Nta buvuzi bwa BV bugurishwa utagishije inyandiko y'umuganga bushobora gukiza indwara ya 'bacterial vaginosis'. Burimunyi uburyo CDC ivuga bwose bukoresha antibiyotike isabwa n'inyandiko y'umuganga, bityo ubuvuzi bwa BV budafite inyandiko y'umuganga ntibubaho rwose. Icyo gihe kibaho ni ugukoresha inyandiko y'umuganga ukoresheje ikoranabuhanga (telehealth), aho kwishyira mu gihe cyo kubonana n'umuganga.

TL;DR: Ibintu by'ingenzi

  • Nta mwaro FDA yemeye igurishwa utagishije inyandiko y'umuganga ishobora gukiza BV. Burimunyi uburyo CDC ivuga (metronidazole, clindamycin, tinidazole, secnidazole) busaba inyandiko y'umuganga gusa.
  • Ibyo ugura ku ishyirwa rishobora gufasha ku bw'impumuro, ibyo gusohoka, cyangwa pH y'umuyoboro w'igitsina. Ntibirakiza kwiyongera kw'ibakteri bitera ikibazo.
  • Antibiyotike z'ibiye rya 'yeast infection' nka miconazole ntacyo zimarira BV. Ni urubyaro rutari rwo, kandi uba wataje icyumweru.
  • 'Boric acid suppositories' zikoreshwa nk'ikinyu cyangwa gusigasira, ntibikoreshwa nk'uburyo bwa mbere, kandi ntibikoreshwa mu gihe cy'ugusama.
  • Uburyo bwiza bwo kudashyira mu biro ni ugukoresha telefone (telehealth) ku munsi, aho umuganga ashobora kwemeza niba agomba kwandika imiti.

Nta buvuzi bwa BV budafite inyandiko y'umuganga, ahubwo hari uburyo bwo kubona inyandiko vuba

Ubuvuzi bwa BV budafite inyandiko y'umuganga ntibubaho mu buryo bushimishije: nta mwaro FDA yemeye igurishwa utagishije inyandiko y'umuganga ushobora gukiza indwara ya 'bacterial vaginosis'. Uburyo bwa mbere CDC ivuga ni ukunywa metronidazole 500 mg kabiri ku munsi iminsi irindwi, gukoresha metronidazole mu kibuno urugero rwa 0.75% rimwe ku munsi iminsi itanu, cyangwa gukoresha clindamycin cream mu kibuno urugero rwa 2% mbere yo kuryama iminsi irindwi. Zose zose zaba eshatu ziba zisaba inyandiko y'umuganga.

Ibisubizo ntibishobora no gukoreshwa mu gukingura urugi rwa inyuma. Clindamycin isabwa na muganga, clindamycin ovules, secnidazole oral granules igishobora gukoreshwa inshuro imwe, na tinidazole zose ziri ku rutonde rw'uburyo bwa CDC, kandi buri imwe muri zo isaba inyandiko y'umuganga. Nta buryo bwo kwemeza, bwa mbere cyangwa ubundi, ushobora guha umuntu ukora mu iduka.

Impamvu nta buvuzi bwa BV bugurishwa utagishije inyandiko y'umuganga bugurishwa hafi y'ibikoresho byo kuvura indwara ya 'yeast infection' ni bimwe: nta antibiyotike ishobora gukiza 'anaerobic overgrowth' inyuma ya BV igurishwa utagishije inyandiko y'umuganga muri Amerika. Nta kintu kiri ku ishyirwa gikiza izo bakteriyari.

Bityo, ikintu cy'ingenzi ni uguhindura uburyo bw'ibitekerezo. Uburyo bwo kudashyira mu biro uba ushakana n'inyandiko y'umuganga ukoresheje ikoranabuhanga, aho kuvura utagishije inyandiko y'umuganga.

Ibyo ushobora gutwara muri CVS, n'impamvu nta na kimwe kivura indwara

Ubuvuzi bwa BV bugurishwa utagishije inyandiko y'umuganga, mu buryo nyabwo bwa iryo jambo, ni imiti ivura ibimenyetso. Ibyo amaduka y'imiti afite ni ibice bitatu: imiti ikuraho impumuro n'ibyo gusohoka (FemiClear BVPro iboneka muri CVS), imiti ikuraho pH y'umuyoboro w'igitsina, n'ibinyobwa (probiotics) mu kanwa cyangwa mu kibuno. Burimunyi ikaba ishingiye ku mpumuro, ibyo gusohoka, cyangwa pH. Nta na kimwe kishingiye ku kwiyongera kw'ibakteri 'anaerobic' bitera iki kibazo. Byoroshye: ntibivura indwara.

Ikosa rikunda gukorwa cyane ni ugukoresha imiti y'ibiye rya 'yeast infection'. Miconazole na clotrimazole bikiza 'fungal overgrowth'. BV ni 'bacterial'. Imiti 'antifungal' ntibishobora gufasha, kandi ikintu cyonyine kora n'ukwirindira kuvura.

Kwirindira gutyo bifite ikiguzi nyacyo. BV itavuwe yongera ibyago byo 'kwandura' HIV, 'gonorrhea', 'chlamydia', na 'trichomoniasis', kandi yongera ibyago byo kugira ibibazo nyuma y'imikore y'ibitsina no mu gihe cy'ugusama. Kuvura impumuro no guhagarara aho bisigira ibyo byose bibaho.

Inyongeramusanzu z'ibitunguru, yogurt, n'amavuta ya 'tea tree oil' ntacyo zagaragaje kandi ntibishobora gusimbura antibiyotike. Birakwiriye kuvuga ko zimwe indwara zishobora kuvurwa n'ibyo ugura ku ishyirwa, kandi 'imiti yo ku ishyirwa ishobora gukiza' 'ringworm'. Ni nabyo bitera abantu kwemera ko BV ikora kimwe. Ntibishobora.

Boric acid niwo mwaro ukomeye udasabwa inyandiko y'umuganga, kandi nawo ntabwo ari ubuvuzi

Boric acid ya BV bisanzwe bivuze 'suppository' ya 600 mg y'ibitsina, kandi uruhare rwacyo rwemewe ni ruto: ikinyu cyangwa igisimbura nyuma yo kurangiza imiti ya antibiyotike, cyangwa igice cy'umugambi wa muganga wo kuvura BV igaruka. Ikworeshwa gutyo ifite ahantu isanzwe.

Ikworeshwa yonyine nk'ubuvuzi bwa mbere ntibishobora. Boric acid ntishobora gukiza neza ibakteri zitera BV, bivuze ko ishobora guhagarika impumuro mu gihe indwara ikomeje. Ni cyo cyiza cyane: ibimenyetso by'impumuro byishimishije n'indwara itavuwe.

Umugiriro ntushobora kugenda. Ni 'vaginal use' gusa, ntigomba 'kuyinywa' (boric acid 'oral' ni uburozi), kandi ntigomba gukoreshwa mu gihe cy'ugusama.

Kugaruka ni impamvu iyi nkuru ihari. BV 'igaruka' kuri 80% by'abagore mu mezi icyenda nyuma yo kurangiza kuvura, kandi 10% kugeza kuri 15% ntibishobora kuvaho nyuma y'ubuvuzi bwabo bwa mbere. Abantu banyuze muri iyo nzira inshuro ebyiri batangira gushakira ikintu bashobora kugura.

Mbere yo kuvura ikintu icyo ari cyo cyose, menya ko ari BV koko

Ntabwo ushobora kwipimisha mu mutekano. Ibyimenyetso gusa, amateka yonyine, 'swabs' wifashe utarashyize mu gikoresho cyo kureba, na 'Pap smears' byose ntibishobora kwizewe mu kwemeza BV. Kwemeza kwemeza bikomoka ku bisabwa na Amsel (uburyo bwo gusohoka, 'clue cells' kuri mikorosikopi, pH y'umuyoboro w'igitsina hejuru ya 4.5, n'ikizamini cy'impumuro kiza) cyangwa ku 'lab testing'.

Indwara nyinshi zisa na BV kumuntu uzirimo kandi ziteza ubuvuzi butandukanye: 'vaginal yeast infection', 'trichomoniasis', 'chlamydia', 'gonorrhea', 'cervicitis', na 'herpes'.

Kwipimisha mu buryo bworoshye mu gihe uhitamo icyo uzakora:

  • Gusohoka gukeye cyane, imvura, hamwe n'impumuro nk'iy'ifi, akenshi ikaba nyinshi nyuma yo gukora imibonano mpuzabitsina, biganisha kuri BV.
  • Gusohoka bikomeye, nk'uko byakomeye, hamwe no kwishimisha cyane n'impumuro nkeya biganisha kuri 'yeast'.
  • Gusohoka k'uruvange rw'umuhondo n'umuhondo, ibisebe, cyangwa ububabare mu gice cy'akaguru ntibishobora kuba BV kandi bisaba gusuzumwa.

Kwibeshya ntibishobora kuba sawa. Indwara nyayo ntivurwa mu gihe utwaye icyumweru ku kintu cy'ibinyoma.

Igihe Gutegereza Biba Bidakiri Byiza

BV rimwe na rimwe ntibagira ibimenyetso kandi ishobora kwivura yonyine, hafi kimwe cya gatatu cy'ibibazo nk'uko bamwe bavuga, nubwo uwu mubare ari munini kandi ntugomba kwitwarirwa nk'umugambi. MedlinePlus iracyagira inama yo gupimisha no kuvura, kuko BV itavuwe yongera ibyago byo kwandura indwara z'itsinda ry'imibonano.

Dore itegeko abantu benshi basiba. Niba utwite kandi ibimenyetso bikomeye, hafi iminsi itatu kugeza itanu yo gutegereza bikwiye. Impumuro cyangwa gusohoka bibi, cyangwa kutagira icyo biba ku munsi wa gatanu, bivuze guhagarika gutegereza no gusuzumwa.

Hamagara 911 cyangwa ujye ku cyumba cy'ibitaro by'ubutabazi ubu ngubu niba:

  • Ufite umuriro cyangwa ibishyuha hamwe n'ububabare mu gice cy'akaguru cyangwa cyo hasi cyo mu gifu (ishobora kuba indwara yo mu gifu).
  • Ufite ububabare bukomeye mu gice cy'akaguru.
  • Ufite gusohoka bikomeye cyangwa bidasanzwe hamwe n'ibyo gusohoka.
  • Wumva udatezimbere cyangwa uri mubi cyane.

Shyira ku gatabo k'amasaha atanu cyangwa atandatu niba:

  • Ufite inda kandi ufite ibyo gusohoka cyangwa impumuro bidasanzwe. Shyira ku gatabo igihe cyihuta, ntabwo ku munsi wa karindwi.
  • Ibyimenyetso ntibishobora kuvaho nyuma y'imiti yose ya antibiyotike, cyangwa byagarutse ako kanya.
  • Ufite ububabare bukomeye bwo hanze, ibisebe, cyangwa gutwika bisaba gupimisha umuntu.
  • Ufite umufasha mushya cyangwa ibyago byo kwandura 'STI'.

Vugana n'umuganga mbere yo gutangira niba:

  • Ufite inda cyangwa ugiye kunsinga kandi ugitekerejeho boric acid.
  • Wagize ibyabaye inshuro eshatu cyangwa zirenze mu mwaka.
  • Wamaze kugerageza imiti ya OTC ntacyo byakozwe.
  • Ufite IUD cyangwa wabazwe mu gihe cyashize mu gitsina.
  • Ntushobora kumenya niba ari BV cyangwa 'yeast infection'.

Gusama inda bihindura byose. BV mu gihe cy'ugusama ihuzwa n'ibyago by'igihe cyo kubyara hakiri kare inshuro zigera kuri 2 kandi ibyago byo gutakaza inda mu mezi atatu ya mbere inshuro 3 kugeza kuri 5. Kwivura ubwawe ntibishobora.

Uburyo bwihuse bwo gukoresha ikoranabuhanga: ubugenzuzi bwa kure burangira n'inyandiko y'ukuri

Niba ushaka kubona ubuvuzi bwa BV kuri internet uticaye mu cyumba cy'abantu benshi, iki nikimwe cyo gusubiza icyo kibazo cyo kutajya mu biro. Urutonde ni ruto:

  1. Andika ibimenyetso byawe, igihe bimaze, uko umerewe mu gihe cy'ugusama, n'iyo antibiyotike wanyoye mu kwezi gushize.
  2. Shyira ku gatabo kugira ngo ubone umuganga kuri telefone uyu munsi.
  3. Umuganga azasesengura kandi azemeze niba agomba kwandika, gupima, cyangwa kukwerekeza ku muntu.
  4. Niba inyandiko yanditswe, izoherezwa kuri farumasi yawe cyangwa ikoherezwa mu isanduku.
  5. Komeza imiti yose n'ubwo impumuro yabaye nziza mu minsi ibiri. Bisanzwe bibaho, kandi guhagarara kare ni urugero rw'impamvu BV igaruka.
  6. Garagaza niba ibimenyetso bikomeje cyangwa byagarutse.

Mu by'ukuri, ibi bifata kuva ku munsi kugeza ku masaha 24, kandi metronidazole ya generic ni imwe mu antibiyotike ziciriritse kandi zidasabwa ubwishingizi. Niba ikiguzi ari ikibazo, hano ni uburyo bwo kubona inyandiko y'umuganga kuri internet ku giciro gito.

Ikibazo: Video ntishobora gukora 'pelvic exam', 'microscopy', 'pH strip' y'umuyoboro w'igitsina, cyangwa 'swab'. Abaganga bashobora kwandika ibimenyetso bisanzwe kandi babikora, ariko bazakohereza ku muntu igihe bidasanzwe, igihe utwite, cyangwa igihe 'STI testing' ari cyo gikurikira. Umuntu wese usezerana inyandiko utarebye irimo kugurisha ikintu.

Niba ubugenzuzi bwa kure ari bwo buryo bwawe, August's $39 online urgent care visit ikubaza na muganga wemewe muri Amerika washobora kureba ibimenyetso byawe no kwandikira igihe bibaye ngombwa. Umuganga ni we wemeza, kandi azakwohereza mu muntu ugusuzuma niba ibyo umerewe bifuza ko ubikora.

Ibibazo bisanzwe bibazwa

Birashoboka kugura imiti ya BV kuri internet muri urubuga rutagomba inyandiko y'umuganga?

Oya. Inyubako za farumasi zohereza antibiyotike zitagomba inyandiko y'umuganga kandi nta kiganiro n'umuganga zikora hanze y'amategeko ya Amerika, kandi ibyago bikomeye kuruta iby'amategeko: nta muntu wemeza ko ufite BV, iminini ishobora kuba impimbano cyangwa ikintu kitari cyo, kandi nta muntu wo kuganiraho igihe ibimenyetso bikomeje. Gushakira ubuvuzi bwa BV utagishije inyandiko y'umuganga bigomba kurangira kuri telehealth, aho kutarangira ku 'checkout page' yo hanze.

Birashoboka kunywa inzoga mugihe ukoresha metronidazole ya BV?

Sikenshi. Kwitondera bisanzwe bivuga 'disulfiram-like reaction' (guhumeka, kuruka, kubabara umutwe), kandi ibimenyetso byerekana ko metronidazole isanzwe ibitera birenze uburyo bwo kwitondera bugaragaza. Kwandikwa kwaracyagira inama yo kwirinda inzoga mu gihe cy'ubu buti kandi no mu gihe gito nyuma yo gufata doze ya nyuma. Kubera ko imiti idukoreshwa kuva ku minsi itanu kugeza irindwi, guhitamo kwitonda bikugabanya igiho kenshi.

Kuvamo amazi cyangwa 'feminine wash' byakuraho BV?

Oya. Kuvamo amazi n'imiti y'impumuro birimo uburyo bwose bw'ibintu bifuza. Bashobora kuvugurura 'vaginal flora' isanzwe ikomeza kwirinda 'anaerobic bacteria', kandi kuvamo amazi bihuza n'ibyago byo kuba BV kuruta ibindi. Umuyoboro w'igitsina ntukeneye gusukura imbere. Amazi meza hanze ni ahagije, kandi impumuro nk'iy'ifi ni ikimenyetso cyo gusuzumwa, aho guhanagura.

BV ni indwara y'itsinda ry'imibonano?

Siko bimeze neza. BV ntabwo yanditse nk'indwara y'itsinda ry'imibonano, kandi ibaho ku bantu batigeze bakora imibonano. Gusa, bihuza cyane n'ibikorwa byo mu mibonano no ku bafasha bashya cyangwa benshi, ni cyo gituma ibimenyetso byinshi bigaruka nyuma yo guhindura bafashaga. Kwivura abagabo b'abafasha bisanzwe si igice cya CDC, ku buryo umufasha atagomba kwirirwa mu buryo busanzwe.

Ubuvuzi bwa BV burahenze utagifite ubwishingizi?

Sikenshi. Generic metronidazole ni imwe mu antibiyotike ziciriritse kandi zidasabwa ubwishingizi, kandi ikarita isanzwe ishobora kuzana iminsi irindwi yo mu kanwa ikagabana. Gusura biba bihenze kuruta imiti. Gukoresha ibihenze ni ibyo mu mazina na doze imwe, harimo imiti y'ibitsina, clindamycin ovules, na secnidazole granules, ibi ni byiza kuvuga n'uwanditse inyandiko.

Ibyo kuvura BV utagishije inyandiko y'umuganga

Nta kintu kugurishwa ku ishyirwa kivura BV. Imiti y'impumuro, imiti ya pH, na probiotics ku ishyirwa ibitaho ibimenyetso n'umunyu, aho gukiza ibakteri, kandi boric acid ni ikinyu cyangwa igisimbura aho kuba uburyo bwa mbere. Ubuvuzi bwa BV utagishije inyandiko y'umuganga ni igitekerezo cy'ibinyoma; inyandiko y'umuganga yihuse ni iy'ukuri. Niba utwite, ufite umuriro n'ububabare mu gice cy'akaguru, cyangwa ukomeje kugira ibimenyetso nyuma y'imiti yose ya antibiyotike, jya kubonana n'umuntu.

Ibyo umuntu agomba kwitondera: Amahano ni kubw'amakuru gusa kandi ntibisobanura inama y'umuganga. Gukomeza gusura umuganga ufite ubushobozi kugira ngo usuzume kandi uhitemo ubuvuzi. Niba ufite ikibazo gikomeye cy'ubuganga, hamagara 911 cyangwa ujye ku cyumba cy'ibitaro by'ubutabazi ako kanya.