Kungani Nginophuphutheko Olumnandi?

-Delile

• Ukutheleleka kwamagciwane
• Izici zobungozi ze-CDI
• Ukukhomba iphunga
• Ungakwazi yini ukubona iphunga likaC. Diff?
• Kungani nginezimbungulu ezinukayo?
• Ukudla okudlela endlini

“Ukunuka kamnandi” akuvamisile ukuthi kube yincazelo ehlotshaniswa nendle yomuntu, noma ngabe kukhona ukutheleleka ngamagciwane okungaholela endleni ebusayo ebonakalayo ebonakalayo: AmaClostridioides difficile ukutheleleka.

Ukutheleleka kwamagciwane

Kwesinye isikhathi, lapho umuntu enikezwa ukwelashwa ngama-antibiotic, indawo ejwayelekile yamathumbu iyaphazamiseka. Futhi lezi zinguquko zingaholela ekuthelelekeni kwamagciwane kanye nezifo ezingapheli zokuvuvukala kwamathumbu.

Ukutheleleka okunjalo kwamagciwane kungavela I-Clostridioides (phambilini IClostridium) oke, obeye aziwe njengo C. difficile, ibhaktheriya ekhiqiza ubuthi ekhiqiza ubuthi edala ukubola okuhambisana namagciwane. C. okuhlukile ukutheleleka (i-CDI) kuvame ukufaka:

• amajaqamba
• imfiva
• isifo sohudo
• isicanucanu
• i-leukocytosis (amaseli amhlophe ngenhla kwebanga elijwayelekile egazini)

Esinye isici somtholampilo kwesinye isikhathi esihambisana ne-CDI iphunga elimnandi lesitulo esivame ukufaniswa nomquba wehhashi.

Izici zobungozi ze-CDI

Yize noma yimaphi ama-antibiotic angaholela ekuthonyweni yi-CDI, ama-antibiotic athinteka kakhulu nge-CDI yile:

• cephalosporins
• clindamycin
• ama-fluoroquinolones
• amapenicillin

Ezinye izinto ezinobungozi zifaka:

• uneminyaka engaphezu kwengama-65
• ukulaliswa esibhedlela muva nje
• ukusetshenziswa kweproton pump inhibitor

Ukukhomba iphunga

Kwenziwa ngo-2013 ukuqeqesha ibhungane ukukhomba iphunga elihlukile le- C. difficile. Inja ikwazile ukukhomba kahle amacala angama-25 kwangu-30 e-CDI kanye nama-265 kwangu-270 eqembu elilawula abangenalo igciwane.

Ungakwazi yini ukubona iphunga likaC. Diff?

Kube yinganekwane yakudala emadolobheni ukuthi abahlengikazi bangakhomba iziguli abanazo C. okuhlukile kuphela ngephunga lesitulo sabo. Ucwaningo lwango-2007 luphethe ngokuthi, ngokususelwa ocwaningweni lwabasebenzi abahlengikazi abayi-138, abahlengikazi babezwela ngamaphesenti angama-55 kanye namaphesenti angama-83 ngokuqondene C. okuhlukile ngephunga lohudo lweziguli.

Ukulandelelwa ngo-2013, endaweni elawulwa elabhorethri kwaphetha ngokuthi abahlengikazi hhayi ikwazi ukukhomba amasampula endle nge C. okuhlukile ngephunga.

Ucwaningo luphakamise ukuthi imiphumela yehlukile ngoba ezifundweni ezedlule abahlengikazi babengaphuphuthekiswanga kahle futhi babekwazi ukubona izici zeziguli nezitulo zabo ngesikhathi sokuhlolwa kwe-sniff.

Inganekwane yasedolobheni iphikisiwe.

Kungani nginezimbungulu ezinukayo?

Uma isitulo sakho sesinuka kabi ngokwengeziwe, kungenzeka kungenxa yokuthile okudlile. Ngokwe-University of California San Diego Health, inyama nokudla okubabayo kuzovame ukuhogela iphunga elinamandla elingathandeki.

Ezinye izaphulamthetho ezinamandla zingafaka imifino ye-cruciferous, ukudla okunamafutha noshukela okusetshenzisiwe, namaqanda.

Futhi, ukungaguquguquki kwesitokisi kungaba yisibonakaliso sesimo sezokwelapha esinjengalesi:

• isifo se-celiac
• Isifo sikaCrohn
• ukutheleleka
• ukungabekezelelani kwe-lactose
• malabsorption
• isifo sokuqaqamba kwamalunga
• ukulunywa yizilonda emathunjini

Uma iphunga lakho lesitokisi selibe yinto engathandeki ngokwengeziwe, khuluma ngakho nodokotela wakho.

Ukudla okudlela endlini

Uma unayo AmaClostridioides difficile (C. okuhlukile) ukutheleleka (i-CDI), kungaholela kuhudo olunephunga elingajwayelekile abanye abangalichaza njengelinoshukela ogulayo. Izici ezinobungozi obukhulu be-CDI zibandakanya ukuba ngaphezu kweminyaka yobudala engama-65, ngisanda kungeniswa esibhedlela, futhi ngiqedile inkambo yama-antibiotic.

Uma uhambelana naleyo ncazelo futhi ungaphatheki kahle emathunjini, ikakhulukazi uma ubona indle enephunga elimnandi, khuluma nodokotela wakho mayelana nokuthi kungenzeka yini ukuba ne-CDI.