I-bacterium vaginosis ( BV ), iyenzeka xa izityalo eziqhelekileyo zentsholongwane zitshatyalaliswa ngumxube wezinye iibhaktheriya, rhoqo ziquka i- Mycoplasma genitalium .
Xa umntu one-BV, uninzi lweenguqu lwenzeka kwizondo. Ezinye zeenguqu ezibalulekileyo ziquka ukunyuka kwe- pH yangasese kunye nokunciphisa kwezinye izinto ezingakwazi ukulawula ukugqithisa kweebhaktheriya, ezifana ne-peroxide.
Ngalolu tshintsho kunye nezinye iinguqu, i-BV idala indawo apho kulula ukuba iibhaktheriya zikhule kwaye ii- STD zisasaze.
Intsholongwane kaGawulayo ngenye ye-STD esasazeka ngokulula phambi kwe-BV. Abafazi abane-BV banako ukufumana i-HIV ngexesha lokwenza umsebenzi wesondo. Nangona kunjalo, ukwanda kwengozi ye-HIV ehambelana ne-BV akuyona nje into yowesifazane. I-bacterium vaginosis iye yaboniswa kwandisa ingozi yokuba amaqabane abesini ngokwesini aya kufumana i-HIV. Enyanisweni, olunye uphando lwaseAfrika lufumene ukuba kwakungokuphindwe kathathu kumfazi ophethe i-BV ukuhambisa i-HIV kumlingane wakhe wesondo njengoko kwakungowesifazane ophethe izilwanyana eziphilileyo.
Izinto ezijongene nobungozi kunye nokungafani kwezeMpilo
Iingcali zenzululwazi ayayiqondi yonke indlela iBV kunye ne-HIV. Nangona kunjalo, kuyacaca ukuba zombini i-BV kunye ne-HIV zixhaphake kakhulu kumaqela athile abantu ngabanye. E-United States, umzekelo, zombini iimeko zifunyenwe kakhulu kumaAfrika aseMerika kunabantu bonke.
Ngokumalunga ne-HIV, kukho iinkcukacha ezininzi zokuba kutheni le nto injalo. Ezi ziquka ukunqongophala kokufikelela kwiinkonzo zempilo kunye nokonyango, ingozi eyongeziweyo yokubanjwa, kunye neenethiwekhi ezincinci zesini ezinokunyusa amathuba okufumana isifo sengculaza. Zonke, ezi zinto kunye nezinye izinto ezinobungozi zongeza kwinqanaba lokusuleleka kwe-HIV eliphindwe ngamashumi amabini ngaphezulu kwabesifazane abamnyama kunabamhlophe abamhlophe.
Akuqondwa kakuhle ukuba kutheni amabhinqa aseMerika aseMelika ayengozini enkulu ye-BV. Uphando lubonisa ukuba inxalenye yesibini yabafazi base-Afrika baseMerika, okanye babe ne-BV, xa kuthelekiswa nama-30 ekhulwini kwabasetyhini kuluntu jikelele. Enye inkcazelo enokwenzeka kukuba uhlobo lwe-lactobacillus oluqhelekileyo kubomama base-Afrika base-America alusebenzisanga kangako ekusebenziseni ubulili besisu ngaphezu kohlobo oluqhelekileyo kumhlophe, abangabemi baseSpeyin.
Ukongezelela, izazinzulu zinobungqina obubungqina bokuba kukho ubudlelwane phakathi kwe-bacterial vaginosis kunye ne- douching . Ukuqubuzela, isenzo sokucoca isondo, siqhelekileyo kubomama base-Afrika baseMerika naseCaribbean kunamaqela amaninzi. Nangona kunjalo, kufuneka kuthiwe ukuba umbutho phakathi kwe-BV kunye ne-douching ingafana neengxaki yenkukhu kunye neqanda. Ukuqubuzela kunokunyusa umngcipheko we-BV, kodwa abafazi base-Afrika baseMerika banokukwazi ukuwahambisa ngenxa yokuba banako ukufumana iphunga lesiswini kunye nezinye iimpawu zeBV.
Nangona zonke iindlela i-BV kunye ne-HIV ezisebenzisanayo azichazi kakuhle, izazinzulu ziye zafumanisa izinto ezinobungozi ezifanayo. Usulelo lwentlobo yesifo se- herpes ludibene nomngcipheko we-BV kunye ne-HIV.
Ngoko ke intlupheko kunye nokungabikho kokufikelela kwiinkathalo. Ekugqibeleni, uxinzelelo olungapheliyo lunxulumene nezifo zombini, njengoko uxinzelelo lunokuba nefuthe elibi kwi-immunity. Zonke ezi zinto ziqhelekileyo zingenza kube nzima ukuphazamisa zonke iindlela i-BV inokunyusa ngayo ingozi ye-HIV, nangona kunjalo.
Ukuphonononga ikhonkco
Kukho iingcamango ezininzi malunga nendlela iBV inokunyusa ngayo umngcipheko wokusuleleka ngoGawulayo. Esinye i-hypothesis ibhekisela ekubunjweni kwemfihlo yamanzi. Kwi-vagin ephilileyo, i-lactobacilli inokwenza iindidi ezinxamnye ne-microbial, ezibandakanya i-lactic acid kunye ne-peroxide, engayenza i-HIV. Xa kukho ukutshintshwa kwi-lactobacillus ekulawulwa kweentyantyambo zelinja ukuya kwi-flv ye-BV, ezi zinto zihamba.
Oko kunokukwenza ukuba i-HIV ihlale iphila ixesha elide kumfazi kwaye yandisa izinga lokudluliselwa kumlingani wesini.
Kukho nezinye iindlela ezenza i-BV ibhaktheriya inokuchaphazela ukutshintshwa kwe-HIV. Iibhaktheriya ezithile zeBV ziye zaboniswa ukwandisa ukuphindaphinda kwe-HIV ngokukhuthaza iiseli ezine-virus. I-BV iboniswe ukuba iphazamise iiseli zesikhumba ebusweni bomfazi, oko kungenza kube lula kwi-HIV ukufikelela kwiinkalo ezijulile zeeseli ezinokusuleleka kusulelo. Ekugqibeleni, i-BV ingakhuthaza ukuvuvukala kwisisu ngokubanzi, into eyongeza ukwanda kosulelo lwe-HIV.
ILizwi
Ukujongana neBV ephindaphindiweyo kunokukhungathekisa. Kungaba nzima kakhulu ukubuyisela izityalo eziqhelekileyo zamanzi. Ngaloo ndlela, kusenokuba nzima ukuva ukuba i-BV idibene nomngcipheko ophezulu we-HIV kunye nezinye ii-STD. Ngethamsanqa, ukuziphatha ngokwesondo ngokukhuselekileyo kuyindlela ephumelelayo yokunciphisa ingozi ye-STD. Ukongezelela, kubafazi abasemngciphekweni omkhulu wokufumana i-HIV, kukho ezinye iindlela.
Ukuba ungumfazi onomdla we-HIV ohlala esengozini enkulu ye-HIV, umzekelo, ngenxa yokuba unomlingani we-HIV osulelekileyo, unokufuna ukuthetha nodokotela wakho malunga ne- pre-exposure prophylaxis okanye iPEPEP. Nge-PrEP, uthatha imishanguzo ye-HIV ukwenzela ukunciphisa umngcipheko wokufumana i-HIV xa ubonakala. Nangona kunjalo, kubalulekile ukuqaphela ukuba abafazi abane-BV rhoqo kufuneka banikezwe ngomlomo we-PrEP kunokuba i-gel yangasese. Kukho ubungqina bokuba ukwanda kwebhaktheriya kwi-BV kunokukwenza i-gel ingasebenzi kakuhle.
> Imithombo:
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