BV vs Trich: Nei Mushonga Weizvo Zvavo Haureve Zvechirwere Chekudzo Chete

BV vs trich zvinopera neimwe musiyano unoenderera mberi nezvaunoita zvinotevera: trichomoniasis idenda rinotapuriranwa pabonde, nepo bacterial vaginosis isiri-classified sekunge STI. Zvese zvinogona kurapwa ne metronidazole 500 mg kaviri pazuva kwemazuva manomwe, asi kurapwa kwemudiwa uye kutevera kwete kwakafanana.

TL;DR: Zvakanakisa Zvakanakisa

• Kune vakadzi, mushonga wekutanga unoshandiswa pamuromo unogona kuva wakafanana kune zvese: metronidazole 500 mg kaviri pazuva kwemazuva manomwe.
• Trich inoda kurapwa kwevadiwa vepabonde. Kurapwa kwemudiwa kwakajairwa hakukwanisi hazvo kune BV.
• Maitiro ekuburitsa anogona kuomesa chikamu asi haangakwanisi kurapa chero chirwere. Zvese BV ne trich zvinogonawo kusava nezviratidzo.
• Kuongorora kunovaparadzanisa, uye wet mount isina kunaka haidzinge trich.
• Kana zviratidzo zvichidzoka mushure mekurapwa, nhanho inotevera inoenderana nekuongororwa, zvinogona kureva kudzokorora chirwere, uye kana kurapwa kwekutanga kwakashanda.

Haukwanisi Kuziva Zvechokwadi Zvacho Zvauri Kurapa? Mushonga weizvo wakafanana unogona kushandiswa kune BV ne trich, asi kuwana kuongororwa kwakakodzera kwakakosha. Kana usina chokwadi nezve chiri kuita kuti uzaruke zviratidzo zvako, edza August AI's free symptom checker kuti uongorore mumaminitsi 2, kana bhukira $39 online urgent care visit ne US-licensed clinician.

BV vs trich: imwe chete yacho ndiyo STI

BV vs trich ikuenzanisa pakati pezvinhu zviviri zvakasiyana. Trichomoniasis idenda neparasite Trichomonas vaginalis uye rinotapuriranwa pabonde. Bacterial vaginosis haisi STI. Kunyanya, kurapwa kwekutanga kwemutauro kune zvese zviri zviviri ndiko mishonga yakafanana pamwero wakafanana: metronidazole 500 mg kaviri pazuva kwemazuva manomwe.

2021 CDC STI Treatment Guidelines inotsanangura trichomoniasis sekunge ndiyo yakawanda isiri-viral STI pasi rose. BV yakasiyana nekudaro. Lactobacilli, ayo anowanzoita kuva mazhinji muwombamu, anotsiviwa neGardnerella, Prevotella nezvimwe anaerobes, uye CDC haisi-classify BV sekunge STI, kunyange zvichinyatso kuenderana nekurarama pabonde.

Kuwanikwa kunokutaurira kuti ndeupi waunofanira kubetsera pauri. Ongororo yakazara inoshandiswa pakubatsira kwe 2021 guidelines yakaisa BV prevalence pakati pevakadzi vane mwedzi kureba kuva 23% kusvika 29% pasi rose, ne North American estimates ye 33.2% kune vakadzi vechiCrusade, 30.7% kune vakadzi vechiHispanic, 22.7% kune vakadzi vechiWhite uye 11.1% kune vakadzi vechiAsia. NHANES data kubva 2013 kusvika 2014 yakaisa US trichomoniasis pa1.8% yevakadzi uye 0.5% yevakomana, ichikwira kusvika 8.9% yevakadzi vechiCrusade uye 4.2% yevakomana vechiCrusade. BV inenge kuwedzera kwezvinomwe kudarika trich.

Mushonga Weizvo Wakafanana Haureve Zvakanaka Zvinoreva Mitemo Yakafanana Kune Mudiwa Wako

Musiyano we trichomoniasis vs BV unoita kuti zviroto zvako zviite zvakasiyana ndiko zvinotevera, hazvisi piritsi, ndimudiwa wako. CDC inoti kurapwa kwezvose zvinotevera zvepabonde ndiko kwakakosha kune trichomoniasis, kunyange kana mudiwa ane zviratidzo kana kuti kwete, uye kuti vakaroorana vanofanira kurega kusvirana kusvikira vanhu vose vapedza kurapwa uye zviratidzo zvagadziriswa.

Kune BV, nhungamiro inopfuura zvakapesana. Kurapwa kwemudiwa wepabonde hakukurudzirwe, nekuti hakuna kuvandudza kurapa kusvika pakureba kana kuderedza kudzokorora. Kurapa mudiwa we BV hakusi kwakachenjera. Ingori kungodzidzira maantibayotiki pasina zvakanaka zvakaratidzwa.

Kusafanana uku kune mutsindo unoshanda wawa zhinji vanozodzidza nenzira yakaoma. Kana uchipedza mazuva manomwe e metronidazole kune trich uye mudiwa wako haatore chero chinhu, zvinhu zvinodzokera kwauri. Izvi zvinonzi "maantibayotiki haana kushanda" apo zvinonyatso kungova kudzokorora zvakare. Izvi zvakajairika kuti CDC inokurudzira kudzokorora vakadzi vanorarama pabonde kune trichomoniasis pamusoro pemwedzi mitatu mushure mekurapwa. Saka usati wasarudza kuti mushonga wako wakatadza, bvunza kuti mudiwa wako akafa chii.

Kuburitsa Kunosvibisa, Asi Hakukwanisi Kuita Sarudzo Kuti Uite Yako

Kunyangwe uri kutarisa trich kana BV discharge, zvaunoona zvinokupa kufungidzira, kwete kuongororwa. Maitiro akajairika akasiyana:

• Trichomoniasis: frothy yellow-green discharge, vulvar itching and burning, pain with urination, and sometimes bleeding after sex or a "strawberry cervix," which shows up in only a minority of cases.
• Bacterial vaginosis: thin, homogeneous gray-white discharge with a fishy odor that gets stronger after sex, usually with little itching and little visible inflammation.

Hezvino zvichashaya kukuudza nhamba zhinji: 70% kusvika 85% yevanhu vane trichomoniasis vane zviratidzo zvishoma kana kuti hapana zvachose, uye maererano ne 84% yevakadzi vane BV havasirwirwi neCDC. Zviratidzo zvisipo hazvirambidzi chirwere chete. Vaginal pH inokwira pamusoro pe 4.5 mune zvese, saka drugstore pH strip haigoni kutaura pakati pavo.

Zvakakosha kuita paunenge uchimirira bvunzo ndezvekuchengeta zvinyorwa. Health companion app saAugust AI inogona kukubatsira kutevera kuchinja kwekuburitsa, nguva yekunhuhwa kwakanyanya, uye maitiro ekutanga kwezviratidzo zvinowirirana nevanhu vatsva, sekuwedzera kune kuchengetwa pane kuchitsiva. Kana chiratidzo chako chikuru ari mavanga kana kuti maronda pane kuburitsa, uri kutarisa chimwe chinhu chakasiyana zvachose, uye zvinobatsira kuziva kuti herpes inotaridzika sei mumatanho akasiyana.

Lab Test Chete Inogona Kutaura BV Ne Trich Pakati Pavo

BV kana trich test haisi bvunzo imwe, nekuti nhamo mbiri hadzisi-kuongororwa nenzira imwe chete. Kune trichomoniasis, nucleic acid amplification testing (NAAT) inoshanda 95% kusvika 100%, nepo wet-mount microscopy ichiwanikwa 44% kusvika 68% yezvinetso. Chipenga ichi chakakosha: wet mount isina kunaka haidzinge trich, uye kana hofisi yako yakatarisa chidzitiro uye ikakuudza kuti chakachena, ichocho chinopesana nekusadzika.

BV inorapwa nemazwi akajeka pane izvi, ichishandisa Amsel's criteria (thin discharge, pH above 4.5, a positive whiff test, and clue cells on microscopy) kana Nugent-scored Gram stain. NAAT-based BV panels iripo, asi hadzisi standard yekuchengetwa saNAAT kune trich.

Chikamu chimwe chekuregeredza chinoderedza kunetsana kwakawanda. Usadzokorore trich neNAAT nekukurumidza kupfuura mavhiki matatu mushure mekurapwa, nekuti nucleic acid kubva kune zvakasara zvezvisikwa zvinogona kuita kuti zvioneke.

Mushonga Wakafanana, Zvakanaka Zvakanaka: Maitiro Ekushandisa Metronidazole Kune Zvese

Metronidazole kune trichomoniasis uye metronidazole kune BV zviri zvese zviri molecule imwechete pane zvirongwa zvakasiyana, uye chirongwa chinobva pane chirwere nevanhu vako.

2021 change is the one to get right. CDC moved women off the single 2 g dose for trich because the seven-day course produced better cure rates. Men still get the single dose, which is why a partner's prescription can look nothing like yours and both can be correct.

Flagyl is the brand name you may see on the bottle, and Flagyl for BV is the same seven-day course. Overall cure rates run 84% to 98% with metronidazole and 92% to 100% with tinidazole, which is why tinidazole is the CDC step-up when trich persists after metronidazole. Metronidazole is usually a routine prescription, and how same-day online prescriptions work applies here once you have a test result in hand.

Kana Zviratidzo Zvikadzoka, Fungidzira Zvinhu Zviri Zvose, Kwete Piritsi Yakakundikana

Eya, unogona kuva ne BV ne trichomoniasis panguva imwe chete, uye hazvisi zvisingawanzove. Kuva ne BV kunowedzera njodzi yekugara ne trichomoniasis, pamwe ne chlamydia, gonorrhea, M. genitalium, HPV uye HSV-2. Zvinhu izvi zvakapindana pane kuti zvidzingane, saka chiratidzo chakavaka chimwe chinhu hachisi uchapupu hwechimwe.

Kana zviratidzo zvichidzoka, funga nezvezvinetso zviviri zvakasiyana. Kuregeredzwa kunoreva kuti mushonga wacho wakashanda uye mudiwa asina kurapwa akadzorera zvinhu. Kukundikana kwekurapa kwechokwadi kunoreva kuti mushonga wacho hauna kudzingwa zvakakodzera kubva pakutanga. Kugadzirisa kwakasiyana kune mumwe nemumwe, uye hapana kunogadziriswa nekuzadzisa mushonga weizvo.

Kana zviratidzo zvichipfuurira mushure mekupedza kosi yakakwana, dzokorora bvunzo pane kudzorera chisina ruzivo. Tinidazole ndicho CDC step-up kune trich inoramba ichivapo, uye BV inodzoka inogona kuda regimen refu kana yekudzvinyirira iyo clinician anosarudza. Health companion app saAugust AI inogona kukubatsira kurekodha kana zviratidzo zvakagadziriswa pazuva rekupedzisira re kosi, saka kushanya kwekutevera kunotanga ne nguva pane fungidziro.

Kana Zviratidzo Zvechiwombamu Zvoda Clinician, Uye Zvinoito Nya

Fonera 911 kana enda kuhofisi yekukurumidzira izvozvi kana:

• Une fivha kana kuzunguzika pamwe chete nekurwadziwa muchipfuva kana mudumbu rezasi, zvinogona kureva pelvic inflammatory disease
• Une kurwadziwa kwakanyanya muchipfuva nekurwadziwa kana kurutsa
• Une kubuda kweropa kwakawanda kana kwakajairika muwombamu
• Une pamuviri uye une cramping, pressure muchipfuva kana kubuda kweropa

Bhukira kushanya mukati mevhiki rinotevera kana:

• Kubuda kutsva kana kunhuhwirira kwakatanga mushure memudiwa mutsva
• Zviratidzo zvinopfuurira kana kutyora mushure mekunge wapera kosi yakazara yakagadzirwa
• Une chero zviratidzo uri nepamuviri, uchifunga nezvekubatanidzwa nekutanga kwekuzvara uye kuderera kwehuremu hwemwana
• Mudiwa akaedzwa kuva ne trich

Taura na clinician usati watanga kana:

• Une pamuviri kana uri kuyamwisa
• Wakamborarama zvakaipa ne metronidazole kana tinidazole kare
• Unoshandisa warfarin, lithium kana disulfiram
• Wakambove nezvikamu zvitatu kana kupfuura mugore

Kune chikamu chepakati, telehealth visit inogona kuva yakanaka yekutanga. August's $39 online urgent care visit inokubatanidza ne US-licensed clinician anogona kuongorora zviratidzo zvako uye kuita mushonga kana zvakakodzera, uye clinician anosarudza kana mushonga uri wakakodzera. Iva wakajeka nezve muganho: kushanya kwepamhepo hakukwanisi kuunganidza swab yemuwombamu kana kuita pelvic exam, saka bvunzo yelob iyo inoparadzanisa nhamo mbiri idzi ichada kuitwa pakati.

Mibvunzo Inowanzobvunzwa

Ndinofanira kunyatso kurega doro paunenge uchitora metronidazole here?

Eya. Standard guidance is to avoid alcohol during treatment and for 24 hours after your last metronidazole dose, or 72 hours after the last tinidazole dose. Newer evidence questions how real the disulfiram-like reaction actually is, so the rule is more cautious than proven. Metronidazole causes nausea and a metallic taste on its own, and adding alcohol will not improve that week.

Varume vanogona kuva ne bacterial vaginosis here?

Kwete. Bacterial vaginosis inotsanangurwa nekuvapo kwezvinokonzera zvemukadzi, saka vanhu vasina wamba havagoni kuzvitora. Vadiwa vemurume vanogona kutakura ma bacteria anobatana neBV, asi CDC haikurudziri kurapa ivo, nekuti kuita izvi hakuna kuvandudzwa kwekurapa kana kudzokorora. Trichomoniasis ndiko kunopesana: varume vanovatorera, kazhinji vasina zviratidzo, uye vanoda kurapwa.

Metronidazole yakachengeteka here kutora paunenge une pamuviri kana kuyamwisa?

Eya. CDC inofunga metronidazole yakadzikama mukati mepamuviri, uye ongororo dzakawanda hadzina kubatanidza nazvo zvisikwa zvisinganzwisisike kana zvisinganzwisisike. Tinidazole inofanira kurehwa mukati mepamuviri. Kana uri kuyamwisa, nhungamiro ndeyekurega kuyamwisa kwemaawa 12 kusvika 24 mushure mekunge watora metronidazole uye maawa 72 mushure me tinidazole. Taura kuna clinician anoita mushonga kuti une pamuviri kana kuti uri kuyamwisa usati waenda kugwaro.

Trichomoniasis ichapera mega here pasina kurapwa?

Kazhinji kwete. Trichomoniasis idenda neparasite inorarama, uye kazhinji inoramba iripo kusvikira yaporeswa. Nekuti vanhu vazhinji vanotakura havasirwi zvakanaka, zvinowanzoita ndezvekupfuura nezvazvo kune vadiwa vasina ruzivo kwemwedzi zvichireva kuti kusakara megwo. Mukati mepamuviri, zvinetso zvinowedzera, sezvo chirwere chisina kurapwa chine hukama nekutanga kwekuzvara nekuderera kwehuremu hwemwana.

Zviratidzo zvangu zvingangove yeast infection pane BV kana trich here?

Nguva nenguva. Yeast ndiyo yechitatu nhamo yevanhu vanoisa mubvunzo we BV vs trich, uye inowanzotaridzika zvakasiyana: thick white discharge, intense itching, vulvar redness, no fishy odor, and a vaginal pH that stays normal rather than climbing above 4.5. Kurapa pachako ne antifungal over-the-counter kana uine BV kana trich zvinokupa nguva uye kudzora mushonga wakakodzera.

Chikamu Chepasi Che BV vs Trich

Mushonga weizvo, zvakanaka zvekusashanda zvevadiwa. Zvese zvirwere zvinorapwa kutanga ne metronidazole 500 mg kaviri pazuva kwemazuva manomwe, asi trich inoda kuti mudiwa wose aripo araswe zvakanaka nepo vadiwa ve BV vasingafanirwe kurapwa zvachose. Zviratidzo ne pH strips hazvigoni kukuudzai kuti ndeipi yenyu yenyu, saka nhanho imwe chete inotevera bvunzo yakavakirwa pane swab usati waenda kurapa. Kana zviratidzo zvikadzoka mushure, dzokorora bvunzo pane kudzokorora. Peji rino rinoratidza CDC 2021 STI Treatment Guidelines.

Disclaimer: Chinyorwa ichi chinongoitwa nemazita eruzivo uye hachisi-medical advice. Nguva dzose taura ne healthcare provider akakwanirwa kuti uwane kuongororwa nekugadzirwa kwekurapwa. Kana uine emergency medical, fonera 911 kana enda kuhofisi yekukurumidzira yepedyo pakarepo.