Amakhambi ohlobo ngalunye lokukhishwa

-Delile

• 1. Ukukhishwa okuphuzi
• 2. Ukukhishwa okumhlophe
• 3. Ukukhishwa okumpunga
• 4. Ukukhishwa okuphuzi okuluhlaza okotshani
• 5. Ukukhishwa okuBrown
• Izinketho zamakhambi asekhaya

Uhlobo ngalunye lokukhishwa lungakhombisa isimo esihlukile, kusuka ekusithekeni komzimba womuntu wesifazane kuye ekuvukeleni okukhulu.

Kodwa-ke, isikhathi esiningi, ukukhipha kukhombisa ubukhona bokutheleleka okuthile kwesitho sangasese sowesifazane ngakho-ke, kujwayelekile ukuthi ukwelashwa kwenziwe ngokusetshenziswa kwama-antibiotic noma ama-antifungal, njenge-metronidazole, i-clindamycin, i-miconazole noma i-fluconazole, kukhilimu, amafutha noma kucindezelwe.

Lawa makhambi kufanele akhonjiswe ngudokotela wezifo zabesifazane, futhi uma owesifazane ebona ukuthi kukhona ukukhishwa kwesitho sangasese sowesifazane, kufanele enze i-aphoyintimenti yokuthola ukuthi iyiphi i-microorganism ebangela lolu phawu futhi akhombise ikhambi elifanele kakhulu. Imvamisa udokotela wezifo zabesifazane angakhomba umenzeli obhekene nokutheleleka kuphela ngokuhlola izimpawu, noma kunjalo, angancoma ukwenziwa kwezivivinyo ezithile ukuze aqinisekise ukuxilongwa.

Qonda kangcono ukuthi umbala ngamunye wokukhishwa kwesitho sangasese sowesifazane usho ukuthini.

Ngokuvamile, ukukhishwa kwesitho sowesifazane okuvame kakhulu kungaphathwa ngale ndlela elandelayo:

1. Ukukhishwa okuphuzi

Ukukhishwa okuphuzi, okunephunga elifana nalokho kwenhlanzi ebolile, kungakhombisa i-bacterial vaginosis. Ngaphezu kokukhishwa okuphuzi okunephunga elibi, owesifazane usengathola umuzwa ovuthayo lapho echama nokuqiniswa kwephunga ngemuva kokuxhumana okusondelene naye.

Amakhambi anconyiwe: Endabeni yokukhishwa okuphuzi, udokotela wezifo zabesifazane angancoma ukusetshenziswa kwe:

• I-Metronidazole I-500 mg ye-12 / 12h ukusetshenziswa komlomo, izinsuku eziyi-7 zilandelana;
• Ijeli leMetronidazole 0.75%, ukusetshenziswa kwe-intravaginal, ubusuku obungu-5;
• I-Clindamycin ukhilimu 2% ukusetshenziswa kwe-intravaginal, ubusuku obungu-7.

Kubalulekile ukuthi ukwelashwa kwenziwe ngokuya ngezeluleko zezokwelapha futhi kungaphazanyiswa noma ngabe kwenziwa ngcono izimpawu.

2. Ukukhishwa okumhlophe

Ukuba khona kokukhipha okumhlophe, okufana nobisi olujiyile, noma ngaphandle kwephunga, okuhambisana nokushoshozela nokushisa okukhulu lapho uchama kungakhombisa i-candidiasis, okuwukutheleleka okubangelwa isikhunta sohlobo UCandida lokho kuyingxenye yesitho sowesifazane sangasese sowesifazane.

Amakhambi anconyiwe: Uma kutholakala i-candidiasis, udokotela wezifo zabesifazane angancoma ukusetshenziswa kwamanye ama-antifungal, njenge:

• Ukhilimu weClotrimazole 2%, ukusetshenziswa kwe-intravaginal ubusuku obungu-7-14;
• Nystatinukhilimu, ukusetshenziswa kwe-intravaginal ubusuku obungu-14;
• I-Fluconazole Ukusetshenziswa komlomo okungu-150 mg, isilinganiso esisodwa.

Kubalulekile ukuthi ukwelashwa kunganqanyulwa ngisho nangemva kokuba izimpawu sezithuthukile, ngoba kungahle kube nokubuyela ekwandeni okungajwayelekile kwesikhunta.

3. Ukukhishwa okumpunga

Ukukhishwa okumpunga, okuchichimayo, okunamagwebu nokunukayo kungakhombisa i-trichomoniasis, okuyisifo esibangelwa amagciwane I-Trichomonas vaginalis.

Amakhambi anconyiwe: Uma ubukhona be- Trichomonas ngokuhlolwa komchamo, udokotela wezifo zabesifazane angakhombisa:

• I-Metronidazole 2g ukusetshenziswa ngomlomo, umthamo owodwa;
• Tinidazole 2g ukusetshenziswa ngomlomo, umthamo owodwa;
• I-Secnidazole 2g ukusetshenziswa komlomo, umthamo owodwa.

4. Ukukhishwa okuphuzi okuluhlaza okotshani

Ukuba khona kokukhishwa okuphuzi ngokuluhlaza okotshani okunephunga elibi elihambisana nokuphuma kwegazi nokuhayiza lapho uchama nasebudlelwaneni obuseduze, kungaba uphawu lokutheleleka ngokuthi I-Neisseria gonorrhoeae, okuyi-bacterium ebhekele i-Gonorrhea, eyi-Sexual Transmitted Infection (STI).

Amakhambi anconyiwe: Kubalulekile ukuthi ukuxilongwa kwe-gonorrhea kwenziwe ngokushesha ukuze ukwelashwa kuqalwe futhi izinkinga zivinjelwe. Ngemuva kokuxilongwa, udokotela wezifo zabesifazane angakhombisa ukusetshenziswa kwe:

• I-Ciprofloxacin I-500 mg, ukusetshenziswa komlomo, kumthamo owodwa;
• I-Ceftriaxone 1g, ukusetshenziswa kwemisipha, umthamo owodwa.

Ukwelashwa kufanele kwenziwe ngabesifazane nabalingani, ngoba njengoba kuyisifo socansi, amagciwane angadluliselwa esuka komunye umuntu aye komunye ngesikhathi sokuya ocansini olungaphephile. Ngaphezu kwalokho, kubaluleke kakhulu ukuthi ukwelashwa kwenziwe ngokulandela imihlahlandlela yezokwelapha, ngoba uma kungenjalo kungahle kube khona ukuthuthukiswa kwezindlela zokumelana namagciwane, okwenza ukwelashwa kube nzima kakhulu futhi kukhuthaze ukuvela kwezinkinga.

5. Ukukhishwa okuBrown

Njengokukhipha okuphuzi ngokuluhlaza okotshani, ukukhishwa okunsundu nakho kungahle kuhlobene ne-gonorrhea. Kodwa-ke, kungenzeka futhi ukuthi kukhona ukuphuma okusobala ezinsukwini ezilandelayo ukuphela komjikelezo wokuya esikhathini, okungesona isizathu sokukhathazeka. Funda ngezinye izimbangela zokukhishwa onsundu.

Amakhambi anconyiwe: Ukuba khona kokukhishwa onsundu ngokuvamile akusona isizathu sokukhathazeka, kepha uma kuhambisana nezimpawu, kubalulekile ukuthi udokotela wezifo zabesifazane enze ukuxilongwa ukuze kuqale ukwelashwa okufanele kakhulu. Imvamisa ukwelashwa kokukhishwa okunsundu okubangelwa amagciwane kwenziwa ngokusetshenziswa kwe-Azithromycin noma i-Ciprofloxacin ngomthamo owodwa noma izinsuku eziyi-7 kuya kwezingu-10, ngokusho kwesincomo sezokwelapha.

Izinketho zamakhambi asekhaya

Izindlela zokwelapha zasekhaya akufanele zithathe indawo yemiyalelo kadokotela, noma kunjalo, zingasetshenziswa ngokuhlanganyela namakhambi okusheshisa ukwelashwa nokunciphisa izimpawu, kanye nokuba yindlela enhle yokuvimbela izifo.

Ezinye izinketho zifaka:

• Yenza ibhafu ye-sitz ngetiye leqabunga legwava, 2 izikhathi ngosuku, eziwusizo ukulwa nokukhishwa kwe-Trichomoniasis ne-Candidiasis;
• Geza indawo esondelene netiye elimnandi lomshanelo ngegwava, ukomisa ngendwangu ehlanzekile, ethambile, isonto elilodwa;
• Tshala imali ekudleni kwemvelo, Kususelwa kwizithelo nemifino, kugwema ukusetshenziswa kokudla okunezimboni ngangokunokwenzeka.

Bheka lezi zindlela zokupheka nokuthi ungakwenza kanjani ukwelashwa kwasekhaya kokukhishwa kwesitho sangasese sowesifazane.