Cha. I-boric acid ye-BV ayiphilisi isifo yodwa. Kuyikhapula engu-600 mg efakwa ngesitho sangasese njengesezengezo kuma-antibiotic, isetshenziswa ikakhulukazi ku-BV ephindaphindayo, futhi ayilokothi igwinywe. I-CDC ayiyifaki noma kuphi phakathi kwezindlela zokuqala zokwelapha.

Okubalulekile: Okubalulekile

  • Ingabe i-boric acid iyayiphilisa i-BV? Hhayi yodwa. Ayikho inhlolozi elawulwayo eyisekela njengesikhundla sama-antibiotic.
  • Indima ye-CDC kuyo imfushane: 600 mg ngaphakathi ngesitho sangasese izinsuku ezingu-21 ngemuva kwenkambo yama-antibiotic omthamo, ku-BV ephindaphindayo kuphela.
  • Ukusetshenziswa okujwayelekile yikhabula engu-600 mg eyodwa ebusuku, ngesitho sangasese. Lindela ukukhishwa okumanzi, okugugumezayo.
  • Isikhathi esibekiwe sinqunywa yisivumelwano okwabelwa sona, hhayi ngosuku izimpawu zakho zinqunywa.
  • Ngokwesitho sangasese iyabekezeleka kahle. Igwinywe, yibutshwala obuyisifo. Shayela u-1-800-222-1222 ngokushesha.

I-Boric Acid ye-BV Ingese Izengezo kuma-Antibiotic, hhayi Ukuyingena kubo

I-boric acid ye-BV iyikhabula le-gelatin engu-600 mg efakwa esithweni sangasese ebusuku, isetshenziswa njengesengezo enkombeni yama-antibiotic enikeziwe kunokuba ibe yindlela yokuqala noma yokuzimela. I-CDC iyifaka kuphela emlandweni wayo we-BV ephindaphindayo, ngemuva kwama-antibiotic. Yenzelwe ukusetshenziswa ngesitho sangasese kuphela futhi ayilokothi igwinywe.

I-Iziqondiso Zokwelashwa Ze-STI Ze-CDC Zango-2021 ziqamba izindlela ezintathu zokuqala: i-metronidazole yomlomo engu-500 mg kabili ngosuku izinsuku eziyisikhombisa, i-metronidazole 0.75% gel yesitho sangasese kanye ngosuku izinsuku ezinhlanu, noma i-clindamycin 2% cream yesitho sangasese ebusuku izinsuku eziyisikhombisa. I-boric acid ayikho kunoma iyiphi yazo. Lapho izincomo zikubeka khona, ukucabangela kuyindlela yokwenziwa kunokuba kusebenze njenge-antibacterial: i-boric acid iphakanyiswa ukuthi iphazamise i-biofilm yesitho sangasese engavimba ama-antibiotic ukuthi angafinyeleli amagciwane angaphansi.

Kukhona futhi akukho ukugunyazwa kombuso ngemuva kwayo. I-boric acid ayikaze igunyazwe yi-FDA njengesithako esisebenzayo kunoma yimuphi umuthi kadokotela noma ongaphandle, nangaphakathi kwencwadi yengozi ku-Vireo Resources, i-ejensi yathi ukumaketha okungukuthi ama-suppositories ukwelapha izimpawu ze-BV nezingubo kwenza umkhiqizo ube imithi emisha engagunyaziwe, engadukisayo.

Ingabe i-Boric Acid Iyayiphilisa i-BV? Ucwaningo Olunamandla Kakhulu Lusatsalela ku-"Okwesibili"

Ingabe i-boric acid iyayiphilisa i-BV? Hhayi ngobufakazi obushicilelwe kuze kube manje. Idatha yakamuva enethemba kakhulu yindaba emayelana nabesifazane abangu-52 abathola i-boric acid engu-600 mg ngaphakathi esithweni sangasese kanye ngosuku izinsuku ezingu-14, lapho ama-88.5% afinyelela khona i-Nugent score engaphansi kuka-4, incazelo yezokwelapha yokuphulukisa.

Lelohamba kahle ku-inthanethi. Akufanele.

Lolu cwaningo belingenalo iqembu elilawulayo futhi lwalunesikhathi esifushane sokulandela, okusho ukuthi alikwazi ukuhlukanisa umphumela we-boric acid kusukela esikhathini esijwayelekile sesimo. Ababhali bayo ngokwabo babeka imithi njengokuthi "inketho yesibili kubesifazane abanolwazi oluqinisekisiwe lokuhluleka kokwelashwa okulandelwa ukwelashwa okunikezwe kahle ngama-antibiotic."

Isihlahla: i-Nugent score ebuyela esimweni esijwayelekile emavikini amabili akuyona into efanayo ne-BV ehamba kancane isuka isikhathi esiyizinyanga ezintandathu, futhi ukuphindaphindeka yinkinga abantu abaningi abazama ukuyixazulula. Ayikho inhlolozi elawulwayo esekela i-boric acid njengesikhundla samahle samahle sama-antibiotic.

I-BV Ephindaphindayo Yiyona Kuphela Isimo Lapho I-Boric Acid Inikeza Khona Indawo Ngokucacile

Izinqubomgomo ze-boric acid ku-BV ephindaphindayo ziba ingxoxo efanele lapho kunokuphindeka okuthathu noma ngaphezulu ezinyangeni ezingu-12, okuwumngcele odokotela abavamile abawusebenzisayo ukuchaza ukuphindaphindeka. Ngaphansi kwalokho, impendulo eqotho ukuthi i-boric acid ayengezi lutho oluqinisekisiwe. Uma lesi kuyisikhathi sakho sokuqala noma sesibili, qedela i-antibiotic okwabelwe yona bese uyayeka lapho.

Ngokuphindaphindeka kwangempela, i-CDC ichaza uchungechunge oluphelele kunomkhiqizo owodwa: i-nitroimidazole yomlomo kuqala (metronidazole noma i-tinidazole 500 mg kabili ngosuku izinsuku eziyisikhombisa), bese kuba i-boric acid engu-600 mg ngaphakathi esithweni sangasese nsuku zonke izinsuku ezingu-21, bese kuba i-metronidazole gel yokucindezela kabili ngesonto izinyanga ezine kuya kweziyisithupha. I-boric acid ihlezi phakathi kwalokhu, ayilokothi ibe esikhundleni sayo.

Isidingo esisodwa sibaluleke kakhulu kunenqubomgomo: i-BV kufanele ihlolwe, ingaqagelwa. Ukukhishwa nokuhogela kuyafana ne-trichomoniasis nezingubo, futhi i-boric acid ayizixazululi ngendlela efanayo.

Uma udinga ukuhlola lokho, ukuvakashelwa kwezintsha ze-Urgent Care ku-$39 ye-August kuxhumanisa wena nodokotela onelayisensi yase-US ongabuyekeza umlando wakho nezimpawu zakho futhi akunikeze imithi uma kukholwa kufanele. Udokotela unquma. Ukuvakashelwa kwevidiyo futhi akunakwenza ukuhlolwa komgibe noma ukuqoqa i-swab yesitho sangasese, ngakho-ke uma ukuhlolwa kuyilokho okudingayo, lindela ukuthi uqondiswe ubuso nobuso.

Indlela Yokusebenzisa Ama-Suppositories E-Boric Acid ye-BV, Nokuthi Ungayihlobanisa Kanjani Lokho Okuthengayo

Ukusetshenziswa okujwayelekile kwama-suppositories e-boric acid ku-BV kuyikhabula le-gelatin engu-600 mg efakwa ngesitho sangasese ebusuku, kulala ngomhlane wakho nezindololwane zakho zigoqiwe. Gqoka i-panty liner. Ukuvuza ngosuku olulandelayo kuvamile, futhi kunjalo nokukhishwa okumanzi, okugugumezayo isikhathi sonke senkambo.

Ukusetshenziswa ngesitho sangasese kuphela. Ungalokothi ugwinye. Ngoba la makhakhasi abonakala njengamavithamini ajwayelekile, uwagcine endaweni evaliwe, hhayi esikhwameni, esitobhini sasebusuku, noma esitokisini samaviki wonke lapho angagcina khona esandleni samaphilisi asebusuku.

Nansi into amakhasi amaningi ayakutshela: ngoba i-FDA ayikaze igunyaze i-boric acid njengomuthi, akekho oqinisekisa ukuthi yini ekhandisiwe oyithengile. Amandla nokuhlanzeka akuhlolwanga wena. Khetha amakhabula avela ekhemisi elinelayisensi elibambisanayo noma uhlobo olushicilela ukuhlolwa kwezinhlangano ezintathu, futhi gwema ukuhamba kwejusi nokugcwalisa amakhabula we-DIY ngokuphelele. Tshela udokotela wakho ngakho konke okunye okusebenzisayo ngesitho sangasese ngesikhathi senkambo, okuhlanganisa ama-gel, ama-cream, ama-lubricants, nezithasiselo, ngoba ukusetshenziswa okufanayo akuhlolwanga.

Isikhathi Ongasisebenzisa Ngaso I-Boric Acid ye-BV Kuncike ku-Protocol Eyodwa Yamabili Ongayo

Isikhathi ongayisebenzisa ngaso i-boric acid ye-BV sincike kwi-protocol eyodwa yamabili eyabelwe yona. Inkambo eyengeziwe yokuqina isebenza ngo-600 mg ebusuku, ngokujwayelekile izinsuku eziyisikhombisa kuya kweziyishumi nane, futhi indaba ka-2025 yasebenzisa izinsuku eziyishumi nane. Uchungechunge lwe-CDC lwe-BV ephindaphindayo lude ngezinga elingu-21 izinsuku zilandelana, luqala ngemuva kokuthi i-antibiotic yomlomo iphele.

Inkambo yokucindezela iyisihlahla esihlukile. Lapha u-600 mg usetshenziswa kabili kuya kathathu ngeviki futhi uqhubeke izinyanga, ufana nenqubo ye-CDC ehlangene nemithamo yesikhathi eside ne-metronidazole gel kabili ngeviki izinyanga ezine kuya kweziyisithupha.

Isinqumo siqondile. Ubude buqondiswa yinkqubo, hhayi ngosuku izimpawu zakho zinqunywa, futhi awuqhubekisi inkambo ngokwakho ngoba kubonakala kusebenza. Uma izimpawu ziqhubeka ngemuva kokuba uqedile, yeka bese ubohlolwa kabusha kunokuba uqalise enye inqamu.

Imiphumela Eceleni Iyimfushane. Ukugwinya Okukodwa Akulona.

Imiphumela emibi ye-boric acid yendawo iyinqaba ngokumangalisayo. Ukubuyekezwa kwendaba okwenziwa ngo-2023 kuthola ukuthi ukumuncwa ngesitho sangasese kungaba ngama-6% kuphela, kubangele amazinga e-boron egazini angaphansi kakhulu kulawa ahlobene nobuthi bomlomo, futhi kuwo wonke amacala angaphezu kuka-1,100 aqinisekisiwe okusetshenziswa ngesitho sangasese kusukela ngama-1880s kutholwe akukho ubuthi obubi obubikiwe. Imiphumela emibi ye-boric acid ebikiwe ikhawulwe ikakhulukazi ekubeni kubabale noma kucasuke kancane kubasebenzisi abangaphansi kuka-10%. Ukukhishwa okumanzi, okugugumezayo kulindelekile futhi akubanga neze.

Ukugwinya kuyingozi ehlukile. I-ATSDR Toxicological Profile for Boron ichaza ubuthi obubulalayo abantu abadala kusuka emithambeni eyodwa yomlomo cishe ku-30 g (cishe u-85 mg boron ngekhilogremu) nokufa kwezinsana kusuka kumafomula alungiswa ngengozi ngisho no-4.5 g. Kwinhlolo yezingozi ezingama-784, ama-88% ayengenazo izimpawu, ngakho-ke ukugwinya okuningi akubulalayo. Lapho izimpawu zivela, ekuqaleni ziyi-nausea, ukuhlanza okungapheli, isifo sohudo, nobuhlungu besisu. Ukuhlanza okuluhlaza okwesibhakabhaka noma umbala ompunga nokunqanda okubomvu okujabulisayo okubomvu kuyizibonakaliso eziboniswe ngokudala kamuva.

Uma othile egwinya ikhabula, ikakhulukazi ingane noma isilwane esifuywayo, shayela i-Poison Control ku-1-800-222-1222 noma uye ekamelweni leziphuthumayo ngokushesha. Ungalindeli ukuthi izimpawu zivele, ungalinge ukukhipha ukuhlanza.

Ubani Okufanele Angalokothi Aqale I-Boric Acid: Uhlu Luqala Kunokuthi "Khulelwe"

I-boric acid nokukhulelwa akuhlangani, futhi isizathu siyimfushane. Ukubuyekezwa okufanayo kuka-2023 kukhuluma nocwaningo lwaseHungary oluthola ingozi eyi-2.8-fold yokukhubazeka okuzalwayo ngokuchayeka phakathi kwezinyanga ezimbili nezentathu, kanye nokukhubazeka kwezimbotshana ezifeni ezinezimilo eziphakeme. I-CDC iphinde ithi qaphela lokhu ekuqhakaleni. Lokho kwanele ukwenza kube ukungavumelani.

Uhlu oluphelele lokungaqali ngaphandle kokucela luhlanganisa ukuzama ukukhulelwa noma ukungaqiniseki ngesimo sakho sokukhulelwa, ukuncelisa ibele (ayikho idatha yokuphepha ekhona), amanxeba avulekile noma imihuzukelana, ukuhlinzwa kwesitho sangasese kusasa, ukopha okukhulu, ukukhwelekelwa okungazelelwe kwezifo ze-pelvic, ukopha okungazelelwe, kanye ne-IUD noma i-pessary endaweni.

Shayela u-911 noma uye ekamelweni leziphuthumayo manje uma:

  • Ikhabhula ligwinywe, ikakhulukazi ingane. Shayela i-Poison Control ku-1-800-222-1222 ngendlela.
  • Uthola ukuhlanza, isifo sohudo, ukudideka, noma ukuncipha kokuchama ngemuva kokusetshenziswa ngesitho sangasese.
  • Unomkhuhlane nobuhlungu obukhulu besisu.

Bhukha ukuvakashelwa kungakapheli isonto elilandelayo uma:

  • Izimpawu zakho azishintshile ngemuva kwenkambo ephelele yama-antibiotic.
  • Lesi yisikhathi sakho sesithathu se-BV ezinyangeni ezingu-12.
  • Ukubabala kuqhubeka phakathi kwezilinganiso.
  • Ukukhishwa kuyanda noma kunuka kabi.

Khuluma nodokotela ngaphambi kokuba uqale uma:

  • Ukhulelwe, ungakhulelwa, noma uyancelisa.
  • Usebenzisa eminye imithi yesitho sangasese noma i-hormonal birth control.
  • Unomlando wezifo ze-pelvic inflammatory noma ukuphuma kwegazi okungachazeki.

Angiqinisekile ukuthi yisiphi isigaba ongaso? I-August AI Symptom Checker yamahhala ingakusiza uhlobanise okudingekayo okungakhuthazwa nokwejwayelekile ngaphambi kokuba unqume ukuthi yini ongayibuka.

Imibuzo Evame Ukubuzwa

Ngingaba nobudlelwano obungokocansi ngisebenzisa ama-suppositories e-boric acid we-BV?

Hhayi ngokuvamile. Odokotela abaningi baphakamisa ukumisa ucansi olungena ebhokisini isikhathi sonke senkambo. Ikhakhamba nomphumela wayo kungabangela ukucasuka komngane, ucansi lunciphisa ukuthi ingakanani umthamo ohlala lapho ufanele khona, futhi ayikho idatha yokuthi i-boric acid ihambisana kanjani nama-condom, ama-diaphragm, noma izithasiselo. Uma uke waba nobudlelwano, yenze kude nokuqasha kwakho futhi ucele udokotela wakho kuqala.

Ngingasebenzisa i-boric acid ye-BV ngesikhathi sami?

Ngezinye izikhathi, kodwa cela ngaphambi kokuba ucabange. Igazi lokuya esikhathini nanoma yikuphi ukuphuma kwegazi okukhulu kwesitho sangasese kwandisa ukuthi umzimba wakho umunca i-boric acid kangakanani, yingakho ukuphuma kwegazi kubekwe ohlwini lwezixwayiso. Ukopha okulula ngokuvamile akuyona imbangela yokuyeka inkambo enikeziwe. Ukuphuma kwegazi okukhulu kufanele kube umlayezo kudadokotela wakho, ongase akutshele ukuthi uyeke futhi uqhubeke kunokuba weqe imithamo ngokuphelele.

Ingabe i-boric acid yesitho sangasese iyona yamakhemikhali efanayo ne-boric acid ethengiswa njengesibulala-zinambuzane nezintuthwane?

Yebo. Kuyisihlobo esifanayo, ngezinga elihlukile nokuhlanzeka, futhi imikhiqizo yokubulala izinambuzane ivame ukuba nezinye izithako ezingazange zenzelwe ukuthinta izicubu ezimanzi. Ungalokothi usebenzise umkhiqizo wokulawula izinambuzane ngesitho sangasese. Lobu bukhona futhi buyisikhumbuzo esicacile kakhulu somthetho wokungagwinyi: lokho okuphephile ukufakwa esikhundleni kuyingozi yokubulala ethathwa ngomlomo.

Ingabe i-boric acid iyayelapha izifo zobomvu njengoba i-BV?

Ngezinye izikhathi. Odokotela basebenzisa i-boric acid yesitho sangasese ikakhulukazi ezifweni zobomvu ezibangelwa izinhlobo ze-Candida ezingezona ezase-albicans ezingaphendulanga kuma-azole antifungal ajwayelekile, okuyisimo esiyingqayizivele nesicacile. Akuyona inketho yokuqala ezifweni zobomvu ezijwayelekile, eziphendula kahle nge-fluconazole noma ama-cream azole angaphandle kweshelfu. Ngoba i-BV nezingubo zizwakala zifana, uhlobo lubaluleke kakhulu kunezimpawu.

Ngidinga ukuhlolwa kokulandela ngemuva kokuba sengikhipha inkambo ye-boric acid?

Hhayi ngokuvamile. Uma izimpawu zakho zixazululwe ngokuphelele, ukuhlola kabusha okujwayelekile kungezi lutho. Ukulandelwa kuba njengokufanele emacaleni amabili: izimpawu eziqhubekayo noma ezibuyayo ngemuva kwenkambo ephelele, kanye nomlinganiso oqeqeshwe wokuphindaphindeka, lapho ukuqinisekisa ukuthi isifo sikhona ngempela kusho ukuthi udokotela wakho wenzani ngokulandelayo. Bhukha ukuvakashelwa kunokuba uqalise enye inkambo ngokwahlulela kwakho.

Isiphetho

Ingabe i-boric acid iyayiphilisa i-BV? Ngayo yodwa, cha, futhi ayikho inhlolozi elawulwayo ethi okunye. I-boric acid ye-BV iyisenzo esibekezelekayo kahle esinomsebenzi wangempela kodwa okhawulelwe: ukuphula i-biofilm ngemuva kokuthi ama-antibiotic enze umsebenzi omkhulu, kubantu i-BV yabo eqhubeka nokuphindeka. Sebenzisa u-600 mg ngesitho sangasese, isikhathi esibekiwe udokotela wakho, futhi uwugcine uvikelekile kulowo ongagwinya.

Isitatimende: Lesi sihloko senzelwe izinjongo zolwazi kuphela futhi akufanele sithathwe njengeseluleko sezokwelapha. Njalo xhumana nomhlinzeki wezempilo ofanelekile ukuze uthole izinqumo zokuxilonga nokwelashwa. Uma ubhekene nesimo esiphuthumayo sezokwelapha, shayela u-911 noma uye esibhedlela esiseduze ngokushesha.