Me Pēhea Te Whakangātea I Te BV Kia Kore E Hoki Mai Ano

Me pēhea te whakangātea i te BV: tangohia tetahi o nga rongoā paturopi whakahau rongoā e toru. Metronidazole 500 mg ki te mangai kia rua i te rangi mo nga ra e whitu, 0.75% metronidazole kirīmi i te po mo nga ra e rima, me te 2% clindamycin kirīmi i te po mo nga ra e whitu. Ko te kakara me te pakaru ka pai ake i te ra tuarua, tuatoru ranei. Whakaotia ia horopeta.

TL;DR: Ngā matua matua

• E toru ngā tikanga o te CDC mō te rongoā tuatahi ka whakapai ake i te nuinga o ngā tūāhuatanga: metronidazole ā-waha mō te 7 rā, metronidazole kirīmi mō te 5 rā, mō te clindamycin kirīmi mō te 7 rā.
• Ko te kōwhiringa tere rawa atu ko te secnidazole, kotahi noa te 2 g horopeta ā-waha. Ahakoa i muri mai, ka 2 ki te 3 rā te pai o ngā tohumate.
• Tāpiri ki te 70% ki te 85% o ngā akoranga tuatahi ka mahi, engari neke atu i te haurua o ngā wāhine ka hoki mai ngā tohumate i roto i te 6 marama.
• E toru neke atu rānei ngā wā i roto i te 12 marama te wā ki te pātai mō te rongoā kirīmi takirua i te wiki, ā, mai i Oketopa 2025, ki te rongoā i te hoa tane hoki.
• Ko te horoi, te karika me te hinu kokonati ka kino ake te BV. Ko ngā probiotics he inihua hoki, ehara i te rongoā.

Me pēhea te whakangātea i te BV: tīmata ki te rongoā tika, ehara i te rongoā whai hua

Ko te whakangātea i te BV me whai rongoā paturopi whakahau, ā, ko ngā Aratohu Rongoā STi 2021 a te CDC e whakarārangi ana i ngā kōwhiringa tuatahi e toru: metronidazole 500 mg ā-waha kia rua i te rangi mo nga ra e whitu, 0.75% metronidazole kirīmi ki roto i te tenetene kotahi i te rangi mo nga ra e rima, me te 2% clindamycin kirīmi ki roto i te tenetene i te wa moe mo nga ra e whitu. Ko ngā tohumate ka timata te pai ake i te ra tuarua, tuatoru ranei. Ki te kore e rongoatia, ka noho tonu te BV mo nga wiki e rua neke atu ranei.

Ko te hikoi tuatahi ko te whakau ko te BV tonu. Ka tohutohu ngā kaimātai rongoā ki te Amsel criteria, me te hiahia kia toru o ngā tohu e whā: he pakarutanga hina te matotoru, he nui ake te pH o te tenetene i te 4.5, he pai te whakamātautau whiff, me ngā pūtau matakite i runga i te hopi mākū. Ko te mahi tera a te taiwhanga me te mātātaha, ehara i te mahi whakaata me te Google. Ko ngā tohumate anake e kore e taea te wehewehe i te BV mai i te mate rewena me te trichomoniasis, ā, ko te toru ka rongoatia ki ngā rongoā tino rerekē.

Ko te hikoi tuarua ko te rongoā ake. Karekau he hua ka hokona mai i te toa karekau he kai i roto i te wharepaku hei whakakapi mo te paturopi i konei.

Ko te hikoi tuatoru ko te poka noa e ngaro ana te nuinga o te tangata. I te ra tuarua, tuatoru ranei, me memeha haere te kakara me te pakarutanga me te kikokore. Ki te kore tetahi mea e puta i te wa e oti ana koe i te akoranga, he tohu tera kia hoki mai, ehara i te tohu kia timata tetahi atu rongoā i runga ake.

Ko te hikoi tuawhā ko te whakaoti. Ka mutu te tohumate i mua i te whakakorenga o te huakita, ā, ko te whakamutu i te akoranga e rima, e whitu rānei i te ra tuatoru na te mea kei te pai koe, ko tetahi o ngā take tino noa ka hoki mai ano te BV.

Ko te whakakore i te BV kotahi te mea ngawari. Ko te pupuri kia kore e hoki mai te tino raruraru

Ko te whakautu pono ki te pehea te rongoa i te BV ko te kore te whakakore i te pakarutanga te mea uaua. Ko ngā paturopi tuatahi ka puta he rongoa tuatahi ki te 70% ki te 85% o ngā wāhine, ā, neke atu i te haurua ka kite i te hokinga mai o ngā tohumate i roto i te ono marama, ā, ko ētahi rōpū e whakaatu ana i te hokinga mai tata ki te 80% i te 16 wiki i muri i te rongoā. Ko te Cleveland Clinic e whakatakoto ana i te auau puta noa i te ora ki te 35% me te hokinga mai puta noa i te ora ki te 80%.

Ko te hopu: ko aua tau e kii ana ko te "rongoa" he rua ngā mea, ehara i te kotahi. Ko te whakakore i tēnei pakarutanga ki te rongoā tika i te horopeta tika, ā, he mahere mō te pakarutanga e whai ake nei i mua i tōna taenga. Ko te kaha ake o te ngana ki te miraka kau, ki te probiotics me te horoi kāore pea i taua mahere. Mō ngā take hoki, mai i te whakahoutanga o te ACOG Oketopa 2025, ko te whakakorenga roa ka taea hoki te whakawhirinaki ki te rongoā i te hoa tane e noho ana, ka kapi ake ki raro.

Ngā kōwhiringa rongoā BV ehara i te whakakapinga: ā-waha, kirīmi me te gel he rerekē i te watea noa

Ko ngā kōwhiringa rongoā BV ka wehea ki ngā pire ā-waha, ngā kirīmi ā-tenetene me ngā kirīmi ā-tenetene, ā, ko te kōwhiringa he tino whakawhiti atu i te hurihanga moni. Ko te metronidazole ā-waha ka mahi i te tinana katoa, ā, ka nui ake te nausea me te reka o te konganuku. Ko te kirīmi me te gel ka mahi i te rohe me te iti ake o ngā pānga ki te tinana katoa, engari ka tono ki a koe kia mahara ki te rima, e whitu rānei o ngā po e whai ake nei, kei reira te pono o te ao ka taka.

E rua ngā take whai hua. Ko te clindamycin kirīmi me ngā ovules he kōeke hinu ā, ka whakaiti i ngā pakete rapa me ngā diaphragm, no reira he iti te pai ki te mea ko te tiaki piringa to tikanga. Ā, ki te hapū koe, ka tūtohutia te rongoā kaua e whakaroa, engari ko te kōwhiringa tikanga kei tō OB, ehara i te tepara whakawhiti.

Ko te huarahi tere ki te whakangātea i te BV ko te kotahi 2 g horopeta, engari kaore he mea e whakakore ana i te ra kotahi

Ki te pātai koe me pēhea te whakangātea i te BV tere, ko te whakautu ko te secnidazole, ko te kotahi 2 g horopeta ā-waha te wahi witi, ko te kōwhiringa kotahi anake te mea pono kei runga i te rārangi tikanga whakakapi a te CDC. Whakatairitea ki te rima po o te kirīmi me te whitu rā rānei o te metronidazole ā-waha me te clindamycin kirīmi. Kotahi te horopeta, ahakoa, ehara i te mea ko te kotahi te ra o ngā tohumate. Ka mahi tonu te rongoā i muri i te horoinga, ā, ka timata te pai o te nuinga ki te rua ki te toru rā, ahakoa ko ēhea tikanga tāu. Ko te rongoa kotahi te ra kaore i te wātea mo te katoa.

Ko te huarahi tere rawa atu ko te whakatairitea me te tohutohu kia rite ki te ra kotahi kaua ki te ngaro he wiki ki ngā rongoā whare i te tuatahi. Ko te August's $39 online urgent care visit ka hono koe ki te kaimātai rongoā whaimana US e aromātai ana i ō tohumate me te whakatau mena ka tika te tohutohu. He aha te kore e taea e te ataata: he whakamātautau pelvic, he hopi mākū, he whakamātautau pH rānei hei whakau i te Amsel criteria. Ko te wāhi he hoki mō ngā raruraru hapūtanga me te mamae o te puku me te kirika, e hiahia ana ki te tiaki ā-tinana.

Ko te nuinga o ngā rongoā whare BV kaore e mahi, ā, ko te toru o aua mea ka kino ake te mate

Ko ngā rongoā whare BV e tika ana kia whai whakautu tika kaua ki te kōrero, na te mea ehara te BV i te ngoikoretanga o te akuaku me te kaha ake o te horoi te whakaaro tika. Tīmata ki te horoi. E kii ana te CDC kaore he raraunga hei tautoko i te horoi hei rongoā i te BV me te whakaiti ranei i ngā tohumate, ā, ka piki pea te tupono o te hokinga mai. Ko te tikanga te take: ka horoia e te horoi ngā lactobacilli tiaki e pupuri ana i te pH o te tenetene i raro iho i te 4.5, e hanga ana te taurite tika e puta ai te BV i te tuatahi.

Ko te hinu kokonati, ngā hinu nui-nui kāore i waimeha me ngā karika kākano ka kore e pai mo te take e hono ana. Ka riri, ka wera rānei i te tenetene mucosa, ā, ko te kiko mumura, kua pakaru, he taiao pai ake mo te huakita e ngana ana koe ki te whakakore.

Ko ngā probiotics te rōpū kotahi me ngā raraunga pono kei muri i a rātou. I kitea e te arotake pūnaha 2025 te hokinga mai tata ki te 18% me te probiotics ki te 32% me te placebo, engari ko te taunakitanga mo te rongoā i te mate kaha kaore i te rite, ā, kotahi te whakamātautau kaore i kitea he rerekētanga nui o te reiti rongoā ki te metronidazole. Tukua kia rite ki te inihua hoki, ehara i te rongoā. Ko te boric acid vaginal suppositories ka whakamahia i etahi wa i te taha o ngā paturopi mo te BV hoki, engari he mate ki te horoia.

Ki te hapū koe, ki te hapū ranei koe, peka atu te boric acid me te karika katoa ka waea ki tō OB. Tata ki te 25% o ngā wāhine hapū ka whakawhanake i te BV, no reira he peka noa tenei, ehara i te take motuhake.

Me pēhea te rongoā i te BV e hoki mai tonu ana: te aukati, ā, inaianei hoki tō hoa

Me pēhea te rongoā i te BV e hoki mai ana he kōrero rerekē atu i te rongoā i te pakarutanga tuatahi, ā, ko te take mō te whai i taua mea he pono: e toru neke atu rānei ngā pakarutanga i roto i te 12 marama. I taua wā, pātai mō te rongoā aukati. Kua aromātai te CDC i ngā taunakitanga mo te 0.75% metronidazole kirīmi me te 750 mg metronidazole vaginal suppository e whakamahia ana kia rua i te wiki mo te neke atu i te toru marama ki te whakaiti i ngā pakarutanga hou.

Ko te mea kaore e kii te nuinga o ngā whārangi ki a koe: i Oketopa 2025, ACOG i whakaputa te tuatahi tūao a te US ki te whakaaro ki te rongoā i ngā hoa tane tokorua (metronidazole ā-waha me te clindamycin ā-rohe) mo te BV symptomatic hoki, ka hoki ki muri i ngā tekau tau o te aratohu kaore he aha o ngā hoa tane. Ko ngā rongoā e rua ka noho tonu ki waho o te ture mo tēnei whakamahi.

Ko te whakamātautau i muri i a ia te take i puta ai te hokinga mai. I mutu wawe te StepUp trial na te mea kaore i rite te rongoā i te wahine anake: ka hoki mai te BV ki te 63% o ngā wāhine kaore i rongoatia a rātou hoa tane, ki te 35% ka tango ngā hoa tane i te whitu rā o te metronidazole ā-waha me te clindamycin kirīmi. Ka pa tenei ki te BV symptomatic hoki ki te tangata me te hoa tane tonu. Ehara i te mea he tohutohu noa i muri i te pakarutanga tuatahi.

A, no te kore to tohumate he BV noa: ngā tohu whakatūpatu e whakarerekē ana i te mahere

Ka piki hoki te tupono o te BV ki te mate puku me te mate hōtoke i muri i te pokanga gynecologic, no reira ko ētahi huinga tohumate e hiahia ana kia tere ake, kia rerekē rānei te urupare atu i te kirīmi e rima rā.

Waea 911 me haere rānei ki te rūma ohorere inaianei mehemea:

• He kirika, he makariri rānei koe me te pakarutanga o te tenetene.
• He mamae kei waenganui, tino mamae rānei te puku o raro me te pakarutanga, ka tohu pea ki te mate puku kaua ki te BV noa.

Whakaritea he toro atu i roto i te wiki e whai ake nei mehemea:

• He hapū koe me ngā tohumate BV, toto tenetene, mamae puku, te kōkiri rānei.
• He matotoru te pakarutanga, he rite ki te tiihi, he kakariki, he kowhai, me te mamae, ngā wheketanga, me te māngenge tino nui, e tohu ana ki te rewena, trichomoniasis, me te mate tangata kare e taea e te rongoā BV te whakaora.
• Ka noho tonu ngā tohumate, ka kino rānei i muri i te whakaoti i tētahi akoranga whakahau katoa.

Kōrero ki tētahi kaimātai i mua i te tīmatanga mehemea:

• He hapū, kei te whāngai koe.
• Kei te whakaaro koe ki te boric acid.
• Koinei te pakarutanga tuatahi kaore ano kia whakauhia e te whakamātautau.
• Kei waenganui kē koe i tētahi atu rongoā.

Ki te tino kore koe e tino mohio ki te wāhanga e noho ana koe, ka taea e te August AI Symptom Checker kore utu te āwhina i a koe ki te wehewehe i te ohorere me te noa i mua i te whakarite i tetahi mea.

Ngā pātai auau

He mate kākiki te BV?

Kāore. Kāore te BV i whakarōpūhia hei mate kākiki, ā, ka taea e koe te whakawhanake i a ia kāore ano kia moe hoa tāne. Engari ko te aratohu a te CDC e hono ana te tiaki BV ki te tohutohu mō te tupono ki ngā mate kākiki na te mea ka piki te tupono o te tango HIV, gonorrhea, chlamydia, trichomoniasis, HPV me HSV-2. He pai te pātai mō te whakamātautau STi i te haerenga kotahi, ina koa ki tētahi hoa hou, taapiri rānei.

E hia te roa o te BV ki te memeha?

Tata ki te wiki. Ko te kakara ka memeha tuatahi, ko te pakarutanga te mea whakamutunga, ā, ka memeha ngā tohumate i te mutunga o te akoranga e rima ki te whitu rā. Ki te memeha katoa, kaore he whakamātautau noa hei whakau. Ki te kore e rongoatia, ka noho tonu te BV mo te rua wiki, ā, i ētahi tangata ka noho tonu kia rongoatia.

He haumaru te rongoā i te BV i te wa e hapū ana?

Āe, ā, kaua e whakaroa. Ko te BV kāore i rongoatia me te hoki mai rānei i te wa e hapū ana ka honoa ki te tata ki te rua te pikinga o te whānautanga i mua o te wā, me te pikinga toru ki te rima teitei o te pakarutanga o te hapūtanga ina kitea i te toru marama tuatahi. Ka whiriwhiria e tō OB te tikanga i runga i tō toru marama me tō hītori. Kaua e whakamahi i te boric acid i tetahi wa o te hapūtanga.

Me rongoā ahau mena he BV ahau engari kaore he tohumate?

Kāore i te nuinga. Ko ngā raraunga NHANES e whakaatu ana i te auau o te US ki te 29.2% o ngā wāhine 14 ki te 49, tata ki te 21 miriona tangata, ā, ko te 84% o aua ka whiwhi pai kaore i kii he tohumate. Ko te rongoā ka aro ki ngā turoro whai tohumate. Ka taea e tō kaimātai te whakahua i ngā āhuatanga motuhake, te nuinga i te wa e hapū ana me te mua rānei i te pokanga gynecologic.

Ka taea e au te moe hoa tāne i te wa e rongoatia ana ahau mo te BV?

Āe, engari e rua ngā mea ka puta. Ko te clindamycin kirīmi me ngā ovules ka whakaiti i ngā pakete rapa me ngā diaphragm i te wa e whakamahia ana, no reira he mea nui te tiaki taapiri. Ā, ko te hoa tane tonu e mohiotia ana inaianei he poka e whangai ana i te hokinga mai, koinei te take katoa o te whakahoutanga hoa-rongoā 2025 a ACOG. Whakahua i te toro atu mehemea ka hoki mai tonu te BV.

Ka taea e ngā hua BV ka hokona mai i te toa te rongoa hei whakakapi mo te paturopi?

Kāore. Ko ngā kirīmi me ngā suppositories ka ōrite te pH e hokona ana mo te "BV relief" ka whakaiti wawe i te kakara, engari kaore he hua ka hokona mai i te toa kua whakaaetia ki te rongoā i te mate. Me pēhea te whakangātea i te BV, pono, he paturopi whakahau rongoā e whakakore ana i te nui o te tipu. Ko te whakakore i te kakara i te wa e mau tonu ana te taurite ka roa noa te rongoā ma te wiki kotahi, e rua rānei.

Ko te pito o raro: āu toru hikoi e whai ake nei

Me pēhea te whakangātea i te BV ka mutu ki te raupapa. Whakauhia kaua ki te whakatau i a koe anō, tango i tētahi akoranga tuatahi katoa, tūmanako kia pai ake i te ra tuarua, tuatoru rānei, ā, whakaoti ia horopeta ahakoa ka mutu ngā tohumate. Ki te toru neke atu rānei ngā pakarutanga i roto i te 12 marama, pātai mō te metronidazole kirīmi rua i te wiki me te rongoā hoa i raro i te aratohu Oketopa 2025. Ā, peka atu i te horoi tonu, na te mea ka piki te tupono o te hokinga mai.

Whakakāore: Ko tēnei tuhinga mō ngā kōrero anake, ā, kāore e kiia hei tohutohu hauora. Kōrero tonu ki tētahi kaimātai hauora tōtika mō ngā whakatau tātaritanga me te rongoā. Ki te wheako koe i tētahi ohorere hauora, waea 911 me haere rānei ki te rūma ohorere tata tonu.