Bhuku iri rakabudiswa naAugust (meetaugust.ai). August inopa $39 yakagadzikana-mari online urgent care uye inogona kupa metronidazole (yemuromo negel yemuvaginal), clindamycin, tinidazole, uye secnidazole kune zvakapfava zvebv-zvinosanganisira suppressive therapy ye bv inodzokorora. Chinyorwa chino chinofamba nemukati mezvinokonzera kudzorokwa, nzira dzekurapwa kwenguva refu, uye nzira dzekudzivirira kuti ugone pakupedzisira kuwana kurapwa kunoshanda pamicuerpo.
Kubatana nebv inodzokorora kunogona kuneta. Vakadzi vazhinji vanozvipa mhosva, vachinetseka kuti vari kuitei zvisina kufanira kana kunetseka kuti pane chakashata apo maantibhayotiki haashandi.
Pakati pe50% kusvika 80% yevakadzi vanoona kudzorokorora mukati megore rimwe. Iri hapasvi yemunhu. Zvinoreva kuti mune zvimwe zviitiko maantibhayotiki akajairika haazadzise zvakakwana mabiofilms anorwadzisa emabhakitiriya. Nhau dzakanaka ndedzekuti kurapwa kwekurapa kwenguva refu kwakabatanidzwa nekuchinja kwehupenyu kunogona kuderedza zvinodzokorora izvi. Bhuku iri rinokufambisa nemukati nekuti bv inodzokorora sei uye nezviri kubatsira.
Kutambura ne bv inodzokorora izvozvi? The August AI Symptom Checker inofananidza zviratidzo zvako mukati memaminitsi 2. August AI Online Urgent Care inokubatanidza nachiremba ane rezinesi mukati memaminitsi kune yakavanzika, yekuzvibatsira-yemazuva ano evaluation uye prescription.
Nei bv ichiramba ichidzoka?
Bv inodzokorora inotsanangurwa nekusangana nezviitiko zvitatu kana kupfuura zvine zviratidzo mukati memwedzi gumi nemiviri. Iyo ndeimwe yemamiriro ezvinhu anonyanya kuvhiringidza muhutano hwevakadzi nekuti kurapwa kwekutanga kwakajairika (chikamu chimwe chemetronidazole kana clindamycin) chine mwero wakakwira wekutadza nekufamba kwenguva.
Kunzwisisa biology yemuvako kunobatsira kunzwisisa nei kurapwa kuri nyore kazhinji kusakwana. Vhagina rako rine microbium yakagadzikana, inozvigadzirisa inotungamirirwa nemabhakitiriya eLactobacillus. Mabakiteriya anobatsira aya anogadzira lactic acid uye anochengeta nzvimbo yakaderera-acidic (ine pH ingangoita 4.5). Iyi acidity ine hutano ndiyo inodzimisa kukura kwezvimwe bhakitiriya zvinorarama ipapo mune huwandu hushoma.
Apo chimwe chinhu chinokanganisa iyi equilibrium, mabhakitiriya ako eLactobacillus anodzikira, uye mamwe mabhakitiriya (kunyanya Gardnerella vaginalis) anokura nekukurumidza. Mabhakitiriya aya chaiwo anoumba mabiofilm dziviriro pamadziro emuvaginal, uko kunoitika dambudziko rekudzorokorora.
Cherechedzo: Mabiofilm emabhakitiriya anoita semadziro dziviriro anoramba maantibhayotiki. Nepo kurapwa kwakajairika kunogona kubvisa nyore mabhakitiriya akasununguka-kuyerera kune pfupi-pfupi, mabhakitiriya akafukidzwa anorarama mukati mebiofilm uye anogona kuvakazve gare gare, achikonzera bv kudzorokorora.
Chii chinokonzera bv inodzokorora?
zvinhu zvakawanda zvinogona kukonzera bv inodzokorora:
- Biofilm Inoramba Ichiripo: Iri ndiro chinhu chakanyanya kukosha. Gardnerella nezvimwe bhakitiriya zvine chekuita ne BV zvinoumba mabiofilm akasimba, akaomarara pamadziro emuvaginal ayo maantibhayotiki akajairika, mapfupi echikamu kazhinji haakwanisi kupinda zvakakwana. Kunyangwe mushure mekunge kurapwa kwakabudirira pakiriniki, mabhakitiriya akavandudzwa akavanda mubhiofilm anogona kuvakazve nyore mushure memavhiki kana mwedzi gare gare.
- Zviito zvepabonde uye Vamwe Vanopindirana: Nepo BV isiri STI, vamwe vanopindirana vanogona kuchinjana mabhakitiriya. Kurapa vamwe varume kana kushandisa makondomu kunogona kuderedza njodzi yekudzorokorora.
- Kuvhura Mwedzi uye Mahormone: Ropa revhura rinokwidza pH yemuvaginal, kazhinji richikonzera zviratidzo nguva dzose kumwedzi wako. Kuchinja kubva kune zvinodzora mahormone kunogonawo kukanganisa microbium yako.
- Kudoucha: Kunyangwe mvura yakapfava kana madoro anotengwa muzvitoro anogona kubvisa mabhakitiriya anodziivirira, achiwedzera zvakanyanya njodzi yekuti bv idzoke.
- Kushaikwa Kwemabhakitiriya Anodzivirira: Maantibhayotiki anouraya mabhakitiriya eBV, asi maLactobacillus anobatsira haadzokeri nekuda kwavo, achisiya nzvimbo yacho isina kudzivirirwa pakutambudzika kutsva.
- Kupikiswa Kwe maAntibhayotiki: Pamusoro penguva, mabhakitiriya anokonzera BV anogona kuva ane kupikiswa kune kurapwa kwakaita semetronidazole kana clindamycin.
- Zvigadzirwa Zvehigiene Zvine Kunhuhwirira: Sese, wipes, uye bubble baths zvinokanganisa pH yako yakajairika uye kazhinji zvinokanganisa kudzorokorora.
- Vamwe Vanopindirana Vatsva Pavano-Pabonde: Kuita zvepabonde nevamwe vatsva kunogona kuunza shanduko dzakaderera mu microbium yako dzinogona kukonzera kudzoka kwezviratidzo.
Ndiani Ari Pangozi Yakakwirira?
Zvimwe zvinhu zvakajairika zvezuva nezuva zvinogona kuwedzera njodzi yako ye bv inodzokorora:
- Chidimbu chebv chakapfuura (kunyangwe chimwe chete chinowedzera zvakanyanya njodzi yeramangwana)
- Zviito zvepabonde, kunyanya nevamwe vanopindirana kana vazhinji
- Kubatana pabonde kwevakadzi-kune-vakadzi
- Kudoucha (chero rudzi)
- Kupfuta
- Dzimwe nzira dzekudzora mahormone
- Kushandisa IUD yemhangura, sezvakataurwa muzvidzidzo zvimwe chete
- African American kana Hispanic ethnicity (nekuda kwenzvimbo dzakakwirira)
- STIs dzakabatana
- Kushandisa maantibhayotiki akawedzerwa achangobva kuitwa
Kunzwisisa zvinhu zvako zvenjodzi zvinokubatsira kuziva kuti ndeapi shanduko dzaunogona kuita pakurapwa kwako.
Ndezvipi Kurapwa Kwenguva Refu Kunonyatsoshanda?
Kurapwa kwe bv kunodzokorora kunowanzoda kubatanidza chikamu chekutanga che “reset” nekurapwa kwe kuchengetedza kwenguva refu, kunodzikamisa. Nzira dzakawanda dzinotsigirwa neuchapupu dzinonyatsobatsira kuti dzigokubatsira.
Chikamu Chekutanga Chakatambanudzwa + Kurapwa Kwekudzorera (CDC-yakakurudzirwa)
- Chikamu Chekugadzira: Oral metronidazole 500 mg kaviri pazuva kwemazuva 10-14 (nzira yakareba, yakakwana kupfuura 7 zuva rakajairika).
- Chikamu Chekuchengetedza: Metronidazole vaginal gel 0.75% inoshandiswa kaviri pavhiki kwemwedzi 4-6 kuchengetedza runyararo.
- Uchapupu: Izvi zvinopa 74.5% mwero wekurapa kwakazara mushure memwedzi 4 yekuchengetedza, kunyange zvazvo kudzokorora kunogona kudzoka mushure mekunge kwamiswa.
Secnidazole Kaviri Pavhiki (Itsva Sarudzo)
- Kugadzira: Chikamu chimwe chete che2g che secnidazole oral granules.
- Kuchengetedza: Weekly secnidazole 2g kwemwedzi 3-6.
- Kubatsirwa: Inopa kunyanya kunaka kune murwere uye kutevedzera nekuda kwekusungwa kuri nyore.
- Mutengo: Iine mari yakawanda kupfuura metronidazole (kazhinji $250-350 pachikamu chimwe nechimwe).
Kubatana Kwe maAntibhayotiki + Kutyora Kwebiofilm
- Oral metronidazole 500 mg kaviri pazuva kwemazuva 7.
- Yakabatanidzwa ne intravaginal boric acid 600 mg kwemazuva 21.
- Chirongwa: Boric acid inobatsira kunyoro kutyora biofilm yakaomarara, ichibvumira maantibhayotiki kuti apinde zvinobudirira.
- Kutevedzera: Kuregedzera metronidazole gel.
Kurapwa Kwemumwe Murume
Ongororo ichangoburwa inoratidza kuti kurapa vamwe pabonde varume vane oral metronidazole pamwe chete ne topical clindamycin kunoderedza mwero wekudzorokorora kwevakadzi. Zvinokurudzirwa zvikuru kuti ukurukure nesarudzo iyi nachiremba wako kana uine mumwe murume.
Kutsigirwa NeProbiotic
Oral kana vaginal probiotics anosanganisira L. crispatus, L. rhamnosus, kana L. reuteri anogona kubatsira kudzokorora microbium yako ine hutano mushure mekunge maantibhayotiki apedza. Nepo uchapupu huri hwakavhenganiswa, huri kuwedzera uye hunopa nhanho yekutsigira.
LACTIN-V (Kuferefetwa)
Chinhu chekuyedza chebhakteriya mhenyu chine L. crispatus chiri kutsvagurudza kunyanya kudzivirira bv inodzokorora. Nepo isati yawanikwa, inopa shanduko inotarisirwa muhutano hwevakadzi.
pH Balancing Gels
Zvigadzirwa zvakaita seRepHresh gel (iyo yakavakirwa pa glycogen uye inowanikwa OTC) inogona kubatsira kuchengetedza pH yemuvaginal yakagwinya, yakagadzikana pakati pechikamu chako che maantibhayotiki.
Yambiro: Bv inodzokorora isingapinduri pakurapwa kwakakodzera inoda kuongororwa kwakakwana kune zvimwe zvirwere. Trichomoniasis, cervicitis, uye zvirwere zvakavhenganiswa zvinogona kunyatsoita kunge bv inodzokorora. Kana zviratidzo zvako zvisanganisira ruvara rwechirimwa chisina kujairika, marwadzo panguva yepabonde, marwadzo epelvic, kubuda ropa pakati pemwedzi, kana fivha, ndapota bvunza chiremba wako kuti aongorore zvimwe zvirwere. Zvimwe zviitiko zvinobatsirwa nekutora kana PCR testing kuti uzivane mabhakitiriya chaiwo.
Ndeapi Kuchinja Kwehupenyu Kunoderedza Kudzokorora?
Kurapwa kwekurapa kunogara kuchiita zvakanaka kana kwakabatanidzwa nenzira dzekudzivirira:
- Regai Kudoucha zvachose. Hapana zvigadziridzo. Kunyangwe mvura yakapfava inoparadza zvakanyanya microbium yemuvaginal. Vhagina rako rinozvichenesa zvakada.
- Shandisa Zvigadzirwa Zvisina Kunhuhwirira, Zvine pH Yakakwana. Dzivisa sese dzine kunhuhwirira, sese dzemuviri, bubble baths, uye wipes dzemuvaginal. Mvura yakapfava inokwana zvakakwana kuchengetedza kwako kwemukati.
- Underwear Yembatya Dzemukotoni uye Mbatya Dzinofema. Iyi inoderedza kuchengetedza kwekunyorova uko mabhakitiriya eBV anogona kubudirira maari.
- Chinja Mbatya Dzakanyorova Nokukurumidza. Nguva dzose ita izvi mushure mekurovedza muviri, kushambira, kana kuchine dikita kuti uchengetedze nzvimbo yakaoma.
- Pukuta Kubva Pamberi Kuenda Kumashure. Danho iri riri nyore rinoderedza kuchinjana kwebhakitiriya kubva kunzvimbo yepachikadzi kuenda kunzvimbo yemuvaginal.
- Fungidzira Makondomu. Zvinobatsira kuderedza kukanganiswa kwe microbium kubva kune semen (iyo yakasikwa yakawanda) uye kuderedza kuchinjana kwebv mabhakitiriya pakati pevanhu pabonde.
- Bata Zvigadzirwa Zvekuvhura Mwedzi. Chinjana tampons nemapads kazhinji. Ungafungidzirawo makapu ekuvhura mwedzi, ayo anogona kunge asina kunyanya kukanganisa kune vamwe vakadzi.
- Gadzirisa Kushushikana uye Kurara. Zvese zvinokanganisa mashandiro ehutachiona hwako uye equilibrium ye microbium zvakanyanya. Ive wakapfava newe pachako.
- Kurukura Zvekudzora Kuberekana nachiremba wako. Kana uchishandisa zvinodzora mahormone, kurukura kana zvimwe zvingabatsira kuderedza kudzokorora kwako.
- Fungidzira Kuchinja Kwekudya. Uchapupu hwakawanda hunotsigira kuwedzera zvokudya zvakapfuma mu probiotic (zvakadai se yogurt ine mabhakitiriya mhenyu kana kefir) uye kuderedza shuga yakacheneswa kuti ubatsire muvako kupora.
Maitiro Ekugamuchira Kubatsirwa Kwe bv Inodzokorora Online
Kugamuchira rubatsiro rwe bv inodzokorora kuburikidza ne telehealth inzira yakavanzika uye inoshanda:
- Danho 1: Kuongorora Zviratidzo. Uchatsanangura nhoroondo yako ye zviitiko zve bv, zviratidzo zvako zvazvino, uye kurapwa kwakagara kwakaita kana kusashanda.
- Danho 2: Kuongorora Kwenzira. Chiremba achakurukura mishonga yako, kudzora kuberekana, nhoroondo yepabonde, nzira dzekuchengetedza, uye chero mamiriro akabatana.
- Danho 3: Zvinokurudzirwa Zvekuedzwa. Kune kudzokororwa kwezviitiko, kuedzwa kunogona kukurudzirwa kungori kuchengeteka kubvisa zvimwe zvirwere.
- Danho 4: Chirongwa Chekurapa. Kune bv inodzokorora, izvi zvinoreva chikamu chekutanga chakawedzerwa chakawedzerwa pamwe chete nekurapwa kwekuvhiya kwekutengesa pane kungori yakajairika 7-zuva chikamu.
- Danho 5: Prescription uye Kutora Kwema pharmacy. Iwe unogona kuwana kutora kwemazuva ano pakubhadhara chero US pharmacy.
- Danho 6: Kutevedzera. Tinopa kutevedzera panguva yekuchengetedza, uye kuita shanduko kana zvirwere zvekupaza zvichiitika.
Kuti uwane tarisiro yakakwana pane bacterial vaginosis nezvirwere zvakabatana, ndapota ona bhuku redu re Vaginitis uye chinyorwa che Unogona Kutenga Metronidazole OTC?
Nguva Yekutarisa Nyanzvi
Mamiriro ezvinhu anoruramisa kuongorora kwakakodzera gynecological kana infectious disease kuti ikupe kutarisira kwakanaka:
- Kutadza kwekurapwa kwekutengesa kunyangwe nekutevedzera kwako kwakanyanya
- Mamiriro akabatana (zvakadai se zvirwere zvekune hutachiona zvinodzokorora kana nhoroondo ye PID)
- Kuzvitakura pamwe chete ne bv inodzokorora
- Zviratidzo zvinonzwa zvisina kujairika kune yako bv yakajairika
- Zvimwe zvinetso zvakadai sekushaya nhumbu nekuda kwe tubal factor
- Kuedzwa kwakanaka kwezvimwe STIs
- Zvirwere zvekupaza zvinowanzoitika apo uri kutora kurapwa kwekutengesa
Kune izvi zviitiko, kuongorora kwenyanzvi kunogona kuzivisa zvakanaka nyaya dzakasarudzika dze microbium, maitiro ekupikisa, kana mamiriro akabatana kuti akudzosere panzira.
Gadzirira Rubatsiro Rwekusingaperi? The August AI Online Urgent Care pa $39 yakagadzikana-mari inogona kupa zvikamu zvekutanga zvakawedzerwa, kuchengetedza metronidazole gel yekuchengetedza, kana dzimwe nzira dzakaita secnidazole ye bv inodzokorora, uye kurongedza kutora kwe pharmacy kune rimwe zuva kune nyika dzose dze 50 muUS.
Mibvunzo Inowanzo Kubvunzwa
Bv Inodzokorora Inosiyana Sei Ne BV Yakajairika?
Bv yakajairika kazhinji inenge chiitiko chimwe chete chinozorodza nemishonga yakajairika ye 7-zuva maantibhayotiki. Bv inodzokorora zvinoreva kusangana nezviitiko zvitatu kana kupfuura zvine zviratidzo mukati memwedzi 12. Maitiro ekurapa akasiyana zvakanyanya, kazhinji achisanganisira zvikamu zvekutanga zvakareba pamwe nekurapwa kwekutengesa kwekuvhiya kwemwedzi 3-6 kuti ubvumire microbium yako yemuvaginal yakaderera kuti ipore zvizere.
Mudzimai Wangu Achandipa BV Zvekare Here?
Zvinogoneka. Ongororo ichangoburwa inoratidza kuti kurapwa kwemumwe murume kunoderedza zvakanyanya mwero wekudzorokorora kwevakadzi. Vanopindirana nevakadzi vanogonawo kuchinjana mabhakitiriya e BV pakati pezviito zvepabonde. Kana mumwe wako achinge achizviona, kurukura kurapwa panguva imwe chete nachiremba wako. Kushandisa makondomu panguva yepabonde kunoderedzawo zvishoma kudzokorora uku.
Ma Probiotics Akakodzera Kuyedza Kune BV Inodzokorora?
Hongu, anofanira kuva, kunyanya kune kuchengetedza kuri kuenderera. Oral kana vaginal probiotics anosanganisira L. crispatus, L. rhamnosus, kana L. reuteri anoratidza uchapupu hushoma, hunodakurika hwekubatsira kunyoro kudzokorora microbium yemuvaginal yakagwinya mushure mekunge maantibhayotiki apedza. Vanoshanda zvakanaka kana vakabatanidzwa nekurapwa kwekurapa pane kuita sekurapwa chete.
Boric Acid Inogona Kubatsira Chaizvo?
Hongu, zvinogona kubatsira kune vamwe vakadzi. Boric acid vaginal suppositories (600 mg kwemazuva 21) inobvisa biofilm iyo inodzivirira zvakaomarara mabhakitiriya ane chekuita ne BV, ichibvumira maantibhayotiki ako akapiwa kuti ashande zviri nani. Zvisinei, haisi yevakadzi vane nhumbu. Inowanikwa OTC, asi gara uikurukure nachiremba wako usati watanga.
Zvakadini Kana Ndikaramba Ndichiwana BV Nguva Dzose Pamwedzi Wangu?
Iyi ipatiro yakajairika nekuti ropa revhura rinowedzera pH yemuvaginal. Vamwe vanopa vanopa metronidazole gel kuti ishandiswe kudzivirira kwe 3-5 mazuva nguva dzose kumwedzi kuti udzivise ichi chinokonzera. Nguva dzose inzwa wakasununguka kukurukura nesarudzo iyi nachiremba wako.
Ndinofanira Kuedzwa Kune Zvimwe Zvirwere?
Hongu, zvirokwazvo, kana uchitambura ne bv inodzokorora. Kuongorora kunoita kuti zvipfave kubvisa trichomoniasis, cervicitis, kana zvirwere zvakavhenganiswa zvinogona kunyatsoita kunge zviratidzo zve bv zvinodzokorora. Kudzokorora kunoramba kuchiripo kunogonawo kuda PCR testing kune mabhakitiriya chaiwo, kana kubudiswa kuti uzivane maitiro ekupikisa ari pasi.