So ntontom ketewaa bi a ɛwɔ wo nipadua so betumi de ɔhaw kɛse aba? Momma yensua (Candida parapsilosis) ho ade!

Abɔde nketenkete pii wɔ yɛn nipadua mu ne yɛn honam ani, ɛnte saa? Ebinom ye na wɔboa yɛn. Nanso ɛtɔ da bi a, abɔde bi tumi yɛ atirimɔdenfo kakra na wobetumi de ɔhaw mpo abrɛ yɛn. Enti, ɛnnɛ yɛrebɛka ntontom bi a mpɛn pii no ɛnhaw yɛn koraa, nanso ɛtɔ mmere bi a ebetumi ayɛ ɔhaw kɛse ho asɛm. Ɛno ne nwansena a wɔfrɛ no `(Candida parapsilosis)`.

Dɛn ne eyi (Candida parapsilosis)?

Sɛ yɛbɛka no tiawa a, `(Candida parapsilosis)` yɛ nwansena bi . Ɛyɛ mmɔkaw abusua no muni, a ɛte sɛ mmɔkaw a wɔde to paanoo, anaa ɛtɔ mmere bi a ntontom a ɛba yɛn honam ani. Wɔtaa tra yɛn honam ani ne yɛn dwensɔtwaa (yafunu mu kwan) mu . Ɛnyɛ ɛno nko, na mmom wɔwɔ nneɛma a atwa yɛn ho ahyia, asase mu nso. Mpɛn pii no, saa `(C. parapsilosis)` ntontom yi nnyɛ yɛn bɔne. Wɔkɔ wɔn nnwuma mu ara kwa. Nanso, fa no sɛ na ɛsɛ sɛ wɔyɛ wo oprehyɛn kɛse, anaasɛ wopirapira kɛse, anaa yare bi a ɛma wo nipadua mu tumi a ɛko tia nyarewa no so tew. Wɔ mmere a ɛtete saa mu no, saa ntontom yi tumi kɔ mmeae a ɛnyɛ ne de na enyin wɔ hɔ . Ɛno na ɔhaw no fi ase. Sɛ ntontom bi trɛw kɔ nipadua no mu na ɛde ɔyare mmoawa ba a, yɛfrɛ no `(Invasive Candidiasis)` . Eyi betumi ayɛ aniberesɛm kakra.

Nyarewa bɛn na Candida parapsilosis betumi de aba?

Sɛ saa ntontom yi (C. parapsilosis) kɔ baabi a ɛnteɛ a, ebetumi de ɔyare mmoawa ahorow aba. Ma yɛnhwɛ nea ɛyɛ atitiriw no:

• Infection of the inner lining of the heart valves and chambers ( endocarditis ): Fa no sɛ, yɛn koma no wɔ chambers a ɛbɔ mogya, valves a ɛma mogya kɔ ɔkwan biako pɛ so... na emu ntini no betumi anya saa fungus yi. Eyi yɛ aniberesɛm paa.
• Peritonitis: Yɛn yafunu mu no, ntini teateaa bi wɔ hɔ a atwa dwensɔtwaa no ho ahyia . Eyi ne nea wɔfrɛ no bere a saa ntini no nya ɔyare no.
• Kuru mu yare : Sɛ wɔayɛ wo oprehyɛn anaasɛ woanya kuru kɛse a, saa nwansena yi betumi afa mu akɔ na ɛde ɔyare mmoawa aba.
• Nnadewa mu Nyarewa (Onychomycosis): Nnipa binom nnadewa yɛ kɔkɔɔ, ɛyɛ den, na ɛyɛ mmerɛw, ɛnte saa? Nail fungal infections te sɛ eyi (C. parapsilosis) nso betumi afi eyi mu aba.
• Nyarewa a ɛkɔ mogya mu na ɛtrɛw kɔ nipadua no mu nyinaa: Eyi nso yɛ asiane kɛse. Sɛ nwansena no kɔ mogya no mu a, etumi tu kwan kɔ nipadua no mu baabiara.

Eyinom akyi no, ɛwom sɛ ɛntaa nsi de , nanso saa ntontom yi betumi de nyarewa afoforo aba:

• Meningitis (nyarewa a ɛba ntini a ɛkata amemene ne akyi berɛmo so ) .
• Ntini mu yare
• Aso mu nyarewa
• Ɔyare a ɛwɔ ɔbea no awotwaa mu `( Vaginitis )`
• Nsuo mu Nyarewa (UTI) .

Saa nyarewa yi (Candida parapsilosis) abu so dɛn?

Nokwarem no, `(C. parapsilosis)` yɛ nwansena a ɛtaa de nyarewa a emu yɛ den ba (nea ɛtaa ba ne nea wɔfrɛ no `(Candida albicans)`). Nanso ɛno nkyerɛ sɛ wobɛnya no ntɛm. Sɛnea akontaabu kyerɛ no, nnipa mpem ɔha biara mu bɛyɛ akron (9/100,000) nya `(Invasive Candidiasis)` tebea a emu yɛ den yi afe biara . Ɛno nnu 0.01%. Enti, nsuro sɛ ɛyɛ yareɛ a obiara nya.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya Candida parapsilosis?

Ɛsono ɔyare yi ho sɛnkyerɛnne ahorow a egyina baabi a ntontom no ka wɔ nipadua no mu so . Nanso, sɛnkyerɛnne ahorow bi a ɛtaa ba ne:

• Huraeɛ
• Awɔw a ɛyɛ nwini
• Ɔhome a ɛyɛ den
• Ɛwa
• Yafunu mu yaw
• Kɔkɔɔ, ɔfe, anaa ɛyaw wɔ baabi a wɔyɛɛ no ​​oprehyɛn anaa kuru no

Sɛ wowɔ sɛnkyerɛnne te sɛ eyinom, titiriw sɛ wowɔ yare foforo anaasɛ wote nka sɛ wo nipadua mu tumi a ɛko tia nyarewa no sua a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.

Ɔkwan bɛn so na Candida parapsilosis hyɛn yɛn nipadua mu?

Mpɛn pii no, nwansena (C. parapsilosis) no tra yɛn honam ani anaa yɛn dwensɔtwaa mu a asiane biara nni ho. Te sɛ fungi afoforo du du pii no, ɛyɛ yɛn nipadua no fã. Nanso sɛ ɛkɔ baabi a ɛnsɛ sɛ ɛkɔ (te sɛ mogya anaa akwaa bi a ɛwɔ nipadua no mu) a, ebetumi adɔɔso ntɛmntɛm na ɛde ɔyare mmoawa aba. Akwan titiriw abien na eyi betumi afa so aba: 1. Sɛ wowɔ kuru a emu dɔ anaa kuru bi a wɔagyaw wɔ oprehyɛn akyi a , ntontom no betumi akɔ wo nipadua mu. 2. Sɛ wowɔ aduruyɛ mfiri (te sɛ ntini a ɛwɔ mfinimfini a ɛma wunya nkyene, afiri a wɔde home a ɛboa wo ma wohome) a, sɛ saa ntontom yi ayɛ mu fĩ a , afiri no nso betumi akɔ wo nipadua mu.

Fa no sɛ, bere a wowɔ ayaresabea no, wode nkyene afiri bi ahyɛ ntini bi a ɛwɔ wo nsa mu mu. Sɛ wɔanhyɛ saa afiri no mu yiye a, saa ntontom a ɛwɔ honam ani no wɔ hokwan ketewaa bi sɛ ɛbɛfa saa afiri no so akɔ wo nipadua mu.

Hena na ɔwɔ asiane kɛse sɛ obenya ɔyare mmoawa yi?

Yɛkaa sɛ ɛnyɛ obiara na onya saa ɔyare mmoawa yi. Nanso nnipa binom wɔ asiane kɛse mu sɛ wobenya bi. Ma yɛnhwɛ nnipa ko a wɔyɛ:

• Nkokoaa a wɔawo wɔn foforo:Efisɛ wɔn nipadua mu tumi a ɛko tia nyarewa no nnya nnyaa nkɔso koraa.
• Nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw:
• Esiane yare bi a ɛda adi nti (e.g., HIV a obi anya, mogya mu kokoram, anaa asikreyare).
• Nnipa a wɔama wɔn akwaa foforo anaasɛ wɔde stem cell ahyɛ wɔn ananmu. "Saa nkurɔfo yi ntumi ko tia nyarewa pii, enti ɛnyɛ den sɛ wobetumi anya nyarewa."
• Nnipa a wɔde nnuruyɛ mfiri ahyɛ wɔn nipadua mu: Sɛ nhwɛso no, ``Central Venous Line'' (afiri a wɔde hyɛ ntini titiriw bi mu), ``Breathing Tube'' (nsuo a ɛma ɔhome), ``Feeding Tube'' (afiri a ɛma aduane). Eyinom ma wonya ɔkwan a ntontom no fa so hyɛn nipadua no mu.
• Nnipa a wɔayɛ wɔn yafunu oprehyɛn nnansa yi: Esiane sɛ saa ntontom yi wɔ dwensɔtwaa mu nti, etumi tu kwan kɔ mmeae afoforo bere a wɔreyɛ oprehyɛn no.
• Nnipa a wɔanom nnuru a ekum ɔyare mmoawa akyɛ, anaasɛ wɔtaa nom nnuru a ekum ɔyare mmoawa: "So wunim nea enti a? Ɛnyɛ mmoawa bɔne a wɔwɔ yɛn nipadua mu nko na nnuru a ekum ɔyare mmoawa kunkum wɔn, na mmom mmoawa pa a wɔboa yɛn nso. Saa mmoawa pa yi siw fungi te sɛ C. parapsilosis kwan sɛ ennyin a wontumi nni so. Enti sɛ mmoawa pa no fi hɔ a, fungi no fi hɔ!
• Nnipa a wɔde nnubɔne gu nipadua mu a wonnya aduruyɛ mu afotu: Saa nwansena yi tumi fa nnade a ɛho agu fĩ mu kɔ mogya no mu.

Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya Candida parapsilosis yare no? (Nyare a Wɔahu) .

Oduruyɛfo bɛsɔ wo ahwɛ sɛ wowɔ ɔyare yi bi denam wo mogya anaa ntini ketewaa bi a wususuw sɛ ɛwɔ ɔyare no a obegye so . Ɛho hia nso sɛ woka nnuruyɛ mfiri biara a wode ahyɛ wo nipadua mu ne sɛ ebia wɔayɛ wo oprehyɛn bi nnansa yi ho asɛm kyerɛ wo duruyɛfo .

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Wɔde nnuru a ekum fungal sa C. parapsilosis yare mmoawa . Nnuru titiriw a nnuruyɛfo de di dwuma no bi ne:

• Nnuru a ɛwɔ nnuru kuw a wɔfrɛ no `(Echinocandins)` , sɛ nhwɛso no `(Caspofungin)`.
• Fluconazole anaa nnuru afoforo a ɛwɔ Azoles kuw no mu.
• `(Amphotericin B)` (Afiri a wɔde yɛ aduru B).

Wogyina nneɛma pii te sɛ wo tebea ne ɔyare mmoawa no su so na ɛkyerɛ nnuru yi. Enti, mfa eyinom nni dwuma a wunni oduruyɛfo afotu.

Sɛ menya Candida parapsilosis yareɛ a, dɛn na metumi ahwɛ kwan?

C. parapsilosis yare a atrɛw wɔ nipadua no mu nyɛ biribi a ɛsɛ sɛ wobu no adewa, ɛyɛ aniberesɛm koraa . Ɛho behia sɛ wotra ayaresabea hɔ na wonya ayaresa. Nnuruyɛfo ne ayarehwɛfo bɛhwɛ wo yiye na wɔasa wo yare. Ebia ebegye bere kakra ansa na ne ho atɔ no.

Asiane bɛn na ɛwɔ hɔ sɛ obi bewu wɔ ɔyare mmoawa yi mu?

Esiane sɛ nnipa pii a wonya C. parapsilosis yare no wɔ akwahosan ho haw afoforo a ɛhyɛ ase nti, ɛyɛ den sɛ yɛbɛka nnipa dodow pɔtee a ɔyare no ankasa wuwu. Nanso abenfo bu akontaa sɛ nnipa dodow a wowuwu wɔ candidiasis ahorow a ɛba nipadua mu nyinaa mu no bɛyɛ 25% . Ɛno kyerɛ sɛ nnipa baanan biara a wobenya ɔyare no mu bɛyɛ biako bewu. Nanso kae sɛ akwahosan tebea a ɛda adi no taa na ɛde owu ba.

So wobetumi asiw Candida parapsilosis yare mmoawa ano?

Yiw, nneɛma bi wɔ hɔ a wobetumi asiw ano. Akwahosan ho adwumayɛfo, kyerɛ sɛ, nnuruyɛfo ne ayarehwɛfo, yɛ nneɛma titiriw bi de siw nyarewa ahorow yi a ɛretrɛw wɔ ayaresabea ahorow no ano. Eyinom bi ne:

• Hohoro wo nsa mpɛn pii.
• Nneɛma a wɔde kum mmoawa wɔ mmeae a ɛwɔ soro.
• Hwɛ hu sɛ wode nnuru a ekum ɔyare mmoawa nkutoo bɛma ama ɔyare mmoawa (anyɛ saa a, ntontom no bɛdɔɔso!) .
• Nnuruyɛ nnwinnade a wɔde sterilization a ɛfata.

Yebetumi nso aboa ma wɔasiw nyarewa yi ano:

• Hohoro wo nsa mpɛn pii na hohoro wo ho yiye, titiriw sɛ worehwɛ obi a ne nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw a.
• Sɛ wowɔ aduruyɛ mfiri (e.g., catheter) a wɔde ahyɛ wo nipadua mu a, bisa wo duruyɛfo bere tenten a ɛsɛ sɛ wode sie ne sɛnea wobɛhwɛ so bere a ɛwɔ hɔ na amma ɔyare mmoawa no ankɔ so.
• Sɛ wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw a, bisa wo duruyɛfo nnuru a ekum fungal a wubetumi adi kan de adi dwuma de asiw nyarewa ano ho asɛm.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wɔde aduruyɛ mfiri bi ahyɛ wo nipadua mu, wo nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw, anaasɛ wɔayɛ wo oprehyɛn nnansa yi a, nyansa wom sɛ wubebisa wo duruyɛfo no sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woanya ɔyare mmoawa . Afei nso, sɛ wunya yare no ho sɛnkyerɛnne bi a ɛyɛ adwenem naayɛ a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Ɛtɔ da bi a, tebea no tumi yɛ den. Sɛ wowɔ sɛnkyerɛnne a edidi so yi mu biako anaa nea ɛboro saa a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara :

• Sɛ atiridiinini no boro 103 Fahrenheit (40 Celsius) a.
• Ɛyaw a emu yɛ den yiye.
• Akisikuru a ɛma obi ho kyere no.
• Nhumu a wɔhwere anaasɛ abasamtu.
• Mogya mmoroso a ɛkɔ fam mpofirim (nsɛnkyerɛnne: tiyɛ a ɛyɛ hare, adwenemhaw, ɔtopae).

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wuhu sɛ wowɔ C. parapsilosis yare mmoawa a, ebia ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo nsɛm yi:

• Ayaresa ahorow bɛn na mewɔ?
• Bere bɛn na me ho bɛtɔ me?
• Ɛyɛɛ dɛn na minyaa saa ɔyare mmoawa yi?
• Dɛn na metumi ayɛ na amma ɔyare mmoawa a ɛte sɛɛ ankɔ so daakye?

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Fungi te yɛn nipadua so na ɛnyɛ asiane biara. Nanso ɛtɔ da bi a, wotumi kɔ mmeae a ɛnsɛ sɛ wɔkɔ na wɔyare yɛn. Sɛ wowɔ fungal yare bi a ɛretrɛw wɔ wo nipadua mu ho sɛnkyerɛnne a, hwehwɛ aduruyɛfo afotu ntɛm ara . Ka nyarewa foforo biara a wowɔ, nnuruyɛ mfiri biara a wowɔ, anaa oprehyɛn biara a wɔayɛ nnansa yi ho asɛm kyerɛ wo duruyɛfo. Saa nsɛm yi bɛboa wɔn ma wɔahu nea ɛde wo sɛnkyerɛnne ahorow no ba na wɔafi ayaresa ase ntɛm ara sɛnea wobetumi. Enti, so ɛnyɛ nea ɛho hia sɛ yɛma yɛn ani da hɔ wɔ saa abɔde nketewa a wɔwɔ yɛn nipadua mu yi ne papa ne bɔne a wobetumi ayɛ no ho? Candida parapsilosis, fungal yareɛ, invasive candidiasis, asiane a ɛwɔ hɔ ma nnipa a wɔn nipadua mu ahoɔden a ɛko tia nyarewa no ayɛ mmerɛw, antifungals, ayaresabea yareɛ, ɔyare mmoawa a wɔsiw ano