Duraan BV fi dhibee ayiraa tokkummaa qabaachuu dandeessaa? Eeyyee, garuu sana gaaffiin dhimmamaa hin qabne dha

Eeyyee. Duraan BV fi dhibee ayiraa tokkummaa qabaachuu dandeessaa, garuu dhugumaan walitti dabalamee muldhachuun salphaa miti: qorannoo kotii 16,484 hospitaala ariifamaa irratti, lamaanuu walin ture %0.8 irratti muldhatee. Haala ulfaataa kan dura tahe ammoo wanti isaan wal fakkeessu waan hedduu taheef ofuma keetitti adda baasuun hindandaamu.

TL;DR: Wanta ijoo

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• Walitti dabalamee muldhachuun dhugaa dha garuu salphaa miti. Hospitaala ariifamaa irratti qorannoo godhame, BV cimaa kan ayiraan muldhate %0.8 irratti ture, kan BV qofaa %25.0, kan ayiraan qofaa %3.8.
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• Mallattoonni isaanii faayidaa tokko malee irratti hafuu danda'u. Qorannoo waggaa 2001 irratti, %11 qofatuu mallattoo dhibee ayiraa beeke.
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• Walitti dabalamee muldhachuun, qorannoo lama bilchaatuu tokkoon argachuudha, mallattoo wal fakkeessuuf miti.
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• Qorichonni tokkoon tokko lamaan isaanitti hin tolu. BV-f wanti kunuunsuun barbaachisa, ayiraan ammoo qoricha faayidaa qabu barbaada, tokkoon isaaniif wanti tokko hin godhu.
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• Lamaan isaanii yoo mirkanaa'an, lamaanuu yeroo tokkoof kunuunsuun raawwii dha. Ulfa yeroo BV duratti dhuftu.
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Eeyyee, BV fi dhibeen ayiraa walin ta'uu danda'a, garuu Intarneetiin dubbatuu salphaa dha

Eeyyee, duraan BV fi dhibee ayiraa walin qabaachuu dandeessaa. Kotii 16,484 hospitaala ariifamaa irratti qorannoo kotii bilchaatuu raawwateen, bacterial vaginosis cimaa kan ayiraan muldhate %0.8 irratti yookaan immoo namoota 136 irratti muldhatee. BV qofaa %25.0 ta'e, ayiraan qofaa ammoo %3.8 ta'e. Infekshiniin tokkoon tokkoon walitti dabalamee muldhachuu irra hedduu caalu, waan taheef BV fi ayiraan walin ta'uun dhugaa dha garuu salphaa miti, mallattoo wal fakkeessuuf kaan walin ta'uun salphaa dha.

Dhibba %0.8 kana sirritti dubbisaa. Wantoota dhukkubaa qaban hospitaala ariifamaa dhaqanii qorannoo bilchaatuu godhan ibsa, dubartoota guutuun miti. Kun \"%0.8 dubartoota\" miti, namni sana dubbatu immoo waan lakkoofsa jijjiree dubbata.

Wal fakkeenyi kun waan danda'ameef, sababni isaa infekshinootni lamaanuu irra wal fakkaatu waan qaban: qaama dhangala'oo gubuu yoo ta'u, kana booddee Lactobacillus hambaa qabu kan hir'atu waan taheef, kana duraan kan baay'atu yookaan immoo Candida akka baay'atuuf karaa banuu fi infekshinootni biroo akka itti bahaniif sababa ta'a.

Gaaffiin dhimmamaa kan dura tahe, lamaan isaan walin ta'uu isaanii miti. Mallattoonni isaanii wanti isin qabdan adda baasuuf kan hin dandeenye dha

BV fi dhibee ayiraa mallattoonni isaanii, barruu irratti adda baasuuf salphaa fakkaatu. Kunooti wanti barruun jedhu:

Amma immoo wanti isaan dadhabsiisu ilaalaa. Qorannoo 634 dubartoota irratti American Family Physician 2001 irratti maxxanfame irratti, %11 qofatuu mallattoo dhibee ayiraa adda baase. Qorannoo waggaa 2001 kana keessatti, dubartoota mallattoo dhangala'oo gubuu qaban kan duraan qorichoota gurgurtaa malee argachuun danda'amu irratti fayyadaman, %28 qofatuu dhibee ayiraa irra deebi'aa kan qaban tahe yoo argaman. Lakkoofsi kun yaaraan haaraa miti, garuu lakkoofsa dhugaa kan isaan irratti murteessu dha.

Doktoreenota immoo dubbii irratti baay'ee hin filatan. Gargaarsa CDC 2021 irratti, dubbii qofaan adda baasuun hin danda'amne jedha. CDC ammoo lakkoofsa kan tahe, dubartoota baay'een mallattoo tokko malee BV qaban, waan taheef \"aduu samii fakkaatu hin qabu\" jechuun BV hin hambisu.

Wanti ulfaatu immoo wal fakkeenyi infekshinii miti. Wanti ulfaatu immoo, mallattoo wal fakkeenya qabu fi qoricha yookaan immoo qajeelcha wal fakkeenya qabu ta'uu danda'a, kun immoo torban tokkoof salphina kennuu fi fayyina dhabuuf sababa ta'a.

Walitti dabalamee muldhachuun qorannoo irratti mirkanaa'a, waan ofuma keessan hubachuu miti

BV fi ayiraan walitti dabalamee muldhachuun, wanti qorannoo irratti muldhata malee, wanti samii irratti murteessituu miti. CDC BV Amsel criteria irratti hundaa'ee, isaatis mallattoo afur irraa sadii barbaachisa: dhangala'oo garbaawaa, clue cells irratti microscopii irratti muldhachuu, pH gubbaa 4.5, fi amine \"whiff\" test bilchaatuu. Wantoota ijoo kan ta'e immoo Nugent-scored Gram stain dha.

Ayiraan immoo isaa mataa isaa qaba. Namoota dhukkuba qabanuf, CDC ayiraa yookaan immoo pseudohyphae irratti microscopii irratti muldhachuu, yookaan immoo culture bilchaatuu yookaan immoo qorannoo Candida bilchaatuu barbaada. Wantootni kun bay'een kanneen 10% hanga 20% dubartoota Candida mallattoo malee qaban, waan taheef ayiraan bilchaatuu kan mallattoo isaa waliin hin qabne yoo ta'e, immoo immoo sanaaf kunuunsa hin kennamu.

Gargaarsa argachuuf: walitti dabalamee muldhachuun yoo bilchaate, immoo qorannoo lama bilchaatuu tokkoon argachuudha. Mallattoo wal fakkeenya tokkoo immoo walitti dabalamee muldhachuufi miti, waan irratti madaalchuun wal fakkeenya qabu ta'a.

Dabbaliin mana duratti, fayyaa kanneen odeeffannoo kennan kanneen akka August AI, yeroo dhangala'oon, aduun, fi qorsoon dhufan odeeffannoo galmeessuu fi yeroo isaan jijjiraman ibsuuf si gargaaruu danda'a, kanaaf dargaggeen yeroo bilchaatu odeeffannoo biraa kan \"guyyaa muraasa\" tahe argata. Kun gargaarsaaf, madaaluuf miti.

Qorichonni tokkoon tokko lamaan isaanitti hin tolu. Isaan fedhii adda addaa qabu

Duraan BV fi dhibee ayiraa qoricha tokkoon tokkoon kunuunsuu dandeessaa? Hin dandeessu, sababni isaa immoo, qorichonni keenya, kanneen CDC BV duraan kennite kanneen antibiotics dha: metronidazole 500 mg guyyaatti lama, torban torban, metronidazole 0.75% gel gubbaatti, guyyaa tokko, guyyaa torban, yookaan clindamycin 2% cream gubbaatti, guyyaatti tokko, guyyaa torban. Ayiraan salphaa ammoo antifungal barbaachisa: fluconazole 150 mg tokko, yookaan immoo clotrimazole, miconazole yookaan terconazole guyyaa 1 hanga 14, kanneen kanneen irratti hundaaye. Antifungalootni BV irratti faayidaa tokko malee, kanneen BV antibiotics immoo Candida irratti faayidaa tokko malee.

Barruuleen baay'een isinitti hin himne: yoo torban tokko booda, kan Monistat irraa, immoo gaariitti hin milka'ine, qorichichi kan miidhama irraa salphisuu ta'uu danda'a. Kun immoo wanti madaalii sirrii taheef yeroo turuuf, kan BV kunuunsa hin qabne immoo itti fufa. Qoricha waan taheef barbaachisa, kanneen antibiotics kanneen UTI irratti filachuu waliin wal fakkeenya qaba.

Lamaan isaanii yoo mirkanaa'an, walin kunuunsuun raawwii dha, sodaachisuu miti

Lamaan isaanii yoo mirkanaa'an, walin kunuunsuun raawwii dha. Fluconazole 150 mg tokko fi metronidazole (yookaan immoo clindamycin) yeroo baay'een mana walin kennama, fi lakkoofsi kun immoo walitti bu'insaa cimaa baay'een namootaaf hin qabu.

Gorsa dhugaa: mirkannoo isaa tokko malee waan ta'e irratti hin murteessu. Qorannoon mirkanaa'ee yoo ta'e, immoo kunuunsa kennama, yoo isaan walin wal hin qabanne, immoo waan ta'e irratti hin murteessu.

BV yeroo lama dhufuu danda'a yeroo ulfa yookaan immoo yeroo qorannoo gineekoloojii godhan. BV kunuunsa hin qabne yeroo ulfa yoo ta'e, dhaloota duraa yookaan immoo sababa dhibee gubuu ta'uu danda'a, waan taheef immoo kana immoo hin turre.

Wantootni lama mirkanaa'an. Yeroo torban 5 hanga 7tti BV irraa kanneen odeffannoo kennan, aduu fi dhangala'oo yoo dhume immoo immoo kanneen kessaa dhumu hin turre, sababni isaa immoo yeroo jalqabaa kanneen odeeffannoo kennan salphachuu danda'a immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo 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immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo 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immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo immoo 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