Candida albicans: boteng, ts'ebetso le kalafo

Candida albicans: boteng, ts'ebetso le kalafo

Candida albicans ke fungus hangata e fumanoang limela tsa lera la mucous. Ha se pathogenic mme e kenya letsoho ho leka-lekana ha microbiota ea rona. Leha ho le joalo, ho ata ha anarchic ea tomoso ena ke pathological: e bitsoa candidiasis.

Candida albicans, ke eng?

Candida albicans ke fungus e kang tomoso ea mofuta oa Candida le oa lelapa la saccharomycetaceae. Candida albicans e khethiloe har'a li-fungus tsa "asexual fungus" tseo boholo ba tsona e leng li-clonal. Candida albicans ke setho sa diploid se nang le lipara tse 8 tsa li-chromosome. Heterozygosity ea eona e e fa bokhoni bo boholo ba ho ikamahanya le maemo a fapaneng.

Candida albicans ke tlhaho ea tlhaho ea limela tsa mucous lera la motho. Ho ba teng ha eona ha se pathological. Re fumana fungus ena ka har'a tšilo ea lijo ea 70% ea batho ba baholo ba phetseng hantle. Leha ho le joalo, ho se leka-lekane ha li-hormone kapa ho itšireletsa mafung ho ka ba le boikarabello ba ho ata ha fungus ena e bakang matšoao a itseng. Re bua ka candidiasis kapa esita le mycosis.

C. albicans virulence factors e lumella hore e ata:

  • dimorphism (phetoho ea tomoso ho fungus ho itšetlehile ka tikoloho e potolohileng);
  • li-adhesin (palo e kholo ea li-receptors tsa holim'a metsi e lumellang C. albicans ho khomarela habonolo lisele tsa moeti oa eona);
  • tlhahiso ea enzymatic;
  • joalo-joalo

C. mafu a albicans a ka fetisetsoa sebakeng sa botšehali, sa molomo kapa sa tšilo ea lijo. Ho feta moo, ho ata ha Candida albicans letlalong ha hoa tloaeleha 'me ho baka matšoao a letlalo. Hangata, ho bakuli ba nang le immunocompromised, C. albicans e ka bokella setho se le seng kapa ho feta kapa esita le 'mele oohle: re bua ka systemic candidiasis. Tabeng ena, kotsi ea lefu e ka ba 40%.

Candida albicans: karolo le sebaka

Candida albicans ke likokoana-hloko tse amanang le likokoana-hloko ho batho le liphoofolo tse nang le mali a futhumetseng. E teng ka molomong, tšilong ea lijo le genital mucous membranes, ka sebōpeho sa blastospores, e nkoang e le mofuta oa saprophytic o phelang ka symbiosis le setho se phelang. Lithutong tse phetseng hantle, tomoso e ajoa ka tsela e fapaneng ho latela libaka tsa sampole, letamo le ka sehloohong e ntse e le pampitšana ea tšilo ea lijo:

  • letlalo (3%);
  • botshehadi (13%);
  • pampitšana ano-rectal (15%);
  • molomo oa molomo (18%);
  • mala le duodenum (36%);
  • jejunum le ileum (41%).

Leha ho le joalo, lipalo tsena li lokela ho hlokomeloa ka hloko kaha mekhoa ea lisampole ha e tšoane kamehla 'me libaka tsa lisampole ha se kamehla li hlahisang tikoloho e tšoanang.

Ka hona, li-C.albicans lia hlokahala bakeng sa ho leka-lekana ha microbiota. Leha ho le joalo, ha tekanyo ena ka mokhoa oa eona oa commensal le tšireletso ea 'mele ea ho itšireletsa mafung e robehile, symbiosis ena e fetoha parasitic. Sena se fella ka lefu le tšoaetsanoang le bitsoang candidiasis.

Ke li-anomalies le li-pathologies life tse bakoang ke Candida albicans?

Candidiasis ke boemo bo bakoang ke fungus Candida albicans. Hase lefu le tšoaetsanoang: tomoso e se e ntse e le teng 'meleng, ka lera la mucous, molomong, tsamaiso ea lijo le litho tsa botona kapa botšehali. Candidiasis e amahanngoa le keketseho e sa tloaelehang ea Candida albicans, ka boeona e bakoang ke ho se leka-lekane ha 'mele oa ho itšireletsa mafung kapa li-hormone kapa ho fokola ha limela tse nyenyane. Ho phaella moo, tšoaetso ea genital yeast ha e nkoe e le mafu a tšoaetsanoang ka thobalano (STIs), le hoja ho kopanela liphate ke kotsi ea tšoaetso ea tomoso (e qetellang e etsa hore ho fokotsehe ha limela tsa thobalano).

Leha ho le joalo, phetisetso ea C. albicans ho tloha ho motho ho ea ho motho e ka khoneha ka ho kopana le mantle, ho ntša mathe kapa ka matsoho. Lipetlele, C. albicans emela sesosa se seholo sa Matšoao a tšoaetsanoang ho nka monyetla.

Lintho tse kotsi

Lintlha tse ling tsa kotsi li pepesa nts'etsopele ea candidiasis:

  • makhetlo a mangata a lithibela-mafu;
  • ho nka liphekolo tse fokolisang ho itšireletsa mafung (corticosteroids, immunosuppressants, chemotherapy, joalo-joalo);
  • a immunodepression (ea tlhaho ea tlhaho, e amanang le HIV kapa transplant).

Tšoaetso ea tomoso ea botšehali ke candidiasis hangata, e amang basali ba 10 ho isa ho 20% nakong ea thobalano. Li ratoa ke:

  • liphetoho tsa li-hormone;
  • ho nka lithibela-pelehi tsa estrogen-progestogen;
  • mofufutso ;
  • borikhoe bo thata haholo;
  • liaparo tsa ka tlaase tse sa etsoang ka k'hothone (haholo-holo likhoele);
  • ho apara li-panty liner;
  • bohloeki bo bobe;
  • thobalano e telele.

Candidiasis le mekhoa ea bona ea phekolo

candidiasis

Matšoao le tlhahlobo

Litlhare

Candidiasis ea letlalo

  • Rashes ka mameno a letlalo (maphaka, mameno a sefuba, joalo-joalo);
  • Ho hlohlona, ​​ka linako tse ling likotoana tse khubelu tse bokhubelu;
  • Tlhahlobo ka tlhahlobo ea bongaka le ka seoelo ho latela sampole ea lehae.
  • Li-antifungal tsa lehae (imidazoles, polyenes, cyclopiroxolamine) bakeng sa libeke tse 2 ho isa ho tse 4.
  • Systemic antifungal (fluconazole) tabeng ea immunosuppression, ho hanyetsa kalafo kapa ho khutlela morao.

Candidiasis ea lipekere

  • Ho ruruha ha menoana le ho arohana ha lipekere;
  • Ho hlahlojoa ka tlhahlobo ea bongaka le ka seoelo ho latela sampole ea mycological ea lenala.
  • Setlolo sa antifungal kapa tharollo ea ho etsa filimi (imidazoles, cyclopiroxolamine, amorolfine) ho fihlela sepekere se ntse se hōla hape;
  • Ho khaola lenala;
  • Systemic antifungal (fluconazole) tabeng ea immunosuppression, ho hanyetsa kalafo kapa ho khutlela morao.

Tšoaetso ea tomoso ea botšehaling

  • Ho tsoa ha metsi a masoeu a mangata le a nkhang hamonate, ho hlohlona ho matla, bohloko ha u ntša metsi kapa u etsa thobalano, joalo-joalo;
  • Ho hlahlojoa ka tlhahlobo ea bongaka kapa smear ea botšehali.
  • Azole antifungals: mahe, capsules, gel (butaconazole, econazole, miconazole, fenticonazole, joalo-joalo) ka matsatsi a 3. Tšebeliso ea tranelate ea azole e ka tsoela pele ka matsatsi a 15 ho isa ho a 28. Ho khothalletsoa ho sebelisa sesepa sa alkalizing se ikamahanyang le limela tsa thobalano;
  • Systemic antifungal (fluconazole) tabeng ea immunosuppression, ho hanyetsa kalafo kapa ho khutlela morao.

Molomo thrush

  • Ho ba teng ha deposit e tšoeu ho pota-pota molomo, ka leleme le mahalapa (masea le bakuli ba nang le immunocompromised ba kotsing ka ho khetheha);
  • Ho hlahlojoa ka tlhahlobo ea bongaka le ea cytological.
  • Antifungal ea lehae (nystatin, amphetecerin B kapa AMB, miconazole, joalo-joalo) bakeng sa matsatsi a 10 ho isa libeke tse 3;
  • Systemic antifungal (fluconazole) tabeng ea immunosuppression, ho hanyetsa kalafo kapa ho khutlela morao.

Candidiasis ea lijo

  • Bohloko ba ka mpeng, mathata a tšilo ea lijo, ho ruruha, khase, ho nyekeloa ke pelo, ho hlatsa, joalo-joalo (bakuli ba immunocompromised ba kotsing ka ho khetheha);
  • Ho hlahlojoa ka tlhahlobo ea kliniki le ho hlahloba mantle.
  • Phekolo ea tsamaiso ea antifungal (fluconazole), ho fihlela matsatsi a 15 tabeng ea systemic candidiasis.

Systemic candidiasis

  • Ho fokola ha boemo bo akaretsang, boemo bo kang ba ntaramane, nts'etsopele ea li-cutaneous, molomo kapa genital mycoses (bakuli ba immunocompromised ba kotsing ka ho khetheha);
  • Ho hlahlojoa ka tlhahlobo ea meriana le tlhahlobo ea mali (serology, setso sa mali).

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