Abesifazane abaningi ngezinye izikhathi bazizwa bengakhululekile kahle esithweni sabo sangasese sowesifazane. Mhlawumbe kukhona iphunga elingavamile, noma uhlobo oluhlukile lokukhipha uketshezi kunokuvamile. Kuvamile ukuzizwa wesaba lapho kwenzeka into efana nale. Kodwa esinye sezizathu eziyinhloko zalokhu kungaba ukusebenza kwebhaktheriya ebizwa ngokuthi 'iGardnerella Vaginalis'. Ungesabi uma uzwa leli gama. Namuhla sizoxoxa ngakho konke kalula, ngendlela ongayiqonda.
Iyini ngempela i-Gardnerella Vaginalis?
Kalula nje, i-Gardnerella vaginalis uhlobo lwebhaktheriya elihlala ngokwemvelo esithweni sakho sangasese. Njengoba nje ingadi yethu inezinhlobo ezahlukene zezihlahla nezimbali, isitho sethu sangasese sangasese (esikubiza ngokuthi 'izitshalo zesitho sangasese sangasese') sinokulinganisela kwezinhlobo ezahlukene zamabhaktheriya. Ukugcina le ndawo yamabhaktheriya iphilile kubaluleke kakhulu empilweni yesitho sangasese sangasese sangasese.
Cabanga ngakho, kukhona ibhalansi encane phakathi kwala mabhaktheriya. Uma nje leli bhalansi lihle, akukho nkinga. Kodwa uma ngesizathu esithile leli bhalansi liphukile futhi ezinye izinhlobo zamabhaktheriya, njenge-'Gardnerella vaginalis', zanda kakhulu, yilapho-ke kuvela khona ukutheleleka kwesitho sangasese sowesifazane okubizwa ngokuthi i-Bacterial Vaginosis (BV) .
Into ebaluleke kakhulu ukuthi i-BV ayisona isifo esithathelwana ngocansi (STI), ngakho-ke asikho isizathu sokwesaba noma sokuba namahloni ngokungadingekile ngaso.
Yimuphi umsebenzi owenziwa yileli gciwane emizimbeni yethu?
Eqinisweni, cishe wonke amabhaktheriya esithweni sangasese sowesifazane anendima encane okufanele ayidlale. Ekuqaleni, ososayensi babecabanga ukuthi i-'Gardnerella' yayiyibhaktheriya elibi nelibangela izifo. Kodwa ucwaningo lwakamuva luthole ukuthi indaba ayilula kangako. Ngoba leli bhaktheriya likhona ezithweni zangasese zabesifazane abanempilo abangenalo ukutheleleka, kanye nalabo abanezifo zesitho sangasese sowesifazane.
Lokho kusho ukuthi igciwane le-Gardnerella lodwa alibangeli izifo. Inkinga iqala lapho ibhalansi iphazanyiswa namanye amagciwane, ikakhulukazi amagciwane "amahle" abizwa ngokuthi i-Lactobacillus .
Ubudlelwano phakathi kwe-pH yesitho sangasese sowesifazane kanye namagciwane
Ukuze silondoloze indawo enempilo esithweni sethu sangasese sowesifazane, sidinga ukuba nezinga elithile le-asidi. Silinganisa lokhu nge-pH.
- Isitho sangasese sowesifazane esinempilo sine-pH ephakathi kuka-3.8 no-4.5, okusho ukuthi sine-asidi encane.
- Ibhaktheriya elihle elibizwa ngokuthi 'i-Lactobacillus' lisiza kakhulu ekudaleni le ndawo ene-asidi.
- Lokhu kubanda kwenza kube nzima ngamagciwane abangela ukutheleleka ukuthi akhule lapho.
Kodwa-ke, uma ngesizathu esithile inani lamagciwane e-'Lactobacillus' lehla, i-acidity yesitho sangasese sowesifazane iyancipha futhi inani le-pH likhuphuka ngaphezu kuka-4.5. Lolu hlobo lwendawo lufaneleka kakhulu ukuthi amagciwane anjenge-'Gardnerella' akhule. Bese anda ngokushesha, aphazamise ibhalansi futhi abangele ukutheleleka okubizwa ngokuthi i-BV.
Ingabe i-Gardnerella kanye ne-Bacterial Vaginosis (BV) ziyinto efanayo?
Cha. Laba bobabili bahlobene, kodwa abafani.
- I-Gardnerella vaginalis: Uhlobo lwebhaktheriya elihlala ngokwemvelo esithweni sangasese sowesifazane.
- I-Bacterial Vaginosis (BV): Ukutheleleka okubangelwa ukungalingani kwamagciwane esithweni sangasese sowesifazane (ikakhulukazi ukwanda kwe-Gardnerella kanye nokwehla kwe-Lactobacillus).
Kalula nje, inani elikhulu le-Gardnerella liyimbangela enkulu ye-BV.
Yiziphi izimpawu zokwanda kwe-Gardnerella?
Uma unegciwane le-Gardnerella elikhule kakhulu emzimbeni wakho futhi une-BV, ungase uqaphele izinguquko ezithile ekuphumeni koketshezi lwesitho sakho sangasese sowesifazane. Lezi yizimpawu eziyinhloko.
| Isibonakaliso | Incazelo |
|---|---|
| Ushintsho ekukhishweni koketshezi lwesitho sangasese sowesifazane | Ukuphuma koketshezi esithweni sangasese sowesifazane kungaba mhlophe, kumpunga, noma kube luhlaza okotshani. Kungase futhi kube mncane kunokuvamile. |
| Iphunga elingavamile | Kungase kube nephunga elifana nelenhlanzi, ikakhulukazi ngemva kocansi noma ngesikhathi sokuya esikhathini. |
| Ezinye izinkinga | Abanye abantu bangase bazizwe bengakhululekile njengokulunywa eduze kwesitho sangasese sowesifazane noma ukusha lapho bechama, kodwa lokhu akuvamile kakhulu. |
Kubaluleke kakhulu ukuqaphela ukuthi yize abanye besifazane bene-BV,Kungase kungabi khona zimpawu ezibonakalayo nhlobo.
Ingabe lesi yisifo esithathelwana ngocansi (STI)?
Cha. Masicacise futhi, i-BV ebangelwa ukukhula ngokweqile kwe-Gardnerella akusona isifo esithathelwana ngocansi (STI). Ingenzeka ngisho nakwabesifazane abangasebenzi ocansini.
Kodwa nansi into: Izenzo zocansi zingathinta lokhu.
- Ukuba nomlingani omusha wezocansi
- Ukuba nabalingani abaningi bocansi
Ezimweni ezinjengalezi, ibhalansi yemvelo yamagciwane esithweni sangasese sowesifazane ingashintsha, okwandisa ingozi yokuthola i-BV. Kodwa lokho akusho ukuthi yisifo esithathelwana ngocansi.
Ingabe ikhona indlela yokwelapha ukungalingani kwe-Gardnerella?
Yebo, impela. Lesi yisimo esingalapheka ngokuphelele ngokwelashwa. Uma unezimpawu ze-BV, bona udokotela wakho ngokushesha. Udokotela wakho uzothatha isampula yoketshezi lwakho lwesitho sangasese sowesifazane bese eluhlola ngaphansi kwe-microscope ukuqinisekisa isimo.
Ama-antibiotic avame ukunikezwa njengokwelashwa.
- Lezi zingathathwa ngomlomo.
- Noma kungaba ngesimo sokhilimu noma ijeli efakwa esithweni sangasese sowesifazane (ngaphakathi kwesitho sangasese sowesifazane).
Lesi simo sivame ukuphela ngokuphelele ngemva kwezinsuku ezi-5-7 zokwelashwa. Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
Kwenzekani uma ungatholi ukwelashwa?
I-BV ayisona isifo esibi kakhulu, kodwa uma ingelashwa isikhathi eside, ingozi yezinkinga ezithile iyanda.
- Ngesikhathi sokukhulelwa: Izingozi ezifana nokuphuphuma kwesisu nokubeletha ngaphambi kwesikhathi zinganda.
- Ezinye izifo: Kwandisa ingozi yokuthola izifo ezithathelwana ngocansi njenge-HIV.
- Isifo Sokuvuvukala Kwesitho Sangasese Sowesifazane (PID): Ukutheleleka kungasakazekela ezingxenyeni ezingaphezulu zesistimu yokuzala, njengesibeletho kanye namapayipi e-fallopian.
Ngakho-ke, kubalulekile ukufuna ukwelashwa uma kukhona izimpawu.
Izinto esingazenza ukuze silondoloze ibhalansi enempilo esithweni sangasese sowesifazane
Kunezinto ezilula ongazenza ukuvimbela i-BV ukuthi ingaphinde ivele futhi ulondoloze impilo yesitho sangasese sowesifazane.
| Okumele ukwenze/Okungamele ukwenze | Kungani kunjalo? |
|---|---|
| Gwema ukusula indwangu. | Ukusula isitho sangasese sowesifazane ngamanzi noma olunye uketshezi. Lokhu kubhubhisa amabhaktheriya amahle akhona ngokwemvelo futhi kuphazamise ibhalansi yamagciwane. Isitho sangasese sowesifazane siyazihlanza ngokwemvelo. Asidingi usizo lwangaphandle. |
| Gwema ukusebenzisa insipho enephunga elimnandi kanye nezifutho. | Insipho enephunga elimnandi, izifutho zokuhlanzeka kwabesifazane, kanye nama-tampon anephunga elimnandi kungashintsha i-pH yesitho sangasese sowesifazane, okuholela ekuthelelekeni. Insipho ethambile, engenaphunga yanele ukuhlanza kwangaphandle. |
| Sebenzisa amakhondomu. | Ukusebenzisa ikhondomu ngesikhathi socansi kungasiza ngezinga elithile ekuvimbeleni izinguquko ekulinganisweni kwamagciwane esithweni sangasese sowesifazane. |
| Gqoka izingubo zangaphansi zikakotini. | Izingubo zangaphansi ezenziwe ngezindwangu zemvelo njengokotini zivumela ukujikeleza komoya okuhle, okunciphisa ukugcinwa komswakama futhi kulawula ukukhula kwamagciwane. |
Kusho ukuthini uma ukuhlolwa 'kune-positive' ye-Gardnerella?
Ungesabi uma umbiko wakho wokuhlolwa uthi `I-Gardnerella vaginalis positive`. Njengoba sishilo ngaphambili, leli gciwane likhona esithweni sangasese sabesifazane abaphilile. Ngakho-ke, kuyinto evamile ukuba libe nesifo. Okubalulekile ukuthi inani lalo alilingani nokuthi unezimpawu yini. Udokotela wakho ungumuntu ongcono kakhulu ukwenza isinqumo ngalokho.
Umlayezo Wokuya Nawe Ekhaya
- I-Gardnerella vaginalis uhlobo lwebhaktheriya elihlala ngokwemvelo esithweni sakho sangasese. Ukuba khona kwalo akusona isifo.
- Inkinga ivele kuphela uma ibhalansi phakathi kwaleli gciwane namanye amagciwane ilahleka futhi kukhona i-'Gardnerella' eningi kakhulu.
- Ukutheleleka okubizwa ngokuthi `i-Bacterial Vaginosis (BV)` okwenzeka ngenxa yalokho akusona isifo esithathelwana ngocansi (STI).
- Ukuphuma koketshezi lwesitho sangasese sowesifazane okumpunga/oluhlaza okwesibhakabhaka okunephunga elibi kuyisibonakaliso esibalulekile se-BV.
- Uma unalezi zimpawu, ungesabi noma ungabi namahloni, thintana nodokotela ngokushesha.
- Lesi yisimo esingelashwa kalula ngama-antibiotic.
- Ukugwema ukusula ubuso nobuso nokusebenzisa imikhiqizo enephunga elimnandi ngaphakathi kwesitho sangasese sowesifazane kubaluleke kakhulu ukuze kugcinwe inhlanzeko.
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