Bacterial vaginosis ( BV ), imapezeka pamene zomera zowonongeka zowonongeka zimakhala m'malo mwa mabakiteriya ena, kuphatikizapo Mycoplasma genitalium .
Ngati wina ali ndi BV, kusintha kwakukulu kumapezeka mukazi. Zina mwazofunikira kwambiri ndikuphatikizapo kuwonjezeka kwa pH komanso kuchepetsa zinthu zina zomwe zingathetsere mabakiteriya ambiri, monga peroxide.
Kupyolera mu kusintha ndi izi, BV imapanga malo omwe ndi kosavuta kuti mabakiteriya akule ndi ma STD kufalitsa.
HIV ndi imodzi mwa matenda opatsirana pogonana omwe amafalikira mosavuta pamaso pa BV. Azimayi omwe ali ndi BV amakhala ndi kachilombo koyambitsa matendawa. Komabe, kuwonjezeka kwa chiopsezo cha HIV kumayanjanitsidwa ndi BV sikumangokhala kwa mkazi. Bacterial vaginosis yasonyezedwanso kuonjezera chiopsezo chakuti abambo ogonana adzatenga HIV. Ndipotu, phunziro lina ku Africa linapeza kuti nthawi zambiri amapezeka ndi amayi omwe ali ndi BV kuti afotokoze HIV kwa wokondedwa wake monga momwe zinalili kwa mkazi yemwe ali ndi zamoyo zabwino za m'mimba.
Zinthu Zowopsa ndi Matenda Osiyana
Asayansi samadziwa njira zonse zomwe BV ndi HIV zimagwirira ntchito. Komabe, zikuonekeratu kuti BV ndi HIV ndizofala m'magulu ena a anthu kuposa ena. Mwachitsanzo, ku United States, zikhalidwe zonsezi zimapezeka kawirikawiri mu African American kusiyana ndi anthu onse.
Ponena za kachirombo ka HIV, pali zifukwa zambiri za chifukwa chake izi zikhoza kukhalira. Izi zikuphatikizapo kusowa mwayi wathanzi ndi chithandizo chamankhwala, chiopsezo chowonjezeka cha kutsekeredwa, ndi malo ochepetsetsa ogonana omwe angapangitse kukhala ndi kachilombo ka HIV. Zonsezi ,zi ndi zina zomwe zimayambitsa chiopsezo zimayambitsa kachilombo koyambitsa kachilombo ka HIV komwe kawiri kawiri kumakhala a akazi Oyera kuposa akazi oyera.
Sindimvetsetsa bwino chifukwa chake amayi a ku Africa Amayi ali pachiopsezo chachikulu cha BV. Kafukufuku akusonyeza kuti pafupifupi theka la amayi a ku Africa muno, kapena akhala ndi BV, poyerekezera ndi 30 peresenti ya amayi onse. Chomwe chikhoza kufotokozera ndi chakuti mtundu wa lactobacillus umene umapezeka kwambiri mu amai a ku Africa Ammera siwothandiza kwenikweni pakumenyana ndi umaliseche kusiyana ndi mtundu umene umakhala wochuluka mu azungu, omwe si a ku Spain.
Komanso, asayansi ali ndi umboni wabwino wakuti pali mgwirizano pakati pa bakteria vaginosis ndi douching . Kuwotcha, kuyesera kuyeretsa umaliseche, kumakhala kofala kwambiri mu amai a ku America ndi a Caribbean kusiyana ndi magulu ena ambiri. Komabe, ziyenera kunenedwa kuti mgwirizano wa BV ndi douching ukhoza kukhala wofanana ndi vuto la nkhuku ndi dzira. Kuwombera kumawonjezera chiopsezo cha BV, koma azimayi a ku America amatha kukhala akumwa chifukwa amatha kupeza zofukiza za m'mimba ndi zizindikiro zina za BV.
Ngakhale njira zonse zomwe BV ndi HIV zimagwirizanirana siziri bwino, asayansi apeza zifukwa zingapo zoopsa zimene ali nazo. Matenda a nthenda ya herpes imayambitsa chiopsezo cha BV ndi HIV.
Ndi umphawi komanso kusowa kwa chisamaliro. Potsiriza, kupsinjika kwanthawi yaitali kwagwirizanitsidwa ndi matenda onse awiri, monga kupanikizika kungakhale ndi zotsatira zowononga chitetezo. Zonsezi zowonjezereka zingathe kupangitsa kuti zikhale zovuta kufotokoza njira zonse zomwe BV zingakulitse chiopsezo cha HIV, ndipo mosiyana.
Kufufuza Link
Pali zifukwa zambiri za momwe BV ingaonjezere chiopsezo chotenga HIV. Chimodzimodzinso chimayang'ana momwe zimakhalira m'mimba. Mu mavitamini abwino, lactobacilli ikhoza kupanga mankhwala ambiri otsutsana ndi tizilombo toyambitsa matenda, kuphatikizapo lactic acid ndi peroxide, zomwe zingayambitse HIV. Pamene pali kusintha kochokera ku flora ya lactobacillus yomwe imayambira kumtunda kwa BV, zomerazi zimachoka.
Izi zikhoza kuchititsa kuti HIV ikhalebe yamoyo nthawi yayitali mu umuna ndikuonjezera kuchuluka kwa kachilombo ka HIV.
Palinso njira zina zomwe mabakiteriya a BV angakhudze kachilombo ka HIV. Mabakiteriya ena a BV asonyezedwa kuti apitirize kubwereza kachirombo ka HIV polimbikitsa maselo omwe ali ndi kachilomboka. BV yasonyezedwa kuti imasokoneza maselo a khungu pamtunda, zomwe zingakhale zosavuta kuti kachilombo ka HIV kakhale ndi maselo ozama omwe angathe kutenga matenda. Potsirizira pake, BV ikhoza kuyambitsa kutupa mu chiberekero kawirikawiri, chinachake chomwe chimapangitsanso mwayi wa kachilombo ka HIV.
Mawu Ochokera
Kuchita ndi BV kawirikawiri kungakhale kokhumudwitsa. Zingakhale zovuta kwambiri kubwezeretsa zomera zachibadwa za abambo. Zikatero, zingakhale zovuta kumva kuti BV ikukhudzidwa ndi chiopsezo chowonjezeka cha HIV ndi matenda ena opatsirana pogonana. Mwamwayi, kugonana moyenera ndi njira yabwino kwambiri yochepetsera chiopsezo cha matenda opatsirana pogonana. Kuphatikiza apo, kwa amayi omwe ali pachiopsezo chachikulu chotenga HIV, palinso zina zomwe mungachite.
Ngati ndinu mkazi wokhala ndi kachilombo koyambitsa matenda a Edzi omwe ali pachiopsezo chachikulu cha HIV, mwachitsanzo chifukwa chakuti muli ndi kachilombo ka HIV, mungathe kuyankhula ndi dokotala wanu za pre-exposure prophylaxis kapena PrEP. Ndi PrEP, mumamwa mankhwala a HIV kuti muchepetse kutenga chiopsezo chotenga kachilombo ka HIV ngati mukuwonekera. Komabe, ndikofunika kuzindikira kuti amayi omwe ali ndi BV kawirikawiri ayenera kupatsidwa oral PrEP m'malo mojambula gel. Pali umboni wina wosonyeza kuti kukula kwa bakiteriya mu BV kungachititse kuti gel osagwire ntchito.
> Zotsatira:
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> ML Alcaide, Chisembele M, Malupande E, Arheart K, Fischl M, Jones DL. Kufufuza kwapakati pamagulu a bacterial vaginosis, miyambo yapakatikati ndi kutsuka kwa HIV; Zomwe zimakhudza kachilombo ka HIV ndi thanzi la amayi. BMJ Open. 2015 Nov 9; 5 (11): e009036. lembani: 10.1136 / bmjopen-2015-009036.
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> Velloza J, Heffron R. Vaginal Microbiome ndi Mphamvu Zake Zothandizira Kuchita Kachilombo ka HIV Pre-exposure Prophylaxis kwa Akazi. Curr HIV / AIDS Rep. 2017 Oct; 14 (5): 153-160. onetsani: 10.1007 / s11904-017-0362-z.