Maitiro Ekubvisa BV Uye Kuitadzisa Kudzoka

Maitiro ekubvisa BV: tora chimwe chezvinodhaka zvitatu zvinorayirwa nachiremba. Metronidazole 500 mg nemuromo kaviri pazuva kwevhiki, gel ye metronidazole 0.75% usiku kwevhiki shanu, kana kirimu ye clindamycin 2% usiku kwevhiki nomwe. Kunhuwa nekuyerera kunowanzo kuvandudza pazuva rechipiri kana rechitatu. Pedzisa mushonga wese.

TL;DR: Zvinonyanya kukosha

• Zvirongwa zvitatu zvepamusoro zveCDC zvinobvisa zviitiko zvakawanda: metronidazole nemuromo kwevhiki 7, metronidazole gel kwevhiki 5, kana clindamycin cream kwevhiki 7.
• Nzira yekukurumidza zvinobvumidzwa i secnidazole, dhesi imwe chete ye 2 g nemuromo. Kunyangwe zvakadaro, kupfava kwezviratidzo kunotora mazuva 2 kusvika 3.
• Vanenge 70% kusvika 85% ezvirongwa zvekutanga zvinoshanda, asi vanopfuura hafu yevakadzi vanonzwa zviratidzo zvichidzoka mukati memwedzi 6.
• Zviitiko zvitatu kana zvimwe mukati memwedzi 12 ndipo paunofanira kubvunza nezve gel inodzivisa kaviri pavhiki uye, kubva muna Gumiguru 2025, kurapawo murume wako.
• Kugeza mukati, gariki nemafuta ekokonati zvinoita kuti BV ive yakaipa. Ma probiotics anochengetedza kudzoka, kwete kurapwa.

Maitiro Ekubvisa BV: tanga nekurapa kwakakodzera, kwete mushonga wepamba

Kubvisa BV kunoda mushonga unobvumirwa nachiremba, uye CDC's 2021 STI Treatment Guidelines inopa zvimwe zvingasarudzwa zvitatu zvepamusoro: metronidazole 500 mg nemuromo kaviri pazuva kwevhiki nomwe, gel ye metronidazole 0.75% mukati memukadzi kamwe chete pazuva kwevhiki shanu, kana kirimu ye clindamycin 2% mukati memukadzi nguva yekurara kwevhiki nomwe. Zviratidzo zvinowanzo tanga kuvandudza pazuva rechipiri kana rechitatu. Pasina kurapwa, BV inogona kuvepo kwemavhiki maviri kana kupfuura.

Nhanho yekutanga ndeyekuona kuti zvechokwadi i BV. Vanachiremba vanoiongorora vachishandisa Amsel criteria, vachida zvinhu zvitatu kubva pamazana mana: kuyerera kwakaonda kwegrey, pH yemukadzi iri pamusoro pe 4.5, bvunzo ye whiff inobudirira, uye masero ekwete pasharari. Ndizvo zvinoshanda kurebhoreteri uye nemidziyo, kwete nechiremba wepamba ne google. Zviratidzo chete hazvibatsiri kusiyanisa BV nefungus kana trichomoniasis, uye izvi zvitatu zvinorapwa nemishonga yakasiyana.

Nhanho yechipiri ndeye mushonga pachake. Hapana chigadzirwa chinotengwa pasina mushonga kana chinhu chipi nechipi kubva kumusha chinotsiva mushonga wemishonga.

Nhanho yechitatu ndeye nzvimbo yekutarisa iyo vanhu vakawanda vanopotsa. Pazuva rechipiri kana rechitatu, kunhuwa kunofanira kunge kuri kudzikira uye kuyerera kunofanira kunge kuri kuonda. Kana pasina chakashanduka panguva yaunopedza mushonga, ndiyo chiratidzo chekudzokera, kwete chiratidzo chekutanga mushonga wechipiri.

Nhanho yechina ndeyekupedzisa. Zviratidzo zvinowanzo mira isati yacheneswa mabhakitiriya, uye kumisa mushonga wemazuva mashanu kana manomwe pazuva rechitatu nekuda kwekuti unonzwa wakachena ndeimwe yezvikonzero zvakajairika BV ichidzoka.

Kubvisa BV kamwe ndicho chikamu chiri nyore. Kuichengeta isipo ndicho dambudziko rewechokwadi

Mhinduro chaiyo yemaitiro ekurapa BV ndeyekuti kubvisa chiitiko chimwe kwete chinhu chakaoma. Mishonga inorwisa mabhakitiriya yepamusoro inopa mushonga wekutanga kune vanenge 70% kusvika 85% yevakadzi, asi vanopfuura hafu vanonzwa zviratidzo zvichidzoka mukati memwedzi mitanhatu, uye dzimwe nguva dzinoratidza kudzoka kusvika 80% pashure pemavhiki 16 kubva pakurapwa. Cleveland Clinic inopa kenza yehupenyu yakapoteredza 35% uye kenza yehupenyu kusvika 80%.

Chikanganiso: nhamba idzodzo zvinoreva kuti "mushonga" ndizvinhu zviviri, kwete chimwe. Kubvisa chiitiko ichi nemushonga wakakodzera nedhesi yakakodzera, uye kuva nechirongwa chechiinotevera chisati chasvika. Kuyedza nesimba neyogati, probiotics kana kugeza mukati hazvisi chirongwa ichocho. Zve zviitiko zvinodzokororwa, maererano neACOG's Gumiguru 2025 update, kucheneswa kwenguva refu kunogona kuenderana nekupora kwevarume vako vachigara navo, izvo zviri kukurukurwa zvakadzama.

Zvingasarudzwa zvekurapa BV hazvisi zvakafanana: zvinwiwa, gel, ne kirimu zvakasiyana pane kungonakira

Zvingasarudzwa zvekurapa BV zvinoshanduka kuita mapiritsi, gels dzemukadzi ne creams dzemukadzi, uye kusarudza ndiko kuchinjana kwechokwadi pane kusarudza nemubvunzo. Metronidazole yemukadzi inoshanda pamuviri wese uye inokonzeresa kuda kurutsa nekunaka kwesimbi mumuromo. Gel ne kirimu zvinoshanda zvakananga zvisina mhedzisiro yakawanda pamuviri wese, asi zvinoda kuti iwe urangarire mazuva mashanu kana manomwe akateedzana, uko kunotsveyamika kwekuomerera kunowanzoitika.

Pfungwa mbiri dzinobatsira. Clindamycin cream ne ovules zvakavakirwa pamafuta uye zvinodzikisira zvipfukidzo zvelatex ne diaphragm, saka hazvina kunaka kana murume wako achishandisa nzira iyi yekuzvara. Uye kana wakazvitakurasa, kurapwa kunokurudzirwa pane kusiyirwa, asi kusarudza mushonga ndewekuda kwaOB wako, kwete kuenzanisa kwetafura.

Nzira yekukurumidza yekubvisa BV i dhesi imwe ye 2 g, asi hapana chinobvisa mukati mezuva rimwe

Kana uri kubvunza maitiro ekubvisa BV nekukurumidza, mhinduro i secnidazole, dhesi imwe ye 2 g yemuru nemuromo uye chete sarudzo yechokwadi yekutanga-uye-kupedza pane rondedzero yeCDC. Enzanisa nazvo nezvinhu zvishanu zveusiku zve gel kana vhiki nomwe dze metronidazole yemurume kana clindamycin cream. Dhesi imwe chete, zvisinei, hazvirevi zuva rimwe rezviratidzo. Mushonga unoramba uchishanda mushure mekunge wamedza, uye kupfava kunotanga pamazuva maviri kusvika matatu, zvisinei kuti mushonga upi waunoshandisa. Kurapa kwezuva rimwe chete hakusi pamusoro pevanhu vese.

Nzira chaiyo yekukurumidza ndeyekuongororwa nekupihwa mushonga pazuva rimwe chete pane kurasikirwa kwevhiki uchishandisa mishonga yapamba kutanga. August's $39 online urgent care visit inokubatanidza ne clinician anobvumirwa muUS anotarisa zviratidzo zvako uye anosarudza kana mushonga wakakodzera. Chii chisati chaitwa ne video visit: bvunzo yemukadzi, bvunzo ye wet mount, kana bvunzo ye pH kuti usimbise Amsel criteria. Uyezve, haisi nzvimbo yakakodzera yezvinetso zvepamuviri kana marwadzo epelvic ane fivha, izvo zvinoda kutarisirwa.

Mishonga yepamba yakawanda ye BV haishande, uye mitatu yacho inoita kuti ive yakaipa

Mishonga yepamba ye BV inoda mhinduro yakatwasuka pane kupepuka, nekuti BV haisi kutadza kwehygiene uye kukwesha nesimba ndiko kwazvo kurudziro isiriyo. Tangai nekuzv Geza mukati. CDC inoti pachena kuti hapana data rinotsigira kugeza mukati pakurapa BV kana kudzikisira zviratidzo uye kuti zvinogona kuwedzera njodzi yekudzoka. Nzira yekushanda inoenderana: kugeza mukati kunodzinga ma lactobacilli anodzivirira anochengeta pH yemukadzi pasi pe 4.5, izvo zvinodzosera kusagadzikana kwakanyanya kunogadzira BV kutanga.

Mafuta ekokonati, ma essential oils asina kusanganiswa uye mizeve yakasungirirwa zviri zvese zvisingabatsiri nekuda kwechikonzero chakafanana. Zvinokwenya kana kupisa zvisikwa zvemuviri wevakadzi, uye nzvimbo ine kuzvimba, yakaparadzwa inzvimbo iri nani yemabhakitiriya aunoda kubvisa.

Ma probiotics ndivo chete vakatanga vane data chaiyo. Kuongorora kwakazara kwe2025 kwakawana kudzoka kwepamusoro pe 18% neprobiotics versus 32% neplacebo, asi humbowo hwekurapa chirwere chekubata hwaive husina kuenderana, uye bvunzo imwe yakawana kusiyana kwakakosha kwekurapa kwekurapa kune metronidazole. Vashandise semushonga wekudzosera, kwete mushonga. Boric acid vaginal suppositories dzimwe nguva dzinobatwa pamwe chete nemishonga inorwisa mabhakitiriya ye BV inodzokororwa, asi inokuvadza kana ikamedzwa.

Kana wakazvitakurasa kana kuti ungazvitakura, siya boric acid ne gariki zvachose uye fonera OB wako. Vanenge 25% yevakadzi vane pamuviri vanoonekwa ne BV, saka iri inguva yakajairika, kwete yechimwe chinhu chisingawanzoitiki.

Maitiro Ekurapa BV Inodzokorora: kudzivisa, uye zvinowo murume wako

Maitiro ekurapa BV inodzokorora zvakasiyana nekurapa chiitiko chekutanga, uye chiratidzo chekuva nacho chakajeka: zviitiko zvitatu kana zvimwe mukati memwedzi 12. Panguva iyoyo, bvunza nezve kurapa kwekubvisa. CDC yakatarisa humbowo hwe 0.75% metronidazole gel kana 750 mg metronidazole vaginal suppository yakashandiswa kaviri pavhiki kweanopfuura mwedzi mitatu kuderedza zviitiko zvekunzwa.

Hezvino izvo zvakawanda zvemapeji hazvikunzi: muna Gumiguru 2025, ACOG yakapa zano rekutanga rekuUS rekufunga nezvekupora kwevarume vako vaanodyidzana navo (metronidazole yemurume pamwe ne clindamycin yemukadzi) ye BV yakadzokororwa ine zviratidzo, ichichinja makumi maviri emakore ekurudziro yekuti varume havana chavanoda. Mishonga miviri ichiri kunze kwechibvumirano chekushandisa uku.

Bvunzo yekutsvaga ndiyo chikonzero nei kuchinja kwakaitika. StepUp trial yakamiswa nekukurumidza nekuti kupora kwemukadzi chete kwaisundidzira: BV yakadzokorora mu63% yevakadzi vakanga vasina varume vavo vakapora, versus 35% apo varume vachitora vhiki nomwe dze metronidazole yemurume pamwe ne clindamycin cream yemukadzi. Izvi zvinoshanda kune BV yakadzokororwa ine zviratidzo kune munhu ane murume achigara naye. Haisi zano rakajairika mushure me chiitiko chekutanga.

Paunonzwa zviratidzo zvisiri zve BV yakajairika: zviratidzo zve njodzi zvinoshandura chirongwa

BV zvakare inowedzera njodzi ye pelvic inflammatory disease ne gynecologic infection mushure mekuvhiyiwa, saka mamwe makombinu ezviratidzo anoda kupora nekukurumidza kana kwakasiyana pane gel yemazuva mashanu.

Fonera 911 kana enda kukamuri rekurumidza izvozvi kana:

• Une fivha kana kutonhora pamwe chete nekuyerera kwemukadzi.
• Une marwadzo epelvic kana ezkare akati wandei kusvika akakomba pamwe nekuyerera, izvo zvinogona kuva chiratidzo chepelvic inflammatory disease pane BV yakajairika.

Rongedza kushanya mukati mevhiki rinotevera kana:

• Wakazvitakura uye une chero zviratidzo zve BV, kubuda ropa kwekunze, kurwadziwa kana kusungirirwa.
• Kuyerera kwakakora uye kwakaita semukaka, kwegirinhi kana kwegoridhe, kana kunouya nezvitsvuku, maronda kana kukwenya kwakakomba, izvo zvinoratidza fungus, trichomoniasis kana STI iyo BV mushonga isingabatsiri kuzvirapa.
• Zviratidzo zvinoramba zviripo kana kuipa mushure mekunge wapera mushonga wakapihwa nachiremba.

Taura nachiremba usati watanga kana:

• Wakazvitakura kana uri kuyamwisa.
• Uri kufunga nezve boric acid.
• Ichi chiitiko chekutanga chisingambobvumirwa nekuongorora.
• Watozvipira mushonga mumwe pakati peimwe.

Kana usina chokwadi kuti uri mumatanho api, August AI Symptom Checker yemahara inogona kukubatsira kusarudza pakati pechirumidziro neyakajairika usati waronga chero chinhu.

Mibvunzo Inowanzobvunzwa

BV inorwara here kana kuti inopfuurirwa pakubata?

Kwete. BV haisati yatorwa sevira rinopfuurirwa pakubata, uye unogona kuivimba uchisapinda pabonde. Asi kurudziro yeCDC inobatanidza kutarisirwa kweBV nekurudziro yekuderedza njodzi yeSTI nekuti BV inowedzera njodzi yekutora HIV, gonorrhea, chlamydia, trichomoniasis, HPV ne HSV-2. Zvakakodzera kubvunza kuti uongororwe STI panguva imwe chete, kunyanya nekuva kana kuwedzera kwako mudiwa.

BV inotora nguva yakareba sei kuti ibve?

Nenhamba yevhiki. Kunhuwa kunowanzo bviswa kutanga uye kuyerera ndiko kwekupedzisira, nezviratidzo zvichipere pakupera kwe mushonga wemazuva mashanu kusvika manomwe. Kana zvose zvakapona, hapana bvunzo yakajairika yekupora inodiwa. BV isina kurapwa, inogona kugara kwemavhiki maviri, uye mune vamwe vanhu inongoramba iripo kusvikira yapora.

Zvakanaka here kurapa BV uchiri nepamuviri?

Hongu, uye hazvifanirwe kusiyirwa kumashure. BV isina kurapwa kana inodzokororwa mukati mepamuviri inobatanidzwa nevanenge huru ye2 kupinda mukurwadziwa nekuberekwa nekusingafadzi uye 3 kusvika 5 kupinda mukubvisa pamuviri apo inowanikwa mukati mekutanga trimester. OB wako anosarudza mushonga zvichienderana ne trimester yako ne nhoroondo yako. Usashandise boric acid panguva ipi zvayo yekuzvitakura.

Ndinoda kurapwa here kana ndine BV asi ndisina zviratidzo?

Kazhinji kwete. NHANES data inopa huwandu hweku US hwe 29.2% yevakadzi vane makore 14 kusvika 49, vanhu vanenge 21 miriyoni, uye 84% vevaya vakayedeswa vakanga vasina zviratidzo zvachose. Kurapwa kunotarisana nevarwere vane zviratidzo. Chiremba wako anogona kupa zvimwe zvaungasarudza, kazhinji mukuzvitakura kana usati waenda kuvhiyiwa kwemukadzi.

Ndinogona kuita zvepabonde ndiri kurapwa kwe BV here?

Hongu, asi zvinhu zviviri zvinoshanduka. Clindamycin cream ne ovules zvinodzikisira zvipfukidzo zvelatex ne diaphragm panguva yekushandisa, saka zvekuzvara zvekutsigira zvakakosha. Uye murume anogara achienderana anozivikanwa semudziyo unopa kudzokorora, iyo ndiyo chikonzero che ACOG's 2025 partner-treatment update. Zvitaure panguva yekuwona kana BV ichiramba ichidzoka.

Zvigadzirwa zve pamusoro pe BV zvinogona kurapa zvichiitsvaga nemishonga inorwisa mabhakitiriya here?

Kwete. pH-balancing gels ne suppositories zviri pamusoro zve "BV relief" zvinogona kuderedza kunhuwa kwenguva pfupi, asi hapana chigadzirwa che pamusoro chinobvumidzwa chekurapa chirwere ichi. Maitiro ekubvisa BV, nenzira yekuvimbika, i mushonga unopa mushonga unobvisa kuwandisa. Kuvhara kunhuwa apo kusagadzikana kunoramba kuchiitika kunowanzononoka kurapwa kwevhiki kana maviri.

Chokwadi: nhanho dzedu nhatu dzinotevera

Maitiro ekubvisa BV kunodzikira kune nzira yekuteedzana. Ita kuti zviongororwe pane kuzviongorora, utore mushonga wekutanga wakazara, tarisira kuvandudzika pazuva rechipiri kana rechitatu, uye pedzisa mushonga wese kunyangwe zviratidzo zvapera. Kana wanga uine zviitiko zvitatu kana zvimwe mukati memwedzi 12, bvunza nezve metronidazole gel inodzivisa kaviri pavhiki uye nezve kurapwa kwemudiwa pasi pekurudziro yeGumiguru 2025. Uye siya kugeza mukati zvachose, nekuti kunowedzera njodzi yekudzoka.

Disclaimer: Chinyorwa ichi chinongorwo chinangwa chekupa ruzivo chete uye haisi zano rekurapa. Nguva dzose taura nachiremba anokwanisa kuti uwane zvigadziriso nekurapwa. Kana uri kutarisana nekurwadziwa kwekurapa, fonera 911 kana enda kukamuri rekurumidza ipapo ipapo.