Kuita zvepabonde uye utano kunobatsira sei kune ngozi
Bacterial vaginosis (BV) ndiyo inowanzoita zvirwere zvepabonde mumadzimai ekuberekwa kwezera uye mumwe wevanonyatsonzwisiswa. Kunyange zvazvo isingafungidzi kuti chirwere chepabonde (STD), BV inobatanidzwa nematambudziko akafanana neChlamydia, gonorrhea, uye trichomoniasis. Kunyange vakadzi vasingawani zvepabonde vanogona kuwana BV, zvisinei zvisiri nyore.
Chokwadi chisinganzwisisiki ndechekuti masayendisiti haasi kunyatsoziva zvachose kuti nzira (kana kusanganiswa kwenzira) dzinosimudzira BV.
Izvo zvatinoziva ndezvokuti, chero zvikonzero zvinokonzera, BV inokonzerwa nekusawirirana mumarita emadzimai umo mabhakitiriya ane utano ari kupera, achibvumira vasina kunaka kuti vawedzere. Zvimwe zvezvingaita zvinokonzera zvinosanganisira zvepabonde, genetics, uye huwandu hwehutano hwepabonde.
Zvepabonde Zvinokonzera
Bacterial vaginosis haigamuchirwi sechirwere chetachiona nokuti hutachiona hahukonzerwi nehutachiona hwekune dzimwe nyika hwakafanana nehutachiona (sehutachiona hweHIV ) kana mabhakitiriya (akafanana nesipirisi ). Pane kudaro, hutachiona hunoitika apo dzimwe "mabhakitiriya" akaipa anowanzowanika mumudzimai anopiwa mukana wekubudirira.
Vane nhengo dzinosanganisira Gardnerella vaginalis, Atopobium vagina, uye zvinetso zve Prevotella uye Morbiluncus mabhakitiriya. Aya mabhakitiriya anowanzochengetedzwa nehutachiona hwehutachiona uye, zvichikosha zvikuru zvichida, asidi hwemadzimai (sekuenzaniswa nemudzimai pH ).
Icho chiito chepabonde chinogona kuderedza zvirongwa izvi kuburikidza nekuisa mishonga mitsva mumakumbo emadzimai.
Izvi zvingangodaro kwete kungogadzirisa vaginal pH, inogona kubvisa mabhakitiriya ane utano anotsigira uye "akachenesa" mukadzi. Sezvo zvakadaro, ivo vanoita zvepabonde vakawanda, iwe unowedzera kuzviratidza kune microbes.
Dambudziko reBV, hazvishamisi kuti rakanyanya kupfuura vakadzikadzi vane makore gumi nemashanu nemakumi mana nemakumi mashanu vanogona kuita zvepabonde.
Pakati pezvinhu zvakakosha zvepabonde zvinhu:
- Vanhu vakawanda vanoita zvepabonde ndeimwe yezvinhu zvinokonzera ngozi dzeBV. Izvi zvinosanganisira vose vari varume nevakadzi. Ichokwadi, chidzidzo che2010 chakagumisa kuti kuita zvepabonde nemumwe mukadzi kunowedzera dambudziko rako reBV nekusvika 52 muzana.
- Vanhu vatsva vanoita zvepabonde vanoisa pangozi kuburikidza nekukuisai kune mabhakitiriya nezvimwe zvipembenene muviri wako ungasave usina kujaira.
- Kusapindira mumuromo, zvepabonde, uye zvepabonde zvakafanana zvinobatsira nekubvisa chidziro chekuchengetedza kuti makondomu nemadzimai emazino anopa. BV inogona kukonzerwa nehutano hwepabonde (bonyora, "fingering") uye kubvisa ("dry humping"),
- Kuita zvepabonde pamwe chete kunowedzerawo ngozi.
Mukuwedzera kune BV, vakadzi vanogona kukura izvo zvinonzi kutapukirwa kwakavhengana semugumisiro wehutano hwepabonde. Utachiona hunokanganisa hunoitika apo bhakina inoculated nevanaerobic bhakitiriya inowanikwa muhutano uye bhakitiriya reeropia kunze kwemukadzi. Mienzaniso yemabhakitiriya aerobic anosanganisira Staphylococcus aureus uye Escherichia coli ( E. coli ).
Kana chete mabhakitiriya e-aerobic aripo, chirwere chacho chaizotumidzwa se aerobic vaginitis (AV) . Kutaura muchipatara, zvirwere zveBV neAV zvinowanzooma kutaura zvinoparadzaniswa uye zvinoda kubhidzira kuongorora kuti iparadzanise .
Genetics
Mune zvimwe zviitiko, chirwere chemukadzi chinogona kumupa njodzi yeBV, kazhinji kuburikidza nekuita zvishoma kudarika-zvinotarisirwa zvikamu zveLectobacilli mumudzimai.
Kunyange zvazvo tsvakurudzo yemazuva ano isingawaniki pedyo nekugadzirisa, kune uchapupu hwokuti mamwe maitiro ekugadzirisa mararamiro angakanganisa kubudiswa kwe corticotropin-releasing hormone (CRH) , chinhu chinoita basa rinokosha pakuronga utachiona uye kuputika . Masayendisiti anotenda kuti kusagadzikana muRH production kunogona kukanganisa mishonga yemadzimai uye kunokonzera kusaenzana mumabhakitiriya vanhu, kunyanya panguva yekudzivirira.
Chimwe chiitiko cheRH-chinokonzerwa nemararamiro akasiyana-siyana akaonekwa mumadzimai madzimai asingazivikanwi nevakadzi vachena.
Izvi zvinogona kubatsira kutsanangura, mune chikamu, nei vakadzi veAfrica veAmerica vachikwanisa kaviri kuwana BV kupfuura vatsvene vavo.
General / Vaginal Health
Kuchengetedza kwakanaka kwepene pH nemafuta hazvisi nyore nguva dzose. Zvakawanda zvemazuva ose zvatinoshandisa zvinogona kuderedza kuenzanisa kwakashata, kana nekusimudzira kuwanda kwe "mabhakitiriya" akaipa kana kuora mwoyo kwedu kukwanisa kurwisa utachiona.
Pakati pemitemo yehutano kana mamiriro ezvinhu anowanzobatanidzwa nehutachiona hweBV:
- Kuchechedza kunokuisa iwe pangozi nekubvisa chikadzi chekudzivirira kwayo. Maererano neshumo inobva kuDhipatimendi reUnited Health uye Human Services, mumwe muvakadzi vashanu veAmerica vane makore gumi nemashanu kubva kune makumi mana kusvika ku44 vakatora. Muitiro wacho unowanikwa pakati pevechidiki, vechiAfrica vakadzi, uye vakadzi vokuLatin.
- Kusvuta kunozivikanwa kubvisa mabhakiteriya maviri anokosha kumararamiro ako emudzimai, Lactobacillus iners uye Lactobacillus crispatus . Kusvuta kunokonzera kukanganisa kwemitsipa yeropa, zvichiita kuti zvive zvakaoma kurwisana nehutachiona kana kuwedzerwa kuwedzerwa kunodiwa.
- Intrauterine devices (IUDs) , nepo kubudirira pakudzivirira kubata pamuviri, inogona kuwedzera dambudziko reBV kune vamwe vakadzi. Maererano nechidzidzo chinobva kuSt. Louis School of Medicine, njodzi inowanikwa huru kune vakadzi vanove nekusawirirana kwepachizvaro mumarimba avo emukadzi (kazhinji vasingazivikanwi) uye vanoona kuregererwa ropa musingashandisi IUD .
- Vitamin D inoshaya yakave yakakumbidzana sechikonzero cheBV, nedzimwe dzidzo dzinotsigira dzidziso nevamwe kwete. Iyo inoratidzika seine chinetso chaicho panguva yekuzvitakura. Izvi zvinoratidzwa muchikamu chekudzidza kwegore ra2015 kwakaratidza kuti 2,000 IU kuwedzera kwevhitamini D inotorwa zuva rimwe nerimwe kwevhiki gumi nemashanu yakaderedza dambudziko reBV kubva 63.5 muzana kusvika 19.2 muzana.
Nekunzwisisa zviri nani njodzi dzebhakitiriya vaginosis, unogona kuwana nzira dzokudzivirira nadzo uye kudzivisa zvimwe, zvirwere zvakanyanya zvepabonde zvepabonde.
> Sources:
> Brotman, R .; Iye, X ;; Gajer, P. et al. "Kushamwaridzana pakati pemidzanga yekutsvuta uye vaginal microbiota: chidzidzo chepayari ." BMC Infect Dis. 2014; 14: 471. DOI: 10.1186 / 1471-2334-14-471.
> Madden, T .; Grentzer, J .; Secura, G. et al. "Njodzi yeBacterial Vaginosis Muvashandi veIntrauterine Device: A Longitudinal Study." Zvepabonde Trans Dis. 2012; 39 (3): 217-22. DOI: 10.1097 / OLQ.0b013e31823e68fe.
> Ryckman, K .; Simhan, H .; Krohn, A. et al. "Kufanotaurira njodzi yebhakitiriya vaginosis: basa rerudzi, kusvuta uye corticotropin-kubvisa maitiro ehommone ane chokuita." Mol Hum Kubereka. 2009; 15 (2): 131-137. DOI: 10.1093 / molehr / gan081.
> Taheri, M .; Baheiraei, A .; Foroushani, A. et al. "Kurapa kwehutachiona hweVitamin D inzira inobatsira pakuregererwa kwemaitiro anonzi bacymial vaginosis: A placebo-controlled control randomised clinical trial." Indian J Med Res . 2015; 141 (6): 799-806. DOI: 10.4103 / 0971-5916.160707.
> Dhipatimendi reUnited Health yeHurumende neHuman Services. "Douching." Rockville Maryland; yakarongwa musi waApril 18, 2017.