Hiki i kahi haʻiki liʻiliʻi ma kou kino ke hoʻoulu i kahi pilikia nui? E aʻo kākou e pili ana i (Candida parapsilosis)!

He nui nā mea ola liʻiliʻi i loko o ko kākou kino a ma luna o ko kākou ʻili, ʻeā? He maikaʻi kekahi a kōkua iā kākou. Akā i kekahi manawa, hiki i kekahi mau mea ola ke kolohe iki a hiki ke hoʻopilikia iā kākou. No laila, i kēia lā e kamaʻilio kākou e pili ana i kahi fungus i hoʻopilikia ʻole iā kākou, akā hiki ke lilo i pilikia nui i kekahi manawa. ʻO ia ka fungus i kapa ʻia ʻo `(Candida parapsilosis)`.

He aha kēia (Candida parapsilosis)?

I ka ʻōlelo maʻalahi, ʻo `(Candida parapsilosis)` he ʻano fungus . He lālā ia o ka ʻohana hū, e like me ka hū i hoʻohana ʻia i ka hoʻomoʻa ʻana i ka berena, a i kekahi manawa ka fungus e hana ʻia ma ko mākou ʻili. Noho pinepine lākou ma ka ʻili o ko mākou ʻili a ma ko mākou ʻōpū (gastrointestinal tract) . ʻAʻole wale ia, aia nō hoʻi lākou i ke kaiapuni a puni mākou, i ka lepo. ʻO ka hapa nui o ka manawa, ʻaʻole hōʻeha kēia fungus `(C. parapsilosis)` iā mākou. Hoʻomau wale lākou i kā lākou ʻoihana. Akā, e noʻonoʻo ua pono ʻoe e hana i kahi ʻoki kino nui, a i ʻole ua loaʻa iā ʻoe kahi ʻeha nui, a i ʻole ua loaʻa iā ʻoe kahi maʻi i hoʻemi i kāu ʻōnaehana pale. I kēlā mau manawa, hiki i kēia fungus ke hele i nā wahi i kūpono ʻole ai a ulu ma laila . ʻO ia ka manawa e hoʻomaka ai ka pilikia. Ke pālahalaha kahi fungus i loko o ke kino a hoʻoulu i kahi maʻi, kapa mākou iā ia ʻo `(Invasive Candidiasis)` . Hiki ke koʻikoʻi iki kēia.

He aha nā maʻi e hiki ke hoʻoulu ʻia e ka Candida parapsilosis?

Inā komo kēia haʻiki (C. parapsilosis) i kahi kūpono ʻole, hiki iā ia ke hana i nā ʻano maʻi like ʻole. E nānā kākou i nā mea nui:

• ʻO ka maʻi o ka uhi o loko o nā kiwikā a me nā keʻena o ka puʻuwai ( endocarditis ): E noʻonoʻo, he mau keʻena ko ko kākou puʻuwai e pamu i ke koko, nā kiwikā e ʻae i ke koko e kahe wale i hoʻokahi ʻaoʻao ... a hiki i ka uhi o loko ke loaʻa i kēia maʻi fungus. He mea koʻikoʻi loa kēia.
• Peritonitis: I loko o ko kākou ʻōpū, aia kahi membrane lahilahi e hoʻopuni ana i nā ʻōpū . ʻO kēia ka mea i kapa ʻia ke loaʻa ka maʻi i kēlā membrane.
• Nā maʻi ʻeha : Inā ua hana ʻia ʻoe i ke ʻoki kino a i ʻole he ʻeha nui kou, hiki i kēia haʻiki ke komo ma o ia mea a hoʻoulu i kahi maʻi.
• Nā Maʻi Kui (Onychomycosis): Lilo nā kui o kekahi poʻe i melemele, mānoanoa, a palupalu, ʻeā? Hiki ke hana ʻia nā maʻi fungal kui e like me kēia (C. parapsilosis) e kēia.
• Nā maʻi e komo i ke kahe koko a laha ma ke kino holoʻokoʻa: He mea weliweli loa kēia. Inā komo ka fungus i loko o ke kahe koko, hiki iā ia ke hele i nā wahi āpau o ke kino.

Ma waho aʻe o kēia mau mea, ʻoiai he mea kakaikahi , hiki i kēia fungus ke hana i nā maʻi ʻē aʻe:

• ʻO ka meningitis (ka maʻi o nā membrane e uhi ana i ka lolo a me ke kaula spinal )
• ʻO ka ʻāʻī o ke kino
• Nā maʻi pepeiao
• ʻO ka maʻi ʻōpū ( Vaginitis )
• Nā Maʻi ʻAla Mimi (UTI)

Pehea ka maʻamau o kēia mau maʻi (Candida parapsilosis)?

ʻO ka ʻoiaʻiʻo, ʻo `(C. parapsilosis)` kahi ʻano fungus maʻamau e hoʻoulu ai i nā maʻi koʻikoʻi (ʻo ka mea maʻamau ka ʻano i kapa ʻia ʻo `(Candida albicans)`). Akā, ʻaʻole ia manaʻo e loaʻa maʻalahi iā ʻoe. Wahi a nā helu helu, ma kahi o ʻeiwa o kēlā me kēia haneli tausani (9/100,000) mau kānaka e loaʻa i kēia ʻano koʻikoʻi `(Invasive Candidiasis)` i kēlā me kēia makahiki. ʻO ia ka emi ma mua o 0.01%. No laila, mai makaʻu he maʻi ia e loaʻa i nā mea āpau.

He aha nā hōʻailona o ka maʻi Candida parapsilosis?

ʻOkoʻa nā hōʻailona o kēia maʻi ma muli o kahi o ke kino e hoʻopilikia ai ka fungus . Eia nō naʻe, aia kekahi mau hōʻailona maʻamau:

• kuni
• Anuanu
• Paʻakikī ka hanu ʻana
• Kuke
• ʻeha ka ʻōpū
• ʻUlaʻula, pehu, a ʻānai paha ma kahi o ke ʻoki ʻana a i ʻole kahi ʻeha

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoiai inā he maʻi ʻē aʻe kou a i ʻole manaʻo ʻoe ua haʻahaʻa kou ʻōnaehana pale, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.

Pehea e komo ai ʻo Candida parapsilosis i loko o ko mākou kino?

ʻO ka hapa nui o ka manawa, ola ka fungus (C. parapsilosis) me ka ʻino ʻole ma ko mākou ʻili a i loko o ko mākou ʻōpū. E like me nā ʻumi fungi ʻē aʻe, he ʻāpana ia o ko mākou kino. Akā inā komo ia i kahi wahi i pono ʻole ai (e like me ke kahe koko a i ʻole kahi ʻōpū o loko), hiki iā ia ke hoʻonui koke a hoʻoulu i kahi maʻi. ʻElua mau ala nui e hiki ai kēia: 1. Inā he ʻeha hohonu kou a i ʻole he ʻeha i waiho ʻia ma hope o ke ʻoki ʻana , hiki i ka fungus ke komo i kou kino. 2. Inā he mea lapaʻau kāu (e like me ka laina venous waena e hāʻawi iā ʻoe i ka saline, kahi ʻōmole hanu e kōkua iā ʻoe e hanu), hiki i ka mea hana ke komo i kou kino inā ua haumia ia me kēia fungus.

E noʻonoʻo, ʻoiai ʻoe ma ka haukapila, ua hoʻokomo ʻia kahi paipu saline i loko o kahi aa koko ma kou lima. Inā ʻaʻole i hoʻomaʻemaʻe pono ʻia kēlā paipu, he manawa liʻiliʻi kēia fungus ma ka ʻili e hele i lalo i kēlā paipu i loko o kou kino.

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

Ua ʻōlelo mākou ʻaʻole loaʻa i nā kānaka a pau kēia maʻi. Akā, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o ia maʻi. E nānā kākou iā lākou:

• Nā pēpē hānau hou:No ka mea, ʻaʻole i hoʻomohala piha ʻia ko lākou ʻōnaehana pale maʻi.
• Nā kānaka me nā ʻōnaehana pale maʻi nāwaliwali:
• Ma muli o kahi maʻi kumu (e like me ka maʻi HIV, leukemia, a i ʻole ka maʻi diabetes mellitus).
• ʻO ka poʻe i loaʻa i kahi hoʻoili kino a i ʻole kahi hoʻoili cell kumu. "ʻAʻole i lawa ka hiki o kēia poʻe ke hakakā i nā maʻi, no laila hiki iā lākou ke loaʻa maʻalahi i nā maʻi."
• ʻO ka poʻe me nā mea lapaʻau i hoʻokomo ʻia i loko o ko lākou kino: No ka laʻana, he "Central Venous Line" (kahi paipu i hoʻokomo ʻia i loko o kahi aʻa nui), "Breathing Tube" (kahi paipu e hāʻawi ana i ka hanu), "Feeding Tube" (kahi paipu e hāʻawi ana i ka meaʻai). Hāʻawi kēia i kahi ala no ka fungus e komo ai i loko o ke kino.
• ʻO ka poʻe i hana hou ʻia i ke ʻoki ʻōpū: No ka mea aia kēia fungus i loko o nā ʻōpū, hiki iā ia ke hele i nā wahi ʻē aʻe i ka wā o ke ʻoki ʻana.
• ʻO ka poʻe i lawe i nā lāʻau antibiotic no ka manawa lōʻihi, a i ʻole ka poʻe e lawe pinepine ana i nā lāʻau antibiotic: "Maopopo iā ʻoe ke kumu? ʻAʻole pepehi wale nā ​​​​lāʻau antibiotic i nā bacteria maikaʻi ʻole i loko o ko mākou kino, akā, i nā bacteria maikaʻi hoʻi e kōkua iā mākou. Ke pale nei kēia mau bacteria maikaʻi i nā fungi e like me C. parapsilosis mai ka ulu ʻana ma waho o ke kaohi. No laila, i ka pau ʻana o nā bacteria maikaʻi, ua pau nā fungi!"
• ʻO ka poʻe e hoʻokomo i nā lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka: Hiki i kēia fungus ke komo i ke kahe koko ma o nā nila lepo.

Pehea e ʻike ai nā kauka i kahi maʻi Candida parapsilosis? (Diagnosis)

E hoʻāʻo ke kauka iā ʻoe no kēia ʻano maʻi ma ka lawe ʻana i kahi hāpana o kou koko a i ʻole kahi hāpana liʻiliʻi o nā ʻiʻo āu e manaʻo ai ua maʻi ʻia . He mea nui hoʻi e haʻi i kāu kauka e pili ana i nā mea lapaʻau āu i hoʻokomo ai i loko o kou kino a inā paha ua hana ʻia kekahi ʻoki kino hou.

He aha nā lāʻau lapaʻau no kēia?

Hoʻōla ʻia nā maʻi C. parapsilosis me nā lāʻau antifungal . ʻO kekahi o nā lāʻau lapaʻau nui a nā kauka e hoʻohana ai:

• Nā lāʻau lapaʻau i loko o ka hui o nā lāʻau i kapa ʻia ʻo `(Echinocandins)` , no ka laʻana `(Caspofungin)`.
• ʻO Fluconazole a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe o ka hui Azoles.
• `(Amphotericin B)` (Amphotericin B).

Hoʻoholo ʻia kēia mau lāʻau lapaʻau ma muli o nā kumu he nui, e like me kou kūlana a me ke ʻano o ka maʻi. No laila, mai hoʻohana i kēia mau mea me ka ʻole o ka ʻōlelo aʻoaʻo a ke kauka.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi maʻi Candida parapsilosis?

ʻO ka maʻi C. parapsilosis i pālahalaha i loko o ke kino , ʻaʻole ia he mea e pāʻani wale ʻia, he mea koʻikoʻi loa ia . Pono ʻoe e noho i ka haukapila a loaʻa ka lāʻau lapaʻau. E nānā pono nā kauka a me nā kahu maʻi iā ʻoe a mālama iā ʻoe. He lōʻihi paha ka manawa e hoʻōla ai.

He aha ka pilikia o ka make mai kēia maʻi?

No ka mea, he nui ka poʻe i loaʻa i ka maʻi C. parapsilosis he mau pilikia olakino ko lākou, he mea paʻakikī ke ʻōlelo pololei i ka nui o ka poʻe e make ana mai ka maʻi ponoʻī. Eia nō naʻe, ua manaʻo nā loea he 25% ka nui o ka make no nā ʻano maʻi Candida āpau (Invasive Candidiasis) . ʻO ia hoʻi, e make ana ma kahi o hoʻokahi o ka ʻehā o ka poʻe i loaʻa i ka maʻi. Akā e hoʻomanaʻo, ʻo ke kūlana olakino ko lākou ke kumu o ka make.

Hiki ke pale ʻia nā maʻi Candida parapsilosis?

ʻAe, aia nā mea hiki ke pale ʻia. Hana nā mea lawelawe olakino, ʻo ia hoʻi nā kauka a me nā kahu maʻi, i nā hana kūikawā e pale aku i ka laha ʻana o kēia mau ʻano maʻi ma nā haukapila. ʻO kekahi o kēia mau mea:

• E holoi pinepine i kou mau lima.
• Ke hoʻomaʻemaʻe nei i nā ʻili.
• E hōʻoia e hāʻawi wale i nā antibiotics no nā maʻi bacteria (i ʻole e hoʻonui ka fungus!)
• Ka sterilization kūpono o nā lako lapaʻau.

Hiki iā mākou ke kōkua i ka pale ʻana i kēia mau maʻi:

• E holoi pinepine a holoi pono i kou mau lima, ʻoiai inā ʻoe e mālama ana i kahi kanaka me ka ʻōnaehana pale kino nāwaliwali.
• Inā he mea lapaʻau kāu (e laʻa, he catheter) i hoʻokomo ʻia i loko o kou kino, e nīnau i kāu kauka i ka lōʻihi o ka mālama ʻia ʻana a pehea e mālama ai iā ia i kona wā e waiho ana e pale aku i ka maʻi.
• Inā nāwaliwali kou ʻōnaehana pale, e nīnau i kāu kauka e pili ana i nā antifungals hiki iā ʻoe ke hoʻohana ma mua e pale aku i nā maʻi.

Āhea wau e ʻike ai i ke kauka?

Inā he mea lapaʻau kāu i hoʻokomo ʻia i loko o kou kino, he nāwaliwali kou ʻōnaehana pale maʻi, a i ʻole ua hana ʻia ke ʻoki kino i hala koke nei, he mea naʻauao ke nīnau i kāu kauka e pili ana i nā hōʻailona o kahi maʻi . Eia kekahi, inā loaʻa iā ʻoe kekahi mau hōʻailona kānalua, e ʻike koke i ke kauka.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?

I kekahi manawa hiki ke koʻikoʻi ke kūlana. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e hele koke i ka lumi pilikia :

• Inā ʻoi aku ke kuni ma mua o 103 Fahrenheit (40 Celsius).
• ʻEha nui loa.
• Nā ʻōʻili.
• Ka nalowale ʻana o ka ʻike a i ʻole ka manaʻolana ʻole.
• Ka hāʻule koke ʻana o ke koko (nā hōʻailona: ka māmā o ke poʻo, ka dizziness, ka maule).

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Inā ʻike ʻoe he maʻi C. parapsilosis kou, he mea kōkua paha ke nīnau i kāu kauka i kēia mau nīnau:

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

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Noho nā fungi ma ko mākou kino a ʻaʻohe mea ʻino. Akā i kekahi manawa, hiki iā lākou ke komo i nā wahi i pono ʻole ai lākou a hoʻomaʻi iā mākou. Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi fungal e pālahalaha ana i loko o kou kino, e ʻimi koke i ke kōkua lapaʻau . E haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu i loaʻa ai, nā mea lapaʻau āu i loaʻa ai, a i ʻole nā ​​​​ʻoki kino āu i loaʻa ai. E kōkua kēia ʻike iā lākou e ʻike i ke kumu o kāu mau hōʻailona a hoʻomaka i ka mālama ʻana i ka wā hikiwawe. No laila, ʻaʻole anei he mea nui iā mākou ke makaʻala i kēia mau mea liʻiliʻi i loko o ko mākou kino a me nā mea maikaʻi a maikaʻi ʻole hiki iā lākou ke hana iā mākou? Candida parapsilosis, nā maʻi fungal, invasive candidiasis, ka pilikia i ka poʻe me nā ʻōnaehana pale nāwaliwali, antifungals, nā maʻi haukapila, ka pale ʻana i ka maʻi