Iphunga Elimnandi Esithweni Sangasese

Iphunga lesitho sangasese sowesifazane liyisenzakalo esingokwemvelo esithinta bonke abantu besifazane ukuphila kwabo konke. Isitho sangasese sowesifazane sigcina indawo ene-acidic kancane ngenxa yamagciwane anenzuzo e-Lactobacilli avikela izifo eziyingozi.

Kodwa-ke, nakuba ezinye izinguquko zephunga zivamile phakathi nokuya esikhathini, ukukhulelwa, noma ngemva kokuzivocavoca nokusebenza kocansi, iphunga elithile elinamandla noma elingemnandi lingabonisa ukukhathazeka kwezempilo okuyisisekelo. Ngokuphawulekayo, ukuphikelela kwenhlanzi noma iphunga elibi elivela esithweni sangasese lingabonisa izimo ezifana ne-bacterial vaginosis noma i-trichomoniasis edinga ukunakekelwa kwezokwelapha. Ake sihlole izimbangela zokunuka kwesitho sangasese sowesifazane, ukuthi kufanele sikhathazeke nini, nezindlela ezisebenzayo zokugcina impilo efanele yesitho sangasese sowesifazane. 

Liyini Iphunga Elingajwayelekile Le-Vaginal?

Imomozi ngayinye ikhiqiza iphunga eliyingqayizivele elihluka phakathi nomjikelezo wokuya esikhathini. Kodwa-ke, iphunga elithile libonisa ukukhathazeka okungenzeka kwezempilo okudinga ukunakwa. Iphunga elingavamile lesitho sangasese sowesifazane ngokuvamile liveza njengephunga elinamandla, elingajwayelekile, nelingemnandi eliqhubeka izinsuku ezimbalwa.
Izici ezilandelayo zihlukanisa iphunga elingavamile lesitho sangasese sowesifazane:

• Iphunga elinamandla lezinhlanzi, elibonisa i-bacterial vaginosis noma i-trichomoniasis
• Iphunga elibolile elifana nenyama ebolile, okungenzeka ngenxa ye-tampon egciniwe
• Iphunga elingavamile elihambisana ne-greyish-white, greenish, noma ukukhishwa okuphuzi
• Iphunga eliqhubekayo elingaxazululi ngokwemvelo

Ukwengeza, iphunga elingavamile langasese livame ukuvela kanye nezinye izimpawu. Lezi zimpawu ezilandelayo zihlanganisa:

• Imizwa evuthayo noma yokuluma
• Ukuvuvukala kwesitho sangasese sowesifazane
• Ubuhlungu obuzungeze indawo ye-pelvic
• Ukungakhululeki ngesikhathi ukuchama
• Ububomvu endaweni yangasese
• Ukuvumelana kokukhishwa okungajwayelekile

Ziyini Izimbangela Zokuhogela kwesitho sangasese sowesifazane?

Ibhalansi ye-pH ngaphakathi kwesitho sangasese sowesifazane idlala indima ebalulekile ekunqumeni iphunga layo. Indawo enempilo yesitho sangasese sowesifazane iqukethe amabhaktheriya ahlukahlukene, aziwa ngokuhlanganyela ngokuthi izitshalo zangasese, ezigcina amazinga e-asidi efanele. Ngenxa yalokho, ukuphazamisa le bhalansi yebhaktheriya entekenteke kungase kubangele iphunga elibi.

Izimbangela ezivamile zokuhogela kwesitho sangasese sowesifazane zihlanganisa:

• I-Bacterial Vaginosis (BV): Lokhu kutheleleka kwenzeka ngokukhula ngokweqile kwebhaktheriya, okubangela iphunga lezinhlanzi elihlukile eliba namandla ngemva kokuya ocansini. 
• I-Trichomoniasis: Lesi sifo se-parasitic sikhiqiza iphunga elimnandi noma elibi eduze nokuphuma okuluhlaza okuphuzi.
• Izinguquko ezihlobene nokuya esikhathini: Njengoba amazinga e-estrogen ehla, izindonga zesitho sangasese sowesifazane zancipha, namazinga e-pH akhuphuka, okwenza abesifazane abangemva kokuya esikhathini bangenwe kalula yizifo.

Izici ezithile zendlela yokuphila zingase zibangele izinguquko ephunga elimnandi lesitho sangasese sowesifazane. Lokhu kubandakanya:

• Izingubo ezibambayo zibamba umswakama esikhumbeni
• Ukuntuleka kokudla okunomsoco, ikakhulukazi kumavithamini A, C, D, no-E, i-calcium, i-folate, ne-beta-carotene
• I-fistula ye-rectovaginal evumela indle ukuthi ingene esithweni sangasese

Itholakala Kanjani Iphunga Elingajwayelekile Le-Vaginal?

Ukuhlola umzimba kwakha insika yokuxilongwa, lapho odokotela benza khona ukuhlolwa kwe-pelvic ukuze bahlole isimo. Kuyo yonke le nqubo, odokotela bahlola izimpawu zokutheleleka noma okunye okungase kube nomthelela ephunga elingavamile.

Inqubo yokuxilonga ngokuvamile ibandakanya ukuhlolwa okuningi:

• Ukuhlolwa kwe-pH yesitho sangasese sowesifazane: Lesi sivivinyo esiyisisekelo sikala amazinga e-acidity yokuphuma kwesitho sangasese sowesifazane. I-pH ephakeme kunokuvamile ingase ibonise i-bacterial vaginosis, nakuba lokhu kuhlolwa kukodwa kungenakuqinisekisa ukuxilongwa.
• Ukuhlolwa kwe-Whiff: Odokotela baxuba isampula yokukhishwa kwesitho sangasese sowesifazane nesixazululo esiyingqayizivele. Iphunga eliqinile elifana nenhlanzi ngemva kokuxuba liqinisekisa i-bacterial vaginosis.
• Ukuhlolwa kwe-Wet Mount: Lokhu kuhlola kuhilela ukuqoqa isampula yokuphuma kwesitho sangasese sowesifazane ukuze kuhlaziywe elabhorethri. Imiphumela ibuya njengokujwayelekile noma okungavamile, nomphumela ongavamile obonisa ukuba khona kokutheleleka ngamagciwane.

Yelashwa Kanjani Iphunga Le-Vaginal?

Nemithi Elwa Namagciwane hlala ukwelapha okuyinhloko kwe-bacterial vaginosis. Kwezinye izimo, iphunga lesitho sangasese sowesifazane lizixazulula ngokuzimela ngaphandle kokungenelela kwezokwelapha. Ukwelashwa okufanele kuhilela izinto ezimbalwa ezibalulekile:

• Ukugwema ukuzelapha ngemikhiqizo ethengwayo
• Ukugwema ukusebenzisa ama-douches noma ukwelashwa kwe-yeast infection, okungase kubhebhethekise i-bacterial vaginosis
• Ukulandela amashejuli emithi ebekiwe ngokuqinile

Lingavinjelwa Kanjani Iphunga Le-Vaginal?

Ukugcina inhlanzeko efanele yesitho sangasese sowesifazane kumile njengesisekelo sokuvimbela iphunga elibi. 

Imikhuba efanele yenhlanzeko ihlanganisa:

• Ukusebenzisa insipho ethambile, engaxutshiwe kuphela namanzi afudumele ukuhlanza i-vulva
• Ukusula ukusuka phambili ukuya emuva ngemva kokusebenzisa indlu yangasese
• Shintsha izingubo ngokushesha ngemva kokuzivocavoca
• Ukugwema ukugqokwa isikhathi eside kwezingubo zokubhukuda ezimanzi
• Ukushintsha izingubo zangaphansi kabili nsuku zonke uma uhlangabezana nokuphuma okwengeziwe

Uzoyibona Nini Udokotela

Abesifazane kufanele bathinte udokotela wabo ngokushesha lapho bebona lezi zimpawu eziyisixwayiso:

• Ukuzwa ukuvutha okungapheli noma ukulunywa
• Ukukhishwa okungajwayelekile kwesitho sangasese sowesifazane
• Iphunga elinamandla lezinhlanzi, elingase libonise i-bacterial vaginosis
• Ubuhlungu noma ukucasuka endaweni yangasese

Abesifazane abakhulelwe badinga ukunakwa okukhethekile mayelana nempilo yesitho sangasese sowesifazane. Ucwaningo lubonisa ukuthi izimo zangasese ezingalashwa ngesikhathi sokukhulelwa zandisa izingozi zezinkinga eziningana, okuhlanganisa:

• Ukuzalwa ngaphambi kwesikhathi
• Isisindo sokuzalwa esiphansi
• Ukutheleleka kwe-amniotic fluid

Amakhambi asekhaya e-Vaginal Odors

Amafutha amaningana abalulekile afakazela ukuthi anenzuzo ekuhlanzekeni okuseduze:

• I-Oil Tree Tree: Hlanganisa amaconsi angu-3-4 nenkomishi eyodwa yamanzi afudumele yokuhlanza kwangaphandle. Lesi sixazululo sisiza ukulawula izifo zemvubelo futhi kufanele sisetshenziswe kanye ngosuku ngesonto.
• Amafutha e-Lavender: Hlanganisa amaconsi angu-1-10 ne-witch hazel namanzi ukuze ugeze kahle isitho sangasese sowesifazane. Iphunga layo elimnandi lisebenza ngempumelelo ngokumelene nezifo ezibangelwa amagciwane.
• Amafutha e-Oregano: Idala isifutho se-topical esisebenzayo sokwelapha izifo ze-yeast kanye nephunga eliqhubekayo.
• Amafutha e-Peppermint: Hlanganisa amaconsi angu-2-5 no-200ml wamanzi ukuze uthole isifutho sangaphandle sangemuva kokugeza.

Abesifazane kufanele basebenzise lezi zinyathelo zokuphepha ezibalulekile ngenkathi besebenzisa lawa mafutha abalulekile:

• Nciphisa amafutha abalulekile ngamafutha othwala ukuvimbela ukucasuka
• Yenza izivivinyo ze-patch ngaphambi kokusetshenziswa okuvamile
• Xhumana nodokotela ngaphambi kokuqala noma yikuphi ukwelashwa
• Ungalokothi ugcobe amafutha ngaphakathi
• Yeka ukusebenzisa uma uzwa ukungakhululeki

Isiphetho

Iphunga lesitho sangasese sowesifazane lihlala liyinkinga evamile ethinta abesifazane kukho konke ukuphila kwabo. Izimo eziningi zephunga elingavamile lesitho sangasese sowesifazane zibangelwa ukungalingani kwamagciwane asabela kahle ekwelashweni. Odokotela bangakwazi ukuxilonga imbangela ngokuhlola okuhlukahlukene futhi banikeze imithi efanele, ngokuvamile ama-antibiotic e-bacterial vaginosis. Ukwengeza, indlela yokuphila iyashintsha njengokugqoka izingubo zangaphansi zikakotini eziphefumulayo kanye nokugcina inhlanzeko efanele kusiza ukuvimbela izinkinga eziqhubekayo.

Abesifazane kufanele bakhumbule ukuthi isitho sangasese sowesifazane ngokwemvelo sigcina ukuhlanzeka kwaso. Kunokuba usebenzise imikhiqizo eqinile noma amadowu, ukuhlanza ngobumnene ngamanzi afudumele ngokuvamile kwanele. Kodwa-ke, iphunga elibi eliqhubekayo lifuna ukunakwa ngokushesha, ikakhulukazi uma lihambisana nokuphuma okungavamile noma ukungakhululeki.

Imibuzo Evame Ukubuzwa

1. Ngingalivikela kanjani iphunga lesitho sangasese sowesifazane? 

Ukuze uvimbele iphunga lesitho sangasese sowesifazane, gcina inhlanzeko ngokugeza isitho sangasese ngensipho epholile namanzi afudumele, ugqoke izingubo zangaphansi zikakotini eziphefumulayo, ushintshe izingubo ezimanzi ngokushesha, futhi ugweme ukudoti noma ukusebenzisa imikhiqizo yabesifazane enephunga elimnandi. Ukuhlala u-hydrated futhi unamathele ekudleni okulinganiselayo nakho kungasiza.

2. Yini edala iphunga elingavamile esithweni sangasese? 

Izinto ezehlukene, okuhlanganisa i-bacterial vaginosis, i-trichomoniasis, izinguquko zamahomoni, ukudla okuthile, nemikhuba engemihle yenhlanzeko kungabangela iphunga elingavamile esithweni sangasese. Kwezinye izimo, kungase kubonise izimo ezimbi kakhulu ezifana nezifo ezithathelwana ngocansi noma, okungavamile, izinhlobo ezithile zomdlavuza.

3. Kufanele ngimbone nini udokotela mayelana nephunga lesitho sangasese sowesifazane? 

Xhumana nodokotela uma uzwa iphunga elibi eliqhubekayo lesitho sangasese sowesifazane, ikakhulukazi uma lihambisana nokuluma, ukusha, ukukhishwa okungavamile, noma ubuhlungu. Abesifazane abakhulelwe kufanele bafune usizo lwezokwelapha ngokushesha, njengoba izimo zesitho sangasese ezingalashwa zingaholela ezinkingeni.

4. Ingabe akhona amakhambi asekhaya asebenzayo ephunga lesitho sangasese sowesifazane? 

Amanye amakhambi asekhaya angasiza ekulawuleni iphunga lesitho sangasese sowesifazane, njengokusebenzisa amafutha esihlahla setiye ahlanjululwe noma amafutha e-lavender ukuze ahlanzeke ngaphandle. Nokho, ukusebenzisa la makhambi ngokucophelela nokubonana nodokotela ngaphambi kokuzama noma yikuphi ukwelashwa okusha kubalulekile.

5. Litholwa futhi lilashwe kanjani iphunga elingavamile lesitho sangasese sowesifazane? 

Ukuxilongwa ngokuvamile kuhilela ukuhlolwa kwe-pelvic, ukuhlolwa kwe-pH, nokuhlaziywa kwaselabhorethri kokuphuma kokungcola kwesitho sangasese sowesifazane. Ukwelashwa kuhlanganisa ama-antibiotics ezifweni ezibangelwa amagciwane. Ngezinye izikhathi, ukushintsha kwendlela yokuphila kanye nemikhuba efanele yenhlanzeko ingaxazulula inkinga.

UDkt. Neena Agrawal

MBBS, MS, FICOG, Diploma in Gynaecology, Endoscopy
Izibhedlela ze-CARE CHL, e-Indore

Ukuze Ubhukhe Isikhathi, shayela:

+91 406 810 6585

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