Nā maʻi i ka hāpai keiki: Vaginosis koʻohuna

Anter

• He aha nā hōʻailona o ka Vaginosis Bacterial?
• He aha ke kumu o ka Vaginosis bacteria?
• Pehea e kuhikuhi ai i nā Vaginosis Bacterial?
• Pehea e mālama ai i nā Vaginosis Bacterial?
• He aha nā pilikia kūpono o ka Vaginosis Bacterial?
• Pehea e pale ai i nā Vaginosis Bacterial?

He aha nā Vaginosis Bacterial?

ʻO ka bacterious vaginosis (BV) kahi maʻi i loko o ka ʻōpū i hoʻokumu ʻia e nā bacteria. ʻO ke kino maoli he bacteria maikaʻi "maikaʻi" i kapa ʻia ʻo lactobacilli a me kekahi mau bacteria "maikaʻi" i kapa ʻia anaerobes. ʻO ka maʻamau, aia ke kaulike akahele ma waena o lactobacilli a me nā anaerobes. Ke hoʻohaunaele ʻia kēlā kaulike, akā naʻe, hiki i nā anaerobes ke hoʻonui i ka helu a kumu iā BV.

ʻO BV ka maʻi ʻoi loa o ka wahine ma waena o nā makahiki 15 a me 44. ʻO ia kekahi o nā maʻi maʻamau loa i nā wahine hāpai, e pili ana ma kahi o 1 miliona mau wahine hāpai i kēlā me kēia makahiki. ʻO ka BV maʻamau kahi maʻi ʻino a maʻalahi hiki ke mālama ʻia me nā lāʻau. Ke waiho maikaʻi ʻole ʻia, akā, hiki i ka maʻi ke hoʻonui i kou makaʻu no nā maʻi i loaʻa i ka moekolohe a me nā pilikia i ka wā hāpai.

He aha nā hōʻailona o ka Vaginosis Bacterial?

Ma kahi o 50 a 75 pakeneka o nā wahine me ka BV ʻike ʻole i kekahi ʻōuli. Ke kū nei nā ʻōuli, loaʻa paha iā ʻoe kahi maʻi maʻamau a pilau hoʻi. ʻO ka hoʻokuʻu he lahilahi a hina hina a keʻokeʻo paha. I kekahi mau hihia, he ʻūhū paha ia. ʻO ka pilau e like me ka iʻa i pili pinepine ʻia me ka hoʻokuʻu ʻana kahi hopena o nā kemika i hana ʻia e nā bacteria i kumu i ka BV. Hoʻonui pinepine ka pilau a me ka moekolohe i ka pilau, e like me ka hana ʻana o ke koko a me ka semen me nā bacteria e hoʻokuʻu i nā kemika ʻala. Hiki ke hana ʻia ka ʻūlū a i ʻole ka huhū a puni ka waho o ka lua i nā wahine me ka BV.

He aha ke kumu o ka Vaginosis bacteria?

ʻO BV ka hopena o ka ulu nui ʻana o kekahi mau koʻohune i loko o ka lua. E like me nā ʻāpana ʻē aʻe o ke kino, e komo pū me ka waha a me ka ʻōpū, aia kekahi mau bacteria e noho ana i ka pūnana. Pale maoli ka hapa nui o kēia mau koʻohune i ke kino mai nā koʻohune ʻē aʻe i hiki ke kumu i ka maʻi. I ka puki, ʻo ka lactobacilli ka bacteria i kūlohelohe e hakakā aku i nā maʻi bacteria. ʻIke ʻia ke koʻohune maʻi he anaerobes.

Aia kekahi maʻa maʻamau ma waena o lactobacilli a me nā anaerobes. ʻO ka Lactobacilli ka helu maʻamau no ka hapanui o nā koʻohune i ka ʻōpala a kāohi i ka ulu ʻana o nā anaerobes. Eia nō naʻe, inā e hoʻemi ʻia ka lactobacilli i ka helu, loaʻa i nā anaerobes ka manawa kūpono e ulu. Ke ulu nei ka ulu o nā anaerobes i loko o ka ʻōpū, hiki i ka BV ke hana.

ʻAʻole maopopo i nā kauka ke kumu pololei o ke kaulike ʻole o ke koʻohuna e hoʻonāukiuki iā BV. Eia nō naʻe, hiki i kekahi mau mea ke hoʻonui i kou makaʻu i ka hoʻomohala ʻana i ka maʻi. Pākuʻi ʻia kēia mau mea:

• moe ʻuhane
• ka moe kolohe ʻole ʻana
• he mau hoa wahine he nui
• e hoʻohana ana i nā lāʻau ʻaloʻalo
• me ka hoʻohana ʻana i nā lāʻau

Pehea e kuhikuhi ai i nā Vaginosis Bacterial?

No ke kuhikuhi ʻana iā BV, e nīnau ana kāu kauka iā ʻoe e pili ana i kāu mōʻaukala olakino a hana i kahi hōʻike pelvic. I ka wā o ka hoʻokolohua, e nānā kāu kauka i kāu ʻōpala a nānā i nā hōʻailona o ka maʻi. Lawe pū kāu kauka i kahi laʻana o kāu hemo puka i hiki ai ke kālailai ma lalo o kahi microscope.

Pehea e mālama ai i nā Vaginosis Bacterial?

Hoʻomaʻapaʻa pinepine ʻia ʻo BV me nā antibiotic. Hiki i kēia mau mea ke hele mai ma ke ʻano he pilau āu e ale ai a i ʻole he kalima āu e hoʻokomo ai i loko o kāu wahine. Nānā ʻole i ke ʻano o ka lāʻau i hoʻohana ʻia, he mea nui e hāhai i nā ʻōlelo aʻoaʻo a kāu kauka a hoʻopau i ka piha o ka lāʻau.

Kau kauka paha i kāu kauka i kēia mau antibiotic:

• metronidazole, e like me Flagyl a me Metrogel-Vaginal, i hiki ke lawe waha ʻia
• tinidazole, e like me Tindamax, ʻo ia kekahi ʻano lāʻau lapaʻau waha
• clindamycin, e like me Cleocin a me Clindesse, kahi lāʻau lapaʻau kumuhana e hiki ke hoʻokomo ʻia i loko o ka ʻōpū

Kūleʻa pinepine kēia mau lāʻau i ka mālama ʻana iā BV. Loaʻa iā lākou āpau nā hopena ʻaoʻao, koe wale nō me ka metronidazole. Hiki i kēia lāʻau lapaʻau ke kumu i ka hoʻoluhi hewa nui, ka luaʻi, a me nā poʻo poʻo ke lawe ʻia me ka waiʻona. E ʻike pono e kamaʻilio me kāu kauka inā he hopohopo kāu e pili ana i nā hopena ʻē aʻe e hiki ai.

Ke loaʻa ka lāʻau, hoʻomaʻemaʻe ka BV ma waena o ʻelua a ʻekolu paha lā. Eia nō naʻe, hoʻomau mau ka mālama ʻana ma hoʻokahi pule. Mai hōʻoki i ka lawe ʻana i kāu mau lāʻau a hiki i ke kauka e haʻi aku ai iā ʻoe e hana pēlā. He mea nui e lawe i ka papa holoʻokoʻa antibiotics e pale i ka maʻi mai ka hoʻi mai. Pono paha ʻoe i ka lāʻau lōʻihi inā hoʻomau mau kāu mau ʻōuli a hoʻomau i ka hoʻi ʻana.

He aha nā pilikia kūpono o ka Vaginosis Bacterial?

Ke waiho ʻole ʻia, hiki i ka BV ke hana i nā pilikia koʻikoʻi a me nā pilikia olakino. Pākuʻi ʻia kēia mau mea:

• Nā pilikia o ka hāpai ʻana: ʻO nā wahine hāpai me ka BV e loaʻa i ka hānau hānau a i ʻole ka pēpē kaupaona hānau haʻahaʻa. Loaʻa iā lākou kahi manawa nui aʻe e hoʻomohala i kahi ʻano maʻi ʻē aʻe ma hope o ka lawe ʻana.
• Nā maʻi i lawe ʻia i ka moekolohe: hoʻonui ʻo BV i kou makaʻu i ka loaʻa ʻana o nā maʻi i lawe ʻia e ka moekolohe, e like me ka maʻi herpes simplex, chlamydia, a me HIV.
• ʻO ka maʻi maʻi pelvic: i kekahi mau hihia, hiki i ka BV ke alakaʻi i ka maʻi pelvic inflammatory, kahi maʻi o nā kino hānau i nā wahine. Hiki i kēia ʻano ke hoʻonui i ka makaʻu o ka momona.
• Nā maʻi ma hope o ke kahakaha ʻana: hāʻawi ʻo BV iā ʻoe i kahi makaʻu kiʻekiʻe loa no nā maʻi ma hope o nā ʻōkuhi e hoʻopili ana i ka ʻōnaehana hānau. Hoʻopili kēia i nā hysterectomies, nā abortions, a me nā hāʻawi cesarean.

Pehea e pale ai i nā Vaginosis Bacterial?

Hiki iā ʻoe ke hana i kēia mau hana e hoʻohaʻahaʻa ai i kou makaʻu i ka hoʻomohala ʻana i ka BV:

• E hoʻēmi i ka ukiuki. Hiki iā ʻoe ke hoʻohaʻahaʻa i ka huhū o ka wahine ma ka hoʻohana ʻole ʻana i ke kopa e hoʻomaʻemaʻe i ka waho o kāu ʻōpala. ʻOiai ʻo ke kopa ʻoluʻolu a ʻoluʻolu ʻole hiki ke hoʻonāukiuki i ka lua. He mea kōkua nō hoʻi e noho i waho o nā ipu wai wela a me nā spa ʻāwīwī. Hiki i ke kapa komo o ka pulupulu ke kōkua i ka maʻalili o ka wahi a pale i ka huhū.
• Mai douche. Lawe ka moe ʻana i kekahi o nā koʻohune e pale ai i kou ʻōpū mai ka maʻi, e hoʻonui ai i kou makaʻu o ka loaʻa ʻana o ka BV.
• E hoʻohana i ka pale. Hoʻomaʻamaʻa mau i ka moekolohe me ka hoʻohana ʻana i ka pale pale me kāu poʻe hoa kolohe āpau. ʻO kēia ke ala ʻoi loa e pale ai i ka hoʻolaha ʻana o BV. He mea nui nō hoʻi e kaupalena i kāu helu o nā hoa kolohe a e hoʻāʻo no nā maʻi i loaʻa i ka moekolohe i kēlā me kēia ʻeono mahina.

ʻO BV kahi maʻi maʻamau, akā ʻo ka lawe ʻana i kēia mau hana pale hiki ke hōʻemi i kou makaʻu i ka loaʻa ʻana. He mea nui e kāhea koke aku i kāu kauka inā manaʻoʻiʻo ʻoe he BV kāu, keu hoʻi inā hāpai ʻoe. ʻO ka loaʻa koke ʻana o ka lāʻau e kōkua i ka pale ʻana i nā pilikia.