Amacebiso Okubhekana Nezinkinga Wonke Amakhosikazi Kufanele Awazi
Ngokwezikhungo zokulawulwa nokuvimbela izifo, i-bacterial vaginosis (BV) ithinta abesifazane abangama-21 baseMelika ngonyaka ngamunye. Ngesikhathi leso sibalo sodwa singenza kubonakale sengathi i-BV ayinakugwenywa, empeleni ayiqiniso. Ukutheleleka okuningi kubangelwa ukuhluleka okulula kokuqonda ukuthi lesi sifo siyini nokuthi yiziphi izici ezingabeka owesifazane engozini.
Ekugcineni, i-BV ingavinjelwa ngokwenza izinto ezimbili eziyisisekelo: ukugcina ukuhlanzeka kwesisu sangasese nokuqinisekisa imikhuba yobulili ephephile.
Ukuhlanzeka Kwemvelo
I-vaginosis ye-bacterial ibangelwa ukungalingani kwezitshalo zangasese lapho amabhaktheriya "amahle" ephelile, okuvumela amabhaktheriya ayingozi ukuba aphumelele. Okwenza lokhu kwenzeke kwabanye besifazane hhayi abanye akucaci ngokuphelele. Lokho esikwaziyo ukuthi imikhuba ethile ingaphazamisa ubuqotho bezitshalo zangasese futhi ithuthukise ukutheleleka.
Ukuze uqinisekise ukuthi ulondoloza impilo yakho yesifazane, kukhona izinto okufanele uyenze nabanye okufanele uzigweme. Phakathi kwazo:
- Ungapheli. Kulula nje, ukunambitheka kwesisu kungasusa amabhaktheriya amaningi enempilo ebesini lakho. Naphezu kwalokho abantu abangakutshela khona, akudingeki ngempela; i-vagina inezinqubo zayo zokuzihlanza. Ungazikholelwa ekukholweni okudala ukuthi ukudonsa kunganciphisa iphunga noma kuphathe isifo. Ngokuvamile kunalokho, kwenza okuphambene nalokho.
- Sebenzisa insipho encane (noma cha). Insipho yanoma yiluphi uhlobo ingasusa imifino yesisu nomsizi ukusiza ukutheleleka. Lokhu kuyiqiniso ikakhulukazi ngesiphu elimnandi, amafutha okugeza, nokugeza okubhakabhaka, okunye okuqukethe amakhemikhali angakhuthaza isisu. Esikhundleni sensipho, zama ukugeza ngamanzi alula kanye nezandla zakho. Uma usebenzisa isepha, sebenzisa uphawu olubi njenge-Cetaphil.
- Sebenzisa ama-tampons nama-pads angenakulinganiswa. Umqondo wokuthi ukubeka amakha emzimbeni noma ngesiswini kuyinto embi. Njalo sebenzisa ama-tampons avamile futhi qiniseka ukuthi uyashintsha njalo. Ukushiya eyodwa isikhathi eside kunokunconywa kwandisa ingozi yokuvuvukala futhi kuguqula i- pH yangasese , okubili okungakhuthaza i-BV.
- Gqoka izingubo zangaphansi zikotini. Ama-bacteria aphumelela emazingeni okushisa afudumele namazulu omhlaba. Ukugqoka ama-panties ama-panties kudala imvelo ephelele yokutheleleka kwebhaktheriya ngokufaka ukushisa nokushisa. Izingubo zangaphansi zokuphefumula eziphefumulayo, ngokuphambene, kuvumela ukugeleza kwamahhala emoyeni ukuvimbela kangcono ukutheleleka. Ungenza okufanayo ebusuku ngokungafaki noma yimaphi izingubo zangaphansi.
- Sula kusukela phambili ukuya emuva. Ngemuva kokuchama, gxilisa umzimba wakho phambili futhi, ufinyelele emkhatsini wezintambo zakho, uqale ukusula ngaphambi kwegundeni kuya emuva. Lokhu kuzovimbela ukuqoqwa kwamabhaktheriya ayingozi. Uma usuqedile, thatha iphepha elihlukile ukuze uhlanza i-anus, uqale e-perineum (isikhala esiphakathi kwesifazane nesinus) bese usula emuva phakathi kwezintambo zakho. Ukwenza kanjalo kuvimbele ukungenisa amabhaktheriya kusukela ku-anus ukuya emkhathini.
Sex Evikelekile
Ngenkathi i-bacterial vaginosis isifo esithathelwana ngocansi (STD), sinezici eziningi ezifanayo ukuthi ingozi izokwanda nenani labalingani bobulili.
Ngenxa yezizathu ezingaqondakali ngokugcwele, ukulala ngokobulili nabalingani abahlukene (noma ikakhulukazi) bangashintsha ibhalansi lezitshalo zangasese futhi bakhuthaze ukuthuthukiswa kwe-BV. Lokhu, kwandisa ukwehluleka kwakho kuma-STD wangempela njengegonorrhea, chlamydia , trichomoniasis , ne- HIV .
Kuze kube sekugcineni, ukuyeka ukuzibandakanya ngokocansi , kunezenzo ezithile ezingasiza ekunciphiseni ingozi yeBV:
- Nciphisa inombolo yakho yabalingani bobulili . Ngaphezu kwalokho, uma unomlingani omusha, thatha isikhathi sokuxoxa ngemilando yakho yezocansi nokuthi ngabe awuhlolwanga yini ama-STD noma cha. Lokhu akubandakanyi kuphela abalingani besilisa kodwa nabalingani besifazane kanye. Ulwazi oluthe xaxa onalo, izinqumo ezingcono ongayenza.
- Sebenzisa amakhondomu njalo. Ucwaningo lwe-2009 oluvela eNyuvesi yaseNorth Carolina e-Chapel Hill luphetha ngokuthi ukusetshenziswa kwamakhondomu ngaphezu kwezinyanga eziyisithupha kwanciphisa ingozi yowesifazane we-BV ngamaphesenti angama-70. Njengoba udinga ukusebenzisa amakhondomu njalo, udinga ukwazi ukuthi ungayisebenzisa kanjani ngendlela efanele .
- Gwema amakhondomu afanelekile noma izithako. Le mikhiqizo enhle ayifaneleki kuphela ngocansi oluvikelekile, iqukethe ushukela namanye amakhemikhali angashintsha kakhulu i-pH yakho yesisu. Lapho ukhetha i-lubricant, njalo uhambe endaweni eyodwa, esekelwe ngamanzi. Amafutha asekelwe ngamafutha anganciphisa ngokushesha izibopho zamakhemikhali e-latex futhi enze ukuthi ikhondomu iphule.
- Gwema ama-IUDs. Amadivayisi we-intrauterine (IUDs) ayindlela ephumelelayo yokukhulelwa komzimba kodwa kungadingeka ukuba igwenywe kwabesifazane abanezifo eziphuthumayo ze-BV noma abanokuphuza okungavamile ngenkathi usebenzisa i-IUD. Ucwaningo olwenziwa ngo-2012 oluvela eSt. Louis School of Medicine lwaphetha ngokuthi abasebenzisi be-IUD ababenamaphutha okungajwayelekile kanye nokungalingani kwamagciwane angasese (ngokuvamile bengenazo izimpawu) babevame ukuthuthukisa i-BV kunabesifazane abasebenzisa ezinye izinhlobo zokuvimbela ukukhulelwa.
Ukubhekana
Noma yikuphi owesifazane oye wahlangabezana nokutheleleka kwe-BV uzokwazi ukuthi kungenza kube nzima kanjani, kusukela ekutheni okungapheli kuze kube sekukhuculeni kanye nephunga lezinhlanzi. Ukuze ubhekane kahle nezimpawu futhi uzivimbele ekubuyeni, kunezinto eziningana okufanele uyenze:
- Thola ukuphathwa. Ngokusobala, indlela kuphela yokuxazulula izimpawu ze-BV ukuqeda ukutheleleka. Inkambo emfushane ye-antibiotic yomlomo noma yama-topical ingase ibe nenkohliso. Uma uqala ukwelashwa, ungalokothi uyeke eceleni, ngisho noma izimpawu ziphela. Uma wenza, awugcini nje ukuphelelwa yingozi, ungase uhlakulele amabhaktheriya anomelana nama-antibiotic , okwenza ukuthi ukutheleleka kube nzima kakhulu ukwelapha esikhathini esizayo nxazonke.
- Yiphatha isitha ngamanzi abandayo. Ukusakaza noma ukuphalaza amanzi abandayo ebusweni kungasiza ukuthulisa ukuchithwa okungcono kunokukhipha. Geza njalo indawo yangasese endaweni ephansi futhi ungalokothi ungene ngqo emzimbeni uqobo. Ukuze usize emini, gcoba indwangu ehlanzekile ngamanzi e-ice bese usebenza ngokuqondile emzimbeni.
- Gqoka izingubo ezingavamile. Ukuvumela umoya ukuba ujikeleze izicubu ezivuthayo kunganikeza ukukhululeka okukhulu kakhulu ekutheni kunzima futhi kunzima kunokugqokisa amabhulukwe aqinile. Khetha izambatho ezincane noma ukhethe umkhonto ukuze ugweme ukucindezelwa ku-crotch.
- Gcina ukusebenza kwakho kukhanya ukuze ugweme ukucasuka nokuvuvukala. Gqoka izingubo zokuzikhandla ezingavamile futhi ushintshe ngaphandle kwe-sweaty gear yakho ngokushesha usuqedile. Ukugeza endaweni yokuzivocavoca noma ngokushesha lapho ufika ekhaya.
- Gwema izifutho zesifazane. Njengoba ngezinsipho ezinomlilo, lezi zifutho ezinamakha zizophela kuphela zidale ukucasuka. Indlela engcono yokubhekana nephunga ukugeza njalo ngamanzi alula noma insipho emnene. Ungaphinda ulethe i-pair eyengeziwe yezingubo zangaphansi kwekotini ukuze usebenze ukuze uguqule ube phakathi kosuku lwakho.
- Thatha ama-probiotics nsuku zonke. Ama-probiotics atholakalayo ekudleni okunjenge-yogurt noma izithako zokudla okunomsoco ngaphezulu kunamacterteria abukhoma namaduna angakusiza ugcine ukugaya okujwayelekile. Bangasiza futhi ukugcina izitshalo zangasese. Ngesikhathi ama-probiotics engakwazi ukuxazulula ukutheleleka okusebenzayo, ukubuyekezwa kuka-2014 kwezifundo zokwelashwa sekuphelile ukuthi ukusetshenziswa kwansuku zonke komlomo we-probiotic kungasiza ekuvimbeleni ukutheleleka kwe-BV noma ukusekela ukwelashwa kwama-antibiotic .
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo. "Izifo Zokudluliswa Ngokwecansi Ngo-2015: Iziqondiso Zokwelashwa: I-Bacterial Vaginosis." E-Atlanta, eGeorgia; ibuyekezwe ngo-Juni 4, 2015.
> Homayouni, A .; I-Bastani, P .; Ziyadi, S. et al "Imiphumela ye-probiotics ngokuphindaphindiwe kwe-bacterial vaginosis: ukubuyekezwa." I- J Low Genit Tract Dis. 2014; 18 (1): 79-86. I-DOI: 10.1097 / LGT.0b013e31829156ec.
> 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.
> Yotebient, M .; I-Turner, A .; Hoke, T. et al. "Ukusetshenziswa kokusebenzisa ikhondomu okuqhubekayo ezinyangeni ezingu-6 zokusakazeka kwe-bacterial vaginosis kuyahluka ngesimo sokuqala se-BV." I- Trop Med Int Health. 2009; 14 (4): 480-6. I-DOI: 10.1111 / j.1365-3156.2009.02235.x.
> Forcey, uDana S. et al. "Izinto Ezihlobene Nebhaktheriya Vaginosis Phakathi Kwabesifazane Abalala Ngabesifazane: Ukubuyekezwa Okuhlelekile". I-PLOS ONE 10.12 (2015): e0141905.