Pseudomembranous colitis: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira

Pseudomembranous colitis ndikutupa kwa gawo lomaliza la m'matumbo, m'matumbo ndi m'matumbo, ndipo nthawi zambiri kumalumikizidwa ndikugwiritsa ntchito maantibayotiki ochepa, monga Amoxicillin ndi Azithromycin, komanso kuchuluka kwa mabakiteriya Clostridium difficile, yomwe imatulutsa poizoni ndipo imabweretsa zizindikilo monga kutsegula m'mimba, malungo komanso kupweteka m'mimba.

Pseudomembranous colitis ndiofala kwambiri kwa odwala omwe ali ndi chitetezo chamthupi chofooka, chifukwa chake amatha kukhala okalamba, ana, odwala omwe ali ndi matenda amadzimadzi kapena omwe amalandira chemotherapy. Matendawa amachiritsidwa, ndipo nthawi zambiri amawonetsedwa kuti amasintha kapena kuyimitsa maantibayotiki ndikugwiritsa ntchito maantibiotiki kuti athetse m'mimba ma microbiota.

Zizindikiro zazikulu

Zizindikiro za pseudomembranous colitis ndizokhudzana ndi kuchuluka kwa Clostridium difficile ndi kupanga ndi kumasulidwa kwa poizoni, zomwe zimapangitsa kuti izi ziziwoneka:

• Kutsekula m'mimba mosasinthasintha kwamadzi;
• Kwambiri kukokana m'mimba;
• Nseru;
• Malungo pamwamba 38ºC;
• Manyowa okhala ndi mafinya kapena ntchofu.

Kuzindikira kwa pseudomembranous colitis kumapangidwa ndi gastroenterologist poyesa zizindikilo zomwe munthuyo amapereka ndikuchita mayeso ena, monga colonoscopy, kupenda chopondapo kapena biopsy ya zinthu zomwe zatengedwa kukhoma lamkati.

Momwe mankhwalawa amachitikira

Kuchiza kwa pseudomembranous colitis kuyenera kutsogozedwa ndi gastroenterologist ndipo nthawi zambiri kumachitika kokha poyimitsa kumwa kwa maantibayotiki omwe adayambitsa vutoli. Komabe, ngati matenda a m'mimba samasoweka atamaliza maantibayotiki, adotolo angavomereze kugwiritsa ntchito maantibayotiki ena, monga Metronidazole kapena Vancomycin, chifukwa amafunikira kuthetsa mabakiteriya omwe akutuluka m'matumbo.

Milandu yovuta kwambiri, pomwe palibe mankhwala am'mbuyomu omwe amathandizira kuthetsa zizindikilo za pseudomembranous colitis, adotolo amalimbikitsa chithandizo chakuchitidwa opaleshoni kuti achotse pang'ono matumbo okhudzidwa kapena kuyesa kuponyera chopondera kuti muchepetse matumbo a microbiota. Onani momwe kupangira chopondera kumachitika.