Ushobora kuba uzi ko twese dufite udukoko tubaho mu buryo butagira ingaruka mbi ku mibiri yacu, ku ruhu rwacu, mu kanwa kacu no mu mara yacu. Candida ni imwe muri izo ndwara (umusemburo). Nubwo akenshi idatubangamira, hari igihe iyi ndwara itangira gukura nabi. Ni bwo itangira gutera indwara zikomeye zishobora kuva ku kwandura guto kugeza ku zishyira ubuzima mu kaga.
Ni gute ubwandu bwa Candida buba ikibazo?
Nubwo hari ubwoko burenga 150 bwa Candida, ubwoko butandatu gusa ni bwo bwibasira abantu cyane. Ubwoko bukunze kugaragara cyane ni Candida albicans. Ushobora kuba warumvise indwara ya thrush mu kanwa cyangwa indwara z’umusemburo mu gitsina ku bagore. Ibi biterwa nuko fungus ya Candida ikura nabi. Mu buvuzi, iyi ndwara tuyita candidiasis. Nubwo ishobora kubangamira ubuzima, ntabwo ikunze gushyira ubuzima mu kaga. Ariko,
ikibazo gitangira iyo fungus ya Candida yinjiye mu maraso yawe cyangwa mu ngingo z’imbere. Iyi ndwara ikomeye yitwa candidiasis iva mu maraso. Ishobora gufata ahantu nko mu mutima, mu bwonko no mu magufwa. Iyo fungus yinjiye mu maraso yawe, yitwa candidiasis. Ibi bishobora kuba bikomeye cyane, bigatera kumara igihe kirekire mu bitaro ndetse rimwe na rimwe ndetse no gupfa.
None se, Candida parapsilosis ni iki?
Vuba aha, Candida parapsilosis yagaragaye nk'intandaro ya kabiri ikunze gutera indwara z'ibihumyo nyuma ya Candida albicans. Mu bihugu bimwe na bimwe byo muri Aziya, i Burayi, na Amerika y'Epfo, indwara ya C. parapsilosis yarenze iya Candida albicans mu bitaro. Ibi byakuruye abaganga kubera bimwe mu bintu bibi bigize iyi fungus.
Kuki C. parapsilose itandukanye kandi ikaba iteje akaga kurusha izindi fungi?
Bitandukanye n'ubundi bwoko bwa Candida, C. parapsilose ikunze kugaragara mu bidukikije. Iboneka mu butaka, mu mazi, no ku dukoko n'amatungo yo mu rugo. Ikunze kuboneka no ku ruhu rwacu. Hari impamvu nyinshi zituma iyi fungus iba ikibazo gikomeye, cyane cyane mu bitaro. Reka turebere hamwe ibyo ari byo.
| Ikintu cyihariye cya fungus C. parapsilosis | Bisobanuwe mu buryo bworoshye |
|---|
| Bikura byoroshye mu bitaro | Iyi fungus irwanya cyane ibidukikije byo mu bitaro, bityo abarwayi bari mu bitaro baba bafite ibyago byinshi byo kwandura. |
| Gukwirakwizwa n'amaboko y'abakozi bo kwa muganga | Bishobora gukwirakwira mu buryo bworoshye kuva ku murwayi umwe ujya ku wundi binyuze mu maboko y'abaganga n'abaforomo basuzuma abarwayi. Akamaro ko gukaraba intoki ni kenshi cyane hano. |
| Ukwiyongera kw'amazi yo mu mitsi | Iyi fungus ishobora no gukura mu mirire y’ababyeyi (indyo) itangwa binyuze mu mitsi ku barwayi badashobora kurya mu kanwa. |
| Gukura ku bikoresho byinjijwe mu mubiri | Iyi fungus ishobora gukurira kuri catheter, imiyoboro ya saline (cannulas), n'ibindi bikoresho bishyirwa mu mubiri, hanyuma bikava aho bigashobora kwinjira mu mubiri. |
Ni nde uri mu kaga gakomeye ko kwandura iyi ndwara?
Iyi ndwara y’ibihumyo ntabwo ari ikibazo gikomeye ku muntu muzima kandi ufite ubudahangarwa bw’umubiri. Ariko, ni ikibazo gikomeye ku barwayi bari mu bitaro, cyane cyane abari mu byumba byita ku barwayi barembye cyane (ICU). Iyo iyi ndwara ibaye ku bantu basanzwe barwaye cyane, biragoye kumenya neza niba impamvu y’urupfu ari ubwandu ubwabwo cyangwa izindi ndwara zibitera. Ariko, ubushakashatsi bwerekana ko hagati ya 19% na 24% by’abarwayi bafite ubwandu bwa Candida mu maraso bapfa. Amatsinda afite ibyago byinshi byo kwandura `Candida parapsilosis` ni:
- Impinja : Ingaruka ziba nyinshi cyane cyane ku bana bavutse mbere y'igihe cyangwa bavutse bafite ibiro bike.
- Abantu bafite ibikoresho by’ubuvuzi byashyizwemo: Abarwayi bafite catheters, imiyoboro ya saline , n’ibindi bikoresho (implants) byashyizwe mu mubiri.
- Abarwayi bokejwe mu muyoboro w'amazi: Abadashobora kurya mu kanwa kandi bagaburirwa mu muyoboro w'amazi.
- Abarwayi bafite ubudahangarwa bw'umubiri budafite ubushobozi bwo kurwanya indwara: cyane cyane abanduye agakoko gatera SIDA .
- Abakoreweho ububabare: cyane cyane ibikomere binini mu ndaAbarwayi babazwe .
Biofilm ni iki? Kuki ari akaga?
Indi mpamvu ikomeye ituma Candida iteje akaga gakomeye ni ubushobozi bwayo bwo gukora 'Biofilm'. Muri make, 'Biofilm' ni ihuriro ry’udukoko duto duteranira ku buso. Ni nk'igihome cyubatswe kugira ngo kirinde abanzi. Iri tsinda rikora mu ntambwe nyinshi. Ubwa mbere, uturemangingo tw’ibihumyo twifatanya ku buso. Hanyuma, dukora urwego rw’uburinzi rw’ibishishwa bikikije ubwabyo. Hanyuma rihinduka ihuriro rikuze neza. Mu ntambwe ya nyuma, ibice by’iri tsinda bishobora gucika bigakwirakwiza ubwandu mu bindi bice by’umubiri.
Iyi biofilm ni nk'uburinzi bw'ibihumyo. Nta na kimwe mu bintu birwanya udukoko twanditse cyangwa ubudahangarwa bwacu bwite gishobora kwinjira muri uru rwego rw'uburinzi ngo cyice ibihumyo.
Ibimenyetso n'isuzuma ry'indwara
Ibimenyetso bya C. parapsilosis bisa n'iby'izindi ndwara za Candida. Ibimenyetso by'ingenzi ni
umuriro n'ubukonje budasobanutse . Iyo ubwandu bukwirakwiriye mu
bindi bice by'umubiri, hari n'ibindi bimenyetso bishobora kugaragara. Nanone, iyo hari ubwandu budashira nubwo hari imiti yica udukoko, abaganga bakeka ko hari ubwandu bw'ibihumyo. Kugira ngo bamenye indwara, muganga azafata icyitegererezo cy'amaraso cyangwa icyitegererezo cy'ingingo zanduye maze abyohereze muri laboratwari. Icyitegererezo gishobora guhingwa kugira ngo hamenyekane ubwoko bwihariye bwa Candida butera ubwandu.
Kuvura no kwirinda
Ubwandu bwa Candidiasis buvurwa n'imiti irwanya imyuka. Ubusanzwe, umuti uva mu itsinda ry'imiti yitwa echinocandins utangwa mu mitsi. Iyo ubwoko bw'imiti bumaze kumenyekana, umuti ushobora guhindurwa. Fluconazole na amphotericin B ni indi miti ikoreshwa cyane. Ariko, Candida parapsilosis rimwe na rimwe ishobora kugorana kuvura
kuko imiti ishobora kwanga imiti imwe n'imwe. Ibi bivuze ko imiti idashobora kwica imiyoboro. Ibi bishobora kugabanya imikorere y'ubuvuzi no kongera ikiguzi cyo kuvura.
Icy'ingenzi kurushaho, iyo ubwandu buri mu katheteri, umuyoboro, cyangwa ikindi gikoresho cyashyizwe mu mubiri, akenshi igikoresho kizaba kigomba gukurwaho. Gukuraho ikintu nk'agatsi k'umutima cyangwa ingingo y'ubukorano ni intambwe ikomeye cyane.
Kubwibyo, ni ngombwa cyane gutekereza ku kwirinda kuruta kuvura.
Ni iki cyakorwa kugira ngo hirindwe ko byakorwa?
- Gukaraba intoki : Iki ni cyo kintu cy'ingenzi cyane. Ni ngombwa ko abakozi b'ibitaro bakaraba intoki zabo neza iyo bimuka bava ku murwayi umwe bajya ku wundi. Mu bushakashatsi bumwe na bumwe, 28% by'abakozi b'ibitaro bari bafite fungus `C. parapsilosis` ku ntoki zabo. Rero, iyo ugiye kwa muganga, ugomba no kwitonda kugira ngo intoki zawe zisukure.
- Uburyo bwo kwirinda: Ku barwayi bafite ibyago byinshi byo kwandura, abaganga bashobora gutanga imiti irwanya udukoko nk'ingamba zo kwirinda ubwandu mbere yuko butangira.
Ubutumwa bwo kujyana mu rugo
- Candida parapsilosis ni indwara y’ibihumyo ishobora kuba mbi cyane cyane mu bitaro.
- Ikwirakwizwa cyane cyane n'amaboko no mu gukura ku bikoresho by'ubuvuzi (catheters, tubes) byinjijwe mu mubiri.
- Abana bavutse, abarwayi bari mu byumba byita ku barembye cyane, n'abafite ubudahangarwa bw'umubiri budakomeye bari mu kaga gakomeye.
- Uburyo bwiza kandi bworoshye bwo kwirinda ikwirakwira ry'iyi ndwara ni ugusukura intoki zawe neza kandi kenshi.
- Niba wowe cyangwa umuntu wo mu muryango wawe afite gushidikanya cyangwa ubwoba kuri ibi mu gihe wowe cyangwa umuntu wo mu muryango wawe uri mu bitaro, ganira na muganga wawe ku mugaragaro.
Candida, Candida parapsilosis, indwara z'ibihumyo, candidiasis, indwara zo mu bitaro, biofilm, imiti yica udukoko, candidiasis ikwirakwira
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