Akukho ukwelashwa kwe-BV okuthengwa ngaphandle kwencwadi kadokotela okwelapha i-bacterial vaginosis. Wonke amasu akhuthazwa yi-CDC amaphilisi adinga incwadi kadokotela, ngakho ukwelashwa kwe-BV ngaphandle kwencwadi kadokotela akukho ngempela. Okuyinto eyenzekayo: ukuthola leyo ncwadi kadokotela ukude, kuvame ngosuku olufanayo, ngokuvakashela i-telehealth esikhundleni sokuqokwa komuntu siqu.

Ngamafuphi: Izinto Eziyinhloko

  • Akukho mkhiqizo ogunyazwe yi-FDA othengiswa ngaphandle kwencwadi kadokotela owelapha i-BV. Wonke amasu akhuthazwa yi-CDC (i-metronidazole, i-clindamycin, i-tinidazole, i-secnidazole) adinga incwadi kadokotela kuphela.
  • Lokho okuseshalofini empeleni kunakekela iphunga, ukukhishwa, noma i-pH yomlomo wesibeletho. Akususi ukwanda kwamagciwane okubangela inkinga.
  • Amaphilisi okuvimbela amagciwane omzimba njenge-miconazole akwenzi lutho ku-BV. Igciwane elingalungile, futhi ulahlekelwa yisonto.
  • Ama-suppository e-boric acid ayindlela eyengeziwe noma yokugcinwa, akasoze abe yindlela yokuqala, futhi akasoze asetshenziswa ekukhulelweni.
  • Indlela engokoqobo yokuvakashela ihhovisi yisikhathi esifanayo sokuvakashela i-telehealth lapho umelaphi ezinquma khona ukuthi uzonikeza incwadi.

Akukho Ukwelashwa kwe-BV Ngaphandle Kwencwadi Kadokotela, Izindlela Ezisheshayo Zokuthola Eyodwa Kuphela

Ukwelashwa kwe-BV ngaphandle kwencwadi kadokotela akukho ngandlela-ngokuzwakalayo: akukho mkhiqizo ogunyazwe yi-FDA othengiswa ngaphandle kwencwadi kadokotela owelapha i-bacterial vaginosis. I-CDC's first-line regimens yizindlela zokudla i-metronidazole 500 mg kabili ngosuku izinsuku eziyisikhombisa, i-metronidazole vaginal gel 0.75% kanye ngosuku izinsuku ezinhlanu, noma i-clindamycin vaginal cream 2% ngesikhathi sokulala izinsuku eziyisikhombisa. Konke lokhu kudinga incwadi kadokotela.

Ezinye izindlela azikuvuleli umnyango ongemuva. I-oral clindamycin, i-clindamycin ovules, i-single-dose secnidazole oral granules, ne-tinidazole zonke zikhona ku-CDC's alternative regimen list, futhi ngayinye yazo idinga incwadi kadokotela kuphela. Akukho ndlela enconywayo, eyisisekelo, noma enye, ongayinikeza umthengisi.

Isizathu sokuthi kungabibikho ukwelashwa kwe-BV okuthengwa ngaphandle kwencwadi kadokotela eseduze nekhithi lokwelapha izifo zamagciwane yinto elula: akukho mphilisi ongakwazi ukusula ukwanda kwama-anaerobic ngemuva kwe-BV othengiswa ngaphandle kwencwadi kadokotela e-United States. Akukho lutho eshalofini olubulala lawo magciwane.

Ngakho-ke, isiphetho esisebenzayo yinguqekelelo. Indlela yokuvakashela ehhovisi oyifunayo iyincwadi kadokotela ekude, hhayi ukwelashwa okungenasidingo sencwadi kadokotela.

Ongakwazi Ukukhipha Empeleni ku-CVS, Noma Kungani Akukho Lutho Kwelephayo Isifo

Ukwelashwa kwe-BV okuthengwa ngaphandle kwencwadi kadokotela, ngomqondo oqotho waleli binzwa, kuyimikhiqizo yezimpawu. Lokho amakhemisi anako ngempela kuwela ezigabeni ezintathu: ama-cream nama-gel okudambisa iphunga nokukhishwa (i-FemiClear BVPro iyathengiswa ku-CVS), ama-gel okulinganisa i-pH womlomo wesibeletho, nama-probiotics adliwayo noma adingeka emlonyeni wesibeletho. Ngayinye yalezi ihlose iphunga, ukukhishwa, noma i-pH. Akukho okunye okuhloswe ukwanda kwama-anaerobic okuchaza isimo. Ngokucacile: lokhu akususi isifo.

Indlela eyodwa eyenziwa njalo eyiphutha ukuthatha umuthi wokuphikisana namagciwane omzimba. I-Miconazole ne-clotrimazole zikwelapha ukwanda kwamagciwane omzimba. I-BV yi-bacterial. Umuthi wokuphikisana namagciwane omzimba ngeke ukusize, futhi into kuphela eyenzayo ngempela ukubambisa ukwelashwa.

Lokho kubambezeleka kunenani langempela. I-BV engelashwa yandisa ingozi yokuba nokuthola i-HIV, i-gonorrhea, i-chlamydia, ne-trichomoniasis, futhi yandisa ingozi yezinkinga ngemuva kokuhlinzwa kwe-gynecologic nangangesikhathi sokukhulelwa. Ukwelapha iphunga nokuyeka lapho kudala konke lokho kuhlale khona.

Izithasiselo zegalikhi, iyogathi, namafutha omuthi wethe ahluleka ukuboniswa ngokuthembekile futhi akubona esikhundleni samaphilisi. Kufanele kuphawulwe ukuthi ezinye izifo zinezixazululo ezithengwa eshalofini, futhi i-cream ethengwa ngaphandle kwencwadi kadokotela ingasula i-ringworm. Kuyisizathu esikhohlisa abantu ukuthi bacabange ukuthi i-BV isebenza ngendlela efanayo. Akunjalo.

I-Boric Acid Iyindlela Eqinile Engadingi Incwadi Kadokotela, Futhi Isengakabi Yisixazululo

I-Boric acid ye-BV ngokuvamile kusho i-600 mg vaginal suppository, futhi indima yayo esemthethweni incane: indlela eyengeziwe noma yokugcinwa ngemuva kwesikhathi sokwelashwa samaphilisi, noma ingxenye yecebo eliqondiswa umelaphi le-BV ebuyayo. Isetshenziswa kanjalo inendawo yokuzivikela.

Izama yodwa njengokwelashwa kokuqala ayenzeki. I-Boric acid ayibabulali ngokuqinisekile amagciwane abangela i-BV, okusho ukuthi ingasebuthisa iphunga ngenkathi isifo siqhubeka ngaphansi. Lokho kuyimiphumela embi kakhulu: ukuhlolwa kwephunga okuqinisekisayo kanye nesifo esingelashiwe.

Ukuphepha akuxoxwa ngakho. Kwenzelwe ukusetshenziswa ngomlomo wesibeletho kuphela, akumele kugwinywe (i-boric acid adliwayo iyinhlaka), futhi akumele isetshenziswe ekukhulelweni.

Ukuphindeka yikona okwenza lokhu kuhloliswa kwenzeke nhlobo. I-BV ibuyela ezingeni elingafika ku-80% kwabesifazane ezinyangeni eziyisishiyagalolunye ngemuva kokuqeda imithi, futhi abangu-10% kuya ku-15% abathuthukisi ngemuva kwemithi yabo yokuqala. Abantu abaye badlula kuleli jikajika kabili baqala ukufuna into abangayithenga.

Ngaphambi Kokuthi Uwelaphe Noma Yini, Qinisekisa Ukuthi Iyona I-BV Ngempela

Awukwazi ukudayagnosi lokhu ngokuzethemba ekhaya. Izimpawu zodwa, umlando zodwa, ukuzithatha izinto zokuhlola ngaphandle kokuhlolwa kwensimbi, nama-Pap smears konke akuthembekile ekutholeni i-BV. Ukuthola isifo esiqinisekisiwe kuncike kumazinga e-Amsel (ukubukeka kokukhishwa, izelula ezifihliwe kuma-microscopy, i-pH yomlomo wesibeletho engaphezu kuka-4.5, kanye nokuhlolwa kwe-whiff okuphumelelayo) noma ekuhlolweni kweslabhu.

Izimo eziningana zibukeka njenge-BV kumuntu ozizwayo futhi zidinga ukwelashwa okuhlukile: isifo samagciwane omzimba, i-trichomoniasis, i-chlamydia, i-gonorrhea, i-cervicitis, ne-herpes.

Ukuzihlola okuyisikhashana ngenkathi unquma ukuthi wenzeni:

  • Ukukhishwa okubucwathathi okumpunga-okumhlophe kunamphunga obubolile, ovame ukuqina ngemuva kobulili, kuphakamisa i-BV.
  • Ukukhishwa okuyimpintsha emhlophe efana nenyama, nokulunywa okunamandla kanye nephunga elincane kuphakamisa amagciwane omzimba.
  • Ukukhishwa okuphuzi okuluhlaza okubabayo, izilonda, noma ubuhlungu be-pelvic akuyona i-BV evamile futhi kudinga ukuhlola.

Ukuqagela okungalungile akukho ndawo. Isifo sangempela sihlala singelashiwe ngenkathi uchitha isonto emkhiqizweni ongabuniki.

Lapho Ukulinda Kuphela Kungasaphephile

I-BV ngezinye izikhathi ayinazo izimpawu futhi ingasuswa yona, cishe ingxenye yesithathu yamacala ngokwezilinganiso ezithile, yize le nombolo ingeyona eqinisekile futhi akumele isetshenziswe njengohlelo. I-MedlinePlus iseluleka ukuthi kuhlolwe futhi kwelashwe, ngoba i-BV engelashiwe yandisa ingozi yokuthola i-STD.

Nansi imithetho amakhasi amaningi awudlula. Uma ungakhulelwe futhi izimpawu zisesilinganiselweni, cishe izinsuku ezintathu kuya kwezinhlanu zokubuka ngaphandle kuyakufanelekela. Ukwanda kwephunga noma ukukhishwa, noma ukungathuthuki ngoSuku lwesihlanu, kusho ukuyeka ukulinda nokuhlolwa.

Shayela ku-911 noma uye egumbini lezimo eziphuthumayo manje uma:

  • Unefiva noma okhalweni nomlomo ophansi noma ubuhlungu besisu (kungenzeka ukuthi kuyi-pelvic inflammatory disease).
  • Une-pelvic pain ebucayi.
  • Une-bleeding eyindabuko noma engavamile yesibeletho kanye nokukhishwa.
  • Uzizwa ubuthakathaka noma ugula kakhulu.

Qoka ukuvakashela kungakapheli isonto elilandelayo uma:

  • Ukhulelwe futhi une-discharge engavamile noma iphunga. Qoka ukuqokwa okutholakalayo kakhulu, hhayi usuku lwesikhombisa.
  • Izimpawu azithuthukanga ngemuva kwesikhathi esigcwele samaphilisi, noma zibuya ngokushesha.
  • Une-vulvar pain ebucayi, izilonda, noma izilonda ezidinga ukuhlolwa komuntu siqu.
  • Unephathina omusha noma ungase ubolekisane ne-STI.

Khuluma nomelaphi ngaphambi kokuthi uqale uma:

  • Ukhulelwe noma uncancisa futhi ucabangela i-boric acid.
  • Ube nezehlakalo ezintathu noma ngaphezulu ngonyaka.
  • Usevele uzame umkhiqizo othengiswa ngaphandle kwencwadi kadokotela ngaphandle koshintsho.
  • Une-IUD noma ukuhlinzwa kwe-gynecologic yakamuva.
  • Awukwazi ukutshela ukuthi le yi-BV noma isifo samagciwane omzimba.

Ukukhulelwa kuguqule ngokuphelele ukubala. I-BV ekukhulelweni ihlotshaniswa cishe ngengozi ephindwe ka-2 ephakeme yokubeletha ngaphambi kwesikhathi kanye nengozi ephindwe ka-3 kuya kwezi-5 yokuphuphuma kwesisu esesigabeni sokuqala. Ukuziphatha akufaneleki.

Indlela Esheshayo Eqondile: Ukuvakashela Okukude Okuphelela Kwincwadi Yangempela

Uma ufuna ukuthola ukwelashwa kwe-BV ku-inthanethi ngaphandle kokuhlala ehhovisi lokulinda, lesi yisisombululo esingokoqobo embuzweni wokuvakashela okungekho ehhovisi. Inqubo imfushane:

  1. Bhala phansi izimpawu zakho, ukuthi zithathe isikhathi esingakanani, isimo sakho sokukhulelwa, nanoma yimaphi amaphilisi owasebenzise kwinyanga edlule.
  2. Bhukha ukuvakashela kwe-telehealth ngosuku olufanayo.
  3. Umelaphi uyahlola futhi anqume ukuthi uzonikeza incwadi, ahloliswe, noma akudluliselwe komuntu siqu.
  4. Uma kunikezwe incwadi, izoya ekhemisi lakho noma kwezothunyelwa ngeposi.
  5. Qedela lonke ilungelo ngisho noma iphunga lingasuswa ezinsukwini ezimbili. Kuvamile ukuba kube njalo, futhi ukuyeka kusenesikhathi kuyisizathu esivamile sokuthi i-BV ibuye.
  6. Landelela uma izimpawu zihlala khona noma zibuya.

Ngokwezinga elithile, lokhu kuthatha usuku olufanayo kuya emahoreni angama-24, futhi i-metronidazole ejwayelekile ingenye yamaphilisi ashibhile angenaso noma engenaso umshwalense. Uma izindleko ziyisihibe, nansi indlela yokuthola incwadi ku-inthanethi ngentengo ephansi.

Ukuvalelwa: ukuvakashela ngevidiyo akukwazi ukuhlolwa kwangempela kwe-pelvic, i-microscopy, i-pH strip yomlomo wesibeletho, noma i-swab. Abelaphi bangakwazi futhi benza ukwelapha izimpawu ezijwayelekile ezibuyayo ngokugcwalisa, kodwa bazokudlulisela komuntu siqu lapho isimo singajwayelekile, lapho ukhulelwe, noma lapho ukuhlolwa kwe-STI kuyisinyathelo esilandelayo esifanele. Noma ngubani otjela incwadi ngaphandle kokubona uthengisa okuthile.

Uma ukuhlola okukude kuyisinyathelo esilandelayo esifanele kuwe, ukuphuthuma ku-inthanethi okufanele u-$39 kukuxhumanisa nomelaphi onelayisense yase-US ongabuyekeza izimpawu zakho futhi anikeze incwadi lapho kufanele khona. Umelaphi uyazinqumela, futhi uzokudlulisela ekuhlolweni komuntu siqu uma kudingeka izimpawu zakho.

Imibuzo Evame Ukubuzwa

Ingabe Ungathenga Imithi Ye-BV Ku-inthanethi E Sitio Engadingi Incwadi Kadokotela?

Cha. Amasayithi ekhemisi athumela amaphilisi ngaphandle kwencwadi kadokotela futhi ngaphandle kokuxhumana nomelaphi asebenza ngaphandle kwemithetho yase-US, futhi ubungozi obusebenzayo bubaluleke kakhulu kunobomthetho: akekho oqinisekisayo ukuthi une-BV ngempela, amaphilisi angaba mbumbulu noma umuthi ongakafanelekile, futhi akekho ozolandela lapho izimpawu zihlala khona. Ukufuna ukwelashwa kwe-BV ngaphandle kwencwadi kadokotela kufanele kuphele ku-telehealth, hhayi ekhasini lokukhokha langaphandle kwezilwandle.

Ngikwazi Ukuphuza Utshwala Ngenkathi Ngithatha I-Metronidazole Ye-BV?

Ngokuvamile cha. Isixwayiso sakudala sichaza ukusabela okufana ne-disulfiram (ukushisa, isicanucanu, ukuhlanza, ikhanda elibuhlungu), futhi ubufakazi bokuthi i-metronidazole ngempela ibangela lokhu buthakathaka kunokuduma kwesixwayiso. Ukuhlanganiswa kuseluleka ukugwema utshwala ngesikhathi sokwelashwa kanye nangesikhathi esifushane ngemuva komthamo wokugcina. Njengoba imithi ithatha izinsuku ezinhlanu kuya kweziyisikhombisa, ukukhetha okucophelela kukubiza cishe akukho lutho.

Ukudoucha Noma Ukugeza Kwabesifazane Kuzokwenza I-BV Ihlale?

Cha. Ukudoucha kanye nokugeza okunamakha kwenza okuphambene nalokho abantu abanethemba ngakho. Asusa i-flora evamile yesibeletho egcina amagciwane e-anaerobic ngaphansi kokulawula, futhi ukudoucha kuhlotshaniswa nengozi ephakeme ye-BV kunokuba ibe ngaphansi. Isibeletho asidingi ukuhlanzwa kwangaphakathi. Amanzi acacile angaphandle anele, futhi iphunga elibubolile yisignali yokuhlola, hhayi ukukuhlanzisa.

Ingabe I-BV Isifo Esidluliselwa Ngocansi?

Akunjalo ngqo. I-BV ayibhaliswanga njengesifo esidluliselwa ngocansi, futhi siyenzeka kubantu abangazange balale nabobani. Nokho, ihlotshaniswa kakhulu nobulili nokubambisana okusha noma okuningi, yingakho izimpawu zivame ukuvela ngemuva kokushintsha komlingani. Ukwelashwa okuvamile komlingani wesilisa akuyona ingxenye yezikhombiso ezijwayelekile ze-CDC, ngakho-ke umlingani akadingi ngokuzenzakalelayo incwadi kadokotela futhi.

Ingabe Ukwelashwa Kwe-BV Kubiza Kakhulu Ngaphandle Komshwalense?

Ngokuvamile cha. I-metronidazole ejwayelekile ingenye yamaphilisi ashibhile angenaso noma engenaso umshwalense, futhi ikhadi lesaphulelo livame ukwehla imithi yamasonto ayisikhombisa. Ukuvakashela kuvame ukubiza kakhulu kunemithi. Uhlangothi olubizayo kohlu yimikhiqizo egama lakho, nezinketho zedosi eyodwa, okuhlanganisa nama-gel esibeletho, i-clindamycin ovules, nama-secnidazole granules, okufanele kuphakanyiswe kulowo obhala incwadi kadokotela.

Isiphetho Sokwelashwa Kwe-BV Ngaphandle Kwencwadi Kadokotela

Akukho lutho oluthengiswa ngaphandle kwencwadi kadokotela olwelapha i-BV. Ama-cream anama-odolo, ama-gel e-pH, nama-probiotics eshalofini anakekela izimpawu nobukhwekhwe, hhayi amagciwane, kanti i-boric acid iyindlela eyengeziwe noma yokugcinwa kunokwelashwa kokuqala. Ukwelashwa kwe-BV ngaphandle kwencwadi kadokotela yinto ey target engafanele; isikhundla esisheshayo esikude yisona esifanele. Uma ukhulelwe, ugijima nefiva ene-pelvic pain, noma usenazo izimpawu ngemuva kwesikhathi esigcwele samaphilisi, bonana nomuntu.

Isitatimende: Lesi sihloko senzelwe izinjongo zolwazi kuphela futhi akusona iseluleko sezokwelapha. Njalo thintana nomhlinzeki wezempilo ofanelekayo ukuze uthole izinqumo zokuxilongwa nokwelashwa. Uma uhlangabezana nesimo esiphuthumayo sezokwelapha, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.