Ukuluma eduze kwesitho sakho sangasese sowesifazane, ukuphuma koketshezi okuhlukile ngombala kunokuvamile, futhi ikakhulukazi iphunga elibi njengokuphuma koketshezi olufana nenhlanzi kungaba yinto engakhululeki futhi ekhathazayo. Ungase uzizwe unamahloni okukhuluma nanoma ubani ngalezi zimpawu. Kodwa into ebaluleke kakhulu okudingeka uyazi ukuthi lesi yisimo esivamile abesifazane abaningi ababhekana naso. Singabangelwa ukutheleleka okuvamile kwebhaktheriya. Ngakho-ke namuhla, ake sixoxe ngokuhlolwa okungasithola ngokunembile lesi simo.
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Kuyini i-Bacterial Vaginosis (BV)?
Ungesabi leli gama, yisifo esikhulu. Masiqonde lokhu kalula. Isitho sangasese sowesifazane esinempilo sihlala sinenani elikhulu lamagciwane "amahle" kanye nenani elincane lamagciwane "amabi". Cabanga ngesitho sangasese sowesifazane njengengadi enhle yezimbali. Kule ngadi, kunezimbali ezinhle (amagciwane amahle) esizifunayo, kanye nokhula olumbalwa esingalufuni (amagciwane amabi). Ngokuvamile, ngenxa yokuthi kunezimbali eziningi ezinhle, ukhula alunalo ithuba lokusabalala kakhulu. Lezi ezimbili zisesilinganisweni esihle.
Kodwa ngezinye izikhathi, ngesizathu esithile, leli bhalansi liyalahleka, amabhaktheriya amahle ayancipha, futhi amabhaktheriya amabi asakazeka ngokushesha. Njengoba nje ukhula engadini lukhula ngaphandle kokulawuleka. Yilokho esikubiza ngokuthi i-Bacterial Vaginosis (BV) . Lesi akusona isifo esithathelwana ngocansi, kodwa sivamile phakathi kwabesifazane abenza ucansi.
Yiziphi izimpawu ezibonisa ukuthi une-BV?
Uma unesinye noma ngaphezulu salezi zimpawu, kungaba yi-BV. Kodwa-ke, abanye besifazane bangase babe nalesi simo ngaphandle kwezimpawu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Iphunga elibi | Iphunga elinamandla nelinuka kabi, ikakhulukazi elifana nenhlanzi, elivela esithweni sangasese sowesifazane. Leli phunga lingase libe libi kakhulu ngemva kocansi. |
| Ushintsho ekukhishweni koketshezi lwesitho sangasese sowesifazane | Ukuphuma koketshezi okungavamile, okuncane, okumpunga, noma okumhlophe. |
| Ukuluma nobuhlungu | Ukuluma, ukushisa, noma ubuhlungu ngaphakathi nangaphandle kwesitho sangasese sowesifazane. |
| Ukushisa ngesikhathi sokuchama | Umuzwa oshisayo noma obuhlungu lapho uchama. |
Into ebaluleke kakhulu ukungazinaki lezi zimpawu. Ungalokothi ube namahloni okukhuluma nodokotela wakho ngalokhu. Lokhu kubaluleke kakhulu empilweni yakho.
Ihlolwa kanjani i-BV?
Uma ubona udokotela, bazobuza ngezimpawu zakho bese benquma ukuthi udinga yini ukuhlolwa ukuqinisekisa ukuthi une-BV. Lokhu kuhlolwa kuhilela ukuthatha isampula encane yoketshezi lwakho lwesitho sangasese sowesifazane. Lesi sampula sibe sesihlolwa ngezindlela eziningana.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Ukuze uthole imiphumela enembile kakhulu kulolu vivinyo, kufanele uzigweme lezi zinto amahora angama-24 ngaphambi kokuhlolwa, ngoba zingathinta imiphumela yokuhlolwa.
- Ukuhlafuna: Ungafaki uketshezi noma olunye uketshezi esithweni sangasese sangasese nganoma yisiphi isizathu. Lokhu kungaphazamisa ibhalansi yemvelo yamagciwane esithweni sangasese sangasese.
- Gwema ukuya ocansini.
- Gwema ukusebenzisa ama-tampons.
- Imithi yesitho sangasese sowesifazane: Uma usebenzisa noma yimaphi ama-cream, ama-gel, noma amaphilisi okuluma noma ezinye izizathu, ungawasebenzisi ngosuku olungaphambi kokuhlolwa.
Kwenzekani ngosuku lokuhlolwa?
Lokhu kufana nokuhlolwa okuvamile kwe-pelvic. Akukho okufanele ukhathazeke ngakho. Udokotela noma umhlengikazi uzochaza konke kuwe.
1. Okokuqala, uzocelwa ukuthi ukhumule izingubo zakho ngaphansi kwesinqe. Uzonikezwa indwangu noma iphepha lokumboza umzimba wakho ukuze uvikele ubumfihlo bakho.
2. Uzocelwa ukuthi ulale etafuleni lokuhlola bese ubeka imilenze yakho phezu kwezinti eziklanywe ngokukhethekile.
3. Udokotela uzofaka kancane nangokucophelela ithuluzi lezokwelapha elibizwa ngokuthi i-speculum esithweni sakho sangasese sowesifazane. Kusetshenziswa i-lubricant ukuze kube lula ukuyifaka, ngakho ngeke kube buhlungu kakhulu. Kodwa-ke, ungase uzizwe ucindezelekile noma ungakhululekile. Leli thuluzi lisunduza kancane izindonga zesitho sangasese sowesifazane, likuvumela ukuthi ubone ngaphakathi ngokucacile.
4. Bese ufaka i-swab ende yekotini esithweni sangasese sowesifazane bese ususa ngobumnene inani elincane loketshezi oluye lwangcolisa udonga lwesitho sangasese sowesifazane.
5. Isampula etholakele ifakwa esitsheni esihlanzekile bese i-speculum isuswa.
6. Ngemuva kwalokho ungagqoka futhi uhambe uye ekhaya. Yonke inqubo ithatha imizuzu embalwa kuphela.
Izindlela zokuhlola isampula etholiwe
Isampula yokukhishwa koketshezi lwesitho sangasese sowesifazane etholwe udokotela ihlolwa elabhorethri kusetshenziswa izindlela eziningana. Lezi yizindlela ezivame ukusetshenziswa.
| Indlela yokuhlola | Kwenzekani? |
|---|---|
| Intaba Emanzi | Inani elincane loketshezi lixutshwa noketshezi, libekwe ku-slide yengilazi, bese lihlolwa ngaphansi kwe-microscope. Into eyinhloko okufanele uyibheke ukuba khona kohlobo oluthile lweseli olubizwa ngokuthi "ama-Clue Cells." Uma une-BV, amangqamuzana odongeni lwesitho sangasese sowesifazane azungezwe amagciwane amabi, okwenza abonakale efiphele futhi efiphele. |
| Ukuhlolwa Kokunuka Okubi | Lolu ukuhlolwa okulula kakhulu. Amaconsi ambalwa ekhemikhali ekhethekile afakwa kusampula yoketshezi oluphuma esithweni sangasese sowesifazane. Uma kuvela iphunga elinamandla elifana nenhlanzi, lokho kuwubufakazi obuqinile bokuthi i-BV ikhona. |
| Ukuhlolwa kwe-pH yesitho sangasese sowesifazane | Isitho sangasese sowesifazane esinempilo sine-pH ephakathi kuka-3.8 no-4.5, okuyi-asidi kancane. Le-asidi isiza ukulawula ukukhula kwamagciwane amabi. Ekuthelelekeni kwe-BV, i-pH iphakeme kuno-4.5. Nakuba lokhu kuhlolwa kukodwa kungenakukuqinisekisa i-BV, kusetshenziswa kanye nezinye izivivinyo. |
| Ukuhlolwa kwe-DNA (Ukuhlolwa kwe-PCR) | Lokhu kuhilela ukuhlola izakhi zofuzo zamagciwane kusampula yendle. Nakuba lena kuyindlela enembile kakhulu, ayivame ukusetshenziswa ngoba ibiza kakhulu kunezinye izindlela. |
Ingabe ukuhlolwa komchamo kungakuthola i-BV?
Cha. Lona umbuzo abantu abaningi abawubuzayo. Ukuhlolwa komchamo akukwazi ukuthola ukutheleleka kwe-BV. Ukuhlolwa komchamo kungathola kuphela ukutheleleka kwe-Urinary Tract (UTI). Njengoba i-BV iwukutheleleka kwesitho sangasese sowesifazane, kudingeka isampula ye-vaginal swab.
Iyini imiphumela yokuhlolwa nokuthi yini okufanele uyenze ngokulandelayo?
Ngokuvamile ungathola imiphumela yokuhlolwa (umbiko) zingakapheli izinsuku ezimbili noma ezintathu.
- Uma umphumela ujwayelekile: Lokhu kusho ukuthi awunayo igciwane. Uma kunjalo, udokotela wakho angase acele ukuhlolwa okwengeziwe ukuze abone ukuthi kukhona yini esinye isizathu sezimpawu zakho.
- Uma umphumela ungowokungavamile: Kusho ukuthi unesifo se-BV.
Uma ukuhlolwa kuqinisekisa ukuthi une-BV, udokotela wakho uzokunikeza ama-antibiotic. Lawa angathathwa njengamaphilisi noma njengokhilimu, ama-gel, noma ama-pessary afakwa esithweni sangasese sowesifazane. Into ebaluleke kakhulu ukuthatha umuthi ngenani eliqondile lezinsuku udokotela wakho akunike zona. Ungayeki ukuthatha umuthi ngoba nje izimpawu zakho seziphelile. Ukwenza kanjalo kungabangela ukuthi ukutheleleka kubuye.
Kubaluleke kakhulu ukuthola ukwelashwa kokutheleleka kwe-BV uma ukhulelwe noma uhlela ukukhulelwa. Uma ungelashwa, kunengozi yezinkinga, njengokubeletha ngaphambi kwesikhathi.
Ingabe kufanele sifunde futhi ngezivivinyo zasekhaya (Ama-Home Kits)?
Manje usungathenga amakhithi okuhlola ekhaya emakhemisi naku-inthanethi angahlola i-pH yakho yesitho sangasese sowesifazane noma athole ukutheleleka kwe-BV ekhaya.
Lokhu kuhilela ukuthatha isampula yoketshezi oluphuma esithweni sangasese sowesifazane bese uluhlola. Ngekhithi yokuhlola i-pH, uma ufaka isampula ephepheni elikhethekile, lishintsha umbala. Ungafanisa lowo mbala neshadi lombala elihambisana nekhithi ukuze uthole umbono wezinga le-pH.
Noma kunjalo, noma ngabe usebenzisa ukuhlolwa kwasekhaya okunje, kubaluleke kakhulu ukubona udokotela ukuqinisekisa imiphumela. Ngoba akufanele uthembele kuphela emiphumeleni yokuhlolwa kwasekhaya ukuze uzelapha. Udokotela wakho kuphela ongakunikeza ukuxilongwa okunembile kanye nokwelashwa okufanele kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Iphunga elibi, ukuphuma kwamanzi okungavamile, noma ukulunywa okuvela esithweni sangasese sowesifazane ngokuvamile kungabangelwa yi-Bacterial Vaginosis (BV). Ungabi namahloni noma wesabe lokhu.
- Ungazinaki lezi zimpawu, bona udokotela wakho ngokushesha okukhulu.
- Ukuhlolwa kwe-BV kuyindlela elula, engenabuhlungu engenziwa ngemizuzu embalwa.
- Uma ukuhlolwa kuqinisekisa ukutheleleka, thatha ama-antibiotic anqunyiwe njengoba nje kunqunyiwe.
- Ngisho noma usebenzisa amakhithi okuhlola ekhaya, kufanele nakanjani ubone udokotela ukuze aqinisekise imiphumela kanye nokwelashwa okufanele.
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