Mikana yepachivi yehupombwe inetso isingawanzwisisiki uye isinganzwisisiki inowanikwa nevakadzi vakawanda kamwe chete. Inofanirwa kuongororwa nachiremba wako kuti atonge zvimwe zvinokonzera zviratidzo, asi zvinowanzove zvakanyatsorapwa nechepamusoro-che-chigadzirwa. Nokuda kwechirwere chakaipa kana kazhinji, chiremba wako anokwanisa kupa mishonga imwe-mazamu panzvimbo.
Kune maitiro akawanda ehupenyu huri kuchinja iwe unogona kuita kuti ubatsire kusunungura kwehutachiona uye kudzivirira kudzokorora.
Over-the-Counter Therapies
Zvigadzirwa zveOTC zvinowanikwa kumakumbo zvipembenene zvinowanzova nemumwe wezvinhu zvina zvinoshandiswa zvinoshandiswa: butoconazole nitrate, clotrimazole, miconazole, uye tioconazole. Iyi mishonga iri mumhuri imwechete inorwisa fungal uye inoshanda nenzira dzakafanana yekuputsa masero echinyorwa cheCalida muviri kusvikira ichipera. Izvi zvigadzirwa zvakachengeteka kushandisa kana iwe uri nepamuviri.
Paunoshanyira chiremba wako panguva yokutanga iwe une utachiona hwehupusi, bvunza kuti chigadzirwa chipi chinogona kukubatsira iwe uye kurukura zvakakosha uye zvisingabatsiri zvemaitiro akasiyana-siyana zvinowanikwa mukati maro: vaginal suppositories (kuisa), mahwendefa emadzimai, kana marashi ane applicators.
Kana uchangotanga kushandisa maOTC anti-fungal mishonga, mbiriso yako yehutachiona inotanga kupera mukati memazuva mashoma.
Sezvo nemishonga inorwisa mabhakitiriya , zvakadaro, zvakakosha zvakanyanya kuti urambe uchishandisa mushonga wako kwemazuva ose emazuva akakurudzirwa. Kunyange kana zviratidzo zvako zvaenda, fungus inogona kunge yakashanda zvakakwana kukonzera kudzoka zvakare.
Paunenge uchishandisa chimwe chezvigadzirwa izvi, ungada kutaura nachiremba wako pamusoro pezvimwe zvinogona kudzivirira zvirwere zvepabonde nekuzvitakura.
Zvimwe zvezvinhu izvi zveOTC zvinogona kutera simba remakondomu uye spermicide, saka iva nechokwadi chekuverenga mazano. Uyezve, kuita zvepabonde panguva yekurapa kunogona kushandura mishonga kubva mumadzimai, kuderedza kushanda, uye kukonzera kutsamwa.
Izvi zvinogadzirwa neOTC hazvifanirwe kushandiswa nevarume, uye hazvifaniri kushandiswa kune mamwe marudzi ezvirwere, zvakadai sezvipembenene zvefungal pasi peminwe kana mukati memuromo (inozivikanwa se thrush).
Pasi-the-counter fungal mishonga inobatsira kwazvo, asi kana chimwe cheizvi chinoshanda kwauri uchishandisa imwe, taura nachiremba wako:
- Kuchema kwemimba, fever, kana kunhuhwirira kwakashata
- Kuwedzera kukutsamwirwa kwechikadzi kana chikwata chiri pedyo
- Hapana kubudirira mukati memazuva matatu
Zviratidzo zvinodzoka mumwedzi miviri zvakakoshawo kuudza chiremba wako.
Zvose zvepamusoro zvinogona kuratidza kuti unoda nzira yakasimba yekurwisa fungus kamwe chete.
Zvinyorwa
Iwe unogona kubvunza chiremba wako nezvemishonga yeDiflucan (fluconazole) kana iwe ukasarudza kutora imwe muromo weminwa yemishonga pamusoro pekushandisa mukono wevakadzi kana suppository. Chirwere ichi chakakodzera kumatambudziko asina kuoma uye aingova nemwoyo munyoro kusvika kuenzanisiro-miviri-kusanganisira musoro wemusoro, dutu, chirwere, kuora mwoyo, uye kurwadziwa kwepamuviri-mumakiriniki ekuedzwa.
Zvisinei, mutauro fluconazole haufaniri kutorwa kana iwe uri nepamuviri, sezvo inogona kukonzera kukanganisa kuberekwa.
Nokuda kwekanyanya kana kuti kazhinji kacho Candida vaginal mbiriso zvirwere, chiremba anogona kupa mitezo miviri kusvika katatu yeDiflucan inopiwa maawa 72 kunze. Imwe mishonga yemuromo inogona kushandiswa munyaya idzi ndeyeNiororal (ketoconazole), iyo inotorwa kwemazuva manomwe kusvika ku14, kamwe chete kana kaviri zuva rega rega, zvichienderana nekurapa kwechiremba wako. Vakadzi vane chirwere cheshuga vanogona kuda iyi kwenguva refu yekurapa kuti vabvise chirwere.
Dzimwe nguva hutachiona hwehupusi hunokonzerwa nemhando dzeMarudzi Candida glabrata, iyo isingabvumiri pamishonga inowanikwa mumuromo.
Zvimwe zvinosanganisira mazuva 14 ekurapwa kwepravaginal ne boric acid gelatin capsule, nystatin suppository, 17 muzana flucytosine cream, kana kamuti ane 17 muzana flucytosine uye 3 muzana amphotericin B.
Kana iwe uchinge uchinge uchinge uine zvirwere, chiremba wako angakurudzira mazuva gumi kusvika ku14 ekurapwa ne clotrimazole vaginal suppository kana muromo Diflucan piritsi, uye purogiramu yevhiki yeDiflucan kwemwedzi mitanhatu.
Zvakakosha kutora mishonga yakazara yemishonga inokurudzirwa uye isingaregi kana iwe uchinzwa zviri nani kana zviratidzo zvaenda. Kuderedza mangwanani kunogona kureva kuti mbiriso isingagadziri ichawedzera. Izvi zvinonyanya kuitika kana iwe une chirwere cheshuga nokuti iwe uri pangozi yehutachiona hwehupachiviri hunopararira.
Mishonga yeMusha uye Upenyu
Pane nzira dzakawanda iwe unogona kuderedza dambudziko rako rekutsvaira mbiriso (kana kudzoka) nekukurumidza kuporesa kana iwe uine imwe. Izvi zvinowanzobatanidza kubvisa zvinokonzera kushungurudzika kwechikadzi uye yekushambadza mbiriso nekuodza mwoyo mumadzimai ekunze izvo zvinotungamirira kuwandu hwembiriso.
Kuti udzivirire zviratidzo, unogona kugara mukati mekushambidzira (kwete kupisa) kana kushamba. Iwe unogona kunge uchida kuchengeta sese uye kungosuka nemvura. Zvinonhuwira zvinowedzera zvinonhuwira, vakadzi vemafuta, uye muviri weupfu zvinogona kuvhiringidza kunhengo dzebonde uye dzinofanira kudziviswa munguva yekurapa (pamwe chete nekuzoita kuti kuderedze njodzi yekudzoka).
Kondomu kana domwa remvura rinoshandiswa rinogona kudzivirira kudarika mbiriso uye kubva kune wako wepabonde. Zvinokwanisika kuti mukomana ane mukomana awane mbiriso yeganda pamuviri wake kana kuti ane shungu kubva kumudzimai wemishonga. Kana uri kushandisa imwe, yeuka kuverenga mishonga yekurapa kuti uone kuti haina kukonzera kubudirira kwekondomu.
Kana iwe uchirairwa kuti urege kuita zvepabonde panguva yekurapa, iva nechokwadi chokuti unoziva kana iwe unogona kudzoka zvakare. Vakadzi nevarumekadzi vanotumira Post-menopausal vanogona kushandisa nekushandisa kubatana kwepabonde panguva yekuita zvepabonde kunobatsira pakudzivirira kusagadzikana kwevakadzi uye kushungurudzwa kunogona kutungamirira kune mbiriso yekusadya yezvirwere.
Kuchengetedza nzvimbo yako yemudzimai kunotonhora uye kuoma kunokosha zvose panguva yekurapa uye kudzivirira kudzokorora. Kupfeka zvipfeko nekotoni crotch uye usapindawo-tight pants uye pantyhose. Iwe unogona kuchinja kuvhara jirasi kana kusunungura mabhesi kusvika zvishoma kusvikira utachiona hwagadziriswa.
Kurovedza muviri kwakanaka panguva yekurapa, kusanganisira kushambira. Zvisinei, iva nechokwadi chekuchinja kunze kwemajasi akadzikisa kana zvipfeko zvekuvhara muviri zvishomanana nokukurumidza. Uyewo, iva nechokwadi chekuputira zvinhu izvi pakati pega yega.
Kana uri kushandisa vaginal cream kana suppository kurapwa, rega kusashandisa tamponi, sezvavanogona kudzivisa kana kubvisa mishonga. Sarudza podhi-isina pani kana kuti michina kana uchienda kumwedzi kana kuti kungodzivirira zvipfeko zvako kubva pakudonha, uye uchinje kazhinji kuti udzivirire humwe hunyoro hunovaka. Douching haina kumbobvunzwa uye inonyanya kudziviswa paunenge uchibvisa utachiona hutachiona.
Pakupedzisira, iva nechokwadi chekudzima kubva mberi kuenda kumashure mushure mekufamba kwechikwata kudzivirira kuendesa mbiriso iyo inowanzoitika mudumbu uye rectum kumudzimai. Izvi zvinobatsirawo kudzivirira zvirwere zvehutachiona.
Complementary Medicine (CAM)
Iwe uchaona mazano ekushandisa marudzi akasiyana-siyana asiri ma pharmacologic mishonga. Kune vakaroorana vanotsigirwa nekutsvakurudza.
Boric Acid Suppository
Kushandiswa kwe boric acid suppository kunogamuchirwa senzira yekurapa miti ye Candida kunze kweiyo yakajairika, Candida albicans , iyo inopindura zvakanaka kune dzimwe nzira dzokurapa. Iyo boric acid inowanikwa mu gelatin capsule, uye unogona kuwana mirayiridzo yekuti iwe ungaita sei iwe pachako uchishandisa kupfuura-the-counter boric acid uye chiyero chinokonzerwa 0 kana 00 gelatin capsule. Iwe unofanirwa kuva nechokwadi chokuti unowana mazano ekurapwa pakushandisa izvi; 600 milligrams, kamwechete kana kaviri zuva rimwe nerimwe kwemazuva manomwe kusvika ku14 zvinowanzokurudzirwa. Iwe haufaniri kutora boric acid nemuromo kana kuishandisa pane maronda akazaruka. Hazvisi nyore kushandisa mushure mokunge uine pamuviri. Kunyangwe kana yakashandiswa sezvinokurudzirwa, iwe unogona kunge uine ruvara rweganda.
Probiotics uye Active-Culture Yogurt
Utano hwemadzimai hwakavimbika pamabhakitiriya anobatsira (lactobacilli, kusanganisira L. acidophilus ) kuchengetedza pH zvishoma uye achengeta mbiriso kubva pakuwedzerwa. Vamwe vanoti vakadzi vanoshandisa maitiro anonzi probiotics anowanika mu yogurt kana kefir, vanotora maitiro emishonga ekurapa, kana kushandisa maitiro emishonga emakemikari (sezvakakodzera), kana kuti kubatsira kubvisa zviratidzo zvehupukwe zvemuviri kana kuti kudzivirira kazhinji marwadzo echirwere.
Vamwe vanoongorora tsvakurudzo havana kuwana rubatsiro rwechirevo ichi, asi vamwe vanoti panogona kuva nevamwe. Zvidzidzo zviri kuenderera mberi mukushandiswa kwekusununguka-kusununguka kwechikadzi mumucheka une ine lactobacilli yakananga. Zvisinei, inofanira kuonekwa kuti vanhu vane immune system yakadzingwa kana chirwere chemuviri munguva pfupi inofanira kudzivisa kupora maitiro ekuwedzera. Zvigadzirwa hazvina kutungamirirwa neDFA. Zvisinei, kufarira yogurt kana kefir sechikamu chekudya kwakakwana kunokonzera ngozi shoma.
Kutsvakurudza Kunowedzera Kunodiwa
Unogona kuona mazano ekushandisa kokonati mafuta; oregano mafuta, mafuta omuti weti, mamwe mafuta anokosha; kana gariki inowedzera yeviriso zvirwere. Dzidzo dzechipatara dzinodiwa kuratidza kuti dzakachengeteka uye dzinoshanda kuvanhu, kunyanya vakadzi vane pamuviri. Izvi zvingave zvisati zvaitwa kana kuti zvakaratidza kuti izvi zvingasarudzwa hazvibudiriri (pane zvakaitika kune garlic). Zvimwe zvakasiyana-siyana zvezvirimwa mafuta uye zvinyorwa zvinokonzera kushandiswa mukati mekuyeresa, asi vazhinji vanogona kutsamwisa kana chepfu kune muviri.
Kunyange zvazvo kukumbira kwechimwe chirongwa chisina simba kune vamwe pavanonzwa kunhuwa nekupisa kwehutachiona hwehupiriso, vakadzi vakawanda vanoda kudzokera kune chimwe chinhu chavanogona kuvimbiswa vachapa ruyamuro nokukurumidza.
> Sources:
> Gonçalves B, Ferreira C, Alves CT, Henriques M, Azeredo J, Silva S. Vulvovaginal candidiasis: Epidemiology, microbiology uye ngozi zvinhu. Crit Rev Microbiol. 2016 Nov; 42 (6): 905-27. doi: 10.3109 / 1040841X.2015.1091805.
> Hanson L, Vandevusse L, Jermé M, Abad CL, Safdar N. Zvirongwa zvekurapa uye kudzivirira zvirwere zveUrogenital muvakadzi: Kuongorora kwakarongeka. Journal of Midwifery & Womens Health . 2016; 61 (3): 339-355. doi: 10.1111 / jmwh.12472.
> Mendling W. Guideline: Vulvovaginal Candidosis (AWMF 015/072), S2k (Isingaregi Mucocutaneous Candidosis). Mycoses . 2015; 58: 1-15. doi: 10.1111 / myc.12292.
> Murina F, Graziottin A, Vicariotto F, Seta FD. Ko Lactobacillus fermentum LF10 uye Lactobacillus acidophilus LA02 mune Siri-release-release Vaginal Product inobatsira kudzivirirwa kweVulvovaginal Candidiasis? Zvinyorwa zveKliniki Gastroenterology . 2014; 48. doi: 10.1097 / mcg.0000000000000225.
> Vaginal Yeast Infections. Hofisi yeHove's Health, Dhipatimendi reUnited Health uye Human Services. https://www.womenshealth.gov/az-topics/vaginal-yeast-infections.
> Watson CJ, Grando D, Fairley CK, Chondros P, Garland SM, Myers SP, Pirotta M. Migumisiro yeMuromo Wechipfuva paVaginal Candida Colony Zvikwereti: A Randomized Placebo Controled Double-Blind Trial. BJOG 2014; 121: 498-506.