Ingabe nawe unezifo zesitho sangasese sowesifazane? Ake sixoxe ngokuhlolwa kwe-Bacterial Vaginosis!

Sawubona! Namuhla sizokhuluma ngesihloko esithinta abesifazane abaningi, kodwa ngezinye izikhathi kunzima ukukhuluma ngaso. Okungukuthi, i-Bacterial Vaginosis, ukutheleleka kwesitho sangasese sowesifazane, kanye nokuhlolwa okusetshenziselwa ukuyixilonga ngokunembile. Kubaluleke kakhulu ukuthi uqaphele lokhu.

Iyini le test ye-Bacterial Vaginosis?

Kalula nje, lokhu kuhlolwa kwe-Bacterial Vaginosis kuwukuhlolwa okuqinisekisa ukuthi unesifo sebhaktheriya, noma i-BV, esithweni sakho sangasese sowesifazane. Ngezinye izikhathi kubizwa nangokuthi ukuhlolwa kwe-'Wet Mount' noma ukuhlolwa kwe-'Vaginal pH' . Lokhu kuhlolwa kusebenzisa isampula yokukhishwa koketshezi esithweni sakho sangasese sowesifazane. Yilokhu okuvumela udokotela wakho ukuthi akutshele ngokuqinisekile ukuthi unalesi simo noma cha.

Lolu vivinyo lwe-bacterial vaginosis lwenziwa nini?

Manje ake sibone ukuthi kungani kwenziwa lokhu kuhlolwa. Odokotela basebenzisa lokhu kuhlolwa ukuhlola ukuthi unesifo esivamile sebhaktheriya esibizwa ngokuthi i-bacterial vaginosis.

Cabanga ngakho, isitho sangasese sowesifazane sethu siyindawo ebucayi kakhulu. Ngokuvamile, isitho sangasese sowesifazane esinempilo sinamagciwane amaningi amahle kanye nenani elincane lamagciwane amabi . Kukhona ibhalansi enhle phakathi kwalokhu okubili. Kodwa ngezinye izikhathi leli bhalansi lingalahleka. Ngemuva kwalokho, inani lamagciwane amabi esitho sangasese sowesifazane liyakhula futhi inani lamagciwane amahle liyancipha. Lokho kungalingani yikho okubangela lesi simo esibizwa ngokuthi i-bacterial vaginosis (BV).

Uma une-BV, ungase ube nezimpawu ezifana nalezi:

• Uketshezi oluphuma esithweni sangasese sowesifazane olunuka njengendle efana nenhlanzi .
• Uketshezi olumpunga noma olumhlophe lwesitho sangasese sowesifazane.
• Ubuhlungu, ukuvuvukala, noma ukulunywa esithweni sangasese sowesifazane.
• Umuzwa wokushisa lapho uchama.

Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukubona udokotela bese wenza lokhu kuhlolwa.

Ubani oyala lezi zivivinyo ze-bacterial vaginosis?

Ngokuvamile, umhlinzeki wakho wokunakekelwa okuyinhloko (PCP) noma udokotela wezifo zabesifazane uzoncoma lokhu kuhlolwa. Bazothatha isampula yokukhishwa koketshezi lwesitho sakho sangasese sowesifazane ehhovisi labo. Udokotela uzobe esenza okukodwa noma ngaphezulu kwalokhu okulandelayo:

• Amaseli akulesi sampula ahlolwa ngaphansi kwe-microscope.
• Ukuhlolwa okuhlukahlukene kwenziwa kusetshenziswa amaseli akusampula.
• Noma isampula ithunyelwa elabhorethri ukuze ihlolwe okwengeziwe.

Kwenziwa kanjani lokhu kuhlolwa kwe-bacterial vaginosis?

Kulungile, manje ake sibone ukuthi lokhu kuhlolwa kwenziwa kanjani, okungukuthi, ukuthi kusebenza kanjani.

Okokuqala, udinga ukuthatha isampula yoketshezi lwakho lwesitho sangasese sowesifazane. Bese kuba nezindlela eziningana zokuhlola leso sampula ukuze uthole i-BV. Izindlela ezivame ukusetshenziswa yilezi:

Ukuhlolwa kokukhweza okumanzi

Kulolu vivinyo, udokotela wezifo uthatha isampula yoketshezi lwakho lwesitho sangasese sowesifazane, aluxube nesisombululo esikhethekile, alubeke esilayidini sengilazi, bese elubheka ngaphansi kwe-microscope. Bafuna amabhaktheriya, amaseli amhlophe egazi, noma amaseli abizwa ngokuthi "amaseli e-clue." Lawa amaseli atholakala ongqimbeni lwesitho sangasese sowesifazane. Uma lawa maseli enemiphetho efiphele noma efiphele, kubonisa ukutheleleka kwebhaktheriya. Lolu vivinyo lubizwa nangokuthi "i-vaginal smear" noma "i-wet prep."

Ukuhlolwa kwe-whiff

Kulesi sivivinyo, udokotela wakho uzohlola isampula yokukhishwa koketshezi esithweni sangasese sowesifazane ukuze athole iphunga. Bazofaka isisombululo samakhemikhali esikhethekile kusampula yokukhishwa koketshezi esithweni sangasese sowesifazane. Uma kunuka njengenhlanzi efana nenhlanzi , kungaqinisekisa i-bacterial vaginosis.

Ukuhlolwa kwe-pH yesitho sangasese sowesifazane

Lokhu kulinganisa ubumuncu kanye ne-alkalinity yesampula yokukhipha uketshezi esithweni sangasese sowesifazane. Kalula nje, kulinganisa ukuthi isitho sakho sangasese sowesifazane sinobumuncu kangakanani. Uma une-bacterial vaginosis, i-pH iphakeme kunokuvamile. Lokhu kuhlola kukodwa akukwazi ukuqiniseka ukuthi une-BV. Ngakho-ke, kuvame ukwenziwa kanye nokuhlolwa okunye.

Ukuhlolwa kwe-DNA

Lokhu kubizwa nangokuthi ukuhlolwa kwe-`PCR` . Kubheka izinto zofuzo kusampula yomchamo. Kungabona amagciwane abangela ukutheleleka ngokunembe kakhulu. Kodwa-ke, lokhu kuhlolwa kubiza kancane. Futhi akusetshenziswa kaningi njengezinye izindlela.

Ingabe i-BV ingatholakala ngokuhlolwa komchamo?

Umbuzo abantu abaningi abanawo ukuthi ingabe ukuhlolwa komchamo kungayithola yini i-BV. Cha, akunakwenzeka. Ukuhlolwa komchamo kuthola kuphela ukutheleleka ngamagciwane emgudwini wakho womchamo. Odokotela abakwazi ukubona ukuthi une-bacterial vaginosis yini ngesampula yomchamo. Ngokuqinisekile badinga i-vaginal swab.

Ulungiselela kanjani lolu vivinyo lwe-BV?

Udokotela wakho uzokutshela ukuthi ungazilungiselela kanjani lolu vivinyo. Cishe kuzodingeka uyeke ukwenza lezi zinto ezilandelayo amahora angama-24 ngaphambi kokuhlolwa, njengoba zingathinta imiphumela yokuhlolwa:

• Ukusula i-vagina - Lokhu kuyisenzo sokugeza ingaphakathi lesitho sangasese sowesifazane ngoketshezi. Lokhu kungashintsha ibhalansi yemvelo yamagciwane esitho sangasese sowesifazane.
• Ukuya ocansini.
• Ukusebenzisa ama-tampons.
• Ukusebenzisa imithi yesitho sangasese sowesifazane (isibonelo, okhilimu bokunciphisa ukulunywa).

Ukugwema lezi zinto kuzokusiza ukuthi uthole imiphumela yokuhlolwa enembile kakhudlwana.

Yini engingayilindela ngosuku lokuhlolwa?

Kulungile, manje ake sibone ukuthi kuzokwenzekani ngosuku lokuhlolwa. Lokhu kuhlolwa kwe-BV kuqala njengokuhlolwa kwesinqe. Ungakhathazeki, odokotela bajwayelene kakhulu nalezi zinto.

• Kuzodingeka ukhumule zonke izingubo zakho kusukela okhalweni kuye phansi. Ungase unikezwe indwangu noma iphepha lokumboza imilenze yakho.
• Uzolala phansi etafuleni lokuhlolwa, imilenze yakho iphakanyisiwe futhi ibanjwe ohlangothini ngalunye ngama-stirrup amabili.
• Udokotela wakho uzofaka idivayisi yezokwelapha ebizwa ngokuthi i-speculum esithweni sakho sangasese. Le divayisi ingase igcotshwe ngejeli elincane nelicacile ukuze kube lula ukushelela ngaphakathi nokunciphisa ubuhlungu. I-speculum izosakaza kancane izindonga zesitho sakho sangasese ukuze ukwazi ukubona ngaphakathi. Ungase uzizwe ungakhululekile noma ucindezelekile kancane phakathi nale nqubo. Lokhu kuvamile, ngakho ungakhathazeki. Phefumula kakhulu bese uzama ukuphumula.
• Udokotela uzobe esefaka indwangu ende yekotini noma induku yokhuni esithweni sakho sangasese sowesifazane bese ekhipha kancane uketshezi oluthile lwesitho sangasese sowesifazane. Lokhu futhi akubuhlungu kakhulu.
• Ekugcineni, udokotela ubeka isampula esitsheni esihlanziwe futhi asuse i-speculum.
• Ngemuva kwalokho ungagqoka izingubo zakho bese uya ekhaya. Akudingeki uhlale lapho ngemva kokuhlolwa.

Yini ongayilindela ngemva kokuhlolwa kwe-BV?

Ungase uzwe ubuhlungu obuncane noma ukopha kancane ngemva kokuhlolwa. Kodwa lokhu kuzophela ngokushesha, ngokuvamile phakathi namahora ambalwa. Ngeke kudingeke uyeke noma yimiphi imisebenzi yakho evamile ngemva kokuhlolwa. Ungenza usuku lwakho njengokujwayelekile.

Ithini imiphumela yokuhlolwa?

Manje ake sibone ukuthi le miphumela yokuhlolwa ithini.

• Imiphumela yokuhlolwa kokumanzisa noma ukufutha ingaba 'evamile' noma 'engavamile'. 'Ejwayelekile' isho ukuthi awunalo ukutheleleka ngamagciwane. 'Engavamile' isho ukuthi unesifo samagciwane.
• Imiphumela yokuhlolwa kwe-pH iza ngenani. Uma une-bacterial vaginosis, i-pH iphakeme kunokujwayelekile. Isitho sangasese sowesifazane esinempilo sine-pH ephakathi kuka-3.8 no-4.5 . Lokhu kusho ukuthi sine-asidi encane. Noma yini engaphezu kuka-4.5 ibhekwa njengephezulu. Uma i-pH yakho iphakeme, isitho sangasese sowesifazane sinamathuba amaningi okutheleleka.

Ngingayazi nini imiphumela yokuhlolwa?

Kuthatha phakathi kosuku olulodwa kuya kwezintathu ukuthola imiphumela ekuhlolweni kwe-bacterial vaginosis.Ungahamba. Ngezinye izikhathi ungayithola ngokushesha. Buza udokotela wakho ukuthi uzothola nini imiphumela nokuthi yini okufanele uyenze ngokulandelayo.

Kwenzekani uma ukuhlolwa kwe-bacterial vaginosis 'kuqinisekisiwe'?

Cabanga nje, uma imiphumela yakho yokuhlolwa kwe-bacterial vaginosis "ilungile", okusho ukuthi unesifo, ungesabi. Udokotela wakho cishe uzokunikeza ama-antibiotic . Le mithi ingeza ngesimo samaphilisi owaphuza ngomlomo, okhilimu noma ama-gel owafaka esithweni sakho sangasese. Udokotela wakho angase futhi akunike okhilimu owafaka ngaphakathi noma ngaphandle kwesitho sakho sangasese sangasese ukusiza ukulawula izimpawu ezifana nobuhlungu nokulunywa.

Kubaluleke kakhulu ukwelapha abesifazane abakhulelwe kanye nabesifazane abazama ukukhulelwa, njengoba i-bacterial vaginosis ingabangela izinkinga ngesikhathi sokukhulelwa, njengokubeletha ngaphambi kwesikhathi.

Kodwa-ke, uma imiphumela yokuhlolwa kwe-bacterial vaginosis 'ingemihle', okusho ukuthi akukho ukutheleleka, udokotela wakho angenza ezinye izivivinyo ukuthola ukuthi yini ebangela izimpawu zakho.

Ungakwazi yini ukuhlola i-bacterial vaginosis ekhaya?

Namuhla, kunezivivinyo zasekhaya ezitholakala ku-inthanethi noma emakhemisi ezingahlola i-bacterial vaginosis, noma amakhithi angalinganisa i-pH yesitho sangasese sowesifazane. Lokhu kungakunikeza umbono wempilo yesitho sakho sangasese sowesifazane ngaphandle kokuya kudokotela.

• Ukuze uhlole i-bacterial vaginosis ekhaya , udinga ukuthatha isampula yoketshezi oluphuma esithweni sakho sangasese ngokufaka i-swab esithweni sakho sangasese sangasese. Ngemuva kwalokho, udinga ukuvala isampula esitsheni bese uyithumela elebhu. Kuye ngokuthi ukhetha ini, kungathatha noma yikuphi kusukela ezinsukwini ezimbalwa kuya esontweni ukuthi ilebhu ihlole isampula futhi ithole imiphumela.
• Ukuhlolwa kwe-pH yesitho sangasese sowesifazane ekhaya kuhilela i-swab noma ucezu lwephepha. Ulusebenzisa ukuqoqa isampula yokukhipha uketshezi esitho sangasese sowesifazane. Lapho i-swab noma ucezu luthinta uketshezi esitho sangasese sowesifazane, lushintsha umbala. Ube usuqhathanisa lowo mbala neshadi lombala elisekhithini ukuze uthole i-pH. Ukufundwa kwe-pH ephezulu kubonisa ukuthi ungase ube ne-bacterial vaginosis noma olunye ukutheleleka kwesitho sangasese sowesifazane.

Kodwa uma usebenzisa ikhithi yokuhlola ekhaya, kubalulekile ukubona udokotela ukuqinisekisa imiphumela. Uma imiphumela ingenayo imiphumela emihle, udokotela wakho angabheka ezinye izimbangela zezimpawu zakho. Uma imiphumela ingenayo imiphumela emihle, kungadingeka ukuthi welashwe ngama-antibiotic noma uthathe imithi yokulawula izimpawu zakho. Ukuhlolwa ekhaya kuyindlela enhle yokuthola umbono oyisisekelo, futhi akuyona indawo yeseluleko sezokwelapha.

Ngakho-ke, yimaphi amaphuzu okufanele siwathathe ekhaya kule ndaba?

Impilo yakho yesitho sangasese sowesifazane ingase ingabi yinto ovame ukuyicabanga - okungukuthi, kuze kube yilapho kuvela inkinga. Ukuluma, ukushisa, noma iphunga elibi konke kungaba izimpawu zokutheleleka okuvamile kwesitho sangasese sowesifazane okubizwa ngokuthi i-bacterial vaginosis.

Lokhu kuhlolwa kwe-bacterial vaginosis kuyindlela esheshayo, engenabuhlungu, futhi ephephile yokuthola ukuthi unesifo sofuba. Udokotela wakho uzothatha isampula yoketshezi oluphuma esithweni sowesifazane bese eluthumela elabhorethri ukuze luhlolwe. Uma une-bacterial vaginosis, udokotela wakho angase akunike ama-antibiotic ukwelapha lesi sifo.

Ngakho-ke, uma unalezi zimpawu, kungcono ukubona udokotela bese uthola iseluleko ngaphandle kokuzizwa unamahloni noma ukwesaba. Khumbula, impilo yakho iyona ebalulekile! Ngokukhuluma ngokukhululekile ngalezi zinto nokuthola ukwelashwa kusenesikhathi, ungalulama ngokushesha.

I- vaginosis yamagciwane, ukutheleleka kwesitho sangasese sowesifazane, ukuhlolwa kwe-BV, ukukhishwa koketshezi lwesitho sangasese sowesifazane, ukuhlolwa kwe-pH, impilo yabesifazane, i-gynecology