Matenda a yisiti ndiwodziwika komanso osasangalatsa omwe amayi ambiri amawawona kamodzi. Izi ziyenera kupezedwa ndi dokotala kuti adziwe zifukwa zina za zizindikiro, koma nthawi zambiri zimatha kuchiritsidwa bwino ndi mankhwala owonjezera. Kwa matenda akuluakulu a yisiti, dokotala wanu angapereke mankhwala amodzi okha.
Pali kusintha kwambiri kwa moyo wanu komwe mungachite pofuna kuthandizira kuthamangitsa kachilomboko ndikupewa kubwereza.
Njira Zochiritsira Zambiri
Zakudya za OTC zomwe zimapezeka m'mimba mwa yisiti zimakhala ndi gawo limodzi mwa zinayi zomwe zimagwira ntchito: butoconazole nitrate, clotrimazole, miconazole, ndi tioconazole. Mankhwala awa ali mumtundu womwewo wotsutsa fungal ndipo amagwira ntchito mofananamo kuti asweke khoma la selo la Candida mpaka ilo litha. Zakudyazi ndi zotetezeka kugwiritsa ntchito ngati muli ndi pakati.
Mukamapita kwa dokotala nthawi yoyamba mukakhala ndi matenda a yisiti, funsani mankhwala omwe angakhale abwino kwa inu ndikukambirana za ubwino ndi zovuta za mitundu yosiyanasiyana zomwe zimagwera mankhwalawa: mavitamini a abambo, mapiritsi a m'madzi, kapena mapiritsi apadera ogwira ntchito.
Mukangoyamba kugwiritsa ntchito mankhwala osokoneza bongo a OTC, zizindikiro zanu za yisiti zikhoza kuyamba kutha masiku angapo.
Komabe, monga ndi maantibayotiki , ndikofunikira kwambiri kuti mupitirize kugwiritsa ntchito mankhwala anu masiku onse omwe akulimbikitsidwa. Ngakhale zizindikiro zanu zitatha, bowa angakhale akugwirabe ntchito mokwanira kuti abwererenso.
Mukamagwiritsa ntchito imodzi mwa mankhwalawa, mungafune kuyankhula ndi dokotala wanu za njira zina zothandizira kupewa matenda opatsirana pogonana ndi mimba.
Zina mwaziganizidwe za OTC zingachepetse kondomu ndi spermicide, kotero onetsetsani kuti mukuwerenga malangizo. Kuonjezera apo, kugonana kwapakati panthawi ya mankhwala kungapangitse mankhwala kuchotsa chiberekero, kuchepetsa mphamvu, ndi kukhumudwitsa.
Zogulitsa za OTCzi siziyenera kugwiritsidwa ntchito ndi amuna, komanso zisagwiritsidwe ntchito pa matenda ena, monga matenda opatsirana pogwiritsa ntchito zikhomo kapena mkati mwa mkamwa (wotchedwa thrush).
Mankhwalawa amathandiza kwambiri, koma ngati zilizonsezi zimagwiritsidwa ntchito pamene mukugwiritsa ntchito imodzi, funsani dokotala wanu:
- Matumbo a m'mimba, malungo, kapena kukhutura kwabwino
- Kuwonjezereka koopsa kwa khungu kapena khungu lapafupi
- Palibe kusintha mkati mwa masiku atatu
Zizindikiro zomwe zimabweranso mkati mwa miyezi iwiri ndizofunikira kuwonetsa dokotala wanu chidwi.
Zonse mwazimenezi zingasonyeze kuti mukufuna njira yowonjezera yogonjetsa bowa kamodzi.
Malemba
Mukhoza kufunsa dokotala wanu mankhwala omwe amachititsa Diflucan (fluconazole) ngati mungakonde kumwa mankhwala osakaniza amodzi pogwiritsa ntchito kirimu kapena suppository. Mankhwalawa ndi oyenerera milandu yosavuta komanso amakhala ndi zotsatira zochepa zokhazokha-kuphatikizapo mutu, chizungulire, kutsekula m'mimba, kupweteka kwa mtima, ndi ululu m'mimba-mu mayesero a kachipatala.
Komabe, mankhwalawa asamatengedwe ngati uli ndi pakati, chifukwa angayambitse zolepheretsa kubereka.
Kwa matenda akuluakulu a yisiti wamtundu wa Candida , dokotala akhoza kupereka mankhwala awiri kapena atatu a Diflucan opatsidwa maola 72. Mankhwala ena omwe angagwiritsidwe ntchito pazitsambazi ndi Nizoral (ketoconazole), omwe amatengedwa masiku asanu ndi awiri kapena 14, kamodzi kapena kawiri tsiku ndi tsiku, malingana ndi zomwe adokotala akukupatsani. Azimayi omwe ali ndi matenda a shuga angafunikire mankhwalawa kuti athetse matendawa.
Nthawi zina matenda a yisiti amachokera ku mitundu ya Candida glabrata, yomwe siimayankha mankhwala omwe amamwa pamlomo.
Njirazi zimaphatikizapo masiku 14 a mankhwala opatsirana pogwiritsa ntchito boric acid gelatin capsule, nystatin suppository, 17 peresenti ya flucytosine kirimu, kapena kirimu yomwe ili ndi 17 peresenti flucytosine ndi 3 peresenti amphotericin B.
Ngati mwakhala mukudwala matenda a yisiti, dokotala wanu akhoza kulangiza mankhwala a masiku khumi ndi awiri kapena 14 ndi mankhwala a clotrimazole othandizira kapena kumwa mankhwala a Diflucan, kenako mlingo uliwonse wa Diflucan kwa miyezi isanu ndi umodzi.
Ndikofunika kutenga mankhwala okwanira omwe akulimbikitsidwa komanso osayima mukakhala bwino kapena zizindikiro zatha. Kutseka msinkhu kungatanthauze kuti yisiti yotsutsa kwambiri idzachuluka. Izi ndi zoona makamaka ngati muli ndi shuga chifukwa muli pachiopsezo cha matenda a yisiti.
Zothetsera Pakhomo ndi Moyo Wamoyo
Pali njira zambiri zomwe mungachepetsere chiopsezo cha matenda a yisiti (kapena kubwereza) ndi machiritso ofulumira ngati muli nawo. Izi nthawi zambiri zimaphatikizapo kuchotseratu zowonongeka za mmimba ndi kupititsa kwa yisiti ndi kukhumudwitsa chikhalidwe cha m'mimba zomwe zimayambitsa mliri wambiri.
Pofuna kuthetseratu zizindikiro, mukhoza kukhala osambira kapena osamba. Muyenera kupewa sopo ndikungosamba ndi madzi. Zowonjezera mafuta onunkhira, mafinya achikazi, ndi ufa wa thupi ukhoza kukwiyitsa kumalo opatsirana ndipo ayenera kupeŵa panthawi ya mankhwala (komanso pambuyo pake kuti achepetse chiopsezo cha kubwereza).
Kondomu kapena kugwiritsa ntchito damu kumamwa kungalepheretse kupititsa yisiti kwa iwe ndi mnzanuyo. N'zotheka kuti mwamuna akhale ndi kachilombo ka mphutsi pa mbolo yake kapena akwiya chifukwa cha mankhwala opatsirana pogonana. Ngati mukugwiritsa ntchito imodzi, kumbukirani kuŵerenga malangizo a mankhwala kuti muwonetsetse kuti sizimakhudza kondomu.
Ngati mwalangizidwa kuti musamachite zogonana pa nthawi ya chithandizo, onetsetsani kuti mutha kuyambiranso bwino. Azimayi ndi amai omwe amatha kugwiritsa ntchito mankhwalawa amatha kugwiritsa ntchito kugwiritsira ntchito mankhwala opatsirana pogonana pogwiritsa ntchito kugonana komwe kumathandizira kupewa kusokonezeka kwa amayi ndi kukhumudwa komwe kungabweretse matenda a yisiti.
Kuonetsetsa kuti chiwalo chanu chazikazi ndi chozizira komanso chouma ndi chofunika nthawi zonse pakudwala ndikuletsa kubwereza. Valani zovala zakunja ndi crotch ya thonje ndi kupewa tinthu tolimba kwambiri ndi thalauza. Mukhoza kusintha kuti muveke masiketi kapena mathalauza osachepera mpaka matenda atakonzedwa.
Kuchita masewera olimbitsa thupi ndibwino pakulandila, kuphatikizapo kusambira. Komabe, onetsetsani kuti mutasintha zovala zowonongeka kapena zovala zolimbitsa thupi mwamsanga. Komanso, onetsetsani kuti mwatsuka zinthu izi pakati pa kuvala.
Ngati mukugwiritsira ntchito kirimu kapena suppository kuchipatala, musagwiritse ntchito makamponi, monga momwe angatetezere kapena kuchotsa mankhwala. Sankhani padothi lopanda mankhwala osakaniza kapena kumangirira ngati akusamba kapena kuti muteteze zovala zanu kuthawa, ndipo muzisintha nthawi zambiri kuti musamange zowonjezera zowonjezera. Kuwombera sikukudziwitsidwa ndipo ndi makamaka kupeŵa pamene mukuchotsa matenda a yisiti.
Pomaliza, onetsetsani kuti mukupukuta kutsogolo kupita kumbuyo mutachoka pamtambo kuti muteteze chotupitsa chomwe chimachitika mumatumbo ndi m'mimba mwazi. Izi zimatithandizanso kupewa matenda opangira mkodzo.
Mankhwala Ophatikiza (CAM)
Mudzawona malingaliro oti mugwiritse ntchito mankhwala osiyanasiyana osakhala a pharmacologic. Pali mabanja omwe amathandizidwa ndi kafukufuku.
Chotsitsa cha Boric Acid
Kugwiritsira ntchito boric acid suppository kumavomerezedwa ngati mankhwala a Candida mitundu yoposa yowonjezera, Candida albicans , yomwe imayankha bwino mankhwala ochiritsira. Acid acid imakhala mu capsule ya gelatin, ndipo mungapeze malangizo a momwe mungadzipangire nokha pogwiritsa ntchito boric acid komanso kukula kwa kapule wa gelatin 0 kapena 00. Muyenera kukhala otsimikiza kuti mumalandira malangizo achipatala pogwiritsa ntchito izi; 600 milligrams, kamodzi kapena kawiri tsiku lililonse kwa masiku asanu ndi awiri kapena 14 nthawi zambiri amalimbikitsidwa. Musayambe kutenga fetic acid pamlomo kapena kuigwiritsa ntchito pa mabala osatsegula. Sizotheka kugwiritsa ntchito pamene uli ndi pakati. Ngakhale mutagwiritsidwa ntchito ngati mukulimbikitsidwa, mukhoza kukhala ndi khungu linalake.
Mapulojekiti ndi Ogwira Ntchito-Chikhalidwe Chakudya
Thanzi la abambo limadalira mabakiteriya opindulitsa a mavitamini (lactobacilli, kuphatikizapo L. acidophilus ) kuti azikhala ndi pH pang'ono komanso kuti asadye yisiti. Ena amanena kuti akazi amadya maantibiotiki omwe amapezeka mu yogurt kapena kefir, amatenga mankhwala othandizira mavitamini, kapena amagwiritsira ntchito mankhwala opanga mavitamini (monga momwe zilili), kapena kuthandizira kuthetsa zizindikiro za matenda a yisiti kapena kupewa matenda a yisiti.
Ena amapenda ndemanga sanapeze phindu la njira iyi, pamene ena amati pali ena. Kafukufuku akupitiriza kugwiritsa ntchito mankhwala opatsirana pang'ono omwe amatulutsa lactobacilli. Komabe, dziwani kuti anthu omwe ali ndi chitetezo cha mthupi kapena opaleshoni ya m'mimba posachedwa ayenera kupeŵa mavitamini owonjezera mavitamini. Mavitamini sakulamuliridwa ndi FDA. Komabe, kusangalala ndi yogurt kapena kefir monga gawo la zakudya zokwanira kumaika pangozi.
Kafukufuku Wowonjezereka Amafunika
Mutha kuona njira zogwiritsira ntchito kokonati mafuta; oregano mafuta, mafuta a tiyi, mafuta ena ofunikira; kapena adyo amathandizira matenda opweteka. Maphunziro a zachipatala amafunikira kuti asonyeze kuti ali otetezeka komanso ogwira mtima kwa anthu makamaka amayi apakati. Izi sizidachitidwa kapena zasonyeza kuti zosankhazi sizothandiza (ngati zilipo adyo). Mitundu yambiri ya mafuta ndi zowonjezera zimakhala ndi zotsatira zowonongeka mu tiyi ya test, koma zambiri zimakhala zokwiyitsa kapena zoopsa kwa thupi.
Ngakhale pempho la mankhwala ena ndi lolimba pamene ena akumva kuyabwa ndi kuyaka kwa matenda a yisiti, amayi ambiri amafuna kutembenukira ku chinthu chomwe angakhale otsimikiza kuti adzapereka mpumulo mwamsanga.
> Zotsatira:
> Gonçalves B, Ferreira C, Alves CT, Henriques M, Azeredo J, Silva S. Vulvovaginal candidiasis: Epidemiology, microbiology ndi zinthu zoopsa. Crit Rev Microbiol. 2016 Nov; 42 (6): 905-27. lembani: 10.3109 / 1040841X.2015.1091805.
> Hanson L, Vandevusse L, Jermé M, Abad CL, Safdar N. Mapulojekiti Ochiza Chithandizo ndi Kuteteza Matenda a Urogenital Akazi: Kukonzekera Mwadongosolo. Journal of Midwifery & Womens Health . 2016; 61 (3): 339-355. lembani: 10.1111 / jmwh.12472.
> Mendling W. Guideline: Vulvovaginal Candidosis (AWMF 015/072), S2k (Osapatula Chronic Mucocutaneous Candidosis). Mycoses . 2015; 58: 1-15. lembani: 10.1111 / myc.12292.
> Murina F, Graziottin A, Vicariotto F, Seta FD. Kodi Lactobacillus fermentum LF10 ndi Lactobacillus acidophilus LA02 mu Chinsalu Chochepa Chomasulidwa Chamagetsi Choyenera Kuthandizira Kuteteza Vulvovaginal Candidiasis? Journal of Clinical Gastroenterology . 2014; 48. do: 10.1097 / mcg.0000000000000225.
> Zilonda zamasamba zamagulu. Ofesi ya Women's Health, Dipatimenti ya Zaumoyo ku United States. https://www.womenshealth.gov/az-topics/vaginal-yeast-infections.
> Watson CJ, Grando D, Fairley CK, Chondros P, Garland SM, Myers SP, Pirotta M. Zotsatira za Mlomo Wamtengo Wapatali pa Vaginal Candida Colony: A Trimmed Placebo Controled Blunt Trial Trial. BJOG 2014; 121: 498-506.