Munhu wese anoziva kuti tsika inowanikwa mumudzimai ine humwe hutano hwehutachiona, huri pamwe hunoita kuti microflora yechikadzi chepabonde. Basa ravo guru nderokuchengetedza mucous membrane kubva kumakandachiona. Mukati mebasa ravo, vanoita kuti lactic acid, iyo inokonzera mamiriro e-acidic, ane pH maitiro e 3.5-4.5.
Vakadzi vakawanda muupenyu hwavo kamwechete vakatarisana nechinetso chakadai sechinhu chisingafadzi, dzimwe nguva chikafu, kunhuhwira kubva kumudzimai. Kuonekwa kwaro ndiko kukonzerwa nekuputsa kwe microflora yemukadzi. Chikonzero chakaita kuti kunhuhwirira kwakasimba kusinganzwisisiki kubva kumadzimai kuchionekwa zvakare. Somugumisiro wekuti nhamba ye lactobacilli yakaderera, pane kukurumidza kukurumidza kwebhakitiriya yepathogenic. Somugumisiro wezvinetso izvi, chirwere chakadai seBacterial vaginosis chinowedzera. Maererano nehuwandu, anenge 25% yevakadzi, vane makore avo haapfuuri makore makumi mashanu, vakatarisana nazvo.
Zviratidzo uye kuratidzwa kwechirwere
Chimwe chinhu chikuru chebhakitiriya vaginosis chimiro chekunhuhwirira. Muzviitiko zvakawanda, ichi chinhu chisingafadzi kunhuwa kunhuwa kunowanikwa kubva mumukadzi wemukadzi. Dzimwe nguva ane simba zvokuti hupo hwake hunogona kunzwiwa nevamwe, izvo zvinokonzera kusagadzikana uye kusavhiringidza kune mukadzi. Uye anokwanisa kuvapo nguva dzose, uye anoonekwa chete panguva yekuenda kumwedzi.
Uyezve, vakadzi vakawanda vanoona kuvepo kwekunhuhwirira kunofadza kwekudzivirira kwemudzimai. Kazhinji ivo vanochena kana vachena. Kubatana kwavo kwakasiyana, hapana mavhinga. Kuwedzerwa kwemashoko akadaro kunogona kusvika kanomwe pazuva. Kana chirwere chinoputika chichiitika mumuviri wemusikana kwenguva yakareba, kubuda kwemudzimai kune unhu husingafadzi kunowana ruvara rwemutsara uye kunowedzera, kunononoka uye kunotyisa.
Diagnostics
Kuti uone kuti chii chakakonzera kupisa, kwakashata kunobva kumudzimai, zvinokosha kuti uite zvinotevera:
- smear kubva kumudzimai mucosa;
- acidity test (ane zvirwere zvinopfuura 4.5);
- aminestest.
Kurapa
Kurapa kwebhakitiriya vaginosis, chiratidzo chaicho chisingafadzi, kunhuhwirira kunobvira kubva mumudzimai, kunowanzosvika pakushandiswa kwemaitiro emunharaunda. Kubudirira kunoshandiswa kwemishonga, boka re nitroimidazoles (Trichopol, Metrogil). Kuti abvise kunhuhwirira kunofadza kubva kumadzimai, 1% hydrogen peroxide solution, antiseptic Tomicide, benzalkonium makundi (zvikurukuru kloride) anorayirwa. Dalacin Cream imwe yemishonga yakajairika inoshandiswa muchirwere ichi. Isa kwemazuva matatu uye uende shure kwekunhuhwirira kwakashata kubva kumadzimai kuchibviswa.
Mune zvimwe zvirwere zvakanyanya zvechirwere, vanachiremba vanoshandisa kushandisa antibacterial drugs. Chinangwa chavo ndechekuchenesa vaginal mucosa. Izvi zvinosanganisira Oleandomycin, Clindamycin, Cephalosporin.
Pashure pevhiki yekurapa, chiremba anorayira laboratory kana kliniki yekuongorora. Chechipiri inorayirwa mushure memasvondo mana kusvika kwekutanga kubva pakatanga kurapwa.
Chirwere ichi chiri pamusoro chinotyisa kune hutano hwemukadzi pakuti inogona kukonzera kukura kwezvipembenene zvinogadziriswa munzvimbo inowanikwa zvikuru munhengo dzepabonde. Bhuku iri rine ngozi rinosanganisira vasikana vane mwero musina mwedzi, zvirwere zvinopisa (colpitis, cervicitis , adnexitis) munguva yakapfuura. Vanachiremba vanocherechedza kuwedzera kwechirwere chechirwere chevakadzi avo kwenguva yakareba sechinhu chisinganzwisisiki vanoshandisa mhepo, yakaiswa muuterine cavity.