I-bacterial vaginosis: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu ze-bacterial vaginosis
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• Izingozi ze-bacterial vaginosis

I-bacterial vaginosis ukutheleleka kwesitho sangasese sowesifazane okubangelwa amagciwane amaningi I-Gardnerella vaginalis noma IGardnerella mobiluncus emseleni wesitho sangasese sowesifazane futhi odala izimpawu ezinjengokulunywa okukhulu, ukushiswa noma ukungakhululeki uma uchama, iphunga elibi kanye nokukhipha okumhlophe okuyikhekhe, okungase kube nombala ophuzi noma ompunga.

Leli gciwane liyingxenye ye-microbiota yowesifazane evamile futhi alidluliseli ocansini. Ukutheleleka ngaleli gciwane kwenzeka lapho kunokungalingani kwi-microbiota yowesifazane yowesifazane okuholela ekwehleni kwenani le-lactobacilli kanye nokuqhamuka kolunye uhlobo lwebhaktheriya kunezinye.

Yize kungadala ukungakhululeki okuningi, i-vaginosis ingelashwa kalula ngokusetshenziswa kwama-antibiotic, ngakho-ke, kubaluleke kakhulu ukuya kudokotela wezifo zabesifazane ukuthola inkinga bese uqala ukwelashwa okufanele, okubandakanya ukusetshenziswa kwama-antibiotic ngokusho ukuqondiswa kukadokotela.

Izimpawu ze-bacterial vaginosis

Izimo eziningi ze-bacterial vaginosis aziholeli ekubonakaleni kwezimpawu noma izimpawu, ukukhonjwa kuphela ngesikhathi sokubonisana nodokotela wezifo zabesifazane noma ngemuva kokwenza ukuhlolwa komchamo.

Ezimweni lapho kutholakala khona izimpawu zokutheleleka, zivame kakhulu ngemuva kokuya ocansini nangaphambi noma ngemuva kwesikhathi sokuya esikhathini, okuyizona eziyinhloko:

• Ukukhishwa okumpunga, okuluhlaza noma okuphuzi;
• Iphunga lesitho sangasese sowesifazane esifana nezinhlanzi ezibolile;
• Ukulunywa esithweni sangasese nesitho sangasese sowesifazane;
• Umuzwa ovuthayo lapho uchama.

I-bacterial vaginosis ingenzeka kunoma ngubani, kepha-ke, abesifazane abanabalingani abaningi bezocansi, abanamanzi amaningi wesitho sangasese sowesifazane noma abanezimbali zesifazane ezingaphansi kwe-lactobacillus basengozini enkulu yokuba ne-bacterial vaginosis. Ngaphezu kwalokho, i-microbiota yesitho sangasese sowesifazane ingathonywa izinguquko ekuvikelekeni komzimba ngenxa yezimo ezinjengokuxineka nokukhathazeka, ngokwesibonelo.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwe-bacterial vaginosis kuvame ukwenziwa ngokuhlolwa kokuvikela, okubizwa nangokuthi i-pap smear, esivivinyweni esijwayelekile, noma lapho lokhu kucelwa ngudokotela wezifo zabesifazane, lapho owesifazane ebika izimpawu zalesi sifo, isibonelo. Kodwa-ke, abanye besifazane bangaba ne-vaginosis kepha bengenazo izimpawu, ukutheleleka kutholakala ngesikhathi sokubonisana nodokotela wezifo zabesifazane, ngokuhlolwa kwezimpawu nezimpawu eziveziwe.

Ukuqedela ukuxilongwa kwe-bacterial vaginosis ngo Gardnerella sp, izindlela zokuxilonga ezicatshangelwayo yilezi:

• Ukukhishwa okumhlophe okumhlophe okufana nobuningi;
• Ukukhishwa kwesitho sangasese sowesifazane nge-pH enkulu kuno-4.5;
• Ukukhonjwa kwephunga lezinhlanzi ezibolile, ikakhulukazi lapho uxuba uketshezi lwesitho sangasese sowesifazane nesisombululo se-10% KOH;
• Ukutholakala kobukhona bamabhaktheriya kanye nezinguquko kuzimpawu zamaseli we-epithelial, okuthiwa amaseli wokukhomba, ibukwa nge-microscopic.

Udokotela wezifo zabesifazane futhi angancoma ukuhlolwa komchamo noma umchamo ukuqinisekisa i-vaginosis. Ngakho-ke, ngemuva kokuxilongwa, udokotela angakhombisa ukwelashwa okufanele kakhulu, okuvame ukufaka ukusetshenziswa kwama-antibiotic.

Yelashwa kanjani

Ukwelashwa kwe-bacterial vaginosis kuvame ukwenziwa ngokusetshenziswa kwama-antibiotic, njenge-metronidazole, engasetshenziswa ngqo kusayithi, ngendlela yokugcoba noma amaqanda, noma amaphilisi wokungenisa ngomlomo. Imithi elwa namagciwane kufanele isetshenziselwe izinsuku eziyi-7 noma ngokusho kwenkomba kadokotela futhi akufanele iphazanyiswe ukwenziwa ngcono kwezimpawu.

Ngesikhathi sokwelashwa kunconywa ukuthi usebenzise amakhondomu kubo bonke ubudlelwano futhi ugweme ukuphuza iziphuzo ezidakayo. Bona ukuthi i-vaginosis iphathwa kanjani.

Ngaphezu kwalokho, ukuvimbela ukuvela kwe-bacterial vaginosis, kunconywa ukuthi ungabi nokuhlanza kwesitho sangasese sowesifazane, usebenzise amakhondomu kubo bonke ubudlelwano, ukhawulele inani labalingani, uvikele izingubo eziqinile, unikeze izintandokazi zikakotini futhi wenze izivivinyo zabesifazane okungenani kanye ngonyaka .

Izingozi ze-bacterial vaginosis

Ezimweni eziningi, i-bacterial vaginosis ayizibangeli izinkinga ezinkulu, kepha kubantu abanamasosha omzimba abuthakathaka, inga:

• Ukutheleleka kwesibeletho kanye namashubhu we-fallopian, okwenza isifo sokuvuvukala okhalo, esaziwa nangokuthi yi-PID;
• Khulisa amathuba okutheleleka nge-AIDS, ezimweni zokuchayeka kuleligciwane;
• Khulisa amathuba okuthi owesifazane atheleleke ngezinye izifo ezithathelwana ngocansi, njenge-chlamydia noma i-gonorrhea.

Ngaphezu kwalokho, esimweni sabesifazane abakhulelwe, lolu hlobo lokutheleleka lungakhuphula nobungozi bokuzalwa ngaphambi kwesikhathi noma ukuzalwa kwengane enesisindo esingaphansi kwesilinganiso. Funda kabanzi nge-bacterial vaginosis ekukhulelweni.