Cudurka Candida auris

Candida auris (C auris) waa nooc khamiir ah (fungus). Waxay ku sababi kartaa infekshan daran isbitaalka ama bukaanka guryaha lagu xanaaneeyo. Bukaanadaan badanaa waa kuwo aad u jiran.

C auris infekshannada badanaa kuma fiicnaadaan daawooyinka lidka ku ah fangaska ee sida caadiga ah lagu daaweeyo infekshinka candida Markay taasi dhacdo, fangaska waxaa la sheegaa inuu iska caabin karo daawooyinka antifungal. Tani waxay adkeyneysaa daaweynta cudurka.

C auris infekshanku waa ku yar yahay dadka caafimaadka qaba.

Bukaannada qaar dadku way qaadaan C auris jidhkooda iyaga oo aan xanuun ku keenayn. Tan waxaa loo yaqaan "gumaysi." Tani waxay ka dhigan tahay inay si fudud ku faafin karaan jeermiga iyaga oo aan ogayn. Si kastaba ha noqotee, dadka la gumeysto C auris wali waxay halis ugu jiraan infekshinka ka yimaado fungus.

C auris wuxuu ku faafi karaa qof-ilaa-qof ama taabashada walxaha ama qalabka. Isbitaalka ama bukaanka guryaha daryeelka waayeelka ah ee muddada dheer waa la gumaysan karaa C auris. Waxay ku faafin karaan walxaha ku jira xarunta, sida miisaska sariirta dhinaceeda iyo biraha gacmaha. Bixiyeyaasha daryeelka caafimaadka iyo booqashada qoyska iyo asxaabta xiriir la leh bukaanka C auris u faafin karaa bukaanada kale.

Mar C auris jirka u galo, wuxuu sababi karaa infekshan daran oo ku dhaca marinka dhiigga iyo xubnaha jirka. Tani waxay u badan tahay inay ku dhacdo dadka qaba daciifnimada habka difaaca jirka. Dadka qaba neefsashada ama quudinta tuubooyinka ama tuubbooyinka IV-ga ayaa ku jira halista ugu sareysa ee infekshin.

Waxyaabaha kale ee halista u ah C auris cudurka waxaa ka mid ah:

• Ku noolaanshaha guriga daryeelka dadka waaweyn ama booqashooyin fara badan isbitaalka
• Qaadashada dawooyinka antibiyootikada ama antifungal badanaa
• Dhibaatooyin caafimaad oo badan
• Isagoo qalliin dhowaan sameeyay

C auris infekshannada ayaa ku dhacay dadka da 'kasta leh.

C auris caabuqyadu way ku adkaan karaan aqoonsiga sababahan soo socda:

• Astaamaha a C auris infekshanku wuxuu lamid yahay kuwa ay sababaan cudurada kale ee fungal.
• Bukaanka qaba a C auris infekshanku mar hore aad ayuu u jiran yahay. Calaamadaha infekshanka way adag tahay in lakala ogaado astaamaha kale.
• C auris waxaa lagu qaldi karaa noocyada kale ee fungus ilaa baaritaanno shaybaar oo gaar ah loo adeegsado in lagu garto.

Qandho sare oo leh qarqaryo aan soo kabanayn ka dib qaadashada antibayootigga ayaa calaamad u noqon kara a C auris caabuq U sheeg dhakhtarkaaga isla markiiba haddii adiga ama qof aad jeceshahay aad qabtid infekshin aan fiicnayn, xitaa daaweynta ka dib.

A C auris cudurka laguma ogaan karo iyadoo la adeegsanayo habab caadi ah. Haddii daryeel bixiyahaagu u maleeyo in cudurkaaga uu sababay C auris, waxay u baahan doonaan inay isticmaalaan tijaabooyinka shaybaarka gaarka ah.

Tijaabooyinka dhiigga waxaa ka mid ah:

• CBC leh kala duwanaansho
• Dhaqamada dhiigga
• Guddi dheef-shiid kiimikaad aasaasi ah
• B-1,3 tijaabada glucan (baaritaanka sonkor gaar ah oo laga helo fangaska qaar)

Bixiyahaaga sidoo kale wuxuu kugula talin karaa baaritaanka haddii ay ka shakiyaan in lagumeystay C auris, ama haddii aad iska hubisay cudurkaaga C auris ka hor.

C auris infekshannada waxaa badanaa lagu daaweeyaa daawooyinka antifungal loo yaqaan 'echinocandins'. Noocyada kale ee dawooyinka fangaska sidoo kale waa la isticmaali karaa.

Qaar C auris infekshannada kama jawaabaan noocyada ugu muhiimsan ee dawooyinka lidka ku ah fangaska. Xaaladaha noocaas ah, in ka badan hal daroogo antifungal ah ama qadar ka badan oo daawooyinkan ah ayaa loo isticmaali karaa.

Infekshinnada leh C auris way adkaan kartaa in la daweeyo sababtoo ah iska caabinteeda daawooyinka antifungal. Sida wanaagsan ee qofku wax uqabto waxay ku xirnaan doontaa:

• Intuu infekshanku daran yahay
• Haddii infekshanku ku faafay wareegga dhiigga iyo xubnaha
• Caafimaadka guud ee qofka

C auris infekshannada ku faafa qulqulka dhiiga iyo xubnaha dadka aad u jiran waxay badanaa u horseedi karaan dhimasho.

La xiriir bixiyahaaga haddii:

• Waxaad leedahay qandho iyo qarqaryo aan fiicnayn, xitaa daaweynta antibiyootikada ka dib
• Waxaad qabtaa infekshinka fungal aan fiicnayn, xitaa ka dib daaweynta antifungal
• Waxaad isku aragtaa qandho iyo dhaxan isla marka aad la kulanto qof qaba cudurka C auris caabuq

Raac talaabooyinkan si aad uga hortagto faafitaanka C auris:

• Si fiican ugu dhaq gacmahaaga saabuun iyo biyo. Ama, isticmaal nadiifiye gacmaha ku saleysan aalkolo. Samee tan kahor iyo kadib taabashada dadka qaba cudurkaan kahor iyo kadib taabashada wixii qalab ah qolkooda.
• Hubso in bixiyeyaasha daryeelka caafimaad ay gacmahooda dhaqdaan ama isticmaalaan nadiifiye gacmeed ayna gashaan galoofyo iyo goonno markii ay la macaamilayaan bukaanka. Ha ka baqin inaad hadasho haddii aad dareento duleello nadaafad wanaagsan leh.
• Haddii qof aad jeceshahay uu leeyahay C auris cudurka, waa in laga karantiilaa bukaanada kale laguna hayaa qol gooni ah.
• Haddii aad booqanaysid qofka aad jeceshahay ee ka go'doonsan bukaannada kale, fadlan raac tilmaamaha shaqaalaha daryeelka caafimaadka ee habka aad u gasho ugana baxdo qolka si loo yareeyo fursadda faafitaanka fangaska.
• Taxaddarradan sidoo kale waa in loo adeegsadaa dadka la gumeysto C auris ilaa bixiyahoodu go'aansado inaysan sii faafin karin fangaska.

La xiriir dhaqtarkaaga isla markiiba haddii aad ka shakiso in adiga ama qof aad taqaanid uu cudurkaan leeyahay.

Candida auris; Candida; C auris; Fungal - auris; Fangas - auris

Xarumaha Xakamaynta iyo Ka-hortagga Cudurrada. Candida auris. www.cdc.gov/fungal/candida-auris/index.html. La cusbooneysiiyay Abriil 30, 2019. La helay May 6, 2019.

Xarumaha Xakamaynta iyo Ka-hortagga Cudurrada. Candida auris: Jeermiska dawada u adkaysta oo ku faafaa goobaha daryeelka caafimaadka. www.cdc.gov/fungal/candida-auris/c-auris-drug-resistant.html. La cusbooneysiiyay: Diseembar 21, 2018. La helay May 6, 2019.

Xarumaha Xakamaynta iyo Ka-hortagga Cudurrada. Candida auris gumeysi. www.cdc.gov/fungal/candida-auris/fact-sheets/c-auris-colonization.html. La cusbooneysiiyay: Diseembar 21, 2018. La helay May 6, 2019.

Xarumaha Xakamaynta iyo Ka-hortagga Cudurrada. Candida auris macluumaadka bukaanka iyo xubnaha qoyska. www.cdc.gov/fungal/candida-auris/patients-qa.html. La cusbooneysiiyay: Diseembar 21, 2018. La helay May 6, 2019.

Xarumaha Xakamaynta iyo Ka-hortagga Cudurrada. Kahortaga iyo xakameynta cudurka Candida auris. www.cdc.gov/fungal/candida-auris/c-auris-infection-control.html. La cusbooneysiiyay: Diseembar 21, 2018. La helay May 6, 2019.

Xarumaha Xakamaynta iyo Ka-hortagga Cudurrada. Daaweynta iyo maaraynta cudurada iyo gumeysiga. www.cdc.gov/fungal/candida-auris/c-auris-treatment.html. La cusbooneysiiyay: Diseembar 21, 2018. La helay May 6, 2019.

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Jeffery-Smith A, Taori SK, Schelenz S, iyo al. Candida auris: dib u eegista suugaanta. Clin Microbiol Rev.. 2017; 31 (1). PMID: 29142078 www.ncbi.nlm.nih.gov/pubmed/29142078.

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