Cishe uyazi ukuthi sonke sinezinambuzane eziphilayo ezingenabungozi emizimbeni yethu, esikhumbeni sethu, emilonyeni yethu nasemathunjini ethu. I-Candida ingenye yalezi zinhlobo zesikhunta (imvubelo). Nakuba ngokuvamile ingasikhathazi, ngezinye izikhathi lesi sikhunta siqala ukukhula ngendlela engalawuleki. Yilapho siqala khona ukubangela izimo ezimbi ezingasukela ezifweni ezincane kuya kwezisongela ukuphila.
Ukutheleleka kwe-Candida kuba yinkinga kanjani?
Nakuba kunezinhlobo ezingaphezu kuka-150 ze-Candida, izinhlobo eziyisithupha kuphela ezithinta abantu kakhulu. Uhlobo oluvame kakhulu yi-Candida albicans. Kungenzeka ukuthi wake wezwa nge-thrush emlonyeni wakho noma izifo zemvubelo yesitho sangasese sangasese kwabesifazane. Lokhu kungenxa yokuthi i-Candida fungus ikhula ingalawuleki. Ngokwezokwelapha, sibiza lesi simo ngokuthi i-candidiasis. Nakuba singaba sibi, asivamile ukuba yingozi empilweni. Kodwa-ke,
inkinga iqala lapho i-Candida fungus ingena egazini lakho noma esithweni sangaphakathi. Lokhu kutheleleka okukhulu kubizwa ngokuthi i-candidiasis ehlaselayo. Kungathinta izindawo ezifana nenhliziyo, ubuchopho, namathambo. Uma i-fungus ingena egazini lakho, ibizwa ngokuthi i-candidemia. Lokhu kungaba kubi kakhulu, okuholela ekulalisweni esibhedlela isikhathi eside futhi ngezinye izikhathi ngisho nokufa.
Ngakho-ke, iyini i-Candida parapsilosis?
Muva nje, i-Candida parapsilosis ibonwe njengembangela yesibili evame kakhulu yokutheleleka ngefungus ngemuva kwe-Candida albicans. Kwamanye amazwe ase-Asia, eYurophu, naseNingizimu Melika, ukutheleleka nge-C. parapsilosis kudlule okwama-Candida albicans ezibhedlela. Lokhu kudonsele ukunaka kodokotela ngenxa yezinye zezici eziyingozi zalesi sikhunta.
Kungani i-C. parapsilosis ihlukile futhi iyingozi kakhulu kunezinye izikhunta?
Ngokungafani nezinye izinhlobo ze-Candida, i-C. parapsilosis ivame kakhulu endaweni esihlala kuyo. Ingatholakala enhlabathini, emanzini, nasezinambuzaneni nasezilwaneni ezifuywayo. Ivame ukutholakala nasesikhumbeni sethu. Kunezizathu eziningana ezenza ukuthi le fungus ibe yinkinga enkulu, ikakhulukazi ezindaweni zasesibhedlela. Ake sibheke ukuthi iyini.
| Isici esikhethekile se-fungus C. parapsilosis | Kuchazwe kalula |
|---|
| Ikhula kalula endaweni yesibhedlela | Le fungus imelana kakhulu nendawo yesibhedlela, ngakho-ke iziguli ezisesibhedlela zisengozini enkulu yokutheleleka. |
| Ukusabalala ngezandla zabasebenzi bezokwelapha | Kungasakazeka kalula kusuka kwesinye isiguli kuya kwesinye ngezandla zodokotela nabahlengikazi abahlola iziguli. Ukubaluleka kokugeza izandla kuphezulu kakhulu lapha. |
| Ukukhula koketshezi olufakwa emthanjeni | Lesi sikhunta singakhula ngisho nasekondlweni okunomsoco okubangelwa yi-parenteral (ukudla okunempilo) okunikezwa ngemithambo yegazi ezigulini ezingakwazi ukudla ngomlomo. |
| Ukukhula kumadivayisi afakwe emzimbeni | Le fungus ingakhula kuma-catheter, kuma-saline tubes (ama-cannula), nakwamanye amadivayisi afakwa emzimbeni, bese esuka lapho ingangena emzimbeni. |
Ubani osengozini enkulu yokutheleleka ngaleli gciwane?
Lokhu kutheleleka ngefungus akulona usongo olukhulu kumuntu ophilile, onesimiso sokuzivikela komzimba esibucayi. Kodwa-ke, kuyinkinga enkulu ezigulini ezisezibhedlela, ikakhulukazi lezo ezisezindlini zokunakekelwa okujulile (ICU). Uma lokhu kutheleleka kwenzeka kubantu asebevele begula kakhulu, kunzima ukusho ngokuqinisekile ukuthi imbangela yokufa yisifo ngokwaso noma ezinye izimo eziyisisekelo. Kodwa-ke, izifundo zibonisa ukuthi phakathi kuka-19% no-24% weziguli ezinegciwane le-Candida egazini ziyafa. Amaqembu asengozini enkulu yokutheleleka nge-'Candida parapsilosis' yilawa:
- Izinsana : Ingozi iphezulu kakhulu ezinganeni ezizalwa ngaphambi kwesikhathi noma ezinesisindo esiphansi.
- Abantu abanamadivayisi ezokwelapha afakwe: Iziguli ezine-catheters, amashubhu kasawoti , kanye namanye amadivayisi (ama-implant) afakwe emzimbeni.
- Iziguli ezinceliswa ngamapayipi: Labo abangakwazi ukudla ngomlomo futhi abanceliswa ngamapayipi.
- Iziguli ezinesifo sokuzivikela komzimba esibuthakathaka: ikakhulukazi lezo ezinegciwane lesandulela ngculaza eseziphenduke ingculaza .
- Labo asebehlinzwe: ikakhulukazi ukusikwa okukhulu esiswiniIziguli eziye zahlinzwa .
Iyini i-biofilm? Kungani iyingozi?
Esinye isizathu esikhulu sokuthi kungani i-Candida iyingozi kangaka yikhono layo lokwakha i-'Biofilm'. Kalula nje, i-'Biofilm' iyikholoni evikelayo yama-microorganisms aqoqana phezu kwendawo. Ifana nenqaba eyakhelwe ukuvikela ezitheni. Leli kholoni lakha ngezinyathelo eziningana. Okokuqala, amaseli e-fungus anamathela endaweni. Bese, akha ungqimba oluvikelayo lwe-slime oluzungezile. Bese iba ikholoni ekhule kahle. Esinyathelweni sokugcina, izingxenye zaleli kholoni zingaphuka futhi zisakaze ukutheleleka kwezinye izingxenye zomzimba.
Le biofilm ifana nesivikelo sesikhunta. Ama- antifungal agents esiwanikezayo noma amasosha ethu omzimba awakwazi ukungena kulolu ngqimba lokuvikela futhi abulale isikhunta.
Izimpawu kanye nokuxilongwa
Izimpawu zokutheleleka kwe-C. parapsilosis zifana nezezinye izifo ze-Candida. Izimpawu eziyinhloko
umkhuhlane ongaqondakali kanye nokubanda . Uma ukutheleleka kusakazekela
kwezinye izingxenye zomzimba, kungase kuvele nezinye izimpawu. Futhi, uma kukhona ukutheleleka okungapheli naphezu kwama-antibiotic, odokotela basola ukutheleleka kwesikhunta. Ukuze bathole lesi sifo, udokotela uzothatha isampula yegazi noma isampula yezicubu ezithelelekile bese eyithumela elabhorethri. Isampula ingatshalwa ukuze kutholakale uhlobo oluthile lwe-Candida olubangela ukutheleleka.
Ukwelashwa nokuvimbela
Ukutheleleka kwe-Candidiasis kwelashwa ngemithi yokukhunta. Ngokuvamile, umuthi ovela eqenjini lemithi ebizwa ngokuthi i-echinocandins unikezwa ngemithambo yegazi. Uma uhlobo lwesikhunta selutholakele, umuthi kungadingeka ushintshwe. I-Fluconazole kanye ne-amphotericin B yiminye imithi evame ukusetshenziswa. Kodwa-ke, i-Candida parapsilosis ngezinye izikhathi ingaba nzima ukwelapha
ngoba isikhunta singamelana neminye imithi. Lokhu kusho ukuthi imithi ayikwazi ukubulala isikhunta. Lokhu kunganciphisa ukusebenza kahle kokwelashwa futhi kwandise izindleko zokwelashwa.
Okubaluleke kakhulu, uma ukutheleleka kuse-catheter, ipayipi, noma kwenye idivayisi efakwe emzimbeni, idivayisi kuzodingeka isuswe. Ukususa into efana ne-valve yenhliziyo noma ijoyinti lokwenziwa kuyisinyathelo esingathi sína kakhulu.
Ngakho-ke, kubaluleke kakhulu ukucabanga ngokuvimbela kunokwelapha.
Yini engenziwa ukuze kuvinjelwe lokhu?
- Ukugeza izandla : Lena yinto ebaluleke kakhulu. Kubalulekile ukuthi abasebenzi basesibhedlela bahlanze izandla zabo kahle lapho besuka kwesinye isiguli beya kwesinye. Kwezinye izifundo, ama-28% abasebenzi basesibhedlela babene-fungus ethi 'C. parapsilosis' ezandleni zabo. Ngakho-ke, uma uvakashela isibhedlela, kufanele futhi uqaphele ukugcina izandla zakho zihlanzekile.
- Ukwelashwa kokuvimbela: Ezigulini ezisengozini enkulu kakhulu, odokotela bangase banikeze imithi yokulwa ne-fungus njengendlela yokuvimbela ukutheleleka ngaphambi kokuba kwenzeke.
Umlayezo Wokuya Nawe Ekhaya
- I-Candida parapsilosis iyisifo sefungus esingaba sibi kakhulu, ikakhulukazi ezibhedlela.
- Isakazeka kakhulu ngezandla nangokukhula kumadivayisi ezokwelapha (ama-catheter, amashubhu) afakwa emzimbeni.
- Izinsana ezisanda kuzalwa, iziguli ezisezindlini zokunakekelwa okujulile, kanye nalabo abanamasosha omzimba abuthakathaka basengozini enkulu.
- Indlela engcono kakhulu nelula yokuvimbela ukusabalala kwalesi sifo ukuhlanza izandla zakho kahle futhi njalo.
- Uma wena noma othile emndenini wakho enokungabaza noma ukwesaba ngalokhu ngenkathi wena noma othile emndenini wakho elele esibhedlela, khuluma ngokukhululekile nodokotela wakho ngakho.
I-Candida, i-Candida parapsilosis, izifo zesikhunta, i-candidiasis, izifo zasesibhedlela, i-biofilm, imithi yokulwa ne-fungus, i-candidiasis ehlaselayo
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