I-Fungus Ingadlula Ngaphakathi Umzimba, Ebangelwa Ukutheleleka
I-Candida wuhlobo lwe-fungus ejwayelekile ngokwemvelo esikhumbeni nasemlonyeni, emathunjini nasegwini. Izinhlobo ezivamile kakhulu ze- Candida yi- Candida albicans (i-KAN-did-uh AL-bi-kanz).
I-Candida ayivami ukudala isifo ngaphandle kokuthi uhlobo oluthile lwezimo lubangela ukuba ukhunta lande futhi ikholoni izokhula. Lokhu kubangela ukutheleleka okungadinga ukwelashwa ukuze kutholwe ngaphansi kokulawula.
Isibonelo, i- Candida ingadlula ngemuva kokuthi umuntu athathe imithi yama-antibiotics ngokutheleleka kwebhaktheriya (njengokutheleleka komgogodla noma i-pneumonia), noma ngenxa yokuthi isimiso somzimba sokuzivikela sigxilile ngenxa yezifo, noma njengomphumela womuthi wemithi ethile . I-Candida ngokweqile ibizwa ngokuthi i-candidiasis.
Ngenhlanhla, kunezinhlobo eziningi zokwelashwa eziphumelelayo zokwelapha ukutheleleka kwe-Candida. Ezimweni eziningi, abantu abasengozini yokuthuthukisa lolu hlobo lokutheleleka sebevele beqondiswa udokotela futhi bangabhekwa ngokucophelela ngale nkinga. Kwezinye izimo, ukwelashwa kokuvimbela kungase kuhlinzekwe ukuze kuvinjelwe ukutheleleka okufungayo okungenakwenzeka. Uma kwenzeka ukutheleleka okwenzeka ngokungalindelekile, udokotela oyinhloko noma udokotela wezempilo ungenza ukuxilongwa nokusiza ukuthuthukisa uhlelo lokulashwa.
Izimo ezibangelwa yi-Candida Overgrowth
Ukukhuphuka kweC Candida emlonyeni kubizwa ngokuthi thrush .
Ukuxubha kuvame kakhulu ezinsaneni nakubantu abanesifo sikashukela noma abane-HIV .
I-Candida ngokweqile emgodini ivame ukubizwa nge- vaginal yeast imfections noma vaginitis. Abesifazane abaningi bathola ukutheleleka kwemvubelo ngesikhathi sokuphila kwabo, kanti i-candidiasis yesisindo ivame kakhulu ngesikhathi sokukhulelwa.
Abanye besifazane bathola ukuthi ngemva kokuthatha imithi yama-antibiotics ukuphatha isifo esilula, ukutheleleka kwemvubelo kungase kwenzeke ngqo emva kwalokho.
I-Candidiasis esikhumbeni (ebizwa ngokuthi i-candidiasis ene-cutaneous) ijwayele ukuvela kaningi ezindaweni ezifudumele, ezinomswakama ezifana ne-groin (ingenzeka nge-diaper ukushona ezinganeni) nangaphansi kwamabele. Izipikili nazo zingenwe igciwane (elibizwa ngokuthi i- candidal paronychia ), ngokuvamile ngenxa yokungcola okungapheli emanzini noma emva kokugcoba noma ukuhamba ngezinyawo ezenziwa ngamathuluzi angenayo oyinyumba.
Ifomu eliyingozi kakhulu le-candida ukutheleleka egazini noma ezithombeni zangaphakathi kuyisimanga se-candidiasis. I-candidiasis engavamile iyinhlangano ejwayelekile futhi ijwayele ukuvela ezigulini ezigula kakhulu, njengalabo abaye bafaka ukufakelwa komzimba noma labo abasezinyunithi zokunakekela kakhulu. Leli fomu le-candidiasis lingabulala.
Ukwelapha
Ukwelashwa kwe-candidiasis kuvame ukufaka imithi e-antitifungal, ethathwe ngomlomo noma isetshenzisiwe ngekhanda. Ezinye ze-antifungals ejwayelekile kakhulu zifaka i-Diflucan (fluconazole) ne-echinocandins: i-Mycamine (micafungin), i-Cancidas (i-caspofungin), ne-Mycamine (micafungin). Uma lezi zokwelapha zingasebenzi, noma uma ukutheleleka kusemzimbeni wonke, ezinye izindlela zokwelapha ezifana ne-Sporanox (itraconazole) zingasetshenziswa.
Ama-antifungals e-polyene, kuhlanganise ne-amphotericin B (i-Ambisome ne-Amphotec) ne-Nystatin (i-Nyamyc, i-Pedi-Dri, ne-Nystop) ingasetshenziselwa ukwelapha izifo ezithinta i-HIV.
Umuthi we-azole we-Nizoral (ketoconazole) awunqunywe njalo ngoba ama-azoles amasha atholakale abekezelela ukubekezelela iziguli. Ama-azoles amabili angasetshenziswanga kakhulu avame ukufaka i-VFend (voriconazole) ne-Posanol (posaconazole).
Ukuze uthole izifo zesilonda ezingenakunzima, izixazululo ezingaphezu kwamakhambi ziyatholakala, kodwa kufanele zisetshenziswe kuphela eselulekweni sodokotela, ngoba lezi zokwelapha azigcini ngokugcwele ukutheleleka.
Ukushaywa kwe-diaper noma ezinye izinhlobo zezifo zesikhumba, ukugcina indawo eyomile futhi ehlanzekile nakho kuyasiza. Ukwelashwa kwe-antitifungal yesikhathi eside kungadingeka ukuze uphathe i-candidiasis engapheli.
> Imithombo:
> I-American Academy of Dermatology. Ukushaywa kwe-Diaper: Indlela yokuphatha ngayo. AAD.org. 2016.
> Lionakis MS, Edwards L. Vaginal imvubelo yesifo. WomensHealth.gov Jan 6, 2015.
> Martins N, Ferreira IC, uBarros L, uSilva S, uHenriques M. Candidiasis: izici ezithintekayo, ukuvimbela, ukuxilongwa nokunye ukwelashwa. I-Mycopathologia . 2014 Jun; 177: 223-240.