Candida albicans: kasancewar, aiki da jiyya

Candida albicans: kasancewar, aiki da jiyya

Candida albicans shine naman gwari da aka saba samu a cikin flora na mucous membranes. Ba pathogenic ba ne kuma yana ba da gudummawa ga ma'auni na microbiota. Duk da haka, anarchic yaduwa na wannan yisti ne pathological: shi ake kira candidiasis.

Candida albicans, menene?

Candida albicans shine naman gwari-kamar yisti na jinsin Candida da na dangin saccharomycetaceae. Candida albicans an rarraba shi a cikin fungi na asexual wanda yawancin haifuwa ya kasance clonal. Candida albicans shine kwayar diploid wanda ke da nau'i-nau'i 8 na chromosomes. Heterozygosity nasa yana ba shi babban ikon daidaitawa zuwa yanayi daban-daban.

Candida albicans dabi'a ce ta ƙunshi flora na mucous membrane na ɗan adam. Kasancewarsa ba pathological bane. Mun sami wannan naman gwari a cikin sashin narkewa na 70% na manya masu lafiya. Koyaya, rashin daidaituwa na hormonal ko na rigakafi na iya zama alhakin haɓakar anarchic na wannan naman gwari wanda ke haifar da wasu alamomi. Muna magana ne game da candidiasis ko ma mycosis.

C. albicans virulence abubuwan da ke ba shi damar yaduwa:

  • dimorphism (canza yisti zuwa naman gwari dangane da yanayin da ke kewaye);
  • adhesins (yawan adadin masu karɓa na saman da ke ba da damar C. albicans don sauƙi manne wa sel na rundunarsa);
  • enzymatic secretions;
  • da dai sauransu.

C. cututtuka na albicans za a iya gano su a cikin al'aura, na baki ko na mucosa na narkewa. Bugu da ƙari, yawan girma na Candida albicans akan fata ba shi da kyau kuma yana haifar da alamun fata. Mafi wuya, a cikin marasa lafiya marasa lafiya, C. albicans na iya yin mulkin mallaka ɗaya ko fiye da gabobin ko ma dukan jiki: muna magana akan candidiasis na tsarin. A wannan yanayin, haɗarin mutuwa yana kusan 40%.

Candida albicans: rawar da wuri

Candida albicans wani ƙananan ƙwayoyin cuta ne wanda ya dace da ƙananan ƙwayoyin cuta a cikin mutane da dabbobi masu jinni. Yana samuwa a cikin na baka, narkewa da kuma na al'aura mucous membranes, a cikin nau'i na blastospores, dauke a matsayin saprophytic form wanda ke zaune a cikin symbiosis tare da rundunar kwayoyin. A cikin batutuwa masu lafiya, ana rarraba yisti daban-daban dangane da wuraren yin samfur, babban tafki ya kasance sashin narkewa:

  • fata (3%);
  • farji (13%);
  • kashi mara kyau (15%);
  • rami na baki (18%);
  • ciki da duodenum (36%);
  • jejunum da ileum (41%).

Duk da haka, ya kamata a kiyaye waɗannan alkalumman da taka tsantsan muddin dabarun yin samfur ba koyaushe suke daidai ba kuma wuraren yin samfur ba koyaushe suke gabatar da yanayi iri ɗaya ba.

C.albicans don haka wajibi ne don ma'auni na microbiota. Duk da haka, lokacin da wannan ma'auni a cikin nau'i mai mahimmanci da kuma kariya na rigakafi ya karya, wannan symbiosis ya zama parasitic. Wannan yana haifar da cutar da ake kira candidiasis.

Menene anomalies da pathologies ke haifar da Candida albicans?

Candidiasis wani yanayi ne da naman gwari Candida albicans ke haifarwa. Ba cuta mai yaduwa ba ce: yisti ya riga ya kasance a cikin jiki, a cikin ƙwayoyin mucous, baki, tsarin narkewa da al'aura. Candidiasis yana da alaƙa da haɓakar anarchic na Candida albicans, da kanta ya haifar da rashin daidaituwa na rigakafi ko hormonal ko rauni na flora microbial. Bugu da kari, ciwon yisti ba a daukarsa a matsayin cututtukan da ake daukar su ta hanyar jima'i (STIs), kodayake jima'i yana da haɗari ga cututtukan yisti (na ƙarshe yana haifar da rauni na flora na al'aurar).

Koyaya, watsa C. albicans zuwa mutum-da-mutum yana yiwuwa ta hanyar saduwa da najasa, ɓoyayyun jini ko ta hannaye. A cikin asibitoci, C. albicans suna wakiltar babban dalilin Cutar cututtukan asibiti dama.

hadarin dalilai

Wasu abubuwan haɗari suna fallasa ci gaban candidiasis:

  • maimaita darussan maganin rigakafi;
  • shan magungunan da ke lalata rigakafi (corticosteroids, immunosuppressants, chemotherapy, da dai sauransu);
  • a immunodepression (na asali na haihuwa, wanda ke da alaƙa da HIV ko don dasawa).

Ciwon yisti na farji shine candidiasis mafi yawan lokuta, yana shafar 10 zuwa 20% na mata yayin jima'i. Ana fifita su da:

  • canje-canje na hormonal;
  • shan maganin hana haihuwa na estrogen-progestogen;
  • gumi;
  • wando mai matsewa;
  • tufafin da ba a yi da auduga ba (kuma musamman tsummoki);
  • sanye da kayan kwalliyar panty;
  • rashin tsabta;
  • tsawon jima'i.

Candidiasis da maganin su

candidiasis

Alamomi da ganewar asali

jiyya

Cutaneous candidiasis

  • Rashes a cikin folds na fata (hannun hannu, naman nono, da dai sauransu);
  • Itchy, wani lokacin ɓawon burodi ja faci;
  • Ganewa ta hanyar gwaji na asibiti kuma mafi wuya ta hanyar samfurin gida.
  • Antifungal na gida (imidazoles, polyenes, cyclopiroxolamine) na makonni 2 zuwa 4.
  • Antifungal na tsari (fluconazole) idan akwai maganin rigakafi, juriya ga jiyya ko sake dawowa.

Candidiasis na kusoshi

  • Kumburi na yatsunsu da raguwa na ƙusoshi;
  • Ganewa ta hanyar gwajin asibiti kuma mafi wuya ta samfurin mycological na ƙusa.
  • Antifungal cream ko fim-forming bayani (imidazoles, cyclopiroxolamine, amorolfine) har sai ƙusa ya girma;
  • Fitar da ƙusa;
  • Antifungal na tsari (fluconazole) idan akwai maganin rigakafi, juriya ga jiyya ko sake dawowa.

Ciwon yisti na farji

  • Fitowar farin ruwa mai yawa da wari, zafi mai tsanani, zafi lokacin fitsari ko jima'i, da sauransu;
  • Ganewar ganewa ta hanyar bincike na asibiti ko kuma ta hanyar farji.
  • Azole antifungals: qwai, capsules, gel (butaconazole, econazole, miconazole, fenticonazole, da dai sauransu) na 3 kwanaki. Yin amfani da kirim na azole zai iya ci gaba har tsawon kwanaki 15 zuwa 28. Ana ba da shawarar yin amfani da sabulun alkalizing wanda ya dace da flora na al'aura;
  • Antifungal na tsari (fluconazole) idan akwai maganin rigakafi, juriya ga jiyya ko sake dawowa.

Maganin baka

  • Kasancewar farin ajiya a kusa da lebe, a kan harshe da palate (jarirai da marasa lafiya marasa lafiya suna cikin haɗari musamman);
  • Bincike ta hanyar gwaji na asibiti da na cytological.
  • Antifungal na gida (nystatin, amphetecerin B ko AmB, miconazole, da dai sauransu) na kwanaki 10 zuwa makonni 3;
  • Antifungal na tsari (fluconazole) idan akwai maganin rigakafi, juriya ga jiyya ko sake dawowa.

Candidiasis na narkewa

  • Ciwon ciki, cututtuka na narkewa, kumburi, gas, tashin zuciya, amai, da dai sauransu (masu cutar da marasa lafiya suna cikin haɗari musamman);
  • Bincike ta hanyar bincike na asibiti da nazarin stool.
  • Maganin rigakafi na tsari (fluconazole), har zuwa kwanaki 15 idan akwai candidiasis na tsarin.

Candidiasis na tsarin

  • Raunin yanayin gabaɗaya, yanayin mura, haɓakar cututtukan fata, na baka ko na al'aura (masu fama da rigakafi suna cikin haɗari musamman);
  • Bincike ta hanyar gwajin asibiti da gwajin jini (serology, al'adun jini).

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