Amaqiniso Wonke Owesifazane Kufanele Akwazi
I-bacterial vaginosis yinto evamile kepha ephazamisayo lapho ukulinganisela okujwayelekile kwesitshalo sangasese kuphazanyiswa, okuholela ekukhuleni kwamabhaktheriya ayingozi. Izimpawu zihlanganisa ukungcola, ukukhishwa kwamasipha, kanye nephunga elimnandi.
Nakuba i-BV isheshe iphathwe ngama-antibiotics, ukuphindaphinda kokutheleleka kuvamile, ngokuvamile kungakapheli izinyanga ezingu-12 zokwelashwa.
I-BV ijwayele ukuthinta abesifazane eminyakeni yokubeletha futhi ivame ukuhlotshaniswa ne-douching, ubulili obuvikelekile, abalingani abaningi bobulili, nezinye izinto eziyingozi.
Izimpawu
Kwabesifazane abayizigidi ezingu-21 baseMelika bakholelwa ukuthi baphathwa yi-bacterial vaginosis unyaka ngamunye, cishe kuphela izigidi ezintathu ezithola izimpawu. Uma kwenzeka, izimpawu ze-BV zivame ukumbamba kodwa ziphikelela futhi zingabandakanya:
- Ukukhishwa kwesisu okumhlophe noma okuphuzi okwesibhakabhaka
- A iphunga "fishy" okungaba nakakhulu emva kokulala
- Isizwa esivuthayo uma uchama
- Ukwehla kwamagciwane, ubomvu, nokuvuvukala
- Ukuphuma kwegciwane ngemuva komzimba
Ngokuvamile, ukutheleleka kwe-BV kungabangela izinkinga zokuchama, ubuhlungu ngesikhathi socansi, nokuthuthukiswa kwesifo sofuba esiswini (PID).
Nakuba izimpawu ze-BV zivame ukungathí sina, zinganciphisa ubuqotho bezicubu zangasese futhi zenze ukonakala kwakho kuzifo ezithathelwana ngocansi (i- gonorrhea , i- chlamydia , i- trichomoniasis ne- HIV) .
Ngaphezu kwalokho, uma ukutheleleka kwenzeka ngesikhathi sokukhulelwa, ungase ugibele ingozi yokuzalwa ngaphambi kokubeletha, ukuzala okuphansi, kanti ngezikhathi ezingavamile, ukukhulelwa kwesisu kwesibili.
Izimbangela
I-bacterial vaginosis ayithathwa njenge-STD ngoba ukutheleleka akubangelwa i-pathogen yangaphandle njengengculazi noma isifo se-syphilis.
Esikhundleni salokho, i-BV ivela lapho amabhaktheriya enempilo esesiswini ephelile, okwenza ukuthi abangenabhilima babambelele futhi babangele ukutheleleka. I-Gardnerella vaginalis yiyona ejwayelekile kunazo zonke lezi "bacterias" ezimbi, kodwa ezinye zingabangela ukutheleleka, futhi.
Lokhu kungalingani kungabangelwa ukuguqulwa kwamakhemikhali e- vaginal noma izinkinga nge-immune response, kokubili kokunciphisa ikhono lomzimba lokulawula ukukhuphuka kwamagciwane. Ubulili buvame ukugqugquzela ukutheleleka ngokufaka ama-microbes amasha noma amaningi ngokweqile.
Ingozi ye-BV iphezulu kunabesifazane phakathi kuka-15 no-44. Ngokuvamile, abesifazane base-Afrika baseMelika banamathuba amabili okuthola i-BV kunabesifazane abamhlophe.
Ezinye zezimbangela ezivame kakhulu ze-BV zihlanganisa:
- Ubulili obungavimbelwe ngomlomo, ubulili, noma obunqunu
- Abalingani abaningi bobulili
- Abashadile abasha ocansini
- Amathoyizi abelana ngesondo
- Ukuthinta
- Ukubhema
- Amadivayisi we-intrauterine (IUDs)
I-Genetics nayo ikholelwa ukuthi idlala ingxenye, noma ngokukhuthaza ukuvuvukala noma ngokubangela amazinga aphansi kunalindelekile aLectobacilli evikelayo emzimbeni.
Ukuxilongwa
Njengoba i-bacterial vaginosis ingabangelwa i-agent eyodwa, ukuxilongwa kuzokwenziwa ngokusekelwe ekuhloleni kwezibonakaliso zakho kanye nemiphumela yakho yokuhlola yebhodi ehlukahlukene. Lokhu ngokuvamile kuzobandakanya:
- Ukubuyekezwa komlando wezokwelapha
- Ukuhlolwa kwe-pelvic
- Ukuhlolwa kwe-pH ukuhlola ubuhle besisu
- Ukuhlola okuncane kakhulu kwemfihlo yakho yesisu
Ukuhlolwa okuncane kakhulu kungabheka "amangqamuzana amancane" (amangqamuzana angama-vaginal ahlanganiswe nama-bacterium) noma asebenzise i- stain stain ukuze asize ukuhlukanisa izinhlobo zebhaktheriya futhi ahlole inani lama-bacteria "amahle" kuya "ezimbi". Ngokusekelwe kokubuyekezwa kwezinqubo, udokotela angakwazi ukuqinisekisa ukuthi uhlolwe noma enze ezinye izivivinyo ukuqinisekisa ukuthi akuyona enye into yokugula (njengokutheleleka kwemvubelo noma i- herpes yomzimba ).
Izivivinyo ezisuselwa ekhaya zitholakalayo kodwa zivame ukuba zilungile kakhulu.
Ukwelapha
Ukwelashwa okujwayelekile kwe- bacterial vaginosis kuyinkambo emifushane yemithi elwa namagciwane.
Izinhlobo ezisetshenziselwa ukwelapha okuqala, okuthiwa i-metronidazole ne-clindamycin, ziphumelela kakhulu ekuphatheni i-BV futhi zibe nemiphumela emihle emaceleni.
Imikhawulo yokuqala yelayini yokuqala ihlanganisa:
- I-Metronidazole 500 milligrams ethathwe ngomlomo kabili nsuku zonke izinsuku eziyisikhombisa
- I-Metronidazole i-gelisi engama-0.75 yegelini isetshenziswa esisodwa nsuku zonke izinsuku ezinhlanu
- I-Clindamycin 2.0 yephesenti ukhilimu lwama-vagin usetshenziswe ngesikhathi sokulala izinsuku eziyisikhombisa
Okunye okukhethwa kukho kubandakanya amaphilisi e-clindamycin e-suppository noma e-tinidazole. Naphezu kokusebenza kokwelashwa, ukuphindaphinda kuvamile futhi kungadinga ukwelashwa okungeziwe noma okunye ukuze kutholakale ukulawulwa. Imiphumela emibi ejwayelekile ifaka isicanucanu, ukuphumula kwesisu, ukukhwehlela, umphimbo, impumu egijima, nokunambitheka kwensimbi emlonyeni.
Ngaphandle kwemithi elwa namagciwane, kunezinhlobo eziningi zokwelapha zasekhaya nezisekela ezingasiza. Zihlanganisa ama- probiotics (atholakale ekufakeni okunomsoco kanye nokudla okunjenge-yogurt) okungasiza ekuvimbeleni ukuphindaphinda, ne- boric acid , isiluleko sesikhathi esidala esibhekene nokuvuselelwa kokuthandwa kwezokwelapha.
Ukuvimbela
Njengoba ejwayelekile njenge-bacterial vaginosis, kunezinto ongayenza ukuze unciphise ingozi yakho . Zihlanganisa imikhuba yobulili ephephile ukuze igweme ukutholakala kwamabhaktheriya anobungozi nokwenza ubumsulwa obuhle besisu ukuze unciphise amathuba okutheleleka.
Ukuvimbela i-bacterial vaginosis:
- Nciphisa inombolo yakho yabalingani bobulili.
- Sebenzisa ukuvikela ubulili bomlomo, ubulili, noma obudala, kufaka phakathi amakhondomu namadamu wamazinyo .
- Ungabelani ngamathoyizi wezocansi.
- Ungapheli.
- Gwema ukugeza i-vagina ngezinsipho ezinonya noma ezinomsoco.
- Gqoka izingubo zangaphansi zikotini eziphefumulayo.
- Gwema amathoni amnandi noma ama-spray.
- Ungalondolozi isitembu eside kunokunconywa.
- Sula kusukela emuva kuya phambili ngemuva kokuvuthwa.
- Gwema ama-IUD uma unayo i-BV ephindaphindiwe noma isifo esandulele esidlule.
Izwi elivela
Ngisho nangemizamo yokuvimbela phambili, amagciwane angama-vaginosis ngezinye izikhathi angenzeka. Zama ukungakhathazeki. Esikhundleni salokho, funa ukwelashwa futhi wenze konke okusemandleni ukugwema ukwandisa isimo.
Uma izimpawu zikushayela ekuphazamiseni, yenza ukuphila kwakho kube lula ngokufaka izibhulu eziqinile futhi ugqoke izingubo zokugqoka noma isketi. Ukuze uphathe i-itch, sebenzisa indwangu ebandayo ngaphakathi kwesiswini noma uphe amanzi ngamanzi abandayo eshaweni. Ukukhipha kungenza izinto zibe zimbi nakakhulu.
Okokugcina, uma uphathwa ngama-antibiotics, ungayeki ngisho nangaphandle uma izimpawu zakho zanyamalala. Ukwenza kanjalo kungakwandisa ingozi yokulwa nokulwa namagciwane futhi wenze ukwelashwa kube nzima nakakhulu uma ukutheleleka, empeleni, kubuya.
> 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.
> Bagnall, P. noRizzolo, D. "I-bacterium vaginosis: Ukubuyekeza okuwusizo." J Am Acad Phys Assist. 2017; 30 (12): 15-21. I-DOI: 10.1097 / 01.JAA.0000526770.60197.fa.
> Amasevisi Okulawula Nokuvimbela Izifo. "Izifo Zokudluliswa Ngokwecansi Ngo-2015: Iziqondiso Zokwelashwa: I-Bacterial Vaginosis." E-Atlanta, eGeorgia; ibuyekezwe ngo-Juni 4, 2015.
> CDC. "Izibalo zeBactterial Vaginosis (BV): I-bacterial vaginosis yi-HIV evamile kakhulu kubantu besifazane abaneminyaka engu-15-44." Kubuyekezwe i-Disemba 17, 2015.
> Hainer, B. kanye no Gibson, M. "Vaginitis: Ukuxilongwa Nokunakekelwa." Am Fam Physician. 2011; 83 (7): 807-815.