Chirwere chemukati chinonzi hosha yehupusi yemuromo inogona kukanganisa vana, vana, uye vanhu vakuru. Zvinogona kuva zvinyoro uye zvichienda kune zvayo, zvichida iwe chete kuti uchengetedze muromo wako wakachena apo uchishandisa mishonga yekudzivirira zviratidzo. Vamwe vanhu vanogona kubatsirwa nekudya zvinoshanda-tsika yogurt kana zvinwiwa kana kushandisa zvinhu zvakadai seprobiotic mapiritsi. Kushambira kunogona kurapwa nemishonga inogadziriswa antifungal mouthwashes kana lozenges kana isingagadzirisisi payo.
Kana mishonga iyi isingagoneki, vanachiremba vanogona kutendeukira kune mamwe madhiragi antifungal.
Mishonga yeMusha uye Upenyu
Mushonga wepachirwere mumakumbo unowanzoenda usina kurapwa muvhiki kana maviri, saka iwe ungasafanira kuwana mushonga. Tsvaga chiremba wevana kuti vataure kana kushingaira-tsika yogurt yakakodzera kune vacheche kupfuura mwedzi mitanhatu. Inopa lactobacilli ( probiotic mabhakitiriya ) kuti igove mbiriso mumuromo
Vakuru vanowana chirwere chinyoro cheprush mushure mekutora maantibayoti pane chimwe chikonzero vanogonawo kunakidzwa nekushanda-tsika yogurt kuti vadzorere mararamiro avo chaiwo pakati pemakumbo uye mabhakitiriya emuromo.
Zvokudya zvinotyisa uye zvinwiwa zvinogona kupa ruremekedzo kana iwe uchipisa uye uchinge uchinge uchinge uchinge uine hanya. Popsicles, ice cream, chilled soups, smoothies, uye zvinwiwa zvinopwanyika zvinogona kubatsira kwenguva pfupi kuderedza kusagadzikana uku.
Iwe unogonawo kushandisa mvura inopisa yemunyu (1/2 teaspoon yemunyu mune 1 mukombe yemvura inodziya) yekununurwa.
Iva nechokwadi kuti vana vanoparadzanisa iyo iyo inenge yapera.
Kuchengeta muromo wako wakachena ndiyo chikamu chinokosha chekurapa. Bvisa muromo wako nemvura mushure mokudya uye mushure mokumwa mishonga (kunze kwemishonga inofanirwa kupfeka muromo kurwisa mbiriso). Shandisa mazino anonyorera uye usvute mazino ako, maramu, uye rurimi kaviri pazuva.
Chengetedza mazino ako akachena uye oasvibisa mazuva ese. Dzivisa doro-based mouthwashes, sezvo inogona kuwedzera kupisa kwekutsva.
Over-the-Counter Therapies
Pasi-the-counter probiotic mapiritsi uye anoshanda-tsika zvinwiwa ne acidophilus uye lactobacilli zvinogona kubatsira kudzorera mabhakitiriya ane ushamwari kumuromo uye chirwere chekudya. Izvi zvinogona kunge zvakakodzera mumatambudziko maduku echrush mushure mekushandiswa kwemishonga inorwisa mabhakitiriya kune zvimwe zvinangwa. Sebhonasi, vanobatsira kudzorera mabhakitiriya mumakumbo ako emukuchi, ayo anowanzokurudzirwa mushure mekurapa maantibiotic.
Gentian violet ndeyekare pane-the-counterrapi inoshandiswa kutapira mucheche nevakuru, kusanganisira vanhu vane HIV. Iyo iri kudzokera pakufarirwa nokuti inodhura, yakachengeteka, uye inobudirira.
Gentian violet inoputika mukati memuromo, ichifukidza nzvimbo dzakakanganiswa. Hazvifanirwe kumedzwa, saka unoda kushandira nevana nevana vaduku. Inoshandiswa maviri kusvika katatu pazuva kwemazuva matatu.
Iyo dye inopikisa (ndiyo imwe yemadhesi muGram stain), saka inogona kuva yakaipa; inoshandura miromo uye chimwe chinhu chipi zvacho chinobata ruvara rwepepuru. Gentian violet iri kuramba ichiongororwa kuti ishandiswe munzvimbo dzakapoteredza nyika umo mishonga yemishonga inoshandiswa pakushongedza haigoni kana mbiriso yatanga kukura kusagadzikana.
Kune vamwe vanhu vane ruvengo rwemukati rweganda nemuromo pavanoshandisa gentian violet, uye pane zvisingaiti zvakakomba.
Zvinyorwa
Mukusarudza nzira yekurapa tsrush, chiremba wako achafunga nezvezera remurwere, utano hwehutano, hutachiona hwehutachiona, uye kana kwete kana hutachiona hunogona kupararira nokukurumidza. Kana mhaka yako kana iine nyanzvi kuenzanisa, antifungal lozenge, mouthwash, kana mvura ichava yakagara ichirapa. Mamwe maitiro akaoma anowanzorongedzerwa mishonga inonzwika kana yakagadziriswa.
Mishonga inowanzojairika yeprush thrush inosanganisira:
- Mycelex (clotrimazole): Uyu ndiwo mishonga yepamusoro inonzi yakanyorwa. Mushonga unoendeswa sekuti lozenge inopera zvishoma nezvishoma mumuromo kwemaminetsi makumi maviri nemakumi matatu. Inowanzotorwa katanhatu pazuva. Hazvikurudzirwi kune vana vasati vava nemakore matatu.
- Miconazole : Miconazole gel (inoshandiswa kunzvimbo dzakakanganiswa) inogona kushandiswa kune vacheche vakura kupfuura mwedzi mina, asi nystatin inoshandiswa kuvana vaduku. Inoshandiswa kusvika kanomwe pazuva uye yakaramba ichienda kusvikira mazuva maviri apfuura pasina zviratidzo zvehutachiona. Oravig, piritsi ye miconazole, inowanikwa kune avo vane makore 16 uye kupfuura. Inosungirirwa pane gum pamusoro pezino rako reinini mangwanani uye rinopera zvishoma nezvishoma zuva rose.
- Mycostatin (nystatin): Ichi chinodhaka chinowanzogadziriswa mulozenge kana kuti liquidwa mouthwash fomu. Kune vacheche uye vacheche, inoshandiswa ne swaton yekotoni kana kuti munwe. Inopihwa kusvika kana kane pazuva nokuda kwemazera ose. Kunyatsoonana nemishonga inodiwa kurwisa mbiriso. Uine mvura yakachena nystatin, iwe unofunga uye unomedza mishonga. Nevechecheche, unogona kushandisa rakasviba gauze pad kuti udimbure mishonga pane michena yakachena ine mbiriso yakashata. Vamwe vanhu vanodaro kuti nystatin inonaka inorwadza kana yakaoma, asi mhizha yako inogona kukwanisa kuwedzera kunhuwa kwairi kuitira kuti iwedzere kunakidza. Mint kuvhukira ndekukurudzirwa kunozivikanwa sezvo kunoshanda zvakanaka kuvhara kusuruvara.
- Diflucan (fluconazole): Izvi zvinowanzoshandiswa semutsara wechipiri mushonga apo nystatin inoratidza kuti haibatsiri. Kune vanhu vari kurwara chemotherapy, inowanzonyorwa mufomu yepebhuti inotorwa kamwe kamwe zuva nezuva. Nzira dzinowanzowanikwa dzeDiflucan dzinosanganisira misoro, kusuruvara, uye chizoro, asi izvi zvinowanzoita unyoro. Mune zvimwe zviitiko, Diflucan inogona kurongerwa kuti irege kudzivirira kune vanhu vari kurwara nekenza. Kunyange zvazvo Diflucan ari mishonga yakanakisisa yekurapa muromo wemuromo , inogona kudhura. Kumbira sarudzo ye generic, fluconazole.
Kana iyi mishonga yemishonga inoratidzika isingabatsiri, kana kuti pane ngozi yeutachiona hwehutachiona, chiremba anogona kutendeukira kukirasi itsva yezvinyorwa zvinogadziriswa-echinocandins. Izvi zvinosanganisira itraconazole, posaconazole, voriconazole, uye amphotericin B, iyo inotarisirwa mukati.
Nokuda kwekununurwa kwezviratidzo panzvimbo yekurapa, chiremba angaronga muromo wehuyu unosanganiswa nemishonga yakawanda. Inowanzozonzi semashiripiti mouthwash uye inowanzotarisirwa kudirusi inowedzera panguva yekemotherapy. Pane maitiro akasiyana-siyana uye pane chiremba chiremba kuti aone kuti ndeapi madhiragi anowanidza uye iyo yakakodzera. Iwe haufaniri kuedza kusanganisa mishonga pamba asi asiye basa iroro kumunhu wemishonga.
Kana mwana anoyamwisa achinyura, chiremba angapa chirwere chinonyatsonaka chemai (kuisa mazamu ake nemazamu) uye mishonga yekudzivirira yemwana. Izvi zvinoitwa kudzivirira kudarika mbiriso shure uye mberi. Sezvo mucheche achange akawedzerwa zvakashata kumusana wejasipisi, pasi recheche rinofanira kuchengetwa rakaomeswa uye ganda rinogadziriswa rinofanira kushandiswa mushure mekunyora shanduko.
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> Maitiro Anonyanya Kuita Chemotherapy uye Musoro / Neck Radiation-Patient Version (PDQ). National Cancer Institute. https://www.cancer.gov/about-cancer/treatment/side-effects/mouth-throat/oral-complications-pdq.
> Oral Thrush. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/oral-thrush/diagnosis-treatment/drc-20353539.
> Pappas PG, Kauffman CA, Andes DR, et al. Clinical Practice Guideline yekutungamirirwa kweCandidiasis: 2016 Kuvandudzwa neA Infectious Diseases Society of America. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America . 2016; 62 (4): e1-e50. doi: 10.1093 / cid / civ933.
> Kusvitsa muMucheche. MedlinePlus. https://medlineplus.gov/ency/article/007615.htm.