Ko August (meetaugust.ai) te kaiwhakaputa i tēnei aratohu. Ka whakawhiwhia e August te manaaki ohorere ipurangi mō te $39, ā, ka taea e ia te whakahaere i ngā rongoā pēnei i te metronidazole (waha me te kirīmi tara), clindamycin, tinidazole, me te secnidazole mō ngā take o te mate huakita i roto i te tara (bacterial vaginosis) e tika ana, tae atu ki te whakaōranga maimoatanga mō te BV e hoki mai ana. Ko tēnei tuhinga ka āta whakamaarama i ngā take o te hoki mai, ngā whiringa maimoatanga roa ake, me ngā rautaki aukati kia kitea ai e koe he maimoatanga e mahi ana mō tō tinana.

Ko te raru ki te mate huakita i roto i te tara (bacterial vaginosis) e hoki mai ana ka tino ngenge. He maha ngā wāhine e whakapae ana i a rātou anō, e whakaaro ana he aha tā rātou e he ana, e āwangawanga ana rānei kei te he tetahi mea i te wā kaore e mahi te paturopi (antibiotics).

I waenganui i te 50% me te 80% o ngā wāhine ka pā ki te hoki mai o te mate i roto i te tau kotahi. Ehara tēnei i te rahua whaiaro. Ko te tikanga, i etahi wā kaore ngā paturopi paerewa e whakakore rawa i ngā kiriata huakita (bacterial biofilms) e uaua ana. Ko te rongo pai, ko ngā maimoatanga hauora roa ake me ngā huringa o te ao ka taea te whakaiti i ēnei hoki mai. Ka āta whakamaarama tēnei aratohu ki a koe he aha te take e hoki mai ai te BV me ngā mea ka tino āwhina.

Kei te raru koe ki te BV e hoki mai ana ināianei? Ka aromātai te August AI Symptom Checker i ō tohu i raro iho i te 2 meneti. Ka hono atu te August AI Online Urgent Care ki tētahi tākuta whai raihana i roto i ngā meneti mō te aromatawai me te whakahaere rongoā huna, i taua rā anō.

He aha te take e hoki mai tonu ai te BV?

Ko te BV e hoki mai ana ka tautuhia hei te toru, neke atu rānei ngā wā ka puta ngā tohu i roto i te 12 marama. Ko tētahi o ngā mate tino whakapouri i te hauora wahine, nā te mea ko te maimoatanga tuatahi paerewa (he kuranga kotahi o te metronidazole, clindamycin rānei) he nui te reiti rahua i te wā.

Ma te mārama ki te koiora o tō tinana ka āwhina ki te mārama he aha te take kaore e rā te maimoatanga ngawari. He mauranga (microbiome) tō tara e noho taurite ana, e whakahaere ana i a ia anō, ā, ko ngā huakita Lactobacillus te nuinga. Ka whakaputa ēnei huakita whai hua i te waikawa lactic, ā, ka pupuri i te taiao mōkihi (me te pH tata ki te 4.5). Ko tēnei mōkihi hauora te mea e ārai ana i te tini o ngā huakita ke e noho ana i reira i roto i ngā tauwehe iti.

A, ka pakaru tētahi mea i tēnei taurite, ka iti iho ngā tauwehe o tō Lactobacillus, ā, ka tini haere ngā huakita kē (ina koa ko te Gardnerella vaginalis). Ka hanga ēnei huakita motuhake i tētahi kiriata tiaki ki te pakitara tara, ā, kei reira te raruraru o te hoki mai e puta ai.

Panui: Ko ngā kiriata huakita (bacterial biofilms) he rite ki ngā pakitara tiaki e atete ana ki ngā paturopi. Ahakoa ka taea e ngā maimoatanga paerewa te whakakore i ngā huakita e nuku noa ana mō te oranga poto, ka ora ngā huakita huna i roto i te kiriata, ā, ka hoki mai anō a muri ake nei, ka puta ai te BV e hoki mai ana.

He aha ngā take o te BV e hoki mai ana?

He maha ngā take ka puta ai te BV e hoki mai ana:

  • Kiriata mau tonu: Koinei te take nui rawa atu. Ka hanga te Gardnerella me etahi atu huakita e pā ana ki te BV i ngā kiriata mātotoru, uaua hoki ki te pakitara tara, kāore e taea e ngā kuranga paturopi poto paerewa te uru katoa. Ahakoa i muri i te maimoatanga angitu, ka taea e ngā huakita moe huna i roto i te kiriata te hoki mai anō i roto i ngā wiki, marama rānei.

  • Te mahi ira me ngā hoa: Ahakoa ehara te BV i te mate tuku ira, ka taea e ngā hoa te whakawhiti huakita ki muri ki mua. Ma te rongoā i ngā hoa tane, te whakamahi rānei i ngā kohinga (condoms) ka taea te whakaiti i tō tūponotanga o te hoki mai.

  • Te paheketanga me ngā homoni: Ka piki te pH o te tara mo te wā poto te toto paheke, ā, ka puta ai ngā rā teitei i te wā o te paheketanga. Ka taea hoki e ngā huringa o ngā rongoā homoni te pā ki tō mauranga.

  • Te horoi tara (Douching): Ahakoa ngā horoi wai ngawari, te horoi tara rānei kua hokona, ka taea te tango i ngā huakita tiaki, ā, ka nui haere te tūponotanga o te hoki mai o te BV.

  • Te ngaro o ngā huakita tiaki: Ka patu te paturopi i ngā huakita BV, engari kaore ngā Lactobacillus whai hua e hoki mai i a rātou anō, ka waiho te wāhi kia tūpono ki ngā mate takitahi.

  • Te atete o te paturopi: I te wā, ka taea e ngā huakita e puta ai te BV te atete ki ngā maimoatanga pēnei i te metronidazole, clindamycin rānei.

  • Ngā hua kakara mō te akuaku: Ko ngā horoi kakara, ngā pepa horoi, me ngā pati mirumiru ka pakaru tō taurite pH ā, ka kino rawa atu te hoki mai.

  • Ngā hoa tangata hou: Ko te whai hoa tangata hou ka taea te kawe mai i ngā huringa ngāwari ki tō mauranga ka puta ai te hoki mai o ngā tohu.

Ko wai kei te nui atu te tūponotanga?

He maha ngā take o ia rā ka taea te whakanui i tō tūponotanga o te BV e hoki mai ana:

  • He wā BV i mua (ahakoa kotahi noa te wā ka nui ake te tūponotanga o muri mai)
  • Te mahi ira, otirā ki ngā hoa hou, maha rānei
  • Te whakapā ira wahine-ki-wahine
  • Te horoi tara (o tetahi momo rānei)
  • Te kai paipa
  • Ētahi rongoā homoni
  • Te whakamahi i te parirau parahi IUD, e ai ki ētahi rangahau
  • Te kiritau Āwhikana, Hispania rānei (na te nui ake o ngā reiti turanga)
  • Ngā mate tuku ira i te wā kotahi
  • Te whakamahi paturopi whānui tata nei

Ma te mārama ki ō tūponotanga motuhake ka āwhina koe ki te tautuhi i ngā huringa ka taea e koe mō tō maimoatanga.

He aha ngā maimoatanga roa ake e mahi ana?

Ko te maimoatanga angitu o te BV e hoki mai ana me whakauru he kuranga tuatahi hei "whakatikatika" me te maimoatanga roa ake, whakaora hei tiaki. He maha ngā huarahi e tautokohia ana e ngā taunakitanga hei āwhina i a koe.

Te roa o te maimoatanga tuatahi + maimoatanga whakaōranga (e taunakitia ana e te CDC)

  • Wāhanga whakawhiti: Metronidazole waha 500 mg rua i te rā mō te 10-14 rā (he huarahi roa, tino oti atu i te 7 rā paerewa).

  • Wāhanga tiaki: Metronidazole kirīmi tara 0.75% ka whakamahia takirua i te wiki mō te 4-6 marama ki te pupuri i te rangimārie.

  • Taunakitanga: Ka whakaputa tēnei i te 74.5% te reiti rongoā angitu i muri i te 4 marama o te tiaki, ahakoa ka taea te hoki mai i muri i te whakamutua.

Secnidazole kotahi i te wiki (whiringa hou)

  • Whakawhiti: Kotahi te 2g horopeta o te secnidazole granules waha.

  • Tiaki: Secnidazole 2g i te wiki mō te 3-6 marama.

  • Painga: Ka whakarato i te whakamarie me te whai wāhi a te turoro, na te ngāwari o te horopeta.

  • Utu: He nui ake te utu i te metronidazole (tata ki te $250-350 ia horopeta).

Te huinga paturopi + te pakaru o te kiriata

  • Metronidazole waha 500 mg rua i te rā mō te 7 rā.

  • Ka honoa ki te boric acid i roto i te tara 600 mg mō te 21 rā.

  • Kaupapa: Ka āwhina te waikawa boric ki te pakaru ngāwari i te kiriata uaua, kia taea ai e te paturopi te uru pai ake.

  • Aroturuki: Metronidazole kirīmi tiaki.

Te maimoatanga a te hoa tane

E whakaatu ana ngā rangahau tata nei ko te rongoā i ngā hoa tane mā te metronidazole waha me te clindamycin ā-waho ka whakaiti i ngā reiti hoki mai o ngā wahine. Ka tino taunakihia kia kōrero ki tō tākuta mēnā he hoa tane tō.

Te tautoko i ngā probiotic

Ko ngā probiotic waha, tara rānei kei roto ko L. crispatus, L. rhamnosus, rānei L. reuteri ka āwhina ki te whakahoki mai i tō mauranga hauora i muri i te maimoatanga paturopi. Ahakoa ka rerekē ngā taunakitanga, kei te tipu haere, ā, ka whakarato i tētahi taumata tautoko.

LACTIN-V (kōkiri)

Kei te rangahaua tētahi koiora ora hei rongoā (biotherapeutic) kei roto ko L. crispatus, mō te aukati BV e hoki mai ana. Ahakoa kāore anō kia wātea, he huringa tēnei e tūmanakohia ana i roto i te hauora wahine.

Ngā kirīmi taurite pH

Ko ngā hua pēnei i te kirīmi RepHresh (he mea hanga ki te glycogen, ā, kei te waatea mai i te OTC) ka āwhina ki te pupuri i tētahi pH tara hauora, pai hoki i waenganui i ō kuranga paturopi.

Whakatūpato: Ko te BV e hoki mai ana, kāore hoki e uru ki te maimoatanga tika, me ata aromātai i ētahi atu mate. Ka taea e te Trichomoniasis, cervicitis, me ngā mate whakauru te whakaputa i te ahua o te BV e hoki mai ana. Mēnā ka uru ō tohu ki te tae whakawhiti ke o te huna, te mamae i te wā o te moepuku, te mamae puku, te toto i waenganui i ngā paheketanga, te kirika rānei, tēnā koa pātai atu ki tō tākuta kia whakamātauhia ētahi atu mate. Ko ētahi take ka whai hua mai i te āhuatanga, te whakamātau PCR rānei hei tautuhi i ngā huakita motuhake.

He aha ngā huringa o te ao ka whakaiti i te hoki mai?

Ko te maimoatanga hauora ka tino pai rawa atu ina honoa ki ngā rautaki aukati mahi:

  • Kati te horoi tara (douching) katoa. Kare he okanga. Ahakoa ngā horoi wai "ngawari" ka pakaru te mauranga tara. He tino kaha tō tara ki te horoi i a ia anō.

  • Whakamahia ngā hua kaore he kakara, he taurite te pH. A ape i ngā hopi kakara, ngā horoi tinana, ngā pati mirumiru, me ngā pepa horoi tara. Ko te wai noa te mea nui ki tō akuaku waho.

  • Kakahu miro me ngā kakahu e taea te manawa. Ka whakaiti tēnei i te hū o te makuku ka taea e ngā huakita BV te whai oranga.

  • Hurihia ngā kakahu mākū wawe. Me mahi tēnei i muri i te korikori tinana, te kauhoe, te werawera rānei kia maroke te wāhi.

  • Paihia mai te mua ki muri. Ko tēnei mahi ngawari ka whakaiti i te whakawhiti huakita mai i te wāhi taki ki te wāhi tara.

  • Whakaarohia ngā kohinga (condoms). Ka āwhina te whakaiti i te pakaru o te mauranga nā te wai parāoa (e noho taiao ana ki te mōkihi) me te whakaiti i te tuku mate ira o ngā huakita BV.

  • Whakaritea ngā hua paheketanga. Hurihia ngā tampon me ngā papa auau. Ka taea hoki e koe te whakaaro ki ngā kapu paheketanga, he iti ake te pakaru ki ētahi wāhine.

  • Whakaritea te ahotea me te moe. Ka pā tahi rāua ki tō kaha ārai mate me te taurite mauranga. Kia ngāwari ki a koe anō.

  • Kōrero ki tō kaiwhakarato mō te rongoā whakamāui. Mēnā ka whakamahi koe i te rongoā homoni, kōrero mena ka āwhina ētahi atu whiringa ki te whakaiti i tō hoki mai.

  • Whakaarohia ngā huringa kai. Kei reira ētahi taunakitanga e tautoko ana i te taapiri kai whai probiotic (pērā i te miraka pē me ngā ahurea ora, te kefir rānei) me te whakaiti i te huka para ki te āwhina i tō tinana kia ora.

Me pēhea te tiki āwhina mō te BV e hoki mai ana i te ipurangi

Ko te tiki āwhina mō te BV e hoki mai ana mā te telehealth he tukanga huna, ā, he whai hua:

  • Taki 1: Aromātai tohu. Ka whakamaarama koe i tō hītori o ngā wā BV, ō tohu o nāianei, me ngā maimoatanga o mua kua mahi, kāore rānei.

  • Taki 2: Aromātai hītori. Ka kōrero te tākuta ki ō rongoā, rongoā whakamāui, hītori ira, tikanga akuaku, me ngā mate tūpuhi kei te wāhi kotahi.

  • Taki 3: Ngā taunakitanga whakamātau. Mō ngā hoki mai tonu, ka taea te taunaki i ngā whakamātau kia tika ai te whakatāre ētahi atu mate.

  • Taki 4: Mahere maimoatanga. Mō te BV e hoki mai ana, ko te tikanga he kuranga tuatahi roa hei tautoko me te maimoatanga tiaki kaua ko te kuranga 7-ra noa.

  • Taki 5: Whakahaere rongoā me te tiki mai i te whare rongoā. Ka taea e koe te tiki mai i taua rā anō i roto i tetahi whare rongoā i ngā whenua katoa o te US.

  • Taki 6: Aroturuki. Ka whakawhiwhia e mātou ngā aroturuki i te wā tiaki, ā, ka whakarerekē mena ka puta ngā mate i waenganui i ngā maimoatanga.

Mō te tirohanga whānui ake ki te mate huakita i roto i te tara me ngā mate e pā ana, tēnā titiro ki tō mātou arautohu mate Vaginitis me te tuhinga Can You Buy Metronidazole OTC?

A, no te wā e kite ai i tētahi tohunga

Ko ētahi āhuatanga e tika ai te aromatawai i te taote wahine, taote mate rānei kia pai ai tō tiaki:

  • Te rahunga o te maimoatanga tiaki ahakoa tō uaua ki te whai
  • Ngā mate tūpuhi (pēnei i te mate rewena e hoki mai ana, te hītori o te PID)
  • Te hapūtanga me te BV e hoki mai ana
  • Ngā tohu ka puta kē i tō BV noa
  • Ngā raruraru pēnei i te mate uru o te ngongo takirere (tubal factor infertility)
  • Te whakamātau pai mō ētahi atu mate tuku ira
  • Ngā mate i waenganui i ngā maimoatanga tiaki auau

Mō ēnei āhuatanga, ka taea e te aromatawai tohunga te tautuhi tika i ngā take mauranga motuhake, ngā tauira atete, me ngā mate tūpuhi ki te whakahoki koe ki te ara tika.

Kua rite koe mō te āwhina mau tonu? Ka taea e te August AI Online Urgent Care mō te $39 te utu whakahaere te whakahaere i ngā kuranga tuatahi roa, te metronidazole kirīmi tiaki, te secnidazole rānei mō te BV e hoki mai ana, ā, ka whakarite te tiki mai i te whare rongoā i taua rā anō puta noa i ngā whenua 50 katoa o te US.

Ngā Pātai Auau

He aha te rereketanga o te BV e hoki mai ana me te BV noa?

Ko te BV noa he wā kotahi ka ora pai ki te maimoatanga paturopi paerewa 7-ra. Ko te BV e hoki mai ana ko te tikanga ka toru, neke atu rānei ngā wā ka puta ngā tohu i roto i te 12 marama. He tino rerekē te huarahi maimoatanga, ka uru atu ki ngā kuranga tuatahi roa me te maimoatanga tiaki whakaōranga mō te 3-6 marama kia ora katoa ai tō mauranga tara ngāwari.

Ka tukua mai e tō hoa te BV ki ahau?

Ka taea rawa atu. E whakaatu ana ngā rangahau tata nei ko te rongoā i ngā hoa tane ka whakaiti nui i ngā reiti hoki mai o ngā wahine. Ka taea hoki e ngā hoa wahine te tuku huakita BV ki a rāua anō. Mēnā ka pai tō hoa, kōrero ki tō kaiwhakarato mō te maimoatanga tūruhi. Ko te whakamahi i ngā kohinga i te wā o te moepuku ka whakaiti hoki i tēnei hoki mai.

He pai te whakamātau i ngā probiotic mō te BV e hoki mai ana?

Āe, ā, tērā pea, otirā mō te tiaki tonu. Ko ngā probiotic waha, tara rānei kei roto ko L. crispatus, L. rhamnosus, rānei L. reuteri e whakaatu ana i ngā taunakitanga ngawari, e tūmanakohia ana mō te āwhina ki te whakahoki mai i tētahi mauranga tara hauora i muri i te maimoatanga paturopi. Ka tino pai te mahi o ēnei ina honoa ki te maimoatanga hauora, kaua hei rongoā anake.

Ka taea e te waikawa boric te āwhina?

Āe, ka taea e ia te āwhina ki ētahi wāhine. Ko ngā whiriwhiringa waikawa boric i roto i te tara (600 mg mō te 21 rā) ka pakaru pai te kiriata e tiaki ana i ngā huakita e pā ana ki te BV, kia pai ake ai te mahi o ō paturopi kua whakahaeretia. Heoi, ehara tēnei mō ngā wahine hapū. Kei te waatea mai i te OTC, engari kōrero tonu ki tō kaiwhakarato i mua i te tīmatanga.

Me aha ahau mēnā ka puta tonu te BV i te wā o taku paheketanga?

He tikanga noa tēnei, nā te mea ko te toto paheke ka piki te pH tara. Ko ētahi kaiwhakarato ka whakahaere i te metronidazole kirīmi hei whakamahi ārai mō te 3-5 rā i te wā o te paheketanga hei ārai i tēnei take motuhake. Kōrero atu ki tō kaiwhakarato telehealth mō tēnei whiringa.

Me whakamātauhia ahau mō ētahi atu mate?

Āe, tino, mēnā kei te raru koe ki te BV e hoki mai ana. Ka āwhina te whakamātau tupato ki te whakatāre i te trichomoniasis, cervicitis, me ngā mate whakauru ka taea te whakaputa i te ahua o te BV e hoki mai ana. Ko te hoki mai tonu ka taea pea te whai i te whakamātau PCR mō ngā huakita motuhake, te āhuatanga rānei hei tautuhi i ngā tauira atete.