Buza iNgcali: Ngaba iBacterial Vaginosis inokuCoca ngokwayo?

Umxholo

• Yintoni ebangela ibacterial vaginosis? Ziintoni iimpawu?
• Ngaba i-BV sisifo esidluliselwa ngeentlobano zesini?
• Zeziphi ezinye zeengxaki ezinokubangelwa yi-BV?
• Ngaba i-BV ingazicacisa yodwa? Ngaba ihlala ibuya?
• Nguwuphi umahluko phakathi kwe-BV kunye nosulelo lwegwele?
• Zithini iindlela zokhetho ze-BV?
• Ndingayithintela njani i-BV?
• Zeziphi iimpawu zokuba kufuneka ndiye kugqirha?

Yintoni ebangela ibacterial vaginosis? Ziintoni iimpawu?

I-bacterial vaginosis (BV) ibangelwa kukungalingani kwebacteria kwilungu lobufazi. Isizathu solu tshintsho asiqondwa kakuhle, kodwa kunokwenzeka ukuba inxulumene notshintsho kwimeko yelungu lobufazi. Umzekelo, uthambekele ekufumaneni i-BV ukuba awutshintshi kwiimpahla ezicocekileyo emva kokuzilolonga okanye xa usenza idouche. Eyona nto ixhaphakileyo yintsholongwane Gardnerella lobufazi.

Abanye abantu, i-BV ayisoloko ikhokelela kwiimpawu. Kwabo banamava eempawu, banokubandakanya ivumba elinamandla (elihlala lichazwa njenge- “fishy”), ukukhutshwa okumhlophe okucekeceke okanye okungwevu, kunye nokucaphuka kwilungu lobufazi okanye ukungonwabi.

Ngokwamaziko oLawulo lweNtsholongwane kunye noThintelo lweZifo (i-CDC), i-BV yintsholongwane yabasetyhini kubantu abaphakathi kweminyaka eli-15 ukuya kwengama-44.

Ngaba i-BV sisifo esidluliselwa ngeentlobano zesini?

I-BV ayisosifo esidluliselwa ngesondo. Nangona kunjalo, ukuba usebenza ngokwesondo, unomngcipheko okhulayo wokuphuhlisa i-BV. Ukuba ne-BV kunokunyusa umngcipheko wokufumana ezinye izifo ezosulela ngokwabelana ngesondo.

Zeziphi ezinye zeengxaki ezinokubangelwa yi-BV?

Ngaphandle kokuba neempawu ezingathandekiyo, i-BV ayihlali ibangela naziphi na iingxaki zempilo kubantu abaninzi abasempilweni.

Abanye abantu abafumana i-BV banokufuna ingqalelo engakumbi. Ukuba ukhulelwe, ukuba ne-BV kunokunyusa umngcipheko wokuzalwa ngaphambi kwexesha. Okanye, ukuba uceba ukwenza inkqubo ye-gynecologic, ukuba nesiqendu esisebenzayo se-BV kunokunyusa umngcipheko wosulelo. Kwezi ntlobo zabantu, kubalulekile ukuba ugqirha wakho azi ukuba ufumana iimpawu ukuze unyangwe.

Ngaba i-BV ingazicacisa yodwa? Ngaba ihlala ibuya?

I-BV inokuzicacisa yodwa. Nangona kunjalo, ukuba ufumana naziphi na iimpawu, nxibelelana nogqirha wakho ukuze uvavanywe kwaye uphathwe. Oku kuyinyani ngokukodwa ukuba ukhulelwe. Ukuba ne-BV kunokunyusa umngcipheko wokuba nokuzalwa kwangaphambi kokuzalwa.

Kuqhelekile ukuba iBV ibuye. Abanye abantu bathambekele ekufumaneni i-BV, ekunokwenzeka ukuba inxulumene ne-chemistry yomzimba kunye nemeko yabasetyhini. I-BV inokucoca kwaye ibuye, okanye kusenokwenzeka ukuba ayikaze icace gca kwasekuqaleni.

Thetha nogqirha wakho malunga notshintsho kwindlela yokuphila onokuyenza okanye ukuba ungumgqatswa wamayeza othintela i-BV.

Nguwuphi umahluko phakathi kwe-BV kunye nosulelo lwegwele?

Kukho iintlobo ezahlukeneyo zeentsholongwane kwilungu lobufazi. Oku kuqhelekile. Ukwanda kakhulu kubangela iBV, ubukhulu becala Gardnerella lobufazi- luhlobo olunye kuphela lweebhaktheriya eziqhelekileyo ezifumaneka kwilungu lobufazi.

Ukugqithisa kweentlobo zegwele kubangela usulelo lwegwele. Iimpawu zihlala zibandakanya ukukhutshwa okumhlophe, okumhlophe, okanye ukurhawuzelela. Akuhambelani nevumba.

Ngamanye amaxesha kunokuba nzima ukuxelela ukuba unayo i-BV okanye usulelo lwegwele olusekwe kwiimpawu zodwa. Ukuba awuqinisekanga, yenza idinga nogqirha wakho.

Zithini iindlela zokhetho ze-BV?

Ukuba uhlala eUnited States, i-BV ihlala iphathwa ngamayeza okubulala iintsholongwane afuna iyeza. Iintsholongwane eziqhelekileyo zi-metronidazole okanye i-clindamycin. Kukho ezinye ezingasetyenziswa kakhulu. E-United Kingdom, kukho iigels ezingekho mthethweni kunye neekhrim ezikhoyo kwi-counter-counter (OTC) ukunyanga i-BV.

Kukho amayeza ngohlobo lwepilisi yomlomo, ijeli, okanye i-suppository ukuba ibekwe kwilungu lobufazi. Akufanele utye nabuphi na utywala ngelixa uthatha i-metronidazole, kunye neeyure ezingama-24 emva kwedosi yokugqibela. Ukwenza njalo kunokubangela ukuba usabele gwenxa kunyango.

Ndingayithintela njani i-BV?

Kuba oyena nobangela we-BV akaqondwa kakuhle, kunzima ukukhomba indlela yokuthintela. Nangona kunjalo, ukunciphisa inani lamaqabane akho owabelana nawo ngesondo okanye ukusebenzisa ikhondom xa usabelana ngesondo kunokunciphisa umngcipheko.

Kuya kufuneka uphephe nokubanjwa ngenxa yokuba inokususa iintsholongwane ezinceda ukugcina ibhalansi kwilungu lobufazi. Ngokuhambelana nale migca, kuyanceda ukugcina imeko efanelekileyo yelungu lobufazi.

Zeziphi iimpawu zokuba kufuneka ndiye kugqirha?

Kuya kufuneka ubone ugqirha ukuba:

• Unayo nayiphi na imikhuhlane, ukugodola, okanye iintlungu eziqatha kunye nokungaqhelekanga
  Ukukhutshwa kwelungu lobufazi kunye nevumba
• uneqabane elitsha kwaye ukhathazekile ukuba ungabelana ngesondo
  usulelo olusasazwayo
• ukhulelwe kwaye unokukhutshwa okungaqhelekanga kwilungu lobufazi

UCarolyn Kay, MD, ngugqirha wokubelekisa kunye noogqirha bababhinqileyo abanomdla okhethekileyo kubandakanya impilo yokuzala, ukukhulelwa, kunye nemfundo yezonyango. UGqirha Kay ufumene ugqirha wakhe kwezamayeza kwiDyunivesithi yase-New York. Ukugqibile ukuhlala kwakhe eHofstra Northwell School of Medicine eNew Hyde Park.