Cha. I-CDC ayibheki i-BV njengesifo esidluliselwa ngokobulili (STD) noma isifo esidluliselwa ngokobulili (STI). I-Bacterial vaginosis (BV) ukungalingani emagciwaneni asekhona e-vagina, hhayi igciwane elilodwa elidluliswa kusuka kumuntu oyedwa kuya komunye. Ubulili buyayithinta ingozi yakho, futhi idatha yocwaningo luka-2025 iyaphikisa lo mqondo, kodwa isiqondiso samanje siyasigcina.

TL;DR: Izinto Eziyinhloko Okufanele Uzikhumbule

  • I-BV ayibhekwa njengesifo esidluliselwa ngokobulili, futhi ivele ebantwini abangakaze benze ucansi.
  • Ukuhlanganiswa kocansi nokudluliselwa ngokobulili yimisho ehlukene. I-BV ingeyokuqala, hhayi eyesibili.
  • Phakathi kozakwethu besifazane, ukudluliselwa kuyiqiniso futhi bobabili abantu kufanele bahlolwe.
  • Ukwelashwa okuvamile kozakwethu besilisa kuselokhu kungamenyezelwa, naphezu kokuthi ucwaningo luka-March 2025 lwehlise ukubuya kwayo kakhulu.
  • Izimpawu ze-BV ziyamfanana nezifo zangempela ezidluliselwa ngokobulili, ngakho-ke ukuhlolwa kungcono kunokuzihlola.

Ingabe i-BV iyinga lezifo ezidluliselwa ngokobulili? Cha, futhi i-CDC ayikaze iyibeke njengeyodwa

Ingabe i-BV iyinga lezifo ezidluliselwa ngokobulili? Cha. I-Bacterial vaginosis yisimo esivamile kakhulu se-vagina kwabesifazane abaneminyaka engu-15 kuya ku-44, futhi i-CDC ayibali njengesifo esidluliselwa ngokobulili. I-ejensi iyavuma ngokusobala ukuthi kungani: abacwaningi abazi imbangela ye-BV, futhi ngamazwi e-CDC, "asazi nokuthi ubulili bubanga kanjani i-BV."

Lobo buqotho bubalulekile. I-CDC iphinde ithi i-BV ayivamisile ukuthinta labo abangakaze benze ucansi, okwenza umsebenzi wezocansi ube yingozi kunokuba ube yindlela yokudluliselwa. Njengamanje, yilapho isiqondiso esisemthethweni sikholwa khona. Ucwaningo olwenziwa ngo-2025 seluqala ukubeka ingcindezi kulokhu, futhi sizobuyela kulokhu ngezansi.

Ukuhlanganiswa kocansi nokudluliselwa ngokobulili akufani

Ingabe i-bacterial vaginosis iyinga lezifo ezidluliselwa ngokobulili? Umbuzo uqukethe imibuzo emibili ehlukene: ingabe ubulili buyayithinta amathuba akho okuthola i-BV, futhi ingabe i-BV ihlangabezana nomkhawulo wokuhlukaniswa njenge-STI. Izimpendulo ziyahluka ngempela. Ubulili buyayithinta. Ukuhlukaniswa akukalandelwa.

I-Cleveland Clinic iyichaza kalula nje njengoba umthombo wezempilo ungakwenza: "I-Bacterial vaginosis ayidluliselwa ngokobulili, kodwa ihlotshaniswa nomsebenzi wezocansi." Ukubuyekezwa kuka-2016 ku-Sexually Transmitted Diseases ngu Muzny kanye noSchwebke bacubungule ubufakazi bangempela besakhiwo esidliselwa ngokobulili futhi basagcina banqume ukuthi "kunzima ukusho ukuthi i-BV iyisifo esidluliselwa ngokobulili (STI)."

Ukuxhumana kusebenza ngendlela eyodwa. Kuleso sibuyekezo esifanayo, abesifazane abane-BV babenengozi ephindwe izikhathi ezingu-1.8 kuya ku-1.9 yokuthola i-gonorrhea ne-chlamydia, futhi i-MedlinePlus iphawula ukuthi i-BV engelapheki ihlotshaniswa nengozi ephakeme yokuthola isifo esidluliselwa ngokobulili (STD) kamuva. "Cha isifo esidluliselwa ngokobulili" akufani "nokuthi akufanele kuhlolwe."

Ungathola i-BV kozakwethu? Hhayi ngendlela otholwa ngayo i-chlamydia

Ungathola i-BV kozakwethu? Hhayi ngendlela yegciwane elilodwa, umuntu oyedwa nguyena okudlulisile njengoba kunjalo nge-chlamydia. Lokho ubulili obonakala ukukwenza ukubuyekeza ibhalansi yamagciwane. Uzakwethu omusha, ozakwethu abaningi, nokuzinakekela ngaphandle kukakanaseramusi zonke izici zengozi ezivunyiwe yi-CDC, futhi yikho ukubuyekezwa, hhayi igciwane eliqokiwe, okubonakala ekuxilongweni.

Qala ngokuqeda lokho abantu abakhathazeka ngakho ngasese: i-CDC ithi i-BV ayitholakali ezindlini zangasese, embhedeni, noma emachibini okubhukuda.

Amagciwane ahlobene ne-BV atholakale esikhunjeni sobumbana besilisa, futhi leyo yiyona imbangela eyinhloko yokuthi kungani ozakwethu bangase babaluleke nhlobo. Kuyimfundiso, hhayi iqiniso eliqinisekisiwe. Ayikho i-BV yabesilisa ekuphathweni kwamanje futhi akukho swab umdwebi ongayenza kusilisa abathi iyinhle.

Phakathi kozakwethu besifazane, i-BV iziphatha njengesifo esidluliselwa

Abesifazane bangazidlulisela i-BV omunye komunye? Yebo, futhi le yindlela eyodwa abaphathi bezempilo abayivunayo. I-CDC ithi i-BV ingadluliselwa phakathi kozakwethu bokulala besifazane, futhi uMuzny noSchwebke babike ukuthi i-BV ivame ukuba ngu-25% kuya ku-50% kwabesifazane abalala nabesifazane, iphethini ehambisana nokushintshana koketshezi lwe-vaginal njengendlela yokudluliselwa.

Ngakho-ke ingabe i-BV iyatheleleka? Phakathi kozakwethu besifazane, iyatheleleka ngempela, futhi i-Cleveland Clinic incoma ukuthi ozakwethu besifazane bahlolwe kunokuba babhekwe.

Okusebenzayo: uma wena nomlingani wakho ninayo i-vagina, niyobhekelwa bobabili, hhayi lowo onazo izimpawu kuphela. Khulumani ngezinto zokudlala ezihlanganyeliwe nokuxhumana ngokuqhaqha nomdwebi, ngoba lokhu kushintsha lokho abakuncoma.

Ucwaningo luka-2025 luyalubhala kabusha imithetho yokwelashwa kozakwethu

Abazakwethu badinga ukwelashwa kwe-BV? Ngokuvamile, cha. Iziqondiso Zokwelashwa Kwezifo Ezidluliselwa Ngokobulili ze-CDC zithi ukwelashwa okuvamile kozakwethu bokulala abesilisa akukhuthazwa, ngoba akukabonisi ukwehlisa ukuphindeka kwe-BV kumuntu olimele. Lokho kube yindinganiso iminyaka futhi kuselokhu kuyinto odokotela abaningi abayilandela.

Khona-ke kwafika u-March 2025. Ucwaningo olwenziwa ngokungahleliwe, olubikwe yi-CNN ngo-5 March 2025, lwathola ukuthi ukuphindeka kwe-BV kwehla ngaphezu kwengxenye lapho ozakwethu abesilisa belashwa ngamaphilisi omunye kanye ne-cream enoketshezi. Lowo mphumela uyanengqondo kuphela uma ungathola i-BV kozakwethu ngendlela ebalulekile, okuyikho okwenza ukuthi kube izindaba.

Inkinga: iziqondiso azishintshanga. Ukwelashwa kozakwethu akuyona inkonzo evamile namhlanje, futhi ukuyicela kusho ukucela umdwebi ukuthi adlule kuyo inhlanganiso ngenxa yocwaningo olulodwa. Uma i-BV yakho iqhubeka nokubuya, leyo nkulumo isafanele ukwenziwa. Cela ngqo: abazakwethu badinga ukwelashwa kwe-BV endabeni efana neyami, kucatshangelwa idatha ka-2025? Lindela isinqumo, hhayi inhlanganiso.

I-BV akuyona ubufakazi bokuthi umuntu ukopshile

Ingabe i-BV ishona ukuthi umlingani wami ukhohlisile? Cha. Ukuphikisa okuhlanzekile ukuthi i-BV ivele ebantwini abangakaze benze ucansi nhlobo, okusho ukuthi ukuxilongwa akunakuphatha ubufakazi mayelana nokwethembeka komuntu.

Izinto ezijwayelekile, ezingezona ezocansi zibuyekeza amagciwane e-vagina: ukudouching, insipho entsha, umshana womzimba noma umshana wokuhlanza, i-IUD, imithi yokuqeda amagciwane muva nje, kanye nokushintshashintsha kwamahomoni azungeze ukuya esikhathini. Cishe 35% wabantu abane-vagina bazothola i-BV ngezikhathi ezithile. Kuyinto evamile. Akuyona inganeko.

Uma uthola izigameko eziphindaphindayo, amaphethini kulula ukuwabona abhalwe kunokuba uwaqaphele. Uhlelo lokusebenza lomngane wezempilo njengo August AI lungakusiza ukuthi ubhale izimpawu, imikhiqizo kanye nesikhathi ukuze ukwazi ukubona ukuthi yini evame ukudala ukuvela. Kuyisihloko sokunakekelwa, hhayi ukuxilongwa.

Ukukhishwa okungajwayelekile kufanelekile ukubona kukadokotela, hhayi ukuzihlola

Izimpawu ze-BV ziyefana ne-trichomoniasis, i-chlamydia ne-pelvic inflammatory disease, zonke ezidinga ukwelashwa kozakwethu. Lokho kufana, hhayi i-BV uqobo, kuyisizathu sokuhlolwa kunokuthi kuqagelwe.

Shayela ku-911 noma uye egumbini lezimo eziphuthumayo manje uma:

  • Unefiva noma uzizwa ubanda kanye nobuhlungu esiswini noma esingezansi kwesisu (kungenzeka i-pelvic inflammatory disease).
  • Ubuhlungu esiswini bakho bungamahlaliseki noma buyanda.

Bhuka ukuvakashelwa phakathi nesonto elilandelayo uma:

  • Ukhulelwe futhi unokuphuma okungajwayelekile, ingcindezi esiswini, noma izimpawu zokubeletha ngaphambi kwesikhathi njengezitho zokuzala, ubuhlungu esiswini noma ukuvuza koketshezi, kucatshangelwa ukuxhumana kwe-BV nokubeletha ngaphambi kwesikhathi.
  • Izimpawu ziqhubeka noma zibuye ngemuva kokuthi uqede umjikelezo ogcwele wokwelashwa.
  • Ukuphuma kuhambisana nobuhlungu lapho uchama noma ukopha okungahlobene nokuya esikhathini kwakho.

Khuluma nodokotela ngaphambi kokuthi uqale uma:

  • Ucacisela imikhiqizo ethengiswa ngaphandle kwekhawunta, i-boric acid, noma ama-antibiotics asale.
  • Ukhulelwe.
  • Une-BV ebuyayo futhi ufuna ukuxoxa ngokwelashwa kozakwethu.

Uma ungakwazi ukungena ngokushesha, uvakasha ku-August's $39 online urgent care ukuze uxhumane nomdwebi onelayisense e-US ongahlola izimpawu zakho futhi achaze lapho kufanele. Udokotela uyayinquma. Yiba sobaleni ngomkhawulo: ukuvakasha okubuyekezwe akukwazi ukwenza isheke lesisu noma ukuthatha i-vaginal swab, ngakho-ke ukuhlolwa komuntu kungase kudingeke.

Imibuzo Evame Ukubuzwa

Ungathola i-BV ezindlini zangasese, echibini lokubhukuda, noma amathawula ahlanganyeliwe?

Cha. I-CDC ithi ngokusobala ukuthi i-BV ayitholakali ezindlini zangasese, embhedeni, noma emachibini okubhukuda. I-BV ukushintshashintsha kumagciwane asekhona emzimbeni wakho, hhayi igciwane elilindele endaweni. Uma ubuzayo "ingabe i-BV iyinga lezifo ezidluliselwa ngokobulili" ngoba ubheka lapho ungayithola khona, izinto ezihlanganyeliwe ziyimpumputhe. Izinto zokudlala zobulili ezihlanganyeliwe nomlingani wesifazane yindaba ehlukile.

Ungaba ne-BV futhi ungabi nezimpawu nhlobo?

Yebo, futhi kaningi kunalokho abantu abacabanga ngakho. I-Cleveland Clinic ithi cishe 84% wezigameko ze-BV azibangeli izimpawu, yingakho i-BV ivame ukutholakala ngokungahambi ngenkathi kuhlolwa njalo noma ukuhlolwa kwento enye. Kusho futhi ukuthi ukuba ngaphandle kokuphuma, ukuba ngaphandle kwephunga, nokuba ngaphandle kokucasuka akuyona ubufakazi bokuthi i-BV ayikho.

Ingabe i-BV idinga ama-antibiotics, noma ingaphela yodwa?

Ngezinye izikhathi iyaphela yodwa, kodwa uma unezimpawu, ukwelashwa kuyindlela ethembekile. Izinhlelo ezinconyiwe yi-CDC yilezi: metronidazole 500 mg ngomlomo kabili ngosuku iminyaka eyi-7, metronidazole vaginal gel 0.75% kanye ngosuku iminyaka eyi-5, noma clindamycin vaginal cream 2% ngaphambi kokulala iminyaka eyi-7. Qedela umjikelezo ogcwele noma ngabe izimpawu zibuyela emuva ngemuva kwezinsuku ezimbili noma ezintathu.

Ingabe i-BV iyinqaba uma ngikhulelwe?

Yebo, ngokwanele ukuthi ibhekwe njengebalulekile kunokuba ibhekwe. I-Cleveland Clinic ithi cishe 25% wabesifazane abakhulelwe bathola i-BV, futhi i-BV engelapheki yandisa ingozi yokubeletha ngaphambi kwesikhathi kanye nesisindo esingaphansi sokubeletha. Lezo yingozi yomphumela, hhayi ingozi yokududuza, yingakho ukuphuma okungajwayelekile ekukhulelweni kudinga ukushayela umhlinzeki wakho wokubeletha kunokuba ulinde isonto ukuze ubone.

Ungahlola umlingani wami wesilisa i-BV?

Cha. Ayikho inhlanganiso evamile, evunyiwe yokuhlolwa kwe-BV kozakwethu besilisa futhi ayikho i-BV yabesilisa ekuphathweni okujwayelekile. Ukuxilongwa kwenziwa kumuntu onemibala, kusekelwe ezimpawini kanye nesampula yoketshezi lwe-vaginal. Gcina lokhu kuhlanganiswa embuzweni wokwelashwa: ucwaningo luka-2025 beluphathelene nokwelashwa kozakwethu abesilisa, hhayi ngokuphathelene nokubahlola, futhi ukuhlolwa akuyona into umdwebi wakho angakunikeza yona njengamanje.

Okubalulekile: Ingabe i-BV iyinga lezifo ezidluliselwa ngokobulili? Cha, hhayi ngaphansi kokuhlukaniswa kwe-CDC kwamanje, futhi ivele kubantu abangakaze benze ucansi. Kodwa ubulili buyayithinta, iyadluliselwa phakathi kozakwethu besifazane, futhi idatha yocwaningo luka-2025 ibonisa ukuthi ozakwethu abesilisa bangase babaluleke kakhulu kunokuba iziqondiso zamanje zicabanga. Ukuphuma okungajwayelekile kusadinga ukuhlolwa, hhayi ukuzihlola.

Isitatimende: Lesi sihloko siyizinjongo zolwazi kuphela futhi asihlinzeki ngeluleko kwezokwelapha. Njalo thintana nomhlinzeki wezempilo ofanelekayo ukuze uthole izinqumo zokuxilongwa nokwelashwa. Uma ubhekene nesimo esiphuthumayo sezokwelapha, shayela u-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.