Pseudomembranous colitis: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hana ai i ka lāʻau

ʻO Pseudomembranous colitis kahi mumū o ka hapa hope o ka ʻōpū, ke kolona a me ka palahu, a pili pinepine ʻia me ka hoʻohana ʻana o nā antibiotic ākea ākea, e like me Amoxicillin a me Azithromycin, a me ka hoʻonui ʻana o ka bacteria. Difficile Clostridium, ka mea e hoʻokuʻu i nā mea make a alakaʻi i nā ʻōuli e like me ka maʻi diarrhea, fever and pain ʻōpū.

Pseudomembranous colitis ʻoi aku ka maʻamau i nā mea maʻi me nā ʻōnaehana pale nāwaliwali a, no laila, hiki ke hana i nā ʻelemākule, nā keiki, nā mea maʻi me nā maʻi autoimmune a i ʻole ke hele nei i ka chemotherapy. Hiki ke mālama ʻia kēia ʻano, a kuhikuhi pinepine ʻia ia mea e hoʻololi a kāpae paha i ka lāʻau antibiotic a me ka hoʻohana ʻana i nā probiotics e kaulike i ka microbiota ʻōpū.

Nā hōʻailona nui

Pili nā ʻōuli o ka pseudomembranous colitis i ka hoʻolaha ʻana o Difficile Clostridium a me ka hana a me ka hoʻokuʻu ʻana o nā toxins, e alakaʻi ana i ke ʻano o nā hōʻailona aʻe:

• Diarrhea me kahi kūpaʻa wai loa;
• Ikaika ka ʻōpū o ka ʻōpū;
• Nualea;
• Fiva ma luna o 38ºC;
• Nā noho me ka pā a i ʻole ka mucus.

ʻO ke kuhi o ka pseudomembranous colitis i hana ʻia e kahi gastroenterologist e ka loiloi ʻana i nā hōʻailona a me nā ʻōuli i hōʻike ʻia e ke kanaka a hana i kekahi mau hoʻokolohua, e like me ka colonoscopy, ka hoʻokolokolo ʻana a me ka biopsy o nā mea i hōʻiliʻili ʻia mai ka paia o ka ʻōpū.

Pehea e hana ai i ka lāʻau

Pono e alakaʻi ʻia e ka gastroenterologist ka hoʻomaʻamaʻa ʻana no ka colitis pseudomembranous a hana pinepine ʻia ma ke kāohi ʻana i ka lawe ʻana o ka lāʻau antibiotic i kumu o ka pilikia. Eia nō naʻe, i nā hihia kahi e nalo ʻole ai ka colitis ma hope o ka pau ʻana o ka lāʻau antibiotic, hiki i ke kauka ke paipai i ka hoʻohana ʻana i kahi lāʻau ʻino ʻē aʻe, e like me Metronidazole a i ʻole Vancomycin, no ka mea he kikoʻī lākou e hoʻopau i nā bacteria e ulu nei i loko o ka ʻōpū.

I nā hihia ʻoi loa, kahi i kōkua ʻole ai kahi lapaʻau ma mua e hōʻemi i nā ʻōuli o ka pseudomembranous colitis, hiki i ke kauka ke ʻōlelo aku me ka ʻoki ʻana e hemo i kahi ʻāpana o ka ʻōpū i hoʻopili ʻia a i ʻole e hoʻāʻo i kahi transplant e hoʻoliʻiliʻi i ka microbiota ʻōpū. E ʻike pehea e hana ai i ka stool transplant.