Izithombe ezikhombisa ukuthi uketshezi lwe-BV lubukeka kanjani?

I-Bacterial vaginosis (BV) yisimo esivamile sesitho sangasese sowesifazane esihlangatshezwa abesifazane abaningi eminyakeni yabo yokuzala. Yize ingafakwa ohlwini lwezifo ezithathelwana ngocansi, ixhunyaniswe nomsebenzi wocansi [1].

Isitho sangasese sowesifazane sinokulinganisela kwemvelo kwamagciwane asiza ukugcina indawo yesitho sangasese sowesifazane isinempilo [2]. Nokho, uma kuba nezinguquko ekulinganeni kwamagciwane emvelo, kuholela ku-bacterial vaginosis. Enye yezimpawu ezivame kakhulu ze-BV ukuguquka kokukhipha kwesitho sangasese sowesifazane. Lokhu kwenza abesifazane bazibuze ukuthi kukhangeleka kanjani ukukhishwa kwe-BV ezithombeni.

Kubukeka Kanjani Ukukhipha Okujwayelekile Kwesitho Sangasese Sowesifazane?

Ukuze uqonde kangcono izinguquko ekukhishweni kwesitho sangasese sowesifazane ezidalwa yi-BV, kudingeka kuqala wazi ngokukhipha okujwayelekile. Ukukhipha okujwayelekile kwesitho sangasese sowesifazane kuvamise ukubonakala kucacile noma kumhlophe futhi kungashintsha phakathi nomjikelezo wakho. Ngaphambi nangemva kokuya esikhathini, ukukhishwa kuba kuncane futhi kunamathelayo.

Ngaphakathi nesikhathi sokuvuthwa kweqanda, kuba bushelezi futhi bude, kufane namaqanda abilisiwe angakavuthwa [3]. Lolu shintsho lusiza isidoda sihambe kalula futhi lukhombisa ukuthi umzimba wakho usebenza kahle.

Kubukeka Kanjani Ukukhipha kwe-BV?

Ukukhipha kwe-BV ngokuvamile kuba mncane futhi kufana namanzi. Izithombe zokukhipha zivame ukuba nombala ompunga noma omhlophe futhi zingabonakala zinamagwebu kancane. Enye yezici eziyinhloko zokukhipha lokhu iphunga lalo elinamandla elifana nenhlanzi, eliba sobala kakhulu emva kocansi [4].

Umthombo Wesithombe: https://www.researchgate.net/figure/Typical-discharge-associated-with-bacterial-vaginosis_fig6_369299497

Yize ezinye izifazane ezine-BV zingase zingabi nazo izimpawu nhlobo, eziningi zibika lo mphunga ohlukile kanye nokukhipha okungajwayelekile. Lolu shintsho ekukhishweni lubangelwa ukwanda kwamagciwane avame ukuba khona ngenani elincane esithweni sangasese sowesifazane esinempilo.

Uma uqaphele ukukhishwa okuphuzi ngaphambi kokuya esikhathini futhi unelukuluku lokwazi ukuthi kungase kube uphawu lokukhulelwa, funda i-athikili yethu ethi 'Yellowish Discharge Before Period Sign Pregnancy?' ukuze uthole ukuqonda kochwepheshe.

Yini Ebangela Ukukhipha Okungajwayelekile ku-BV?

Ukuphuma okuvamile esithweni sangasese sowesifazane kuyashintsha phakathi nomjikelezo wokuya esikhathini futhi kuvamise ukuba sobala noma kube mhlophe. Nge-BV, ibhalansi yamagciwane amahle abizwa ngokuthi ama-lactobacilli iyaphazamiseka, okuvumela ezinye izinhlobo zamagciwane ukuthi ande [2]. Lokhu kuphazamiseka kwamagciwane kubangela ukuthi ukuphuma kube okungajwayelekile.

Ukuphuma ku-BV akuminyene noma kube amahlule njengokuphuma okufana nobisi lwe-cottage okubangwa ukutheleleka ngamakhowe (yeast infections). Esikhundleni salokho, kuvame ukuba manzi kakhulu futhi kungaba nombala omhlophe ongacacile noma ompunga kancane. Iphunga lenhlanzi livela ngoba amagciwane adlulele akhiqiza amakhemikhali anika lokhu kuphuma leli phunga elihlukile.

Ezinye Izimpawu ze-BV

Ezinye izifazane ezine-BV zingase futhi zizwele umuzwa oshisayo kancane lapho zichama noma ngesikhathi sokwabelana ngesondo. Nokho, i-BV imvamisa ayibangeli ubuhlungu obukhulu noma ukulunywa. Ezimweni eziningi, izikhalo eziyinhloko eziba nazo izifazane yiphunga nokushintsha kokubukeka kokuphuma esithweni sangasese.

Kubalulekile ukuqaphela ukuthi yize i-BV ingase ingakhululeki futhi idikibale, imvamisa ayisona isimo esibucayi. Lesi simo sivame ukuthuthuka ngokushesha ngokwelashwa okufanele kwezokwelapha.

Indlela Yokwelapha i-BV?

Indlela enconyiwe nephumelela kakhulu yokwelapha i-bacterial vaginosis wukubonana nochwepheshe bezempilo. Umhlinzeki wakho wezempilo angakubhalela ama-antibiotic afana ne-metronidazole noma i-clindamycin [4].

Le mithi isiza ukunciphisa inani lamagciwane ayingozi esithweni sangasese sowesifazane futhi ibuyisele ibhalansi evamile yamagciwane amahle. Kubalulekile ukukhumbula ukuthi kudingeka uphuze yonke inkambo yama-antibiotic, ngisho noma izimpawu ziqala ukuthuthuka kusenesikhathi.

Ezinye Izindlela Zokuvimbela Nokuphatha i-BV

Kanye nokwelashwa kwezokwelapha, ungathatha izinyathelo ezithile ekhaya ukusiza ukuvimbela i-BV nokunciphisa izimpawu zayo. Lokhu kufaka phakathi:

1. Zilolongise Ukuhlanzeka Okuhle: Geza indawo yakho yesitho sangasese ngamanzi nangesipho esithambile, esingenaphunga. Gwema ukusebenzisa ama-cleansers anolaka noma ama-douche, ngoba lokhu kungadala ukulunywa esithweni sangasese sowesifazane futhi kuphazamise ibhalansi yemvelo yamagciwane.
2. Khetha Izibulungo Ezifanele: Gqoka izibulungo zikatani esikhundleni sezindwangu zokwenziwa. Ukotini uphefumula kangcono futhi usiza ukugcina indawo yome.
3. Gwema Imikhiqizo Enamakha: Ungasebenzisi insipho enamakha, ubhavu onegwebu, noma ama-deodorant esitho sangasese sowesifazane. Le mikhiqizo ingacasula isikhumba esibucayi, iphaze i-pH yesitho sangasese sowesifazane, futhi iphazamise ibhalansi yemvelo yamagciwane.
4. Imikhuba Yocansi Ephephile: Ukusebenzisa amakondomu njalo nangendlela efanele ngesikhathi socansi lwesitho sangasese kungasiza ukunciphisa ingozi yokudluliselwa kwe-BV. Ngisho noma ungenayo i-BV, ukusebenzisa amakondomu kuhlala kuyindlela enhle yokuvimbela izifo ezithathelwana ngocansi.
5. Cabanga ngama-probiotic:\_Ucwaningo lwango-2023 luphakamisa ukuthi ukuthatha ama-probiotic ngomlomo kungasiza ukubuyisela amagciwane amahle esithweni sangasese sowesifazane, kunciphise amathuba okuthi i-BV ibuye [5].

Uma uzibuza ukuthi kungani ukukhishwa kwakho kunamathele nokuthi lezi zinguquko zingasho ukuthini mayelana nempilo yesitho sakho sangasese sowesifazane, bheka i-athikili yethu ethi 'Kungani Ukukhishwa Kwami Kunamathele? Ukuqonda Izinguquko Ekukhishweni Kwesitho Sangasese Sowesifazane' ukuze uthole imininingwane eningiliziwe.

Okubalulekile Ekugcineni

I-bacterial vaginosis yisimo sesitho sangasese sowesifazane esibangela ushintsho ekukhishweni kwesitho sangasese. Uma usola i-BV futhi ukhathazekile ngokuthi ukubukeka kokukhishwa kwe-BV kuzoba kanjani ezithombeni, izimpawu ezivamile zihlanganisa ukukhishwa okuncane, okumpunga noma okumhlophe ezithombeni, okuhambisana nephunga elinjengelehhashi elibolile.

Yize ngokuvamile ingabuhlungu noma iholele ezinkingeni ezinkulu, izimpawu zingakhathaza. Ungakwazi ukuphatha i-BV kahle ngokwelashwa okufanele kwezokwelapha kanye nemikhuba emihle yokuzinakekela.

Izinsiza Ezisetshenzisiwe

1. Achondou, A. E., Fumoloh, F. F., Aseneck, A. C., Awah, A. R., & Utokoro, A. M. (2016b). African Journal of Infectious Diseases, 10(2), 96–101. https://doi.org/10.21010/ajid.v10i2.4 
2. Joseph, R. J., Ser, H., Kuai, Y., Tan, L. T., Arasoo, V. J. T., Letchumanan, V., Wang, L., Pusparajah, P., Goh, B., Mutalib, N. A., Chan, K., & Lee, L. (2021). Siyelaphe futhi siyivimbele kanjani i-bacterial vaginosis? Antibiotics, 10(6), 719. https://doi.org/10.3390/antibiotics10060719 
3. Professional, C. C. M. (2025b, Februwari 12). I-mucus yesibeletho. Cleveland Clinic. https://my.clevelandclinic.org/health/body/21957-cervical-mucus 
4. Kairys, N., Carlson, K., & Garg, M. (2024, Meyi 6). I-bacterial vaginosis. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK459216/ 
5. Liu, P., Lu, Y., Li, R., & Chen, X. (2023). Ukusetshenziswa kwama-probiotic lactobacilli ekwelapheni izifo zesitho sangasese sowesifazane: Ucwaningo lwe-in vitro nelwe-in vivo. Frontiers in Cellular and Infection Microbiology, 13. https://doi.org/10.3389/fcimb.2023.1153894