Zvose Mukadzi Wose Anofanira Kuziva
Bacterial vaginosis inowanzovhiringidzika asi iyo inokonzera mamiriro ezvinhu ayo kuenzanirana kwemazamu emukadzi kunokanganiswa, zvichiita kuti kuwedzere kwebhakitiriya inokuvadza. Zviratidzo zvinosanganisira kunhuwa, kubuda kwemudzimai, uye kunhuhwirira kunofadza.
Kunyange zvazvo BV inoshandiswa nyore nyore nemishonga inorwisa mabhakitiriya, kudzokorora kwehutachiona kwakajairika, kazhinji mukati memwedzi gumi yekurapa.
BV inowanzokonzera vakadzi mumakore ekubereka kwavo uye inowanzobatanidzwa nehupati, hupombwe husina kudzivirirwa, vazhinji vanoita zvepabonde, uye zvimwe zvipingamupinyi.
Zviratidzo
Pakati pemamiriyoni makumi maviri nemashanu eAmerica akatenda kunobatwa neBacterial vaginosis gore roga rega, mamiriyoni anenge mamiriyoni chete anoona zviratidzo. Kana zvikaitika, zviratidzo zveBV zvinowanzova zvinyoro asi zvinopfuurira uye zvinogona kusanganisira:
- Muchena mutsvuku kana kuti chikamu kubuda
- A "fishy" kunhuhwira kunogona kuwedzera zvakanyanya mushure mokuita zvepabonde
- Inzwi rinopisa kana uchikwira
- Utano hwemaginal, kubwinya, uye kuzvimba
- Vaginal kubuda ropa shure kwepabonde
Zvishoma nezvishoma, utachiona hweBV hunogona kutungamirira kumatambudziko okuzora, kurwadziwa panguva yepabonde, uye kukurudzirwa kwechirwere chinoputira chirwere (PID).
Kunyange zvazvo zviratidzo zveBV zvisingawanzovi zvakakomba, zvinogona kuderedza kuvimbika kwemadzimai emadzimai uye kuwedzera kukuvadzwa kwezvirwere zvepabonde (DDS) zvakadai segonorrhea , chlamydia , trichomoniasis , uye HIV .
Uyezve, kana hutachiona hukaitika panguva yekuzvitakura, unogona kutadza ngozi yakawanda yokuberekwa kwepakutanga, kuberekwa kunorema, uye, muzviitiko zvisingawanzoitiki, yechipiri-trimester kutapudza.
Zvinokonzera
Bacterial vaginosis haigamuchirwi seSDD nokuti hutachiona hahukonzerwa nehutachiona hwekunze hutachiona hweHIV kana kuti chirwere.
Pane kudaro, BV inowanikwa apo mabhakitiriya ane hutano muhutachi huri kupera, achibvumira vasina hutano kuti vatarise uye vanokonzera utachiona. Gardnerella vaginalis ndiyo imwe yakawanda pane idzi "mabhakitiriya" akaipa, asi mamwe anogona kukonzera utachiona, zvakare.
Uku kusaenzana kunogona kukonzerwa nekushandura mukati memadzimai emukadzi kana matambudziko ane maitiro ekudzivirira zvirwere zvemuviri, izvo zvese zvinoderedza kukwanisa kwemuviri kuzvidzora kukwira kwebhakitiriya. Kuita zvepabonde kunogona kukonzera utachiona nekuisa michina mitsva kana yakawandisa mumudzimai.
Dambudziko reBV rakanyanya kupfuura vakadzikadzi kusvika kune makumi mana nemashanu. Kazhinji, vakadzi veAfrica veAmerica vanowanzoita BV kupfuura vakadzi vatsvene.
Zvimwe zvezvikonzero zvinowanzoitika zveBV zvinosanganisira:
- Kusadzivirirwa mumuromo, kumudzimai, kana zvepabonde
- Multiple sex partners
- Vatsva vanoita zvepabonde
- Kugovana zvepabonde zvekuita
- Douching
- Kusvuta
- Intrauterine devices (IUDs)
Genetics inotendwawo kuti inotora chikamu, zvichiita nekusimudzira kuputika kana nekukonzera zvishoma kudarika-zvinotarisirwa zvikamu zveLectobacilli inodzivirira mumudzimai.
Kuziva
Sezvo bhakitiriya vaginosis isingakonzerwi nemumwe mujeri, kuongororwa kunogona kuitwa kuburikidza nekuongororwa kwezviratidzo zvako uye zvakasiyana-siyana zvekuongorora mazano ebazi. Izvi zvinowanzobatanidza:
- Kuongorora kwezvenhau yezvechiremba
- Kuongorora kwepisvo
- Chiyero chepH chekuongorora vaginal acidity
- A microscopic kuongorora kwepabonde rako
Chirwere chechidiki chingave chichitsvaga "majekiseni masero" (vaginal cells akazara nebhakitiriya) kana kushandisa shrim grin kuti vabatsire kusiyanisa mabhakitiriya uye kuenzanisa chikamu che "zvakanaka" mabhakitiriya kune "akaipa". Kubva pakuongororwa kwezvirongwa, chiremba anogona kujekesa kuongororwa kana kuita zvimwe zviedzo kuti ave nechokwadi chokuti hausi humwe hutano (hwakadai sehutachiona hwemuputi kana marital herpes ).
Midzi-based test inowanikwawo asi inowanzove yakajeka.
Kurapa
Kurapa kwakakwana kwebhakitiriya vaginosis ikanguva pfupi yemishonga inorwisa mabhakitiriya.
Mitero inoshandiswa murapi yekutanga, iyo inonzi metronidazole uye clindamycin, inobatsira chaizvo mukurapa BV uye ine zvinyoro zvishoma zvakaoma.
Mitemo yakasarudzwa yemitambo yekutanga inosanganisira:
- Metronidazole 500 milligrams akatorwa nomuromo kaviri zuva nezuva kwemazuva manomwe
- Metronidazole 0.75% vaginal gel rinoshandiswa kamwe chete zuva nezuva kwemazuva mashanu
- Clindamycin 2.0 muzana vaginal cream yakashandiswa pamubhedha kwemazuva manomwe
Zvimwe zvingasarudzwa zvinosanganisira clindamycin vaginal suppository kana tinidazole mahwendefa. Pasinei nekubudirira kwekurapa, kudzokorora kunowanzoitika uye kunogona kutora mishonga yakawedzerwa kana kuti yakawanda kuti ibudirire. Matambudziko anowanzowanzobatanidza kushungurudza, kurwadziwa kwepamu, kukwepa, chironda, runny nemhuno, uye kunaka kwesimbi mumuromo.
Mukuwedzera kune mishonga yemishonga inorwisa mabhakitiriya, kune maverengero emishonga uye kumba anobatsira anogona kubatsira. Dzinosanganisira probiotiki (inowanikwa mune zvinovaka muviri uye zvokudya zvakadai seti yogurt) iyo inogona kubatsira kudzivirira kudzokorora, uye boric acid , mhuka yekare yekugadzirisa inotanga kudzoka mune zvechiremba.
Kudzivirira
Sezvakajairika saBacterial vaginosis, pane zvinhu zvaunogona kuita kuderedza dambudziko rako . Zvinosanganisira zvirwere zvepabonde zvakachengeteka kuti usadzivirire kune mabhakitiriya anokuvadza uye uite unhu hwakanaka hwemudzimai kuderedza mararamiro ako ehutachiona.
Kudzivirira bhakitiriya vaginosis:
- Deredzai nhamba yenyu yevanhu vanoita zvepabonde.
- Shandisa kudzivirirwa kumuromo, zvepabonde, kana zvepabonde zvekunze, kusanganisira makondomu nemazino emeno .
- Usaita zvepabonde zvevhisi.
- Usaisa douche .
- Kudzivisa kushambidza vagina nemasese ane utsinye.
- Kupfeka zvipfeko zvinoputika zvekotoni.
- Dzivisa matamponi anonhuwira kana mapiritsi echikadzi.
- Usachengeta tampon yakareba kupfuura yakakurudzirwa.
- Pukuta kubva kumashure mushure mokuzorora.
- Dzivisa IUD kana iwe uine BV zvakare kana chirwere chakakura chakapfuura.
Shoko Rinobva
Kunyange neine nzira dzakanakisisa dzokudzivirira, bhakitiriya vaginosis inogona kuitika dzimwe nguva. Edza kusaisa pfungwa. Pane kudaro, tsvaga kurapwa uye ita zvose zvaunogona kuti usanyanya kuwedzera mamiriro acho ezvinhu.
Kana zviratidzo zviri kukuendesa iwe kuti zvive kukanganisa, ita kuti upenyu hwako huve nyore kuburikidza nekucheka mabheji akaoma uye kupfekedza zvipfeko zvinosunungura kana skirt. Kuchengetedza tsvina, shandisa chivara chando kunowanikwa kumudzimai kana kupwanya nemvura inotonhorera mumvura. Kunyora kunongowedzera zvinhu.
Pakupedzisira, kana iwe uri kurapwa nemishonga inorwisa mabhakitiriya, usamira pakati nepakati kana zviratidzo zvako zvichanyangarika. Kuita izvi kunogona kuwedzera njodzi yekurapa mabhakitiriya nekuita kurapa zvakanyanya kuoma kana utachiona huri, zvechokwadi, kudzoka.
> Sources:
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> Bagnall, P. uye Rizzolo, D. "Bacterial vaginosis: Ongororo inoshanda." J Am Acad Phys Assist. 2017; 30 (12): 15-21. DOI: 10.1097 / 01.JAA.0000526770.60197.fa.
> Centres for Disease Control and Prevention. "2015 Zvirwere Zvepabonde Zvirwere Zvokurapa Mazano: Bactter Vaginosis." Atlanta, Georgia; yakarongedzwa naJune 4, 2015.
> CDC. "Bacterial Vaginosis (BV) Nhamba: Bacterial vaginosis ndiyo inowanzobatwa nevakadzi mumakore gumi nemashanu kusvika ku44." Yakapedzwa musi waDecember 17, 2015.
> Hainer, B. uye Gibson, M. "Vaginitis: Kuziva uye Kurapa." Am Phys Physician. 2011; 83 (7): 807-815.