Clostridium Difficile waa bakteeriyo keeni karta shubanka iyo calaamadaha kale ee caloosha.
C. difficile, ama C. kala duwanaansho gaaban, ayaa si gaar ah ugu badan carruurta dhawaanahan ku jiray antibiyootikada mudo dheer. Marka lagu daro qaadashada antibiyootikada , carruurtu waxay halis dheeraad ah u yihiin infakshanka infakshanka C. haddii ay ku jireen cisbitaalka, gaar ahaan muddo dheer, waxay qabaan jirro joogto ah, iyo / ama dhibaato ay yeeshaan nidaamka difaaca jirka.
Astaamaha Clostridium
Marka laga reebo shubanka, C. difficile wuxuu keeni karaa C. colicile colitis, oo leh calaamado ay ka mid yihiin:
- urta xun, shuban biyood
- qandho
- calool xanuun
- lallabbo
- lumitaanka rabitaanka cuntada
Calaamadaha ugu daran waxaa ka mid noqon kara shubanka dhiigga, xummadda, xanuunka caloosha, iyo qandho, taas oo tilmaameysa in cunuga uu qabo cirbadeynta difaaca jirka ee "C. disicile" ama "colon pseudomembranous".
Ciladeynta
Dhaqanka saxarada ama baaritaanka antigen-ka baaritaanka antibiyootigga ee C. difficile ayaa kaa caawin kara in la go'aamiyo haddii cunuggaagu qabo infekshin C. dificile. Imtixaannada waxaa sidoo kale la samayn karaa si loo eego sunta cad ee cilladeysan ee ku jirta saxarada.
Daaweynta
Cudurka infakshanka "difficile infections" wuu iska tagi karaa, gaar ahaan haddii antibiyootigga oo joojiyay caabuqa la joojiyay. Xaaladaha kale, infekshanka cagaarshowga C. waxaa lagu daaweyn karaa antibiyootiko, sida caadiga ah Baytalku (metronidazole). Waxaa sidoo kale mararka qaarkood loo isticmaalaa faleemo afka laga qaato, inkastoo Coloril uu yahay daroogada ugu horreysa ee doorashadu u doorato si loo yareeyo hoos u dhigidda noocyada adkeysi leh ee C.
isbedel.
Maxaad u Baahan Tahay Inaad Ogaato
Waxyaabaha kale ee la ogaado oo ku saabsan C. Cudurka faafa ee kala duwan:
- Heerarka infekshinimada difficile ayaa kor u kacay sanadihii la soo dhaafay.
- Antibiyootikada oo inta badan la xiriirta infakshanka C. difficile waxaa ka mid ah amoxycillin, ampicillin, cephalosporins, iyo clindamycin.
- Ka fogaanshaha isticmaalka daawada antibiyootikada iyo gacmo-dhaqashada si taxadar leh waxay kaa caawin kartaa kahortaga infekshinka infakshanka.
- Bakteeriyada C. difficile waxaa caadi ahaan laga heli karaa saxarada 50% ee dhalaanka iyo 5% carruurta waaweyn, xitaa inkastoo aysan xanuunsaneyn oo ayna lahayn astaamo.
- Shaybaarka saxarada ee la baarayo C. difficile waxaa badanaa la qaboojiyaa ilaa la tijaabiyo.
Nasiib darro, C. diff infakshanka mararka qaarkood way soo noqdaan xitaa ka dib marka si habboon loo daaweeyo. Qalalashada jirka waa daaweyn cusub oo loogu talagalay dadka bukaanka ah ee soo noqnoqda. infakshanka.
Ilaha:
Kliegman: Nelson Textbook of Pediatrics, 18th ed.
Muddo dheer: Mabaadi'da iyo Tababarka Cudurada Cudurrada Caruurta, 3rd ed.
Pokorn M. Cudurka Clostridium Clostridium-ga ee cudurada la xiriira ee carruurta. Pediatr Infect Dis J. 01-OCT-2008; 27 (10): 944-6.