Ukutheleleka kweCandida auris
I-Candida auris (C auris) uhlobo lwemvubelo (ukhunta). Kungadala ukutheleleka okunzima ezibhedlela noma ezigulini zasekhaya lasebekhulile. Lezi ziguli zivame ukugula kakhulu.
C auris ukutheleleka kaningi akubangcono ngemithi yokubulala amakhanda evame ukwelapha izifo ze-candida. Uma lokhu kwenzeka, isikhunta kuthiwa simelana nemithi yokubulala amagciwane. Lokhu kwenza kube nzima kakhulu ukwelapha ukutheleleka.
C auris ukutheleleka akuvamile kubantu abaphilile.
Ezinye iziguli abantu abaphethe C auris emizimbeni yabo ngaphandle kokuyenza igule. Lokhu kubizwa nge- "colonization." Lokhu kusho ukuthi bangasabalalisa kalula igciwane bengazi. Kodwa-ke, abantu abakhonjiswe kwamanye amazwe C auris basengozini yokuthola ukutheleleka okuvela ku-fungus.
C auris kungasakazeka kusuka kumuntu kuya kumuntu noma ukuxhumana nezinto noma okokusebenza. Iziguli zesibhedlela noma zesikhathi eside zabahlengikazi zingahlanganiswa nazo C auris. Bangakusabalalisa ezintweni ezikulesi sikhungo, njengamatafula asembhedeni wombhede nojantshi besandla. Abahlinzeki bezempilo kanye nomndeni nabangane abavakashelayo abanokuxhumana nesiguli nge C auris ingayisabalalisa kwezinye iziguli.
Kanye C auris ingena emzimbeni, ingadala ukutheleleka okunzima kwegazi nezitho zomzimba. Lokhu kungenzeka kakhulu kubantu abanamasosha omzimba abuthakathaka. Abantu abaphefumula noma abondla amashubhu noma ama-catheters e-IV basengozini enkulu yokutheleleka.
Ezinye izinto ezinobungozi ze C auris ukutheleleka kufaka:
- Ukuhlala ekhaya lasebekhulile noma ukuvakashela esibhedlela kaningi
- Ukuthatha imishanguzo elwa namagciwane noma yokubulala amagciwane njalo
- Ukuba nezinkinga eziningi zezokwelapha
- Sengike ngahlinzwa muva nje
C auris ukutheleleka kwenzeke kubantu bayo yonke iminyaka.
C auris ukutheleleka kungaba nzima ukuzibona ngenxa yalezi zizathu ezilandelayo:
- Izimpawu ze- C auris ukutheleleka kuyefana nalokho okubangelwa ezinye izifo zokukhunta.
- Iziguli ezine- C auris ukutheleleka kuvame ukugula kakhulu. Izimpawu zokutheleleka kunzima ukuzisho ngaphandle kwezinye izimpawu.
- C auris kungaphanjaniswa nezinye izinhlobo zesikhunta ngaphandle kokuthi kusetshenziswe izivivinyo ezikhethekile zelebhu ukuyikhomba.
Umkhuhlane omkhulu onemikhuhlane engabi ngcono ngemuva kokuthatha ama-antibiotic kungaba uphawu lwe- C auris ukutheleleka. Tshela umhlinzeki wakho khona manjalo uma wena noma umuntu omthandayo enesifo esingangcoli, ngisho nangemva kokwelashwa.
A C auris ukutheleleka akukwazi ukutholakala kusetshenziswa izindlela ezijwayelekile. Uma umhlinzeki wakho ecabanga ukuthi ukugula kwakho kubangelwa C auris, bazodinga ukusebenzisa izivivinyo ezikhethekile zebhu.
Ukuhlolwa kwegazi kufaka:
- I-CBC enomehluko
- Amasiko egazi
- Iphaneli eyisisekelo ye-metabolic
- Ukuhlolwa kwe-B-1,3 glucan (ukuhlola ushukela othize otholakala kwesinye isikhunta)
Umhlinzeki wakho futhi angaphakamisa ukuhlolwa uma besola ukuthi ukhonjwe ikholoni nabo C auris, noma uma uhlolwe ukuthi une-positive C auris ngaphambi.
C auris ukutheleleka kuvame ukwelashwa ngemithi yokubulala amagciwane ebizwa ngokuthi ama-echinocandins. Ezinye izinhlobo zemithi elwa nokubola nayo ingasetshenziswa.
Abanye C auris izifo aziphenduli kunoma iziphi izigaba eziyinhloko zemithi yokubulala amakhambi. Ezimweni ezinjalo, kungasetshenziswa izidakamizwa ezingaphezu kwesisodwa noma imithamo ephezulu yale mithi.
Ukutheleleka nge C auris kungaba nzima ukuselapha ngenxa yokumelana kwayo nemithi yokubulala amakhambi. Ukuthi umuntu wenza kahle kangakanani kuzoya ngokuthi:
- Sinzima kangakanani isifo
- Ukuthi ukutheleleka kuye kwasakazeka yini egazini nasezitho zomzimba
- Impilo yomuntu jikelele
C auris ukutheleleka okusakazeka emgudwini wegazi kanye nezitho kubantu abagula kakhulu kungaholela ekufeni.
Xhumana nomhlinzeki wakho uma:
- Unomkhuhlane kanye nokugodola okungathuthuki, noma ngabe ukwelashwa ngama-antibiotic
- Unesifo sefungal esingathuthuki, noma ngabe ngemuva kokwelashwa kwe-antifungal
- Uba nemfiva nokugodola ngemuva nje kokuhlangana nomuntu one- C auris ukutheleleka
Landela lezi zinyathelo ukuvimbela ukusabalala kwe-C auris:
- Geza izandla zakho kahle ngensipho namanzi. Noma, sebenzisa i-sanitizer yezandla esuselwa kotshwala. Yenza lokhu ngaphambi nangemva kokuxhumana nabantu abanalesi sifo nangaphambi nangemva kokuthinta noma imuphi umshini osegumbini labo.
- Qiniseka ukuthi abahlinzeki bokunakekelwa kwezempilo bageza izandla noma basebenzise i-sanitizer yezandla futhi bagqoke amagilavu nemijiva lapho bexhumana neziguli. Ungesabi ukukhuluma uma ubona noma yikuphi ukuphelelwa yimpilo enhle.
- Uma othandekayo ene- C auris ukutheleleka, kufanele zihlukaniswe nezinye iziguli futhi zigcinwe egumbini elihlukile.
- Uma uvakashela othandekayo wakho obehlukaniswe nezinye iziguli, sicela ulandele izinkomba zabasebenzi bezokunakekelwa ngenqubo yokungena nokuphuma egumbini ukunciphisa ithuba lokusabalalisa isikhunta.
- Lezi zixwayiso kufanele futhi zisetshenziselwe abantu abafakwa koloni nabo C auris kuze kube yilapho umhlinzeki wabo enquma ukuthi abasakwazi ukusabalalisa isikhunta.
Xhumana nomhlinzeki wakho ngokushesha uma usola ukuthi wena noma umuntu omaziyo unalesi sifo.
I-Candida auris; UCandida; C auris; I-fungal - i-auris; Isikhunta - i-auris
Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. I-Candida auris. www.cdc.gov/fungal/candida-auris/index.html. Kubuyekezwe u-Ephreli 30, 2019. Kufinyelelwe ngoMeyi 6, 2019.
Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. I-Candida auris: Igciwane elingazweli emithini elisabalala ezikhungweni zezempilo. www.cdc.gov/fungal/candida-auris/c-auris-drug-resistant.html. Kubuyekezwe: Disemba 21, 2018. Kufinyelelwe ngoMeyi 6, 2019.
Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. I-Candida auris ikoloni. www.cdc.gov/fungal/candida-auris/fact-sheets/c-auris-colonization.html. Kubuyekezwe: Disemba 21, 2018. Kufinyelelwe ngoMeyi 6, 2019.
Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. I-Candida auris imininingwane yeziguli namalungu omndeni. www.cdc.gov/fungal/candida-auris/patients-qa.html. Kubuyekezwe: Disemba 21, 2018. Kufinyelelwe ngoMeyi 6, 2019.
Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. Ukuvikelwa nokulawulwa kokutheleleka kwe- I-Candida auris. www.cdc.gov/fungal/candida-auris/c-auris-infection-control.html. Kubuyekezwe: Disemba 21, 2018. Kufinyelelwe ngoMeyi 6, 2019.
Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. Ukwelashwa nokuphathwa kwezifo kanye nekoloni. www.cdc.gov/fungal/candida-auris/c-auris-treatment.html. Kubuyekezwe: Disemba 21, 2018. Kufinyelelwe ngoMeyi 6, 2019.
ICortegiani A, Misseri G, Fasciana T, Giammanco A, Giarratano A, Chowdhary A. Epidemiology, izici zomtholampilo, ukumelana nokwelashwa kwezifo ngu I-Candida auris. J Ukunakekelwa Okujulile. I-2018; 6: 69. I-PMID: 30397481 www.ncbi.nlm.nih.gov/pubmed/30397481.
UJeffery-Smith A, Taori SK, Schelenz S, et al. I-Candida auris: ukubuyekezwa kwemibhalo. Umtholampilo Microbiol Rev. 2017; 31 (1). I-PMID: 29142078 www.ncbi.nlm.nih.gov/pubmed/29142078.
Sears D, Schwartz BS. I-Candida auris: i-pathogen evelayo emelana nemithi eminingi. I-Int J Igciwane Dis. 2017; 63: 95-98. I-PMID: 28888662 www.ncbi.nlm.nih.gov/pubmed/28888662.