BV me Trich: He aha te take karekau te rongoā kotahi te tikanga he mate kotahi

Ko te BV me te trich ka hoki mai ki te rereke kotahi e whakarerekē ai i tau mahi i muri mai: ko te trichomoniasis he parasite e mau ana i te taihekeheke, engari ko te vaginosis huakita kāore i te whakarōrahihia hei mate taihekeheke. Ka taea te rongoā i ngā mea e rua ki te metronidazole 500 mg rua i te rangi mō ngā rā e whitu, engari kāore te rongoā hoa me te whai i muri i te rite.

TL;DR: Ngā whakahirahira matua

• Mō ngā wāhine, ka taea te rongoā tuatahi mō te waha kia rite ki ngā mea e rua: metronidazole 500 mg rua i te rangi mō ngā rā e whitu.
• Ka hiahiatia e te Trich te rongoā o ngā hoa tāne o naianei. Kāore te rongoā hoa auau e tūtohutia ana mō te BV.
• Ka taea e ngā tauira whakaheke te whakaiti i te mara, engari kāore e taea te kōwhiri i tētahi o ngā mate. Ka taea hoki e te BV me te trich te kore pānga.
• Ko te whakamātautau te wehe i a rāua, ā, kāore te wete māketete kino e whakakore i te trich.
• Ki te hoki mai ngā pānga i muri i te rongoā, ka whakawhirinaki te mahi i muri mai ki te kōwhiringa, te mate hou pea, me te angitu o te rongoā tuatahi.

Kare i te tino mārama ko tēhea te mate e rongoā ana koe? Ka taea te whakamahi i te rongoā kotahi mō te BV me te trich, engari he mea nui kia tika te kōwhiringa. Ki te kāore koe e tino mārama he aha te take o āu pānga, whakamātauhia te rorohiko kore utu a August AI ki te aromātai i a rātou i raro i te 2 meneti, waea mai rānei ki te $39 rongoā tiaki ohorere ipurangi me tētahi rata kua raihana ki te US.

BV me te trich: kotahi anake te mate taihekeheke

Ko te BV me te trich he whakataetaetanga i waenganui i ngā rauropi e rua. Ko te trichomoniasis he mate ki te parasite Trichomonas vaginalis ā, ka mau i te taihekeheke. Ko te vaginosis huakita he raru o te huakita taihekeheke, ehara i te mate taihekeheke. Ko te mea whakama, ko te rongoā tuatahi mō te waha mō ngā mea e rua he rite tonu te rongoā i te horopeta rite: metronidazole 500 mg rua i te rangi mō ngā rā e whitu.

Ko ngā Aratohu Rongoā o te CDC 2021 mō ngā mate taihekeheke e kōrero ana ko te trichomoniasis te mate taihekeheke kore-huakita tino horapa puta noa i te ao. He rereke te momo o te BV. Ko ngā lactobacilli e tino kaha ana i te taihekeheke ka whakakapihia e te Gardnerella, Prevotella me etahi atu anaerobes, ā, kāore te CDC e whakarōrahi ana i te BV hei mate taihekeheke, ahakoa e tino hono ana ki te mahi taihekeheke.

Ko te horapa e kii ana ki a koe ko tēhea te mea hei peti māu. Ko tētahi rangahau tino kitea i roto i te puna raraunga mō ngā aratohu 2021 i whakatau te horapa o te BV i waenga i ngā wāhine kua rite te pakeke ki te 23% ki te 29% ki te ao, me ngā whakataetae ki Amerika ki te Raki o 33.2% i ngā wāhine Pango, 30.7% i ngā wāhine Hispanic, 22.7% i ngā wāhine Ma, me te 11.1% i ngā wāhine Āhia. Ko ngā raraunga NHANES mai i te 2013 ki te 2014 i whakatau te trichomoniasis o te US ki te 1.8% o ngā wāhine me te 0.5% o ngā tāne, ka piki ki te 8.9% o ngā wāhine Pango me te 4.2% o ngā tāne Pango. Tata ki te tekau nga wa te nuinga o te BV ki te trich.

Kāore te rongoā kotahi te tikanga kāore he ture rite mō tō hoa

Ko te rereke o te trichomoniasis me te BV e whakarerekē ai i tau mahi i muri mai ehara i te piri, ko tō hoa tāne. E kii ana te CDC he mea nui te rongoā tahi o ngā hoa tāne katoa o naianei mō te trichomoniasis, ahakoa he pānga ki te hoa tāne, kāore rānei, ā, me aukati ngā tokorua i te mahi tāne kia oti ra ano te rongoā a ngā tangata e rua, ā, kua ngaro rawa atu ngā pānga.

Mō te BV, ko te aratohu ka anga ki tera taha. Kāore te rongoā auau o ngā hoa tāne e tūtohutia ana, no te mea kāore e whakapai ake i ngā reiti angitu o te rongoā, kāore rānei e whakaiti i te hokinga mai. Kāore he rongoā hoa mō te BV he tūpato. He mahi noa ki te patupatu huakita karekau he painga kua whakataetaetia.

Ko taua rereketanga ka whai hua nui i te nuinga o te tangata ka ako mā te mahi uaua. Ki te oti koe i ngā rā e whitu o te metronidazole mō te trich, ā, kāore tō hoa tāne i tango i tētahi mea, ka hoki mai te rauropi ki a koe. Ka pānui tērā hei "kāore i te kaha te patupatu huakita" ahakoa ko te hokinga mai o te mate. He mea noa rawa atu te nuinga ka tūtohu te CDC ki te whakamātautau anō i ngā wāhine kaha taihekeheke mō te trichomoniasis tata ki te toru marama i muri i te rongoā. Nā reira, i mua i tō whakatau kua kore te rongoā i te mahi, pātai he aha te mea i tangohia e tō hoa tāne.

Ko te whakaheke ka whakaiti, kāore e taea e ia te whakatau māu

Ahakoa e titiro ana koe ki te whakaheke o te trich, o te BV rānei, ko tāu e kite ai ka hoatu he whakaaro, kāore rawa he kōwhiringa. Ko ngā tauira matarohia ka rereke:

• Trichomoniasis: whakaheke kōwhai-kākāriki, te mātiti me te wera o te uwha, te mamae i te mimi, ā, i ētahi wa ka pakaru toto i muri i te mahi tāne, o te "wōnati wōnati kākano", ka kitea i roto i te tokoiti noa o ngā take.
• Bacterial vaginosis: whakaheke kikokiko, hina-ma me te haunga ika ka kaha ake i muri i te mahi tāne, ko te nuinga ka iti te mātiti me te iti o te mumura ka kitea.

Anei te mea kāore e kōrero te nuinga o ngā whārangi ki a koe: 70% ki te 85% o ngā tāngata whai trichomoniasis ka iti noa, kāore rānei he pānga, ā, tata ki te 84% o ngā wāhine whai BV kaore he pānga kia rite ki ngā whakataetae a te CDC. Ko te kore o ngā pānga kāore e whakakore i tētahi mate. Ka piki te pH taihekeheke ki runga ake i te 4.5 i roto i ngā mea e rua, nā reira kāore he painga o te takatika pH o te toa ki te wehe i a rāua.

Ko te mea whai hua i a koe e tatari ana ki te whakamātautau ko te pupuri rekoata. Ka taea e tētahi taupāpāho hoa hauora pērā i te August AI te āwhina i a koe ki te tātari i ngā huringa whakaheke, ka kaha ake te haunga, ā, me pēhea te tīmatanga o ngā pānga e hono ana ki tētahi hoa hou, hei taapiri ki te tiaki, ehara hei whakakapi mōna. Ki te ko tō pānga matua ko ngā kōrona, ko ngā patito rānei, kaua ko te whakaheke, kei te titiro koe ki tētahi atu mea, ā, he pai ki te mōhio te ahua o te herpes i ngā wā rerekē.

Kotahi anake te whakamātautau taipe ka wehe i te BV me te trich

Kāore he whakamātautau kotahi mō te BV, mō te trich rānei, no te mea kāore e rite te whakahaere o te kōwhiringa o ngā tikanga e rua. Mō te trichomoniasis, ko te whakamātautau amplification nucleic acid (NAAT) he 95% ki te 100% te whai hua, engari ko te wet-mount microscopy ka kite noa i te 44% ki te 68% o ngā take. He mea nui taua āputa: kāore te wet-mount kino e whakakore i te trich, ā, ki te titiro tō rata ki tētahi kiriata ā, kī ana ki a koe he mārama, he ngoikore te kino.

Ko te BV ka whakataetaetia kia rite ki ngā paearu a Amsel (whakaheke kikokiko, pH runga ake i te 4.5, he whakamātautau whiff pai, me ngā pūtau matatini i runga i te rorohiko) te Kōwhiringa rānei a te Kōwhiringa a te Kōwhiringa. Kei te wātea ngā paera BV i runga i te NAAT, engari kāore rātou i te paerewa o te tiaki pera i te NAAT mō te trich.

Ko tētahi ture wā ka penapena te tini o te raruraru. Kāore e whakamātautau anō mō te trich mā te NAAT i mua i te toru wiki i muri i te rongoā, no te mea ka taea e te waea nucleic ngā kaikawe mate te whakaputa i te hua teka. Ahakoa ko wai, me kohikohi tētahi i tētahi wete taihekeheke. Kāore ngā rārangi pānga me ngā takatika pH e whakakapi.

Te rongoā kotahi, te akoranga rereke: pēhea te horopeta o te metronidazole mō ia

Ko te metronidazole mō te trichomoniasis me te metronidazole mō te BV he rite tonu te matū ki runga i ngā mahinga tino rerekē, ā, ko te mahinga ka whakawhirinaki ki te mate me te ira tangata o te manawanui.

Ko te huringa 2021 te mea kia tika. Kua nekehia e te CDC ngā wāhine mai i te horopeta 2 g kotahi mō te trich na te mea he pai ake te reiti angitu o te rongoā e whitu ra. Ka whiwhi tonu ngā tāne i te horopeta kotahi, nā reira ka taea te rongoā a tō hoa tāne te ahua kāore e rite ki tau, ā, ka tika te tokorua.

Ko te Flagyl te ingoa waitohu ka kitea e koe i runga i te pounamu, ā, ko te Flagyl mō te BV te rite tonu te akoranga e whitu ra. I te nuinga, ko ngā reiti angitu o te rongoā ka 84% ki te 98% me te metronidazole me te 92% ki te 100% ki te tinidazole, nā reira ko te tinidazole te taahiraa a te CDC ka piki ana te trich i muri i te metronidazole. Ko te metronidazole te nuinga he rongoā auau, ā, ko te ahua o te rongoā ipurangi i te rangi kotahi ka mahi ki konei ka oti ana te hua whakamātautau i roto i te ringaringa.

Ki te hoki mai ngā pānga, whakapae te mate kē, ehara te rongoā kua kore e pai

Āe, ka taea e koe te mate BV me te trichomoniasis i te wā kotahi, ā, kāore he mea onge. Ko te mate BV ka whakapiki ake i te tūponotanga ki te mau i te trichomoniasis, tae atu ki te chlamydia, te gonorrhea, te M. genitalium, te HPV me te HSV-2. Ka honoa ēnei tokorua, kāore e whakakore i a rāua, nā reira ko te hua pai mō tētahi kāore he taunakitanga ki tērā kē.

Ka hoki mai ana ngā pānga, wehewehea ngā raru e rua tino rereke. Ko te hokinga mai o te mate ko te pai o te mahi a te rongoā, ā, nā tētahi hoa tāne kāore i rongoā i whakahokia mai te rauropi. Ko te tino kore angitu o te rongoā ko te kāore te rongoā i whakakore i te rauropi i te tuatahi. He rereke te rongoā mō ia mea, ā, kāore tētahi e whakaoti mā te whakaki anō i te rongoā kotahi.

Ki te mau tonu ngā pānga i muri i te akoranga katoa, whakamātautau anō kaua e rongoā anō kāore he kōwhiringa. Ko te tinidazole te taahiraa a te CDC mō te trich mau tonu, ā, ko te BV hoki ka taea te tono kia roa ake, kia aukati rānei te akoranga e whiriwhiria e tētahi rata. Ka taea e tētahi taupāpāho hoa hauora pērā i te August AI te āwhina i a koe ki te tuhituhi mena ka ngaro rawa atu ngā pānga i te rā whakamutunga o te akoranga, kia tīmata ai te toro ki muri me tētahi mahinga wāhi atu i te takenga.

A, no te hiahiatia te rata mō ngā pānga taihekeheke, ā, me pēhea te tere

Waea atu ki te 911, haere rānei ki te rūma ohorere inaianei mena:

• Kei a koe te kirika, te makariri rānei me te mamae o te puku, te puku i raro rānei, ka tohu pea te mate whēiti o te kopu.
• Kei a koe te mamae nui o te puku me te ruaki, te korekai rānei.
• Kei a koe te pakaru toto nui, tōraro rānei.
• E hapū ana koe, ā, kei a koe te mamae, te pehanga kopu, te pakaru toto rānei.

Whakaritea tētahi toro ki roto i te wiki e whai ake nei mena:

• I tīmata mai he whakaheke hou, he haunga rānei i muri i tētahi hoa hou.
• Kei te mau tonu ngā pānga, kei te kino rānei i muri i tō oti i te akoranga kua tohua katoatia.
• Kei a koe ētahi pānga i te wā hapū, nā te hononga ki te whanautanga wawe me te iti o te taumaha whānau.
• Kua pai te whakamātautau a tētahi hoa tāne mō te trich.

Kōrero ki tētahi rata i mua i te tīmatanga mena:

• E hapū ana koe, e whāngai ana rānei.
• Kua tau kē koe ki te metronidazole, ki te tinidazole rānei i mua.
• E tango ana koe i te warfarin, te lithium, te disulfiram rānei.
• Kua toru, neke atu rānei ngā wa i roto i te tau.

Mō te reo pokapoka, he pai te toro waea hei tiimatanga. Ko te toro tiaki ohorere ipurangi $39 a August ka hono atu koe ki tētahi rata kua raihana ki te US ka taea te aromātai i āu pānga, ka tohua rānei ina tika, ā, ko te rata te whakatau mena ka tika te rongoā. Kia mārama ki te rohe: kāore he toro ipurangi e taea te kohikohi i te wete taihekeheke, te mahi whakamātautau puku rānei, nā reira ko te whakamātautau taipe e wehe ai ēnei mate e rua me mahi tonu i te rohe.

Ngā pātai auau

Me karo pono tāku waipiro i te wā e tango ana i te metronidazole?

Āe. Ko te aratohu paerewa ko te karo waipiro i te wā o te rongoā me te 24 haora i muri i tō horopeta metronidazole whakamutunga, te 72 haora rānei i muri i te horopeta tinidazole whakamutunga. Ko ngā taunakitanga hou e pātai ana i te kaha o te tauhohenga rite ki te disulfiram, nā reira ko te ture he tino tupato atu i te mea kua whakamātauhia. Ka puta te ruaki me te reka o te konganuku te metronidazole anō, ā, kāore te taapiri atu o te waipiro e whakapai ake i taua wiki.

Ka taea e ngā tāne te mate bacterial vaginosis?

Kāore. Ko te vaginosis huakita ka whakatauhia e te huringa o te huakita o te taihekeheke, nā reira ko te hunga kāore he taihekeheke kāore e taea te whakawhanake. Ka taea e ngā hoa tāne te kawe i ngā huakita e hono ana ki te BV, engari kāore te CDC e tūtohu kia rongoā i a rātou, no te mea kāore e whakapai ake te reiti angitu, te hokinga mai rānei. Ko te trichomoniasis te keehi takatika: ka mau ngā tāne, ko te nuinga kāore he pānga, ā, ka hiahiatia e rātou te rongoā.

He pai te metronidazole ki te tango i te wā e hapū ana, e whāngai ana rānei?

Āe. E whakaarohia ana e te CDC te metronidazole he iti te tūponotanga i te hapūtanga, ā, kāore ngā akoranga maha i hono atu ki ngā pānga teratogenic, mutagenic rānei. Me karo te tinidazole i te wā hapū. Ki te whāngai koe, ko te aratohu ko te whakaroa i te whāngai mō te 12 ki te 24 haora i muri i te horopeta metronidazole me te 72 haora i muri i te tinidazole. Kōrero atu ki te rata tohutohu kei te hapū koe, kei te whāngai rānei i mua i tō whakaki i tētahi mea.

Ka ngaro te trichomoniasis anō i a ia anō kaore he rongoā?

Kāore te nuinga. Ko te trichomoniasis he mate ki te parasite ora, ā, ka mau tonu kia rongoā ra ano. I te mea ko te nuinga o te hunga e mau ana ka pai te noho, ko te hua noa o te tatari ko ngā marama o te tuku atu ki ngā hoa tāne kāore i te mōhio, kaua ko te ngaro anō. I te wā hapū, ka piki ake ngā taumata, i te mea ko te mate kāore i rongoā e hono ana ki te whanautanga wawe me te iti o te taumaha whānau.

Ka taea rānei ngā pānga he mate rewena, kaua ko te BV, ko te trich rānei?

I ētahi wā. Ko te rewena te toru o te mate ka uru te tangata ki roto i te pātai BV me te trich, ā, ko te nuinga ka ahua rerekē: whakaheke maeneene, te mātiti nui, te whero o te uwha, te kore haunga ika, ā, ko te pH taihekeheke ka noho noa, kaua e piki ake ki runga ake i te 4.5. Ko te rongoā i a koe anō ki tētahi rongoā antifungal waho ka utua ki a koe he wiki, ā, ka whakaroa i te rongoā tika.

Te raina raro mō te BV me te trich

Te rongoā kotahi, ngā ture hoa takatika. Ko ngā mate e rua ka rongoā tuatahi ki te metronidazole 500 mg rua i te rangi mō te whitu ra, engari ko te trich e tono ana kia rongoāhia ngā hoa tāne katoa o naianei i te wā e tūtohutia ana, engari ko ngā hoa tāne o te BV kāore kia rongoāhia. Kāore ngā pānga me ngā takatika pH e taea te kii ki a koe ko tēhea te mea kei a koe, nā reira ko te mahi kotahi i muri mai ko te whakamātautau wete i mua i tētahi rongoā. Ki te hoki mai ngā pānga i muri mai, whakamātautau anō kaua e tukua anō. Ko tēnei whārangi e whakaatu ana i ngā Aratohu Rongoā a te CDC 2021 mō ngā mate taihekeheke.

Whakakāore: Ko tēnei tuhinga mō ngā kaupapa mōhiohio anake, kāore hoki e kiia he tohutohu hauora. Me kōrero tonu ki tētahi tohunga hauora whai raihana mō ngā whakatauaki me ngā rongoā. Ki te wheako koe i tētahi ohorere hauora, waea atu ki te 911, haere rānei ki te rūma ohorere tata tonu.