Usulelo ekukhulelweni: iBacterial Vaginosis

Umxholo

• Ziziphi iimpawu zentsholongwane yeVaginosis?
• Yintoni ebangela ukuba ibhaktheriya vagain?
• Ukuchongwa njani kwebacteria Vaginosis?
• Inyangwa njani iBacterial Vaginosis?
• Ziziphi iingxaki ezinokwenzeka ngeBacterial Vaginosis?
• Ngaba iBacterial Vaginosis inokuthintelwa njani?

Yintoni iBacterial Vaginosis?

I-bacterial vaginosis (BV) lusulelo kusisi olubangelwa ziintsholongwane. Ilungu lobufazi ngokwendalo lineebhaktheriya "ezilungileyo" ezibizwa ngokuba yi-lactobacilli kunye neebhaktheriya ezimbalwa "ezimbi" ezibizwa ngokuba zii-anaerobes. Ngokwesiqhelo, kukho ulungelelwaniso olucokisekileyo phakathi kwe-lactobacilli kunye ne-anaerobes. Xa ulungelelwaniso luphazamisekile, nangona kunjalo, ii-anaerobes zinokunyuka kwinani kwaye zibangele i-BV.

I-BV lolona sulelo luqhelekileyo lobufazi kwabasetyhini abaphakathi kweminyaka eli-15 ukuya kwengama-44. Ikwayenye yezona zifo zixhaphakileyo kwabasetyhini abakhulelweyo, ichaphazela malunga nesigidi sabasetyhini abakhulelweyo minyaka le. I-BV isifo esishushu kwaye siyanyangeka ngokulula ngamayeza. Xa ushiywe ungakhange unyangwe, nangona kunjalo, usulelo lunokunyusa umngcipheko wosulelo olosulela ngokwabelana ngesondo kunye neengxaki ngexesha lokukhulelwa.

Ziziphi iimpawu zentsholongwane yeVaginosis?

Ngokumalunga nama-50 ukuya kuma-75 ekhulwini kwabasetyhini abane-BV abanamava. Xa iimpawu zisenzeka, unokuba nokukhutshwa ngokungaqhelekanga kunye nokungcola kwilungu lobufazi. Ukukhutshwa kuhlala kucekeceke kwaye kungabonakali grey okanye mhlophe. Ngamanye amaxesha, isenokuba foamy. Ivumba elinjengentlanzi elihlala linxulunyaniswa nokukhutshwa sisiphumo seekhemikhali eziveliswa yintsholongwane ebangela iBV. Ukuya exesheni kunye nokwabelana ngesondo kuhlala kwenza ivumba libi ngakumbi, njengoko igazi kunye nencindi isabela kubhaktheriya ukukhupha imichiza enukayo. Ukurhawuzela okanye ukucaphukisa ujikeleze umphandle welungu lobufazi kunokwenzeka nakwabasetyhini abane-BV.

Yintoni ebangela ukuba ibhaktheriya vagain?

I-BV sisiphumo sokwanda kweebhaktiriya ezithile kwilungu lobufazi. Njengakwezinye iindawo zomzimba, kubandakanya umlomo namathumbu, kukho iintsholongwane ezahlukeneyo ezihlala kwilungu lobufazi. Uninzi lwezi ntsholongwane lukhusela umzimba kwezinye iintsholongwane ezinokubangela izifo. Kwilungu lobufazi, i-lactobacilli yintsholongwane eyenzeka ngokwendalo elwa neentsholongwane ezosulelayo. Intsholongwane eyosulelayo yaziwa ngokuba zii-anaerobes.

Ngokwesiqhelo kukho ukulingana kwendalo phakathi kwe-lactobacilli kunye ne-anaerobes. I-Lactobacilli ibangela ukuba uninzi lweebhaktheriya kwilungu lobufazi kunye nokulawula ukukhula kwe-anaerobes. Nangona kunjalo, ukuba i-lactobacilli incitshisiwe kwinani, ii-anaerobes zinethuba lokukhula. Xa ukwanda kwe-anaerobes kwenzeka kwilungu lobufazi, i-BV inokwenzeka.

Oogqirha abazi eyona nto ibangela ukungalingani kwebacteria okubangela iBV. Nangona kunjalo, izinto ezithile zinokunyusa umngcipheko wokuba nosulelo. Oku kubandakanya:

• douching
• ukwabelana ngesondo ngokungakhuselekanga
• ukuba namaqabane esini amaninzi
• ukusebenzisa ii-antibiotics
• usebenzisa iyeza lobufazi

Ukuchongwa njani kwebacteria Vaginosis?

Ukuchonga i-BV, ugqirha wakho uya kukubuza malunga nembali yakho yezonyango kwaye wenze uvavanyo lwe-pelvic. Ngexesha loviwo, ugqirha wakho uza kuvavanya ubufazi bakho kwaye ajonge iimpawu zosulelo. Ugqirha wakho uyakuthatha isampulu yokukhutshwa kwilungu lobufazi ukuze lihlalutywe phantsi kwemicroscope.

Inyangwa njani iBacterial Vaginosis?

I-BV ihlala iphathwa ngamayeza okubulala iintsholongwane. Ezi zinokuza njengeepilisi oziginyeyo okanye njengekhrimu oyifaka kwilungu lobufazi. Nokuba uthini na uhlobo lonyango olusetyenzisiweyo, kubalulekile ukuba ulandele imiyalelo kagqirha kwaye ugqibezele umjikelo opheleleyo wamayeza.

Ugqirha wakho unokumisela la mayeza:

• metronidazole, enje ngeFlagyl kunye neMetrogel-Vaginal, enokuthathwa ngomlomo
• i-tinidazole, efana neTindamax, nolunye uhlobo lonyango lomlomo
• i-clindamycin, efana noCleocin noClindesse, eli liyeza elinokufakwa kwilungu lobufazi

La mayeza ahlala esebenza kunyango lwe-BV. Zonke zinempembelelo efanayo, ngaphandle kwemetronidazole. Eli yeza linokubangela isicaphucaphu, ukugabha kunye nentloko xa usela utywala. Qiniseka ukuba uthetha nogqirha wakho ukuba unenkxalabo malunga naziphi na iziphumo ebezingalindelekanga ezinokubakho.

Nje ukuba unyango lufunyenwe, i-BV ihlala icoca ngaphakathi kweentsuku ezimbini ukuya kwezintathu. Nangona kunjalo, unyango luhlala luqhubeka okungenani iveki enye. Ungayeki ukuthatha amayeza akho de ugqirha akuxelele ukuba wenze njalo. Kubalulekile ukuthatha ikhosi epheleleyo ye-antibiotics ukukhusela ukusuleleka kwintsholongwane. Unokufuna unyango lwexesha elide ukuba iimpawu zakho ziyaqhubeka okanye ziyaqhubeka nokubuya.

Ziziphi iingxaki ezinokwenzeka ngeBacterial Vaginosis?

Xa ishiywe inganyangwa, i-BV inokubangela iingxaki ezinkulu kunye nemingcipheko yempilo. Oku kubandakanya:

• Iingxaki zokukhulelwa: Abafazi abakhulelweyo abane-BV kunokwenzeka ukuba babeleke kwangoko okanye ubunzima bokuzalwa komntwana. Banethuba elikhulu lokuphuhlisa olunye uhlobo losulelo emva kokubeleka.
• Izifo ezosulela ngokwabelana ngesondo: I-BV yonyusa umngcipheko wokufumana izifo ezosulela ngokwabelana ngesondo, kubandakanya intsholongwane ye-herpes simplex, i-chlamydia kunye ne-HIV.
• Isifo sokudumba komzimba: Kwezinye iimeko, i-BV inokukhokelela kwisifo sokudumba kwepelevic, usulelo lwamalungu okuzala kwabasetyhini. Le meko inokunyusa umngcipheko wokungachumi.
• Usulelo emva kotyando: I-BV ikubeka emngciphekweni omkhulu wosulelo emva kotyando oluchaphazela inkqubo yokuzala. Oku kubandakanya ukukhutshwa kwesibeleko, ukukhupha isisu kunye nokuhanjiswa okwexeshana.

Ngaba iBacterial Vaginosis inokuthintelwa njani?

Unokuthatha la manyathelo alandelayo ukunciphisa umngcipheko wokukhula kwe-BV:

• Nciphisa ukucaphuka. Unokunciphisa ukucaphuka kwelungu lobufazi ngokungasebenzisi isepha ukucoca umphandle welungu lakho lobufazi. Nokuba isepha ethambileyo kunye nengafakwanga incasa ubufazi. Kukwaluncedo ukuba uhlale ngaphandle kweebhafu ezishushu kunye nee-whirlpool spas. Ukunxiba iimpahla zangaphantsi zomqhaphu kunokunceda ukugcina indawo ipholile kwaye kuthintele ukucaphuka.
• Musa douche. I-Douching isusa ezinye zeebhaktheriya ezikhusela ubufazi bakho kusulelo, olonyusa umngcipheko wokufumana i-BV.
• Sebenzisa ukhuseleko. Soloko usenza isondo elikhuselekileyo ngokusebenzisa ikhondom kunye nawo onke amaqabane akho owabelana nawo ngesondo. Le yeyona ndlela ilungileyo yokuthintela ukusasazeka kwe-BV. Kukwabalulekile ukunciphisa inani lamaqabane akho owabelana nawo ngesondo kunye nokuvavanyelwa izifo ezosulela ngokwabelana ngesondo rhoqo emva kweenyanga ezintandathu.

I-BV sisifo esiqhelekileyo, kodwa ukuthatha la manyathelo othintelo kunokunciphisa umngcipheko wokuyifumana. Kubalulekile ukubiza ugqirha wakho ngoko nangoko ukuba uyakholelwa ukuba une-BV, ngakumbi ukuba ukhulelwe. Ukufumana unyango ngokukhawuleza kuya kunceda ukuthintela iingxaki ekungenzeki.