Kugutsikana Nezvirwere Zvimwe Zvimwe
Dambudziko guru rekuona bhakitiriya vaginosis (BV) ndeyekuti huwandu hwemhosva huchave husina zviratidzo, maererano neshumo kubva kuCenters for Disease Control uye Kudzivirira. Kana hutachiona hunofungidzirwa, chirwere chinogona kuonekwa chinogona kuitwa neongororo dzinocherechedza kukwira kwebhakitiriya mumudzimai. Iko kuongorora kunogonawo kusanganisira kuongorora kwepilvic, kuongororwa kwemadzimai ekudzivirira, uye kuongorora kwepH kutarisa vaginal acidity.
Mukuwedzera kune miedzo yebazi, pane maitiro ekuzviongorora anokubvumira kuti uongorore bonde rako pH uye mamwe mavara ekuputika kumba.
At-Home Test
Bhakteria vaginosis inoratidzwa nezviratidzo zvekubuda kwechikadzi, huchitsva, kupisa, uye unhu hunhu hwe "fishy". Zviratidzo zvinogona kukanganiswa nyore nyore nehutachiona hwehupfu uye kazhinji hazvifanirwi kutarisirwa saizvozvo.
Kuti kuparadzanise, vamwe vakadzi vanozviedza ivo pachavo kuburikidza vachishandisa mukana weku-kumba wakatengwa paIndaneti kana kubva kune imwe nzvimbo yekutengesa zvinodhaka. Chiyero, icho chave chichiwanikwa pamusoro pekambani kubva muna 2001, chakanyatsonaka uye chinogona kupa uchapupu hwakakwana hwokutsvaga kugadziriswa nekujekesa kubva kuchipatara.
Nezvo zvichitaurirwa, miedzo iripo haisi kuedza BV. Panzvimbo pezvo, vanotarisa kuchinja mumadzimai emukadzi uye nezvibereko zvehutachiona hweBV. Muedzo unoitwa muzvikamu zviviri:
- Muedzo wokutanga unotarisa uchapupu hwepamusoro wepenji pH . Kunyange zvazvo pH yakakurumbira inoonekwa sechiratidzo chakajeka chekutapukirwa, inogona kukonzerwa nemamwe mimwe mitemo, kusanganisira trichomoniasis .
- Chiyero chechipiri chinotarisa enzyme, inozivikanwa seSialidase, iyo inowanzoonekwa neBV nemamwe maitiro e vaginitis .
Kunyange zvazvo kuedzwa kusina kunaka kwakaratidza zvakanaka kuti hauna BV, haifaniri kuonekwa sechinhu chakasimba. Pakuguma, kana iwe uine zviratidzo zvitatu kana kupfuura zveBV , iwe unofanirwa kuona chiremba, kunyanya kana akaoma, achitsungirira, kana achidzoka.
Kunyange zvazvo kuve pamusha kuedza kunogona kukupa zvakavanzika uye kutungamira iwe unotsvaka, zvinogona kunge zvakadhura paanenge $ 100 pamitambo.
Labs uye Miedzo
Kuongororwa kwebhakitiriya vaginosis kunowanzobatanidza zvikamu zvina:
- Nhoroondo yako yezvechiremba inogona kuongororwa kuti uone kana wakamboita zvirwere zvepabonde, kusanganisira zvepabonde.
- Kuongororwa kwepachivi kunenge kuchiitwa kuitira kutarisa maziso ezvirwere zvehutachiona.
- Kuongororwa kwepH, yakagadzirwa nemapepa ekuongorora mapepa, ingashandiswa kuyanisa vaginal acidity. PH inopfuura 4,54 chiratidzo chakasimba chekutapukirwa kwebhakitiriya.
- Zvinyorwa zvemakumbo zvinogona kuongororwa pasi microscope kuti iongorore "majekiseni masero" kana kuti kusimbisa kuvapo kwemamwe mabhakitiriya nekushandiswa kwegiramu .
Zvingangokura MaCells vs. Gram Sdzing
Zvingangodaro masero anorondedzera masero emadzimai ayo, kana akaonekwa pasi pe microscope, ane unhu hwehutachiona hwehutachiona. Muchiitiko ichi, chiremba aizotarisa zvakananga pamasero epithelial (rudzi rwakarongedza nhengo dzisina maturo). Kana pane hutachiona hwebhakitiriya, mhirizhonga yemasero aya ichange iine hutachiona hwebhakitiriya. Kuonekwa kwavo kusina kunaka kunogona kupa "zviratidzo" zvinoda kubatsira kuti kuongororwa.
Gram, iyo yakasiyana, ndiyo nzira inowanzoshandiswa kusiyanisa pakati pemapoka ebhakitiriya.
NeBV, mamwe mabhakitiriya "akanaka" aizotarisirwa kuva akaderera (kunyanya lactobacilli), asi mamwe mabhakitiriya "akaipa" aizova mazhinji (kazhinji Gardnerella kana Mobiluncus maronda). Nokusiyanisa mabhakitiriya ane dyes uye kuongorora huwandu hwavo pasi pe microscope, vanachiremba vanokwanisa kuona kana vachiwana zvinodiwa zvehutachiona hweBV.
Clinical Criteria
Chiremba anokwanisa kuita tsanangudzo yekujekesa yebhakitiriya vaginosis nechimwe chezviviri zvekuongorora: maitiro aAmsel kana gram stain grading.
Nzira dzeAmsel dzinofunga nezvekuwana zviwanikwa pamwe chete nemugumisiro wekuongororwa kwekuongorora.
Pasi pemaitiro aya, BV inogona kusimbiswa apo zvinotevera zvina zvinosangana:
- Icho chiri chichena kana chikoro kubuda kwemvura.
- Zvingangodaro masero anoonekwa pasi pe microscope.
- Mukadzikadzi pH mukuru kupfuura 4.5.
- Iko kusunungurwa kwehupfu hwehove apo chirongwa chearkali chinowedzerwa kumadzimai ekudzivirira.
Gram staining ndiyo imwe nzira iyo maitiro uye chiyero chebhakitiriya anoshandiswa kusimbisa kuongororwa. Kuongororwa kunobva pamatare anotevera:
- Bhuku 1: kurongeka kwebhakitiriya
- Bhuku 2: lactobacilli yakasanganiswa naG Gardnerella uye / kana Mobiluncus mabhakitiriya
- Bhuku 3: vashoma ma-lactobacilli uye zvikuru Gardnerella uye / kana Mobiluncus
Bhuku 3 rinogona kufungidzirwa kuti rakagadziriswa kuongorora bhatterial vaginosis.
Kusiyanisa Kuongorora
Nokuti zviratidzo zvebhakitiriya vaginosis zvakafanana nezvimwe zvirwere, vanachiremba vangaongorora zvimwe zvinokonzera kana mitezo yekuedza iri muganhu kana kuti zvipatara zviratidzo hazvina kujeka.
Differential diagnoses yeBV inogona kusanganisira:
- Aerobic vaginitis (chimiro chakafanana neBV asi chakakonzerwa nemabhakitiriya kunze kwechikadzi, kusanganisira Staphylococcus aureus uye Escherichia coli )
- Candidiasis (utachiona hwehupisi hunokonzerwa neFungida fungus)
- Cervicitis (kuputika kwechirwere chechirwere pamwe chete zvinokonzera kutapukira uye zvisingawaniki)
- Herpes simplex virusi (HSV) yemakumbo
- Trichomoniasis (chirwere chinotapurirana zvepabonde chakakonzerwa neTrochomonas vaginalis )
- Zvimwe zvirwere zvepabonde zvakadai se chlamydia kana gonorrhea
> Sources:
> Centers for Disease Control and Prevention (CDC). "Bacterial Vaginosis (BV) Nhamba: Bacterial vaginosis ndiyo inowanzobatwa nevakadzi mumakore gumi nemashanu kusvika ku44." Atlanta, Georgia; yakarongedzwa musi waDecember 17, 2015.
> Hainer, B. uye Gibson, M. "Vaginitis: Kuziva uye Kurapa." Am Phys Physician. 2011; 83 (7): 807-815.
> Huppert, J .. Hesse, E .; Bernard, M. et al. "Kururama uye kuvimba kwekuzviongorora kwebhakitiriya vaginosis." J Adolesc Health . 2012; 51 (4): 400-5. DOI: 10.1016 / j.jadohealth.2012.01.017.
> Mohammedzadeh, F .; Dolatian, M ;; uye Jorjani, M. "Kuziva Kukosha kweAmster's Clinical Criteria Kuti Uzivikanwe neBacterial Vaginosis." Glob J Health Sci. 2015; 7 (3): 8-14. DOI: 10.5539 / gjhs.v7n3p8.