La i-vaginitis ukuvuvukala kwesitho sangasese sowesifazane okuvame kakhulu ngenxa yokutheleleka, kepha hhayi njalo. Kubangela ukucasuka, ukulunywa noma ukuzwa okubuhlungu esikhunjeni. i-vulva noma umndeni esithweni sangasese, kanye nokukhishwa kwesitho sangasese "ngokungajwayelekile". Siphinde sikhulume i-vulvo-vaginite.

Lesi simo sivame kakhulu: ama-75% abesifazane azothinteka okungenani kanye empilweni yabo. I-Vaginitis yisona sizathu esivame kakhulu sokubonisana kwezokwelapha kwabesifazane.

Izinhlobo zabesifazane

I-vaginitis ethathelwanayo. I-vaginitis ejwayelekile kakhulu ibangelwa ama-microorganisms, njengama-bacterium, ama-virus, ama-parasites, noma imvubelo (imvubelo isikhunta esincanyana).

I-vaginitis ethathelwanayo ingabangelwa:

• Ukuphazanyiswa kwesilinganiso semvelo sowesifazane sangasese. Isitho sangasese sowesifazane siyindawo lapho kuhlala khona ama-microorganisms amaningi avikelayo, okuyizimbali (noma i-Döderlein flora). Ukulinganisela okuhle kwalesi sitshalo kusiza ukuvimbela ukuphindaphindeka kwamagciwane ayingozi noma imvubelo futhi kuvimbele izifo. Imvelo yesitho sangasese sowesifazane ine-pH eqhathaniswa ne-asidi. Ushintsho ku-pH noma ku-flora, kepha futhi namazinga angajwayelekile eglucose, glycogen, amasosha omzimba kanye nezinye izinto ezihlanganisiwe ekusithekeni kwesitho sangasese sowesifazane kungalinganisa izitshalo zesitho sangasese sowesifazane.

  Ngokufanayo, ubudala, ukuya ocansini, ukukhulelwa, iphilisi lokuvimbela inzalo, izinyathelo zenhlanzeko noma imikhuba yokugqoka kungaphazamisa izimbali. Lokhu kungaholela ekwandeni okungajwayelekile kwe- amabhaktheriya or amakhowe esivele ikhona esithweni sangasese. Imvubelo ye-vaginitis ebangelwa izinhlobo ezahlukahlukene zemvubelo ezivela emndenini wemvubelo Candida (okubizwa nangokuthi ukutheleleka ngemvubelo noma candidiasis sowesifazane sangasese) kanye ne-bacterial vaginosis ebangelwa amagciwane Gardnerella vaginalis zivame kakhulu.

• Isifo esithathelwana ngocansi (STI). Isingeniso se-parasite I-Trichomonas vaginalis esithweni sangasese ngesikhathi socansi nomlingani onegciwane. Lolu hlobo lwe-vaginitis lubizwa trichomonase futhi iyi-STI.

I-atrophic vaginitis (okuholela ekumeni kwesitho sangasese sowesifazane). Lolu hlobo lwe-vaginitis lubangelwa ukwehla kwamazinga e-estrogen ngemuva kokususwa kokuhlinzwa kwama-ovari noma ngesikhathi sokuya esikhathini. Lapho-ke kukhona ukuncipha nokuncipha kwe-mucosa yesitho sangasese sowesifazane, esiba nokuzwela kakhulu futhi sicasule kalula.

Ukucasula i-Vaginitis. Ukuvuvukala kwesitho sangasese sangasese kungadalwa amakhemikhali acasulayo noma ukungezwani komzimba okuvela kuma-spermicides, ama-douches, ama-detergents, insipho enephunga elimnandi, izithambisi zendwangu, amakhondomu e-latex asetshenziswa ngaphandle kokugcoba noma nge-lubricant encane kakhulu noma ukusetshenziswa kwe-tampon okuncane.

Izinkinga ezingenzeka

Ngenjwayelo, i-vaginitis azibangeli izinkinga. Noma kunjalo, zingaba yinkinga ku- abesifazane abakhulelwe. Ngempela, i-vaginitis ebangelwa amagciwane noma i-parasite I-Trichomonas vaginalis kungadala ukuzalwa ngaphambi kwesikhathi.

I-bacterial vaginitis ne-trichomoniasis futhi kwandisa ubungozi bokuthola igciwane lesandulela ngculaza (i-HIV) nezinye izifo ngesikhathi sokukhulelwa. ubulili obungavikelekile nomlingani onegciwane.

Ngaphezu kwalokho, ezinye i-vaginitis zingase zithambekele nika kabusha. Ngakho-ke, cishe uhhafu wabesifazane abake baba ne-candidiasis yesitho sangasese sowesifazane bazoba nokutheleleka kwesibili.²⁶. Sekukonke, cishe ama-5% wabesifazane abaneminyaka yobudala bokubeletha banezifo ezingaphezu kwe-4 ze-candidiasis ngonyaka²⁸. Noma, les i-vaginitis ephindaphindiwe ingashintsha kakhulu izinga lempilo futhi ibe nemiphumela emikhulu empilweni yezocansi yabesifazane abathintekile. Kunzima futhi ukwelashwa.