Usulelo lwesisu lwesisu lwesisu luyinto eqhelekileyo kwaye engaxakekiyo abafazi abaninzi abaya kuba namava ubuncinane kanye. Kufuneka ufumaniswe ngugqirha wakho ukulawula ezinye izizathu zeempawu, kodwa ngokuqhelekileyo unyango olufanelekileyo lunokuthi luphathwe ngempumelelo kunye nomkhiqizo ophezulu. Ngenxa yezifo eziqatha okanye ezinomdla, isigqirha sakho singamisela iyeza-dose enye endaweni yoko.
Kukho utshintsho lwezinto ezininzi zokuphila onokuzenza ukuze uncede ukukhawuleza ukucima isifo kwaye ukhusele ukuphindaphinda.
Ulwaphulo oluphezulu
Iimveliso ze-OTC ezifumanekayo kwizifo zesilonda sangasese zesisu zinezixhobo ezine ezisebenzayo: i-butoconazole nitrate, i-clotrimazole, i-miconazole, kunye ne-tioconazole. Ezi zi yobisi zihlala kwintsapho efanayo kunye neentshukumo kwaye zisebenza ngeendlela ezifanayo zokudiliza udonga lweseli lwe- Candida kuze kube yilapho ichithwa. Ezi mveliso zikhuselekile ukusebenzisa xa ukhulelwe.
Xa u tyelela ugqirha wakho okokuqala unesifo sovulo, cela ukuba imveliso ingaba yintoni engcono kuwe kwaye uxoxe ngezinto ezintle kunye nokungahambi kakuhle kweefom ezahlukeneyo. zicelo.
Emva kokuba uqale ukusebenzisa i-OTC ye-anti-fungal medication, impawu zakho zesibondiso sokutheleleka ziya kutshabalalisa kwiintsuku ezimbalwa.
Njengoko kunye ne- antibiotics , ke, kubaluleke kakhulu ukuba uqhubeke nokusebenzisa amayeza akho kuyo yonke inani leentsuku ezicetyiswayo. Nangona iimpawu zakho ziphelile, i-fungus isenokuthi isebenze ngokwaneleyo ukuba ibangele kwakhona.
Xa usebenzisa enye yale mveliso, unokufuna ukuthetha nodokotela wakho malunga nezinye iindlela zokukhusela izifo ezithathelwana ngesondo kunye nokukhulelwa.
Ezinye zezi zikhetho ze-OTC zingenza buthathaka kwizinto zokondla kunye ne-spermicide, ngoko qi niseka ukuba ufunde izikhokelo. Ukongezelela, ubulili besini ngexesha lotyando lunokuchithwa ngamachiza ukusuka kwisini, ukunciphisa ukusebenza kakuhle, kwaye kubangele ukucasula.
Ezi mveliso ze-OTC akufanele zisebenzise ngamadoda, kwaye azifanele zisetyenziselwe ezinye iintlobo zezifo, ezifana nezifo ezifayili phantsi kweminwe okanye ngaphakathi emlonyeni (obizwa ngokuba yi-thrush).
Iipilisi zonyango ezingaphezu kwe-anti-fingal ziphumelela kakhulu, kodwa ukuba zikhona na ezi zinto zisebenza kuwe ngelixa usebenzisa enye, qhagamshelana nogqirha wakho:
- Intlungu yesisu, umkhuhlane, okanye inkunkuma epholileyo
- Ukwenyuka kweengxaki zesini okanye isalathiso esiseduze
- Akukho phuculo phakathi kweentsuku ezintathu
Iimpawu eziphindaphinda kwiinyanga ezimbini zibalulekile ukuzisa ingqalelo ugqirha wakho.
Naliphi na apha ngasentla ingabonisa ukuba ufuna indlela enamandla yokulwa nefungus kanye kunye.
Imigaqo
Unokucela ugqirha wakho kwisigqirha seDiflucan (fluconazole) ukuba ukhetha ukuthabatha umlomo omnye wamachiza ngokusebenzisa i-cream yangasese okanye i-suppository. Isilwanyana sifanelekileyo kwiimeko ezinzima kwaye zineempembelelo ezize zenzeke ngokuthe ngqo-ezibandakanya intloko, isisu, isifo sohudo, isisu, kunye nentlungu yesisu-kwiimvavanyo zeclini.
Nangona kunjalo, i-fluconazole yomlomo akufanele ithatyathwe ukuba ukhulelwe, njengoko inokubangela iziphene zokuzalwa.
Ngenxa yezifo ezinomdla zesilonda ezinzima okanye eziqhelekileyo ze- Candida , ugqirha unokumisela amabini amabini ama-Diflucan anikezelwe ngamahora angama-72. Olunye unyango lomlomo olungasetyenziselwa kwezi ziko yiNizoral (ketoconazole), ezithathwa iintsuku ezisixhenxe ukuya kwe-14, mhlawumbi kanye okanye kabini imihla ngemihla, kuxhomekeke kwiingcebiso zakho. Abasetyhini abanesifo sikashukela bangadinga eli xesha elide lokunyanga ukususa intsholongwane.
Ngamanye amaxesha isifo sovulo sisuka kwiintlobo ze Candida glabrata, ezingaphenduliyo kwimithi eqhelekileyo yomlomo.
Ezinye iindlela zibandakanya iintsuku ezili-14 zonyango lwangaphakathi kunye ne-boric acid i-capsule ye-gelatin, i-nystatin suppository, i-17 pesenti ye-flucytosine ukhilimu, okanye i-cream ephethe i-17% ye-flucytosine kunye ne-3 ekhulwini i-amphotericin B.
Ukuba unogqirha wesigqirha, ugqirha wakho unokuncoma iintsuku ezili-10 ukuya kwe-14 zonyango nge-clotrimazole yesineke okanye ngomlomo we-Diflucan ipilisi, emva kweeyure zeDiflucan kwiinyanga ezintandathu.
Kubalulekile ukuthatha inani elipheleleyo leyeza elincetyiswayo kwaye ungayi kuphelisa xa uziva ungcono okanye iimpawu ziphelile. Ukuyeka kwangaphambili kunokuthetha ukuba imvubelo enqabileyo iyanda. Oku kuyinyani ngakumbi ukuba unesifo sikashukela kuba unobungozi bokusasazeka kwesibhambiso.
IziPhulo zaseKhaya kunye nokuPhila
Kukho iindlela ezininzi onokunciphisa umngcipheko wakho wesifo sovuba (okanye ukuphindaphinda) kunye nokuphulukiswa ngokukhawuleza ukuba unayo. Ezi ziquka ngokubanzi ukuphelisa imithombo yomsindo wesisu kunye nokugqithiswa kwesilonda kunye nokuphazamisa imvelo yelinja ekhokelela ekugqibeleni imvubelo.
Ukuze ukhulule iimpawu, unokuhlala kwindawo yokufudumala (engashushu) okanye uhlambe. Unokufuna ukuphepha isepha kwaye uhlambulule ngamanzi. Izithako zokuhlambela ngamakha, ukucoceka kwamabhinqa kunye ne-powders yomzimba kunokucasula kwindawo yesini kwaye kufuneka kugwenywe ngexesha lokunyanga (kunye nangemva koko kunciphise umngcipheko wokuphindaphinda).
Ikhondom okanye ibhodlela lomlomo lomnxeba inokuthintela ukudlula imvubelo ukuya kunye nakwiqabane lakho lesini. Kunokwenzeka ukuba iqabane lamadoda lifumane intsholongwane yegciwane lesovu kwi-penis yakhe okanye inomsindo ukusuka kwimveliso yonyango. Ukuba usebenzisa enye, khumbula ukuba ufunde imiyalelo yonyango ukuqinisekisa ukuba ayikuthinteli ukuphumelela kwekhondom.
Ukuba ucebisekile ukuba ugweme ngesondo ngexesha lotyando, qiniseka ukuba uyazi ukuba uza kuphinda uqhubeke ngokukhuselekileyo. Abasetyhini nabasetyhini abathumela emva kweso sifundo banokufumana ukusetyenziswa kwe-vaginal lubricant ngexesha lokwabelana ngesondo kunokunceda ekukhuseleni ukuphazamiseka kwesisu kunye nokucasula okungakhokelela kwizifo zesilwanyana esizayo.
Ukugcina indawo yakho yesisini ipholile kwaye iyomile ibalulekile kokubili ngexesha lotyando kunye nokukhusela ukuphindaphinda. Gqoka ngaphantsi kweengubo kunye ne-cotton crotch kwaye ugweme ibhulukhwe eqinile kunye ne-pantyhose. Unokufuna ukutshintshela ekugqokeni iingubo okanye iincindi ezikhululekile ukususela de usulelo lukhutshwe.
Ukuzivocavoca kulungile ngexesha lotyando, kuquka ukudida. Nangona kunjalo, qiniseka ukuba uguqulwe kwi-swimwear emanzi okanye izambatho zokugqoka ngokukhawuleza. Kwakhona, qiniseka ukuba uhlawulela ezi zinto phakathi kokugqoka ngamnye.
Ukuba usebenzisa i-cream yolinini okanye i-suppository kwonyango, thintela ukusebenzisa iitamponi, njengoko zinokubamba okanye ukukususa amayeza. Khetha i-pad okanye i-liner engenakho i-deodorant ngaphandle kokuya esikhathini okanye ukukhusela iimpahla zakho ekuphumeni kwegazi, kwaye utshintshe rhoqo ukukhusela ukongezwa kokunyusa okungeziwe. I-Douching ayinakuze icebise kwaye ikhetheke ngokukodwa xa ususa isifo sovuba .
Ekugqibeleni, qiniseka ukuba usule phambi kokubuyela emva emva kokunyuka kwentsholongwane ukukhusela isambulo esithintekayo ngokuqhelekileyo eyenzeka kwisilonda kunye ne-rectum kwindawo yangasese. Oku kunceda ekukhuseleni izifo zogonyamelo.
I-Medicine Complementary (CAM)
Uza kubona iziphakamiso zokusebenzisa iintlobo ezahlukeneyo zokwelapha ezingekho kwi-pharmacologic. Kukho isibini esisekelwe ngophando.
I-Boric Acid Suppository
Ukusetyenziswa kwe- boric acid suppository yamukelwa njengonyango lwezilwanyana ze Candida ngaphandle kwezona ziqhelekileyo, i- Candida albicans , ephendula kakuhle kwizonyango eziqhelekileyo. I-boric acid iqulethwe kwi-capsule ye-gelatin, kwaye unokufumana imiyalelo malunga nokwenza kwakho usebenzisa i-boric acid e-counter-counter-counter-counter and counter size. Kufuneka uqiniseke ukuba ufumana iingcebiso zonyango ekusebenziseni oku; Ama-600gramgram, kanye okanye kabini imihla ngemihla iintsuku ezisixhenxe ukuya kwe-14 zivame ukucetyiswa. Akufanele uthathe i-boric acid ngomlomo okanye uyisebenzise kumaxeba avulekileyo. Akukhuselekanga ukusebenzisa xa ukhulelwe. Nangona xa zisetyenziswe njengoko kunconywayo, unakho ukucaphukisa isikhumba.
Iprobiotics kunye ne-Active-Culture Yogurt
Impilo yesini ixhomekeke kwiibhaktheriya ezincedo ezinobuncedo (i-lactobacilli, kuquka i- L. acidophilus ) ukugcina i-pH encinci kwaye igcine imvubelo ekugqibeleni. Abanye bacetyisa ukuba abafazi basebenzisa ama-probiotics ngokwemvelo atholakala kwi-yogurt okanye i-kefir, bathatha i-probiotitic supplements, okanye basebenzise iimveliso ze-probiotic (ngokufanelekileyo), nokuba bancede ukukhulula iimpawu zesifo sovuba okanye ukuthintela izifo zesigweba esivamile.
Abanye abaphononongo ukuphonononga abafumananga nzuzo kule ndlela, ngelixa abanye bathi kukho ikhona. Izifundo ziyaqhubeka ekusebenzisweni kwemveliso yesisu esinexeshana esine-lactobacilli ethile. Nangona kunjalo, ku funeka kuqatshelwe ukuba abantu abaneenkqubo zokuzivikela ezikhuselekileyo okanye ukuhlinzwa kwangasese kwangoko kufuneka baphephe ukuxhaswa kweprobiotic. Izibonelelo azilawulwa yi-FDA. Nangona kunjalo, ukunandipha i-yogurt okanye i-kefir njengenxalenye yokutya okulinganiselayo kubangele ingozi.
Uphando olungakumbi
Unokubona iziphakamiso zokusebenzisa ioli yonkcocon; ioli ye-oregano, ioli ye-tea, namanye amafutha abalulekileyo; okanye izongezelo zegalikhi zokusulela imvubelo. Ucwaningo lwezonyango lufunekayo ukubonisa ukuba zikhuselekileyo kwaye zisebenze kubantu, ingakumbi abafazi abakhulelweyo. Ezi zinto azizange zenziwe okanye zibonise ukuba ezi zikhetho azisebenzi (kwimeko yegalikhi). Iindidi ezahlukeneyo zityalo kunye nezicatshulwa zineempembelelo ezikhuselekileyo kwiitampu zokuvavanya, kodwa ezininzi zinokucaphukisa okanye zityhefu kumzimba.
Ngoxa isibheno sonyango oluthile luqinile kwabanye xa uvakalelwa ukutshitshiswa nokutshiswa kwesifo sovuba, abaninzi abafazi bafuna ukubuyela kwinto abangaqinisekiswayo baya kunceda ngokukhawuleza.
> Imithombo:
> Gonçalves B, uFerreira C, uAlves CT, uHenriques M, uAzeredo J, uSilva S. Vulvovaginal candidiasis: I-Epidemiology, i-microbiology kunye nemingcipheko. Crit Rev I Microbiol. 2016 Nov; 42 (6): 905-27. i-doi: 10.3109 / 1040841X.2015.1091805.
> Hanson L, Vandevusse L, Jermé M, Abad CL, Safdar N. IiProbiotics zonyango kunye nokuthintela izifo ezibangelwa yi-Urogenital kwabesetyhini: Uhlolo lokuHlola. Umbhalo we-Midwifery & Womens Health . 2016; 61 (3): 339-355. i-doi: 10.1111 / jmwh.12472.
> I-Mendling W. Isikhokelo: I-Vulvovaginal Candidosis (AWMF 015/072), i-S2k (engekho i-Mucocutaneous Candidosis). Mycoses . 2015; 58: 1-15. i-doi: 10.1111 / myc.12292.
> Murina F, Graziottin A, Vicariotto F, Seta FD. Ngaba iLacbabacillus fermentum LF10 kunye neLacbabacillus acidophilus LA02 kwiMveliso yeVaginal ye-Slow-release iSebenzisekile ukuCandwa kweVulvovaginal Candidiasis? Umbhalo we-Clinical Gastroenterology . 2014; 48. i-doi: 10.1097 / mcg.0000000000000225.
> Izifo zesigcino seVaginal. I-Ofisi yeMpilo Yabasetyhini, Isebe Lempilo Yase-US kunye neNkonzo Zoluntu. https://www.womenshealth.gov/az-topics/vaginal--ast-infections.
> Watson CJ, Grando D, Fairley CK, Chondros P, Garland SM, Myers SP, Pirotta M. Iimpembelelo ze-Oral Garlic kwi-Vaginal Candida Colony Counts: I-Randomised Placebo Elawulwa Ngama-Blind Trial Trial. BJOG 2014; 121: 498-506.