So Gardnerella Vaginalis a ɛwɔ wo awotwaa mu no yɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho? Momma yɛnka ho asɛm!

So woate edin `Gardnerella vaginalis` ho asɛm pɛn? Ebia woate afi wo duruyɛfo anaa w’adamfo bi hɔ. Saa din yi a wɔte no betumi ama nnipa binom ate ehu nka kakra, "So eyi yɛ yare bi?" Nanso nokwarem no ɛyɛ mmoawa a wɔte ase a wohu wɔ obiara awotwaa mu . Enti ansa na ehu bɛbɔ wo no, momma yenhu no yiye.

Dɛn ne `Gardnerella vaginalis`? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, `Gardnerella vaginalis` yɛ mmoawa bi a wɔte wo awotwaa mu. Yiw, woate yiye, ɛyɛ ɔyare mmoawa . Nanso ɛnyɛ mmoawa nyinaa na wɔyɛ bɔne. Yɛn nipadua, titiriw wɔ mmeae te sɛ awotwaa no, wɔ mmoawa pa ne mmoawa bɔne bi nso. Eyinom nyinaa bom yɛ nea wɔfrɛ no `vaginal flora` anaa `microbiome`.

Fa wo vagina no sɛ turo ketewaa bi. Sɛnea afifide ahorow wɔ turo yi mu no, saa ara na mmoawa ahorow ahorow wɔ wo awotwaa mu. Saa mmoawa yi ne wɔn ho wɔn ho kari pɛ wɔ ɔkwan a ɛyɛ mmerɛw so . Bere tenten a saa kari pɛ yi teɛ no, wo awotwaa no wɔ apɔwmuden na wɔbɔ ho ban fi nyarewa ho. `Gardnerella vaginalis` yɛ turo yi muni biako pɛ.

Enti, dɛn ne `Gardnerella` mmoawa yi dwumadi?

Ebia wobɛdwene sɛ, "Enti mfaso bɛn na ɛwɔ so sɛ wowɔ saa mmoawa yi?" Yiw, wɔyɛ saa! Adwuma titiriw a saa mmoawa yi yɛ wɔ ɔbea awotwaa mu ne sɛ wɔbɛma awotwaa no ayɛ yiye. Wɔte sɛ awɛmfo nketewa.

Bere bi a atwam no, bere a nyansahufo huu `Gardnerella vaginalis` bɛyɛ afe 1955 no, wosusuwii sɛ ɛyɛ mmoawa bɔne a ɛde ɔyare mmoawa ba. Nanso nhwehwɛmu a wɔayɛ nnansa yi ada no adi sɛ asɛm no nyɛ mmerɛw saa. Efisɛ `Gardnerella` wɔ nnipa a wɔwɔ ɔbea awotwaa mu yare ne nnipa a wɔwɔ apɔwmuden a wonni ɔyare biara no nyinaa awotwaa mu . Wei kyerε sε `Gardnerella` nko ara ntumi mfa vaginal infections ba. Ɛgyina sɛnea saa `Gardnerella` mmoawa yi ne mmoawa pa afoforo te sɛ `Lactobacillus` kari pɛ so titiriw.

Ade foforo ne sɛ `Gardnerella` nso boa ma wɔhwɛ ma `pH` bo a ɛyɛ papa, kyerɛ sɛ, acid dodow a ɛyɛ papa, wɔ nsu a ɛwɔ awotwaa mu no mu. `pH` bo a ɛwɔ ɔbea awotwaa a ɛwɔ apɔwmuden mu no taa yɛ 3.8 kosi 4.5. Sɛ saa acid yi yɛ nea ɛfata pɛpɛɛpɛ a, ɛyɛ den sɛ mmoawa a wɔde nyarewa ba no nyin wɔ hɔ. Enti, saa mmoawa a wɔaboaboa wɔn ano yi wɔ ɔbea awotwaa mu no yɛ adwuma ma acid dodow yi kɔ so tra hɔ. Nanso, sɛ biribi nti saa acid dodow yi so tew na `Gardnerella` dodow kɔ soro dodo a, ɛnde ɔyare mmoawa betumi aba.

Ɛhe ankasa na wohu `Gardnerella vaginalis` wɔ yɛn nipadua mu?

Ebia eyi mu da hɔ ma wo mprempren. `Gardnerella vaginalis` te wo vagina mu. Ɛyɛ `vaginal flora` no muni a ɛyɛ daa, kyerɛ sɛ, ɛne mmoawa nketenkete afoforo a wɔte hɔ no te.

Dɛn na ɛma `Gardnerella vaginalis` kɔ soro? So eyi yɛ ɔyare mmoawa?

Biribi a ɛsɛ sɛ wokae ni: Gardnerella vaginalis nyɛ biribi a wubetumi "akyere" afi obi foforo hɔ. Ɛyɛ abɔde mu ade a ɛwɔ wo ɔbea awotwaa mu . Ɔhaw no sɔre bere a Gardnerella mmoawa dodow kɔ soro dodo nkutoo . Sɛ ɛba saa a, wubetumi anya awotwaa mu yare bi a wɔfrɛ no Bacterial Vaginosis (BV).

Wobɛyɛ dɛn ahu sɛ wo `Gardnerella vaginalis` dodow no nkari pɛ? Dɛn ne sɛnkyerɛnne ahorow no?

Sɛ Gardnerella mmoawa no fi ase nyin dodo a, wubetumi anya tebea bi a wɔfrɛ no Bacterial Vaginosis (BV) ho sɛnkyerɛnne. Ebia wubehu nsakrae wɔ wo awotwaa mu nsu mu. Nhwɛsoɔ:

• Ebia nsu a ɛretu no bɛyɛ fitaa, fitaa, anaa ahabammono.
• Ebia hua bi a ɛnyɛ dɛ bɛba, a ɛte sɛ apataa hua . Saa hua yi betumi asɛe kɛse wɔ nna akyi anaa bere a obi rekɔ brayɛ mu.
• Ɛtɔ da bi a, wobɛte nka sɛ wo ho yɛ wo yaw anaasɛ wo ho hyehye wo wɔ wo awotwaa no mu.

Nanso, nnipa binom betumi anya BV a wonni sɛnkyerɛnne biara , enti sɛ wowɔ biribi a ɛhaw wo a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.

So `Gardnerella` ne `Bacterial Vaginosis (BV)` yɛ ade koro?

Dabi, wɔnyɛ ade koro, nanso wɔyɛ abusuafo . Sɛ wowɔ Gardnerella mmoawa pii wɔ wo awotwaa mu nsu mu a, ɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ ebia wowɔ BV. BV ba bere a mmoawa a ɛkari pɛ a ɛma wo honam ani hwɛbea yɛ yiye no sɛe no . Eyi taa ba bere a mmoawa atitiriw abien a ɛwɔ wo awotwaa mu no nkari pɛ no.

Nnipa a wɔwɔ BV no wɔ mmoawa pa a wɔfrɛ wɔn Lactobacilli a ɛba fam wɔ wɔn awotwaa mu, na Gardnerella mmoawa dɔɔso. Lactobacilli ne mmoawa a wɔboa ma ɔbea awotwaa no kɔ so yɛ acid. Sɛ saa Lactobacilli yi sua a, awotwaa no pH kɔ soro boro 4.5, a ɛkyerɛ sɛ ɛnyɛ acidic pii.

Wɔ saa tebea a acid nnim pii yi mu no, `Gardnerella` mmoawa no fi ase dɔɔso ntɛmntɛm. Mmoawa afoforo bi nso bata saa `Gardnerella` yi ho na wɔbom nyin. Ɛno ne bere a wubenya `BV`. Nanso kae sɛ, `Gardnerella` nkutoo mma `BV` . `BV` fi sɛnea ɛnkari pɛ wɔ mmoawa afifide a ɛwɔ ɔbea awotwaa mu no mu.

So `Gardnerella vaginalis` yɛ nna mu ɔyare mmoawa (STI)?

Dabi `Gardnerella vaginalis` nyɛ `Nna mu Nyarewa (STI)`. Nokwarem no, ɛrentumi nyɛ yiye sɛ yɛbɛka no pen sɛ nna nkutoo na ɛma `Gardnerella` mmoawa anaa `BV` nyin dodo. Eyi te saa efisɛ nnipa a wɔnyɛ nna mu kyɛfa mpo betumi anya `Gardnerella` mmoawa a ɛdɔɔso dodo na wɔanya `BV`.

Kae sɛ, sɛ wowɔ Gardnerella vaginalis wɔ wo awotwaa mu a, ɛnkyerɛ sɛ wowɔ ɔyare mmoawa. Gardnerella nso wɔ ɔbea awotwaa a ɛwɔ apɔwmuden mu . Eyi nte sɛ STI afoforo bi; mmoawa anaa mmoawa no a ɛwɔ wo nipadua mu no yɛ ɔyare mmoawa.

Nanso, ɛwom mpo sɛ Gardnerella nyɛ ɔyare mmoawa a wɔde STI ba de, nanso nna mu dwumadi nyɛ asiane a ɛbɛma obi anya BV. Ebetumi ayɛ asiane a ɛde ba. Ɛwom sɛ wonnya nhuu nea ɛde BV ba ankasa de, nanso sɛ wowɔ nna mu ahokafo pii, anaasɛ wowɔ nna mu ɔhokafo foforo a, ɛda adi sɛ wubenya BV.

Sɛnea wobɛhwɛ sɛnea `Gardnerella vaginalis` te?

Wo duruyɛfoɔ bɛtumi afa wo awotwaa mu nsuo ketewa bi na wahwɛ mu wɔ microscope mu ahwɛ sɛ Gardnerella vaginalis mmoawa dɔɔso dodo anaasɛ nkwammoaa soronko bi wɔ hɔ a wɔfrɛ no "clue cells" a ɛne BV wɔ abusuabɔ.

Dɛn ne ayaresa ahorow sɛ `Gardnerella` dodow no nyɛ papa a?

Sɛ wowɔ `Gardnerella vaginalis` a ɛnkari pɛ wɔ wo awotwaa mu na wowɔ tebea bi a wɔfrɛ no `BV` a, ɛnyɛ adwene pa sɛ wubegyaw no a wonsa . `BV` a wɔansa no betumi de nsɛnnennen bi aba. Nhwɛsoɔ:

• Nyinsɛn mu nsɛnnennen te sɛ nyinsɛn a wotu gu anaa awo a ɛba ntɛm bere a wɔyem no.
• Asiane a ɛkɔ soro sɛ obenya STI afoforo (nyarewa a wonya fi nna mu).
• Tebea horow te sɛ `Pelvic Inflammatory Disease (PID)`.

Ɛda adi sɛ wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa na ama Gardnerella dodow asan aba na asa BV. Wobetumi de eyinom ama sɛ nnuru a wɔnom anaasɛ nnuru a wɔde fa ɔbea no awotwaa mu.

Nea ɛho hia: Ɛho hia yiye sɛ wobɛnom nnuru a ekum ɔyare mmoawa a oduruyɛfo akyerɛw ama wo no nyinaa. Mma nnyae sɛ wobɛnom esiane sɛ wo yare no ho sɛnkyerɛnne no ano abrɛ ase nti.

Sɛ wo nya nhwehwɛmu a ɛkyerɛ sɛ ɛyɛ `Gardnerella` a, ɛkyerɛ dɛn?

Eyi yɛ adwene a ɛnteɛ a wɔtaa nya. Obiara a ɔwɔ ɔbea awotwaa no wɔ ɔyare mmoawa a wɔfrɛ no Gardnerella no bi wɔ ne awotwaa mu. Enti, esiane sɛ wohu sɛ wowɔ Gardnerella nti , ɛnkyerɛ sɛ wowɔ ɔyare mmoawa. Ɛbɛyɛ ɔhaw bere a saa mmoawa yi dodow a ɛnyɛ papa anaasɛ ɛnkari pɛ wɔ wo awotwaa mu nkutoo. Ɛno ne bere a wowɔ tebea bi a wɔfrɛ no BV.

Afotu bi a ɛbɛma woakɔ so anya awotwaa mu afifide a ɛyɛ papa

Saa nneɛma yi betumi aboa ma mmoawa a ɛkari pɛ wɔ wo awotwaa mu no akɔ so:

• Mma nsuo: Wo awotwaa mu no betumi akura mmoawa dodow a ɛfata mu wɔ n’ankasa mu. Douching betumi asɛe mmoawa a ɛkari pɛ wɔ wo awotwaa mu, na ɛde ɔyare mmoawa aba.
• Fa kɔndɔm anaa sẽ dam di dwuma bere a woreda: Ɔbarima ne ɔbea nna a wɔmmɔ ho ban betumi asɛe ɔbea no awotwaa mu afifide na ɛde tebea horow te sɛ `BV` aba.
• To nna mu ahokafo dodow ano hye: Sɛ wunya nna mu ahokafo pii a, ɛma asiane a ɛwɔ hɔ sɛ wubenya ɔyare no yɛ kɛse.
• Mfa samina a ɛyɛ huam anaa nnuru a wɔde petepete mmea ahotew ho nni dwuma wɔ ɔbea no awotwaa no mu: Eyinom betumi asesa ɔbea no awotwaa no pH na asɛe mmoawa no kari pɛ. Ɛdɔɔso sɛ wode nsu a ɛnyɛ den ne samina a emu nyɛ den a ɛnyɛ huam bedi dwuma de ahohoro akyi.
• Kwati sɛ wobɛhyɛ ntade ase a ɛyɛ den anaa ntade ase a wɔde ntama a wɔde ayɛ: Eyinom brɛ mframa a ɛkɔ mu no ase, ɛkyere nsu, na ebetumi ama mmoawa anyin. Paw ntade a wɔde abɔde mu ntama te sɛ kotoku ayɛ.

So sɛ wowɔ `Gardnerella` a, ɛkyerɛ sɛ wowɔ `HPV` (human papillomavirus)?

Dabi Akwahosan ho nhwehwɛmufo da so ara reyɛ nhwehwɛmu sɛ ebia abusuabɔ pɔtee bi wɔ `Human Papillomavirus (HPV)` yare mmoawa ne `Gardnerella` ntam anaa. Wɔnnya nnyaa asɛm biara a ɛyɛ pintinn. Enti, ɛho nhia sɛ wobɛsuro `HPV` bere a woahu sɛ wowɔ `Gardnerella` no.

Sɛ wuhu sɛ wo Gardnerella vaginalis mmoawa dodow no nyɛ nea ɛfata a, mma wo ho nnpopo. Eyi yɛ mmoawa a wɔtaa nya a ɛsɛ sɛ ɛwɔ wo awotwaa mu . Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ Gardnerella overgrowth, anaa Bacterial Vaginosis (BV) a, kae sɛ ɛyɛ tebea a wobetumi asa . Nnuru a ekum ɔyare mmoawa a wobɛnom no betumi ama wo awotwaa mu afifide asan ayɛ nea ɛfata wɔ bɛyɛ dapɛn biako mu.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Okay, enti momma yɛnsan nsusuw nsɛntitiriw a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu:

• `Gardnerella vaginalis` yɛ mmoawa a wɔtaa hu wɔ ɔbea awotwaa mu . Ne ba a ɛwɔ hɔ no nyɛ ɔhaw.
• Ɔhaw biako pɛ ne sɛ sɛnea mmoawa yi ne mmoawa pa afoforo kari pɛ no yera .
• Sɛ wɔsɛe saa kari pɛ yi na Gardnerella kɔ soro a, ɔyare mmoawa bi a wɔfrɛ no Bacterial Vaginosis (BV) betumi aba.
• BV ho sɛnkyerɛnne titiriw ne nsu a ɛba ɔbea no awotwaa mu a ɛyɛ soronko a ɛyɛ hua te sɛ apataa . Nanso, ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara koraa.
• `Gardnerella vaginalis` nyɛ ɔyare mmoawa a wonya fi nna mu (STI) .
• Ɛnyɛ den sɛ wɔde nnuru a ekum ɔyare mmoawa asa BV .
• Nneɛma te sɛ douching a ɛnsɛ, nna a ahobammɔ wom, ne samina a ano yɛ den a wɔmfa ntwa awotwaa no ho nhyia boa ma ɔbea no awotwaa no nya akwahosan pa.

Sɛ wowɔ nsɛmmisa anaa nsɛm foforo biara a ɛhaw wo wɔ eyi ho a, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa.

` Gadnarella vaginalis, ɔyare mmoawa a ɛma ɔbea no awotwaa mu nyarewa, ɔbea no awotwaa mu yare, ɔbea no awotwaa mu nsu a ɛba, mmea akwahosan, ɔbea no awotwaa mu pH, lactobacilli