: he aha ia, nā ʻōuli a me ka lāʻau

Anter

• Nā ʻōuli o ʻO Candida auris
• Pehea e hana ʻia ai ke kuhi
• ʻO wai ka makaʻu loa i ka maʻi?
• Lapaʻau no ʻO Candida auris
• Pehea e pale aku ai

ʻO Candida auris kahi ʻano fungus i loaʻa i ka hanohano ma ke olakino ma muli o ka pale multidrug, ʻo ia hoʻi, kūpaʻa ia i kekahi mau antifungals, i paʻakikī e hakakā i ka maʻi, me ka paʻakikī i ka ʻike ʻana, ʻoiai hiki ke huikau ʻia me nā hū ʻē aʻe. No laila, ke hōʻike nei i ke kūpaʻa multidrug, ʻike nui ʻia ʻo Candida auris ma ke ʻano he superfungo.

KA ʻO Candida auris ua hoʻokaʻawale mua ʻia ia i ka makahiki 2009 mai kahi laʻana o ka huna ʻana i ka pepeiao o kahi mea Kepanī hoʻomanawanui a i ka makahiki 2016 ua hoʻoholo ʻia e koi ʻia ka hanana ʻana o kēia fungus e hōʻike, ʻoiai paʻakikī ka mālama ʻana a me ka mālama ʻana i kēia maʻi. I kēia mau lā, i ka 2020, ka hihia mua o ʻO Candida auris i Brazil, e hōʻike ana i nā ana nui e pono ai e ʻike, pale a kāohi i ka maʻi maʻi e kēia fungus.

Nā ʻōuli o ʻO Candida auris

Maʻi kīnā me ʻO Candida auris ʻoi aku ka maʻamau i ka poʻe e noho ana i ka haukapila no nā wā lōʻihi a loaʻa i kahi ʻōnaehana pale pale kūpikipiki, kahi e makemake ai i ke alo o ka fungus i ke kahe o ke koko, e alakaʻi ana i ke ʻano o kekahi mau hōʻailona, ​​e like me:

• Wela wela;
• Puʻupuʻu;
• Māluhiluhi;
• Hoʻonui i ka helu o ka puʻuwai;
• ʻO ka luaʻi

Ua ʻike mua ʻia kēia fungus i loko o ka pepeiao, akā hiki nō naʻe ke pili i nā maʻi urinary a me nā ʻōnaehana hanu, a hiki ke huikau me nā microorganism ʻē aʻe. ʻOiai kēia, ʻaʻole maopopo loa inā ke kia o ka maʻi ma ʻO Candida auris ʻo ia paha ka mumū a i ʻole ka ʻōnaehana mimi, a i ʻole inā kū aʻe ka fungus i kēia mau ʻōnaehana ma muli o ka maʻi i nā wahi ʻē aʻe o ke kino.

Pehea e hana ʻia ai ke kuhi

ʻO ke kuhi o ka maʻi e ʻO Candida auris he paʻakikī, ʻoiai ʻaʻole kikoʻī nā ʻano ʻike i loaʻa no ka ʻike ʻana i kēia laha, he mea nui e hoʻokō i nā hoʻokolohua kikoʻī, e like me MALDI-TOF, e hōʻoia i ka laha, a i ʻole nā ​​hoʻokolohua ʻokoʻa e hoʻolei i nā hū ʻē aʻe, ke nona ka hale hana hoʻokolohua i nā lako pono ʻo MALDI-TOF.

Hoʻohui ʻia, hiki ke hoʻokaʻawale ʻia kēia fungus mai nā meaolaola like ʻole, e like me ke koko, hoʻokahe i ka ʻeha, nā huna hanu a me ka mimi, no ka laʻana, a, no laila, he mea nui e hana ke keʻena hoʻokolohua i nā hoʻokolohua kikoʻī ke ʻike ʻia ia i kahi laʻana. alo o ka hū pili i ka genus Candida.

He mea nui ia i ka lawe ʻia ʻana o ka hōʻoia hōʻoia, lawe ʻia kahi antifungigram, kahi hōʻike e manaʻo ai e ʻike i nā antimicrobial i hoʻāʻo ʻia e ka fungus e makaʻala a kūʻē paha, a no laila, hiki ke ʻike i kahi ʻano lāʻau. ka mea kūpono loa no ka maʻi.

ʻO wai ka makaʻu loa i ka maʻi?

ʻO ka makaʻu o ka maʻi e ʻO Candida auris ʻoi aku ka nui ke hoʻomau ʻia ke kanaka i ka haukapila no kahi wā lōʻihi i ka haukapila, ua hoʻohana mua i nā antifungals, he catheter venous kikowaena a i ʻole nā ​​mea lapaʻau ʻē aʻe i loko o ke kino, no ka mea he hiki i kēia fungus ke hoʻopili i nā lako olakino, hana i ka hana paʻakikī a makemake i ka hoʻolaha ʻana.

Lōʻihi a indiscriminate hoʻohana o antibiotics hiki no hoʻi makemake maʻiʻaʻai e kēia superfungo, e like me ka nui antibiotics ke hoʻopau i koʻohune hiki ke kaua i ke komo ʻana o ʻO Candida auris i ke kino, pale i ka maʻi. No laila, ʻo ka nui o nā antibiotic i hoʻohana ʻia, ʻoi aku ka nui o ka makaʻu o ka maʻi me kēia superfungo, keu hoʻi i ka wā o ke kanaka i kahi nohona haukapila.

Hoʻohui ʻia, ʻo nā poʻe i hana i nā kaʻina hana ʻoki kino hou, he mau maʻi maʻi mau, e like me ka maʻi diabetes, no ka laʻana, a ʻike iā lākou iho me kahi ʻōnaehana nāwaliwali iʻoi aku ka nui o ka maʻi ma ʻO Candida auris.

ʻO kekahi kumu i makemake i ka maʻi maʻi e ʻO Candida auris ʻo ia ke kiʻekiʻe wela, no ka mea ua hoʻomohala kēia fungus i nā ʻano hana o ke kūpaʻa i nā mahana wela, ka mālama ʻana i ke ola a hoʻonui i ke kaiapuni a me ke kino o ke kanaka me ka maʻalahi.

Lapaʻau no ʻO Candida auris

Lapaʻau no ʻO Candida auris he paʻakikī, ʻoiai ua hōʻike kēia fungus i ke kūpaʻa ʻana i nā antifungals i hoʻohana mau ʻia i ka mālama ʻana i nā maʻi e Candida, no laila, kapa ʻia ia ʻo superfungo. No laila, ua wehewehe ʻia ka lapaʻau e ke kauka e like me ke koʻikoʻi o ka maʻi a me ka ʻōnaehana pale maʻi o ka mea maʻi, a me ka hoʻohana ʻana o nā echinocandin papa antifungals a i ʻole ka hui pū ʻana o kekahi mau kiʻina kiʻekiʻe o nā antifungals.

He mea nui ia maʻi maʻi e ʻO Candida auris ʻike ʻia a mālama ʻia i ka wā e hiki ai ke pale i kēia fungus mai ka hoʻolaha ʻana i ke kahe o ke koko a hāʻawi i ka maʻi ākea, ka mea make pinepine.

Pehea e pale aku ai

Kāohi ʻana i ka maʻi e ʻO Candida auris pono e hana ʻia i mea e hōʻalo ai i ka hoʻohaumia ʻia e kēia microorganism, i hiki ke hana ʻia ma nā haukapila ma o ka pili lōʻihi ʻana me nā papa i loaʻa ka fungus a i ʻole nā ​​lāʻau lapaʻau, ka nui o nā catheters.

No laila, ma ke ʻano he ala e pale aku ai i ka hoʻolaha a hoʻolaha ʻana o kēia fungus, he mea nui e hoʻolohe i ka holoi lima ma mua a ma hope o ka launa ʻana me ka mea maʻi, a me ka nānā ʻana i ka disinfection o nā wahi o ka haukapila a me nā pono lapaʻau.

Eia hou, he mea nui ka mea i ʻike ʻia me ka maʻi o Candida auris, e noho kaʻawale, no ka mea hiki i kēia ala ke pale aku i nā maʻi mai nā poʻe ʻē aʻe e noho ana i ke kaiapuni olakino a me nā ʻōnaehana pale maʻi nāwaliwali loa.

No kēia kumu, he mea nui ka loaʻa ʻana i ka haukapila kahi ʻōnaehana mālama maʻi maʻi maikaʻi a paipai i nā hana pale maʻi, pili ʻelua i ka mea maʻi a me ka hui a me nā poʻe kipa o ka haukapila, a me nā kuʻina no ka ʻike a me ka nānā ʻana o ka hale hana i nā maʻi. sp. kūpaʻa i nā antimicrobial. E aʻo pehea e pale ai i nā maʻi nosocomial.