Ukwelwa yizinyawo kwabazingisi, okwaziwa ngokwelashwa njenge-tinea pedis, kuyisifo esivamile esibangelwa amagciwane ezinyaweni esibangelwa amagciwane e-dermatophyte akhula ezindaweni ezifudumele, ezinomswakama njengezicathulo ezijulukayo, amagumbi okugqoka, kanye nezishukela zezimayela-bhola. Uma unesisu esikhwehlelayo, esixebukayo phakathi kweminwe yakho, kunesizathu esiqinisekile sokuthi ubhekene nalokhu kunjalo.

Cishe u-70% wabantu abadala bazobhekana nokwelwa yizinyawo kwabazingisi ngenye isikhathi, okwenza kube ngesinye sezifo zesikhumba ezivamile kakhulu emhlabeni wonke. Noma igama libonisa ukuthi luthinta abasubathi kuphela, noma ubani angaluthola; isabelo 'abasubathi' siphuma emagumbini okugqoka, emapulangweni echibi, nezishukela ezihlanganyelwe ziyizindawo eziyinhloko zokudlulisela.

Kungani ukwelashwa kusenesikhathi kokwelwa yizinyawo kwabazingisi kubalulekile: izifo ezingelapheki zingadlulela ezinyosini zakho (ezinzima kakhulu ukuzisusa), kwezinye izingxenye zomzimba njengomlenze wangaphakathi (jock itch) noma isikhumba sekhanda (ringworm), noma kumalungu omndeni. Izinto ezivela ku-Cleveland Clinic kanye ne-Mayo Clinic ziqinisekisa ukuthi ukungenelela kusenesikhathi kunciphisa kakhulu ukuphinda kubonakale nokudluliselwa.

Ubhekene nezinyawo ezikhwehlelayo, eziyaxebuka futhi ungazi ukuthi ukwelwa yizinyawo kwabazingisi noma okunye okuthile? I-August AI Symptom Checker ikuvumela ukuthi ubuyekeze izimpawu zakho ngokuyimfihlo futhi ikunikeze isiqondiso esicacile, esingenalucala mayelana nokuthi ukhilimu we-OTC uzosebenza noma udinga i-antifungal kadokotela.

Izimpawu zokwelwa yizinyawo kwabazingisi

Izimpawu zokwelwa yizinyawo kwabazingisi ziyahlukahluka ngohlobo lwegciwane kanye nesikhathi sokugula, kodwa izimo eziningi zihlanganisa lezi zinkomba zakudala:

  • Ukuhlaba, ukushisa, noma ukusha okubukhali. Ukungakhululeki okuqhubekayo, ikakhulukazi phakathi kweminwe, okubakhulu ngemuva nje kokukhipha izicathulo namasokisi.
  • Ukuxebuka okubonakalayo. Izendlalelo ezikhungethwe, ezikhuphukayo, ngokuvamile phakathi komunwe wesine nesihlanu.
  • Izindawo ezomile, ezinekhasi. Ukuqina okunamahlala ezindebeni, ezindlaleni, noma emaceleni, ngokuvamile okudunwa njengesikhumba esomile noma i-eczema.
  • Isikhumba esibomvu, esivuvukile. Izindawo ezibomvu noma ukuvuvukala okubucayi lapho kuthintwa.
  • Amabhamuza amancane. Ama-vesicles agcwele uketshezi ezindebeni noma emaphethelweni ezimweni ezingathi sína.
  • Iphunga elimnandi. Elakhelwe lapho ukukhula okweqile kwamagciwane kubambelela esikhunjeni esilimazeke yigciwane.
  • Ukuphazamiseka kwezinzwane. Izinzwane ezijiyile, eziphuzi, noma ezikhuntayo, isibonakaliso sokuthi igciwane lidlulele ezinzweni (onychomycosis).

Uma izimpawu ziba zodwa, zibonisa izimpawu zokutheleleka kwamagciwane, noma zingathuthuki ngemuva kwamaviki ama-2 okwelashwa kwe-OTC, khathaza ukuze uhlolwe ngokwelashwa. Isiqondiso sezimpawu kusuka ku-Cleveland Clinic kanye ne-WebMD siqinisekisa ukuthi izimpawu ezihambayo ngaphezu kwamaviki amabili zibonisa isidingo sokwelashwa okunamandla.

Ukwelashwa kokwelwa yizinyawo kwabazingisi: izinketho ze-OTC nemithi yasekhaya

Uma ubuzibuza ukuthi ungakukhipha kanjani ukwelwa yizinyawo kwabazingisi, izimo eziningi ezincane kuya kwezingaphakathi zibhekana no-khilimu we-antifungal we-over-the-counter kanye nezinguquko zendlela yokuphila kungakapheli amasonto ama-2 kuye ku-4.

Izinketho ze-cream zokwelwa yizinyawo kwabazingisi ze-over-the-counter:

  • I-Clotrimazole (Lotrimin AF). Ukhilimu we-antifungal we-broad-spectrum ofana kabili ngosuku amasonto ama-4. Inketho yokuqala ye-OTC.
  • I-Terbinafine (Lamisil AT). I-antifungal enamandla yokubeka ngomlomo enesikhathi esifushane (amasonto ama-1 kuye ku-2).
  • I-Miconazole (Micatin). I-antifungal ephumelelayo etholakalayo njenge-cream, impushana, noma ispray; ifomu lempushana ligcina izinyawo zomile.
  • I-Tolnaftate (Tinactin). Iyakudala kodwa isasebenza; ngezinye izikhathi isetshenziswa ukuvimbela ngemuva kokuba isifo sisuswe.
  • I-Butenafine (Lotrimin Ultra). Inketho yokwelashwa yamasonto onke ezimweni ezincane.

Imithi yasekhaya nokunakekelwa okusekelayo:

  • Geza futhi womise kahle izinyawo. Ikakhulukazi phakathi kweminwe, njengoba amagciwane akhula emswakeni.
  • Shintsha amasokisi nsuku zonke. Amasokisi ezemidlalo afaka umswakama; shintsha kabili ngosuku uma izinyawo zijulukile kakhulu.
  • Bhekeza izicathulo. Ungagqoki isibhakabhaka esifanayo izinsuku ezimbili zilandelana; hlinzeka isibhakabhaka ngasinye amahora angama-24 ukuze somile ngokuphelele.
  • Faka impushana ye-antifungal. Iyamunca umswakama futhi ivimbele ukuphinda kubonakale.
  • Gcoba ugcwele uviniga noma usawoti. Kusiza ukukhipha umkhuhlane nokuhlanza isikhumba esithintekayo.
  • Gqoka izipolisa ezishukela zikagesi. Indlela eyodwa ephumelela kakhulu yokuvimbela abahambela izimayela-bhola.

Inothi mayelana nokugunyazwa kwe-FDA: wonke ama-cream ama-OTC ayisihlanu ngenhla agunyazwe yi-FDA ngaphansi kwe-OTC Antifungal Monograph (21 CFR 333), ebonakala iphephile futhi iyasebenza ku-tinea pedis, tinea cruris (jock itch), kanye ne-tinea corporis (ringworm). Yeka ukusebenzisa uma ukucasuka kwenzeka noma isifo singathuthuki ngamasonto ama-4. Lezi zinketho ze-OTC azigunyaziwe kumagciwane ezinyosini (onychomycosis); leso simo sidinga ukwelashwa kwe-antifungal ngomlomo kudokotela.

Isiqondiso sokwelashwa kusuka ku-Mayo Clinic kanye ne-WebMD siqinisekisa ukuthi le ndlela iyasusa izimo eziningi kungakapheli inyanga.

Ukwelashwa kokwelwa yizinyawo kwabazingisi kudokotela: lapho i-OTC ingenayo ingenele

Uma i-cream yokwelwa yizinyawo kwabazingisi ye-OTC ingayisusile isifo ngemuva kwamaviki ama-2 kuye ku-4, noma uma izimpawu ziba zimbi kakhulu noma zidlulela phambili, umdokotela onelayisense angakubhalela imishanguzo ye-antifungal enamandla, eminingi ngokuvakashela kuvidiyo ye-telehealth, njengoba ukwelwa yizinyawo kwabazingisi kubonakala kakhulu futhi kulula ukuhlola ngevidiyo.

Izinketho ezijwayelekile ze-antifungal ezibhalwa ngudokotela:

  • I-Terbinafine ngomlomo (Lamisil). Isikhathi sokwelashwa ngomlomo samaviki ama-2 kuye ku-6; indinganiso yezokwelapha yezifo ezibucayi noma eziqhubekayo kanye nokudluliselwa ezinyosini.
  • I-Fluconazole noma i-itraconazole ngomlomo. Amanye ama-antifungals ngomlomo lapho i-terbinafine ingafanele ngenxa yokukhathazeka kwesibindi noma ukuxhumana nemishanguzo.
  • Ama-cream we-antifungal a-prescription-strength. Ukugxilisa okuphezulu kwe-ciclopirox, i-naftifine, noma i-econazole creams ezimweni ezingabhekani ne-OTC.
  • Ama-cream ahlanganisiwe we-antifungal-steroid. Asetshenziswa isikhashana lapho ukuvuvukala okubukhali kuhambisana nesifo samagciwane; isikhathi esifushane kuphela.

Inzuzo ye-telehealth: ukwelwa yizinyawo kwabazingisi kungatholakala ngokunembile ngevidiyo, ngakho-ke umhlinzeki wakho angabona indawo ethintekayo ngaphandle kokuhlolwa bukhoma. Izivakashi eziningi ze-inthanethi ezingezona eziphuthumayo zihambisa isinqumo sokubhalwa kwemishanguzo kungakapheli imizuzu engu-15 kuye ku-20, nomuthi ubhalwa nge-e-prescription ukuze uthathe esitolo ngosuku olufanayo.

Inothi mayelana nokugunyazwa kwe-FDA: wonke ama-antifungals abhalwa ngudokotela ngenhla agunyazwe yi-FDA. Izixwayiso ezibalulekile: i-terbinafine ngomlomo (Lamisil) ingadala ubuhlungu besibindi (ukuhlolwa komsebenzi wesibindi okuyisisekelo kuyajwayelekile); i-itraconazole (Sporanox) inesixwayiso esibhakathisiwe sezinkinga zenhliziyo; i-fluconazole ixhumana ne-warfarin nama-statins; futhi ama-cream ahlanganisiwe we-antifungal-steroid asebenza isikhashana kuphela ukuze agweme ukudayela kwesikhumba.

Ukuze uthole okuningi mayelana nokubhalwa kwemishanguzo ye-virtual, bona izinsizakalo zokubhalwa kwemishanguzo ku-inthanethi. Isiqondiso sokubhalwa kwemishanguzo kusuka ku-Cleveland Clinic kanye ne-Max Healthcare siqinisekisa ukuthi le ndlela ye-telehealth manje iyijwayelekile ezimweni ezibucayi.

Kungani ukwelwa yizinyawo kwabazingisi kuqhubeka nokubuya nokuthi ungakuyeka kanjani

Ukwelwa yizinyawo kwabazingisi kunezibalo eziphakeme kakhulu zokuphinda kubonakale. Ukuqonda ukuthi kungani kuqhubeka nokubuyela yisinyathelo sokuqala sokuyikhipha unomphela:

  • Ukugcwalisa ukwelashwa. Ukuyeka ukusebenzisa i-cream ye-antifungal ngaso leso sikhathi izimpawu zinyamalala yisizathu sokuqala. Qhubeka nokufaka isikhathi esigcwele samaviki ama-4, njengoba igciwane lihlala ngaphansi kwesikhumba ngemuva kokuba izimpawu ezibonakalayo zithule.
  • Ukuthola isifo kusuka ezicathulweni noma amasokisi. Ama-spores egciwane ayasinda ezicathulweni izinyanga. Welapha izicathulo nge-spray ye-antifungal ngesikhathi nangemuva kokwelashwa.
  • Isikhala sezinyaweni. Ukudlulela ezinyosini kwakha indawo egciwaneni eqhubeka nokuthola isifo esikhunjeni. Igciwane lezinyawu lidinga ama-antifungals ngomlomo, njengoba ama-cream wokubeka ngomlomo angakwazi ukungena esikhumbeni.
  • Umswakama oqhubekayo. Izinyawo ezijulukayo, izicathulo ezivalayo, kanye nemikhuba yokomisa embi yakha izimo zokuthola isifo kabusha.
  • Ukukhubazeka komzimba. Isifo sikashukela, i-HIV, nemishanguzo eqeda amandla emzimba yandisa ingozi yokuphinda kubonakale.

Izindlela zokuvimbela: amasokisi afaka umswakama, ukubheka izicathulo nsuku zonke, ukomisa kahle ngemuva kokugeza, kanye nempushana ye-antifungal yokuvimbela izifo eziqhubekayo. Iziqondiso ezivela ku-Max Healthcare ziqinisekisa ukuthi le mikhuba emihlanu yenza izimo eziningi kakhulu eziqine kakhulu.

Nini ukubona udokotela ngezokwelwa yizinyawo kwabazingisi

Bona udokotela ngezokwelwa yizinyawo kwabazingisi lokho:

  • Akuthuthuki ngemuva kwamaviki ama-2 kuye ku-4 okwelashwa kwe-OTC. Isifo esihambayo sidinga i-antifungal yezigaba zokwelashwa kudokotela.
  • Kudlulela ezinyosini. I-Onychomycosis idinga umuthi we-antifungal ngomlomo ongabhalwa ngudokotela onelayisense kuphela.
  • Kubangela ubuhlungu obukhulu noma izimpawu zokutheleleka kwamagciwane. Ukukhukhuleka, ukubomvu okwandayo, noma ukufudumeza kubonisa amagciwane angena esikhunjeni esilimazeke yigciwane.
  • Kuhambisana nesifo sikashukela. Izakhamuzi zesifo sikashukela akumele zizilaphe izifo ezinyaweni, njengoba noma izincane zingaba yizinkinga ezinzima ezihlanganisa ama-ulcer ezinyawo zesifo sikashukela.

Izimpawu zokudabuka okukhulu: funa ukwelashwa ngokushesha ngezinga eliphezulu lokushisa lomzimba lihambisana nesifo ezinyaweni, imigqa ebomvu ehamba phezulu emlenzeni (i-cellulitis idlulela phambili), ukuvuvukala okukhulu, noma izimpawu zesepsis. Lezi zibonisa inkinga yamagciwane edinga ukwelashwa ngama-antibiotic ngokushesha.

Ukwelashwa kwezifo ezihambisana namagciwane, bona ungathola ama-antibiotic ku-inthanethi?. Isiqondiso sokuthola izimpawu kusuka ku-Mayo Clinic siqinisekisa ukuthi lezi zimpawu ezibomvu zifuna ukuhlolwa bukhoma.

Thola ukwelashwa kokwelwa yizinyawo kwabazingisi ku-inthanethi nge-telehealth

Uma i-cream yokwelwa yizinyawo kwabazingisi ye-OTC ingasebenzi, noma ufuna ukuhlolwa kochwepheshe ngaphandle kokungathandeki kokuhlolwa kwezinyawo bukhoma, i-telehealth ilungele kakhulu ukwelwa yizinyawo kwabazingisi. Izimo ezibonakalayo zilungele ukutholwa ngevidiyo. Umhlinzeki wakho angabona indawo ethintekayo ngokucacile, aqinisekise ukutholwa, futhi abhale i-antifungal efanele kunokuvakashela okufushane okungu-15-imizuzu.

Inqubo ye-telehealth ye-August AI yokwelwa yizinyawo kwabazingisi:

  1. Ukuhlola izimpawu ngokusebenzisa isihlungi. Chaza futhi uthathe izithombe zezimpawu zakho kungakapheli imizuzu emibili; thola isiqondiso esheshayo mayelana nokuthi i-OTC noma i-antifungal yezigaba zokwelashwa kudokotela ilungele.
  2. Xhumana nodokotela onelayisense kungakapheli imizuzu. Bonisa indawo ethintekayo ngevidiyo; akukho ukuhlolwa bukhoma okudingekayo.
  3. I-E-prescription ithunyelwa esitolo sakho semithi. Ukhilimu we-antifungal obhalwe ngudokotela noma i-terbinafine ngomlomo kuthunyelwa nge-elektroniki ukuze uthathe esitolo ngosuku olufanayo.
  4. Ukunakekelwa okuyimfihlo, okungenalucala. Akukho ukulinda, akukho ukuhlolwa bukhoma okungathandeki.

Ngezinkambo ze-telehealth ezihlobene, bona ukwelashwa okungazelelwe okuku-inthanethi, izinsizakalo zokubhalwa kwemishanguzo ku-inthanethi, noma ungathola ama-antibiotic ku-inthanethi?.

Ukhathele izinyawo ezikhwehlelayo, eziyaxebuka ezingeke zicace? Vakashela August AI Online Urgent Care ukuze uqale ukuhlola izimpawu zakho futhi uthole i-antifungal ebhalwe ngudokotela esandleni sakho kungakapheli amahora.