Tose tinoenda kuchipatara kunorapwa chirwere. Asi dzimwe nguva, patinenge tiri muchipatara, tinogona kuwana mamwe hutachiona. Tinoti hutachiona uhu hunowanikwa muchipatara . Utachiona hwefungus hunowanzoonekwa pakati peizvi. Kunyange zvazvo hutachiona hwakawanda hwefungus huchigona kurapwa, nhasi tiri kutaura nezverudzi rutsva rwefungus rwakaonekwa munguva pfupi yapfuura uye rwakaoma kudzora nemishonga. Ndiyo Candida auris.
Zvichitaurwa zviri nyore, chii chinonzi Candida auris?
Candida auris, inozivikanwawo seC. auris, imhando yembiriso iri mumhuri yefungi yeCandida. Ungave wakambonzwa nezveCandida. Kune mhando dzakawanda dzeCandida dzinogara paganda redu, mumuromo, nemudumbu medu. Asi dzimwe nguva, kana dzikakura zvakanyanya, dzinogona kukonzera hutachiona. Semuenzaniso, vakadzi vanogona kuwana hutachiona hwembiriso yemudumbu.
Zvisinei, C. auris haina kufanana nedzimwe mhando dzeCandida. Ifungus itsva. Yakatanga kuwanikwa muna 2009. Inonyanya kubata vanhu vari kurapwa mamwe matambudziko muzvipatara kana mudzimba dzevakwegura.
Kufanana nedzimwe mhando dzeCandida, C. auris haiwanzo kuwanikwa muvanhu vane hutano hwakanaka. Utachiona uhwu hunokonzerwa nekusangana nefungus kubva kunze. Njodzi huru ndeyekuti haipindi mishonga nemishonga yakawanda inouraya fungus . Kana hutachiona hukapararira muropa kana nhengo dzemukati, hunogona kuuraya. Kutaura zvazviri, munhu mumwe chete pavanhu vatatu vanowana hutachiona uhu hwakakomba hweC. auris anofa .
Ndiani ari panjodzi huru yekuzviwana?
Munhu ane hutano hwakanaka haawanzobatwa nechirwere ichi. Ichi chirwere chinowanzo wanikwa pa nosocomial. Kureva kuti, chinobatwa nemunhu anenge atove nechirwere chimwe. Panguva iyoyo, nekuda kwekuti dziviriro yemuviri wake haina simba, fungus ye 'C. auris' inogona kukura zviri nyore uye kukonzera chirwere ichi.
Vanhu vane zvinhu zvinotevera zvinogona kukonzera njodzi ndivo vane mukana mukuru wekubatwa nechirwere cheC. auris.
| Chinhu Chinokonzera Njodzi | Tsananguro iri nyore |
|---|---|
| Kuva neCentral Venous Catheter | Chubhu inopinzwa mutsinga huru yeropa iri mumutsipa, pachipfuva, kana pahudyu. |
| Kuva nekatheta yeweti | Chubhu inoshandiswa kubvisa weti. |
| Kudzvinyirirwa kweMadziviriro Emuviri | Mienzaniso: kurapwa kwegomarara, hutachiona hweHIV, mishonga inotorwa mushure mekuisirwa nhengo. |
| Chirwere cheshuga (chirwere cheshuga) | Zvirwere zvechirwere cheshuga zvisingadzoreki. |
| Chirwere Chisingaperi Cheitsvo | Kusashanda zvakanaka kweitsvo. |
| Kushandiswa kwemishonga inorwisa mabhakitiriya kana mishonga inorwisa fungus munguva pfupi yapfuura | Mishonga iyi yakashandiswa mumazuva makumi matatu apfuura. |
| Kuisirwa Ropa kana Hemodialysis | Kupa ropa kana kushandisa muchina kuita basa reitsvo. |
| Mushure mekuvhiyiwa nguva pfupi yadarika | Ndakavhiyiwa mukati memazuva makumi matatu apfuura. |
| Kurapwa muchikamu chevarwere vanorwara zvakanyanya (ICU) | Kuva muwadhi umo zvirwere zvakakomba zviri kurapwa. |
Zvino, izvi zvinopararira sei?
Candida auris inonyanya kupararira kuburikidza nekubata .
- Kusangana nemunhu: Fungidzira, mushandi wechipatara anogona kunge aine fungus iyi mumaoko kana pahembe asingazive. Paanenge achitarisira murwere, anogona kutapurira murwere fungus iyi.
- Kuburikidza nezvinhu: Kana ukabata chinhu chakasvibiswa nefungus yeC. auris, unogona zvakare kuibata. fungus iyi inogona kugara kwenguva yakareba kwete panzvimbo dzakaoma dzakadai sematafura nemagonhi, asiwo pamacuffs eropa , machira emubhedha, machubhu ekufema, nezvimwe zvinoshandiswa pakurapa . Ndokusaka ichigona kupararira nekukurumidza kubva kumurwere mumwe kuenda kune mumwe muchipatara kana kumba kwevakwegura.
Nekuda kwekupararira kuri nyore uku, kubuda kwechirwere cheC. auris kunogona kuitika muzvipatara kana mudzimba dzevakwegura.
Ndezvipi zviratidzo zveizvi?
Nekuti C. auris inokanganisa vanhu vane zvimwe zvirwere, zvinogona kuoma kusiyanisa zviratidzo chaizvo zvehutachiona uhwu. Zviratidzo zvinoenderana nekuti ndeipi nhengo yemuviri ine hutachiona. Zviratidzo izvi zvinowanzofanana nezvirwere zvebhakitiriya kana zvimwe zvirwere zvefungus.
Kazhinji, mhando dzehutachiona hunogona kukonzerwa neC. auris ndeidzi:
- Kutapukirwa neropa - Zviratidzo zvikuru zveizvi ifivha nechando.
- Utachiona hwemaronda - kunyanya maronda ekuvhiyiwa kana ekutsva.
- Utachiona hwenzeve
- Utachiona hwemunzira yeweti
- Myocarditis - kuzvimba kwemoyo
- Meningitis - Kutapukira kwemasero anofukidza uropi.
Sezvo zviratidzo izvi zvichigonawo kukonzerwa nezvimwe zvirwere, zvinongogoneka chete kutaura chokwadi kana iri hutachiona hweC. auris mushure mekuongororwa kwachiremba.
Izvi zvinoongororwa sei uye zvinorapwa sei?
Kuongorora chirwere
Nzira chete yekusimbisa hutachiona hweC. auris ndeyekutora sampuro kubva kunhengo yemuviri inofungidzirwa (semuenzaniso, ropa, weti, urwa kubva paronda).Kuongororwa kwemhando yeutachiona kunoitwa. Ipapo ndipo panowanikwa utachiona hunokonzera hutachiona murabhoritari.
Zvisinei, pane dambudziko diki pano. Nekuti iyi ifungus itsva, nzira dziripo dzekuyedza dzimwe nguva dzinogona kusaziva C. auris seimwe mhando yeCandida yakajairika. Kana izvozvo zvikaitika, zvinogona kunonoka kutanga kurapwa kwakakodzera.
Kurapa
Kurapa C. auris kwakaoma nekuti, sezvambotaurwa, haipindi mishonga yakawanda inouraya fungus.
- Parizvino, mushonga unoshanda zvikuru unoonekwa semhando yemishonga inouraya fungus inonzi echinocandins . Varwere vazhinji vanopora kubva mumishonga iyi.
- Zvisinei, mamwe marudzi eC. auris haapindi mishonga yakawanda. Muzviitiko zvakadaro, vanachiremba vanofanirwa kusanganisa mishonga yakasiyana-siyana inouraya fungus, dzimwe nguva yakawanda. Sezvo pasina nzira chaiyo yekurapa zvirwere zvakadaro, chiremba ndiye anosarudza kurapwa kwakanakira murwere wega wega.
Chinonyanya kukosha: Ungazvidzivirira sei kubva pane izvi? (Kudzivirira)
Nyanzvi dzinoti kudzivirira kupararira kwechirwere ichi kuri nani pane kuchirapa . Kana uri kushanyira mumwe munhu muchipatara kana mudzimba dzevakwegura, ziva zvinhu izvi zvakare.
- Geza maoko ako nguva nenguva: Chengeta maoko ako akachena nesipo nemvura kana mushonga wekuchenesa maoko une doro. Ichi ndicho chinhu chakakosha.
- Kuchengetedza nharaunda yakachena: Zvakakosha kuti vashandi vechipatara vachenese zvakanaka nzvimbo nemidziyo yekurapa iri mukamuri remurwere.
Kana murwere akaonekwa kuti ane chirwere cheC. auris, chipatara chichatora matanho akakosha ekudzivirira kupararira kwacho.
- Kutamisira murwere muimba yake yega kuti aderedze kusangana nevamwe varwere.
- Vashandi vezvekurapa vanotarisira murwere nevashanyi vanofanira kupfeka magauni ekudzivirira akakosha nemagirovhosi.
- Kushandisa mushonga wekuuraya utachiona une simba kupfuura wemazuva ese kuchenesa imba yemurwere nemidziyo yake.
- Rayira nhengo dzemhuri nevashandi vanoshanda nemurwere kuti vageze maoko avo zvakanaka mushure mekushanya kwega kwega.
Kana iwe kana mumwe munhu mumhuri yako aine zvinokunetsa kana kusava nechokwadi nezvechirwere ichi che 'Candida auris', ndapota taura nachiremba wako kana vashandi vekurapa kuchipatara nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Candida auris chirwere chefungus chakakomba, chisingarapike nemishonga chinogona kupararira munzvimbo dzehutano dzakadai sezvipatara nedzimba dzevakwegura.
- Izvi zvinonyanya kukanganisa varwere vane masoja ekudzivirira muviri akatodzikira nekuda kwezvimwe zvirwere, kwete vanhu vane hutano hwakanaka.
- Inopararira kuburikidza nekubata vanhu vane hutachiona uye nzvimbo dzakasvibiswa dzavakashandisa.
- Kugeza maoko ako zvakanaka uye nguva nenguva ndiyo nzira iri nyore uye inonyanya kukosha yekudzivirira kupararira kwechirwere ichi.
- Kana uine zvinokunetsa nezvemunhu waunoda ari muchipatara, zvakakosha kutaura nezvazvo pachena nachiremba kana vashandi vari kumurapa.
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