Mayelana neCandida parapsilosis nezilungiselelo zezokwelapha

-Delile

• Yini iCandida parapsilosis?
• Mayelana nokutheleleka kweCandida
• C. parapsilosis kanye ne-candidiasis engenayo
• Ukutheleleka kweCandida parapsilosis kuzilungiselelo zezokwelapha
• Izimpawu ze-candidiasis ezihlaselayo
• Iningi elisengozini yokutheleleka nge-Candida parapsilosis
• Neutropenia - isici esiyinhloko sengozi
• Ukwelapha ukutheleleka ngeCandida parapsilosis
• Ukutheleleka kwesitho sangasese sikaCandida parapsilosis
• Ukutheleleka kwegazi likaCandida parapsilosis
• I-candidiasis ehlaselayo evela ku-Candida parapsilosis
• Ukuthatha

Yini iCandida parapsilosis?

I-Candida parapsilosis, noma C. parapsilosis, imvubelo ejwayelekile esikhumbeni futhi ngokuvamile engenabungozi. Ihlala futhi emhlabathini nasesikhunjeni sezinye izilwane.

Amasosha omzimba aphilile angavimbela C. parapsilosis ukutheleleka kanye nokuba nesikhumba esingaphelele, noma isikhumba esingenawo ama-nick avulekile, ama-scrapes, noma ukusikeka.

Ngokusho kweCenters for Disease Control and Prevention (CDC), kukhona UCandida lokho kungadala ukutheleleka kwefungal kubantu. C. parapsilosis ungomunye wabo. Nakhu okufanele ukwazi.

Mayelana nokutheleleka kweCandida

C. parapsilosis uhlobo olulodwa lwe UCandida imvubelo engadala ukutheleleka kubantu. Eminye imvubelo ifaka phakathi:

• AmaCandida albicans (okuvame kakhulu)
• UCandida glabrata
• I-Candida tropicalis
• I-Candida auris

C. parapsilosis futhi le yeast ingaba yingxenye yezifo zefungal ezibandakanya:

• isikhumba
• umlomo
• izitho zangasese
• ukutheleleka okuhleliwe okwaziwa njenge-candidiasis engenayo

C. parapsilosis kanye ne-candidiasis engenayo

C. parapsilosis kungaba yibo, ikakhulukazi ezinganeni ezisanda kuzalwa kanye nabantu abasemigumbini yokugula kakhulu.

I-candidiasis ehlaselayo kungathinta igazi lakho, inhliziyo, ubuchopho, noma ezinye izitho zomzimba wakho. Isibonelo, imbangela eyodwa ye-meningitis ukusabalala kwe- UCandida ngokusebenzisa igazi nokungena ebuchosheni.

Ukutheleleka kwefungal egazini kubizwa ukubamba iqhaza. Imibiko ye-candidemia iyinhlobo ejwayelekile kakhulu ye-candidiasis engenayo futhi ingenye yezimbangela ezivame kakhulu zokutheleleka kwegazi kubantu abasesibhedlela.

Ukutheleleka kweCandida parapsilosis kuzilungiselelo zezokwelapha

C. parapsilosis ikakhulu ikholoni isikhumba, lapho ngokuvamile singasibangeli isifo. Ngenxa yokuthi ihlala ikhona esikhumbeni, izandla zabasebenzi bezokunakekelwa kwempilo zingadlulisa C. parapsilosis.

Amasiko acishe abe ngu-3 000 athathwe ezandleni zabasebenzi basesibhedlela athola ukuthi amaphesenti ayi-19 awo ayelungile kuwo C. parapsilosis.

C. parapsilosis ingadluliselwa futhi ngamadivayisi wezokwelapha angcolile, njengama-catheters, futhi ukusuka kumama kuye enganeni ngesikhathi sokuzalwa.

Ngokuvumelana ne , C. parapsilosis ihlotshaniswa kakhulu namadivayisi nezinqubo zokwelashwa kusukela kwakhonjwa ekuqaleni kwawo-1900.

Izimpawu ze-candidiasis ezihlaselayo

Izimpawu ze-candidiasis ezihlaselayo noma ezihlelekile zincike esithombeni noma ezindaweni zomzimba ezithintekile.

Izimpawu ze-fungal endocarditis, ngokwesibonelo, zingafaka umkhuhlane, ukukhwehlela, nokugcina uketshezi ezingalweni nasemilenzeni.

Kubalulekile ukunaka labo abasengozini enkulu.

Iningi elisengozini yokutheleleka nge-Candida parapsilosis

Thanda C. glabrata izifo, C.parapsilosis ukutheleleka kube ngaphezu kweminyaka yamuva.

Ingozi enkulu yokuthuthukisa i- C. parapsilosis ukutheleleka kunanoma yiluphi uhlobo lwedivayisi efakiwe yezokwelapha, njenge-catheter noma into yokufakelwa. Isibonelo sedivayisi yokufakelwa efakelwe i-valve yenhliziyo yokufakelwa. Imvubelo ikhula kahle kulezi zinhlobo zezindawo.

Abantu abanamasosha omzimba abuthakathaka nabantu abasanda kuhlinzwa, ikakhulukazi emathunjini, bangaba sengozini C. parapsilosis ukutheleleka.

Izinsana ezisanda kuzalwa ezinesisindo esiphansi sokuzalwa nazo ziyathandeka C. parapsilosis ukutheleleka ngenxa yabo:

• isikhumba esibucayi
• ukutholakala kokutheleleka
• ukwanda kwamathuba okufakwa kwedivayisi, njenge-catheter

Neutropenia - isici esiyinhloko sengozi

Isici esibalulekile sengozi yokuthuthukisa i-candidiasis engenayo i-neutropenia. Yilapho kunamazinga aphansi ngokungajwayelekile wamaseli alwa nokutheleleka abizwa ngama-neutrophils egazini. Kungakwenza uthambekele kakhudlwana ezifweni.

Abantu abathinteka kakhulu yi-neutropenia babandakanya abantu abelashwa ngamakhemikhali noma ngemisebe yokwelapha umdlavuza nabantu abane-leukemia noma ezinye izifo zomnkantsha.

Abantu abane-neutropenia kanye ne-invasive UCandida ukutheleleka kunezincomo ezikhethekile zokwelashwa.

Ukwelapha ukutheleleka ngeCandida parapsilosis

Ukutheleleka kwesitho sangasese sikaCandida parapsilosis

C. parapsilosis ukutheleleka kwemvubelo yesitho sangasese sowesifazane kulashwa ngenkambo yemithi yokubulala engathathwa ngezindlela ezahlukahlukene, kufaka phakathi amaphilisi omlomo, amaphilisi we-suppository, noma izindlela zokwelapha. Izibonelo zifaka:

• i-fluconazole
• butoconazole
• miconazole
• i-boric acid

Ukutheleleka kwegazi likaCandida parapsilosis

I-Candidemia, ukutheleleka kwegazi nge UCandida izinhlobo, zingatholakala lapho imvubelo ihlukanisiwe nesampula segazi.

Ukwelashwa kungaxhomeka ezinhlotsheni ze UCandida okubangela ukutheleleka. Ama-Catheters nawo azosuswa. Izibonelo zemithi zifaka:

• imithamo ye-intravenous (IV) ye-fluconazole
• caspofungin
• micafungin
• amphotericin B

I-candidiasis ehlaselayo evela ku-Candida parapsilosis

Ukwelashwa kungafaka:

• IV fluconazole noma i-amphotericin B
• ukususwa kwanoma iyiphi idivayisi yezokwelapha enegciwane
• ukukhishwa okungenzeka kokuhlinzwa kwefungus ezicutshini (kuya ngezakhiwo noma izitho ezithintekayo)

Ukuthatha

UCandida uhlobo lwemvubelo olungadala ukutheleleka kubantu. C. ama-albicans yizinhlobo ze UCandida okungenzeka kakhulu ukuthi kubangele ukutheleleka. Noma kunjalo, izifo ezibangelwa izinhlobo C. glabrata futhi C. parapsilosis manje ziyanda.

Imvamisa, C. parapsilosis ngokwemvelo uhlala esikhunjeni sakho ngaphandle kokulimaza. Ezinye izimo, njengokuthatha inkambo ende yama-antibiotic noma ukuba namasosha omzimba abuthakathaka, zingakhuphula ubungozi bokutheleleka.

C.parapsilosis izifo ziphathwa ngemishanguzo enikezwa ngezihloko ezithile, ngomlomo, noma nge-IV.