Fungasi Ingagwedezeke Mkati Mwa Thupi, Chifukwa Choyambitsa Matenda
Candida ndi mtundu wa bowa womwe mwachibadwa umapezeka pakhungu ndi pakamwa, m'matumbo, ndi m'mimba. Mitundu yambiri ya Candida ndi Candida albicans (KAN-did-uh AL-bi-kanz).
Candida sizimayambitsa matenda pokhapokha ngati mtundu wina wa zochitika zimayambitsa bowa kuti iwonjezeke ndipo njuchiyo idzakula. Izi zimayambitsa matenda omwe angafunikire chithandizo kuti awonongeke.
Mwachitsanzo, Candida akhoza kuwonjezereka munthu atatenga mankhwala osokoneza bongo chifukwa cha matenda a bakiteriya (monga matenda a mkodzo kapena chibayo), kapena chifukwa chitetezo cha mthupi chimadwala chifukwa cha matenda, kapena ngati mankhwala ena amatha . Candida yakula kwambiri amatchedwa candidiasis.
Mwamwayi, pali mankhwala ambiri othandiza kuthana ndi matenda a Candida. Nthaŵi zambiri, anthu omwe ali pachiopsezo chotenga kachilombo ka mtundu umenewu ali kale kuyang'aniridwa ndi dokotala ndipo akhoza kuyang'anitsitsa mosamala za vutoli. Nthawi zina, chithandizo chopewa chithandizo chingaperekedwe pofuna kuteteza matenda a fungal kuti asachitike. Ngati matendawa akuchitika mosayembekezereka, dokotala wamkulu wa dokotala kapena dermatologist angapangitse kuti matendawa athandizidwe komanso athandizire kupanga ndondomeko ya mankhwala.
Mavuto Omwe Anayambitsa Chifukwa cha Kukula Kwambiri kwa Candida
Kuwonjezeka kwa Candida m'kamwa kumatchedwa thrush .
Kuwombera kumafala kwambiri kwa ana komanso anthu omwe ali ndi shuga kapena ali ndi HIV .
Candida yakula kwambiri mu chiberekero imatchedwa kuti yisinja ya yisiti kapena vaginitis. Amayi ambiri amakumana ndi matenda a yisiti pa nthawi yomwe amakhalapo, ndipo amayi amtundu wa candidiasis amakhala osowa kwambiri panthawi yomwe ali ndi mimba.
Akazi ena amapeza kuti atatha kumwa mankhwala ophera tizilombo toyambitsa matenda, tizilombo toyambitsa yisiti tikhoza kuchitika patapita nthawi.
Candidiasis pa khungu (lotchedwa candidiasis cutaneous) imachitika nthawi zambiri m'madera ofunda, owundana monga kubuula (kumatha kupweteka kwa ana) ndi pansi pa mabere. Misomali ingathenso kutenga kachilomboka (yotchedwa candidal paronychia ), makamaka chifukwa cha kutuluka kwa madzi nthawi zonse kapena pambuyo pa manicure kapena pedicure yomwe imapangidwa ndi zipangizo zomwe sizowonongeka.
Matenda owopsa kwambiri a candida m'magazi kapena m'kati mwa thupi ndi candidiasis. Candidiasis yosavuta ndi yochepa ndipo imakhala ikuchitika kwa odwala omwe ali odwala kale, monga omwe ali ndi chiwalo chogwiritsidwa ntchito kapena omwe ali mu magulu akuluakulu odwala. Mtundu uwu wa candidiasis ukhoza kupha.
Chithandizo
Chithandizo cha candidiasis chimaphatikizapo mankhwala osokoneza bongo, omwe amatengedwa pakamwa kapena kugwiritsa ntchito pamwamba. Zina mwazidziwitso zomwe zimaperekedwa ndi Diflucan (fluconazole) ndi echinocandins: Mycamine (micafungin), Cancidas (caspofungin), ndi Mycamine (micafungin). Ngati mankhwalawa sakugwira ntchito, kapena ngati matendawa ali m'thupi lonse, mankhwala ena monga Sporanox (itraconazole) angagwiritsidwe ntchito.
Zomwe zimakhala ndi mavitamini, kuphatikizapo amphotericin B (Ambisome ndi Amphotec) ndi Nystatin (Nyamyc, Pedi-Dri, ndi Nystop) zingagwiritsidwe ntchito pochiza matenda opatsirana omwe ali ndi HIV.
Mankhwala otchedwa azole Nizoral (ketoconazole) sanalembedwe kawirikawiri chifukwa azoles atsopano apezeka kuti amalekerera odwala. Ma azoles awiri omwe sagwiritsidwa ntchito nthawi zambiri amakhala VFend (voriconazole) ndi Posanol (posaconazole).
Kwa matenda opangidwa ndi yisiti, zovuta zowonjezereka zimapezeka, koma ziyenera kugwiritsidwa ntchito pa uphungu wa dokotala, chifukwa mankhwalawa samatulutsa bwinobwino matendawa.
Kuphulika kwa khungu kapena mitundu ina ya matenda a khungu, kusunga malo owuma ndi oyera kumathandizanso. Tizilombo toyambitsa matenda nthawi yaitali tifunikira kuchiza candidiasis.
> Zotsatira:
> American Academy of Dermatology. Kuthamanga kwajambula: Momwe mungachitire. AAD.org. 2016.
> Lionakis MS, Edwards L. Vaginal matenda a yisiti. WomensHealth.gov Jan 6, 2015.
> Martins N, Ferreira IC, Barros L, Silva S, Henriques M. Candidiasis: zinthu zowonongeka, kupewa, matenda ndi njira zina zothandizira. Mycopathologia . 2014 Jun; 177: 223-240.