Mina míasrɔ̃ nu tso fungi ƒe dɔléle si bɔ, si me afɔku le (Candida parapsilosis) le kɔdzi ƒe nɔnɔmewo me ŋu

Anɔ eme be ènya be nugbagbevi suesue siwo nɔa míaƒe ŋutilã, míaƒe ŋutigbalẽ, míaƒe nu, kple míaƒe dɔgbowo me nuveviwɔame manɔmee la le mí katã si. Candida nye lãvi (amɔwɔʋãnu) ƒomevi mawo dometɔ ɖeka. Togbɔ be zi geɖe la, meɖea fu na mí o hã la, ɣeaɖewoɣi la, lãvi sia dzea tsitsi gɔme le mɔ si dzi míate ŋu aɖu o nu. Ɣemaɣie wòdzea nɔnɔme sesẽ siwo ate ŋu atso dɔlékui suesuesuewo dzi va ɖo esiwo ate ŋu ade ame ƒe agbe afɔku me dzi la hehe vɛ gɔme.

Aleke Candida dɔlékui xɔxɔ va zua kuxi?

Togbɔ be Candida ƒomevi siwo wu 150 ye li hã la, ƒomevi ade koe gblẽa nu le amegbetɔwo ŋu wu. Wo dometɔ si bɔ wue nye Candida albicans. Ðewohĩ èse nu tso ʋuʋudedi le wò nu me alo nyɔnuwo ƒe vidzidɔ me yeast dɔlékuiwo ŋu. Esia le alea elabena Candida fungus la tsina le mɔ si dzi womate ŋu aɖu o nu. Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be candidiasis. Togbɔ be ate ŋu ana ame ƒe dzi nadze eme hã la, ƒã hafi wòade ame ƒe agbe afɔku me. Gake kuxia dzea egɔme ne Candida fungus la ge ɖe wò ʋukawo me alo wò ŋutinu aɖe si le ememe. Woyɔa dɔlékui sesẽ sia be invasive candidiasis. Ate ŋu akpɔ ŋusẽ ɖe teƒewo abe dzi, ahɔhɔ̃, kple ƒuwo ene dzi. Ne lãvi la ge ɖe wò ʋukawo me la, woyɔnɛ be candidemia. Esia ate ŋu anye nu sesẽ ŋutɔ, si ana woanɔ kɔdzi ɣeyiɣi didi aɖe eye ɣeaɖewoɣi la, woaku gɔ̃ hã.

Eyata nukae nye Candida parapsilosis?

Nyitsɔ laa la, wokpɔe be Candida parapsilosis ye nye evelia si hea fungi ƒe dɔléle vɛ wu le Candida albicans megbe. Le Asia, Europa, kple Anyiehe Amerika dukɔ aɖewo me la, C. parapsilosis ƒe dɔlékuiwo sɔ gbɔ wu Candida albicans tɔ le kɔdziwo. Esia he ɖɔktawo ƒe susu le afɔku ƒe nɔnɔme aɖewo siwo le lãvi sia ŋu ta.

Nukatae C. parapsilosis to vovo eye afɔku le eme wu fungi bubuwo?

To vovo na Candida ƒomevi bubuwo la, C. parapsilosis bɔ ɖe míaƒe nutoa me. Woate ŋu akpɔe le anyigba, tsi, kple nudzodzoewo kple aƒemelãwo dzi. Edzena le míaƒe ŋutigbalẽ hã dzi zi geɖe. Susu geɖewo tae lãvi sia nye kuxi gã aɖe ɖo, vevietɔ le kɔdzi ƒe nɔnɔmewo me. Na míalé ŋku ɖe nusiwo wonye ŋu.

Amekae le afɔku me wu be wòaxɔ dɔlékui sia?

Fungi ƒe dɔléle sia menye afɔku gã aɖeke na amesi le lãmesẽ me eye dɔlélenutsiŋutete megale dɔ wɔm nyuie o. Gake enye kuxi gã aɖe na dɔnɔ siwo le kɔdzi, vevietɔ amesiwo le dɔnɔdzikpɔƒe siwo wokpɔa dɔnɔwo gbɔ vevie (ICU). Ne dɔlékui sia dze amesiwo dze dɔ vevie xoxo dzi la, esesẽna be woagblɔe kple kakaɖedzi nenye be dɔlékuia ŋutɔe na wòku alo nɔnɔme bubu siwo gbɔ wòtso. Ke hã, numekukuwo ɖee fia be dɔnɔ siwo ŋu Candida dɔlékui le le ʋu me la dometɔ 19% va ɖo 24% kuna. Ƒuƒoƒo siwo le afɔku me wu be woaxɔ `Candida parapsilosis` lae nye:

• Vidzĩ Yeyewo : Afɔkua lolo ŋutɔ na vidzĩ siwo wodzi kaba alo esiwo ƒe kpekpeme mede o.
• Ame siwo wotsɔ atikewɔmɔ̃wo de ŋutilã me : Dɔnɔ siwo wotsɔ catheters, saline tubes, kple mɔ̃ bubuwo (implants) de ŋutilã me.
• Dɔnɔ siwo wotsɔa pɔmpi naa nuɖuɖu: Amesiwo mete ŋu ɖua nu to nu me o eye wotsɔa mɔ̃ naa nuɖuɖu wo.
• Dɔnɔ siwo ƒe dɔlélenutsiŋutete mede o: vevietɔ amesiwo ƒe HIV dɔlékuia va zu AIDS .
• Amesiwo wowɔ dɔ na: vevietɔ lãɖeɖe gãwo le ƒodo meDɔnɔ siwo wowɔ dɔ na .

Nukae nye biofilm? Nukatae afɔku le eme?

Susu vevi bubu si tae Candida nye afɔku alea gbegbe ɖoe nye ŋutete si le esi be wòawɔ `Biofilm`. Kpuie ko la, `Biofilm` nye nugbagbevi suesuesue siwo ƒoa ƒu ɖe anyigba aɖe dzi ƒe ƒuƒoƒo si kpɔa ame ta. Ele abe mɔ̃ sesẽ aɖe si wotu be woatsɔ akpɔ ame ta tso futɔwo si me ene. Ƒuƒoƒo sia dzɔna le afɔɖeɖe vovovowo me. Gbã la, fungi lãmenugbagbeviwo léna ɖe anyigba aɖe ŋu. Emegbe, wowɔa ʋuʋudedi si kpɔa wo ta ƒoa xlã wo ɖokui. Emegbe eva zua lãha si tsi nyuie. Le afɔɖeɖe mamlɛtɔ me la, lãmenugbagbevi sia ƒe akpa aɖewo ate ŋu atso eye wòakaka dɔlékuia ɖe ŋutilã ƒe akpa bubuwo.

Dzesiwo kple dɔlélea didi

C. parapsilosis dɔlékui ƒe dzesiwo sɔ kple Candida dɔlékui bubuwo tɔ. Dzesi vevitɔwoe nye dzoxɔxɔ kple vuvɔ si womenya o . Ne dɔlékuia kaka ɖe ŋutilã ƒe akpa bubuwo la, dzesi bubuwo hã ate ŋu adze. Azɔ hã, ne dɔlékui aɖe li si medzona o togbɔ be wozã dɔlékuiwutikewo hã la, ɖɔktawo susuna be fungi dɔlékui aɖe le eŋu. Be ɖɔktaa nanya dɔlélea la, axɔ ʋu alo lãkusi si me dɔlékuia le ƒe kpɔɖeŋu aɖe atsɔe ayi nudokpɔƒe. Woate ŋu ade agble ɖe kpɔɖeŋua ŋu be woatsɔ ade dzesi Candida ƒomevi si koŋ le dɔlélea hem vɛ.

Atikewɔwɔ kple mɔxexe ɖe enu

Wotsɔa atike siwo wua fungiwo daa dɔlékui siwo nye candidiasis. Zi geɖe la, wodoa atike aɖe si tso atikewo ƒe ƒuƒoƒo aɖe si woyɔna be echinocandins me to ʋuka me. Ne wonya de dzesi lãvi si ƒomevi wònye ko la, ate ŋu ahiã be woatrɔ atike la. Fluconazole kple amphotericin B nye atike bubu siwo wozãna zi geɖe. Gake Candida parapsilosis dada ate ŋu asesẽ ɣeaɖewoɣi elabena fungua ate ŋu anɔ te ɖe atike aɖewo nu. Esia fia be atikeawo mate ŋu awu lãvi la o. Esia ate ŋu aɖe atikewɔwɔa ƒe dɔwɔwɔ dzi akpɔtɔ eye wòana atikewɔwɔ ƒe gazazã nadzi ɖe edzi. Eyata ele vevie be woabu mɔxexe ɖe enu ŋu wu atikewɔwɔ.

Nukae woate ŋu awɔ atsɔ axe mɔ ɖe enu?

• Asikɔklɔ : Esiae nye nu vevitɔ kekeake. Ele vevie be kɔdzidɔwɔlawo naklɔ asi nyuie ne wole ʋuʋum tso dɔnɔ ɖeka gbɔ yi bubu gbɔ. Le numekuku aɖewo me la, kɔdzidɔwɔlawo ƒe 28% xɔ dɔlékui si nye `C. parapsilosis` le woƒe asiwo dzi. Eyata ne èyi kɔdzi la, ele be nàkpɔ nyuie hã be wò asiwo nanɔ dzadzɛ.
• Mɔxexeɖedɔléle nu ƒe atikewɔwɔ: Le dɔnɔ siwo le afɔku gã aɖe me gome la, ɖɔktawo ate ŋu aŋlɔ atike siwo wua fungi na wo abe afɔɖeɖe si woatsɔ axe mɔ ɖe dɔlékui aɖe nu hafi wòadzɔ ene.

Candida, Candida parapsilosis, fungi ƒe dɔlékuiwo, candidiasis, kɔdzi ƒe dɔlékuiwo, biofilm, antifungals, invasive candidiasis