Wonke umntu uyazi ukuba isiqhelo kwisisu sichaphale uhlobo oluthile lwe-microorganisms, ezidibeneyo zenza i-microflora yesitho sesini sesini. Umsebenzi wabo oyintloko kukukhusela umlenze we-mucous kwi-infathogens. Kwindlela yabo yomsebenzi, baqulunqa i-lactic acid, ebangela imo esebenzayo, enexabiso le-pH lika-3.5-4.5.
Abaninzi abasetyhini ebomini babo ubuncinci bodwa babhekana nengxaki enjalo njengento engathandekiyo, ngamanye amaxesha ayenziwayo, iphunga elivela kumfazi. Ukubonakala kwayo kubangelwa ukuphulwa kwe-microflora yesini. Isizathu sokuba kutheni i-odor engathandekiyo evela kumfazi ibonakala ngokulandelayo. Ngenxa yokokuba inani le-lactobacilli linciphile, kukho ukukhula okukhawuleza kweebhaktheriya ze-pathogenic. Ngenxa yezi ngxaki, isifo esinjenge- bacterial vaginosis siqala. Ngokwezibalo, malunga ne-25% yabasetyhini, abaneminyaka yabo engadluli kwiminyaka engama-50, ibhekane nayo.
Iimpawu kunye nokubonakalisa kwesi sifo
Into ebalulekileyo ye-bacterial vaginosis yinto yokuvumba. Kwiimeko ezininzi, le nto ingamnandi inkohliso ebonakalayo evela kumfazi wesifazane. Ngamanye amaxesha unamandla kangangokuthi ubukho bakhe bunokuthi buvezwe ngabanye, obangela ukungahambi kakuhle kunye nokuphazamiseka kowesifazane. Yaye unako ukuhlala rhoqo, kwaye uvele kuphela ngexesha lokuya esikhathini.
Kwakhona, abaninzi abafazi baqaphela ubukho bevumba elimnandi lomkhuhlane wamanzi. Ngokuqhelekileyo baqhenqa imhlophe okanye bamhlophe. Ukuvumelana kwabo kuhambelanayo, akukho ziqhumane. Ubume bezo mfihlelo zingafikelela kumaxesha angama-10 ngosuku. Ukuba inkqubo yokuvuvukala yenzeke emzimbeni weentombazana ixesha elide, ukukhulelwa kwamanzi okwesisu okumnandi kukufumana umbala ophuzi kwaye uba lukhulu, lukhuni kunye neentlone.
Diagnostics
Ukuze ufumane oko kubangela ukuba iphunga elibukhali, elimnandi lisuke kwisisu, kuyimfuneko ukuqhuba uviwo olulandelayo:
- i-smear evela kwi-mucosa yesisu;
- vavanyo lwe-asidi (ngesifo lidlula i-4.5);
- ehamba phambili.
Unyango
Unyango lwe-bacterial vaginosis, uphawu lokungcola, ukuvumba kwintlanzi, kubangelwa ukusetyenziswa kweenkqubo zendawo. Umphumo omuhle ukusetyenziswa kweziyobisi, iqela le nitroimidazoles (Trichopol, Metrogil). Ukuphelisa isiphumo esingathandekiyo kwisisu, 1% isisombululo se-hydrogen peroxide, i-antiseptic Tomicide, i-benzalkonium compounds (i-chloride kakhulu) imiselwe. I-Dalacin Cream yenye yeendlela eziqhelekileyo ezisetyenziswa kwesi sifo. Faka isicelo seentsuku ezi-3 uze ugcine emva kokuvumba okwenzisayo okuphuma kwisisu.
Kwiimeko eziphambili zesifo, oogqirha basebenzisa ukusetyenziswa kwezidakamizwa zokulwa ne-antibacterial. Injongo yabo kukucoca i-mucosa yesisu. Ezi ziquka i-Oleandomycin, i-Clindamycin, iCephalosporin.
Emva kweveki yonyango, ugqirha ubeka ibhoratri okanye uviwo lwekliniki. Iyesibini imiselwe emva kweeveki ezi-4-6 ukususela ekuqaleni kokunyango.
Isi sifo esingentla singengozini kwimpilo yabasetyhini ngenxa yokuba ingaba yimbangela yokuphuhliswa kweenkqubo ezivuthayo ezikuyo ikakhulukazi kwizitho zomzimba. Iqela lomngcipheko lubandakanya amantombazana anesigxina kwenyanga, izifo ezivuthayo (i-colpitis, cervicitis , adnexitis) kwixesha elidlulileyo. Oogqirha baqaphela ukuba kwenzeka ukukhula kwesi sifo kubasetyhini abade baqala ukusebenzisa i-spiral, bafakwe kwisibilini se-uterine.