Zithandizo zamtundu uliwonse wamaliseche

Zamkati

• 1. Kutuluka kwa chikasu
• 2. Kutuluka koyera
• 3. Kutulutsa kotuwa
• 4. Kutuluka kobiriwira
• 5. Kutuluka kofiirira
• Zithandizo zapakhomo

Kutulutsa kulikonse kumatha kuwonetsa zosiyana, kuyambira kubisalira kwa thupi la mayi mpaka kutupa kwakukulu.

Komabe, nthawi zambiri, kutulutsa kumawonetsa kupezeka kwa matenda ena kumaliseche ndipo chifukwa chake, ndizofala kuti mankhwala azichitika pogwiritsa ntchito maantibayotiki kapena ma antifungal, monga metronidazole, clindamycin, miconazole kapena fluconazole, mu zonona, mafuta kapena kupanikizika.

Mankhwalawa ayenera kuwonetsedwa ndi azachipatala, ndipo ngati mzimayi awona kuti pali kutuluka kwa ukazi, ayenera kupanga nthawi yodziwitsa kuti ndi chiyani chomwe chikuyambitsa chizindikirochi ndikuwonetsa njira yoyenera kwambiri. Nthawi zambiri azachipatala amatha kudziwa wothandizirayo pongowunika zizindikilozo, komabe, atha kulangiza kuyeserera kotsimikizika kuti atsimikizire matendawa.

Mvetsetsani bwino tanthauzo la mtundu uliwonse wamaliseche.

Mwambiri, kutulutsa kwamaliseche komwe kumafala kwambiri kumatha kuthandizidwa motere:

1. Kutuluka kwa chikasu

Kutulutsa kwachikasu, komwe kumamveka kafungo kofanana ndi nsomba zowola, kumatha kukhala bakiteriya vaginosis. Kuphatikiza pa kutuluka kwachikasu ndikununkhira koyipa, mayiyo amathabe kumva kutentha akamakodza komanso kukulitsa kununkhira atalumikizana kwambiri.

Njira Zothandizira: Pankhani yotulutsa zachikasu, azimayi azachipatala angalimbikitse kugwiritsa ntchito:

• Metronidazole 500 mg wa 12 / 12h kugwiritsa ntchito pakamwa, kwa masiku 7 motsatizana;
• Metronidazole gel osakaniza 0.75%, kugwiritsidwa ntchito kwamkati mwausiku, kwausiku 5;
• Clindamycin zonona 2% ntchito yamkati, kwa mausiku 7.

Ndikofunikira kuti chithandizo chichitike molingana ndi upangiri wa zamankhwala ndipo sichisokonezedwa ngakhale pakukula kwa zizindikilo.

2. Kutuluka koyera

Kukhalapo kwa kutuluka koyera, kofanana ndi mkaka wokhotakhota, wopanda kapena kununkhiza, komwe kumakhudzana ndi kuyabwa kwambiri ndikuyaka pamene mukukodza kungakhale chizindikiro cha candidiasis, yomwe ndi matenda omwe amayamba chifukwa cha bowa wa mtunduwo Kandida amenewo ndi gawo la tizilombo tating'onoting'ono ta mkazi tating'ono.

Njira Zothandizira: Ngati candidiasis amapezeka, a gynecologist angalimbikitse kugwiritsa ntchito mankhwala ena monga:

• Zonona Clotrimazole 2%, kugwiritsidwa ntchito kwamkati mwausiku kwa masiku 7-14;
• Nystatinzonona, kugwiritsidwa ntchito kwamkati mwausiku kwa masiku 14;
• Fluconazole 150 mg ntchito pakamwa, mlingo umodzi.

Ndikofunika kuti chithandizocho chisathe ngakhale zitayamba kusintha, chifukwa pakhoza kukhala kubwerera kukufalikira kwachilendo kwa bowa.

3. Kutulutsa kotuwa

Kutulutsa kotuwa kwa imvi, kwakuthwa, thovu komanso kununkhiza kumatha kukhala chizindikiro cha trichomoniasis, yomwe ndi matenda oyambitsidwa ndi tiziromboti Trichomonas vaginalis.

Njira Zothandizira: Ngati kukhalapo kwa Zolemba kudzera mu kukodza, gynecologist amatha kuwonetsa:

• Metronidazole 2g ntchito m`kamwa, limodzi mlingo;
• Tinidazole 2g ntchito m`kamwa, limodzi mlingo;
• Wachinyamata 2g ntchito pakamwa, mlingo umodzi.

4. Kutuluka kobiriwira

Kukhalapo kwa kutuluka kwa chikasu chobiriwira ndi fungo loipa lomwe limalumikizidwa ndi kutuluka magazi komanso kukongoletsa mukakodza komanso mukamakhudzana kwambiri, chitha kukhala chizindikiro cha matenda Neisseria gonorrhoeae, omwe ndi bakiteriya omwe amachititsa Gonorrhea, yomwe ndi Matenda opatsirana pogonana (STI).

Njira Zothandizira: Ndikofunika kuti matenda a chinzonono apangidwe mwachangu kuti mankhwala ayambitsidwenso ndikuthana ndi zovuta. Pambuyo pa matendawa, azimayi amatha kuwonetsa kugwiritsa ntchito:

• Ciprofloxacin 500 mg, kugwiritsa ntchito pakamwa, muyezo umodzi;
• Ceftriaxone 1g, ntchito mu mnofu, mlingo umodzi.

Mankhwalawa akuyenera kuchitidwa ndi mayi komanso mnzake, chifukwa popeza ndi matenda opatsirana pogonana, mabakiteriya amatha kufalikira kuchokera kwa munthu wina kupita kwa mnzake panthawi yogonana mosaziteteza. Kuphatikiza apo, ndikofunikira kwambiri kuti chithandizo chamankhwala chichitike potsatira malangizo azachipatala, chifukwa apo ayi pakhoza kukhala njira zopewera zolimbana ndi mabakiteriya, zomwe zimapangitsa kuti mankhwala azivuta komanso kuthandizira kuwonekera kwa zovuta.

5. Kutuluka kofiirira

Monga kutuluka kobiriwira wachikaso, kutulutsa kofiirira kungakhale kofanananso ndi chinzonono. Komabe, ndizothekanso kuti pamakhala masiku obiriwira atatsala pang'ono kutha msambo, zomwe sizoyambitsa nkhawa. Phunzirani pazinthu zina zomwe zimatulutsa bulauni.

Njira Zothandizira: Kukhalapo kwa zotuluka zofiirira nthawi zambiri sizomwe zimayambitsa nkhawa, komabe mukamatsatira ndi zizindikilo, ndikofunikira kuti azimayi azipanga izi kuti chithandizo choyenera kwambiri chiyambe. Kawirikawiri mankhwala ochotsera bulauni omwe amabwera chifukwa cha mabakiteriya amachitika pogwiritsa ntchito Azithromycin kapena Ciprofloxacin muyezo umodzi kapena masiku 7 mpaka 10, malinga ndi malingaliro azachipatala.

Zithandizo zapakhomo

Zithandizo zapakhomo siziyenera kulowa m'malo mwa malangizo a dokotala, komabe, atha kugwiritsidwa ntchito limodzi ndi njira zothandizira kuchiritsa ndikuchepetsa zizindikilo, komanso kukhala njira yabwino yopewera matenda.

Zosankha zina ndi izi:

• Pangani bafa la sitz ndi tiyi wa gwava, Kawiri pa tsiku, kothandiza kuthana ndi kutuluka kwa Trichomoniasis ndi Candidiasis;
• Sambani malo apamtima ndi tiyi wokoma ndi tsabola, kuyanika ndi nsalu yoyera, yofewa, kwa sabata limodzi;
• Sungani chakudya chachilengedwe, potengera zipatso ndi ndiwo zamasamba, kupewa kupezeka kwa zakudya zotukuka momwe zingathere.

Onani maphikidwe awa ndi momwe mungapangire chithandizo chanyumba kutulutsa kumaliseche.