Usulelo lweCandida auris

ICandida auris (C auris) Luhlobo lwegwele (fungus). Ingabangela usulelo olubi esibhedlele okanye kwizigulana zekhaya labongikazi. Aba baguli bahlala begula kakhulu.

C auris Usulelo aluhlali lungcono ngamayeza okubola ahlala enyanga usulelo lwecandida. Xa oku kusenzeka, fungus kuthiwa ayinyangeki kumayeza okubola. Oku kwenza ukuba kube nzima kakhulu ukunyanga usulelo.

C auris usulelo kunqabile kubantu abasempilweni.

Abanye abaguli bathwala C auris emizimbeni yabo ngaphandle kokuba ibenze bagule. Oku kubizwa ngokuba yi "colonization." Oku kuthetha ukuba banokusasaza ngokulula intsholongwane bengazi. Nangona kunjalo, abantu abahanjiswa kunye C auris basesemngciphekweni wokufumana usulelo kwifungus.

C auris inokusasazeka ukusuka emntwini ukuya emntwini okanye ekunxibelelaneni nezinto okanye izixhobo. Isibhedlele okanye abaguli abasekhaya abalondoloze ixesha elide banokuthanjiswa C auris. Banokusasaza kwizinto ezikweli ziko, ezinje ngeetafile ezisecaleni kwebhedi kunye neerili zezandla. Ababoneleli ngezempilo kunye nokutyelela usapho kunye nabahlobo abanonxibelelwano nesigulana C auris inokusasaza kwezinye izigulana.

Kanye C auris Ukungena emzimbeni, kunokubangela usulelo olubi lwegazi kunye namalungu. Oku kunokwenzeka ukuba kwenzeke kubantu abanesistim somzimba esibuthathaka. Abantu abaphefumla okanye abondla iityhubhu okanye ii-catheters ze-IV basemngciphekweni omkhulu wosulelo.

Eminye imingcipheko C auris usulelo lubandakanya:

• Ukuhlala kwikhaya labantu abalupheleyo okanye ukutyelela esibhedlele
• Ukuthatha amayeza okubulala iintsholongwane okanye okubola rhoqo
• Ukuba neengxaki ezininzi zonyango
• Ukuba ndenziwe utyando kutshanje

C auris usulelo lwenzekile kubantu bayo yonke iminyaka.

C auris usulelo kunokuba nzima ukuzazisa ngezi zizathu zilandelayo:

• Iimpawu ze C auris usulelo ziyafana nezo zibangelwa lolunye usulelo lomngundo.
• Izigulana ezine C auris usulelo bahlala begula kakhulu. Iimpawu zosulelo kunzima ukuzixela ngaphandle kwezinye iimpawu.
• C auris unokuphosakela ezinye iintlobo zefungus ngaphandle kokuba kusetyenziswa iimvavanyo ezizodwa zebhu zokuchonga.

Umkhuhlane ophezulu opholileyo ongaginyisi mathe emva kokuthatha amayeza okubulala iintsholongwane kunokuba luphawu luka C auris usulelo. Xelela umboneleli wakho kwangoko ukuba wena okanye umntu omthandayo unesifo esingasayi kuba ngcono, kwanasemva konyango.

A C auris usulelo alunakufunyanwa kusetyenziswa iindlela eziqhelekileyo. Ukuba umboneleli wakho ucinga ukuba isigulo sakho sibangelwa C auris, Kuya kufuneka basebenzise iimvavanyo ezizodwa zebhu.

Uvavanyo lwegazi lubandakanya:

• I-CBC ngokwahluka
• Iinkcubeko zegazi
• Iphaneli esisiseko yokutya
• Uvavanyo lwe-B-1,3 glucan (ukuvavanywa kweswekile ethile efumaneka kwifungi ethile)

Umboneleli wakho naye unokucebisa ukuba kuvavanywe ukuba urhanela ukuba ukoloniwe kunye nabo C auris, okanye ukuba kuvavanyiwe une-positive C auris ngaphambili.

C auris Usulelo luhlala lunyangwa ngamayeza okubola abizwa ngokuba yi-echinocandins. Ezinye iintlobo zamayeza okubola nazo zinokusetyenziswa.

Abanye C auris Usulelo aluphenduli nakweziphi na iindidi eziphambili zamayeza okubola. Kwiimeko ezinjalo, ngaphezulu kwesiyobisi esinye sokubulala okanye amayeza aphezulu anokusetyenziswa.

Usulelo kunye C auris kunokuba nzima ukunyanga ngenxa yokumelana kwayo namayeza okubola. Ukusebenza kakuhle komntu kuya kuxhomekeka:

• Kunzima kangakanani ukusuleleka
• Nokuba ngaba usulelo lusasazekile kwigazi nakwizitho zomzimba
• Impilo yomntu iyonke

C auris Usulelo olunwenwela kumjelo wegazi kunye namalungu kubantu abagula kakhulu angakhokelela ekufeni.

Nxibelelana nomboneleli wakho ukuba:

• Unomkhuhlane kunye nokugodola okungaphuculiyo, kwanasemva konyango lwe-antibiotiki
• Unosulelo lomngundo olungaphuculiyo, kwanasemva konyango lwe-antifungal
• Uba nomkhuhlane kunye nokugodola kwakamsinya emva kokudibana nomntu one C auris usulelo

Landela la manyathelo ukunqanda ukusasazeka kwe-C auris:

• Hlamba izandla zakho kakuhle ngesepha namanzi. Okanye, sebenzisa i-sanitizer yesandla esekwe etywaleni. Yenza oku ngaphambi nasemva koqhakamshelwano nabantu abanolu sulelo nangaphambi nasemva kokuchukumisa nasiphi na isixhobo egumbini labo.
• Qiniseka ukuba ababoneleli ngezempilo bahlamba izandla okanye basebenzise isicoci sezandla kwaye banxibe iigloves kunye nee gown xa benxibelelana nezigulana. Musa ukoyika ukuthetha xa uqaphela nakuphi na ukusilela kucoceko olulungileyo.
• Ukuba umntu omthandayo une C auris usulelo, kufuneka babekwe bodwa kwezinye izigulana kwaye bagcinwe kwigumbi elahlukileyo.
• Ukuba undwendwela umhlobo wakho obekwe wedwa kwezinye izigulana, nceda ulandele umkhombandlela wabasebenzi bezempilo kwinkqubo yokungena nokuphuma kwigumbi ukunciphisa ithuba lokusasaza ukungunda.
• Ezi zilumkiso kufuneka zisetyenziselwe abantu abahanjiswe kunye nabo C auris de umboneleli wabo amisele ukuba abanakuphinda basasaze ukungunda.

Nxibelelana nomboneleli wakho kwangoko ukuba ukrokrela ukuba wena okanye umntu omaziyo unale ntsholongwane.

I-Candida auris; Candida; C auris; I-fungal - i-auris; Ngundo - ngxi

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. ICandida auris. www.cdc.gov/fungal/candida-auris/index.html. Ukuhlaziywa kwe-Epreli 30, 2019. Ifikeleleke ngoMeyi 6, 2019.

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. ICandida auris: Intsholongwane enganyangekiyo ngamachiza esasazeka kumaziko ezempilo. www.cdc.gov/fungal/candida-auris/c-auris-drug-resistant.html. Ukuhlaziywa: Disemba 21, 2018. Ifikeleleke ngoMeyi 6, 2019.

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. ICandida auris ukoloniyali. www.cdc.gov/fungal/candida-auris/fact-sheets/c-auris-colonization.html. Ukuhlaziywa: Disemba 21, 2018. Ifikeleleke ngoMeyi 6, 2019.

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. ICandida auris ulwazi kwizigulana kunye namalungu osapho. www.cdc.gov/fungal/candida-auris/patients-qa.html. Ukuhlaziywa: Disemba 21, 2018. Ifikeleleke ngoMeyi 6, 2019.

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Uthintelo losuleleko kunye nolawulo lwe ICandida auris. www.cdc.gov/fungal/candida-auris/c-auris-infection-control.html. Ukuhlaziywa: Disemba 21, 2018. Ifikeleleke ngoMeyi 6, 2019.

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Unyango kunye nolawulo losulelo kunye nekholoni. www.cdc.gov/fungal/candida-auris/c-auris-treatment.html. Ukuhlaziywa: Disemba 21, 2018. Ifikeleleke ngoMeyi 6, 2019.

ICortegiani A, Misseri G, Fasciana T, Giammanco A, Giarratano A, Chowdhary A. Epidemiology, iimpawu zeklinikhi, ukuxhathisa, kunye nonyango losulelo ICandida auris. J Unonophelo olunzulu. 2018; 6: 69. IINKCUKACHA: 30397481 www.ncbi.nlm.nih.gov/pubmed/30397481.

UJeffery-Smith A, Taori SK, Schelenz S, et al. ICandida auris: uphononongo loncwadi. KwiKlinikhi yeMicrobiol Rev. Ngo-2017; 31 (1). IINKCUKACHA: 29142078 www.ncbi.nlm.nih.gov/pubmed/29142078.

IiSears D, iSchwartz BS. ICandida auris: I-pathogen ekhulayo echasene neziyobisi. I-Int J ichaphazele iDis. Ngo-2017; 63: 95-98. IINKCUKACHA: 28888662 www.ncbi.nlm.nih.gov/pubmed/28888662.