Okuqukethwe
Ukutheleleka kwe-vaginal yeast: izimpawu eziyisixwayiso
Kuthiwani uma bekuyi-candidiasis yangasese?
Candida albicans kukhona isikhunta esincane okubangela u-80% we-vaginal yeast infection. Abesifazane abathathu kwabane bazothinteka ngesikhathi sokuphila kwabo. Ngaphandle kwengozi empilweni, izimpawu ezibonakala kalula azijabulisi. Ukulahlekelwa thatha isici elimhlophe, iqhubu, iqunube. I ukulunywa nokusha ama-vulvae ajwayelekile, njengoba enjalo ubuhlungu ngesikhathi socansi, noma ukuvuvukala kwe-vulvar. Ukuze ulwe nokutheleleka futhi unikeze impumuzo, udokotela wakho uzokunikeza a ukwelashwa kwe-antifungal yendawo ngesimo samaqanda okumele afakwe esithweni sangasese ngaphambi kokulala (lokhu kuvimbela ukukhishwa okungajabulisi), kanye nokhilimu we-vulvar. Kufanele futhi ihlotshaniswe nezinyathelo zokuhlanzeka, njenge ukusetshenziswa kwensipho ye-alkaline noma engathathi hlangothis kwenhlanzeko yomuntu siqu. Banciphisa i-asidi yesitho sangasese sowesifazane futhi ngenxa yalokho ukuthuthukiswa kwesikhunta. Kodwa qaphela, ayikho yangaphakathi yangasese yangasese. Lo mkhuba ubeka engcupheni yokucekela phansi izimbali zesitho sangasese sowesifazane!
Qaphela ukuthi i-candidiasis yangasese ingakwazi phinda onyakeni. Kunjalo ku-5% wenu. Kuyafuneka ke qala kabusha ukwelashwa. Lokhu kuphazamiseka kokulingana kwezitshalo zesitho sangasese sowesifazane kungase futhi kuvuleke amagciwane anaerobic - ngokuvamile ngamanani amancane esithweni sangasese sowesifazane - noma amanye amagciwane, njenge-Gardnerella vaginalis edume kakhulu. Cishe eyodwa owesifazane kwabahlanu kuthintwa yilokhu i-bacterial vaginosis, isifo esiza okwesibili ngemuva kokutheleleka kweyeast.
Ungayibona kanjani i-bacterial vaginosis?
Izimpawu kulula ukuzibona
Ku-bacterial vaginosis, ukukhishwa kwesitho sangasese sowesifazane kubampunga, kuyagijima, futhi kunuka kabi. Leli phunga elibi nalo libhebhethekiswa wukuhlangana ngokocansi, ngenxa yokwakheka kwamakhemikhali esidodeni. a isitho sangasese sowesifazane kuyoba usizo ukuqinisekisa ukuxilongwa. Ngenhlanhla, lezi zimpawu zihamba ngokushesha nge-a ukwelashwa ngama-antibiotic. Qaphela, nokho, ukuthi ukuphindaphinda kwenzeka kaningi, kwe-oda lama-80% ezinyangeni ezintathu! Ukuze unqobe, ngalesi sikhathi kuzodingeka ukuhlanganisa i-ejenti yomlomo esithathelwanayo namaqanda angasese.. Futhi ukubuyisela nokulinganisa izitshalo, udokotela uzobeka ama-prebiotics (ama-anti-"bacteria amabi" acidifiers) kanye nama-probiotics (okubuyisela i-lactobacilli).
Kodwa akukho okumele ukhathazeke ngakho ngomlingani wakho, i-vaginosis ayiyona isifo esithathelwana ngocansi.
Ukutheleleka nge-vaginal: izimo ezimbi kakhulu
Ukutheleleka ngesikhathi socansi olungavikelekile
THEukutheleleka esithweni sangasese sowesifazane kungase kubangelwe i-Trichomonas vaginalis, i-parasite esakazwa ngesikhathi socansi olungavikelekile. Ukutheleleka kube sekutholakala endaweni ye-genitourinary tract, nemiphumela engaba khona kubo bobabili abalingani. Kuwena, lokhu kungasukela ekuthelelekeni okujwayelekile kwesitho sangasese sowesifazane kuye ezifweni zomlomo wesibeletho noma amashubhu, okunengozi yokungazali. Futhi inkinga ukuthi isikhathi esisodwa kwezimbili lesi sifo asibonwa ngoba izimpawu, lapho zenzeka, ziyahlukahluka kakhulu: ukungcola okugcwele kwesitho sangasese sowesifazane ngokuvamile elinuka, elinegwebu, eliphuzi noma eliluhlaza, noma Ukuluma noma ukulunywa kwesitho sangasese sowesifazane, ubuhlungu ngesikhathi socansi noma esiswini noma ukuphazamiseka kokuchama. Ubhekene nalezi zibonakaliso, ngisho nokuhlukanisiwe, kuyadingeka ukubonisana ngokushesha ukuze ugweme izinkinga. A elula isampula lab ivumela ukuxilongwa ukuthi kwenziwe, ngaphambi kokusungula ukwelashwa kwama-antibiotic kumbhangqwana. Ezimweni ezingama-85 kuye kwangama-95%, lokhu kwanele ukuphulukisa.
Kuyini ukutheleleka kwe-Chlamydia? Ezimweni eziningi, lesi sifo esithathelwana ngocansi asiveli azikho izimpawu. Futhi uma kunezibonakaliso eziyisixwayiso, azicacile kakhulu: ukukhishwa kwesitho sangasese sowesifazane, ukuzwa okuvuthayo lapho uchama noma ubuhlungu esiswini. Ngenxa yalokho, ukutheleleka kutholakala sekwephuzile, ngokuvamile esigabeni sezinkinga: ubuhlungu obungapheli ngenxa izilonda ze-tubal ezivuthayo, okungase kube yimbangela yokukhulelwa kwe-ectopic, noma ngisho ne-sterility (ku-3% yamacala). Ngaphezu kokusetshenziswa kwe ikhondomu, okusewukuphela kwendlela yokuvimbela izifo ezithathelwana ngocansi (STIs), the screening kusasele kuze kube yilolu suku kuphela okuyisixazululo esisebenzayo sokuthola nokwelapha lesi sifo ngokwelashwa ngama-antibiotic. Lesi sivivinyo siqukethe a intela yendawo, umchamo noma isitho sangasese sowesifazane, esingenziwa njengengxenye yokubonisana nodokotela wakho, elabhorethri yokuhlaziywa kwezokwelapha noma kwesinye sezikhungo zokuhlola zamahhala (CDAG) ezingaziwa futhi zamahhala, ezifinyeleleka ngaphandle kwe-aphoyintimenti. Ukuze uqaphele: Kubaluleke kakhulu ukuthi bobabili abalingani bahlolwe futhi belashwe, ukuze kugwenywe noma iyiphi ingcuphe yokutheleleka kabusha.
I-vaginal flora: ibhalansi entekenteke okufanele ilondolozwe
Ngokuvamile, konke kwenziwa ukuvikela isitho sangasese sowesifazane ezifweni, nge-armada yamabhaktheriya "amahle" emgqeni wokuzivikela: i-lactobacilli. Siyabala izigidi ezimbalwa ngethonsi elilodwa nje lokufihla! Lawa mabhaktheriya amakhulu enza ngaphezu kwama-80% wezifo i-vaginal flora. Ngokugcina izinga elithile le-acidity (pH) esithweni sangasese sowesifazane, bavimbela amagciwane amabi nezinye isikhunta ekuthatheni amandla. Lezi lactobacilli, ezinamathela ku-mucosa, nazo zakha a ifilimu yebhayoloji evikelayo okuvimbela amanye amagciwane ukuthi abambelele kukho. Uma kunesidingo, baphinde bakhiphe into engababhubhisa. Ngakho-ke indima yabo ibalulekile ekulweni nezifo. Kuphela, ibhalansi yalesi sitshalo sangasese sintekenteke. Ezinye izindlela zokwelapha zingaphazamisana nakho, njengokuthatha ama-antibiotics. Into efanayo uma unesifo sikashukela, ukuphazamiseka kwe-yegilo noma amasosha omzimba akhubazekile. Ezinye izici zingase futhi zingenelele ngezikhathi ezithile futhi ziguqule i-acidity yendawo yangasese: ukushintshashintsha kwezinga le-estrogen (i-estrogen-progestogen contraceptive, ukukhulelwa, njll.), yangasese obuseduze ngokweqile noma okwenziwa ngemikhiqizo engafanele, njengaye ukugqoka amabhulukwe aqine kakhulu noma izingubo zangaphansi ezenziwe ngemicu yokwenziwa. Umphumela: “ama-super-bacteria” ayalahlekelwa indawo yokuvula indlela yamagciwane, imithombo yezifo.
Abakhulelwe, ukuqapha okuhlelekile
The i-bacterial vaginosis banesibopho ku-16 kuya ku-29% ezimweni zokuzala ngaphambi kwesikhathi, izifo ze-fetus, ukukhishwa kwezisu okuzenzakalelayo noma ukuzalwa kwesisindo esiphansi. a Ukuhlolwa kwe-1st trimester kunconywa kwabesifazane abanomlando wokuzala ngaphambi kwesikhathi. Uma une-positive, ukwelashwa kunqunywe ngokushesha ngangokunokwenzeka. Ngokunjalo, ukuhlolelwa i-streptococcus yeqembu B kuyatuswa phakathi kwamaviki angama-34 nangama-38 okukhulelwa.. Leli gciwane litholakala ku-15 kuya ku-40% komama abakhulelwe abangenazo izimpawu zokutheleleka. Omama abahlolwayo bathola ukwelashwa ngesikhathi sokubeletha.