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Kwenzeka njani ukuba usulelo lweCandida lube yingxaki?
Nangona kukho iintlobo ezingaphezu kwe-150 zeCandida, zintandathu kuphela ezichaphazela abantu kakhulu. Uhlobo oluqhelekileyo yiCandida albicans. Usenokuba ukhe weva ngethrush emlonyeni wakho okanye usulelo lwe-vaginal yeast kubasetyhini. Oku kungenxa yokuba iCandida fungus ikhula ingalawuleki. Ngokwezonyango, siyibiza le meko ngokuthi candidiasis. Nangona inokuba yinto engathandekiyo, ayisongeli ubomi. Nangona kunjalo, ingxaki iqala xa iCandida fungus ingena egazini lakho okanye kwisitho sangaphakathi. Olu sulelo lunzima lubizwa ngokuba yi-invasive candidiasis. Lunokuchaphazela iindawo ezifana nentliziyo, ingqondo, kunye namathambo. Ukuba ifungus ingena egazini lakho, ibizwa ngokuba yi-candidemia. Oku kunokuba yingozi kakhulu, okukhokelela ekulalisweni esibhedlele ixesha elide kwaye ngamanye amaxesha nokufa.Ngoko ke, yintoni i-Candida parapsilosis?
Kutshanje, iCandida parapsilosis ichongiwe njengeyona nto yesibini ixhaphakileyo yosulelo lwefungus emva kweCandida albicans. Kwamanye amazwe aseAsia, eYurophu, naseMzantsi Melika, usulelo lweC. parapsilosis ludlule olo lweCandida albicans ezibhedlele. Oku kuye kwatsala ingqalelo yoogqirha ngenxa yezinye zeempawu eziyingozi zale fungus.
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Check Availability →Kutheni i-C. parapsilosis yahlukile kwaye iyingozi ngakumbi kunezinye iifungi?
Ngokungafaniyo nezinye iintlobo zeCandida, i-C. parapsilosis ixhaphakile kwindawo esihlala kuyo. Inokufumaneka emhlabeni, emanzini, nakwizinambuzane nakwizilwanyana zasekhaya. Ikwafumaneka nakwisikhumba sethu. Kukho izizathu ezininzi zokuba le fungus ibe yingxaki enkulu, ingakumbi kwiindawo ezikwisibhedlele. Makhe sijonge ukuba zeziphi.| Uphawu olukhethekileyo lwefungus C. parapsilosis | Icacisiwe ngokulula |
|---|---|
| Ikhula lula esibhedlele | Le fungus ayimelani kakhulu nemeko yesibhedlele, ngoko ke izigulane ezilaliswe esibhedlele zisengozini enkulu yokosulelwa. |
| Isasazwa ngezandla zabasebenzi bezonyango | Ingasasazeka ngokulula ukusuka kwesinye isigulana ukuya kwesinye ngezandla zoogqirha nabongikazi abahlola izigulana. Ukubaluleka kokuhlamba izandla kuphezulu kakhulu apha. |
| Ukukhula kolwelo olufakwa kwimithambo yegazi | Le fungus inokukhula nakwisondlo se-parenteral (isondlo) esinikwa ngemithambo yegazi kwizigulana ezingakwaziyo ukutya ngomlomo. |
| Ukukhula kwizixhobo ezifakwe emzimbeni | Le fungus ingakhula kwii-catheters, iityhubhu zesaline (ii-cannula), kunye nezinye izixhobo ezifakwe emzimbeni, kwaye ukusuka apho ingangena emzimbeni. |
Ngubani osengozini enkulu yosulelo?
Olu sulelo lwefungus aluyongozi inkulu kumntu ophilileyo nongenawo amajoni omzimba abuthathaka. Nangona kunjalo, yingxaki enkulu kwizigulana ezisezibhedlele, ingakumbi ezo zikwiiyunithi zokhathalelo olunzulu (ii-ICU). Xa olu sulelo lusenzeka kubantu abasele begula kakhulu, kunzima ukutsho ngokuqinisekileyo ukuba imbangela yokufa lusulelo ngokwalo okanye ezinye iimeko ezisisiseko. Nangona kunjalo, izifundo zibonisa ukuba phakathi kwe-19% kunye ne-24% yezigulana ezinesulelo lweCandida egazini ziyafa. Amaqela asengozini enkulu yosulelo lwe-'Candida parapsilosis' ngala:- Iintsana ezisandul’ ukuzalwa : Umngcipheko uphezulu kakhulu kwiintsana ezizelwe ngaphambi kwexesha okanye ezinobunzima obuphantsi.
- Abantu abanezixhobo zonyango ezifakelweyo: Izigulana ezinee-catheters, iityhubhu zesaline , kunye nezinye izixhobo (ii-implants) ezifakelweyo emzimbeni.
- Izigulane ezityiwa ngetyhubhu: Abo bangakwaziyo ukutya ngomlomo kwaye bondliwa ngetyhubhu.
- Izigulane ezinesifo samasosha omzimba esibuthathaka: ingakumbi ezo zosulelo lwazo lwe-HIV luye lwafikelela kwi -AIDS .
- Abo baye batyandwa: ingakumbi ukunqunyulwa okukhulu esiswiniIzigulana eziye zatyandwa .
Yintoni i-biofilm? Kutheni iyingozi?
Esinye isizathu esikhulu sokuba iCandida ibe yingozi kangaka kukukwazi kwayo ukwenza i-'Biofilm'. Ngamafutshane, i-'Biofilm' yikoloni ekhuselayo yeentsholongwane eziqokelelana phezu komhlaba. Ifana nenqaba eyakhelwe ukukhusela iintshaba. Le koloni yakha ngamanyathelo aliqela. Okokuqala, iiseli zefungus zinamathela kumphezulu. Emva koko, zenza umaleko okhuselayo weslime ezijikelezileyo. Emva koko iba yikoloni ekhule kakuhle. Kwinyathelo lokugqibela, iindawo zale koloni zinokuqhekeka kwaye zisasaze usulelo kwezinye iindawo zomzimba.Le biofilm ifana nesikhuselo sefungi. Iiarhente zokubola esizinikayo kunye nenkqubo yethu yokuzikhusela azinakungena kolu maleko wokukhusela zibulale ifungi.
Iimpawu kunye nokuxilongwa
Iimpawu zosulelo lwe-C. parapsilosis ziyafana nezo zosulelo lwe-Candida. Iimpawu eziphambili ngumkhuhlane ongachazwanga kunye nokubanda . Ukuba usulelo lusasazeka kwezinye iindawo zomzimba, ezinye iimpawu zinokuvela. Kwakhona, ukuba kukho usulelo olungapheliyo nangona kukho ii-antibiotics, oogqirha barhanela ukuba lusulelo lwefungus. Ukuze kufunyanwe esi sifo, ugqirha uza kuthatha isampuli yegazi okanye isampuli yezicubu ezisulelekileyo aze azithumele kwilebhu. Isampuli ingakhuliswa ukuze kuchongwe uhlobo oluthile lwe-Candida olubangela usulelo.Unyango kunye nokuthintela
Usulelo lweCandidiasis lunyangwa ngamayeza okubola. Ngokwesiqhelo, iyeza elivela kwiqela lamayeza abizwa ngokuba yi-echinocandins linikwa ngemithambo yegazi. Nje ukuba uhlobo lwefungus luchongiwe, iyeza linokufuneka litshintshwe. I-Fluconazole kunye ne-amphotericin B zezinye iziyobisi ezisetyenziswa rhoqo. Nangona kunjalo, i-Candida parapsilosis ngamanye amaxesha inokuba nzima ukunyanga kuba ifungus inokumelana namanye amayeza. Oku kuthetha ukuba amayeza awanakuwubulala umngundo. Oku kunokunciphisa ukusebenza konyango kwaye konyuse iindleko zonyango.Okubaluleke kakhulu, ukuba usulelo lukwi-catheter, ityhubhu, okanye esinye isixhobo esifakwe emzimbeni, isixhobo kuya kufuneka sisuswe rhoqo. Ukususa into efana nevalvu yentliziyo okanye ilungu elenziweyo linyathelo elinzima kakhulu.Kungoko ke, kubaluleke kakhulu ukucinga ngokuthintela kunonyango.
Yintoni enokwenziwa ukuthintela oku?
- Ukuhlamba izandla : Le yeyona nto ibalulekileyo. Kubalulekile ukuba abasebenzi basesibhedlele bahlambe izandla zabo ngokufanelekileyo xa besuka kwesinye isigulane besiya kwesinye. Kwezinye izifundo, ama-28% abasebenzi basesibhedlele babene-fungus ethi 'C. parapsilosis' ezandleni zabo. Ngoko ke, xa utyelela isibhedlele, kufuneka uqaphele ukugcina izandla zakho zicocekile.
- Unyango lokuthintela: Kwizigulana ezisengozini enkulu, oogqirha banokunika amayeza okulwa nentsholongwane njengendlela yokuthintela usulelo ngaphambi kokuba lwenzeke.
Umyalezo Wokuya Ekhaya
- I-Candida parapsilosis lusulelo lwefungus olunokuba yingozi, ingakumbi kwiindawo zesibhedlele.
- Isasazeka kakhulu ngezandla nangokukhula kwizixhobo zonyango (ii-catheters, iityhubhu) ezifakwa emzimbeni.
- Iintsana ezisandul’ ukuzalwa, izigulana ezikwiiyunithi zokhathalelo oluphezulu, kunye nabo baneenkqubo zomzimba ezibuthathaka basengozini enkulu.
- Eyona ndlela ilungileyo nelula yokuthintela ukusasazeka kwesi sifo kukucoca izandla zakho ngokufanelekileyo narhoqo.
- Ukuba wena okanye umntu kusapho lwakho unamathandabuzo okanye uloyiko malunga noku ngelixa wena okanye umntu kusapho lwakho esibhedlele, thetha ngokukhululekileyo nogqirha wakho ngako.
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