No ke aha e loaʻa ai iaʻu ka momona o ka poop?

Anter

• Maʻi maʻi koʻohune
• Nā kumu pilikia no ka CDI
• E ʻike nei i ka pilau
• Hiki iā ʻoe ke ʻike i ke ʻala o C. diff?
• No ke aha mai iaʻu kahi poop honi pilau?
• Lawe aku

ʻO ka "ʻala onaona" ʻaʻole ia he wehewehe pinepine ʻia e pili ana i ka noho o ke kanaka, ʻoiai aia kahi maʻi bacteria e hiki ai ke hopena i kahi lepo momona ʻino e ʻike ʻia. Difficile ʻo Clostridioides maʻi maʻi.

Maʻi maʻi koʻohune

I kekahi manawa, ke kuhikuhi ʻia kahi kanaka i kahi lāʻau hoʻōla antibiotic, ua hoʻopilikia ʻia ke kaiaolaola ʻōpū maʻamau. A hiki i kēia mau hoʻololi ke alakaʻi i nā maʻi bacteria a me nā maʻi ʻōpū o ka ʻōpū.

Hiki ke hele mai kahi maʻi maʻi bacteria ʻO Clostridioides (ma mua ʻO Clostridium) difficile, ʻike ʻia ʻo C. difficile, kahi bacteri anaerobic e hana ana i ka lāʻau make nāna i hoʻokumu i ka colitis pili i nā antibiotic. C. ʻokoʻa maʻi pū (CDI) nā:

• ʻūlū
• fiva
• pāhoehoe
• nausea
• leukositosis (nā keʻokeʻo keʻokeʻo ma luna aʻe o ka pae maʻamau i ke koko)

ʻO kekahi hiʻohiʻona ʻē aʻe e hele pū ana me CDI i kekahi manawa me kahi ʻala noho momona i hoʻohālikelike ʻia i ka manure lio.

Nā kumu pilikia no ka CDI

ʻOiai hiki i kekahi lāʻau antibiotic ke hopena i ka maʻalahi i ka CDI, ʻo nā lāʻau ʻino i hoʻopili pinepine ʻia me CDI:

• kekona
• clindamycin
• fluoroquinolones
• penikila

ʻO nā kumu ʻē aʻe e pili pū me:

• makahiki ma luna o 65
• ka haukapila hou
• proton pump inhibitor hoʻohana

E ʻike nei i ka pilau

Lawe ʻia ʻo A i ka makahiki 2013 e hoʻomaʻamaʻa i ka nūnū e hoʻomaopopo i ka ʻala ʻokoʻa o C. difficile. Ua hiki i ka ʻīlio ke hoʻomaopopo pololei iā 25 o nā 30 hihia o CDI a me 265 o 270 o ka pūʻulu kaohi maʻi ʻole.

Hiki iā ʻoe ke ʻike i ke ʻala o C. diff?

He moemoeā kūlanakauhale lōʻihi ia e hiki ai i nā kahu maʻi ke hoʻomaopopo i nā poʻe maʻi me C. ʻokoʻa wale i ka pilau o kā lākou noho. Ua hoʻoholo ʻia kahi noi 2007, ma muli o 138 ana o nā limahana kahu hānai, he 55 pākēneka ka nui o nā kahu maʻi a he 83 pākēneka kikoʻī e hōʻike ana i ke diagnose C. ʻokoʻa e ka pilau o ka maʻi diarrhea.

ʻO kahi ukali ma 2013, i kahi keʻena hoʻokolohua hoʻokele i hoʻoholo ʻia he mau kahu maʻi ʻaʻole hiki ke hoʻomaopopo i nā laulau o ka noho me C. ʻokoʻa e ka pilau.

Ua hōʻike ka ʻimi noiʻi ua ʻokoʻa nā hopena ma muli o ka hoʻopaʻa mua ʻana ʻaʻole makapō pono nā kahu maʻi a hiki ke nānā i nā ʻano o nā mea maʻi a me kā lākou pahu i ka wā o ka hoʻāʻo honi.

Hōʻole ʻia ka moʻolelo kaona.

No ke aha mai iaʻu kahi poop honi pilau?

Inā ʻoi aku ka maikaʻi o ka pilau o kāu ʻōpala, ma muli paha o kahi mea āu i ʻai ai. Wahi a Ke Kulanui o Kaleponi San Diego Health, ʻo kaʻiʻo a me nā meaʻai nīoi e hopena pinepine i kahi ʻala maikaʻi ʻole.

Hiki i nā lawehala mana ʻē aʻe ke hoʻopili i nā mea kanu kolio, momona a me nā meaʻai i kō ʻia i kō, a me nā hua.

Eia nō naʻe, hiki i kahi noho noxious kūmau ke lilo i hōʻailona o kahi ʻano olakino kumu e like me:

• maʻi celiac
• Maʻi ʻo Crohn
• maʻi maʻi
• hoʻomanawanui ʻole lactose
• malabsorption
• pancreatitis
• ulcerative colitis

Inā ua lilo kou ʻala i mea ʻoluʻolu mau i nā manawa āpau, e kamaʻilio e pili ana me kāu kauka.

Lawe aku

Inā loaʻa iā ʻoe Difficile ʻo Clostridioides (C. ʻokoʻa) maʻi maʻi (CDI), hiki i ka hopena i ka maʻi diarrhea i loaʻa kahi ʻala ʻē aʻe e haʻi ʻia e kekahi me he mea ʻono maʻi. ʻO nā mea pilikia kiʻekiʻe no ka CDI e pili ana i ka piha ʻana o nā makahiki 65, ua loaʻa i ka haukapila hou, a ua pau ka papa o nā antibiotic.

Inā kūlike ʻoe i kēlā wehewehe a loaʻa ʻole ʻoe i ka ʻoluʻolu o ka ʻōpū, keu hoʻi inā ʻoe e ʻike i kahi ʻala onaona, e kamaʻilio me kāu kauka e pili ana i ka hiki o CDI.