I vunah hian a chang chuan vun te te, i na emaw, i nail te chu a dum leh mawi lo a lo ni thin em? "Thrush" tih natna pakhat tan damdawi i ei tawh mai thei. Chung zawng zawng lo awm chhan chu microorganism fungus an tih a ni. Chuvangin vawiin hian heng fungal infection te tan hian doctor ten damdawi an pek thin te hi han sawi ila, chu chu antifungals a ni.
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A hmasain, heng fungi te hi eng nge ni?
A awlsam zawngin sawi ila, fungi hi kan chhehvel khawi hmunah pawh hmuh theih microorganism pawl a ni. Chhangphut pakhata "pus" lo awm ang bawkin heng fungi te pawh hi chi hrang hrang yeast leh mold te an awm bawk. An spore te te hi leiah leh boruakah pawh hmuh tur a awm.
Ngaihtuah teh, hei hi mak tak ni mahse, fungi chi thenkhat chu kan taksaah hian a pianphungah an awm a. Entirnan, Candida an tih yeast chi khat hi kan vunah te, kan chaw ei kawngah te, hmeichhe serh ah te harsatna nei lovin a nung a. Mahse, eng emaw chhan vanga hengte hi an lo thang tam lutuk chuan hri kai a awm thin.
Antifungals hi fungal infection control nan emaw, fungal cells tihchhiat nan emaw, an thanlenna tihtawp nan emaw damdawi hman thin a ni.
Tute nge fungal infection vei theihna sang zawk?
Dik tak chuan tu pawhin fungal infection an nei thei a ni. Vun natna kan hmuh tam zawk hi chu fungal infection awlsam tak a ni. Enkawl a awlsam tlangpui.
Mahse, taksa chak lohna neiin fungal infection a neih chuan a pawi zawk thei. Heng hri kai chi hrang hrangte hi opportunistic infection kan ti a. Chu chu heng natna hrik te hian taksa chak lo tak chu an hmang tangkai thin tihna a ni. He dinhmun hi a hlauhawm zual hle:
- AIDS vei te tan
- Lupus ang chi autoimmune natna nei tan
- Cancer vei enkawl mekte tan
- Organ transplant nei tawhte tan
- Bone marrow transplant (stem cell transplant) nei tawhte tan chuan .
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Check Availability →Eng natna hrik nge antifungals hmanga enkawl?
Antifungals hian natna chi hrang hrang a enkawl a, vun natna tlanglawn atanga natna khirh tak, nunna atana hlauhawm thlengin a enkawl a ni. Hengte hi chi hnih ah then ila.
| Infection chi hrang hrang | Entirnan |
|---|---|
| Vun leh pawn lam natna tlangpui |
|
| Systemic infection na zawk a awm |
He damdawi hian engtin nge hna a thawh?
Antifungals hian hna a thawh dan kawng hrang hrang a awm. I doctor chuan natna chi hrang hrang a zirin damdawi chi hrang hrang tha ber a thlang ang. A bik takin:
- Fungal cell tihchhiat: Damdawi thenkhat (e.g., Polyenes group atanga Nystatin) hian fungal cell wall a tichhia a, a tichhia a ni.
- Fungi thanna tihtawp: Damdawi dang (e.g., Azoles group atanga Fluconazole) hian fungal cells te chu a inthen darh, a lo thang lian a, a darh zel loh nan a titawp thin.
- Fungal cell wall beih: Damdawi thar zawk (e.g. Echinocandins group atanga Micafungin) te hian fungal cell wall siamna a tibuai a, a tichak lo hle.
Fungicides hman dan tur
Heng damdawi te hi chi hrang hrang a awm a. I doctor chuan i dinhmun a zirin a hman dan tur dik ber a rawn pe ang che.
- Topical: Cream, gel, liquid, leh spray angin vunah hnawih a ni.
- Damdawi ei: Hengte hi pill emaw liquid emaw angin pek thin a ni.
- Injection/IV: Infection na tak takah chuan thisenah (IV) emaw, injection angin emaw pek thin a ni.
- Suppositories: Hengte hi vagina infection atan vagina-ah dah a ni.
Fungicides hian side effect a nei em?
Damdawi dang ang bawkin antifungals hian side effect engemaw zat a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Tin, hengte hi damdawi chi leh a hman dan azirin a inang lo bawk.
| Side effect chi hrang hrang | Ziarang |
|---|---|
| Side effect awm fo thin | - Pum na, pum na leh riltam - Vun a hring, a kang, a hnim hring |
| Rare mahse side effect na tak tak, ngaihven nghal ngai | - Liver chhiatna (mit leh vun sen - Jaundice) . - Allergy na tak (thâwk harsa, hmai hring - Anaphylaxis) - Skin allergy na tak, vun hring leh vun hring (peeling skin) a awm thin |
Pawimawh: Heng side effect na tak tak te hi i tawn chuan damdawi ei kha bansan nghal la, doctor rawn rawh. Chutiang a nih loh chuan damdawi in hnai ber Emergency Department (ETU) ah kal la.
Thil pawimawh tak pakhat: Antifungal Resistance
Hei hi kan hriatthiam vek a ngai a ni. Fungus pakhat "smart" lo ni tawh, kan damdawi pek avanga nghawng a neih loh dan tur zawng chhuak ta han mitthla teh. Hmelmain kan ralthuam tuar thei tur ralthuam a bun ang mai a ni. A awlsam zawngin ‘resistance’ kan ti a, damdawiin fungus a control theih lohna hi a ni.
Hetiang thil a thlen chhan lian tak tak engemaw zat a awm a:
- Hun bituk zawh loh: Doctor-in ni 7 chhung damdawi ei tur a tih chuan ni 3 vel chhunga a natna lanchhuahna a reh hunah damdawi ei kha chawlhsan tur a ni.
- Missed dose: Damdawi a hun taka ei loh.
- Underdosing: A pek aia tlem zawk ei.
- A tul lovah hun rei tak hman.
Hetianga a do theihna hian nakin lawkah nangmah emaw midang emaw hian he fungal infection hi i vei a nih chuan damdawi hman thin hmangin a dam thei dawn lo tihna a ni. Chuvangin damdawi chak zawk, man to zawk, side effect tam zawk nei i hman a ngai dawn a ni.
Take-Home Thuchah a ni
- Doctor rawn hmasa lovin antifungal damdawi hmang ngai suh. Damdawi dawr atangin lei suh.
- Damdawi hi i doctor-in a pek hun chhung zawng, a pek zat angin ei thin ang che. I natna lan chhuah dan a lo tha chho a nih pawhin damdawi chu a hun chhung zawng zawng ei la.
- I tana damdawi an pek chu mi dang hnenah pe ngai suh, chu mi chu i natna lan chhuah dan nen a inang a nih pawhin.
- Damdawi i ei laiin side effect na tak i neih chuan doctor hnenah hriattir nghal rawh.
- Fungicides laka invenna hi hriselna lama harsatna lian tak a ni. Damdawi dik tak hmangin a venna kawngah kan pui thei a ni.
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