Vaginitisi ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Vaginitisi ni ububabare cyangwa gucana mu gitsina byateza ububabare, ibinyabutabire, n'ibindi bimenyetso bitabangamira. Ni imwe mu mpamvu nyamukuru zituma abagore bajya kwa muganga, ikaba igira ingaruka kuri miliyoni z'abagore buri mwaka.

Iki kibazo si ikintu ukwiye gukorera ipfunwe. Igitsina cyawe gifite urwego rwiza rw'ibinyabutabire na mikorobe bishobora guhungabana byoroshye bitewe n'ibintu bya buri munsi nka stress, imiti, cyangwa impinduka mu buzima bwawe.

Vaginitisi ni iki?

Vaginitisi ivuga uburwayi ubwo aribwo bwose butuma igitsina cyawe kibabara, kikagira ibinyabutabire, cyangwa kikanduza. Tekereza ko ari uburyo igitsina cyawe bugaragaza ko hari ikintu cyahungabanyije urwego rwacyo rwiza.

Igitsina cyawe gisanzwe gifite urwego runaka rw'uburyohe buke hamwe na mikorobe nziza zizwi nka lactobacilli. Izi mikorobe nziza zifasha mu gukumira izindi mikorobe mbi. Iyo urwo rugero ruhungabanye, ibimenyetso bibi bishobora kuvuka.

Uburwayi bushobora kugira ingaruka ku bagore b'imyaka yose, kuva ku bakobwa bato kugeza ku bagore bamaze gucura. Buri tsinda ry'imyaka rishobora kugira ibintu bitandukanye bibitera n'ubwoko bwa vaginitisi hashingiwe ku mpinduka z'imisemburo n'imibereho.

Ni ubuhe bwoko bwa Vaginitisi?

Hari ubwoko butandukanye bwa vaginitisi, buri bwoko bufite intandaro n'imiterere byabwo. Gusobanukirwa ubwoko ushobora kuba ufite bifasha mu gupima uburyo bwiza bwo kuvura.

Bacterial Vaginosis (BV) ibaho iyo mikorobe mbi zikwirakwira zikarenza iziza mu gitsina cyawe. Ibi bituma habaho ikibazo gitera ibinyabutabire bike, by'umweru cyangwa icyatsi kibisi gifite impumuro ikomeye y'ifi, ikunze kugaragara cyane nyuma yo gutera akabariro.

Amazi y'ibishishwa abaho iyo igikimera cyitwa Candida gikura cyane mu gitsina cyawe. Uzasanga ibinyabutabire byinshi, byera, bisa n'amata, hamwe no gucana bikabije no kubabara.

Trichomoniasis iterwa na mikorobe ntoya kandi ifatwa nk'indwara yandura binyuze mu mibonano mpuzabitsina. Akenshi itera ibinyabutabire byuzuye, by'umuhondo-icyatsi kibisi gifite impumuro ikomeye, hamwe no gucana no kubabara mu gihe cyo kwinjira.

Atrophic Vaginitis ibaho iyo urwego rw'imisemburo ya estrogen rugabanuka, akenshi mu gihe cyo gucura cyangwa konsa. Inkuta z'igitsina ziba zoroheje kandi zumye, bigatera gucana no kubabara.

Vaginitisi idakomoka ku ndwara iterwa no gucana guterwa na savon, amavuta yo kwisiga, amavuta yo gusukura imyenda, cyangwa ibindi bintu by'imiti. Ubu bwoko ntibufite mikorobe, ibishishwa, cyangwa udukoko.

Ni ibihe bimenyetso bya Vaginitisi?

Ibimenyetso bya vaginitisi bishobora gutandukana bitewe n'icyo gitera ububabare, ariko hari ibimenyetso bisanzwe umubiri wawe ukoresha mu kwerekana ko hari ikintu gikenewe kwitabwaho. Ibi bimenyetso bishobora kuza buhoro buhoro cyangwa kuza gitunguranye.

Ibimenyetso bisanzwe ushobora kugira birimo:

• Impinduka mu binya butabire by'igitsina (irangi, impumuro, cyangwa imiterere)
• Gucana cyangwa kubabara hafi y'igitsina n'igitsina nyir'izina
• Kubabara cyangwa gucana mu gihe cyo kwinjira
• Kubabara mu gihe cy'imibonano mpuzabitsina
• Kuva amaraso make cyangwa gutinda mu gitsina
• Ububabare cyangwa gucana mu kibuno

Bamwe mu bagore babona ko ibimenyetso byabo biba bikomeye mbere y'igihe cyabo cyangwa nyuma yo gutera akabariro. Ubukana bushobora kuva ku guhangayika gake kugeza ku bubabare bukabije butera imbogamizi mu bikorwa bya buri munsi.

Mu bihe bitoroshye, ushobora kugira ibimenyetso bidasanzwe nko kubabara cyane mu kibuno, guhinda umuriro, cyangwa kuva amaraso menshi. Ibi bimenyetso bishobora kugaragaza uburwayi bukomeye bukeneye ubuvuzi bw'ihutirwa.

Ni iki gitera Vaginitisi?

Vaginitisi ibaho iyo hari ikintu cyahungabanyije urwego rwiza mu gitsina cyawe, bikatuma mikorobe mbi zikwirakwira cyangwa bigatera gucana. Gusobanukirwa ibyo bintu bishobora kugufasha kwirinda ibindi bibazo.

Intandaro zisanzwe zirimo:

• Koresha imiti ya antibiyotike (yica mikorobe nziza hamwe n'izimbi)
• Impinduka z'imisemburo mu gihe cyo gutwita, imihango, cyangwa gucura
• Imibonano mpuzabitsina, cyane cyane n'abantu bashya
• Gusukura igitsina cyangwa gukoresha ibintu bikomeye byo kwita ku isuku y'igitsina
• Imwenda yambarwa yambarwa cyane cyangwa imyenda yo kogana imaze igihe
• Urugero rwinshi rw'isukari mu maraso mu bantu barwaye diyabete
• Stress no kubura ibitotsi

Imiti imwe n'imwe itari antibiyotike ishobora kandi gutera vaginitisi. Steroide n'amapeti yo kuboneza urubyaro bishobora guhindura urwego rw'imisemburo yawe, mu gihe imiti yo kuvura kanseri ishobora kugabanya ubushobozi bw'umubiri wawe bwo kubungabunga ubuzima bw'igitsina.

Biciriritse, indwara ziterwa n'ubudahangarwa bw'umubiri, allergie ku kapusi yo mu mpira, cyangwa indwara z'umuzimu zidasanzwe zishobora gutera vaginitisi isubira. Bamwe mu bagore bagira ubukana ku biribwa bimwe na bimwe cyangwa allergie ziterwa n'ibidukikije bishobora gutera ibimenyetso.

Ni ryari ukwiye kujya kwa muganga ufite Vaginitisi?

Ukwiye kuvugana na muganga wawe niba ufite ibimenyetso by'igitsina ku nshuro ya mbere cyangwa niba ibimenyetso byawe bikomeye cyangwa bikomeza igihe kirekire. Kubona ubuvuzi bukwiye bihamya ko uboneye ubuvuzi bukwiye.

Shaka ubuvuzi bw'abaganga niba ubona ibimenyetso bikurikira:

• Ibimenyetso bidakira nyuma y'iminsi mike
• Guhinda umuriro hamwe n'ibimenyetso by'igitsina
• Kubabara cyane mu kibuno cyangwa mu nda
• Kuva amaraso adasanzwe hagati y'imihango
• Ibimenyetso bikomeza gusubira nyuma yo kuvurwa
• Niba utwite kandi ufite ibimenyetso by'igitsina

Ntugatinye guhamagara muganga wawe niba wagerageje kuvura ukoresheje imiti idasaba ubuvuzi ntubone umusaruro. Kwiyivura rimwe na rimwe bishobora gutuma ukoresha ubuvuzi butari bwo, bishobora gutuma ibimenyetso biba bibi cyangwa bikihisha uburwayi bukomeye.

Niba ufite ibimenyetso bikomeye, bikabije nko kubabara cyane, kuva amaraso menshi, cyangwa guhinda umuriro mwinshi, shaka ubuvuzi bw'ihutirwa. Ibi bishobora kugaragaza ingaruka zikeneye ubuvuzi bw'ihutirwa.

Ni ibihe bintu bishobora gutera Vaginitisi?

Ibintu bimwe na bimwe bishobora gutuma ugira ibyago byinshi byo kurwara vaginitisi binyuze mu guhungabanya uburyo bwo kwirinda bw'igitsina cyawe. Kumenya ibyago byawe bigufasha gufata ingamba zo kwirinda.

Ibyago bisanzwe birimo:

• Kuba uri mu mibonano mpuzabitsina (byongera ibyago byo kwandura mikorobe itandukanye)
• Kunywa antibiyotike kenshi
• Kurwara diyabete cyangwa izindi ndwara zigira ingaruka ku budahangarwa bw'umubiri
• Gucamo impinduka z'imisemburo (ubwangavu, gutwita, gucura)
• Gukoresha ibikoresho byo kuboneza urubyaro (IUDs)
• Kwambara imyenda yambarwa cyane cyangwa imyenda y'imbere y'imiti
• Kugira abantu benshi bakorana imibonano mpuzabitsina

Imyaka yawe igira uruhare mu kaga ufite. Abakobwa bato batarageza ku myaka y'ubwangavu n'abagore bamaze gucura bafite urwego ruke rw'imisemburo ya estrogen, bishobora gutuma ingingo z'igitsina ziba zoroheje kurwara no kwandura.

Ibindi bintu bitoroshye birimo kugira ubudahangarwa bw'umubiri buke buterwa n'imiti cyangwa indwara, kugira stress igihe kirekire, cyangwa kugira amateka y'indwara zandura binyuze mu mibonano mpuzabitsina. Abagore barimwa bashobora kandi kugira ibyago byinshi byo kurwara ubwoko bumwe na bumwe bwa vaginitisi.

Ni iyihe ngaruka zishoboka za Vaginitisi?

Nubwo uburwayi bwinshi bwa vaginitisi buroroshye kuvurwa kandi budatera ibibazo bikomeye, kudavura uburwayi bishobora rimwe na rimwe gutera ingaruka. Gusobanukirwa ibyo bishoboka bigufasha gusobanukirwa impamvu ubuvuzi bw'ihutirwa ari ingenzi.

Ingaruka zishoboka zishobora kuba:

• Indwara y'ububabare mu kibuno (PID) niba mikorobe zikwirakwira hejuru
• Ibyago byiyongereye byo kwandura indwara zandura binyuze mu mibonano mpuzabitsina
• Ingaruka zo gutwita nko kubyara imburagihe cyangwa kubyara abana bato
• Ububabare cyangwa gucana igihe kirekire
• Indwara zisubira zikaba zikomeye kuvura
• Umujinya ugira ingaruka ku mibanire n'imibereho

Abagore batwite badavuwe vaginitisi bafite ibyago byiyongereye. Bacterial vaginosis, by'umwihariko, ishobora kongera ibyago byo gucika imburagihe cyangwa kubyara imburagihe.

Mu bihe bitoroshye, vaginitisi ikomeye cyangwa igihe kirekire ishobora kugaragaza indwara ziri inyuma nka diyabete, indwara z'ubudahangarwa bw'umubiri, cyangwa kudahuza kw'imisemburo bikeneye ubuvuzi bw'abaganga. Bamwe mu bagore bagira vulvodynia igihe kirekire, uburwayi butera ububabare buhoraho mu gitsina nubwo indwara imaze gukira.

Vaginitisi ishobora kwirindwa gute?

Urashobora gufata ingamba nyinshi zo kubungabunga ubuzima bw'igitsina cyawe no kugabanya ibyago byo kurwara vaginitisi. Izi ngamba zo kwirinda zibanda ku gufasha uburyo bwo kwirinda bw'umubiri wawe.

Uburyo bwo kwirinda bufatika burimo:

• Kwambara imyenda y'imbere y'ipamba n'imyenda idafunze
• Kwirinda gusukura igitsina, amasabune afite impumuro, n'amavuta yo kwisiga
• Kwisukura uhereye imbere ujya inyuma nyuma yo gukoresha ubwiherero
• Guhindura imyenda yo kogana cyangwa imyenda yo gukora siporo vuba
• Gukora imibonano mpuzabitsina y'umutekano no kugabanya abantu bakorana imibonano mpuzabitsina
• Kugabanya stress binyuze mu buryo bwo kuruhuka
• Kubungabunga urwego rwiza rw'isukari mu maraso niba ufite diyabete

Iyo unywa antibiyotike, tekereza kurya yaourt ifite imikorobe nziza cyangwa kunywa probiotics kugira ngo ufashe kubungabunga mikorobe nziza mu gitsina. Ugomba kurangiza imiti yawe yose ya antibiyotike nkuko yagutegetswe, nubwo wumva umeze neza.

Mu gihe cy'imihango, hindura tampon na pads kenshi. Bamwe mu bagore basanga ibintu bimwe na bimwe bibatera gucana, bityo witondere icyakugirira akamaro kandi uhindure niba ari ngombwa.

Vaginitisi imenyekanwa ite?

Muganga wawe azamenya vaginitisi binyuze mu kuganira ku bimenyetso byawe, gukora isuzuma rya fiziki, no gukora ibizamini bya laboratoire. Ubu buryo burambuye buhamya ko ubona ubuvuzi bukwiye.

Uburyo bwo kuvura busanzwe burimo kubaza ibibazo ku bimenyetso byawe, amateka y'imibonano mpuzabitsina, n'impinduka uheruka kugira mu miti cyangwa mu mibereho. Muganga wawe akeneye ayo makuru kugira ngo asobanukirwe icyaba gitera ububabare.

Mu gihe cy'isuzuma rya fiziki, muganga wawe azasuzumira igitsina cyawe n'igitsina nyir'izina, ashake ibimenyetso by'ububabare, ibinyabutabire bidasanzwe, cyangwa izindi mpinduka. Iki kizamini gisanzwe kihuta kandi ntikigomba kuba kibi.

Ibizamini bya laboratoire bifasha mu kumenya icyateye vaginitisi. Muganga wawe ashobora gukusanya urugero rw'ibinyabutabire by'igitsina kugira ngo abirebe muri mikorosikope cyangwa abohereze muri laboratoire kugira ngo bakore ubushakashatsi ku mikorobe. Ibizamini bya pH bishobora kandi gutanga amakuru afatika ku birebana n'igitsina.

Mu bihe bimwe na bimwe, ibindi bizamini bishobora kuba ngombwa niba ibisubizo bya mbere bitumvikana cyangwa niba ufite indwara zisubira. Ibyo bishobora kuba ibizamini by'amaraso kugira ngo harebwe diyabete cyangwa izindi ndwara zishobora gutera ibimenyetso byawe.

Ni iki kivura Vaginitisi?

Ubuvuzi bwa vaginitisi biterwa n'icyo gitera ibimenyetso byawe, ariko inkuru nziza ni uko ubwoko bwinshi bw'uburwayi busubiza neza imiti ikwiye. Muganga wawe azahitamo ubuvuzi bukwiye hashingiwe ku burwayi bwawe.

Kuri bacterial vaginosis, abaganga basanzwe bandika antibiyotike nka metronidazole cyangwa clindamycin. Ibi biva mu kanwa cyangwa nk'amavuta yo kwisiga mu gitsina cyangwa amavuta yo kwisiga ukoresha mu gice cyanduye.

Amazi y'ibishishwa asanzwe asubiza imiti yo kurwanya ibishishwa nka fluconazole (inywemo) cyangwa imiti yo kwisiga nka miconazole cyangwa clotrimazole. Hariho imiti iboneka mu maduka, ariko ni byiza kwemeza ko ufite uburwayi mbere, cyane cyane niba ari ubwa mbere ubaye ufite uburwayi.

Trichomoniasis isaba antibiyotike, akenshi metronidazole cyangwa tinidazole. Uwo mubana nawe mu mibonano mpuzabitsina azakenera kandi kuvurwa kugira ngo wirinde kongera kwandura, nubwo adafite ibimenyetso.

Atrophic vaginitisi ikunda gukira ikoresheje imiti ya estrogen, ishobora gukoreshwa mu gitsina nk'amavuta, impeta, cyangwa ikinini. Ibi bifasha mu gusubiza ubugari n'uburyohe bw'igitsina.

Kuri vaginitisi idakomoka ku ndwara, ubuvuzi nyamukuru burimo kumenya no kwirinda ibintu bitera gucana. Muganga wawe ashobora kandi kugutegeka kuvura kugira ngo ufashe ingingo zawe gukira.

Uko wakwitaho mu rugo ufite Vaginitisi

Mu gihe uri kuvurwa vaginitisi, hari uburyo bwo kwitaho mu rugo bushobora kugufasha kumva umeze neza no gufasha gukira. Ibyo bintu bikorwa neza hamwe n'ubuvuzi bw'abaganga, bitari ukubuvura.

Uburyo bwo kuruhuka ushobora kugerageza burimo:

• Koga amazi ashyushye adafite isabune (kwirinda amazi yo kogana afite isabune)
• Koresha ibintu bikonje kugira ngo ugabanye gucana no kubabara
• Kwambara imyenda y'imbere y'ipamba idafunze
• Kurara utabitse imyenda y'imbere kugira ngo umwuka utemberere
• Koresha isabune idafite impumuro, nziza
• Kwima imibonano mpuzabitsina kugeza ibimenyetso bikize

Komeza kunywa amazi menshi, bishobora gufasha mu kugabanya amazi mu mpisi no gutuma kwinjira bitagoranye. Bamwe mu bagore basanga kwirinda kafe, inzoga, n'ibiribwa birimo ibirungo bifasha mu kugabanya gucana.

Probiotics, haba mu buryo bw'imiti cyangwa mu biribwa nka yaourt, bishobora gufasha mu gusubiza mikorobe nziza. Ariko, ntukoreshe gusa ibyo mu kuvura.

Irinde kwihisha, nubwo gucana ari kabi, kuko bishobora kongera gucana no gutuma mikorobe nshya zinjira. Niba gucana ari kabi, vugana na muganga wawe ku bijyanye n'uburyo bwo kurinda.

Uko wakwitegura kujya kwa muganga

Kwitoza kujya kwa muganga bifasha mu kubona ubuvuzi bukwiye n'uburyo bwiza bwo kuvura. Gutegura gato bishobora gutuma urugendo rwo kwa muganga rworoshye kandi rugira umusaruro kuri wowe na muganga wawe.

Mbere yo kujya kwa muganga, andika ibimenyetso byawe, harimo igihe byatangiye, uko byumvikana, n'icyo kibitera cyangwa kibikiza. Bandika impinduka mu binya butabire byawe, harimo ibara, impumuro, n'imiterere.

Kora amakuru ku mateka yawe y'ubuzima, harimo antibiyotike cyangwa imiti mishya wafashe, impinduka mu kuboneza urubyaro, cyangwa abantu bashya bakorana imibonano mpuzabitsina. Ibyo bintu bifasha muganga wawe kumenya icyabiteye.

Tegura gahunda yawe yo kujya kwa muganga mu gihe utari mu mihango, kuko bituma isuzuma n'ibizamini biroroshye. Ariko, ntutinye gushaka ubuvuzi niba ufite ibimenyetso bikomeye kubera ko uri mu mihango.

Kwima gusukura igitsina, gukoresha imiti y'igitsina, cyangwa gukora imibonano mpuzabitsina amasaha 24-48 mbere yo kujya kwa muganga, kuko bishobora kubangamira ibisubizo by'ibizamini. Koga amazi asanzwe ni byiza.

Tegura urutonde rw'ibibazo ushaka kubaza, nko kumenya igihe ubuvuzi buzamara, igihe ukwiye kumva umeze neza, cyangwa uko wakwirinda ibindi bibazo. Ntugatinye gusaba ibisobanuro niba utumva ikintu.

Icyingenzi kuri Vaginitisi

Vaginitisi ni uburwayi busanzwe, buroroshye kuvura bugira ingaruka ku bagore benshi mu buzima bwabo. Ikintu nyamukuru mu kuyigenzura neza ni ukugisha inama muganga no kuvurwa aho kugerageza kumenya icyo kibazo cyangwa kwiyivura.

Wibuke ko kugira vaginitisi ntibigaragaza isuku yawe cyangwa imibereho yawe. Igitsina cyawe gifite urwego rugoye, rworoshye guhungabana bitewe n'ibintu byinshi bya buri munsi bitari mu bubasha bwawe.

Hamwe n'ubuvuzi bukwiye, uburwayi bwinshi bwa vaginitisi bukira vuba kandi neza. Gukurikiza gahunda yawe yo kuvura no gufata ingamba zo kwirinda bishobora kugufasha kugabanya ibyago byo kurwara ibindi bibazo.

Nturetse ipfunwe kukubuza gushaka ubufasha. Abaganga bavura vaginitisi buri gihe kandi bashaka kugufasha kumva umeze neza kandi ukagira ubuzima bwiza. Ubuvuzi bw'ihutirwa burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye burambuye bufasha mu kugaruka kumva umeze neza vuba.

Ibibazo Bisanzwe Bibazwa kuri Vaginitisi

Vaginitisi ishobora gukira yonyine?

Ubwoko bumwe bwa vaginitisi buke bushobora gukira budakenewe kuvurwa, ariko ntibyiza gutegereza. Vaginitisi idakuweho ishobora kuba mbi, gutera ingaruka, cyangwa kugaragaza uburwayi bukomeye. Kubona ubuvuzi bukwiye bihamya ko gukira vuba no kwirinda ibibazo.

Vaginitisi yandura?

Biterwa n'ubwoko. Bacterial vaginosis n'amazi y'ibishishwa ntibifatwa nk'indwara zandura binyuze mu mibonano mpuzabitsina, nubwo rimwe na rimwe bishobora guterwa n'imibonano mpuzabitsina. Trichomoniasis, ariko, yandura binyuze mu mibonano mpuzabitsina kandi isaba ubuvuzi ku bakunzi bombi. Muganga wawe ashobora kugira inama y'uko uwo mubana nawe mu mibonano mpuzabitsina akeneye ubuvuzi.

Nshobora gukoresha imiti iboneka mu maduka yo kuvura vaginitisi?

Imiti yo kurwanya ibishishwa iboneka mu maduka ikora neza ku mazwi y'ibishishwa yemewe, ariko kuyikoresha utabanje kuvurwa bishobora kuba ikibazo. Niba ufite bacterial vaginosis kandi ukoresha imiti yo kuvura amazi y'ibishishwa, ibimenyetso byawe bishobora kuba bibi. Ni byiza kubanza kuvurwa, cyane cyane niba ari ubwa mbere ubaye ufite uburwayi.

Ubuvuzi bwa vaginitisi buramara igihe kingana iki kugira ngo bugire akamaro?

Ubuvuzi bwinshi butangira kugaragaza impinduka mu minsi 2-3, bugakira burundu mu minsi 7-10. Amazi y'ibishishwa akunda gukira vuba akoresheje imiti yo kurwanya ibishishwa, mu gihe indwara ziterwa na mikorobe zishobora gukenera antibiyotike kugira ngo zikire burundu. Vugana na muganga wawe niba ibimenyetso bitakira nkuko byari biteganijwe.

Vaginitisi ishobora kugira ingaruka ku bushobozi bwanjye bwo gutwita?

Ubwoko bwinshi bwa vaginitisi ntibugira ingaruka ku bushobozi bwo gutwita, ariko zimwe mu ngaruka zishobora gutera ibibazo. Bacterial vaginosis idakuweho ishobora kongera ibyago by'indwara y'ububabare mu kibuno, ishobora kugira ingaruka ku bushobozi bwo gutwita. Niba urimo gushaka gutwita kandi ufite vaginitisi isubira, vugana na muganga wawe kugira ngo ubone ubuvuzi bukwiye.