Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
I-Vaginitis iwukuvuvukala noma ukuvuvukala kwesigxobo esibangela ukungakhululeki, ukukhishwa, nezinye izimpawu eziphazamisayo. Yingomunye wezizathu ezivame kakhulu abesifazane bavakashela ngazo abahlinzeki bezempilo, ithonya izigidi zabesifazane unyaka ngamunye.
Lokhu akusona isimo okufanele uhlanekezele ngaso. Isigxobo sakho sinezinga elilinganiselayo labhaktheriya ne-yeast elingaphazanyiswa kalula izinto zansuku zonke njengokucindezeleka, imithi, noma ukushintsha okujwayelekile.
I-Vaginitis ibhekisela kunoma yisiphi isimo esenza isigxobo sakho sibe nokuvuvukala, ukuvuvukala, noma ukutheleleka. Cabanga ngakho njengendlela yesigxobo sakho yokubonisa ukuthi kukhona okuye kwaphazamisa ukulinganisela kwalo okujwayelekile, okunempilo.
Isigxobo sakho sihlala sinendawo enesibopho esincane enabhaktheriya ezinhle ebizwa ngokuthi yi-lactobacilli. Lezi bhaktheriya ezinhle zisiza ekuqapheleni izinto eziyingozi. Uma lokhu kuqina kuphazanyiswa, izimpawu ezingakhululeki zingase zivele.
Lesi simo singathinta abesifazane bazo zonke izigaba, kusukela ebuntwaneni kuya kwabesifazane abasekupheleni kweminyaka yabo. Isigaba ngasinye singase sibhekane nezici ezahlukene nezinhlobo ze-vaginitis ngokusekelwe ekuguqukeni kwamahomoni nezici zesitayela sokuphila.
Kunezinhlobo eziningi ze-vaginitis, ngayinye inezimbangela kanye nezici zayo ezithile. Ukuqonda ukuthi yiluphi uhlobo onalo kusiza ekutholeni indlela efanele yokwelapha.
I-Bacterial Vaginosis (BV) kwenzeka lapho ibhaktheriya eyingozi ikhula kakhulu futhi inenani elikhulu kunabhaktheriya abalungile esigxobeni sakho. Lokhu kudala ukungalingani okubangela ukukhishwa okunqunu, okumhlophe noma okumnyama okunephunga eliqinile, le-fishy, elivame ukubonakala kakhulu ngemva kokuthandana.
Ukutheleleka kwe-Yeast kwenzeka lapho i-fungus ebizwa ngokuthi yi-Candida ikhula kakhulu esigxobeni sakho. Uzovame ukubona ukukhishwa okugcwele, okumhlophe, okufana ne-cottage cheese kanye nokuthimbeka nokusha okukhulu.
I-Trichomoniasis ibangelwa yi-parasite encane futhi ibhekwa njengokutheleleka okudluliselwa ngocansi. Ivamise ukukhiqiza ukukhishwa okunamafutha, oluhlaza okotshani olunephunga eliqinile, kanye nokuthimbeka nobuhlungu ngesikhathi sokuthamba.
I-Atrophic Vaginitis ithuthukiswa lapho amazinga e-estrogen ewa, ngokuvamile ngesikhathi se-menopause noma ukuncelisa. Izindonga zesigxobo ziyaba mancane futhi zome, okuholela ekuvuvukaleni nasekungakhululeki.
I-Noninfectious Vaginitis ivela ekuvuvukaleni okubangelwa yisifebe, izinto zokugeza, izinto zokuthambisa, noma ezinye izikhemikhali. Lolu hlobo alubandakanyi ibhaktheriya, i-yeast, noma i-parasites.
Izimpawu ze-Vaginitis zingase zihluke kuye ngokuthi yini ebangela ukuvuvukala, kodwa kunezibonakaliso ezivamile umzimba wakho owusebenzisa ukuthumela umyalezo wokuthi kukhona okudinga ukunakekelwa. Lezi zimpawu zingase zithuthuke kancane kancane noma zivele ngokuzumayo.
Izimpawu ezivamile ongazihlangabezana nazo zihlanganisa:
Abanye abesifazane baphawula ukuthi izimpawu zabo ziyaqina ngaphambi kwesikhathi sabo sokuya exesha noma ngemva kokuthandana. Ubukhulu bungase bube ukuphazamiseka okuncane kuya ekungakhululeki okukhulu okuphazamisa imisebenzi yansuku zonke.
Ezimweni ezingavamile, ungase uhlangabezane nezimpawu ezingavamile njengobuningi obukhulu emathunjini, ukufiphaza, noma ukuphuma igazi okukhulu. Lezi zibonakaliso zingase zibonise isimo esinzima esidinga ukunakekelwa ngokushesha kwezokwelapha.
I-Vaginitis ithuthukiswa lapho kukhona okuye kwaphazamisa ukulinganisela okujwayelekile esigxobeni sakho, kuvumela izinto ezingozi ukuba zande noma kubangele ukuvuvukala ngokuqondile. Ukuqonda lezi zici zingakusiza ukuthi uvikele izigaba zesikhathi esizayo.
Izimbangela ezivamile zihlanganisa:
Eminye imithi ngaphandle kwe-antibiotics ingase futhi iqalise i-vaginitis. Ama-steroids namaphilisi okulawula ukubeletha angashintsha amazinga akho e-hormone, kuyilapho imithi ye-chemotherapy ingase iyandise amandla omzimba wakho okugcina impilo yesigxobo.
Ngokungavamile, izimo ze-autoimmune, ukungezwani kwe-latex condoms, noma izifo ezimbi kakhulu ze-genetic zingase zinikeze i-vaginitis ephindaphindayo. Abanye abesifazane bathuthukisa ukungezwani kokudla okuthile noma izinto ezingavamile ezibangela izimpawu.
Kufanele uxhumane nomhlinzeki wakho wezempilo uma uhlangabezana nezimpawu zesigxobo okokuqala noma uma izimpawu zakho zinzima noma zihlala isikhathi eside. Ukuthola ukuxilongwa okuqondile kuqinisekisa ukuthi uthola ukwelashwa okulungile.
Funani ukunakekelwa kwezokwelapha uma uqaphela noma yiziphi izibonakaliso ezikhathazayo:
Unganqikazi ukubiza udokotela wakho uma uzama ukwelashwa okungenamthetho ngaphandle kokuthola impumelelo. Ukuzixilonga ngokwakho ngezinye izikhathi kungase kuholele ekusebenziseni ukwelashwa okungalungile, okungase kwenze izimpawu zibe zimbi noma zihlanganise isimo esinzima kakhulu.
Uma uhlangabezana nezimpawu ezinzima ngokuzumayo, njengobuningi obukhulu, ukuphuma igazi okukhulu, noma ukufiphaza okuphezulu, funani ukunakekelwa kwezokwelapha ngokushesha. Lezi zingase zibonise izinkinga ezidinga ukwelashwa okusheshayo.
Izici ezithile zingakwenza ube nethuba elikhulu lokuthuthukisa i-vaginitis ngokuqeda izindlela zokuzivimbela zesigxobo sakho. Ukwazi izici zakho zengozi kusiza ukuthi uthathe izinyathelo zokuvikela.
Izici zengozi ezivamile zihlanganisa:
Iminyaka yakho iphinde idlale indima emazingeni akho engozi. Amantombazane amancane ngaphambi kobuthombo nabesifazane abasekupheleni kweminyaka yabo banezinga eliphansi le-estrogen, okungenza izicubu zesigxobo zibe buthakathaka ekuvuvukaleni nasekuthelelekeni.
Ezinye izici zengozi ezingavamile zihlanganisa ukuba nesistimu yokuzikhusela ecindezelwe imithi noma izimo zezokwelapha, ukuhlangabezana nokucindezeleka okuqhubekayo, noma ukuba nomlando wokutheleleka okudluliselwa ngocansi. Abesifazane abakhiqiza bangase babe nezinga eliphezulu lezinye izinhlobo ze-vaginitis.
Nakuba izimo eziningi ze-vaginitis zilula ukwelashwa futhi azibangeli izinkinga ezinkulu, ukushiya isimo singalashwa ngezinye izikhathi kungase kuholele ezinkingeni. Ukuqonda lezi zinto zingakusiza ukuthi uqonde ukuthi kungani ukwelashwa okusheshayo kubalulekile.
Izinkinga ezingase zivele zihlanganisa:
Abesifazane abakhulelwe abangenayo i-vaginitis abalashwe babhekene nezingozi ezengeziwe. I-Bacterial vaginosis, ikakhulukazi, ingase ikhulise amathuba okuqhekeka kwesikhumba ngaphambi kwesikhathi noma ukusebenza ngokushesha.
Ezimweni ezingavamile, i-vaginitis enzima noma ehlala isikhathi eside ingase ibonise izimo eziyisisekelo njengesi-diabetes, izifo zesimiso sokuvikela, noma ukungalingani kwamahomoni okudinga ukuphathwa kwezokwelapha. Abanye abesifazane bathuthukisa i-chronic vulvodynia, isimo esibangela ubuhlungu obuqhubekayo be-vulvar ngisho nalapho ukutheleleka kuphela.
Ungathatha izinyathelo eziningi eziwusizo ukuze ulondoloze impilo yesigxobo sakho futhi unciphise amathuba akho okuthuthukisa i-vaginitis. Lezi zindlela zokuvikela zigxile ekusekeleni izindlela zokuzikhusela zemvelo zomzimba wakho.
Izindlela zokuvikela ezisebenzayo zihlanganisa:
Uma uthatha i-antibiotics, cabanga ukudla i-yogurt enezinkulungwane eziphilayo noma ukuthatha ama-probiotics ukuze usize ukugcina ibhaktheriya enempilo yesigxobo. Qeda lonke uhlelo lwakho lwe-antibiotics njengoba kunqunyiwe, ngisho noma uzizwa kangcono.
Ngesikhathi sakho sokuya exesha, shintsha ama-tampons nama-pads njalo. Abanye abesifazane bathola ukuthi imikhiqizo ethile ibathinta, ngakho qaphela ukuthi yini esebenza kangcono emzimbeni wakho futhi ushintshe uma kudingeka.
Umhlinzeki wakho wezempilo uzoxilonga i-vaginitis ngokusebenzisa ukuxoxa ngezimpawu zakho, ukwenza ukuhlolwa komzimba, nokwenza izivivinyo zelebhu. Lendlela ephelele iqinisekisa ukuthi uthola ukuxilongwa okulungile nokwelashwa.
Inqubo yokuxilonga ngokuvamile ihlanganisa ukubuza ngezimpawu zakho, umlando wobulili, kanye nokushintsha kwemithi noma isitayela sokuphila. Udokotela wakho udinga lolu lwazi ukuze aqonde ukuthi yini engase ibe yimbangela yokungakhululeki kwakho.
Ngesikhathi sokuhlolwa komzimba, umhlinzeki wakho uzohlola i-vulva yakho nesigxobo, efuna izibonakaliso zokuvuvukala, ukukhishwa okungavamile, noma ezinye izinto ezingavamile. Lokhu kuhlolwa ngokuvamile kuyashesha futhi akufanele kube buhlungu kakhulu.
Izivivinyo zelebhu zisiza ekutholeni imbangela ethile ye-vaginitis yakho. Udokotela wakho angase aqoqe isampula yokukhishwa kwesigxobo ukuze ahlole ngaphansi komkhiqizo noma ayithumele elebhu ukuze ikhule ibhaktheriya. Ukuhlolwa kwe-pH kungase futhi kunikeze ulwazi oluwusizo mayelana nendawo yesigxobo.
Ezimweni ezithile, ukuhlolwa okuqhubekayo kungase kudingeke uma imiphumela yokuqala ingacaci noma uma unemikhuhlane ephindaphindayo. Lokhu kungase kuhlanganise izivivinyo zegazi ukuze uhlole isifo sikashukela noma ezinye izimo ezingase zinikeze izimpawu zakho.
Ukwelashwa kwe-vaginitis kuncike kulokho okubangela izimpawu zakho, kodwa izindaba ezinhle ukuthi izinhlobo eziningi ziphendula kahle emithi efanele. Umhlinzeki wakho wezempilo uzokhetha ukwelashwa okuhle kakhulu ngokusekelwe ekuxilongweni kwakho okuthile.
Nge-bacterial vaginosis, odokotela ngokuvamile banquma i-antibiotics njenge-metronidazole noma i-clindamycin. Lezi zitholakala ngomlomo noma njenge-gels noma ama-creams esigxobo owafake ngokuqondile endaweni ethintekile.
Ukutheleleka kwe-Yeast ngokuvamile kuphendula emithi ye-antifungal njenge-fluconazole (ethathwa ngomlomo) noma ukwelashwa okusetshenziswayo njenge-miconazole noma i-clotrimazole. Izinketho ezingenamthetho zitholakala, kodwa kungcono ukuqinisekisa ukuxilongwa kwakho nodokotela wezokwelapha kuqala.
I-Trichomoniasis idinga i-antibiotics enqunyiwe, ngokuvamile i-metronidazole noma i-tinidazole. Ulingani wakho wobulili uzodinga ukwelashwa futhi ukuvimbela ukutheleleka kabusha, ngisho noma abanawo izimpawu.
I-Atrophic vaginitis ngokuvamile iphendula ekwelapheni kwe-estrogen, okungase kufakwe ngokwakho njenge-cream, iringi, noma ithebulethi. Lokhu kusiza ekubuyiseni ubukhulu besigxobo kanye nokufuma kwemvelo.
Nge-noninfectious vaginitis, ukwelashwa okuyinhloko kuhlanganisa ukuthola nokuqeda into evuvukalayo. Udokotela wakho angase futhi ancome ukwelashwa okuthambile ukuze usize izicubu zakho zilulame.
Ngesikhathi uthola ukwelashwa kwezokwelapha nge-vaginitis, izindlela eziningi zokunakekela ekhaya zingakusiza uzizwe ukhululekile futhi usekele ukuphulukisa kwakho. Lezi zindlela zisebenza kangcono kanye, hhayi esikhundleni, sokwelashwa okuqondile kwezokwelapha.
Izinyathelo zokunethezeka ongazama ukuzifaka zihlanganisa:
Hlala uthambile ngokuphuza amanzi amaningi, okungasiza ekuthambiseni umchamo wakho nokwenza ukuthamba kube buhlungu kancane. Abanye abesifazane bathola ukuthi ukuqeda i-caffeine, utshwala, nokudla okunoshukela kusiza ekuqedeni ukuvuvukala.
Ama-probiotics, noma ngesimo sesengezo noma ngokudla okunjenge-yogurt elula, angase asize ekuvuseleleni ibhaktheriya enempilo. Noma kunjalo, unganciki kulokhu kuphela ngokwelashwa.
Melana nesifiso sokuskrabha, ngisho noma ukuthimbeka kunzima, njengoba lokhu kungase kwenze ukuvuvukala kube sibi futhi kungase kungenise ibhaktheriya entsha. Uma ukuthimbeka kunzima, xoxa nodokotela wakho wezokwelapha ngezinketho ezilondekile zokukhululeka.
Ukulungiselela i-aphoyintimenti yakho kusiza ekuqinisekiseni ukuthi uthola ukuxilongwa okuqondile kakhulu kanye nelenkaneli lokwelapha eliphumelelayo. Ukulungiselela kancane kungenza i-aphoyintimenti ibe yintokozo kakhulu futhi ibe yintokozo kuwe kanye nomhlinzeki wakho wezempilo.
Ngaphambi kwe-aphoyintimenti yakho, bhala izimpawu zakho, kufaka phakathi ukuthi zaqala nini, zizizwa kanjani, nanoma yini ezenza zibe ngcono noma zimbi. Qaphela noma yikuphi ukushintsha ekukhishweni kwakho, kufaka phakathi umbala, iphunga, nokulingana.
Butha ulwazi mayelana nomlando wakho wezokwelapha wamuva, kufaka phakathi noma yikuphi i-antibiotics noma imithi emisha oyithathe, ukushintsha ekulawuleni ukubeletha, noma abalingani abasha bobulili. Lokhu kusiza udokotela wakho ukuthi athole izici ezingase zibe yimbangela.
Hlela i-aphoyintimenti yakho ngesikhathi ongakaqali ukuya exesha uma kungenzeka, njengoba lokhu kwenza ukuhlolwa nokulingwa kube lula. Noma kunjalo, ungalibeki ukufuna ukunakekelwa uma unezimpawu ezinkulu ngoba uya exesha.
Gwema ukugeza, ukusebenzisa imithi yesigxobo, noma ukuthanda ubulili amahora angu-24-48 ngaphambi kwe-aphoyintimenti yakho, njengoba lokhu kungaphazanyiswa imiphumela yokuhlola. Ukugeza okujwayelekile ngamanzi nje kulungile.
Lungiselela uhlu lwemibuzo ofuna ukuyibuza, njengokuthi ukwelashwa kuthatha isikhathi esingakanani, nini okufanele uzizwe kangcono, noma indlela yokuvimbela izigaba zesikhathi esizayo. Unganqikazi ukucela incazelo uma ungaqondi lutho.
I-Vaginitis iyisimo esivamile, esilula ukwelashwa esithinta abesifazane abaningi ngesinye isikhathi ekuphileni kwabo. I-key yokuphatha ngempumelelo iwukufuna ukuxilongwa okuqondile kwezokwelapha nokwelashwa kunokuzimisela ukuthi yini engalungile noma ukuzilapha ngezindlela zokwelapha zasekhaya.
Khumbula ukuthi ukuba ne-vaginitis akubonisi ukuhlanzeka kwakho noma ukukhetha kwesitayela sokuphila. Isigxobo sakho sinokulinganisela oluyinkimbinkimbi, oluthambile olungaphazanyiswa izinto eziningi zansuku zonke ngaphandle kokulawula kwakho.
Ngokunakekelwa okuqondile kwezokwelapha, izimo eziningi ze-vaginitis ziyaphulukisa ngokushesha nangokuphelele. Ukulandela uhlelo lwakho lokwelapha nokuthatha izinyathelo zokuvikela kungasiza ekuqedeni amathuba ezigaba zesikhathi esizayo.
Ungavumeli ukuhlanekezela kukuvimbele ekufuneni usizo. Abahlinzeki bezempilo balapha i-vaginitis njalo futhi bafuna ukukusiza uzizwe ukhululekile futhi unempilo futhi. Ukwelashwa okusheshayo kuvimbela izinkinga futhi kukubuyisela ekuzizweni njengoba ukhona ngokushesha.
Ezinye izimo ezilula ze-vaginitis zingase ziphulukise ngaphandle kokwelashwa, kodwa akunconywa ukulinda nokubona. I-vaginitis engalashwanga ingase ibe sibi, iholele ezinkingeni, noma ibonise isimo esinzima kakhulu esiyisisekelo. Ukuthola ukuxilongwa okuqondile nokwelashwa kuqinisekisa ukuphulukisa okusheshayo futhi kuvimbela izinkinga ezingase zivele.
Kuncike ohlotsheni. I-Bacterial vaginosis kanye nokutheleleka kwe-yeast ngokuvamile azibhekwa njengokudluliselwa ngocansi, nakuba ngezinye izikhathi zingase ziqaliswe ngumsebenzi wobulili. I-Trichomoniasis, noma kunjalo, idluliselwa ngocansi futhi idinga ukwelashwa kokubili abalingani. Umhlinzeki wakho wezempilo angakuncoma uma umlingani wakho edinga ukwelashwa.
Ukwelashwa kwe-antifungal okungenamthetho kusebenza kahle ngokutheleleka kwe-yeast okuqinisekisiwe, kodwa ukusebenzisa ngaphandle kokuxilongwa okuqondile kungase kube yinkinga. Uma une-bacterial vaginosis futhi usebenzisa imithi yokutheleleka kwe-yeast, izimpawu zakho zingase zibe zimbi. Kungcono ukuthola ukuxilongwa kuqala, ikakhulukazi uma lokhu kuyisigaba sakho sokuqala.
Ukwelashwa okuningi kuqala ukubonisa ukuthuthuka phakathi kwezinsuku ezingu-2-3, ngokuxazululwa okuphelele ezinsukwini ezingu-7-10. Ukutheleleka kwe-Yeast ngokuvamile kuphulukisa ngokushesha ngemithi ye-antifungal, kuyilapho ukutheleleka kwabhaktheriya kungase kudinge uhlelo oluphelele lwe-antibiotics ukuze kuhlanze ngokuphelele. Xhumana nodokotela wakho wezokwelapha uma izimpawu zingathuthuki njengoba kulindelekile.
Izinhlobo eziningi ze-vaginitis azithinti ngokuqondile ukukhulelwa, kodwa ezinye izinkinga zingase zibangele izinkinga. I-Bacterial vaginosis engalashwanga ingase ikhulise ingozi ye-pelvic inflammatory disease, engase ithonye ukukhulelwa. Uma uzama ukubeletha futhi une-vaginitis ephindaphindayo, xoxa nodokotela wakho wezokwelapha ngokuphathwa okuqondile.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.