Ukuqinisekisa izifo ezihlobene nezinye izimbangela
Inselele enkulu ekutholeni i-bacterial vaginosis (BV) ukuthi iningi lamacala ngeke libe nezimpawu, ngokusho kombiko ovela kwiCenters for Disease Control and Prevention. Uma ukutheleleka kusolwa, ukuxilongwa kungenziwa ngezivivinyo ezihlola ukukhukhulwa kwamagciwane ngaphakathi kwesifazane. Ukuhlola kuzophinde kuhlanganise ukuhlolwa kwe-pelvic, ukuhlaziywa kwezicabha zesisu, nokuhlolwa kwe-pH ukuhlola ubulili besisu.
Ngaphandle kokuhlolwa kwelebhu, kunezinkinobho zokuzihlola ezikuvumela ukuba uhlole i-pH yakho yangasese kanye nezinye izimpawu zokuvuvukala ekhaya.
Izivivinyo zasekhaya
I-vaginosis ye-vaginosis iboniswa izimpawu zokukhulelwa kwamagciwane, ukushisa, ukushisa, kanye nesici esithi "i-fishy" iphunga. Izimpawu zingase zenze iphutha kalula ngokutheleleka kwemvubelo futhi ngokuvamile ziphathwa ngendlela efanele.
Ukuze bahlukanise, abanye besifazane bazozivivinya ngokwabo ngokusebenzisa ukuhlolwa kwekhaya lapho bethengwe khona ku-intanethi noma esitolo sesidakamizwa sendawo. Isivivinyo, esitholakale phezu kwe-counter kusukela ngo-2001, sinembile futhi singanikeza ubufakazi obanele bokufuna ukuxilongwa okucacile nokwelapha emtholampilo.
Ngalokho kuthiwa, izivivinyo ezikhona azihlolisi ngempela i-BV. Esikhundleni salokho, bafuna izinguquko ku-acidity yangasese kanye nabakhiqizi bokutheleleka kwe-BV. Ukuhlolwa kwenziwa ezinxenyeni ezimbili:
- Isivivinyo sokuqala sibukeka ubufakazi be- pH yesisindo esiphakeme. Nakuba i-pH ephezulu ibhekwa njengesibonakaliso esicacile sokutheleleka, ingabangelwa yiziphi ezinye izimo zezinombolo, kuhlanganise ne- trichomoniasis .
- Isivivinyo sesibili sibheka i-enzyme, eyaziwa nge-sialidase, evame ukubonwa nge-BV nezinye izinhlobo ze- vaginitis .
Nakuba ukuhlolwa okungalungile kuyisibonakaliso esihle kakhulu sokuthi awunawo i-BV, akufanele kubhekwe njengokucacile. Ekugcineni, uma unezimpawu ezintathu noma ngaphezulu ze-BV , kufanele uqhubeke ubona udokotela, ikakhulukazi uma enzima, ephikelela, noma ephindaphindiwe.
Ngesikhathi ukuhlolwa kwekhaya kungakunika ukugcinwa kwemfihlo nokulawula okufunayo, kungaba kubi kakhulu cishe ku-$ 100 ngayinye.
Ama-Labs nezivivinyo
Ukuxilongwa kwe-bacterial vaginosis ngokuvamile kuhilela izingxenye ezine:
- Umlando wakho wezokwelapha uzobuyekezwa ukuze uhlole ukuthi ngabe usulele yini ukutheleleka kwesisu, kuhlanganise nezandulela ngculazi.
- Ukuhlolwa kwe-pelvic kuzokwenziwa ukuhlolisisa izibonakaliso zokutheleleka.
- Ukuhlolwa kwe-pH, okwenziwe nge-strip test test, kuzosetshenziselwa ukukala ubuhle be-vaginal. I-pH engaphezu kwe-4.5 iyisibonakaliso esinamandla sokutheleleka kwebhaktheriya.
- Imfihlo yamagagasi izobe ihlaziywe ngaphansi kwe-microscope ukuze ihlole "amangqamuzana amancane" noma ukuqinisekisa ukuthi kukhona amabhaktheriya athile ngokusetshenziswa kwebala lokugaya .
Amaseli e-Clue ngokumelene ne-Gram Staining
Amaseli ezinkomba achaza amangqamuzana omzimba ukuthi, lapho ebonwa ngaphansi kwe-microscope, abe nezici zokutheleleka kwebhaktheriya. Kulesi sibonelo, udokotela wayezobuka ngqo amaseli e-epithelial (uhlobo olunezikhala ezingenalutho). Uma kukhona ukutheleleka kwebhaktheriya, emaphethelweni alawa maseli azoba ne-bacteria. Ukubukeka kwabo okungahambi kahle kuzokwenza kube "izinkomba" ezidingekayo ukusiza ukuba kuhlolwe.
I-gram, ngokuphambene nalokho, iyindlela ejwayelekile esetshenziselwa ukuhlukanisa phakathi kwamaqembu amabhaktheriya.
Nge-BV, amanye amabhaktheriya "amahle" ayolindeleka ukuba aphansi (ikakhulukazi i-lactobacilli), kuyilapho amanye amabhaktheriya "amabi" athile (ngokuvamile i- Gardnerella noma i- Mobiluncus ). Ngokuhlukanisa la mabhaktheriya ngamadayili nokuhlola isilinganiso sabo ngaphansi kwe-microscope, odokotela banganquma ukuthi bahlangabezana yini nemigomo yokutheleleka kwe-BV.
Imigomo yemitholampilo
Udokotela angenza ukuxilongwa okucacile kwe-bacterial vaginosis ngeyodwa yezinyathelo ezimbili zokuhlola: i-Amsel criteria noma igrafu ayinaki.
Inqubo ye-Amsel ihlolisisa ukutholakala okubonakalayo kanye nomphumela wezivivinyo zokuxilonga.
Ngaphansi kwalendlela, i-BV ingaqinisekiswa uma izimo ezine ezilandelayo zihlangene:
- Kukhona ukukhishwa kwamanzi okwesibhakabhaka noma okuphuzi okwesibhakabhaka.
- Amaseli e-clue abonakala ngaphansi kwe-microscope.
- I-pH yangasese ikhulu kune-4.5.
- Kukhona ukukhululwa kwephunga elimnandi uma isisombululo se-alkali singeziwe emicimbini yesisu.
I-Gram staining yindlela ehlukile lapho kusetshenziselwa khona uhlobo nenani lama-bacterium ukuqinisekisa ukuxilongwa. Ukuxilongwa kusekelwe kumamaki alandelayo:
- Ibanga 1: ukwakheka okuvamile kwamabhaktheriya angasese
- Ibanga lesi-2: i-lactobacilli exutshwe ne- Gardnerella kanye / noma i- Mobiluncus bacteria
- Ibanga lesi-3: ama-lactobacilli ambalwa futhi ikakhulukazi i- Gardnerella kanye / noma i- Mobiluncus
Ibanga lesi-3 lingabhekwa njengesifo esihlolisisiwe se-bacterial vaginosis.
Ukuhlonza okuhlukile
Ngenxa yokuthi izimpawu ze-bacterial vaginosis zifana nezinye izifo, odokotela bangase baphenye ezinye izimbangela uma imiphumela yokuhlolwa ingumngcele we-borderline noma izimpawu zomtholampilo azicacile.
Ukuxilongwa okuhlukile kwe-BV kungafaka:
- I-aerobic vaginitis (isimo esifana ne-BV kodwa esibangelwa amagciwane angaphandle kwesifazane, kuhlanganise ne-Staphylococcus aureus ne- Escherichia coli )
- I-Candidiasis (isifo sovubelo esibangelwa u- Candida ukhunta)
- I-Cervicitis (ukuvuvukala komlomo wesibeletho kanye nezimbangela ezithathelwanayo nezingezona ezithathelwanayo)
- I-Herpes simplex virus (HSV) yezinhlobo zomzimba
- I-Trichomoniasis (igciwane lesandulela ngculazi elibangelwa yi- Trichomonas vaginalis )
- Ezinye izifo ezithathelwana ngocansi ezifana ne- chlamydia noma i- gonorrhea
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo (CDC). Izibalo ze-Bacterial Vaginosis (BV): I-bacterial vaginosis yi-infection evamile kakhulu kubantu besifazane abaneminyaka engu-15-44. "I-Atlanta, Georgia; ibuyekeziwe ngomhla ka-Disemba 17, 2015.
> Hainer, B. kanye no Gibson, M. "Vaginitis: Ukuxilongwa Nokunakekelwa." Am Fam Physician. 2011; 83 (7): 807-815.
> Huppert, J .. Hesse, E .; UBernard, M. et al. "Ukunemba nokwethemba kokuzihlola kwe-bacterial vaginosis." J Adolesc Health . 2012; 51 (4): 400-5. I-DOI: 10.1016 / j.jadohealth.2012.01.017.
> Mohammedzadeh, F .; I-Dolatian, M .; kanye noJorjani, M. "Ukubaluleka kokuqhathaniswa kwemigomo ye-Amsel Clinic for diagnosis of bacteria Vaginosis." I Glob J Health Sci. 2015; 7 (3): 8-14. I-DOI: 10.5539 / gjhs.v7n3p8.