BV vs Utanda HweMbiriso: Zvinobuda, Kunhuwa, pH, uye Zvekuita Zvinotevera

BV nehutachiona hwe mbiriso zvinosiyana zvakanyanya mukunhuwa uye mhando yezvinobuda. BV inoburitsa zvinobuda zvakatetepa, zvichena-bhuruu zvine kunhuwa kwehove. Utanda hwe mbiriso hunoburitsa zvakawanda, zvichena, zvakaita semasvinga zvine kutsva kukuru uye kunhuwa kushoma. Asi zviratidzo zvinogona kuenderana, saka BV vs utanda hwe mbiriso haisi chinhu chekupedzisa nekungofungidzira chete.

TL;DR: Zvinonyanya Kutaurwa

• Kunhuwa kwehove kunoratidza BV. Kutsva kukuru kweguvhu kunoratidza mbiriso. Ruvara runokupa mashoma.
• CDC inoti nhoroondo yekurapa chete hazvina kukwana kuongorora chero ipi zvayo nemazvo.
• Pepa re pH ndiro musiyano mumwe chete waunogona kuyera kumba: pamusoro pe 4.5 kunoratidza BV.
• Unogona kuva nazvo zvese panguva imwe chete, ndicho chikonzero nei mamwe maonero ezviratidzo achipa mhinduro yakavhiringika.
• Kurapa kwekutanga kweBV kunoda murairo chete. Hapana antifungal inobata BV.

BV vs utanda hwe mbiriso: kunhuwa ndicho chiratidzo chinokurumidza, kutsva hakusi

Musiyano mukuru pakati peBV nehutachiona hwe mbiriso ndizvo zvaunonhuwa nezvaunona. Bacterial vaginosis inokonzera zvakabuda zvakatetepa, zvakafanana, zvichena-bhuruu zvine kunhuwa kwehove uye kazhinji kutsva kushoma. Utanda hwe mbiriso hunokonzera zvakabuda zvakawanda, zvichena, zvakaita semasvinga zvine kutsva kukuru kweguvhu, kupisa, ne kutsvuka, uye pasina kunhuwa kwakasimba. BV vs utanda hwe mbiriso unotarisa pakunaka uye kunhuwa, kwete kutsva chete.

Zvese zviri zviviri zvakajairika. BV ndiyo inonyanya kukonzera zvakabuda muvagina pasi rose, uye Cleveland Clinic inoti huwandu hwekuvapo muhupenyu hunosvika 35% yevanhu vane vagina, zvichiita kuti ive nyaya yekutanga yepachivhende pakati pevanhukadzi vane makore 15 kusvika 44. Utanda hwe mbiriso idambudziko rakasiyana zvachose: kuwandisa kweCandida, iyo ine chiratidzo ndicho zvakabuda zvichena zvakawanda zvine kutsva, kupisa, uye kuzvimba kwe guvhu, kazhinji pasina kunhuwa kweBV.

Utanda hwe mbiriso vs BV zvakabuda uye mimwe misiyano yakakosha nekukurumidza:

Tafura iyoyo inodzikisa mukana. Hazvirevi kuti iri kuongorora zvakajeka, uye chikamu chinotevera chinotsanangura nei musiyano iwoyo wakakosha kupfuura zvinotarisirwa nevanhu vazhinji.

Kuenderanisa zviratidzo zvako nechinyorwa hachikwanisi kurapa nacho

Mubvunzo chaiwoi uri kubvunza ndewekuti iri BV here kana kuti utanda hwe mbiriso, uye mhinduro yakatendeseka ndeyekuti zviratidzo zvako hazvigoni kuzvisarudzira zvoga. CDC iri pachena nezve izvi mukutungamira kwavo pamusoro pezvakabuda muvagina: "kutora nhoroondo yekurapa chete kwakati kune kusakwana kune kuongorora kwakajeka." Kutsarura BV, candidiasis, uye trichomoniasis kunoda kuongororwa pamwe chete nekuongorora kwelabhoritari, zvichireva kuyerwa kwe pH uye microscopy, kwete kuona zvimiro.

Tarisa kuti vanachiremba vanoshanda sei chaizvo. Kuongorora BV kunoshandisa mitemo ye Amsel, iyo inoda zviratidzo zvitatu kubva kune zvina: zvakabuda zvakatetepa zvakafanana, masero anoteedzera pakuvhura, vaginal pH pamusoro pe 4.5, uye kunhuwa kwehove kana potassium hydroxide yawedzerwa. Pachipatara, kana iri BV kana utanda hwe mbiriso zvinopindurwa ne pepa netelescope, uye hazvimbodzimwe ne chiratidzo chimwe chete chakaparadzana. Ndicho chimwe chete chinoita chinoitwa kana kutsanangura maviri mamiriro anoita seawo akada kufanana chero kupi zvako pamuviri.

Zviratidzo zvinoshandawo neimwe nzira. Kusvika pa84% ezviitiko zve BV hazvinyore zviratidzo zvakanyanya zvachose, zvichienderana ne Cleveland Clinic, saka kusavapo kwe kunhuwa kwehove hakubatsiri chinhu. Murairo wekuenda nawo uri nyore: kana chitarisiko chako chisinganyatsoiti, chitsinhine ne pepa re pH, kuongororwa kwechiremba, kana microscopy usati washandisa mari pa antifungal isina murairo.

Tarisa kunaka kwe zvakabuda usati wakudenga ruvara

Paunenge uchienzanisa utanda hwe mbiriso vs BV zvakabuda, kunaka uye kunhuwa zvinotakura zvese zvese zvinopa ruzivo rwekuongorora, uye ruvara runotakura zvishoma. Zvakabuda zve BV zvakatetepa uye zvakafanana, zvichena-bhuruu, uye zvinonamira kumadziro echiVagina zvakatetepa zvichienzaniswa nezvinogara sezvinhu zvakawanda. Kunhuwa kwayo kwehove kwe amine kunowanzo kuomarara mushure mekuita bonde kana nguva yako isati yapera.

Zvakabuda hwe mbiriso hazviite saizvozvo. Zvakawanda, zvichena, uye zvakaita semukaka wakagomara, kazhinji hazvina kunhuwa kana zvishoma zvinonhuwa mbiriso, uye zvinouya zvine kutsva kweguvhu, kupisa, kutsvuka, uye kuzvimba kunotonga zvose. Kana kutsva ndiko kwakakuomurutsira pa2 mangwanani, iyo ndiyo mashoko anokosha.

Ruvara runoshanda sechiratidzo chako chepasi. Chena uye zvichena zvakaderera zvinosanganisa zvese zvinhu, uye zvakabuda zvichena kana zvine ruvara zvinobva kune zvese, kazhinji zvichiratidza trichomoniasis kana chimwe chikonzero. Pasi petelescope kupatsanurwa kunova kwakachena: BV inoratidza masero anoteedzera ane bvunzo yakanaka kwazvo, candidiasis inoratidza hyphae kana mbiriso inobuda pa KOH prep, uye trichomoniasis inoratidza motile trichomonads pa saline slide. Kunyangwe zvakadaro, kuonekwa kwezvakabuda kuchiri chimwe chezvinhu zvina zve Amsel.

Pepa re pH re kumba ndiro pedyo nekusarudza chero chikonzero

Vaginal pH ndicho chimwe chete chiratidzo muBV vs utanda hwe mbiriso kuenzanisa waunogona kuyera wega. BV kazhinji inokwidziridza vaginal pH pamusoro pe 4.5, ndicho chikonzero nei ichiverengwa semutemo we Amsel, nepo utanda hwe mbiriso hunowanzoisa pH muchikamu chakajairika che 3.8 kusvika 4.5.

Muchidimbu, verenga seizvi. Yakajairika pH ine zvakabuda zvakawanda uye kutsva kukuru kunoratidza kwazvo mbiriso, uye antifungal isina murairo ndiyo inoita senzira. Kuverenga pamusoro pe 4.5 nekunhuwa kwehove kunoratidza BV, uye kunokupa ruzivo runobatsira uye runogumbura zvishoma: antifungal iri mutengesi wako haibatsiri.

Chikanganiso: pepa rinonyoreka kupesvedzera uye nyore kududzira zvakanyanya. Kuita bonde nguva pfupi yapfuura uye semen inosara, ropa rekuenda kumwedzi, kuwacha, mafuta, uye mishonga yeVagina nguva pfupi yapfuura zvese zvinokwidziridza kuverenga zvisina kururama, saka edza pazuva pasina izvo zvinoshanda. pH yakakwirira haisi chete ye BV. Trichomoniasis uye shanduko yepositi-menopausal dzinokwidziridzazve. Nhamba yepamusoro inoderedza nharaunda. Hazvisi zita remhinduro, uye ndicho chimwe chezvinhu zvina.

Kana zviratidzo zvako zvisingawanane nemudziyo upi nezvipi, unogona kunge uine zvese panguva imwe chete

Hongu, unogona kuva neBV nehutachiona hwe mbiriso panguva imwe chete, uye mukana iwoyo unotsanangura zvakawanda zvabuda zvakavhiringika. Chitarisiko chakavhenganiswa, kunhuwa kwehove pamwe chete nekutsva kukuru, kana zvakabuda zvichisiya zvichiti zvakatetepa kana zvakaita semukaka wakagomara, ndizvo chaizvo zvinoitwa nemazita ezviratidzo zvakaipisisa.

Nheyo inokoshawo. Kushandisa maantibhayotiki nguva pfupi yapfuura chipindura chakanyoreswa chemautanda e mbiriso, maererano ne Cleveland Clinic, saka utanda hwe mbiriso hunogona kutevera mushure mekurapa kwe maantibhayotiki e BV uye kuuya nguva chete kunhuwa paya panopera.

Hapana chigadzirwa chimwe chete chinobata zvese. Metronidazole uye clindamycin hazvibatsiri chero chinhu neCandida, uye antifungals hazvibatsiri chero chinhu ne BV, saka kuwedzera zvigadzirwa kungova kungofungidzira kaviri panzvimbo pekugadzirisa chero chinhu. Gamuchira microscopy kana kuongorora kwechiremba panzvimbo, kuitira kuti zvese mamiriro zvinonzi zviongororwe uye zviporeswe nemaune. Nheyo imwe chete inoenderana ne antifungal isiri kudzorerwa zvinhu: mhinduro kazhinji kuongorora kwakanganisa, kwete mushonga usina simba.

Kufungidzira zvisizvo kunokudzinga nguva, uye BV inoda murairo zvakadaro

Kurapa kwakajeka kwe BV kana utanda hwe mbiriso kunoenderana zvachose nezvawakaenda nazvo, uye marongero maviri haana kufanana. Kune BV, zvigadzirwa zvekutanga zve CDC zvinosanganisira oral metronidazole 500 mg kaviri pazuva kwemazuva 7, metronidazole 0.75% vaginal gel kamwe pazuva kwemazuva 5, kana clindamycin 2% vaginal cream usiku kwemazuva 7. Zvese izvi zvinoda murairo. Hapana kana chimwe chacho chinotengeswa pasina murairo, chero kupi, mune chero chimiro.

Zviitiko zveutanda hwe mbiriso zvisina kuoma ndizvo zviri nyore. Azoles epachivhende anowanikwa pasina murairo akadai semiconazole kana clotrimazole anoshanda zvakanaka, uye oral antifungal ine murairo imwe nzira.

Heino mari chaiyo yekufungidzira zvisizvo. Antifungal inoshandiswa pa BV haibatsiri chero chinhu: kunhuwa uye zvakabuda zvinoramba zvichienda, uye kurapa kwako chaiye kunononoka nechero nguva ipi zvayo maitiro achienda, kazhinji mazuva matatu kusvika manomwe. Maantibhayotiki anoshandiswa pa utanda hwe mbiriso akaenzana nekusashanda uye anogona kuwedzera kutsva. BV isina kurapwa inosanganiswawo ne njodzi yakawedzera yekuwana zvirwere zvinopfuudzwa pabonde uye nezvinetso panguva yekuzvitaka, izvo zviri chimwe chikonzero chekusarega kufungidzira kusina kusimbiswa kuitwa kwemavhiki.

Kana uchida kuti chiremba aitarise izvi panzvimbo pekushandisa mazita, August's $39 online urgent care visit inokubatanidza kune chiremba ane rezinesi reUS anogona kuongorora zviratidzo nhoroondo yako uye kupa mushonga kana zvakakodzera. Chiremba ndiye anoona kana murairo wakakufanira. Iva pachena nezve miganhu zvakare: kushanya kwevhidhiyo hakugoni kuita pelvic exam, wet mount, kana pH test pachipatara, saka chitarisiko chisinganzwisisike, zviitiko zvakadzokororwa, kana zviratidzo panguva yekuzvitaka zvinoda kurapwa pachipatara.

Zvimwe zviratidzo zvinoreva kurega kuzvirapa uye kuonana nachiremba

Fonera 911 kana enda kuchipatara chekukurumidzira ikozvino kana:

• Une fivha kana kunyongana nechikomba chakaomarara kusvika chakaomarara chechipatara kana kurwadziwa kwezasi kwechitombu, izvo zvinogona kureva pelvic inflammatory disease kana imwe hutachiona hwakakomba.
• Une kubuda kweropa kwakawanda muvagina kana kurwadziwa kwakanyanya.
• Uri kurutsa uye usingakwanise kuchengeta mvura pasi.

Buka musangano mukati mevhiki rinouya kana:

• Hauoni kuvandudzika, kana kuti zviratidzo zviri kuipa, mushure mekupedza kurapwa kwakakodzera.
• Une kubuda kweropa muvagina kusiri kuenda kumwedzi kwako.
• Une maronda, maronda, maronda, kana kurwadziwa kwechitoro kwakanga kusiri kutsamwa kwakaregererwa.
• Waita bonde risina kudzivirirwa nemumwe mutsva kana vashoma vanodyidzana navo uye utachiona hunopfuudzwa pabonde hunogoneka.
• Iri ndiro rako rekutanga nguva.

Taura nachiremba usati watanga kana:

• Une pamuviri uye une kubuda, kunhuwa, kana zviratidzo zvechipatara zvitsva kana zviri kuipa.
• Une chirwere cheshuga kana kusagadzikana kwemuviri kwakaipa.
• Uri kutora maantibhayotiki kana kungopedza mushandirwi.
• Wanga uine zviitiko zvakadzokororwa gore rino.

Mibvunzo Inowanzobvunzwa

BV inopfuudzwa pabonde here?

Kwete. CDC haisi kuverenga bacterial vaginosis sechibhadharo chepabonde, kunyange zvazvo vakadzi vanoshandisa bonde vari panjodzi huru uye BV haisi yakajairika kune vanhu vasati vamboita bonde. Vashandi vatsva kana vazhinji uye kushaya kushandiswa kwemakondomu kunowedzera mukana. Kurapa kwenguva dzose kwevanodyidzana navanhu hakutaurwi mune nhungamiro yakajairika, saka kurapa kwemumwe anotaurirana navo kunofanira kukurukurwa nachiremba wako.

BV kana utanda hwe mbiriso hunogona kupera pasina kurapwa here?

Dzimwe nguva. Zviitiko zvishoma zvezvose zvinogona kuzvigadzirisa zvoga, asi hapana nzira yakavimbika yekufungidzira kuti ndeupi achaita, uye kumirira kunonyanya kunokosha nguva uchitambudza zviratidzo. Musiyano unoshanda: kana zviratidzo zvisati zvavandudza zvakajeka mukati memazuva matatu, rega kumirira uye edza kuyerwa panzvimbo yekuedza chigadzirwa chechipiri pamusoro pechekutanga.

Ndeapi zviitiko zvakawanda mugore zvinonzi zvinodzokorora?

Zvina. Cleveland Clinic inopa zano kuti ma utanda e mbiriso anopfuura mana mugore anokodzera kuyerwa kwechiremba kuti uwane chikonzero chepasi, chakadai sechirwere cheshuga chisinganyatso kudzoreki kana rudzi runogara runopikisa, panzvimbo yekuzvirapa zvakare. BV haina nhamba yakajeka yakafanana, asi kudzokorora mushure mekunge yaporeswa kwakajairika, uye zviitiko zvakadzokororwa zvinofanirwa kukurudzira kuyerwa nehurongwa hwekurapa panzvimbo yekusarudza zvakare.

Ndinoda kurapwa kwe BV here kana ndisina zviratidzo?

Kazhinji kwete. Kusvika pa84% ezviitiko zve BV hazvinyore zviratidzo zvakanyanya, uye sarudzo dzekurapa kune vanhu vasina pamuviri kazhinji dzinotevedzera zviratidzo panzvimbo pekuyerwa chete. Kune zvimwe zvinokosha zvinofanira kubvunzwa: kana une pamuviri, kana uri kuongororwa maitiro e gynecologic akadai sekuiswa kwe IUD kana kuvhiyiwa, bvunza chiremba wako kana kurapa kwechinhu chisina zviratidzo kwakakufanira.

Zvakadini kana zvikaonekwa kuti hazvisi BV kana utanda hwe mbiriso?

Izvi zvinoitika kakawanda kupfuura maonero e BV vs utanda hwe mbiriso anoratidza. Trichomoniasis ndicho chikonzero chechitatu chakajairika uye chinoda mushonga wakasiyana usingapiwi ne gel yeantibhayotiki kana cream yeantifungal. Zvinokuvadza kana zvinopesana nezvakavhenganiswa nesipo, spermicides, uye detergents zvinonatsiridzazve. Kuyerwa ndiyo nzira chete yekuzviedza, ndicho chikonzero nei mazita anopa mhinduro mbiri chete anogona kukusvibisa.

Chikuru: musiyano pakati peBV nehutachiona hwe mbiriso ndiko kunhuwa uye kunaka, kwete ruvara uye kutsva chete. Pepa re pH pamusoro pe 4.5 nekunhuwa kwehove kunoratidza BV, iyo inoda murairo nguva dzose. Yakajairika pH nekutsva kukuru uye zvakabuda zvakawanda zvinoratidza mbiriso. Apo BV vs utanda hwe mbiriso husinganzwisisike chaizvo, edza panzvimbo pekudzipora.

Chirevo: Chinyorwa ichi ndechechiziviso chete uye hachisi kuraira kwekurapa. Nguva dzose taura nachiremba ane hunyanzvi kuti uwane kuongorora uye sarudzo dzekurapa. Kana uri kutambudzika nedambudziko rekurapa, fonera 911 kana enda kuchipatara chekukurumidzira nekukurumidza.