu ze-pseudomembranous colitis zihlobene nokwanda kwe- IClostridium difficile ukukhiqizwa nokukhululwa kobuthi, okuholela ekuveleni kwalezi zimpawu ezilandelayo:
- Uhudo olunokungaguquguquki oketshezi kakhulu;
- Ukuqunjelwa okukhulu esiswini;
- Isicanucanu;
- Imfiva engaphezu kuka-38ºC;
- Izindle ezinobomvu noma amafinyila.
Ukuxilongwa kwe-pseudomembranous colitis kwenziwa i-gastroenterologist ngokuhlola izimpawu nezimpawu ezilethwa ngumuntu nokwenza izivivinyo ezithile, njenge-colonoscopy, ukuhlolwa kwesitulo noma i-biopsy yento eqoqwe odongeni lwamathumbu.
Yelashwa kanjani
Ukwelashwa kwe-pseudomembranous colitis kufanele kuqondiswe yi-gastroenterologist futhi kuvame ukwenziwa kuphela ngokumisa ukuphuza i-antibiotic edale inkinga. Kodwa-ke, ezimweni lapho i-colitis inganyamalali ngemuva kokuqeda i-antibiotic, udokotela angancoma ukuthi kusetshenziswe elinye i-antibiotic, njenge-Metronidazole noma i-Vancomycin, njengoba kuchaziwe ukuqeda amabhaktheriya akhula emathunjini.
Ezimweni ezinzima kakhulu, lapho kungekho ukwelashwa kwangaphambilini okusiza ekunciphiseni izimpawu ze-pseudomembranous colitis, udokotela angancoma ukwelashwa ngokuhlinzwa ukuze kukhishwe ingxenye encane yamathumbu athintekile noma azame ukufakelwa indle ukulinganisela i-microbiota yamathumbu. Bona ukuthi ukufakelwa kwesitulo kwenziwa kanjani.