Kwayar cuta ta Pomudomembranous

Kwayar cututtukan jikin mutum tana nufin kumburi ko kumburin babban hanji (hanji) saboda ƙaruwar Clostridioides mai wahala (C wahala) kwayoyin cuta.

Wannan kamuwa da cuta sanadi ne na yawan gudawa bayan amfani da kwayoyin.

Da C wahala kwayoyin cuta na rayuwa ne a hanji. Koyaya, yawancin waɗannan ƙwayoyin cuta na iya girma lokacin da kuka sha maganin rigakafi. Kwayar cuta na bayar da wani guba mai karfi wanda ke haifar da kumburi da zubar jini a cikin rufin uwar hanji.

Duk wani maganin rigakafi na iya haifar da wannan yanayin. Magungunan da ke da alhakin matsalar mafi yawan lokuta sune ampicillin, clindamycin, fluoroquinolones, da cephalosporins.

Masu ba da sabis na kiwon lafiya a asibiti na iya ba da wannan ƙwayoyin cutar daga mutum ɗaya zuwa wani.

Pseudomembranous colitis baƙon abu ne a cikin yara, kuma ba safai a cikin jarirai ba. Mafi yawancin lokuta ana ganinta a cikin mutanen da suke asibiti. Koyaya, ya zama gama gari ga mutanen da ke shan maganin rigakafi kuma ba sa cikin asibiti.

Hanyoyin haɗari sun haɗa da:

• Yawan shekaru
• Amfani da rigakafi
• Amfani da magunguna wanda ke raunana tsarin garkuwar jiki (kamar su magunguna na chemotherapy)
• Tiyata kwanan nan
• Tarihin pseudomembranous colitis
• Tarihin ulcerative colitis da cutar Crohn

Kwayar cutar sun hada da:

• Cramps na ciki (m zuwa mai tsanani)
• Kujerun jini
• Zazzaɓi
• Ki rinka yin hanji
• Zawo na ruwa (sau 5 zuwa 10 sau sau a kowace rana)

Za a iya yin gwaje-gwaje masu zuwa:

• Ciwon ciki ko sigmoidoscopy mai sassauci
• Immunoassay don C toxin mai wahala a cikin kujerun
• Sabbin gwaje-gwajen kujeru kamar PCR

Ya kamata a dakatar da maganin rigakafi ko wani magani da ke haifar da yanayin. Metronidazole, vancomycin, ko fidaxomicin galibi ana amfani dasu don magance matsalar, amma kuma ana iya amfani da wasu magunguna.

Ana iya buƙatar maganin lantarki ko ruwan da aka bayar ta jijiya don magance rashin ruwa a jiki saboda gudawa. A cikin wasu lamura da ba kasafai ake samun ba, ana bukatar tiyata don magance cututtukan da ke taɓarɓarewa ko kuma ba sa amsa maganin rigakafi.

Ana iya buƙatar maganin rigakafi na dogon lokaci idan C wahala kamuwa da cuta ya dawo. Wani sabon magani mai suna fecal microbiota dashi ("stool transplant") shima yayi tasiri ga kamuwa da cututtukan da suka dawo.

Mai ba ku sabis na iya ba da shawarar ku sha maganin rigakafi idan cutar ta dawo.

Hangen nesa yana da kyau a mafi yawan lokuta, idan babu rikitarwa. Koyaya, kusan 1 cikin 5 na kamuwa da cuta na iya dawowa kuma suna buƙatar ƙarin magani.

Matsaloli na iya haɗawa da:

• Rashin ruwa tare da rashin daidaiton lantarki
• Perforation na (rami ta) da ciwon
• Megacolon mai guba
• Mutuwa

Kira mai ba ku sabis idan kuna da waɗannan alamun bayyanar:

• Duk wani tabon jini (musamman bayan shan maganin rigakafi)
• Sau biyar ko fiye da cutar gudawa a rana fiye da kwana 1 zuwa 2
• Tsananin ciwon ciki
• Alamomin rashin ruwa a jiki

Mutanen da suka kamu da cutar ƙyama ya kamata su gaya wa masu samar da su kafin su sake shan maganin rigakafi. Hakanan yana da matukar mahimmanci a wanke hannu da kyau don hana yaduwar cutar ga wasu mutane. Masu tsabtace barasa ba koyaushe suke aiki ba C wahala.

Kwayar cututtukan cututtukan kwayoyin cuta; Colitis - pseudomembranous; Necrotizing colitis; C wahala - mai ɗauke da tambari

• Tsarin narkewa
• Gabobin tsarin narkewar abinci

Gerding DN, Johnson S. Clostridial cututtuka. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 280.

Gerding DN, Matasa VB. Donskey CJ. Clostridiodes mai wahala (a da Clostridium mai wahala) kamuwa da cuta. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 243.

Kelly CP, Khanna S. Ciwon rigakafin cututtukan rigakafi da clostridioides mai wahala kamuwa da cuta. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi 112.

McDonald LC, Gerding DN, Johnson S, et al. Ka'idojin aikin asibiti don Cutar Cloididium mai wahala a cikin manya da yara: sabuntawa na 2017 ta Societyungiyar Cututtukan Cututtuka na Amurka (IDSA) da Society for Healthcare Epidemiology of America (SHEA). Clin Infect Dis. 2018; 66 (7): 987-994. PMID: 29562266 pubmed.ncbi.nlm.nih.gov/29562266/.