Ese agahumyo gato ku mubiri wawe gashobora guteza ikibazo gikomeye? Reka twige kuri (Candida parapsilosis)!

Hari ibiremwa byinshi bito mu mibiri yacu no ku ruhu rwacu, si byo se? Bimwe ni byiza kandi biradufasha. Ariko rimwe na rimwe, bimwe bishobora kuba bibi ndetse bikaba byanaduteza ibibazo. Uyu munsi rero tugiye kuvuga ku bihumyo akenshi bitaduhangayikisha na gato, ariko rimwe na rimwe bikaba ikibazo gikomeye. Icyo ni ibihumyo byitwa `(Candida parapsilosis)`.

Iki ni iki (Candida parapsilosis)?

Mu magambo make, `(Candida parapsilosis)` ni ubwoko bw'ibihumyo . Ni kimwe mu bigize umuryango w'ibihumyo, bisa n'umusemburo ukoreshwa mu guteka umugati, cyangwa rimwe na rimwe ibihumyo biba ku ruhu rwacu. Akenshi biba hejuru y'uruhu rwacu no mu mara yacu (inzira y'igifu) . Si ibyo gusa, biba no mu bidukikije, mu butaka. Akenshi, ibi bihumyo `(C. parapsilosis)` ntabwo bitugiraho ingaruka. Bikora gusa ku mirimo yabyo. Ariko, tekereza ko wagombaga kubagwa bikomeye, cyangwa wagize igikomere gikomeye, cyangwa wagize indwara yagabanyije ubudahangarwa bw'umubiri wawe. Muri ibyo bihe, ibi bihumyo bishobora kujya ahantu bitari ngombwa bikahakurira . Ni bwo ikibazo gitangira. Iyo ibihumyo bikwirakwiriye mu mubiri bigatera ubwandu, tubyita `(Invasive Candidiasis)` . Ibi bishobora kuba bikomeye gato.

Ni izihe ndwara zishobora guterwa na Candida parapsilose?

Iyo iyi fungus (C. parapsilosis) igeze ahantu hatari ho, ishobora gutera indwara zitandukanye. Reka turebe izikuru:

• Kwandura kw'imbere mu gice cy'umutima n'inyuma ( endocarditis ): Tekereza, umutima wacu ufite ibice bipompa amaraso, ibice bitanga amaraso mu cyerekezo kimwe gusa... kandi igice cy'imbere gishobora kwandura iyi fungus. Ibi ni bibi cyane.
• Peritonite: Mu nda yacu, hari agace gato gakikije amara . Ibi nibyo byitwa iyo ako gace kanduye.
• Indwara z'ibikomere : Niba warabazwe cyangwa ufite igikomere kinini, iki gihumyo gishobora kwinjiramo kigatera indwara.
• Indwara z'inzara (Onychomycosis): Hari inzara z'abantu zihinduka umuhondo, zikagira ubunini, kandi zigacika intege, si byo? Indwara z'inzara nk'izi (C. parapsilosis) nazo zishobora guterwa n'ibi.
• Indwara zinjira mu maraso zigakwirakwira mu mubiri wose: Ibi nabyo ni bibi cyane. Iyo fungus yinjiye mu maraso, ishobora kujya ahantu hose mu mubiri.

Uretse ibi, nubwo bidakunze kugaragara , iyi fungus ishobora gutera izindi ndwara:

• Meningite (ubwandu bw'udusimba dutwikira ubwonko n'umugongo )
• Rubagimpande
• Indwara zo mu matwi
• Indwara yo mu gitsina `( Vaginitis )`
• Indwara zo mu nzira y'inkari (UTI)

Ni mu rugero rungana iki ubwo bwandu (Candida parapsilosis)?

Mu by’ukuri, `(C. parapsilosis)` ni ubwoko bw’ibihumyo bikunze kugaragara bitera indwara zikomeye (zikunze kugaragara cyane ni ubwoko bwitwa `(Candida albicans)`). Ariko ibyo ntibivuze ko uzarwara byoroshye. Dukurikije imibare, abantu bagera ku icyenda mu bihumbi ijana (9/100.000) bagira iyi ndwara ikomeye `(Invasive Candidiasis)` buri mwaka. Ibyo ni munsi ya 0.01%. Rero, ntugatinye ko ari indwara buri wese arwara.

Ni ibihe bimenyetso by'ubwandu bwa Candida parapsilose?

Ibimenyetso by'iyi ndwara biratandukanye bitewe n'aho fungus ifata mu mubiri . Ariko, bimwe mu bimenyetso bikunze kugaragara birimo:

• Umuriro
• Ubukonje
• Guhumeka bigoranye
• Inkorora
• Kubabara mu nda
• Gutukura, kubyimba, cyangwa kwishima aho wakorewe ubuvuzi cyangwa aho wakomeretse

Niba ufite ibimenyetso nk'ibi, cyane cyane niba ufite indi ndwara cyangwa wumva ubudahangarwa bw'umubiri bwawe buri hasi, ni byiza kujya kwa muganga.

Ni gute Candida parapsilose yinjira mu mibiri yacu?

Akenshi, agahumyo (C. parapsilose) kaba ku ruhu rwacu cyangwa mu mara yacu nta cyo kamaze. Kimwe n'izindi fungi nyinshi, ni igice cy'imibiri yacu. Ariko iyo kageze ahantu katagomba (nk'amaraso cyangwa igice cy'imbere), gashobora kwiyongera vuba kandi kagatera ubwandu. Hari uburyo bubiri bw'ingenzi ibi bishobora kubaho: 1. Niba ufite igikomere kinini cyangwa igikomere cyasigaye nyuma yo kubagwa , agahumyo gashobora kwinjira mu mubiri wawe. 2. Niba ufite igikoresho cyo kwa muganga (nk'umurongo wo hagati w'imitsi uguha saline, umuyoboro wo guhumeka ugufasha guhumeka), igikoresho gishobora no kwinjira mu mubiri wawe niba cyanduye iyi fungi.

Tekereza, mu gihe uri mu bitaro, ufite umuyoboro wa saline winjijwe mu mutsi uri mu kuboko kwawe. Iyo uwo muyoboro utarasukurwa neza, iyi fungus iri ku ruhu ifite amahirwe make yo kumanuka muri uwo muyoboro ikagera mu mubiri wawe.

Ni nde uri mu kaga gakomeye ko kwandura iyi ndwara?

Twavuze ko atari buri wese urwara iyi ndwara. Ariko hari abantu bafite ibyago byinshi byo kuyirwara. Reka turebe abo ari bo:

• Abana bavutse:Kubera ko ubudahangarwa bw'umubiri bwabo butarakomera neza.
• Abantu bafite ubudahangarwa bw'umubiri budafite imbaraga:
• Bitewe n'indwara yihishe inyuma (urugero: ubwandu bwa virusi itera SIDA, kanseri y'amaraso, cyangwa diyabete).
• Abantu batewe urugingo cyangwa batewe uturemangingo. "Aba bantu bafite ubushobozi buke bwo kurwanya indwara, bityo bakaba bashobora kwandura indwara."
• Abantu bafite ibikoresho by’ubuvuzi byashyizwe mu mibiri yabo: Urugero, "Umuyoboro w’imitsi yo hagati" (umuyoboro winjizwa mu mitsi mikuru), "Umuyoboro uhumeka" (umuyoboro utanga umwuka), "Umuyoboro wo kugaburira" (umuyoboro utanga ibiryo). Ibi bitanga inzira aho fungus yinjira mu mubiri.
• Abantu baherutse kubagwa mu nda: Kubera ko iyi fungus iba mu mara, ishobora kujya mu tundi duce mu gihe cyo kubagwa.
• Abantu bamaze igihe kinini bafata imiti yica udukoko, cyangwa abafata imiti yica udukoko kenshi: "Uzi impamvu? Imiti yica udukoko mibi mu mibiri yacu, ndetse n'imiti myiza idufasha. Iyi miti myiza ibuza udukoko nka C. parapsilosis gukura nabi. Rero iyo miti myiza ivuyeho, udukoko turashira!"
• Abantu batera imiti batabanje kugisha inama muganga: Iyi fungus ishobora kwinjira mu maraso inyuze mu nshinge zanduye.

Ni gute abaganga basuzuma indwara ya Candida parapsilosis? (Isuzuma)

Muganga azagupima ubwo bwoko bw'ubwandu akoresheje icyitegererezo cy'amaraso yawe cyangwa agace gato k'ingingo ubona ko yanduye . Ni ngombwa kandi kubwira muganga wawe ibikoresho byose byo kwa muganga washyize mu mubiri wawe ndetse niba hari ikindi wabazwe vuba aha.

Ni ubuhe buryo bwo kuvura ibi?

Indwara za C. parapsilose zivurwa n'imiti irwanya udukoko . Imwe mu miti y'ingenzi abaganga bakoresha ni:

• Imiti iri mu itsinda ry'imiti yitwa `(Echinocandins)` , urugero `(Caspofungin)`.
• Fluconazole cyangwa indi miti yo mu itsinda rya Azoles.
• `(Amphotericin B)` (Amphotericin B).

Iyi miti igenwa hashingiwe ku bintu byinshi, nko ku miterere yawe n'imiterere y'ubwandu. Kubwibyo, ntuyikoreshe utabanje kugisha inama muganga.

Ni iki nakwitega mu gihe nanduye Candida parapsilose?

Ubwandu bwa C. parapsilose bwakwirakwiriye mu mubiri si ikintu cyo gukinishwa, ni kibi cyane . Uzakenera kuguma mu bitaro ukavurwa. Abaganga n'abaforomo bazagukurikiranira hafi kandi bakakuvura. Bishobora gufata igihe kugira ngo ukire.

Ni izihe ngaruka zo gupfa ziturutse kuri ubu bwandu?

Kubera ko abantu benshi bandura C. parapsilosis bafite izindi ngorane z’ubuzima, biragoye kumenya neza umubare w’abantu bapfa bazize ubwandu. Ariko, abahanga bavuga ko igipimo cy’impfu ku bwoko bwose bwa candidiasis cyinjira kiri hafi ya 25% . Ibyo bivuze ko hafi umuntu umwe kuri bane bandura ubwo bwandu azapfa. Ariko ibuka ko indwara y’ibanze ari yo ikunze gutera urupfu.

Ese indwara za Candida parapsilosis zishobora kwirindwa?

Yego, hari ibintu bishobora kwirindwa. Abatanga serivisi z'ubuvuzi, ni ukuvuga abaganga n'abaforomo, bafata ingamba zidasanzwe zo guhagarika ikwirakwira ry'ubwo bwoko bw'ubwandu mu bitaro. Zimwe muri zo zirimo:

• Karaba intoki zawe kenshi.
• Gukuraho imiyoboro y'amazi ku butaka.
• Menya neza ko utanga imiti yica udukoko gusa ku ndwara zandurira mu mikorobe (bitabaye ibyo udukoko twakwiyongera!)
• Gusukura ibikoresho by'ubuvuzi neza.

Dushobora kandi gufasha mu kwirinda izi ndwara:

• Karaba intoki zawe kenshi kandi neza, cyane cyane niba wita ku muntu ufite ubudahangarwa bw'umubiri budakomeye.
• Niba ufite igikoresho cyo kwa muganga (urugero: catheter) cyashyizwe mu mubiri wawe, baza muganga wawe igihe kigomba kubikwa mu mwanya wacyo n'uko wacyitaho mu gihe kiri mu mwanya wacyo kugira ngo wirinde kwandura.
• Niba ubudahangarwa bw'umubiri bwawe bufite intege nke, baza muganga wawe imiti ishobora gukoreshwa mbere y'igihe kugira ngo wirinde kwandura.

Ni ryari ngomba kujya kwa muganga?

Niba ufite igikoresho cy’ubuvuzi cyashyizwe mu mubiri wawe, ufite ubudahangarwa bw’umubiri budakomeye, cyangwa uherutse kubagwa, ni byiza kubaza muganga wawe ibimenyetso by’ubwandu . Nanone, niba ugaragaje ibimenyetso bikekwaho, jya kwa muganga ako kanya.

Ni ryari ugomba kujya mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) ?

Hari igihe iyo ndwara ishobora kuba ikomeye. Niba ufite kimwe cyangwa byinshi muri ibi bikurikira, jya kwa muganga wita ku barwayi b’ingorabahizi ako kanya :

• Iyo umuriro uri hejuru ya 40 selisiyusi (40 selisiyusi).
• Ububabare bukabije cyane.
• Indwara zo mu mutwe.
• Gutakaza ubwenge cyangwa kwiheba.
• Kugabanuka gutunguranye k'umuvuduko w'amaraso (ibimenyetso: kubabara umutwe, isereri, gucika intege).

Ni ibihe bibazo ngomba kubaza muganga?

Niba usanze ufite indwara ya C. parapsilosis, byaba byiza ubajije muganga wawe ibi bibazo:

• Ni ubuhe buryo bwo kuvura mfite?
• Nzakira ryari?
• Nanduye iyi ndwara gute?
• Ni iki nakora kugira ngo ngire ubwo bwoko bw'ubwandu mu gihe kizaza?

Amaherezo, ibintu byo kwibuka

Ibihumyo biba ku mibiri yacu kandi ntacyo bitwaye. Ariko rimwe na rimwe, bishobora kugera ahantu bitagomba kutugiraho ingaruka mbi. Niba ufite ibimenyetso by'indwara y'ibihumyo iri gukwirakwira mu mubiri wawe, shaka ubufasha bwa muganga ako kanya . Bwira muganga wawe izindi ndwara ufite, ibikoresho byo kwa muganga ufite, cyangwa ubundi buryo ubwo aribwo bwose bwo kubagwa wagize. Aya makuru azabafasha kumenya icyateye ibimenyetso byawe no gutangira kuvurwa vuba bishoboka. None se, si ngombwa ko tumenya utu tunyangingo duto mu mibiri yacu n'ibintu byiza n'ibibi dushobora kudukorera? Candida parapsilosis, indwara z'ibihumyo, candidiasis yibasira, ibyago ku bantu bafite ubudahangarwa bw'umubiri budakomeye, imiti yica udukoko, indwara zo mu bitaro, kwirinda kwandura.