Ukwelashwa kwemvubelo yesisu kuyisimo esivamile esibangelwa imvubelo yase Candida . Ungakwazi ukuyiqaphela ngokukhipha ubulili obukhulu, ukugcwala kwamagciwane omhlophe, futhi, ngezinye izikhathi, ukuvuthwa okubuhlungu. Izifo zesilonda zivame ukwelashwa nge-cream-anti-anti-cream noma imithi yomlomo. Lezi zifo zingakwazi ukuphindaphindiwe, ngakho-ke abanye besifazane bazizwa bazijwayele nabo bavumela ukuzihlola.
Kodwa-ke, ochwepheshe abaningi bancoma ukuthola ukuxilongwa okusemthethweni kudokotela isikhathi ngasinye lapho kuvela khona izimpawu zesifo semvubelo kanye nezimpawu, ukuze uqiniseke.
Izimpawu
Izimpawu ezivamile zesifo semvubelo zihlanganisa ukusikhipha kwesisu, ukuvutha nokucasula. Ungaba nokuvuthwa okubuhlungu noma ukugcoba njalo lapho isifo esibuhlungu semvubelo sibangelwa ukuvuvukala kokuvulwa komzimba. Kukhona futhi ukuvuvukala kwe-vulva, indawo engaphandle kwegciwane lakho.
Isibonakaliso esibonakalayo somuthi wesibindi sesingenwa yisisu se-vaginal , okungenzeka kube ngamanzi noma okuqhamuka kunezinto ezijwayelekile, ngisho noma ezimhlophe futhi ezincane (cishe njenge-cottage cheese). Ubulili bungaba buhlungu ngenxa yokuvuvukala nokuma.
Izimbangela
I-Candida albicans iyi-fungus efana nembiliso evame ukutholakala emlonyeni, emzimbeni, nasemgodleni; kungumakhelwane evamile kubantu abangenayo imiphumela emibi. Izifo zesisindo zibangelwa ukugqama kwalesi sifungi esijwayelekile.
Ukuqothulwa kwe- Candida kuvame ukukwenzeka ngemuva kokusebenzisa ama-antibiotic. Ezinye izici ezivame ukubangela ukutheleleka zibandakanya ukukhulelwa, ukusetshenziswa kwezibeletho zomlomo , isifo sikashukela, i-chemotherapy, ukwelashwa kwe-steroid, nezinye izimo nemithi eyanciphisa isimiso somzimba.
Ukuxilongwa
Kubaluleke kakhulu ukuthola ukuxilongwa udokotela okokuqala ucabanga ukuthi unesifo somvubelo.
Lokhu kungenxa yokuthi izimpawu zingase zibangelwe ukutheleleka (njenge-bacterial vaginosis noma i-STI) edinga imithi elwa nemithi noma imithi ehlukile ngokuphelele. Ungaziphathisi ngemithi yokwelapha ngaphezulu uma ungakaze utholakale ukuthi unesifo esisodwa ngaphambi kwesilonda sakho ngudokotela wakho. Udokotela wakho angenza i-swab futhi aqiniseke ngaphansi kwe-microscope ukuthi ngabe kunomhlwanyelo wemvubelo noma cha.
Ngenkathi bekulokhu kucatshangwa ukuthi abesifazane abanesifo semvubelo yangaphambili bangaqaphela izimpawu nokuziphatheka kwabo, okuye kwacatshangelwa; Ochwepheshe abaningi manje bancoma ukuthola ukuhlolwa nokuxilongwa kudokotela wakho isikhathi ngasinye. Uma kunalokho ukhetha ukuzithokozisa ngomkhiqizo ongenamathenda, qiniseka ukuthi ubona udokotela wakho uma izimpawu zakho ziqhubeka, uma uthuthukisa ezinye izimpawu, uma unengozi ye-STI, noma uma ungaqiniseki kungakhathaliseki ukuthi unesifo somvubelo.
I-vaginosis vaginosis yisifo esithathelwanayo sesiswini kunesisifo somvubelo . Kubonakala ngephunga elimnandi. I-bacterial vaginosis engabonakali ingabangela izifo ezivuthayo zesikhumba futhi zingabangela ukungasebenzi. Izifo ezithathelwana ngocansi (STIs) ezifana ne- gonorrhea kanye ne- herpes nazo zingahle ziphuthelwe ngezifo zesilonda.
Kukhona izivivinyo zasendlini zezinambuzane ezifakwe yisilonda futhi zibonisa ukuthi unomvubelo noma ibhaktheriya vaginosis. Noma kunjalo, akufanele uthembele kuphela ekuhlolweni okunjalo.
Ukwelapha
Uma wena nodokotela wakho niyavuma ukuthi izimpawu zakho zibangelwa imvubelo, unezinketho eziningana zokwelapha , kuhlanganise nama-creams ahlukahlukene atholakala kuma-pharmacy. Ukwelapha ngokwe-over-the-counter (OTC) ngokuvamile isebenza ezinsukwini eziyisikhombisa kuya kwezinsuku eziyisikhombisa. Ama-creams atholakalayo afaka amagama e-brand ezifana ne-Monistat, Femstat, Gyne-Lotrimin, ne-Mycostatin.
Uma ukhetha okunye okunye okungahambi kahle okunye okunezinto ezidakayo ezithengiswa i-OTC, cela udokotela wakho ngemithi kadokotela efana ne-Diflucan, imithi yokwelapha eyodwa yomthamo.
Uma unegciwane lesifo esinzima noma unezikhathi eziphindaphindiwe, udokotela wakho angase anikeze ukwelashwa isikhathi eside nge-Diflucan noma eminye imithi e-antitifungal.
Kukhona amathiphu amaningi okuvimbela indlela yokuphila enganciphisa ingozi yesifo semvubelo. Lezi zihlanganisa ukugwema imikhiqizo yokugeza yama-douching ne-scent, egqoke izingubo ezihamba phambili emgodini, egqoke izingubo zangaphansi kwekotini-kunama-synthetic, futhi uguqule i- tampon , pad, noma i-panty liner yakho kaningi.
Ungagwema ukucasuka kwesisu ngesikhathi sokulala ngokocansi usebenzisa i-lubricant. Kungase kudingeke usebenzise ikhondomu noma ibhodlela lamazinyo ukuze ugweme ukudlula imvubelo emuva nangaphandle nomlingani wakho wezocansi.
Kunobunye ubufakazi obunqunyelwe ukuthi ukudla i- yogurt ngesimiso esisebenzayo nokuthatha izithako zokusebenzisa ama-probiotic (noma ukusebenzisa lezi mveliso ngamanye amazwe, uma kufanelekile) kungasiza ekuvimbeleni ukutheleleka kwemvubelo. Ama-bacterium kulezi zikhetho abuye avele ngokwemvelo e-vagini futhi asize ugcine imvubelo ekudleni.
I-boric acid suppository ingasebenza ngokumelene nemithwalo engavamile engavamile yemilenze engavumelani nokwelashwa okuvamile. Ezinye izixazululo ezifana namafutha kakhukhunathi noma amafutha abalulekile azikho ubufakazi bokusebenza kahle.
Izwi elivela
Uma, emva kwalokhu konke umzamo, usathola imithi yesifo semvubelo, ungakhathazeki. Kulula ngokwanele ukuphatha futhi ngethemba lokuthi kuzoba nje inkinga osebenzelana nayo isikhathi esifushane. Kodwa ungacabangi ukuthi ukutheleleka kwamagciwane onke yisifo sovuvu, njengoba kungaba okuhlukile noma okubi kakhulu. Xoxa nodokotela wakho izimpawu zakho ukuze uthole ukuxilongwa okuqondile.
> Imithombo:
> Gonçalves B, Ferreira C, Alves CT, uHenriques M, Azeredo J, uSilva S. Vulvovaginal candidiasis: I-epidemiology, i-microbiology kanye nezinto eziyingozi. Crit Rev Microbiol. 2016 Nov; 42 (6): 905-27. i-doi: 10.3109 / 1040841X.2015.1091805.
> 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.
> Sobel JD. Imfundo yesineke: Ukwelashwa Kwesisindo Sevaginal (Ngaphandle Kwezinto Eziyisisekelo). Kusesikhathini. https://www.uptodate.com/contents/vaginal-yeast-infection-beyond-the-basics.
> Izifo zesisindo se-Vaginal. Womenshealth.gov. https://www.womenshealth.gov/az-topics/vaginal-yeast-infections.