Mlembi: Peter Berry
Tsiku La Chilengedwe: 20 Kulayi 2021
Sinthani Tsiku: 15 Novembala 2024
Anonim
Za Candida parapsilosis ndi Medical Settings - Thanzi
Za Candida parapsilosis ndi Medical Settings - Thanzi

Zamkati

Kodi Candida parapsilosis ndi chiyani?

Candida parapsilosis, kapena C. parapsilosis, ndi yisiti yomwe imafala pakhungu ndipo nthawi zambiri imakhala yopanda vuto. Amakhalanso m'nthaka komanso pakhungu la nyama zina.

Chitetezo chokwanira chamthupi chimatha kuteteza C. parapsilosis matenda komanso kukhala ndi khungu losasunthika, kapena khungu lomwe lilibe zibowo, zotupa, kapena mabala.

Malinga ndi Centers for Disease Control and Prevention (CDC), alipo Kandida zomwe zingayambitse matenda a mafangasi mwa anthu. C. parapsilosis ndi m'modzi wa iwo. Nazi zomwe muyenera kudziwa.

Za matenda a Candida

C. parapsilosis ndi mtundu umodzi wa Kandida yisiti yomwe imatha kuyambitsa matenda mwa anthu. Zakudya zina ndizo:

  • Candida albicans (ofala kwambiri)
  • Candida glabrata
  • Candida otentha
  • Kandida auris

C. parapsilosis ndipo yisiti zonsezi zitha kukhala gawo la matenda opatsirana omwe:


  • khungu
  • pakamwa
  • maliseche
  • matenda amtundu wotchedwa candidiasis wowopsa

C. parapsilosis ndi candidiasis wowopsa

C. parapsilosis atha kukhala, makamaka ana obadwa kumene komanso anthu omwe ali m'malo osamalira odwala.

Candidiasis yovuta zingakhudze magazi anu, mtima, ubongo, kapena ziwalo zina za thupi lanu. Mwachitsanzo, chifukwa chimodzi cha meninjaitisi ndikufalikira kwa Kandida kudzera m'magazi mpaka muubongo.

Matenda a fungal m'magazi amatchedwa chisankho. Malipoti a candidemia ndi mtundu wofala kwambiri wa candidiasis wowopsa komanso chimodzi mwazomwe zimayambitsa kufala kwa magazi mwa anthu omwe ali mchipatala.

Matenda a Candida parapsilosis m'malo azachipatala

C. parapsilosis makamaka imakhazikitsa khungu, pomwe nthawi zambiri silimayambitsa matenda. Chifukwa nthawi zambiri imakhalapo pakhungu, manja a ogwira ntchito yazaumoyo amatha kutumiza C. parapsilosis.


Mwa zikhalidwe pafupifupi 3,000 zomwe zidatengedwa m'manja mwa ogwira ntchito kuchipatala zidapeza kuti 19% yaiwo anali abwino kwa iwo C. parapsilosis.

C. parapsilosis itha kupatsiranso kudzera muzida zamankhwala zoyipa, monga ma catheters, komanso kuchokera kwa mayi kupita kwa mwana pobadwa.

Malinga ndi , C. parapsilosis yakhala ikugwirizana kwambiri ndi zida zamankhwala ndi njira kuyambira pomwe idadziwika koyambirira kwa ma 1900.

Zizindikiro zowopsa za candidiasis

Zizindikiro zowopsa za systemic candidiasis zimadalira limba kapena magawo amthupi omwe akhudzidwa.

Zizindikiro za fungal endocarditis, mwachitsanzo, imatha kuphatikizira malungo, chifuwa, komanso kusunga madzi m'manja ndi m'miyendo.

Ndikofunika kumvetsera omwe ali pachiwopsezo chachikulu.

Ambiri ali pachiwopsezo cha matenda a Candida parapsilosis

Monga C. glabrata matenda, C.parapsilosis Matendawa adakhalapo pazaka zaposachedwa.

Chiwopsezo chachikulu chokhazikitsa C. parapsilosis Matendawa ali ndi zida zilizonse zamankhwala zoyikika, monga catheter kapena prosthetic device. Chitsanzo cha chida chopangira chovala ndi valavu yamtima yopangira. Yisiti imakula bwino pamitundu iyi.


Anthu omwe ali ndi chitetezo chamthupi chofooka komanso anthu omwe achita opaleshoni posachedwa, makamaka m'matumbo, amatha kukhala pachiwopsezo cha C. parapsilosis matenda.

Ana obadwa kumene omwe amalephera kubadwa nawonso amakonda C. parapsilosis Matenda chifukwa cha:

  • khungu losakhwima
  • chiwopsezo cha matenda
  • chiwopsezo chowonjezeka chophatikizira chida, monga catheter

Neutropenia - chiopsezo chachikulu

Chofunika kwambiri pakukula kwa candidiasis yowopsa ndi neutropenia. Apa ndipamene pamakhala magawo otsika modabwitsa amtundu wamatenda omwe amatchedwa neutrophil m'magazi. Zingakupangitseni kukhala osavuta kutenga matenda.

Anthu omwe amakhudzidwa kwambiri ndi neutropenia amaphatikizapo anthu omwe amalandira chemotherapy kapena radiation radiation ya khansa komanso anthu omwe ali ndi leukemia kapena matenda ena am'mafupa.

Anthu omwe ali ndi neutropenia komanso wowopsa Kandida Matendawa ali ndi malingaliro apadera othandizira chithandizo.

Kuchiza matenda a Candida parapsilosis

Matenda a nyini a Candida parapsilosis

C. parapsilosis Matenda a yisiti amathandizidwa ndi mankhwala amtundu wina omwe amatha kumwa m'njira zosiyanasiyana, kuphatikizapo mapiritsi amlomo, makapisozi, kapena mankhwala apakhungu. Zitsanzo ndi izi:

  • fluconazole
  • butoconazole
  • miconazole
  • asidi boric

Matenda a magazi a Candida parapsilosis

Candidemia, matenda amwazi omwe ali ndi Kandida Mitundu, imatha kupezeka pamene yisiti siyikupezeka pagazi.

Chithandizo chimadalira mitundu ya Kandida kuchititsa matendawa. Catheters nawonso adzachotsedwa. Zitsanzo za mankhwala ndi awa:

  • Minyewa (IV) Mlingo wa fluconazole
  • caspofungin
  • micafungin
  • amphotericin B

Candidiasis yodziwika kuchokera ku Candida parapsilosis

Chithandizo chingaphatikizepo:

  • IV fluconazole kapena amphotericin B
  • kuchotsedwa kwa chipatala chilichonse chodwala
  • Kutheka kochotsa bowa munyama (kutengera mawonekedwe kapena ziwalo zomwe zikukhudzidwa)

Kutenga

Kandida ndi mtundu wa yisiti womwe ungayambitse matenda mwa anthu. C. albicans ndi mitundu ya Kandida Zomwe zimayambitsa matenda. Komabe, matenda oyamba ndi mitundu C. glabrata ndipo C. parapsilosis tsopano zikukwera.

Nthawi zambiri, C. parapsilosis mwachilengedwe amakhala pakhungu lanu osavulaza. Nthawi zina, monga kutenga nthawi yayitali ya maantibayotiki kapena kukhala ndi chitetezo chamthupi chofooka, zitha kukulitsa chiopsezo chotenga matenda.

C.parapsilosis Matendawa amachiritsidwa ndimankhwala osokoneza bongo omwe amaperekedwa pamutu, pakamwa, kapena kudzera mu IV.

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