Zoonadi Mkazi Aliyense Ayenera Kudziwa
Bacterial vaginosis ndi yamba koma yokhumudwitsa yomwe imakhala yosokoneza zomera zakuthambo, zomwe zimayambitsa mabakiteriya owopsa. Zizindikiro zimaphatikizapo kunyoza, kutaya kwa akazi, ndi fungo losasangalatsa.
Ngakhale kuti BV imachiritsidwa mosavuta ndi maantibayotiki, kachilombo kawirikawiri kamakhala kawirikawiri, kawirikawiri mkati mwa miyezi 12 ya chithandizo.
BV amachititsa kuti amayi azitha kubereka ndipo nthawi zambiri amagwirizanitsidwa ndi kugonana kosakanizidwa, kugonana kosatetezeka, ogonana nawo ambiri, ndi zina zoopsa.
Zizindikiro
Mwa amayi okwana 21 miliyoni a ku America amakhulupirira kuti amakhudzidwa ndi bacterial vaginosis chaka chilichonse, pafupifupi mamiliyoni atatu okha amakhala ndi zizindikiro. Zikachitika, zizindikiro za BV zimakhala zofatsa koma zotsalira ndipo zingaphatikizepo izi:
- Kutaya kwa vaginito woyera kapena chikasu
- Fungo la "nsomba" limene lingayambe kuchitika pambuyo pochita zogonana
- Kuyaka kotentha pamene mukukota
- Chizungu, chifuwa, ndi kutupa
- Kuthamanga kwa magazi pambuyo pa kugonana
Nthawi zambiri, matenda a BV angayambitse mavuto ozungulira, kupweteka pa nthawi yogonana, ndi chitukuko cha matenda opweteka m'mimba (PID).
Ngakhale kuti zizindikiro za BV sizikhala zovuta kwambiri, zingathe kuwononga umphumphu wa ziwalo za m'mimba ndi kuonjezera chiopsezo chanu ku matenda opatsirana pogonana monga matenda a gonorrhea , chlamydia , trichomoniasis , ndi HIV .
Komanso, ngati matendawa amapezeka panthawi ya mimba, mungayambe kukhala ndi chiopsezo chokwanira kubereka, kuchepetsa kuchepa, ndipo, nthawi zambiri, kutaya pathupi.
Zimayambitsa
Mabakiteriya vaginosis saganiziridwa kuti ndi matenda opatsirana pogonana chifukwa matendawa sagwidwa ndi tizilombo toyambitsa matenda monga HIV kapena syphilis.
M'malo mwake, BV imachitika pamene mabakiteriya abwino mu umaliseche amathera, ndikupangitsa kuti anthu osachiritsika azikhala ndi matenda ambiri. Gardnerella vaginalis ndi imodzi mwa mabakiteriya "oipa", koma ena akhoza kuyambitsa matenda, naponso.
Kusalinganika kumeneku kungayambidwe chifukwa cha kusintha kwa ubongo kapena mavuto a chitetezo cha mthupi, zonse zomwe zimachepetsa mphamvu ya thupi kuti iwononge kukula kwa bakiteriya. Kugonana nthawi zambiri kumayambitsa matenda pogwiritsa ntchito tizilombo tating'onoting'ono ting'onoting'ono tomwe timagwiritsa ntchito mukazi.
Vuto la BV ndilopambana pakati pa akazi ndi akazi 15 mpaka 44. Mwachidziwikire, amayi a ku Africa amodzi ndi awiri omwe angathe kukhala ndi BV kuposa akazi oyera.
Zina mwa zomwe zimayambitsa BV ndizo:
- Matenda osatetezeka, amaliseche, kapena abambo
- Ambiri ogonana nawo
- Ogonana atsopano
- Kugawana zolaula zogonana
- Kuwomba
- Kusuta
- Zipangizo zamakina (IUDs)
Mankhwala amtunduwu amakhulupirira kuti amatenga nawo mbali, mwina mwa kulimbikitsa kutupa kapena pochititsa kuti m'mimba ya vagin, m'mimba mwazi muli zochepa zoyembekezeredwa za Lactobacilli .
Kudziwa
Popeza bacterial vaginosis sichiyambidwa ndi wothandizila, matendawa angapangidwe malinga ndi kuyesedwa kwa zizindikiro zanu ndi zotsatira zanu za mayeso osiyanasiyana. Izi zikhoza kukhala ndi izi:
- Kupenda mbiri ya zamankhwala
- Kuyezetsa magazi
- Kuyezetsa pH kuyang'anitsitsa ubongo
- Kuwonetsa kochepa kwa zobisika za m'mimba mwanu
Maselo ang'onoang'ono angayang'ane "maselo ozindikiritsa" (maselo a m'mimba omwe ali ndi mabakiteriya) kapena amagwiritsa ntchito galasi kuti athe kusiyanitsa mitundu ya bakiteriya ndi kuyeza kuchuluka kwa mabakiteriya "abwino" kwa "zoipa". Malinga ndi ndondomeko yowunika, dokotala akhoza kutsimikizira kuti ali ndi matendawa kapena ayesetsedwe ena kuti awonetsetse kuti si matenda ena (monga matenda a yisiti kapena herpes ).
Mayesero apanyumba aliponso koma amakhala ochepa kwambiri.
Chithandizo
Chithandizo choyenera cha bacterial vaginosis ndi mankhwala ochepetsa mankhwala osokoneza bongo.
Mitundu yomwe imagwiritsidwa ntchito mu mankhwala a mzere woyamba, wotchedwa metronidazole ndi clindamycin, ndi othandiza kwambiri pochiza BV komanso kukhala ndi zotsatira zochepa.
Mipangidwe yamakono yoyamba ikuphatikizapo:
- Metronidazole 500 milligrams otengedwa pakamwa kawiri tsiku lililonse masiku asanu ndi awiri
- Metronidazole 0,75 peresenti ya gel osakanizidwa kamodzi tsiku ndi tsiku kwa masiku asanu
- Clindamycin 2.0 peresenti ya kirimu yogwiritsidwa ntchito pa nthawi yogona masiku asanu ndi awiri
Zina mwa njirazi ndi mapiritsi a clindamycin a suppository kapena tinidazole. Ngakhale kuti mankhwalawa ndi othandiza, kubwereza kumakhala kofala ndipo kungafunike mankhwala ena oonjezera kapena angapo kuti akwaniritse. Zotsatira zoyipa zimaphatikizapo kunyowa, kupweteka m'mimba, chifuwa, khosi, mphuno, ndi kukoma kwachitsulo m'kamwa.
Kuphatikiza pa mankhwala oletsa maantibayotiki, pali mankhwala angapo komanso othandizira omwe angawathandize. Amaphatikizapo ma probiotics (omwe amapezeka mu zakudya zowonjezera zakudya ndi zakudya monga yogurt) zomwe zingathandize kuchepetsa kubwereza, ndi asidi ya boric , mankhwala akale omwe amayamba kubwerera kuchipatala.
Kupewa
Monga wamba monga bacterial vaginosis ndi, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu . Amaphatikizapo njira zogonana zolimbitsa thupi kuti asatengere mabakiteriya owopsa ndikuchita ukhondo wabwino wa ukazi kuti athe kuchepetsa matenda anu.
Kupewa bacterial vaginosis:
- Lembetsani chiwerengero chanu chogonana.
- Gwiritsani ntchito chitetezo kumaleche, kumaliseche, kapena kugonana kwa abambo, kuphatikizapo makondomu ndi maboma a mano .
- Musagwirizane ndi toys zachiwerewere.
- Musati muwonetseke .
- Pewani kutsuka mkazi ndi sopo zowawa kapena zonunkhira.
- Valani zovala zamkati za pamba.
- Pewani timamponi zamoto kapena zopopera zazimayi.
- Musati muzisunga nthawi yaitali kuposa momwe mukulimbikitsira.
- Pukutsani kumbuyo kutsogolo mukatha kukodza.
- Pewani ma ARV ngati muli ndi BV kapena kachilombo koopsa.
Mawu Ochokera
Ngakhalenso ndi njira zabwino zothandizira, mabakiteriya vaginosis akhoza nthawi zina kuchitika. Yesani kusokonezeka. M'malo mwake, funani chithandizo ndikuyesetsa mwakhama kuti musawononge mkhalidwewu.
Ngati zizindikiro zikukuyendetsani kuti musokonezedwe, khalani ndi moyo wosalira zambiri poyendetsa mathalauza ovala bwino ndi kuvala zovala zobvala zofunda kapena skirt. Pofuna kuthana ndi chilakolako, gwiritsani ntchito nsalu yozizira mwachindunji kumaliseche kapena kuwaza madzi ozizira mumsamba. Kupalasa kumangopangitsa zinthu kukhala zovuta kwambiri.
Pomaliza, ngati mukuchiritsidwa ndi mankhwala opha tizilombo, musayime pakati ngakhale zizindikiro zanu zitatha. Kuchita zimenezi kungapangitse chiopsezo choteteza maantibayotiki ndikupangitsa mankhwala kukhala ovuta kwambiri ngati matendawa akubwerera.
> Zotsatira:
> Allworth, J. ndi Peipert, J. "Kuwopsa kwa Bacterial Vaginosis ndi Kuopsa kwa Matenda Opatsirana pogonana." Am J Obstet Gynecol. 2011; 205 (2): 113.e1-113.e6. DOI: 10.1016 / j.ajog.2011.02.060.
> Bagnall, P. ndi Rizzolo, D. "Bacterial vaginosis: Kuwunika kweniyeni." J Am Acad Phys Assist. 2017; 30 (12): 15-21. DOI: 10.1097 / 01.JAA.0000526770.60197.fa.
> Zolinga za Kuletsa ndi Kuteteza Matenda. "2015 Matenda Opatsirana Mwachiwerewere Njira Zothandizira: Mabakiteriya Vaginosis." Atlanta, Georgia; zasinthidwa pa June 4, 2015.
> CDC. "Ziwerengero za Bacterial Vaginosis (BV): Mabakiteriya vaginosis ndi kachilombo kawirikawiri kwa amayi a zaka zapakati pa 15-44." Idasinthidwa December 17, 2015.
> Hainer, B. ndi Gibson, M. "Vaginitis: Kuzindikira ndi Chithandizo." Am Phys Physician. 2011; 83 (7): 807-815.