Usulelo oluqhelekileyo lweVaginal Infection Ngokungaqondakaliyo
I-bacterium vaginosis yinto eqhelekileyo kodwa ephazamisayo apho i-balance balance of the vaginal flora iphazamiseka, ekhokelela ekugqibeleni kweebhaktheriya ezinobungozi. Iimpawu ziquka ukungcola, ukukhulelwa kwamanzi, kunye nephunga elimnandi.
Nangona i-BV iphathwa ngokukhawuleza nge-antibiotics, ukuphindaphindwa kwintsholongwane kuqhelekileyo, ngokuqhelekileyo kungakapheli iinyanga ezili-12 zonyango.
I-BV ithatha ukuchaphazela abafazi kwiminyaka yabo yokubeletha kwaye idla ngokudibanisa ne-douching, isondo elingakhuselekanga, amaqabane amaninzi ezesondo, kunye nezinye izinto ezinobungozi.
Iimpawu
Kwizigidi ezingama-21 zaseMerika zabesifazane zikholelwa ukuba zithinteka yi-bacterial vaginosis ngonyaka, kuphela ezigidi ezizigidi zodwa zifumana iimpawu. Xa zivela, iimpawu ze-BV zihlala ziba buthule kodwa ziphikelela kwaye zingaquka:
- Ukukhutshwa komzimba obomvu okanye obomvu
- Inkohlakalo "yintlanzi" enokuba yingozi emva kokulala
- Uvakalelo oluvuthayo xa uchama
- Ukutshabalala kwemigodi, ubomvu, nokuvuvukala
- Ukuphuma kwintsholongwane emva kokulala
Ngokuqhelekanga, ukusuleleka kwe-BV kunokukhokelela kwiingxaki zokungcungcutheka, intlungu ngexesha lesini, kunye nophuhliso lwe-pelvic inflammatory disease (PID).
Nangona iimpawu ze-BV ezingenakunzulu, ziyakunciphisa ukunyaniseka kwezicubu zesisu kunye nokwandisa ukususelwa kwakho kwizifo ezithathelwana ngocansi (STDs) ezifana ne- gonorrhea , i- chlamydia , i- trichomoniasis kunye ne- HIV .
Ngaphezu koko, ukuba usulelo luya kwenzeka ngexesha lokukhulelwa, unokwenza umngcipheko wokuzalwa kwangaphambi kokuzalwa, ubunzima bokuzalwa obuphantsi, kwaye kwiimeko ezinqabileyo, i-second-trimester.
Izizathu
I-bacterium vaginosis ayithathwa njenge-STD ngenxa yokuba isifo asibangelwa yi-pathogen yangaphandle njengengculaza okanye i-syphilis.
Kunoko, i-BV iyenzeka xa ibhaktheriya enempilo kwisisu iphelile, ivumela abangenabungozi ukuba babambelele kwaye babangele ukusuleleka. I-Gardnerella vaginalis yenye yezona zinto ziqhelekileyo kulezi bhakteriya "ezimbi," kodwa ezinye zingabangela ukusuleleka, kwakhona.
Oku kungalingani kungabangelwa utshintsho kwi- vaginal acidity okanye iingxaki ngokuphendula komzimba, zombini ezo ukunciphisa amandla omzimba wokulawula ukugqithisa kwebhaktheriya. Ubundlobongela lunokubangela ukuba usulele ulwasuleleko ngokusungula izilwanyana ezintsha okanye ezigqithisileyo kwisini.
Umngcipheko we-BV uphezulu phakathi kwabasetyhini ukuya ku-44. Ngokuqhelekileyo, abafazi base-Afrika baseMerika banokuphindwa kabili ukufumana i-BV kunabesifazana abamhlophe.
Ezinye zezizathu eziqhelekileyo zeBV ziquka:
- Umlomo ongenakukhuseleka, ubulili, okanye isondo
- Amaqela amaninzi ezesondo
- Amaqabane amatsha esondo
- Amathoyizi abelana ngesondo
- Douching
- Ukutshaya
- Izixhobo ze-intrauterine (iUDs)
I-Genetics iyakholelwa ukuba idlala inxalenye, mhlawumbi ngokukhuthaza ukuvuvukala okanye ngokubangela amazinga angaphantsi kwe-expected of Lactobacilli kwisondo.
Ukuxilongwa
Ekubeni i-bacterial vaginosis ayibangelwa yintsebenziswano enye, i- diagnostic iya kwenziwa ngokusekelwe kuhlolisiso lweempawu zakho kunye neziphumo ezahlukeneyo zokuhlolwa kwebhu. Oku kuya kubandakanya:
- Ukuhlaziywa kwimbali yethu yempilo
- Uvavanyo lweplavic
- Uvavanyo lwe-pH ukujonga ubungakanani be-vaginal
- Ukuvavanya kwezinto ezinqamlekileyo zesisu
Uvavanyo oluncinci luya kukhangela "iiseli zamanqaku" (amangqamuzana angama-vaginal ahlanganiswe ne-bhakteria) okanye ukusebenzisa i- spam stain ukunceda ukuhlula iintlobo zebhakteria kwaye ulinganise inani leebhaktheriya "ezintle" ezibi "ezimbi". Ngokusekelwe ekuphononongweni kweendlela, ugqirha unokuqinisekisa ukuba uxilongo okanye enze ezinye iimvavanyo ukuqinisekisa ukuba akusisinye isifo (njengesifo sovulo okanye i- herpes yomzimba ).
Iimvavanyo ezisekelwe ekhaya ziyafumaneka kodwa zivame ukuba zichaneke kakhulu.
Unyango
Ukunyanga okusemgangathweni kwe-bacterial vaginosis yinkqubo emfutshane yeyeza-antibiotics.
Iindidi ezisetyenziswe kwindlela yokwelapha yokuqala, ebizwa ngokuba yi-metronidazole kunye ne-clindamycin, iphumelela kakhulu ekuphatheni i-BV kunye nemiphumo emihle.
IiRimim zemizila yokuqala zikhethiweyo ziquka:
- I-Metronidazole 500 milligrams ezithathwa ngomlomo kabini imihla ngemihla iintsuku ezisixhenxe
- I-metronidazole i-0.75 yepesenti ye-gel yolwandle isetyenziswe kanye ngosuku iintsuku ezintlanu
- I-Clindamycin 2.0 yeeplastiki yelinja isetyenziswe ngexesha lokulala iintsuku ezisixhenxe
Ezinye iinketho ziquka i-clindamycin yesineke okanye i-tinidazole amaphilisi. Nangona usebenze ngonyango, ukuphindaphinda kuqhelekileyo kwaye kungadinga unyango olongezelelweyo okanye oluninzi ukufumana ulawulo. Iziphumo eziqhelekileyo ziquka ukunxanxwa, isisu esiswini, ukukhwehlela, umqala womqala, impumlo ye-runny, kunye neentsimbi zentsimbi emlonyeni.
Ukongeza kwi-antibiotics yonyango, kukho iindleko zekhaya kunye nezixhasayo ezinokunceda. Ziquka i- probiotics (efumaneka kwizondlo ezondlo kunye nokutya njenge-yogurt), enokukunceda ukukhusela ukuphindaphinda, kunye ne- boric acid , ixesha elidala elixazululo elijongene nokuvuselela kwimpilo.
Thintelo
Ngokuqhelekileyo njenge-bacterial vaginosis, kukho izinto onokuzenza ukuze unciphise umngcipheko wakho . Ziquka iinkqubo zesondo ezikhuselekileyo zokukhusela ukungena kwiibhaktheriya eziyingozi kunye nokuhlambulula ubumsulwa obuhle ekunciphiseni iimpawu zakho zokusuleleka.
Ukukhusela i-bacterial vaginosis:
- Nciphisa inani lakho leqabane lesini.
- Sebenzisa ukukhusela ngomlomo, ngesondo, okanye ngesondo, ngokubandakanya iikhondom kunye namagumbi angamazinyo .
- Musa ukwabelana ngamathoyizi.
- Musa ukuthambisa .
- Ukuphepha ukuhlamba isisu kunye nesepha ezinomlilo.
- Gqoka iipotton zokuphefumula eziphefumulayo.
- Gwema iitamponi ezinobukrakra okanye iiprafini zesetyhini.
- Musa ukugcina i-tampon ixesha elide kunconywayo.
- Sula kumva emva kokumva.
- Gwema i-IUDs ukuba unayo i-BV ephindaphindiweyo okanye isifo esipheleleyo esasifikelweyo.
ILizwi
Ngaphandle kwimizamo enqabileyo yokukhusela, i-bacterial vaginosis ihlala ikhona. Musa ukukhaba. Kunoko, ufuna unyango kwaye wenze konke umgudu wokuphepha ukukhusela imeko.
Ukuba iimpawu zikuqhubela ekuphazamiseni, yenza lula ubomi bakho ngokubethelela ibhulukhwe eqinile kwaye ugqoke izambatho ezinqabileyo okanye ingubo. Ukuphatha i-itch, sebenzisa indwangu ebandayo kwi-vagina okanye uphahla ngamanzi abandayo kwisitya. Ukukhangela kuza kwenza izinto zibe zibi nakakhulu.
Ekugqibeleni, ukuba uphathwa ngamachiza omzimba, musa ukuyeka ukuya ngapha nangona iimpawu zakho ziphela. Ukwenza oko kunokwandisa umngcipheko wokuchasana nokulwa ne-antibiotics kwaye wenze unyango ngakumbi kunzima ukuba intsholongwane iyenzayo, ewe, iya kubuya.
> Imithombo:
> Allworth, J. kunye noPeipert, J. "Ubunzima beBacterial Vaginosis kunye neengozi yoGawulayo ngoGawulayo." IJ Obstet Gynecol. 2011; 205 (2): 113.e1-113.e6. INGXELO: 10.1016 / j.ajog.2011.02.060.
> Bagnall, P. kunye noRizolo, D. "Ibhakterial vaginosis: Ukuphononongwa ngempumelelo." J Am Acad Phys Assist. 2017; 30 (12): 15-21. INGXELO: 10.1097 / 01.JAA.0000526770.60197.fa.
> Amacandelo okuLawula nokuLawula izifo. "Izifo zengonyango zonyango ngo-2015: I-Bacterium Vaginosis." E-Atlanta, eGeorgia; hlaziywa ngoJuni 4, 2015.
> CDC. I-Bacterial Vaginosis (BV) Izibalo: I-bacterium vaginosis yintsholongwane exhaphakileyo yamanzi kubantu besetyhini abanama-15-44. " Ukuhlaziywa kweDisemba 17, 2015.
> Hainer, B. kunye noGibson, M. "Vaginitis: Ukuxilongwa kunye noTyango." I- Am Fam Physician. 2011; 83 (7): 807-815.