Funsani Katswiri: Kodi Bakiteriya Vaginosis Angadziwoneke Yokha?

Zamkati

• Nchiyani chimayambitsa bacterial vaginosis? Zizindikiro zake ndi ziti?
• Kodi BV ndi matenda opatsirana pogonana?
• Kodi ndizovuta ziti zomwe BV imatha kuyambitsa?
• Kodi BV ingadziwonetse yokha? Kodi nthawi zambiri amabwerera?
• Kodi pali kusiyana kotani pakati pa BV ndi matenda a yisiti?
• Kodi njira zosankhira BV ndi ziti?
• Ndingapewe bwanji BV?
• Kodi ndi ziti zosonyeza kuti ndiyenera kupita kwa dokotala?

Nchiyani chimayambitsa bacterial vaginosis? Zizindikiro zake ndi ziti?

Bacterial vaginosis (BV) imayambitsidwa chifukwa cha kusalinganika kwa mabakiteriya kumaliseche. Zomwe zimasinthira izi sizimamveka bwino, koma zikuwoneka kuti zimakhudzana ndikusintha kwachilengedwe. Mwachitsanzo, mumakonda kutenga BV ngati simusintha zovala zoyera mukamaliza kulimbitsa thupi kapena ngati mwatsuka. Kukula kwakukulu kwa bakiteriya ndi Gardnerella vaginalis.

Kwa anthu ena, BV sikuti nthawi zonse imabweretsa zizindikilo. Kwa iwo omwe amakhala ndi zizindikilo, atha kukhala ndi fungo lamphamvu (lomwe nthawi zambiri limatchedwa "nsomba"), kutulutsa koyera koyera kapena imvi, komanso kukwiya kumaliseche kapena kusapeza bwino.

Malinga ndi Centers for Disease Control and Prevention (CDC), BV ndimatenda azimayi azimayi azaka zapakati pa 15 ndi 44.

Kodi BV ndi matenda opatsirana pogonana?

BV si matenda opatsirana pogonana. Komabe, ngati mukugonana, muli pachiwopsezo chachikulu chokhala ndi BV. Kukhala ndi BV kumathanso kuwonjezera chiopsezo chotenga matenda ena opatsirana pogonana.

Kodi ndizovuta ziti zomwe BV imatha kuyambitsa?

Kupatula kukhala ndi zizindikilo zina zosasangalatsa, BV siyimayambitsa mavuto aliwonse azaumoyo kwa anthu ambiri athanzi.

Anthu ena omwe amalandira BV angafunikire chidwi. Ngati muli ndi pakati, kukhala ndi BV kumatha kuwonjezera chiopsezo chobadwa msanga. Kapenanso, ngati mukukonzekera njira yazimayi, kukhala ndi gawo logwira ntchito la BV kumatha kukulitsa chiopsezo chotenga matenda. Kwa anthu amtunduwu, ndikofunikira kuti adokotala anu adziwe ngati mukukumana ndi zizindikiro kuti muthe kulandira chithandizo.

Kodi BV ingadziwonetse yokha? Kodi nthawi zambiri amabwerera?

BV ikhoza kudziwonetsera yokha. Komabe, ngati mukukumana ndi zizindikiro zilizonse, funsani dokotala kuti akayesedwe ndikuchiritsidwa. Izi ndizowona makamaka ngati muli ndi pakati. Kukhala ndi BV kumatha kuwonjezera chiopsezo chanu chobadwa msanga.

Ndi zachilendo kuti BV ibwerere. Anthu ena amakonda kutenga BV, yomwe imakhudzana ndi thupi lawo komanso malo awo anyini. BV ikhoza kuwonekera ndikubwerera, kapena mwina sichinathetsedwe pomwepo.

Lankhulani ndi dokotala wanu za kusintha kwa moyo wanu komwe mungapange kapena ngati mukufuna mankhwala kuti muteteze BV.

Kodi pali kusiyana kotani pakati pa BV ndi matenda a yisiti?

Pali mitundu yambiri ya tizilombo tating'onoting'ono kumaliseche. Izi si zachilendo. Kukula kwakukulu kumayambitsa BV, makamaka Gardnerella vaginalis- mtundu umodzi wokha wa mabakiteriya omwe amapezeka mumaliseche.

Kuchuluka kwa mitundu ya yisiti kumayambitsa matenda yisiti. Zizindikiro zimaphatikizapo kutulutsa koyera, koyera kumaliseche, kapena kuyabwa. Sichikugwirizana ndi fungo.

Nthawi zina zimakhala zovuta kudziwa ngati muli ndi BV kapena matenda a yisiti kutengera zizindikilo zokha. Ngati simukutsimikiza, pangani msonkhano ndi dokotala wanu.

Kodi njira zosankhira BV ndi ziti?

Ngati mumakhala ku United States, BV nthawi zambiri imachiritsidwa ndi maantibayotiki omwe amafunikira mankhwala. Maantibayotiki wamba ndi metronidazole kapena clindamycin. Pali zina zomwe sizigwiritsidwa ntchito kwenikweni. Ku United Kingdom, kuli ma gels osavomerezeka ndi mafuta omwe amapezeka pamsika (OTC) ochizira BV.

Pali mankhwala opangidwa ngati mapiritsi amkamwa, gel osakaniza, kapena chofufumitsira chomwe chiyenera kuikidwa mu nyini. Simuyenera kumwa zakumwa zoledzeretsa zilizonse mukamamwa metronidazole, komanso kwa maola 24 mutalandira mankhwala omaliza. Kuchita izi kungakupangitseni kuti musalandire mankhwalawo.

Ndingapewe bwanji BV?

Popeza zomwe zimayambitsa BV sizikumveka bwino, ndizovuta kudziwa momwe mungapewere. Komabe, kuchepetsa kuchuluka kwa omwe mumagonana nawo kapena kugwiritsa ntchito kondomu pogonana kungachepetse chiopsezo chanu.

Muyeneranso kupewa douching chifukwa akhoza kupukuta mabakiteriya amene amathandiza kuti bwino mu nyini. Pogwirizana ndi izi, ndizothandiza kukhalabe ndi malo abwino azimayi.

Kodi ndi ziti zosonyeza kuti ndiyenera kupita kwa dokotala?

Muyenera kukaonana ndi dokotala ngati:

• muli ndi malungo, kuzizira, kapena kuwawa kwambiri pamodzi ndi zachilendo
  ukazi ndi kutulutsa fungo
• muli ndi mnzanu watsopano ndipo mukuda nkhawa kuti mutha kugonana
  Matenda opatsirana
• uli ndi pakati ndipo umakhala ndi vuto lakumaliseche lachilendo

Carolyn Kay, MD, ndi dokotala wochotsa matenda azachipatala amene amachita chidwi ndi uchembere, njira zolerera, komanso maphunziro azachipatala. Dr. Kay adamupezera Doctor of Medicine kuchokera ku State University of New York. Anamaliza kukhala ku Hofstra Northwell School of Medicine ku New Hyde Park.