Indlela Izenzo Zokuziphatha Zezocansi Nezokwelapha Zinikeza Ingozi
I-bacterial vaginosis (BV) yizifo ezithathelwanayo zesisu phakathi kwabesifazane abaneminyaka yobudala kanye nenye yezinto ezingaqondakali kakhulu. Nakuba kungabhekwa njengesifo esithathelwana ngocansi (STD), i-BV ihlotshaniswa nezinkinga ezifanayo njenge-chlamydia, i-gonorrhea, ne-trichomoniasis. Ngisho nabesifazane abangenayo ucansi bangathola i-BV, noma ingajwayelekile.
Iqiniso elilula ukuthi ososayensi abaqiniseki ngokuphelele ukuthi yiziphi izindlela (noma ukuhlanganiswa kwezinqubo) eziphakamisa i-BV.
Lokho esikwaziyo ukuthi, noma yikuphi okubangela imbangela, i-BV ingumphumela wokungalingani emveleni wesifazane lapho amagciwane aphilile aphelile khona, okwenza abangenampilo bakwazi ukukhula. Ezinye zezinto ezingabangela ukubandakanya zihlanganisa imikhuba yobulili, izakhi zofuzo, kanye nempilo jikelele / ubulili.
Izizathu zocansi
I-bacterial vaginosis ayithathwa njenge-STD ngoba ukutheleleka akubangelwa i-pathogen yangaphandle njengegciwane (njenge- HIV ) noma amabhaktheriya (afana ne- syphilis ). Esikhundleni salokhu, ukutheleleka kwenzeka lapho amabhaktheriya athi "amabi" atholakalayo esesiswini abanikezwa ithuba lokukhula.
La macala ahlanganisa i- Gardnerella vaginalis, i-Atopobium wesifazane, kanye nezinkinga ze- Prevotella ne- Morbiluncus ibhaktheriya. Lawa ma-bacterium avame ukuhlolwa ngesistimu yomzimba futhi, ngokubaluleke nakakhulu, mhlawumbe i-acidity ye-vagin (njengoba kulinganiswa nge- vaginal pH ).
Isenzo sobulili singanqanda lezi zinhlelo ngokufaka ama-microbes amasha emanzini angasese.
Lokhu kungase kungashintshi kuphela i-pH yangasese, kungasusa amabhaktheriya amaningi anempilo asekela futhi "ahlanze" ubulili. Ngakho-ke, ozakwethu ocansini abangaphezu kwakho, uma uziveza ngokwengeziwe kumagciwane abo.
Ingozi ye-BV, akumangazi ukuthi iyona ephakeme kunabesifazane abaneminyaka engu-15 no-44 abangakwazi ukuhlanganyela ocansini.
Phakathi kwezici eziyinhloko ezingozini zobulili:
- Abalingani abaningi bezocansi ngenye yezinto ezibalulekile ze-BV. Lokhu kubandakanya kokubili abalingani besilisa nabesifazane. Eqinisweni, ucwaningo lwango-2010 lwaphetha ngokuthi ukulala nomunye wesifazane kwandisa ingozi ye-BV ngamaphesenti angama-52.
- Abalingani bobulili abasha bafaka ingozi nje ngokukutshela amabhaktheriya nezinye izidakamizwa umzimba wakho ungahle ungajwayele.
- Ubulili obungavimbelwe ngomlomo, ubulili, nesilwane nethonya ngokususa isikhawulo sokuvikelwa ukuthi amakhondomu namadamu wamazinyo ahlinzeka. I-BV ingabuye ibangelwa ubulili bombhalo (ukushaya indlwabu, "ukugcoba") kanye nokuqhwaza ("ukuqhuma okomile"),
- Amathoyizi ekwabelana ngesondo nawo abeka ingozi.
Ngaphezu kwe-BV, abesifazane bangathuthukisa lokho okubizwa ngokuthi ukutheleleka okuxutshwe ngenxa yokuxhumana kocansi. Ukutheleleka okuxubile kwenzeka lapho ubulili busungulwa ngama-bacterial anaerobic evame ukutholakala esiswini kanye namabhaktheriya aerobic angaphandle kwesifazane. Izibonelo zamabhaktheriya aerobic zihlanganisa Staphylococcus aureus kanye Escherichia coli ( E. coli ).
Uma kuphela amabhaktheriya aerobic abathintekayo, ukutheleleka kwakuzobizwa ngokuthi aerobic vaginitis (AV) . Ukukhuluma ngokwemithi, izifo ze-BV kanye ne-AV ngokuvamile zikhuni ukutshela ukuthi zihlukile futhi zizodinga ukuhlolwa kwebhulethi ukuhlukanisa .
I-Genetics
Kwezinye izimo, izakhi zofuzo zowesifazane zingabangela ingozi ye-BV, ngokuvamile ngokubangela amazinga aphansi kunalindelekile aLectobacilli evikini emzimbeni.
Ngenkathi ucwaningi lwamanje lungenanto eseduzane nayo, kunobunye ubufakazi bokuthi ezinye izakhi zofuzo ezithinta izakhi zingathinta ukukhiqizwa kwe- corticotropin-release hormone (CRH) , into edlala indima ebalulekile ekulawuleni ukuzivikela kanye nokuvuvukala . Ososayensi bakholelwa ukuthi ukungavamile kokukhiqiza kwe-CRH kungathinta izicubu zesisu futhi kubangele ukungalingani kwamabhaktheriya, ikakhulukazi ngesikhathi sokukhulelwa.
Izinguquko eziningana eziphathelene nohlobo lwe-CRH ziye zabonakala kubomnyama abamnyama abangajwayelekile kubantu besifazane abamhlophe.
Lokhu kungasiza ukuchaza, ngokwengxenye, ukuthi kungani abesifazane baseMelika baseMelika benamathuba amabili okuthola i-BV kunabalingani babo abamhlophe.
Impilo Jikelele / Imilenze
Ukugcina i-pH yangasese kanye ne-flora akuzona lula ngaso sonke isikhathi. Izinqubo eziningi zansuku zonke esizibandakanya zingalimaza leli balinganisekile, noma ngokukhuthaza ukwanda kwamabhaktheriya "amabi" noma ukuphazamisa ikhono lethu lokulwa nokutheleleka.
Phakathi kwemikhuba yezempilo noma izimo ezihlobene kakhulu nokutheleleka kwe-BV:
- Ukwehliswa kukubeka engozini ngokuqeda igciwane lesitshalo salo sokuzivikela. Ngokombiko ovela eMnyangweni wezeMpilo wase-United States naseNkambweni Yobuntu, oyedwa kwababesifazane baseMelika abaneminyaka emihlanu kuya ku-44 abanamathele. Umkhuba uvame kakhulu phakathi kwentsha, abesifazane base-Afrika baseMelika nabesifazane baseLatino.
- Ukubhema kuyaziwa ukuthi kudonsa amabhaktheriya amabili asemqoka empilweni yakho yangasese, i- Lactobacillus iners naseLactobacillus crispatus . Ukubhema kubangelwa ukuthi kube nokucindezeleka kwemithambo yegazi, okwenza kube nzima ukulwa nokutheleleka uma kudingeka ukunyakaza okunyukayo.
- Amadivayisi we-intrauterine (iUDs) , ngenkathi ephumelelayo ekuvimbeleni ukukhulelwa, angakwazi kabili ingozi ye-BV kwabanye besifazane. Ngokwesifundo esivela eSt. Louis School of Medicine, ingozi ibonakala inkulu kakhulu kwabesifazane abanenkinga yokungalingani emagqeni abo (ngokuvamile abangaziwa) futhi bathola ukugaya okungavamile ngenkathi usebenzisa i-IUD .
- Uphiko lwe-Vitamin D luye lwaxoxwa isikhathi eside njengesizathu se-BV, ngezifundo ezithile ezisekela le mbono kanye nabanye. Lapho kubonakala sengathi kunomthelela oqondile ngesikhathi sokukhulelwa. Lokhu kukhonjiswe ngokuyingxenye yocwaningo luka-2015 olwubonisa ukuthi ukwengezwa kwe-vitamin D engu-2 000 we-IU okwenziwa nsuku zonke ngamaviki angu-15 kunciphisa ingozi ye-BV kusuka kumaphesenti angu-63.5 kuya kuma-19.2%.
Ngokuqonda kangcono izingozi ze-bacterial vaginosis, ungathola izindlela zokukuvimbela futhi ugweme ezinye izifo ezithathelwana ngocansi.
> Imithombo:
> Brotman, R .; Yena, X; Gajer, P. et al. "Umphakathi phakathi kokubhema ugwayi kanye ne-vaginal microbiota: isifundo somqhubi." BMC Infect Dis. 2014; 14: 471. I-DOI: 10.1186 / 1471-2334-14-471.
> Madden, T .; Grentzer, J .; I-Secura, G. et al. "Ingozi ye-Bacterial Vaginosis Kubasebenzisi Basedivaysi Ye-Intrauterine: Isifundo Se-Longitudinal." I- Trans Trans Dis. 2012; 39 (3): 217-22. I-DOI: 10.1097 / OLQ.0b013e31823e68fe.
> Ryckman, K .; USimhan, uH .; Krohn, A. et al. "Ukubikezela ingozi ye-bacterial vaginosis: indima yohlanga, ukubhema ne-corticotropin-ukukhulula izakhi zofuzo ezihlobene ne-hormone." UMol Hum Ukukhiqizwa. 2009; 15 (2): 131-137. I-DOI: 10.1093 / i-molehr / gan081.
> Taheri, M .; I-Baheiraei, A .; Foroushani, A. et al. "Ukwelashwa kwe-vitamin D ukuntuleka kuyindlela ephumelelayo ekuqothulweni kwe-bacterial vaginosis engabonakali: Isivivinyo somtholampilo esilawulwa yi-placebo." I- Indian J Med Res . 2015; 141 (6): 799-806. I-DOI: 10.4103 / 0971-5916.160707.
> UMnyango wezeMpilo waseMelika kanye nezinsizakalo zabasebenzi. "Douching." I-Rockville Maryland; ibuyekezwe ngo-Ephreli 18, 2017.