Thrush (los yog qhov chaw mos candidiasis) yog ib hom kab mob poj niam uas txhua tus poj niam tau ntsib tsawg kawg ib zaug hauv nws lub neej. Tus kab mob no tshwm sim los ntawm ib tug overgrowth ntawm ib tug poov xab hu ua Candida albicans, uas yog pom nyob rau hauv tag nrho cov neeg nyob rau hauv lub cev. Kev nce ntau ntawm cov kab mob hauv qhov chaw mos provokes cov tsos ntawm ib tug muaj zog thrush.
Raws li kev tshawb fawb, kwv yees li 75% ntawm cov poj niam raug mob los ntawm cov kab mob fungal. Thiab ib nrab ntawm lawv muaj thrush hnyav ntau dua ib zaug.
Risk factors
Thrush, tseem hu ua qhov chaw mos candidiasis, yog qhov mob ntawm qhov chaw mos. Qhov chaw ntawm qhov chaw mos tuaj yeem hloov pauv vim muaj ntau yam uas ua rau muaj kev pheej hmoo kis mob:
- Kab mob feem ntau tshwm sim tom qab kho nrog tshuaj tua kab mob qhov ncauj. Lawv tuativ thaiv kab mob, yog li tso cai rau cov fungus ciaj sia thiab multiply.
- Hormonal fluctuations tuaj yeem tshwm sim thaum lub caij nyoog poj niam los yog poj niam cev xeeb tub.
- Qee zaum, cov poj niam muaj mob hnyav tom qab ovulation. Qhov no yog vim qhov nce hauv cov tshuaj hormone progesterone, uas nce tom qab ovulation. Nws yog tsim nyog rau kev loj hlob thiab txuas ntawm lub fetus qe rau lub tsev menyuam. Thaum tsis muaj cev xeeb tub, nrog rau qhov pib ntawm kev coj khaub ncaws, hormonal keeb kwm rov qab mus rau qhov qub.
- Cov tshuaj tiv thaiv qhov ncauj kuj tuaj yeem hloov cov microflora ntawm qhov chaw mos thiab ua rau kis tau tus kab mob fungal.
- Cov kab mob uas tiv thaiv kab mob, xws li HIV lossis AIDS, tuaj yeem ua rau muaj kev pheej hmoo.
Yog vim li cas
Vim li cas thrush mob hnyav tshwm sim hauv cov poj niam? Muaj ntau yam ua rau muaj qhov tshwm sim vim tus kab mob no tshwm sim:
- Txo kev tiv thaiv yog lub ntsiab ua rau mob hnyav, ob qho tib si ua rau qaug zog lossis kev ntxhov siab, thiab ua rau muaj mob.
- Kev cev xeeb tub.
- Nquag rov tshwm sim ntawm cov kab mob hnyav heev hauv cov poj niam tuaj yeem yog qhov cim qhia ntawm lub cev tsis muaj zog, xws li ntshav qab zib lossis HIV / AIDS.
- Qee yam tshuaj (cov tshuaj tua kab mob, tshuaj tiv thaiv qhov ncauj thiab tshuaj steroids).
- khaub ncaws nruj, cov ntaub npuag, lossis cov ris tsho hauv qab ua pa tsis zoo ua rau muaj mob hnyav.
- Kev tu cev tsis zoo. Cov kab mob fungal kuj kis tau los ntawm qhov quavrau hauv qhov chaw mos. Yog li ntawd, tom qab siv chav dej, koj yuav tsum qhuav koj tus kheej ntawm pem hauv ntej mus rau sab nraub qaum.
Txawm hais tias ua rau muaj mob hnyav, koj yuav tsum mus ntsib koj tus kws kho mob kom kuaj xyuas thiab kho.
Symptoms
Feem ntau thiab thawj cov tsos mob ntawm tus kab mob fungal yog qhov hloov pauv ntawm qhov tso tawm. Lawv ua dawb, qhov sib xws hloov mus rau curdled. Cov ntxhiab tsw, xws li, feem ntau tsis tuaj. Vim muaj zog secretions nrog thrush, khaus, kub hnyiab, irritation thiab redness ntawm qhov chaw mos kab mob tshwm sim. Tsis tas li ntawd, tus poj niam yuav muaj kev tsis xis nyob los yog mob thaum tso zis, nrog rau thaum lub sij hawm thiab tom qab kev sib deev.
Cov tsos mob ntawm tus kab mob hnyav zoo ib yam li lwm yam kab mob. Cov no suav nrog kev kis kab mob thiab kis kab mob sib deev xws li chlamydia, gonorrhea, lossis trichomoniasis.
Thrush tsis ntseeg tias kis tau. Tab sis qee zaum tus kab mob tuaj yeem kis mus rau tus khub los ntawm kev sib deev. Yog tias tus khub tsim cov tsos mob, yuav tsum hu rau tus kws kho mob kom txiav txim siab txog kev kho mob zoo tshaj plaws.
Diagnosis
Qhov kev ua tau zoo ntawm kev kho mob yog nyob rau hauv kev kuaj mob kom raug, nrog rau kev tsis suav nrog kev kis kab mob thiab kab mob zoo ib yam li cov tsos mob.
Kev kuaj mob hnyav yog raws li hauv qab no:
- kuaj los ntawm gynecologist nrog tsom iav tshwj xeeb,
- swb,
- xov tshuaj tso zis thiab ntshav,
- kev sab laj ntawm lwm tus kws tshaj lij thaumtsim nyog.
txoj kev kho
Yuav ua li cas nrog lub zog thrush? Vaginal suppositories, cream, los yog ntsiav tshuaj feem ntau yog siv los kho tus kab mob fungal. Tsis tas li ntawd, ntxiv rau cov tshuaj, nws raug pom zoo kom tswj hwm cov zaub mov uas tsis muaj calories thiab kev tu tus kheej.
Muaj ntau yam tshuaj kho mob thrush hnyav. Tag nrho cov ntawm lawv tau muab faib ua pawg nyob ntawm seb muaj pes tsawg leeg ntawm cov tshuaj nquag. Cov tseem ceeb yog:
- Polyenes. Cov tshuaj ntawm cov pab pawg neeg ntawm lub hauv paus chiv keeb. Lawv tuaj yeem siv los tiv thaiv cov kab mob poov xab. Ib qho piv txwv ntawm cov tshuaj hauv pab pawg no yog Nystatin.
- YTriazoles. Los ntawm inhibiting kev yug me nyuam thiab kis ntawm ib tug kab mob fungal, cov tshuaj yog haum rau kev kho mob ntawm thrush. Cov tshuaj tiv thaiv kab mob feem ntau yog muab los ntawm kws kho mob. Cov no suav nrog Diflucan thiab Flucostat.
- Imidazoles. Cov tshuaj ntawm cov pab pawg no nkag mus rau hauv cov txheej txheem sib sib zog nqus ntawm cov ntaub so ntswg, muaj cov tshuaj tua kab mob. Xws li cov tshuaj, xws li Clotrimazole, yog siv nyob rau hauv kev kho mob ntawm feem ntau recurrent form of thrush.
- YMacrolides. Cov tshuaj nrog ib tug dav spectrum ntawm kev ua. Tsawg toxicity, uas tso cai rau lawv noj thaum yau, nrog rau thaum cev xeeb tub thiab thaum pub niam mis. Cov tshuaj no yog Pimafucin.
Flucostat
Nkauj thiab zoo nkauj tshajCov tshuaj zoo rau thrush rau cov poj niam yog Flucostat. Lub ntsiab active ingredient ntawm cov tshuaj tiv thaiv kab mob yog fluconazole. Cov tshuaj tuaj nyob rau hauv daim ntawv ntawm capsules thiab noj nyob rau hauv qhov ncauj. Nrog lub zog thrush heev, kev kho mob yuav siv li ob peb hnub, nrog cov ntaub ntawv me me, 2 tsiav tshuaj txaus. Tus nqi sib txawv ntawm 250 txog 600 rubles, nyob ntawm seb qhov ntau npaum li cas.
Cov txiaj ntsig ntawm kev siv Flucostat suav nrog:
- kev kho mob rau txhua hnub ntawm lub voj voog;
- noj thaum lossis tom qab noj mov;
- sib xyaw nrog lwm yam tshuaj xws li tshuaj tiv thaiv kev yug menyuam;
- kev kho mob luv luv.
Y"Diflucan"
Lwm hom tshuaj thrush zoo rau cov poj niam yog Diflucan. Kev yooj yim ntawm kev siv yog nyob rau hauv nws ib leeg siv. Cov tshuaj tua kab mob no muaj nyob rau hauv daim ntawv ntawm cov tshuaj ntsiav, tshuaj rau kev txhaj tshuaj thiab cov hmoov rau kev ncua. Cov tshuaj nquag ntawm cov tshuaj yog fluconazole. Nrog kev mob hnyav heev, ib koob tshuaj Diflucan tau zoo.
Feem ntau, cov tshuaj tau txais txiaj ntsig zoo, tab sis qee zaum muaj kev phiv tshwm sim, xws li:
- mob taub hau;
- nausea;
- quav quav;
- pob khaus;
- mob plab.
Contraindications suav nrog:
- hypersensitivity rau tshuaj tivthaiv;
- ua tsis taus lub siab thiab lub raum ua haujlwm;
- arrhythmia;
- cev xeeb tub thiab pub niam mis.
1 Diflucan ntsiav tshuaj raug nqi kwv yees li 400 rubles.
Pimafucin
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm ib tug cream, suppositories thiab ntsiav tshuaj. Daim ntawv ntsiav tshuaj ntawm "Pimafucin" yog pom zoo rau kev kho mob ntawm cov mob thrush. Cov khoom xyaw nquag yog natamycin. Cov ntsiav tshuaj yuav tsum tau noj 1 mus rau 4 zaug hauv ib hnub rau ib lub lis piam. Cov tshuaj tsis yog contraindicated thaum cev xeeb tub thiab pub niam mis.
Nystatin
"Nystatin" yog ib qho ntawm cov tshuaj pheej yig rau thrush rau poj niam, txiv neej thiab txawm menyuam yaus. Ntxiv nrog rau cov ntsiav tshuaj daim ntawv, cov tshuaj muaj nyob rau hauv daim ntawv ntawm suppositories, cream thiab tee rau kev kho mob ntawm thrush nyob rau hauv cov me nyuam mos. Cov tshuaj nquag ntawm cov tshuaj yog nystatin. Cov chav kawm ntawm kev kho mob yog 7-14 hnub. Cov tsos mob yuav ploj mus tom qab ob peb hnub, uas tsis yog qhov qhia tias yuav tsum tsis txhob noj tshuaj. Tus nqi ntawm "Nystatin" nyob rau hauv daim ntawv ntsiav tshuaj txawv ntawm 43 mus rau 144 rubles, nyob ntawm seb cov ntsiav tshuaj.
Y"Clotrimazole"
Cov tshuaj kuj hais txog cov tshuaj pheej yig rau thrush rau cov poj niam. Cov khoom xyaw nquag yog clotrimazole. Ntxiv rau cov ntsiav tshuaj ntawm qhov chaw mos, cov tshuaj muaj nyob rau hauv daim ntawv ntawm suppositories, cream, gel, tshuaj tsuag. Cov gel thiab tshuaj tsuag feem ntau yog siv los tiv thaiv kab mob ntawm daim tawv nqaij. Kev kho mobmuaj zog thrush, nws yog pom zoo kom siv ib tug cream, suppositories los yog ntsiav tshuaj. Cov chav kawm yog li 6 hnub. "Clotrimazole" nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj ntawm qhov chaw mos los yog suppositories yog txhaj tob rau hauv qhov chaw mos 1 zaug ib hnub twg. Sab nraud ntawm qhov chaw mos, yog tias tsim nyog, raug kho nrog cream. Contraindications rau noj cov tshuaj yog:
- cev xeeb tub mus txog 12 lub lis piam,
- hypersensitivity rau clotrimazole,
- qhib qhov txhab.
Tus nqi ntawm "Clotrimazole" hauv lub tsev muag tshuaj pib los ntawm 29 rubles, nyob ntawm daim ntawv tso tawm.
Lomexin
Lomexin yog ib yam tshuaj tshiab siv los kho cov kab mob thrush hnyav. Cov tshuaj nquag yog fenticonazole nitrate. Tso tawm daim ntawv ntawm cov tshuaj: qhov chaw mos capsules thiab cream. Kev kho mob nrog tshuaj ntsiav yuav siv sijhawm 2-3 hnub nyob ntawm qhov ntau npaum li cas (600 lossis 1000 mg). Cov tshuaj nplaum yuav tsum tau siv kom txog thaum cov tsos mob ploj tag. Cov tshuaj tsis pom zoo siv thaum cev xeeb tub thiab pub niam mis. Cov nyhuv ntawm cov khoom ntawm "Lomexin" ntawm lub fetus thiab menyuam yaus tsis tau kawm. Tus nqi sib txawv ntawm 490 txog 650 rubles.
Irunin
Ib dav spectrum antifungal kuj siv los kho mob thrush hnyav. Cov tshuaj nquag yog itraconazole. "Irunin" muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj qhov chaw mos thiab suppositories. Rau kev kho mob ntawm thrush hnyav, cov tshuaj yuav tsum tau txhaj tob rau hauv qhov chaw mos ib zaug thaum mus pw. ZooKev siv cov tshuaj tua kab mob yog los ntawm 7 mus rau 14 hnub. Cov tshuaj yog txwv tsis pub siv ua ntej 12 lub lis piam cev xeeb tub thiab thaum yau.
Tus nqi ntawm cov tshuaj tua kab mob "Irunin" yog kwv yees li 400 rubles.
Polygynax
Lwm hom tshuaj rau kev kho mob thrush hnyav yog qhov chaw mos capsules "Polygynax". Cov tshuaj belongs rau cov tshuaj tua kab mob ua ke. "Polygynax" muaj cov nyhuv antibacterial, bactericidal thiab antifungal nyhuv. Vim cov ntsiab lus ntawm nystatin, neomycin sulfate thiab polymexin, cov tshuaj yog contraindicated rau kev siv nyob rau hauv thawj peb lub hlis twg ntawm cev xeeb tub thiab thaum pub niam mis. Tsis tas li ntawd, cov kev txwv muaj xws li ib tug neeg intolerance rau lub Cheebtsam. Lub sijhawm kho yog 12 hnub. Rau prophylactic siv - 6 hnub. Capsules yog muab tshuaj intravaginally thaum mus pw ib zaug.
Tus nqi ntawm cov tshuaj "Polygynax" txawv nyob ntawm seb cov tshuaj ntsiav hauv pob, qhov nruab nrab nws txawv ntawm 350 txog 620 rubles.
Terzhinan
Cov tshuaj yog ib hom tshuaj tiv thaiv kab mob sib xyaw ua ke. "Terzhinan" muaj cov tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob vim yog cov ntsiab lus ntawm ntau cov khoom xyaw nquag. Lawv yog ternidazole, nystatin, neomycin, prednisolone. Cov chav kawm ntawm kev kho mob yog qhov nruab nrab ntawm 10 hnub. Cov tshuaj yog tsim nyogsiv nruj me ntsis raws li cov lus qhia. Ua li no, cov ntsiav tshuaj ntawm qhov chaw mos yog thawj dipped hauv dej rau 20-30 vib nas this. Tom qab ntawd "Terzhinan" txhaj tob rau hauv qhov chaw mos. Cov txheej txheem yuav tsum tau ua txhua hnub thaum yav tsaus ntuj ua ntej yuav mus pw.
Contraindications rau kev siv "Terzhinan" yog ib tug neeg intolerance rau lub Cheebtsam ntawm cov tshuaj, thawj peb lub hlis twg ntawm cev xeeb tub thiab lactation. Tus nqi rau "Terzhinan" yog siab heev, nruab nrab 500 rubles.
ntsuas kev tiv thaiv
Ntau tshaj 75% ntawm tag nrho cov poj niam raug mob los ntawm qhov chaw mos kab mob fungal thaum lawv lub neej. Nrog kev kuaj mob tsis raug thiab, raws li, kev kho mob tsis raug, rov tshwm sim feem ntau tshwm sim.
Tshuaj tua kab mob, kev hloov pauv hormonal thiab cov kab mob ntev uas ua rau lub cev tsis muaj zog yog qhov ua rau mob hnyav. Cov tsos mob muaj xws li khaus ntawm qhov chaw mos los yog kub hnyiab mus rau khaus hnyav, o thiab khaus khaus. Tsis tas li ntawd, cov tsos mob tseem ceeb suav nrog cov tsos ntawm cov kab mob dawb dawb.
Muaj ntau cov lus pom zoo los tiv thaiv kev kis kab mob hauv qhov chaw mos.
- Qee tus kws kho mob pom zoo kom ntxiv yogurt los yog kua txiv cranberry rau koj cov zaub mov los pab kho qhov chaw ntawm qhov chaw mos. Hauv qhov no, cov microflora ib txwm yuav tsis ua rau kis tus kab mob fungal.
- Nws tseem pom zoo kom tsis txhob hnav khaub ncaws hauv qab thiab cov khaub ncaws nruj. Zoo duasiv cov paj rwb.
- Cov khoom siv tu cev poj niam, cov tshuaj tua kab mob hauv qhov chaw mos thiab tshuaj tsuag yuav tsum tau zam vim lawv tuaj yeem ua rau rov ua dua ntawm qhov chaw mos.
- Siv cov ntaub ntawv dawb uas tsis yog deodorized tseem yuav pab tiv thaiv tus kab mob loj.
- kev tu cev zoo.
