Ua ʻike anei ʻoe i kēia maʻi fungal weliweli? (Candida Auris) E kamaʻilio kākou!

Ua lohe paha ʻoe e puka mai ana nā maʻi hou i loaʻa ʻole ma mua? ʻO ia ke ʻano o Candida auris. He maʻi fungal ia he mea weliweli iki a paʻakikī ke kāohi me ka lāʻau lapaʻau. Hoʻopilikia nui ia i ka poʻe ma nā haukapila a me ka poʻe me nā ʻōnaehana pale nāwaliwali. E kamaʻilio hou kākou e pili ana i kēia?

He aha ka Candida auris?

I ka ʻōlelo maʻalahi, he meaola liʻiliʻi ʻo Candida auris, he fungus e pololei. ʻOiai ʻo nā ʻano fungi Candida ʻē aʻe e noho maʻamau ana ma ko mākou kino, ʻaʻole kēia kanaka i kapa ʻia ʻo Candida auris. ʻAʻole ʻo ia he kanaka maʻamau ma ko mākou kino. Aia wale nō i kona komo ʻana i loko e kū mai ai nā pilikia. Eia kekahi mau mea e hiki ke hana:

• Nā maʻi pepeiao.
• Nā maʻi ʻeha.
• Nā maʻi ʻōpū mimi (UTI).
• Nā maʻi e komo i loko o ke koko a laha a puni ke kino.

No ke aha ʻoe e ʻōlelo ai he mea weliweli loa kēia?

ʻElua kumu nui no kēia. ʻO kekahi, he kūpaʻa kēia haʻiki i nā lāʻau antifungal he nui . ʻO ke ʻano kēia, ʻaʻole hiki ke kāohi ʻia e kekahi mau lāʻau lapaʻau a mākou e hāʻawi mau ai no nā maʻi fungal. Ua like ia me ke ʻano o ka lilo ʻana o kekahi mau bacteria i kūpaʻa i nā antibiotics a lilo i mea ʻole. ʻO kekahi , hoʻolaha pinepine ia ma nā wahi e like me nā haukapila a i ʻole nā ​​​​​​hale mālama lōʻihi . A laila, hiki ke hoʻolaha maʻalahi i ka poʻe e ʻeha nei i nā maʻi ʻē aʻe a he nāwaliwali ko lākou mau ʻōnaehana pale.

Pehea ka maʻamau o kēia?

ʻO kaʻoiaʻiʻo, ʻaʻole i maʻamau loa nā maʻi Candida auris. Eia nō naʻe, mai ka makahiki 2019, ua piʻi iki ka nui o nā hihia i hōʻike ʻia. ʻO ia ke kumu e manaʻo ai nā kauka he maʻi lele ia e kū mai ana . Ke hana nei nā haukapila a me nā keʻena mālama ola i nā hana kūikawā e pale aku ai i kona laha ʻana.

He aha nā hōʻailona o ka maʻi Candida auris (C. auris)?

ʻOkoʻa nā hōʻailona e ʻike ʻia ma kēia hihia ma muli o kahi i loaʻa ai ka maʻi . ʻO kekahi mau hōʻailona maʻamau e komo pū paha:

• Loaʻa i ke kuni
• Manaʻo e like me ʻoe e anu ana
• Manaʻo luhi loa
• Hoʻohaʻahaʻa i ke koko
• Hoʻonui ʻia ka helu o ka puʻuwai (tachycardia)
• Hypothermia (haʻahaʻa o ke kino)
• Hiki i ka maʻi pepeiao ke hoʻoulu i ka ʻeha o ka pepeiao, ke kaomi, a i ʻole ka manaʻo o ka piha i loko o ka pepeiao.

Akā, aia kekahi mea hou aku. ʻO ka hapa pinepine, loaʻa kēia maʻi Candida auris i nā poʻe i loaʻa mua i nā maʻi koʻikoʻi ʻē aʻe. No laila, hiki i nā hōʻailona o kēia ke hoʻopili me nā hōʻailona o kā lākou mau maʻi ʻē aʻe, a ʻaʻole paha e ʻike ʻia . Eia kekahi, loaʻa paha i kekahi poʻe kēia haʻihaʻi i loko o ko lākou kino akā ʻaʻole hōʻike i kekahi mau hōʻailona. Eia nō naʻe, he mea nui e hoʻomanaʻo e hiki nō iā lākou ke hoʻolaha iā ia i nā poʻe ʻē aʻe.

Pehea e laha ai ʻo Candida auris?

Loaʻa iā ʻoe kahi maʻi Candida auris (C. auris).Hiki ke laha ma ka launa pū ʻana me kekahi mea i loaʻa i ka haʻi (ʻoiai inā ʻaʻohe o lākou mau hōʻailona) a i ʻole ma ka hoʻopā ʻana i kahi ʻili i loaʻa ka haʻi ma luna. No ka laʻana, ma ka haukapila, hiki ke laha mai ke kanaka a i ke kanaka, a i ʻole ma o nā lako lapaʻau haumia. Hiki nō hoʻi ke laha ma o nā lako lapaʻau i kau ʻia i loko o kou kino, e like me ka laina venous waena, ka paipu hanu, ka paipu hānai, a i ʻole ka catheter bladder .

No laila, ua lawe ʻia kēia e ka makani?

ʻAʻole, e like me ka ʻōlelo a nā loea lapaʻau, ʻaʻole lele ka Candida auris i ka lewa . Lawe pinepine ʻia ia ma ko mākou ʻili. Mai laila mai, laha ia mai ke kanaka a i ke kanaka a i ʻole ma o nā mea i haumia.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā maʻi Candida auris (C. auris)?

Loaʻa pinepine nā maʻi Candida auris i nā poʻe i nāwaliwali ka ʻōnaehana pale ma muli o kekahi maʻi olakino ʻē aʻe. Hiki paha iā ʻoe ke kiʻekiʻe aʻe ka pilikia inā ʻoe:

• Inā ʻoe e hoʻohana i kahi mea hana kūloko e like me ka laina venous waena, ka paipu hanu, ka paipu hānai, a i ʻole ka catheter bladder, he mea maʻalahi i ka fungus ke komo i loko o ke kino mai waho ma o kēia mau mea.
• Inā loaʻa iā ʻoe kahi maʻi e like me ke kanesa koko a i ʻole ka maʻi diabetes mellitus .
• Inā ʻoe e noho ana ma ka haukapila a i ʻole kahi keʻena mālama ola kino ʻē aʻe no ka manawa lōʻihi .
• Inā ua hana ʻia ʻoe i kahi ʻoki kino i hala koke nei .
• Inā ua lōʻihi kou lawe ʻana i nā lāʻau antibiotic , a inā ʻoe e lawe pinepine i nā lāʻau antibiotic.

He aha nā pilikia e hiki mai ana o ka maʻi Candida auris (C. auris)?

Inā pālahalaha kēia haʻi Candida auris i loko o kou koko , hiki iā ia ke hana i nā pilikia koʻikoʻi. Eia kekahi laʻana:

• Sepsis : He kūlana hoʻoweliweli kēia i ke ola e kū mai ana ma muli o kahi maʻi.
• Pūʻiwa : ʻO ke ʻano kēia, ʻaʻole lawa ke koko a me ka oxygen i nā ʻōkana o ke kino.
• Ka hāʻule ʻana o ke kino : Ka nalowale ʻana o ka hana o nā kino koʻikoʻi e like me nā puʻupaʻa a me ke akepaʻa.

Pehea e ʻike ai nā kauka i kēia? (Diagnosis)

ʻO kaʻoiaʻiʻo, he mea paʻakikī iki ke ʻike i kahi maʻi Candida auris. Pono ia i nā hoʻokolohua kūikawā. I kekahi manawa ua huikau ʻia me nā maʻi ʻē aʻe. Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi bacteria i nalowale ʻole me nā antibiotics, manaʻo paha kāu kauka iā C. auris. A laila e lawe lākou i kahi laʻana o kou kino a hoʻāʻo iā ia no ka fungus. Hiki i nā laʻana ke komo pū me:

• Koko
• Mimi
• Noho
• ʻO ka wai a i ʻole ka ʻiʻo i lawe ʻia mai kahi ʻeha
• He ʻūpā i lawe ʻia mai ka ʻūhā, ka ʻāʻī, ka pepeiao, ka vagina, a i ʻole ka rectum.

Hiki ke ho'ōla ʻia ka maʻi Candida auris (C. auris)?

Hoʻomaʻamaʻa pinepine ʻia ka maʻi Candida auris me kahi papa o nā lāʻau i kapa ʻia ʻo echinocandins . Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, ua kūʻē kekahi mau ʻano o kēia fungus i kēia mau lāʻau , e paʻakikī ai ke mālama. I ia mau hihia, pono paha nā kauka e hoʻohui i kekahi mau lāʻau lapaʻau e hoʻopau i ka maʻi.

Pehea ka weliweli maoli o kēia? He aha ka nui o ka make?

ʻO ka pilikia ma ʻaneʻi, he nui ka poʻe i loaʻa iā C. auris i loaʻa nā maʻi koʻikoʻi ʻē aʻe a ua pilikia nui lākou i ka make. No laila, he paʻakikī ke ʻōlelo pololei i ka nui o ka make no C. auris . Eia nō naʻe, ua hōʻike kekahi mau haʻawina palena ʻia e hiki ke kiʻekiʻe kēia helu i 30% a 60% . ʻO ke ʻano kēia, ʻaʻole kēia he mea e lawe māmā ʻia.

Pehea mākou e pale aku ai i kēia? (Ka pale ʻana)

Hahai nā kauka a me nā limahana ma nā haukapila a me nā keʻena mālama ola i nā lula palekana a me ka disinfection like ʻole e pale aku i nā maʻi i loaʻa i ka haukapila e like me Candida auris. ʻO kekahi o kēia mau mea:

• E holoi pono i kou mau lima .
• Ke hoʻomaʻemaʻe nei i nā ʻili .
• E hōʻoia i ka hāʻawi wale ʻia ʻana o nā antibiotics i nā poʻe me nā maʻi bacteria .
• Ka hoʻomaʻemaʻe ʻana i nā lako lapaʻau .
• Inā he kānalua e pālahalaha ana kēia maʻi ma kahi ʻāina, pono e hoʻāʻo ʻia nā maʻi a me ka poʻe e hele mai ana i ka haukapila .
• Ka hoʻokaʻawale ʻana i nā poʻe me ka maʻi Candida auris e pale aku i ka laha ʻana i nā poʻe ʻē aʻe .

Hiki iā ʻoe ke kōkua i ka pale ʻana i kēia.

E holoi pinepine a holoi pono i kou mau lima . He mea nui loa kēia inā ʻoe e mālama ana i kahi mea me ka ʻōnaehana pale nāwaliwali a i ʻole inā ʻoe me kahi mea i noho hou nei i ka haukapila no ka manawa lōʻihi. Hiki iā ʻoe ke nīnau i kāu kauka i ka lōʻihi o kou mālama ʻana i nā mea lapaʻau, e like me nā catheters, i loko o kou kino.

Āhea wau e ʻike ai i kaʻu kauka?

ʻOiai ʻoe ma ka haukapila, he mea nui e mālama i ke kamaʻilio maikaʻi me kāu hui lapaʻau. E hoʻomaopopo iā lākou inā ʻike ʻoe i kekahi mau hōʻailona o ka maʻi, e like me ka ʻeha, ka piʻi ʻana o ka puʻuwai, ka nāwaliwali, a i ʻole ke kuni .

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Hiki paha iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me kēia:

• He aha nā koho lapaʻau e loaʻa iaʻu?
• Āhea wau e manaʻo ai e ola hou?
• Pehea i loaʻa ai iaʻu kēia maʻi?
• He aha kaʻu e hana ai e pale aku i kēia ʻano maʻi mai ka hiki ʻana mai i ka wā e hiki mai ana?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He mea kākaʻikahi nā maʻi Candida auris akā hiki ke koʻikoʻi.Ke hana nui nei kāu mau kauka a me nā limahana mālama ola e mālama i nā haukapila a me nā hale mālama lōʻihi i ka palekana. ʻO kaʻoiaʻiʻo, ʻaʻole pono ka hapa nui o ka poʻe e hopohopo e pili ana iā C. auris no ka mea, ʻaʻole ia e hoʻoulu maʻalahi i ka maʻi i ka poʻe me nā ʻōnaehana pale olakino.

Eia nō naʻe, inā he hopohopo kou a i ʻole kou mea aloha e pili ana i kēia, mai kānalua e kamaʻilio me ke kauka e pili ana i ia mea. Hiki iā lākou ke pane i nā nīnau āu e loaʻa ai a hāʻawi iā ʻoe i ka ʻike hou aku e pili ana i ke ʻano o ka pale ʻana i kēia.

ʻO ka mea nui ka makaʻala a me ka hahai ʻana i nā hana olakino kūpono!

ʻO Candida auris, Candida auris, maʻi fungal, nā maʻi haukapila, ke kūpaʻa lāʻau, sepsis, pale ʻana i ka maʻi