ʻO Stoin C difficile toxin

ʻO ka ʻōmole C difficile ʻIke ka lāʻau hoʻowalewale i nā mea hōʻino i hana ʻia e ka bacteria Difficile ʻo Clostridioides (C difficile). ʻO kēia maʻi kahi kumu maʻamau o ka diarrhea ma hope o ka hana antibiotic.

Pono kahi laulau. Hoʻouna ʻia i kahi keʻena hoʻokolohua e kālailai ʻia. Nui a hewahewa nā ala e ʻike ai C difficile lāʻau make i ka laʻana o ka pahu.

Hoʻohana pinepine ʻia ʻo Enzyme immunoassay (EIA) e ʻike i nā mea i hana ʻia e nā bacteria. ʻOi aku ka wikiwiki o kēia hōʻike ma mua o nā hoʻokolohua kahiko, a maʻalahi hoʻi e hana. Mākaukau nā hopena i kekahi mau hola. Eia naʻe, ua emi iki ia ma mua o ka hana ma mua. Pono paha kekahi mau laulau e loaʻa kahi hopena pololei.

ʻO kahi hana hou e hoʻohana i ka PCR e ʻike ai i nā genes toxin. ʻO kēia ka hōʻoia koʻikoʻi loa a kikoʻī hoʻi. Mākaukau nā hopena ma loko o 1 hola. Hoʻokahi wale nō ʻōpana o ka noho e pono ai.

Nui a hewahewa nā ala e hōʻiliʻili ai i nā laʻana.

• Hiki iā ʻoe ke hopu i ka pahu ma luna o ka wahī i hoʻonoho liʻiliʻi ʻia ma luna o ka ipu holoi a paʻa ʻia e ka noho ʻauʻau. A laila kau ʻoe i ka hāpana i loko o kahi ipu maʻemaʻe.
• Loaʻa i kahi pahu hoʻāʻo e hāʻawi ana i kahi kiko holoi kūikawā āu e hoʻohana ai e hōʻiliʻili i kahi hāpana. Ma hope o ka hōʻiliʻili ʻana i ka hāpana, kau ʻoe i loko o kahi pahu.

Mai hoʻohuihui i ka mimi, ka wai, a i ʻole nā ​​mea holoi me ka laʻana.

No nā keiki e kau ana i nā pale:

• Hoʻopili i ka diaper me ka wahī wahī.
• E hoʻonoho i kahi wahī i mea e pale ai i ka mimi a me ka pahu mai ka hui ʻana. E hāʻawi kēia i kahi laʻana ʻoi aku ka maikaʻi.

Loaʻa paha iā ʻoe kēia hoʻokolohua inā manaʻo kāu kauka olakino ka maʻi maʻi diarrhea e nā lāʻau antibiotic āu i lawe ai i kēia manawa. Hoʻololi nā Antibiotics i ke kaulike o nā koʻohune i ke kolona. Ke alakaʻi nei kēia i kekahi manawa i ka ulu nui ʻana o C difficile.

Pohō i hoʻokumu ʻia e C difficile ma hope o ka hana antibiotic pinepine i nā poʻe i ka haukapila. Hiki iā ia ke hana i ka poʻe i lawe ʻole i nā antibiotic. Kapa ʻia kēia ʻano he colitis pseudomembranous.

Aʻole C difficile ʻike ʻia ka lāʻau make.

Kaha: hiki ke loli iki i nā pae waiwai maʻamau ma waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO nā hopena maʻamau ka manaʻo o nā toxins i hana ʻia e C difficile ʻike ʻia i loko o ka pākeke a ke hoʻomaka nei ka maʻi diarrhea.

ʻAʻohe pilikia e pili ana i ka hoʻāʻo ʻana no C difficile lāʻau make

Pono paha kekahi mau laikini e ʻike i ke ʻano. Heʻoiaʻiʻo maoli kēia inā e hoʻohana ʻia ka EIA kahiko no ka hoʻāʻo ʻana o ka toxin.

ʻO Antibiotic e pili ana i ka colitis - toxin; Colitis - toxin; Pseudomembranous colitis - toxin; Necrotizing colitis - toxin; C difficile - toxin

• ʻO nā meaola Clostridium difficile

ʻO Beavis KG, Charnot-Katsikas A. hōʻiliʻili a me ka lawelawe ʻana i ka ʻike no nā maʻi maʻi. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 64.

Burnham C-A D, Storch GA. Palapala microbiology diagnostic. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 195.

ʻO Gerding DN, Johnson S. Clostridial maʻi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 280.

ʻO Gerding DN, VB ʻōpio, Donskey CJ. Difficile ʻo Clostridioides (ma mua ʻO Clictridium difficle) maʻi maʻi. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 243.

Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. ʻO ka ʻike Laboratory o gastrointestinal a me nā maʻi pancreatic. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 22.