Ua loaʻa anei iā ʻoe kahi maʻi ʻōpū e like me kēia? E kamaʻilio kākou e pili ana i ka Bacterial Vaginosis (BV)!

Ke ʻike nei ʻoe i kekahi manawa i kahi ʻano kahe ʻokoʻa e puka mai ana mai kou ʻōpū ma mua o ka mea maʻamau? Malia paha he kala ʻokoʻa, a he ʻala ʻino paha? ʻOiai he nui ka poʻe e kānalua e kamaʻilio e pili ana i ia mau mea, hiki i kēia ke lilo i maʻi e hoʻopilikia i nā wahine he nui. I kēia lā e kamaʻilio mākou e pili ana i ka Bacterial Vaginosis, a i ʻole BV no ka pōkole.

He aha ka bacterial vaginosis (BV)?

I ka ʻōlelo maʻalahi, ʻo ka bacterial vaginosis (BV) he maʻi bacteria e kū mai ana i loko o kou vagina. I kēia manawa ke noʻonoʻo nei paha ʻoe, "Auē, he bacteria koʻu i loko o koʻu kino?" ʻAe, ʻoiai he vagina olakino nā ʻano bacteria like ʻole. E like me kā mākou māla he mau mea kanu maikaʻi a me nā mea kanu maikaʻi ʻole. Aia kekahi kaulike ma waena o kēia mau ʻano bacteria. Aia nā bacteria 'maikaʻi' (e like me Lactobacilli ) a me nā bacteria 'maikaʻi ʻole' (i kapa ʻia ʻo Anaerobes ma ke ʻano ʻepekema). I kekahi manawa, no kekahi kumu, ulu wikiwiki kēia mau bacteria 'maikaʻi ʻole', e lanakila ana i ka bacteria 'maikaʻi' a hoʻopilikia i ke kaulike i loko o ka vagina. ʻO ia ka manawa e kū mai ai ka BV.

Hiki i kekahi poʻe me BV ke loaʻa kahi ʻala iʻa mai ko lākou kahe ʻana o ka ʻōpū. Hiki iā lākou ke ʻike i kekahi ʻoluʻolu ʻole a me ka maneʻo a puni ka ʻōpū. Akā, he mea kupanaha, hiki i kekahi poʻe ke loaʻa ka BV me ka ʻole o nā hōʻailona.

Pehea ka maʻamau o kēia maʻi BV?

ʻOi aku ka maʻamau ma mua o kou manaʻo. ʻO ka ʻoiaʻiʻo, ʻo ka bacterial vaginosis ka maʻi vaginal maʻamau i nā wahine ma waena o 15 a me 44 mau makahiki. Ma ke ʻano helu, ma kahi o 35% o ka poʻe me ka vagina e loaʻa iā BV i kekahi manawa o ko lākou ola. Hiki ke kiʻekiʻe aʻe ka helu ma waena o kekahi mau hui lāhui.

ʻO wai ka mea e ʻoi aku ka nui o ka loaʻa ʻana o ka BV?

Hiki i kekahi mea me ka vagina ke loaʻa i ka bacterial vaginosis, akā ʻoi aku ka maʻamau i ka poʻe i hana i ka moekolohe. He mea kākaʻikahi loa ia no kekahi mea i moe kolohe ʻole e loaʻa i ka BV. Eia kekahi, loaʻa i kekahi poʻe ka ulu nui ʻana o ka bacteria e hoʻoulu ai i ka BV i loko o ko lākou kino.

Hiki paha iā ʻoe ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka BV inā ʻoe:

• Inā hāpai ʻoe .
• Inā ʻaʻole ʻoe e hoʻohana i nā condom a i ʻole nā ​​​​​​dental dams i ka wā e moe ai.
• Inā ʻoe e hoʻohana ana i kahi mea e like me kahi hāmeʻa intrauterine (IUD) .
• Inā he nui kāu mau hoa moe .
• Inā he hoa moe kolohe hou kāu.
• Inā ʻoe e hoʻohana mau i nā wai kūikawā (Douches) e holoi i kou vagina (kapa mākou i kēia douching).
• Inā ʻoe e lawe nei i nā antibiotics no nā maʻi ʻē aʻe.

He aha nā hōʻailona o ka bacterial vaginosis (BV)?

He mea kupaianaha ka poʻe me BVMa kahi o 84% o ka poʻe ʻaʻole hōʻike i kekahi mau hōʻailona. Akā inā loaʻa iā ʻoe nā hōʻailona, ​​​​hiki ke hana ʻia kēia mau mea:

• He kahe ʻana o ka ʻōpū keʻokeʻo, hina, a ʻōmaʻomaʻo paha .
• He ʻala "iʻa" mai ke kahe ʻana o ka ʻōpū, ʻoiai ma hope o ka moekolohe.
• Ka maneʻo a i ʻole ka mumū i loko o ka vagina.
• Ke kuni ʻana i ka wā e mimi ai.

ʻO ka mea nui, hiki ke like nā hōʻailona o ka BV me nā maʻi ʻē aʻe o ka vagina, no laila he mea nui e ʻike i ke kauka e ʻike pono inā he BV kou a i ʻole kekahi maʻi ʻē aʻe.

Pehea e hoʻomohala ai ka bacterial vaginosis (BV)?

E like me kā mākou i kūkākūkā ai ma mua, ʻo kou vagina ka home o nā ʻano bacteria like ʻole. Ua kapa ʻia kēia ʻo ka vaginal microbiome . Hana ʻia ka BV ke loli ke kaulike ma waena o kēia mau bacteria.

I ka pololei, hoʻokumu ʻia ka bacterial vaginosis e ka ulu ʻana o nā bacteria 'maikaʻi ʻole' (anaerobes) i ka wikiwiki ma mua o nā bacteria 'maikaʻi' (lactobacilli). Hiki mai kēia kaulike ʻole ke nui loa kekahi ʻano bacteria.

Ua ʻike nā kānaka noiʻi hiki i kekahi mea e hoʻololi i ke kaiapuni kemika kūlohelohe i loko o kou vagina ke hoʻopilikia i kēia mau bacteria. ʻO ia ke kumu e hiki ai i nā mea e like me ka douching a i ʻole ka moekolohe pale ʻole ke alakaʻi i ka BV. Akā e hoʻomanaʻo, ʻaʻole laha ka BV mai nā ʻauʻau wela, nā loko ʻauʻau, a i ʻole nā ​​noho lua . A ʻaʻole hiki iā ʻoe ke loaʻa ka BV mai ka hoʻopā ʻana i kahi mea a kekahi me BV i hoʻopā ai.

He maʻi laha anei ka vaginosis bacteria? He maʻi laha pili i ke moekolohe (STD/STI) paha?

ʻAʻole hiki ke laha pololei ka bacterial vaginosis (BV) mai ke kanaka a i ke kanaka. Eia nō naʻe, hiki i ka moekolohe ke hoʻonui i ka pilikia o ka loaʻa ʻana o kēia maʻi . Manaʻo nā kānaka noiʻi hiki i ka moekolohe ke hoʻololi i ke kaiapuni bacteria i loko o ka vagina. Hiki i kēia hoʻololi ke hoʻonui i ka ulu ʻana o ka bacteria ma waho o ke kaulike.

ʻO ia hoʻi, ʻaʻole i manaʻo pololei ʻia ʻo BV he maʻi i laha ma ke moekolohe (STI) , akā pili ia me ka hana moekolohe.

He aha ka ʻokoʻa ma waena o ka bacterial vaginosis (BV) a me ka maʻi hū?

ʻO kēia nā ʻano maʻi ʻōpū ʻelua e hoʻonui ai i ka hoʻokahe ʻana o ka ʻōpū. Akā, aia nā ʻokoʻa maopopo ma waena o nā mea ʻelua. E nānā kākou i ke ʻano o lākou:

• Ka hoʻokahe ʻana o ka ʻōpū: ʻO kekahi o nā hōʻailona nui o BV he 'ʻala iʻa' mai ka hoʻokahe ʻana o ka ʻōpū. ʻO ka hoʻokahe ʻana mai kahi maʻi hū ʻaʻole ia he ʻala ikaika, akā hiki ke loaʻa iā ia ke ʻano e like me ka tīhi hale liʻiliʻi .
• ʻO ka ʻeha o ka puʻupaʻa:ʻAʻole maʻamau ka BV i ka nui o ka maneʻo a i ʻole ke kuni ʻana i loko o ka vagina, akā hiki i nā maʻi hū ke hoʻoulu i ka maneʻo a me ke kuni .
• Lāʻau lapaʻau ma luna o ke kauka: Hiki iā ʻoe ke mālama i nā maʻi hū me nā lāʻau lapaʻau ma luna o ke kauka. Eia nō naʻe, no ka mālama ʻana i ka BV, pono ʻoe e ʻike i ke kauka a loaʻa nā lāʻau antibiotic .

Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe ka BV?

ʻO ke kauka wale nō ke haʻi maopopo iā ʻoe. Inā loaʻa iā ʻoe nā hōʻailona o BV, pono ʻoe e ʻike i ke kauka. E nīnau aku kāu kauka iā ʻoe e pili ana i kou mōʻaukala olakino, me nā maʻi ʻōpū ma mua a me nā maʻi i laha ma ke ʻano moekolohe (STI). Makemake paha ʻoe e:

• Hoʻokolokolo Pelvic: E kau ke kauka i nā mīkina lima a hoʻokomo i kona mau manamana lima i loko o ka vagina e nānā i nā hōʻailona o ka maʻi, e like me ka hoʻonui ʻia ʻana o ka hoʻokuʻu ʻana o ka vagina a i ʻole ka hoʻokuʻu keʻokeʻo a hina paha me kahi ʻala ʻoluʻolu ʻole.
• Ke lawe ʻana i kahi laʻana o ke kahe ʻana o ka ʻōpū: Hoʻokomo ke kauka i kahi mea i kapa ʻia he speculum i loko o ka ʻōpū a hoʻohana i kahi mea like me ka swab e hōʻiliʻili i kahi liʻiliʻi o ke kahe ʻana o ka ʻōpū. Hoʻouna ʻia kēia laʻana i kahi lab e ʻike pono i ke ʻano o ka bacteria i loaʻa.

Hana ʻia kekahi mau hoʻokolohua e nānā i ka BV me ka hoʻohana ʻana i kēia laʻana o ka hoʻokahe ʻana o ka vaginal. ʻO nā mea nui:

• Mauʻu pulu: Pili kēia i ke kau ʻana i kāu kahe ʻōpū ma luna o kahi slide aniani a nānā iā ia ma lalo o kahi microscope.
• Hoʻāʻo whiff: E honi ke kauka i kou kahe ʻana o ka ʻōpū e ʻike ai inā he ʻala iʻa kona.
• pH o ka ʻōpū: Ke ana kēia hoʻāʻo i ka ʻakika o kou kahe ʻana o ka ʻōpū. Inā ʻoi aku ke kiʻekiʻe o ka pH ma mua o ka maʻamau, he hōʻailona paha ia o BV.

Pehea e hoʻōla ai i ka BV?

E kuhikuhi kāu kauka i nā lāʻau antibiotic e mālama i ka BV. ʻO nā lāʻau lapaʻau maʻamau ka metronidazole a i ʻole clindamycin . Loaʻa kēia mau lāʻau lapaʻau ma ke ʻano o ka gel a i ʻole ka kirīmi . Hoʻokomo ʻia lākou i loko o ka vagina. Loaʻa pū kekahi mau lāʻau antibiotic ma ke ʻano o nā pila, i lawe ʻia ma ka waha.

He mea nui loa ka lawe ʻana i kēia mau lāʻau antibiotic e like me ke kauoha a kāu kauka, no ka papa holoʻokoʻa . Mai ho'ōki i ka lawe ʻana iā lākou no ka mea ua hoʻomaikaʻi ʻia kāu mau hōʻailona. ʻO ka hana ʻana pēlā e hoʻonui ai i kou pilikia o ka loaʻa hou ʻana o ka BV.

E nalowale anei ka BV iā ia iho me ka ʻole o ka lāʻau lapaʻau? Aia kekahi mau lāʻau lapaʻau home?

I kekahi manawa, hiki i ka BV ke hoʻomaʻemaʻe iā ia iho me ka ʻole o kekahi lāʻau lapaʻau. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona, ​​​​pono ʻoe e ʻimi i ke aʻo lapaʻau.No ka mea, ʻo ka loaʻa ʻana o ka BV e hoʻonui i ka pilikia o nā maʻi i laha ma ke moekolohe (STI), a hiki nō hoʻi ke hana i nā pilikia i ka wā hāpai.

ʻAʻohe lāʻau lapaʻau home a i ʻole nā ​​​​huahana kūʻai ʻole e hiki ke hoʻohana ʻia e mālama i ka BV. Mai hoʻohana i ka douching a i ʻole nā ​​​​huahana i hoʻohana ʻia no nā maʻi hū. ʻO ka hana ʻana pēlā e hiki ai ke hoʻonui i ka BV . No laila, he mea nui e ʻike i ke kauka no ka mālama ʻana.

Pehea ka lōʻihi o ka bacterial vaginosis? Hiki iā ia ke hoʻi hou mai?

I ka hapanui o nā hihia, ua ho'ōla loa ʻia kēia maʻi me hoʻokahi papa hana antibiotic (ma kahi o ʻehiku lā o ka lāʻau lapaʻau), akā 10% a 15% o ka poʻe e pono paha i kahi pōʻai ʻē aʻe o ka lāʻau lapaʻau.

ʻAe, hiki i ka BV ke hoʻi hou mai . ʻO kaʻoiaʻiʻo, ma kahi o 80% o ka poʻe i loaʻa i ka BV e loaʻa hou ke ʻano i ko lākou ola.

He aha nā pilikia e hiki ke loaʻa mai ka BV?

ʻAʻole pinepine ka bacterial vaginosis (BV) i kekahi pilikia koʻikoʻi, akā inā ʻaʻole mālama ʻia, hiki iā ia ke hana:

• Nā pilikia i ka wā hāpai: Inā loaʻa iā ʻoe ka BV i kou wā hāpai, hiki iā ia ke alakaʻi i ka hānau mua ʻana a me ke kaumaha hānau haʻahaʻa .
• Nā maʻi i laha ma ke ʻano moekolohe (STIs): Hoʻonui ka BV i kou pilikia o ka loaʻa ʻana o nā STI e like me Chlamydia a me Gonorrhea . Inā he maʻi HIV ʻoe, ʻoi aku ka nui o kou pilikia o ka hoʻoili ʻana i ka HIV i kāu hoa inā loaʻa iā ʻoe ka BV.
• ʻO ka maʻi mumū Pelvic (PID): I kekahi manawa hiki i ka BV ke alakaʻi i kahi maʻi i kapa ʻia ʻo PID. He maʻi kēia e hoʻopilikia i nā ʻōpū o kāu ʻōnaehana hānau keiki. Inā ʻaʻole mālama ʻia ka PID, hiki iā ia ke pilikia i ka loaʻa ʻana o nā keiki .

Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka BV?

ʻAʻole hiki ke pale loa ʻia ka bacterial vaginosis (BV). Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka lawe ʻana i kēia mau hana palekana:

• E pale i ka douching, hiki ke hoʻopilikia i ke kaulike bacteria maoli i loko o kou vagina. Akā, e mālama i kou vagina a me ka vulva i maʻemaʻe a olakino .
• Mai hoʻokuʻu i kekahi mea i hoʻopā i kou anus (e laʻa me ka pepa toilet, nā mea pāʻani moe kolohe) e hoʻopā i kou vagina . ʻO kēia no ka mea hiki i ka bacteria mai kou feces ke komo i loko o kou vagina. Inā ʻoe e hoʻohana i nā mea pāʻani moe kolohe, e hoʻomaʻemaʻe pono iā lākou ma hope o kēlā me kēia hoʻohana .
• E kaupalena i kāu helu o nā hoa moe. Ua hōʻike ʻia e ka noiʻi ʻana ʻo ka nui o nā hoa moe āu, ʻo ka nui o ka loaʻa ʻana o ka BV.
• E hoʻohana i nā condom latex a i ʻole nā ​​​​​​pā niho.ʻOiai ʻaʻole maopopo ke kumu kikoʻī, ua hōʻike ʻia nā noiʻi aia kahi pilina ma waena o ka moekolohe a me ka BV.
• E ʻaʻahu i nā lole komo pulupulu a i ʻole nā ​​lole komo me ka uhi pulupulu. Ola maikaʻi nā bacteria i kahi kaiapuni pulu. Kōkua ka pulupulu i ka omo ʻana i ka makū.

Pono anei iaʻu e mālama ʻia no ka BV inā hāpai wau?

ʻAe, ʻoiaʻiʻo nō. Inā loaʻa iā ʻoe ka bacterial vaginosis (BV), e kuhikuhi kāu kauka i nā lāʻau lapaʻau e palekana e hoʻohana i ka wā hāpai. Pono ʻoe e loaʻa ka lāʻau no kēia maʻi inā he mau hōʻailona kou a ʻaʻole paha . Hiki i ka BV ke hana i nā pilikia i ka wā hāpai, e like me ka hānau mua ʻana a i ʻole ke kaumaha hānau haʻahaʻa.

Pono anei au e haʻi aku i kaʻu hoa pili i kēia?

ʻAʻole pono nā kāne i ka lāʻau no ka bacterial vaginosis (BV). Eia nō naʻe, inā he hoa wahine kāu, loaʻa paha iā ia ka BV . No laila he mea nui e hoʻomaopopo iā ia e pili ana i kēia a kuhikuhi iā ia no ka lāʻau inā pono.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka:

• Inā ua loli ke kala a i ʻole ke ʻano o kou kahe ʻana o ka vaginal .
• Inā he ʻala ʻokoʻa a ʻoluʻolu ʻole kou kahe ʻana o ka vagina ma mua o ka mea maʻamau .
• Inā he maneʻo, kuni, pehu, a ʻeha paha i loko o ka ʻōpū.

Hiki i nā kāne ke loaʻa i ka bacterial vaginosis? Hiki i ka wahine ke hoʻoili i ka BV i kekahi wahine ʻē aʻe?

ʻAʻole, ʻaʻole loaʻa i nā kāne ka bacterial vaginosis (BV). Eia nō naʻe, aia kekahi mau hōʻike e hiki ke hoʻoili ʻia nā bacteria e hoʻoulu ai i ka BV mai kekahi wahine a i kekahi ma o ke kāne . ʻO ke ʻano kēia, i ka wā e moe ai ke kāne, hiki ke hoʻoili ʻia nā bacteria mai ka vagina o kekahi wahine i ka vagina o kekahi wahine, e hoʻonui ana i kona pilikia o ka BV. No laila, he mea nui e makaʻala i kēia i ka wā e loaʻa ai nā hoa moe he nui.

ʻAe, ma kahi o ka hoʻoili ʻana o kekahi wahine i ka BV i kekahi, hiki i ka hana moekolohe ke kōkua i ka hoʻololi ʻana i ke kaulike o ka bacteria i loko o ka vagina. Inā loaʻa i kekahi hoa ka BV, hiki iā ʻoe ke hana i nā mea e like me:

• Inā ʻoe e hoʻohana i nā mea pāʻani moe, e uhi iā lākou me kahi condom . E hoʻohana i kahi condom hou i kēlā me kēia manawa āu e kaʻana like ai i ka mea pāʻani me kāu hoa.
• E hoʻohana i kahi pale niho i ka wā o ka moekolohe waha.

Hiki i nā wāhine hāpai ke loaʻa i ka BV?

ʻAe. Ma kahi o 25% o nā wahine hāpai e loaʻa i ka BV. ʻO ke kumu nui o kēia, ʻo ia nā loli hormonal e hana ʻia i loko o ke kino i ka wā hāpai.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai nā mea a kākou i kamaʻilio ai? (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui kākou e pili ana i kēia BV, ʻeā? Ke lana nei koʻu manaʻo ua maopopo iā ʻoe i kēia manawa. ʻO nā mea nui loa kēia:

• ʻAʻole ia he mea e makaʻu ai ka BV, akā he mea ia e hopohopo ai.He kūlana maʻamau kēia e hoʻopilikia nei i nā wahine he nui.
• Inā ʻike ʻoe i kahi loli i kou kahe ʻana o ka ʻōpū (kala, ʻala, nui), maneʻo, a wela paha , mai hilahila a hopohopo paha no ia mea, akā e ʻike koke i ke kauka.
• Mai mālama ponoʻī. ʻAʻole e kōkua nā lāʻau lapaʻau maʻamau a i ʻole nā ​​​​lāʻau lapaʻau home i kāu BV, a hiki ke hoʻonui i ka ʻino.
• Inā kuhikuhi kāu kauka i ka lāʻau lapaʻau, e lawe i ka lāʻau lapaʻau e like me ke kuhikuhi ʻana, no ka manawa piha. Mai ho'ōki i ka lawe ʻana i ka hapalua.
• E pale i ka douching. Ua lawa ka holoi ʻana i kou ʻōpū ma ke ʻano maʻamau i mea e maʻemaʻe ai.
• E hoʻomaʻamaʻa i ka moekolohe palekana. ʻAʻole wale ka hoʻohana ʻana i nā condom e pale aku i ka BV, akā kōkua pū kekahi i ka pale ʻana i nā maʻi ʻē aʻe i laha ma ke moekolohe.
• Inā hāpai ʻoe, he mea nui e ʻimi i ka lāʻau no BV, inā he mau hōʻailona kāu a ʻaʻole paha.

E hoʻomanaʻo, ʻo ke ala maikaʻi loa e noho olakino ai, ʻo ia ka makaʻala i kou kino, kou olakino, a e ʻimi i ke aʻo lapaʻau i ka wā e pono ai. ʻOiai he maʻi maʻalahi ka bacterial vaginosis (BV), hiki iā ia ke alakaʻi i nā kūlana koʻikoʻi. No laila, inā ʻike ʻoe i kekahi mea ʻē i loko o kou kahe ʻana o ka vaginal, mai hoʻokaʻulua e ʻike i ke kauka. Hiki i ke kauka ke mālama i ka BV me nā antibiotics. Manaʻolana mākou he kōkua kēia ʻike iā ʻoe!

ʻO ka vaginosis bacteria, BV, nā maʻi vaginal, ke kahe ʻana o ka vaginal, ʻala iʻa, olakino wahine, nā lāʻau antibiotic