Indlela yokuSebenza ngezesondo kunye nezoMpilo kubangelwa ingozi
I-bacterial vaginosis (BV) yintsholongwane exhaphakileyo yamasetyhini kubasetyhini beminyaka yobudala kunye nenye yezinto ezingenakuqondwa. Nangona kungabonwa njengesifo esithathelwana ngesondo (STD), i-BV idibene neengxaki ezifanayo ezifana ne-chlamydia, i-gonorrhea, ne-trichomoniasis. Nangona abasetyhini abangenayo isondo banokufumana i-BV, nangona ingaqhelekanga.
Inyaniso elula kukuba izazinzulu aziqinisekanga ngokupheleleyo ukuba zeziphi iindlela (okanye ukuhlanganiswa kweendlela) eziphakamisa i-BV.
Oko esikwaziyo kukuba, nokuba yintoni ebangela isizathu, i-BV yiphumo lokungalingani kwizityalo zangasese apho izibhaktheriya ezinempilo ziphelile, ezivumela ukuba abantu abangenabutyebi bande. Ezinye zezinto ezinokubangela ukuba zibandakanye ukuziphatha ngokwesondo, i-genetics, kunye nempilo jikelele / isondo.
Izizathu zoSondo
I-bacterium vaginosis ayithathwa njenge-STD ngenxa yokuba isifo asibangelwa yi-pathogen engaphandle kwintsholongwane (njenge- HIV ) okanye ibhaktheriya (njenge- syphilis ). Kunoko, ukusuleleka kwenzeka xa ezinye iibhaktheriya "ezimbi" eziqhelekileyo ezifunyanwa kwizisini zinikezwa ithuba lokukhula.
Amacala afaka i- Gardnerella vaginalis, i-Atopobium isondo, kunye neengxaki ze- Prevotella ne- Morbiluncus ibterteria. Ezi bhaktheriya zihlala zihlolwe ngumzimba wokuzivikela kwaye, ngokubaluleke ngakumbi, mhlawumbi ubuqhetseba besini (njengoko kulinganiswa nge- vaginal pH ).
Isenzo sokwabelana ngesondo sinokuphazamisa ezi nkqubo ngokuvelisa ii-microbes ezintsha kwiintlobo zangasese.
Oku akunokuthi kuphela ukuguqula i-pH ye-vaginal, iyakunqanda amaninzi amabhaktheriya anempilo axhasa kwaye "ahlambulule" ubulili. Ngaloo ndlela, amaqabane omntu obundlala naye, xa ubeka ngokwengeziwe kwii-microbes zabo.
Umngcipheko we-BV, akumangalisi ukuba uphakamileyo phakathi kwabasetyhini abaneminyaka eli-15 no-44 abangaphantsi kwimeko yokuba bahlale besondo.
Phakathi kwimiba engundoqo yengozi yesondo:
- Amaqabane amaninzi ezesondo ngenye yeengxaki ezinkulu zeBV. Oku kubandakanya abalingani besilisa nabafazi. Enyanisweni, uphando olwenziwa ngo-2010 luphelile ukuba ukulala ngesinye isibhinqa kwandisa umngcipheko we-BV ngama-52 ekhulwini.
- Amaqabane amatsha omtshato abeka umngcipheko nje ngokukuzisa kwiibhaktheriya kunye nezinye izilwanyana ezincinci umzimba wakho awunakuqhelana nawo.
- Ukungabikho komlomo okhuselekile, ubulili, kunye nesondo kunye nomntu onomdla kubangelwa ngokususa umqobo wokukhusela ukuba iikhondom kunye namadama angamazinyo anika. I-BV inokubangelwa yi-sex manual (i-masturbation, "intsingiselo") kunye ne-frottage ("i-humping dry"),
- Iidlwana zesini esinikwa ngokwabelana nazo zibeka ingozi.
Ukongeza kwi-BV, abafazi banokuphuhlisa into ebizwa ngokuba yintsholongwane exubileyo ngenxa yesithintelo soxhatshazo . Usuleleko oluxubileyo lwenzeka xa ubulili bukhutshwe nge-bacterial anaerobic efunyenwe kwiisini kunye ne-aerobic ibterteria ngaphandle kwamanzi. Imizekelo yeebhakteria ze-aerobic ziquka iStraflocloccus aureus kunye ne- Escherichia coli ( E. coli ).
Ukuba kuphela i-aerobic ibhaktheriya echaphazelekayo, isifo sichazwa njenge- aerobic vaginitis (AV) . Ukuthetha ngeklinikhi, i-BV ne-AV izifo zihlala zikhuni ukuchazela ngaphandle kwaye ziya kufuna ukuhlolwa kwebhuyibhile ukuhlula .
Genetics
Kwezinye iimeko, i-genetics yomfazi ingabangela umngcipheko we-BV mngcipheko, ngokuqhelekileyo ngokubangela amanqanaba angaphantsi kwekulindeleke kweLecbabacilli kwi-vagina.
Nangona uphando olwangoku alukho ncamnye olukufutshane, kukho ubungqina bokuba ukuguquka kwemfuza ethile kunokuchaphazela ukuveliswa kwe- horticone (CRH) ye- corticotropin , into edlala indima ebalulekileyo ekulawuleni ukukhubazeka nokuvutha . Iingcali zenzululwazi zikholelwa ukuba ukungaqhelekanga kwimveliso ye-CRH kunokuchaphazela izicubu zesisu kunye nokwenza ukungalingani kwiibhaktheriya zabantu, ikakhulukazi ngexesha lokukhulelwa.
Uninzi lweenguqu zohlobo lwe-CRH oluye lwafunyaniswa kumabhinqa abamnyama abangaqhelekanga kubafazi abamhlophe.
Oku kunokunceda ukuchaza, ngenxalenye, ukuba kutheni abesifazane base-Afrika baseMerika banokuphindwa kabili ukuba bafumane i-BV kunabo abamhlophe.
Jikelele / iMpilo yeVaginal
Ukugcina i-pH yesigxina kunye neentlanzi akusoloko kulula. Izinto ezininzi zemihla ngemihla esizibandakanyekayo zinganciphisa ukulinganiswa okubucayi, mhlawumbi ngokukhuthaza ukugqithiswa kweebhaktheriya "ezimbi" okanye ukuphazamiseka kwethu ukulwa nesifo.
Phakathi kweenkqubo zempilo okanye iimeko ezinxulumene noGawulayo:
- Ukubetha kukubeka kwindawo engengozini ngokuqhawula umfazi wesityalo saso sokukhusela. Ngokombiko ovela kwiSebe lezeMpilo lezeMpilo yase-United States, omnye kumama-5 aseMerika aphakathi kweminyaka eyi-15 ukuya ku-44 ishefu. Lo mkhuba uqhelekileyo phakathi kwentsha, amabhinqa ase-Afrika ase-Afrika kunye nabasetyhini baseLatino.
- Ukubhema kuyaziwa ukuba kuchithe amabhakteria amabini asemqoka kwimpilo yakho yesisu, i- Lactobacillus ngaphakathi kunye noLactobacillus crispatus . Ukubhema kwakhona kubangela ukunyanzeliswa kwemithambo yegazi, okwenza kube nzima ukulwa nesifo xa kuqhutyelwa ukwanda kweempawu.
- Izixhobo ze-intrauterine (iUDs) , ngelixa ziyimpumelelo ekukhuseleni ukukhulelwa, zinokuphinda ziphinde zengozi ye-BV kwabanye abafazi. Ngokutsho kwesifundo esivela kwiSt. Louis School of Medicine, umngcipheko ubonakala omkhulu kunabesifazana abanokungalingani ngokusesikweni kwizityalo zabo zangasese (kaninzi abangafumaniyo) kwaye banamava okungaqhelekiyo ngelixa usebenzisa i-IUD .
- Ubunzima be-Vitamin D bude buxubushe njengesizathu se-BV, kunye nezinye izifundo ezixhasa i-theory kunye nabanye. Lapho kubonakala ngathi inempembelelo ngqo ngexesha lokukhulelwa. Oku kubonakaliswe kwinxalenye yocwaningo luka-2015 olubonise ukuba i-2 000 ye-vitamin D eyathathwa imihla ngemihla kwiiveki ezingama-15 yanciphisa umngcipheko we-BV ukusuka kuma-63.5% ukuya kuma-19.2 ekhulwini.
Ngokuqonda kangcono ingozi ye-bacterial vaginosis, unokufumana iindlela zokukhusela kwaye ugweme ezinye, izifo ezithintekayo ngesondo.
> Imithombo:
> Brotman, R .; Yena, X; Gajer, P. et al. "Umbutho phakathi kokubhema ugwayi kunye ne-vaginal microbiota: isifundo somqhubi." IBCC Disfect Dis. 2014; 14: 471. INGXELO: 10.1186 / 1471-2334-14-471.
> Madden, T; Grentzer, J; Secura, G. et al. "Ingozi yeBacterial Vaginosis kwabasebenzisi beCandelo le-Intrauterine Isifundo: I-Longitudinal Study" . 2012; 39 (3): 217-22. INGXELO: 10.1097 / OLQ.0b013e31823e68fe.
> Ryckman, K .; Simhan, H; Krohn, A. et al. "Ukubikezela umngcipheko we-bacterial vaginosis: indima yohlanga, ukutshaya kunye ne-corticotropin-ukukhulula i-genetic-related genes." UMol Hum Ukuzaliswa. 2009; 15 (2): 131-137. INGXELO: 10.1093 / molehr / gan081.
> Taheri, M .; Baheiraei, A .; Foroushani, A. et al. "Ukwelashwa kwintlupheko ye-vitamin D yindlela ephumelelayo ekupheliseni i-bacteria vaginosis ye-asymptomatic: I-trialbo elawulwa yi-placebo. 2015; 141 (6): 799-806. INGXELO: 10.4103 / 0971-5916.160707.
> Isebe lezeMpilo laseMzantsi Afrika kunye neNkonzo zoLuntu. "Ukubonga." I-Rockville Maryland; hlaziywa ngo-Ephreli 18, 2017.