Isifo esivamile se-bacteria singakubeka engozini engavamile
I-bacterial vaginosis ingaba yingozi kakhulu kwabesifazane abangaphezu kwezigidi ezintathu baseMelika abahluphekayo kulo nyaka. Isimo, esabangelwa ukukhukhulwa kwamagciwane, kuvamile kubesifazane besifazane kuya ku-44 futhi kungaholela ekukhusheni kwesisu, ukuhlambalaza, ukushisa, kanye nephunga "lokudoba". Uma kushiywe kungalashwa, i-bacterial vaginosis ingakwandisa ukuhlukunyezwa kwakho kwezifo ezithathelwana ngocansi futhi ngezinye izikhathi kungase kuholele ekubelethweni ngaphambi kokuzalwa noma ngisho nokukhulelwa kwesisu.
Ukwazi izibonakaliso ze-bacterial vaginosis kungukuzivikela okukodwa okukuvikela ukugwema izinkinga.
Izimpawu Ezivamile
I-bacterial vaginosis (BV) ibangelwa ukungalingani kwamabhaktheriya angokwemvelo ngaphakathi kwesifazane , ikakhulukazi, ukwehla kohlobo lwamabhaktheriya "omuhle" okuthiwa i-lactobacilli. Uma lokhu kwenzeka, amanye amabhaktheriya "amabi" angabangela futhi abangele ukutheleleka.
Kulaba besifazane abayizigidi ezingu-21 base-US abahlakulela i-BV njalo ngonyaka, cishe amaphesenti angama-84 ngeke abe nezimpawu, ngokusho kombiko ovela kwiCenters for Disease Control and Prevention.
Kulabo abenzayo, okuvame kakhulu kuhlanganisa:
- Ukukhishwa okumhlophe noma okuphuzi okwesibhakabhaka ngokuvamile okugqoka izindonga zesifazane
- A iphunga "fishy" ezingase zivame ukubi kakhulu emva kokulala
- Isizwa esivuthayo uma uchama
- Ukwehla kwamagciwane, ubomvu, nokuvuvukala (ngokuvamile kubumnene)
- Ukuphuma kwegciwane ngemuva komzimba
Ngisho nangemva kokuba owesifazane ephathwa ngempumelelo nge-BV, abaningi abangamaphesenti angu-50 bayothola ukuphindaphinda kwezimpawu zingakapheli izinyanga ezingu-12.
Izimpawu ezijwayelekile
Ngezikhathi ezingavamile, i-BV ingabangela i- dysuria (ukuvuthwa okubuhlungu noma okunzima) noma i- dyspareunia (ubulili obubuhlungu). Lezi zivame ukubangelwa ukutheleleka kwesibili emgodini we-urinary kanye nesiswini.
Izinkinga
Ukubona nokwelapha i-BV kubalulekile njengoba kunganciphisa kakhulu ingozi yezinkinga.
Izinkinga ezintathu ezivame ukwanda yizifo ezithathelwanayo ngokocansi (kuhlanganise ne-HIV), isifo sofuba esiswini (PID), nokulahleka kokubeletha noma ukuzalwa kwangaphambi kwesikhathi.
Izifo ezithathelwana ngocansi
I-bacterial vaginosis ibonakala ngokuvuvukala kwezicubu zesisu. Uma lokhu kwenzeka, izicubu kanye nemithwalo yegazi engaphansi kuyoqala ukuvuthwa futhi kwandise ukuvumela amaseli amakhulu omzimba omzimba (njenge macrophage namaseli e-dendritic) eduze nesayithi lokutheleleka.
Ngenkathi le nqubo ibalulekile ekuphulukiseni, ibuye ibe nehlehlisayo: Yenza lezi zicubu zibe ngaphezulu kakhulu futhi zivikeleke ezifweni ezithathelwana ngocansi. Lokhu kuyiqiniso ikakhulukazi uma izimpawu ze-BV zinzima kakhulu.
Ngokwesifundo se-2018 esivela eSt. Louis School of Medicine, i-BV ephawulekayo yandisa ingozi ye- gonorrhea , i- chlamydia , ne- trichomoniasis ngamaphesenti angu-270. Okufanayo kubonakala kuyiqiniso nge- herpes ngokocansi kanye ne- syphilis ; ubuhlobo phakathi kwe-BV ne- papillomavirus yabantu (HPV) akucaci kancane.
Ngokuphambene nalokho, abesifazane abane-BV subclinical (lapho kungekho khona izimpawu ezibonakalayo) ababengekho engozini enkulu.
I-HIV
Ngokuphambene, ubuhlobo phakathi kwe-BV ne-HIV abucaci kuphela kodwa bukhohlisayo. I-HIV yisifo esihambisana nokuqedwa ngokushesha kwama cell omzimba okuthiwa i- CD4 T-cells .
Lapho ukuvuvukala kwesisu, i-macrophage nama-dendritic amangqamuzana agcwala izicubu ezithintekayo ukuze zihlukanise ukutheleleka, emva kwalokho zithathe ama-virus bese ziwayisa kuma-T-cells okuhloswe ukuba awanciphise.
Kodwa, esikhundleni sokubulala ama-virus, ama-CD4 T-cells ngokwawo anesifo. Ekugcineni, ukuzivikela komzimba kuhloswe ukusivikela ngokungazi kahle ukutheleleka.
Futhi, akubona nje abesifazane abasengozini. Uma owesifazane ene-HIV, ukuthuthukiswa kwe-BV kungaholela esimweni esibizwa ngokuthi ukuchithwa kwamagciwane lapho ukutheleleka ngokocansi kuyokwandisa ngokulinganayo ukuhlushwa kwegciwane lesandulela ngculaza emzimbeni noma emigodini yesisu.
Uma lokhu kwenzeka, owesifazane uzoba nomthelela wokudlulisela igciwane kumlingani wezocansi (kwezinye izimo, ngisho noma enesandulela ngculaza ).
Izifo Ezivuthayo Ze-pelvic
Izifo ezivuvukala ngama-pelvic (PID) zibangelwa uma ukutheleleka kwebhaktheriya emgodini kudlula umlomo wesibeletho futhi kwenza ukusabalala kokutheleleka kubhulovu nesisu. Ngenkathi kube khona ingxabano mayelana nobuhlobo phakathi kwe-BV ne-PID, ubufakazi buka-2013 bubonisa ukuthi i-PID ingathinta kakhulu abesifazane abangaphansi kweminyaka engu-25 ababa nezinhlamvu ezinzima noma eziphindaphindiwe ze-BV.
I-PID ibonakala ubuhlungu be-pelvic nobuhlungu besisu, kaningi isikhathi eside. Izinkinga ezinzima zihlanganisa:
- Ukuthuthukiswa kwezicubu ezibomvu kokubili ngaphakathi nangaphakathi kwamatayipi angama-fallopian angabangela ukuvinjelwa kwe-tubal
- Ukukhulelwa kwe-Ectopic (ukukhulelwa okuvela ngaphandle kwesisu)
- Ukungenzi lutho
Izinkinga zokukhulelwa
Ukwelashwa kwe-bacterial vaginosis ngesikhathi sokukhulelwa kungase kwandise ingozi yokuzalwa kwangaphambi kokubeletha nokukhulelwa kwesisu (ngokuvamile kuvame ukuphindwe kabili). Ezinye izingozi ezivame ukufakwa zibandakanya l owokuzalwa kwesisindo kanye nokuqhekeka kwangaphambi kwesikhathi kwe-membrane (PROM).
Ubuhlobo phakathi kwe-BV nokucindezeleka kokukhulelwa akucaci ngokuphelele. Abanye ososayensi baye babuza ukuthi i-BV iyabangela ngqo lezi zenzakalo (ngoba iningi labesifazane abakhulelwe abane-BV banezingane ezijwayelekile) noma uma ezinye izinkinga ezenziwa yi-BV kufanele zibekwe icala.
Ngalokho kuthiwa, ubufakazi obukhona bubonisa ukuthi ukuthuthukiswa kwe-BV ku-trimester yesibili kungandisa ingozi yokuzalwa kwangaphambi kwamaphesenti angama-60 futhi kuholele ekukhuleni okuphindwe kasikhombisa engozini ye-PROM. Ngokuphambene nalokho, ukusetshenziswa okufanele kwama-antibiotic kubonakala ukunciphisa ingozi, kaningi kuya emazingeni anganaki.
Nini Ukubona Udokotela
Njengoba izinkinga eziningi ze-BV zenzeka ngesifo esibonakalayo, kubalulekile ukubona udokotela uma kukhona izibonakaliso zezici ezibonakalayo. Akufanele nanini uzame ukuzithokozisa ngoba lokhu kungaholela ekwelapheni okungalungile (isibonelo, usebenzisa ama-antifungals angama-topical angenalo umthelela kuma-bacteria).
Kubaluleke nakakhulu ukufuna ukunakekelwa uma unomkhuhlane, umzimba we-aches, ubuhlungu be-pelvic kanye / noma ubuhlungu besisu, noma ubunzima bokuvuthwa. Zonke lezi zinto zingabonakalisa ukutheleleka okungathí sina.
Ngaphezu kwalokho, uma ukhulelwe futhi ubona izimpawu ze-BV, shayela i-OB / GYN yakho. Ukuxilongwa kokuqala kanye nokwelashwa kungahamba indlela ende ukuqinisekisa ukukhulelwa okuphephile nokungapheli komcimbi.
> Imithombo:
> Allworth, J. kanye noPeipert, J. "Ubuhlungu beBacterial Vaginosis Nengozi Yokutheleleka Ngokocansi." Am J Obstet Gynecol. 2011; 205 (2): 113.e1-113.e6. I-DOI: 10.1016 / j.ajog.2011.02.060.
> 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.
> Nelson, D .; UBellamy, uS .; I-Nachamkin, T. et al. "Izimpawu kanye Nemiphumela Yokukhulelwa Kwabesifazane Abakhulelwe Abangenayo I-Bacterial Vaginosis." I- Matern Child Health J. 2008; 12: 216. INGABE: 10.1007 / s10995-007-0239-7
> Taylor, B .; Darville, T .; kanye noHaggerty, C. "Ingabe Ibhaktheriya Vaginosis Yenza Isifo Sezifo Ezivuthayo?" I-Trans Trans Dis. 2013; 40 (2): 117-22. I-DOI: 10.1097 / OLQ.0b013e31827c5a5b.