Ngaba i-fungus encinci emzimbeni wakho ingabangela ingxaki enkulu? Masifunde nge (Candida parapsilosis)!

Kukho izidalwa ezincinci ezininzi ngaphakathi emizimbeni yethu naselukhumbeni lwethu, akunjalo? Ezinye zilungile kwaye ziyasinceda. Kodwa ngamanye amaxesha, ezinye izidalwa zinokuba zimbi kancinci kwaye zinokusibangela ingxaki. Ngoko ke, namhlanje siza kuthetha ngefungus edla ngokungasikhathazi konke konke, kodwa ngamanye amaxesha ingaba yingxaki enkulu. Leyo yifungus ebizwa ngokuba yi-`(Candida parapsilosis)`.

Yintoni le (i-Candida parapsilosis)?

Ngamafutshane, `(Candida parapsilosis)` luhlobo lwefungus . Lilungu losapho lweyeast, olufana negwele elisetyenziswa ekubhakeni isonka, okanye ngamanye amaxesha ifungus eyenzeka eluswini lwethu. Zihlala phezu kolusu lwethu nasemathunjini ethu (indlela yokugaya ukutya) . Ayipheleli apho, zikwakho nakwindawo esingqongileyo, emhlabeni. Uninzi lwexesha, le fungus `(C. parapsilosis)` ayisonakalisi. Ziqhubeka nje nomsebenzi wazo. Kodwa, khawucinge ukuba bekufuneka wenze utyando olukhulu, okanye wenzeke ingozi enkulu, okanye ubunesifo esinciphise amajoni akho omzimba. Ngamaxesha anjalo, le fungus inokuya kwiindawo apho ingafaneleki khona kwaye ikhule apho . Kulapho ingxaki iqala khona. Xa ifungus isasazeka ngaphakathi emzimbeni kwaye ibangele usulelo, siyibiza ngokuba yi `(Invasive Candidiasis)` . Oku kunokuba yinto enzulu kancinci.

Ziziphi izifo ezinokubangelwa yi-Candida parapsilosis?

Ukuba le fungus (C. parapsilosis) ingena kwindawo engafanelekanga, inokubangela iintlobo ngeentlobo zezifo. Makhe sibone ukuba zeziphi ezona ziphambili:

• Usulelo lwengaphakathi leevalvu kunye neegumbi zentliziyo ( i-endocarditis ): Khawuthelekelele, intliziyo yethu ineegumbi ezipompa igazi, iivalvu ezivumela igazi ukuba lihambe kwicala elinye kuphela... kwaye ingaphakathi leevalvu linokosulelwa yile fungus. Oku kubi kakhulu.
• I-Peritonitis: Ngaphakathi esiswini sethu, kukho inwebu encinci ejikeleze amathumbu . Oku kubizwa ngokuba yiyo xa loo nwebu isulelekile.
• Usulelo lwamanxeba : Ukuba ukhe watyandwa okanye unenxeba elikhulu, le fungus ingangena kuyo ize ibangele usulelo.
• Usulelo lweZinzipho (i-Onychomycosis): Izinzipho zabanye abantu ziba tyheli, zityebe, kwaye zibe buthathaka, akunjalo? Usulelo lwezinzipho ezifana nolu (C. parapsilosis) nazo zinokubangelwa yile nto.
• Iintsholongwane ezingena egazini zize zisasazeke emzimbeni wonke: Oku kuyingozi kakhulu. Ukuba ifungus ingena egazini, ingahamba naphi na emzimbeni.

Ukongeza kwezi, nangona zingaqhelekanga , le fungus inokubangela ezinye izifo:

• I-Meningitis (usulelo lwee-membrane ezigubungela ingqondo kunye nomqolo )
• Isifo samathambo
• Usulelo lwendlebe
• Usulelo lwe-vaginal `( Vaginitis )`
• Izifo zoMchamo (UTI)

Zixhaphake kangakanani ezi zifo (iCandida parapsilosis)?

Enyanisweni, `(C. parapsilosis)` luhlobo oluqhelekileyo lwefungus olubangela izifo ezinzulu (ezona zixhaphakileyo kuzo luhlobo olubizwa ngokuba yi`(Candida albicans)`). Kodwa oko akuthethi ukuba uza kuyifumana lula. Ngokwezibalo, malunga nabantu abalithoba kwikhulu lamawaka (9/100,000) bahlakulela le meko inzima `(Invasive Candidiasis)` minyaka le . Oko kungaphantsi kwe-0.01%. Ngoko ke, ungoyiki ukuba sisifo esifunyanwa ngumntu wonke.

Ziziphi iimpawu zosulelo lweCandida parapsilosis?

Iimpawu zolu sulelo ziyahluka ngokuxhomekeke ekubeni intsholongwane ichaphazeleka phi emzimbeni . Nangona kunjalo, ezinye iimpawu eziqhelekileyo ziquka:

• Ifiva
• Ukugodola
• Ubunzima bokuphefumla
• Ukukhwehlela
• Isisu esibuhlungu
• Ubomvu, ukudumba, okanye ukurhawuzelela kwindawo yotyando okanye inxeba

Ukuba uneempawu ezinje, ingakumbi ukuba unesinye isifo okanye uvakalelwa kukuba amajoni akho omzimba aphantsi, kungcono ukubona ugqirha.

I-Candida parapsilosis ingena njani emizimbeni yethu?

Ixesha elininzi, ifungus (C. parapsilosis) ihlala ingenabungozi eluswini lwethu okanye emathunjini ethu. Njengezinye iifungus ezininzi, iyinxalenye yemizimba yethu. Kodwa ukuba ifika kwindawo engafanelekanga ukuba ifike kuyo (njengegazi okanye ilungu langaphakathi), inokwanda ngokukhawuleza kwaye ibangele usulelo. Kukho iindlela ezimbini eziphambili ezinokwenzeka ngayo oku: 1. Ukuba unenxeba elinzulu okanye inxeba elishiywe emva kotyando , ifungus ingangena emzimbeni wakho. 2. Ukuba unesixhobo sonyango (njengomgca ophakathi wemithambo okunika i-saline, ityhubhu yokuphefumla ekuncedayo ukuphefumla), isixhobo singangena nasemzimbeni wakho ukuba singcoliswe yile fungus.

Khawucinge nje, ngelixa usesibhedlele, unetyhubhu yetyuwa efakwe emthanjeni engalweni yakho. Ukuba loo tyhubhu ayicocwanga kakuhle, le fungus eluswini inethuba elincinci lokuhamba ngaloo tyhubhu iye emzimbeni wakho.

Ngubani osengozini enkulu yokufumana olu sulelo?

Sithe ayinguye wonke umntu ofumana olu sulelo. Kodwa abanye abantu basengozini enkulu yokuhlaselwa lusulelo. Makhe sibone ukuba bangoobani:

• Iintsana ezisandul’ ukuzalwa:Kuba inkqubo yabo yokuzikhusela ayikaphuhli ngokupheleleyo.
• Abantu abaneenkqubo zomzimba ezibuthathaka:
• Ngenxa yesifo esisisiseko (umz., usulelo lwe-HIV, i-leukemia, okanye isifo seswekile).
• Abantu abaye bafakelwa amalungu omzimba okanye bafakelwa i-stem cell. "Aba bantu abanawo amandla okulwa nezifo, ngoko ke banokusuleleka lula."
• Abantu abanezixhobo zonyango ezifakwe emizimbeni yabo: Umzekelo, "uMgca oPhakathi weVenous" (ityhubhu efakwe kumthambo oyintloko), "uMbhobho wokuphefumla" (ityhubhu enika umphefumlo), "uMbhobho wokuTya" (ityhubhu enika ukutya). Ezi zibonelela ngendlela yokuba ifungus ingene emzimbeni.
• Abantu abasandula utyando lwesisu: Ngenxa yokuba le fungus ikhona emathunjini, inokuhamba iye kwezinye iindawo ngexesha lotyando.
• Abantu abasebenzisa amayeza okubulala iintsholongwane ixesha elide, okanye abasebenzisa amayeza okubulala iintsholongwane rhoqo: "Uyazi ukuba kutheni? Amayeza okubulala iintsholongwane akabulali kuphela iintsholongwane ezimbi emizimbeni yethu, kodwa neentsholongwane ezilungileyo ezisincedayo. Ezi ntsholongwane zilungileyo ziyayithintela ifungi efana ne-C. parapsilosis ekukhuleni ingalawuleki. Ngoko ke xa iintsholongwane ezilungileyo zingasekho, ifungi ayisekho!"
• Abantu abafaka iziyobisi ngaphandle kwengcebiso kagqirha: Le fungus ingangena egazini ngeenaliti ezingcolileyo.

Oogqirha bayixilonga njani intsholongwane yeCandida parapsilosis? (Ukuxilongwa)

Ugqirha uza kukuvavanya olu hlobo losulelo ngokuthatha isampuli yegazi lakho okanye isampuli encinci yezicubu ocinga ukuba zisulelekile . Kubalulekile ukuxelela ugqirha wakho ngazo naziphi na izixhobo zonyango ozifakileyo emzimbeni wakho kunye nokuba ukhe watyandwa kutshanje na.

Zithini iindlela zonyango zoku?

Usulelo lwe-C. parapsilosis lunyangwa ngamayeza okubola . Amanye amayeza aphambili asetyenziswa ngoogqirha ngala:

• Amayeza akwiqela lamayeza abizwa ngokuba yi -`(Echinocandins)` , umzekelo `(Caspofungin)`.
• I-Fluconazole okanye amanye amayeza akwiqela le-Azoles.
• `(Amphotericin B)` (Amphotericin B).

La mayeza amiselwa ngokusekelwe kwizinto ezininzi, ezifana nemeko yakho kunye nohlobo losulelo. Ngoko ke, musa ukuwasebenzisa ngaphandle kwengcebiso kagqirha.

Yintoni endinokuyilindela ukuba ndifumana usulelo lweCandida parapsilosis?

Usulelo lwe-C. parapsilosis olusasazeke emzimbeni asinto yokudlala ngayo, lubi kakhulu . Kuya kufuneka uhlale esibhedlele ufumane unyango. Oogqirha kunye nabahlengikazi baya kukujonga ngokusondeleyo baze bakunyange. Kungathatha ixesha ukuba uphile.

Iyintoni ingozi yokufa ngenxa yolu sulelo?

Ngenxa yokuba abantu abaninzi abanesifo se-C. parapsilosis banezinye iingxaki zempilo ezifihlakeleyo, kunzima ukutsho ukuba bangaphi abantu abafa ngenxa yesifo ngokwaso. Nangona kunjalo, iingcali ziqikelela ukuba izinga lokufa kuzo zonke iintlobo ze-candidiasis ezihlaselayo limalunga ne-25% . Oko kuthetha ukuba malunga nomntu omnye kwabane abanesifo uya kufa. Kodwa khumbula, imeko yempilo esisiseko idla ngokuba yimbangela yokufa.

Ngaba usulelo lweCandida parapsilosis lunokuthintela?

Ewe, zikho izinto ezinokuthintelwa. Ababoneleli bezempilo, oko kukuthi, oogqirha kunye nabongikazi, bathatha amanyathelo akhethekileyo okuthintela ukusasazeka kwezi ntlobo zosulelo ezibhedlele. Ezinye zezi ziquka:

• Hlamba izandla zakho rhoqo.
• Ukubulala iintsholongwane kumphezulu.
• Qiniseka ukuba unika amayeza okubulala iintsholongwane kuphela xa usulelo lwebhaktiriya (kungenjalo ifungus iya kwanda!)
• Ukubulala iintsholongwane ngokufanelekileyo kwizixhobo zonyango.

Sinokunceda ekuthinteleni ezi zifo:

• Hlamba izandla zakho rhoqo nangokucokisekileyo, ingakumbi ukuba unyamekela umntu onenkqubo yomzimba yokuzikhusela ebuthathaka.
• Ukuba unesixhobo sezonyango (umz., i-catheter) esifakwe emzimbeni wakho, buza ugqirha wakho ukuba kufuneka sigcinwe ixesha elingakanani endaweni yaso kunye nendlela yokusinyamekela ngelixa sisesendaweni yaso ukuthintela usulelo.
• Ukuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka, buza ugqirha wakho malunga namayeza okulwa nentsholongwane onokuwasebenzisa kwangaphambili ukuthintela usulelo.

Ndifanele ndimbone nini ugqirha?

Ukuba unesixhobo sonyango esifakwe emzimbeni wakho, unesistim somzimba esibuthathaka, okanye usandul’ utyando, bubulumko ukubuza ugqirha wakho ngeempawu zosulelo . Kwakhona, ukuba ufumanisa naziphi na iimpawu ezirhanelekayo, bona ugqirha ngokukhawuleza.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ngamanye amaxesha imeko inokuba mandundu. Ukuba unempawu enye okanye ezingaphezulu kwezi zilandelayo, yiya kwigumbi likaxakeka ngokukhawuleza :

• Ukuba umkhuhlane ungaphezulu kwe-103 Fahrenheit (40 Celsius).
• Intlungu enzima kakhulu.
• Ukuxhuzula.
• Ukulahlekelwa zingqondo okanye ukuphelelwa lithemba.
• Ukwehla ngequbuliso koxinzelelo lwegazi (iimpawu: ukuba nentloko ebuhlungu, isiyezi, ukuquleka).

Ndingayibuza yiphi imibuzo ugqirha?

Ukuba ufumanisa ukuba une-C. parapsilosis, kunokuba luncedo ukubuza ugqirha wakho le mibuzo:

• Ziziphi iindlela zonyango endinazo?
• Ndiza kuphola nini?
• Ndiyifumene njani le ntsholongwane?
• Ndingenza ntoni ukuthintela olu hlobo losulelo ukuba lungaphuhli kwixesha elizayo?

Okokugqibela, izinto ekufuneka uzikhumbule

Iifungi zihlala emizimbeni yethu kwaye azinabungozi. Kodwa ngamanye amaxesha, zinokungena kwiindawo ezingafanele zisigulise. Ukuba uneempawu zosulelo lwefungus olusasazeka emzimbeni wakho, funa ingcebiso yezonyango ngokukhawuleza . Xelela ugqirha wakho ngazo naziphi na ezinye izifo onazo, naziphi na izixhobo zonyango onazo, okanye naluphi na utyando lwakutshanje olwenzekileyo. Olu lwazi luya kubanceda bafumane unobangela weempawu zakho kwaye baqale unyango ngokukhawuleza. Ngoko ke, akubalulekanga na ukuba siqaphele ezi zidalwa zincinci emizimbeni yethu kunye nezinto ezilungileyo nezimbi ezinokusenza? I-Candida parapsilosis, usulelo lwefungus, i-candidiasis ehlaselayo, umngcipheko kubantu abaneenkqubo zomzimba ezibuthathaka, amayeza okulwa neentsholongwane, usulelo lwasesibhedlele, uthintelo losulelo