Cha. I-Fluconazole ayiwelaphi i-BV ngaso sonke isilinganiso. Kuyinto elwa namagciwane eyenzelwe imvubelo, kanti i-bacterial vaginosis ukukhula ngokweqile kwamagciwane, ngakho-ke umuthi awunanto ongasebenza kuyo. Ukuqedwa kwe-BV kufuna imiyalelo kadokotela elwa namagciwane njenge-metronidazole noma i-clindamycin, ngemuva kokutholwa kahle.

TL;DR: Izinto ezibalulekile ezibalulekile

  • I-Fluconazole ilwa namagciwane. I-BV iyigciwane. Umuthi ongakulungile.
  • Isilinganiso sesibili esingu-150 mg asishintshi lutho.
  • I-BV: ukukhishwa okuyimpunga okuyimpunga, iphunga lenhlanzi. Imvubelo: ukukhishwa okumhlophe okujiyile, ukulunywa okukhulu.
  • Imithi elwa namagciwane kuphela eqeda i-BV: i-metronidazole, i-clindamycin, i-tinidazole, i-secnidazole.
  • Uphuzile kakade? Akukho konakele. Usengapheli umuthi.

Ingabe i-fluconazole iyawelapha i-BV? Cha, isebenza kuphela kumvubelo

Ingabe i-fluconazole iyawelapha i-BV? Cha. Inelayisensi njengemithi elwa namagciwane eye-azole yezifo zemvubelo zesitho sangasese zabesifazane nezinye izifo zamagciwane, kanti i-bacterial vaginosis ayikho phakathi kwezibonakaliso zayo. I-BV ibangelwa amagciwane. I-Fluconazole iyawabulala amagciwane. Isilinganiso esisodwa noma ezinhlanu, umphumela we-BV ufana: akukho lutho.

I-Diflucan yigama lomkhiqizo nje le-fluconazole, ngakho-ke uma ubheke igama lomkhiqizo esikhundleni salokho, impendulo iyefana.

Ukuphuza kwakho kwakungekhoyingozi. Kwakuyinto nje engasebenzi kulokho onakho.

Isilinganiso sesibili ngeke sikulungise: i-BV iyigciwane, i-fluconazole ilwa namagciwane

Umbuzo ovame ukulandelayo ukuthi ingabe i-fluconazole ingawelapha yini i-BV uma uphuza isilinganiso sesibili esingu-150 mg ezinsukwini ezimbalwa kamuva. Ayikwazi. Imithi elwa namagciwane ye-azole isebenza ngokuhlakaza uqweqwe lweseli lwe-Candida namanye amagciwane, futhi amagciwane awanawo lokho okwenziwa uqweqwe lweseli. Akukho okubhekiswe kuyo.

I-BV ayiyona into eyodwa futhi. Kuyisishintsho samagciwane amaningi: izinhlobo ezivikelayo ze-Lactobacillus ziyancipha kanti amagciwane angazinzile afaka i-Gardnerella vaginalis ayakhuphuka. Lelo yinkinga yendalo yamagciwane.

Ngakho-ke lokhu ukungafani kwezinhlobo zemithi, akuyona inkinga yesilinganiso. Isilinganiso esinamandla, iphilisi eliphindwe kabili, noma isikhathi eside ngeke kwenze imithi elwa namagciwane ibe yigciwane, njengoba nje imithi elwa namagciwane ingaqeda izifo zamagciwane njenge-ringworm.

Iphunga noma ukulunywa: i-BV nesifo semvubelo kunganqeni ukuzwa okufanayo

Izimpawu ze-BV vs izimpawu zesifo semvubelo ngokuvamile zihlukana ngezinto ezimbili: iphunga nokulunywa. I-BV ivame ukukhiqiza ukukhishwa okuyimpunga okuyimpunga noma okumhlophe nephunga lenhlanzi eliba namandla ngemuva kocansi, futhi ukulunywa kuvame ukuba mnene noma kungabikho nhlobo. Isifo semvubelo sihamba ngakolunye uhlangothi: ukukhishwa okumhlophe okujiyile okufana noshizi, ukulunywa okukhulu nokushiswa, nokunuka kancane noma ukungabikho nhlobo.

Lokho okuhlukile kuyasiza, kodwa akuyona into yokuthola ukuthi unesifo. Ukucabanga kuyinto engathembekile ngempela. Phakathi kwabantu abazitholela isifo futhi abelapha ngomuthi olwa nemvubelo ongawuthola esitolo, 57.4% bathola ukukhululeka kwezimpawu kanti kuqhathaniswa no-84.4% ngemuva kokutholwa kwesifo okugunyaziwe yisazi sezokwelapha.

Ukuhlolwa kwesitho sangasese sokuthola amagciwane kanye nokuhlolwa kwe-pH yikho okukuhlanganisa.

Imithi elwa namagciwane kuphela eqeda i-BV, futhi izindlela zayo ziyachazwa

Lokho okwelapha ngempela i-bacterial vaginosis yisikhathi esifushane semithi elwa namagciwane, futhi izinketho ziyachazwa kahle. Iziqondiso Zokuphathwa Kwezifo Ezidluliselwa Ngocansi ze-CDC zibala i-metronidazole yomlomo engu-500 mg kabili ngosuku izikhathi eziyisikhombisa, ijeli ye-metronidazole yesitho sangasese engu-0.75% kanye ngosuku izikhathi ezinhlanu, noma ukhilimu wesitho sangasese i-clindamycin 2% ebusuku izikhathi eziyisikhombisa, nge-tinidazole ne-secnidazole njengezinye izindlela.

Lokho kuqondiswa kuka-2021 kusasebenza, futhi ibhalansi yomnyango wezokwelapha we-ACOG vaginitis yomnyango ka-2020 ivuselelwe ngo-2025. Wonke lawo ayimithi etholakala ngemiyalelo kadokotela kuphela. Ayikho imithi elwa namagciwane ekhona ohlwini.

Uma ufuna lokho kuhlolwe ngokushesha, i-August inikeza ukuvakasha kwezempilo oku-inthanethi okungu-$39 lapho isazi sezokwelapha esilayisensi yase-US sibuyekeza izimpawu zakho futhi sinikeze imiyalelo kuphela lapho kufanele khona. Yiba nombono ocacile ngemikhawulo: ukuvakasha kwevidiyo akukwazi ukwenza ukuhlolwa okwenziwa esibhedlela noma ukuhlolwa komgodi, futhi isazi sezokwelapha singase sikutshele ukuthi uye esibhedlela. Uma uqhathanisa izinketho, sibuyekezile futhi izinsizakalo zokuphathwa kwe-BV ku-inthanethi.

Uma uphuze i-fluconazole ye-BV kakade, awonakele, nje awuphathwanga

Uma uphuze i-fluconazole ye-BV ngephutha, qala lapha: awuzilimazanga. Isilinganiso esisodwa esingu-150 mg ngokuvamile samukelwa kahle. Okulahlekile yisikhathi, hhayi izicubu.

Abanye abantu bayalibangela ukuthi lisebenze kancane, futhi kunesizathu sangempela. I-BV nesifo semvubelo kungavela ngasikhathi sinye. I-Fluconazole ingase iqede ngempela ukukhula ngokweqile kwe-Candida okukhona ngasikhathi sinye, yingakho ukulunywa kwehla, ngenkathi iphunga nokukhishwa kwe-BV kwaqhubeka kungathintwanga.

Ungawuphindi isilinganiso. Thola ukuhlolwa noma ukuhlolwa, futhi uma kuqinisekiswa i-BV, uphuze imithi elwa namagciwane. Tshela isazi sezokwelapha ukuthi uphuze ini ngqo nokuthi nini, okuhlanganisa nanoma yimuphi ukhilimu olwa namagciwane ongawuthola esitolo, ngoba ukuphathwa kwakamuva kushintsha indlela imiphumela yakho ebalwa ngayo. Kuyasiza futhi ukwazi ukuthi insizakalo ngayinye ye-BV telehealth ithumela ini ngempela ngaphambi kokuthi uyalele noma yini.

Ukucabanga okungalungile kunomthelela: i-BV engelaphiwe ayiyona nje inkinga yephephunga

Ukufinyelela ku-fluconazole ye-BV akuyona iphutha elingeyona lenhlangano, ngoba i-BV engelaphiwe inengozi yangempela emuva. Ekukhulelweni ihlotshaniswa nengozi eyandayo yokubeletha ngaphambi kwesikhathi, futhi ngaphandle kokukhulelwa kwandisa ukuzwela ezifweni ezidluliselwa ngocansi, okuhlanganisa ne-HIV. Iphunga yisibonakaliso abantu abasibona kakhulu. Akuyona imbangela yokuphathwa.

Nansi into ezinkundleni eziningi ezizoyishoyo: ukuphathwa okulungile akuyona isixazululo sokuphela kwazo zonke. Imithi elwa namagciwane ihlala iyindlela eyodwa kuphela yokuphathwa kwe-BV egunyazwe yi-FDA, nokho 50% kuya ku-80% abesifazane baneziphindaphinda kungakapheli izinyanga ezi-6 kuye kweziyi-12 ngemuva kokuqeda isikhathi sokuphathwa. Leyo yinombolo enzima, futhi yingakho ukuphathwa kabusha okwenzeka umuntu angakwazi ukukwenza kukodwa kwenza umonakalo ophindwe kabili. Kuyalibazisa imithi esebenzayo, futhi kuyayisula iphatheni yokuphindeka isazi sezokwelapha esidinga ukukubona ukuze siguqule isu.

Izimpawu ze-BV lapho zidinga isazi sezokwelapha manje, hhayi iphilisi elinye

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

  • Unezinga lokushisa, ukubandayo, noma ubuhlungu obuphakathi nokuya kobukhali besisu noma esingezansi komgodi kanye nokukhishwa, okungaba uphawu lwe-pelvic inflammatory disease.

Bhukha ukuvakasha kungakapheli isonto elilandelayo uma:

  • Ukhulelwe futhi une ukukhishwa okungavamile noma iphunga.
  • Unegazi esithweni sangasese esingesona isikhathi sokuya esikhathini, ikakhulukazi ngokuhambisana nobuhlungu noma iphunga elibi.
  • Izimpawu zintsha ngemuva kokuhlinzwa kwezitho zangasese, ukufakwa kwe-IUD, noma ukukhipha isisu.

Khuluma nesazi sezokwelapha ngaphambi kokuthi uqale uma:

  • Izimpawu zihlala zikhona noma ziyanda ngemuva kokuba uqede umjikelezo ophelele wemithi elwa namagciwane.
  • Ukhulelwe noma uncancisa.
  • Leli yisikhathi sakho sesibili noma sesithathu kulo nyaka.

Angiqinisekile ukuthi yikuphi izinga lawo owela kulo? Isihlabani samahhala se-August AI Symptom Checker singakusiza uhlele ububalulekile ngaphambi kokuthi unqume ukuthi uzoya phi.

Imibuzo evame ukubuzwa

Ingabe iphilisi lesifo semvubelo noma ukhilimu osuka esitolo uzosiza i-BV?

Cha. Imikhiqizo ye-azole engathengwa esitolo njengamakhilimu nezithiyo ze-miconazole ne-clotrimazole ayiphumeleli ngokumelene ne-BV ngenxa yesizathu esifanayo i-fluconazole eyenza ngaso: ibhekise amagciwane, kanti i-BV iyigciwane. Ukushintsha kusuka kwi-pill kuye ku-cream akushintshi ibandla lemithi. Izithiyo ze-boric acid azikona futhi ukhetho lokuqala lwe-CDC lwe-BV.

Ingabe i-BV ingazinyanga yodwa ngaphandle kwemithi elwa namagciwane?

Ngezinye izikhathi. I-BV ingase iqede ngaphandle kokuphathwa kwabanye abantu, kodwa ivame ukubuyela, futhi ukuyilinda akuyona inketho engayihlangani. Ukuphathwa kunconywa ikakhulukazi ekukhulelweni nangaphambi kokuhlinzwa kwezitho zangasese, lapho i-BV engalaphiwe inobungozi obengeziwe. Uma unezimpawu, hlolwa kunokucabanga ukuthi izoyeka.

Ingabe ipartner yami idinga ukuphathwa ukuze kuyenze i-BV ingabuyeli emuva?

Ngezinye izikhathi, nakuba kungasavame. Isilinganiso esenziwe ngo-2025 sabonisa ukuthi ukuphathwa kwabalingani besilisa nge-metronidazole yomlomo kanye ne-clindamycin yangaphandle kunciphise ukuphindeka kuye ku-35% kuqhathaniswa no-63% ngesonto le-12. I-CDC noma i-ACOG ayinayo imikhombandlela yokuphathwa komlingani okujwayelekile, ngakho-ke khuluma nomelaphi wakho kunokucabanga ukuthi iyasebenza.

Ingabe ngingaphuzela utshwala ngenkathi ngithatha i-metronidazole ye-BV?

Hhayi ngaso sonke isikhathi. Utswala oluhlanganiswe ne-metronidazole noma i-tinidazole lungadala ukusabela okufana ne-disulfiram: ukuvuvukala, ukuhlanza, ukuhlanza, ikhanda elibuhlungu, kanye nenhliziyo esheshayo. Iseluleko esijwayelekile ukugwema utshwala ngenkathi uphuza isikhathi esifushane ngemuva kwesilinganiso sakho sokugcina. Buza udokotela wakho noma usokhemisi ukuthi leso sikhathi sihlala isikhathi esingakanani kulowo msebenzi wakho.

Kuphephile yini ukuphuza i-fluconazole ngesikhathi ukhulelwe uma ngingazi ukuthi i-BV noma isifo semvubelo?

Hhayi ngaso sonke isikhathi. Ukuziphathisa izimpawu zesitho sangasese ekuphasweni kuyinto okungalungile kungakhathalekile ukuthi yimiphi imithi oyisebenzisayo. Ngoba i-BV engalaphiwe ihlotshaniswa nokubeletha ngaphambi kwesikhathi, ukukhishwa okungajwayelekile noma iphunga ekuphasweni kudinga ukuhlolwa okusheshayo kwe-OB-GYN nokuhlolwa, hhayi ukuqagela esitolo semithi. Vumela isazi sezokwelapha siqinisekise ukuthi yini onayo kuqala.

Isiphetho nge-fluconazole ne-BV

Ingabe i-fluconazole iyawelapha i-BV? Cha, futhi isizathu yibandla lemithi kunokuba yisilinganiso, ngakho-ke akukho iphilisi eliphindwe kabili noma isikhathi eside esizokwenza lokho. Qinisekisa ukuthi yini ngempela onayo ngokuhlolwa, bese uyiphatha ngemithi elwa namagciwane esebenzayo: i-metronidazole, i-clindamycin, i-tinidazole, noma i-secnidazole. Ukuphindeka kuyajwayelekile ukuthi kufanele kuqashelwe nesazi sezokwelapha ngokuhamba kwesikhathi kunokuziphathisa zonke iziqhumo zodwa.

Isitatimende: Lesi sihloko sinemininingwane kuphela futhi asisho ukwelulekwa kwezokwelapha. Njalo thintana nomhlinzeki wezempilo ofanelekayo ukuze uthole izinqumo zokutholwa nokuphathwa. Uma ubhekene nesimo esiphuthumayo sezokwelapha, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.