Abafazi abaninzi ngamanye amaxesha bafumana ukungakhululeki okuncinci kwisini sabo. Mhlawumbi kukho ivumba elingaqhelekanga, okanye uhlobo olwahlukileyo lokukhupha ulwelo kunesiqhelo. Kuqhelekile ukuba noloyiko xa into efana nale isenzeka. Kodwa esinye sezizathu eziphambili zoku kusenokuba ngumsebenzi webhaktheriya ebizwa ngokuba yi-'Gardnerella Vaginalis'. Musa ukoyika xa usiva eli gama. Namhlanje siza kuthetha ngayo yonke into ngokulula, ngendlela onokuyiqonda.
Yintoni kanye kanye iGardnerella Vaginalis?
Ngamafutshane, iGardnerella vaginalis luhlobo lweebhaktheriya ezihlala ngokwemvelo kwilungu lobufazi bakho. Njengokuba igadi yethu ineentlobo ezahlukeneyo zemithi kunye neentyatyambo, ilungu lethu lobufazi (esilibiza ngokuba yi-'vaginal flora') nalo linokulinganisela kweentlobo ezahlukeneyo zeebhaktheriya. Ukugcina eli candelo lebhaktheriya lisempilweni kubaluleke kakhulu kwimpilo yobufazi.
Cinga ngayo, kukho ulungelelwano oluncinci phakathi kwezi bhaktiriya. Lo gama nje olu lungelelwano lulungile, akukho ngxaki. Kodwa ukuba ngesizathu esithile olu lungelelwano luphukile kwaye ezinye iintlobo zebhaktiriya, ezifana ne-'Gardnerella vaginalis', zanda kakhulu, kulapho ke kuvela khona usulelo lwangasese olubizwa ngokuba yiBacterial Vaginosis (BV) .
Eyona nto ibalulekileyo kukuba i-BV ayisosifo esidluliselwa ngesondo (STI), ngoko ke akukho sizathu sokuba ungoyiki okanye ube neentloni ngokungeyomfuneko ngaso.
Yintoni umsebenzi wale bhaktheriya emizimbeni yethu?
Enyanisweni, phantse zonke iintsholongwane ezikwilungu lobufazi zinendima encinci ekufuneka ziyidlale. Ekuqaleni, izazinzulu zazicinga ukuba i-'Gardnerella' yintsholongwane embi ebangela izifo. Kodwa uphando lwamva lufumanise ukuba ibali alilula kangako. Kuba le ntsholongwane ikhona kwilungu lobufazi labasetyhini abasempilweni abangenalo naluphi na usulelo, kunye nabo banezifo zangasese.
Oko kuthetha ukuba intsholongwane yeGardnerella yodwa ayibangeli usulelo. Ingxaki iqala xa ibhalansi iphazamiseka nezinye iintsholongwane, ingakumbi iintsholongwane "ezilungileyo" ezibizwa ngokuba yiLactobacillus .
Ubudlelwane phakathi kwe-pH yesini kunye neebhaktheriya
Ukuze sigcine imeko-bume esempilweni kwisini sethu, kufuneka sibe nenqanaba elithile le-asidi. Silinganisa oku nge-pH.
- Ilungu lobufazi elisempilweni line-pH ephakathi kwe-3.8 kunye ne-4.5, oko kuthetha ukuba line-asidi encinci.
- Ibhaktheriya elungileyo ebizwa ngokuba yi-'Lactobacillus' inceda kakhulu ekudaleni le ndawo ine-asidi.
- Le asidi yenza kube nzima ukuba iintsholongwane ezibangela usulelo zikhule apho.
Nangona kunjalo, ukuba ngesizathu esithile inani leebhaktheriya ze-`Lactobacillus` liyancipha, i-acidity yesitho sangasese sowesifazane iyancipha kwaye ixabiso le-pH liyanda ngaphezulu kwe-4.5. Olu hlobo lwendawo lufanelekile kakhulu ukuba iibhaktheriya ezifana ne-`Gardnerella` zikhule. Emva koko ziyanda ngokukhawuleza, ziphazamise olo lungelelwano kwaye zibangele usulelo olubizwa ngokuba yi-BV.
Ingaba iGardnerella kunye neBacterial Vaginosis (BV) ziyafana?
Hayi. Ezi zimbini ziyazalana, kodwa azifani.
- I-Gardnerella vaginalis: Uhlobo lwebhaktheriya ehlala ngokwemvelo kwilungu lobufazi.
- I-Bacterial Vaginosis (BV): Usulelo olubangelwa kukungalingani kweebhaktheriya kwilungu lobufazi (ingakumbi ukwanda kweGardnerella kunye nokuncipha kweLactobacillus).
Ngamafutshane, ukuba neGardnerella eninzi kakhulu yimbangela enkulu yeBV.
Ziziphi iimpawu zokwanda kweGardnerella?
Ukuba unentsholongwane yeGardnerella ekhule kakhulu emzimbeni wakho kwaye une-BV, ungabona utshintsho oluthile ekuphumeni kolwelo oluphuma kwilungu lobufazi. Ezi ziimpawu eziphambili.
| Uphawu | Inkcazo |
|---|---|
| Utshintsho ekukhutshweni kolwelo lwesitho sangasese sowesifazane | Ukuphuma kwamanzi kwilungu lobufazi kungaba mhlophe, ngwevu, okanye kube luhlaza okwesibhakabhaka. Kusenokuba mncinci kunesiqhelo. |
| Ivumba elingaqhelekanga | Kunokubakho ivumba elifana nelentlanzi, ingakumbi emva kwesondo okanye ngexesha lokuya exesheni. |
| Ezinye iingxaki | Abanye abantu banokufumana ukungakhululeki okufana nokurhawuzelelwa kufutshane nelungu lobufazi okanye ukutsha xa bechama, kodwa oku akuqhelekanga kangako. |
Kubaluleke kakhulu ukuqaphela ukuba nangona abanye abafazi bene-BV,Kusenokungabikho zimpawu zibonakalayo konke konke.
Ingaba esi sisifo esidluliselwa ngesondo (STI)?
Hayi. Masicacise kwakhona, i-BV ebangelwa kukukhula kakhulu kweGardnerella ayisosifo esidluliselwa ngesondo (STI). Inokwenzeka nakubafazi abangasebenziyo ngokwesondo.
Kodwa nantsi into: Izenzo zesondo zinokuchaphazela oku.
- Ukuba neqabane elitsha lesondo
- Ukuba namaqabane amaninzi esondo
Kwiimeko ezinje, ulungelelwaniso lwendalo lweebhaktheriya kwilungu lobufazi lunokutshintsha, nto leyo eyonyusa umngcipheko wokuba ne-BV. Kodwa oko akuthethi ukuba sisifo esidluliselwa ngesondo.
Ngaba kukho unyango lokungalingani kweGardnerella?
Ewe, ngokuqinisekileyo. Le yimeko enokunyangeka ngokupheleleyo ngonyango. Ukuba uneempawu ze-BV, bonana nogqirha wakho ngoko nangoko. Ugqirha wakho uza kuthatha isampuli yolwelo lwakho oluphuma kwilungu lobufazi aze aluhlole phantsi kwemakroskopu ukuqinisekisa imeko.
Ii-antibiotics zihlala zinikwa njengonyango.
- Ezi zinokuthathwa ngomlomo.
- Okanye ingaba ngohlobo lwekhrimu okanye ijeli efakwa kwilungu lobufazi (ngaphakathi kwesisu).
Le meko idla ngokuphela ngokupheleleyo emva kweentsuku ezi-5-7 zonyango. Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo.
Kuza kwenzeka ntoni ukuba awufumani unyango?
I-BV ayisosifo sibi kakhulu, kodwa ukuba ayinyangwa ixesha elide, umngcipheko weengxaki ezithile uyanda.
- Ngexesha lokukhulelwa: Iingozi ezifana nokuphuphuma kwesisu kunye nokuzalwa ngaphambi kwexesha zinokwanda.
- Ezinye izifo: Ziyandisa umngcipheko wokufumana izifo ezidluliselwa ngesondo ezifana ne-HIV.
- Isifo Sokudumba Kwesinqe (PID): Usulelo lunokusasazeka kwiindawo eziphezulu zenkqubo yokuzala, ezifana nesibeleko kunye nemibhobho ye-fallopian.
Kungoko ke, kubalulekile ukufuna unyango ukuba kukho iimpawu.
Izinto esinokuzenza ukuze sigcine ibhalansi esempilweni kwisini
Kukho izinto ezilula onokuzenza ukuthintela i-BV ukuba ingaphindi ivele kwaye ugcine impilo yesitho sangasese sowesifazane.
| Izinto ekufuneka zenziwe/ezingafanele zenziwe | Kutheni kunjalo? |
|---|---|
| Kuphephe ukuhlafuna. | Ukuxubha isini kukuhlamba isini ngamanzi okanye olunye ulwelo. Oku kutshabalalisa iintsholongwane ezilungileyo ezikhoyo ngokwendalo kwaye kuphazamise ibhalansi yebhaktheriya. Isini siyazihlambulula ngokwendalo. Asidingi ncedo lwangaphandle. |
| Kuphephe ukusebenzisa isepha ezinevumba elimnandi kunye nezitshizi. | Iisepha ezinevumba elimnandi, izitshizi zococeko lwabasetyhini, kunye neetampons ezinevumba elimnandi zinokutshintsha i-pH yesitho sangasese sowesifazane, nto leyo ekhokelela kwiintsholongwane. Isepha ethambileyo, engenavumba elimnandi yanele ukucoca ngaphandle. |
| Sebenzisa iikhondom. | Ukusebenzisa ikhondom ngexesha lesondo kunokunceda ngandlela ithile ukuthintela utshintsho kwibhalansi yeebhaktheriya kwilungu lobufazi. |
| Nxiba impahla yangaphantsi yekotoni. | Iimpahla zangaphantsi ezenziwe ngelaphu lendalo elifana nekotoni zivumela ukujikeleza komoya okuhle, nto leyo enciphisa ukugcinwa komswakama kwaye ilawula ukukhula kweebhaktheriya. |
Kuthetha ukuthini ukuba uvavanyo 'lubonisa ukuba unayo' iGardnerella?
Musa ukoyika ukuba ingxelo yovavanyo lwakho ithi `Gardnerella vaginalis positive`. Njengoko besitshilo ngaphambili, le ntsholongwane ikhona kwilungu lobufazi labasetyhini abasempilweni. Ke ngoko, kuyinto eqhelekileyo ukuba ibe ne-positive. Okubalulekileyo kukuba ingaba ubungakanani bayo abulingani na kwaye nokuba unayo na impawu. Ugqirha wakho ngumntu ofanelekileyo ukwenza isigqibo ngaloo nto.
Umyalezo Wokuya Ekhaya
- I-Gardnerella vaginalis luhlobo lwebhaktheriya ehlala ngokwemvelo kwilungu lobufazi bakho. Ukuba khona kwayo akusisifo.
- Ingxaki ivela kuphela xa ibhalansi phakathi kwale bhaktiriya nezinye iibhaktiriya ilahlekile kwaye kukho i-'Gardnerella' eninzi kakhulu.
- Usulelo olubizwa ngokuba yi-'Bacterial Vaginosis (BV)' oluvela ngenxa yoko aluyosifo esidluliselwa ngesondo (STI).
- Ukuphuma kolwelo olungwevu/oluhlaza oluphuma kwilungu lobufazi olunevumba elibi luphawu oluphambili lwe-BV.
- Ukuba unale mpawu, ungoyiki okanye ungabi nantloni, bonana nogqirha ngokukhawuleza.
- Le yimeko enokunyangwa lula ngee-antibiotics.
- Ukuphepha ukuhlambulula ubuso kunye nokusebenzisa iimveliso ezinevumba elimnandi ngaphakathi kwilungu lobufazi kubaluleke kakhulu ukuze kugcinwe ucoceko.
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