Iyini isifo somvubelo?

Isifo somvubelo (esibizwa ngokuthi i-vaginal candidiasis) sibangelwa ukukhula ngokweqile kwe-Candida albicans, isikhunta esikhona ngokwemvelo ngamanani amancane esithweni sangasese sowesifazane. Uma ibhalansi yesitho sangasese sowesifazane iyanqamuka, i-Candida iyanda ngokushesha futhi ibangela izimpawu ezijwayelekile zokulunywa, ukusha, nokukhishwa.

Izifo zomvubelo zivame kakhulu: cishe u-75% wabesifazane bazobhekana okungenani neyodwa ekuphileni kwabo, futhi cishe ingxenye izoba ezimbili noma ngaphezulu. Izimbangela ezivamile zihlanganisa ukusetshenziswa kwamabhilidi, izinguquko zamahomoni (ukukhulelwa, umjikelezo wokuya esikhathini, ukulawulwa kokubeletha kwamahomoni), isifo sikashukela esingalawulwa, ukuzivikela komzimba okubuthakathaka, nezingubo eziqinile ezingaphefumuliyo.

Izimanga eziningi azinzima futhi ziphendula ngokushesha ekwelashweni kwe-OTC noma komuthi kadokotela wezifo zomvubelo. Kodwa-ke, izifo ezivame ukuphinda zivame (izikhathi ezi-4 noma ngaphezulu emahola ayi-12) zidinga ukuhlolwa kwezokwelapha kunokuzelapha okuqhubekayo. Izinto zokubhekisela ezivela ku-GoodRx naku-WebMD ziqinisekisa ukungenelela kusenesikhathi kunciphisa kakhulu isikhathi sezimpawu.

Ukhathazekile ngezimpawu zesifo somvubelo ngalokhu kudinga ukusizwa ngalolo suku? I-August AI Symptom Checker ihlola izimpawu zakho zingaphansi kwemizuzu emibili futhi ikutshele ukuthi ukwelashwa kwe-OTC kuzosebenza yini noma ukuthi udinga yini umuthi we-fluconazole ngalolo suku. Uma kudingeka, i-August AI Online Urgent Care ikuxhumanisa nodokotela onelayisensi ngemizuzu.

Izimpawu zesifo somvubelo

Izimpawu zesifo somvubelo ziyabonakala kakhulu, yingakho iningi labesifazane lingakwazi ukuzibona futhi lifune ukwelashwa ngokushesha:

  • Ukulunywa okukhulu esithweni sangasese sowesifazane. Ivamise ukuba yisimpawu esivelele kakhulu; sihlala njalo futhi sivame ukuba sibi ebusuku.
  • Ukusha lapho uchama noma ucansha. Ukungakhululeki okuqina lapho indawo ethintekile ithintwa noma icatshangwa.
  • Ukukhishwa okujiyile, okumhlophe, okufana noshizi okunosawolintshi. Kuvamile ukuba kungabi nephunga, okukuhlukanisa ne-bacterial vaginosis, eniphunga lenhlanzi.
  • Ukubomvu nokuvuvukala kwesitho sangasese sowesifazane. Ukuvuvukala kwe-vulva nendawo ezungezile.
  • Ukuphathwa, ukubomvu, noma izikhala ezincane esikhunjeni. Ezimweni ezinzima kakhulu.

Uma izimpawu zinzima, zivame ukuphinda zivame, noma zihambisana nephunga elingajwayelekile, ukopha, noma ubuhlungu besisu, thintana nomhlinzeki wezempilo; lokhu kungabonisa i-bacterial vaginosis, i-STI, noma ezinye izimo ezibukeka njengezifo zomvubelo kodwa ezidinga ukwelashwa okuhlukile. Isiqondiso sezimpawu ezivela ku-WebMD naku-Sesame Care siqinisekisa ukuthi ukubona izimpawu ngqo kubalulekile, ngoba ukuzelapha isimo esingaqinisekisiwe kungalibazisa ukwelashwa okufanele.

Ukwelashwa kwezifo zomvubelo okungathengwa esitolo (OTC)

Uma uzibuza ngokwelashwa okufanele kwesifo somvubelo, izimanga eziningi ezingezona ezinzima ziphendula kahle kuma-antifungal angathengwa esitolo phakathi kwezinsuku ezingu-1 kuya kwezi-7.

Izinketho zokwelashwa kwezifo zomvubelo ezingathengwa esitolo:

  • I-Miconazole (Monistat 1, 3, noma izinsukuhlanu eziyi-7). Inketho ethengwa kakhulu esitolo; iyatholakala njengama-creams, ama-suppositories, noma amaphakethe okuhlanganisa. Amamodeli osuku olu-1 ayakhipha ngokushesha kodwa abangela ukucasuka okwengeziwe endaweni; amamodeli ezinsuku ezingu-7 anomusa.
  • I-Clotrimazole (Gyne-Lotrimin, Mycelex). Ukhilimu wesitho sangasese sowesifazane noma ithebhulethi efakwa ngesikhathi sokulala izinsuku ezingu-3 noma ezingu-7.
  • I-Tioconazole (Vagistat-1). Amafutha omthamo owodwa; aphumelelayo ezifweni ezimnene kuya ezimaphakathi.
  • I-Butoconazole (Gynazole-1). Ukhilimu wamandla omuthi kadokotela womthamo owodwa; amanye amamodeli adinga umuthi kadokotela.

Inothi mayelana nokugunyazwa kwe-FDA: zonke izidakamizwa ezilwa namagciwane ezitho zangasese zomlomo ezifakwa esitolo ezilisiwe zigunyazwe yi-FDA ngaphansi kwe-OTC Antifungal Monograph ye-vaginal candidiasis, ebonakala iphephile futhi iphumelelayo ezifweni zomvubelo ezingezona ezinzima kubantu abadala abaphilile. Yeka ukusebenzisa futhi uthintane nomhlinzeki wezempilo uma izimpawu ziba zimbi, zihlala ngaphezu kwezinsuku ezingu-7 zokwelashwa okusebenzayo, noma zivame ukuphinda zivame zingakapheli izinyanga ezi-2. Ama-antifungal omzimba angathengwa esitolo akutuswa ngesikhathi sokukhulelwa ngaphandle kokuqondiswa kwezokwelapha.

Ukuphuka kwemikhiqizo ye-OTC kusuka ku-GoodRx naku-Sesame Care kuqinisekisa ukuthi lezi zigaba ezine zihlanganisa iningi lezinketho ze-OTC ezitholakala emakhemisi amakhulu ase-US.

Ukwelashwa kwezifo zomvubelo ngomuthi kadokotela: indlela yokuthola i-fluconazole (Diflucan)

Uma izinketho ezingathengwa esitolo zehluleka ukuhlinzeka ngokusiza noma ukhetha isivinini nokulula, umhlinzeki onelayisensi angase abhale umuthi we-oral fluconazole (Diflucan), ngokuvamile njengepilisi eyodwa eyi-150mg ehlukanisa izifo zomvubelo ezingezona ezinzima zingakapheli amahora angu-24.

Indlela yokuphethwe umuthi kadokotela we-fluconazole:

  • Ukulula komthamo owodwa. Ilipilisi elilodwa le-Diflucan elingu-150mg lingathatha indawo yokufaka ukhilimu wesitho sangasese sowesifazane owenziwa umonakalo wezinsuku ezingu-1 kuya kwezi-7.
  • Ukusiza okusheshayo. Izimpawu ngokuvamile ziqala ukuthuthuka kungakapheli amahora angu-24, kanti ukuthuthuka okuphelele kwezimpawu kungakapheli izinsuku ezingu-3 kuya kwezi-7.
  • Ukutholakala kwe-telehealth ngalolo suku. Xhumana nomhlinzeki we-telehealth ngezingxoxo ezimfushane ezibonakalayo noma inkundla yokunakekelwa esiphuthumayo eku-inthanethi; umhlinzeki uhlola isimo sakho futhi ubhalele umuthi we-fluconazole esitolo sakho samakhemisi esifundeni kungakapheli amahora.
  • Izinqubo zezifo ezivame ukuphinda zivame. Ezifweni ezi-4 noma ngaphezulu ngonyaka, abahlinzeki bangase babhale uhlelo oluqinile lwe-antifungal, umjikelezo wokwelashwa owenziwe ngamaphilisi amathathu we-fluconazole (ilipilisi elilodwa njalo ngehora ezingu-72) noma ukwelashwa okuyindaba kweviki elide.

Inothi mayelana nokugunyazwa kwe-FDA: i-fluconazole (Diflucan) igunyazwe yi-FDA ye-vaginal candidiasis. Izixwayiso ezibalulekile: ayisetshenziswa kubantu abakhulelwe (ikakhulukazi ingxenye yokuqala yokukhulelwa), futhi inezimpawu ezihambayo nemithi ye-warfarin, i-statins, ne-antiarrhythmics ethile, ngakho-ke yabelana ngohlu lwakho lonke lwemithi nomhlinzeki obhala umuthi.

Ngezinye izinto mayelana nemithi ebekwa ku-inthanethi, bona izinsizakalo zemithi ku-inthanethi. Isiqondiso semithi esivela ku-WebMD naku-Sesame Care siqinisekisa ukuthi i-fluconazole iyimithi ye-antifungal enemithi kadokotela ejwayelekile yezifo ezingezona ezinzima.

Izixazululo zasekhaya zezifo zomvubelo ezisiza ngempela

Izixazululo ezimbalwa zasekhaya zingadambisa izimpawu futhi zisekele ukululama ndawonye (hhayi esikhundleni) sokwelashwa nge-antifungal:

  • Ama-Probiotics. Ama-Lactobacillus probiotics asemathunjini noma iyogathi enothe nge-probiotic angasiza ukubuyisela i-vaginal flora enempilo ngesikhathi nangemva kokwelashwa nge-antifungal.
  • Ama-suppository e-boric acid. Ama-suppository we-boric acid angama-600mg angasetshenziswa esithweni sangasese sowesifazane ebusuku izinsuku ezingu-7 kuya kwezi-14 aphumelelayo ezinhlobonhlobo ze-non-albicans zemvubelo ezingavumeli ama-antifungal ajwayelekile. Atholakala esitolo; ungasebenzisi emthonjeni, futhi akaphephile ngesikhathi sokukhulelwa.
  • Ama-compress abandayo. Dambisa ukulunywa kwe-vulva nokucasuka ngenkathi ukwelashwa nge-antifungal kuqala ukusebenza.
  • Amabhulukwe omndeni we-cotton avulekile, aphefumulayo. Kunciphisa ukwakheka komswakama okuvumela ukukhula kwe-yeast.
  • Gwema ukudouching, insipho enamakha, kanye nokugeza ngemvukuzo. Konke kuyadida ibhalansi ye-pH yesitho sangasese sowesifazane futhi kungalibazisa isifo.
  • Ukufakwa kweyogathi evamile. Ukufakwa phezulu kungadambisa izimpawu; ubufakazi bezokwelapha mayelana nokuphumelela buyahlukahlukene.

Okungasebenzi: ukufakwa kukagalikhi, uwoyela we-tea tree, i-apple cider vinegar douches, nezinye izixazululo ze-social media zingadala ukucasuka okukhulu noma kuphazamise i-microbiome yesitho sangasese sowesifazane, kukulibazise ukwelashwa kwangempela.

Isiqondiso sezixazululo zasekhaya esivela ku-Sesame Care siqinisekisa ukuthi lezi zindlela eziyisithupha yizindlela zokuqiniswa ezisekelwe ebufakazini kanye nokwelashwa nge-antifungal.

Izifo zomvubelo ezivame ukuphinda zivame: nini ukuya kudokotela

Izifo zomvubelo ezivame ukuphinda zivame, ezichazwa njengezingu-4 noma ngaphezulu emahola ayi-12, zithinta cishe u-5% wabesifazane futhi zidinga ukuhlolwa kwezokwelapha kunokuzelapha okuqhubekayo nge-OTC antifungal.

Izimbangela ezivamile zezifo zomvubelo ezivame ukuphinda zivame:

  • Isifo sikashukela esingalawulwa noma ukumelana ne-insulin. Ushukela wegazi ophakeme uondla ukukhula kwe-Candida futhi uyinye yezimbangela ezivame kakhulu zokuphinda kwezifo.
  • Izinhlobo ze-Candida ezingezona ezase-albicans. Zivame ukumelana nama-antifungal ajwayelekile; zingadinga i-boric acid noma imithi kadokotela ekhethekile njenge-nystatin.
  • Izici zamahomoni. Ukukhulelwa, ukulawulwa kokubeletha kwamahomoni, kanye ne-hormone replacement therapy zonke zishintsha ibhalansi ye-vaginal flora.
  • Ukucindezelwa komzimba. I-HIV, i-chemotherapy, nemithi yokucindezela umzimba yandisa ukuba sengozini.
  • Ukudluliselwa ngocansi. Nakuba i-yeast ingabhalisiwe njenge-STI, ozakwethu bangaphethe i-Candida futhi badinge ukwelashwa kwezinye izimo eziphindaphindayo.

Ukwelashwa kwezifo zomvubelo ezivame ukuphinda zivame kuvame ukuhlanganisa umjikelezo wokwelashwa wezinsuku ezingu-14 we-fluconazole okulandelwa yizinyanga eziyisi-6 zokwelashwa okuyindaba kweviki le-fluconazole. Umhlinzeki we-telehealth angavula lo mkhuba futhi aqaphe impendulo yakho ngokuhamba kwesikhathi.

Bona udokotela ngezifo zomvubelo ezivame ukuphinda zivame, izimpawu ngesikhathi sokukhulelwa, iphunga elingajwayelekile noma ukuphuma kwegazi, umkhuhlane, noma ubuhlungu obukhulu besisu; lokhu kungabonisa izimo ngaphandle kwezifo zomvubelo ezidinga ukwelashwa okuhlukile. Isiqondiso sokuphindaphinda kwezifo esivela ku-WebMD siqinisekisa ukuthi umkhawulo wokuphinda kwezi-4 ngonyaka uyimethrikhi yezokwelapha yokudlulela ekwelashweni okubukhali ukuya ekucindezelweni kwesikhathi eside.

Thola ukwelashwa kwezifo zomvubelo ku-inthanethi nge-telehealth

Izimpawu zesifo somvubelo azidingi ukulinda ukuze kuqokwe udokotela. Ngoba ukuxilonga kususelwa ikakhulukazi ezimpawini ezibonakala kakhulu, umhlinzeki we-telehealth onelayisensi angahlola isimo sakho ngevidiyo, abhale umuthi we-fluconazole lapho kufanele, futhi alungiselele umuthi esitolo sakho samakhemisi kungakapheli amahora, konke ngaphandle kokuhlola ubuso nobuso.

Inqubo ye-telehealth ye-August AI yezifo zomvubelo:

  1. Ukuhlola kwe-symptom checker. Chaza izimpawu zakho zingakapheli imizuzu emibili; thola isiqondiso esheshayo sokuthi ngabe ukwelashwa kwe-OTC noma okuphakeme ngamandla kadokotela kufanele yini.
  2. Xhuma nodokotela onelayisensi ngemizuzu. Ukuxoxisana kwevidiyo okuyimfihlo, okungenasahluleli.
  3. I-E-prescription ithunyelwa esitolo sakho samakhemisi. I-Fluconazole (Diflucan) i-e-prescribed ukuze ilungiswe ngalolo suku, ngokuvamile ilungile kungakapheli amahora angu-1 kuya ku-2.
  4. Izinqubo zezifo ezivame ukuphinda zivame. Ezifweni ezi-4 noma ngaphezulu ngonyaka, abahlinzeki be-August AI bangase babhale ukwelashwa okuyindaba okude futhi baqaphe impendulo yakho.

Udinga usizo lwesifo somvubelo ngalolo suku? Vakashela August AI Online Urgent Care ukuze uqale ukuhlola izimpawu zakho futhi uthole umuthi we-fluconazole kungakapheli amahora.

Imibuzo ejwayelekile mayelana nezifo zomvubelo

Ngingathola i-fluconazole (Diflucan) ku-inthanethi?

Yebo. Abahlinzeki be-telehealth abaneleyisensi bangabhala i-fluconazole ye-e-prescription ukuze ilungiswe ngalolo suku esitolo samakhemisi ngemva kokuhlolwa okufushane okubavirtual. Umthamo owodwa ongama-150 mg uvamise ukuhlanza isifo somvubelo esingezona esinzima kungakapheli amahora angu-24 kuya ku-72. August AI Online Urgent Care ikuxhumanisa nodokotela ngemizuzu ukuze kuhlolwe futhi ubhalwe umuthi we-e-prescription.

Ngiyazi kanjani ukuthi isifo somvubelo noma okunye?

Izifo zomvubelo zivame ukukhiqiza ukulunywa okunamandla kanye nokukhishwa okujiyile okumhlophe okufana noshizi okunosawolintshi ngaphandle kwephunga. I-Bacterial vaginosis (BV) ikhiqiza ukukhishwa okujiyile okumpunga kunye nephunga lenhlanzi. Izifo ezidluliselwa ngocansi njenge-trichomoniasis zingakhiqiza ukukhishwa okuphuzi-kweluhlaza kunomoya oqinile. Uma izimpawu zakho zihlanganisa iphunga elingajwayelekile, ukuphuma kwegazi phakathi kwezikhathi, ubuhlungu besisu, noma umkhuhlane, thintana nomhlinzeki; ukuzelapha isimo esingaqinisekisiwe kubambezela ukwelashwa okufanele.

Kungakanani ukwelashwa kwezifo zomvubelo okusebenza ngokushesha?

Ama-antifungal e-OTC afana neMonistat avame ukuthuthukisa izimpawu kungakapheli izinsuku ezingu-1 kuya kwezi-3, kanti ukululama okuphelele kungakapheli izinsuku ezingu-5 kuya kwezi-7. I-oral fluconazole (Diflucan) isebenza ngokushesha; izimpawu ziqala ukuthuthuka kungakapheli amahora angu-24 futhi zikhutshulwe kungakapheli izinsuku ezingu-3 kuya kwezi-7. Uma ungaboni ukuthuthuka ngemva kwezinsuku ezingu-3 ze-OTC noma amahora angu-48 e-fluconazole, thintana nomhlinzeki wakho.

Ngingacansha ngesikhathi sesifo somvubelo?

Ngokuvamile kuyanconywa ukuba ugweme ucansi kuze kube yilapho izimpawu seziluleme ngokuphelele. Ucansi lungenza ukucasuka kube kubi, lubambezele ukululama, futhi kungadluliseli i-yeast kowakwakhe ocansini. Futhi, ama-creams we-antifungal asuselwe kuwoyela (njengeMonistat) angadodobalisa amakherese alulama kanye nama-diaphragm, ngakho sebenzisa ezinye izindlela ezingezona zamahomoni ngesikhathi sokwelashwa. Bona ukulawulwa kokubeletha nge-telemedicine ukuze uthole isiqondiso sokuvimbela ukukhulelwa.

Ngingathola umuthi wokwelashwa kwezifo zomvubelo ku-inthanethi ngaphandle komshwalense?

Yebo. Izinkundla eziningi ze-telehealth zinikeza izingxoxo zokukhokha ngemali (amaRandi angu-25 kuya ku-75) ezingadingi umshwalense. I-generic fluconazole ibiza amaRandi angu-4 kuye kwey-15 kumakhemisi amaningi ngaphandle komshwalense ngokusebenzisa izinhlelo ezijwayelekile zeWalmart, Target, neCostco. Intengo ephelele yokukhokha ngemali ngokuvamile ingamaRandi angu-30 kuye kwangu-90.

Kungani ngithola izifo zomvubelo ngemva kokuthatha amabhilidi?

Amabhilidi abulala kokubili amagciwane abangela umonakalo kanye namagciwane e-Lactobacillus anenzuzo agcina i-Candida yesitho sangasese sowesifazane ilawulwa. Lokhu kuvumela ukukhula ngokweqile kwe-yeast. Uma usebenzisa amabhilidi esifo sezindlela zokuchama noma esinye isifo, buza umhlinzeki wakho mayelana nokwelashwa kwe-antifungal okuvimbela noma ama-probiotics. Bona amabhilidi we-UTI ku-inthanethi ukuze uthole izinketho zokwelashwa kwe-UTI.

Kuphephile ukwelashwa kwesifo somvubelo ngesikhathi sokukhulelwa?

Ama-antifungal omzimba angathengwa esitolo afana neMonistat (miconazole) neGyne-Lotrimin (clotrimazole) ngokuvamile athathwa njengaphephile ngesikhathi sokukhulelwa kodwa kufanele asetshenziswe kuphela ngokuqondiswa ngumhlinzeki. I-oral fluconazole (Diflucan) ayisetshenziswa kubantu abakhulelwe, ikakhulukazi ingxenye yokuqala yokukhulelwa, ngenxa yezingozi ezingenzeka zokukhubazeka kokuzalwa. Abesifazane abakhulelwe kufanele njalo bathintane nomhlinzeki onelayisensi ngaphambi kokwelashwa.

Ingabe isifo somvubelo singaphela ngaphandle kokwelashwa?

Ngezinye izikhathi izifo zomvubelo ezimnene ziyachamela ngaphandle kokwelashwa njengoba ibhalansi ye-vaginal flora iyabuyiselwa, kodwa lokhu akwethenjwa futhi izimanga eziningi ziba zimbi ngaphandle kokwelashwa. Izifo ezingelashwanga zingaholela ekuhlahleni kwesikhumba, izifo zamagciwane yesibili, kanye nokungakhululeki okuhlala njalo. Ukwelashwa nge-OTC noma imithi kadokotela ye-antifungal kuyashesha, kuyathenjwa kakhulu, futhi kuvimbela izinkinga.

Ngingaya kudokotela nini ngezifo zomvubelo esikhundleni sokuzelapha?

Bona udokotela uma kungukuqala kwesifo sakho somvubelo (ukuze uqinisekiswe ukuthi siyini), ukhulelwe, izimpawu zinzima noma zihambisana nephunga elingajwayelekile noma ukuphuma kwegazi, unezifo ezi-4 noma ngaphezulu ngonyaka (ukuphinda kwe-candidiasis), ukwelashwa kwe-OTC kwehluleka ngemva kwezinsuku ezingu-7, noma une-diabetes noma izimo zokuzivikela emzimbeni. Bona isiqondiso sethu sokuphepha, ungathola amabhilidi ku-inthanethi ngokuphephile?, ukuze uthole izimiso zokuphepha zemithi evamile ezisebenza nakuma-antifungal.