Ko te nuinga o te hunga e whakamahi ana i te huka mētironidarāri mō te BV ka kite i te iti o te hongi me te iti o te huna i roto i ngā rā e 2 ki te 3, engari kia ora katoa te 5-rā o te rongoā, ā, ka āta marino ngā tohu i roto i ngā rā e 5 ki te 7. Ko te whakaora i te pō tuatoru ehara i te taunakitanga kua ngaro te mate. Kia oti katoa ngā horopeta e rima ahakoa ngā mea katoa.

TL;DR: Ngā mea nui hei maumahara

  • Te tikanga paerewa: 0.75% huka, kotahi te tono katoa (5 g) i roto i te whekau kotahi i te pō kotahi ia pō mō te 5 pō.
  • Ka mimiti te kakara o te ika i te tuatahi, i te pō tuarua. Ko te nui me te āhua o te huna te mea whakamutunga ka noho noa.
  • Kāore he rerekētanga i te rā 3 me karere koe ki te taote. Kei te kite tonu koe i ngā tohu e rua rā i muri mai i te horopeta whakamutunga he kore mahi te rongoā, ehara i te pōturi o te haere.
  • Ko te huna matotoru, kohuki rānei i waenganui o te rongoā he huka noa te nuinga. Tāpiri atu te mākū me te wera, ka taea pea he mate harore kē.
  • Ko te hokinga mai o ngā tohu i roto i ngā wiki kei te hoki mai anō, he mea noa, ā, ka rongoāhia rēra i te kore mahi.

Ko te nuinga o te tangata ka kite i te iti o te hongi i te 2 ki te 3 rā i muri i te tīmatanga o te huka mētironidarāri mō te BV

Ko te huka mētironidarāri mō te BV ka whakaritea hei huka 0.75%, kotahi te tono katoa (5 g) ka kuhua ki roto i te whekau kotahi ia rā mō te 5 rā. Ko te hongi me te huna ka tīmata te āta āta i roto i ngā rā e 2 ki te 3, ā, ko te nuinga o te whakaora tohu ka tae mai i te mutunga o te rongoā. Ko ngā tau tatauranga i tangohia mai i ngā aratohu rongoā a te CDC ka hoatu te whakaora tohu katoa mō te BV ki te tata ki te 5 ki te 7 rā.

Ko taua tikanga ka puta tika mai i ngā CDC 2021 STI Treatment Guidelines for bacterial vaginosis, e rārangi ana i te huka mētironidarāri i roto i te whekau kotahi ia rā mō te rima rā hei kōwhiringa tuatahi kua tūtohu. Ki te hoatu e tō whare rongoā ki a koe he pouaka kua tapaina ko MetroGel-Vaginal, ā, i whiwhi tō hoa i tētahi ngongo kua tapaina ko metronidazole vaginal gel 0.75%, kei a kōrua tokorua te rongoā kotahi, te kaha kotahi.

Ko te wāhi ka tau koe ki roto i taua matapihi 5 ki te 7 rā ehara i te mea matapōkere. E rua ngā mea ka neke i taua mea: te nui o te kino o ō tohu i te tīmatanga, me te roa o te BV i mua i tō tīmatanga o te rongoā. Ko te tangata nāna i whakaoti te tohutohu i muri i ngā rā e rua o te hongi ka mā te pai ake i te tangata nāna i tatari e toru wiki.

Ko te pai ake o te wairua i te rā 3 ehara i te mea kua ora

Ko te pātai "kia pehea te roa o te tango a te huka mētironidarāri kia whai hua mō te BV" kei roto e rua ngā whakautu rerekē. Ko te whakaora tohu ka mehua i roto i ngā rā. Ko te whakaora moroiti ka mehua i roto i ngā wiki, ā, ehara i te mea kua whakapumautia.

Anei te mea kāore ngā whārangi maha e kii atu ki a koe: ka heke ngā tau o te whakaora i te wā. I roto i tētahi rangahau whakataetae mo te huka mētironidarāri i roto i te whekau, 79% o ngā wāhine i tino ora i te tātari tuatahi, 12 ki te 16 rā i muri i te tīmatanga o te rongoā. I te tātari whakamutunga i te 28 ki te 35 rā, 66% noa iho te noho ora. I whai hua te rongoā. Katahi, mō te kotahi i roto i te whitu o ngā wāhine i whai hua ai, ka hoki anō te whekau ki tōna āhua tawhito.

Nō reira kia oti katoa ngā horopeta e rima ahakoa kua ngaro te hongi i te pō tuarua. Ko te mutu wawe nā te mea kei te pai koe te tino take o te hokinga mai tere, ā, ka taea te karo. E whakaatu ana te CDC i te BV hei mate maha tonu, hoki mai rānei, he kupu kē hei kī he mate tēnei hei whakahaere, ehara i te mea ka taea te tutaki te pukapuka.

Ko te kakara o te ika ka ngaro i te tuatahi, ā, ko te huna te mea whakamutunga ka āta marino

Ko ngā tohu tuatahi ka kitea e tino whai hua ana te huka mētironidarāri mō te BV ka puta ki tō ihu, ehara ki tō tarau. Anei te raupapa hei tatari atu:

  • Pō 1 ki te 2: ka mimiti te kakara o te ika, otirā te kakara koi ka puta i muri i te taiaho.
  • Rā 3: ka heke te nui o te huna, ka āta angiangi, ā, ka tīmata te āta marino o te wera, te riri o waho rānei.
  • Rā 5 me ngā rā 2 ki te 3 i muri mai i te horopeta whakamutunga: me āta rite te ahua me te kakara o te huna ki tō āhua noa.

Whakamahia te rā 3 hei tirotiro tūturu. Ko te whakapainga wāhanga i taua wā he mea pai, me te tatari atu. Ko te kore rerekētanga o te hongi i te rā 3 he take hei whakapā atu ki tētahi rata, kaua ki te tūmanako puku ka whakaoti ngā pō e rua e toe ana.

Tētahi korero whai hua mō te tikanga kotahi ia rā: ka hoatu i te pō nā te mea ko te takoto mo ngā haora maha ka noho te huka ki te wāhi tika, ā, ka iti ake te pakapaka i te awatea. He awhina tonu te ārai tarau.

Ko taua huna matotoru, kohuki rānei i te taha o te rā 3 te nuinga he huka, ehara i te mate hou

Ko te huna matotoru i muri mai i te huka mētironidarāri, ka tīmata i te pō tuatoru, ko tētahi o ngā wheako tino kitea e ngā turoro, ā, ko tētahi o ngā mea iti rawa te whakamārama. Ko ngā arotake i runga i ngā pae arotake rongoā a ngā turoro ka kii tonu mai, ā, ka kii ka āta marino i roto i ngā rā tokorua i muri i te horopeta whakamutunga. Whakaarohia tērā hei wheako kua ripoatahia e te turoro, ehara i te mutunga o te haumanu.

Ko te tikanga pea he whakateka atu i te mate. Ka whakaranu te turanga o te huka ki ngā huna noa o tō tinana ā, ka āta tukuna atu, nō reira ka rereke te nui me te āhua i waenganui o te rongoā.

Ko te raina e tino nui ana ko ngā mea ka puta tahi mai. Ko te huna ma, kohuki, āhua tīhi ka tahi mai me te mākū me te wera, me te ngaro o te kakara o te ika, ka tohu pea ki tētahi mate harore tuarua, ā, ka taea te mate pato ki te mate pato te tīmata. Ka taea te tirotiro i te rerekētanga o te āhua anake. Ko te rerekētanga o te āhua me te mākū hou, te wera rānei he take hei karanga.

Ko te rua o ngā horopeta i te rā kāore e tere ake te whakaora

Ka taea e au te whakamahi i te huka mētironidarāri kia rua ngā wā i te rā mō te BV? Kāore māu ake anō. E tūtohu ana te CDC kia 5 g kotahi ia rā mō te 5 rā, ā, ki te whakahau te kaiwhakarite kia rua ngā wā i te rā, ko te rongoā tonu e rima rā, nō reira kāore e neke te mutunga.

Ko te huka tēra e hoatu ana ki a koe ko te nui ake o te tūponotanga o te riri o te wāhi me te tino tūponotanga o te kore o ngā tono i mua i te pō tuarima. Ko te FDA prescribing information for metronidazole vaginal gel 0.75% e whakahau ana kia pāngia te tono i muri i ia whakamahinga, ā, kia whakatuwheratia tētahi hou mō te horopeta e whai ake nei, nō reira ka tatauhia te kete mō te rongoā i hoatu ki a koe. Ki te ngaro tētahi pō, whakamahia i te wā e mahara ana koe ā, ka haere tonu. Kaua e rua ngā horopeta i te wā e whai ake nei. Ko taua ngākau hoki ka puta ki ngā rongoā kiri, kei reira te tangata e rapu ana i te maha atu o ngā hua kaua ki te roa o te rongoā kua whakaritea, ā, he mea nui kia mōhio ki te roa o tō haumaru ki te whakamahi i te triamcinolone i mua i te mahi i tērā.

Kei te kite tonu i ngā tohu e rua rā i muri mai i te horopeta whakamutunga? He kore mahi tērā, ehara i te pōturi o te haere

Ko te mea hei mahi mēnā kāore te huka mētironidarāri e āta mārama i te BV ka tīmata ki tētahi rā. Ki te kore e rereke te hongi me te huna e rua rā i muri mai i tō horopeta whakamutunga, tata ki te rā 7, kāore he painga o te tatari atu. Kua oti te rongoā ā, kua mahia e te rongoā tōna mahi. Ko te roa o te rongoā pato ka whakatauhia e te tikanga kaua e te āhua o tō tinana, te tikanga anō hoki o kia hia ngā rā hei tango i te nitrofurantoin mō te mate mimi.

E rua ngā whakamārama e tino kitea ana. Ko tētahi, kāore i te BV te tuatahi (ka taea te trichomoniasis, te harore, te whakaranu rānei te rite ki te BV), ko tētahi, me tētahi atu rongoā tēnei wāhanga. Tatari atu kia whakaarohia e te rata te mētironidarāri ā-waha 500 mg kia rua i te rā mō te 7 rā, me tētahi atu momo pērā i te clindamycin me te tinidazole, ka tohua i runga i tō hītori me ngā whakamātautau katoa.

Ki te hiahia koe i taua kōrero tere, ko te August's $39 online urgent care visit ka hono atu koe ki tētahi rata kua raihana ki te US nāna nei e arotake ngā tohu me te hītori rongoā, ā, ka tohua te rongoā ina tika. Ko te rata te whakatau, ehara i te tono. Kia mārama ki ngā rohe: kāore e taea e te ataata te tirotiro i te kōpū, te kohi rānei i te ngongo whekau, nō reira ki te kāore tonu te mate e mārama, me mahi tonu te whakamātautau ā-tinana.

Ko te BV e hoki mai ana i muri i te toru wiki he hokinga mai, ehara i te rongoā kua rahua

Ko te BV e hoki mai ana i muri i te rongoā he raruraru kē atu i te BV kāore anō kia riro, ā, ka rerekē ngā mahi e whai ake nei mō ēnei tokorua. Ko te ture whakahāwea he māmā: he wā o te wātea mai i ngā tohu tata ki te rua wiki neke atu, ka whai ake ko te hokinga mai o te hongi me te huna, ko te hokinga mai. Ko te kore rawa e āta mārama mai i ngā tohu katoa he kore mahi te rongoā, ka tirohia i te wāhanga i runga ake nei.

He mea noa te hokinga mai, ā, ka tīmata wawe. Ko taua rangahau e whakaatu ana i te heke o te whakaora mai i te 79% i te 12 ki te 16 rā ki te 66% i te 28 ki te 35 rā ko te marama tuatahi o te tauira. Ko ngā tau e kōrerotia ana e whakaatu ana i te hokinga mai tata ki te 30% i roto i ngā toru marama me te rua hautoru i roto i te tekau ma rua marama.

E rua ngā wāhanga o te tohutohu a te CDC e tino pai ana kia mau ki roto i te hinengaro. Tuatahi, kāore he tātari whakaora e hiahiatia ana mena ka āta marino ō tohu; ka hoki mai koe mena ka hoki mai. Tuarua, mō ngā tangata whai maha ngā hokinga mai, ko te huka mētironidarāri kia rua ia wiki mo te neke atu i te toru marama ka whakaiti i te hokinga mai, me tētahi rohe nui: ka mutu te tiaki ka mutu te rongoā whakaiti.

Ētahi tohu e kii ana ehara tēnei i te BV noa, ā, kaua e tatari kia mutu te rongoā 5-rā

Karangahia te 911, haere rānei ki te ruuma ohorere inaianei mena:

  • Ka puta te pupuhi o te mata, o te korokoro rānei, te uaua ki te manawa, te mate kiri whānui rānei i muri i te whakamahinga o te huka.
  • Kei a koe te kirika, te makariri rānei me te mamae nui o te puku, te puku o raro rānei, ka tohu pea tēnei ki te mate whekau i roto i te ngongo whakatipu.

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

  • Kāore he whakapainga i te katoa i te rā 3.
  • Kei te kite tonu koe i ngā tohu e rua rā i muri mai i te mutunga o te rongoā 5-rā.
  • Ka hoki mai ngā tohu i roto i te 2 ki te 4 wiki o te mutunga.
  • Kei a koe te toto o te whekau hou, nui, te tē kore rānei.
  • Ka tino mamae te taiaho inaianei, te mamae nui rānei.

Kōrero ki tētahi rata i mua i tō tīmatanga mena:

  • Kei te hapū koe, kei te whakaaro rānei koe. Ko te BV e hono ana ki te tūponotanga o te whānau i mua i te wā, ā, me whai rongoā tere, ehara i te tatari me te titiro.
  • Kāore anō koe kia tino kitea te mate ki te BV, ā, kei te rongoā koe i a koe anō.
  • Kei te whakamahi koe i te huka i toe mai i tētahi tohutohu tawhito.
  • Kua toru pea neke atu rānei ngā wā i te tau kua hipa.

Ngā pātai auau

Ko te MetroGel te rite ki te huka mētironidarāri noa mō te BV?

Āe. Ko MetroGel-Vaginal he ingoa waitohu mō te metronidazole vaginal gel 0.75%, ā, ko Vandazole tētahi atu. Me rite ngā rongoā noa ki te waitohu i runga i te whakauru kaha, te kaha, me te ara, nō reira he rite tonu te tauira 5-rā. Kaua e whakapoauau i te hua mō te whekau ki te huka mētironidarāri e hokona ana mō te rosacea, he hua mō te mata, kāore e taea te whakawhiti ki tērā.

Me karo au i te waipiro i te wā e whakamahi ana i te huka mētironidarāri?

Kāore. Ko ngā 2021 CDC guidelines e kii ana kāore e hiahiatia te karo i te waipiro i te wā o te rongoā mētironidarāri, tinidazole rānei, nā te mea kāore i te tautokohia e te taunakitanga mārama te tauhohenga disulfiram-like e roa nei e whakaarohia ana. Ka huri tērā i ngā tekau tau o te tohutohu i te matapihi o te whare rongoā. Ki te mamae tonu te inu waipiro i te puku i te wā e kai ana koe i te huka, whakarerea, engari kāore koe e tūpono ki te tauhohenga kino.

He haumaru te huka mētironidarāri mō te whakamahi i te wā o te hapūtanga?

Āe, me te rata e uru ana. E kii ana te CDC ka whakaarohia te huka mētironidarāri hei haumaru i te wā o te hapūtanga, me tētahi rangahau e whakaatu ana tata ki te 70% te whakaora i ngā paearu Amsel, kāore hoki he taunakitanga o ngā pānga kino teratogenic, mutagenic rānei. Ko te mea ka rereke i te wā o te hapūtanga ko te tere, kaua ko te haumaru: ko te BV e hono ana ki te tūponotanga o te whānau i mua i te wā, nō reira me rongoā tere, kaua ki te tirotiro i te kāinga.

Ka tere ake te whakaora o te pire mētironidarāri i te BV i te huka?

Kāore. Ko te tikanga ā-waha ko te 500 mg kia rua i te rā mō te 7 rā, he rua rā te roa ake i te 5-rā o te huka, ā, ka rite te auau o te whakaora. Ko te pire ka kaha ake te mamae o te puku me te reka o te konganuku; ka noho te huka ki te wāhi anake engari ka pakapaka. I te nuinga o te wā ka whiriwhiri ngā kaiwhakarite i runga i ngā pānga kino e hiahia ana koe kia karo.

Me rongoā taku hoa kia mutu ai taku BV te hoki mai?

Kāore. Kāore te CDC e tūtohu ana i te rongoā noa o ngā hoa tane, nā te mea ko tētahi rangahau tuatoru ka kitea e kore e whakahekea e te rongoā i tō rāua tūponotanga ki te hokinga mai. He tino whai hua te mōhio ki te koe e whakapae ana i tētahi hoa mō ngā wā tuarua. Ko te hokinga mai i te nuinga o te wā e whakaatu ana i te whakahokinga mai o te whekau ki tōna kāinga, ehara i te hokinga mai o te mate mai i tētahi tangata.

Te whakautu pono: ko te huka mētironidarāri mō te BV ka whai hua tere ki te tohu e tino whakararuraru ana koe, ka ngaro te hongi i te pō tuarua, ā, ko taua tere te mea iti rawa te whakaatu mōna. Ko te mea ka tohu kia noho pai ko te whakaoti katoa i ngā horopeta e rima, ko te whakamahi i te rā 3 me te rā 7 hei wāhi whakatau tūturu kaua ki te tūmanako noa, me te rongoā i te hokinga mai i te toru wiki he hokinga mai he kōrero hou hei whai, kaua ki te rahua whaiaro.

Whakakāorenga: Mō ngā kōrero anake tēnei tuhinga, ā, ehara i te tohutohu hauora. Me kōrero tonu ki tētahi tohunga hauora kua whai raihana mō ngā whakatau tūroro me ngā rongoā. Ki te kei te wheako koe i tētahi ohorere hauora, karangahia te 911, haere rānei ki te ruuma ohorere tata tonu atu.