Ukutheleleka ekukhulelweni: I-bacterial Vaginosis

-Delile

• Ziyini Izimpawu Ze-bacterial Vaginosis?
• Yini Ebangela Ukwelashwa Kwamagciwane?
• Itholakala Kanjani I-bacterial Vaginosis?
• Yelashwa Kanjani I-Vaginosis Yamagciwane?
• Yiziphi izinkinga ezikhona ze-bacterial Vaginosis?
• Ingavinjelwa Kanjani i-Vaginosis Yamagciwane?

Kuyini i-bacterial Vaginosis?

I-bacterial vaginosis (BV) ukutheleleka esithweni sangasese okubangelwa amagciwane. Imomozi yesitho sangasese ngokwemvelo inamagciwane "amahle" abizwa nge-lactobacilli kanye nama-bacteria ambalwa "amabi" abizwa ngama-anaerobes. Ngokuvamile, kukhona ukulinganisela ngokucophelela phakathi kwe-lactobacilli ne-anaerobes. Lapho lelo bhalansi liphazamiseka, noma kunjalo, ama-anaerobes angakhuphuka ngenombolo futhi abangele i-BV.

I-BV ukutheleleka okuvame kakhulu kwesitho sangasese sowesifazane phakathi kweminyaka yobudala eyi-15 nengama-44. Futhi kungesinye sezifo ezivame kakhulu kwabesifazane abakhulelwe, sithinta cishe abesifazane abayisigidi abakhulelwe unyaka nonyaka. I-BV imvamisa ukutheleleka okuncane futhi kuyelapheka kalula ngemithi. Uma kushiywe kungalashwa, noma kunjalo, ukutheleleka kungakhuphula ubungozi bokutheleleka ngocansi kanye nezinkinga ngesikhathi sokukhulelwa.

Ziyini Izimpawu Ze-bacterial Vaginosis?

Cishe amaphesenti angama-50 kuye kwangama-75 abesifazane abane-BV abazitholi izimpawu. Lapho izimpawu zenzeka, ungahle ube nokukhishwa kwesitho sangasese okungavamile futhi okunephunga elibi. Ukukhishwa kuvame ukuba mncane futhi kube mpunga noma kumhlophe. Kwezinye izimo, kungahle kube negwebu. Iphunga elifana nenhlanzi elivame ukuhlotshaniswa nokukhishwa kungumphumela wamakhemikhali akhiqizwa amagciwane abangela i-BV. Ukuya esikhathini nokuya ocansini kuvame ukwenza iphunga libe libi kakhulu, njengoba igazi nesidoda kuphendula ngamagciwane ukukhipha amakhemikhali anephunga elibi. Ukulunywa noma ukucasuka ngaphandle kwesitho sangasese sowesifazane nakho kungenzeka kwabesifazane abane-BV.

Yini Ebangela Ukwelashwa Kwamagciwane?

I-BV ingumphumela wokuchichima kwamagciwane athile esithweni sangasese. Njengakwezinye izingxenye zomzimba, kufaka phakathi umlomo namathumbu, kunamagciwane ahlukahlukene ahlala esithweni sangasese. Amaningi ala mabhaktheriya empeleni avikela umzimba kwamanye amagciwane angadala izifo. Kwisitho sangasese sowesifazane, i-lactobacilli amabhaktheriya avela ngokwemvelo alwa namagciwane athelelekayo. Amagciwane athelelanayo aziwa ngokuthi ama-anaerobes.

Ngokuvamile kunokulinganisela kwemvelo phakathi kwe-lactobacilli ne-anaerobes. I-Lactobacilli ngokuvamile ibangela iningi lamagciwane esithweni sangasese futhi ilawula ukukhula kwama-anaerobes. Kodwa-ke, uma i-lactobacilli incishiswa ngenani, ama-anaerobes anethuba lokukhula. Lapho ukugcwala kwama-anaerobes kwenzeka esithweni sangasese, i-BV ingenzeka.

Odokotela abazi imbangela eqondile yokungalingani kwamagciwane okubangela i-BV. Kodwa-ke, izici ezithile zingakhuphula ubungozi bokuthola ukutheleleka. Lokhu kufaka phakathi:

• douching
• ukuya ocansini olungavikelekile
• ukuba nabalingani abaningi ocansini
• ukusebenzisa ama-antibiotic
• usebenzisa imithi yesitho sangasese sowesifazane

Itholakala Kanjani I-bacterial Vaginosis?

Ukuthola i-BV, udokotela wakho uzokubuza ngomlando wakho wezokwelapha futhi enze ukuhlolwa kwe-pelvic. Ngesikhathi sokuhlolwa, udokotela wakho uzohlola isitho sakho sangasese futhi ahlole izimpawu zokutheleleka. Udokotela wakho uzothatha nesampula lokukhishwa kwakho esithweni sangasese ukuze lihlaziywe ngaphansi kwesibonakhulu.

Yelashwa Kanjani I-Vaginosis Yamagciwane?

I-BV ivame ukwelashwa ngama-antibiotic. Lokhu kungaqhamuka njengamaphilisi owagwinyayo noma njengokhilimu owufaka esithweni sakho sangasese. Kungakhathalekile ukuthi yiluphi uhlobo lokwelashwa olusetshenzisiwe, kubalulekile ukulandela imiyalo kadokotela wakho nokuqedela umjikelezo ogcwele wemithi.

Udokotela wakho angakunikeza ama-antibiotic alandelayo:

• metronidazole, efana neFlagyl neMetrogel-Vaginal, engathathwa ngomlomo
• i-tinidazole, efana ne-Tindamax, enolunye uhlobo lomuthi womlomo
• i-clindamycin, efana noCleocin noClindesse, okuwumuthi oyisihloko ongafakwa esithweni sangasese

Le mithi ivame ukusebenza ekwelapheni i-BV. Yonke inemiphumela emibi efanayo, ngaphandle kwe-metronidazole. Lo muthi othile ungadala isicanucanu esinzima, ukuhlanza, kanye nekhanda lapho uphuzwa notshwala. Qiniseka ukuthi ukhuluma nodokotela wakho uma unokukhathazeka nganoma yimiphi imiphumela emibi engaba khona.

Uma ukwelashwa sekutholakele, i-BV ivame ukusula kungakapheli izinsuku ezimbili kuya kwezintathu. Kodwa-ke, ukwelashwa kuvame ukuqhubeka okungenani isonto elilodwa. Ungayeki ukuthatha imithi yakho kuze kube yilapho udokotela wakho ekutshela ukuthi wenze kanjalo. Kubalulekile ukuthatha inkambo ephelele yama-antibiotic ukuvimbela ukutheleleka ukuthi kubuye. Ungadinga ukwelashwa kwesikhathi eside uma izimpawu zakho ziqhubeka noma ziqhubeka ukubuya.

Yiziphi izinkinga ezikhona ze-bacterial Vaginosis?

Uma ishiywe ingalashwa, i-BV ingadala izinkinga ezinkulu nezingozi zezempilo. Lokhu kufaka phakathi:

• Izinkinga zokukhulelwa: Abesifazane abakhulelwe abane-BV banamathuba amaningi okuthi babelethe ngaphambi kwesikhathi noma ingane enesisindo esiphansi sokuzalwa. Futhi banethuba elikhulu lokuthuthukisa olunye uhlobo lokutheleleka ngemuva kokubeletha.
• Izifo ezithathelwana ngocansi: I-BV yandisa ingozi yokuthola izifo ezithathelwana ngocansi, kufaka phakathi igciwane le-herpes simplex, i-chlamydia ne-HIV.
• Isifo sokuvuvukala kwepelvic: Kwezinye izimo, i-BV ingaholela ezifweni zokuvuvukala kwe-pelvic, ukutheleleka kwezitho zokuzala kwabesifazane. Lesi simo singakhuphula ubungozi bokungazali.
• Ukutheleleka ngemuva kokuhlinzwa: I-BV ikubeka engcupheni enkulu yokutheleleka ngemuva kokuhlinzwa okuthinta uhlelo lokuzala. Lokhu kufaka phakathi izikhuthazi, ukukhipha izisu, nokulethwa ngokuhlinzwa.

Ingavinjelwa Kanjani i-Vaginosis Yamagciwane?

Ungathatha izinyathelo ezilandelayo ukwehlisa ubungozi bokuthuthukisa i-BV:

• Nciphisa ukucasuka. Unganciphisa ukucasuka kwesitho sangasese ngokungasebenzisi insipho ukuhlanza ingaphandle lesitho sakho sangasese. Ngisho insipho emnene futhi engenasenti ingacasula isitho sangasese sowesifazane. Kuyasiza futhi ukuhlala ngaphandle kwamabhavu ashisayo nama-whirlpool spas. Ukugqoka izikhindi zangaphansi zikakotini kungasiza ekugcineni indawo ipholile futhi kuvimbele ukucasuka.
• Ungadaki. I-Douching isusa amanye amabhaktheriya avikela isitho sakho sangasese ekuthelelekeni, okwandisa ubungozi bakho bokuthola i-BV.
• Sebenzisa ukuvikelwa. Njalo yenza ucansi oluphephile ngokusebenzisa ikhondomu nabo bonke abantu ozibandakanya nabo ocansini. Le yindlela engcono yokuvimbela ukusabalala kwe-BV. Kubalulekile futhi ukukhawulela inani labantu ohlanganyela nabo ocansini kanye nokuhlolelwa izifo ezithathelwana ngocansi njalo ezinyangeni eziyisithupha.

I-BV ukutheleleka okuvamile, kepha ukuthatha lezi zindlela zokuvimbela kunganciphisa ubungozi bokuyithola. Kubalulekile ukubiza udokotela wakho ngokushesha uma ukholelwa ukuthi une-BV, ikakhulukazi uma ukhulelwe. Ukuthola ukwelashwa ngokushesha kuzosiza ekuvimbeleni izinkinga ukuba zivele.