Kodi bowa kakang'ono m'thupi lanu kangayambitse vuto lalikulu? Tiyeni tiphunzire za (Candida parapsilosis)!

Pali tizilombo tating'onoting'ono tochuluka mkati mwa matupi athu ndi pakhungu lathu, sichoncho? Zina ndi zabwino ndipo zimatithandiza. Koma nthawi zina, zolengedwa zina zimakhala zonyansa pang'ono ndipo zimatha kutibweretsera mavuto. Chifukwa chake, lero tikambirana za bowa lomwe nthawi zambiri silimativutitsa konse, koma nthawi zina lingakhale vuto lalikulu. Umenewo ndi bowa wotchedwa `(Candida parapsilosis)`.

Kodi ichi ndi chiyani (Candida parapsilosis)?

Mwachidule, `(Candida parapsilosis)` ndi mtundu wa bowa . Ndi wa m'banja la yisiti, lomwe limafanana ndi yisiti yomwe imagwiritsidwa ntchito pophika buledi, kapena nthawi zina bowa lomwe limapangika pakhungu lathu. Nthawi zambiri amakhala pamwamba pa khungu lathu komanso m'matumbo athu (m'mimba) . Sikuti amangopezekanso m'malo otizungulira, m'nthaka. Nthawi zambiri, bowa wa `(C. parapsilosis)` sutivulaza. Amangochita zinthu zawo. Koma, tangoganizani kuti munayenera kuchitidwa opaleshoni yayikulu, kapena munavulala kwambiri, kapena munali ndi matenda omwe adachepetsa chitetezo chanu cha mthupi. Nthawi ngati zimenezi, bowa uwu ukhoza kupita kumalo komwe suli woyenera ndikumera kumeneko . Pamenepo ndiye vuto limayamba. Bowa likafalikira m'thupi ndikuyambitsa matenda, timatcha `(Invasive Candidiasis)` . Izi zitha kukhala zovuta pang'ono.

Ndi matenda ati omwe angayambitsidwe ndi Candida parapsilosis?

Ngati bowa uwu (C. parapsilosis) ulowa m'malo olakwika, ukhoza kuyambitsa matenda osiyanasiyana. Tiyeni tiwone zomwe zikuluzikulu ndi izi:

• Matenda a mkati mwa valavu ndi zipinda za mtima ( endocarditis ): Tangoganizirani, mtima wathu uli ndi zipinda zomwe zimapopa magazi, mavalavu omwe amalola magazi kuyenda mbali imodzi yokha ... ndipo mkati mwake mungatenge kachilomboka. Izi ndi zoopsa kwambiri.
• Peritonitis: M'mimba mwathu, muli nembanemba yopyapyala yomwe imazungulira matumbo . Izi ndi zomwe zimatchedwa nembanembayo ikadwala.
• Matenda a mabala : Ngati mwachitidwa opaleshoni kapena muli ndi bala lalikulu, bowa uyu amatha kulowa mkati mwake ndikuyambitsa matenda.
• Matenda a Misomali (Onychomycosis): Misomali ya anthu ena imakhala yachikasu, yokhuthala, komanso yofooka, sichoncho? Matenda a bowa a misomali monga awa (C. parapsilosis) amathanso kuchitika chifukwa cha izi.
• Matenda omwe amalowa m'magazi ndikufalikira m'thupi lonse: Izi ndizoopsa kwambiri. Ngati bowa walowa m'magazi, ukhoza kuyenda kulikonse m'thupi.

Kuwonjezera pa izi, ngakhale kuti sizofala , bowa uwu ukhoza kuyambitsa matenda ena:

• Matenda a meningitis (matenda a nembanemba zomwe zimaphimba ubongo ndi msana )
• Matenda a nyamakazi
• Matenda a m'khutu
• Matenda a kumaliseche `( Vaginitis )`
• Matenda a mkodzo (UTI)

Kodi matenda amenewa (Candida parapsilosis) ndi ofala bwanji?

Ndipotu, `(C. parapsilosis)` ndi mtundu wofala kwambiri wa bowa womwe umayambitsa matenda oopsa (omwe ambiri mwa iwo ndi mtundu wotchedwa `(Candida albicans)`). Koma sizikutanthauza kuti mudzapeza matendawa mosavuta. Malinga ndi ziwerengero, anthu pafupifupi asanu ndi anayi mwa anthu zana limodzi (9/100,000) amakhala ndi vuto lalikulu la `(Invasive Candidiasis)` chaka chilichonse . Izi ndi zosakwana 0.01%. Chifukwa chake, musaope kuti ndi matenda omwe aliyense amadwala.

Kodi zizindikiro za matenda a Candida parapsilosis ndi ziti?

Zizindikiro za matendawa zimasiyana malinga ndi komwe bowa limakhudza m'thupi . Komabe, zizindikiro zina zodziwika bwino ndi izi:

• Malungo
• Kuzizira
• Kuvuta kupuma
• Chifuwa
• Kuwawa kwam'mimba
• Kufiira, kutupa, kapena kuyabwa pamalo ochitira opaleshoni kapena bala

Ngati muli ndi zizindikiro ngati izi, makamaka ngati muli ndi matenda ena kapena mukumva kuti chitetezo cha mthupi lanu chachepa, ndi bwino kupita kwa dokotala.

Kodi Candida parapsilosis imalowa bwanji m'thupi mwathu?

Nthawi zambiri, bowa (C. parapsilosis) umakhala pakhungu lathu kapena m'matumbo mwathu mosavulaza. Monga bowa wina wambiri, ndi gawo la matupi athu. Koma ngati ufika pamalo omwe suyenera kutero (monga m'magazi kapena m'chiwalo chamkati), ukhoza kufalikira mofulumira ndikuyambitsa matenda. Pali njira ziwiri zazikulu zomwe izi zingachitikire: 1. Ngati muli ndi bala lakuya kapena bala lomwe latsala mutachita opaleshoni , bowayo ukhoza kulowa m'thupi lanu. 2. Ngati muli ndi chipangizo chachipatala (monga mzere wapakati wa mitsempha womwe umakupatsirani saline, chubu chopumira chomwe chimakuthandizani kupuma), chipangizocho chingalowenso m'thupi mwanu ngati chaipitsidwa ndi bowa uyu.

Tangoganizirani, pamene muli kuchipatala, muli ndi chubu cha saline chomwe chaikidwa mumtsempha m'dzanja lanu. Ngati chubucho sichinayeretsedwe bwino, bowa uyu pakhungu ali ndi mwayi wochepa woyenda pansi pa chubucho kulowa m'thupi lanu.

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Tinanena kuti si aliyense amene amatenga matendawa. Koma anthu ena ali pachiwopsezo chachikulu chotenga matendawa. Tiyeni tiwone omwe ali:

• Makanda obadwa kumene:Chifukwa chitetezo chawo cha mthupi sichinakule mokwanira.
• Anthu omwe ali ndi chitetezo chamthupi chofooka:
• Chifukwa cha matenda ena (monga matenda a HIV, khansa ya m'magazi, kapena matenda a shuga).
• Anthu omwe adaikidwapo ziwalo kapena kuikidwapo maselo oyambira. "Anthu awa ali ndi mphamvu zochepa zolimbana ndi matenda, kotero amatha kutenga matenda mosavuta."
• Anthu omwe ali ndi zipangizo zachipatala zomwe zaikidwa m'thupi lawo: Mwachitsanzo, "Mzere Wapakati wa Venous" (chubu cholowetsedwa mumtsempha waukulu), "Chubu Chopumira" (chubu chopatsa mpweya), "Chubu Chodyetsa" (chubu chopatsa chakudya). Izi zimapereka njira yoti bowa lilowe m'thupi.
• Anthu omwe angochitidwa opaleshoni ya m'mimba posachedwapa: Chifukwa bowa uwu umapezeka m'matumbo, ukhoza kupita kumadera ena panthawi ya opaleshoni.
• Anthu omwe akhala akumwa maantibayotiki kwa nthawi yayitali, kapena omwe amamwa maantibayotiki pafupipafupi: "Kodi mukudziwa chifukwa chake? Maantibayotiki amapha osati mabakiteriya oipa okha m'thupi lathu, komanso mabakiteriya abwino omwe amatithandiza. Mabakiteriya abwinowa amaletsa bowa monga C. parapsilosis kukula mopitirira muyeso. Choncho mabakiteriya abwino akatha, bowawo amatha!"
• Anthu omwe amabaya mankhwala popanda upangiri wa dokotala: Bowa uwu ukhoza kulowa m'magazi kudzera mu singano zodetsedwa.

Kodi madokotala amazindikira bwanji matenda a Candida parapsilosis? (Kuzindikira)

Dokotala adzakuyezani ngati muli ndi matenda amtunduwu potenga chitsanzo cha magazi anu kapena chitsanzo cha minofu yomwe mukuganiza kuti ili ndi kachilomboka . Ndikofunikiranso kuuza dokotala wanu za zipangizo zilizonse zachipatala zomwe mwayika m'thupi lanu komanso ngati mwachitidwa opaleshoni yaposachedwa.

Kodi mankhwala ochizira izi ndi otani?

Matenda a C. parapsilosis amachiritsidwa ndi mankhwala opha mabakiteriya . Ena mwa mankhwala akuluakulu omwe madokotala amagwiritsa ntchito ndi awa:

• Mankhwala omwe ali m'gulu la mankhwala otchedwa `(Echinocandins)` , mwachitsanzo `(Caspofungin)`.
• Fluconazole kapena mankhwala ena a gulu la Azoles.
• `(Amphotericin B)` (Amphotericin B).

Mankhwalawa amatsimikiziridwa kutengera zinthu zambiri, monga momwe mulili komanso mtundu wa matenda. Chifukwa chake, musagwiritse ntchito mankhwalawa popanda upangiri wa dokotala.

Kodi ndingayembekezere chiyani ngati nditadwala matenda a Candida parapsilosis?

Matenda a C. parapsilosis omwe afalikira m'thupi si chinthu chongoseweretsa, ndi oopsa kwambiri . Muyenera kukhala m'chipatala ndikulandira chithandizo. Madokotala ndi anamwino adzakuyang'anirani mosamala ndikukuchizani. Zingatenge nthawi kuti muchire.

Kodi chiopsezo cha imfa chifukwa cha matendawa ndi chiyani?

Popeza anthu ambiri omwe ali ndi matenda a C. parapsilosis ali ndi mavuto ena azaumoyo, n'zovuta kunena kuti ndi anthu angati omwe amafa ndi matendawa. Komabe, akatswiri akuti chiwerengero cha imfa pa mitundu yonse ya candidiasis ndi pafupifupi 25% . Izi zikutanthauza kuti pafupifupi munthu m'modzi mwa anayi aliwonse omwe ali ndi matendawa amafa. Koma kumbukirani kuti vuto la thanzi nthawi zambiri ndilo limayambitsa imfa.

Kodi matenda a Candida parapsilosis angapewedwe?

Inde, pali zinthu zomwe zingapewedwe. Ogwira ntchito zachipatala, kutanthauza madokotala ndi anamwino, amachitapo kanthu kuti aletse kufalikira kwa matenda amtunduwu m'zipatala. Zina mwa izi ndi izi:

• Sambani m'manja nthawi zambiri.
• Kupha tizilombo toyambitsa matenda pamalo.
• Onetsetsani kuti mupereka maantibayotiki okha pa matenda a bakiteriya (kupanda kutero bowa lidzachulukana!)
• Kuyeretsa bwino zida zachipatala.

Tingathandizenso kupewa matenda awa:

• Sambani m'manja mwanu pafupipafupi komanso mokwanira, makamaka ngati mukusamalira munthu amene chitetezo chamthupi chake chili chofooka.
• Ngati muli ndi chipangizo chachipatala (monga catheter) chomwe chaikidwa m'thupi lanu, funsani dokotala wanu kuti chiyenera kusungidwa nthawi yayitali bwanji komanso momwe mungachisamalire pamene chilipo kuti mupewe matenda.
• Ngati chitetezo chanu cha mthupi chili chofooka, funsani dokotala wanu za mankhwala ophera bowa omwe mungagwiritse ntchito pasadakhale kuti mupewe matenda.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi chipangizo chamankhwala chomwe chaikidwa m'thupi lanu, chitetezo chamthupi chanu chili chofooka, kapena mwachitidwa opaleshoni posachedwapa, ndi bwino kufunsa dokotala wanu za zizindikiro za matenda . Komanso, ngati mukupeza zizindikiro zokayikitsa, pitani kwa dokotala nthawi yomweyo.

Kodi muyenera kupita ku Emergency Treatment Unit (ETU) liti?

Nthawi zina vutoli likhoza kukhala lalikulu kwambiri. Ngati muli ndi chimodzi mwa zizindikiro zotsatirazi, pitani kuchipatala mwamsanga :

• Ngati malungo ali pamwamba pa 103 Fahrenheit (40 Celsius).
• Ululu waukulu kwambiri.
• Kugwidwa ndi khunyu.
• Kutaya chidziwitso kapena kutaya mtima.
• Kutsika mwadzidzidzi kwa kuthamanga kwa magazi (zizindikiro: kufooka mutu, chizungulire, kukomoka).

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Ngati mwapeza kuti muli ndi matenda a C. parapsilosis, zingakhale zothandiza kufunsa dokotala wanu mafunso awa:

• Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
• Ndidzachira liti?
• Kodi ndinatenga bwanji matendawa?
• Kodi ndingatani kuti ndipewe matenda amtunduwu mtsogolo?

Pomaliza, zinthu zoti muzikumbukira

Bowa amakhala m'matupi mwathu ndipo ndi osavulaza. Koma nthawi zina, amatha kufika m'malo omwe sayenera kutidwalitsa. Ngati muli ndi zizindikiro za matenda a bowa omwe akufalikira m'thupi lanu, funsani upangiri wa dokotala nthawi yomweyo . Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo, zida zilizonse zachipatala zomwe muli nazo, kapena opaleshoni iliyonse yomwe mwachita posachedwapa. Izi ziwathandiza kupeza chomwe chimayambitsa zizindikiro zanu ndikuyamba chithandizo mwachangu momwe zingathere. Chifukwa chake, kodi sikofunikira kuti tidziwe za tizilombo tating'onoting'ono m'matupi mwathu ndi zabwino ndi zoyipa zomwe zingatichitikire? Candida parapsilosis, matenda a bowa, candidiasis yolowerera, chiopsezo kwa anthu omwe ali ndi chitetezo chamthupi chofooka, mankhwala ophera tizilombo toyambitsa matenda, matenda a m'chipatala, kupewa matenda