: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za Kandida auris
• Momwe matendawa amapangidwira
• Ndani ali pachiwopsezo chachikulu chotenga matenda?
• Chithandizo cha Kandida auris
• Momwe mungapewere

Kandida auris ndi mtundu wa bowa womwe wakhala ukutchuka paumoyo chifukwa chakuti umakhala wosagwiritsa ntchito mankhwala osokoneza bongo, ndiye kuti umagonjetsedwa ndi ma antifungal angapo, zomwe zimapangitsa kuti zikhale zovuta kulimbana ndi matenda, kuphatikiza pakukumana ndi vuto lakuzindikira, popeza ikhoza kusokonezedwa ndi yisiti ina. Chifukwa chake, popeza imatsutsana ndi mankhwala osiyanasiyana, Candida auris amadziwika kuti superfungo.

THE Kandida auris idadzipatula koyamba mu 2009 kuchokera pachitsanzo chobisalira m'makutu a wodwala waku Japan ndipo mu 2016 zidatsimikizika kuti kupezeka kwa bowa kunali kofunikira kunena, popeza chithandizo ndi kuwongolera matendawa ndi kovuta. Posachedwa, mu 2020, mlandu woyamba wa Kandida auris ku Brazil, posonyeza kuti pakufunika njira zazikulu zodziwira, kupewa ndi kupewa matenda ndi bowa.

Zizindikiro za Kandida auris

Matenda ndi Kandida auris ndizofala kwambiri kwa anthu omwe amakhala mchipatala kwanthawi yayitali ndipo ali ndi chitetezo chamthupi chovuta, chomwe chimalimbikitsa kupezeka kwa bowa m'magazi, zomwe zimayambitsa kuwonekera kwa zizindikilo zina, monga:

• Kutentha thupi;
• Chizungulire;
• Kutopa;
• Kuchuluka kwa kugunda kwa mtima;
• Kusanza.

Bowa uyu adadziwika koyamba khutu, komabe amathanso kukhala okhudzana ndi matenda amkodzo komanso kupuma, ndipo amatha kusokonezeka ndi tizilombo tina. Ngakhale zili choncho, sizikudziwika ngati cholinga cha matendawa Kandida auris atha kukhala mapapu kapena kwamikodzo, kapena ngati bowa umawonekera m'mayikowa chifukwa cha matenda kwina kulikonse mthupi.

Momwe matendawa amapangidwira

Matendawa amapezeka ndi Kandida auris ndizovuta, popeza njira zodziwikiratu zomwe sizikudziwikiratu za mtunduwu, ndikofunikira kuyesa mayeso ena, monga MALDI-TOF, kutsimikizira mtunduwo, kapena mayeso osiyana kuti ataye yisiti ina, pamene labotale ili ndi zida za MALDI-TOF.

Kuphatikiza apo, bowa uyu amatha kupatulidwa kuzinthu zosiyanasiyana zachilengedwe, monga magazi, kutulutsa kwa mabala, zotupa komanso mkodzo, mwachitsanzo, chifukwa chake, ndikofunikira kuti labotaleyo ichite mayeso oyenerera akapezeka pachitsanzo. kupezeka kwa yisiti ya mtunduwo Kandida.

Ndikofunikanso kuti poyesa kuzindikira, antifungigram imachitidwanso, yomwe ndiyeso yomwe cholinga chake ndi kuzindikira kuti ndi mankhwala ati omwe bowa adayesedwa ali ovuta kapena osagwirizana nawo, motero, ndikotheka kudziwa mankhwala omwe ali choyenera kwambiri kumatenda.

Ndani ali pachiwopsezo chachikulu chotenga matenda?

Chiwopsezo chotenga matenda mwa Kandida auris Zimakhala zazikulu munthu akagonekedwa mchipatala kwanthawi yayitali, adagwiritsapo ntchito mankhwala ophera fungal, ali ndi katemera wa venous kapena zida zina zamankhwala mthupi, popeza fungus iyi imatha kutsatira zida zamankhwala, ndikupangitsa mankhwala kukhala ovuta komanso kukomera kuchulukana kwake.

Kugwiritsa ntchito maantibayotiki kwa nthawi yayitali kapena mosasankha kungathandizenso kutenga matendawa, chifukwa maantibayotiki owonjezera amatha kuthana ndi mabakiteriya omwe amatha kulimbana ndi kulowa kwa Kandida auris m'thupi, kupewa matenda. Chifukwa chake, maantibayotiki ambiri omwe amagwiritsidwa ntchito, amakhala pachiwopsezo chotenga kachilombo ka superfungo, makamaka pamene munthuyo ali mchipatala.

Kuphatikiza apo, anthu omwe achita opaleshoni posachedwa, ali ndi matenda osachiritsika, monga matenda ashuga, mwachitsanzo, ndipo amapezeka kuti ali ndi chitetezo chamthupi chofooka ali ndi chiopsezo chachikulu chotenga matenda mwa Kandida auris.

China chomwe chimakomera matenda mwa Kandida auris ndiko kutentha kwambiri, chifukwa bowa uyu wapanga njira zotsutsana ndi kutentha kwambiri, kutha kupulumuka ndikuchulukirachulukira m'thupi komanso mthupi la munthu mosavuta.

Chithandizo cha Kandida auris

Chithandizo cha Kandida auris Ndizovuta, popeza bowa iyi yawonetsa kuti ikulimbana ndi antifungals omwe amagwiritsidwa ntchito pochiza matenda mwa Kandida, chifukwa chake, amatchedwanso superfungo. Chifukwa chake, chithandizochi chimafotokozedwanso ndi dokotala molingana ndi kuopsa kwa matendawa komanso chitetezo cha mthupi la wodwalayo, komanso kugwiritsa ntchito mankhwala opangira fungal echinocandin kapena kuphatikiza kwa mitundu ingapo ya maantifungal kungasonyezedwe.

Ndikofunika kuti matenda mwa Kandida auris amadziwika ndikuchiritsidwa msanga kuti bowawa asafalikire m'magazi ndikupangitsa kuti matenda azifalikira, omwe nthawi zambiri amapha.

Momwe mungapewere

Kuteteza matenda mwa Kandida auris ziyenera kuchitidwa kuti zisawonongeke ndi tizilombo toyambitsa matenda, zomwe zimatha kuchitika makamaka muzipatala kudzera pakukhudzana kwakanthawi ndi malo okhala ndi bowa kapena zida zamankhwala, makamaka ma catheters.

Chifukwa chake, monga njira yopewera kufalikira ndi kufalikira kwa bowawu, ndikofunikira kulabadira kusamba m'manja musanalumikizane ndi wodwalayo, komanso chidwi cha mankhwala ophera tizilombo pachipatala ndi zida zamankhwala.

Kuphatikiza apo, ndikofunikira kuti munthu amene amapezeka ndi matenda a Candida auris, akhale payekha, chifukwa njira imeneyi imatha kupewetsa matenda kuchokera kwa anthu ena omwe amapezeka m'malo azaumoyo komanso omwe ali ndi chitetezo chamthupi chofooka.

Pachifukwachi, ndikofunikira kuti chipatalachi chikhale ndi njira yabwino yothanirana ndikulimbikitsa njira zodzitetezera, zonse zokhudzana ndi wodwala komanso timuyo komanso alendo obwera kuchipatala, komanso njira zodziwira ndikuwunika matenda a Candida. sp. omwe amalimbana ndi maantimicrobial. Phunzirani momwe mungapewere matenda opatsirana pogonana.