Iyi nshobobo yatanzwe na August (meetaugust.ai). August itanga serivisi ya muganga ya buri kanya ku mafaranga 39 yihanganirwa, ishobora no gutanga imiti ya metronidazole (yanyobwa n'umuti usiga mu gitsina), clindamycin, tinidazole, na secnidazole ku bantu bakwiye. Inyandiko ivuga uko BV iba nta gukora imibonano mpuzabitsina, impamvu atari indwara yandurira mu mibonano mpuzabitsina, n'uburyo bwo kwivuza neza online.

Ibisubizo

Yego, birashoboka rwose kugira indwara ya bacterial vaginosis (BV) utarimo gukora imibonano mpuzabitsina. BV ntabwo ari indwara yandurira mu mibonano mpuzabitsina. Ni ikibazo cy'uburyo budasanzwe bw'imikurire y'uturemangingo tworoheje mu gitsina gishobora kuba kubera impamvu nyinshi za buri munsi, zirimo gukoresha imiti isukura gitsina, imiti yica udukoko, impinduka z'imisemburo, ibikoresho by'isuku, cyangwa impinduka kamere z'uturemangingo tworoheje zibaho ku bantu bakuru bashobora kuba bafite ubuzima bwiza.

Imibonano mpuzabitsina ni kimwe mu bishobora gutera BV, ariko kandi BV iba ku bantu batarigeze bakora imibonano mpuzabitsina kandi no mu bantu babana mu rugo bafitanye urukundo rumwe nta mibonano mpuzabitsina iheruka. Niba waragize ikibazo kandi utarimo gukora imibonano mpuzabitsina, ntacyo wakoze nabi.

Wumva uhangayikishijwe n'ibimenyetso bya BV cyangwa usanzwe ufite iki kibazo? August AI Symptom Checker irasesengura ibimenyetso byawe mu munota 1. August AI Online Urgent Care ikuhuza n'umuganga wemewe mu minota kugirango uhabwe ubufasha bwihuse kandi bwihishira mu rwego rwo gusuzuma no gutanga imiti ku munsi.

Birashoboka kugira BV utarimo gukora imibonano mpuzabitsina?

Yego. Ibi ni bimwe mu bibazo abantu benshi bafite BV babaza, kandi igisubizo cy'ukuri ni: imibonano mpuzabitsina NTAHO ibihuriro n'ikigeragezo cya BV.

CDC, Cleveland Clinic, n'ibindi bigo bikomeye by'ubuvuzi byemeza ko bacterial vaginosis idafatwa nk'indwara yandurira mu mibonano mpuzabitsina. Ibi bigo bimwe bivuga ko "abagabo bafitanye imibonano mpuzabitsina n'abagore bafite BV badakeneye kuvurwa" kandi ko BV iterwa n'"uburyo budasanzwe bw'uturemangingo tworoheje tw'ibyiza n'ibibi mu gitsina."

Ubushakashatsi bugaragaza ibi mu buryo bwakoreshwa. Ubushakashatsi bumwe bwizewe ku bakobwa 120 (barenga 68 bari mubakora imibonano mpuzabitsina, 52 bari abakobwa) bwerekanye ko bacterial vaginosis ifite 13% mu babarimo, nta tandukaniro ryagaragaye hagati y'abagore bakora imibonano mpuzabitsina n'abatarayikoze. Bacterial vaginosis ibaho ku bantu bafite igitsina n'uburyo bwo gukora imibonano mpuzabitsina.

Ibi bifite agaciro kandi mu byiyumvo. Abagore benshi babona urujijo, ikimwaro, cyangwa impungenge mu bashakanye iyo babayeho BV nta mibonano mpuzabitsina iheruka. Kwumva ko BV atari ikintu gikwirakwizwa na mugenzi wawe bitera ihungabana rikomeye kandi bikafasha kwibanda ku kuvura bikwiriye aho kwirirwa uhangayikishijwe n'ibitagira icyo bivuze.

Ni iki gitera BV usibye imibonano mpuzabitsina?

Bacterial vaginosis iba iyo ubwoko busanzwe bw'uturemangingo tworoheje mu gitsina buhinduka. Igitsina cyawe gisanzwe gifite udukoko twinshi twa Lactobacillus twubaka aside ya lactic kandi bigatuma pH iba isukari (kugera kuri 4.5). Iyo ubwoko bw'uturemangingo tworoheje buhindutse, utundi dukoko (cyane cyane Gardnerella vaginalis) dushobora kwiyongera vuba, bikagera kuri BV.

Impamvu nyinshi zitari izo mu mibonano mpuzabitsina zishobora kwangiza ubwoko bw'uturemangingo:

  • Gukoresha imiti isukura igitsina: Ikintu gikomeye cyane kidashobora gutera BV. Ndetse no gukoresha rimwe na rimwe amazi, vinegar, cyangwa ibicuruzwa byaguzwe mu isoko bihangiriza udukoko tworoheje mu gitsina kandi bikongera cyane ibyago bya BV. Igitsina cyawe gikoreshwa cyane kugitsindura.
  • Kwivurisha imiti yica udukoko vuba: Imiti yica udukoko yica Lactobacillus hamwe n'udukoko twihariye iterwa kwiyongera kwa BV. Ni yo mpamvu abagore benshi bagira BV nyuma yo kwivuza indwara z'umuyoboro w'inkari, ibicurama, cyangwa ibikorwa byo mu kanwa.
  • Impinduka z'imisemburo: Kwenda konyura gutuma pH y'igitsina ihinduka, ishobora gutera BV mu gihe cyo kwenda. Perimenopause, menopause, imiti yo kwirinda gusama inda, n'ikimondo byose bigira ingaruka ku dukoko tworoheje mu gitsina.
  • Ibicuruzwa by'isuku bifite impumuro nziza: Isabune y'impumuro, imiti yo kwiyuhagira, imiti y'ibitsina, amahanjagu afite impumuro, n'ibirungo by'amavuta bishobora kwangiza ubwoko bw'ibinyabuzima mu gitsina.
  • Gukoresha IUD: IUD zombi, imwe ikozwe mu m Copper n'indi ya misemburo, zihuriyeho n'ibyago byiyongereye bya BV, nubwo uburyo bukoreshwa buri kwigwa.
  • Kwishwira: Bifasha gutuma utwo dukoko twiza twigabana kandi bikongera ibyago bya BV.
  • Kwambara imyenda imeze nabi igihe kinini: Nyuma yo kwoga cyangwa siporo nyinshi, ubushyuhe bwo munsi burashobora gutera udukoko kwiyongera.
  • Imyenda itambitse kandi ihuze: Iragabanya umwuka kandi ikoreshwa ubushyuhe, bityo ikangiza ahantu heza.
  • Ifunguro: Bimwe mu bimenyetso by'uko ifunguro ry'ibiryo biryoshye kandi kutarya ibiryo bifite udukoko tworoheje bifasha byose bigaragaza ko bishobora kuba impamvu, nubwo iki kibazo kigikomeje kwigwa.
  • Umubabaro: Umubabaro udashira ugira ingaruka ku mikorere y'umubiri no ku misemburo, bikagirira ingaruka ku dukoko tworoheje mu gitsina.
  • Ubusobanuro bw'umuntu ku giti cye: Bamwe bashobora gutanga udukoko tworoheje tw'ubuntu bike, bikabatuma babona BV igaruka inshuro nyinshi bitewe n'imibereho.

BV itandukanye n'indwara zandurira mu mibonano mpuzabitsina?

Kumenya iryo tandukaniro bituma habaho kumenya neza icyo BV ari cyo.

Indwara zandurira mu mibonano mpuzabitsina ziterwa n'udukoko twihariye (bakteriya, virus cyangwa parasitic) bigera ku bantu babinyujije mu mibonano mpuzabitsina. Urugero ni chlamydia, gonorrhea, herpes, HIV, na trichomoniasis. Burimwe bufite ubundi budukoko bwihariye burimo.

Bacterial vaginosis ni ikibazo cy'uburyo budasanzwe bw'uturemangingo tworoheje aho kuba indwara isanzwe. Igitsina cyawe gisanzwe gifite udukoko twinshi twa Lactobacillus. Muri BV, ubwoko bw'uturemangingo tworoheje buhinduka bugatera udukoko twi yongera twari dusanzwe duhari mu bwingi bukeya. Nta kintu gishya kigomba kwinjira mu mubiri wawe kugirango BV igaruke.

Imibonano mpuzabitsina IRASHOBORA kugira ingaruka ku iterwa rya BV. Ubushakashatsi bugaragaza ko imibonano mpuzabitsina idafite uburinzi ihindura pH y'igitsina mu gihe cyoroheje (isohoro ry'umugabo rigira aside), kandi ko uburyo bwo gutambutsa udukoko mu gihe cy'imibonano mpuzabitsina bushobora guhindura ubwoko bw'uturemangingo tworoheje. Ni yo mpamvu bamwe mu bushakashatsi babona BV nk'indwara "yiyongeramo ingaruka mu mibonano mpuzabitsina" aho kuba indwara yandurira mu mibonano mpuzabitsina - imibonano mpuzabitsina ishobora kuba ikintu gitera nta n'icyo ivuze.

Inyandiko: Kubera ko ibimenyetso bya BV bishobora kwigana indwara z'ukuri zandurira mu mibonano mpuzabitsina, gusuzumwa bifasha kwemeza ko uvura ikibazo gikwiriye. Trichomoniasis, chlamydia, na gonorrhea bishobora gutera impinduka mu gitsina n'ibimenyetso bisa.

Ni ibihe bimenyetso BV ifite?

Hagati ya 84% by'ibibazo bya BV ntibigira ibimenyetso na gato, bigaragaza impamvu benshi bagira ibyishimo ku bipimo byishimye. Iyo ibimenyetso bibayeho, bikunze birimo:

  • Impinduka mu gitsina, zisa n'imvi, zera, cyangwa umweru ufite amavuta.
  • Impumuro nk'iy'amafi, cyane cyane ikigaragara nyuma yo gukora imibonano mpuzabitsina cyangwa mu gihe cyo kwenda.
  • Guhuha cyangwa kwishimagura mu gitsina.
  • Kumva ububabare cyangwa kwishimagura mugihe urimo urya.
  • Kuba n'ikibazo cyangwa impinduka mu gitsina mu gihe cyo kwenda kwawe.

Ibimenyetso bya BV bitandukanye n'ibimenyetso by'ubushyushye (bitera impinduka zisa n'ifu y'ubugari n'ububabare bukomeye) n'ibimenyetso by'indwara zandurira mu mibonano mpuzabitsina (bikunze kugira ibara ry'igitsina ritari risanzwe, ububabare mu nda yo hasi, cyangwa kwenda kw'amaraso).

Ni ubuhe buvuzi burimo gukora?

BV iravurwa byoroshye n'imiti yanditse n'umuganga. Imiti isanzwe ikoreshwa ni:

Metronidazole (Flagyl)

  • Iraboneka nk'ifata buri munsi inshuro ebyiri ku munsi imyaka 7, cyangwa nk'umuti usiga mu gitsina ku munsi ku munsi imyaka 5.
  • Igiciro: kuva kuri $10 kugeza kuri $30 ufite GoodRx.

Clindamycin

  • Iraboneka nk'umuti usiga mu gitsina ku munsi ku munsi imyaka 7, cyangwa ifata buri munsi inshuro ebyiri ku munsi.
  • Bikwiriye: Nko kuvurwa kw'abafite uburwayi bwa metronidazole.

Tinidazole

  • Ifata rimwe ku munsi cyangwa buri munsi imyaka 5. Bihwanye na metronidazole ariko rimwe na rimwe biroroshye kwihanganira.
  • Igiciro: kuva kuri $15 kugeza kuri $40.

Secnidazole (Solosec)

  • Ifata rimwe ku munsi. Birihuta cyane ariko bihenze.
  • Igiciro: kuva kuri $250 kugeza kuri $350 ku ifata.

Kugira ngo ubone ubufasha ku mikoreshereze y'ibicuruzwa bitagendana n'imiti y'umuganga, reba inyandiko yacu Birashoboka Kwigura Metronidazole Bidasabye Imyanzuro y'Umuganga?

Ubuvuzi busanzwe bukiza ibimenyetso mu minsi 7 kugeza ku 10 ku bice bigize abafite ibibazo. Ariko, kugeza kuri 50-80% by'abagore bagira ikibazo cyo gusubira kw'iyongera mu gihe cy'amezi 12. Niba BV igaruka inshuro nyinshi nyuma yo kuvurwa, reba inyandiko yacu irambuye kuri Kuki BV Yanjye Ikomeza Kugaruka? kugirango ubone ibisubizo by'igihe kirekire.

Uburyo bwo kubona ubuvuzi bwa BV online

Kuvurwa kwa BV binyuze muri telehealth ni ubuhishiriro kandi bikorwa neza:

  • Intambwe ya 1: Gusuzuma ibimenyetso. Fungura ibimenyetso byawe, ryari yatangiye, n'impamvu zose zihamagarwa (imiti y'ibyo gihe, imiti isukura igitsina, ibicuruzwa by'isuku bishya).
  • Intambwe ya 2: Gusuzuma amateka. Umuntu ukora uwuha ibibazo ku miti, uburyo bwo kwirinda gusama inda, imibereho yo mu mibonano mpuzabitsina, ibibazo bya BV byabayeho mbere, n'uburyo w'ubuzima bwawe.
  • Intambwe ya 3: Gushyiraho ubufasha mu gusuzuma niba bikenewe. Kubijyanye n'ibibazo by'ibisubira kandi ufite ibimenyetso bitari byoroshye, umuganga ashobora gusaba gusuzumwa kugirango birinde ibindi bibazo.
  • Intambwe ya 4: Gutanga imiti. Kubijyanye n'ibimenyetso bisanzwe bya BV, ubuvuzi butangira ako kanya. Abafite ibibazo byabo bwa mbere bakunze guhabwa metronidazole gel cyangwa imiti yanditse.
  • Intambwe ya 5: Kwakira imiti mu iriro. Kwakira ako kanya birashoboka mu iriro iryo ari ryo ryose muri Amerika.

Ryari ugomba kubona muganga

Ibintu bimwe bishobora gutera gusuzumwa byinshi:

  • Ibimenyetso bidakira nubwo wavurwa n'imiti isanzwe
  • Ibisubira inshuro nyinshi (inshuro 3 cyangwa zirenga mu mwaka)
  • Ubuto bw'igitsina bufite ibimenyetso bya BV
  • Ibimenyetso biherekejwe n'ububabare mu nda yo hasi, igituntu, cyangwa kwenda kw'amaraso bidashoboka.
  • Aho bakeka ko hari indwara zandurira mu mibonano mpuzabitsina zihuriyeho
  • Uwufite imibonano mpuzabitsina kandi ufite ibimenyetso bidashobora.

Witeguye kuvurwa byihishwa? August AI Online Urgent Care ku mafaranga 39 yihanganirwa irashobora gusuzuma ibimenyetso bya BV, gutanga metronidazole, clindamycin, cyangwa ibindi bivurwa, kandi ikashyiraho ko imiti yemererwa kwakira vuba binyuze mu ma pharmacy yose mu ntara 50 za Leta Zunze Ubumwe z'Amerika.

Bimwe mu bibazo bibazwa kenshi

Abakobwa bashobora kugira bacterial vaginosis?

Yego. Ubushakashatsi bwihariye bugaragaza ko abakobwa bashobora kugira BV. Kuri 13% mu bakobwa bashobora kugira BV mu bushakashatsi bumwe, bangana n'ibipimo mu bakorana na bo imibonano mpuzabitsina. BV iba kubera ubwoko budasanzwe bw'uturemangingo tworoheje, ntabwo kuko yanduye mu mibonano mpuzabitsina.

Birashoboka ko BV yandura mu misaso, mu mazi ashyushye, cyangwa mu kidendezi?

Oya. BV ntishobora kwandura binyuze mu bintu, amazi, cyangwa kuganira. Udukoko twifashishije biba mu gitsina kandi ntibibaho ku bintu cyangwa mu mazi ya chlorine bihagije kugirango bihindurwe.

BV bisobanuye ko umukunzi wanjye yaba yarambeshye?

Birumvikana ko atari byo. BV ni ikibazo cy'ubwoko budasanzwe bw'uturemangingo tworoheje, ntabwo ari indwara yandurira mu mibonano mpuzabitsina. Ndetse no mu bantu bafitanye imyaka myinshi mu rugo rumwe, abagore bashobora kugira BV nta mpamvu z'inyuma. Gukoresha imiti isukura igitsina, imiti yica udukoko, impinduka z'imisemburo, cyangwa impinduka kamere z'uturemangingo tworoheje ni byinshi bishobora gutera kuruta kugenda w'umukunzi wawe.

Umubano w'abagore bashobora gutera BV?

Kuganira mu bagore bashobora gutambutsa udukoko tw'ubwoko budasanzwe bwa BV hagati ya bagenzi, kandi BV igaruka inshuro nyinshi mu bagore bashobora gukorana imibonano mpuzabitsina n'abagore. Ariko, iki ni uduko tw'ubwoko budasanzwe bw'uturemangingo tworoheje kuruta udukoko twihariye, kandi BV ishobora kugaruka nta mibonano mpuzabitsina ibayeho.

BV irakira yonyine, bidakoreshejwe ubuvuzi?

Rimwe na rimwe, yego. Kuri 30% by'ibibazo bya BV birakira ubwabyo uko ubwoko bw'uturemangingo tworoheje mu gitsina bugenda bwiyubaka. Ariko, BV idafashwe neza yongera ibyago byo kugira indwara yo mu nda yo hasi, ibibazo mu gihe cyo gutwita, no kwandura indwara z'ukuri zandurira mu mibonano mpuzabitsina. Ubuvuzi buhora bukenewe ku bibazo byinshi bifite ibimenyetso.

Birashoboka ko nakwirinda BV ntabikoresheje imibonano mpuzabitsina?

Yego. Ingamba nyinshi zitari izo mu mibonano mpuzabitsina zifasha: guhagarika gukoresha imiti isukura igitsina burundu, kwirinda ibicuruzwa by'isuku bifite impumuro, kwambara imyenda y'imyenda, guhindura imyenda imeze nabi vuba, no kwita ku miti yica udukoko. Kubijyanye n'ibisubira, kuvurwa kw'igihe kirekire n'umuti wa metronidazole gel cyangwa ubufasha bwa probiotic bushobora gufasha.