Wonke umuntu uyazi ukuthi isimiso esiswini esiswini sinezici ezithile zezincane ezincane, okuhlanganisa ndawonye i-microflora yesitho socansi. Umsebenzi wabo oyinhloko ukuvikela i-membrane yamangqamuzana emagciwane. Esikhathini somsebenzi wabo, bahlanganisa i-lactic acid, eyenza imvelo e-acidic, enezindleko ze-pH ezingu-3.5-4.5.
Abesifazane abaningi empilweni yabo okungenani kanye babhekene nenkinga enjalo njengento engathandeki, ngezinye izikhathi epholile, iphunga elivela emzimbeni. Ukubukeka kwalo kubangelwa ukuphulwa kwe-microflora yesifazane. Isizathu sokuthi iphunga elimnandi elimnandi elivela emlonyeni libonakala ngokulandelayo. Ngenxa yokuthi isibalo se-lactobacilli sehlile, kukhona ukukhula okusheshayo kwama-bacterium e-pathogenic. Ngenxa yalezi zinkinga, isifo esinjengabhaktheriya vaginosis siqala. Ngokwezibalo, cishe ama-25% wabesifazane, abaneminyaka yabo engadlula iminyaka engu-50, babhekane nayo.
Izimpawu nokubonakaliswa kwesifo
Isici esiyinhloko se-bacterial vaginosis ukubonakala kwephunga. Ezimweni eziningi, lokhu kuyiphunga elimnandi elitholakala kumfazi wesifazane. Ngezinye izikhathi unamandla kakhulu kangangokuthi ubukhona bakhe bungabonwa ngabanye, okubangela ukungathandeki nokukhathazeka kowesifazane. Futhi angaba khona njalo, futhi avele kuphela ngesikhathi sokuya esikhathini.
Futhi, abesifazane abaningi baqaphela ukuthi kukhona iphunga elimnandi lokukhulelwa kwamanzi. Ngokuvamile zimpunga noma zimhlophe. Ukuvumelana kwabo kuhambisana nhlobo, azikho izibani. Imvamisa yalezi zimfihlo zingakwazi ukufinyelela izikhathi ezingu-10 ngosuku. Uma inqubo yokuvuvukala yenzeka emzimbeni wesintombazane isikhathi eside, ukuphuma kwamagciwane okunephunga elimnandi kuthola umbala ophuzi bese kuba mkhulu, unamathela futhi unamahloni.
Ukuhlonza
Ukuze unqume ukuthi yini eyabangela iphunga elimnandi, elimnandi eliphuma emzimbeni, kubalulekile ukuqhuba ukuhlolwa okulandelayo:
- i-smear evela ku-mucosa yesisu;
- Ukuhlolwa kwe-acidity (ngesifo kudlulela ku-4.5);
- aminestest.
Ukwelapha
Ukwelashwa kwe-bacterial vaginosis, uphawu lokungcolile okumnandi, okwenziwe yi-vaginosis, ngokuyisisekelo luya ekusetshenzisweni kwezinqubo zendawo. Umphumela omuhle ukusetshenziswa kwezidakamizwa, iqembu le nitroimidazoles (Trichopol, Metrogil). Ukuqeda iphunga elimnandi eliphuma emzimbeni, isisombululo se-1% se-hydrogen peroxide, i-anticideptic Tomicide, i-benzalkonium compounds (ikakhulukazi i-chloride) inqunywe. I-Dalacin Cream ingenye yezokwelapha ezivame ukusetshenziswa kule sifo. Faka izicelo izinsuku ezingu-3 bese uma ngemuva kokuphunga okwesabekayo okuvela emlonyeni wesifazane.
Ezimweni eziphambili kakhulu zesifo, odokotela basebenzisa ukusetshenziswa kwezidakamizwa zokulwa ne-antibacterial. Umgomo wabo ukuhlanza u-vaginal mucosa. Lezi zihlanganisa i-Oleandomycin, i-Clindamycin, i-Cephalosporin.
Ngemuva kwesonto ukwelashwa, udokotela ubeka i-laboratory noma ukuhlolwa kwemitholampilo. Owesibini unqunywe ngemuva kwamasonto amane kuya ku-6 kusukela ekuqaleni kokulashwa.
Isifo esingenhla siyingozi empilweni yowesifazane ngoba kungaba yimbangela yokuthuthukiswa kwezinqubo zokuvuvukala ezitholakala ikakhulukazi ezithombeni zobulili. Iqembu lezinhlekelele lihlanganisa amantombazane anesifo esingavamile ngenyanga, izifo ezivuvukalayo (colpitis, cervicitis , adnexitis) esikhathini esidlule. Odokotela baqaphela ukuthi kwenzeke ukwanda kwesifo kubantu besifazane abaye basebenzisa isikhathi eside, befakwe emgodini we-uterine.