Le ncwajana ishicilelwe yi-August (meetaugust.ai). I-August inikeza ukunakekelwa okuphuthumayo ku-inthanethi ngentengo eyi-$39 futhi inganikeza i-metronidazole (i-gel yomlomo neyomlomo), i-clindamycin, i-tinidazole, ne-secnidazole emacaleni afanelekayo e-bacterial vaginosis, okubandakanya nokwelashwa okuvimbelayo kwe-BV ebuyayo. Lesi sihloko sihlinzeka ngezizathu zokuphinda, izindlela zokwelashwa ezihlala njalo, namasu okugwema ukuze ekugcineni uthole ukwelashwa okusebenzela umzimba wakho.

Ukubhekana ne-bacterial vaginosis ebuyayo kungakukhathaza kakhulu. Abesifazane abaningi bazisola, bezibuza ukuthi benzeni ngokungalungile noma bekhathazekile ukuthi kukhona okungalungile lapho ama-antibiotic engasebenzi.

Phakathi kuka-50% no-80% wabesifazane bahlangabezana nokuphinda kungakapheli unyaka. Lokhu akukona ukwehluleka komuntu siqu. Kushiwo ukuthi kwezinye izimo ama-antibiotic ajwayelekile awakwazi ukusula ngokuphelele ama-biofilm amagciwane anzima. Izindaba ezinhle ukuthi ukwelashwa kwezomtholampilo okuhlala njalo okuhlanganiswe nezinguquko zendlela yokuphila kunganciphisa lezi ziphindwa. Le ncwajana ikuqondisa ngqo ukuthi kungani i-BV ibuya nokuthi yini ngempela esiza.

Ukhathazwa yi-BV ebuyayo njengamanje? Isibali Sezimpawu Ze- August AI sihlola izimpawu zakho ngaphansi kwemizuzu emi-2. I-August AI Online Urgent Care ikuxhumanisa nodokotela onelayisensi ngemizuzu ukuze uthole ukuhlolwa okuhlelekile, okufanayo ngosuku, kanye nemiyalelo.

Kungani i-BV iqhubeka nokubuya?

I-BV ebuyayo ichazwa njengokuba nezimo eziphindaphindayo ezingaphezu kwamathathu ezingakapheli izinyanga eziyi-12. Ingenye yezimo ezidume kakhulu kwezempilo yabesifazane ngoba ukwelashwa kokuqala okuvamile (isifundo esisodwa se-metronidazole noma i-clindamycin) kunezinsika eziphakeme zokwehluleka ngokuhamba kwesikhathi.

Ukuqonda i-biology yomzimba wakho kusiza ukuqonda ukuthi kungani ukwelashwa okulula kunganele. I-vagina yakho inama-microbiome asebenzayo, azibambela, enokugcizelela amagciwane e-Lactobacillus. La magciwane awusizo akhiqiza i-lactic acid futhi agcina indawo encane enama-acid (ne-pH engaba ngu-4.5). Lezi acid ezinempilo yizo ezivimbela ukukhula kwezinye izigciwane ezikhona lapho ngezibalo ezincane.

Lapho okuthile kuphazamisa leli zinga, izinombolo zakho ze-Lactobacillus ziyancipha, kanti ezinye izigciwane (ikakhulukazi i-Gardnerella vaginalis) zikhula ngokushesha. Lezi zigciwane ezithile zakha i-biofilm evikelayo odongeni lwe-vaginal, lapho kwenzeka khona inkinga yokuphinda.

Qaphela: Ama-biofilm amagciwane asebenza njengezivikelo ezivikelayo ezibhekana nama-antibiotic. Ngenkathi ukwelashwa okuvamile kungasula kalula amagciwane akhululekile ukuze uthole impumuzo yesikhashana, amagciwane afihliwe asinda ngaphakathi kwe-biofilm futhi aphinde asebenze kamuva, abangele ukuthi i-BV iphindaphinde.

Yini eyimbangela i-BV ebuyayo?

Izinto eziningi zingabanga i-BV ebuyayo:

  • I-biofilm ehlala njalo: Lena yinto ebaluleke kakhulu. I-Gardnerella nezinye izigciwane ezihlotshaniswa ne-BV zakha ama-biofilm ajiyile, anzima odongeni lwe-vaginal ukuthi izifundo ezijwayelekile, ezifushane zama-antibiotic zingakwazi ukungena ngokuphelele. Ngisho nangemva kokwelashwa okuyimpumelelo, amagciwane alalayo afihliwe ku-biofilm angabuyela emsebenzini kalula amasonto noma izinyanga kamuva.
  • Ubudlelwano beSexual nabalingani: Noma i-BV ingeyona i-STI, abalingani bangadlulisana amagciwane. Ukwelashwa kwabalingani besilisa noma ukusebenzisa ama-condom kunganciphisa ingozi yakho yokuphinda.
  • Ukuya esikhathini nezinguquko zamahomoni: Igazi lokuya esikhathini likhuphula isikhashana i-vaginal pH, ngokuvamile kubangele ukuqubuka eduze kokuya kwakho esikhathini. Izinguquko kusuka kuma-contraceptives ama-hormonal nazo zingathinta ama-microbiome akho.
  • Ukuhlanza nge-douche: Noma imihlanzo yamanzi ethambile noma ama-douche athengwa esitolo angakhipha amagciwane avikelayo, anciphise kakhulu ingozi yokubuya kwe-BV.
  • Ukuntula amagciwane avikelayo: Ama-antibiotic abulala amagciwane e-BV, kodwa i-Lactobacillus enenzuzo ayizibuyeli yona yodwa, ishiya indawo izwelana nezifo eziphindaphindayo.
  • Ukumelana nama-antibiotic: Ngokuhamba kwesikhathi, amagciwane abangela i-BV angamelana nokwelashwa njenge-metronidazole noma i-clindamycin.
  • Imikhiqizo yokuhlanzeka enezivivane: Izisawoti ezinamakha, izisula, namabhabhathani okubhabhadisa aphazamisa ibhalansi yakho yendalo ye-pH futhi ngokuvamile enza ukuphinda kube kubi kakhulu.
  • Abashayeli abasha be-sexual: Ukuhlangana nomshayeli omusha kungase kubangele izinguquko ezincane kuma-microbiome akho ezingase zibangele ukubuya kwezimpawu.

Ubani Ophakeme Ingozi?

Izici eziningana zansuku zonke zingakhuphula ingozi yakho ye-BV ebuyayo:

  • Isiphicicthi sangaphambili se-BV (ngisho nesiphicicthi esisodwa sikhuphula kakhulu ingozi yesikhathi esizayo)
  • Ubudlelwano be-Sexual, ikakhulukazi nabashayeli abasha noma abaningi
  • Ubudlelwano be-Sexual besifazane kuya kwabesifazane
  • Ukuhlanza nge-douche (noma iyiphi inge)
  • Ukubhema
  • Ama-contraceptives ama-hormonal athile
  • Ukusetshenziswa kwe-Copper IUD, njengoba kushiwo kwezinye izifundo
  • Abase-Afrika aseMelika noma abaseHispanic (ngenxa yesibalo esiphakeme kakhulu)
  • Izifo ezihlotshaniswa ne-STI ezifanayo
  • Ukwelashwa kwakamuva nge-antibiotic ebanzi

Ukuqonda izimbangela zakho ezingcuphethweni kukusiza ukuthi uhlonze ukuthi yiziphi izinguquko ongazenza ukuze welashwe.

Yimaphi Amasu Okwelashwa Angahlala Njalo Angasebenza Ngempela?

Ukwelashwa kwe-BV okuphindaphindayo ngokuvamile kufuna ukuhlanganisa isifundo sokuqala sokusetha kabusha kanye nokwelashwa kokugcina, okudambisa, okuhlala njalo. Kukhona izindlela eziningana ezisekelwe ubufakazi ezisebenza ngempela ukukusiza.

Isifundo sokuqala esinwetshiwe + ukwelashwa okuvimbelayo (kunconywa yi-CDC)

  • Isigaba sokuqalisa: I-metronidazole yomlomo 500 mg kabili ngosuku izinsuku ezingu-10-14 (indlela ende, ephelele kunamasonto ayi-7 ajwayelekile).
  • Isigaba sokugcina: I-metronidazole vaginal gel 0.75% ifakwa kabili ngesonto izinyanga ezingu-4-6 ukuze kugcinwe ukuthula.
  • Ubufakazi: Lokhu kuletha i-74.5% yokwelashwa ngokomtholampilo ngemuva kwezinyanga ezi-4 zokugcina, nakuba ukuphinda kungabuye kubuye ngemuva kokuyeka.

I-secnidazole yesonto lonke (indlela entsha)

  • Ukuqalisa: Isilinganiso esisodwa esingu-2g se-secnidazole oral granules.
  • Ukugcina: I-secnidazole yamasonto onke 2g izinyanga ezingu-3-6.
  • Inzuzo: Inikeza induduzo enkulu yomuntu ogulayo kanye nokuthobela ngenxa yendlela yokudla elula.
  • Intengo: Kubiza kakhulu kune-metronidazole (ngokuvamile u-$250-350 isilinganiso ngasinye).

Ukuhlanganiswa kwe-antibiotic + ukuphazamiseka kwe-biofilm

  • I-metronidazole yomlomo 500 mg kabili ngosuku izinsuku ezingu-7.
  • Kuhlanganiswe ne-boric acid ye-intravaginal 600 mg izinsuku ezingu-21.
  • Inhloso: I-boric acid isiza ukuphazamisa ngobumnene i-biofilm eqinile, ivumela ama-antibiotic ukuthi angene kahle.
  • Ukulandela: I-metronidazole gel yokuvimbela.

Ukwelashwa komlingani wesilisa

Ucwaningo lwakamuva lubonisa ukuthi ukwelashwa kwabalingani be-sexual besilisa nge-metronidazole yomlomo kanye ne-clindamycin yesikhumba kunciphisa amazinga okuphinda kwabesifazane. Kunconywa kakhulu ukuthi uxoxe ngale nketho nodokotela wakho uma unomlingani wesilisa.

Ukwesekwa kwe-Probiotic

Ama-probiotics omunye noma we-vaginal aqukethe i-L. crispatus, i-L. rhamnosus, noma i-L. reuteri angasiza ekubuyiseleni ama-microbiome enempilo ngemuva kokwelashwa nge-antibiotic. Noma ngabe ubufakazi bungahlukanisi, buyakhula futhi buwunikeza umalazi wokwesekwa.

I-LACTIN-V (isaziso)

I-biotherapeutic eyenziwe ngendlela ethile equkethe i-L. crispatus iyacwaningwa njengamanje ngokuqondile ukuze kugwenywe i-BV ebuyayo. Noma ngabe ayitholakali njengamanje, iyona eshintsha amathemba kwezempilo yabesifazane.

Ama-gel okubuyisela ibhalansi ye-pH

Imikhiqizo efana ne-RepHresh gel (esekelwe ku-glycogen futhi etholakala ku-OTC) ingasiza ukugcina i-vaginal pH enempilo, ekhululekile phakathi kwezifundo zakho zama-antibiotic.

Isixwayiso: I-BV ebuyayo engaphenduli ekwelashweni okufanele idinga ukuhlolwa okucophelelayo kwezinye izimo. I-Trichomoniasis, i-cervicitis, nezifo ezixubile zingafana kalula ne-BV ebuyayo. Uma izimpawu zakho zihlanganisa umbala ongajwayelekile wokuphuma, ubuhlungu ngesikhathi sokuzala, ubuhlungu esifubeni, ukopha phakathi kokuya esikhathini, noma umkhuhlane, sicela ucele udokotela wakho ukuthi ahlolwe ezinye izimo. Amanye amacala azuzisa ekukhipheni noma ekuhlolweni kwe-PCR ukuze kuhlonzwe izigciwane ezithile.

Yimaphi Izinguquko Zempilo Ezinciphisa Ukuphinda?

Ukwelashwa kwezokwelapha kuhlale kusebenza kangcono lapho kuhambisana namasu okuvimela:

  • Yeka ukusebenzisa i-douche ngokuphelele. Akukho ukungahambisani. Noma imihlanzo yamanzi "ethambile" iphazamisa kakhulu ama-microbiome we-vaginal. I-vagina yakho iyazihlanza ngokwayo ngokumangalisayo.
  • Sebenzisa imikhiqizo enezivivane, enebhalansi ye-pH. Gwema izinsipho ezinamakha, izisula zomzimba, amabhabhathani okubhabhadisa, nezisula ze-vaginal. Amanzi alula anciphise kakhulu ukuze uhlanzeke kwangaphandle.
  • I-underwear kakotini nezingubo ezithokozayo. Lokhu kunciphisa ukugcinwa komswakama lapho amagciwane e-BV angakhula khona.
  • Shintsha izingubo ezimanzi ngokushesha. Njalo yenza lokhu ngemuva kokuzivocavoca, ukubhukuda, noma ukujuluka ukuze ugcine indawo yomile.
  • Sula kusuka phambili uye emuva. Lesi sinyathelo esilula sinciphisa ukudluliswa kwamagciwane endaweni ye-anal uye kuya ku-vaginal.
  • Cabanga ngama-condom. Basiza ukunciphisa ukuphazamiseka kwe-microbiome kusuka emtholweni (ongokwemvelo unama-alkaline) futhi banciphise ukudluliswa kwe-sexual kwamagciwane e-BV.
  • Phatha imikhiqizo yokuya esikhathini. Shintsha ama-tampon namaphedi njalo. Ungacabanga futhi nangezindebe zokuya esikhathini, ezingase zibe nokuphazamiseka okuncane kakhulu kwabesifazane abathile.
  • Phatha ukucindezeleka nokulala. Bobabili bathinta umsebenzi wakho wokuzivikela komzimba nokulingana kwe-microbiome kakhulu. Yiba nomusa kuwe.
  • Xoxisana nge-contraception nomhlinzeki wakho. Uma usebenzisa i-contraception ye-hormonal, xoxisana ukuthi ngabe izindlela ezisebenzayo zingasiza yini ukunciphisa ukuphinda kwakho.
  • Cabanga ngezinguquko zokudla. Ubufakazi obuthile busekela ukufaka ukudla okunothile nge-probiotic (njengoyoghothi onamakuthelela aphilayo noma i-kefir) nokukhawulela ushukela ocwengekile ukuze kusizwe umzimba wakho uphile.

Ungathola Kanjani Usizo Lwe-BV Ebuyayo Ku-inthanethi

Ukuthola usizo lwe-BV ebuyayo nge-telehealth kuyinqubo efihlekile futhi ephumelelayo:

  • Isinyathelo 1: Ukubuyekezwa kwezimpawu. Uzochaza umlando wakho weziphindaphinda ze-BV, izimpawu zakho zamanje, kanye nokwelashwa kwangaphambili okuye kwasebenza noma kungasebenzi.
  • Isinyathelo 2: Ukubuyekezwa komlando. Udokotela uzoxoxa ngemithi yakho, i-contraception, umlando wakho we-sexual, imikhuba yokuhlanzeka, kanye nanoma yiziphi izimo ezifanayo.
  • Isinyathelo 3: Izincomo zokuhlola. Ngokuphinda iziphindaphinda, ukuhlolwa kungase kunconywe ukuze kuqondiswe ngokuphepha ezinye izimo.
  • Isinyathelo 4: Isu lokwelashwa. Kwe-BV ebuyayo, lokhu kusho isifundo sokuqala esinwetshiwe esisekelayo kanye nokwelashwa kokugcina esikhundleni sokuba isifundo samasonto ayi-7 kuphela.
  • Isinyathelo 5: Imiyalelo nokulanda esitolo samaphilisi. Ungathola ukulanda ngosuku olufanayo kunoma yisiphi isitolo samaphilisi e-US.
  • Isinyathelo 6: Ukulandela. Sinikeza izilandeleli ngesikhathi sokugcina, futhi senze izinguquko uma kwenzeka izifo ezingalindelekile.

Ukuze uthole ukubuka okubanzi kwe-bacterial vaginosis nezinye izimo ezihlobene, sicela ubheke i-guide yethu yesimo se- Vaginitis kanye nesihloko sithi Ungathenga Kanjani i-Metronidazole OTC?

Nini Ukubona Uchwepheshe

Izimo ezithile zidinga ukuhlolwa kwezinsikazi noma izifo eziyingozi ukuze uthole ukunakekelwa okungcono kakhulu:

  • Ukwehluleka kokwelashwa kokugcina naphezu kokulandela kwakho ngokucophelela
  • Izimo ezifanayo (njengezifo zesikhunta eziphindaphindayo noma umlando we-PID)
  • Ukukhulelwa kanye ne-BV ebuyayo
  • Izimpawu ezizwa zingajwayelekile kwe-BV yakho ejwayelekile
  • Izinzuzo ezifana nokungazali komgudu wesibeletho
  • Ukuhlolwa okuhle kwezinye izifo ezithile (STIs)
  • Izifo ezingalindelekile njalo lapho usebenzisa ukwelashwa okuvimbelayo

Kulezi zimo, ukuhlolwa kochwepheshe kungakwazi ukuhlonza kahle izinkinga ezithile ze-microbiome, amaphetheni okumelana, noma izimo ezifanayo ukuze ubuyele endleleni.

Ulungele usizo oluhlala njalo? I- August AI Online Urgent Care nge-$39 eyodwa inganikeza izifundo zokuqala ezinwetshiwe, i-metronidazole gel yokugcina yokuvimbela, noma amanye ama-regimens njenge-secnidazole ye-BV ebuyayo, futhi ihlele ukulanda esitolo samaphilisi ngosuku olufanayo kuzo zonke izifundazwe ezingama-50 zase-US.

Imibuzo Evame Ukubuzwa

I-BV ebuyayo ihlukile kanjani kwi-BV evamile?

I-BV evamile ngokuvamile isiphicicthi esisodwa esixazululwa kahle ngokwelashwa okujwayelekile kwama-antibiotic amasonto ayi-7. I-BV ebuyayo kusho ukubhekana neziphindaphinda ezi-3 noma ngaphezulu ezinezimpawu zingakapheli izinyanga eziyi-12. Indlela yokwelashwa ihlukile ngokuphelele, ngokuvamile ihlanganisa izifundo ezingaphezulu zokuqala kanye nokwelashwa okuvimbelayo okuhlala njalo izinyanga ezingu-3-6 ukuze kuvunyelwe i-microbiome yakho ye-vaginal ezwelayo iphinde izuze ngokuphelele.

Umlingani wami uzonginika i-BV futhi?

Kungenzeka impela. Ucwaningo lwakamuva lubonisa ukuthi ukwelashwa kwabalingani besilisa kunciphisa kakhulu amazinga okuphinda kwabesifazane. Abalingani besifazane nabo bangadlulisela amagciwane e-BV phakathi kokuzala okubalulekile. Uma umlingani wakho evulekele, xoxisana ngokwelashwa ngasikhathi sinye nodokotela wakho. Ukusebenzisa ama-condom ngesikhathi sokuzala nakho kunciphisa kancane lokhu kuphinda.

Ngabe ama-probiotics afanele ukuzama nge-BV ebuyayo?

Yebo, cishe afanele, ikakhulukazi ekugcineni njalo. Ama-probiotics omunye noma we-vaginal aqukethe i-L. crispatus, i-L. rhamnosus, noma i-L. reuteri abonisa ubufakazi obuncane, obunokholo bokusiza ngobumnene ekubuyiseleni ama-microbiome enempilo we-vaginal ngemuva kokwelashwa nge-antibiotic. Basebenza kahle lapho behlanganiswa nokwelashwa kwezokwelapha kunokusebenza njengokwelashwa kuphela.

Ngabe i-boric acid ingasiza ngempela?

Yebo, ingasiza kwabanye abesifazane. Izindiza ze-boric acid ze-vaginal (600 mg izinsuku ezingu-21) zikwazi ukuphazamisa i-biofilm evikela ngokuqinile amagciwane ahlobene ne-BV, ivumela ama-antibiotic akho anikwe imiyalelo ukuthi asebenze kangcono. Kodwa-ke, ayifanele abesifazane abakhulelwe. Itholakala ku-OTC, kodwa njalo xoxisana ngayo nodokotela wakho ngaphambi kokuyiqala.

Kuthiwani uma ngiqhubeka nokuthola i-BV eduze kokuya kwami esikhathini?

Leli yiphetheni ejwayelekile kakhulu ngoba igazi lokuya esikhathini likhuphula isikhashana i-vaginal pH. Abanye odokotela banikeza i-metronidazole gel ukuba isetshenziswe njengomuthi wokuvimbela izinsuku ezingu-3-5 ngqo eduze kokuya esikhathini ukuze kugwenywe le ngqobhoko ethile. Zizwe ukhululekile ukuxoxa ngale nketho nodokotela wakho we-telehealth.

Ngikufanele ngihlolwe ezinye izimo?

Yebo, nakanjani, uma ulwa ne-BV ebuyayo. Ukuhlolwa ngokucophelela kusiza ukukhipha i-trichomoniasis, i-cervicitis, noma izifo ezixubile ezingafana kalula nezimpawu ze-BV ebuyayo. Ukuphinda okuqhubekayo kungase kufune ukuhlolwa kwe-PCR kwezinyathelo ezithile, noma ukukhipha ukuze kuhlonzwe amaphetheni okumelana.