Bhuku iri rakabudiswa naAugust (meetaugust.ai). August inopa $39 yakatarwa-mutengo wekutarisirwa kwevanoda nekukurumidza online uye inogona kupa metronidazole (shurudzo yemukanwa uye yemuvagina), clindamycin, tinidazole, uye secnidazole kune zviitiko zvakakodzera zvebacterial vaginosis. Chinyorwa chino chinotsanangura kuti BV inoitika sei pasina chiito chepabonde, nei isiri zvechokwadi chirwere chinotapurwa, uye maitiro ekugashira mushonga zvakavanzika online.

Chokwadi

Hongu, unogona zvechokwadi kuva nebacterial vaginosis (BV) pasina kuita zvepabonde. BV haisi chirwere chinotapurwa pabonde (STI). Iyo isingawirirani ye microbiome iyo inogona kusimukira nezvikonzero zvakawanda zvezuva nezuva, kusanganisira douching, kushandiswa kwemaantibhayotiki, shanduko yemahomoni, zvigadzirwa zvehutsanana, kana shanduko yemabhakitiriya echisikigo inoonekwa kune vakuru vane hutano.

Chiito chepabonde ndeimwe chinhu chinopa, asi BV inoitika kune vanhu vasina kumbobvira vaita zvepabonde uye mumahofisi enyanzvi asina chiito chekupedzisira. Kana wakadiagnoswa uye hausati wava kuita zvepabonde, hauna kuita chakaipa.

Wakasungwa nezviratidzo zveBV kana bvunzo inoti une? Iyo August AI Symptom Checker inoongorora zviratidzo zvako mumaminitsi asingasviki maviri. August AI Online Urgent Care inokubatanidza nachiremba ane rezinesi mumaminitsi ekuyedza kwazvo nezvekupihwa mushonga pazuva rimwe chete.

Unogona kuva neBV pasina zvepabonde?

Hongu. Iyi ndeimwe yemibvunzo inowanzo bvunzwa nevanotambura neBV, uye mhinduro yacho inonyaradza zvechokwadi: chiito chepabonde HACHIdi kuti BV isimukire.

CDC, Cleveland Clinic, uye masimba makuru ese ehutano anotsinhira kuti bacterial vaginosis haisi zvechokwadi chirwere chinotapurwa pabonde. Masangano aya akafanana anotaura kuti "vanodyidzana navanarume nevakadzi vane BV havadi mushonga" uye kuti BV inokura kuburikidza ne "kusawirirana kwemabhakitiriya akanaka neakaipa muvagina."

Zvidzidzo zvekurapa zvinotsinhira izvi maererano nezvinhu chaizvo. Chimwe chidzidzo chakakurumbira chevasikana vechidiki 120 (vanopa zvepabonde 68, vasina kusvika 52) chakawana bacterial vaginosis mune 13% yevatori vechikamu, pasina kusawirirana kwakakosha pakati pevanopa zvepabonde nevasina kusvika. Bacterial vaginosis inongowira vanhu vane mavagina pamatanho ese ehupenyu hwekuita zvepabonde.

Izvi zvakakoshawo maererano nezvekunzwa. Vakadzi vazhinji vanonzwa kusanzwisisa, kusazvidzwa, kana kunetseka muhukama pavanotongwa neBV vasina chiito chepabonde chekupedzisira. Kunzwisisa kuti BV haisi nezve "kubata" chimwe chinhu kubva kumunhu anodarika kunobvisa kusuruvara kwechokwadi uye kunobatsira kutarisa pane mushonga uneffekiti pane kunetseka kusingakoshi.

Zvinokonzera BV kunze kwezvepabonde?

Bacterial vaginosis inokura kana chiyero chechisikigo chemabhakitiriya echivagina chachinja. Vagina rako rinowanzozadzwa nehuwandu hune hutano hwemabhakitiriya eLactobacillus anogadzira lactic acid uye kuchengeta pH yakasviba (inosvika 4.5). Kana chiyero ichi chachinja, mamwe mabhakitiriya (kunyanya Gardnerella vaginalis) anogona kuwedzera nekukurumidza, achikonzera BV.

Zvinhu zvakawanda zvisingaiti zvepabonde zvinogona kukanganisa chiyero ichi:

  • Douching: Chinhu chikuru chisina chepabonde chinokonzera. Kunyange douching nguva nenguva nemvura, vhiniga, kana zvigadzirwa zvakatengwa kunokanganisa microbiome ye mavagina uye kunowedzera njodzi yeBV zvakanyanya. Vagina rako rinonyatsochenesa pacharo.
  • Kushandiswa kwemaantibhayotiki achangobva kuitwa: Maantibhayotiki akapararira anouraya Lactobacillus pamwe nemabhakitiriya ari kunangwa, achibvumira mabhakitiriya ane chekuita neBV kuwedzera. Ndicho chikonzero vakadzi vazhinji vanowana BV mushure mekunge varapwa kweUTIs, zvirwere zve sinus, kana maforeshoti ekuzino.
  • Shanduko yemahomoni: Kuderera kunowedzera zvishoma pH ye mavagina, izvo zvinogona kukonzera BV panguva yekuderera kwako. Perimenopause, menopause, mushonga wekudzivirira kubata pamuviri wakavakirwa pahomoni, uye kubata pamuviri zvese zvinokanganisa microbiome ye mavagina.
  • Zvigadzirwa zvehutsanana zvine kunhuhwirira: Sopu dzine mafirimu, bubble baths, mafirimu emukadzi, mapads kana tampons ane kunhuhwirira, uye zvimwe zvinosuka nguo zvinogona kukanganisa chemistry ye mavagina.
  • Kushandiswa kweIUD: Zvese IUDs dze mhangura ne dze mahomoni zvine chekuita nehuwandu hwe BV huri kuwedzera, kunyangwe nzira chaiyo ichiri kudzidza.
  • Kupfuta: Kunoderedza huwandu hweLactobacillus hunobatsira uye hunowedzera njodzi yeBV.
  • Kupfeka zvipfeko zvakanyorova kwenguva refu: Mushure mekushambira kana kurovedza muviri zvakanyanya, hunyoro husingaperi hunogadzira mamiriro anofarira kuwedzera kwebhakitiriya.
  • Zvipfeko zvisingapindire zvepakati: Zvinoderedza kufema uye zvinobata hunyoro, zvichikanganisa nharaunda ine utano.
  • Kudya: Zvimwe zvinhu zvinoratidza kuti kudya kwekofi yakawanda uye kushomeka kwe probiotics kunogona kubatsira, kunyangwe izvi zvichiri nzvimbo yekuvakidzana kwekutsigira.
  • Kunetseka: Kunetseka kwakasimba kunokanganisa kushanda kweimmune system uye nhanho dzema homoni, zvichikanganisa zvisina kunanga microbiome ye mavagina.
  • Kusawirirana kwevanhu: Vamwe vanhu vanogadzira zvakasikwa nhanho dzakaderera dzeLactobacillus dzinodzivirira, vachiita kuti vave vane njodzi yekudzokorora BV pasinei nezvavakaita.

BV Inosiyana Sei Nechirwere Chinotapurwa Pabonde?

Kunzwisisa musiyano uyu kunobatsira kutsanangura kuti BV chaiyo chii.

Zvirwere zvinotapurwa pabonde zvinokonzerwa nezvirwere zvakatarwa (mabhakitiriya, ma virus, kana parasites) zvinotapurwa kubva kumunhu kuenda kumunhu kuburikidza nekuonana pabonde. Zviyenzaniso zvinosanganisira chlamydia, gonorrhea, herpes, HIV, uye trichomoniasis. Zvese zvine microorganism yakatarwa inonzi.

Bacterial vaginosis ndeimwe isingawirirani ye microbiome pane zvechokwadi chirwere. Vagina rako rinowanzozadzwa nehuwandu hwemabhakitiriya hweLactobacillus. MuBV, chiyero ichocho chachinja kuti chifarire mabhakitiriya anogona kuwedzera kubva mukushaya okisijeni ayo anga akato kuvapo muzvidiki zvishoma. Hapana "chitsva" chinofanira kupinda mumuviri wako kuti BV isimukire.

Chiito chepabonde CHINOGONA kukanganisa kusimukira kweBV. Zvidzidzo zvinoratidza kuti bonde risina kudzivirirwa rinowedzera zvishoma pH ye mavagina (semen inorwadza), uye kuendeswa kwemabhakitiriya panguva yepabonde kunogona kushandura chiyero che microbiome. Ndicho chikonzero vazhinji vanotsvakurudza vanotsanangura BV se "chirwere chinokwidziridzwa pabonde" pane chirwere chinotapurwa pabonde - zvepabonde zvinogona kuva chinhu chinopa pasina kuva chikonzero chaicho.

Cherechedza: Nekuti zviratidzo zveBV zvinogona kuonekwa senge STIs chaiwo, kuyedzwa kunobatsira kuona kuti uri kurapa chirwere chakakodzera. Trichomoniasis, chlamydia, uye gonorrhea zvese zvinogona kukonzera kusununguka kwakafanana nezviratidzo.

Zviratidzo zveBV Ndezvipi?

Aka 84% ezviitiko zveBV hazviite zviratidzo zvachose, izvo zvinotsanangura kuti sei vanhu vazhinji vanoshamiswa nebvunzo inoti une. Apo zviratidzo zvinoitika, zvinowanzosanganisira:

  • Kusununguka kwakatetepa, kwegrey, kwakachena, kana kusiri kwakachena kwechivagina
  • Kushatirwa kweshuga, kunyanya kuonekwa mushure mebonde kana panguva yekuderera
  • Kuzvimba kana kushatirwa kwechivagina
  • Kupisa panguva yekunwa
  • Kusagadzikana kana shanduko yekusununguka panguva yekuderera kwako

Zviratidzo zveBV zvakasiyana nezvefunga (izvo zvinokonzera kusununguka kwakachena kwakachena kwakachena kwakachena kwakachena uye kuzvimba kwakanyanya) nezviratidzo zveSTI (izvo zvinowanzosanganisira mavara asina kujairika ekusununguka, marwadzo echipfeko, kana kubuda kweropa).

Mushonga Unoshanda Chaizvo Ndeupi?

BV inorapwa zviri nyore neantibhayotiki zvakapihwa nachiremba. Sarudzo dzakajairika dzekutanga dzinosanganisira:

Metronidazole (Flagyl)

  • Inowanikwa semishonga yemukanwa 500 mg kaviri pazuva kwemazuva 7, kana semishonga yemuvagina 0.75% inoshandiswa kamwe pazuva kwemazuva 5.
  • Mutengo: $10 kusvika $30 neGoodRx.

Clindamycin

  • Inowanikwa semushonga wemuvagina 2% unoshandiswa kamwe pazuva kwemazuva 7, kana semishonga yemukanwa 300 mg kaviri pazuva.
  • Yakanaka kune: Sarudzo kune vanhu vane allergy kune metronidazole.

Tinidazole

  • Rimwe mushonga wemukanwa we 2g kana 1g pazuva kwemazuva 5. Yakafanana ne metronidazole asi dzimwe nguva inotsigirwa zviri nani.
  • Mutengo: $15 kusvika $40.

Secnidazole (Solosec)

  • Rimwe mushonga wemukanwa we 2g granules. Zviri nyore kwazvo asi zvine mutengo wakakwira.
  • Mutengo: $250 kusvika $350 padozi.

Nekutungamira pakushandisa zvinhu zvisingadhuri zvichienzaniswa nezvinopiwa nachiremba, ona chinyorwa chedu Unogona Kutenga Metronidazole OTC?

Mushonga wakajairika unopedza zviratidzo mumazuva 7 kusvika 10 kune vanhu vazhinji. Nekudaro, kusvika 50-80% evakadzi vanosangana nekudzokorora mukati memwedzi gumi nemiviri. Kana BV ichiramba ichidzoka mushure mekunge yapora, ona bhuku redu rakadzama pa Nei BV Yangu Ichiramba Ichidzoka? kune mhinduro dzekare.

Maitiro Ekugashira Mushonga weBV Online

Kugashira mushonga weBV kuburikidza ne telehealth kwakavanzika uye kuneffekiti:

  • Nhanho 1: Kuongorora kwezviratidzo. Tsanangura zviratidzo zvako, zvakatanga riini, uye zvinhu zvine chekuita (maantibhayotiki achangobva kuitwa, douching, zvigadzirwa zvehutsanana zvitsva).
  • Nhanho 2: Kuongorora kwezvakaitika kare. Mupepeti anobvunza nezve mushonga, mushonga wekudzivirira, nhoroondo yezvepabonde, zviitiko zveBV zvapfuura, uye mamiriro ekubata pamuviri.
  • Nhanho 3: Kurongeka kwezviedzo kana zvichidikanwa. Kune BV inodzokorora kana zviratidzo zvisiri pachena, mupepeti anogona kukurudzira kuyedzwa kutsanangura zvimwe zvirwere.
  • Nhanho 4: Sarudzo yekurapa. Nezviitiko zvakajairika zveBV, mushonga unotanga pakarepo. Vechikwereti vekutanga vanowanzogamuchira metronidazole gel kana mapiritsi emukanwa.
  • Nhanho 5: Kutora mushonga pafarmacy. Kutora mushonga pazuva rimwe chete kunowanikwa pachipatara chemuUS chose.

Nguva Yekunotarisira Chiremba

Zvimwe zviitiko zvinoda kuongorora kwakawedzerwa:

  • Zviratidzo hazvitsungirirwi nemushonga wakajairika
  • Kudzokorora kazhinji (zviitiko 3+ pagore)
  • Kubata pamuviri nezviratidzo zveBV
  • Zviratidzo zvine marwadzo epachikafu, fivha, kana kubuda kweropa kusingajairiki
  • Kufungidzirwa kwezvakafanana zveSTI
  • Kuzotanga kuita zvepabonde nezviratidzo zvisina kujairika

Wakagadzirira kutarisirwa kwakavanzika? Iyo August AI Online Urgent Care pa $39 yakatarwa inogona kuongorora zviratidzo zveBV, kupa metronidazole, clindamycin, kana mishonga dzimwe, uye kurongeka kwekutora mushonga pazuva rimwe chete mudunhu rose re 50 US.

Mibvunzo Inowanzo bvunzwa

Vachena Vanogona Kuwana Bacterial Vaginosis?

Hongu. Zvidzidzo zvekurapa zvinotsinhira kuti vanhu vasina kusvika vanogona kuwana BV. Pavasikana vasina kusvika vanodarika 13% mune chimwe chidzidzo vaive neBV, vakaenzana nezviyero muvanhu vaipa zvepabonde. BV inokura kuburikidza nekusawirirana kwe microbiome, kwete kuendeswa pabonde.

Unogona Kuwana BV Kubva kuTolet Seat, Hot Tub, kana Swimming Pool?

Kwete. BV haikwanise kutapurwa kuburikidza nemapazi, mvura, kana kubatana kwakajairika. Mabhakitiriya aripo anogara mumamiriro ekunze emuvagina uye haagari pamapazi kana mumvura ine chlorine kwenguva refu kuti ataurirane.

BV Inoreva Kuti Mumwe Wangu Akatsotsa?

Kwete zvechokwadi. BV ndeimwe isingawirirani ye microbiome, kwete chirwere chinotapurwa pabonde. Kunyangwe mumahofisi enyanzvi enguva refu, vakadzi vanogona kuwana BV pasina chero chinhu chekunze. Douching, maantibhayotiki, shanduko yemahomoni, kana shanduko dze microbiome dzechisikigo ndizvo zvinowanzoita zvichiita kuti BV iwedzere kupfuura kusatendeka kwemumwe munhu.

Bonasi Rebhi Rinoita Sei BV?

Kubatana kwezvipembenene kubva kumukadzi kuenda kumukadzi kunogona kuendesa mabhakitiriya ane chekuita neBV pakati pevanodyidzana, uye huwandu hweBV huri pakati pevakadzi vanoita zvepabonde nevakadzi huri kuwedzera. Nekudaro, iyi ndiyo kuendeswa kwemabhakitiriya ane chekuita nekusawirirana pane pathogen yakatarwa, uye BV inogona kutochinja pasina chero chiito chepabonde.

BV Inobuda Pasina Mushonga?

Dzimwe nguva, hongu. Pavasikana 30% ezviitiko zveBV zvinopedzwa pachazvo sezvo microbiome ye mavagina ichidzokera pakuyerera. Zvisinei, BV isina mushonga inowedzera njodzi yechirwere chechipfeko, zvinetso panguva yekubata pamuviri, uye kuwedzera kwenyaya kune STIs chaiwo. Mushonga unokurudzirwa kune zvakawanda zviitiko zvine zviratidzo.

Ndinogona Kuregedza BV Pasina Kuchinja Chiito Chepabonde?

Hongu. Mazano mazhinji ekudzivirira asina chepabonde anobatsira: kurega douching zvachose, kudzivisa zvigadzirwa zvehutsanana zvine kunhuhwirira, kupfeka hembe dzemukati dzemuchindwi, kuchinja zvipfeko zvakanyorova nekukurumidza, uye kungwarira kushandiswa kwemaantibhayotiki. Kune BV inodzokorora, mushonga wekugadzirisa ne metronidazole gel yemuvagina kana rutsigiro rweprobiotic zvinogona kubatsira.