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Ukubeletha Okungcolile

Uhlolojikelele

I-Bacterial vaginosis (BV) ingabangela ukungakhululeki nobuhlungu be-vagina. Kwenzeka uma amazinga e-bacteria wemvelo engalingani. Amazinga e-bacteria alinganisiwe asikisela ukugcina i-vagina iphilile. Kodwa uma kukhula kakhulu kwezinye i-bacteria, kungabangela i-BV.

I-Bacterial vaginosis ingenzeka kunoma iyiphi iminyaka. Kodwa ivame kakhulu phakathi neminyaka yokuzala. Ukushintsha kwamahomoni ngalesi sikhathi kwenza kube lula ukuthi izinhlobo ezithile ze-bacteria zikhule. Futhi, i-bacterial vaginosis ivame kakhulu kulabo abasebenza ngokobulili. Akucaci ukuthi kungani kunjalo. Kodwa imisebenzi efana nokuya ocansini ongazivikelwe nokugeza i-vagina iphakamisa ingozi yakho yokuba ne-BV.

Izimpawu

Izimpawu ze-bacterial vaginosis zifaka: Ukuphuma okunwebezelayo, okungase kube luhlaza, mhlope noma oluhlaza okwesibhakabhaka. Iphunga elibi, "le-fishy" ekuphumeni kwesikhumba. Ukukhahlela kwesikhumba. Ukushisa lapho ukhishwa khona. Abantu abaningi abane-bacterial vaginosis abanazo izimpawu. Yenza i-aphoyintimenti ukubona ochwepheshe bezempilo uma: Ukuphuma kwakho kwesikhumba kunuka ngokungajwayelekile futhi unezinhlungu. Udokotela wakho angakusiza ukuthola imbangela yezimpawu zakho. Wake waba nezinhlungu zesikhumba ngaphambili kodwa ukuphuma kwakho kubonakala kuhlukile kulokhu. Uneqabane elisha lobulili noma amaqabane ahlukene obulili. Ngezinye izikhathi, izimpawu zokutheleleka okuthathwa ngocansi (STI) zifana nalezo ze-bacterial vaginosis. Ucabanga ukuthi une-yeast infection kodwa usenezimpawu ngemva kokwelapha ngokwakho.

Isikhathi sokubona udokotela

Yenza i-aphoyintimenti ukubona ubungcweti bezempilo uma:

  • Ukukhipha kwakho kwesikhumba kunuka ngokungavamile futhi unezinkinga. Udokotela wakho angakusiza ukuthola imbangela yezimpawu zakho.
  • Wake waba nezinhlungu zesikhumba ngaphambili kodwa ukukhipha kwakho kubonakala kuhlukile kulokhu.
  • Uneqabane elisha lobulili noma iqabane ezahlukene zobulili. Ngezinye izikhathi, izimpawu zokutheleleka okuthunyelwa ngocansi (STI) zifana nalezo ze-bacterial vaginosis.
  • Ucabanga ukuthi ube ne-yeast infection kodwa usenezimpawu ngemva kokwelapha ngokwakho.
Izimbangela

I-bacterial vaginosis kwenzeka lapho amazinga e-bacteria wemvelo esiphwini sengane engalingani. I-bacteria esiphwini sengane ibizwa ngokuthi i-flora yesiphwini sengane. I-flora yesiphwini sengane elinganisiwe iyasiza ekugcineni impilo yesiphwini sengane. Ngokuvamile i-bacteria "enhle" iningi kune-bacteria "embi". I-bacteria enhle ibizwa ngokuthi yi-lactobacilli; i-bacteria embi yi-anaerobes. Uma kukhona i-anaerobes eningi kakhulu, iyakuphazamisa ukulingana kwe-flora, ibangele i-bacterial vaginosis.

Izici eziyingozi

Izimbangela ezingozi ze-bacterial vaginosis zifaka:

  • Ukuba nabalingani abaningi bobulili noma umlingani omusha wobulili. Ubuhlobo phakathi kokuba nobulili ne-bacterial vaginosis abucaci. Kodwa i-BV ivela kaningi lapho umuntu enabalingani abaningi noma abasha bobulili. Futhi, i-BV ivame kakhulu lapho ubulili babalingani bobabili buyibufumazi.
  • Ukugeza i-vagina (douching). I-vagina iyazihlanza. Ngakho ukugeza i-vagina yakho ngamanzi noma ngenye into akudingeki. Kungase kube nomphumela omubi. Ukugeza i-vagina kuphazamisa ukulingana okunempilo kwe-bacteria kwi-vagina. Kungabangela ukwanda kwe-bacteria anaerobic, okubangela i-bacterial vaginosis.
  • Ukwehluleka kokukhiqiza ama-lactobacilli bacteria. Uma i-vagina yakho ingakhiqizi ama-lactobacilli anele, kungenzeka kakhulu ukuthi uthuthukise i-bacterial vaginosis.
Izingqinamba

I-vaginosis yebhaktheriya ayibangeli izinkinga kaningi. Kodwa ngezinye izikhathi, ukuba ne-BV kungadala:

  • Ukutheleleka ngocansi. Uma une-BV, unesikhathi esiningi sokuthola i-STI. I-STI ihlanganisa i-HIV, i-herpes simplex virus, i-chlamydia noma i-gonorrhea. Uma une-HIV, i-vaginosis yebhaktheriya iphakamisa ingozi yokudlulisela i-virus kumlingani wakho.
  • Ingozi yokutheleleka ngemva kokuhlinzwa kwesiguli. Ukuba ne-BV kungandisa ingozi yokuthuthukisa ukutheleleka ngemva kokuhlinzwa njengokusika kwesisu noma ukwandisa nokuhlanza (D&C).
  • Isifo sokuvuvukala se-pelvic (PID). I-vaginosis yebhaktheriya ngezinye izikhathi ingabangela i-PID. Lokhu kutheleleka kwesisu kanye ne-fallopian tubes kuphakamisa ingozi yokungabi nambewu.
  • Izinkinga zokukhulelwa. Izifundo zangaphambili zibonise ukuxhumana okungenzeka phakathi kwe-BV nezingqinamba zokukhulelwa. Lokhu kuhlanganisa ukuzalwa kwangaphambi kwesikhathi nokukhuluka okuncane. Izifundo ezintsha zibonisa ukuthi lezi zingqinamba zingase zibangelwe ezinye izizathu. Lezi zizathu zihlanganisa ukuba nomlando wokubeletha kwangaphambi kwesikhathi. Kodwa izifundo ziyavuma ukuthi kufanele uhlolwe uma ubona izimpawu ze-BV ngesikhathi ukhulelwe. Uma kuqinisekisiwe, udokotela wakho angakhetha ukwelashwa okuhle kuwe.
Ukuvimbela

Ukuvimbela ukutheleleka kwe-bacterial vaginosis:

  • Ungasebenzisi imikhiqizo enencasa. Geza izitho zakho zangasese ngamanzi afudumele kuphela. Iziqholo ezinuka kahle nezinye izimikhiqizo ezinuka kahle zingathukuthelisa izicubu zesikhumba. Sebenzisa ama-tampons noma ama-pads angenasono kuphela.
  • Ungadingeki. Ukugeza ngamanzi akuyihlanza ukutheleleka kwesikhumba. Kungakwenza kube sibi nakakhulu. Isikhumba sakho asidingi ukuhlanzwa ngaphandle kokuhlanza okuvamile. Ukugeza ngamanzi kuphula i-flora yesikhumba, kukwandisa ingozi yokutheleleka.
  • Yenza ubulili obulondekile. Ukuze unciphise ingozi ye-STIs, sebenzisa ama-condoms e-latex noma ama-dental dams. Hlanza noma iyiphi imidlalo yocansi. Nciphisa inani labangane bakho bocansi noma ungabi nobulili.
Ukuxilongwa

Ukuthola i-bacterial vaginosis, udokotela wakho angase:

  • Akubuze imibuzo mayelana nomlando wakho wezokwelapha. Udokotela wakho angase akusize mayelana nanoma yiziphi izifo ze-vagina noma i-STI obuke waba nazo ngaphambili.
  • Athathe isampula yokukhishwa kwe-vagina. Lesi sampula sizohlolwa "ama-clue cells." Ama-clue cells yizicubu ze-vagina eziqoshiwe ngama-bacteria. Lena yisibonakaliso se-BV.
  • Ahlole i-pH yakho ye-vagina. Ukubanda kwe-vagina yakho kungahlolwa nge-pH strip. Ubeka i-test strip e-vagina yakho. I-pH ye-vagina engu-4.5 noma ngaphezulu yisibonakaliso se-bacterial vaginosis.
Ukwelashwa

Ukuze welaphe i-bacterial vaginosis, udokotela wakho angakunika olunye lwemithi elandelayo:

  • Metronidazole (Flagyl, Metrogel-Vaginal, nabanye). Lolu lwemi thi luza njengephilisi noma ijeli efakeka ngaphandle. Uphuza iphilisi, kodwa ijeli ifakwa esibelethweni sakho. Gwema utshwala ngesikhathi usebenzisa le mithi futhi usuku lonke ngemuva kwalokho. Kungabangela isicanucanu noma ubuhlungu besisu. Hlola imiyalo emikhiqizweni.
  • Clindamycin (Cleocin, Clindesse, nabanye). Lolu lwemi thi luza njengekhrimu oyifaka esibelethweni sakho. Noma ungasebenzisa uhlobo lwephilisi noma i-suppository. Ikhirim ne-suppositories zingenza ama-condom alux latex abe buthakathaka. Gwema ucansi ngesikhathi sokwelashwa futhi okungenani izinsuku ezintathu ngemuva kokuba uyeka ukusebenzisa le mithi. Noma sebenzisa enye indlela yokulawula ukubeletha.
  • Tinidazole (Tindamax). Uthatha le mithi ngomlomo. Ingabangela ukuphazamiseka kwesisu. Ngakho-ke gwema utshwala ngesikhathi sokwelashwa futhi okungenani izinsuku ezintathu ngemuva kokuphelelisa ukwelashwa.
  • Secnidazole (Solosec). Lena i-antibiotic oyidlayo kanye kuphela ngokudla. Iza njengephakheji yama-granules ozichitha ekudleni okumnandi, njengoba i-applesauce, i-pudding noma i-yogurt. Udlala le ngxube phakathi kwemizuzu engama-30. Kodwa qaphela ukungagugi noma ukungagugi ama-granules. Ngokuvamile, ukwelashwa akudingeki kumlingani wobulili obunesondo lesilisa. Kodwa i-BV ingasabalala kubalingani abanesondo lesifazane. Ngakho-ke ukuhlolwa nokwelashwa kungadingeka uma umlingani wesifazane enezimpawu. Thatha imithi yakho noma sebenzisa ikhrimu noma ijeli isikhathi eside njengoba kuqokiwe, ngisho noma izimpawu zakho ziyaphela. Uma uqeda ukwelashwa ngokushesha, i-BV ingabuya. Lokhu kubizwa ngokuthi yi-bacterial vaginosis ephindaphindayo. Kujwayelekile ukuthi i-bacterial vaginosis ibuye phakathi nezinyanga ezingu-3 kuya kweziyi-12 ngisho noma kunokwelashwa okuqondile. Abacwaningi bahlola izinketho ze-BV ephindaphindayo. Uma izimpawu zakho zibuya ngokushesha ngemuva kokwelashwa, khuluma neqembu lakho lokunakekelwa. Kungase kube nokwenzeka ukuthi uthathe ukwelashwa kwe-metronidazole okuqhubekayo. Kungase kube khona inzuzo kuma-probiotics, kodwa kuludingeka ulwazi oluthe xaxa. Evivinyweni lokuhlukaniswa ngokungahleliwe, ama-probiotics ayengekho ngcono kunokwelashwa okungenawo imithi, okuthiwa yi-placebo, ekuyekiseni i-BV ephindaphindayo. Ngakho-ke ama-probiotics awanconywa njengendlela yokwelapha i-bacterial vaginosis. sixhumanisi sokukhansela i-imeyili.

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