Ukwelashwa okuhle kakhulu kwe-BV online endabeni yokuqala kungaba yinoma iyiphi insizakalo enelayisensi enikeza imiyalelo yokwelashwa yama-antibiotic eqinisekisiwe ye-CDC ngokushesha nangentengo ephansi, ngoba imithi ifana yonke indawo. I-Wisp njengamanje inezinga eliphansi kakhulu lokukhokha nesikhathi esifushane sokulethwa. Uma ubunama-episode amathathu noma ngaphezulu ezinyangeni eziyi-12, umuthi owodwa awusona isixazululo esifanele.
ESISHWENKO: Izinto Eziyinhloko
- Yonke insizakalo ethembekile inikeza ama-antibiotic afanayo eqinisekisiwe yi-CDC, ngakho-ke endabeni yokuqala, isinqumo sincike enhloko-dolobha kanye nokuthi ungayithola nini imithi.
- Izibuyekezo eziningi zokwelashwa kwe-BV online ziqhathanisa izimali zokuvakashelwa kuphela. Imithi, ukuthunyelwa, nezinto ezengeziwe yikhona lapho imali ihamba khona ngempela.
- Izindaba ezintathu noma ngaphezulu ezinobuhlungu ezinyangeni eziyi-12 zisho i-BV ebuyayo, futhi yileso sikhathi sokuyeka ukuthenga imiyalelo eyodwa.
- Lapho ungathola khona ukwelashwa kwe-BV online kuncike kulisensi yombuso: I-Evvy ayitholakali eziphelini eziyi-16 nemibuso, iBidwell Health isebenza eziphelini eziyi-11, kanti iWisp ayivezi ukuthi iyatholakala kuphi ekhasini lomkhiqizo wayo.
- Akukho ukuvakashelwa okuku-inthanethi okungenza ukuhlolwa kwe-pelvic, i-wet mount, ukuhlolwa kwe-pH yomgudu wesitho sangasese sowesifazane, noma ukuhlolwa kwe-STI. Udokotela ongahlinzeki ngokunikeza umuthi wenza ukuhlunga, akuphumelelanga.
Ukwelashwa okuhle kakhulu kwe-BV online kuncike ekubeni yindaba yokuqala noma indaba yesine
Ukwelashwa okuhle kakhulu kwe-BV online akuxazululwa yi-pharmacology. Bonke abanikezi bemithi abavumelekile banikeza izindlela ezintathu ezifanayo zokuphathwa yi-CDC: i-metronidazole yomlomo engu-500 mg kabili ngosuku izinsuku eziyisikhombisa, i-metronidazole gel yesitho sangasese engu-0.75% kanye ngosuku izinsuku ezinhlanu, noma i-clindamycin cream yesitho sangasese engu-2% ngaphambi kokulala izinsuku eziyisikhombisa. Akukho nsizakalo enokufinyelela kumuthi ongcono. Ngakho-ke izinto zokusebenza kanye nokulandela umkhondo yikho okubalulekile, hhayi imithi.
Yingakho inani lezindaba libaluleke kakhulu kunezinhlobo. Isimo esisodwa esinomdlavuza, akukho zimpawu ezibomvu, akukho ukukhulelwa: ukuvakashelwa kwe-telehealth okunelayisensi kuyindlela efanelekile futhi engabizi ukwelashwa. Izindaba ezintathu noma ngaphezulu ezinobuhlungu ezinyangeni eziyi-12 ziyinqaba ehlukile yezokwelapha, futhi ukuthenga umjikelezo owodwa online kwesine kuyindlela yokwelapha isimpawu somkhuba.
Izinsizakalo ezifanele ukuqhathanisa zihlanganisa iWisp, Nurx, GoodRx Care, kanye neEvvy. IBidwell Health iphinde ishicilele isilinganiso salo mbuzo, futhi ibeka insizakalo yayo ngaphakathi kwetafula layo leziqhathaniso, okufanele ukwazi ngaphambi kokuthi uyithathe leyo khasi njengento engachemi.
Ukubuyela emuva, hhayi isivinini sokuthumela, yikho okuhlukanisa lezi zinsizakalo
Izilinganiso zokwelashwa okuhle kwe-BV online cishe njalo zihlunga ngesikhathi sokuthola, kanti isikhathi sokuthola yisilinganiso esingalungile kunoma ngubani oke wayithola ngaphambili. Ukubuyela emuva kuyisiphetho esiphambili ngemuva kokwelashwa, kubikwa njengokuphezulu njengo-58% ngaphakathi kwezinyanga eziyi-12 kubantu abaphathwa ezikhungweni zempesheni. I-Evvy ikhombisa inani elifanayo ekhasini layo: abantu abangaphezu kwesigamu banobuhlungu obubuyayo ngaphakathi kwezinyanga eziyisithupha ngemuva kokwelashwa ngama-antibiotic ajwayelekile.
Kwenziwe ushintsho ngo-Late 2025. Isibuyekezo Sokuhlinzekwa Komsebenzi Kwesihlukile sango-October 2025, njengoba sichazwe esibuyekezweni sango-2025, ukwesekwa kokuqala okusemthethweni kwe-US ngokucatshangelwa ukwelashwa okufanayo kwabalingani bephelindaba besilisa (i-metronidazole yomlomo kanye ne-clindamycin yangaphandle) nge-BV evuselelayo enobuhlungu. Isivivinyo esingenamasho ayo sibike ukubuyela kwezinyanga eziyi-12 okungu-63% lapho owesifazane ephathwa eyedwa uma kuqhathaniswa no-35% lapho umlingani wakhe wesilisa ephathwa ngesikhathi esifanayo, isilinganiso sobungozi esingu-0.37.
Inkinga: lesi yisiphetho esisakhula, hhayi isivumelwano esiqinisekile. Umhlahlandlela we-CDC wango-2021 usasho ukuthi ukuphathwa komlingani okuvamile akukhuthazwa, ngoba akubashintshanga ingozi yokululama noma isikhathi sokuphinda kwenzeke emsebenzini wangaphambili. Zombili lezi zimangalo ziqinisekile njengamanje, futhi udokotela omuhle uzokutshela njalo.
Ngokusebenza, lokhu kunciphisa inkambu ngokushesha. Isengezo sokuphathwa komlingani se-Wisp esingu-$99 yisici esijwayelekile sokuthelekisa esihambisana nalezi zibonakaliso nhlobo.
Wonke ukuvakashelwa kwe-BV online kuyahlanza isibonakude, futhi yileso sangempela sokushintshana
Lapho uthola ama-antibiotic e-BV anikwe imiyalelo online, lokho okuthengayo kuyisipiliyoni esisekelwe ekuchazeni kwakho izimpawu zakho, hhayi ukuxilongwa. Izinga elisekelwa yi-CDC ngama-Amsel criteria (amathathu kwangu-amane: ukugeleza okuncane nokufana, amakheluli asemgugwini wesitho sangasese ku-microscopy, i-pH yomgudu wesitho sangasese ingaphezulu kuka-4.5, kanye nokuhlolwa kwe-whiff okuphumelelayo) noma isikolo saseNugent esingu-7 kuya ku-10 esivela ku-Gram stain. Ifomu lokubhalisa lingena esikhundleni sokuzibika konke lokhu.
Lokho ukufakwa kungcono kunesimo, ngoba abantu abaningi abane-BV abanazo nhlobo izimpawu. Izimpawu zihambelana kakhulu nokutheleleka ngamagciwane kanye ne-trichomoniasis, ezilashwa ngemithi ehlukile ngokuphelele, ngakho-ke ukuzihlola ngokungalungile kunezela isonto lakho nomuthi wama-antibiotic ongawudinganga. Lokho kuyisimo esifanayo sokwahlulela njengokuthi lapho imiyalelo ingcono kunopheshana ovundlu.
Amabhodi e-pH asekhaya kanye nokuhlolwa komgudu wesitho sangasese sowesifazane (imodeli ye-Evvy) kunciphisa ukungaqiniseki. Bayingxenye yento efaka esikhundleni sokuhlolwa kwe-wet mount, hhayi okulingana nayo. I-Telehealth iphatha lokhu ngendlela eyiphatha ngayo ukuxilongwa kwe-ADHD okuku-inthanethi: ngokufanele ezimweni ezilula, kanti kukhona umkhawulo wangempela lapho ukuhlolwa okusezingeni eliphezulu kwenziwa ekamelweni.
Izibalo zenkonzo ngenkonzo: izimali zokuvakashelwa ziyayifihla iningi lalokho okukhokha
Izibuyekezo ezikhona zokwelashwa kwe-BV online ziqhathanisa izimali zokuvakashelwa bese ziyayeka, yingakho umuthi ongu-$15 kanye ne-gel engu-$100 kugcina kufana nokuthenga okufanayo. Nansi ingqikithi yezindleko esikhundleni salokho.
| Insizakalo | Inhlobonhlobo yezindleko | Isikhathi sokuthola imiyalelo | Umlomo noma i-topical | Inkokhelo | Izifundazwe ezikhonzayo | Ukwelashwa komlingani |
|---|---|---|---|---|---|---|
| Wisp | Ama-antibiotic ajwayelekile kusukela ku-$15; ama-suppositories e-boric acid $27; i-gel noma i-cream kufika ku-$100; ukuthunyelwa kwamahhala | Mayelana namahora ama-3 kusukela ekubhaliseni kuye emtholampilo | Zombili | Izinkokhelo zemali, ezigqityiwe | Ayivezwanga ekhasini lomkhiqizo | Yebo, isengezo esingu-$99 |
| Nurx | Intengo yobhaliso kanye ne-bundle, ayigqitywanga | Ayibhalisiwe | Kuthunyelwa kumtholampilo wakho okhethiwe | Ayihlukanisiwe ngokucacile | Ukwahlulelwa komhlinzeki onelayisensi yesifundazwe | Cha |
| GoodRx Care | Ayigqitywanga kuze kube sekupheleni kokuthenga | Ayibhalisiwe | Ayibhalisiwe kusengaphambili | Ayikho umshwalense odingekayo | Ayivezwanga | Cha |
| Evvy | Ayiboniswanga ekhasini | Uhlelo lokuhlola, hhayi ngalolu suku | Uhlelo oluqondisiwe | Ayivezwanga | Ayitholakali eziphelini eziyi-16 nemibuso | Cha |
| Bidwell Health | Iziyazihlunga ku-comparison yayo | Ayibhalisiwe | Ayibhalisiwe | Ayibhalisiwe | Izifundazwe eziyi-11 | Cha |
Izintengo nezikhathi zifana nalokho okubhalwe ngesikhathi sokubhalwa futhi kuyashintsha njalo, ngakho-ke qinisekisa kokubili ekupheleni kokuthenga ngaphambi kokuthi wenze noma yisiphi isinqumo, kufaka phakathi ukuthi ukwelashwa kwe-BV okufanayo ngalolu suku kuyatholakala yini lapho uhlala khona.
I-Wisp ihambisana kakhulu nendaba elula yokuqala kanye nanoma ngubani ocabanga ngokuphathwa komlingani, ngesicelo sokuthi ayisho ukubuyiselwa imali noma inqanqelwano, ifake izinto ezibhalisiwe nezithengiswa ngaphandle kwekhawunta ngaphandle kokukhombisa ukuthi yiziphi ezidinga imvume yomhlinzeki, futhi ayivezi ukuthi iyatholakala emibusweni lapho uya khona. I-Nurx ifanele abantu abayisebenzisayo kakade izitho zokulawula ukuzala noma izivivinyo ze-STI, ngoba i-bundle iyeka ukuba yinkinga yokubiza lapho ubukade uthenga i-bundle noma kunjalo. I-GoodRx Care iphendula isikhalazo somshwalense kahle futhi iphendula imibuzo yezindleko nesivinini ngasekupheleni. I-Evvy ukuphela kwendlela eyakhelwe ngokuza kabusha hhayi izindaba, futhi idatha yayo yomphumela (hhayi idatha yesivivinyo ezimele) ibika ukuthi abasebenzisi abangu-83% bashintshe kusuka ekuhlukunyezweni kuye kumgudu wesitho sangasese ovikelayo; iyachaza ukuthi ayifaki esikhundleni sokuhlola kwe-Pap noma ukunakekelwa kwe-OB-GYN.
Ikhola eyodwa yanele ukuba ibaluleke kakhulu kunokujwayelekile. Uma i-metronidazole yomlomo yenza ukuba ugule ngaphambili, insizakalo enikeza i-gel yesitho sangasese noma ukhilimu iyabaluleka kunezinto ezingama-$20 ezishibhile, futhi kubalulekile ukwazi izinketho zakho zemithi yokuhlanza ngaphandle kwekhawunta nemiyalelo ngaphambi kokuba uqale umjikelezo wamasonto ayisikhombisa.
Ukuthola ngalolu suku kubaluleke kangako kunomtholampilo lapho uyolanda khona
Ukuthola ukwelashwa kwe-BV okufanayo ngalolu suku ku-inthanethi kuyasebenza kuphela uma imiyalelo iqondisa emtholampilo ongayifinyelela namuhla. Ngokwesilinganiso, iWisp ibika cishe amahora amathathu kusukela ekubhaliseni kuye emtholampilo, iEverlywell ibika amahora angu-24, kanti iDoctor On Demand incike ekutholakaleni kokuqokwa. Konke lokho kuchaza lapho imiyalelo ikhishelwa khona.
"Imiyalelo ethunyelwe" akusho "umuthi usesandleni". Imithi ethunyelwa ngeposi yengeza izinsuku kungakhathalekile ukuthi udokotela usebenze ngokushesha kangakanani.
Futhi ngokomdlavuza, ukuqala umjikelezo wamasonto ayisikhombisa kusasa esikhundleni salo mbukiso kuguqula ukuthi izimpawu zizoqala nini ukukhululeka, hhayi ukuthi umjikelezo uyaphumelela yini. Phatha isivinini njengokuhlukana.
Lapho ungathola khona ukwelashwa kwe-BV online kuncane kunalokho okumakethini okukhombisa
Lapho ungathola khona ukwelashwa kwe-BV online kuncike ezintweni ezimbili okungavamile ukuthi amakhethe aziqale: ilayisensi yesifundazwe kanye nesinqumo sikadokotela. I-Evvy ayitholakali eziphelini eziyi-16 nemibuso. IBidwell Health isebenza eziphelini eziyi-11. I-Wisp ayivezi ukuthi iyatholakala kuphi ekhasini lomkhiqizo wayo. Hlola uhlu lwesifundazwe ngaphambi kokukhokhela noma yini.
Isigaba sesibili yisona esingekho noyedwa obhala ngaso. Udokotela angahlola ukubhalisa kwakho futhi angahlinzeki ngokunikeza imiyalelo ngaphandle kokuhlolwa, i-wet mount, noma isiqinisekiso se-pH. Izimbangela ezijwayelekile zihlanganisa ukukhulelwa, ukusola ukuthi unokukhulelwa kwezocansi, umkhuhlane noma ubuhlungu be-pelvic, kanye nezimpawu ezisuke sezihlanze umjikelezo owodwa. Lokho kufanele kube ukuhlunga okufanelekile, hhayi ukuthenga okungaphumelelanga, futhi isinyathelo esilandelayo ukuthola ukunakekelwa ngokuqondile, ukunakekelwa esiphuthumayo, i-OB-GYN, noma umtholampilo wezempilo yocansi.
Uma simo sakho silula futhi ufuna udokotela ukuba asibheke namuhla, ukuvakashelwa kwe-August okungu-$39 okwezikhathi eziphuthumayo okuku-inthanethi kukuxhumanisa nodokotela onelayisensi yase-US ohlola izimpawu zakho futhi anqume ukuthi imiyalelo iyadingeka yini. Akukho ukuvakashelwa okuku-inthanethi, okuhlanganisa okwethu, okungenza ukuhlolwa kwe-pelvic, i-wet mount, ukuhlolwa kwe-pH yomgudu wesitho sangasese sowesifazane, noma ukuhlolwa kwe-STI.
Ezinye izimpawu ze-BV akufanele zihambe ngokuvakashelwa okuku-inthanethi
Shayela u-911 noma uye egumbini lezimo eziphuthumayo manje uma:
- Unomkhuhlane noma ubanda kanye nobuhlungu obuphansi besisu noma be-pelvic, okungakhombisa isifo sokuvuvukala kwesitho sokuzala
- Unezinhlungu ezingazelelwe ezingazelelwe noma ezibuhlungu esiswini
- Unokopha okukhulu noma okungajwayelekile esithweni sangasese
Bhukha ukuvakashelwa kungakapheli isonto elilandelayo uma:
- Izimpawu ziqhubeka noma zibuyela ezinsukwini ngemuva kokuqedela umjikelezo ophelele
- Ube nezimpawu ezintathu noma ngaphezulu ezinyangeni eziyi-12
- Unezilonda noma amanxeba, noma ukugeleza okungaphendulanga ekwelashweni kokuqala
Khuluma nodokotela ngaphambi kokuba uqale uma:
- Ukhulelwe noma uzama ukukhulelwa
- Unokukhulelwa okungenzeka kwezocansi noma umlingani omusha
- Ube nesibonelo esedlule sokusabela ku-metronidazole
Uma ungawazi ukuthi yikuphi izinga okulo, i-August AI Symptom Checker yamahhala izohlunga izimpawu zakho ngaphambi kokuthi usebenzise imali ngokuvakashelwa.
Imibuzo ejwayelekile
Ngingathola ukwelashwa kwe-BV online ngaphandle komshwalense, futhi ingabe ukukhokhela imali kungancono?
Yebo. Ukwelashwa kwe-BV ngaphandle komshwalense kuyinto ejwayelekile kulesi sigaba kunokuba okungajwayelekile. I-GoodRx Care izibeka ngokucacile njengeyingadingi ukuqokwa noma umshwalense, futhi iWisp ifaka ama-antibiotic ajwayelekile kusukela ku-$15 ngezintengo zemali. Ngomjikelezo ojwayelekile wamasonto ayisikhombisa, imali ngokuvamile ihamba phambili kwi-copay, yingakho ukwelashwa okuhle kakhulu kwe-BV online ngentengo kuvame ukuba yinsizakalo yokukhokhela imali.
Ingabe i-BV izonyamalala yodwa uma ngingayilaphi?
Ngokuvamile akuyona inketho ephephile. Ukushiya i-BV ingalaphi akusona isinqumo esingenabungozi: i CDC ithi nakuba i-BV ingahlukaniswa njengosulelo oludluliselwa ngokocansi, i-BV engalaphiyo yandisa ingozi yokuthola noma yokudlulisa i-HIV nezinye izifo ezithathelwanayo ngokocansi. Lona ingozi yileso sizathu sokwelapha imbangela eqinisekisiwe noma ngabe izimpawu zibuthakathaka kangakanani ukuba ungazihoyi.
Ingabe i-metronidazole iphephile ukuthathwa ngesikhathi sokukhulelwa?
Ngezinye izikhathi, futhi kuyisinqumo somhlinzeki wakho hhayi ifomu lokubhalisa. Ukukhulelwa kwandisa izintengo emiphandeni emibili, ngoba i CDC ihlobanisa i-BV engalaphiyo ekukhulelweni ekubelethweni ngaphambi kwesikhathi nesisindo esingezansi sokuzalwa. Uma ukhulelwe, uhambe ekunakekelweni okuqondiswe kudokotela ngokuhlolwa esikhundleni sokuvakashelwa okuku-inthanethi okusekelwe ezimpawwini kuphela.
Ngizame ukwelashwa kokutheleleka ngegciwane okungaphezu kwekhawunta futhi akuzange kusebenze. Ingabe lokho kusho ukuthi i-BV?
Ngezinye izikhathi. Ukungaphumeleli kwe-antifungal kuyisibonelo esiwusizo sokuthi ukuzihlola kwasekuqaleni kungase kungalungi, futhi i-BV ingenye yezinketho ezinokwenzeka, kanye ne-trichomoniasis. Akuyona ubufakazi obuqinisekile. Phatha njengesikhathi sokuhlolwa kunokuzama umkhiqizo wesibili, ngoba lezi zimo ezimbili zidinga imithi ehlukile.
Ngabe ukuphuza ama-antibiotic omunye umkhuhlane kwenza i-BV ibe nzima ukuthi ibuye?
Yebo. Esifundweni sokubuyela emuva esikhungweni esikhulu, ukusetshenziswa kwama-antibiotic asanda kwenzeka kunoma yisiphi esinye isimo ezinyangeni eziyisithupha ezedlule kwahambisana ne-BV evuselelayo: 26.4% uma kuqhathaniswa no-14.7%. Uma uphathwe umkhuhlane we-sinus noma i-UTI muva nje, khuluma ngakho, ngoba kuyashintsha ukuthi kungenzeka yini ukululama.
Ngingathola i-BV uma ngingasebenzi ngokocansi?
Yebo. I CDC ithi i-BV yenzeka kwabesifazane abangasebenzi ngokocansi, futhi izimo eziningi azibangeli zimpawu nhlobo. Umlando wokucansi uyisici esiyingozi, hhayi imfuneko, ngakho-ke ukuba nabafile akukukhiphi i-BV futhi akusho ukuthi izimpawu zakho kumele kube okunye.
Isiphetho
Uma ufuna imiyalelo ejwayelekile eshibhe kakhulu yesimo sokuqala, iWisp ifaka inani eliphansi kakhulu nesikhathi esifushane esibhalisiwe sokulethwa. Uma ukugxeka kwakho kuyimishwalense, iGoodRx Care yakhelwe ukungayidingi. Uma usevele uthenga izitho zokulawula ukuzala noma izivivinyo ze-STI, iNurx ihlanganisa i-BV kulokho obukade ukukhokhela noma kunjalo. Uma lokhu kuqhubeka kubuya, i-Evvy iyona kuphela inketho eyakhelwe emgugwini wesitho sangasese kunokuza kabusha, kanti iWisp iyona kuphela ethengisa imithi yomlingani. Futhi uma sewudlule izimpawu ezintathu ezinyangeni eziyi-12, ukwelashwa okuhle kakhulu kwe-BV online kuyisiphakamiso: yeka ukuthenga imijikelezo bese uthola ukuhlola ngokuqondile.
Isitatimende: Lesi sihloko senzelwe izinjongo zolwazi kuphela futhi akusho ukuthi kuyisiphakamiso sezokwelapha. Njalo xhumana nomhlinzeki wezempilo onolwazi ukuze uthole izinqumo zokuxilongwa nokwelashwa. Uma ubhekana nesimo esiphuthumayo sezokwelapha, shayela u-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.
