E aʻo kākou e pili ana i kahi maʻi fungal maʻamau a weliweli hoʻi (Candida parapsilosis) ma nā wahi haukapila.

Ua ʻike paha ʻoe he mau microorganism ko kākou a pau e noho ola ana ma ko kākou kino, ma ko kākou ʻili, ma ko kākou waha, a ma ko kākou ʻōpū. ʻO Candida kekahi ʻano fungus (yeast). ʻOiai ʻaʻole ia e hoʻopilikia pinepine iā kākou, i kekahi manawa hoʻomaka kēia fungus e ulu ma waho o ke kaohi. ʻO ia ka manawa e hoʻomaka ai e hoʻoulu i nā kūlana koʻikoʻi e hiki ke piʻi mai nā maʻi liʻiliʻi a hiki i nā mea e hoʻoweliweli ai i ke ola.

Pehea e lilo ai ka maʻi Candida i pilikia?

ʻOiai aia ma mua o 150 mau ʻano o Candida, ʻeono wale nō ʻano e hoʻopilikia pinepine i nā kānaka. ʻO ke ʻano maʻamau ʻo Candida albicans. Ua lohe paha ʻoe i ka thrush i loko o kou waha a i ʻole nā ​​​​maʻi hū vaginal i nā wahine. ʻO kēia no ka mea ulu ka fungus Candida ma waho o ke kaohi. Ma ke ʻano lapaʻau, kapa mākou i kēia ʻano candidiasis. ʻOiai hiki ke hōʻoluʻolu ʻole, ʻaʻole ia he mea hoʻoweliweli i ke ola. Eia naʻe, hoʻomaka ka pilikia ke komo ka fungus Candida i loko o kou koko a i ʻole kahi ʻōpū o loko. Ua kapa ʻia kēia maʻi koʻikoʻi ʻo invasive candidiasis. Hiki iā ia ke hoʻopilikia i nā wahi e like me ka puʻuwai, ka lolo, a me nā iwi. Inā komo ka fungus i loko o kou koko, ua kapa ʻia ʻo candidemia. Hiki ke koʻikoʻi loa kēia, e alakaʻi ana i ka hoʻokipa lōʻihi a i kekahi manawa make.

No laila, he aha ka Candida parapsilosis?

I kēia mau lā iho nei, ua ʻike ʻia ʻo Candida parapsilosis ʻo ia ke kumu maʻamau ʻelua o nā maʻi fungal ma hope o Candida albicans. Ma kekahi mau ʻāina ʻAsia, ʻEulopa, a me ʻAmelika Hema, ua ʻoi aku ka maʻi me C. parapsilosis ma mua o nā maʻi o Candida albicans ma nā haukapila. Ua huki kēia i ka manaʻo o nā kauka ma muli o kekahi o nā ʻano weliweli o kēia fungus.

No ke aha i ʻokoʻa ai ʻo C. parapsilosis a ʻoi aku ka weliweli ma mua o nā fungi ʻē aʻe?

ʻAʻole e like me nā ʻano Candida ʻē aʻe, he mea maʻamau ka C. parapsilosis i ko kākou wahi noho. Hiki ke loaʻa i ka lepo, ka wai, a ma luna o nā pepeke a me nā holoholona home. Loaʻa pinepine ʻia hoʻi ma ko kākou ʻili. Aia kekahi mau kumu he pilikia nui kēia fungus, ʻoiai hoʻi i nā wahi haukapila. E nānā kākou i ko lākou ʻano.

ʻO wai ka mea i pilikia nui i kēia maʻi?

ʻAʻole kēia maʻi fungal he mea hoʻoweliweli nui i kahi kanaka olakino a palupalu hoʻi i ka pale ʻana o ka maʻi. Eia nō naʻe, he pilikia nui ia no nā maʻi ma nā haukapila, ʻoiai ka poʻe ma nā keʻena mālama koʻikoʻi (ICU). Ke loaʻa kēia maʻi i ka poʻe i maʻi nui, he mea paʻakikī ke ʻōlelo maopopo inā ʻo ke kumu o ka make ʻo ia ka maʻi ponoʻī a i ʻole nā ​​​​​​kūlana ʻē aʻe. Eia nō naʻe, hōʻike nā haʻawina ma waena o 19% a me 24% o nā maʻi me ka maʻi Candida i loko o ke koko e make. ʻO nā hui i pilikia nui i ka maʻi me ka `Candida parapsilosis`:

• Nā pēpē hānau hou : He kiʻekiʻe loa ka pilikia no nā pēpē i hānau mua ʻole ʻia a i ʻole me ke kaumaha hānau haʻahaʻa.
• Nā kānaka me nā mea lapaʻau i hoʻokomo ʻia: Nā maʻi me nā catheters, nā paipu saline , a me nā mea hana ʻē aʻe (implants) i hoʻokomo ʻia i loko o ke kino.
• Nā maʻi i hānai ʻia me ka paipu: ʻO ka poʻe hiki ʻole ke ʻai ma ka waha a hānai ʻia ma o kahi paipu.
• Nā poʻe maʻi i hoʻopilikia ʻia ka pale ʻana o ka maʻi: ʻoi aku ka poʻe i hele a lilo i AIDS i ka maʻi HIV .
• ʻO ka poʻe i hana ʻia i ke ʻoki kino: ʻoi aku ka nui o nā ʻokiʻoki ma ka ʻōpūNā maʻi i hana ʻia i ke ʻoki kino .

He aha ka biofilm? No ke aha he mea weliweli?

ʻO kekahi kumu nui e weliweli ai ʻo Candida ʻo ia kona hiki ke hana i kahi 'Biofilm'. I ka ʻōlelo maʻalahi, ʻo ka 'Biofilm' he kolone pale o nā microorganism e hōʻiliʻili ana ma luna o kahi ʻili. Ua like ia me kahi pā kaua i kūkulu ʻia e pale aku i nā ʻenemi. Hoʻokumu ʻia kēia kolone i kekahi mau ʻanuʻu. ʻO ka mua, hoʻopili nā pūnaewele fungal i kahi ʻili. A laila, hana lākou i kahi papa pale o ka slime a puni lākou iho. A laila lilo ia i kolone ulu maikaʻi. I ka hana hope loa, hiki i nā ʻāpana o kēia kolone ke haki a hoʻolaha i ka maʻi i nā ʻāpana ʻē aʻe o ke kino.

Nā hōʻailona a me ka hōʻoia ʻana

Ua like nā hōʻailona o ka maʻi C. parapsilosis me nā maʻi Candida ʻē aʻe. ʻO nā hōʻailona nui he kuni a me ke anu i wehewehe ʻole ʻia . Inā pālahalaha ka maʻi i nā ʻāpana ʻē aʻe o ke kino, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe. Eia kekahi, inā he maʻi i nalowale ʻole me ka hoʻohana ʻana i nā lāʻau antibiotic, manaʻo nā kauka he maʻi fungal. No ka ʻike ʻana i ka maʻi, e lawe ke kauka i kahi hāpana koko a i ʻole kahi hāpana o nā ʻiʻo i loaʻa i ka maʻi a hoʻouna aku i kahi keʻena hoʻokolohua. Hiki ke hoʻoulu ʻia ka hāpana e ʻike i ke ʻano kikoʻī o Candida e hoʻoulu ai i ka maʻi.

Ka mālama ʻana a me ka pale ʻana

Hoʻōla ʻia nā maʻi Candidiasis me nā lāʻau antifungal. ʻO ka maʻamau, hāʻawi ʻia kahi lāʻau mai kahi hui o nā lāʻau i kapa ʻia ʻo echinocandins ma ke kino. Ke ʻike ʻia ke ʻano o ka fungus, pono paha e hoʻololi i ka lāʻau. ʻO Fluconazole lāua ʻo amphotericin B nā lāʻau ʻē aʻe i hoʻohana pinepine ʻia. Eia nō naʻe, hiki i ka Candida parapsilosis ke paʻakikī ke mālama ʻia i kekahi manawa no ka mea hiki i ka fungus ke kūʻē i kekahi mau lāʻau. ʻO ia hoʻi, ʻaʻole hiki i nā lāʻau ke pepehi i ka fungus. Hiki i kēia ke hōʻemi i ka pono o ka lāʻau a hoʻonui i ke kumukūʻai o ka lāʻau. No laila, ʻoi aku ka nui o ka noʻonoʻo ʻana i ka pale ʻana ma mua o ka mālama ʻana.

He aha ka mea hiki ke hana ʻia e pale aku ai?

• Ka holoi lima : ʻO kēia ka mea nui loa. He mea nui i nā limahana o ka haukapila ke holoi pono i ko lākou mau lima i ka neʻe ʻana mai kekahi mea maʻi a i kekahi. Ma kekahi mau noiʻi, he 28% o nā limahana o ka haukapila i loaʻa ka maʻi fungus `C. parapsilosis` ma ko lākou mau lima. No laila, ke kipa aku ʻoe i kahi haukapila, pono ʻoe e mālama pono i kou mau lima.
• Lāʻau pale: No nā poʻe maʻi i ka pilikia nui loa, hiki i nā kauka ke kuhikuhi i nā lāʻau antifungal ma ke ʻano he ana e pale ai i kahi maʻi ma mua o ka hiki ʻana mai.

Candida, Candida parapsilosis, nā maʻi fungal, candidiasis, nā maʻi haukapila, biofilm, antifungals, invasive candidiasis