: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu ze I-Candida auris
• Ukuxilongwa kwenziwa kanjani
• Ngubani osengozini yokutheleleka?
• Ukwelashwa kwe- I-Candida auris
• Ungakuvimbela kanjani

I-Candida auris uhlobo lwefungus ebeludlondlobala kwezempilo ngenxa yokuthi limelana nemithi eminingi, okusho ukuthi, iyamelana nemithi yokubulala izinambuzane eminingi, eyenza kube nzima ukulwa nokutheleleka, ngaphezu kokuba nobunzima bokuhlonza, ngoba kungadidaniswa neminye imvubelo. Ngakho-ke, njengoba iveza ukumelana nemithi eminingi, iCandida auris yaziwa kakhulu ngokuthi i-superfungo.

THE I-Candida auris yaqala ukuhlukaniswa ngo-2009 isampula yemfihlo endlebeni yesiguli saseJapan futhi ngonyaka we-2016 kwanqunywa ukuthi ukuvela kwalesi fungus kwakuphoqelekile ukubika, ngoba ukwelashwa nokulawulwa kwalesi sifo kunzima. Muva nje, ngo-2020, icala lokuqala le- I-Candida auris eBrazil, okukhombisa ukuthi kudingeka izinyathelo ezinkulu ukukhomba, ukuvimbela nokulawula ukutheleleka ngaleli fungus.

Izimpawu ze I-Candida auris

Ukutheleleka nge I-Candida auris kuvame kakhulu kubantu abahlala esibhedlela isikhathi eside futhi abanamasosha omzimba ayekethisayo, athanda ukuba khona kwesikhunta egazini, okuholela ekubonakaleni kwezimpawu ezithile, njenge:

• Umkhuhlane omkhulu;
• Isiyezi;
• Ukukhathala;
• Ukunyuka kwenhliziyo;
• Ukuhlanza.

Lesi sikhunta satholwa kuqala endlebeni, kepha futhi singahlobene nokutheleleka kohlelo lokuchama nokuphefumula, futhi singadidaniswa nezinye izinto ezincane. Ngaphandle kwalokhu, akukacaci kahle ukuthi ukugxila kokutheleleka nge I-Candida auris kungaba yiphaphu noma uhlelo lokuchama, noma uma isikhunta sivela kulezi zinhlelo ngenxa yokutheleleka kwenye indawo emzimbeni.

Ukuxilongwa kwenziwa kanjani

Ukutholakala kokutheleleka nge I-Candida auris kunzima, ngoba izindlela zokuhlonza ezitholakalayo azicaciswanga kakhulu ukuthola lezi zinhlobo, kubalulekile ukwenza izivivinyo ezithile, njengeMALDI-TOF, ukuqinisekisa uhlobo, noma izivivinyo zokwehlukanisa imvubelo, lapho ilabhorethri inayo imishini ye-MALDI-TOF.

Ngaphezu kwalokho, le fungus ingahlukaniswa nezinto ezahlukahlukene zebhayoloji, njengegazi, uketshezi lwesilonda, uketshezi lokuphefumula nomchamo, ngokwesibonelo, ngakho-ke, kubalulekile ukuthi ilabhorethri yenze izivivinyo ezithile uma itholakala kusampula. Ubukhona bemvubelo bohlobo lohlobo UCandida.

Kubalulekile futhi ukuthi njengoba kwenziwa ukuhlolwa kokuhlonza, kwenziwa ne-antifungigram, nokuyisivivinyo esihlose ukukhomba ukuthi yimaphi ama-antimicrobials ukhunta ahlolwe abucayi noma amelana nawo, ngalokho-ke, kungenzeka wazi ukuthi yiluphi umuthi elifanele kakhulu ukutheleleka.

Ngubani osengozini yokutheleleka?

Ubungozi bokutheleleka nge I-Candida auris kukhulu lapho umuntu ehlala esibhedlela isikhathi eside esibhedlela, wake wasebenzisa ama-antifungal phambilini, une-catheter ye-venous emaphakathi noma amanye amadivayisi wezokwelapha emzimbeni, ngoba le fungus inekhono lokunamathela ezintweni zezokwelapha, okwenza ukwelashwa kube nzima futhi ivuna ukwanda kwayo.

Ukusetshenziswa isikhathi eside noma ngokungakhethi kwama-antibiotic nakho kungavumela ukutheleleka ngale superfungo, njengoba ama-antibiotic amaningi angaqeda amagciwane akwazi ukulwa nokungena I-Candida auris emzimbeni, ukuvimbela ukutheleleka. Ngakho-ke, ama-antibiotic amaningi asetshenziswayo, ayanda amathuba okutheleleka ngale superfungo, ikakhulukazi lapho umuntu esesibhedlela.

Ngaphezu kwalokho, abantu abasanda kuthola izinqubo zokuhlinzwa, banezifo ezingalapheki, njengesifo sikashukela, ngokwesibonelo, futhi abazithola benamasosha omzimba abuthakathaka basengozini enkulu yokutheleleka I-Candida auris.

Esinye isici esithanda ukutheleleka nge I-Candida auris ukushisa okuphezulu, ngoba le fungus ithuthukise izindlela zokumelana namazinga okushisa aphezulu, ikwazi ukusinda futhi yande kakhulu emvelweni nasemzimbeni womuntu kalula.

Ukwelashwa kwe- I-Candida auris

Ukwelashwa kwe- I-Candida auris Kunzima, ngoba le fungus ikhombise ukumelana nama-antifungal evame ukusetshenziswa ekwelapheni izifo ngo UCandida, ngakho-ke, ibizwa nangokuthi i-superfungo. Ngakho-ke, ukwelashwa kuchazwa ngudokotela ngokobukhulu besifo kanye namasosha omzimba esiguli, futhi ukusetshenziswa kwama-antifungal ekilasi le-echinocandin noma inhlanganisela yemithamo ephezulu ephezulu yama-antifungals ingakhonjiswa.

Kubalulekile ukuthi ukutheleleka nge I-Candida auris iyakhonjwa futhi yelashwe ngokushesha okukhulu ukuvimbela lesi sikhunta ukuthi singasakazeki singene egazini futhi sikhiqize ukutheleleka okwandile, okuvame ukubulala.

Ungakuvimbela kanjani

Ukuvimbela ukutheleleka nge I-Candida auris kumele kwenziwe ukuze kugwenywe ukungcoliswa yileli gciwane, okungenzeka ikakhulukazi ezibhedlela ngokuxhumana isikhathi eside nezindawo eziqukethe ukhunta noma imishini yezokwelapha, ikakhulukazi ama-catheters.

Ngakho-ke, njengendlela yokuvimbela ukusabalala nokudluliswa kwalesi fungus, kubalulekile ukuthi unake ukugeza izandla ngaphambi nangemva kokuthintana nesiguli, kanye nokunaka ukubulawa kwamagciwane ezindaweni zasesibhedlela nakumadivayisi ezokwelapha.

Ngaphezu kwalokho, kubalulekile ukuthi umuntu otholakale enesifo i-Candida auris, ahlale yedwa, ngoba ngale ndlela kungenzeka ukuvimbela ukutheleleka kwabanye abantu abakhona endaweni yezempilo futhi abanamasosha omzimba abuthakathaka kakhulu.

Ngalesi sizathu, kubalulekile ukuthi isibhedlela sinohlelo lokulawula ukutheleleka olusebenzayo futhi sikhuthaze izindlela zokuvimbela ukutheleleka, zombili ezihlobene nesiguli kanye nethimba kanye nezivakashi zesibhedlela, kanye nezinqubo zokuhlonza nokuqapha izifo elebhu nguCandida sp. amelana nemithi elwa namagciwane. Funda ukuthi ungazivikela kanjani izifo ezithinta nosocomial.