yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu ze ICandida auris
• Uxilongo lwenziwa njani
• Ngubani osemngciphekweni wokosuleleka?
• Unyango lwe ICandida auris
• Indlela yokuthintela

ICandida auris luhlobo lwefungus oluye lwafumana ukuqaqamba kwezempilo ngenxa yokuba iyanyangeka xa isetyenziswa iziyobisi, oko kukuthi, iyamelana nezinto ezininzi zokubulala ukungunda, ezenza ukuba kube nzima ukulwa nosulelo, ukongeza kubunzima bokuchongwa, ukusukela oko Ingabhidaniswa nezinye igwele. Ke, njengoko ibonisa ukunganyangeki kweziyobisi, iCandida auris yaziwa njenge superfungo.

THE ICandida auris yaqala ukubekelwa bucala ngo-2009 ukusuka kwisampuli yemfihlo kwindlebe yesigulana saseJapan kwaye ngo-2016 kwagqitywa ukuba ukwenzeka kwale fungus kunyanzelekile ukuba kunikwe ingxelo, kuba unyango kunye nolawulo lwesi sifo kunzima. Kutshanje, ngo-2020, ityala lokuqala lika ICandida auris eBrazil, ebonisa ukuba kufuneka amanyathelo amakhulu okuchonga, ukuthintela kunye nokulawula ukusuleleka ngulo fungus.

Iimpawu ze ICandida auris

Usulelo kunye ICandida auris Kuqheleke kakhulu kubantu abahlala esibhedlele ixesha elide kwaye banesistim sokuzikhusela somzimba, esithanda ubukho bentsholongwane egazini, ekhokelela ekubonakaleni kweempawu ezinje:

• Umkhuhlane ophezulu;
• Isiyezi;
• Ukudinwa;
• Ukunyuka kwentliziyo;
• Ukuhlanza.

Le fungus yafunyanwa kuqala endlebeni, nangona kunjalo inokunxulumana nosulelo lwenkqubo yokuchama kunye nokuphefumla, kwaye inokudideka nezinye iintsholongwane. Ngaphandle koku, akukacaci nokuba ugqaliselo losulelo lujolise kuyo ICandida auris inokuba yimiphunga okanye inkqubo yokuchama, okanye ukuba ukungunda kuvela kwezi nkqubo ngenxa yosulelo kwenye indawo emzimbeni.

Uxilongo lwenziwa njani

Ukuchongwa kosulelo ngu ICandida auris Kunzima, kuba iindlela ezichongiweyo zokuchonga azichazwanga kakhulu ekuchongeni ezi ntlobo, kubalulekile ukwenza uvavanyo oluthe kratya, njengeMALDI-TOF, ukuqinisekisa uhlobo, okanye uvavanyo lokwahlulahlula ezinye igwele, xa ilabhoratri inayo izixhobo zeMALDI-TOF.

Ukongeza, le fungus inokwahlulwa kwizinto ezahlukeneyo zebhayoloji, njengegazi, ukopha kwenxeba, ukuphuma komchamo kunye nomchamo, umzekelo, kwaye, ke ngoko, kubalulekile ukuba elebhu yenze iimvavanyo ezithile ngakumbi xa ichongiwe kwisampulu. ubukho begwele boluhlobo UCandida.

Kukwabalulekile ukuba njengoko kuvavanyo lokuchonga lwenziwa, kwenziwa ne-antifungigram, eluvavanyo olujolise ekuchongeni ukuba zeziphi ii-antimicrobials ezivavanywe ngundo ezibuthathaka okanye ezinganyangekiyo, kwaye ke, kunokwenzeka ukuba wazi ukuba loluphi unyango eyona ifanelekileyo yosulelo.

Ngubani osemngciphekweni wokosuleleka?

Umngcipheko wosulelo ngu ICandida auris inkulu xa umntu elele esibhedlele ixesha elide esibhedlele, ebekhe wasebenzisa izibulali ntsholongwane ngaphambili, une-catheter ye-venous esembindini okanye ezinye izixhobo zonyango emzimbeni, kuba le fungus inakho ukubambelela kwizixhobo zonyango, yenza unyango lube nzima kwaye ithanda ukwanda kwayo.

Ukusetyenziswa ixesha elide okanye ngokungakhethiyo kwee-antibiotics nazo zinokuthintela usulelo kule superfungo, njengoko i-antibiotics egqithisileyo inokuphelisa ibhaktheriya ekwaziyo ukulwa nokungena ICandida auris emzimbeni, ukuthintela usulelo. Ke, ii-antibiotics ezisetyenzisiweyo, kokukhona umngcipheko wokusuleleka kule superfungo, ngakumbi xa umntu ekwisibhedlele.

Ukongeza, abantu abasandula ukwenziwa utyando, banezigulo ezinganyangekiyo, ezinjengesifo seswekile, umzekelo, kwaye bazifumana benamajoni omzimba abuthathaka banomngcipheko ophezulu wosulelo ngu ICandida auris.

Enye into ethanda usulelo ngu ICandida auris bubushushu obuphezulu, kuba le fungus iphuhlise iindlela zokumelana namaqondo obushushu aphezulu, ukulawula ukusinda nokwanda kwindalo esingqongileyo nasemzimbeni womntu ngokulula.

Unyango lwe ICandida auris

Unyango lwe ICandida auris Kunzima, kuba le fungus ibonakalise ukunganyangeki kwi-antifungals eqhele ukusetyenziswa kunyango losulelo ngu UCandida, ke, ikwabizwa ngokuba yi-superfungo. Ke, unyango luchazwa ngugqirha ngokungqinelana nosulelo kunye nesixokelelwano somzimba sesigulana, kunye nokusetyenziswa kwe-echinocandin class antifungals okanye indibaniselwano yeedosi eziphezulu ze-antifungals.

Kubalulekile ukuba usulelo lube ICandida auris ichongiwe kwaye inyangwe ngokukhawuleza ukukhusela lo mngundo usasazeke uye egazini kwaye ubangele ukosuleleka okuxhaphakileyo, okuhlala kubulala.

Indlela yokuthintela

Uthintelo losulelo ngu ICandida auris kufuneka yenziwe ngenjongo yokuthintela ukungcoliseka yile ntsholongwane, enokuthi yenzeke ikakhulu ezibhedlele ngokudibana ixesha elide nemiphezulu equkethe ukungunda okanye izixhobo zonyango, ikakhulu iicatheters.

Ke, njengendlela yokuthintela ukusasazeka kunye nokusasazeka kwale fungus, kubalulekile ukuba unake ukuhlanjwa kwezandla ngaphambi nasemva kokudibana nesigulana, kunye nokuqwalaselwa kwe-disinfection of the surface of the hospital and medical devices.

Ukongeza, kubalulekile ukuba umntu ofunyenwe enosulelo lweCandida auris, ahlale yedwa, kuba ngale ndlela kunokwenzeka ukuthintela usulelo kwabanye abantu abakhoyo kwezempilo kwaye banamajoni omzimba abuthathaka.

Ngesi sizathu, kubalulekile ukuba isibhedlele sibe nenkqubo yolawulo losulelo esebenzayo kwaye sikhuthaze amanyathelo othintelo losulelo, zombini ezinxulumene nesigulana kunye neqela kunye neendwendwe zesibhedlele, kunye neeprotokholi zokuchonga kunye nokubeka iliso elabhoratri yosulelo nguCandida sp. ezinganyangekiyo kwiintsholongwane. Funda ngendlela yokuthintela usulelo lwe-nosocomial.