Uyazazi lezi zifo eziyingozi zesikhunta? (Candida Auris) Ake sixoxe!

Cishe uke wezwa ukuthi kuvela izifo ezintsha ezazingekho ngaphambili? Yilokho i-Candida auris eyikho. Kuyisifo sefungus esiyingozi kancane futhi okunzima ukusilawula ngemithi. Sithinta kakhulu abantu abasezibhedlela nalabo abanezivikeli mzimba ezibuthakathaka. Ingabe singakhuluma kabanzi ngalokhu?

Kuyini i-Candida auris?

Kalula nje, i-Candida auris iyisidalwa esincane, isikhunta uma sisho ngqo. Nakuba ezinye izinhlobo ze-Candida zesikhunta ngezinye izikhathi zihlala emizimbeni yethu ngokuvamile, lo muntu obizwa ngokuthi i-Candida auris akahlali njalo. Akayena umuntu ojwayelekile emizimbeni yethu. Kulapho kuphela lapho efika khona lapho kuvela khona izinkinga. Nazi ezinye izinto ezingenzeka:

• Ukutheleleka kwendlebe.
• Ukutheleleka kwamanxeba.
• Ukutheleleka komgudu womchamo (UTIs).
• Izifo ezingena egazini futhi zisakazeke emzimbeni wonke.

Kungani uthi lokhu kuyingozi kangaka?

Kunezizathu ezimbili eziyinhloko zalokhu. Esinye ukuthi le fungus imelana nemithi eminingi yokukhunta . Lokhu kusho ukuthi ayikwazi ukulawulwa yimithi eminingana esivame ukuyinikeza ukutheleleka kwesikhunta. Kufana nendlela amanye amagciwane amelana ngayo nama-antibiotic bese engasebenzi. Esinye ukuthi ivame ukusabalala ezindaweni ezifana nezibhedlela noma izikhungo zokunakekelwa kwesikhathi eside . Bese, ingasabalala kalula kubantu asebevele behlushwa ezinye izifo futhi abanamasosha omzimba abuthakathaka.

Kuvamile kangakanani lokhu?

Eqinisweni, ukutheleleka kwe-Candida auris akukavamile kakhulu . Kodwa-ke, kusukela ngo-2019, kube nokwanda okuncane kwenani lamacala abikiwe. Yingakho odokotela bebheka lesi sifo esithathelwanayo esisanda kuvela . Izibhedlela nezikhungo zokunakekelwa kwempilo manje zithatha izinyathelo ezikhethekile zokuvimbela ukusabalala kwaso.

Ziyini izimpawu zokutheleleka kwe-Candida auris (C. auris)?

Izimpawu ezibonakala kulesi simo ziyahlukahluka kuye ngokuthi ukutheleleka kukuphi . Ezinye izimpawu ezivamile zingafaka:

• Ukuba nomkhuhlane
• Ukuzizwa sengathi uzobanda
• Ukuzizwa ukhathele kakhulu
• Ukwehlisa umfutho wegazi
• Ukwanda kwesilinganiso senhliziyo (i-tachycardia)
• I-Hypothermia (izinga lokushisa eliphansi lomzimba)
• Ukutheleleka kwendlebe kungabangela ubuhlungu bendlebe, ukucindezeleka, noma umuzwa wokugcwala endlebeni.

Kodwa kukhona okunye. Ngokuvamile, lokhu kutheleleka kwe-Candida auris kwenzeka kubantu asebevele benazo ezinye izifo ezinkulu. Ngakho-ke, izimpawu zalokhu zingahambisana nezimpawu zezinye izifo zabo, futhi zingase zingabonwa . Futhi, abanye abantu bangase babe nalesi sikhunta emizimbeni yabo kodwa bangakhombisi zimpawu. Kodwa-ke, kubalulekile ukukhumbula ukuthi basengayisabalalisa kwabanye.

I-Candida auris isakazeka kanjani?

Uthola ukutheleleka kwe-Candida auris (C. auris).Kungasakazeka ngokuthintana nomuntu one-fungus (ngisho noma engenazo izimpawu) noma ngokuthinta indawo ene-fungus kuyo. Isibonelo, esibhedlela, kungasakazeka kusuka komunye umuntu kuya komunye, noma ngemishini yezokwelapha engahlanzekile. Kungasakazeka futhi ngemishini yezokwelapha efakwa emzimbeni wakho, njengomugqa ophakathi wemithambo yegazi, ipayipi lokuphefumula, ipayipi lokudla, noma i-catheter yesinye .

Ngakho-ke lokhu kuqhutshwa umoya?

Cha, ngokusho kochwepheshe bezokwelapha, i-Candida auris ayingeni emoyeni . Ivame ukuthwalwa esikhumbeni sethu. Ukusuka lapho, isakazeka isuka komunye umuntu iye komunye noma ngezinto ezingcolisiwe.

Ubani osengozini enkulu yokuthola izifo ze-Candida auris (C. auris)?

Ukutheleleka kwe-Candida auris kuvame ukwenzeka kubantu abanesimiso somzimba esibuthakathaka ngenxa yesinye isimo sempilo esiyisisekelo. Ungase ube sengozini enkulu uma:

• Uma usebenzisa idivayisi yangaphakathi njenge- central venous line, i-breathing tube, i-feeding tube, noma i-bladder catheter, kulula ukuthi i-fungus ingene emzimbeni isuka ngaphandle ngalezi zinto.
• Uma unesifo esifana nomdlavuza wegazi noma isifo sikashukela .
• Uma uhlala esibhedlela noma kwesinye isikhungo sezempilo isikhathi eside .
• Uma usanda kuhlinzwa .
• Uma usuthathe ama-antibiotic isikhathi eside , noma uma uthatha ama-antibiotic njalo.

Yiziphi izinkinga ezingaba khona ngenxa yokutheleleka yi-Candida auris (C. auris)?

Uma lesi sikhunta se-Candida auris sisakazekela egazini lakho , singadala izinkinga ezinkulu. Isibonelo:

• I-Sepsis : Lesi yisimo esingasongela impilo esenzeka ngenxa yokutheleleka.
• Ukushaqeka : Lokhu kusho ukuthi izitho zomzimba azitholi igazi nomoya-mpilo owanele.
• Ukwehluleka kwezitho zomzimba : Ukulahlekelwa ukusebenza kwezitho ezibalulekile njengezinso nesibindi.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Uma ngikhuluma iqiniso, kunzima kancane ukuthola ukutheleleka kwe-Candida auris. Kudinga ukuhlolwa okukhethekile. Ngezinye izikhathi kudidaniswa nezinye izifo. Uma unezimpawu zokutheleleka kwebhaktheriya ezingapheli ngama-antibiotic, udokotela wakho angase asole i-C. auris. Bazobe sebethatha isampula yomzimba wakho bese beyihlola ukuze babone ukuthi ikhunta likhona. Amasampula angafaka:

• Igazi
• Umchamo
• Isihlalo
• Uketshezi noma izicubu ezithathwe esilondeni
• I -swab ethathwe esinqeni, emakhwapheni, endlebeni, esithweni sangasese sowesifazane, noma endukwini.

Ingabe ukutheleleka kwe-Candida auris (C. auris) kungelapheka?

Ukutheleleka kwe-Candida auris kuvame ukwelashwa ngezinhlobo zemithi ebizwa ngokuthi i-echinocandins . Kodwa-ke, njengoba kushiwo ngaphambili, ezinye izinhlobo zalesi sikhunta ziyamelana nale mithi , okwenza kube nzima ukwelapha. Ezimweni ezinjalo, odokotela kungadingeka bahlanganise imithi eminingana ukuze baqede ukutheleleka.

Kuyingozi kangakanani lokhu ngempela? Lingakanani izinga lokufa?

Inkinga lapha ukuthi abantu abaningi abathola i-C. auris kakade banezinye izifo ezinkulu futhi basengozini enkulu yokufa. Ngakho-ke, kunzima ukusho ngqo ukuthi lingakanani izinga lokufa le-C. auris . Kodwa-ke, izifundo ezimbalwa ezilinganiselwe zibonise ukuthi leli zinga lingafinyelela ku-30% kuya ku-60% . Lokhu kusho ukuthi lokhu akuyona into okufanele ithathwe kalula.

Singakugwema kanjani lokhu? (Ukuvimbela)

Odokotela nabasebenzi ezibhedlela nasezikhungweni zezempilo balandela imithetho ehlukahlukene yokuphepha kanye nokubulala amagciwane ukuvimbela izifo ezitholakala esibhedlela njenge-Candida auris. Ezinye zalezi zifo zifaka:

• Geza izandla zakho kahle .
• Ukubulala amagciwane ezindaweni ezithintekile .
• Qinisekisa ukuthi ama-antibiotic anikezwa abantu abanezifo ezibangelwa amagciwane kuphela .
• Ukuhlanza imishini yezokwelapha .
• Uma kukhona ukusola ukuthi lesi sifo sisakazeka endaweni ethile, iziguli kanye nalabo abeza esibhedlela kufanele bahlolwe .
• Ukuhlukaniswa kwabantu abanegciwane le-Candida auris ukuze kuvinjelwe ukudluliselwa kwabanye .

Nawe ungasiza ekuvimbeleni lokhu.

Geza izandla zakho njalo nangokuphelele . Lokhu kubaluleke kakhulu uma unakekela umuntu onesimiso somzimba esibuthakathaka noma uma unomuntu osanda kuchitha isikhathi eside esibhedlela. Ungabuza nodokotela wakho ukuthi kufanele ugcine isikhathi esingakanani noma yimaphi amadivayisi ezokwelapha, njenge-catheter, emzimbeni wakho.

Kufanele ngimbone nini udokotela wami?

Ngisho noma usesibhedlela, kubalulekile ukugcina ukuxhumana okuhle nethimba lakho lezokwelapha. Bazise uma ubhekene nezimpawu zokutheleleka, njengobuhlungu , ukushaya kwenhliziyo okusheshayo, ubuthakathaka, noma umkhuhlane .

Yini okufanele ngiyibuze udokotela wami?

Ungase ukuthole kuwusizo ukubuza udokotela wakho imibuzo efana nale:

• Yiziphi izindlela zokwelapha enginazo?
• Ngingalindela nini ukuthi ngilulame?
• Ngithole kanjani lokhu kutheleleka?
• Yini engingayenza ukuze ngivimbele lolu hlobo lokutheleleka ukuthi lungenzeki esikhathini esizayo?

Okokugcina, izinto okufanele uzikhumbule

Ukutheleleka kwe-Candida auris akuvamile kodwa kungaba kubi kakhulu.Odokotela bakho kanye nabasebenzi bezempilo basebenza kanzima ukugcina izibhedlela nezindawo zokunakekelwa kwesikhathi eside ziphephile. Eqinisweni, abantu abaningi akudingeki bakhathazeke nge-C. auris ngoba ayibangeli kalula ukutheleleka kubantu abanezivikeli mzimba eziphilile.

Kodwa-ke, uma wena noma othandekayo wakho ninezinkinga ngalokhu, ungangabazi ukukhuluma nodokotela ngakho. Bangaphendula noma yimiphi imibuzo ongase ube nayo futhi bakunike ulwazi olwengeziwe mayelana nendlela yokuvimbela lokhu.

Into ebaluleke kakhulu ukuqaphela nokulandela imikhuba efanele yezempilo!

I- Candida auris, i-Candida auris, ukutheleleka ngefungus, ukutheleleka esibhedlela, ukumelana nemithi, i-sepsis, ukuvimbela ukutheleleka