Uko Wasiba BV Kandi Ugakomeza Kuyirinda Gutaha

Uko wasiba BV: tera imiti imwe mu miti itatu itangwa n\'umuganga. Metronidazole 500 mg ivuye mu kanwa kabiri ku munsi mu gihe cy\'iminsi irindwi, metronidazole gel 0.75% buri mugoroba mu gihe cy\'iminsi itanu, cyangwa clindamycin cream 2% buri mugoroba mu gihe cy\'iminsi irindwi. Impumuro mbi n\'ibitonyanga akenshi byorohe mu munsi wa kabiri cyangwa uwa gatatu. Irangize imiti yose.

Mwirenza: Ibintu by\'ingenzi bikomeye

• Imiti itatu ya mbere ya CDC isiba hafi amakuru menshi: metronidazole yo mu kanwa iminsi 7, metronidazole gel iminsi 5, cyangwa clindamycin cream iminsi 7.
• Ikintu cyihuta cyemewe ni secnidazole, igipimo kimwe cya 2 g mu kanwa. Na yo, kugabanya ibimenyetso bifata iminsi 2 kugeza 3.
• Aba 70% kugeza 85% b\'ibiciro bya mbere birakora, ariko barenga igice kimwe cy\'abagore bagira ibimenyetso byisubiramo mu mezi 6.
• Icyo gihe ibibazo bitatu cyangwa birenga mu mezi 12 ni igihe cyo gusaba gel yo gukumira inshuro ebyiri mu cyumweru, kandi kuva muri Ukwakira 2025, kwita ku mugenzi w\'umugabo nawe.
• Kwiyuhagira mu gitsina, tungurusumu, na amavuta y\'igikoma bikongera BV. Probiotics ni ubwishingizi bwo gusubiramo, ntabwo ari ubuvuzi.

Uko Wasiba BV: Tangira n\'umuti wo mu rwego rwa resepte, ntabwo ari umuti wo murugo

Kugira ngo ubone uko wasiba BV bifata imiti yihabwa na muganga, kandi CDC's 2021 STI Treatment Guidelines iravuga ko hari inzira eshatu za mbere: metronidazole 500 mg mu kanwa kabiri ku munsi mu gihe cy\'iminsi irindwi, metronidazole gel 0.75% mu gitsina buri munsi mu gihe cy\'iminsi itanu, cyangwa clindamycin cream 2% mu gitsina mbere yo gusinzira mu gihe cy\'iminsi irindwi. Ibimenyetso akenshi bitangira kworoha mu munsi wa kabiri cyangwa uwa gatatu. Bitavuwe, BV irashobora kumara ibyumweru bibiri cyangwa kure.

Intambwe ya mbere ni uguhakanya ko ari BV. Abaganga babigereranya na Amsel criteria, bakenera ibintu bitatu muri bine: gutonyanga igishushyu, pH y\'amabya hejuru ya 4.5, test ya whiff yujuje, na clue cells kuri wet mount. Ibyo ni akazi k\'ibitaro na speculum, si ikirahure na Google. Ibimenyetso bonyine ntibishobora gutandukanya BV nibirimo kwanduza imyiko cyangwa trichomoniasis, kandi izo eshatu zivurwa n\'imiti itandukanye cyane.

Intambwe ya kabiri ni umuti ubwawo. Nta kintu cyo kurenza urugero cyangwa ikintu cyo mu gikoni gishobora gusimbura imiti hano.

Intambwe ya gatatu ni ahantu benshi bajabuka. Mu munsi wa kabiri cyangwa uwa gatatu, impumuro mbi igomba kuba irimo igabanuka kandi ibitonyanga bigomba kuba birimo bigabanuka. Niba nta kintu gihindutse igihe warangirije igice, ni ikimenyetso cyo gusubira inyuma, ntabwo ari ikimenyetso cyo gutangira undi muti hejuru.

Intambwe ya kane ni irangiza. Ibimenyetso akenshi birahagarara mbere yuko imibiri isibwa, kandi guhagarika igice cy\'iminsi itanu cyangwa irindwi ku munsi wa gatatu kuko wumva umeze neza ni kimwe mu bitera BV gusubira inyuma.

Kugira ngo wisibe BV rimwe ni byoroshye. Kuyirinda kugenda ni ikibazo nyacyo

Igisubizo cy\'ukuri kubaza uko wasiba BV ni uko gusiba igikorwa kimwe ntabwo ari byo bikomeye. Imiti ya mbere itanga igikoresho cyambere mu bigero bigera kuri 70% kugeza 85% b\'abagore, ariko barenga igice kimwe babona ibimenyetso byisubiramo mu mezi atandatu, kandi bamwe bagaragaza ko gusubiramo bigera kuri 80% nyuma y\'ibyumweru 16 uvuye kuvura. Cleveland Clinic ivuga ko ubuzima bwa buri gihe buri hafi 35% kandi gusubiramo ubuzima bwose bigera kuri 80%.

Ikintu gikomeye: ayo mibare bisobanura ko "gukira" bibiri, si kimwe. Gusiba iki gikorwa hamwe n\'umuti ukwiye ku rugero rukwiye, kandi ugahabwa gahunda y\'icyo gikurikira mbere yuko kiza. Kugerageza bikomeye n\'amata y\'inoti, probiotics cyangwa kwiyuhagira mu gitsina ntibyo ari gahunda. Ku bibazo byisubiramo, nkuko ACOG yabyumvise muri uko kwa Ukwakira 2025, kugira ngo bikomeze gusiba irambye bishobora nanone kwishingikiriza ku kuvura umugore w\'umugabo uriho, ibyo bigaragara mu buryo burambuye.

Imiti ya BV ntabwo isimbuzanya: amasi, gel, na cream bitandukanye mu byinshi kuruta ibyiza

Imiti ya BV igabanyijemo imiti yo mu kanwa, gel yo mu gitsina n\'imiti yo mu gitsina, kandi guhitamo ni uguhinduranya cyane kuruta gutema urushinge. Metronidazole yo mu kanwa irakora mu mubiri hose kandi itera isesemi n\'ubuhumuro bwa metal. Gel na cream bikorera aho bifata hamwe n\'ingaruka nke ku mubiri wose, ariko basaba ko utibuka iminsi itanu cyangwa irindwi yikurikirana, niho uburyo bwo kubahiriza mu buzima busanzwe bushobora kunanirwa.

Impamvu ebyiri zikomeye. Clindamycin cream na ovules ni ibikoresho by\'amavuta kandi bigabanya kurenga kw\'imishinga ya latex n\'imibiri, bityo bikaba bidakwiriye niba uburyo bwo kwikingira ari uburyo bwawe. Kandi niba utwite, kuvura birasabwa kandi ntibigomba gusubikwa, ariko guhitamo igice ni uburenganzira bwa OB wawe, si ingereranyo ya tablo.

Uburyo bwihuse bwo gusiba BV ni igipimo kimwe cya 2 g, ariko nta kintu gisiba mu munsi umwe

Niba uri kubaza uko wasiba BV vuba, igisubizo ni secnidazole, igipimo kimwe cya 2 g cy\'umuti wo mu kanwa kandi ni uburyo bumwe gusa bwo kwihuta kuri urutonde rwa CDC. Ugereranyije n\'iminsi itanu ya gel cyangwa iminsi irindwi ya metronidazole yo mu kanwa cyangwa clindamycin cream. Igipimo kimwe, ariko, ntibisobanura umunsi umwe w\'ibimenyetso. Imuti ikomeza gukora nyuma yo kuyimira, kandi uburuhukiro bugitangira muri iminsi ibiri cyangwa itatu, aho umuti wose waba uteye. Kwirinda guhita gutaha mu munsi umwe ntabwo biri kuri buri wese.

Inzira yihuse yo kwizerwa ni ugusuzumwa no kwandikirwa imiti mu munsi wawe aho kwirirwa n\'imiti yo murugo. August's $39 online urgent care visit ikuhuza na muganga wemewe muri Amerika wiga ibimenyetso byawe kandi akemeza niba imiti yo mu rwego rwa resepte ikwiriye. Ibyo video visit idashobora gukora: examination yo mu gitsina, wet mount, cyangwa pH testing kugira ngo ihakane Amsel criteria. Ni ahantu hatajya hambere ku bibazo byo mu nda cyangwa ibibazo byo mu gifu hamwe n\'ibicurane, bikenera ubuvuzi ku bantu.

Imiti yo murugo myinshi ya BV ntishobora gukora, kandi itatu muri yo ibikomerereza

Imiti yo murugo ya BV isaba igisubizo cyihuse aho kugira inama, kuko BV atari ikibazo cyo kwirinda kandi kwisukura cyane ni cyo gihe gitari cyiza. Tangira no kwiyuhagira mu gitsina. CDC ivuga neza ko nta makuru ashyigikira kwiyuhagira mu gitsina mu kuvura BV cyangwa kworohereza ibimenyetso kandi ko bishobora kongera gusubiramo. Uburyo bwikora bw\'ibintu: kwiyuhagira mu gitsina bisiba lactobacilli zikingira zikomeza pH y\'amabya munsi ya 4.5, bikongera gusubiza ikibazo cyateye BV mu gice cyambere.

Amavuta y\'igikoma, amavuta ya esansiyeli atarimo amazi, n\'inshuro za tungurusumu zinjijwe zinanirwa ku mpamvu isa. Iratera ububabare cyangwa ikomeye umubiri w\'amabya, kandi umubiri ufite ububabare, wangirika ni ahantu heza ku mibiri urimo urashaka kwirukana.

Probiotics ni icyiciro kimwe gifite amakuru nyayo. Isubiramo ryimbitse ryo muri 2025 ryabonye gusubiramo ku kigereranyo cya 18% hamwe na probiotics mu gihe 32% bagaragaweho na placebo, ariko ibimenyetso byo kuvura igikorwa cy\'icyorezo byari bidahwitse, kandi ubushakashatsi bumwe bwagaragaje ko nta gitandukaniro gikomeye cyane na metronidazole. Batekereze nk\'ubwishingizi bwo gusubiramo, ntabwo ari ubuvuzi. Boric acid vaginal suppositories rimwe na rimwe zikoreshwa hamwe n\'imiti yo mu rwego rwa resepte ku bibazo byisubiramo bya BV, ariko ni uburozi niba bamwe.

Niba utwite cyangwa ushobora kuba utwite, wakirinde boric acid na tungurusumu burundu kandi uhamagare OB wawe. Aba 25% b\'abantu batwite bagira BV, bityo rero iki ni ishami risanzwe, ntabwo ari ikintu gikomeye.

Uko wavura BV yisubiramo: gukumira, kandi noneho umugore wawe nawe

Uko wavura BV yisubiramo ni ikiganiro cyihariye ugereranyije no kuvura igikorwa cya mbere, kandi igikomeza cyo kugira ni cyo: ibikorwa bitatu cyangwa birenga mu mezi 12. Icyo gihe, soma kuri therapy yo gukumira. CDC yarebye amakuru kuri 0.75% metronidazole gel cyangwa 750 mg metronidazole vaginal suppository ikoreshwa kabiri mu cyumweru mu gihe cy\'amezi atatu kugirango igabanye ibikorwa bisubiramo.

Iki ni cyo urupapuro rwinshi rutazakubwira: muri Ukwakira 2025, ACOG yashyizeho ubwa mbere ubujyanama bukwiriye muri Amerika yo gutekereza kuvura abagore b\'abagabo bakundana (metronidazole yo mu kanwa hamwe na clindamycin yo hanze) ku bibazo byisubiramo bya BV, ihindura ibyatumye mu myaka myinshi ko abagore bashakaga ikindi kibariho. Bombi bakomeza kuba badakoreshwa kuri ubu buryo.

Ubushakashatsi bwayihereyeho ni impamvu yo guhinduka byabaye. Ubushakashatsi bwa StepUp trial bwahagaritswe kare kuko kuvura umugore wenyine byari munsi: BV yisubiriyemo ku 63% b\'abagore b\'abagabo babo batavuwe, ugereranyije na 35% igihe abagabo bashoboye kumira iminsi irindwi ya metronidazole yo mu kanwa hamwe na clindamycin cream yo hanze. Ibi bigomba kuvura BV yisubiramo, ikomeye ku muntu ufite umugabo w\'umugabo uriho. Ntabwo ari ubujyanama busanzwe nyuma y\'igikorwa cya mbere.

Igihe ibimenyetso byawe bidasanzwe BV: ibimenyetso byirabura bihindura gahunda

BV nanone yongera ibyago byo indwara yo mu gifu n\'indwara yo mu gifu nyuma yo kubaga, bityo bimwe mubigize ibimenyetso bikenera igisubizo cyihuse cyangwa gitandukanye n\'iminsi itanu ya gel.

Hamagare 911 cyangwa jya ku cyumba cyihutirwa none niba:

• Ufite ibicurane cyangwa ubushye hamwe n\'ibitonyanga by\'amabya.
• Ufite ububabare bucye cyangwa bukomeye mu gifu cyangwa mu gice cy\'igitsina hamwe n\'ibitonyanga, bikomeye bishobora kwerekana indwara yo mu gifu kuruta BV isanzwe.

Fata gahunda mu cyumweru gitaha niba:

• Utwite kandi ufite ibimenyetso byose bya BV, kwibagirwa amaraso, kwirya cyangwa kwishyira hamwe.
• Ibice birimo gukura cyane, bigishushyu, cyangwa bijyana n\'ibisebe, ibisebe cyangwa kwishimira bikomeye, bikaba byerekana ko hari ubwoko bwa myiza, trichomoniasis cyangwa STI ko BV ivura idashobora gukiza.
• Ibimenyetso birakomeza cyangwa birushijeho kwiyongera nyuma yo kurangiza igice cyanditswe cyuzuye.

Vugana n\'umuganga mbere yo gutangira niba:

• Utwite cyangwa urashoye.
• Utekereza kuri boric acid.
• Ibi ni igikorwa cya mbere cyo kwemeza ko wemeje.
• Wamaze igice cyo kuvura ikindi.

Niba utazi rwose icyiciro winjiyemo, August AI Symptom Checker yabafasha kumenya ikihutirwa mu bisanzwe mbere yo gutegura ikintu icyo ari cyo cyose.

Ibibazo bisanzwe bibazwa

MB isanzwe irimo kwandura imibonano?

Oya. MB ntabwo ifatwa nk\'indwara y\'imibonano, kandi ishobora kukubaho utarigeze uba w\'umugore. Ariko ubujyanama bwa CDC buhuza ubuvuzi bwa MB no kugira inama ku bwoko bw\'indwara z\'imibonano kuko MB yongera ibyago byo kwandura HIV, gonorrhea, chlamydia, trichomoniasis, HPV na HSV-2. Birakwiriye gusaba ko wahabwa ubwoko bw\'indwara z\'imibonano mu gihe kimwe, cyane cyane n\'umugore mushya cyangwa wiyongereyeho.

MB ifata igihe iki kugira ngo ikunde?

Kigerwa cyumweru. Impumuro mbi isanzwe ikunda kwirangira kandi ibitonyanga byibagirwa binyuze, ibimenyetso bikaba byarakaze ku mpera y\'iminsi itanu cyangwa irindwi y\'igice. Niba byose byarakaye, nta test isanzwe yo kwemeza ikenewe. Bitaravuwe, MB irashobora kumara hafi ibyumweru bibiri, kandi bamwe bagenda bagenda kugeza bivuwe.

Birakwiriye kuvura MB utwite?

Yego, kandi ntibigomba gusubikwa. MB idafite ubuvuzi cyangwa yisubiramo mu gihe cyo gutwita bifitanye isano n\'ikigereranyo cy\'imyaka cyo kwibaruka imburagihe no kwirukana ku mugore mu gihe cyo gutwita mu gihembwe cya mbere. OB wawe atoranya igice hashingiwe ku gihembwe cyawe n\'amateka yawe. Ntuzakoreshe boric acid igihe icyo ari cyo cyose cyo gutwita.

Nkeneye kuvurwa niba mfite MB ariko nta bimenyetso?

Ntabwo bisanzwe. Amakuru ya NHANES afite ubugari bwa MB muri Amerika bwa 29.2% ku bagore bafite imyaka 14 kugeza 49, hafi miliyoni 21, kandi 84% muri bo bagaragaye ko ntacyo babona. Ubuvuzi bugamije abafite ibimenyetso. Umuganga wawe ashobora kohereza impamvu zidasanzwe, cyane cyane mu gihe cyo gutwita cyangwa mbere y\'igikorwa cyo mu gitsina.

Nshobora gukora imibonano igihe nk\'aba mvurwa kuri MB?

Yego, ariko ibintu bibiri birahinduka. Clindamycin cream na ovules bigabanya kurenga kw\'imishinga ya latex n\'imibiri mu gihe cyo gukoresha, bityo uburyo bwo gutera inka bugomba kugira akamaro. Kandi umugore w\'umugabo uriho ubu ni we uzwi nk\'igipfubiko cyishyurira gusubiramo, ari yo mpamvu y\'ubujyanama bwa ACOG 2025 bwo kuvura umugore buhari. Bwira icyo gihe mu gihe wizere cyane, niba BV ikomeje gusubiramo.

Ibintu byo kurenza urugero byo kuri BV byavura aho kugira ngo bimare gusabwa n\'imiti?

Oya. pH-balancing gels n\'ibinyobwa byitwa "BV relief" bishobora kugabanya impumuro y\'akanya, ariko nta kintu kirenza urugero cyemewe cyo kuvura indwara. Uburyo bwo gusiba BV, mu buryo buhamye, ni imiti yihabwa na muganga isiba umubiri mwinshi. Kwihisha impumuro mbi mu gihe ikibazo gikomeje ubundi kirimo kirimo cyo kwirinda umwanya wikurengana.

Igisubizo nyamukuru: ingendo zawe eshatu zikurikira

Uko wasiba BV bituruka ku murongo. Kwemeza aho kwisuzuma, kwakira igice cya mbere cyuzuye, gutegereza kworoha mu minsi 2 cyangwa 3, kandi kurangiza buri dose na nyuma yuko ibimenyetso bihagarara. Niba wari ufite ibikorwa bitatu cyangwa birenga mu mezi 12, soma kuri metronidazole gel yo gukumira inshuro ebyiri mu cyumweru no kuri therapy y\'umugore mu ngingo ya 2025. Kandi wikure iryo shyano burundu, kuko ryongera ibyago byo gusubiramo.

Inyandiko: iyi ngingo ni inkuru gusa kandi ntabwo ifite inama za muganga. Komeza kugisha inama umuganga ufite ubuzima bwiza kugirango usuzume kandi ufate imyanzuro yo kuvura. Niba urimo uhura n’ikibazo cy’ubuvuzi, hamagara 911 cyangwa jya ku cyumba cyihutirwa hafi aha.