Chirwere chinokonzerwa nebhakitiriya chinogona kukuisa pangozi isingaiti
Bacterial vaginosis inogona kuwedzera kuwedzera kune mamiriyoni matatu emadzimai eAmerica anotambura naro gore negore. Mamiriro acho ezvinhu, anokonzerwa nehuwandu hwebhakitiriya, inowanzoonekwa nevakadzikadzi kusvika kune makumi mana nemashanu uye inogona kutungamirira kumudzimai wekubuda, kuchenesa, kupisa, uye kunhuwa kwe "fishy". Kana usina kusiya, bhakitiriya vaginosis inogona kuwedzera kukuvara kwako kune zvirwere zvepabonde uye mune dzimwe nguva, inogona kutungamirira kuberekwa kana kutora pamuviri.
Kuziva zviratidzo zveBacterial vaginosis ndiyo yako yakachengetedzwa yakanakisisa yekudzivirira zvinetso.
Zviratidzo Zvakare
Bacterial vaginosis (BV) inokonzerwa nekusawirirana kwebhakitiriya inowanzoitika mumudzimai uye, kunyanya, kupera kwechirwere che "zvakanaka" mabhakitiriya anonzi lactobacilli. Apo izvi zvinenge zvichiitika, mamwe mabhakitiriya "akaipa" anogona kukonzera nekukonzera utachiona.
Pakati pemadzimai makumi maviri nemashanu muUnited States vanokurudzira BV gore roga roga, vazhinji vanenge 84 muzana havangave nezviratidzo, maererano neshumo kubva kuCenters for Disease Control uye Prevention.
Pakati peavo vanoita, zvakanyanya kunyanya zvinosanganisira:
- Muchena mutsvuku kana wechhizha unowanzopfeka masvingo emadzimai
- A "fishy" kunhuhwidza kunogona kuwanzoipisisa mushure mekuita zvepabonde
- Inzwi rinopisa kana uchikwira
- Utano hwemaginha, kubwinya, uye kuzvimba (kazhinji unyoro)
- Vaginal kubuda ropa shure kwepabonde
Kunyangwe mushure mokunge mukadzi ave achibudirira kutarisirwa BV, vazhinji vanenge 50 muzana vachaona kudzokorora kwezviratidzo mumwedzi gumi nemaviri.
Kazhinji Zviratidzo
Pazviitiko zvisingawanzoitiki, BV inogona kukonzera dysuria (inorwadza kana kuti yakaoma kurodza) kana dyspareunia (kurwadzisa kunorwadza). Izvi zvinowanzokonzerwa nehutachiona hwechipiri hwehutachiona uye urina.
Matambudziko
Kuona uye kubata BV kunokosha sezvo kunogona kuderedza zvikuru njodzi yezvinetso.
Zvinhu zvitatu zvinowanzokonzerwa nehuwandu hwehutachiona hunoshandiswa pabonde (kusanganisira HIV), chirwere chinoputira chirwere (PID), uye kurasikirwa pamuviri kana kuberekwa.
Zvirwere zvepabonde
Bacterial vaginosis inoratidzirwa nekuputika kwemadzimai emukadzi. Kana izvi zvikaitika, mishonga uye mishonga yeropa iri pasi inotanga kukura uye kukura kuti ibvumira masero makuru emumunwe (semakisi macrophages uye dendritic) pedyo nesero rehutachiona.
Kunyange zvazvo ichi chiitiko chakakosha pakuporesa, chinokonzerawo mhirizhonga: Inoita kuti tisukisi idzi dzive dzakakosha uye dzinotambura kune zvirwere zvepabonde. Izvi zvinonyanya kuitika apo zviratidzo zveBV zvakanyanya.
Maererano nekuongorora kwe2018 kubva kuSt. Louis School of Medicine, zviratidzo zveBV zvinowedzera njodzi yegonorrhea , chlamydia , uye trichomoniasis ne 270 muzana. Izvo zvinoratidzika sezvokwadi nemarita emudzimai uye chirwere ; ukama huri pakati peBV nemunhu papillomavirus (HPV) husina kujeka.
Kusiyana neizvi, vakadzi vane subclinical BV (umo mavari zvisingaoneki zviratidzo) havana kuonekwa kunge vari kuwedzerwa ngozi.
HIV
Kusiyana neizvi, ukama huri pakati peBV neHIV hahuri pachena chete asi hunyengeri. HIV ndiyo chirwere chinosangana nekukurumidza kupera kwemasero ezvirwere anonzi CD4 T-cells .
Kana mazamu ekuputika achiitika, masero macrophage uye dendritic anofashura maronda akabatwa kuti aparadzanise utachiona, achibva atora mavharesi uye anoatakura kumaT-cells achida kuvadzivisa.
Asi, pane kuuraya mavairusi, CD4 T-cells ivo vanotapukirwa. Pakupedzisira, kudzivirirwa mumuviri kunoreva kutidzivirira isu tisingazivi kuti tine utachiona.
Uye, havasi vakadzi chete vari pangozi. Kana mukadzi ari neHIV, kukurudzirwa kweBV kunogona kutungamirira kune chimwe chinhu chinozivikanwa sehutachiona hwehutachiona iyo chirwere chepabonde chichaita kuti kuwedzera kwehutachiwana hweHIV mumuna kana mumadziviriro emadzimai.
Kana izvi zvikaitika, mukadzi achave achida kupfuudza hutachiwana kune mumwe munhu wepabonde (mune zvimwe zviitiko, kunyange kana ari nehutano hweHIV ).
Pelvic Inflammatory Disease
Chirwere chinokonzera kuputika (PID) chinokonzerwa kana hutachiona hwebhakitiriya huri mudumbu huchipfuura nomukati mutsara uye hunoita kuti kupararira kwehutachiona uye hutachipian tubes. Nepo pane imwe nhaurirano pamusoro pehukama pakati peBV nePID, 2013 uchapupu hunoratidza kuti PID inonyanya kuisa vakadzi vari pasi pemakumi maviri nemashanu vanove vane mikana yakaoma kana yakadzokororwa yeBV.
PID inoratidzirwa nepecvic uye kurwadziwa kwepamuviri, kazhinji kwenguva refu. Zvinetso zvakaoma zvinosanganisira:
- Kubudirira kwechivara chekuvhara kunze nekunze kweiyo fallopian tubes iyo inogona kuita kuti tubal ivhare
- Ectopic pregnancy (pamuviri unobuda kunze kwechibereko)
- Infertility
Kubata Kwakaoma
Bacterial vaginosis panguva yekuzvitakura inogonawo kuwedzera njodzi yekuberekwa kwepabonde uye kupererwa kwevakadzi (kazhinji kacho mumutambo wechipiri). Zvimwe zviitiko zvinowanzotaurwa zvinosanganisira l ow kuberekwa uremu uye kupera kusati kwamboita (PROM).
Kushamwaridzana pakati peBV uye kukanganisa pamuviri hakusi zvachose zvakajeka. Mamwe masayendisiti akabvunza kana BV chaiyo inokonzera zviitiko izvi (sezvo huwandu hwevakadzi vane pamuviri vane BV vane vana vakaberekwa) kana zvimwe zvipingamupinyi zvinoshandiswa neBV ndivo vane mhosva.
Nezvo zvichitaurirwa, humwe huripo hunoratidza kuti kukurudzirwa kweBV mumutambo wechipiri kunogona kuwedzera njodzi yekuberekwa kwemazuva ekutanga nemakumi matanhatu kubva muzana uye kutungamirira kuwedzera kanomwe muhutano hwePOM. Kusiyana neizvi, kushandiswa kwakakodzera kwemishonga inorwisa mabhakitiriya kunoonekwa kuderedza dambudziko, kazhinji kuregererwa.
Nguva Yokuona Chiremba
Sezvo matambudziko akawanda eBV anoitika nechirwere chechiratidzo, zvinokosha kuona chiremba kana chimwe chezvinhu zvinoratidza zviratidzo zvichioneka. Iwe haufaniri kumboedza kuzviona-izvozvi sezvo izvi zvinogona kutungamirira mukurapa kusina kukodzera (somuenzaniso, uchishandisa zvigadzirwa zvemashupiti zvisingabatsiri pamabhakitiriya).
Zvinotonyanya kukosha kutsvaga kana iwe uine fivhiri, muviri aches, pelvic uye / kana kurwadziwa mumimba, kana kuti kuoma kunyura. Zvose izvi zvinogona kuva chiratidzo chetachiona zvakanyanya.
Uyezve, kana iwe uri nepamuviri uye uine zviratidzo zveBV, dana iwe OB / GYN. Kunyanya kuongororwa uye kurapwa kunogona kufamba nenzira yakareba kuve nechokwadi chekubata pamuviri usina kuchengeteka uye musingaiti.
> Sources:
> Allworth, J. naPeipert, J. "Kusuruvara kweBacterial Vaginosis uye Dambudziko reHIV." Am J Obstet Gynecol. 2011; 205 (2): 113.e1-113.e6. DOI: 10.1016 / j.ajog.2011.02.060.
> 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.
> Nelson, D .; Bellamy, S ;; Nachamkin, T. et al. "Maitiro uye Kuberekwa Kwekuberekwa kweVabereki Vakwegura Kusarudzwa kweBacterial Vaginosis." Matern Child Health J. 2008; 12: 216. DOI: 10.1007 / s10995-007-0239-7
> Taylor, B .; Darville, T .; uye Haggerty, C. "Bhakitiriya Vaginosis Inoita Kuti Pelvic Inflammatory Disease" "Sex Trans Dis. 2013; 40 (2): 117-22. DOI: 10.1097 / OLQ.0b013e31827c5a5b.