Tiyeni tiphunzire za matenda oopsa a bowa (Candida parapsilosis) omwe amapezeka m'zipatala.

Mwina mukudziwa kuti tonsefe tili ndi tizilombo toyambitsa matenda tomwe timakhala m'thupi lathu, pakhungu lathu, m'kamwa mwathu, ndi m'matumbo mwathu. Candida ndi mtundu umodzi wa bowa (yisiti). Ngakhale kuti nthawi zambiri sizimativutitsa, nthawi zina bowa uwu umayamba kukula mopitirira muyeso. Pamenepo ndi pomwe umayamba kuyambitsa matenda aakulu omwe angayambire matenda ang'onoang'ono mpaka omwe angawononge moyo.

Kodi matenda a Candida amakula bwanji?

Ngakhale kuti pali mitundu yoposa 150 ya Candida, mitundu isanu ndi umodzi yokha ndi yomwe imakhudza anthu kwambiri. Mtundu wofala kwambiri ndi Candida albicans. Mwina mudamvapo za matenda a thrush mkamwa mwanu kapena matenda a yisiti m'mimba mwa akazi. Izi zili choncho chifukwa bowa wa Candida umakula mopanda mphamvu. Malinga ndi zamankhwala, timatcha vutoli candidiasis. Ngakhale kuti nthawi zambiri silimakhala loopsa, koma nthawi zambiri limakhala pachiwopsezo cha moyo. Komabe, vutoli limayamba bowa wa Candida akalowa m'magazi mwanu kapena m'chiwalo chamkati. Matenda oopsawa amatchedwa invasive candidiasis. Amatha kukhudza malo monga mtima, ubongo, ndi mafupa. Ngati bowa likalowa m'magazi mwanu, limatchedwa candidemia. Izi zitha kukhala zoopsa kwambiri, zomwe zimapangitsa kuti munthu agone m'chipatala kwa nthawi yayitali komanso nthawi zina imfa.

Kotero, kodi Candida parapsilosis ndi chiyani?

Posachedwapa, Candida parapsilosis yadziwika kuti ndi chifukwa chachiwiri chofala kwambiri cha matenda a bowa pambuyo pa Candida albicans. M'mayiko ena aku Asia, Europe, ndi South America, matenda a C. parapsilosis aposa a Candida albicans m'zipatala. Izi zakopa chidwi cha madokotala chifukwa cha zina mwa zizindikiro zoopsa za bowa uwu.

Nchifukwa chiyani C. parapsilosis ndi yosiyana komanso yoopsa kwambiri kuposa bowa wina?

Mosiyana ndi mitundu ina ya Candida, C. parapsilosis imapezeka kwambiri m'malo athu. Imapezeka m'nthaka, m'madzi, komanso pa tizilombo ndi ziweto. Imapezekanso pakhungu lathu. Pali zifukwa zingapo zomwe bowa uwu ndi vuto lalikulu, makamaka m'zipatala. Tiyeni tiwone zomwe zili.

Ndani amene ali pachiwopsezo chachikulu cha matendawa?

Matenda a bowa awa si chiwopsezo chachikulu kwa munthu wathanzi komanso wofooka m'thupi. Komabe, ndi vuto lalikulu kwa odwala m'zipatala, makamaka omwe ali m'zipinda zosamalira odwala kwambiri (ICUs). Matendawa akachitika mwa anthu omwe ali kale ndi matenda aakulu, zimakhala zovuta kunena motsimikiza ngati chomwe chimayambitsa imfa ndi matendawa okha kapena matenda ena. Komabe, kafukufuku akusonyeza kuti pakati pa 19% ndi 24% ya odwala omwe ali ndi matenda a Candida m'magazi amafa. Magulu omwe ali pachiwopsezo chachikulu chotenga matenda a `Candida parapsilosis` ndi awa:

• Makanda Obadwa Mwatsopano : Chiwopsezochi chimakhala chachikulu makamaka kwa makanda obadwa msanga kapena obadwa ndi kulemera kochepa.
• Anthu omwe ali ndi zipangizo zachipatala zoikidwa m'thupi: Odwala omwe ali ndi ma catheter, machubu amchere , ndi zipangizo zina (zoikidwa m'thupi) zomwe zaikidwa m'thupi.
• Odwala omwe amadya ndi chubu: Omwe sangathe kudya ndi pakamwa ndipo amadyetsedwa ndi chubu.
• Odwala omwe chitetezo chawo chamthupi chatsika: makamaka omwe kachilombo ka HIV kafika pamlingo wa AIDS .
• Anthu amene adachitidwa opaleshoni: makamaka mabala akuluakulu m'mimbaOdwala omwe adachitidwa opaleshoni .

Kodi biofilm ndi chiyani? N’chifukwa chiyani ndi yoopsa?

Chifukwa china chachikulu chomwe Candida ndi yoopsa kwambiri ndi kuthekera kwake kupanga 'Biofilm'. Mwachidule, 'Biofilm' ndi gulu loteteza la tizilombo toyambitsa matenda lomwe limasonkhana pamwamba. Lili ngati linga lomangidwa kuti liteteze adani. Gululi limapangidwa m'magawo angapo. Choyamba, maselo a bowa amalumikizana pamwamba. Kenako, amapanga gawo loteteza la matope kuzungulira iwo okha. Kenako limakhala gulu lokulira bwino. Pa gawo lomaliza, zigawo za gululi zimatha kusweka ndikufalitsa matendawa ku ziwalo zina za thupi.

Zizindikiro ndi matenda

Zizindikiro za matenda a C. parapsilosis zimafanana ndi za matenda ena a Candida. Zizindikiro zazikulu ndi kutentha thupi kosadziŵika bwino komanso kuzizira . Ngati matendawa afalikira ku ziwalo zina za thupi, zizindikiro zina zingawonekerenso. Komanso, ngati pali matenda omwe satha ngakhale pali maantibayotiki, madokotala amakayikira kuti pali matenda a bowa. Kuti adziwe matendawa, dokotalayo amatenga magazi kapena chitsanzo cha minofu yomwe ili ndi kachilomboka ndikutumiza ku labotale. Chitsanzocho chikhoza kukulitsidwa kuti adziwe mtundu weniweni wa Candida womwe umayambitsa matendawa.

Kuchiza ndi kupewa

Matenda a Candidiasis amachiritsidwa ndi mankhwala opha ma fungus. Nthawi zambiri, mankhwala ochokera m'gulu la mankhwala otchedwa echinocandins amaperekedwa kudzera m'mitsempha. Mtundu wa bowa ukapezeka, mankhwalawo angafunike kusinthidwa. Fluconazole ndi amphotericin B ndi mankhwala ena omwe amagwiritsidwa ntchito kwambiri. Komabe, nthawi zina Candida parapsilosis ingakhale yovuta kuchiza chifukwa bowayo imatha kukhala yosagonjetsedwa ndi mankhwala ena. Izi zikutanthauza kuti mankhwalawa sangaphe bowa. Izi zitha kuchepetsa mphamvu ya chithandizo ndikuwonjezera mtengo wa chithandizo. Choncho, ndikofunikira kwambiri kuganizira za kupewa kuposa kuchiza.

Kodi tingatani kuti tipewe zimenezi?

• Kusamba m'manja : Ichi ndiye chinthu chofunikira kwambiri. Ndikofunikira kuti ogwira ntchito kuchipatala azisamba m'manja bwino akamasuntha kuchokera kwa wodwala wina kupita kwa wina. Mu kafukufuku wina, 28% ya ogwira ntchito kuchipatala anali ndi bowa wa 'C. parapsilosis' m'manja mwawo. Chifukwa chake, mukapita kuchipatala, muyeneranso kusamala kuti manja anu akhale oyera.
• Chithandizo Choteteza: Kwa odwala omwe ali pachiwopsezo chachikulu, madokotala angapereke mankhwala ophera bowa ngati njira yopewera matenda asanayambe.

Candida, Candida parapsilosis, matenda a bowa, candidiasis, matenda a m'chipatala, biofilm, bowa, invasive candidiasis