Bacterial vaginosis ndi yowopsa kwambiri kwa amayi omwe ali ndi zaka za kubala. Choyambitsa matenda ndi kuphwanya mabakiteriya muyezo wa mkazi. Pakati pa mimba, matendawa amabwera mwa amayi asanu ndi asanu. M'dziko lokhazikika, mkaziyo ali m'mimba mwake amachitidwa ndi lactobacilli, mabakiteriyawa amawongolera kuchuluka kwa microflora. Ngati lactobacilli iyi imakhala yaying'ono, bacterial vaginosis imayamba, monga mabakiteriya ena amayamba kuchulukana mosalekeza. Chomwe chimayambitsa kuphwanya mabakiteriya, asayansi sanadziwe molondola.
Zizindikiro za bakiteriya vaginosis
Amayi makumi asanu ndi atatu aliwonse ali ndi matendawa opatsirana popanda kuonetsa zizindikiro. Ngati pali zizindikiro, mkaziyo amatha kutuluka kumaliseche, kumakhala kosavuta, nthawi zina fungo ili likufanana ndi fungo la nsomba. Kununkhira, monga lamulo, kumalimbikitsa chidziwitso cha kugonana kapena kuchita, monga momwe semretic semen imasakanikirana. Kuphatikiza apo, mkazi amatha kumverera kutentha kumalo opatsirana pogonana, ngakhale izi sizichitika kawirikawiri.
Pamene zizindikiro ziwonekera, mkazi ayenera kufunsa katswiri. Dokotala adzalangizira mayesero: kutenga mchere kuti ayang'ane bacterial vaginosis kapena matenda ena aliwonse, ndipo zotsatira zake zidzaika chithandizo choyenera.
Zotsatira za bakiteriya vaginosis
- chithandizo chamagetsi;
- kuchepetsa chitetezo cha thupi (chitetezo chokwanira);
- malingaliro a ziwalo zoberekera;
- matenda a endocrine, monga lamulo, matenda a shuga;
- kuperewera kwa magazi kwa chiyambi;
- mankhwala pogwiritsira ntchito mankhwala a cytostatic ndi hormonal;
- kusasunga malamulo a ukhondo.
Lingaliro lakuti bacterial vaginosis imapatsirana kuchokera kwa wina ndi mzake panthawi yogonana sizinatsimikizidwe kuti ndizovomerezeka ndizosavomerezedwa.
Mphamvu ya bakiteriya vaginosis pa nthawi ya mimba
Ngati panthawi yomwe mayiyo ali ndi mimba, mayiyo amayamba kukhala ndi bacterial vaginosis, ndiye kuti akhoza kukhala ndi kachilombo ka HIV, kubadwa kwa mwana wolemera kwambiri, kubadwa msanga, kupwetekedwa kwa msanga.
Kafukufuku wina wasonyeza kuti pali chiyanjano pakati pa matenda ndi kuperewera kwa pathupi komwe kumachitika mu trimester yachiwiri.
Komabe, kugwirizanitsa pakati pa zovuta za matenda a mimba sikumveka bwino. Asayansi asanaganizepo chifukwa chake amayi okha omwe ali ndi mabakiteriya vaginosis amakhala atabadwa msinkhu. Sizowonetseratu kuti matenda opatsirana amachititsa kuti ziphuphu zisinthe. Mwina amayi omwe amadziwika ndi zovuta zomwe zili pamwambazi, amakhalanso ndi zifukwa zogwirizana ndi kukula kwa bakiteriya vaginosis. Komabe, amayi ena okhala ndi bakiteriya candidiasis anali ndi mwana wamba, wopanda mavuto. Kuonjezera apo, mu makumi asanu pa zana la zochitika zoterozo, matenda omwewo adadutsa.
Ngati mayi ali ndi matenda opatsiranawa, thupi lake limakhala loopsya ku matendawa omwe akufalitsidwa kudzera mu kugonana:
- chlamydia;
- HIV;
- gonorrhea.
Kwa amayi omwe sali pachikhalidwe, pamaso pa bacterial vaginosis, mwayi wokhala ndi chifuwa cha kutupa mu ziwalo zouma kumawonjezeka, komanso maonekedwe a matenda pambuyo pochita masewera olimbitsa thupi. Pakati pa mimba, palinso kuthekera kwa kutupa, koma mwayi uwu ndi wochepa kwambiri.
Mankhwala a bacterial vaginosis mu mimba
Akatswiri amapereka maantibayotiki, omwe angatenge nthawiyi. Wokondedwa ndi ochiza matenda safunika, chomwe chimasiyanitsa matendawa ndi ena.
Ndikofunika kwambiri kumwa mankhwala onse operekedwa, ngakhale kutayika kwa zizindikiro. Mankhwala ambiri amathandiza, koma mwa amayi makumi atatu mwa 100 matendawa amabwera kachiwiri mkati mwa miyezi ingapo. Maantibayotiki amapha mabakiteriya "oipa", koma sangalimbikitse kukula kwa mabakiteriya "abwino".