Wake waba nokutheleleka kwesitho sangasese sowesifazane okunje? Ake sixoxe nge-Bacterial Vaginosis (BV)!

Ingabe ngezinye izikhathi uyaqaphela uhlobo oluhlukile lokukhipha uketshezi oluphuma esithweni sakho sangasese sowesifazane kunokuvamile? Mhlawumbe umbala ohlukile, noma ingabe lunuka kabi? Nakuba abantu abaningi bengathandi ukukhuluma ngezinto ezinjalo, lokhu kungaba yisimo esithinta abesifazane abaningi. Namuhla sizokhuluma nge-Bacterial Vaginosis, noma i-BV ngamafuphi.

Kuyini i-bacterial vaginosis (BV)?

Kalula nje, i-bacterial vaginosis (BV) igciwane elibangelwa yibhaktheriya elivela esithweni sakho sangasese. Manje ungase ucabange, "O, nginamabhaktheriya emzimbeni wami?" Yebo, ngisho nesitho sangasese sangasese esinempilo sinezinhlobo ezahlukene zamabhaktheriya. Njengoba nje ingadi yethu inezitshalo ezinhle nezitshalo ezimbi. Kukhona ibhalansi ethile phakathi kwalezi zinhlobo zamabhaktheriya. Kukhona amabhaktheriya 'amahle' (njenge- Lactobacilli ) kanye namabhaktheriya 'amabi' (ngokwesayensi abizwa ngokuthi ama-Anaerobes ). Ngezinye izikhathi, ngesizathu esithile, lawa mabhaktheriya 'amabi' akhula ngokushesha kakhulu, anqobe amabhaktheriya 'amahle' futhi aphazamise ibhalansi esithweni sangasese sangasese. Yilapho-ke i-BV ivela khona.

Abanye abantu abane-BV bangase babe nephunga elifana nelenhlanzi elivela ekuphumeni kwabo koketshezi lwesitho sangasese sowesifazane. Bangase futhi bazizwe bengakhululekile futhi belunywa eduze kwesitho sangasese sowesifazane. Kodwa ngokumangazayo, abanye abantu bangaba ne-BV ngaphandle kwezimpawu.

Kuvamile kangakanani lesi simo se-BV?

Kuvame kakhulu kunalokho ocabanga. Eqinisweni, i-bacterial vaginosis iwukutheleleka okuvamile kakhulu kwesitho sangasese sowesifazane kwabesifazane abaneminyaka ephakathi kuka-15 no-44. Ngokwezibalo, cishe abantu abangu-35% abanesitho sangasese sowesifazane bazoba ne-BV ngesikhathi esithile empilweni yabo. Izinga lingase libe phezulu nakakhulu phakathi kwamanye amaqembu ezinhlanga.

Ubani onamathuba amaningi okuthola i-BV?

Noma ubani one-vagina angangenwa yi-bacterial vaginosis, kodwa ivame kakhulu kubantu abenza ucansi. Akuvamile kakhulu ukuthi umuntu ongakaze alale nomuntu athole i-BV. Futhi, abanye abantu ngokwemvelo banama-bacteria amaningi abangela i-BV emizimbeni yabo.

Ungase ube sengozini enkulu yokuthola i-BV uma:

• Uma ukhulelwe .
• Uma ungasebenzisi amakhondomu noma ama-dental dam ngesikhathi socansi.
• Uma usebenzisa into efana nedivayisi yangaphakathi kwesibeletho (i-IUD) .
• Uma unabalingani abaningi bocansi .
• Uma unomlingani omusha wocansi .
• Uma usebenzisa njalo uketshezi olukhethekile (ama-Douches) ukugeza isitho sakho sangasese sowesifazane (lokhu sikubiza ngokuthi i-douching).
• Uma uthatha ama-antibiotics kwesinye isifo.

Ziyini izimpawu ze-bacterial vaginosis (BV)?

Kuyamangalisa ukuthi abantu abane-BVCishe abantu abangu-84% ababonisi zimpawu. Kodwa uma ubonisa izimpawu, ungase ubhekane nalokhu okulandelayo:

• Uketshezi olumhlophe, olumpunga, noma oluluhlaza okwesibhakabhaka .
• Iphunga 'elifana nelenhlanzi' elivela ekuphumeni koketshezi lwesitho sangasese sowesifazane, ikakhulukazi ngemva kocansi.
• Ukuluma noma ukuvuvukala esithweni sangasese sowesifazane.
• Umuzwa wokushisa lapho uchama.

Into ebalulekile ukuthi izimpawu ze-BV zingafana nezezinye izifo zesitho sangasese sowesifazane, ngakho -ke kubalulekile ukubona udokotela ukuze wazi ngokuqinisekile ukuthi une-BV noma olunye ukutheleleka.

I-bacterial vaginosis (BV) ikhula kanjani?

Njengoba sesixoxile ngaphambili, isitho sakho sangasese sowesifazane siyikhaya lezinhlobo ezahlukene zamagciwane. Lokhu kubizwa ngokuthi i-vaginal microbiome . I-BV yenzeka lapho ibhalansi phakathi kwala magciwane ishintsha.

Uma sikhuluma iqiniso, i-bacterial vaginosis ibangelwa ukukhula kwamabhaktheriya 'amabi' (ama-anaerobes) ngokushesha kunamabhaktheriya 'amahle' (i-lactobacilli). Lokhu kungalingani kwenzeka lapho kunohlobo olulodwa lwamabhaktheriya oluningi kakhulu.

Abacwaningi bathole ukuthi noma yini eshintsha indawo yemvelo yamakhemikhali esithweni sakho sangasese ingathinta la magciwane. Yingakho izinto ezinjengokusula i-douche noma ukuya ocansini olungavikelekile zingaholela ku-BV. Kodwa khumbula, i-BV ayikwazi ukusabalala kusuka kuma-hot tub, amachibi okubhukuda, noma izihlalo zangasese . Futhi awukwazi ukuthola i-BV ngokuthinta into ethintwe ngumuntu one-BV.

Ingabe i-bacterial vaginosis iyathelelana? Ingabe isifo esithathelwana ngocansi (STD/STI)?

I-bacterial vaginosis (BV) akuyona isifo esingasakazeka ngqo kusuka kumuntu kuya komunye. Kodwa-ke, ucansi lungandisa ingozi yokuthola lokhu kutheleleka . Abacwaningi bakholelwa ukuthi ukuya ocansini kungashintsha indawo yamagciwane esithweni sangasese sowesifazane. Lolu shintsho lungenza kube lula ukuthi amagciwane akhule angalingani.

Lokho kusho ukuthi i-BV ayibhekwa njengesifo esithathelwana ngocansi (STI) , kodwa ihlotshaniswa nomsebenzi wocansi.

Uyini umehluko phakathi kwe-bacterial vaginosis (BV) kanye nokutheleleka kwemvubelo?

Lezi zombili izinhlobo zokutheleleka ezenzeka esithweni sangasese sowesifazane futhi zibangela ukwanda koketshezi oluphuma esithweni sangasese sowesifazane. Kodwa kunomehluko ocacile phakathi kwalokhu okubili. Ake sibone ukuthi kuyini:

• Ukuphuma koketshezi esithweni sangasese sowesifazane: Esinye sezimpawu eziyinhloko ze-BV 'iphunga elifana nelenhlanzi' elivela koketshezi esithweni sangasese sowesifazane. Ukuphuma koketshezi oluvela kwisifo semvubelo ngokuvamile akunalo iphunga elinamandla, kodwa kungaba nokubukeka okufana noshizi wekotishi .
• Ukungakhululeki kwesitho sangasese sowesifazane:I-BV ngokuvamile ayibangeli ukulunywa noma ukusha okukhulu esithweni sangasese sowesifazane, kodwa izifo zemvubelo zingabangela ukulunywa nokusha .
• Ukwelashwa ngaphandle kwemithi kadokotela: Ungelapha izifo zemvubelo ngemithi etholakala ngaphandle kwemithi kadokotela. Kodwa-ke, ukuze welaphe i-BV, kufanele ubone udokotela futhi uthole ama-antibiotic .

Wazi kanjani ukuthi une-BV?

Udokotela kuphela ongakutshela ngokuqinisekile. Uma unezimpawu ze-BV, kufanele nakanjani ubonane nodokotela. Udokotela wakho uzokubuza ngomlando wakho wezokwelapha, okuhlanganisa noma yiziphi izifo zesitho sangasese sowesifazane zangaphambilini kanye nezifo ezithathelwana ngocansi (ama-STI). Ungase futhi ufune:

• Ukuhlolwa kwe-pelvic: Udokotela uzogqoka amagilavu ​​​​afake iminwe yakhe esithweni sangasese sangasese ukuze ahlole izimpawu zokutheleleka, njengokwanda koketshezi lwesitho sangasese sangasese noma uketshezi olumhlophe noma olumpunga olunephunga elibi.
• Ukuthatha isampula yokukhishwa koketshezi esithweni sangasese sowesifazane: Udokotela ufaka idivayisi ebizwa ngokuthi i-speculum esithweni sangasese sowesifazane bese esebenzisa idivayisi efana ne-swab ukuqoqa inani elincane lokukhishwa koketshezi esithweni sangasese sowesifazane. Lesi sampula sithunyelwa elabhorethri ukuze kubonwe ukuthi hlobo luni lwebhaktheriya olukhona.

Kwenziwa izivivinyo eziningana ukuhlola i-BV kusetshenziswa lesi sampula sokukhishwa koketshezi lwesitho sangasese sowesifazane. Eziyinhloko yilezi:

• Ukufakwa okumanzi: Lokhu kuhilela ukubeka uketshezi lwakho lwesitho sangasese sowesifazane kuslayidi yengilazi bese ukulubheka ngaphansi kwe-microscope.
• Ukuhlolwa komoya: Udokotela uzohogela uketshezi lwakho lwesitho sangasese sowesifazane ukuze abone ukuthi lunephunga elifana nelenhlanzi.
• I-pH yesitho sangasese sowesifazane: Lokhu kuhlolwa kulinganisa ubumuncu bokuphuma koketshezi esitho sangasese sowesifazane. Uma i-pH iphakeme kunokuvamile, kungaba uphawu lwe-BV.

Indlela yokwelapha i-BV?

Udokotela wakho uzokunikeza ama-antibiotic ukwelapha i-BV. Imithi evame kakhulu yi -metronidazole noma i-clindamycin . Le mithi iza ngesimo sejeli noma ukhilimu . Ifakwa esithweni sangasese sowesifazane. Amanye ama-antibiotic afika ngesimo samaphilisi, athathwa ngomlomo.

Kubaluleke kakhulu ukuthatha la ma-antibiotic njengoba nje udokotela wakho ekuyalele, kuze kube yilapho ethatha yonke imithi . Ungayeki ukuwathatha ngoba nje izimpawu zakho sezithuthukile. Ukwenza kanjalo kwandisa ingozi yakho yokuthola i-BV futhi.

Ingabe i-BV izophela yodwa ngaphandle kwemithi? Ingabe kukhona ukwelashwa kwasekhaya?

Ngezinye izikhathi, i-BV ingaphela yodwa ngaphandle kwemithi. Kodwa-ke, uma unezimpawu, kufanele nakanjani ufune iseluleko sezokwelapha.Ngoba ukuba ne-BV kwandisa ingozi yezifo ezithathelwana ngocansi (ama-STI), futhi kungabangela nezinkinga ngesikhathi sokukhulelwa.

Azikho izindlela zokwelapha zasekhaya noma imikhiqizo etholakala ngaphandle kwemithi engasetshenziswa ukwelapha i-BV. Ungasebenzisi i-douching noma imikhiqizo esetshenziselwa ukutheleleka kwemvubelo. Ukwenza kanjalo kungenza i-BV ibe yimbi kakhulu . Ngakho-ke, kubalulekile ukubona udokotela ukuze uthole ukwelashwa.

Ihlala isikhathi esingakanani i-bacterial vaginosis? Ingabe ingabuya?

Ezimweni eziningi, lokhu kutheleleka kwelashwa ngokuphelele ngenkambo eyodwa yama-antibiotic (cishe izinsuku eziyisikhombisa zemithi), kodwa abantu abangu-10% kuya ku-15% bangadinga olunye uhlobo lokwelashwa.

Yebo, i-BV ingaphinde ivele . Eqinisweni, cishe abantu abangu-80% abane-BV bazophinde babe nalesi simo ngesikhathi sokuphila kwabo.

Yiziphi izinkinga ezingaba khona ngenxa ye-BV?

I-bacterial vaginosis (BV) ngokuvamile ayibangeli izinkinga ezinkulu, kodwa uma ingelashwa, ingabangela:

• Izinkinga ngesikhathi sokukhulelwa: Uma uba ne-BV ngesikhathi ukhulelwe, kungaholela ekuzalweni ngaphambi kwesikhathi kanye nokuzalwa unesisindo esiphansi .
• Izifo ezithathelwana ngocansi (ama-STI): I-BV yandisa ingozi yakho yokuthola izifo ezithathelwana ngocansi ezifana ne -Chlamydia kanye ne-Gonorrhea . Uma une -HIV , usengozini enkulu yokudlulisela i-HIV kumlingani wakho uma uthola i-BV.
• Isifo Sokuvuvukala Kwesitho Sangasese Sowesifazane (PID): Ngezinye izikhathi i-BV ingaholela esimweni esibizwa ngokuthi i-PID. Lokhu ukutheleleka okuthinta izitho zohlelo lwakho lokuzala. Uma i-PID ingelashwa, ingabangela ubunzima bokuthola abantwana .

Ungayinciphisa kanjani ingozi yokuthola i-BV?

I-bacterial vaginosis (BV) ayinakuvinjelwa ngokuphelele. Kodwa-ke, unganciphisa ingozi yakho ngokuthatha lezi zinyathelo zokuphepha:

• Gwema ukusula i-douching, okungaphazamisa ibhalansi yemvelo yamagciwane esithweni sakho sangasese. Kunalokho, gcina isitho sakho sangasese sangasese kanye nesitho sakho sangasese sangasese sihlanzekile futhi sinempilo .
• Ungavumeli noma yini ethinte indunu yakho (isib. iphepha langasese, amathoyizi ocansi) ukuthinte isitho sakho sangasese . Lokhu kungenxa yokuthi amagciwane avela endle yakho angangena esitho sakho sangasese. Uma usebenzisa amathoyizi ocansi, wahlanze kahle ngemva kokusebenzisa ngakunye .
• Nciphisa inani labalingani bakho bocansi. Ucwaningo lukhombisile ukuthi uma unabalingani abaningi bocansi, kulapho amathuba okuba ne-BV enyuka khona.
• Sebenzisa amakhondomu e-latex noma amadamu amazinyo.Nakuba imbangela eqondile ingacacile, ucwaningo lubonisa ukuthi kukhona ukuxhumana phakathi kwezenzo zocansi ne-BV.
• Gqoka izingubo zangaphansi zikakotini noma izingubo zangaphansi ezinendwangu kakotini. Amabhaktheriya ayachuma endaweni emanzi. Ukotini uyasiza ekumunceni umswakama.

Ingabe ngidinga ukwelashwa nge-BV uma ngikhulelwe?

Yebo, impela. Uma une-bacterial vaginosis (BV), udokotela wakho uzokunikeza imithi ephephile ukuyisebenzisa ngesikhathi sokukhulelwa. Kufanele uthole ukwelashwa kwalesi sifo kungakhathaliseki ukuthi unezimpawu noma cha . I-BV ingabangela izinkinga ngesikhathi sokukhulelwa, njengokuzalwa ngaphambi kwesikhathi noma ukuzalwa kwesisindo esiphansi.

Ingabe kufanele ngitshele umlingani wami ngalokhu?

Amadoda awadingi ukwelashwa kwe-bacterial vaginosis (BV). Kodwa-ke, uma unomlingani wesifazane, naye angase abe ne-BV . Ngakho-ke kubalulekile ukumazisa ngalokhu bese umthumela ukuze ayokwelashwa uma kudingeka.

Ngingayibona nini udokotela?

Uma unezinye zalezi zimpawu, xhumana nodokotela ngokushesha:

• Uma umbala noma ukuqina koketshezi lwakho lwesitho sangasese sowesifazane kushintshile .
• Uma uketshezi lwakho lwesitho sangasese sowesifazane lunephunga elihlukile nelingajabulisi kunelivamile .
• Uma kukhona ukulunywa, ukusha, ukuvuvukala, noma ubuhlungu esithweni sangasese sowesifazane.

Ingabe amadoda angathola i-bacterial vaginosis? Ingabe owesifazane angadlulisela i-BV komunye wesifazane?

Cha, amadoda awatholi i-bacterial vaginosis (BV). Kodwa-ke, kunobufakazi obuthile bokuthi amagciwane abangela i-BV angadluliselwa kusuka kowesifazane oyedwa kuya komunye ngowesilisa . Lokhu kusho ukuthi lapho indoda yenza ucansi, amagciwane avela esithweni sangasese sowesifazane oyedwa angadluliselwa esithweni sangasese somunye wesifazane, okwandisa ingozi yakhe yokuthola i-BV. Ngakho-ke, kubalulekile ukuqaphela lokhu lapho uneziqabane eziningi zocansi.

Yebo, kunokuba owesifazane oyedwa 'adlulisele' i-BV komunye, izenzo zocansi zingasiza ekushintsheni ibhalansi yamagciwane esithweni sangasese sowesifazane. Uma omunye umlingani ene-BV, ungenza izinto ezinjengalezi:

• Uma usebenzisa amathoyizi ocansi, wamboze ngekhondomu . Gqoka ikhondomu entsha njalo uma wabelana ngethoyizi nomlingani wakho.
• Sebenzisa idamu lamazinyo ngesikhathi socansi lomlomo.

Ingabe abesifazane abakhulelwe banamathuba amaningi okuthola i-BV?

Yebo. Cishe ama-25% abesifazane abakhulelwe baba ne-BV. Isizathu esiyinhloko salokhu izinguquko zamahomoni ezenzeka emzimbeni ngesikhathi sokukhulelwa.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kulokho esikhulume ngakho? (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu ngale BV, akunjalo? Ngithemba ukuthi usuyizwisisile kahle manje. Izinto ezibaluleke kakhulu yilezi:

• I-BV akuyona into okufanele uyesabe, kodwa ngokuqinisekile kuyinto okufanele uyikhathalele.Lesi yisimo esivamile esithinta abesifazane abaningi.
• Uma ubona ushintsho ekuphumeni koketshezi esithweni sakho sangasese sowesifazane (umbala, iphunga, ubuningi), ukulunywa, noma ukusha , ungabi namahloni noma ukhathazeke ngakho, kodwa bona udokotela ngokushesha.
• Ungazinyangi. Imithi noma amakhambi atholakala ngaphandle kwemithi kadokotela ngeke kusize i-BV yakho, futhi kungayenza ibe yimbi nakakhulu.
• Uma udokotela wakho ekunike ukwelashwa, thatha imithi njengoba nje kuyalelwe, isikhathi sonke. Ungayeki ukuyithatha phakathi nendawo.
• Gwema ukusula isitho sangasese sowesifazane. Kwanele ukugeza isitho sangasese sowesifazane ngendlela evamile ukuze sihlale sihlanzekile.
• Yenza ucansi oluphephile. Ukusebenzisa amakhondomu akugcini nje ngokuvikela i-BV, kodwa futhi kusiza ekuvikeleni kwezinye izifo ezithathelwana ngocansi.
• Uma ukhulelwe, kubalulekile ukufuna ukwelashwa kwe-BV, kungakhathaliseki ukuthi unezimpawu noma cha.

Khumbula, indlela engcono kakhulu yokuhlala uphilile ukuqaphela umzimba wakho, impilo yakho, nokufuna iseluleko sezokwelapha uma kudingeka. Nakuba i-bacterial vaginosis (BV) iyisifo esilula, ingaholela ezimweni ezibucayi kakhulu. Ngakho-ke uma ubona noma yini engavamile ekuphumeni kwakho kwesitho sangasese sowesifazane, ungalibali ukubona udokotela. Udokotela angelapha i-BV ngama-antibiotic. Sithemba ukuthi lolu lwazi luzokusiza!

I- vaginosis yamagciwane, i-BV, ukutheleleka kwesitho sangasese sowesifazane, uketshezi oluphuma esitho sangasese sowesifazane, iphunga lenhlanzi, impilo yabesifazane, ama-antibiotic