I-Fungus inokuthi igule ngaphakathi ngaphakathi kwiQumrhu, elibangelwa uGawulayo
Candida luhlobo lwefungus olwenzeka ngokwemvelo kwixabiso elincinci elukhumbeni nasemlonyeni, emathunjini, kunye nasesiswini. Eyona ndlela ixhaphakileyo yeenhlobo ze Candida yi- Candida albicans (KAN-did-uh AL-bi-kanz).
I-Candida ayidla ngokubangela isifo ngaphandle kokuba uhlobo oluthile lweemeko lubangela ukuba i-fungus yande kwaye ikholoni iya kukhula. Oku kubangele isifo esingafuna unyango ukuze sibe phantsi kolawulo.
Ngokomzekelo, i- Candida ingadlulela emva kokuba umntu athathe ikhosi ye-antibiotics ngenxa yentsholongwane ye-bhakteria (njengokwanda kwe-urinary tract or pneumonia), okanye ngenxa yokuba i-immune system ixinezelekile ngenxa yezifo, okanye njengempembelelo yamanye amayeza . Candida overgrowth ibizwa ngokuthi candidiasis.
Ngethamsanqa, kukho ezininzi unyango oluphumelelayo ukunyanga isifo se Candida. Kwiimeko ezininzi, abantu abasengozini yokuphuhlisa olu hlobo lwesifo sele bephantsi kweliso lugqirha kwaye banokujongwa ngokukhawuleza kule ngxaki. Kwezinye iimeko, unyango lokukhusela lunokunikezelwa ukwenzela ukuthintela ukusuleleka kwefungal. Kwimeko yentsholongwane eyenzeka ngokungalindelekanga, ugqirha wezempilo oyintloko okanye i-dermatologist inokuyifumanisa kwaye inokunceda ukuphuhlisa isicwangciso sonyango.
Iimeko ezibangelwa yi-Candida Overgrowth
Ukugqithiswa kwe Candida emlonyeni kubizwa ngokuthi thrush .
Ukutshitshiswa kuqhelekileyo kwiintsana nakubantu abanesifo sikashukela okanye abane-HIV .
I-Candida ininzi kwi-vagina ibizwa ngokuba yi- yisinal igciwane lesipiliso sesisu okanye i-vaginitis. Abasetyhini abaninzi bafumana isifo sovulo ngexesha elithile ngexesha lobomi babo, kwaye i-candidiasis yesisu ixhaphake kakhulu ngexesha lokukhulelwa.
Abanye besetyhini bafumanisa ukuba emva kokuthatha ikhosi yamayeza okuphilisa isifo esilula, isifo sovulo sinokuthi senzeke ngokuthe ngqo emva koko.
I-Candidiasis elukhumbeni (ebizwa ngokuthi i-cutaneous candidiasis) ijwayele ukuvela kwimimandla efudumeleyo, enobuninzi njenge-groin (ingenzeka nge-diaper ukugqithisa kwiintsana) nangaphantsi kwamabele. Izipikili zinokusuleleka (ezibizwa ngokuba yi- candidal paronychia ), ngokuqhelekileyo ngenxa yokungabikho kwamanzi angapheliyo okanye emva kokuqhawula umzimba okanye ukuhamba ngeentambo ezenziwe ngamathuluzi angabonakaliyo.
Ifomu elona lukhulu lweentsholongwane ze candida kwigazi okanye kwizitho zangaphakathi ziyingcandidiasis engavumelekanga. I-candidiasis ekhethiweyo ihamba phambili kwaye ihlala ihamba kwizigulane ezisegulane kakhulu, njengalezo eziye zafakelwa ilungu okanye abo bakwiiyunithi ezinonyango. Le fomu ye-candidiasis ingaba yingozi.
Unyango
Unyango lwe-candidiasis ngokuqhelekileyo luquka imithi e-antifungal, enokuthi ithathwe ngomlomo okanye ifakwe kwi-topically. Ezinye zezona zinto eziqhelekileyo ezichongiweyo ziquka iDiflucan (fluconazole) kunye ne-echinocandins: i-Mycamine (micafungin), i-Cancidas (caspofungin) kunye ne-Mycamine (micafungin). Ukuba ezi zonyango zingasebenzi, okanye ukuba usulelo luhlala kuwo wonke umzimba, ezinye iindlela zokunyanga ezinjenge-Sporanox (itraconazole) zingasetyenziswa.
I-Polyene, i-amphotericin B (i-Ambisome ne-Amphotec) ne-Nystatin (i-Nyamyc, i-Pedi-Dri kunye ne-Nystop) ingasetyenziselwa ukuphatha izifo ezifakwe kwi-HIV.
Iyeza ye-azole i-Nizoral (ketoconazole) ayinqunywanga rhoqo ngenxa yokuba ii-azoles ezitsha zifunyenwe zibekezeleke kwizigulane. I-azoles ezimbini ezingasetyenziswa ngokuqhelekileyo ziquka i-VFend (voriconazole) ne-Posanol (posaconazole).
Ukufumana izifo zesilonda ezingenakunzima, izilungiso ezingaphezulu kwee-counter zikhoyo, kodwa kufuneka zisetyenziswe kuphela kwiingcebiso zonyango, kuba ezi zonyango azihlali zicwangcise ngokupheleleyo intsholongwane.
Ukukhwabanisa okanye ezinye iintlobo zentsholongwane, ukugcina indawo eyomileyo kunye nococekileyo kuyakunceda. Kufuneka ukuba unyango lwexesha elide lugqirha unyango lwe-candidiasis.
> Imithombo:
> I-American Academy yeDermatology. Ukukhwabanisa kwe-Diaper: Indlela yokunyanga. AAD.org. 2016.
> Lionakis MS, Edwards L. isifo sesonka sesinambuzane. WomensHealth.gov Jan 6, 2015.
> UMartins N, uFerreira IC, uBarros L, uSilva S, uHenques M. Candidiasis: izinto ezithintekayo, ukukhusela, ukuxilongwa kunye nokunye unyango. Mycopathologia . 2014 Juni; 177: 223-240.