Kupewa Bacterial Vaginosis

Malangizo Othandizira Ambiri Amayi Onse Ayenera Kudziwa

Malingana ndi Centers for Disease Control and Prevention, bacterial vaginosis (BV) imakhudza akazi okwana 21 miliyoni a ku America chaka chilichonse. Ngakhale kuti chiwerengerochi chokha chikhoza kuoneka ngati BV sichitha kupezeka, si zoona. Matenda ambiri amayamba chifukwa chosowa kumvetsetsa zomwe matendawa ali ndi komanso zomwe zimapangitsa mkazi kukhala pachiopsezo.

Pamapeto pake, BV ikhoza kutetezedwa pakuchita zinthu ziwiri zofunika: kusunga ukhondo wabwino wa umaliseche ndikuonetsetsa kuti zachiwerewere zimakhala zotetezeka.

Ukhondo wa Vaginal

Mabakiteriya vaginosis amayamba chifukwa cha kusamvetseka kwa zomera za m'mimba momwe mabakiteriya "abwino" amatha, kuti mabakiteriya owopsa amere. Chifukwa chake izi zimachitika kwa amayi ena osati ena sizowonekera bwino. Chimene tikudziwa ndi chakuti machitidwe ena angathe kuchepetsa chikhulupiliro cha mazira a abambo ndi kulimbikitsa matenda.

Pofuna kuti mukhale ndi thanzi labwino labwino, muli zinthu zomwe muyenera kuchita ndi ena omwe muyenera kupewa. Mwa iwo:

• Musati muwonetseke. Mwachidule, mavitamini achikazi amatha kuchotsa mabakiteriya ambiri mu umoyo wanu. Ngakhale anthu angakuuzeni, palibe kwenikweni kufunikira kwa izo; vaginayi ali ndi njira zodziyeretsera. Musagwirizane ndi chikhulupiliro chachikale kuti kupatsa kuchepetsa kuchepetsa kapena kuteteza matenda. Kawiri kawiri, sizomwezo.

• Gwiritsani sopo wofatsa (kapena ayi). Sopo la mtundu uliwonse ukhoza kuthetsa zitsamba za abambo ndikuthandizira kuchititsa matenda. Izi ndizofunika makamaka ndi sopo wonunkhira, mafuta a kusamba, ndi kusamba kwa bubble, zonse zomwe zili ndi mankhwala omwe angakwiyitse abambo. Mmalo mwa sopo, yesani kutsuka ndi madzi omasuka ndi manja anu. Ngati mumagwiritsa ntchito sopo, gwiritsani ntchito chizindikiro chamtundu ngati Cetaphil.

• Gwiritsani ntchito tampons ndi mapepala osavomerezeka. Lingaliro lomwelo loyika mafuta onunkhira mu vaginali ndi loipa. Nthawi zonse muzigwiritsa ntchito zida zamakono nthawi zonse ndipo onetsetsani kuti mukuzisintha nthawi zonse. Kusiya imodzi kwa nthawi yaitali kuposa kuonjezera kumawonjezera pangozi yotupa ndikusintha mazenera a pH , onse omwe angathe kulimbikitsa BV.
• Valani zovala zamkati za thonje. Mabakiteriya amakula mu kutenthetsa kwa nyengo ndi nyengo. Kuvala mikanda ya nylon kumapanga malo abwino kwambiri kwa matenda opatsirana pogwiritsa ntchito kutentha ndi kutentha. Zovala zamkati za puloteni zokhala ndi mpweya wabwino, mosiyana, zimaloleza kutuluka kwa mpweya kwaulere pofuna kuteteza matenda. Mukhoza kuchita zomwezo usiku kuti musamveke zovala zamkati.
• Pukuta kutsogolo kupita kumbuyo. Pambuyo kukodza, sungani thupi lanu patsogolo, ndikufikira pakati pa matako anu, kuyamba kuyambanso kuchoka kumbuyo kwa nyini kumbuyo. Izi zidzateteza kuwonjezeka kwa mabakiteriya owopsa. Mukatsiriza, tengani pepala lokha kuti muyeretse anus, kuyambira pa perineum (danga pakati pa vagina ndi anus) ndikupukuta pakati pa matako anu. Kuchita zimenezo kumalepheretsa kubweretsa mabakiteriya kuchokera ku anus kupita kumaliseche.

Kugonana Kosavuta

Ngakhale kuti bacterial vaginosis si matenda opatsirana pogonana (STD), imagawana zinthu zambiri zomwezo kuti chiopsezo chidzawonjezeka ndi chiwerengero cha anthu ogonana nawo.

Pa zifukwa zomwe simunamvetsetse bwino, kugonana ndi abwenzi osiyanasiyana (kapena atsopano) angathe kusintha kusintha kwazitsamba ndikukweza chitukuko cha BV. Izi, zimapangitsa kuti chiopsezo chanu chikhale ku matenda opatsirana pogonana monga gonorrhea , chlamydia , trichomoniasis , ndi HIV .

Kuti izi zitheke, kuchepetsa kugonana , pali njira zina zomwe zingathandize kuchepetsa chiopsezo cha BV:

• Lembetsani chiwerengero chanu chogonana . Komanso, ngati muli ndi mnzanu watsopano, khalani ndi nthawi yokambirana za mbiri yanu yogonana komanso ngati simunayesedwe matenda opatsirana pogonana . Izi sizikuphatikizapo amuna okhaokha komanso abambo azimayi. Dziwani zambiri zomwe muli nazo, zosankha zabwino zomwe mungachite.

• Gwiritsani ntchito kondomu nthawi zonse. Kafukufuku wa 2009 kuchokera ku University of North Carolina ku Chapel Hill adagwiritsa ntchito kuti kugwiritsa ntchito kondomu kwa miyezi isanu ndi umodzi kunachepetsa chiopsezo cha amayi cha BV ndi pafupifupi 70 peresenti. Momwe mungagwiritsire ntchito makondomu nthawi zonse, muyenera kudziwa momwe mungawagwiritsire ntchito molondola .
• Pewani kondomu yamoto kapena mafuta. Zakudya zamakonozi sizowonongeka kuti azigonana bwinobwino, ali ndi shuga ndi mankhwala ena omwe angathe kusintha kwambiri mawere a pH. Posankha mafuta, nthawi zonse mupite ku chigwa chokhazikika m'madzi. Mafuta opangira mafuta akhoza kusokoneza mwamsanga makondomu a mankhwala mu latex ndipo amachititsa kuti kondomu iswe.
• Pewani ma ARV. Zipangizo zamakono (IUDs) ndi njira yabwino yowalera koma izi ziyenera kupeŵedwera kwa amayi omwe ali ndi matenda opatsirana pogonana kapena omwe alibe magazi nthawi zonse pogwiritsira ntchito mankhwalawa. Kuphunzira kwa 2012 kuchokera ku St. Louis School of Medicine kunatsimikizira kuti ogwiritsira ntchito a IUD omwe anali osasinthasintha magazi mosalekeza komanso kusamvetseka kwazomera zam'mimba (kawirikawiri popanda zizindikilo) anali ndi mwayi wowirikiza BV kuposa amayi omwe amagwiritsira ntchito njira zina zoberekera.

Kulimbana

Mayi aliyense yemwe adakumana ndi matenda a BV adzadziwa momwe zingakhalire zowonjezereka, kuchokera ku tsinde losasunthika mpaka kutuluka ndi fungo la nsomba. Kuti mupirire bwino zizindikiro ndi kuwaletsa kuti asabwerere, pali zinthu zingapo muyenera kuchita:

• Pezani chithandizo. Mwachionekere, njira yokhayo yothetsera zizindikiro za BV ndiyo kuthetsa matendawa. Kawirikawiri kafukufuku wamakono kapena maantibayotiki amatha kunyenga. Ngati mutayamba chithandizo, musayime pakati, ngakhale zizindikiro zitatha. Ngati mutero, simungangowonongeka kokha, mukhoza kukhala ndi mabakiteriya osagwiritsidwa ntchito ndi ma antibiotic , ndikupangitsa kuti matendawa akhale ovuta kwambiri kuchiza nthawi yotsatira.
• Tengani nyembazo ndi madzi ozizira. Kuwaza kapena kupopera madzi ozizira pazitha kumathandiza kuchepetsa kutentha bwino kusiyana ndi kukanda. Nthawi zonse muzisamba m'mimba mwazomwe mumalowa pansi ndipo musalowemo mwachindunji. Kuthandizira masana, dulani nsalu yoyera ndi madzi a ayezi ndikugwiritsa ntchito mwachindunji kumaliseche.
• Valani zovala zonyansa. Kulola mlengalenga kuthamangira minofu yotentha kungapereke mpumulo wochulukirapo kwambiri kuchoka ku chipsinjo ndi kusasangalatsa kusiyana ndi kuvala mathalauza olimba. Sankhani nsalu zochepetsetsa kapena osankha zovala kuti asapanikizidwe.
• Pitirizani kuunika kwanu kuti mupewe kupsa mtima ndi kutupa. Vvalani zovala zogwiritsidwa ntchito mosasunthika ndikusintha kuchokera ku suti yanu yopuma posachedwa mutangomaliza. Lowani pa masewero olimbitsa thupi kapena mwamsanga mukangobwera kwanu.
• Pewani kupopera kwazimayi. Monga ndi sopo wonunkhira, izi zitsulo zonunkhira zidzangopangitsa kukwiya. Njira yabwino yothetsera kununkhira ndi kusamba nthawi zonse ndi madzi ozizira kapena sopo wofatsa. Mungathe kubweretsanso zovala zamkati za thonje kuti muzisintha mpaka tsiku limodzi.
• Tengani ma probiotics tsiku ndi tsiku. Mapulojekiti omwe amapezeka mu zakudya monga yogurt kapena zowonjezerapo zakudya zowonjezera zakudya zimakhala ndi mabakiteriya amoyo ndi yisiti zomwe zingakuthandizeni kukhala ndi chimbudzi choyenera. Angathandizenso kusunga zamoyo za m'nyanja. Ngakhale kuti maantibiobio sangathe kuthetsa matenda opatsirana, kafukufuku wa 2014 wa maphunziro a zachipatala anatsimikizira kuti kugwiritsa ntchito tsiku ndi tsiku kwa mavitamini ovomerezeka kumathandiza kuchepetsa matenda a BV kapena thandizo la mankhwala opatsirana pogonana .

> Zotsatira:

> Zolinga za Kuletsa ndi Kuteteza Matenda. "2015 Matenda Opatsirana Mwachiwerewere Njira Zothandizira: Mabakiteriya Vaginosis." Atlanta, Georgia; zasinthidwa pa June 4, 2015.

> Homayouni, A .; Bastani, P .; Ziyadi, S. et al "Zotsatira za maantibiobio pa kubwerera kwa bacterial vaginosis: ndemanga." J Low Genit Tract Dis. 2014; 18 (1): 79-86. DOI: 10.1097 / LGT.0b013e31829156ec.

> Madden, T .; Grentzer, J .; Secura, G. et al. "Kuopsa kwa Bakiteriya Vaginosis Kwa Ogwiritsa Ntchito Njira Zopangira Mafilimu: Kuphunzira Kwambiri." Sex Trans Dis. 2012; 39 (3): 217-22. DOI: 10.1097 / OLQ.0b013e31823e68fe.

> Yotebient, M .; Turner, A .; Hoke, T. et al. "Kugwiritsa ntchito kondomu nthawi zonse pa miyezi 6 yowonjezera bakiteriya vaginosis ikusiyana ndi chikhalidwe cha BV." Trop Med Int Health. 2009; 14 (4): 480-6. DOI: 10.1111 / j.1365-3156.2009.02235.x.

> Forcey, Dana S. ndi al. "Zinthu Zogwirizana ndi Bakiteriya Vaginosis Pa Akazi Ogonana ndi Akazi: Kukambirana Kwambiri". PLOS ONE 10.12 (2015): e0141905.