Vaginitis

Vaginiti ni ububabare bw'igituba gishobora gutera iseseme, gukuna no kubabara. Impamvu ikunze kubaho ni ihinduka mu mibanire y'ibinyabuzima byo mu gituba cyangwa indwara. Kugabanuka kw'imisemburo ya estrogen nyuma y'ihindagurika ry'imihango ndetse na zimwe mu ndwara z'uruhu bishobora kandi gutera vaginiti.

Ubwoko bwakunze kugaragara bwa vaginiti ni:

• Udukoko two mu gituba. Ibi biterwa no kwiyongera kw'udukoko two mu gituba, bigatera ikibazo mu mibanire yabyo.
• Indwara ziterwa n'ibinyabuzima by'ibinyampeke. Ibi bikunze guterwa n'ibinyabuzima by'ibinyampeke byitwa Candida albicans.
• Trichomoniasis. Ibi biterwa n'udukoko duto kandi akenshi byandura mu mibonano mpuzabitsina.

Ubuvuzi biterwa n'ubwoko bwa vaginiti ufite.

Ibimenyetso n'ibibonwa bya vaginite bishobora kuba birimo:

• Guhinduka kw'irangi, impumuro cyangwa umubare w'ibyavuye mu gitsina cyawe
• Kuryaryatwa cyangwa gucika intege mu gitsina
• Kubabara mu gihe cy'imibonano mpuzabitsina
• Kubabara mu gihe cyo kwinjira
• Umuvuduko muke w'amaraso mu gitsina cyangwa ibimenyetso

Niba ufite ibyavuye mu gitsina, imico y'ibyavuye ishobora kwerekana ubwoko bwa vaginite ufite. Ingero zirimo:

• Bacterial vaginosis. Ushobora kugira ibyavuye byera-umuhondo, bifite impumuro mbi. Impumuro, ikunze kwitwa impumuro y'ifi, ishobora kugaragara cyane nyuma y'imibonano mpuzabitsina.
• Udukoko twa yeast. Ikimenyetso nyamukuru ni kuryaryatwa, ariko ushobora kugira ibyavuye byera bikomeye bisa nka cheese ya cottage.
• Trichomoniasis. Indwara yitwa trichomoniasis (trik-o-moe-NIE-uh-sis) ishobora gutera ibyavuye byera-icyatsi, rimwe na rimwe biba bimeze nk'ifu.

Jya kwa muganga wawe niba ufite ikibazo cyo mu gitsina, cyane cyane niba:

*Ufite impumuro mbi cyane mu gitsina, ibintu bivamo cyangwa gukorora. *Utaigeze urwara indwara yo mu gitsina. Kugana umuganga wawe bishobora kumenya icyateye ikibazo kandi bikagufasha kumenya ibimenyetso n'ibibonwa. *Umaze igihe urwaye indwara yo mu gitsina. *Wagiye usambana n'abantu benshi cyangwa ufite umukunzi mushya. Ushobora kuba ufite indwara zandurira mu mibonano mpuzabitsina, zimwe muri zo zifite ibimenyetso bisa n'iby'indwara y'ibishishwa cyangwa vaginose ya bakteriye. *Warangije kuvura indwara y'ibishishwa ukoresheje imiti idasaba kwa muganga kandi ibimenyetso bikomeza. *Ufite umuriro, ubukonje cyangwa ububabare mu kibuno.

Impamvu iterwa n'ubwoko bwa vaginite ufite:

• Vaginose y'ibyago. Ubu bwoko bwa vaginite busanzwe cyane buterwa n'impinduka y'ibyago biboneka mu gitsina cyawe, bigatuma umubare wabyo udasanzwe.Icyateye iyo mpinduka ntibiramenyekana. Birashoboka kugira vaginose y'ibyago nta bimenyetso.

Ubu bwoko bwa vaginite busa n'ubufitanye isano ariko ntibuterwa n'imibonano mpuzabitsina- cyane cyane niba ufite abantu benshi bakorana imibonano mpuzabitsina cyangwa ufite umuntu mushya ukora imibonano mpuzabitsina- ariko kandi bibaho ku bagore badakora imibonano mpuzabitsina.

• Amazi ya Yeast. Bibaho iyo hari ukwiyongera kw'ibinyabuzima by'ibinyabuzima-busanzwe Candida albicans-mu gitsina cyawe. C. albicans itera kandi indwara mu tundi turere tw'umubiri wawe, nko mu kanwa (thrush), mu bibyimba by'uruhu no mu misumari. Iyi fungus ishobora kandi guteza ibibyimba by'impiswi.
• Trichomoniasis. Iyi ndwara yandura binyuze mu mibonano mpuzabitsina ikunze kugaragara iterwa n'udukoko duto cyane, udakurura, twitwa Trichomonas vaginalis. Uyu mubiri ukwirakwira mu gihe cy'imibonano mpuzabitsina n'umuntu ufite iyo ndwara.

Mu bagabo, uyu mubiri usanzwe wanduza inzira y'umuyoboro w'inkari, ariko akenshi nta bimenyetso bigaragara. Mu bagore, trichomoniasis isanzwe yanduza igitsina, kandi ishobora guteza ibimenyetso. Byongera kandi ibyago by'abagore byo kwandura izindi ndwara zandurira mu mibonano mpuzabitsina.

• Vaginite idakomoka ku ndwara. Imisatsi yo mu gitsina, douches, amasabune afite impumuro nziza, imiti yo gukaraba imyenda ifite impumuro nziza n'ibicuruzwa byica intanga z'abagabo bishobora guteza allergie cyangwa gukomeretsa imyenda y'igitsina n'igitsina. Ibintu by'amahanga, nka papye y'ubwiherero cyangwa tampon yibagirwe, mu gitsina bishobora kandi gukomeretsa imyenda y'igitsina.
• Umuvuduko w'igitsina w'imyaka y'ubukure (vaginal atrophy). Kugabanuka kw'imisemburo ya estrogen nyuma y'imyaka y'ubukure cyangwa gukuraho amagi yawe kubaga bishobora gutuma uruhu rw'igitsina rugabanuka, rimwe na rimwe bigatera kubabara, gutwika no gukama mu gitsina.

Ibintu byongera ibyago byo kwandura vaginite birimo:

• Impinduka z'imisemburo, nka zimwe mu zijyana no gutwita, imiti igabanya imbyaro cyangwa kubura imihango
• Imibonano mpuzabitsina
• Kwandura indwara zandurira mu mibonano mpuzabitsina
• Imiti, nka antibiyotike na steroide
• Gukoresha imiti igabanya intanga kugira ngo wirinde gutwita
• Diabete idakurikiranwa
• Gukoresha ibintu byo kumesa nk'amazi yo kogesha, imiti yo kunyunyuza mu gitsina cyangwa imiti yo kumesa mu gitsina
• Gukaraba mu gitsina
• Kwambara imyenda ikonje cyangwa imyenda yambarwa ikomeye
• Gukoresha agafuni gashyirwa mu gitsina (IUD) kugira ngo wirinde gutwita

Abagore bafite uburwayi bwa trichomoniasis cyangwa bacterial vaginosis bafite ibyago byinshi byo kwandura indwara zandurira mu mibonano mpuzabitsina kubera kubyimbirwa guterwa n'izo ndwara.

Isuku ryiza rishobora gukumira ubwoko bumwe na bumwe bwa vaginite kudakira no kugabanya ibimenyetso bimwe na bimwe:

• Kwirinda koga mumazi ashyushye, amabati n'ibyumba byo kogamo byuzuye amazi.
• Kwirinda ibintu bibabaza. Ibi birimo ibintu byo mumazi bifite impumuro nziza, ibintu byo gukaraba, amazi yo gukaraba mu gitsina n'amasabune afite impumuro nziza. Koga isabune ku gice cy'inyuma cy'igitsina nyuma yo koga hanyuma wumishe neza kugirango wirinde kubabara. Ntukore amasabune akomeye, nka ariya afite umunuko cyangwa uburyo bwo kurwanya udukoko, cyangwa amazi yo kogamo.
• Komesha uvuye imbere ujya inyuma nyuma yo gukoresha ubwiherero. Gukora ibyo birinda gukwirakwiza udukoko two mu byondo mu gitsina cyawe. Ibindi bishobora kugufasha gukumira vaginite birimo:
• Kwirinda gukaraba mu gitsina. Igitsina cyawe ntikikeneye gusukura uretse koga buri gihe. Gukaraba kenshi mu gitsina bihungabanya udukoko twiza tubaho mu gitsina kandi bishobora kongera ibyago byo kwandura mu gitsina. Gukaraba mu gitsina ntibizakuraho indwara yo mu gitsina.
• Gukora imibonano mpuzabitsina ifatika. Gukoresha agakingirizo no kugabanya umubare w'abafatanyabikorwa mu mibonano mpuzabitsina bishobora kugufasha.
• Kwambara imyenda y'imbere y'ipamba. Nanone wambare imyenda y'imbere ifite ipamba hagati. Tekereza kudatambara imyenda y'imbere nijoro. Imyeyusho ikura mu mimerere y'ubushuhe.

Kugira ngo hamenyekane vaginit, umuvuzi wawe arashobora gukora ibi bikurikira:

• Suzuma amateka yawe y'ubuzima. Ibi birimo amateka yawe y'indwara z'igitsina cyangwa izandura mu mibonano mpuzabitsina.
• Kora isuzuma ry'igice cy'imbere cy'igitsina. Mu gihe cy'isuzuma ry'igice cy'imbere cy'igitsina, umuvuzi wawe ashobora gukoresha igikoresho (speculum) kugira ngo arebe imbere mu gitsina cyawe arebe niba hari kubyimba cyangwa ibinyabutabire.
• Gukusanya icyitegererezo kugira ngo gipimwe muri laboratwari. Umuvuzi wawe ashobora gukusanya icyitegererezo cy'ibinyabutabire byavuye mu kiziba cy'umura cyangwa mu gitsina kugira ngo bipimwe muri laboratwari hamenyekane ubwoko bwa vaginit ufite.
• Gupima pH. Umuvuzi wawe ashobora gupima pH y'igitsina cyawe akoresheje igiti cyangwa impapuro zigerageza pH ku rukuta rw'igitsina cyawe. pH iri hejuru ishobora kugaragaza bacteria vaginosis cyangwa trichomoniasis. Ariko, gupima pH gusa si ikizamini cyizewe cyo kumenya indwara.

Indwara nyinshi n'ibibazo bitandukanye bishobora gutera vaginite, bityo kuvura bigamije ikibazo nyacyo:

Udukoko twangiza ubugore (Bacterial vaginosis). Ku bwoko bwa vaginite, umuvuzi wawe ashobora kugutegurira imiti ya metronidazole (Flagyl) ufata mu kanwa cyangwa metronidazole gel (MetroGel) ushyira ahantu harwaye. Ubundi buryo bwo kuvura harimo clindamycin (Cleocin) cream ushyira mu gitsina, imiti ya clindamycin ufata mu kanwa cyangwa capsule ushyira mu gitsina cyawe. Tinidazole (Tindamax) cyangwa secnidazole (Solosec) bifatwa mu kanwa.

Udukoko twangiza ubugore dushobora gusubira nyuma yo kuvurwa.

Amazi y'ibishishwa (Yeast infections). Amazi y'ibishishwa asanzwe avurwa n'amavuta cyangwa imiti yica udukoko, nka miconazole (Monistat 1), clotrimazole (Lotrimin AF, Mycelex, Trivagizole 3), butoconazole (Gynazole-1) cyangwa tioconazole (Vagistat-1). Amazi y'ibishishwa ashobora kandi kuvurwa n'imiti ifata mu kanwa, nka fluconazole (Diflucan).

Ibyiza byo kuvura udafite ibaruwa y'umuvuzi ni uko byoroshye, bihendutse kandi ntukeneye gutegereza kubona umuvuzi wawe. Ariko rero, ushobora kuba ufite ikibazo kitari amazi y'ibishishwa. Gukoresha imiti itari yo bishobora gutinda kuvura neza no kubona ubuvuzi bukwiye.

• Udukoko twangiza ubugore (Bacterial vaginosis). Ku bwoko bwa vaginite, umuvuzi wawe ashobora kugutegurira imiti ya metronidazole (Flagyl) ufata mu kanwa cyangwa metronidazole gel (MetroGel) ushyira ahantu harwaye. Ubundi buryo bwo kuvura harimo clindamycin (Cleocin) cream ushyira mu gitsina, imiti ya clindamycin ufata mu kanwa cyangwa capsule ushyira mu gitsina cyawe. Tinidazole (Tindamax) cyangwa secnidazole (Solosec) bifatwa mu kanwa.

  Udukoko twangiza ubugore dushobora gusubira nyuma yo kuvurwa.

• Amazi y'ibishishwa (Yeast infections). Amazi y'ibishishwa asanzwe avurwa n'amavuta cyangwa imiti yica udukoko, nka miconazole (Monistat 1), clotrimazole (Lotrimin AF, Mycelex, Trivagizole 3), butoconazole (Gynazole-1) cyangwa tioconazole (Vagistat-1). Amazi y'ibishishwa ashobora kandi kuvurwa n'imiti ifata mu kanwa, nka fluconazole (Diflucan).

  Ibyiza byo kuvura udafite ibaruwa y'umuvuzi ni uko byoroshye, bihendutse kandi ntukeneye gutegereza kubona umuvuzi wawe. Ariko rero, ushobora kuba ufite ikibazo kitari amazi y'ibishishwa. Gukoresha imiti itari yo bishobora gutinda kuvura neza no kubona ubuvuzi bukwiye.

• Trichomoniasis. Umuvuzi wawe ashobora kugutegurira imiti ya metronidazole (Flagyl) cyangwa tinidazole (Tindamax).

• Genitourinary syndrome of menopause (vaginal atrophy). Estrogen — mu buryo bw'amavuta yo mu gitsina, imiti cyangwa impeta — ishobora kuvura iyi ndwara. Ubu buryo bwo kuvura buboneka ku rupapuro rw'umuvuzi wawe, nyuma yo kureba izindi ngaruka mbi zishoboka n'ibibazo.

• Vaginite idaterwa n'udukoko. Kugira ngo uvure ubwo bwoko bwa vaginite, ugomba kumenya icyateye ibibazo ukakwirinda. Ibyo bishobora kuba isabune nshya, imiti yo kumesa, udukarito cyangwa udutampon.

Ukeneye imiti ivugwa na muganga kuvura indwara ya trichomoniasis, bacterial vaginosis na vaginal atrophy. Niba uzi ko ufite infection ya yeast, urashobora gukora ibi bikurikira:

Koresha imiti yabugenewe kuvura infection ya yeast utabanje kujya kwa muganga. Amahitamo arimo imiti yo kwisiga cyangwa imiti yinjizwa mu gitsina, imwe ikoreshwa umunsi umwe, indi iminsi itatu cyangwa irindwi. Ibintu by'ingenzi bigize iyo miti bihinduka bitewe n'umuti: clotrimazole, miconazole (Monistat 1) cyangwa tioconazole (Vagistat).

Hari n'imiti imwe n'imwe ifite igisiga cyo kwisiga hanze, ku gitsina no ku muryango wacyo. Kurikiza amabwiriza ari ku icupa, kandi urangize kuvura, kabone nubwo waba wumva umeze neza vuba.

• Koresha imiti yabugenewe kuvura infection ya yeast utabanje kujya kwa muganga. Amahitamo arimo imiti yo kwisiga cyangwa imiti yinjizwa mu gitsina, imwe ikoreshwa umunsi umwe, indi iminsi itatu cyangwa irindwi. Ibintu by'ingenzi bigize iyo miti bihinduka bitewe n'umuti: clotrimazole, miconazole (Monistat 1) cyangwa tioconazole (Vagistat).

  Hari n'imiti imwe n'imwe ifite igisiga cyo kwisiga hanze, ku gitsina no ku muryango wacyo. Kurikiza amabwiriza ari ku icupa, kandi urangize kuvura, kabone nubwo waba wumva umeze neza vuba.

• Shiraho igitambaro gikonje, nk'igitambaro cyo kwisiga, ku gitsina kugira ngo ugabanye ububabare kugeza imiti yo kurwanya fungus ikize neza.