Iyo Inonyanya Kukonzera Chikonzero cheDhipatimendi-Yakabatana Dharare
Dhairrhea idambudziko rinowanzoitika kune vanhu vanogara neHIV. Pane dzimwe nguva, chirwere chemashuva chinogona kunge chiine chikamu chechikamu chemimwe mishonga inoshandiswa kurapa HIV . Asi, pane dzimwe nguva, iyo inokonzerwa nehutachiona hwehutachiona hwemakumbo, nehuwandu hunogona kuitika uye hunokonzera.
Chimwe chezvikonzero zvinowanzoitika kuvanhu vane HIV ndeye bhakitiriya inonzi Clostridium difficile (inonziwo C. difficile .) C. difficile mhuka inowanzowanikwa muhutachiva hwevanhu , kuverenga anenge 3 muzana yemaruva ebhakitiriya mune vanhu vakwegura vane utano.
Kunyange zvakadaro, kana kudzivirira kwezvirwere kuchikanganisa, zvirongwa zvinoita kuti bhakitiriya kukura mucheke inogona kuoma, zvichiita kuti C. difficile kuwedzera muhuwandu kusvikira ichimiririra chero kupi zvako kubva kune 10 kusvika ku30 muzana yemarita ebhakitiriya mune varwere vanorwara. Izvi zvinowedzera zvinokonzera zvinokonzera zvirwere zvakanyanya zvinopfurikidza uye chirwere chemuviri mukuru (unozivikanwa sechirwere).
Zviratidzo zvikuru zvinosanganisira:
- mvura yeropa, dzimwe nguva neropa kana pus
- fever
- kurwadziwa kwepamuviri, kubvongodza, kana unyoro
Zvinokonzera C. Dambudziko reDharare
Mukuwedzera kune hutachiona hweHIV, C. kuoma- kuwirirana kwehurwere kunogona kukonzerwa nezvimwe zvinhu zvinoverengeka:
- Mishonga inoshandiswa nemishonga inorwisa mabhakitiriya: Kana chirwere chinorwisa mabhakitiriya chisingazivikanise kuuraya mabhakitiriya "akaipa" uye "akanaka" mumatumbo emimba, kuwedzerwa kunogona kuitika. Ichokwadi, zvimwe zvidzidzo zvinoratidza kuti inenge 90% yehutano hwehutano-hunosangana neC difficile zvirwere zvinokonzerwa nekushandiswa kwemishonga inorwisa mabhakitiriya.
- Anti-ulcer mishonga: Anti-ulcer mishonga inoderedza asidi yemudumbu. Mukuita kudaro, iyo uye dzimwe nguva inoshandura mudumbu asidi, zvichibvumira C. kunetseka kukura kusingatariswi.
- Nguva refu chipatara chinogara: Kubatanidza kushungurudzwa kubva kurwere, kusimba kubva pakurongedzwa mumubhedha wezvipatara, uye kukwanisa kwoutachiona-kune-kurwara kusvibiswa kunogona kuwedzera mukana wehutachiona hweC C.. Kutaura zvazviri, C. difficile inotsanangurwa sechikonzero chinonyanya kukosha chekurwara kwepachipatara.
- Vakwegura uye vaduku: Vanhu vane makore anopfuura 65 vane ngozi huru sezvo maitiro avo ezvirwere zvekuzvidzivirira anowanzova asina simba, nepo vana vaduku uye vacheche vanogonawo kutapukirwa nehutachiona nekuda kwekudzivirira kwemaviri avo.
Izvozvo Zvakaoma Sei Kuparadzira?
C. difficile iripo muzvigaro zvevanhu vane utachiona, kuumba spores dzinogona kutamirwa nekubatana zvakakwana nemakamuri, zvigaro zvembhedha, zvigaro zvepurasitiki, nezvimwewo. Vanhu vanogonawo kuparadzira spores kubva pamuromo kusvika pamuromo kana vachinge vaine nzvimbo dzakasvibiswa.
Zvirwere zveC C. zvinogona kurarama kusvika kumwedzi mishanu pane zvakatipoteredza. Hazvisi nyore kuurayiwa nemasikirwo emasikirwo uye kazhinji zvinoda 1:10 kukanganiswa kweklorine bleach kuongorora kupera zvachose kwe spores.
Kugeza maoko ndiyo nzira huru yekudzivirira kupararira kwa C. difficile kubva kumunhu kusvika kumunhu. Kupera kunofanirawo kucheneswa zvakakwana, pamwe nemidziyo kana zvinhu zvehutano hwehupi zvingangodaro dzakabatana nevanorwara kana muzvipatara vanhu. Dzivisa vanonwisa doro zvakashata sezvo vasingasviki pakuuraya C. zvinetso spores.
Ndeapi C. Chirwere Chine Utachiona Chakatorwa?
Kurapa utachiona hweC C. yakaoma kunoda nzira mbiri: kurapa zviratidzo uye kubata chirwere chacho.
Mune vamwe varwere, izvi zvinogona kuratidza kuti zvakaoma, kazhinji zvinoda kurapwa pamusoro pemakore akawanda kusvikira gore. Kubuda kwemishonga inopikisa kunongobatanidza nyaya yacho, kunyanya kune varwere vane hutachiona hwakaipisisa maitiro echivi.
Utachiona hunowanzosanganisira:
- Mishonga inorwisa mabhakitiriya yakadai saFirgyl naVancomycin (iyo yekupedzisira iyo inoshanda zvakanyanya pakurwisana nemishonga inopesana nemishonga).
- Oral hydration nemvura uye electrolyte replacement solutions, pamwe nekushandiswa kwemazizi mumvura inowedzera mvura yakaoma.
- Kuchengetwa kwemarwadzo kunogona kushandiswa asi kungoita nokungwarira sezvavanokwanisa dzimwe nguva kuvhara zviratidzo zvemuviri, nokudaro kunonoka kuongororwa kwechirwere chepasi. Kupfuura-the-counter mishonga yakadai seTylenol inogona kushandiswa kugadzirisa marwadzo kusvika pamwero. Narcotics inofanira kushandiswa nekuchenjerera sezvo inogona kukanganisa gastric function, nepo Motrin inofanira kudzivirirwa sezvo inogona kukonzera kuwedzera kwekurwa kwepamuviri.
Pakupedzisira, imwe yemishonga mitsva yakachengeterwa maitiro akaoma zvikuru ndeyekushandiswa kwemafecal . Hazviwanzoshandiswa, asi zvinosanganisira nzira yekubvisa chigaro kubva kune munhu ane hutano uye kuisa mumunhu ane C difficile .
Iyo inofungidzirwa yakawanda yehutachiona huchirongwa uye saka inofanirwa kuitwe nehutachiona hwepamusoro hunowanikwa mune fecal bacteriology.
> Sources:
> Canadian Association of Gastroenterology Clinical Affairs. "Clostridium difficile-inokonzerwa nemararamiro (CDAD) uye Proton Pump Inhibitor Therapy." Canadian Journal of Gastroenterology . June 1, 2005; 19 (6): 1272-1276.
> Association for Professionals in Infection Control uye Epidemiology. " Nhungamiro yekudzivirira Clostridium difficile Infections ." February 2013: ISBN: 1-933013-54-0.
> Brown K .; Khanafer, N .; Daneman, N., et al. "Meta-kuongororwa kwemishonga inorwisa mabhakitiriya uye njodzi yehutachiona hweClostridium difficile inowanikwa munharaunda." Antimicrobrial Agents uye Chemotherapy . May 2013; 57: 2326-2332.
> Kahn, S; Gorawara-Bhat, R ;; uye Rubin, D. "Fecal bacteriotherapy nokuda kwekuonda kwevaronda: Varwere vakagadzirira, isu?" Chiremera cheBlue Disorder. May 2011; DOI: 10.1002 / ibd.21775.