Buza Isazi: Ngabe i-bacterial Vaginosis Ingaziveza Yodwa?

-Delile

• Yini ebangela i-bacterial vaginosis? Ziyini izimpawu?
• Ingabe i-BV isifo esithathelwana ngocansi?
• Yiziphi ezinye zezinkinga i-BV engazibangela?
• Ngabe i-BV ingasula yodwa? Ingabe kuvame ukubuya?
• Uyini umehluko phakathi kwe-BV nokutheleleka ngemvubelo?
• Yiziphi izinketho zokwelashwa ze-BV?
• Ngingayivimbela kanjani i-BV?
• Yiziphi izimpawu zokuthi kufanele ngiye kudokotela?

Yini ebangela i-bacterial vaginosis? Ziyini izimpawu?

I-bacterial vaginosis (BV) ibangelwa ukungalingani kwamagciwane esithweni sangasese. Isizathu salolu shintsho asiqondakali kahle, kepha kungenzeka sihlobene nezinguquko endaweni yangasese. Isibonelo, uthambekele ekutholeni i-BV uma ungashintshi ube yizimpahla ezihlanzekile ngemuva kokuzivocavoca noma uma ushawa. Ukukhula kwamagciwane okuvame kakhulu ku- I-Gardnerella vaginalis.

Kwabanye abantu, i-BV ayiholeli njalo ezimpawu. Kulabo abahlangabezana nezimpawu, bangafaka iphunga elinamandla (elijwayele ukuchazwa njenge- “fishy”), ukukhipha okuncane okumhlophe noma okumpunga, kanye nokucasuka kwesitho sangasese sowesifazane noma ukungahambi kahle.

Ngokusho kweCenters for Disease Control and Prevention (CDC), i-BV ukutheleleka esithweni sangasese kwabesifazane abaphakathi kweminyaka engu-15 no-44.

Ingabe i-BV isifo esithathelwana ngocansi?

I-BV ayisona isifo esithathelwana ngocansi. Kodwa-ke, uma usebenza ngokocansi, usengozini eyengeziwe yokuthuthukisa i-BV. Ukuba ne-BV nakho kungandisa ubungozi bokuthola ezinye izifo ezithathelwana ngocansi.

Yiziphi ezinye zezinkinga i-BV engazibangela?

Ngaphandle kokuba nezimpawu ezithile ezingakhululeki, i-BV ngokuvamile ayibangeli izinkinga ezinkulu zempilo kubantu abaningi abaphilile.

Abanye abantu abathola i-BV bangadinga ukunakwa okwengeziwe. Uma ukhulelwe, ukuba ne-BV kungakhuphula ubungozi bokuzalwa ngaphambi kwesikhathi. Noma, uma uhlela ukwenza inqubo ye-gynecologic, ukuba nesiqephu esisebenzayo se-BV kungakhuphula ubungozi bokutheleleka. Kulezi zinhlobo zabantu, kubalulekile ukwazisa udokotela wakho uma uhlangabezana nezimpawu ukuze welashwe.

Ngabe i-BV ingasula yodwa? Ingabe kuvame ukubuya?

I-BV ingakwazi ukusula yodwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu, xhumana nodokotela wakho ukuze uhlolwe futhi welashwe. Lokhu kuyiqiniso ikakhulukazi uma ukhulelwe. Ukuba ne-BV kungakhuphula ubungozi bakho bokuzalwa ngaphambi kwesikhathi.

Kujwayelekile ukuthi iBV ibuye. Abanye abantu bathambekele ekutholeni i-BV, okungenzeka ukuthi ihlobene namakhemikhali omzimba wabo kanye nemvelo yabesifazane. I-BV ingahle isule iphinde ibuye, noma kungenzeka ukuthi ayikaze isuswe ngokuphelele kwasekuqaleni.

Khuluma nodokotela wakho ngoshintsho oluthile lwendlela yokuphila ongayenza noma uma ulungele ukuthola imithi yokuvikela i-BV.

Uyini umehluko phakathi kwe-BV nokutheleleka ngemvubelo?

Kunabantu abaningi abahlukahlukene bama-microorganism esithweni sangasese. Lokhu kuvamile. Ukwanda ngokweqile kubanga i-BV, imvamisa ye I-Gardnerella vaginalis- uhlobo olulodwa nje lwebhaktheriya oluvame ukutholakala esithweni sangasese.

Ukweqa ngokweqile kwezinhlobo zemvubelo kubangela ukutheleleka kwemvubelo. Izimpawu zivame ukufaka ukukhishwa kwesisu sangasese, okumhlophe, noma ukulunywa. Akuhlotshaniswa nephunga.

Kwesinye isikhathi kungaba nzima ukusho ukuthi une-BV noma ukutheleleka ngemvubelo ngokususelwa kuzimpawu zodwa. Uma ungaqiniseki, yenza i-aphoyintimenti nodokotela wakho.

Yiziphi izinketho zokwelashwa ze-BV?

Uma uhlala e-United States, i-BV ivame ukwelashwa ngama-antibiotic adinga incwadi kadokotela. Ama-antibiotic ajwayelekile yi-metronidazole noma i-clindamycin. Kukhona ezinye ezingasetshenziswa kakhulu. E-United Kingdom, kukhona amanye ama-gel non-odokotela abangahlinzekiwe abatholakala ngaphezulu kwe-counter (OTC) ukwelapha i-BV.

Kunemithi eyisimo sephilisi lomlomo, i-gel, noma i-suppository okufanele ibekwe esithweni sangasese. Akufanele udle noma iziphi iziphuzo ezidakayo ngenkathi uthatha i-metronidazole, kanye namahora angama-24 ngemuva komthamo wokugcina. Ukwenza kanjalo kungadala ukuthi usabele kabi emithini.

Ngingayivimbela kanjani i-BV?

Njengoba imbangela ngqo ye-BV ingaqondakali kahle, kunzima ukukhomba ukuthi ungayivimba kanjani. Kodwa-ke, ukunciphisa inani labalingani bakho bezocansi noma ukusebenzisa ikhondomu ekuhlanganyeleni ukuya ocansini kunganciphisa ingozi yakho.

Kufanele futhi ugweme ukuxhuma ngoba kungasula amabhaktheriya asiza ukugcina ibhalansi esithweni sangasese. Ngokuhambisana nale migqa, kuyasiza ukugcina indawo enempilo yowesifazane.

Yiziphi izimpawu zokuthi kufanele ngiye kudokotela?

Kufanele ubone udokotela uma:

• unemikhuhlane, ukugodola, noma ubuhlungu obukhulu kanye nokungajwayelekile
  ukukhishwa kwesitho sangasese sowesifazane nephunga
• unomlingani omusha futhi ukhathazekile ukuthi kungenzeka ukuthi uya ocansini
  izifo ezithathelwanayo
• ukhulelwe futhi unokukhishwa kwesitho sangasese sowesifazane okungajwayelekile

UCarolyn Kay, MD, ungudokotela ohlinzayo wokubelethisa kanye nowabesifazane onentshisekelo yakhe ehlanganisa impilo yokuzala, inzalo, kanye nemfundo yezokwelapha. UDkt. Kay uzitholele uDokotela Wezokwelapha e-State University of New York. Uqede ukuhlala kwakhe eHofstra Northwell School of Medicine eNew Hyde Park.