I-bacterial Vaginosis vs. Ukutheleleka Kwemvubelo: Yikuphi Lokho?

-Delile

• Izinto okufanele uzicabangele
• Amathiphu wokuhlonza
• BV
• Ukutheleleka kwemvubelo
• Yini ebangela ukutheleleka ngakunye, futhi ubani osengozini?
• BV
• Ukutheleleka kwemvubelo
• Lapho uzobona udokotela noma omunye umhlinzeki wezokunakekelwa kwempilo
• Izinketho zokwelashwa
• BV
• Ukutheleleka kwemvubelo
• Uyini umbono?
• BV
• Ukutheleleka kwemvubelo
• Amathiphu okuvimbela

Izinto okufanele uzicabangele

I-bacterial vaginosis (BV) kanye nokutheleleka ngemvubelo zombili izindlela ezijwayelekile ze-vaginitis. Futhi akuyona imbangela yokukhathazeka.

Ngenkathi izimpawu zihlala zifana noma zifana, izimbangela kanye nokwelashwa kwalezi zimo kwehlukile.

Okunye ukutheleleka ngemvubelo kungelashwa ngemithi ye-over-the-counter (OTC), kepha wonke amacala we-BV adinga imishanguzo kadokotela.

Funda ukuze ufunde ukuthi ungathola kanjani imbangela eyimbangela bese unquma ukuthi kufanele ubone udokotela noma omunye umhlinzeki wezokunakekelwa kwempilo.

Amathiphu wokuhlonza

Ukutheleleka nge-BV nemvubelo kungadala ukukhishwa kwesitho sangasese sowesifazane okungavamile.

Ukuchithwa kokutheleleka ngemvubelo kuvame ukungaguquguquki, okumhlophe futhi akunalo iphunga.

Ukukhishwa okuvela ku-BV kuncanyana, kuphuzi noma kuyimpunga, futhi kunephunga elinamandla elingathandeki.

Kungenzeka ukuba nokutheleleka ngemvubelo kanye ne-BV ngasikhathi sinye. Uma unezimpawu zombili lezi zimo, bheka udokotela ukuze ahlolwe.

BV

Ochwepheshe balinganisela ukuthi abantu abane-BV abazitholi izimpawu ezibonakalayo.

Uma izimpawu zikhona, zingafaka:

• iphunga elithi "fishy" eliqina ngemuva kocansi noma ngesikhathi sokuya esikhathini
• ukukhishwa kwesitho sangasese sowesifazane okumpunga, okuphuzi noma okuluhlaza okotshani
• ukulunywa kwesitho sangasese sowesifazane
• ukushisa ngesikhathi sokuchama

Ukutheleleka kwemvubelo

Izimpawu zingafaka:

• ukukhipha kwesitho sangasese sowesifazane okujiyile, okumhlophe, “okufana ne-cottage cheese”
• ububomvu nokuvuvukala kuzungeze ukuvuleka kwesitho sangasese sowesifazane
• ubuhlungu, ubuhlungu, nokunwaya kwesitho sangasese
• ukushisa ngesikhathi sokuchama
• ukuvutha ngesikhathi socansi

Yini ebangela ukutheleleka ngakunye, futhi ubani osengozini?

Kalula nje, ukutheleleka kwemvubelo kuyisikhunta ngokwemvelo, kanti i-BV ibhaktheriya.

Ukugcwala okukhulu kwe- UCandida ukhunta kubangela imvubelo izifo.

Ukwanda kwesinye sezinhlobo zamagciwane esithweni sakho sangasese kubangela i-BV.

BV

Ushintsho ku-pH yakho yangasese lungadala i-BV. Ukuguqulwa kwe-pH kungadala ukuthi amabhaktheriya akhula ngokwemvelo ngaphakathi kowesifazane wakho abe namandla kakhulu kunalokho okufanele.

Icala likhulu ngokweqile kwe- I-Gardnerella vaginalis amagciwane.

I-pH yakho yangasese ingashintsha ngezizathu eziningi, kufaka phakathi:

• izinguquko ze-hormonal, njengokuya esikhathini, ukukhulelwa, nokunqamuka kokuya esikhathini
• douching noma ezinye izindlela ezeqile "zokuhlanza"
• ukuba nobulili be-penile-vaginal nomlingani omusha

Ukutheleleka kwemvubelo

Ukutheleleka ngemvubelo kungakhula uma kunokugcwala okukhulu kwe- UCandida ukhunta esithweni sangasese.

Lokhu kungavela ku:

• ushukela ophakeme wegazi
• ama-antibiotic
• amaphilisi okuvimbela inzalo
• ukwelashwa kwamahomoni
• ukukhulelwa

Yize ukutheleleka kwemvubelo kungathathwa njengokuthelelana ngocansi (STI), obunye ubufakazi buthi bangakhula ngenxa yomsebenzi wezocansi.

Lapho uzobona udokotela noma omunye umhlinzeki wezokunakekelwa kwempilo

Yenza i-aphoyintimenti nodokotela noma omunye umhlinzeki wezokunakekelwa kwezempilo uma:

• Lesi yisikhathi sakho sokuqala ukuzwa izimpawu zokutheleleka ngemvubelo.
• Uke waba nokutheleleka ngemvubelo phambilini, kepha awuqiniseki ukuthi ngabe uhlangabezana nakho futhi.
• Usola ukuthi une-BV.

Futhi bona udokotela uma izimpawu zakho zinzima. Ngokwesibonelo:

• Izimpawu zakho ziyaqhubeka ngemuva kwenkambo ephelele ye-OTC noma ukwelashwa ngama-antibiotic. Ukutheleleka ngemvubelo kanye ne-BV kungadala izinkinga uma kungalashwa ngempumelelo.
• Uhlangabezana nokucasuka okuholela esikhunjeni esiqhephukile noma esopha endaweni yokutheleleka kwakho. Kungenzeka ukuthi unohlobo oluhlukile lwe-vaginitis noma i-STI.
• Uthola ukuthi ukutheleleka kuqhubeka ukubuya ngemuva kokwelashwa noma izimpawu zingabonakali ziphela. Ukutheleleka kwesikhathi eside kwe-BV kungathinta ukuzala kwakho.

Izinketho zokwelashwa

Amakhambi asekhaya, okhilimu nemithi ye-OTC, kanye nemithi elwa namagciwane ekwelapheni kungelapha izifo ezithinta imvubelo.

Ama-antibiotic kadokotela angelapha kuphela i-BV.

BV

I-Metronidazole (i-Flagyl) ne-tinidazole (i-Tindamax) yimithi yomlomo emibili evame ukusetshenziselwa ukwelapha i-BV.

Umhlinzeki wakho angaphinde anikeze ukhilimu we-suppository, njenge-clindamycin (Cleocin).

Yize izimpawu zakho kufanele zivele ngokushesha - zingakapheli izinsuku ezimbili noma ezintathu - qiniseka ukuqeda inkambo ephelele yezinsuku ezinhlanu noma eziyisikhombisa yama-antibiotic.

Ukuqedela umuthi ophelele wemithi ukuphela kwendlela yokususa ukutheleleka nokunciphisa ubungozi bokuphindeka.

Ngalesi sikhathi, gwema ukuya ocansini noma ukufaka noma yini esithweni sangasese esingaletha amagciwane, kufaka phakathi:

• ama-tampons
• izinkomishi zokuya esikhathini
• amathoyizi ocansi

Ngaphandle kokuthi izimpawu zakho ziqhubeke ngemuva kokuphela kwencwadi kadokotela, kungenzeka ungadingi ukuqokwa kokulandelwa.

Lapho usuqale ukwelashwa, izimpawu zakho kufanele zehle zingakapheli izinsuku ezimbili noma ezintathu. Uma ishiywe ingalashwa, i-BV ingathatha amasonto amabili ukuthi ihambe yodwa - noma ingaqhubeka ibuye.

Ukutheleleka kwemvubelo

Ungathenga okhilimu be-suppository ababulala i- UCandida ukhunta, kufaka phakathi i-miconazole (i-Monistat) ne-clotrimazole (i-Gyne-Lotrimin), ekhemisi langakini.

Uma ubona udokotela, bangahle bakunikeze ukhilimu we-suppository-amandla noma umuthi womlomo obizwa nge-fluconazole.

Uma uhlangabezana nezifo zemvubelo eziphindaphindayo - ezingaphezu kwesine ngonyaka - umhlinzeki wakho anganikeza uhlobo oluhlukile lwemithi.

Yize eminye imishanguzo ingadinga umthamo owodwa kuphela, eminye ingaqhuba inkambo efinyelela ezinsukwini eziyi-14. Ukuqedela umuthi ophelele wemithi ukuphela kwendlela yokususa ukutheleleka nokunciphisa ubungozi bokuphindeka.

Ngalesi sikhathi, gwema ukuya ocansini noma ukufaka noma yini esithweni sangasese esingaletha amagciwane, kufaka phakathi:

• ama-tampons
• izinkomishi zokuya esikhathini
• amathoyizi ocansi

Uma izimpawu zakho zincipha ngemuva kokwelashwa, kungenzeka ungadingi ukuqokwa kokulandelela.

I-OTC kanye nemithi kadokotela ingahle isuse ukutheleleka kwemvubelo kungakapheli isonto. Uma uncike kumakhambi asekhaya noma ukhetha ukungalapheki ukutheleleka kwemvubelo, izimpawu zingahlala amasonto ambalwa noma ngaphezulu.

Uyini umbono?

Uma kushiywe kungalashwa, kokubili ukutheleleka kwe-BV nemvubelo kungaholela ezinkingeni ezengeziwe.

Ungadlulisa ukutheleleka kwemvubelo kunoma yimuphi umlingani ocansini.
Ungadlulisela i-BV kumlingani onesitho sangasese ngocansi lomlomo noma ngokuhlanganyela amathoyizi ocansi.
Yize abantu abane-penises bengayitholi i-BV, abacwaningi abaqiniseki ukuthi abalingani abane-penises bangayisabalalisa yini i-BV kwabanye abalingani abanezitho zangasese.

BV

Kuvamile ukuthi izimpawu ze-BV zibuye zingakapheli izinyanga ezintathu kuya kwezingu-12 zokwelashwa.

Uma ishiywe ingalashwa, BV ingozi yakho yokuphindaphinda ukutheleleka kanye nezifo zocansi.

Uma ukhulelwe, ukuba ne-BV kukubeka ekuthumeleni ngaphambi kwesikhathi.

Uma une-HIV, i-BV nayo ingakwenzela ukuthi udlulisele i-HIV kunoma imuphi umlingani ocansini onepipi.

Ukutheleleka kwemvubelo

Ukutheleleka okuncane kwemvubelo kungaphela ngaphandle kokwelashwa.

Ngaphandle kokuthi ukhulelwe, zikhona izingozi ezimbalwa zokunikeza ukutheleleka isikhathi esincane sokubona ukuthi kuyazisula yini kukodwa.

Uma unesifo semvubelo sowesifazane sangasese futhi ubeletha ngaphandle kwesisu, ungadlulisela ukutheleleka kwemvubelo enganeni ngendlela yokutheleleka ngomlomo okuthiwa i-thrush.

Amathiphu okuvimbela

Ukunciphisa ukucasuka esithweni sakho sangasese nokuvikela imvelo engokwemvelo yamagciwane ngaphakathi esithweni sakho sangasese kuzosiza ukuvimbela ukuphinde kutheleleke.

Ungase futhi ulandele lezi zeluleko zokuvimbela:

• Sula kusuka phambili uye emuva lapho usebenzisa indlu yangasese.
• Gqoka okulingana ngokukhululekile, okuxhuma umswakama, izingubo zangaphansi zikakotini.
• Shintsha ngokushesha izingubo ezimanzi noma amasudi okugeza.
• Gwema ukuchitha isikhathi esithe xaxa kubhavu oshisayo noma kubhavu oshisayo.
• Gwema ukusebenzisa insipho enamakha noma amakha esithweni sakho sangasese.
• Gwema ukuxhuma.
• Thatha ama-probiotic.