Oya. Fluconazole ntivura BV mudozi uwo ari wo wose. Ni urukingo rw'ibihumyo rwagenewe imyanya ndangagitsina, kandi bacterial vaginosis ni uburumbuke bw'ibiterwa n'ibibinyuguto, bityo rwa rukingo ntacyo rutanga. Kugira ngo uburumbuke bwa BV buveho bisaba urukingo rw'ibinyuguto nk'metronidazole cyangwa clindamycin, nyuma yo kumenya neza ko ari bwo burwayi.

TL;DR: Ibintu by'ingenzi tugomba kwibuka

  • Fluconazole ni urukingo rw'ibihumyo. BV ni ibinyuguto. Ni urukingo ruzahabwa ibintu bitari byo.
  • Gufata urukingo rwa kabiri rwa 150 mg ntacyo bihindura.
  • BV: ibintu by'umuhondo cyangwa byera bisa n'amazi yoroshye, impumuro nk'ifi. Umugezi: ibintu by'umweru bikomeye, kwigana bikomeye.
  • N'ibinyuguto gusa bivura BV: metronidazole, clindamycin, tinidazole, secnidazole.
  • Wamaze kubifata? Nta kibazo. Uracyarwaye kandi ntuzahabwa ubuvuzi.

Ese fluconazole ivura BV? Oya, ikorana n'ibihumyo gusa

Ese fluconazole ivura BV? Oya. Yemeranyijwe nk'urukingo rw'ibinyuguto rw'ibinyuguto (azole antifungal) rwagenewe ibibazo by'ibihumyo mu gitsina n'ibindi bibazo by'ibihumyo, kandi bacterial vaginosis ntibivugwa na gato mu bigaragaza ko ivura. BV iterwa n'ibinyuguto. Fluconazole yica ibihumyo. Urukingo rumwe cyangwa eshanu, ingaruka kuri BV ni kimwe: ntacyo.

Diflucan ni izina ry'ubucuruzi rya fluconazole, bityo niba washakishije izina ry'ubucuruzi, igisubizo ni kimwe.

Kwifata kwa fluconazole ntibyari bibi. Byari gusa bidafite ingaruka kubyo ufite.

Urukingo rwa kabiri ntiruzabikemura: BV ni ibinyuguto, fluconazole ni urukingo rw'ibihumyo

Ikibazo gikunze kubazwa nyuma ni niba fluconazole ishobora kuvura BV niba wafashe urukingo rwa kabiri rwa 150 mg nyuma y'iminsi mike. Ntabwo ishobora. Antifungals azole akora mu kwangiza urubingo rw'ibinyuguto bya Candida n'ibindi bihumyo, kandi ibinyuguto ntibifite iyo ngingo. Nta kiranga kigomba kurwanywa.

BV ntabwo ari ikinyabuzima kimwe. Ni impinduka z'ibinyabuzima byinshi: ubwoko bwa Lactobacillus bukomeye buragabanuka kandi ibinyuguto nk'ibinyuguto bikwirakwira. Ni ikibazo cy'imiterere y'ibinyuguto.

Bityo, iyi ni imvuguruzwa y'ubwoko bw'urukingo, atari ikibazo cyo gutanga. Urukingo runini, urukingo rwasubiwemo, cyangwa igihe kirekire ntibishobora guhindura urukingo rw'ibihumyo rugakora nk'urukingo rw'ibinyuguto, nk'uko urukingo rw'ibinyuguto rutashobora gukiza ibibazo by'ibihumyo nk'umunaniro.

Impumuro cyangwa kwigana: BV n'ibibazo by'ibihumyo ntibikunda kugaragara kimwe

Ibimenyetso bya BV n'ibimenyetso by'ibihumyo byakunze gutandukanira kubintu bibiri: impumuro no kwigana. BV itera ibintu by'umuhondo cyangwa byera bisa n'amazi yoroshye bifite impumuro nk'ifi, kandi kwigana bikunda kuba byoroheje cyangwa ntibahari na gato. Umugezi ufite ibintu by'umweru bikomeye bisa n'amafunguro y'inka, kwigana bikomeye no gutwika, kandi udahumura cyane.

Iri tandukaniro ni ngombwa, ariko ntabwo ari ubuvuzi. Kwirora byishingikirije ku kwibeshya ni bidafite ikizere. Mu bantu bihanuze kandi bakivurije urukingo rw'ibihumyo rwo mu mbuga, 57.4% babonye uko bakira ibimenyetso ugereranije na 84.4% nyuma yo kumenya neza uko barwaye.

Gutera ibintu mu gitsina no gupima pH nibyo bizagena.

N'ibinyuguto gusa bivura BV, kandi uburyo bwo kuvura burihariye

Ibyukuri bivura bacterial vaginosis ni igihe gito cy'ibinyuguto, kandi amahitamo arahari neza. CDC Sexually Transmitted Infections Treatment Guidelines iravuga ko metronidazole yo mu kanwa 500 mg kabiri ku munsi mu gihe cy'iminsi irindwi, metronidazole mu gitsina 0.75% rimwe ku munsi mu gihe cy'iminsi itanu, cyangwa clindamycin cream mu gitsina 2% mbere yo kuryama mu gihe cy'iminsi irindwi, hamwe na tinidazole na secnidazole nk'ibindi amahitamo.

Iyo n'icyo kigo cyo muri 2021 cyagumye gikora, n'icyemezo cya 2020 ACOG vaginitis practice bulletin cyemejwe muri 2025. Buri kimwe muri ibi kigomba kugenwa n'umuganga. Nta rukingo rw'ibihumyo ruhari kuri uru rutonde.

Niba ushaka ko byagenzurwa vuba, August itanga guhana na muganga kuri murandasi ku mafaranga 39 aho umuganga wemewe muri Amerika agenzura ibimenyetso byawe kandi akaguha urukingo nibishoboka. Wibuke ko kuvugana na muganga kuri videwo bitashobora kugukorera ibizamini ku mubiri cyangwa kwipimisha igitsina, kandi muganga ashobora kukubwira ko ugomba kuza. Niba uri kugereranya amahitamo, twanamaze kandi gusuzuma ubuvuzi bw'iburanga BV kuri murandasi.

Niba wafashe fluconazole ya BV mu makosa, ntacyo wakozeho, wahagaze gutyo gusa

Niba wafashe fluconazole ya BV mu makosa, tangirira hano: ntacyo wakozeho. Urukingo rumwe rwa 150 mg rusanzwe rwihanganirwa. Ibyo wahuye nabyo ni igihe, atari ibice by'umubiri.

Abantu bamwe bavuga ko byagize icyo bifasha, kandi hari impamvu nyayo. BV n'ibibazo by'ibihumyo bishobora kuba icyarimwe. Fluconazole ishobora kuba yaravuyeho ibintu bya Candida byari byararutse, ni yo mpamvu kwigana kworoheje, mu gihe impumuro n'ibintu bya BV byakomeje bitavuwe.

Ntuzongere gufata. Gura ibizamini cyangwa ukoreshe ubugenzuzi, kandi niba BV yemejwe, fata urukingo rw'ibinyuguto. Vugana na muganga icyo wafashe n'igihe wabifashe, harimo n'imiti y'ibihumyo yo mu mbuga, kuko ubuvuzi bwa vuba buhindura uburyo ibisubizo byawe bisomwa. Bifasha kandi kumenya icyo buri serivisi ya BV kuri murandasi itanga mbere yo gutanga ikintu.

Kwibeshya ku buvuzi bifite igiciro: BV idavuwe si ikibazo cy'impumuro gusa

Kwihutira gufata fluconazole ya BV ntibiba byiza, kuko BV idavuwe ifite akaga gakomeye. Mu gihe cyo gutwita bifitanye isano n'akaga ko kwibaruka kare cyane, kandi hanze y'ubwo gutwita byongera ingorane zo kwandura indwara z'ibitsina, harimo na virusi itera SIDA. Impumuro ni ikimenyetso abantu babona. Ntabwo ari yo mpamvu yo kuvura.

Dore icyo imbuga nyinshi zitasobanura: ubuvuzi bukwiye ntibuba buri gihe burimo gutuma habaho ubuzima. Imitsi ni ubwoko bwa mbere bwemewe na FDA bwo kuvura BV, ariko 50% kugeza 80% by'abagore bagaruka mu gihe cy'amezi 6 kugeza 12 nyuma yo kurangiza urukingo. Ibyo ni byinshi, kandi ni yo mpamvu kwivuriza ibihumyo inshuro nyinshi bidakora kugeza kugeza igihe cyo kubona igisubizo, kandi bigakuraho imiterere ya kugaruka inshuro nyinshi umuganga akeneye kubona kugira ngo ahindure uburyo.

Igihe ibimenyetso bya BV bisaba muganga ubu, aho kugira urukingo rundi

Hamagara 911 cyangwa ugere ku cyumba cy'ibitaro byihutirwa ubu niba:

  • Ufite umuriro, guhumeka cyane, cyangwa ububabare bukabije mu gice cy'intugu cyangwa hasi mu nda hamwe n'ibintu, bishobora kugaragaza indwara yo kwanduza igitsina.

Fata gahunda yo gusura mu cyumweru gitaha niba:

  • Urafitwe kandi ufite ibintu by'abana cyangwa impumuro idasanzwe.
  • Ufite ikibazo cyo kubyara ibintu utari period, cyane cyane hamwe n'ububabare cyangwa impumuro mbi.
  • Ibyo bimenyetso byagaragaye nyuma yo kwisiramurwa kwa muganga, gusinzira kwa IUD, cyangwa kubyara.

Vugana na muganga mbere yo gutangira niba:

  • Ibyo bimenyetso bikomeje cyangwa byiyongera nyuma yo kurangiza urukingo rwose rw'ibinyuguto.
  • Urafitwe cyangwa utwite.
  • Iyi ni inshuro ya kabiri cyangwa ya gatatu uyu mwaka.

Ntube uhisemo icyiciro ubamo? August AI Symptom Checker y free ishobora kugufasha kumenya ubwihutirembere mbere yo guhitamo aho ujya.

Ibaza often

Ese imiti y'ibihumyo cyangwa cream yo mu iduka izafasha BV?

Oya. Ibintu by'ibinyuguto byo mu iduka nk'imiti ya miconazole na clotrimazole na suppositories ntibishobora kuvura BV kubera impamvu imwe fluconazole ihura nayo: bigamije ibihumyo, kandi BV ni ibinyuguto. Guhindura kuva ku gashya kugana ku kigwasi ntibihindura ubwoko bw'urukingo. Boric acid suppositories nayo ntabwo ari uburenganzira bwa mbere bwa CDC kuri BV.

Ese BV ishobora kwikiza ubwayo idakoresheje imiti?

Rimwe na rimwe. BV ishobora kwikiza mu bantu bamwe badafashijwe, ariko bikunze kugaruka, kandi gutegereza ntibiba byiza. Ubuvuzi burasabwa by'umwihariko mu gihe cyo gutwita no mbere yo kwisiramurwa kwa muganga, aho BV idavuwe ifite akaga kiyongera. Niba ufite ibimenyetso, fata ibizamini aho kwirora ko bizakira.

Ese mugenzi wanjye akeneye ubuvuzi kugira ngo ahagarike BV kugaruka?

Rimwe na rimwe, nubwo bitari bisanzwe. Ubushakashatsi bwakozwe muri 2025 bwerekanye ko gufasha abagabo bakundana hamwe na metronidazole yo mu kanwa hamwe na clindamycin yo mu gitsina byagabanyije kugaruka kuri 35% ugereranije na 63% mu minsi 12. CDC cyangwa ACOG ntibateganya kuvura abakundana buri gihe, bityo uzabibaze muganga aho kwirora ko bikubaho.

Nshobora kunywa inzoga mfata metronidazole ya BV?

Ntabwo bisanzwe. Kunywa inzoga hamwe na metronidazole cyangwa tinidazole bishobora gutera ingaruka za disulfiram-like: kwirabura, kuruka, umutwe, n'umutima uhinda. Inama isanzwe ni ukwirinda inzoga mugihe uri kuvurwa no muri igihe gito nyuma y'urukingo rwa nyuma. Vugana na muganga cyangwa farumasi wawe igihe iyo minsi irangirira ku buryo bwawe.

Birasa n'ikihe gihe nshobora gufata fluconazole nk'umugore utwite ntanzi niba ari BV cyangwa umugezi?

Ntabwo bisanzwe. Kwivuriza ibimenyetso byo mu gitsina mu gihe cyo gutwita ni ikosa aho uko waba ufite urukingo waba ufite. Kuko BV idavuwe ifitanye isano no kwibaruka kare, ibintu bidasanzwe mu gitsina cyangwa impumuro mu gihe cyo gutwita bisaba ko ugomba gusuzumwa vuba na muganga wawe, aho kwirora kuva mu ishami rya farumasi. Reka muganga amenye icyo ufite mbere.

Ibisobanuro by'inyuma kuri fluconazole na BV

Ese fluconazole ivura BV? Oya, kandi impamvu ni ubwoko bw'urukingo aho kuba urugero, bityo urukingo rwasubiwemo cyangwa igihe kirekire ntibizahindura ibyo. Menya neza icyo ufite nawe ufite n'ikizamini, hanyuma uvure hamwe n'ibinyuguto bikora: metronidazole, clindamycin, tinidazole, cyangwa secnidazole. Kugaruka ni kenshi ku buryo bikwiriye gukurikiranwa na muganga mu gihe aho kwivuriza buri gihe wenyine.

Ikinyotero: In Article iyi ni impamvu yo gutanga amakuru gusa kandi ntabwo ari icyo bivuga kugira inama kwa muganga. Komeza wize umuganga ufite ubushobozi kugira ngo amenye impamvu n'ubuvuzi. Niba ufite ikibazo cyihutirwa, hamagara 911 cyangwa ugere ku bitaro byihutirwa bya hafi.