BV me te Panganga rewena: Kawa, Kakara, pH, me te Aha hei Mahi i muri mai

Ka rereke te BV me te panganga rewena i te nuinga o te kakara me te ahua o te kawa. Ko te BV ka puta he kawa kikokore, hina-ma, he kakara ika. Ko te panganga rewena ka puta he kawa matotoru, ma, he kowhatu, he tino mamae, he iti te kakara. Engari ka rite ngā tohu, nō reira ehara te BV ki te panganga rewena i te mea hei whakatau mā te whakapae anake.

TE WHAKAPOTO: Ngā mea nui hei maumahara

• Ko te kakara ika e tohu ana ki te BV. Ko te tino mamae o te pukapuka e tohu ana ki te rewena. Ko te tae te iti rawa te korero.
• E ai ki te CDC, kāore te hitori hauora anake e ranea ki te whakatau tika i tētahi o ēnei.
• Ko te rāpa pH te tūtakitanga kotahi e taea ana e koe te ine i te kāinga: ko te mea kei runga ake i te 4.5 ka hāngai ki te BV.
• Ka taea e koe te kite i ēnei tokorua i te wā kotahi, nō reira ka puta he whakautu pōhēhē ētahi rārangi tohu.
• Ko ngā maimoatanga tuatahi katoa mō te BV ka hiahiatia he rongoā. Kāore he rongoā patu-rewena e pā ana ki te BV.

BV ki te panganga rewena: ko te kakara te tohu tere, ko te mamae ehara

Ko te rerekētanga matua i waenganui i te BV me te panganga rewena ko te mea ka hongia e koe me te mea ka kite koe. Ko te mate huakita o te whekau ka puta he kawa kikokore, rite tonu, hina-ma, me te kakara ika, me te iti noa iho o te mamae. Ko te panganga rewena ka puta he kawa matotoru, ma, he kowhatu, me te tino mamae, ngaua, me te whero o te pukapuka, me te kore o te kakara kaha. Ka puta te BV ki te panganga rewena i runga i te ahua me te kakara, ehara i te mamae anake.

E rua ēnei mea ka puta noa. Ko te BV te tino take o te kawa whekau puta noa i te ao, me te Cleveland Clinic e kii ana ko te 35% pea o ngā tangata he pukapuka te ora katoa, ka noho hei amuamu whekau tino noa i waenganui i ngā wahine 15 ki te 44. Ko te panganga rewena he raru kē atu: he nui rawa te tipu o te Candida, ko tana tohu matua ko te kawa ma matotoru me te mamae, ngaua, me te pupuhi o te pukapuka, ā, kāore he kakara kaha rite ki te BV.

Ko te panganga rewena ki te BV kawa me ētahi atu rerekētanga nui mō te tirohanga tere:

Ka whakapāpāpī taua teepu i ngā tūponotanga. Kāore e whakapūmau ana i te tātaritanga, ā, ko te wāhanga e whai ake nei ka whakamārama he aha ai te rerekētanga nei i te mea nui atu i te nuinga o te tangata e tatari ana.

Te whakarite i āu tohu ki tētahi rārangi kāore e ranea ki te whai maimoatanga

Ko te pātai tūturu e pātaihia ana e koe, he BV, he panganga rewena rānei, ā, ko te whakautu pono ko te kore e taea e āu tohu anake te whakatau. Kua mārō te CDC mō tēnei i roto i ā rātou aratohu mō te kawa whekau: "kua korerotia kua kore te whiwhi i te hitori hauora anake e ranea mō te tātaritanga tika." Ko te wehewehe i te BV, candidiasis, me te trichomoniasis ka hiahiatia he tirotiro me te whakamātautau taiwhanga, ko te tikanga ko te ine pH me te microscopy, ehara i te titiro ki ngā tauira.

Tirohia te āhua o ngā kaimātai hauora e whakatau nei. Ko te tātaritanga o te BV ka whakamahi i ngā Amsel criteria, e hiahiatia ana kia toru o ngā whai i ngā tohu e whā: kawa rite tonu, ngongo mātauranga i runga i te microscopy, pH whekau kei runga ake i te 4.5, me te kakara ika ina tāpirihia te pāpātuha. I roto i tētahi hōneatanga, ko te BV, ko te panganga rewena rānei ka whakatauhia ki tētahi rāipa me tētahi mīhini, ā, kāore rawa e tūruatia e tētahi tohu anake. Ko te here ano hoki taua hei hiahia koe ina whakatau ana i ngā mate e rua e rite ana te ahua ki hea atu i runga i te tinana.

Ka kore hoki ngā tohu e mahi i tērā taha. Tae atu ki te 84% o ngā take BV kaore e puta mai he tohu kitea, e ai ki a Cleveland Clinic, nō reira ko te kore o te kakara ika e kore e whai mana. Ko te ture hei maumahara he ngāwari: ki te kore te ahua e rite ki te pukapuka, whakapūmau ki tētahi rāipa pH, he tirotiro kaimātai hauora, me te microscopy i mua i tō whakapau moni ki tētahi rongoā patu-rewena e hokona ana.

Tirohia te ahua o te kawa i mua i te whakawhirinaki ki te tae

Ina whakarite koe i te panganga rewena ki te kawa BV, ko te ahua me te kakara te kawe i te nuinga o te tohu tātaritanga, ā, ko te tae te kawe i te iti rawa. Ko te kawa BV he kikokore, he rite tonu, he hina-ma te tae, ā, ka kikokore te whakapapa ki ngā pakitara whekau kaua ki te noho i roto i ngā kowhatu. Ko tana kakara ika o te amine he kaha ake i muri i te moepū, i te wā rānei o tō paheketanga.

Kāore te kawa rewena e rite ki tērā. He matotoru, he ma, he rite ki te miraka pē, kāore he kakara, he kakara rewena iti rānei, ā, ka puta tahi me te mamae, te ngaua, te whero, me te pupuhi o te pukapuka e kaha ana te wheako. Ki te ko te mamae te mea i oho ai koe i te 2 karaka, he mōhiohio whai mana tera.

Ko te tae te tohu ngoikore rawa atu kei a koe. Ko te ma me te kīnaki ma ka hipoki i ngā mate e rua, ā, ko te kōwhai, te matomato rānei ka neke atu i ēnei tokorua, te nuinga ki te trichomoniasis, ki ētahi atu take rānei. I raro i te mīhini ka mārama te wehewehe: ko te BV ka whakaatu i ngā ngongo mātauranga me te whakamātautau whiff pai, ko te candidiasis ka whakaatu i te hyphae, te rewena rānei e whakaputa ana i runga i te whakaritenga KOH, me te trichomoniasis ka whakaatu i te trichomonads neke i runga i te kiri tote. Ahakoa pērā, ko te ahua o te kawa tonu te kotahi o ngā Amsel criteria e whā.

Ko te rāpa pH i te kāinga te mea tata ki te tiebreaker tūturu

Ko te pH o te whekau te kotahi rerekētanga i te whakataurite BV ki te panganga rewena ka taea e koe te ine i a koe anō. Ko te BV te nuinga ka pana te pH o te whekau ki runga ake i te 4.5, koinei te take ka kiia he Amsel criterion, engari ko te panganga rewena te nuinga ka waiho te pH ki roto i te tikanga o te 3.8 ki te 4.5.

I roto i te mahi, panuitia pēnei. Ko te pH noa me te kawa matotoru me te tino mamae ka kaha ki te rewena, ā, he tika te rongoā patu-rewena e hokona ana. Ko te panuitanga i runga ake i te 4.5 me te kakara ika ka hāngai ki te BV, ā, ka whakaatu ki a koe tētahi mea whai hua, he mōhinuhinu hoki: kāore te rongoā patu-rewena kei roto i tō kaata e āwhina.

Te hopu: he ngāwari te rāipa kia whakapohehehia, kia nui rawa te panuitanga. Ko te moepū tata me te pararopi, te toto paheketanga, te horoi whekau, te hinu rānei, me ngā rongoā whekau tata ka whakanui i te panuitanga, ā, kāore e pono. He tiketike ano te pH ehara i te mea motuhake ki te BV. Ko te trichomoniasis me ngā huringa i muri i te paheketanga ka whakanui hoki. Ka whakapāpāpī te nama teitei i te mara. Kāore e tapaina te whakautu, ā, ko te kotahi noa o te whā criteria.

Ki te kore ngā tohu e rite ki tētahi o ngā pou, ka taea e koe te kite i ēnei tokorua i te wā kotahi

Āe, ka taea e koe te kite i te BV me te panganga rewena i te wā kotahi, ā, ka whakamārama taua tūponotanga i te maha o ngā hua whakapohehe. Ko te ahua ranu, te kakara ika i te taha o te tino mamae, me te kawa kaore i te tino kikokore, kaore ano hoki i te tino kowhatu, koinei te mea ka tino kino rawa atu te whakahaere a te rārangi tohu.

Ko te raupapa hoki te mea nui. Ko te whakamahi rongoā patupatu tata nei he take mō te panganga rewena, e ai ki a Cleveland Clinic, nō reira ka puta te panganga rewena i muri i te maimoatanga o te rongoā patupatu mo te BV, ā, ka puta mai i te wā e ngaro ana te kakara.

Kāore he hua kotahi e hipoki ana i ngā mea e rua. Ko te Metronidazole me te clindamycin kāore he mahi ki te Candida, ā, ko ngā rongoā patu-rewena kāore he mahi ki te BV, nō reira ko te whakatō i ngā hua he rua noa iho te whakapae, kaua te whakatau. Tikina te microscopy, te aromatawai kaimātai hauora rānei, nō reira ka tautuhia ngā mate e rua, ka rongoatia hoki. Ko te hinengaro ano hoki e pā ana ki tētahi rongoā patu-rewena kāore e mārama ana ngā mea: ko te whakautu te nuinga he tātaritanga he, ehara i te rongoā ngoikore.

Ko te whakapae he ka mate koe i tētahi wiki, ā, ka hiahiatia he rongoā mō te BV i ngā wā katoa

Ko te maimoatanga tika mō te BV, mō te panganga rewena rānei ka whakawhirinaki katoa ki te mate tūturu kei a koe, ā, kāore ngā tikanga e rua e rite. Mō te BV, ko ngā kōwhiringa tuatahi a te CDC ko te metronidazole ā-waha 500 mg takirua ia rā mō te 7 rā, metronidazole 0.75% kirīmi whekau kotahi ia rā mō te 5 rā, me te clindamycin 2% kirīmi whekau ia pō mō te 7 rā. Ko ēnei katoa e hiahiatia ana he rongoā. Kāore he mea e hokona ana i te toa, i hea, i tēhea ahua.

Ko ngā take rewena ngāwari te take ngāwari ake. Ko ngā azole whekau e hokona ana i te toa pēnei i te miconazole, clotrimazole rānei, he pai te mahi, ā, ko te rongoā patu-rewena ā-waha he kōwhiringa.

Anei te utu tūturu mō te whakapae he. Ko te rongoā patu-rewena i whakamahia ki te BV kāore he mahi: ka haere tonu te kakara me te kawa, ā, ka roa tō maimoatanga tūturu mō te roa o te akoranga, te nuinga e toru ki te whitu rā. Ko ngā rongoā patupatu i whakamahia ki te panganga rewena he rite tonu te kore mahi, ā, ka nui ake te mamae. Ko te BV kāore i rongoatia ka honoa ki te nui ake o te tūponotanga ki te hopu i ngā mate tuku i te moepū me ngā raruraru i te wā o te hapūtanga, koinei tetahi atu take kia kaua e tukua kia rere te whakapae kāore i whakapūmauhia mō ngā wiki.

Ki te hiahia koe kia titiro te kaimātai hauora ki tēnei kaua ki tētahi rārangi, ko te August's $39 online urgent care visit ka hono atu koe ki tētahi kaimātai hauora kua raihana i te US ka taea te aromatawai i āu tohu me te hitori, ka whakahau hoki ina tika. Ko te kaimātai hauora te whakatau mēnā he tika te rongoā mōu. Kia mārama hoki ki ngā herenga: kāore e taea e te tirotiro ataata te mahi i te whakamātautau pelvic, te makuku, me te whakamātautau pH i te tari, nō reira ko te ahua pōhēhē, ko ngā wahanga tukurua, ko ngā tohu rānei i te wā o te hapūtanga ka hiahiatia he tiaki kanohi kanohi.

Ko ētahi tohu ka tikanga kia mutu te whai maimoatanga māu anō me te kite i tētahi

Waea 911, haere rānei ki tētahi rūma ohorere ināianei mēnā:

• E kirikiri ana koe, e makariri ana koe me te mamae nui ki te papa, ki raro rānei o te puku, ka tohu pea i te mate mumura o te papa, me etahi atu mate nui.
• E nui ana te toto whekau, te mamae nui rānei
• E ruaki ana koe, kāore hoki e taea te pupuri i ngā wai

Whakarite he haerenga i roto i te wiki e whai ake nei mēnā:

• Kāore he whakapai ake, kua kino rānei ngā tohu i muri i te akoranga katoa o te maimoatanga tika
• E toto whekau ana koe ehara i te wā o tō paheketanga
• E pāhu, e ngaua rānei, e ngārara ana, e mamae ana rānei te takawira kāore i whakamāramatia e te mamae
• Kua moe koe me te kore tiaki ki tētahi hoa hou, ki ngā hoa maha rānei, ā, ka taea te mate tuku i te moepū
• Ko tō tino wāhanga tuatahi tenei

Kōrero ki tētahi kaimātai hauora i mua i te tīmatanga mēnā:

• E hapū ana koe me te kawa hou, kua kino rānei, he kakara, he tohu pelvic rānei
• He mate huka koe, he ngoikore rānei te punaha ārai mate
• Kei te tango rongoā patupatu koe, kua oti rānei te akoranga
• Kua maha āu wāhanga i tēnei tau

Ngā pātai auau

He mate tuku i te moepū te BV?

Kāore. Kāore te CDC e whakaatu ana i te mate huakita o te whekau hei mate tuku i te moepū, ahakoa ka nui ake te tūponotanga o ngā wahine kua mōhua ira, ā, he iti noa te BV i waenganui i ngā tangata kāore anō kia moe. Ko te hoa hou, te maha rānei o ngā hoa, me te kore o te whakamahi pute ka nui ake te tūponotanga. Kāore e tūtohutia te maimoatanga tikanga o ngā hoa tane i roto i ngā aratohu paerewa, nō reira ko te maimoatanga hoa he kōrero hei whai māu ki tō kaimātai hauora.

Ka taea e te BV, te panganga rewena rānei te whakaora i a ia anō me te kore maimoatanga?

I ētahi wā. Ko ngā take ngāwari o tētahi o ēnei ka taea te whakaora i a ia anō, engari kāore he huarahi pono ki te matapae ko wai ka pērā, ā, ko te tatari te nuinga ka mate koe i te wā i te mea ka haere tonu ngā tohu. He paepae whai tikanga: ki te kāore ngā tohu i tino pai ake i roto i te toru rā, kati te tatari me te whakamātautau hei utu i te whakamahi i tētahi hua tuarua i runga ake i te tuatahi.

E hia ngā wāhanga i roto i te tau ka kiia he tukurua?

E whā. E kii ana a Cleveland Clinic ko ngā panganga rewena neke atu i te whā i roto i te tau ka hiahiatia he whakamātautau rongoa ki te rapu i tētahi take i raro nei, pēnei i te mate huka kāore i te tino whakahaeretia, he momo aroaro rānei, kaua ki te whai maimoatanga māu anō. Kāore he nama rite tō te BV, engari ko te tukurua i muri i te maimoatanga he mea noa, ā, ko ngā wāhanga tukurua me akiaki te whakamātautau me te mahere maimoatanga hei utu i tētahi atu porowhita o te whakapae.

E hiahiatia ana e au he maimoatanga mō te BV ki te kāore au he tohu?

Kāore te nuinga. Tae atu ki te 84% o ngā take BV kaore e puta mai he tohu kitea, ā, ko ngā whakatau maimoatanga i waenganui i ngā tangata kāore i te hapū ka whai i ngā tohu kaua ki te hua whakamātautau anake. He rereke te whakahua: ki te hapū koe, ki te whakarite rānei mō tētahi tikanga gynaecological pēnei i te whakaurunga IUD, te pokanga rānei, pātai atu ki tō kaimātai hauora mēnā he tika te rongoa i tētahi kitenga kāore he tohu mō koe.

Me pēhea ki te kitea kāore he BV, he panganga rewena rānei?

Ka puta ake i te mea e whakaaro ana te whakatakotoranga BV ki te panganga rewena. Ko te Trichomoniasis te toru o ngā take noa, ā, ka hiahiatia he rongoā motuhake kāore he kirīmi patupatu, kirīmi patu-rewena rānei e homai. Ko ngā tauhohenga kakā, tauhohenga rānei ki ngā hopi, spermicides, me ngā horoi ka rite ki ngā mea e rua. Ko te whakamātautau te anake te huarahi ki te whakatau i tēnei, nō reira ko te rārangi e tuku ana kia rua noa iho ngā whakautu ka pohehe koe.

Ko te mea nui: ko te rerekētanga i waenganui i te BV me te panganga rewena ko te kakara me te ahua, ehara ko te tae, ehara hoki ko te mamae anake. Ko te rāipa pH kei runga ake i te 4.5 me te kakara ika ka hāngai ki te BV, e hiahiatia ana he rongoā i ngā wā katoa. Ko te pH noa me te tino mamae me te kawa matotoru ka hāngai ki te rewena. A, no te mea kāore i te mārama te BV ki te panganga rewena, whakamātautau hei utu i te rongoa.

Whakakahoretanga: Ko tēnei tuhinga mō ngā mōhiohio anake, kāore hoki e rite ki te tohutohu hauora. Me whakapā atu tonu ki tētahi kaiwhakarato hauora whai mana mō te tātaritanga me ngā whakatau maimoatanga. Ki te puta mai tō mate hauora, waea 911, haere rānei ki te rūma ohorere tata tonu atu.