Mwachidule cha Kuthamanga

Oral Candidiasis mu Ana ndi Achikulire

Kuwombera ndi matenda omwe amabwera chifukwa cha yisiti omwe amakhudza ana ambiri obadwa kumene komanso ana ang'onoang'ono, komanso akuluakulu omwe ali ndi mphamvu zowonongeka. Zimayambitsidwa ndi alubida a Candida , yisiti yomwe imatha kuyambitsa matenda a yisiti ndi yisiti, ndipo imadziwika kuti imayambitsa zizindikiro monga zofiira zoyera kapena zobvala m'kamwa, komanso kufiira ndi kutentha.

Ngakhale kuthamanga kungathetsere nokha, ndipo njira zina zowonjezerapo zingathe kuthandizira palimodzi, zingafunikire kuchiritsidwa ndi mankhwala a antitifungal.

Zizindikiro

Chizindikiro chofala kwambiri cha thrush chikukhala ndi zikopa zoyera kapena malaya oyera mkati mwamwa mwako. Izi zingawoneke ngati yogiti kapena kanyumba tchizi. Pakhoza kukhala kufiira ndi kupweteka mkati mwa pakamwa, makamaka pamakona. Mutha kukhala ndi zotentha m'kamwa mwako kapena mmero. Pa milandu yovuta kwambiri, mungakhale ndi kuwonongeka kwa malingaliro anu okoma ndipo zingakhale zopweteka kudya kapena kumeza.

Mu makanda, mukhoza kuwona zofiira zoyera pamataya, pamlingo, padenga la pakamwa, ndi pamilomo ndi m'mphuno ngati zikufalikira. Zingwezi zimatha kutuluka ngati mutayesa kuzichotsa.

Zifukwa ndi Zoopsa

Zamoyo zomwe zimawoneka mu thrush ndi Candida albicans ndi mitundu ina ya Candida , ndiye chifukwa chake chimatchedwa oral candidiasis.

Pamene muli ndi yisiti ndi mabakiteriya mkamwa mwanu, chitetezo chanu cha mthupi chimateteza kuwonjezereka. Saliva imanyamula mankhwala ndi zinthu zina zomwe zimasunga yisiti. Ngati chitetezo chanu cha mthupi kapena kupangira kwanu sichikutheka chifukwa cha thanzi labwino, mankhwala, kapena mankhwala, yisiti ikhoza kukulirakulira ndi pakamwa pamutu .

Mankhwala ndi mankhwala omwe angawonjezere chiopsezo ndi odwala corticosteroids, odwala steroids omwe amagwiritsidwa ntchito pofuna kugwiritsa ntchito mphumu ndi zina zotupa, chemotherapy, radiotherapy kumutu ndi pakhosi, mankhwala opatsirana pogwiritsa ntchito kuika thupi, antibiotics, ndi mankhwala omwe amachititsa kuti wouma mkamwa.

Zochitika ndi zodetsa nkhaŵa zomwe zimapangitsa kuti pakhale chiopsezo ndi HIV / AIDS, matenda a shuga, matenda aakulu, khansa ya m'magazi, lymphoma, khansa, thanzi labwino, komanso mano oyenera. Mwinanso mungakhale ndi chiopsezo chowonjezereka ngati mumasuta. Ana obadwa kumene amatha kupweteka kwambiri chifukwa cha maseŵera awo oteteza thupi lawo.

Kudziwa

Kuthamanga kawirikawiri kumapezeka ndi maonekedwe ndi kachitidwe ka zizindikiro. Palibe chikhalidwe kapena mayeso omwe amafunikira, koma nthawi zina adokotala amatenga zilonda zazing'ono pakamwa ndikuyang'ana pansi pa microscope kuti aone ngati pali yisiti yochuluka.

Mayesero a magazi angapangidwe kuti muwone thanzi lanu lonse ndikuwonetsa zinthu zomwe zimapangitsa kuti mutha kudwala matenda a shuga, monga shuga. Ngati mwana wanu akukangana ndi kukana kudya, dokotala wanu amakhoza kuchita zambiri kuti afufuze ngati mwana wanu ali ndi vuto (kuphatikizapo thrush) zomwe zimayambitsa zizindikiro.

Chithandizo

Pali njira zothandizira kuchiza matenda opatsirana.

Matenda ofatsa nthawi zambiri amakonza ngati mutatsegula pakamwa panu. Kudya zakudya zozizira ndi zakumwa ndi kuchapa ndi madzi ofunda amchere kungathandize kuchepetsa mavuto.

Gentian violet ndi mankhwala achikulire omwe amathandiza kwambiri koma safuna mankhwala. Komabe, ndi utoto wofiirira ndipo ukhoza kusokoneza. Maantibiotiki angakhale othandiza kubwezeretsa mabakiteriya omwe amatha kulandira pamene mankhwalawa amayamba atalandira mankhwala opha tizilombo.

Mzere woyamba wa chithandizo, ngati pakufunika, uli ndi mankhwala ovomerezeka poyankhula mankhwala osokoneza bongo, kusungunula, kapena kutsuka. Mycelex (clotrimazole) kapena Mycostatin (nystatin) amatengedwa kangapo patsiku.

Ngati izi sizothandiza, njira yotsatira ndi Diflucan (fluconazole). Zimangoperekedwa kokha patsiku.

Dokotala akhoza kupita ku mankhwala ena osakaniza ngati thrush sakuyankha fluconazole. Mankhwalawa akuphatikizapo itraconazole, posaconazole, voriconazole, ndi amphotericin B - mbali yonse ya kalasi yatsopano ya mankhwala osokoneza bongo (echinocandins), omwe amathandizidwa ndi intravenous kwa milandu yaikulu.

Amayi oyamwitsa amene ali ndi khwangwala amatha kupeza matenda a yisiti pa mawere ndi misozi, kuwapweteka pamene akuyamwitsa. Kuphatikiza pa kupeza chithandizo kwa mwana wake, mayiyo amafunikanso kuchiritsidwa ndi dokotala wake ndi mankhwala odzola. Mwana akakhala ndi chotupa chachitsulo cha msuzi ngati akuwombera, onetsetsani kuti mugwiritsire ntchito kirimu chotsutsana mukamachepetsa ndi kuyamwa pansi.

Mawu Ochokera

Kupweteka ndi kukwiya kwa thrush kungakhale kokhumudwitsa, makamaka ngati mukuchita nawo kuwonjezera pa pakamwa, kansalu, kachirombo ka HIV, mphumu, shuga, kapena zina. Ndikofunika kukambirana zachipatala ndi dokotala kuti mutha kudya zakudya zabwino komanso musamadzipiritsike.

Ngati mwana wanu akuzembera, dziwani kuti palibe chomwe mukuchita ngati yisiti paliponse, ziribe kanthu kuti mumatsuka bwanji ndi kuyesa zomwe zimalowa m'kamwa mwa mwana wanu. Katswiri wanu wa ana angakulimbikitseni za zomwe mungachite.

> Zotsatira:

> Candida Matenda a Mlomo, Throat, ndi Esophagus. Maofesi a Kuletsa ndi Kuteteza Matenda. https://www.cdc.gov/fungal/diseases/candidiasis/thrush/index.html#risk.

> Hoare A, Marsh PD, Diaz PI. Njira Zochiritsira Zochiritsira za Matenda Akumlomo. Mafilimu a Microbiology . 2017; 5 (4): 10.1128 / microbiolspec.BAD-0006-2016. lembani: 10.1128 / microbiolspec.BAD-0006-2016.

> Kuthamanga Mwamlomo (Mphuno Thrush). National Health Service. https://www.nhs.uk/conditions/oral-thrush-mouth-thrush/.

> Kuthamangitsa-Ana ndi Akuluakulu. MedlinePlus. https://medlineplus.gov/ency/article/000626.htm.

> Pappas PG, Kauffman CA, Andes DR, et al. Malangizo Othandizira Amagulu a Utsogoleri wa Candidiasis: 2016 Kusinthidwa ndi Infectious Diseases Society of America. Matenda Opatsirana Amagulu: Mauthenga Ovomerezeka Odwala Matenda a Mdziko la America . 2016; 62 (4): e1-e50. do: 10.1093 / cid / civ933.