I-BV Ne-Mgawulo Wama-Yeast: Indlela Umkhuba Ukhona, Unuka Ngayo, I-pH, Kanyene Nokuthi Yenzeni Kamuva

I-BV kanye nomkhuba wama-yeast bahlukana kakhulu ngendlela enuka ngayo kanye nokwakheka komkhuba. I-BV ikhiqiza umkhuba omncane, onsundu-mhlophe onesazela esinuka njenge-nhlanzi. Umkhuba wama-yeast ukhiqiza umkhuba omkhulu, omhlophe, oqotshana onesidingo esinamandla sokuzwaya nokungabikhona kwephunga elinamandla. Kodwa izimpawu ziyefana, ngakho-ke i-BV vs. umkhuba wama-yeast akuyona into ongayinquma ngokubheka nje.

TL;DR: Izinto Ezibalulekile

• Iphunga le-nhlanzi libonisa i-BV. Isidingo esinamandla sokuzwaya kwe-vulva sibonisa ama-yeast. Umbala ukunikeza kancane.
• I-CDC ithi umlando wezokwelapha uwedwa awanele ukubona zombili ngokunemba.
• I-pH strip yiyona nqala oyihlukanisayo ongayithola ekhaya: ingaphezu kuka-4.5 ivumela i-BV.
• Ungaba nazo zombili ngasikhathi sinye, yingakho ezinye izinhla zezimpawu zinikeza impendulo edidayo.
• Yonke imithi yokuqala ye-BV idinga incwadi kadokotela kuphela. Ayikho imithi yokulwa namagciwane eyehlisa i-BV.

I-BV vs. Umkhuba Wama-Yeast: Iphunga Iyona Esheshayo Ukukutshela, Ukuzwaya Akunjalo

Umehluko omkhulu phakathi kwe-BV kanye nomkhuba wama-yeast yilokho onukayo nalokho okubonayo. I-Bacterial vaginosis ibangela umkhuba omncane, ofana, onsundu-mhlophe onephunga le-nhlanzi futhi ngokuvamile kungabibikho ukuzwaya okuningi. Umkhuba wama-yeast ubangela umkhuba omkhulu, omhlophe, oqotshana onesidingo esinamandla sokuzwaya, ukushisa, nokubomvu kwe-vulva, futhi ngokuvamile kungabibikho iphunga elinamandla. I-BV vs. umkhuba wama-yeast ijika ekwakhekeni nephunga, hhayi ukuzwaya nje.

Zombili ziyinto ejwayelekile. I-BV iyimbangela evamile kakhulu yokuhamba komkhuba emhlabeni wonke, futhi i-Cleveland Clinic ibeka isibalo sokuphila konke cishe ku-35% wabantu abane-vagina, okwenza kube isikhalazo esivamile se-vagina kubantu besifazane abaneminyaka ephakathi kuka-15 no-44. Umkhuba wama-yeast yinkinga ehlukile ngokuphelele: ukukhula kwe-Candida, lapho okubonisa umkhuba omhlophe omkhulu onesidingo sokuzwaya, ukushisa, nokudumba kwe-vulva, ngokuvamile ngaphandle kwephunga le-BV.

Ukhuba wama-yeast vs. umkhuba we-BV nezinye izinto ezibalulekile ezihlukile ngokubuka nje:

Le etafula liyanciphisa amathuba. Ayiqinisekisi ukutholakala kwe-diagnosis, futhi ingxenye elandelayo ichaza ukuthi kungani lokho kuhlukanisa kubaluleke kakhulu kunalokho abantu abaningi abakulindele.

Ukuhambisa Izimpawu Zakho Kuhlu Lwezimpawu Akunemba Kakhulu Ukwelapha Ngayo

Umbuzo wangempela obuza wona ngukuthi i-BV noma umkhuba wama-yeast, futhi impendulo eqotho ukuthi izimpawu zakho azikwazi ukukukhomba zodwa. I-CDC ayicacisi ngalokhu emihlahlandleleni yayo mayelana nomkhuba we-vagina: "ukuthola umlando wezokwelapha uwedwa kudume kungenelanga ukuthola i-diagnosis enembayo." Ukuhlukanisa i-BV, i-candidiasis, ne-trichomoniasis kudinga ukuhlolwa kanye nokuhlolwa kwelebhu, okusho ukulinganisa kwe-pH kanye ne-microscopy, hhayi ukubona izimo.

Bheka ukuthi odokotela bahlukanisa kanjani empeleni. Ukubona i-BV kusebenzisa Amsel criteria, afuna okungenani izinto ezintathu ezintathu kuneziyisine: umkhuba ofana kancane, izelula ezibonwa nge-microscopy, i-vagina pH engaphezu kuka-4.5, kanye nephunga le-nhlanzi lapho kufakwa i-potassium hydroxide. Egunjini lodokotela, ukuthi i-BV noma umkhuba wama-yeast kuyaphendulwa ngomunwe ne-microscope, futhi akukaze kube ngesikhalazo esisodwa ngokwaso. Kuyilo olufanayo ongaba nalo lapho uhlukanisa izimo ezimbili ezifana kakhulu kwenye indawo emzimbeni.

Izimpawu ziphinde zihluleke kwenye indlela. Kuze kube ngu-84% wezimo ze-BV azibonisi zimpawu ezicacile, ngokusho kwe-Cleveland Clinic, ngakho-ke ukungabibikho kwephunga le-nhlanzi akufakazeli lutho. Umthetho ongawuhamba nawo ulula: uma isimo sakho singekho njengesibonelo, siqinisekise nge-pH strip, ukuhlolwa kukadokotela, noma i-microscopy ngaphambi kokuchitha imali ku-antifungal etholakala ngaphandle kwencwadi kadokotela.

Bheka Ukwakheka Komkhuba Ngaphambi Kokuba Uthembe Umbala

Lapho uqhathanisa umkhuba wama-yeast vs. umkhuba we-BV, ukwakheka nephunga kunombhalo omkhulu wokuthola i-diagnosis, futhi umbala unombhalo omncane. Umkhuba we-BV umncane futhi ufana, onsundu-mhlophe obisi, futhi uhlanza izindonga ze-vagina kancane kunokuhlala njengeziqotshana. Iphunga layo le-amine le-nhlanzi ngokuvamile libe namandla ngemuva kobulili noma ngesikhathi sokopha kwenyanga.

Umkhuba wama-yeast awufani nalokho neze. Ngumkhuba omkhulu, omhlophe, oqotshana njengobisi oluqotshisiwe, ngokuvamile ongabibikho iphunga noma ukunuka kancane, futhi uza nesidingo sokuzwaya, ukushisa, ukubomvu, nokudumba kwe-vulva okwenza ukuzwa kube okukhulu. Uma ukuzwaya kungokwakho okuwavuse ngo-2 a.m., leso yisitatimende esibalulekile.

Umbala uyisibonelo esibuthakathaka onaso. Umhlophe nombala ongaphakathi komhlophe zihlanganisa zombili izimo, bese umbala ophuzi noma oluhlaza ubashoba zombili, ngokuvamile uya ku-trichomoniasis noma kwesinye isizathu. Ngaphansi kwe-microscope ukwahlukanisa kuba sicacile: i-BV ibonisa izelula ezine-whiff test eyinhle, i-candidiasis ibonisa i-hyphae noma i-yeast ekhule ngesikhathi sokuhlanganisa kwe-KOH, futhi i-trichomoniasis ibonisa ama-trichomonads ahambayo esilayidini esinobulili. Noma kunjalo, ukubukeka komkhuba kusengumunye wemibandela emine ye-Amsel.

I-pH Strip Yasekhaya Iyona Into Engasondela Kakhulu Kokuphuma Kwesikole Esingaboni

I-Vaginal pH yiyona yodwa umehluko ku-BV vs. umkhuba wama-yeast ongawulinganisa ngempela. I-BV ngokuvamile ibeka i-vagina pH ingaphezu kuka-4.5, yingakho ibalwa njengomgomo we-Amsel, kuyilapho umkhuba wama-yeast uvamile ushiya i-pH kububanzi obujwayelekile obungaba ngu-3.8 kuya ku-4.5.

Ekusebenzeni, kiyifunde kanje. I-pH ejwayelekile enomkhuba omkhulu nokuzwaya okunamandla kukhombisa kakhulu ama-yeast, futhi i-antifungal etholakala ngaphandle kwencwadi kadokotela iyalinganiswa. Ukufundwa okungaphezu kuka-4.5 okuniphunga le-nhlanzi kukhombisa i-BV, futhi kukutshela okuthile okuwusizo futhi okucasulayo kancane: i-antifungal ekotini lakho ayiyukusiza.

Inkinga: i-strip kulula ukuyikhohlisa nokuyifunda kakhulu. Ubulili obusanda kwenzeka kanye nokungcola kwenkunzi okusele, igazi lokuya esikhathini, ukugeza ngezicelo, ama-lubricants, nemithi ye-vagina esanda kwenziwa konke kwandisa ukufundwa ngokungafanele, ngakho-ke hlola ngosuku lapho kungasebenzi khona lokhu. I-pH ephakeme futhi ayiyona eyi-BV kuphela. I-trichomoniasis nezingozi ngemuva kokuyeka ukuya esikhathini nazo ziyandisa. Inombolo ephezulu iyanciphisa inketho. Ayibizi igama, futhi ingenye yezinto ezine.

Uma Izimpawu Zakho Zingafani Namuntu Kwemibhalo Emibili, Ungase Ubaba Zombili Ngasikhathi Sinye

Yebo, ungaba ne-BV nomkhuba wama-yeast ngasikhathi sinye, futhi lokho kungenzeka kuchaza iziphumo eziningi ezididayo. Isimo esixubile, iphunga le-nhlanzi kanye nokuzwaya okunamandla, noma umkhuba ongacacile ukuthi ucacile kangakanani noma awucacile kangakanani, yilokho kanye okubhekwa kabi yizinhla zezimpawu.

Ukuhlelwa nakho kubalulekile. Ukusetshenziswa kwama-antibiotics okusanda kwenzeka kuyimbangela eyaziwayo yemikhuba yama-yeast, ngokusho kwe-Cleveland Clinic, ngakho umkhuba wama-yeast ungahle ulandele imithi ye-BV futhi ufike njengoba iphunga lihamba. U-Metronidazole ne-clindamycin akwenzeli lutho ku-Candida, kanti ama-antifungal akwenzeli lutho ku-BV, ngakho-ke ukuhlanganisa imikhiqizo kungukuqagula kabili kunokuxazulula into. Thola i-microscopy noma ukuhlola kukadokotela esikhundleni salokho, ukuze zombili izimo zitholakale futhi ziphathwe ngokucophelela. Okufanayo kuyasebenza kwi-antifungal engalungisi izinto: impendulo ngokuvamile i-diagnosis engalungile, hhayi umuthi obuthakathaka.

Ukuqagula Okungalungile Kukubiza Iviki, Futhi I-BV Idinga Incwadi Kadokotela Kunoma Kunjani

Imithi efanele ye-BV noma yomkhuba wama-yeast incike ngokuphelele kulokho okuhlolekile, futhi imigomo emibili ayifani lutho. Ku-BV, izinketho zokuqala ze-CDC yi-oral metronidazole 500 mg kabili ngosuku izinsuku ezingu-7, i-metronidazole 0.75% vaginal gel kanye ngosuku izikhathi ezingu-5, noma i-clindamycin 2% vaginal cream ebusuku izinsuku ezingu-7. Zontathu zidinga incwadi kadokotela kuphela. Akukho okudayiswa ngaphandle kwencwadi kadokotela, noma kuphi, kunoma yiluphi uhlobo.

Iziqashi ezingalungile zemikhuba yama-yeast yinto elula. Ama-azole angaphandle kwencwadi kadokotela njenge-miconazole noma i-clotrimazole asebenza kahle, kanti i-oral antifungal edinga incwadi kadokotela iyindlela enhle.

Nansi impahla yangempela yokuqagula okungalungile. I-antifungal esetshenziselwa i-BV ayenzi lutho nhlobo: iphunga nomkhuba uyaqhubeka, futhi imithi yakho yangempela iyabambezeleka nganoma yisiphi isikhathi lapho imigomo ihamba khona, ngokuvamile kusuka ezinsukwini ezintathu kuya kweyisikhombisa. Ama-antibiotics asetshenziswa emkhubeni wama-yeast awasebenzi ngokulinganayo futhi angase enze ukuzwaya kube kubi kakhulu. I-BV engaphathwanga nayo ihlotshaniswa nobungozi obukhulu bokuthola izifo ezidluliselwa ngocansi kanye neziyimbangela ezimfweni zokukhulelwa, okuyisizathu esinye sokungavumeli isikhalazo esingaqinisekisiwe ukuba siqhubeke amasonto.

Uma ufuna umuntu okhona ukuthi abone lokhu kunokuthi uhlole uhlu, uvakashe kwi-August's $39 online urgent care olukuxhuma nomuntu okhona osemthethweni e-US ongahlola izimpawu zakho nomlando wakho futhi anikeze incwadi lapho kufaneleka. Umuntu okhona unquma ukuthi incwadi iyilungile yini kuwe. Cacisa ngemikhawulo futhi: ukuvakashela kwevidiyo akukwazi ukwenza ukuhlolwa kwe-pelvic, i-wet mount, noma ukuhlolwa kwe-pH ehhovisi, ngakho-ke isimo esididayo, iziqashi eziphindaphindayo, noma izimpawu ngesikhathi sokukhulelwa zidinga ukunakekelwa komuntu siqu.

Ezinye Izimpawu Zisho Ukuthi Uyeke Ukuziphathisa Uzibonele

Shayela ku-911 noma uye egumbini eliphuthumayo manje uma:

• Unomkhuhlane noma ubanda kanye nobuhlungu obumaphakathi kuya obukhulu besisu noma esingezansi, okungabonisa ukudlaliswa kwamagciwane esisu noma enye i-infeksi eyingozi
• Unogazi olunzima lwe-vagina noma ubuhlungu obukhulu
• Uyachama futhi awukwazi ukugcina iziphuzo

Bhukha ukuvakashelwa kungakapheli iviki elilandelayo uma:

• Awutholi ngcono, noma izimpawu ziyanda, ngemuva komjikelezo ogcwele wokwelashwa okufanele
• Unogazi lwe-vagina olungayona ingeyakho ingeyokopha kwenyanga
• Unamajaja, izilonda, izindunduma, noma ubuhlungu obuqhubekayo bezitho zangasese ezingachazwanga ngokuzwaya
• Ube nobulili obungavikelekile nozakwethu omusha noma abaningi futhi kungenzeka i-infeksi edluliselwa ngocansi
• Lena yisiqashi sakho sokuqala impela

Khuluma nomuntu okhona ngaphambi kokuba uqalise uma:

• Ukhulelwe futhi une-discharge entsha noma eyanda, iphunga, noma izikhalazo zesisu
• Unesifo sikashukela noma uhlelo lokuzivikela olubuthakathaka
• Uthatha ama-antibiotics noma usanda kuqeda umjikelezo
• Ube neziqashi eziphindaphindayo kulo nyaka

Imibuzo Evame Ukubuzwa

Ngabe i-BV ingukutheleleka okudluliselwa ngocansi?

Cha. I-CDC ayibali i-bacterial vaginosis njengokutheleleka okudluliselwa ngocansi, yize abesifazane abasebenzayo abalisebenzisa kakhulu futhi i-BV ingavamile kubantu abangakaze benze ucansi. Abalingani abasha noma abaningi kanye nokungasebenzisi ikhondomu kwandisa amathuba. Ukwelashwa okuvamile kozakwethu besilisa akukhuthazwa emihlahlandleleni evamile, ngakho ukwelashwa komlingani kuyingxoxo okufanele uyenze nomuntu wakho okhona.

Ngabe i-BV noma umkhuba wama-yeast ungazilungisa ngaphandle kokwelashwa?

Ngezinye izikhathi. Iziqashi ezincane zombili zingazilungisa zodwa, kodwa akukho ndlela ethembekile yokubikezela ukuthi yiziphi ezizokwenza kanjalo, futhi ukulinda ngokuvamile kukubiza isikhathi kuyilapho izimpawu ziqhubeka. Isigaba esisebenzayo: uma izimpawu zingakazilungi ngokucacile kungakapheli cishe izinsuku ezintathu, iyeke ukulinda futhi uhlole kunokuzama omunye umkhiqizo ngaphezulu kokuqala.

Iziqashi ezingaki ngonyaka zibhekwa njengeziphindaphindayo?

Izine. I-Cleveland Clinic iyeluleka ukuthi izifo zama-yeast ezingaphezu kwezine ngonyaka zifuna ukuhlolwa kwezomtholampilo ukuze kutholwe imbangela eyinhloko, njengokungahlolwa kahle kwesifo sikashukela noma uhlobo olubambelela, kunokuba uziphathise okwakho izikhathi eziningi. I-BV ayinawo inombolo efanayo ecacile, kodwa ukuphindeka ngemuva kokwelashwa kuvamile, futhi iziqashi eziphindaphindayo kufanele zikhuthaze ukuhlolwa kanye nohlelo lokwelashwa kunokuba kube enye inyanga yokuqagula.

Ngabe ngidinga ukwelashwa kwe-BV uma ngingenazo izimpawu?

Ngokuvamile cha. Kuze kube ngu-84% weziqephu ze-BV azibonisi zimpawu ezicacile, futhi izinqumo zokwelashwa kubantu abangakhulelwe ngokuvamile zilokhu zilandelwa izimpawu kunokuba kube umphumela wokuhlolwa wedwa. Kunezinye izimo ezingajwayelekile okufanele uzikhulume: uma ukhulelwe, noma uhlelelwe umsebenzi wezokwelapha njengokufakwa kwe-IUD noma ukuhlinzwa, buza umuntu wakho okhona ukuthi ukwelashwa okungakubonisi izimpawu kufanele yini kuwe.

Kwenzekani uma kwavela ukuthi akuyona i-BV noma umkhuba wama-yeast?

Kuyenzeka kaningi kunokuba luhlu lwe-BV vs. umkhuba wama-yeast olubonisa. I-trichomoniasis iyimbangela yesithathu evamile futhi idinga incwadi ekhethekile engahlinzekwa yi-gel ye-antibiotic noma ukhilimu we-antifungal. Ukuzwela noma ukungezwani komzimba nezinsipho, izibulala-inzalo, nezinsipho nakho kuyafana zombili. Ukuhlolwa kuyindlela kuphela yokuhlukanisa lokhu, yingakho uhlu oluhlinzeka ngezimpendulo ezimbili kuphela lungakudida.

Isiphetho: umehluko phakathi kwe-BV nomkhuba wama-yeast iphunga nokwakheka, hhayi umbala nokuzwaya nje. I-pH strip engaphezu kuka-4.5 eniphunga le-nhlanzi ivumela i-BV, edinga incwadi kadokotela njalo. I-pH evamile nokuzwaya okunamandla nomkhuba omkhulu kuvumela ama-yeast. Lapho i-BV vs. umkhuba wama-yeast ungacacile ngempela, hlola kunokwelapha.

Isitatimende: Lesi sihloko senzelwe izinjongo zolwazi kuphela futhi akusona iseluleko sezokwelapha. Njalo xhumana nomhlinzeki wezempilo oqeqeshiwe ukuze uthole izinqumo zokuxilongwa nokwelashwa. Uma ubhekana nesimo esiphuthumayo sezokwelapha, shayela ku-911 noma uye egumbini eliphuthumayo eliseduze ngokushesha.