Candida albicans: ọnụnọ, ọrụ na ọgwụgwọ

Candida albicans: ọnụnọ, ọrụ na ọgwụgwọ

Candida albicans bụ ero a na-ahụkarị na ahịhịa nke akpụkpọ anụ mucous. Ọ bụghị ihe na-akpata ọrịa ma na-enye aka na nguzozi nke microbiota anyị. Otú ọ dị, ihe anarchic proliferation nke yist a bụ pathological: a na-akpọ ya candidiasis.

Candida albicans, kedu ihe ọ bụ?

Candida albicans bụ yist-dị ka ero nke genus Candida na nke ezinụlọ saccharomycetaceae. Candida albicans bụ nkewa n'etiti fungi asexual nke mmepụta ya na-abụkarị clonal. Candida albicans bụ akụkụ diploid nke nwere chromosomes 8 abụọ. Heterozygosity ya na-enye ya ikike dị ukwuu ime mgbanwe na gburugburu ebe dị iche iche.

Candida albicans bụ ihe mejupụtara ahịhịa nke akpụkpọ anụ mucous nke mmadụ. Ọnụnọ ya abụghị pathological. Anyị na-ahụ ero a na tract digestive nke 70% nke ndị okenye nwere ahụike. Otú ọ dị, ụkọ hormonal ma ọ bụ nke na-alụso ọrịa ọgụ nwere ike bụrụ ihe kpatara mmụba nke ero a na-adịghị ala ala nke na-ebute ụfọdụ mgbaàmà. Anyị na-ekwu maka candidiasis ma ọ bụ ọbụna mycosis.

C. albicans virulence ihe na-eme ka ọ gbasaa:

  • dimorphism (mgbanwe nke yist ka ero na-adabere na gburugburu ebe obibi);
  • adhesins (ọnụ ọgụgụ buru ibu nke ndị na-anabata ihe elu na-ekwe ka C. albicans na-arapara na sel nke onye ọbịa ya ngwa ngwa);
  • ihe nzuzo nke enzymes;
  • wdg

C. ọrịa albicans nwere ike ịdepụta na mucosa genital, ọnụ ma ọ bụ digestive. Na mgbakwunye, mmụba nke Candida albicans na akpụkpọ ahụ adịghị mma ma na-akpata mgbaàmà akpụkpọ ahụ. Ọ na-adịkarị obere, na ndị ọrịa na-arịa ọrịa immunocompromised, C. albicans nwere ike ịchịkwa otu akụkụ ma ọ bụ karịa ma ọ bụ ọbụna ahụ dum: anyị na-ekwu maka candidiasis systemic. N'okwu a, ihe ize ndụ nke ọnwụ bụ ihe dịka 40%.

Candida albicans: ọrụ na ọnọdụ

Candida albicans bụ microorganism nke kwekọrọ na ahịhịa ụmụ anụmanụ na ụmụ anụmanụ na-ekpo ọkụ. Ọ dị na ọnụ, digestive na genital mucous membranes, n'ụdị blastospores, weere dị ka saprophytic ụdị nke na-ebi na symbiosis na host organism. N'ihe gbasara ahụike, a na-ekesa yist ahụ n'ụzọ dị iche iche dabere na saịtị nlele, isi mmiri na-anọgide na-abụ tract digestive:

  • akpụkpọ (3%);
  • ikpu (13%);
  • traktị ano-rectal (15%);
  • oghere ọnụ (18%);
  • afo na duodenum (36%);
  • jejunum na ileum (41%).

Agbanyeghị, ekwesịrị iji nlezianya hụ ọnụọgụ ndị a ebe ọ bụ na usoro nlele anaghị adị otu mgbe niile yana saịtị nlele anaghị ewetakwa otu ebe.

Ya mere C.albicans dị mkpa maka itule nke microbiota. Otú ọ dị, mgbe nguzozi a n'ụdị nkwado ya na ihe nchebe nchebe ahụ gbajiri, symbiosis a na-aghọ parasitic. Nke a na-ebute ọrịa na-efe efe nke a na-akpọ candidiasis.

Kedu ihe bụ anomalies na pathologies nke Candida albicans kpatara?

Candidiasis bụ ọnọdụ nke ero Candida albicans kpatara. Ọ bụghị ọrịa na-efe efe: yist adịlarị n'ime ahụ, na akpụkpọ anụ mucous, ọnụ, usoro nsị na akụkụ ahụ. A na-ejikọta candidiasis na mmụba nke anarchic nke Candida albicans, n'onwe ya kpatara nrụrụ ahụ ma ọ bụ ndakpọ nke hormonal ma ọ bụ mbelata nke ahịhịa microbial. Tụkwasị na nke ahụ, a naghị ewere ọrịa yist genital dị ka ọrịa ndị a na-ebute site ná mmekọahụ (STIs), ọ bụ ezie na mmekọahụ bụ ihe ize ndụ maka ọrịa yist (nke ikpeazụ na-ebute mbelata nke flora genital).

Agbanyeghị, nnyefe mmadụ na mmadụ nke C. albicans ga-ekwe omume site na kọntaktị na nsị, ihe nzuzo mmiri ma ọ bụ site na aka. N'ụlọ ọgwụ, C. albicans na-anọchite anya isi ihe kpatara ya Ọrịa na-ebute ọrịa ohere.

Ihe ize ndụ

Ụfọdụ ihe ize ndụ na-ekpughe mmepe nke candidiasis:

  • usoro ọgwụ nje ugboro ugboro;
  • na-ewere ọgwụgwọ ndị na-emebi ihe mgbochi (corticosteroids, immunosuppressants, chemotherapy, wdg);
  • a immunodepression (nke sitere na ọmụmụ, jikọtara ya na nje HIV ma ọ bụ ntụgharị).

Ọrịa yist nke ikpu bụ candidiasis na-emekarị, na-emetụta 10 ruo 20% nke ụmụ nwanyị n'oge mmekọahụ. A na-akwado ha site na:

  • mgbanwe mgbanwe hormonal;
  • ịṅụ ọgwụ mgbochi estrogen-progestogen;
  • ọsụsọ;
  • uwe ogologo ọkpa nke siri ike;
  • uwe ime nke na-adịghị eji owu (na karịsịa thongs);
  • yi uwe ogologo ọkpa;
  • adịghị ọcha ọcha;
  • ogologo oge mmekọahụ.

Candidiasis na ọgwụgwọ ha

Kandụl

Mgbaàmà na nchoputa

Ọgwụ

Candidiasis na-egbu egbu

  • Rashes na mpịachi nke akpụkpọ ahụ (ogwe aka, mpịaji ara, wdg);
  • Ihe na-acha uhie uhie, mgbe ụfọdụ na-ata ahụhụ;
  • Nchọpụta nyocha site na nyocha ụlọ ọgwụ yana adịkarịghị site na nlele mpaghara.
  • Antifungal mpaghara (imidazoles, polyenes, cyclopiroxolamine) maka izu 2 ruo 4.
  • Antifungal sistemu (fluconazole) n'ihe gbasara mgbochi immunosuppression, iguzogide ọgwụgwọ ma ọ bụ nlọghachi azụ.

Candidiasis nke mbọ

  • Ọzịza nke mkpịsị aka na nkwụsị nke mbọ;
  • Nchọpụta nyocha site na nyocha ụlọ ọgwụ yana adịkarịghị site na nlele mycological nke ntu.
  • Antifungal ude ma ọ bụ ihe ngwọta na-emepụta ihe nkiri (imidazoles, cyclopiroxolamine, amorolfine) ruo mgbe ntu ahụ tolitere;
  • Mwepu nke ntu;
  • Antifungal sistemu (fluconazole) n'ihe gbasara mgbochi immunosuppression, iguzogide ọgwụgwọ ma ọ bụ nlọghachi azụ.

Ọrịa yist nke ikpu

  • Ọpụpụ na-acha ọcha na-aba ụba ma na-esi ísì ụtọ, nnukwu itching, mgbu mgbe ị na-eri ma ọ bụ na-enwe mmekọahụ, wdg;
  • Nchọpụta nyocha site na nyocha ụlọ ọgwụ ma ọ bụ imi imi.
  • Azole antifungals: akwa, capsules, gel (butaconazole, econazole, miconazole, fenticonazole, wdg) maka ụbọchị 3. Ngwa nke ude azole nwere ike ịga n'ihu maka ụbọchị 15 ruo 28. A na-atụ aro iji ncha alkalizing na-eme ka o kwekọọ na osisi genital;
  • Antifungal sistemu (fluconazole) n'ihe gbasara mgbochi immunosuppression, iguzogide ọgwụgwọ ma ọ bụ nlọghachi azụ.

Ntughari onu

  • Ọnụnọ nke nkwụnye ọcha na gburugburu egbugbere ọnụ, na ire na palate (ụmụ ọhụrụ na ndị ọrịa na-adịghị ahụkebe na-enwekarị ihe ize ndụ);
  • Nchọpụta nyocha site na nyocha ụlọ ọgwụ na cytological.
  • Antifungal mpaghara (nystatin, amphetecerin B ma ọ bụ AmB, miconazole, wdg) maka ụbọchị 10 ruo izu 3;
  • Antifungal sistemu (fluconazole) n'ihe gbasara mgbochi immunosuppression, iguzogide ọgwụgwọ ma ọ bụ nlọghachi azụ.

Candidiasis digestive

  • Ihe mgbu nke afọ, nsogbu mgbaze nri, bloating, gas, ọgbụgbọ, vomiting, wdg (ndị ọrịa na-adịghị ahụkebe na-enwekarị ihe ize ndụ);
  • Nchọpụta site na nyocha ụlọ ọgwụ na nyocha stool.
  • Usoro ọgwụgwọ antifungal (fluconazole), ruo ụbọchị 15 n'ihe banyere candidiasis systemic.

Candidiasis nke sistem

  • Mbelata nke ọnọdụ izugbe, ọnọdụ flu-dị ka, mmepe nke akpụkpọ anụ, ọnụ ma ọ bụ genital mycoses (ndị ọrịa na-enweghị ihe mgbochi na-enwekarị ihe ize ndụ);
  • Nchọpụta site na nyocha ụlọ ọgwụ na nyocha ọbara (serology, omenala ọbara).

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