I taksaah hian ' grey skin ' ang maia lang var i nei fo em? A nih loh leh, sam lama harsatna, a bo ngai lo chu i chau em? I kut zungtang emaw i ke ruh emaw pakhat chu a sen a, a hrual a, a chhe tawh mai thei. Chûng thil tam tak chu kan taksaa thil nung tê tak tê, fungus tia koh avânga lo awm thei a ni. Chuvangin vawiin hian heng fungal infection te hi eng nge an nih kan sawi dawn a, an tan damdawi pek te, antifungals te hi kan sawi dawn a ni.
A awlsam zawngin, heng antifungals te hi engte nge ni?
Antifungals hi damdawi chi khat, Doctor ten fungal infection enkawlna atana an pek thin a ni. Bacteria infection tan antibiotics pek a nih ang bawkin fungal infection tan antifungals pek a ni bawk. Heng damdawi te hian thil pahnih a ti a.
1. Infection thlentu fungus chu tihhlum vek .
2. Chutiang a nih loh chuan taksa chhunga fungus lo thang leh darh tur chu a titawp a ni .
Mahse, a tawpah chuan kan taksain chu fungal infection chu a tihbo theih nan a pui a ni.
Chuti a nih chuan he ‘fungus’ hi eng nge ni?
Fungicides kan sawi hmain heng fungi te hi eng nge an nih tih tlem han hrethiam ila. Fungi hi thil nung te tak te, kan chhehvela khawi hmunah pawh hmuh theih a ni. Yeast, mold, emaw, a pahnih inzawmkhawm emaw pawh an ni thei. Spore te tak te te siamin an piang chhuak thin. Heng spore te hi leiah emaw, boruakah emaw a inphah thei a ni.
Ngaihtuah teh, fungi thenkhat hi kan taksaah hian natural takin an awm a. Entirnan, yeast chi khat Candida . Chungte chu hmeichhiate kan vun, chaw ei leh in leh serh ang chi hmunah te hian harsatna awm lovin an khawsa a ni. Mahse a chang chuan kan taksa taksa hriselna a chak loh chuan emaw, thil dang vang emaw chuan heng fungi te hi thunun theih lohvin an pung tan thin. Chutih lai chuan infection a awm thin.
Tute nge fungal infection vei theihna sang zawk?
Dik tak chuan tu pawhin fungal infection an nei thei a ni. Kan chhehvela thil hmuh tlanglawn tak tak, ringworm, eczema , leh dandruff te hi a pawi lo fo va, awlsam taka enkawl theih a ni.
Mahse, mi thenkhat tan chuan heng fungal infection te hi a hlauhawm hle thei a ni. Chu chu immune system chak lo nei mi an ni .. An taksa hian fungal infection tenau tak pawh do harsa a ti hle. Heng natna chi hrang hrangte hi "opportunistic infection" kan ti a ni. Chu chu taksa chak lohna a hlawkpui a, nasa taka darh thei natna hrik tihna a ni. Mi hlauhawm tak takte chu:
- AIDS vei te .
- Lupus ang chi autoimmune natna vei te.
- Cancer vei (a bik takin chemotherapy la mekte).
- Organ transplant nei tawhte.
- Mite chu ruhro (bone marrow transplant) (stem cell transplant) nei tawhte.
Hetiang fungal infection hian a chang chuan nunna a tichhe thei a, chuvangin fimkhur hle a ngai a ni.
Antifungals hmanga enkawl natna tlanglawn leh na tak takte chu engte nge ni?
Antifungal hmanga enkawl theih infection hrang hrang hi a zau hle. Vun natna tenau atanga thluak nghawng thei natna thlengin an awm. Hengte hi chi hnih ah then ila.
| Kan zingah fungal infection awm fo thin | |
|---|---|
| Hri kai hming | Hrilhfiahna awlsam tak |
| Athlete ke, Jock itch, Ringworm | Kan hriat angin hei hi "eczema" an tih chu a ni. Ke, groin, leh vun hmun hrang hrangah circle-in a awm a, a zui bawk. |
| Dandruff a ni | Dandruff hi lu vun a fungal infection vang a ni. Damdawi lamah chuan hei hi Seborrheic Dermatitis an ti a. |
| Nail fungus a ni | Nail-ah hian symptoms a lang a, chu chu yellow/brown discoloration, thickening, leh breaking awlsam tak a ni. An dam theih nan hun rei tak an hmang thin. |
| Thrush / Esophageal candidiasis natna a awm | Kawng, kawr emaw, chaw kawng emawa yeast infection. Ka chhungah hian var, sticky, milky coating a siam thin. Naupang tê tê zîngah a hluar hle. |
| Vaginal yeast natna a awm | He natna lan chhuah dan chu hmeichhiaah hian a hring, a kang, leh a hnute atanga tui var chhuak a ni. |
Heng bakah hian fungal infection thenkhat chuan taksa chhungril lam a nghawng thei a, natna khirh zawk a thlen thei bawk.
| Fungal infection na ber leh ngaihtuahawm ber | |
|---|---|
| Taksa system a nghawng | Entirnan |
| Lung natna a awm | Aspergillosis, Pneumocystis pneumonia, Valley khawsik te a awm bawk |
| Thisen atanga natna hrik kai | Candidemia (thisen chhunga yeast infection) 1.1. |
| Thluak nena inzawm natna hrik | Meningitis (meningitis hi fungi vang pawh a ni thei) . |
| Mit natna a awm | Mit histoplasmosis natna (Mit histoplasmosis) natna a ni |
| Sinus natna hrik a awm | Rhinosinusitis natna a ni |
He damdawi hian taksa chhungah engtin nge hna a thawh?
Antifungals hi a inang vek lo. An hnathawh dan azirin chi hrang hrangah then an ni. I doctor chuan i natna chi hrang hrang, a nasat dan leh i hriselna a zirin damdawi tha ber a thlang ang. Category lian pathum hi han thlir thuai ila.
- Azoles: Hengte hi synthetic fungicides an ni. Fungal cells tana pawimawh enzyme siam chhuah tihtawp nan hna an thawk a ni. Chumi awmzia chu fungus hi a thang thei lo va, a lo piang thei lo tihna a ni. In sak ngai bass thah ang mai a ni. Entirnan: `Fluconazole (Diflucan®)` tih te hi a ni.
- Echinocandins: Hengte hi damdawi thlah thar a ni. Anni hian fungus cell wall direct-a beih hmangin hna an thawk a ni. In chhunga bang i tihchhiat chuan a chhungah a awm thei lo ang bawkin, bang a chhiat chuan fungal cell chu a chhe vek a ni. Entirnan: `Micafungin (Mycamine®)` tih te hi a ni.
- Polyenes: Hengte hi naturally occurring antifungals an ni. Fungal cell pawn lam membrane-ah an inzawm a, a chhungah khur siamin hna an thawk a ni. Hei hian cell chhunga thil pawimawh te chu a leak chhuak thei a, cell chu a thi thei bawk. Entirnan: `Nystatin (Bio-Statin®)` tih te hi a ni.
A pawimawh ber chu i doctor chuan eng damdawi nge i tana tha tur tih leh eng chen nge i ei tur tih a rel ang. Damdawi dangin damdawi an lei tawh chu damdawi lam thurawn tel lova hmang ngai suh.
Antifungals hmuh theih dan tur engte nge ni?
Heng damdawi te hi chi hrang hrang a awm a, a natna hmun leh a nasat dan azirin a awm a ni.
- Topical: Hengte hi cream, ointment, gel, lotion, leh spray angin a awm a. Hengte hi vun leh nail infection atan hman a ni ber.
- Damdawi ei: Hengte hi pill emaw liquid emaw angin a awm thin. Vun natna darh tawh tan emaw, nail leh sam ang chi hmuna natna vei tan emaw pek thin a ni.
- Injection/IV: Heng damdawi te hi thisen kal tlanga (IV) emaw, natna khirh tak, systemic infection te tan injection angin emaw pek thin a ni. Chungte chu damdawi inah pek thin a ni.
- Vaginal suppositories: Hengte hi vaginal yeast infection enkawlna atan hman a ni.
Damdawi dawr atanga cream thenkhat ang chi thil hi doctor prescription tel lovin (Over-the-Counter - OTC) lei theih ni mahse, harsatna a awm reng emaw, a awm fo emaw chuan doctor pan ngei ngei tur a ni.
Side effect a awm em?
Damdawi dang ang bawkin antifungals hian side effect engemaw zat a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Damdawi chi leh a dose a zirin an danglam bawk.
| Side effect chi hrang hrang | Ziarang |
|---|---|
| Side effect awm fo thin | Pum na, luak chhuak, luak chhuak, vun na, damdawi hnawih na hmuna inflammation, leh vun rawng te. |
| Rare, mahse side effect na tak tak a awm |
|
| Doctor i hmuh nghal tur hunah | |
| A chunga kan sawi tak side effects na tak tak, hmuh tur awm lo tak tak i neih chuan damdawi ei kha bansan la, doctor hmu nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh. | |
Fungi te hi ruihhlo laka ‘resistant’ an nih hian eng nge a sawi tum? (Antifungal laka invenna) 1.1.
Hei hi tunlaia kan sawi tur pawimawh ber pakhat a ni. Antifungal Resistance chu fungus pakhatin antifungal damdawi pakhat a laka a resistant a nih chuan a ni. A awlsam zawngin, chu damdawi chu fungus chu ‘addicted’ a ni tawh a, chu damdawi aiin a ‘chak zawk’ ta a ni. Tichuan, chu damdawi chuan fungus chu a that thei tawh lo.
Hetiang thil a thlen chhan lian tak tak engemaw zat a awm a:
- Damdawi pek hun pek zawh hmaa chawlhsan: Thil tihsual lian ber chu i rilru a hahdam deuh veleh damdawi ei khap mai hi a ni. Hei hian fungi chak ber ber, thi kim lo leh damdawi nena inmil lo chu a hnutchhiah a ni.
- Dose dik tak ei loh: Damdawi hi a hun taka ei loh emaw, dose skip emaw hian taksaah damdawi a awm tawk lo a, fungi te invenna a tipung thei a ni.
- A tul lovah antifungals hman: A chang chuan antifungal cream hi fungal infection ni lo thilah an hnawih thin. Hei hian fungus chu chu damdawi te lakah a hruai lut thei bawk a, chu chu a do thei lo thei bawk.
Fungus hi damdawi laka a do theih loh chuan a natna tihdam a harsa hle. A chang chuan, damdawi chak zawk, side effect tam zawk nei i pek a ngai thin. Chuvangin, i hriselna atan leh khawtlang pum hriselna atan i doctor-in damdawi a pek, a zat dik tak leh hun dik takah ei hi a pawimawh hle.
Take-Home Thuchah a ni
- Antifungals hi fungal infection enkawltu damdawi chi khat a ni. Fungi an that emaw, an lo thang lian thei lo emaw an titawp bawk.
- Infection hi vun rawng leh hive awm fo atanga thisen leh lung tichhe thei natna khirh zawk thlengin a awm thei.
- Antifungals hi chi hrang hrang a awm a, chu chu cream, pill leh injection te hi a ni. I doctor chuan i tana tha ber tur chu a rel ang.
- A pawimawh ber: I doctor-in damdawi a pek zawng zawng chu a hun chhung zawng zawng ei thin ang che. I rilru a hahdam vang mai maia damdawi ei kha bansan suh. Hei hi fungus chu damdawi (antifungal resistance) laka a resistant loh nan a pawimawh hle.
- Damdawi ei lai hian side effect na tak (vun sen, thawk harsa, vun hring) i neih chuan doctor thurawn la nghal rawh.
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