I-thrush ye-oral isifo somvubelo emlonyeni ongathinta abantwana, izingane kanye nabantu abadala. Kungaba mnene futhi uhambe ngokwakho, okudingayo ukuba ugcine umlomo wakho uhlanzekile ngenkathi usebenzisa izixazululo zokunciphisa izimpawu. Abanye abantu bangase bazuze ekudleni i-yogurt esebenzayo-isiko noma iziphuzo noma ukusebenzisa imikhiqizo efana namaphilisi e-probiotic. Ukuqothula kungaphathwa nge-prescription antitifungal mouthwashes noma i-lozenges uma ingaxazululwanga yedwa.
Uma lezo zonyango zingasebenzi, odokotela bangakwazi ukuphendukela kwezinye izidakamizwa ezinamandla.
Amakhambi asekhaya kanye nendlela yokuphila
I-thrush yomlomo emantwaneni iyovame ukuhamba ngaphandle kokwelashwa ngesonto noma amabili, ngakho-ke ungase ungadingi ukuthola ukwelashwa. Hlangana nodokotela wezingane ukuze uxoxe ukuthi i-yogurt esebenzayo-i-yogurt iyakulungele yini izingane ezingaphezu kwezinyanga eziyisithupha ubudala. Inikeza i-lactobacilli ( ama-bacterium probiotic ) ukuphelisa imvubelo emlonyeni
Abantu abadala abathola icala elimnandi lokushukela ngemuva kokuthatha ama-antibiotic ngesizathu esithile bangabuye bajabulele i-yogurt esebenzayo yokuvuselela ukulinganisela kwabo kwemvelo phakathi kwamabhakede nomlomo.
Ukudla okudliwayo neziphuzo kunganikeza impumuzo uma usuvutha futhi uzwa ukuzwa nge thrush. Ama-popsicles, i-ayisikhilimu, isobho, abakwa-smoothies, neziphuzo eziqhwayo zingasiza ekunciphiseni lokhu.
Ungaphinda usebenzise izinhlanzi zamanzi usawoti (1/2 isipuni sikasawoti ku-1 indebe yamanzi afudumele) ukuze uthole usizo.
Qinisekisa ukuthi izingane zikhahlela uma ziqedile.
Ukugcina umlomo wakho uhlanzekile yingxenye ebalulekile yokwelashwa. Hlanza umlomo wakho ngamanzi ngemuva kokuba udle futhi emva kokuthatha imithi (ngaphandle kwemithi ehloswe ukugqoka umlomo ukulwa nemvubelo). Sebenzisa ibhotela elizinyopho futhi uxoxe amazinyo, izinsini, nolimi lwakho kabili ngosuku.
Gcina amazinyo akho ahlanzekile futhi awasuse amagciwane nsuku zonke. Gwema umlomo wokuphuza utshwala, njengoba kungase kukhulise ukuzwa okuvuthayo.
Imithi yokwelapha ngaphezulu
Amaphilisi we- probiotic angaphezu kwe-counter and the counter-the-counter kanye neziphuzo ezisebenzayo-amasiko ne-acidophilus ne-lactobacilli angasiza ukubuyisela amabhaktheriya anobungane emlonyeni nasegunjini lokugaya. Lezi zingaba zifanele ezimweni ezincane ze-thrush emva kokusebenzisa ama-antibiotic ngezinhloso ezithile. Njengobhonasi, basiza ukubuyisela amabhaktheriya emgodleni wakho wamathumbu, okuvame ukuphakanyiswa ngemuva kokwelashwa kwama-antibiotic.
I-Gentian violet iyinqubo yokwelashwa engaphezu kweyomdala esetshenziselwa i-thrush kubantwana nakubantu abadala, kubandakanya abantu abane-HIV. Ibuyela ekuthandweni ngoba yindleko ephansi, ephephile, futhi esebenzayo.
I-vivilet yamaJuda iguqulwa ngaphakathi emlonyeni, ehlanganisa izindawo ezithintekayo. Akufanele ugonywe, ngakho-ke kudingeka usebenzise ukuqapha ngezingane nezingane ezincane. Isetshenziswa izikhathi ezimbili kuya kathathu ngosuku ngezinsuku ezintathu.
Idayi ye-antiseptic (ingenye yamadayisi ku-Gram stain), ngakho-ke ingaba yingozi; liguqula izindebe nanoma yini enye ethinta obubende. I-Gentian violet iqhutshwa phambili ukuze isetshenziswe ezindaweni ezizungeze umhlaba lapho izidakamizwa ezisetshenziswayo ukuze zisetshenziswe zingenakwenzeka noma imvubelo isiqalile ukuthuthukisa ukumelana.
Kukhona abanye abantu abanokucasuka kwesikhumba nomlomo lapho bebenzisa i-gentian violet, futhi kukhona ukuphendula okungajwayelekile.
Imigomo
Ekunqumeni indlela yokwelapha ukwelashwa, udokotela wakho uzocabangela ubudala bakhe, izimo zempilo, ubuhlungu bokutheleleka, nokuthi ngabe ukutheleleka kungenzeka yini kusakazeke ngokushesha noma cha. Uma icala lakho lincane ukuba lingenele, i-lozenge ye-antifungal, i-mouthwash, noma i-liquid izoba yindlela yokwelapha evamile. Amacala amakhulu kakhulu ngokuvamile ayobekwa imithi yomlomo noma emangcwabeni.
Imithi ejwayelekile kakhulu ye-thrush yomlomo ihlanganisa:
- I-Mycelex (i-clotrimazole): Lesi yisidakamizwa esiphezulu esinqunywe njenge-lozenge. Umuthi unikezwa njengoba i-lozenge ichitheka kancane emlonyeni emaminithini angama-20 kuya kwangu-30. Ngokuvamile kuthathwa izikhathi ezinhlanu ngosuku. Akukhuthazwa izingane ezingaphansi kweminyaka engu-3.
- I-Miconazole : I-gelini yama-Miconazole (isetshenziselwa izindawo ezithintekile) ingasetshenziselwa izingane ezindala kunezinyanga ezingu-4, kuyilapho i-nystatin ifunwa izinsana ezincane. Isetshenziswa kuze kube izikhathi ezine ngosuku futhi yaqhubeka kwaze kwaphela izinsuku ezimbili ngaphandle kwezimpawu zokutheleleka. I-Oravig, ithebhulethi ye-miconazole, iyatholakala kulabo abaneminyaka engu-16 nangaphezulu. Ufakwa phezu kwegum ngaphezu kwezinyo zakho ze-canine ekuseni bese uchitha kancane kancane usuku lonke.
- I-Mycostatin (nystatin): Lesi sidakamizwa sivame ukushiwo kwi-lozenge noma ifomu le-mouthwash ye-liquid. Izingane ezisanda kuzalwa nezinsana, zisetshenziswa nge-swab yesikotini noma ngomunwe. Inikezwa izikhathi ezine ngosuku ngezo zonke izigaba. Ukuxhumana okuqondile nemithi kuyadingeka ukulwa nemvubelo. With nystatin liquid, wena swish bese ugwinya imithi. Kuzinsana, ungasebenzisa i-gauze pad okuyiyo oyinyumba ukuze uphese imithi emagqatsheni amhlophe anomvubelo osebenzayo. Abanye abantu babika ukuthi i-nystatin iyakuthanda ubuhlungu noma i-acidic, kodwa umakhemikhali wakho angakwazi ukungeza ukunambitheka kuso ukuze enze kube mnandi kakhulu. Ukunambitheka kwe-Mint kuyinconywa ethandwayo njengoba isebenza kahle ukugubha ubuhlungu.
- I-Diflucan (fluconazole): Lokhu kuvame ukusetshenziswa njengendlela yokwelashwa kwesibili lapho i-nystatin ifakaza ukuthi ayiphumeleli. Kulabo abasebenzisa i-chemotherapy, ngokuvamile kuvame ukushiwo kwifomu lethebhulethi kuthathwe kanye nsuku zonke. Imiphumela emibi evamile ye-Diflucan ihlanganisa ikhanda, inselele, nesisu, kodwa ngokuvamile lokhu kunobumnene kakhulu. Kwezinye izimo, i-Diflucan ingahle ibekiwe ukuze kuvinjelwe i-thrush kubantu ababhekene nokwelashwa komdlavuza. Nakuba i-Diflucan iyisidakamizwa esihle kakhulu ekunakekeleni i- thrush yomlomo , ingabiza. Cela ukhetho olujwayelekile, i-fluconazole.
Uma lezi zidakamizwa zelayisensi zingabonakali, noma kukhona ingozi yokutheleleka kwesistimu, udokotela angase aphendule ekilasini elisha lemithi ye-antifungal-echinocandins. Lezi zihlanganisa i-itraconazole, posaconazole, voriconazole, ne-amphotericin B, ephathwa ngokuqondile.
Ukuze uthole usizo lwezimpawu kunokuthola ukwelashwa, udokotela angase anikeze i-mouthwash eyinhlanganisela yemithi eminingana. Ngokuvamile ibizwa ngokuthi i- mouthwash yomlingo futhi kuvame ukubekwa ukuba i-thrush eqhubeka phakathi ne-chemotherapy. Kunamafomu amaningana ahlukene futhi kunengqondo kadokotela ukunquma ukuthi yiziphi izidakamizwa okufanele zifake kanye nesilinganiso esifanele. Akufanele uzame ukuxuba imithi ekhaya kodwa ushiye lowo msebenzi kudokotela wemithi.
Lapho ingane engumhlengikazi ikhula, udokotela angase anikeze ukhilimu omnene owenzela umama (ukuba afake amabele akhe namazambane) kanye nemithi yokuvikela ingane. Lokhu kwenziwa ukuvimbela imvubelo edlula emuva nangaphezulu. Njengoba ingane izobe ijwayele ukuqhuma imfucumfucu yesilonda, phansi kwengane kufanele igcinwe eyomile futhi ukhilimu wesibhakela kufanele isetshenziswe ngemuva kokushintsha kwe-diaper.
> Umthombo:
> Maley AM, Arbiser JL. I-Gentian Violet: I-19 th Century Emerges Emerges e-21 Cent Century. Dermatology yokuhlola . 2013; 22 (12): 775-780. i-doi: 10.1111 / exd.12257.
> Izinkinga zomlomo zeKhemotherapy kanye neNhloko / Umsila we-Radiation-Patient Version (PDQ). I-National Cancer Institute. https://www.cancer.gov/about-cancer/treatment/side-effects/mouth-throat/oral-complications-pdq.
> I-Oral Thrush. I-Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/oral-thrush/diagnosis-treatment/drc-20353539.
> Pappas PG, Kauffman CA, Andes DR, et al. Umhlahlandlela Wokusebenza Ngokwemitholampilo Wokuphathwa Kwe-Candidiasis: Ukubuyekezwa ngo-2016 yi-Infectious Diseases Society of America. Izifo ezithathelwanayo emitholampilo: Ukushicilelwa Okusemthethweni kwezifo ezithathelwanayo zeMelika waseMelika . 2016; 62 (4): e1-e50. doi: 10.1093 / cid / civ933.
> Thrush ezinsana. I-MedlinePlus. https://medlineplus.gov/ency/article/007615.htm.