Kurapa kwepamba paInternet kweBV kwakanaka kwazvo kwechiitiko chekutanga ndicho chero mushandi ane rezinesi anotendera maantibhayotiki eCDC ekutanga nekukurumidza uye nemutengo wakaderera, nekuti mishonga yacho yakafanana kwese kwese. Wisp parizvino inopa mutengo wakaderera uye nguva pfupi yekutendeuka. Kana wakambova nezviitiko zvitatu kana kupfuura mumwedzi gumi nemiviri, mushonga wekamwe chete hausi mutengo wakakodzera.
TL;DR: Zvinhu zvakakosha zvinofanirwa kuyeukwa
- Vashandi vese vane mukurumbira vanopa maantibhayotiki akafanana eCDC ekutanga, saka kune chiitiko chekutanga sarudzo inoenderana nemutengo wakazara uye kuti ungasvika sei mushonga nekukurumidza.
- Mazhinji ekuongorora kwekurapa kweBV paInternet anoongorora mari yekushanya chete. Mushonga, kutumira, uye zvimwe zvinhu ndipo panopinda mari chaicho.
- Zviitiko zvitatu kana kupfuura zvine zviratidzo mumwedzi gumi nemiviri zvinoreva BV inodzoka zvakare, uye ndipo paunofanira kurega kutenga mishonga yekamwe chete.
- Kuwana kurapwa kweBV paInternet kunoenderana nerezinesi renyika: Evvy haina kuwanikwa mudunhu nenyika gumi ne nhanhatu, Bidwell Health inoshanda munyika gumi neimwe, uye Wisp haizivise kuvharwa pane yayo peji rechigadzirwa.
- Hapana kushanya kwepamba paInternet kunogona kuita bvunzo yechibereko, microscopy, bvunzo yePH yemukadzi, kana bvunzo yeSTI. Chiremba anoramba kupa mushonga ari kuita triage, kwete kukundikana iwe.
Kurapa kwepamba paInternet kweBV kwakanaka kunoenderana nekuti ichi ndicho chiitiko chekutanga here kana chechina
Kurapa kwepamba paInternet kweBV kwakanaka hakufungidzirwe nekemikari yemishonga. Vanyoresi vese vane mukurumbira vanopa zvimwe zvakafanana zvitatu dzidzo yekutanga yeCDC: metronidazole yemukanwa 500 mg kaviri pazuva kwemazuva manomwe, gel yemukadzi ye metronidazole 0.75% kamwe pazuva kwemazuva mashanu, kana clindamycin 2% cream yemukadzi usati warara kwemazuva manomwe. Hapana mushandi ane mukana kune mushonga uri nani. Saka zvinhu zvekugadzirira nekutevera ndizvo zvinosarudza, kwete mushonga.
Ndicho chikonzero nhamba yezviitiko zvakakosha kudarika zita. Chiitiko chimwe chete chine zviratidzo, hapana zviratidzo zvakaipa, hapana pamuviri: kushanya kwechiremba anorwara nehungwaru inzira yakakodzera uye yakachipa yekurapwa. Zviitiko zvitatu kana kupfuura zvine zviratidzo mumwedzi gumi nemiviri ndizvo dambudziko rakasiyana rekurapa, uye kutenga mushonga wechina wekamwe chete paInternet kunorapa zviratidzo zvechimiro.
Vashandi vanofanirwa kuenzaniswa ndiWisp, Nurx, GoodRx Care, naEvvy. Bidwell Health zvakare inoburitsa chiyero cheizvi, uye inoyera mushandi wayo mukati meyekuenzanisa kwacho, izvo zvaunofanira kuziva usati waverenga peji iro sezviri pachena.
Kudzoka kwacho, kwete nekukurumidza kutumirwa, ndizvo zvinoita musiyano pakati peizvi
Zviyero zvekurapa kwakanakisa kweBV paInternet zvinogara zvichirongedza nekukurumidza, uye kukurumidza kwakashata kune wese akatovepo kare. Kudzokorora ndicho chibvumirano chakajairika mushure mekunge warapwa, zvakaonekwa zvakakwirira kusvika 58% mukati memwedzi gumi nemiviri muvanhu vezvipatara zvakajairika. Evvy inopa nhamba yakafanana kune yayo peji: vanopfuura hafu yevashandi vane zviratidzo zvichidzoka mukati memwedzi mitanhatu mushure mekurapa kwakajairika neantibhayotiki.
Chimwe chinhu chachinja mukupera kwa2025. Chiziviso cheACOG cheOctober 2025 cheChiitiko Chekurapa, sezvakapfupikiswa muongororo ya2025, ndicho chekutanga chekutsigira chekuUS chekufunga nezvekubatanidza kurapa kwevarume vako vanobatana navo (metronidazole yemukanwa pamwe ne clindamycin yepachena) kweBV inodzokororwa ine zviratidzo. Chidzidzo chakaitwa chakaratidza kudzokororwa kwevhiki gumi nemaviri kwe63% apo mukadzi akarapwa ega achienzaniswa ne35% apo murume wake akarapwa panguva imwe chete, chiyero chenjodzi che0.37.
Chinetso: ichi ndicho chipfupi chiri kubuda, kwete chibvumirano chakagadziriswa. Chirevo cheCDC che2021 chichiri chichiti kuti kurapwa kwenguva dzose kwevabatsiri hakuna kurumbidzwa, nekuti hakuna kuchinja njodzi yekudonha kana nguva yekudzokorora muongororo yapfuura. Zvose zvirevo zvichiri chokwadi, uye chiremba akanaka achakuudza izvozvo.
Panyaya yekushanda, izvi zvinoderedza huwandu hwezvinhu nekukurumidza. Wisp's $99 yekuwedzera kwekurapa kwevabatsiri ndicho chinhu chikuru chekuenzanisa chinoshanda kune humbowo uhwu zvachose.
Kushanya kwega kwega kweBV paInternet kunodarika microscope, uye ndiyo ichokwadi kudzikiswa
Paunowana maantibhayotiki eBV akanyoreswa paInternet, zvaunotenga ndeye mushonga wakavakirwa paunotsanangura zviratidzo zvako, kwete kuongorora. Chiyero cheCDC ndicho chiyero cheAmsel (zvitatu kubva pane zvina: kubuda kwemvura kwakachena, masero anotsvedza pakuongorora nemicroscope, PH yemukadzi iri pamusoro pe4.5, uye bvunzo ye“whiff” inobudirira) kana Gram stain Nugent score ye7 kusvika 10. Fomu rekuisa rinotsiva kutaura kwako kwezvose izvi.
Kutsiva uku kwakaomarara sezvazvinoita, nekuti vanhu vazhinji vane BV havasati vaine zviratidzo zvachose. Zviratidzo zvakafanana nekufanana nezve nherera uye trichomoniasis, izvo zvinorapwa nemishonga yakasiyana zvachose, saka kuzviongorora kwakazara zvisina kururama kunokubhadharisa vhiki uye mushonga weantibhayotiki wausingade. Iwo ndihwo huchawana huchidzikiswa huchidzikiswa huchidzikiswa se apo mushonga unopfuura cream isingadhuri.
Mabheji epH epamba uye bvunzo yemukadzi yemukadzi (muenzaniso waEvvy) inoderedza kusaziva. Ndizvo zviri zvedu zvakafanana nekutsvaga, zvakafanana zvinofungidzirwa nekumirira kwacho, asi kwete zvakaenzana nazvo. Telehealth inobata izvi sezvazvinoita kuongorora kweADHD paInternet: nekukwanisa kune zviri nyore, nechimiro chepakati apo kuongorora kwechikamu chegoridhe kunoitika mukamuri.
Kuverengera kubva kumushandi kusvika kumushandi: mari yekushanya inoita kuti zvakawanda zvaunobhadhara zvive zvakavanzika
Kuongorora kwekurapa kweBV paInternet kunoita mari yekushanya uye kumira ipapo, ndizvo zvinoita kuti mushonga we$15 nemhando ye$100 zvioneke sechimwe chinhu chimwe chete. Heino maonero emutengo wakazara pane izvi.
| Mushandi | Mutengo wakazara | Nguva yekunyorerwa mushonga | Yemukanwa kana yepachena | Kubhadhara | Nyika dzinoshumirwa | Kurapwa kwevabatsiri |
|---|---|---|---|---|---|---|
| Wisp | Maantibhayotiki echipepa kubva ku$15; boric acid suppositories $27; gel kana cream inosvika $100; kutumirwa mahara | Nguva inosvika 3 maawa kubva pakupinda kusvika kuchiremba chezvinodhaka | Zvese zviri zviviri | Kubhadhara nemari, zvakanyorwa | Haisi kuziviswa papeji rechigadzirwa | Hongu, $99 yekuwedzera |
| Nurx | Mutengo wekunyoresa uye mapakeji, kwete zvakaparadzana | Haisi kuziviswa | Inotumirwa kuchiremba chezvinodhaka chaunofarira | Haisi kuziviswa zvakajeka | Chiremba ane rezinesi renyika anoritarisa | Kwete |
| GoodRx Care | Haisi kuziviswa kusvika pakubhadhara | Haisi kuziviswa | Haisi kuziviswa pamberi | Inshuwarisi haina kuda | Haisi kuziviswa | Kwete |
| Evvy | Haisi kuratidzwa papeji | Chirongwa chekuyedza, kwete chezuva rimwe chete | Chakagadzirirwa nechirongwa | Haisi kuziviswa | Haina kuwanikwa mudunhu nenyika gumi ne nhanhatu | Kwete |
| Bidwell Health | Inoyera pachayo mukuenzanisa kwayo | Haisi kuziviswa | Haisi kuziviswa | Haisi kuziviswa | Nyika gumi neimwe | Kwete |
Mitengo uye nguva yekutendeuka ndizvo zvakanyorwa panguva yekunyora uye zvinoshanduka kazhinji, saka simbisa zvese panguva yekubhadhara usati wasarudza chero chinhu, kusanganisira kuti kurapwa kweBV kwezuva rimwe chete paInternet kunowanikwa chaicho kwauri kugara here.
Wisp ndiyo yakanyanya kunaka kune chiitiko chekutanga chakarurama uye kune chero ani achifunga nezve kurapwa kwevabatsiri, nechitsananguro chekuti haina mari yekudzoserwa kana waranti, inonyora zvinhu zvakanyoreswa nezvisina kunyorwa pamwe chete pasina kuratidza kuti zvipi zvinoda mvumo yechiremba, uye haizivise kuvharwa kwenyika kwaunogara. Nurx inokodzera vanhu vanochishandisa kare pakuzvara kana kuyedzwa kweSTI, sezvo mapakeji acho achirega kuva dambudziko remitengo apo iwe waingotenga mapakeji zvakadaro. GoodRx Care inopindura kudzivirirwa kweinshuwarisi zvakanaka uye inopindura mibvunzo yemutengo nekukurumidza. Evvy ndiyo chete yakaumbwa yakavakirwa pakudzokororwa pane zvakaitika, uye data yayo yekubudirira (kwete data yemuedzo yakazvimiririra) inosimbisa 83% yevashandi vachichinja kubva pakusaenzana kuenda kumukadzi anotivirira; inotaura pachena kuti haitsivi Pap smear kana kutarisirwa kweOB-GYN.
Imwe mbariro inofanirwa kuva nehuremu kudarika zvaunopihwa nguva dzose. Kana oral metronidazole yakakonzera kurwara kare, mushandi anopa gel yemukadzi kana cream wakakodzera kudarika uyo uri $20 wakachipa, uye zvakakodzera kuziva zvako zvekudzvinyirira kusadzvinyirira nezvekudzvinyirira zvisina kunyorwa usati watanga kosi yemazuva manomwe.
Kurapwa kweBV kwezuva rimwe chete kunokosha kudarika chiremba chaunotora kubva kwaari
Kurapwa kweBV kwezuva rimwe chete paInternet kunoshanda chete kana mushonga uchitumirwa kuchiremba chaunogona kusvika nhasi. Pakutsvaga kwakafanana, Wisp inotaura maawa matatu kubva pakupinda kusvika kuchiremba chezvinodhaka, Everlywell inotaura maawa 24, uye Doctor On Demand inoenderana nekuwanikwa kwezvigaro. Zvese izvozvo zvinotsanangura nguva apo mushonga unonyoreswa.
"Mushonga wanyoreswa" hausi "mushonga wakabatwa." Mushonga wakatumirwa unowedzera mazuva zvisinei nekuti chiremba akashanda nekukurumidza sei.
Uye pamusoro pekurapa, kutanga kosi yemazuva manomwe mangwana pane nhasi kunoshandura kuti zviratidzo zvichaderera riini, kwete kuti kosi ichashanda here. Rarama nekukurumidza sechimwe chinhu chekusarudza.
Kwawegona kurapwa kweBV paInternet kwakaderera pane zvaunotaurwa neku market
Kwawegona kurapwa kweBV paInternet kunogumira nezvinhu zviviri zvazvinowanzoita kuti zviitike: rezinesi renyika uye kuongorora kwechiremba. Evvy haina kuwanikwa mudunhu nenyika gumi ne nhanhatu. Bidwell Health inoshanda munyika gumi neimwe. Wisp haizivise kuvharwa papeji rechigadzirwa. Tarisa mukati mekunyoresa kwenyika usati wabhadhara chero chinhu.
Chipingamiso chechipiri ndeicho chisina munhu anochinyora nezvacho. Chiremba anogona kuongorora zvawakaisa ndokuramba kupa mushonga pasina bvunzo, microscopy, kana kusimbiswa kwePH. Zvikonzero zvakajairika ndezve pamuviri, kutya kweSTI, fivha, kana kurwadza mudumbu, uye zviratidzo zvakatove zvakatadza kosi imwe chete. Ndizvozvo triage yakakodzera, kwete mutengo wakundikana, uye danho rinotevera ndiro kutarisirwa kwezvipatara, urgent care, OB-GYN, kana clinic yekuchengetedza hutano hwepabonde.
Kana nyaya yako iri nyore uye uchida chiremba kuti aitarise nhasi, August's $39 online urgent care visit inokubatanidza neUS-licensed clinician anoyera zviratidzo zvako nekuita sarudzo yekuti mushonga wakakodzera here. Hapana kushanya kwepamba paInternet, kusanganisira wedu, kunogona kuita bvunzo yechibereko, microscopy, bvunzo yePH yemukadzi, kana bvunzo yeSTI.
Zvimwe zviratidzo zveBV hazvifanirwe kutaurirwa nekushanya paInternet
Fonera 911 kana enda kuchipatara chekukurumidzira ikozvino kana:
- Une fivha kana kunyangwe nekurwadziwa mudumbu repazasi kana mudumbu, izvo zvinogona kureva pelvic inflammatory disease
- Une kurwadziwa kwakanyanya mudumbu kana mudumbu
- Une kubuda kweropa kwakawanda kana kusiri kwakajairika kwemukadzi
Ronga kushanya mukati mevhiki rinotevera kana:
- Zviratidzo zvinoramba zvichionekwa kana kudzoka mukati memavhiki mushure mekupedza kosi yakakwana
- Wakana nezviitiko zvitatu kana kupfuura mumwedzi gumi nemiviri
- Une maronda kana mapundu, kana kubuda kweropa kusingapindure pakurapa kwekutanga
Taura nachiremba usati watanga kana:
- Uine pamuviri kana uchitsvaga kubata pamuviri
- Une fungidziro yekuzviratidza kweSTI kana mubatsiri mutsva
- Wakana nechinhu chakakonzera kuita kwakaipa kune metronidazole kare
Kana usina chokwadi kuti nderipi chikamu chaunoda, yemahara August AI Symptom Checker icharonga zviratidzo zvako usati washandisa mari pakushanya.
Mibvunzo Inowanzobvunzwa
Ndinogona kuwana kurapwa kweBV paInternet ndisingafumiswe inshuwarisi, uye kubhadhara nemari kwakachipa here?
Hongu. Kurapwa kweBV pasina inshuwarisi kwakajairika muchikamu ichi pane kusiyana. GoodRx Care inozvimisikidza pachayo sechinhu chisiri kuda kugara kwenguva refu uye chisiri kuda inshuwarisi, uye Wisp inonyora maantibhayotiki echipepa kubva pa $15 mumitengo yemari. Kune mushonga wakajairika wemazuva manomwe, mari inowanzoita yakachipa kupfuura copay, ndicho chikonzero nei kurapwa kwepamba kweBV kwakanaka kwazvo pamutengo kunowanzova mushandi anobhadhara nemari.
BV ichapera yega here kana ndisingamboiurapi?
Haisi betsero yakachengeteka. Kusiya BV isina kurapwa haisi sarudzo yakarurama: CDC inoti kuti kunyange BV isina kurongedzwa sechirwere chinotapurirwa pabonde, BV isina kurapwa inowedzera njodzi yekutora kana kuendesa HIV nezvimwe zvirwere zvepabonde. Njodzi iyoyo ndicho chikonzero chekurapa nyaya yakasimbiswa kunyange kana zviratidzo zviri zvishoma zvekuti zviregererwe.
Metronidazole yakachengeteka kutora panguva yekuvimba?
Dzimwe nguva, uye ndicho chisarudzo chechiremba wako pane fomu rekuisa. Pamuviri inovandudza njodzi muzvikamu zviviri, nekuti CDC inobatanidza BV isina kurapwa panguva yekuvimba nekuberekwa kwekutanga uye huremu hwekuzvarwa husina kukwana. Kana uine pamuviri, enda kuchipatara chakatariswa nachiremba chine bvunzo pane kungoshanya kwezviratidzo paInternet.
Ndakaedza mushonga wefeveri wekutengesa usingadhuri uye hauna kushanda. Zvinoreva here kuti iyi BV?
Dzimwe nguva. Mushonga we antifungal wakundikana chiratidzo chinobatsira kuti kuzviongorora kwekutanga kungave kwakashata, uye BV ndiyo imwe yezvinhu zvakajairika, pamwe ne trichomoniasis. Haisi humbowo hwechero chinhu. Iverenge sezviri panguva yekuwana kuongororwa pane kuyedza chigadzirwa chechipiri, sezvo mamiriro maviri aya achida mishonga yakasiyana zvachose.
Kutora maantibhayotiki ekunyorwa kwechirwere chisina hukama kunoita kuti BV dzokorore here?
Hongu. Mu ongororo yezvipatara pamusoro pekudzokorora, kushandiswa kwemaantibhayotiki munguva pfupi yapfuura kwechimwe chirwere munguva pfupi yapfuura 6 mwedzi kwakabatana neBV inodzokororwa: 26.4% vachienzaniswa ne14.7%. Kana wakapihwa mushonga we sinusitis kana UTI munguva pfupi yapfuura, taurira, nekuti inoshandura kuti kudonha kunoitika sei.
Ndinogona kuwana BV here kana ndisingashande pabonde?
Hongu. CDC inotaura kuti BV inowanikwa muvakadzi vasingashande pabonde, uye kuti nyaya dzakawanda hadzitaridzi zviratidzo zvachose. Nhoroondo yepabonde inzira yekufungidzira, kwete chinodiwa, saka kusarura hapana kudzivisa BV uye hazvireve kuti zviratidzo zvako zvinofanira kuva chimwe chinhu.
Chisungo
Kana uchida mushonga wechipaka wakachipa kwazvo wechiitiko chekutanga, Wisp inopa mutengo wakaderera uye nguva pfupi yakanyorwa yekutendeuka. Kana kutambudzika kwako kuri inshuwarisi, GoodRx Care yakavakwa yakavakirwa pakusaiida. Kana uri kutotenga mushonga wekubereka kana bvunzo yeSTI, Nurx inosanganisa BV nezvawanga uchibhadhara kare. Kana izvi zvichiramba zvichidzoka, Evvy ndiyo yega yega yakavakwa pakatarisana ne microbiome pane chiitiko, uye Wisp ndiyo chete inotengesa kurapwa kwevabatsiri. Uye kana wadarika zviitiko zvitatu mumwedzi gumi nemiviri, kurapwa kwepamba kweBV kwakanaka kwazvo paInternet ndiko kureverera: rega kutenga makosi uye uwane kuongorora panyama.
Disclaimer: Chinyorwa ichi chinopa ruzivo chete uye haisi zano rekurapa. Gara uchitaurirana nachiremba akakodzera kuti uwane kuongorora uye sarudzo dzekurapa. Kana uri kutarisana nekukurumidzira kwekurapa, fonera 911 kana enda kuchipatara chekukurumidzira chepedyo nekukurumidza.
