Ushobora kwandura BV n'uburwayi bwa fe YEAST icyarimwe? Yego, ariko ntabwo ari ikibazo gikomeye

Yego. Ushobora kwandura BV n'uburwayi bwa fe YEAST icyarimwe, ariko uburwayi bukabije ni ubunani: mu bushakashatsi bw’abantu 16.484 bajyanywe mu bitaro byihutirwa, bombi bagaragaye hamwe muri 0.8% by'imibonano. Ikibazo gikomeye ni uko ibimenyetso byabo bihuzwa cyane ku buryo utabasha kubitandukanya wenyine.

TL;DR: Ibintu by'ingenzi

• Uburwayi bukabije burahari ariko ni ubunani. Mu bucunguzi bwakorewe mu bitaro byihutirwa, BV hamwe na candidiasis byagaragaye muri 0.8% by'ibibazo, mu gihe 25.0% byari BV yonyine.
• Ibimenyetso ntacyo byafasha mu kubikemura. Mu bushakashatsi bwakorewe mu mwaka wa 2001, abagore 11% bonyine nibo bazindukiye kumenya ibimenyetso by'uburwayi bwa fe YEAST.
• Uburwayi bukabije ni ibisubizo bibiri byo mu cyumba kimwe cyo gusuzuma, ntabwo ari ishusho imwe y'ibimenyetso biyobya.
• Nta muti umwe uvura bombi. BV isaba antibiyotike, fe YEAST isaba urukingo rw'ibibibya, kandi buri kimwe ntacyo gikora ku kindi.
• Iyo bombi byemejwe, kuvura bombi icyarimwe ni ibisanzwe. Gusama niho BV ijya imbere.

Yego, BV n'uburwayi bwa fe YEAST birashobora kubaho icyarimwe, ariko ni ubunani kuruta uko interineti ivuga

Yego, ushobora kwandura BV n'uburwayi bwa fe YEAST icyarimwe. Mu bantu 16.484 bajyanywe mu bitaro byihutirwa aho hopfundiraga amabona ya vaginal wet prep, bacterial vaginosis hamwe na candidiasis byagaragaye hamwe muri 0.8% by'ibibazo, cyangwa abantu 136. BV yonyine yari 25.0% na candidiasis yonyine 3.8%. Uburwayi bumwe burakomeye cyane, bityo BV n'uburwayi bwa fe YEAST hamwe ni ibishoboka ariko ntabwo ariyo mpamvu nyamukuru y'ibimenyetso biyobya.

Soma ayo 0.8% neza. Ni abantu bafite ibimenyetso bagiye mu bitaro byihutirwa kandi bakorerwa wet prep, ntabwo ari abagore muri rusange. Ntabwo ari "0.8% by'abagore", kandi uwavuga atyo aba yahinduye igipimo.

Guza gutsinda bibaho kuko impamvu zombi zishingiye ku musingi umwe: urwanya rwa vaginal rwateshejwe umutekano hamwe no kugabanuka kw'ubwoko bwa Lactobacillus bw'uburinzi, bishyira akari ku bakteriya no kuri Candida kimwe.

Ikibazo nyacyo ntabwo ari uko bombi bashobora kubaho. Ni uko ibimenyetso bitakubwira icyo ufite

BV vs ibimenyetso by'uburwayi bwa fe YEAST bisa nk'ibishobora gutandukanywa ku rupapuro. Hano haraho kwandika gutandukanya kw'ibimenyetso.

Noneho reba ukuntu byapfa. Mu bushakashatsi bwakorewe abagore 634 bwakorewe mu kinyamakuru American Family Physician mu mwaka wa 2001, 11% bonyine nibo bazindukiye kumenya ibimenyetso by'uburwayi bwa fe YEAST. Mu bushakashatsi bumwe bwo mu wa 2001, mu bagore bafite ibimenyetso by'akabazo mu kibuno bagiye kwivuza ibinini by'ibibibya byo ku giti cyabo, 28% bonyine nibo bagaragayeho candidiasis yongeye kugaruka igihe umuganga yabavuraga. Ibyo bipimo birashaje, kandi ni byo bikoreshwa cyane ku bijyanye n'uko kwivuza kwacu kwihaha.

Abaganga ntibagirwa neza kubw'inkuru gusa. CDC's 2021 vaginal discharge guidance ivuga ko kwandika amakuru muri ubwayo byagaragaye ko bidahagije kugirango bipime neza. Kandi CDC ivuga ko mu bushakashatsi gakondo bukwirakwiriye, abagore benshi bafite BV ntibafite ibimenyetso na gato, bityo "nta mpumuro y'amafi" ntibishobora gukuraho BV.

Rero, akaga ntabwo ari uburwayi bukabije. Akaga ni ibimenyetso bihuzwa hamwe n'umuti mubi, bikugurira icyumweru cyo gutakara igikoresho kandi ntacyo bikosora.

Uburwayi bukabije ni ikintu ugamije kuvurwa na test, ntabwo ari ikintu uzi kumenya

Uburwayi bukabije bwa BV na fe YEAST ni ibisubizo by'ibaborasi, ntabwo ari ibyo uzi mu kwiyuhagira. CDC ipima BV mu buryo bwa kliniki ikoresheje amabwiriza ya Amsel, yemeza ko ari ibintu bitatu muri bine: kumanuka k'umukara cyangwa umweru, impyiko zo mu nda z'igitsina kuri mikroskop, pH ya vaginal hejuru ya 4.5, hamwe n'ikizamini cya amine "whiff" cy'ibisubizo. Ikigereranyo cy'uburebure ni Nugent-scored Gram stain.

Fe YEAST ifite urubibi rwayo. Ku muntu ufite ibimenyetso, CDC isaba fe YEAST cyangwa pseudohyphae kuri mikroskop ya wet-mount, cyangwa culture yemejwe cyangwa ibindi bizami bya Candida. Ibyo bifite akamaro kuko 10% kugeza 20% by'abagore bafite Candida nta bimenyetso, bityo ikizamini cyiza cya fe YEAST kitajyanye n'ikibazo ntikivurwa buri gihe.

Icyo utwarira mu bikorwa: uburwayi bukabije bukwirakwiriye bisobanura ibisubizo bibiri bitandukanye bikava mu gukoresha rimwe. Isura imwe y'ibimenyetso biyobya ntabwo ari uburwayi bukabije, ni ihagaze idafite ibipimo.

Mbere yo guhura n'umuganga, porogaramu imwe nk'iya August AI ishobora kugufasha kumenya igihe kumanuka, impumuro n'uburwayi byatangiriye n'ukuntu byahindutse, kugirango umuganga abone ikiraro cy'ibintu bisobanutse aho kuba "iminsi mike". Ni ubufasha bwo kwivuza, ntabwo ari uburwayi ubwabwo.

Nta muti umwe uvura bombi. Ni ibyiciro bitandukanye by'imiti

Ushobora kuvura BV n'uburwayi bwa fe YEAST n'umuti umwe? Oya, kandi impamvu ni pharmacological, ntabwo ari iy'ibikorwa. Amavuriro ya mbere ya CDC ya BV ni antibiyotike: metronidazole iri mu kanwa 500 mg kabiri ku munsi mu gihe cy'iminsi 7, metronidazole 0.75% gel yo mu nda rimwe ku munsi mu gihe cy'iminsi 5, cyangwa clindamycin 2% cream yo mu nda mbere yo kuryama mu gihe cy'iminsi 7. Candidiasis idafite ubukebwa yibasira urukingo rw'ibibibya: urumwe 150 mg y'urugero rwa fluconazole, cyangwa azole yo mu gihimba nk'ikoreshwa na clotrimazole, miconazole cyangwa terconazole mu gihe cy'iminsi 1 kugeza 14 bitewe n'ikoreshwa. Antifungals ntacyo bikora kuri BV. Antibiyotike za BV ntacyo zikora kuri Candida.

Hano hari ibyo abantu benshi bazagusiga: niba uri umunsi wa gatatu mu gihe cyo gukoresha Monistat utagize impinduka nyinshi, cream ishobora kuba yakoreshejwe kugirango iruhure kubabara kw'uruhu rw'igitsina nko kuruhura. Iyo mpinduka ntoya ni yo yatinza igipimo cyiza mugihe BV itavuriwe ikomeje. Guhuza umuti n'ikibibya ni imwe mu byo ufata mugihe uhitamo niya antibiyotike ikwiye kuburwayi bwa mibi mu mikorere y'inkari.

Iyo bombi byemejwe, kuvura icyarimwe ni ibisanzwe, ntaho guhuma

Kuvura bombi icyarimwe ni igikorwa gisanzwe iyo ibipimo byemeje bombi. Urwunge rumwe rwa fluconazole rwa 150 mg n'urukingo rwa metronidazole (cyangwa clindamycin yo mu gihimba) bikoreshwa kenshi mu gukoresha rimwe, kandi kuri ibyo bipimo nta gukorana cyane kubibazo bya benshi.

Igisubizo cy'ukuri ku gihe cyo gukoresha: nta mabwiriza yemewe agaragaza icyagomba gutangira mbere. Ishingiro ry'akazi rirafashe. Ibyavuye mu bipimo bikomeye bivurwa, kandi ntubihagarike kugirango wibere.

BV ijya imbere mu bihe bibiri: gusama, no gutegura igikorwa gikomeye cyo kubaga imyanya igitsina. BV idavuwe ifite ihurizo ryo gutwika mbere igihe, kandi ifite akaga ko kwandura indwara yo mu nda, bikaba byiza ko ibyo bitaba.

Amanota abiri yo kwihanganira yerekeza ku buryo ibi bikora. Komeza iminsi 5 kugeza 7 y'urukingo rwa BV, na nyuma y'impumuro n'ikimenyetso byoroheje, kuko kwiruhura ku bibazo byihutirwa ntabwo bivura. Kandi wumve amabwiriza ajyanye n'inzoga ugirwa na metronidazole.

Ibimenyetso bimwe bivuga ko atari BV cyangwa fe YEAST na gato

Hamagara 911 cyangwa ujye mu bitaro byihutirwa ubu niba:

• Ufite ibimenyetso by'uburyo bukomeye bwo kwihanganira imiti y'umuganga: urubura rw'umubiri, cyangwa kwigiza mu muhogo, kwiruhura bikomeye.
• Ufite ibicurane n'ibirunguruzi hamwe n'ububabare bukomeye mu nda cyangwa hasi mu nda.
• Ufite amaraso menshi cyangwa atari asanzwe mu gitsina.

Guhagarika guhura mu cyumweru gitaha niba:

• Ibimenyetso ntibirashira nyuma y'iminsi mike ufunguye urukingo rwose.
• Ibimenyetso byagarutse mu minsi mike ishize.
• Wariwasaze ufite ikimenyetso cyangwa impumuro ikomeye cyane, bikaba bisaba guhura na muganga w'umubyeyi aho kwivuza ku giti cyanyu kandi wirindira.

Guhura n'umuganga mbere yo gutangira niba:

• Wamaze gukoresha urukingo rutari urwa resept kandi ntacyo byakozwe.
• Urasize cyangwa urateganya gusama.
• Wagize ibibazo bisubiramo.
• Ufite mugenzi mushya cyangwa ufite ikibazo kijyanye n'indwara zandurira mu mibonano mpuzabitsina.

Ibimenyetso bidakemutse bisanzwe biba bivuga ko ibipimo byari bibi cyangwa byabuze, aho kugira ngo ufate dosis ikwiye. Niba ushaka kwipimisha vuba, guhura n'umuganga ku murongo kuri $39 bituma umuganga wemewe muri Amerika akora kugirango amenye ibibazo byawe, kandi akaba yemeza niba resept ikwiye. Buriho iteka: guhura kuri videwo ntishobora gukoresha urupapuro rwa pH, ikizamini cya whiff cyangwa mikroskop ya wet-mount, bityo umuganga ashobora kukohereza ngo ugire ibindi bipimo.

BV n'uburwayi bwa fe YEAST busubiramo bisanzwe bivuga ko byabuze, ntabwo ari amahirwe mabi

BV n'uburwayi bwa fe YEAST busubiramo bisanzwe bivuga ko ibipimo byambere byari bibi cyangwa byabuze kuruta ko imiti yananiwe. Kwihangana ni ugukora ibindi bipimo mugihe ufite ibimenyetso, aho kugira ngo uvure utazi. Ibi ni bimwe mu bibazo nk'indwara z'uruhu ziterwa na fungi zikomeza kugaruka, aho insinga z'urukingo zikoreshwa ku kintu kitigeze cyemeza.

Ibyo bifasha byukuri, mu rwego: kuzuza antibiyotike n'ibinyobwa by'ibinyobwa; gukoresha koga n'ibinyobwa bifite impumuro nziza, ibitsina n'ibinyobwa byanduye burundu; kandi niba ushaka kugerageza gufasha Lactobacillus, tangira nyuma yuko imiti yose irangiye aho kugira ngo uyikoreshe icyarimwe. Ibimenyetso by'ubushakashatsi kuri probiotics mu kwirinda gusubira ni bibi, kandi ntabwo ari byo bikomeye ku kuvura.

Ku ruhererekane ushobora kumenyesha muganga, porogaramu nk'iya August AI ishobora kugufasha kwandika iminsi y'ibibazo, ibimenyetso n'ibyo wakoresheje buri gihe.

Ibibazo bikunze kubazwa

Ese antibiyotike zikoreshwa mu kuvura BV zishobora gutera ubuhumyi bwa fe YEAST?

Yego. Metronidazole na clindamycin birakoreshwa ku bakteriya yo mu nda, kandi Candida irashobora kwiyongera mu mwanya w'iyo. Ni nayo mpamvu kuzunguruka kenshi kugaragara mu gihe urangije urukingo rwa BV. Ni igikorwa, ntabwo kwandura BV n'uburwayi bwa fe YEAST icyarimwe, kandi bikavurwa n'urukingo rw'ibibibya rimwe na rimwe kuzunguruka.

Ushobora gufata fluconazole kuburwayi bwa fe YEAST igihe wasize?

Akenshi si ko. Fluconazole yo mu kanwa irasabwa kwirindwa mu gihe wasize, kandi azoles zo mu gihimba zirakoreshwa aho kugira ngo zifashwe. Metronidazole ikoreshwa kuri BV mu gihe wasize. Kubera ko BV mu gihe wasize ifite ihurizo ryo gutwika mbere igihe, ikimenyetso gishya cyangwa impumuro mu gihe wasize gikenera guhura na muganga w'umubyeyi aho kugira ngo ukoreshe urukingo rutari urwa resept kandi wirindire.

Ese ibimenyetso bya BV na fe YEAST bikwiriye gukira mu gihe kimwe?

Oya. Kuzunguruka kwa fe YEAST kenshi kworohera mu gihe cy'iminsi 1 kugeza 3 nyuma yo gufata fluconazole, mu gihe impumuro n'ikimenyetso bya BV bishobora gufata urukingo rwose hamwe n'iminsi mike nyuma yo kwishura. Abantu bahitamo ko "ntabwo irimo gukora" antibiyotike kubw'ubusa bw'urukingo rw'ibibibya kandi bakareka kare, ni kimwe mu biyobora mu gusubira.

Ese birasa nibyiza gusambana mu gihe urimo kuvurwa ku burwayi bwombi?

Oya. Abaganga kenshi baguhagarika ibyumweru kugeza imiti irangiye. Cream na suppositories by'ibibibya bikoreshwa n'amavuta bishobora gukoresha amakapu ya latex n'imyambarire kandi ibinyobwa bikabije birushya imitsi yari imaze kwisuguguta. Impamvu imwe ni na yo igomba gusambana mugihe ufite UTI: iminsi mike yo kutabikora ihagaze kuruta gutangira urukingo rwasubiwemo.

Ese BV cyangwa ubuhumyi bwa fe YEAST bushobora kwikira ubwabyo badakoresheje imiti?

Rimwe na rimwe. BV ishobora gukira yonyine, kandi ishobora kandi gusubira kugaruka idakoresheje imiti. Uburwayi bwa fe YEAST bushobora gukira ubwabo. Kwirinda ni cyo gituma uburwayi bukabije bugira igice kimwe gikijijwe: kimwe kiragabanuka, ikindi kiracyahari, kandi mugihe uzaba wizeye, isura izaba ifite urujijo kuruta uko yariho ku munsi wa mbere.

Icyo bashobora kuvuga

Ushobora kwandura BV n'uburwayi bwa fe YEAST icyarimwe? Yego, mu bantu 0.8% bagize ibitaro byihutirwa. Ariko ibimenyetso ntibikubwira icyo ufite, bombi bisaba ibyiciro bitandukanye by'imiti, kandi uburwayi bukabije bukwirakwiriye bisobanura ibipimo bibiri by'ibisubizo. Gukoresha ibipimo mugihe ufite ibimenyetso, noneho kuvura icyari cyari.

Inyandiko z'uburenganzira: Ingingo iyi ni yo yo kumenyesha gusa kandi ntibishobora kugirwa inama. Kora nk'uko muganga wemewe wabigisha kugirango umenye kwipimisha no kwivuza. Niba ufite ikibazo gikomeye, hamagara 911 cyangwa ujye mu bitaro byihutirwa bya hafi.