Ake sifunde ngqo ngokutheleleka kwe-Candida okuyingozi okusakazeka emzimbeni wonke: I-Candidiasis Ehlaselayo!

Wake wazibuza ukuthi ingaba yingozi kangakanani into encane evame ukuba khona emizimbeni yethu, ngezinye izikhathi engabangeli zinkinga? Lesi yisimo esibizwa ngokuthi `(Invasive Candidiasis)`. Kalula nje, yilapho imvubelo `Candida`, ekhona emizimbeni yethu, ikhula ingalawuleki futhi isakazekele ezithweni zethu ezibalulekile zangaphakathi. Lokhu akuyona into okufanele ithathwe kalula, ngoba ingaba yingozi ngisho nokuphila.

Iyini i-Candida? Iyingozi kangakanani?

Kulungile, ake siqale sibheke ukuthi iyini i-Candida. I-Candida uhlobo lwemvubelo oluvame kakhulu. Uyazi, ivame ukuhlala ngamanani amancane kakhulu esikhumbeni sethu, emlonyeni, nasemathunjini. Ayibangeli izinkinga. Kodwa-ke, ngezinye izikhathi, ngesizathu esithile, le mvubelo iqala ukukhula ingalawuleki futhi ibe ngaphezu kwalokho okufanele. Yilapho inkinga iqala khona. Sibiza izifo ezenzeka lapho i-Candida ikhula ngale ndlela ngokuthi, "i-Candidiasis." Esikhathini esiningi, lokhu kuyisifo esincane. Isibonelo, izinto ezifana ne-"Thrush" (esikubiza ngokuthi amabala amhlophe emlonyeni) noma "i-Vaginal Yeast Infection" (abesifazane abayithola esithweni sangasese) zibangelwa yi-"Candidiasis." Lezi zivame ukuphulukiswa ngokushesha ngokwelashwa.

Kodwa-ke, i-'Invasive Candidiasis' iyisimo esibi kakhulu. Ngamanye amazwi, ibizwa nangokuthi i-'Systemic Candidiasis'. Okwenzekayo lapha ukuthi imvubelo ye-'Candida' ekhulayo ayihlali endaweni eyodwa emzimbeni wethu, kodwa isakazeka kuwo wonke umzimba, ikakhulukazi ezithweni zangaphakathi ezibalulekile empilweni yethu. Cabanga ukuthi hlobo luni lwesimo olungavela uma lokhu kusakazeka ezindaweni ezifana namehlo, izinso, inhliziyo, kanye nobuchopho! Lokhu kungabangela ukuvuvukala okuzungeze inhliziyo. Kungalimaza futhi ulwelwesi oluvikelayo oluzungeze ubuchopho kanye nomgogodla (i-meningitis). Eqinisweni, uma lesi simo esibizwa ngokuthi '(Invasive Candidiasis)' singelashwa ngokushesha, singaholela ekuhlulekeni kwezitho ngisho nokufa. Yingakho kudingeka siqaphele kakhulu lokhu.

Uyini umehluko phakathi kwe-'Invasive Candidiasis' kanye ne-'Candidemia'?

Manje ungase uzibuze, ingabe i-'invasive candidiasis' kanye ne-'candidemia' ziyinto efanayo? Noma zimbili? I-'Invasive candidiasis' igama elijwayelekile lokusabalala kokutheleleka kwe-'Candida' ezithweni ezahlukahlukene emzimbeni. I-'Candidemia' uhlobo oluvame kakhulu lwe-'invasive candidiasis'. Okwenzekayo ukuthi ukutheleleka kwe-'Candidemia' kusakazekela ohlelweni lwethu lokujikeleza kwegazi, okungukuthi, egazini.

Eqinisweni, i-candidemia ingenye yezifo ezivame kakhulu ezihlobene nokunakekelwa kwempilo (HAIs). Njengezinye izifo ezihlaselayo ze-candidiasis, kuyisimo esiphuthumayo. Kudingeka usizo lwezokwelapha ngokushesha.

Ziyini izimpawu ze-'Invasive Candidiasis'?

Kungaba nzima ukubona izimpawu eziqondile zalesi sifo. Lokhu kungenxa yokuthi abantu abaningi abathola lesi sifo sebevele benesifo esithile noma sebeyalulama ekuhlinzweni. Futhi, izimpawu zingafana nezezinye izimo, njengokutheleleka ngamagciwane.

Izimpawu ezivamile ze-candidiasis ezihlaselayo zifaka:

• Ubuhlungu besisu
• Ukugodola
• Imfiva
• Ubuhlungu bemisipha
• Ukuqhuma kwesikhumba
• Ubuthakathaka noma ukukhathala okukhulu (Ukukhathala)

Ezinye izimpawu zingase zibe ngqo endaweni lapho ukutheleleka kutholakala khona. Isibonelo, uma amehlo ethintekile yi-'candidiasis ehlaselayo', ungase ube nezimpawu ezifana nalezi:

• Umbono ofiphele
• Ukuzwela ukukhanya (amehlo aluhlaza okwesibhakabhaka)
• Izinguquko zombono

Uma kwenzeka i-candidiemia, kanye nomkhuhlane kanye nokubanda, kungase kube nokudideka kanye nomfutho wegazi ophansi .

Yiziphi izimbangela ze-'Invasive Candidiasis'?

Kalula nje, i-candidiasis ehlaselayo yenzeka lapho i-yeast Candida emzimbeni wethu ikhula kakhulu futhi isakazekela ezithweni zangaphakathi. Kunezindlela eziningana lokhu okungenzeka ngazo. Ikakhulukazi, kungenzeka uma udokotela noma uchwepheshe wezempilo efaka idivayisi yezokwelapha esikhumbeni sakho emzimbeni wakho. Isibonelo, kungaba i-catheter esetshenziselwa ukukhipha uketshezi njengomchamo. Noma kungaba yi-peripheral IV esetshenziselwa ukukunikeza ukudla okunempilo noma imithi.

Ngakho-ke le 'Candida' isakazeka kanjani? Cabanga nje, uma leyo divayisi yezokwelapha ifakwa, imvubelo ye 'Candida' ebusweni besikhumba sethu ingangena kuleyo divayisi bese idlula kuyo iye ezithweni zethu zomzimba. Ngezinye izikhathi, le 'Candida' ingadluliselwa kuleyo divayisi yezokwelapha isuka ezandleni zomsebenzi wezempilo, futhi ingangcoliswa.

I-candidiasis ehlaselayo ingenzeka ngisho nangaphandle kwesibhedlela. Le ngozi iyiqiniso ikakhulukazi uma ufakwe i-catheter ephakathi kwemithambo yegazi lapho ukhishwa ekhaya futhi kufanele uzinakekele wena.

Ingabe i-Invasive Candidiasis iyathelelana kusuka komunye umuntu kuya komunye?

Cha, i-candidiasis ehlaselayo ayisabalali ngokuqondile isuka komunye umuntu iye komunye. Kodwa-ke, imvubelo i-Candida ingasabalala isuka komunye umuntu iye komunye futhi ifinyelele ezindaweni. Ukuze ukutheleleka kwenzeke, imvubelo kumele ngandlela thile ingene emzimbeni wakho.

Ubani osengozini enkulu yokuthola lokhu? (Izici Eziyingozi)

Abanye abantu basengozini enkulu yokuthola le "candidiasis ehlaselayo". Lezi yizi:

• Izingane ezizalwa ngaphambi kwesikhathi (izingane ezizalwa ngaphambi kwesikhathi)
• Abantu abadinga ukudla ngepayipi (ukuncelisa ngepayipi)
• Labo abadinga ukufakelwa amaseli e-stem
• Abantu abahlinzwa nge-dialysis ngenxa yesifo sezinso
• Abantu abathola ama-antibiotic nge-IV
• Abantu ababelana ngemijovo yezidakamizwa
• Abantu abasanda kuhlinzwa esiswini
• Abantu asebesesibhedlela izinsuku eziningana noma ngaphezulu, ikakhulukazi labo abasegumbini lokunakekelwa okujulile (ICU)
• Abantu abane-catheter, njengemigqa ye-PICC, isibonelo.
• Abantu abanezivikeli mzimba ezibuthakathaka (isib. abantu abanegciwane lesandulela ngculaza, iziguli ezinomdlavuza, abantu abafakelwe izitho zomzimba)

Okubalulekile: Uma ungomunye walezi zinhlobo zezingozi, kufanele uqaphele kakhulu ngalezi zimpawu.

Odokotela bakuthola kanjani ukuthi i-'Invasive Candidiasis' ibangelwa yilesi sifo?

Uma udokotela wakho esola ukuthi une-candidiasis ehlaselayo, into yokuqala abazoyenza ukuthatha isampula yegazi lakho bese behlola igazi. Kulolu vivinyo, isampula yegazi lakho lithunyelwa elabhorethri. Lapho, udokotela wezifo uzolifaka endaweni ekhethekile bese ebheka ukukhula kwemvubelo ye-Candida. Bangathola nokuthi hlobo luni lwemvubelo egazini lakho. Lolu lwazi lubaluleke kakhulu kudokotela wakho ukuze anqume ngokwelashwa kwakho.

Kodwa-ke, kungathatha izinsuku eziningana ukuthi imiphumela yokuhlolwa kwegazi ibuye. Ososayensi manje bazama ukuthola izindlela ezintsha zokuxilonga i-candidiasis ehlaselayo ngokushesha. Ukunciphisa isikhathi esithathayo ukuthola imiphumela kubalulekile. Ukwazi ukuthi unesifo nokuthi hlobo luni lwe-Candida olusibangela kubalulekile ekwelashweni. Uma udokotela esheshe athole imiphumela, kulapho bengaqala khona ukwelashwa okufanele.

Iphathwa kanjani i-Invasive Candidiasis?

Eqinisweni, ukwelapha i-candidiasis ehlaselayo kungaba yinselele. Isinyathelo sokuqala ukuthola nokususa umthombo wokutheleleka, uma kungenzeka. Lokhu kungafaka phakathi ukususa noma yimiphi imigqa ye-IV noma ama-catheter angase abe khona. Ngemuva kwalokho, udokotela wakho uzoqala ngokushesha imithi yokulwa namagciwane efakwa emthanjeni (IV).

Uhlobo lwe-fungicide olunikezwayo luncike ezintweni eziningana:

• Izinhlobo ze-Candida
• Lapho ukutheleleka kukhona khona
• Ubunzima bokutheleleka
• Amandla esimiso sakho somzimba sokuzivikela

Udokotela wakho cishe uzoqala ukwelashwa ngomuthi wokulwa namagciwane ovela eqenjini lemithi ye-echinocandin. Isibonelo:

• `Anidulafungin`
• `I-Caspofungin`
• `I-Micafungin`

Uma ukutheleleka sekulawulekile, bangase bakunikeze omunye umuthi wokulwa nezifo, njenge-Fluconazole noma i-Voriconazole. Uma ungakwazi ukusebenzisa leyo mithi noma ungayitholi, udokotela wakho angase azame nomuthi obizwa ngokuthi i-Amphotericin B.

Kuthatha isikhathi esingakanani ukuphulukiswa ku-'Invasive Candidiasis'?

Udokotela wakho uzokuhlolela i-Candida njalo ngemva kosuku olulodwa. Ukwelashwa kuvame ukuqhubeka cishe amasonto amabili, ngisho nangemva kokuba izimpawu zakho seziphelile. Kuzodingeka futhi ukuthi uhlolwe igazi ukuqinisekisa ukuthi akukho mvubelo egazini lakho. Kodwa-ke, ezimweni ezimbi kakhulu, ukwelashwa kungadingeka kuqhubeke isikhathi eside.

Ingabe i-Invasive Candidiasis ingavinjelwa?

Uma usengozini enkulu yokuthola i-candidiasis ehlaselayo, udokotela wakho angase akunikeze umuthi wokuvimbela ukutheleleka nge-antifungal, okuwumuthi wokuvimbela ukutheleleka. Lolu hlobo lokwelashwa kokuvimbela alusebenzi ngaso sonke isikhathi. Ngezinye izikhathi luhambisana nezingozi. Kodwa-ke, udokotela wakho angase anqume ukuthi izinzuzo zokuvimbela ukutheleleka zidlula izingozi.

Kunezinye izinto ongazenza ukuze unciphise ingozi yokutheleleka:

• Gcina isikhumba sakho sihlanzekile, ikakhulukazi izandla zakho. Kubaluleke kakhulu ukugeza izandla zakho ngensipho njalo.
• Qaphela izimpawu zokuqala zokutheleleka. Isibonelo, bheka ukushintsha kombala wesikhumba noma ubuhlungu lapho kufakwa khona i-catheter noma i-IV.
• Qiniseka ukuthi noma ubani okuthintayo, ngisho nabasebenzi bezempilo, ugeza izandla zakhe kuqala. Leli yilungelo lakho.
• Ngisho nodokotela bakho nabahlengikazi kufanele balandele umkhuba omuhle wokugeza izandla zabo. Uma une-catheter, kufanele bayihlole njalo ukuthola izimpawu zokutheleleka.

Iyini i-prognosis yomuntu one-'Invasive Candidiasis'?

I-candidiasis ehlaselayo iyisimo esibi kakhulu . Ingathinta izitho zomzimba wonke. Ngisho noma ingelashwa, ngezinye izikhathi ingaholela ekuhlulekeni kwezitho zomzimba nokufa. Kuthiwa cishe abantu abathathu kwabayishumi abathola lokhu kutheleleka bayafa . Lokho kusho ukuthi izinga lokufa licishe libe ngamaphesenti angama-30.

Ngisho nalabo abalulamayo bangaba nokululama isikhathi eside. Bangase babe nezinkinga ezibangelwa ukutheleleka. Lokhu kungathinta ikhwalithi yokuphila kwabo. Isibonelo, i-candidiasis ehlasela amehlo ingaholela ngisho nasekungabonini.

Ungase ube nezinkinga eziningi zempilo esikhathini esizayo ezihlobene nokutheleleka. Kuzodingeka usebenzisane eduze kakhulu nodokotela wakho. Bazokusiza ukuphatha imiphumela emibi yokutheleleka kanye nokwelashwa.

Kuyini "i-candidiasis ehlaselayo"?Isimo esiphuthumayo sezokwelapha. Uma i-Candida yeast isakazekela ezithweni zakho zangaphakathi, ingabangela izinkinga ezisongela ukuphila. Uma usesibhedlela noma usengozini yokutheleleka, bika noma yiziphi izimpawu eqenjini lakho lezokwelapha ngokushesha. Ngokutholakala kwesifo kusenesikhathi kanye nokwelashwa okuphumelelayo, unganqoba lesi sifo. Thembela kubahlinzeki bakho bezempilo ukuze bakukhuthaze futhi bakusekele.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ake siphinde sixoxe ngezinto ezibaluleke kakhulu esikhulume ngazo nge-'Invasive Candidiasis':

• I-candidiasis ehlaselayo iyisifo esibi kakhulu lapho i-yeast Candida, evame ukutholakala emizimbeni yethu, ikhula ngokungalawuleki futhi isakazekele ezithweni zangaphakathi.
• Lesi yisimo esiphuthumayo sezokwelapha esingasongela impilo.
• Iziguli ezilaliswe esibhedlela, lezo ezinezivikeli mzimba ezibuthakathaka, kanye nalabo abasebenzisa amadivayisi anjenge-catheter basengozini enkulu.
• Uma uba nezimpawu ezifana nomkhuhlane, ukubanda, ubuhlungu besisu, noma ukudideka, funa iseluleko sezokwelapha ngokushesha.
• Imithi yokulwa nesikhunta isetshenziselwa ukwelashwa. Kubaluleke kakhulu ukuqala ukwelashwa ngokushesha okukhulu.
• Ukuhlanzeka komuntu siqu, ikakhulukazi ukugeza izandla, nokugcina imishini yezokwelapha ihlanzekile kungasiza ekuvimbeleni ukutheleleka ngezinga elithile.
• Ungakuthathi kalula lokhu. Uma wena noma othile omaziyo enanoma yiziphi zalezi zimpawu, bona udokotela ngokushesha. Ukutholwa kusenesikhathi kanye nokwelashwa kungasindisa impilo.

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