Candida albicans: kuvapo, basa uye kurapwa

Candida albicans: kuvapo, basa uye kurapwa

Candida albicans ifungus inowanzowanikwa mumaruva emucous membranes. Haisi pathogenic uye inobatsira pakuenzanisa kwe microbiota yedu. Zvisinei, kuwedzera kweanarchic kwembiriso iyi inonzi pathological: inonzi candidiasis.

Candida albicans, chii ichocho?

Candida albicans ivhu rakaita sembiriso yegenus Candida uye yemhuri saccharomycetaceae. Candida albicans inoiswa pakati peasexual fungi iyo kubereka kwayo kunonyanya kunzi clonal. Candida albicans inhengo ye diploid ine mapeya masere emakromosomes. Iyo heterozygosity inoipa iyo kugona kukuru kuchinjika kune kwakasiyana nharaunda.

Candida albicans yakasikwa inoumba maruva emucous membrane yemunhu. Kuvapo kwayo hakusi pathological. Tinowana fungus iyi mudumbu re70% yevakuru vane hutano. Nekudaro, kusaenzana kwehomoni kana immune system kunogona kukonzera kuwanda kweanarchic yefungus iyi inozokonzera zvimwe zviratidzo. Tiri kutaura nezve candidiasis kana kunyange mycosis.

C. albicans virulence factor inobvumira kuti iwande:

  • dimorphism (kushandura mbiriso kune fungus zvichienderana nenharaunda yakapoteredza);
  • adhesins (nhamba huru yepamusoro-soro inobvumira C. albicans kunamatira nyore kumasero emuiti wayo);
  • enzymatic secretions;
  • etc.

C. albicans zvirwere zvinogona kugariswa kunhengo yesikarudzi, yemukanwa kana yekugayiwa mucosa. Mukuwedzera, kuwanda kweCandida albicans paganda hakuna kunaka uye kunokonzera zviratidzo zveganda. Kunyanya kashoma, muvarwere vasina immunocompromised, C. albicans inogona colonize imwe kana dzimwe nhengo kana kunyange muviri wose: tinotaura nezve systemic candidiasis. Muchiitiko ichi, njodzi yekufa inenge 40%.

Candida albicans: basa uye nzvimbo

Candida albicans i microorganism commensal kune microbial flora muvanhu uye mhuka dzine ropa rinodziya. Inowanikwa mumuromo, kugaya uye genital mucous membranes, nenzira ye blastospores, inoonekwa seyo saprophytic fomu inogara mu symbiosis neine zvisikwa zvipenyu. Muzvidzidzo zvine hutano, mbiriso inogovaniswa zvakasiyana zvichienderana nenzvimbo dzesampling, iyo huru reservoir inoramba iri nzira yekugaya:

  • ganda (3%);
  • mukadzi (13%);
  • turakiti ano-rectal (15%);
  • mhango yemuromo (18%);
  • dumbu uye duodenum (36%);
  • jejunum uye ileum (41%).

Nekudaro, manhamba aya anofanirwa kucherechedzwa nekuchenjerera sezvo matekiniki esampling asina kufanana nguva dzose uye nzvimbo dzesampling hadziwanzo ratidza nharaunda ine homogeneous.

C.albicans saka yakakosha pachiyero cheiyo microbiota. Nekudaro, kana iyi chiyero mune yayo commensal chimiro uye dziviriro yekudzivirira yaputswa, iyi symbiosis inova parasitic. Izvi zvinoguma nechirwere chinotapukira chinonzi candidiasis.

Ndeapi anomalies uye pathologies anokonzerwa neCandida albicans?

Candidiasis chirwere chinokonzerwa nefungus Candida albicans. Haisi chirwere chinotapukira: mbiriso yatovepo mumuviri, mu mucous membranes, muromo, digestive system uye nhengo dzepabonde. Candidiasis yakabatana nekuwanda kweanorachika kweCandida albicans, iyo pachayo inokonzerwa nekusagadzikana kwemuviri kana mahomoni kana kupera simba kwemaruva emicrobial. Mukuwedzera, hutachiona hwehutachiwana hwehutachiwana husingaonekwi sezvirwere zvepabonde (STIs), kunyange zvazvo kusangana pabonde kune ngozi yehutachiona hwehutachiwana (iyo yekupedzisira inokonzera kupera simba kwemaruva ekuberekwa).

Zvakadaro, kutapuriranwa kweC. albicans kubva kumunhu kuenda kumunhu kunogoneka kuburikidza nekubata tsvina, kubuda kwemate kana kuburikidza nemaoko. Muzvipatara, C. albicans inomiririra honzeri huru ye Zvirwere zveNosocomial mukana.

Zvinhu zvinotyisa

Zvimwe zvinhu zvine njodzi zvinoburitsa kukura kwe candidiasis:

  • kudzokorora makosi emishonga inorwisa mabhakitiriya;
  • kutora mishonga inokanganisa hutachiona (corticosteroids, immunosuppressants, chemotherapy, nezvimwewo);
  • a immunodépression (yekuzvarwa nayo, yakabatana neHIV kana kuisirwa).

Vaginal yeast infections ndiyo inowanzoitika candidiasis, inobata 10 kusvika 20% yevakadzi panguva yekuita zvepabonde. Ivo vanofarirwa ne:

  • kuchinja kwehomoni;
  • kutora estrogen-progestogen contraceptives;
  • dikita ;
  • bhurugwa rakanyanyisa;
  • zvipfeko zvemukati zvisina kugadzirwa nedonje (uye kunyanya tambo);
  • kupfeka panty liner;
  • hutsanana husina kunaka;
  • kurara kwenguva refu.

Candidiasis uye kurapa kwavo

candidiasis

Zviratidzo uye kuongororwa

Mishonga

Cutaneous candidiasis

  • Rashes mumapete eganda (armpits, mazamu akapetwa, nezvimwewo);
  • Inovava, dzimwe nguva dzvuku dzakakora;
  • Kuongororwa nekuongororwa kwekiriniki uye kashoma nesampling yemunharaunda.
  • Local antifungal (imidazoles, polyenes, cyclopiroxolamine) kwemavhiki maviri kusvika mana.
  • Systemic antifungal (fluconazole) kana immunosuppression, kuramba kurapwa kana kudzoka zvakare.

Candidiasis yezvipikiri

  • Kuzvimba kweminwe uye kuparadzaniswa kwezvipikiri;
  • Kuongororwa nekuongororwa kwekiriniki uye zvakanyanya kashoma ne mycological sample yembambo.
  • Antifungal cream kana film-forming solution (imidazoles, cyclopiroxolamine, amorolfine) kusvikira mbambo yakura zvakare;
  • Kubviswa kwembambo;
  • Systemic antifungal (fluconazole) kana immunosuppression, kuramba kurapwa kana kudzoka zvakare.

Vaginal yeast chirwere

  • Kuwedzera uye kunhuwa kuchena kwechichena, kukwenya kwakanyanya, kurwadziwa paunenge uchiita weti kana kuita bonde, nezvimwewo;
  • Kuongororwa kuburikidza nekliniki kuongororwa kana vaginal smear.
  • Azole antifungals: mazai, capsules, gel (butaconazole, econazole, miconazole, fenticonazole, nezvimwewo) kwemazuva matatu. Kushandiswa kwe azole cream kunogona kuenderera kwemazuva gumi nemashanu kusvika makumi maviri nemasere. Kushandiswa kwesipo yealkalizing yakagadziriswa kune flora yepabonde inokurudzirwa;
  • Systemic antifungal (fluconazole) kana immunosuppression, kuramba kurapwa kana kudzoka zvakare.

Oral thrush

  • Kuvapo kwechichena chedhipoziti chakatenderedza miromo, parurimi uye mukanwa (vacheche nevarwere vasina immunocompromised vari kunyanya panjodzi);
  • Kuongororwa nekliniki uye cytological kuongorora.
  • Local antifungal (nystatin, amphetecerin B kana AMB, miconazole, nezvimwewo) kwemazuva gumi kusvika kumavhiki matatu;
  • Systemic antifungal (fluconazole) kana immunosuppression, kuramba kurapwa kana kudzoka zvakare.

Digestive candidiasis

  • Marwadzo emudumbu, kusagadzikana kwekudya, kuputika, gasi, kushungurudza, kurutsa, nezvimwewo (varwere vane immunocompromised vari kunyanya pangozi);
  • Kuongororwa nekuongororwa kwekliniki uye kuongorora stool.
  • Systemic antifungal kurapwa (fluconazole), kusvika kumazuva gumi nemashanu kana systemic candidiasis.

Systemic candidiasis

  • Kupera simba kwemamiriro ezvinhu, furu-like state, kukura kwecutaneous, mumuromo kana genital mycoses (vanorwara immunocompromised vari kunyanya pangozi);
  • Kuongororwa nekiriniki kuongororwa uye kuongororwa ropa (serology, tsika yeropa).

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