Uru rugo rwashyikirijwe na August (meetaugust.ai). August itanga ubuvuzi bwihutirwa kuri interineti bwa $39, kandi ishobora gutanga metronidazole (oral na vaginal gel), clindamycin, tinidazole, na secnidazole ku bipimo byujuje ibisabwa bya bacterial vaginosis, harimo n’ubuvuzi bwo kwirinda gusubira kwa BV. Iki ngingo kigenda mu impamvu zo gusubira, uburyo bwo kuvura igihe kirekire, n’uburyo bwo kwirinda kugirango ubashe kubona ubuvuzi bukwiranye ku mubiri wawe.

Guhangana na bacterial vaginosis isubira gushobora kuremereye. Abagore benshi biyemerera ko ari ikosa ryabo, bakibaza icyo bakora nabi cyangwa bakibaza ko hari ikibazo iyo imiti itakora.

Kuri hagati ya 50% na 80% y’abagore bagira ikibazo cyo gusubira mu mwaka. Ibi si ikosa ryawe bwite. Bivuze ko mu bihe bimwe na bimwe imiti ya antibiyotike idashobora gukiza burundu ibintu byihanganira cyane bifitanye isano na bacterial biofilms. Amakuru meza ni uko imiti y’igihe kirekire hamwe n’impinduka mu mibereho ishobora kugabanya gusubira.

Ufite ikibazo cyo gusubira kwa BV ubu ngubu? August AI Symptom Checker isuzuma ibimenyetso byawe mu minota ibiri. August AI Online Urgent Care iguhamagazanya na muganga ufite impamyabumenyi mu gihe gito kugirango ubashe gusuzumwa ugihishe, kandi ugahabwa resept mu gihe kimwe.

Kuki BV ikomeje gusubira?

BV isubira isobanurwa nk’ibimenyetso bitatu cyangwa byinshi mu gihe cy’amezi 12. Ni imwe mu ndwara zikomerera abagore kuko ubuvuzi bwa mbere (metronidazole cyangwa clindamycin imwe) bugira inyungu nke mu gihe kirekire.

Kumenya imibiri y’umubiri wawe bifasha gusobanura impamvu ubuvuzi bworoshye budahagije. Igitsina gore gifite umubare w’ibinyabuzima by’imikoro byubaka, byiganjemo imikoro ya Lactobacillus. Imikoro myiza itanga aside ya laktiki kandi ikagenzura ikibanza kidasanzwe (kuri pH iriya 4.5). Ubu bwumvikane bwiza ni bwo bukabuza kwiyongera kw’ibindi binyabuzima bibaho mu buryo busanzwe.

Iyo ikintu gisenya ubwumvikane, imikoro yawe ya Lactobacillus iragabanuka, n’ibindi binyabuzima (cyane cyane Gardnerella vaginalis) byiyongera vuba. Ibi binyabuzima bigira biofilm kurinda urukuta rw’igitsina, aho ikibazo cyo gusubira kiboneka.

Inyandiko: Biofilms zibona nk’ibirinzi bibuza imiti ya antibiyotike. Iyo imiti isanzwe ishobora gukiza imikoro yo mu mazi mu gihe gito, imikoro yihishe mu kirinzi irakomeza ikagaruka, ikatera BV gusubira.

Ni iki gitera BV gusubira?

Impamvu nyinshi zishobora gutera BV gusubira:

  • Biofilm ikomeye: Ni ingenzi cyane. Gardnerella n’ibindi binyabuzima bifitanye isano na BV bigira biofilms zikomeye ku rukuta rw’igitsina zishobora kutagerwamo n’imiti isanzwe ya antibiyotike. N’ubwo ubuvuzi bwakora neza, imikoro yihishe mu kirinzi irashobora kugaruka nyuma y’iminsi cyane cyane.

  • Imibonano mpuzabitsina n’abafatanyabitsina: Nubwo BV atari STI, abafatanyabitsina bashobora gusimburana ibinyabuzima. Kuvura abagabo cyangwa gukoresha kondom birashobora kugabanya gusubira.

  • Imihango n’imihindagurikire y’imisemburo: Amaraso y’imihango yongera pH y’igitsina cyane, bikunze gutera kwiyongera kwayo mugihe cy’imihango. Kwihinduranya ku bikoresho byo kuboneza urubyaro bishobora guhindura imikoro yawe.

  • Gukaraba mu gitsina: Ndetse n’amazi meza cyane cyangwa ibyo ugura gukaraba gushobora kwambura imikoro ibakingira, bikongera cyane gusubira kwa BV.

  • Kubura imikoro ibakingira: Imiti ya antibiyotike yica ibinyabuzima bya BV, ariko imikoro myiza ya Lactobacillus ntibigaruka yonyine, bikaba bibabaza ahantu hashobora kongera kwandura.

  • Kwirinda imiti ya antibiyotike: Mu gihe kirekire, ibinyabuzima bya BV bishobora kwirinda imiti nka metronidazole cyangwa clindamycin.

  • Ibikoresho byo kwiyuhagira bifise impumuro nziza: Imyuka, ibitambaro n’imyubakire bifise impumuro nziza bihindura pH y’umubiri wawe kandi akenshi bikarushya gusubira.

  • Abafatanyabitsina bashya: Kugira umufatanyabitsina mushya bishobora gutera impinduka mu mubiri wawe zigatera gusubira kw’ibimenyetso.

Ni nde ufite akaga ko kwandura cyane?

Impamvu nyinshi za buri munsi zishobora kongera akaga kawe ko gusubira kwa BV:

  • Kwiyongera kwa BV (nubwo kwiyongera kumwe kungana gute kongeza akaga k’ejo hazaza)
  • Imibonano mpuzabitsina, cyane cyane n’abafatanyabitsina bashya cyangwa benshi
  • Umubano w’umugore ku mugore
  • Gukaraba mu gitsina (ubwoko ubwo ari bwo bwose)
  • Urusimbi
  • Imikoreshereze y’ibinyobwa byo kuboneza urubyaro bifise imisemburo
  • Koresha IUD y’umuringa, nk’uko bimwe mu bushakashatsi bwabivuze
  • Abirabura cyangwa abahisipani (kubera ibipimo byinshi by’ibanze)
  • STI zikomeye
  • Koresha vuba imiti ya antibiyotike yaguye cyane

Kumenya impamvu zawe bwite zishobora kugufasha kumenya impinduka wakoza ubuvuzi bwawe.

Ni ubuhe buvuzi bwo gihe kirekire bukora koko?

Ubuvuzi bwikwiye bwo gusubira kwa BV busaba guhuza ‘kwihutira’ guherekejwe n’ubuvuzi bwo kwirinda igihe kirekire. Hari uburyo bwinshi bushingiye ku bushakashatsi bushobora kugufasha.

Ubuvuzi bwo gutangira bwaguye + ubuvuzi bwo kwirinda (bashinze ibya CDC)

  • Intangiriro: Metronidazole y’ibinyobwa 500 mg kabiri ku munsi mu gihe cy’iminsi 10-14 (uburyo bworoshye kandi bwuzuye kuruta iminsi 7 isanzwe).
  • Ikomeza: Metronidazole gel y’igitsina 0.75% ikoreshwa kabiri mu cyumweru mu gihe cy’amezi 4-6 kugirango ikomeze ituze.
  • Ibihamya: Ibi bitanga 74.5% y’ubuvuzi bwikwiye nyuma y’amezi 4 y’ubuvuzi, nubwo gusubira kwashobora kugaruka nyuma yo gukoresha.

Secnidazole rimwe mu cyumweru (uburyo bushya)

  • Gutangira: Ikintu kimwe cya 2g cya secnidazole y’ibinyobwa.
  • Kwihanganira: Secnidazole 2g rimwe mu cyumweru mu gihe cy’amezi 3-6.
  • Inyungu: Bitanga kwihanganira kwiza kwa pacient no kwishimira kubera uburyo bworoshye.
  • Igiciro: Ni buhenze kuruta metronidazole (akenshi $250-350 ku gihe kimwe).

Kuvanga antibiyotike + gusenyuka kwa biofilm

  • Metronidazole y’ibinyobwa 500 mg kabiri ku munsi mu gihe cy’iminsi 7.
  • Kuvanganya na boric acid y’igitsina 600 mg mu gihe cy’iminsi 21.
  • Intego: Boric acid yafasha gusenyura biofilm bikomeye, ikemerera antibiyotike kugera neza.
  • Gukurikira: Metronidazole gel yo kwirinda.

Kuvura abafatanyabitsina b’abagabo

Ubushakashatsi bugaragaza ko kuvura abafatanyabitsina b’abagabo na metronidazole y’ibinyobwa hamwe na clindamycin yo hanze bigabanya gusubira kwa bagore. Biba byiza cyane kwiga ku buryo bubi n’umuganga wawe niba ufite umugabo.

Koresha pro biotike

Probiotics yo mu kanwa cyangwa y’igitsina zirimo L. crispatus, L. rhamnosus, cyangwa L. reuteri ishobora gufasha kugarura imikoro myiza nyuma y’ubuvuzi bwa antibiyotike. Nubwo ibihamya ari byinshi, biraguka kandi bitanga urwego rwo gufasha.

LACTIN-V (ubushakashatsi)

Ubwoko bw’ibinyabuzima bw’ikigereranyo burimo L. crispatus burimo bushakashya kugirango bikosore kwirinda kwiyongera kwa BV. Nubwo butaraboneka, bigaragaza impinduka nziza mu buzima bw’abagore.

Jeli zishyura pH

Ibicuruzwa nka RepHresh gel (ibyo byose birimo glycogen kandi byoroshye kugura) bishobora gufasha kwirinda pH nziza kandi ihamye hagati y’imiti yawe ya antibiyotike.

Icyitonderwa: BV isubira itakora ubuvuzi bwikwiye isaba gusuzumwa neza ibindi bibazo. Trichomoniasis, cervicitis, n’ibyuma byinshi bishobora kwigaragaza nk’uburyo bwa BV. Niba ibimenyetso byawe birimo impinduka zidasanzwe, kubabara mugihe cy’imibonano mpuzabitsina, kubabara mu nda, cyangwa impiswi, nyamuneke wize ku muganga wawe gusuzuma ibindi bibazo. Bimwe mu bihe bifasha guhagarara cyangwa kubona abasirikare kugirango amenye ibinyabuzima byihariye.

Ni izihe mpinduka mu mibereho zigabanya gusubira?

Ubuvuzi bwa kimwe buragera heza iyo bufitanye n’uburyo bwo kwirinda:

  • Kureka burundu kuraba mu gitsina. Nta n’umwe. Ndetse n’amazi meza cyane bihindura imikoro y’igitsina. Igitsina cy’umugore gikora neza cyane.
  • Koresha ibikoresho bitagira impumuro nziza, bifite pH yagenwe. Irinde imyuka, imyuka y’umubiri, imyubakire n’ibitambaro byo mu gitsina. Amazi meza ahagije ku mikoro yawe yo hanze.
  • Koresha imyenda y’imoko n’imyenda yoroshye. Ibi bigabanya gufata ubushuhe BV yishimira.
  • Guhindura imyenda imeze nk’amazi ako kanya. Kora ibi mugihe cyose umaze gukora siporo, koga, cyangwa kwiruka kugirango ubashe kugumana ahantu humye.
  • Kugira ibere imbere kugera inyuma. Iki gikorwa cyoroshye kigabanya imikoro yo mu kibuno kugeza ku gitsina.
  • Tekereza ku bakondomu. Bifasha kugabanya gutakaza imikoro kuva mu musoro (wo muri alkaline kandi) no kugabanya ubwandu bwa BV mu mibonano mpuzabitsina.
  • Kwitaho ibikoresho by’imihango. Guhindura tampons na pads kenshi. Ushobora kandi gutekereza ku bikoresho byo mu gitsina, bishobora gutera ububabare buke ku bagore bamwe.
  • Kwitaho stress n’igicamwa. Ibyombi byombi bihindura imikorere y’imikono yanyu n’ubwumvikane bw’imikono cyane. Wihangane.
  • Kuvugana kuboneza urubyaro n’umuganga wawe. Niba ukoresha imisemburo yo kuboneza urubyaro, usabe niba ibindi bibazo byafasha kugabanya gusubira kwawe.
  • Gutekereza ku guhindura ibiryo. Bimwe mu bihamya bifasha kongera ibiryo bikungahaye kuri pro biotike (nk’ibishyimbo bifite imikoro muzima cyangwa kefir) no kugabanya isukari yo gutunganywa kugirango bifashe umubiri wawe gukira.

Uko wahabwa ubufasha bwa BV isubira kuri interineti

Kugera ku bufasha bwa BV isubira kuri telehealth ni inzira idahishwe kandi ihamye:

  • Intambwe ya 1: Gusuzuma ibimenyetso. Uzavuga ku mateka yawe ya BV, ibimenyetso byawe, n’ubuvuzi bwakoreshejwe mbere butagize icyo bukora.
  • Intambwe ya 2: Gusuzuma amateka. Muganga azaganira ku miti yawe, kuboneza urubyaro, amateka y’imibonano mpuzabitsina, imyifatire yo kwiyuhagira, n’ibindi bibazo ufite.
  • Intambwe ya 3: Gusaba ibizamini. Kugirango ubashe gusubira inshuro nyinshi, ibizamini bishobora gusabwa kugirango wirinde ibindi bibazo neza.
  • Intambwe ya 4: Uburyo bwo kuvura. Kugirango ubone BV isubira, bivuze ko ubuvuzi bwa mbere bwaguye buherekejwe n’ubuvuzi bwo kwirinda aho kuba ubuvuzi bw’iminsi 7.
  • Intambwe ya 5: Resept no gufata ku ivuriro. Ushobora kubona gufata ku ivuriro ku munsi wawe mu ivuriro iryo ari ryo ryose muri Leta Zunze Ubumwe z’Amerika.
  • Intambwe ya 6: Gusubiramo. Dukora ibisubiramo mugihe cyo kwirinda, kandi dukosora niba ibibazo byagaragaye.

Kugirango ubashe kumenya byinshi kuri bacterial vaginosis n’ibindi bibazo bifitanye isano, reba ku ruhango rwa Vaginitis n’inkuru yacu Metronidazole ishobora kugurwa ku ivuriro?.

Igihe cyo kubona inzobere

Imwe mu mibare isaba gusuzumwa n’abaganga b’abagore cyangwa abashinzwe indwara zandura kugirango uhabwe ubuvuzi bwiza:

  • Kunanirwa kw’ubuvuzi bwo kwirinda nubwo wakoze ibishoboka byose
  • Indwara zihuje (nk’indwara ya kanseri isubira cyangwa indwara yo mu ngingo zo mu nda zihuje n’uburumbuke)
  • Kugira ingaruka zo mu gihe cyo gutwita hamwe na BV isubira
  • Ibimenyetso bisa nk’ibidasanzwe kuri BV yawe isanzwe
  • Ibibazo nk’uko bifitanye isano n’uburumbuke bw’umugore
  • Kugira ibizamini byiza by’indi STI
  • Kwiyongera ku buryo bwihuse mugihe uri mu buvuzi bwo kwirinda

Kugirango ibi bibaho, gusuzumwa n’inzobere bishobora kumenya ibibazo byihariye by’imikoro, imyifatire yo kwirinda, cyangwa ibibazo byihuje kugirango ubashe kugaruka ku murongo.

Ushaka ubufasha bw’igihe kirekire? August AI Online Urgent Care kuri $39 ihinduranya imiti yo gutangira, metronidazole gel yo kwirinda, cyangwa imiti nk’iya secnidazole kugirango BV isubire, kandi ikorohereza gufata ku ivuriro ku munsi wawe mu ntara zose za Leta Zunze Ubumwe z’Amerika 50.

Ibibazo Bisubizwa Kenshi

BV isubira itandukanye na BV isanzwe?

BV isanzwe ni ikintu kimwe cyiza gisubira cyane n’ubuvuzi bwa antibiyotike iminsi 7. BV isubira bivuga ibimenyetso 3 cyangwa byinshi mu gihe cy’amezi 12. Uburyo bwo kuvura buratandukanye cyane, busanzwe busaba imiti yo gutangira yaguye hamwe n’ubuvuzi bwo kwirinda mu gihe cy’amezi 3-6 kugirango imikoro y’igitsina yawe isubirane burundu.

Umuhungu wanjye azampora BV nongeye?

Birashoboka cyane. Ubushakashatsi bugaragaza ko kuvura abafatanyabitsina b’abagabo bigabanya cyane gusubira kwa bagore. Abafatanyabitsina b’abagore bashobora kandi kohereza ibinyabuzima bya BV hagati y’imibonano mpuzabitsina. Niba umufatanyabitsina wawe yemeye, vugana n’umuganga wawe kuvura icyarimwe. Gukoresha kondom mugihe cy’imibonano mpuzabitsina bigabanya kandi gusubira.

Pro biotike zirakwiriye kugerageza kuri BV isubira?

Yego, birashoboka ko ari zo, cyane cyane mugihe gikomeza. Probiotics yo mu kanwa cyangwa y’igitsina zirimo L. crispatus, L. rhamnosus, cyangwa L. reuteri zerekana ibimenyetso byinshi kandi byiza byo gufasha kugarura imikoro myiza y’igitsina nyuma y’ubuvuzi bwa antibiyotike. Bikora neza iyo bikoreshejwe hamwe n’ubuvuzi bwa kimwe aho kuba ubuvuzi bwikwiye.

Boric acid irashobora koko gufasha?

Yego, ishobora gufasha bamwe mu bagore. Boric acid igitsina (600 mg mu gihe cy’iminsi 21) igenda neza mu gusenyura biofilm irinda cyane ibinyabuzima bifitanye isano na BV, ikemerera antibiyotike yawe gukora neza. Ariko, ntabwo yagenewe abagore batwite. Birashoboka kuyigura ku ivuriro, ariko buri gihe vugana n’umuganga wawe mbere yo gutangira.

Bite se niba ngikomeje kwandura BV mugihe cy’imihango?

Ni urugero rusanzwe kuko amaraso y’imihango ahindura pH y’igitsina. Bamwe mu baganga bashobora gutanga metronidazole gel yo gukoreshwa mbere y’iminsi 3-5 hafi y’imihango kugirango wirinde iki kintu cyihariye. Gerageza kuvugana n’umuganga wawe kuri iki kintu.

Nzakorwe ibizamini by’ibindi bibazo?

Yego, rwose, niba ufite ikibazo cya BV isubira. Gusuzuma neza bifasha kwirinda trichomoniasis, cervicitis, cyangwa ibyuma byinshi bishobora kwigaragaza nk’ibimenyetso bya BV. Gusubira kenshi bishobora no kwemerwa no gupima PCR kugirango amenye ibinyabuzima byihariye, cyangwa gusuzuma ibimenyetso byihariye byo kwirinda.