Aliyense amadziwa kuti chizoloŵezi cha mukazi chimakhala ndi mawonekedwe ena a tizilombo toyambitsa matenda, omwe amachititsa kuti tizilombo toyambitsa matenda tizilumikizana. Ntchito yawo yaikulu ndikuteteza mu nembanemba kuchokera ku tizilombo toyambitsa matenda. Pazochitika zawo, amapanga lactic asidi, yomwe imayambitsa chilengedwe cha acidic, ndi ma pH of 3.5-4.5.
Amayi ambiri m'miyoyo yawo kamodzi kamodzi amakumana ndi vuto ngati losasangalatsa, nthawi zina, lopweteka kuchokera ku vagina. Maonekedwe ake ndi chifukwa cha kuphwanya kwa microflora ya ubini. Chifukwa chake fungo losasangalatsa la umaliseche likuwonekera. Chifukwa cha kuti chiwerengero cha lactobacilli chachepa, pali kukula kwakukulu kwa mabakiteriya. Chifukwa cha matendawa, matenda monga bacterial vaginosis amayamba. Malingana ndi chiwerengero, pafupifupi 25% azimayi, omwe zaka zawo siziposa zaka 50, zimayang'anizana nacho.
Zizindikiro ndi mawonetseredwe a matenda
Mbali yaikulu ya bacterial vaginosis ndi mawonekedwe a fungo. Kawirikawiri, izi ndi zosasangalatsa zophika nsomba zomwe zimachokera kuzimayi. Nthawi zina iye ndi wamphamvu kwambiri moti kukhalapo kwake kungamveke ndi ena, zomwe zimayambitsa chisokonezo ndi zovuta kwa mkazi. Ndipo amatha kukhalapo nthawi zonse, ndipo amawoneka pa nthawi ya kusamba.
Komanso, amayi ambiri amadziwa kupezeka kwa fungo losasangalatsa la kumaliseche kwa amayi. Kawirikawiri ndizoyera kapena zoyera. Kusasinthasintha kwawo kuli kofanana, palibe zowomba. Nthawi zambiri zinsinsi zoterezi zimatha kufika 10 pa tsiku. Ngati zotupa zimachitika m'thupi la msungwana kwa nthawi yayitali, kutaya kwa ubeni komwe kumakhala ndi fungo losasangalatsa kumakhala ndi chikasu ndipo kumakhala wandiweyani, wothandizira komanso wotsekemera.
Zosokoneza
Kuti mudziwe chomwe chinapangitsa kuti fungo likhale lopweteka kwambiri kuchokera ku vaginayi, m'pofunika kuti muyese kufufuza:
- msuzi wochokera kumaliseche mumaliseche;
- test acidity (ndi matenda oposa 4.5);
- aminestest.
Chithandizo
Kuchiza kwa bacterial vaginosis, chizindikiro chake ndi chosasangalatsa, kununkhira kochokera kumaliseche, kumagwiritsa ntchito njira zowonongeka. Zotsatira zabwino ndi kugwiritsa ntchito mankhwala, gulu la nitroimidazoles (Trichopol, Metrogil). Pochotsa fungo losasangalatsa kuchokera ku vaginomu, 1% hydrogen peroxide yankho, antiseptic Tomicide, benzalkonium mankhwala (makamaka klorini) amalembedwa. Chalala cha Dalacin ndi chimodzi mwa mankhwala omwe amagwiritsidwa ntchito mliriwu. Yesetsani masiku atatu ndikusiya fungo losasangalatsa la abambo likuchotsedwa.
Pa matenda aakulu kwambiri, madokotala amagwiritsa ntchito mankhwala osokoneza bongo. Cholinga chawo ndichotseketsa mkaka wa m'nyanja. Izi zikuphatikizapo Oleandomycin, Clindamycin, Cephalosporin.
Pambuyo pa sabata yothandizira, dokotala amapereka labotale kapena kafukufuku wamakono. Yachiŵiri imayikidwa pambuyo pa masabata 4-6 kuyambira pachiyambi cha mankhwala.
Matenda omwe ali pamwambawa ndi owopsa kwa thanzi la mkazi chifukwa angakhale chifukwa cha chitukuko cha zotupa zomwe zimapezeka makamaka m'mimba. Gulu loopsya limaphatikizapo atsikana omwe sakhala nawo mwezi uliwonse, matenda opweteka (colpitis, cervicitis , adnexitis) m'mbuyomo. Madokotala amadziwa kuti kuwonjezeka kwa matendawa kwa amayi omwe kwa nthawi yaitali akugwiritsira ntchito, amaikidwa mu chiberekero cha uterine.