Masifunde ngqo malunga nosulelo oluyingozi lweCandida olusasazeka emzimbeni wonke: I-Invasive Candidiasis!

Ngaba wakha wazibuza ukuba ingaba yingozi kangakanani into encinci ehlala ikhona emizimbeni yethu, ngamanye amaxesha ingabi nangxaki? Le yimeko ebizwa ngokuba yi-`(Invasive Candidiasis)`. Ngamafutshane, kulapho igwele elithi `Candida`, elikhoyo ngaphakathi emizimbeni yethu, likhula lingalawuleki kwaye lisasazeke kwizitho zethu ezibalulekileyo zangaphakathi. Oku akuyonto ifanele ithathwe lula, kuba inokuba yingozi nakubomi.

Yintoni iCandida? Iyingozi kangakanani?

Kulungile, masiqale sijonge ukuba yintoni iCandida. ICandida luhlobo lwegwele oluqhelekileyo. Uyazi, luhlala ngobuninzi obuncinci kakhulu eluswini, emlonyeni, nasemathunjini ethu. Ayibangeli ngxaki. Nangona kunjalo, ngamanye amaxesha, ngesizathu esithile, le gwele iqala ukukhula ngokungalawulekiyo nangaphezulu kunokuba kufanele. Kulapho ingxaki iqala khona. Sibiza usulelo oluvela xa iCandida isanda ngale ndlela, ngokuthi "iCandidiasis." Uninzi lwexesha, olu sulelo luncinci. Umzekelo, izinto ezifana ne "Thrush" (esibiza ngokuba ngamabala amhlophe emlonyeni) okanye "iVaginal Yeast Infection" (efunyanwa ngabasetyhini kwilungu lobufazi) zibangelwa yile "Candidiasis." Ezi zihlala zinyangwa ngokukhawuleza ngonyango.

Nangona kunjalo, i-'Invasive Candidiasis' yimeko enzulu kakhulu. Ngamanye amazwi, ikwabizwa ngokuba yi-'Systemic Candidiasis'. Okwenzekayo apha kukuba i-'Candida' yeast eyongeziweyo ayihlali kwindawo enye emzimbeni wethu, kodwa isasazeka kuwo wonke umzimba, ngakumbi kwizitho zangaphakathi ezibalulekileyo ebomini bethu. Khawuthelekelele uhlobo lwemeko oluya kuvela ukuba oku kusasazeka kwiindawo ezifana namehlo, izintso, intliziyo, kunye nengqondo! Oku kunokubangela ukudumba okujikeleze intliziyo. Kungonakalisa nee-membrane ezikhuselayo ezijikeleze ingqondo kunye nomqolo (meningitis). Enyanisweni, ukuba le meko ebizwa ngokuba yi-'(Invasive Candidiasis)' ayinyangwa ngokukhawuleza, inokukhokelela ekungasebenzini kwamalungu omzimba kwanokufa. Yiyo loo nto kufuneka siqaphele ngokukodwa oku.

Yintoni umahluko phakathi kwe-'Invasive Candidiasis' kunye ne-'Candidemia'?

Ngoku usenokuba uzibuza, ngaba i-'invasive candidiasis' kunye ne-'candidemia' ziyafana? Okanye zimbini? I-'Invasive candidiasis' ligama eliqhelekileyo lokusasazeka kosulelo lwe-'Candida' kwizitho ezahlukeneyo zomzimba. I-'Candidemia' lolona hlobo luqhelekileyo lwe-'invasive candidiasis'. Okwenzekayo kukuba usulelo lwe-'Candidemia' lusasazeka kwinkqubo yethu yokujikeleza kwegazi, oko kukuthi, egazini.

Enyanisweni, i-candidemia yenye yezona zifo zixhaphakileyo ezinxulumene nokhathalelo lwempilo (ii-HAI). Njengezinye izifo ezihlaselayo ze-candidiasis, yingxamiseko. Kufuneka uncedo lwezonyango ngokukhawuleza.

Ziziphi iimpawu ze-'Invasive Candidiasis'?

Kunokuba nzima ukubona iimpawu ezichanekileyo zale ntsholongwane. Oku kungenxa yokuba uninzi lwabantu abafumana le ntsholongwane sele benesifo esinye okanye bayaphola emva kotyando. Kwakhona, iimpawu zinokufana nezezinye iimeko, ezifana nosulelo lweebhaktheriya.

Iimpawu eziqhelekileyo ze-candidiasis ezingafunekiyo ziquka:

• Intlungu yesisu
• Ukugodola
• Ifiva
• Intlungu yemisipha
• Ukuqhambuka kwesikhumba
• Ubuthathaka okanye ukudinwa kakhulu (Ukudinwa)

Ezinye iimpawu zinokuba zezo zihambelana nendawo ekwele ntsholongwane. Umzekelo, ukuba amehlo achaphazeleka yile 'candidiasis ehlaselayo', unokufumana iimpawu ezifana nezi:

• Umbono ofipheleyo
• Uvakalelo ekukhanyeni (amehlo aluhlaza okwesibhakabhaka)
• Utshintsho lombono

Kwimeko ye-candidiemia, kunye nomkhuhlane kunye nokubanda, ukudideka kunye noxinzelelo lwegazi oluphantsi kunokwenzeka.

Zithini izizathu ze-'Invasive Candidiasis'?

Ngamafutshane, i-candidiasis ehlaselayo yenzeka xa i-yeast Candida emzimbeni wethu ikhula kakhulu kwaye isasazeka kwizitho zangaphakathi. Zininzi iindlela oku okunokwenzeka ngazo. Ngokukodwa, kunokwenzeka xa ugqirha okanye ingcali yezempilo ifaka isixhobo sezonyango ngesikhumba sakho emzimbeni wakho. Umzekelo, inokuba yi-catheter esetyenziselwa ukukhupha ulwelo olufana nomchamo. Okanye inokuba yi-peripheral IV esetyenziselwa ukukunika isondlo okanye amayeza.

Ngoko ke le 'Candida' isasazeka njani? Khawuthelekelele, xa eso sixhobo sonyango sifakwa, igwele le 'Candida' elingaphezulu kolusu lwethu linokungena kweso sixhobo lize lidlulele kumalungu ethu omzimba. Ngamanye amaxesha, le 'Candida' inokudluliselwa kweso sixhobo sonyango isuka ezandleni zomsebenzi wezempilo, kwaye inokungcola.

I-invasive candidiasis inokwenzeka nangaphandle kwesibhedlele. Le ngozi iyinyani ngakumbi ukuba ufake i-central venous catheter xa ukhutshwa ekhaya kwaye kufuneka uyinyamekele ngokwakho.

Ngaba i-Invasive Candidiasis iyosulela umntu komnye umntu?

Hayi, i-candidiasis ehlaselayo ayisasazeki ngqo ukusuka komnye umntu ukuya komnye. Nangona kunjalo, igwele iCandida inokusasazeka ukusuka komnye umntu ukuya komnye nakwindawo engaphandle. Ukuze kubekho usulelo, igwele kufuneka lingene emzimbeni wakho ngandlela thile.

Ngubani osengozini enkulu yokuhlaselwa yile nto? (Izinto Ezinobungozi)

Abanye abantu basengozini enkulu yokufumana le "candidiasis ehlaselayo". Nazi:

• Iintsana ezizalwa ngaphambi kwexesha (iintsana ezizalwa ngaphambi kwexesha)
• Abantu abafuna ukufumana ukutya ngetyhubhu (ityhubhu yokondla)
• Abo bafuna ukufakelwa iiseli ze-stem
• Abantu abafumana i-dialysis ngenxa yesifo sezintso
• Abantu abafumana amayeza okubulala iintsholongwane nge-IV
• Abantu abasebenzisa iziyobisi ngokufaka iziyobisi kunye
• Abantu abasandula utyando lwesisu
• Abantu abasele besesibhedlele iintsuku ezininzi okanye ngaphezulu, ingakumbi abo bakwiyunithi yokhathalelo olunzulu (ICU)
• Abantu abanee-catheters, ezifana nemigca ye-PICC, umzekelo.
• Abantu abaneenkqubo zomzimba ezibuthathaka (umz. abantu abane-HIV, izigulana ezinomhlaza, abo bafumene amalungu omzimba angasebenzi kakuhle)

Kubalulekile: Ukuba ungomnye wala maqela anobungozi, kufuneka ulumke kakhulu ngezi mpawu.

Oogqirha bayifumanisa njani i-'Invasive Candidiasis'?

Ukuba ugqirha wakho ukrokrela ukuba une-candidiasis ehlaselayo, into yokuqala abaya kuyenza kukuthatha isampuli yegazi lakho baze benze i-culture yegazi. Kolu vavanyo, isampuli yegazi lakho ithunyelwa kwilebhu. Apho, ingcali yezifo iya kuyibeka kwindawo ekhethekileyo ukuze ibone ukuba i-yeast Candida iyakhula na. Banokufumanisa nokuba loluphi uhlobo lwe-yeast olusegazini lakho. Olu lwazi lubaluleke kakhulu ukuba ugqirha wakho agqibe ngonyango lwakho.

Nangona kunjalo, kungathatha iintsuku ezininzi ukuba iziphumo zenkcubeko yegazi zibuye. Izazinzulu ngoku zizama ukufumana iindlela ezintsha zokuxilonga i-candidiasis ehlaselayo ngokukhawuleza. Ukunciphisa ixesha elithathwayo ukuze ufumane iziphumo kubalulekile. Ukwazi ukuba unosulelo na kunye nohlobo lwe-Candida olubangela ukuba lube njalo kubalulekile kunyango. Okukhona ugqirha efumana iziphumo ngokukhawuleza, kokukhona eqala unyango olufanelekileyo ngokukhawuleza.

Inyangwa njani i-Invasive Candidiasis?

Enyanisweni, ukunyanga i-candidiasis ehlaselayo kunokuba nzima. Inyathelo lokuqala kukufumana nokususa umthombo wosulelo, ukuba kunokwenzeka. Oku kungabandakanya ukususa nayiphi na imiqolo ye-IV okanye ii-catheters ezinokuba zikhona. Emva koko, ugqirha wakho uya kukuqalisa ngoko nangoko amayeza okulwa ne-intravenous (IV).

Uhlobo lwe-fungicide olunikiweyo luxhomekeke kwizinto ezininzi:

• Iintlobo zeCandida
• Apho usulelo lukhona khona
• Ubunzima bosulelo
• Amandla enkqubo yakho yomzimba yokuzikhusela

Ugqirha wakho uza kuqala unyango ngamayeza okulwa nokubola avela kudidi lweziyobisi ze-echinocandin. Umzekelo:

• `Anidulafungin`
• `I-Caspofungin`
• `IMicafungin`

Xa usulelo luphelile, banokukunika elinye iyeza lokulwa nentsholongwane, elifana neFluconazole okanye iVoriconazole. Ukuba awukwazi ukusebenzisa loo mayeza okanye awukwazi ukuwafumana, ugqirha wakho unokuzama neyeza elibizwa ngokuba yiAmphotericin B.

Kuthatha ixesha elingakanani ukuphiliswa kwi-'Invasive Candidiasis'?

Ugqirha wakho uza kukuvavanya iCandida yonke imihla. Unyango luhlala luqhubeka malunga neeveki ezimbini, nokuba iimpawu zakho ziphelile. Kuya kufuneka wenze uvavanyo lwegazi ukuqinisekisa ukuba akukho gwele egazini lakho. Nangona kunjalo, kwiimeko ezinzima, unyango lunokufuneka luqhubeke ixesha elide.

Ngaba i-Invasive Candidiasis ingathintelwa?

Ukuba usemngciphekweni omkhulu wokuba ne-candidiasis ehlaselayo, ugqirha wakho unokukunika i-antifungal prophylaxis, eliliyeza lokuthintela usulelo. Olu hlobo lonyango lokuthintela alusebenzi rhoqo. Ngamanye amaxesha luza neengozi. Nangona kunjalo, ugqirha wakho unokugqiba kwelokuba iingenelo zokuthintela usulelo zingaphezulu kweengozi.

Kukho ezinye izinto onokuzenza ukunciphisa umngcipheko wokosuleleka:

• Gcina ulusu lwakho lucocekile, ingakumbi izandla zakho. Kubaluleke kakhulu ukuhlamba izandla zakho ngesepha rhoqo.
• Khangela iimpawu zokuqala zosulelo. Umzekelo, khangela utshintsho lolusu okanye iintlungu apho kufakwa khona i-catheter okanye i-IV.
• Qinisekisa ukuba nabani na okuchukumisayo, kwanabasebenzi bezempilo, bahlamba izandla zabo kuqala. Eli lilungelo lakho.
• Kwanoogqirha bakho kunye nabahlengikazi kufuneka balandele indlela elungileyo yokuhlamba izandla zabo. Ukuba une-catheter, kufuneka bayihlole rhoqo ukuze babone ukuba kukho iimpawu zosulelo.

Ithini ingqikelelo yomntu one-'Invasive Candidiasis'?

I-invasive candidiasis yimeko enzima kakhulu . Ingachaphazela amalungu omzimba wonke. Nokuba inyangwa, ngamanye amaxesha inokukhokelela ekungasebenzini kwamalungu nasekufeni. Kuthiwa malunga nabantu abathathu kwabalishumi abafumana olu sulelo bayafa . Oko kuthetha ukuba izinga lokufa limalunga nama-30 ekhulwini.

Kwanabo baphila ubomi obude banokuphila ubomi obude. Basenokuba neengxaki ezibangelwa lusulelo. Oku kunokuchaphazela umgangatho wobomi babo. Umzekelo, i-candidiasis ehlasela amehlo inokubangela nokuba babe yimfama.

Usenokuba neengxaki ezininzi zempilo kwixesha elizayo ezinxulumene nosulelo. Kuya kufuneka usebenzisane kakhulu nogqirha wakho. Baza kukunceda ukulawula iziphumo ebezingalindelekanga zosulelo kunye nonyango.

Yintoni "i-candidiasis ehlaselayo"?Ingxamiseko yezonyango. Ukuba igwele leCandida lisasazeka kwizitho zakho zangaphakathi, linokubangela iingxaki ezisongela ubomi. Ukuba usesibhedlele okanye usemngciphekweni wokosuleleka, xela naziphi na iimpawu kwiqela lakho lezonyango ngoko nangoko. Ngokufunyaniswa kwangoko kunye nonyango olusebenzayo, ungaloyisa olu sulelo. Thembela kubaboneleli bakho bezempilo ukuba bakukhuthaze kwaye bakunike inkxaso.

Umyalezo Wokuya Ekhaya

Kulungile, masiphinde sichaze ezona zinto zibalulekileyo sithethe ngazo malunga ne-'Invasive Candidiasis':

• I-invasive candidiasis sisifo esibi apho i-yeast Candida, efumaneka rhoqo emizimbeni yethu, ikhula ngokungalawulekiyo ize isasazeke kwizitho zangaphakathi.
• Le yingxamiseko yezonyango enokuba yingozi ebomini.
• Izigulana ezilaliswe esibhedlele, ezo zineenkqubo zomzimba ezibuthathaka, kunye nezo zisebenzisa izixhobo ezifana nee-catheters zisengozini enkulu.
• Ukuba ubonakalisa iimpawu ezinje ngomkhuhlane, ukugodola, iintlungu zesisu, okanye ukudideka, funa ingcebiso kagqirha ngoko nangoko.
• Amayeza okulwa nefungus asetyenziselwa unyango. Kubaluleke kakhulu ukuqala unyango ngokukhawuleza.
• Ucoceko lomntu, ingakumbi ukuhlamba izandla, kunye nokugcina izixhobo zonyango zicocekile kunokunceda ekuthinteleni usulelo ngandlela ithile.
• Musa ukuyithatha lula le nto. Ukuba wena okanye umntu omaziyo unezinye zezi mpawu, bonana nogqirha ngokukhawuleza. Ukufunyaniswa kwangoko kunye nonyango kunokusindisa ubomi.

I- Candidiasis Ehlaselayo, i-Systemic Candidiasis, i-Candida, i-Yeast Infection, i-Fungal Infection, i-Blood Infection, i-Hospital Infection, i-Candidemia, i-Antifungal, i-Candida, i-Invasive Candidiasis, i-Systemic Candidiasis, i-Fungal Infection, i-Yeast Infection