I-bacterial Vaginosis vs. Ukosuleleka ngegwele: Yiyiphi loo nto?

Umxholo

• Izinto ekufuneka ziqwalaselwe
• Iingcebiso zokuchonga
• BV
• Isifo segwele
• Yintoni ebangela usulelo ngalunye, kwaye ngubani osemngciphekweni?
• BV
• Isifo segwele
• Nini ukubona ugqirha okanye omnye umboneleli wezempilo
• Izinketho zonyango
• BV
• Isifo segwele
• Yintoni imbonakalo?
• BV
• Isifo segwele
• Iingcebiso zokuthintela

Izinto ekufuneka ziqwalaselwe

I-bacterial vaginosis (BV) kunye nosulelo lwegwele zombini ziindlela eziqhelekileyo ze-vaginitis. Ayizizo izizathu ezibangela inkxalabo.

Ngelixa iimpawu zihlala zifana okanye ziyafana, oonobangela kunye nonyango kwezi meko zahlukile.

Olunye usulelo lwegwele lunokunyangwa ngamayeza e-over-the-counter (OTC), kodwa zonke iimeko ze-BV zifuna amayeza amiselweyo.

Funda ukuze ufunde ukuba ungasichonga njani isizathu esingunobangela kwaye unqume ukuba kuya kufuneka ubonane nogqirha okanye omnye umboneleli wezempilo.

Iingcebiso zokuchonga

I-BV kunye nosulelo lwegwele kunokubangela ukuphuma ngokungaqhelekanga kwilungu lobufazi.

Ukukhutshwa kukosuleleko lwegwele kuhlala kuyinto engqindilili, emhlophe engaguquguqukiyo kwaye ayinalo ivumba.

Ukukhutshwa kwi-BV kunciphile, kuyelo tyheli okanye ngwevu, kwaye kuthwele ivumba elibi elibi.

Kuyenzeka ukuba usulelo lwegwele kunye neBV ngaxeshanye. Ukuba uneempawu zayo zombini ezi meko, jonga ugqirha ukuze ufumane isifo.

BV

Iingcali ziqikelela ukuba abantu abane-BV abafumani zimpawu zibonakalayo.

Ukuba zikhona iimpawu, zinokubandakanya:

• Iphunga "leentlanzi" eliqina ngakumbi emva kwesondo okanye ngexesha lokuya exesheni
• ukuvuza okucekethekileyo okungwevu, okutyheli, okanye okuluhlaza
• ukurhawuzelela kwilungu lobufazi
• ukutshisa ngexesha lokuchama

Isifo segwele

Iimpawu zingabandakanya:

• eshinyeneyo, emhlophe, "cottage itshizi-efana" ukukhutshwa kwilungu lobufazi
• ububomvu nokudumba ujikeleze ukuvulwa kwelungu lobufazi
• iintlungu, ukukrakra, kunye nokurhawuzelela ukungcola
• ukutshisa ngexesha lokuchama
• ukutshisa ngexesha lokwabelana ngesondo

Yintoni ebangela usulelo ngalunye, kwaye ngubani osemngciphekweni?

Ukubeka nje, usuleleko lwegwele luyinto yendalo, kanti iBV yintsholongwane.

Ukwanda kwe UCandida ngundo kubangela usuleleko igwele.

Ukugqithisa kwesinye seentlobo zebhaktheriya kwisini sakho kubangela i-BV.

BV

Utshintsho kwi-pH yakho yesini kunokubangela i-BV. Utshintsho kwi-pH kunokubangela ukuba ibhaktiriya ekhula ngokwendalo ngaphakathi kwilungu lobufazi bakho ibalasele ngakumbi kunokuba kufanelekile.

Umtyholwa kukugqithisa koku Gardnerella lobufazi iintsholongwane.

I-pH yakho yobufazi inokutshintsha ngenxa yezizathu ezininzi, kubandakanya:

• utshintsho lwehomoni, njengokuya exesheni, ukukhulelwa kunye nokuyeka ukuya exesheni
• douching okanye ezinye iindlela "zokucoca" ezigqithisileyo
• ukuba neentlobano zesini lobudoda kunye neqabane elitsha

Isifo segwele

Usulelo lwegwele luyakhula ukuba kukho ukugqithisa UCandida ngundo kwilungu lobufazi.

Oku kunokuba sisiphumo se:

• iswekile ephezulu yegazi
• iyeza lokubulala iintsholongwane
• iipilisi zokulawula inzala
• Unyango lwehomoni
• ukukhulelwa

Nangona usulelo lwegwele lungaqwalaselwa njengosulelo olosulela ngokwabelana ngesondo (STI), obunye ubungqina bucebisa ukuba banokuphuhla ngenxa yesenzo sesondo.

Nini ukubona ugqirha okanye omnye umboneleli wezempilo

Yenza idinga nogqirha okanye omnye umboneleli wezempilo ukuba:

• Eli lixesha lakho lokuqala ukufumana iimpawu zosulelo lwegwele.
• Unokosuleleka ngegwele ngaphambili, kodwa awuqinisekanga nokuba uyaphinda uphinde uve.
• Ukrokrela ukuba une-BV.

Jonga ugqirha ukuba iimpawu zakho zinzima. Umzekelo:

• Iimpawu zakho ziyaqhubeka emva kwekhosi epheleleyo ye-OTC okanye unyango lwe -antibiotic. Usulelo lwegwele kunye ne-BV kunokubangela iingxaki ukuba azinyangwa ngempumelelo.
• Ufumana ukucaphuka okukhokelela kulusu oluqhekekileyo okanye olophayo kwindawo yosulelo lwakho. Kungenzeka ukuba unohlobo olwahlukileyo lwe-vaginitis okanye i-STI.
• Ufumanisa ukuba usulelo luqhubeka lubuya emva konyango okanye iimpawu ezingabonakali zihamba. Usulelo lwe-BV lwexesha elide lunokuchaphazela ukuzala kwakho.

Izinketho zonyango

Unyango lwasekhaya, iikhrimu ze-OTC kunye namayeza, kunye nonyango lokuthintela unyango lunokunyanga usulelo lwegwele.

Amayeza amayeza amayeza anokunyanga i-BV kuphela.

BV

I-Metronidazole (i-Flagyl) kunye ne-tinidazole (Tindamax) ngamayeza amiselweyo omlomo aqhelekileyo asetyenziselwa ukunyanga i-BV.

Umboneleli wakho unokumisela i-cream ye-suppository, efana ne-clindamycin (Cleocin).

Nangona iimpawu zakho kufuneka zicace ngokukhawuleza-ngaphakathi kweentsuku ezimbini okanye ezintathu-qiniseka ukugqiba ikhosi epheleleyo yeentsuku ezintlanu okanye ezisixhenxe yezibulala-ntsholongwane.

Ukugqiba ikhosi epheleleyo yamayeza kuphela kwendlela yokususa usulelo kunye nokunciphisa umngcipheko wokuphindaphinda.

Ngeli xesha, thintela ukuba neentlobano zesini okanye ukufaka nantoni na kwilungu lobufazi elinokuthi lazise iintsholongwane, kubandakanya:

• iisampulu
• Iikomityi zokuya exesheni
• iithoyi zesini

Ngaphandle kokuba iimpawu zakho ziqhubeke emva kokuba ugqirha wakho ephelile, ngekhe ufune ukuqeshwa.

Nje ukuba uqale unyango, iimpawu zakho kufuneka zinciphise kwiintsuku ezimbini okanye ezintathu. Ukuba ishiywe inganyangwa, i-BV inokuthatha iiveki ezimbini ukuba ihambe yodwa - okanye isenokubuya.

Isifo segwele

Ungathenga iikhrimu zokuxhasa ezibulala UCandida ukungunda, kubandakanya i-miconazole (i-Monistat) kunye ne-clotrimazole (Gyne-Lotrimin), kwikhemesti yakho yasekuhlaleni.

Ukuba ubona ugqirha, banokukunika amayeza amayeza anika amandla okanye iyeza elibizwa ngokuba yi-fluconazole.

Ukuba uhlangabezana nosulelo lwegwele oluvela rhoqo-ngaphezulu kwesine ngonyaka-umboneleli wakho unokumisela uhlobo oluthile lwamayeza.

Nangona amanye amayeza anokufuna idosi enye, abanye banokuqhuba ikhosi ukuya kwiintsuku ezili-14. Ukugqiba ikhosi epheleleyo yamayeza kuphela kwendlela yokususa usulelo kunye nokunciphisa umngcipheko wokuphindaphinda.

Ngeli xesha, thintela ukuba neentlobano zesini okanye ukufaka nantoni na kwilungu lobufazi elinokuthi lazise iintsholongwane, kubandakanya:

• iisampulu
• Iikomityi zokuya exesheni
• iithoyi zesini

Ukuba iimpawu zakho ziyancipha emva konyango, ngekhe ufune ukuqeshwa.

I-OTC kunye nonyango olugunyazisiweyo lunokucoca usulelo lwegwele kwiveki. Ukuba uthembela kunyango lwasekhaya okanye ukhethe ukungalunyangi usulelo lwegwele, iimpawu zinokuhlala iiveki ezininzi okanye nangaphezulu.

Yintoni imbonakalo?

Ukuba ishiywe inganyangwa, zombini i-BV kunye nosulelo lwegwele kunokukhokelela kwiingxaki ezingaphezulu.

Unokudlulisa usulelo lwegwele kulo naliphi na iqabane lokwabelana ngesondo.
Ungayidlulisa i-BV kwiqabane elinelungu lobufazi ngokwabelana ngesondo ngomlomo okanye ngokwabelana ngeethoyi zesondo.
Nangona abantu abaneepenise bengenakufumana i-BV, abaphandi abaqinisekanga ukuba amaqabane aneepenise angasasaza i-BV kwamanye amaqabane ane-vaginas.

BV

Kuqhelekile ukuba iimpawu ze-BV zibuye emva kweenyanga ezi-3 ukuya kwezi-12 zonyango.

Ukuba ayishiywanga inganyangwa, BV umngcipheko wakho wokuphindaphinda usulelo kunye nee-STIs.

Ukuba ukhulelwe, ukuba ne-BV kukubeka ekuthumeleni ngaphambi kwexesha.

Ukuba unayo i-HIV, i-BV inokwenza ukuba udlulisele i-HIV kulo naliphi na iqabane lokwabelana ngesondo elinelungu lobudoda.

Isifo segwele

Usuleleko olulula lwegwele lusenokuhamba ngaphandle konyango.

Ngaphandle kokuba ukhulelwe, zimbalwa iingozi zokunika usulelo ixesha elincinci ukubona ukuba iyazicoca na.

Ukuba unosulelo lobufazi kwaye uzala kwilungu lobufazi, ungaludlulisa usulelo lwegwele emntwaneni ngohlobo losulelo ngomlomo olubizwa ngokuba yitrush.

Iingcebiso zokuthintela

Ukunciphisa ukucaphukisa kwi-vulva yakho kunye nokukhusela imeko yendalo engaphakathi kwilungu lobufazi kuya kunceda ukuthintela ukosuleleka kwakhona.

Unokulandela ezi ngcebiso zokuthintela:

• Sula ukusuka ngaphambili uye ngasemva xa usebenzisa igumbi lokuhlambela.
• Nxiba izinto ezingakulungelanga ukufota, ucoce ukufuma, impahla yangaphantsi yomqhaphu.
• Khawuleza utshintshe iimpahla ezimanzi okanye iisuti zokuhlamba.
• Gwema ukuchitha ixesha elininzi kwiibhafu ezishushu okanye kwindawo yokuhlambela eshushu.
• Kuphephe ukusebenzisa iisepha ezinevumba elimnandi kwilungu lakho lobufazi.
• Kuphephe ukudibana.
• Thatha iiprobiotic.