BV vs Trich: Impamvu Ifu imwe Itasobanura Ubwandu bumwe

Ikibazo cya BV na trich kigabanyijemo itandukaniro rimwe riguhindurira ibyo ukurikira: trichomoniasis ni parasites yanduza binyuze mu mibonano mpuzabitsina, mugihe bacterial vaginosis itababarwa nk’ubwandu bwambukiranya imibonano mpuzabitsina. Bombi bashobora kuvurwa na metronidazole 500 mg inshuro ebyiri ku munsi iminsi irindwi, ariko kuvura mugenzi wawe no gukurikirana ntibisa.

TL;DR: Ibintu by’ingenzi

• Ku bagore, ifu ya mbere y’umunwa ishobora kuba imwe kuri bombi: metronidazole 500 mg inshuro ebyiri ku munsi iminsi irindwi.
• Trich isaba kuvura abafatanyabikorwa baho mu mibonano. Kuvura abafatanyabikorwa buri gihe ntibirambuye ku BV.
• Imiterere y’amacandwe ishobora kugabanya ibishoboka ariko ntishobora gusobanura ubwandu ubwo ari bwo bwose. Bombi BV na trich bashobora nanone kutagira ibimenyetso.
• Iipimisha ibyo itandukanya, kandi impapuro zidasanzwe ntizirukana trich.
• Niba ibimenyetso bigarutse nyuma yo kuvurwa, intambwe ikurikira yishingira ku byamenyekanye, kwandura noneho, no niba kuvura by’umwimerere kwakozwe.

Ntiwiteguye kuvura ubwandu uzi? Ifu imwe ishobora gukoreshwa kuri BV na trich, ariko kugira ibyabonekeye bikomeye bifite agaciro. Niba utazi icyateye ibimenyetso byawe, gerageza kugenzura ibimenyetso by’ubuntu bya August AI kugirango ubigenzure munsi ya 2 munsi, cyangwa kwandikisha urugendo rwa sosiyete y’ibitaro kuri 39 $ hamwe n’umuganga wemewe muri Leta Zunze Ubumwe z’Amerika.

BV vs trich: imwe muri zo ni indwara yanduzwa binyuze mu mibonano

BV vs trich ni ugucengeza hagati y’ibinyabuzima bibiri bitandukanye. Trichomoniasis ni ubwandu bwa parasites ya Trichomonas vaginalis kandi yanduzwa binyuze mu mibonano mpuzabitsina. Bacterial vaginosis ni ikibazo cy’ibibwana mu gitsina, ntabwo ari STI. Ku bw’impamvu itandukanye, kuvura kwa mbere k’umunwa kuri bombi ni imiti imwe ku kigereranyo kimwe: metronidazole 500 mg inshuro ebyiri ku munsi iminsi irindwi.

CDC 2021 STI Treatment Guidelines isobanura trichomoniasis nk’indwara ya STI idafite virusi cyane cyane ku isi. BV itandukanye na yo. Lactobacilli isanzwe iyobora igitsina cy’umugore irasimbuzwa na Gardnerella, Prevotella n’izindi anaerobes, kandi CDC ntabwo ibarura BV nk’STI, nubwo ifitanye isano n’imibonano mpuzabitsina.

Uburyo bwinshi bushobora kukubwira icyo witeze. Ubushakashatsi bw’ubuzima bwateguwe mu rwego rwo gushyigikira ibisobanuro bya 2021 bwagaragaje ko BV isanzwe mu bagore bafite imyaka yo kubyara kuva kuri 23% kugeza 29% ku rwego rw’isi, hamwe n’ibigereranyo byo muri Amerika ya Ruguru bya 33.2% mu bagore b’abirabura, 30.7% mu bagore b’abanyahispania, 22.7% mu bagore b’abazungu n’11.1% mu bagore b’abanyaziya. Amakuru ya NHANES kuva 2013 kugeza 2014 yashyize trichomoniasis muri Leta Zunze Ubumwe ku 1.8% by’abagore n’0.5% by’abagabo, zigenda hejuru kugera kuri 8.9% by’abagore b’abirabura n’4.2% by’abagabo b’abirabura. BV isanzwe inshuro zigera kuri icumi kuruta trich.

Ifu imwe ntabwo isobanura amategeko amwe kuri mugenzi wawe

Itandukaniro rya trichomoniasis na BV rihindura ibyo ukora bikurikira ntabwo ari imiti, ahubwo ni mugenzi wawe. CDC ivuga ko kwirinda kwirinda abafatanyabikorwa bose baho mu mibonano bifatwa nk’ingenzi kuri trichomoniasis, haba hari ibimenyetso cyangwa ntabihari, kandi ko abakundana bagomba kwirinda imibonano kugeza igihe impande zombi zivuyeho kwivuza kandi ibimenyetso bikagenda.

Kuri BV, ubuyobozi burakomeza mu bundi buryo. Kuvura abafatanyabikorwa baho mu mibonano ntibirambuye, kuko bidakomeza gusimburana cyangwa kugabanya kuzagaruka. Kuvura mugenzi wawe kuri BV ntibikwiriye. Ni ubwandu bwa antibiyotike budafite akamaro.

Iyo kwihangana bifite ingaruka z’ibintu benshi bahura na byo mu buryo bubabaza. Niba urangije iminsi irindwi ya metronidazole kuri trich kandi mugenzi wawe ntagire icyo afata, parasite igaruka kuri wowe ako kanya. Ibyo bisobanura “antibiyotike ntiyakoraga” mugihe cyo kwanduza ubusanzwe. Bizwi cyane ko CDC isaba gusubira gupima abagore bafite imibonano mpuzabitsina kuri trichomoniasis hafi amezi atatu nyuma yo kuvurwa. Rero, mbere yo gufata ko ifu yawe yananiwe, vugana icyo mugenzi wawe yafataga.

amacandwe arahindura, ntabwo ashobora kukubwira

Niba ureba amacandwe ya trich cyangwa BV, icyo ubona gitanga igitekerezo, ntacyo kimenya. Imiterere isanzwe itandukana:

• Trichomoniasis: amacandwe y’umuhondo n’ijani ry’icyatsi, kubabara kw’igitsina no gushya, kubabara mu gihe urimo wihagarika, kandi rimwe na rimwe kwironda nyuma yo gukora imibonano mpuzabitsina cyangwa “serviks ya strawberry”, ibigaragara mu ntara nkeya zibaho.
• Bacterial vaginosis: amacandwe yoroshye, yubaka yijimye hamwe n’impumuro y’ikirura igakomera nyuma yo gukora imibonano mpuzabitsina, bikunze kuba hamwe n’ububabare buke n’ububabare buke budakomeye.

Dore ibyo urupapuro rwinshi rutazakubwira: 70% kugeza 85% by’abantu bafite trichomoniasis bafite ibimenyetso bike cyangwa nta bimenyetso, kandi hafi 84% by’abagore bafite BV ntibagirwa ibimenyetso hakurikijwe ibisobanuro bya CDC. Kuba nta bimenyetso birakurengana kwanduza kwose. pH y’igitsina cy’umugore iriyongera hejuru ya 4.5 muri bombi, ku buryo strip ya pH y’isoko ntishobora kubitandukanya.

Ibyo bikwiriye gukorwa mugihe utegereje ikizamini ni ugukora urutonde. Porogaramu yo kwitabaza nk’iya August AI ishobora kugufasha gukurikirana impinduka z’amacandwe, igihe impumuro yaho iteye cyane, kandi uko ibimenyetso bigaragara n’umufatanyabikorwa mushya, nk’ubufasha bw’ubuvuzi aho kuba ubusimbura. Niba ikimenyetso cyawe gikuru ari ibikomere cyangwa ibibyimba aho kuba amacandwe, urimo ureba ikindi kintu cyose, kandi bifasha kumenya icyo herpes asa nk’igihe cy’ibice bitandukanye.

Ibisobanuro bya BV na trich byamenyeshwa gusa n’ikizamini cy’ibitaro

Ikizamini cya BV cyangwa trich ntabwo ari ikizamini kimwe, kuko ibyo bibazo bibiri bidapimwa mu buryo bumwe. Kuri trichomoniasis, testing ya acide nucléique amplification (NAAT) ifite ubwitonzi bwa 95% kugeza 100%, mugihe microscopy ya wet-mount ibona gusa 44% kugeza 68% by’ibibazo. Gutinda birakomeye: wet mount idafite ikimenyetso ntikurukana trich, kandi niba ikigo cyawe cyarebye slide kandi kiguhamagarira ko cyari cyiza, icyo ni ikimenyetso cy’ubuhanya.

BV isobanurwa mu buryo bwa kliniki, ikoresheje Amsel’s criteria (amacandwe yoroshye, pH hejuru ya 4.5, positive test ya whiff, n’ibisasu byinshi kuri microscopy) cyangwa Nugent-scored Gram stain. Hariho paneli za BV zishingiye kuri NAAT, ariko ntabwo ari uburyo bwo kwitabaza nk’uko NAAT iri kuri trich.

Igihe kimwe kibuza akaga kazaza kibuza gutakaza kwiyuzuzanya. Ntube wisubira gupima trich na NAAT mbere y’iminsi itatu nyuma yo kuvurwa, kuko acide nucléique isigaye ku binyabuzima bipfuye ishobora gutanga igisubizo cy’ikinyoma. Mu buryo ubwo ari bwo bwose, umuntu agomba gukusanya swab y’igitsina cy’umugore. Urutonde rw’ibimenyetso na strips za pH ntibishobora gusimbura.

Iruyica rubanda, uko metronidazole ishyirwa kuri buri wese

Metronidazole kuri trichomoniasis na metronidazole kuri BV ni imiti imwe ku rutonde rutandukanye rw’ibinyabuzima, kandi rutonde rishingiye ku bwoko bw’ubwandu n’igitsina cy’umugore.

Impinduka ya 2021 ni yo igomba kwibandwaho. CDC yavaneho abagore igihe kimwe cy’akanya kamwe kuri trich kuko igihe cy’iminsi irindwi cyatanze ibipimo byiza byo kwivuza. Abagabo bagifata igihe kimwe, niyo mpamvu ifu ya mugenzi wawe ishobora kugaragara nkawe kandi bombi bashobora kuba bakwiye.

Flagyl ni izina ry’ubucuruzi ushobora kubona ku ruhande rw’umuti, kandi Flagyl kuri BV ni igihe cy’iminsi irindwi kimwe. Byose hamwe ibipimo byo kwivuza bikomeza kuva 84% kugeza 98% na metronidazole na 92% kugeza 100% na tinidazole, niyo mpamvu tinidazole ari CAD irambuye iyo trich itabona kuvurwa nyuma ya metronidazole. Metronidazole ikunze kuba ifu isanzwe, kandi uko imiti y’umunsi umwe ishyirwa kuri interineti ikora birakora hano iyo umaze kubona igisubizo cy’ikizamini.

Niba ibimenyetso bigarutse, wibaze ubundi bwoko bw’ubwandu, ntabwo ni imiti yananiwe

Yego, ushobora kugira BV na trichomoniasis icyarimwe, kandi ntabwo ari impanuka idasanzwe. Kugira BV byongera ibyago byo kwandura trichomoniasis, hamwe na chlamydia, gonorrhea, M. genitalium, HPV na HSV-2. Bombi barahuzwa aho kurimbana, ku buryo igisubizo cyiza kuri kimwe ntabwo ari ubwangavu ku kindi.

Iyo ibimenyetso bigarutse, tangiza ibibazo bibiri bitandukanye rwose. Kwanduza ubundi bisobanura ko imiti yakoreye kandi mugenzi utavuwe yaguha parasite inyuma. Kwivuza kutagenze neza bisobanura ko imiti ntabwo yirukanye parasite mbere. Gusana biratandukanye kuri buri kimwe, kandi nta kimwe gikemurwa no gusubiramo ifu imwe.

Niba ibimenyetso bikomeje nyuma y’ikintu cyuzuye cyuzuye, gabanya ikizamini cyo gusubiramo aho gusubiramo kubagire. Tinidazole ni CAD yo kwiyongeraho kuri trich ikomeye, kandi BV ikigaruka ishobora gutera gahunda yirambye cyangwa yo kwirinda ko umuganga ahitemo. Porogaramu yo kwitabaza nk’iya August AI ishobora kugufasha kwandika niba ibimenyetso byararangije ku munsi wa nyuma w’igihe, ku buryo urugendo rukurikira rutangira ku gihe aho kuba igitekerezo.

Iyo ibimenyetso by’igitsina bisabwa umuganga, kandi vuba

Wahamagare 911 cyangwa ugere ku cyumba cy’ibitaro byihutirwa ubu niba:

• Ufite umuriro cyangwa ibinure hamwe n’ububabare mu nda cyangwa mu gice cyo hasi cy’inda, bushobora kugaragaza indwara yo mu gifu.
• Ufite ububabare bukomeye mu nda hamwe n’urusenda cyangwa gusara.
• Ufite kwironda cyane cyangwa kwironda bidasanzwe.
• Udateguye kandi ufite igifu cyangwa gusama, cyangwa kwironda.

Andika urugendo mu cyumweru gitaha niba:

• Amacandwe mashya cyangwa impumuro byatangiye nyuma y’umufatanyabikorwa mushya.
• Ibihano byakomeje cyangwa byakomeye nyuma yo kurangiza gahunda yuzuye yo kwivuza.
• Ufite ibimenyetso ubwo utwite, kubera guhuza n’ivuka ry’impeta cyangwa ibiro bike.
• Umuterere yamaze gutangazwa na trich.

Vugana n’umuganga mbere yo gutangira niba:

• Udateguye cyangwa uronsa.
• Wigeze ugira impinduka mbi kuri metronidazole cyangwa tinidazole mbere.
• Ufata warfarin, lithium cyangwa disulfiram.
• Wagize inshuro eshatu cyangwa zirenze mu mwaka.

Kuri gahunda yo hagati, urugendo rwa telehealth ni urugendo rwa mbere rukwiriye. Uru rugendo rwa sosiyete y’ibitaro kuri 39 $ rukuganisha ku muganga wemewe muri Leta Zunze Ubumwe z’Amerika washobora gusuzuma ibimenyetso byawe no kwandikisha igihe gikwiriye, kandi umuganga afata icyemezo niba ifu ikwiriye. Biba byiza gutanga amakuru yerekeranye n’ikigereranyo: urugendo ruri kuri interineti ntirushobora gukusanya swab y’igitsina cy’umugore cyangwa gukora igenzura ry’igitsina, bityo ikizamini cy’ibitaro bitandukanya ibyo bihindura bibiri gikomeza kubera mu karere.

Ibibazo byinshi bibazwa

Ni ngombwa kwirinda inzoga mugihe ufata metronidazole?

Yego. Ubuyobozi busanzwe ni ugukwirinda inzoga mugihe cyo kwivuza no amasaha 24 nyuma yo gufata dosis yawe ya nyuma ya metronidazole, cyangwa amasaha 72 nyuma yo gufata dosis ya nyuma ya tinidazole. Ubushakashatsi bushya burashidikanya ku buryo buvugana mu buryo nyakuri, ku buryo amategeko arimo kwirinda kuruta kwizera. Metronidazole itera urusenda n’impinduka y’amazi, kandi kongeramo inzoga ntibizarushaho kwishimisha.

Abagabo bashobora kugira bacterial vaginosis?

Oya. Bacterial vaginosis isobanurwa n’impinduka mu bibwana by’igitsina cy’umugore, ku buryo abantu badafite igitsina cy’umugore ntibashobora kugira cyo. Abafatanyabikorwa b’abagabo bashobora gutwara ibibwana bifitanye isano na BV, ariko CDC ntibirambuye kubavura, kuko bidakomeza gusimburana cyangwa kuzagaruka. Trichomoniasis ni ikibazo cy’ikinyuranyo: abagabo barayibona, bakunze kuba badafite ibimenyetso, kandi bakenera kuvurwa.

Metronidazole irakinguye mugihe utwite cyangwa uronsa?

Yego. CDC ibona metronidazole nk’ibinyabuzima bike mu gihe utwite, kandi ubushakashatsi bwinshi ntibwigeze butanga isano n’impinduka cyangwa impinduka z’ibinyabuzima. Tinidazole igomba kwirindwa mu gihe utwite. Niba uronsa, ubuyobozi buravuze gutegereza amata ku masaha 12 kugeza 24 nyuma yo gufata dosis ya metronidazole na masaha 72 nyuma ya tinidazole. Vuga muganga wanditse ko utwite cyangwa uronsa mbere yo kwandikisha icyo ari cyo cyose.

Trichomoniasis izagenda yonyine idafite kuvura?

Akenshi ntabwo. Trichomoniasis ni ubwandu bwa parasite ibaho, kandi akenshi ikomeza kugeza ivuwe. Kubera ko abantu benshi bayifite batazi ibyabo, impinduka isanzwe yo gutegereza ni ukwanda kutamenya kugera ku bafatanyabikorwa mu mezi menshi aho kugira kwiruka byihuse. Mu gihe utwite ingorane ziriyongera, kuko ubwandu butavuwe bufitanye isano n’ivuka ry’impeta n’ibiro bike by’umwana.

Ibihano byanjye bishobora kuba ubwandu bw’umuyaga aho kuba BV cyangwa trich?

Rimwe na rimwe. Umuyaga ni ubwandu bwa gatatu abantu bashyira mu kibazo cya BV vs trich, kandi akenshi kagaragara itandukanye: amacandwe manini y’umweru, kubabara bikomeye, kwironda kw’igitsina, impumuro nziza, n’ubunini bw’igitsina cy’umugore bukomeza kuba busanzwe aho kuzamuka hejuru ya 4.5. Kwivuza hamwe na antifungal yo hanze iyo ufitanye BV cyangwa trich bikugurirwa icyumweru kandi bikagereranya imiti ikwiriye.

Ibisobanuro byo hasi kuri BV vs trich

Imiti imwe, amategeko amwe y’umufatanyabikorwa. Impinduka zose zavuwe mbere zikoresheje metronidazole 500 mg inshuro ebyiri ku munsi iminsi irindwi, ariko trich isaba ko buri mufatanyabikorwa wese ubu aba afite icyubahiro mugihe abafatanyabikorwa ba BV badakwiye kuvurwa. Ibihano n’amasabune y’amazi ntibishobora kukubwira icyo ufite, bityo rero ikindi gikorwa ni ikizamini cya swab mbere yo kwivuza. Niba ibimenyetso bigarutse nyuma, gabanya ikizamini aho gusubiramo. Impapuro ziriho zagaragaje ibisobanuro bya CDC 2021 STI Treatment Guidelines.

Disclaimaire: Inyandiko iri iragamije gutanga amakuru gusa kandi ntabwo isobanura inama muganga. Komeza vugana n’umuganga ufite uburenganzira kugirango utange ibyabonekeye n’ubuvuzi. Niba ufite ikibazo gikomeye cy’ubuvuzi, wahamagara 911 cyangwa ugere ku cyumba cy’ibitaro byihutirwa ubu ako kanya.