Sonke siya esibhedlela ukuze sithole ukwelashwa ngenxa yokugula. Kodwa ngezinye izikhathi, lapho sisesibhedlela, singathola ezinye izifo. Lokhu sikubiza ngokuthi izifo ezitholakala esibhedlela . Ukutheleleka kwesikhunta kuvame phakathi kwalokhu. Nakuba izifo eziningi zesikhunta zingelapheka, namuhla sikhuluma ngohlobo olusha lwesikhunta olusanda kutholakala futhi okunzima ukululawula ngemithi. Leyo yi- Candida auris.
Kalula nje, iyini i-Candida auris?
I-Candida auris, eyaziwa nangokuthi i-C. auris, uhlobo lwemvubelo oluvela emndenini we-Candida wesikhunta. Kungenzeka ukuthi uke wezwa nge-Candida. Kunezinhlobo eziningi ze-Candida ezihlala esikhumbeni sethu, emilonyeni yethu, nasemathunjini ethu. Kodwa ngezinye izikhathi, uma zikhula kakhulu, zingadala izifo. Isibonelo, abesifazane bangathola izifo zemvubelo yesitho sangasese sowesifazane.
Kodwa-ke, i-C. auris ayifani nezinye izinhlobo ze-Candida. Iyisikhunta esisha. Yaqala ukutholwa ngo-2009. Ithinta kakhulu abantu abalashelwa ezinye izimo zezokwelapha ezibhedlela noma emakhaya asebekhulile.
Njengezinye izinhlobo ze-Candida, i-C. auris ayitholakali kubantu abaphilile. Lokhu kutheleleka kubangelwa ukuchayeka ku-fungus ngaphandle. Ingozi enkulu ukuthi ayimelani nemithi eminingi ye-antifungal . Uma ukutheleleka kusakazekela egazini noma ezithweni zangaphakathi, kungaba yingozi. Eqinisweni, cishe oyedwa kwabathathu abantu abathola lokhu kutheleleka okukhulu kwe-C. auris bayafa .
Ubani osengozini enkulu yokuthuthukisa lokhu?
Umuntu ophilile onempilo enhle cishe akanalo ithuba lokuthola lesi sifo. Lokhu ikakhulukazi ukutheleleka kwe-nosocomial. Okusho ukuthi, kutholakala ngumuntu osevele ehlushwa esinye isifo. Ngaleso sikhathi, ngenxa yokuthi amasosha omzimba wakhe abuthakathaka, isikhunta i-'C. auris' singakhula kalula futhi sibangele lesi sifo.
Abantu abanezici ezilandelayo eziyingozi banamathuba amaningi okutheleleka yi-C. auris.
| Isici Sengozi | Incazelo elula |
|---|---|
| Ukuba ne-Central Venous Catheter | Ipayipi elifakwa emthanjeni omkhulu wegazi entanyeni, esifubeni, noma embotsheni. |
| Ukuba ne-catheter yomchamo | Ipayipi elisetshenziselwa ukukhipha umchamo. |
| Ukucindezela amasosha omzimba | Izibonelo: ukwelashwa komdlavuza, ukutheleleka nge-HIV, imithi ethathwa ngemva kokufakelwa isitho. |
| Isifo Sikashukela (i-Diabetes Mellitus) | Izifo zesifo sikashukela ezingalawulwa. |
| Isifo Sezinso Esingapheli | Ukungasebenzi kahle kwezinso. |
| Ukusetshenziswa kwamuva kwama-antibiotic noma ama-antifungal | Le mithi isetshenziswe ezinsukwini ezingu-30 ezedlule. |
| Ukufakelwa Igazi noma i-Hemodialysis | Ukunikela ngegazi noma ukusebenzisa umshini ukwenza umsebenzi wezinso. |
| Njengoba ngisanda kuhlinzwa | Njengoba ngihlinzwe ezinsukwini ezingu-30 ezedlule. |
| Ukuthola ukwelashwa egunjini lokunakekelwa okujulile (ICU) | Ukuba segumbini lapho kwelashwa khona izifo ezingathi sína. |
Nokho, lokhu kusakazeka kanjani?
I-Candida auris isakazeka kakhulu ngokuxhumana .
- Ukuxhumana nomuntu nomuntu: Cabanga nje, ilungu labasebenzi besibhedlela lingase lingazi ukuthi linalesi sifo ezandleni noma ezingutsheni. Uma benakekela isiguli, bangase bathelele isiguli ngesifo.
- Ngezinto: Uma uthinta into engcoliswe yi-C. auris fungus, ungayithola futhi. I-fungus ingaphila isikhathi eside hhayi ezindaweni eziqinile njengamatafula nezibambo zeminyango, kodwa futhi nasezintweni zokucindezela kwegazi , amashidi okulala, amapayipi omoya, kanye neminye imishini yezokwelapha . Yingakho ingasakazeka ngokushesha isuka kwesinye isiguli iye kwesinye esibhedlela noma ekhaya labagugile.
Ngenxa yalokhu kusabalala okulula, ukuqubuka kwe-C. auris kungenzeka ezibhedlela noma emakhaya asebekhulile.
Ziyini izimpawu zalokhu?
Ngenxa yokuthi i-C. auris ithelela abantu asebevele benazo ezinye izifo, kungaba nzima ukuhlukanisa izimpawu eziqondile zalesi sifo. Izimpawu zincike ekutheni iyiphi ingxenye yomzimba ethelelekile. Lezi zimpawu zivame ukufana nezokutheleleka ngamagciwane noma olunye ukutheleleka ngefungus.
Ngokuvamile, izinhlobo zezifo ezingabangelwa yi-C. auris yilezi:
- Ukutheleleka kwegazi - Izimpawu eziyinhloko zalokhu umkhuhlane kanye nokubanda.
- Ukutheleleka ngamanxeba - ikakhulukazi amanxeba okuhlinzwa noma okusha.
- Ukutheleleka kwendlebe
- Ukutheleleka komgudu womchamo
- I-Myocarditis - ukuvuvukala kwenhliziyo
- I-Meningitis - Ukutheleleka kwezicubu ezimboze ubuchopho.
Njengoba lezi zimpawu zingabangelwa nezinye izifo, kungenzeka kuphela ukusho ngokuqinisekile ukuthi ngabe kuyigciwane le-C. auris ngemva kokuhlolwa kwezokwelapha.
Lokhu kutholakala futhi kwelashwa kanjani?
Ukuxilongwa
Ukuphela kwendlela yokuqinisekisa ngokuqinisekile ukuthi unegciwane le-C. auris ukuthatha isampula engxenyeni yomzimba okusolwa ukuthi ikhona (isib. igazi, umchamo, ubomvu obuvela esilondeni).Kwenziwa ukuhlolwa kokukhuliswa kwamagciwane . Kulapho-ke kutholakala khona i-microorganism ethile ebangela ukutheleleka elabhorethri.
Kodwa-ke, kunenselele encane lapha. Ngenxa yokuthi lokhu kuyisikhunta esisha, izindlela zokuhlola ezikhona ngezinye izikhathi zingayichaza kabi i-C. auris njengolunye uhlobo oluvamile lwe-Candida. Uma lokho kwenzeka, kungase kube sekwephuzile ukuqala ukwelashwa okufanele.
Ukwelashwa
Ukwelapha i-C. auris kuyinselele ngoba, njengoba kushiwo ngaphambili, imelana nemithi eminingi yokukhunta.
- Njengamanje, ukwelashwa okusebenza kahle kakhulu kubhekwa njengohlobo lwemithi yokukhunta ebizwa ngokuthi ama-echinocandins . Iningi leziguli liyalulama kule mithi.
- Kodwa-ke, ezinye izinhlobo ze-C. auris azimelani nemithi eminingi. Ezimweni ezinjalo, odokotela kufanele bahlanganise imithi ehlukahlukene yokubola, ngezinye izikhathi ngemithamo ephezulu kakhulu. Njengoba kungekho nqubo ethile yokwelapha yalezi zimo, udokotela unquma ukwelashwa okungcono kakhulu kwesiguli ngasinye.
Okubaluleke kakhulu: Ungazivikela kanjani kulokhu? (Ukuvimbela)
Ochwepheshe bathi ukuvimbela ukusabalala kwalesi sifo kungcono kunokuselapha . Uma uvakashela othile esibhedlela noma ekhaya lasebekhulile, qaphela nalezi zinto.
- Geza izandla zakho njalo: Gcina izandla zakho zihlanzekile ngensipho namanzi noma ngesihlanzi sezandla esinotshwala. Lena yinto ebaluleke kakhulu.
- Ukugcina indawo ihlanzekile: Kubaluleke kakhulu ukuthi abasebenzi basesibhedlela bahlanze kahle izindawo nemishini yezokwelapha egumbini lesiguli.
Uma isiguli sitholakala sinesifo se-C. auris, isibhedlela sizothatha izinyathelo ezikhethekile zokuvimbela ukusabalala kwaso.
- Ukudlulisela isiguli ekamelweni elihlukile ukuze kuncishiswe ukuxhumana nezinye iziguli.
- Abasebenzi bezokwelapha abanakekela isiguli kanye nezivakashi kufanele bagqoke izingubo zokuzivikela ezikhethekile kanye namagilavu.
- Ukusebenzisa isibulali-magciwane esihlukile nesinamandla kakhulu kunokuvamile ukuhlanza igumbi lesiguli kanye nemishini yaso.
- Yala amalungu omndeni kanye nabasebenzi abaxhumana nesiguli ukuthi bageze izandla zabo kahle ngemva kokuvakasha ngakunye.
Uma wena noma othile emndenini wakho enenkinga noma ukungabaza ngalokhu kutheleleka kwe-'Candida auris', sicela ukhulume nodokotela wakho noma abasebenzi bezokwelapha esibhedlela ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Candida auris iyisifo esiyingozi kakhulu, esingamelana nemithi esingasakazeka ezindaweni zokunakekelwa kwempilo njengezibhedlela kanye nezindawo zokuhlala ezinakekela asebekhulile.
- Lokhu kuthinta kakhulu iziguli ezimasosha azo omzimba asebuthakathaka kakade ngenxa yezinye izifo, hhayi abantu abaphilile.
- Kusakazeka ngokuxhumana nabantu abanegciwane kanye nezindawo ezingcolile abazisebenzisile.
- Ukugeza izandla zakho kahle futhi njalo kuyindlela elula nebaluleke kakhulu yokuvimbela ukusabalala kwalesi sifo.
- Uma unenkinga ngomuntu omthandayo olaliswe esibhedlela, kubalulekile ukukhuluma ngakho ngokukhululekile nodokotela noma abasebenzi abamnakekelayo.
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