I-vaginal yisimiso sokutheleleka yisifo esivamile futhi esingenakukhathazeka abesifazane abaningi abazobhekana nakho okungenani kanye. Kudingeka ukuthi utholakale nodokotela wakho ukulawula ezinye izimbangela zezimpawu, kepha ngokuvamile kungaphathwa kahle nge-over-the-counter. Ukuze uthole izifo ezinzima noma eziningi zesilonda, udokotela wakho angase anikeze imithi eyodwa-dose esikhundleni.
Kukhona izinguquko eziningi zokuphila ongazenza ukuze usize ukusheshisa ukusulwa kwesifo futhi uvimbele ukuphindaphindiwe.
Imithi yokwelapha ngaphezulu
Imikhiqizo ye-OTC etholakalayo ngezifo zesisu semvubelo ngokuvamile inezithako ezine ezisebenzayo: i-butoconazole nitrate, i-clotrimazole, i-miconazole, ne-tioconazole. Lezi zidakamizwa zihlala emndenini owodwa olwa fungal futhi zisebenza ngezindlela ezifanayo zokudiliza udonga lwamaseli we- Candida umzimba kuze kuphele. Le mikhiqizo iphephile ukusebenzisa uma ukhulelwe.
Uma uvakashela udokotela wakho okokuqala unesifo sesilonda, cela ukuthi imuphi umkhiqizo ungaba ngcono kuwe futhi uxoxe ngezinzuzo nezinsalela zamafomu ahlukahlukene imikhiqizo engena kuyo: ama-suppositories angama-vaginal (ukufakwa), amaphilisi wesifazane, noma amavilisi akhethekile abafakizicelo.
Uma usuqala ukusebenzisa imithi ye-OTC anti-fungal, izimpawu zakho zesifo semvubelo zizoqala ukunyamalala ezinsukwini ezimbalwa.
Kodwa njengama- antibiotics , kubalulekile kakhulu ukuthi uqhubeke nokusebenzisa imithi yakho yonke inombolo yezincomo eziphakanyisiwe. Ngisho noma izimpawu zakho seziphelile, i-fungus kungenzeka isasebenza ngokwanele ukuze kubangele ukubuyela emuva.
Uma usebenzisa enye yale mikhiqizo, ungase ufune ukukhuluma nodokotela wakho mayelana nezinye izindlela zokuvimbela izifo ezithathelwana ngocansi nokukhulelwa.
Ezinye zalezi zinketho ze-OTC zingenza buthakathaka izinto eziphathelene nekhondomu kanye ne-spermicide, ngakho-ke qiniseka ukuthi ufunda izikhombisi-ndlela. Ngaphezu kwalokho, ukulala ngokobulili ngesikhathi sokwelashwa kungadlulisela imithi kusuka emzimbeni, kuncishise ukusebenza kahle, futhi kubangele ukucasuka.
Le mikhiqizo ye-OTC akufanele isetshenziswe ngamadoda, futhi akufanele isetshenziselwe ezinye izinhlobo zokutheleleka, njengokungenwa kwezifungane ngaphansi kweminwe noma emlonyeni (owaziwa ngokuthi thrush).
Izindlela zokwelashwa ezingaphezu kwamanye ama-fungal ziphumelela kakhulu, kodwa uma kukhona okunye kwalokhu okusebenza kuwe ngenkathi usebenzisa eyodwa, xhumana nodokotela wakho:
- Ubuhlungu besisu, umkhuhlane, noma ukukhishwa okungcolile
- Ukucasuka okwedlulele kwesiginja noma isikhumba esiseduze
- Akukho ngcono ngaphakathi kwezinsuku ezintathu
Izimpawu eziphinde zenzeke ezinyangeni ezimbili nazo kufanele zenze udokotela wakho aqaphele.
Noma yikuphi okungenhla kungabonisa ukuthi udinga indlela enamandla yokulwa ne-fungus unomphela.
Imigomo
Ungabuza udokotela wakho ngomuthi we-Diflucan (fluconazole) uma ngabe ukhetha ukuthatha umthamo owodwa womlomo wemithi ngokusebenzisa ukhilimu wesisu noma i-suppository. Isidakamizwa sifanele amacala angacindezelekile futhi sineemiphumela emibi kuphela ehambisana nemiphumela emibi-kuhlanganise nekhanda, usizi, isifo sohudo, ukushaya inhliziyo, nokuhlukunyezwa kwesisu-ekuvivinyweni kwemitholampilo.
Noma kunjalo, i-fluconazole yomlomo akufanele ithathwe uma ukhulelwe, ngoba ingabangela ukukhubazeka kokuzalwa.
Ngezifo ezivuthiwe noma ezivame kakhulu ze- Candida zesisu semvubelo, udokotela angase anikeze amanani amabili kuya kwamathathu ama-Diflucan anikezwa amahora angu-72 ngaphandle. Omunye imithi yomlomo ongasetshenziswa kulezi zimo yi-Nizoral (ketoconazole), ethathwa izinsuku eziyisikhombisa kuya kwezingu-14, kanye kanye noma kabili ngosuku, kuye ngezincomo zakho. Abesifazane abanesifo sikashukela bangadinga le nkambo ende yokwelapha ukusula ukutheleleka.
Ngezinye izikhathi ukutheleleka kwemvubelo kungenxa yezinhlobo ze- Candida glabrata, ezingaphenduli imithi ejwayelekile yomlomo.
Lezi zindlela zihlanganisa izinsuku eziyi-14 zokwelashwa kwangaphakathi kanye ne-boric acid gelatin capsule, i-nystatin suppository, i-17% ye-flucytosine ukhilimu, noma ukhilimu onama-17% we-flucytosine namaphesenti angu-3 amphotericin B.
Uma unesifo sesilonda esivela njalo, udokotela wakho angancoma izinsuku ezingu-10 ukuya kwezingu-14 zokwelashwa nge-clotrimazole yesidlo sokudla noma isilwane se-Diflucan iphinde isetshenziswe masonto onke weDiflucan izinyanga eziyisithupha.
Kubalulekile ukuthatha inani eliphelele lemithi ekhuthazwayo futhi engavumi uma uzizwa ungcono noma izimpawu seziphelile. Ukuyeka kusenesikhathi kungasho ukuthi imvubelo enamandla kunazo zonke izodla. Lokhu kuyiqiniso ikakhulukazi uma unesifo sikashukela ngoba usengozini yokusakaza isifo semvubelo.
Amakhambi asekhaya kanye nendlela yokuphila
Kunezindlela eziningi onganciphisa ingozi yesifo sakho semvubelo (noma ukuphindaphindiwe) nokuphulukiswa kwejubane uma unayo. Ngokuvamile lokhu kuhilela ukuqeda imithombo yokucasuka kwesisu nangesisindo sokudlulisa imvubelo nokudikibala imvelo yangasese eholela ekukhuleni kwemvubelo.
Ukuze unciphise izimpawu, ungahlala ebhodini elifudumele (hhayi elishisayo) noma ugeza. Ungase ufune ukugwema insipho bese ugeza nje ngamanzi. Izithasiselo zokugeza ezinamakha, iziphuzo zokuhlanza abesifazane, kanye nama-powders omzimba kungacasula endaweni yesisu futhi kufanele kugwenywe ngenkathi ukwelashwa (kanye nangemva kwalokho ukunciphisa ingozi yokuphindaphinda).
Ukusetshenziswa kwekhondomu noma imodomo yomlomo kungavimbela ukudluliswa kwemvubelo kuya nakubangane bakho bocansi. Kungenzeka ukuthi umlingani wesilisa uthole ukutheleleka kwesikhumba semvubelo emzimbeni wakhe noma ukucasuka kumkhiqizo wokwelapha ubulili. Uma usebenzisa eyodwa, khumbula ukufunda imiyalelo yezokwelapha ukuqinisekisa ukuthi ayithonya ukusebenza komkhondomu.
Uma ucwayiswa ukuba ugweme ubulili besifazane ngesikhathi sokulashwa, qiniseka ukuthi uyazi ukuthi ungaqala nini ngokuphepha. Abesifazane nabesifazane besilisa abasebenzisa izitho zokubeletha bangase bathole ukusebenzisa i-lubricant zangasese ngesikhathi sokulala ngokobulili okuwusizo ekuvimbeleni ukunganaki kwesisu nesisindo esingaholela ekutheni imilenze yesifo semvubelo esizayo.
Ukugcina indawo yakho yangasese epholile futhi eyomile kubalulekile kokubili ngenkathi ukwelashwa nokuvimbela ukuphindaphindiwe. Gqoka ingubo yangaphansi kwengubo yekotini futhi ugweme izibhulu eziqinile kakhulu kanye ne-pantyhose. Ungase ufune ukushintshela ekugqokeni iziketi zezingubo noma amabhulukwe okuxekethile okungenani kuze kube yilapho ukutheleleka kusuliwe.
Ukuzivocavoca kuhle ngesikhathi sokwelashwa, kuhlanganise nokubhukuda. Kodwa-ke, qiniseka ukuthi ushintshe izingubo zokugqoka ezimanzi noma izingubo zokuzivocavoca ezisheshayo ngokushesha ngangokunokwenzeka. Futhi, qiniseka ukuthi uqala lezi zinto phakathi kokugqoka.
Uma usebenzisa ukhilimu wesisu noma i-suppository ekwelapheni, gwema ukusebenzisa amathoni, ngoba angakwazi ukuvimba noma ukususa imithi. Khetha i-pad noma i-liner engenazidakamizwa uma uqeda noma ukuvikela izingubo zakho ekuvukeni, futhi uyishintshe njalo ukuvimbela ukwakheka okungeziwe kokuthutha. Ukungaboni kahle akukaze kwaziswa futhi ikakhulukazi kufanele kugwenywe ngenkathi ususa imithi yesifo semvubelo.
Okokugcina, qiniseka ukuthi usula kusukela phambili ukuya emuva emva kokunyakaza kwezinsiza ukuvimbela ukudlulisa imvubelo evele yenzeke emathunjini nasezindaweni ezihlala kuyo. Lokhu kusiza futhi ukuvimbela ukutheleleka kwe-urinary tract.
Imithi Ephelele (CAM)
Uzobona iziphakamiso zokusebenzisa izindlela ezihlukahlukene zokwelashwa okungezona-pharmacologic. Kunombhangqwana osekelwa ucwaningo.
I-Boric Acid Suppository
Ukusetshenziswa kwe- boric acid suppository kuyamukelwa njengendlela yokwelapha izinhlobo ze- Candida ngaphandle kwezinto ezivame kakhulu, i- Candida albicans , ephendula kahle ngemithi ejwayelekile. I-boric acid iqukethe i-capsule ye-gelatin, futhi ungathola imiyalelo yokuthi ungayisebenzisa kanjani usebenzisa i-boric acid engaphezu kwe-counter kanye ne-capelle ye-gelatin yobukhulu obukhulu noma obukhulu. Kufanele uqiniseke ukuthi uthole iseluleko sezokwelapha ekusebenziseni lokhu; Ama-milligram angu-600, kanye noma kabili nsuku zonke izinsuku eziyisikhombisa kuya kwezingu-14 kuvame ukuphakanyiswa. Akufanele neze uthathe i-boric acid ngomlomo noma uyisebenzise ngamanxeba avulekile. Akuphephile ukusebenzisa ngenkathi ukhulelwe. Ngisho noma isetshenzisiwe njengoba kunconywa, ungase ube nokucasula isikhumba.
I-Probiotics ne-Active-Culture Yogurt
Impilo yesifazane ixhomeke kuma-bacterium asebenzayo (i-lactobacilli, kuhlanganise no- L. acidophilus ) ukugcina i-pH encane futhi igcine imvubelo ekudleni. Abanye basikisela ukuthi abesifazane basebenzisa ama-probiotics ngokwemvelo atholakala ku-yogurt noma nge-kefir, bathatha ama-probiotic supplements, noma basebenzise imikhiqizo ye-probiotic (uma kufanelekile), noma ukusiza ukukhulula izimpawu zokutheleleka kwesilonda noma ukuvimbela izifo zesilonda esivamile.
Ezinye izibuyekezo zokutadisha azitholanga nzuzo yale ndlela, kanti abanye bathi kungenzeka kube khona. Izifundo ziyaqhubeka ekusetshenzisweni komkhiqizo wesisu okhishwa kancane kancane ophethe i-lactobacilli ethile. Noma kunjalo, kufanele kuqashelwe ukuthi abantu abanesisindo sokuzivikela somzimba noma ukuhlinzwa kwangasese kwesisu kumele bagweme izithako ze-probiotic. Izithako azilawulwa yi-FDA. Kodwa-ke, ukujabulela i-yogurt noma i-kefir njengengxenye yokudla okulinganiselayo kubangela ingozi encane.
Kudingeka olunye ucwaningo
Ungase ubone iziphakamiso zokusebenzisa i-otho kakhukhunathi; amafutha oregon, amafutha omuthi wetiyi, amanye amafutha abalulekile; noma ama-garlic supplements for infections. Ucwaningo lwezokwelapha luyadingeka ukukhombisa ukuthi luphephile futhi lusebenza kubantu, ikakhulukazi abesifazane abakhulelwe. Lezi azikwenziwanga noma zibonise ukuthi lezi zikhetho aziphumelelanga (esimweni segalikhi). Izinhlobo ezihlukahlukene zezitshalo nezitshalo zinezici ezinamandla ezingxenyeni zokuhlola, kepha eziningi zingabacasula umzimba.
Nakuba isikhalazo senye indlela yokwelapha sinamandla kwabanye lapho bezwa ukushaywa nokushiswa kwesifo somvubelo, abesifazane abaningi bafuna ukuphendukela into abangaqiniseka ukuthi bazokwenza ukukhululeka ngokushesha.
> Imithombo:
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> Hanson L, Vandevusse L, Jermé M, Abad CL, Safdar N. Probiotics for Treatment and Prevention of Infections Urogenital Kwabesifazane: Ukubuyekezwa Okuhlelekile. I-Journal of Midwifery & Womens Health . 2016; 61 (3): 339-355. i-doi: 10.1111 / jmwh.12472.
> Isiqondiso SakwaMendling W.: Vulvovaginal Candidosis (AWMF 015/072), i-S2k (Okungafani Ne-Chronic Mucocutaneous Candidosis). Ama-mycoses . 2015; 58: 1-15. i-doi: 10.1111 / i-myc.12292.
> Murina F, Graziottin A, Vicariotto F, Seta FD. Ingabe i-Lactobacillus fermentum LF10 neLacbabacillus acidophilus LA02 kuMkhiqizo wamaVaginal oKhululekayo Kungasiza Ukuvimbela Vulvovaginal Candidiasis? Journal of Gastroenterology Clinic . 2014; 48. i-doi: 10.1097 / mcg.0000000000000225.
> Izifo zesisindo se-Vaginal. Ihhovisi leMpilo Yabesifazane, uMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu. https://www.womenshealth.gov/az-topics/vaginal-yeast-infections.
> Watson CJ, Grando D, Fairley CK, Chondros P, Garland SM, Myers SP, Pirotta M. Imiphumela ye-Oral Garlic kwi-Vaginal Candida Colony Izixazululo: I-Randomised Placebo Controled Double-Blind Trial. I-BJOG 2014; 121: 498-506.