Ukutholakala Kwe-Bacterial Vaginosis? Izimpawu, Izimbangela, Nokwelashwa

I-bacterial vaginosis iwumkhuhlane ojwayelekile we-vagina oqala lapho izinga le-bacteria elijwayelekile e-vagina yakho liqala ukuhlupheka. Cabanga ngakho njengendlela yokuphila ye-vagina yakho eyahlukile kunokuba yingcindezi enkulu yempilo.

Lesi simo siqeda izigidi zabesifazane futhi empeleni yisona sizathu esivame kakhulu sokuqhuma okungajwayelekile kwe-vagina kwabesifazane abaseminyakeni yokuzala. Nakuba kungase kuzwakale kukhathaza uma uqala ukubona izimpawu, i-bacterial vaginosis iyancipha futhi iphendula kahle ekwelapheni.

Iyini i-bacterial vaginosis?

I-bacterial vaginosis ivela lapho i-bacteria eyingozi ikhula futhi iningi kune-bacteria enhle evame ukuhlala e-vagina yakho. I-vagina yakho inezinhlobo ezahlukene ze-bacteria, ngezinhle (ikakhulukazi i-lactobacilli) zigcina konke kuqondile futhi kuphilile.

Uma lokhu kuqondana kuqala ukukhathazeka nge-bacteria eyingozi njenge-Gardnerella vaginalis, i-Prevotella, noma i-Mobiluncus, uzoqeda nge-bacterial vaginosis. Akuyona into edluliselwa ngocansi, nakuba ukuhlangana ngocansi kungase kube yimbangela ngezinye izikhathi.

Lesi simo sidala indawo lapho i-vagina yakho iba mncane kunejwayelekile. Lokhu kushintsha kwe-pH kwenza kube lula ukuthi i-bacteria enenkinga ikhule futhi ibe mnengi.

Ziyini izimpawu ze-bacterial vaginosis?

Abesifazane abaningi abane-bacterial vaginosis baphawula ushintsho olukhulu ekukhishweni kwabo kwe-vagina nokunuka. Uphawu olukhulu kakhulu ngokuvamile ukukhishwa okuncinci, okumhlophe okumhlophe okune-odor enamandla, enuka inhlanzi eba namandla ngemuva kokulala ngocansi noma phakathi nesikhathi sakho.

Nazi izimpawu eziyinhloko ongazihlangabezana nazo:

• Ukukhishwa kwe-vagina okuncinci, okumhlophe okumhlophe, noma okuluhlaza okwesibhakabhaka
• I-odor enamandla enuka inhlanzi, ikakhulukazi ngemuva kokulala ngocansi
• Ukukhahlela noma ukuvuvukala kwe-vagina
• Ukuvutha lapho ukhishwa
• Ubuhlungu obuncane be-pelvic

Kubalulekile ukuphawula ukuthi cishe ingxenye yabesifazane abane-bacterial vaginosis abanawo noma yimiphi impawu. Ungase uthole nje ukuthi unayo ngesikhathi sokuhlolwa okujwayelekile kwe-pelvic noma lapho uhlolwa ezinye izimo.

I-odor enuka inhlanzi ngokuvamile iba namandla uma ixubene ne-semen noma igazi lesikhathi ngoba lezi zinto zininzi kakhulu futhi zenza i-odor ibe namandla.

Yini ebangela i-bacterial vaginosis?

Imbangela eqondile ye-bacterial vaginosis ayicaci ngaso sonke isikhathi, kodwa ivela ekungalingani kwe-bacteria yakho ye-vagina. Izinto eziningi zingaphazanyiswa indlela yokuphila e-vagina yakho futhi zivumele i-bacteria eyingozi ithole amandla.

Izinto ezivamile ezingabangela lokhu kungalingani kwe-bacteria zifaka:

• Ukuba nabalingani abaningi noma abasha bocansi
• Ukusebenzisa imikhiqizo ye-vagina ebukhali
• Ukuthatha ama-antibiotics ngezifo ezingezona
• Ukusebenzisa izifebe ezinuka, imikhiqizo yokugeza, noma imikhiqizo yokuhlanzeka kwabesifazane
• Ukubhema iziqhumane
• Ukuba ne-intrauterine device (IUD)
• Ukuhlukahluka kwe-hormonal ngokwemvelo phakathi kwesikhathi, ukukhulelwa, noma i-menopause

Ukuhlangana ngocansi kungafaka i-bacteria entsha noma kushintshe indawo ye-vagina, kodwa i-bacterial vaginosis ingase ibe khona kwabesifazane abangasebenzi ngocansi. Into ebalulekile yinoma yini ephazamisa izinga le-bacteria yakho.

Ukuqina, ukushoda kokulala, nokuqina kokuphepha komzimba kungakwenza ube sengozini. Ukuvikela komzimba wakho kusebenza kahle uma uphilile ngokujwayelekile.

Nini okufanele ubona udokotela nge-bacterial vaginosis?

Kufanele uxhumane nodokotela wakho uma ubona izimpawu ezintsha noma ezingajwayelekile ze-vagina, ikakhulukazi ukukhishwa okunuka inhlanzi. Nakuba i-bacterial vaginosis ingabi yingozi, kubalulekile ukuthola ukuxilongwa okuqondile ngoba ezinye izimo zingabangela izimpawu ezifanayo.

Hlela i-aphoyintimenti uma uhlangabezana nokukhahlela okungapheli kwe-vagina, ukuvutha, noma ukukhishwa okungapheli ngemuva kwezinsuku ezimbalwa. Ungazami ukuzixilonga noma ukwelapha ngemithi ye-yeast infection, njengoba le miyekezo ingayisizi i-bacterial vaginosis.

Funani usizo lokuthiwa ngokushesha uma uthola ubushushu, ubuhlungu obukhulu be-pelvic, noma uma ukhulelwe futhi ubona noma yiziphi izimpawu ze-vagina. Phakathi kokukhulelwa, i-bacterial vaginosis engaphathwe ingabangela izinkinga ngezinye izikhathi.

Uma uke waphathwa nge-bacterial vaginosis ngaphambili futhi izimpawu zibuyele, kufanele ubuye uphinde ubone ukuqinisekisa ukuthi uthola ukwelashwa okuphumelelayo esimweni sakho.

Ziyini izinto ezingenza ube sengozini ye-bacterial vaginosis?

Izinto ezithile zingakwenza ube sengozini enkulu yokuthola i-bacterial vaginosis ngokuthinta indawo yakho ye-vagina noma izinga le-bacteria. Ukuqonda lezi zinto ezingenza ube sengozini kungakusiza wenze izinqumo ezifanele mayelana nempilo yakho.

Izinto eziyinhloko ezingenza ube sengozini zifaka:

• Ukuba nomsebenzi ngocansi, ikakhulukazi nabalingani abaningi
• Ukusebenzisa i-douching noma ukusebenzisa i-vaginal irrigation
• Ukubhema imikhiqizo yotshwala
• Ukuba nendawo ye-vagina engasiki kakhulu ngokwemvelo
• Ukusetshenziswa kwamuva kwe-antibiotic ngezifo ezingezona
• Ukuba ngumuntu omnyama wase-Afrika (ngezizathu ezingaqondakali ngokuphelele)
• Ukuba nabalingani besifazane bocansi
• Ukusebenzisa i-intrauterine device yokulawula ukubeletha

Abesifazane abathile babonakala bekhona kakhulu e-bacterial vaginosis ngenxa ye-chemistry yabo ye-vagina. Lokhu akuyona into ongayilawula, kodwa ukwazi ukuthambekela kwakho kungakusiza wena nodokotela wakho ukuba wenze isu elihle lokuphepha.

Ubudala buphinde bube nomthelela, nge-bacterial vaginosis evame kakhulu eminyakeni yokuzala lapho amazinga e-estrogen aphezulu futhi umsebenzi ngocansi uvame kakhulu.

Ziyini izinkinga ezingase zibe khona ze-bacterial vaginosis?

Nakuba i-bacterial vaginosis iyancipha ngokuvamile, ukuyishiya ingaphathwa ngezinye izikhathi kungabangela izinkinga ezinkulu zempilo. Izindaba ezinhle ukuthi ngokwelashwa okuqondile, lezi zinkinga zimbalwa kakhulu.

Izinkinga ezingase zibe khona okufanele uzazi zifaka:

• Ukungena engozini enkulu yokuthola izifo ezidluliselwa ngocansi, kufaka phakathi i-HIV
• Isifo se-pelvic inflammatory (PID) uma i-bacteria isakazeka ezithombeni zokuzala
• Izinkinga zokukhulelwa njengokuzalwa kwangaphambi kwesikhathi noma ubunzima obuphansi
• Ukungena engozini enkulu yokutheleleka ngemuva kokwelashwa kwe-gynecological
• Ukutheleleka okuphindaphindayo kwe-urinary tract
• Ukungena engozini enkulu yokukhulelwa okungapheli ekuqaleni kokukhulelwa

Indlela yokuphila ye-vagina ephazamisekile yenza kube lula ukuthi ezinye izifo zithole amandla ngoba ukuvikela kwakho kwemvelo kuye kwonakala. Kungakho ukwelashwa okusheshayo kubalulekile, ikakhulukazi uma usebenza ngocansi.

Phakathi kokukhulelwa, i-bacterial vaginosis kufanele inakekelwe ngokwengeziwe ngoba ngezinye izikhathi ingabangela ukubeletha kwangaphambi kwesikhathi noma ithonye ukuthuthukiswa kwengane yakho. Noma kunjalo, ngokunakekelwa okufanele kwezokwelapha, abesifazane abakhulelwe abaningi abane-bacterial vaginosis banokukhulelwa okuhle.

I-bacterial vaginosis ixilongwa kanjani?

Udokotela wakho ngokuvamile angaxilonga i-bacterial vaginosis ngokuhlolwa okulula kwe-pelvic namaviki. Inqubo ilula futhi ngokuvamile inikeza imiphumela esheshayo, enembile.

Phakathi ne-aphoyintimenti yakho, umhlinzeki wakho wezokunakekelwa kwezempilo uzobuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Bese benza ukuhlolwa kwe-pelvic ukubuka ukukhishwa kwakho kwe-vagina futhi bahlole ezinye izimpawu zokutheleleka.

Inqubo yokuxilonga ngokuvamile ifaka ukuqoqa isampula yokukhishwa kwe-vagina ukuhlola ngaphansi komkhiqizo. Udokotela wakho uzobona ama-clue cells, okuyizingxenye ze-vagina ezimbozwe yi-bacteria ebonisa i-bacterial vaginosis.

Bangase futhi bahlole izinga le-pH lokukhishwa kwakho kwe-vagina ngokusebenzisa ibhande lokulinganisa elula. I-pH engaphezulu kuka-4.5 iphakamisa i-bacterial vaginosis, njengoba lesi simo senza i-vagina yakho ingabi namandla njengokujwayelekile.

Ngezinye izikhathi udokotela wakho uzoqhuba i-whiff test, lapho behlanganisa khona uthombo lwe-potassium hydroxide esampulini yakho yokukhishwa. I-odor enamandla enuka inhlanzi iqinisekisa ukuba khona kwe-bacterial vaginosis.

Ukuphathwa kwe-bacterial vaginosis kuyini?

I-bacterial vaginosis iphendula kahle ekwelapheni kwe-antibiotic, futhi abesifazane abaningi bazizwa bephilile ezinsukwini ezimbalwa nje beqala ukwelashwa. Udokotela wakho uzokunikeza ama-antibiotics omdlandla noma ukwelashwa kwe-vagina kuye ngesimo sakho.

Ukuphathwa okuvamile okuqokiwe kufaka:

• I-Metronidazole (Flagyl) ethathwe ngomlomo noma njenge-vaginal gel
• I-Clindamycin njenge-vaginal cream noma ama-oral capsules
• I-Tinidazole ethathwe ngomlomo ngezimo ezinzima
• I-Secnidazole njengephakheji yomgubo olulodwa oluthathwa ngomlomo

Udokotela wakho uzothola okukuhle kakhulu kuye ngomlando wakho wezokwelapha, uma ukhulelwe, kanye nezifiso zakho. Ukwelashwa kwe-vagina ngokuvamile kubangela imiphumela emibi emincane kodwa kungase kungabi lula njengezidakamizwa zomlomo.

Kubalulekile ukuqeda lonke uhlelo lwe-antibiotics ngisho noma uzizwa ukhulu ngaphambi kokuba uqede. Ukumisa ngokushesha kungavumela ukutheleleka kubuyele futhi kube nzima ukwelapha.

Uma usebenza ngocansi, udokotela wakho angase akukhuthaze ukuthi umlingani wakho futhi athole ukwelashwa ukuvimbela ukutheleleka kabusha, nakuba lokhu akuyona njalo okudingekayo ngoba i-bacterial vaginosis akuyona into edluliselwa ngocansi.

Ungayiphatha kanjani i-bacterial vaginosis ekhaya?

Nakuba ungakwazi ukwelapha i-bacterial vaginosis ngaphandle kwama-antibiotics, izindlela eziningi zokunakekelwa ekhaya zingakusiza uzizwe ukhulu futhi zikusekele ekuphileni kwakho. Lezi zindlela zisebenza kahle kanye nokuphathwa kwakho okuqokiwe.

Gxilisa ekuhlanzeni okuthambile okungayi kuhlupha izinga le-bacteria yakho ye-vagina. Sebenzisa kuphela isifebe esithambile, esingenasono ngaphandle kwendawo yakho yokuzala futhi ugweme i-douching noma ukusebenzisa ama-sprays okuhlanzeka kwabesifazane.

Gqoka i-underwear yekotoni ephumula futhi izingubo eziqondile ukuze ugcine indawo ye-vagina yomile futhi iphefumule. Shintsha izingubo zokugeza ezimanzi noma izingubo zokuzivocavoca ezimuncu ngokushesha ukuze uvikele ukudala indawo emanzi lapho i-bacteria ingakhula khona.

Cabanga ngokungeza ama-probiotics ohlelweni lwakho, noma ngezinsiza noma ukudla njenge-yogurt enezinto eziphilayo. Nakuba ucwaningo lusaphila, abesifazane abathile bathola ukuthi ama-probiotics asisiza ukugcina i-bacteria ye-vagina iphilile.

Gwema ukuhlangana ngocansi uze uqede ukwelashwa kwakho kwe-antibiotic futhi izimpawu ziye zaphela. Lokhu kunika indawo yakho ye-vagina isikhathi sokuphinda ibe yinjwayelekile futhi kunciphisa ingozi yokutheleleka kabusha.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kungakusiza uqinisekise ukuthi uthola ukuxilongwa okuqondile nokuphathwa okuphumelelayo. Ukuhlela okuncane kusenza i-aphoyintimenti ibe yinhle kuwe nodokotela wakho.

Hlela i-aphoyintimenti yakho ngesikhathi ongamenstruatingi uma kungenzeka, njengoba igazi lesikhathi lingaphazanyiswa imiphumela yokuhlola. Noma kunjalo, ungalibeki ukufuna usizo uma unezimpawu ezikhathazayo ngoba ukhona esikhathini sakho.

Gwema i-douching, ukusebenzisa imithi ye-vagina, noma ukuhlangana ngocansi amahora angu-24 ngaphambi kwe-aphoyintimenti yakho. Lezi zinto zingageza ubufakazi obasiza ekuxilongweni.

Bhala izimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini eyenza zibe ngcono noma zimbi, kanye nanoma yiziphi izindlela ozibonile. Phawula futhi noma yiziphi izinguquko zakamuva ohlelweni lwakho, imithi, noma umsebenzi ngocansi.

Letha uhlu lwemithi yonke kanye nezinsiza ozithathayo, kufaka phakathi ukuphathwa kokubeletha. Ezinye izidakamizwa zingathinta indawo yakho ye-vagina noma zisebenzisane nokuphathwa.

Iyini into ebalulekile mayelana ne-bacterial vaginosis?

I-bacterial vaginosis iyisimo esivamile, esiphatheka esithinta abesifazane abaningi ngesinye isikhathi ekuphileni kwabo. Nakuba izimpawu zingase zibe nzima futhi zikhathaze, kubalulekile ukukhumbula ukuthi lo mkhuhlane uphendula kahle ekwelapheni okufanele kwezokwelapha.

Isinyathelo esibaluleke kakhulu ukuthola ukuxilongwa okuqondile odokotela wakho kunokuzizwelapha. Okubonakala njenge-bacterial vaginosis kungase kube olunye uhlobo lokutheleleka oludinga ukwelashwa okuhlukile.

Ngokwelashwa okufanele kwe-antibiotic, abesifazane abaningi babona ukuthuthuka ezinsukwini ezimbalwa futhi baphelele ngaphakathi kweviki. Ukulandela uhlelo lwakho lokwelashwa ngokuphelele nokwenza izinguquko ezilula zokuphila kungakusiza ukuvimbela ukubuyela.

Khumbula ukuthi ukuba ne-bacterial vaginosis akuvezi ukuhlanzeka okubi noma izinqumo zomuntu siqu. Kuyisimo esivamile sezempilo esingase senzeke kunoma yisiphi isilisa, futhi ukufuna ukwelashwa kuyisinyathelo esihle sokulondoloza impilo yakho.

Imibuzo evame ukubuzwa mayelana ne-bacterial vaginosis

Ingaphela yodwa i-bacterial vaginosis?

Ngezinye izikhathi i-bacterial vaginosis ingaphela ngaphandle kokwelashwa, kodwa lokhu akukho ukuthembela noma okukhuthazwayo. Ukutheleleka ngokuvamile kubuyela futhi kungase kube sibi ngokuhamba kwesikhathi. Ukwelashwa okufanele kwe-antibiotic kuqinisekisa ukuthi kuhlanzekile ngokuphelele futhi kunciphisa ingozi yezinkinga, ikakhulukazi uma ukhulelwe noma usebenza ngocansi.

Ingabe i-bacterial vaginosis idluliselwa ngocansi?

I-bacterial vaginosis ayibhekwa njengento edluliselwa ngocansi, kodwa ukuhlangana ngocansi kungayibangela ngokufaka i-bacteria entsha noma ukushintsha indawo yakho ye-vagina. Abesifazane abangasebenzi ngocansi bangase bathuthukise i-bacterial vaginosis. Noma kunjalo, ukuba nabalingani abaningi kukwenza ube sengozini enkulu.

Ngingalala ngocansi yini ngenkathi ngiphathwa nge-bacterial vaginosis?

Kungcono ukugwema ukuhlangana ngocansi uze uqede ukwelashwa kwakho kwe-antibiotic futhi izimpawu ziye zaphela. Ucansi phakathi kokwelashwa kungafaka kabusha i-bacteria, kuphazamise ukuphulukisa, futhi kwenze kube lula ukudlulisela ukutheleleka kumlingani wakho. Linda udokotela wakho aqinisekise ukuthi ukutheleleka kuye kwaphela.

Kungani i-bacterial vaginosis ihlala ibuyela?

I-bacterial vaginosis ingabuya kwabesifazane abathile ngenxa yezinto ezinjengokushintsha kwe-hormonal, ukuhlangana ngocansi, i-douching, noma indawo ye-vagina engalingani. Uma uhlangabezana nokuphindaphinda okuvamile, udokotela wakho angase akukhuthaze ukwelashwa okude, ukwelashwa kokugcina, noma ama-probiotics ukuvimbela izigameko zesikhathi esizayo.

Ingabe ama-probiotics angasiza ukuvimbela i-bacterial vaginosis?

Ucwaningo oluthile luphakamisa ukuthi ama-probiotics aqukethe i-lactobacilli angasiza ukugcina impilo ye-vagina futhi kunciphisa ukubuyela kwe-bacterial vaginosis. Nakuba kungelona ukwelapha, ama-probiotics angase asekele izinga le-bacteria yakho yemvelo uma esetshenziswa kanye nokuphathwa okufanele kwezokwelapha. Xoxa nodokotela wakho mayelana nokuthi ama-probiotics angase abe usizo esimweni sakho.