Ingabe isikhunta esincane emzimbeni wakho singadala inkinga enkulu? Ake sifunde nge-(Candida parapsilosis)!

Kunezidalwa ezincane eziningi ngaphakathi emizimbeni yethu nasesikhumbeni sethu, akunjalo? Ezinye zilungile futhi ziyasisiza. Kodwa ngezinye izikhathi, ezinye izidalwa zingaba zimbi kancane futhi zingasibangela inkinga. Ngakho-ke, namuhla sizokhuluma ngesikhunta esivame ukungasikhathazi nhlobo, kodwa ngezinye izikhathi singaba yinkinga enkulu. Leso yisikhunta esibizwa ngokuthi `(Candida parapsilosis)`.

Kuyini lokhu (i-Candida parapsilosis)?

Kalula nje, i-`(Candida parapsilosis)` uhlobo lwesikhunta . Luyilungu lomndeni wesikhunta, olufana nesikhunta esisetshenziswa ekubhakeni isinkwa, noma ngezinye izikhathi isikhunta esakheka esikhumbeni sethu. Ngokuvamile zihlala ebusweni besikhumba sethu nasemathunjini ethu (endleleni yokugaya ukudla) . Akukhona lokho kuphela, zikhona nasendaweni esizungezile, enhlabathini. Isikhathi esiningi, le khunta ye-`(C. parapsilosis)` ayisisizi. Imane nje iyaqhubeka nemisebenzi yayo. Kodwa, ake sithi kwadingeka uhlinzwe kakhulu, noma ube nokulimala okukhulu, noma ube nesifo esinciphise amasosha omzimba wakho. Ngezikhathi ezinjalo, le khunta ingaya ezindaweni lapho ingeyona eyakho futhi ikhule khona . Yilapho inkinga iqala khona. Lapho isikhunta sisakazeka ngaphakathi emzimbeni futhi sibangela ukutheleleka, sikubiza ngokuthi `(Invasive Candidiasis)` . Lokhu kungaba yinto engathí sina.

Yiziphi izifo ezingabangelwa yi-Candida parapsilosis?

Uma le fungus (C. parapsilosis) ingena endaweni engafanele, ingabangela izifo ezahlukahlukene. Ake sibone ukuthi yiziphi eziyinhloko:

• Ukutheleleka kolwelwesi lwangaphakathi lwama-valve namagumbi enhliziyo ( i-endocarditis ): Cabanga nje, inhliziyo yethu inezindawo ezipompa igazi, ama-valve avumela igazi ukuthi ligeleze ohlangothini olulodwa kuphela... futhi ulwelwesi lwangaphakathi lungangenwa yileli fungus. Lokhu kubi kakhulu.
• I-Peritonitis: Ngaphakathi esiswini sethu, kukhona ulwelwesi oluncane oluzungeze amathumbu . Yilokhu okubizwa ngokuthi lapho lolo lwelwesi lutheleleka.
• Ukutheleleka kwamanxeba : Uma uke wahlinzwa noma unenxeba elikhulu, leli fungus lingangena ngalo bese libangela ukutheleleka.
• Ukutheleleka Kwezinzipho (i-Onychomycosis): Izinzipho zabanye abantu ziba phuzi, zijiye, futhi ziqhekeke, akunjalo? Ukutheleleka kwesikhunta sezinzipho okufana nalokhu (i-C. parapsilosis) nakho kungabangelwa yilokhu.
• Izifo ezingena egazini futhi zisakazeke emzimbeni wonke: Lokhu nakho kuyingozi kakhulu. Uma isikhunta singena egazini, singahamba noma kuphi emzimbeni.

Ngaphezu kwalokhu, nakuba kungavamile , lesi sikhunta singabangela ezinye izifo:

• I-Meningitis (ukutheleleka kwezicubu ezimboze ubuchopho nomgogodla )
• Isifo samathambo
• Ukutheleleka kwendlebe
• Ukutheleleka kwesitho sangasese sowesifazane `( Vaginitis )`
• Izifo Zomgudu Womchamo (UTI)

Zivame kangakanani lezi zifo (i-Candida parapsilosis)?

Eqinisweni, i-`(C. parapsilosis)` uhlobo oluvame kakhulu lwesikhunta esibangela izifo ezinkulu (oluvame kakhulu uhlobo olubizwa ngokuthi `(Candida albicans)`). Kodwa lokho akusho ukuthi uzoluthola kalula. Ngokwezibalo, cishe abantu abayisishiyagalolunye kwabayikhulu lamakhulu (9/100,000) bahlakulela lesi simo esibi `(Invasive Candidiasis)` minyaka yonke . Lokho kungaphansi kuka-0.01%. Ngakho-ke, ungesabi ukuthi yisifo esitholwa yiwo wonke umuntu.

Ziyini izimpawu zokutheleleka kwe-Candida parapsilosis?

Izimpawu zalesi sifo ziyahlukahluka kuye ngokuthi isikhunta sithinta kuphi emzimbeni . Kodwa-ke, ezinye izimpawu ezivamile zifaka:

• Imfiva
• Ukugodola
• Ubunzima bokuphefumula
• Ukukhwehlela
• Isisu esibuhlungu
• Ubomvu, ukuvuvukala, noma ukulunywa endaweni yokuhlinzwa noma inxeba

Uma unezimpawu ezinjengalezi, ikakhulukazi uma unesinye isifo noma uzizwa sengathi amasosha akho omzimba aphansi, kungcono ukubona udokotela.

I-Candida parapsilosis ingena kanjani emizimbeni yethu?

Esikhathini esiningi, isikhunta (C. parapsilosis) sihlala singenangozi esikhumbeni sethu noma emathunjini ethu. Njengezinye isikhunta eziningi, siyingxenye yemizimba yethu. Kodwa uma sifika endaweni okungafanele singene kuyo (njengegazi noma isitho sangaphakathi), singanda ngokushesha futhi sibangele ukutheleleka. Kunezindlela ezimbili eziyinhloko lokhu okungenzeka ngazo: 1. Uma unenxeba elijulile noma inxeba elishiywe ngemva kokuhlinzwa , isikhunta singangena emzimbeni wakho. 2. Uma unedivayisi yezokwelapha (njenge-central venous line ekunika i-saline, ipayipi lokuphefumula elikusiza ukuphefumula), idivayisi ingangena nasemzimbeni wakho uma ingcoliswe yikhunta.

Cabanga nje, ngesikhathi usesibhedlela, unepayipi le-saline elifakwe emthanjeni engalweni yakho. Uma lelo payipi lingahlanzwanga kahle, leli fungus esikhumbeni linethuba elincane lokuhamba ngepayipi le-saline liye emzimbeni wakho.

Ubani osengozini enkulu yokuthola lesi sifo?

Sithe akuwona wonke umuntu othola lesi sifo. Kodwa abanye abantu basengozini enkulu yokusithola. Ake sibone ukuthi bangobani:

• Izinsana ezisanda kuzalwa:Ngoba amasosha omzimba wabo awakakhuli ngokugcwele.
• Abantu abanezivikeli mzimba ezibuthakathaka:
• Ngenxa yesifo esiyisisekelo (isib. ukutheleleka nge-HIV, i-leukemia, noma isifo sikashukela).
• Abantu abake bafakelwa izitho zomzimba noma bafakelwa amaseli e-stem. "Laba bantu banekhono elincane lokulwa nezifo, ngakho-ke basengozini enkulu yokutheleleka."
• Abantu abanamadivayisi ezokwelapha afakwe emizimbeni yabo: Isibonelo, "Umugqa Ophakathi Wemithambo Yegazi" (ipayipi elifakwe emthanjeni oyinhloko), "Ipayipi Lokuphefumula" (ipayipi elinikeza ukuphefumula), "Ipayipi Lokudla" (ipayipi elinikeza ukudla). Lokhu kunikeza indlela yokuthi isikhunta singene emzimbeni.
• Abantu abasanda kuhlinzwa esiswini: Ngenxa yokuthi le fungus ikhona emathunjini, ingahamba iye kwezinye izindawo ngesikhathi sokuhlinzwa.
• Abantu asebethathe ama-antibiotic isikhathi eside, noma abathatha ama-antibiotic njalo: "Uyazi ukuthi kungani? Ama-antibiotic awabulali nje kuphela amabhaktheriya amabi emizimbeni yethu, kodwa futhi nama-bacteria amahle asiza. Lawa ma-bacteria amahle ayavimba isikhunta njenge-C. parapsilosis ekukhuleni ngaphandle kokulawula. Ngakho-ke lapho ama-bacteria amahle engasekho, ama-fungus aphelile!"
• Abantu abafaka imijovo yezidakamizwa ngaphandle kweseluleko sezokwelapha: Le fungus ingangena egazini ngezinaliti ezingcolile.

Odokotela bakuthola kanjani ukutheleleka kwe-Candida parapsilosis? (Ukuxilongwa)

Udokotela uzokuhlolela lolu hlobo lokutheleleka ngokuthatha isampula yegazi lakho noma isampula encane yezicubu ocabanga ukuthi zithelelekile . Kubalulekile futhi ukutshela udokotela wakho nganoma yimaphi amadivayisi ezokwelapha owafakile emzimbeni wakho nokuthi ngabe uke wahlinzwa yini muva nje.

Yiziphi izindlela zokwelapha lokhu?

Ukutheleleka kwe-C. parapsilosis kwelashwa ngemithi yokukhunta . Eminye yemithi eyinhloko esetshenziswa odokotela yile:

• Imithi eqenjini lemithi ebizwa ngokuthi `(Echinocandins)` , isibonelo `(Caspofungin)`.
• I-Fluconazole noma eminye imithi eqenjini le-Azoles.
• `(Amphotericin B)` (Amphotericin B).

Le mithi inqunywa ngokusekelwe ezicini eziningi, njengesimo sakho kanye nohlobo lokutheleleka. Ngakho-ke, ungayisebenzisi ngaphandle kweseluleko sikadokotela.

Yini engingayilindela uma ngithola ukutheleleka kwe-Candida parapsilosis?

Ukutheleleka kwe-C. parapsilosis okusakazeke emzimbeni akuyona into yokudlala ngayo, kuyingozi kakhulu . Kuzodingeka uhlale esibhedlela futhi uthole ukwelashwa. Odokotela nabahlengikazi bazokuqapha eduze futhi bakwelaphe. Kungathatha isikhathi ukuthi ululame.

Iyini ingozi yokufa ngenxa yalesi sifo?

Ngenxa yokuthi abantu abaningi abathola ukutheleleka kwe-C. parapsilosis banezinye izinkinga zempilo eziyisisekelo, kunzima ukusho ukuthi bangaki abantu abafa ngenxa yokutheleleka ngokwako. Kodwa-ke, ochwepheshe balinganisela ukuthi izinga lokufa lazo zonke izinhlobo ze-candidiasis ehlaselayo licishe libe ngu-25% . Lokho kusho ukuthi cishe oyedwa kwabane abantu abathola ukutheleleka uzofa. Kodwa khumbula, isimo sempilo esiyisisekelo sivame ukuba yimbangela yokufa.

Ingabe ukutheleleka kwe-Candida parapsilosis kungavinjelwa?

Yebo, kunezinto ezingavinjelwa. Abahlinzeki bezempilo, okungukuthi, odokotela nabahlengikazi, bathatha izinyathelo ezikhethekile zokuvimba ukusabalala kwalezi zinhlobo zokutheleleka ezibhedlela. Ezinye zalezi zifo zifaka:

• Geza izandla zakho njalo.
• Ukubulala amagciwane ezindaweni.
• Qiniseka ukuthi unikeza ama-antibiotic kuphela uma ukutheleleka ngamagciwane (ngaphandle kwalokho isikhunta sizokwanda!)
• Ukuhlanza kahle imishini yezokwelapha.

Singasiza futhi ekuvimbeleni lezi zifo:

• Geza izandla zakho njalo futhi kahle, ikakhulukazi uma unakekela umuntu onesimiso somzimba esibuthakathaka.
• Uma unedivayisi yezokwelapha (isb., i-catheter) efakwe emzimbeni wakho, buza udokotela wakho ukuthi kufanele igcinwe isikhathi esingakanani endaweni nokuthi ungayinakekela kanjani ngenkathi isendaweni ukuze uvimbele ukutheleleka.
• Uma amasosha omzimba wakho ebuthakathaka, buza udokotela wakho ngemithi yokulwa namagciwane ongayisebenzisa kusenesikhathi ukuvimbela ukutheleleka.

Kufanele ngimbone nini udokotela?

Uma unedivayisi yezokwelapha efakwe emzimbeni wakho, unesimiso somzimba esibuthakathaka, noma usanda kuhlinzwa, kuwukuhlakanipha ukubuza udokotela wakho ngezimpawu zokutheleleka . Futhi, uma uba nanoma yiziphi izimpawu ezisolisayo, bona udokotela ngokushesha.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Ngezinye izikhathi isimo singaba sibi kakhulu. Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, iya ekamelweni lezimo eziphuthumayo ngokushesha :

• Uma umkhuhlane ungaphezu kwama-Fahrenheit angu-103 (40 Celsius).
• Ubuhlungu obukhulu kakhulu.
• Ukuquleka.
• Ukulahlekelwa yingqondo noma ukuphelelwa yithemba.
• Ukwehla okungazelelwe komfutho wegazi (izimpawu: ikhanda elibuthakathaka, isiyezi, ukuquleka).

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uthola ukuthi unesifo se-C. parapsilosis, kungaba usizo ukubuza udokotela wakho le mibuzo:

• Yiziphi izindlela zokwelapha enginazo?
• Ngizoba ngcono nini?
• Ngithole kanjani lokhu kutheleleka?
• Yini engingayenza ukuze ngivimbele lolu hlobo lokutheleleka ukuthi lungakhuli esikhathini esizayo?

Okokugcina, izinto okufanele uzikhumbule

Isikhunta sihlala emizimbeni yethu futhi asinangozi. Kodwa ngezinye izikhathi, singangena ezindaweni okungafanele sigule kuzo. Uma unezimpawu zokutheleleka ngesikhunta okusakazeka emzimbeni wakho, funa iseluleko sezokwelapha ngokushesha . Tshela udokotela wakho nganoma yiziphi ezinye izifo onazo, noma yimaphi amadivayisi ezokwelapha onawo, noma yikuphi ukuhlinzwa kwakamuva oke wakwenza. Lolu lwazi luzobasiza bathole imbangela yezimpawu zakho futhi baqale ukwelashwa ngokushesha okukhulu. Ngakho-ke, akubalulekile yini ngathi ukuqaphela lezi zidalwa ezincane emizimbeni yethu nezinto ezinhle nezimbi ezingasenza kithi? I-Candida parapsilosis, ukutheleleka ngesikhunta, i-candidiasis ehlaselayo, ingozi kubantu abanamasosha omzimba abuthakathaka, imithi yokulwa namagciwane, ukutheleleka esibhedlela, ukuvimbela ukutheleleka