Esikhathini esiningi, umhlinzeki wakho wezempilo uyakwazi ukuhlola i-thrush ngokuhlola umlomo wakho nomphimbo. Isimo esivame kakhulu kubantwana, abadala asebekhulile, kanye nabantu abanamasosha omzimba acindezelwe, i-thrush ibonakaliswe ukugqama kwefungus okuthiwa candida emlonyeni nasemphinjeni.
Kwezinye izimo, udokotela wakho angadinga ukuthatha isampula kulezo zindawo bese athumela isampula ebhodini lokuhlola.
Ezimweni ezimbi kakhulu lapho i-thrush isakazeke khona, ungase udingeke ukuba ulandele inqubo ye-imaging yezokwelapha okuthiwa i-endoscopy.
Ukuhlolwa Kwekhaya
Nakuba ngokuvamile kunzima ukuzitholela wena ngokwakho, i-thrush ivame ukukhombisa izimpawu ezifana nokugqoka ezimhlophe emlonyeni wakho nasemphinjeni, inzwa ye-cottony emlonyeni, ukukhathazeka, kanye / noma ukulahlekelwa ukunambitheka.
Ukuzihlola okunye kuthiwa kuyasiza ekuxilongweni. Nokho, akukho ukusekelwa kwesayensi kubo. Zihlanganisa umkhuba obizwa ngokuthi "i-candida spit test," okufaka ukufaka isikhala esikhaleni esicacile samanzi ngemva kokuvuka. Abagqugquzeli bakhombisa ukuthi umquba olala phansi engilazi-noma oguqula amanzi aseduze nawo-angafakazela ukuthi kukhona khona i-thrush, kodwa lokhu kungase kungabi yiqiniso.
Izivivinyo ze-Lab
Ukuhlaziywa kwesampula
Uma usola ukuthi ungase uhlasele, udokotela wakho angakwazi ukuhlola lesi simo ngokuhlolwa okulula komlomo nomphimbo wakho.
Noma kunjalo, udokotela wakho angadinga ukuthatha isampula kwenye yezindawo zakho ezithintekile emlonyeni (owaziwa nangokuthi izilonda), bese uhlola isampula ngaphansi kwe-microscope. Lezi amasampuli ngokuvamile zibandakanya ukuhlunga okuncane, okungenabuhlungu.
Amasiko amabi
Kwezinye izimo, abahlinzeki bezempilo bangasebenzisa isiko lomphimbo ekuxilongweni kwe-thrush.
Le nqubo ihilela ukusebenzisa i-swab yekotini ukuqoqa isampula emhlane wakho. Isampula sithunyelwa ebhokisatri, lapho ifakwa endaweni ekhethekile ukukhuthaza ukukhula kwamaseli. Isiko sihlaziywa.
Ngenkathi i-swabbing yomphimbo wakho ingase ingahambi kahle, akunakwenzeka ukuba ubangele ubuhlungu.
Ezinye izivivinyo
Ngenxa yokuthi i-thrush ingase ibonise inkinga yezempilo (njengokushukela kwesifo sikashukela), udokotela wakho angenza olunye ulwazi olufana nokuhlolwa kwegazi.
Ukuhlolwa kwezilingo
Ukuze uhlolisise i-thrush kulesi sifo, abahlinzeki bezempilo bayasebenzisa i-imaging test ebizwa ngokuthi i-endoscopy. Le nqubo ihilela ukuhlola isisu, isisu, nengxenye engenhla yamathumbu akho amancane ngokusebenzisa ukusetshenziswa kwe-endoscope: i-tube flexible, ekhanyayo enekhamera ekugcineni.
Okufanele Ukulindele
Ngokuvame ukuhlinzekwa yi-gastroenterologist, i-endoscopy ngokuvamile isenziwa esibhedlela noma isikhungo sokuphulukisa iziguli. Inqubo ngokuvamile ithatha phakathi kwemizuzu engu-15 no-30.
Ukuze sikusize uphumule ngesikhathi sokuphela kwe-endoscopy yakho, cishe uzothola ukudambisa okulula (okuvame ukunikezwa ngenaliti enomlomo esandleni sakho). Njengoba izidakamizwa ezilawulwa ngaphambi kokugcina i-endoscopy zithatha amahora angu-24 ukuguga, kuzodingeka uhlele ukuhamba ekhaya ukusuka esibhedlela noma esikhungweni sokuphulukisa iziguli.
Nge-endoscopy yakho, uzolala eceleni kwakho etafuleni lokuhlola ngenkathi udokotela wakho edlula i-endoscope phansi phansi kwesisu sakho nasesisu sakho. Phakathi nenqubo, ikhamera encane ekupheleni kwe-endoscope izothumela isithombe sevidiyo kumqapha. Lokhu kuvumela udokotela wakho ukuba athole ukuhlolwa okusheshayo kwendwangu yepheshana lakho le-GI eliphezulu.
Ngalesi sikhathi, udokotela wakho angenza futhi i-biopsy (okungukuthi, ukususa amaseli noma izicubu). Kamuva, udokotela wezifo uzohlola amangqamuzana akho noma izicubu ukuze ahlole izifo.
Abanye abantu babhekana nezimpawu ezifana nokuvimbela noma ukucabangela isikhashana isikhathi esingaphansi kokugcina i-endoscopy.
Ngaphezu kwalokho, ungase ube nomphimbo ohlunguzayo izinsuku eyodwa noma ezimbili.
Nakuba eminye imiphumela evela ku-endoscopy yakho ingatholakala ngokushesha, imiphumela ye-biopsy izothatha izinsuku ezimbalwa isikhathi eside.
Izingozi ezingenzeka
Nakuba i-endoscopy iyinkambiso ephephile, ithatha ingozi yezimo ezilandelayo:
- ukuphuma esakhiweni lapho udokotela wakho athatha khona amasampuli amathishu
- i-perforation emgqeni wepheshana lakho le-GI eliphezulu
- ukusabela okungavamile ku-sedative, kuhlanganise nezinkinga zokuphefumula noma zenhliziyo
Uma uhlangabezana nanoma yiziphi zezinkinga ezilandelayo ngemuva kokuthola i-endoscopy, funa ukwelashwa ngokushesha:
- ubuhlungu besifuba
- ubunzima bokuphefumula
- izinkinga zokugwinya, noma ubuhlungu bomphimbo obubi kakhulu
- ukuhlanza
- ubuhlungu esiswini sakho bubi kakhulu
- igazi noma elimnyama, isitembu esinemibala enombala
- umkhuhlane
Ukuhlonza okuhlukile
Kwezinye izimo, i-thrush ingabangela izimpawu ezifana nalezo ezihambisana nezinye izifo. Ngenxa yalesi sizathu, udokotela wakho angase acabangele lezi zimo ezilandelayo lapho ehlola wena noma ingane yakho ngeso lengqondo le-thrush:
- i-aphthous ulcers
- ukutheleleka kwe-cytomegalovirus yezingane
- ukutheleleka kwe-enteroviral yezingane
- isifo sezingane esiswini
- pharyngitis yezingane
> Imithombo:
> I-BMJ Best Practice. "Candidiasis yomlomo - Izimpawu, ukuxilongwa nokuphathwa." Ngo-March 2018.
> Amasevisi Okulawula Nokuvimbela Izifo. "Candida izifo emlonyeni, emphinjeni, nasesiswini." Ngo-Agasti 2017.
> Isikhungo soMgangatho nokusebenza kahle kwezempilo. "Thrush yomlomo (ngomlomo candidiasis): Uhlolojikelele." May 2016.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. "I-Endoscopy ephezulu ye-GI."