- I-bacterial vaginosis
Isizathu esivame kakhulu sokukhulelwa kwamagciwane okubeletha amagciwane yisifo se-bacterial vaginosis. Ivela lapho i-lactobacilli (i-Dodderlein iqinisa), evame ukuvela ngaphakathi kwesifazane, ifakwe amanye amabhaktheriya. Izinto ezibangela ukuthuthukiswa kwe-bacterial vaginosis azizange zichazwe ngokugcwele. Kodwa-ke, akulona iziguli ezingakaze zibe nobulili, futhi kuvame ukuphawula kwabesifazane abageza njalo isisu (sebenzisa i-douching). Esinye sezibonakaliso ezijwayelekile ze-bacterial vaginosis yilapho kukhishwa uketshezi okuvela emkhathini, okungaba obala noma ophuzi. Bavame ukuba nephunga elinenhlanzi futhi bangaqukatha ama-bubbles amancane. Uphawu lokugcina luvela ngokuphathelene nokukhululwa kwegesi ngama-bacteria abangela i-dysbacteriosis. E-bacterial vaginosis, ngokuvamile akukho ubufakazi bokuvuvukala; Ukuba khona kwabo kungabonisa esinye isifo. Ayikho isiqinisekiso esinokwethenjelwa sokuthi i-bacterial vaginosis isakazwa ngokocansi, ngakho-ke ukwelashwa komlingani akuthinti imvamisa yokuphindaphindiwe kanye nobukhulu bezimpawu. I-bacterial vaginosis yisimo esingathandeki futhi, ngokuphindaphindiwe njalo, kungacindezela owesifazane - kodwa okungajwayelekile ukuthi kubangele noma yiziphi izinkinga eziyingozi. Kulaba besifazane abaningi, lingadlulela ngaphandle kwempawu. Ngokulandelayo, i-microflora ye-pathogenic kuyo iphela ngokuzimela, ngaphandle kokwelapha.
Izinkinga ezingenzeka
I-bacterial vaginosis ingaba yinkinga enkulu kunazo zonke ezimweni ezimbili.
• Ubuhlobo obuphakathi kokutheleleka okubangela ukwelashwa kwebhaktheriya kanye nezinye izimo zokubeletha ngaphambi kwesikhathi noma ukukhulelwa kwesisu esikhathini esilandelayo kusungulwa.
• Kukhona futhi ubudlelwane obukhona phakathi kwe-bacterial vaginosis nezifo ezivuthayo zesikhumba ezithuthuka ngemuva kokusetshenziswa kwe-intrauterine kokukhulelwa.
Abesifazane abakhulelwe manje sebehlolwa ngokukhululekile kwamabhaktheriya vaginosis, ikakhulukazi uma babe nezinkinga ezifanayo phakathi nokukhulelwa kwangaphambilini. Ukwelashwa kwama-antibiotic kunikeza umphumela omuhle. Kungenzeka ukuthi uhlolisise i-bacterial vaginosis ngokubona amabhaktheriya e-pathogenic emaceleni amangqamuzana omzimba ngesikhathi sokuhlolwa okuncane. I-bacterial vaginosis ingacatshangwa uma ukungcola kwesisu kuhla kwe-asidi (i-pH ephakeme) noma iphunga elimnandi, elithuthukiswa ngokusebenzisana ne-potassium hydroxide ("ukuhlolwa kwephunga").
- Thrush
I-milkmaid ingabangela izinhlobo eziningana zefungi. Zonke zivame ukutholakala emvelweni. Njengokuba kunjalo endabeni ye-bacterial vaginosis, akukho sibonakaliso esicacile somzila wobulili wokutheleleka ku-thrush, futhi ukwelashwa komlingani akuboniswa, ngaphandle uma kunezibonakaliso zesifo. Kucatshangwa ukuthi i-pathogen ye-thrush ingase ibe khona emzimbeni nasemathunjini, okuyiwona umthombo wokutheleleka. Ukusuka lapho, kungasakazeka emzimbeni.
Izimpawu
Ukutholakala ne-thrush kuvame ukukhanya, okumhlophe, ukhilimu noma okuphuzi. Ngokuvamile ngokuvumelana ngokufanayo kufana ne-cottage shizi. Abaningi besifazane babhekana nokushaywa yisisu, ukungathandeki kanye nokubomvu kwezitho zangasese zangaphandle. Ngokuvamile ukuxubha kwenzeka ngokuzenzekelayo, ngaphandle kwesizathu esicacile, kodwa kucatshangwa ukuthi lokhu kungenzeka ngenxa yokusetshenziswa kwama-antibiotic. Ezinye izifo, ezifana nesifo sikashukela kanye nokutheleleka nge-HIV, zingaphinde zithuthukise ukukhushulwa. Lesi sifo kulula ukuyihlolisisa! lapho amangqamuzana omvubelo atholakala ku-smear yesisu. Kodwa-ke, kwezinye izimo, ukuxilongwa kwenziwa ngesisekelo sempawu ezijwayelekile kanye nokuthuthukiswa ngemva kokusetshenziswa kwe-suppositories yama-vaginal antifungal.
Ukwelapha
Abesifazane abaningi bazihlola ngokuzimela baxhumane futhi bathenge izidakamizwa ezifanele ekhemisi. Kumele kuqashelwe ukuthi amabhaktheriya vaginosis avamile kakhulu kune-thrush nokuxilongwa ngaphandle kokuvivinywa kuvame ukuphutha. Amaphilisi antifungal, awenzelwe ukudla okukodwa noma okubili, aphumelela kakhulu. Ezinye izindlela zokwelapha zihlanganisa:
• Amasiko e-yoghurt aphilayo - abanye besifazane bayakhumbula ukuthuthukiswa kanye nokusizwa kokubamba emva kokujova "yogesi" ehlala emzimbeni;
• ukwenqaba ukusebenzisa insipho yokuhlanzeka ngokocansi, kanye nokuhlambalaza kwemikhiqizo kanye nokuhlanzeka okuhlanzekile;
• Ukugqoke izingubo zokuphefumula ezenziwe ngezinto ezibonakalayo (njengekotini) - kusiza ukunciphisa ubukhulu bezimpawu noma ukuphindaphindiwe kokuphindaphindiwe.
Ingxenye encane yeziguli ihlangabezana nokucindezeleka okuvamile, ngezinye izikhathi esigabeni esifanayo somjikelezo. Kulesi simo, kungase kube usizo ukuthatha imithi ejwayelekile ye-antitifungal ngaphambi kokukhushulwa okulindelekile, kungakapheli izinyanga ezingu-3-6. Abanye besifazane ngokuvamile banomkhuhlane ogcwele ngamanzi omzimba, ocacile, onamafutha futhi engahambisani nokushaya. Lokhu kungaqhubeka izinyanga eziningana noma iminyaka ngaphandle kwemiphumela ye-antibacterial and antitifungal therapy. Izimbangela zalesi simo aziwazanga, kepha into ekhubaza ingase ibe ukusetshenziswa kwezizalo zokubeletha kwe-hormonal.
- Ukuguguleka komkhuhlane
Abanye besifazane emlonyeni wesibeletho bangaba nezicubu, ngokuvamile ezikhona emngceleni wesibeletho. Lesi simo sibizwa ngokuthi ukuguguleka okungapheli komlomo wesibeletho. Njengoba lezi zicubu zingenalutho kunomuthi ovamile wesisu womlomo wesibeletho, ukuguguleka kwamanzi kungenza umcucu ohamba ngokugcoba kwesisu. Ukwelashwa kuhlanganisa ekuqedeni izicubu ze-pathological by frozen ngaphansi kwe-anesthesia yendawo (i-cryosurgery). Ukuthatha amaphilisi okukhulelwa ekuqaleni kungabangela ukubonakala kokuningi, kepha ukukhishwa okuvamile okuvela emkhathini. Lokhu akufanele kube imbangela yokukhathazeka. E-cryosurgery, kusetshenziselwa ukushisa okuphansi kakhulu ukubhubhisa izicubu ezingafuneki. Le nqubo ingasetshenziswa ukuphatha ukuguguleka komlomo wesibeletho. Ukunikezwa okubangelwa ubulili obuvikelekile kuholela emiphumeleni eyingozi kakhulu kunalabo abahambisana nezifo ezingezona ezocansi. Kubalulekile ukuba unakekele ukuxilongwa kwabo kanye nokwelapha.
I-Trichomoniasis
I-Trichomoniasis ibangelwa uhlobo olulula kakhulu lwe-Trichomonas vaginalis futhi lwenzeka ngemuva kocansi olungalondekile. Izimpawu ngokuvamile zivela emasontweni angu-1-4 ngemuva kokutheleleka futhi zivame ukufaka ukushiswa okuphuzi okwesibhakabhaka, okwesibhakabhaka noma okumhlophe, okufana kakhulu nalabo abhekwe ne-bacterial vaginosis. Imfihlo ibuye ibe nephunga elimnandi futhi ingaqukatha ama-bubbles. Ngokungafani ne-bacterial vaginosis, ngokuvamile kukhona ukuvuvukala kwezitho zangasese nezangaphandle zangasese, emgodleni wesifuba esincane kungase kuphawulwe. Ingxenye enkulu yabesifazane isulile izimpawu, kanti ezinye azikho izimpawu nhlobo.
Ukwelapha
Ukuxilongwa kwenziwa ngokusebenzisa ukuhlolwa okuncane kakhulu kwe-smear. Owesifazane nomlingani wakhe wezocansi badinga inkambo ye-metronidazole futhi kufanele babale ubulili kuze kube yilapho izimpawu zokuvuvukala zanyamalala. Ngokuvamile kakhulu i-agent yokutheleleka ayiphenduli ekwelapheni okukhethekile. Ngenhlanhla, naphezu kokuthi i-trichomoniasis iyisifo esithathelisayo kakhulu, cishe ayibangeli izinkinga ezingenakugwema. Uma i-STD eyodwa itholakele, owesifazane unengozi yokuba nabanye, ngakho-ke kuyadingeka ukuthi iziguli ezinjalo zigcwalise ukuhlolwa okugcwele kwe-urogynecological. Amakhondomu asiza ukuvimbela ukusakazeka kwezifo ezithathelwana ngocansi. Akuyona i-latex ikhondomu eyanciphisa ingozi yokuphendula okweqile. Ukuhlaziywa kwe-trichomoniasis kuvame ukuqhutshwa ngamayunithi wegazi. I-bacterium ingakwazi ukuhlukaniswa ne-smear emtholampilo. Abaningi besifazane abane-gonorrhea ne-chlamydia ababonisi izimpawu ezicacile zalezi zifo. Ngokuvamile ziyinkimbinkimbi ngobuhlungu obukhunjini obuncane noma ukuphuma ngemva kokulala. Iziguli ezimbalwa zinokukhishwa okucacile noma okuphuzi, mhlawumbe ngokuxubana kwegazi. Lokhu kungumphumela wokutheleleka komlomo wesibeletho, okuwukuthi ekuhloleni kubonakala kubomvu futhi kuvulekile. Kokubili ukutheleleka kudluliselwa phakathi kocansi olungavimbelwe. Izimpawu zivame ukuvela zingakapheli amasonto amathathu emva kokutheleleka. Kwezinye izimo, udokotela angase anqume ngephutha ukuthi imbangela yokutheleleka yi-thrush, nokusola omunye ukutheleleka kuphela uma ukwelashwa kungasebenzi. Ukuxilongwa kuqinisekisiwe ngesikhathi sokuhlolwa okuphelele kwe-urogynecological, okwathi ngemva kwalokho inkambo eqhubekayo yama-antibiotic inqunywe. Yiqiniso, isithandani socansi kufanele futhi sithole inkambo yokwelapha. Kubalulekile ukugwema ubulili ngaphambi kokuqedwa kwayo. Ukuze kuhlolwe i-gonorrhea ne-chlamydia, ukuhlaziywa kwe-smear kuyadingeka, okuthathwa ngokuhlolwa kwegazi.
Ukuxilongwa okuyisisekelo
Ukuxilongwa ngesikhathi esifanele salezi zifo kubaluleke kakhulu, ngoba kungabikho ukwelashwa, mhlawumbe, ukuqhubekela phambili kwazo ekuthuthukiseni ukuvuvukala kwama-tubespial kanye namalungu omzimba. Izizathu ezingenhla zokukhulelwa kwamagciwane okubeletha nazo zingase zenzeke ezinganeni nakwabesifazane be-postmenopausal. Kodwa-ke, ezinye izizathu zivame kakhulu kulezi zigaba zamaqembu. Izinga eliphansi lokukhiqizwa kwama-hormone ocansi wesifazane yisici esivamile.
Izinga lamahomoni
Ngaphambi kokumisa umjikelezo ovamile, udonga lwangasese lunomzimba oluncane futhi lunamathela kancane kunabantu abadala, ngenxa yezinga eliphansi lama-estrogens nama-progestogens (ama-hormone wesifazane) ajikeleza egazini. Esinye sezimbangela zokuvuvukala kwesifazane emantombazaneni kungasabela emzimbeni wangaphandle, owethulwa ngumntwana ngokwakhe. Kungaba into enjalo engahlaziyi, njenge-fluff noma ithoyizi encane.
Izifo
Ukuvuvukala kwesifazane kungase kuhlotshaniswe nokuhlanzeka okungcolile. Ngezinye izikhathi kungabangelwa yi-helminths. Ukutholakala kwezicathulo zangasese kumntwana kungaphazamisa abazali ngenxa yokwesaba ukumangalela izenzo ezinobungozi, kodwa odokotela bathi ezimweni eziningi imbangela ihlukile. Ngokujwayelekile, isazi sidinga ukuhlolwa ukuze sithole i-agent causative yesifo; Ungase futhi udinga ukuhlolwa okuningiliziwe kwebesifazane uma kwenzeka umzimba wangaphandle ungaphakathi. Kumele kukhishwe ngokucophelela - ngokungazinaki okuncane kwengane. Ukwelashwa okuphumelelayo kuvame ukutholakala ngokumane ngokulandela imithetho yokuhlanzeka kanti kwezinye izimo ngosizo lwe-antibiotics. Abaningi abesilisa abesilisa abanesifo sengculaza bahlala bezocansi futhi bangase baqhubeke besengozini yokutheleleka. Noma kunjalo, enye, imbangela evame kakhulu yokukhipha kule nkathi yokuphila i-colpitis engavamile.
Izimbangela
Mhlawumbe, lesi sifo siqala ngenxa yokunciphisa udonga lwangasese ngesimo sokunciphisa izinga lama-hormone wesifazane emva kokuya esikhathini sokuya esikhathini. I-vagina, ngaleyo ndlela, iba lula kakhulu ukutheleleka ngamagciwane ezincane esikhumbeni. Inombolo yebhaktheriya evamile yesisu eyenza umsebenzi wokuzivikela kanye ne-lactobacilli, okuvame ukwandisa ukumelana nama-bacterium e-pathogenic, nayo iyancipha.
Ukuxilongwa nokuphathwa
Owesifazane angakwazi ukubona ukukhishwa kwesisu, kanye nokuvuvukala kwesiswini futhi ngezinye izikhathi ukuphuma kwegazi, ikakhulukazi emva kocansi. Ukuxilongwa kusungulwa udokotela ngesisekelo sokuthola ngesikhathi sokuhlolwa kwesisindo sokuguquka kwesimo sangasese odongeni lwesisu. Kungabekwa inkambo yama-antibiotics ngendlela yamathebulethi noma ama-creams. Ngokuvamile ama-creams ase-hormone ayesetshenziswa. Udonga lwangasese lungavimba kakhulu ngokusetshenziswa kwesikhathi eside kwe-hormone replacement therapy (HRT). Abesifazane abadala asebekhulile nabo banesifo sengculazi. I-hormone-substitution therapy (i-HRT) iqukethe ukuqokwa kwenhlanganisela yama-estrogens nama-progestogens ukukhokhela ukuntuleka kwama-hormone wesifazane ocansini okwenzeka kuma-postmenopausal abesifazane.