Isikhokelo seCDC kunye neendlela eziNye
I-bacterial vaginosis (BV) yintsholongwane evamile yesisu esenza ubuncwane, ukukhulelwa kwamanzi, kunye nebala "inhlanzi". Uninzi lweziganeko ziyinkimbinkimbi kwaye zinokuphathwa ngeemithi zamachiza ezenziwe ngamayeza, ezithathwe ngomlomo okanye ngama-creams or gels. Izifo ze-BV ziyaziwa ngokuphindaphindiweyo, ngokuqhelekileyo zingakapheli iinyanga ezintathu ukuya kwezi-12, zifuna ezinye iindlela zonyango.
Unyango lunokumiselwa ngexesha lokukhulelwa ukunciphisa umngcipheko weengxaki ezinjengexabiso lokuzalwa eliphantsi kunye nokukhulelwa kwangaphambili kweembrane.
Zonyango
Enye yezona zinto ziphazamisekile ukwelapha i- bacterial vaginosis ngumlinganiselo ophezulu wokuphindaphinda. Ezinye izifundo ziphakanyisile ukuba izinga lingaba liphezulu njengama-50 ekhulwini; abanye bakholelwa ukuba kukhulu kakhulu. Kwaye, le nto ibangela ingxaki enikwe ukuba ukusetyenziswa ngokuphindaphindiweyo kwee-antibiotics kunokunyusa umngcipheko wokuchaswa kweziyobisi.
Kule ndlela, uninzi lwezilwanyana zasemakhaya luye lwafundiswa kwabasetyhini abaneempawu zeBV eziphindaphindiweyo. Oyintloko phakathi kwalawa yi-boric acid kunye ne-hydrogen peroxide, ezo zombini ezingabizi kakhulu kwaye zifumaneka lula kwivenkile yezilwanyana ngaphandle kwemithi.
Nantsi into esiyaziyo:
- I-boric acid isetyenziselwe ukunyanga izifo zesilonda ( ububele be-vaginal candidiasis ) kwiminyaka engaphezu kwe-100. Ucwaningo olwenziwa ngo-2015 luhlolisise ukusetyenziswa kwalo njengendoda yokuxhaswa ngamaselini kubasetyhini abane-BV kwaye yafumanisa ukuba, emva kweentsuku ezili-10, isantya sokukhutshwa kwesibambiso sasifana neloo-antibiotics.
- I-hydroxy peroxide, ehanjiswe kwisisombululo sesithathu se-intravaginal solution, isetyenziswe kwizizukulwana zokuphatha i-BV. Nangona kunjalo, uphando ngo-2011 oluvela kwiYunivesithi yaseJohn Hopkins lubonisa ukuba unyango alukwazanga ukunqanda ibhaktheriya "embi" echaphazelekayo nokusuleleka kwi-BV, ukuphazamisa ukubaluleka kwayo kubasetyhini abaneempawu eziphindaphindiweyo.
Nangona ezi zixhobo zibhekwa njengekhuselekile kwaye zifikeleleka, akufanele zisetyenziswe ngaphandle kokuxilongwa ngokupheleleyo kunye negalelo kumgqirha wakho. Oku kubaluleke kakhulu kubaxhamli bexesha lokuqala, abafazi abakhulelweyo, okanye abo abaneempawu zesifo sosuleleko (kubandakanywa umkhuhlane, i-body aches, intlungu ye-pelvic kunye / okanye isisu, okanye u-urinating difficult).
Imigaqo
Kunconywa unyango lwe- antibiotics lwe-bacteria vaginosis kubo bonke abafazi abaneempawu. Ukwenza oko akuncedisi kuphela ukuphelisa intsholongwane, kunciphisa ithuba lomfazi lokufumana izifo ezithathelwana ngesondo ezifana ne- gonorrhea , chlamydia , ne- trichomoniasis .
Unyango olukhethiweyo
Kukho ezintathu iirjimenti zonyango ezichongiweyo zonyango ezicetyiswa ngamaZiko okuLawulwa kweNtsholongwane kunye noKhusela (CDC) kunyango lweBV:
- I-Metronidazole: ama-milligram ama-500 athathwe ngomlomo (ngomlomo) kabini imihla ngemihla iintsuku ezisixhenxe
- I-Metronidazole: i-0.75 yepesenti gel isetyenziswe kanye imihla ngemihla kwiintsuku ezintlanu usebenzisa i-5.0-gram efakwe
- Ikhefu le-Clindamycin ye-2.0 ye-cream: isetyenziswe kanye ngexesha lokulala kwiintsuku ezisixhenxe usebenzisa i-5.0-gram ye-intravaginal applicator
Ezinye unyango
Ezinye iindlela zonyango zigcinwe kwipilisi yesibini xa iimpawu ziphindaphinda okanye ukuba umntu unokuchaswa ngokuchasene nesifo se-antibiotics.
Ezinye iindlela zonyango ziquka:
- I-Clindamycin: i-milligram ezi-300 zithathwe ngomlomo kabini imihla ngemihla iintsuku ezisixhenxe
- I-Clindamycin: i-100-milligram ye-suppositories isetyenziswe ngexesha lokulala iintsuku ezintathu
- I-Tinidazole: 2.0 amagremu athathwe ngomlomo rhoqo emva kweentsuku ezimbini
- I-Tinidazole: i-1.0 gram isetyenziswe ngomlomo kanye emva kweentsuku ezintlanu
Ukucetyiswa kweengcebiso
Naluphi na unyango omiselweyo, kufuneka uzalise izifundo ngaphandle kokuba iimpawu zakho zicacile. Ukungaphumeleli ukwenza oko kunokwandisa umngcipheko wokuchasana nomzimba.
Kucetyiswa ukuba ulawule kotywala ngexesha lokunyanga kwaye emva kweeyure ezingama-24. Ukusela kunokubangela iimpawu ezingathandekiyo ezinjengentloko, ukuxhamla, ukukhawuleza kwentliziyo, ukuphefumula okufutshane, ukuncwina, ukuhlanza nokuphelelwa amandla.
Ukuthintela ukungena kwiibhaktheriya kunye nezinye izilwanyana ezinobungozi, kufuneka ubaleke ngokwesondo okanye usebenzise iikhondom ngexesha lonke lokunyanga. Nangona i-BV ingabonwa njengentsholongwane yesondo, i-microorganisms ezinobungozi ezinokubakho zinokuthi zithathwe kwi-penis yindoda, ingakumbi phantsi kwesikhumba. Nokuba iqabane lomntu wesini libeka umngcipheko ngenxa ye-skin-to-genital contact or genital-to-genital contact.
Nangona kukho ingozi, unyango lomlingane wesondo alufunwa.
Iziphumo eziPhakathi
Uninzi lufana nobulali. Phakathi kwabo:
- Amachiza omlomo angabangela ukuba isisu siphakamise, isisongomso, iimpawu ezibandayo (umkhwehlela, impumlo yebhola, intliziyo emlonyeni), kunye neentsimbi zentsimbi emlonyeni.
- Iingqungquthela ze-antibiotics zingabangela ubundlobongela besisu, intloko, isisongela, iimpawu ezibandayo, ukuvakala komsindo kwizandla kunye neenyawo, kunye neentsimbi zentsimbi emlonyeni.
Iingcebiso zokukhulelwa
Ukusuleleka kwe-BV ngexesha lokukhulelwa kunokunyusa umngcipheko wokuzalwa kwangaphambi kokuzalwa, ukuzala okuphantsi, ukukhulelwa kwangaphambili kwe-membrane (PROM) kwaye, ngokuqhelekileyo, ukukhulelwa kwesisu.
Amachiza okubulala amayeza aqhelekileyo, ngokukodwa ama-clindamycin 300 milligrams okanye i-metronidazole i-500 milligrams ethatyathwe kabini imihla ngemihla iintsuku ezisixhenxe. Iingqungquthela ze-antibiotic, ngokuchaseneyo, zibonakala zingasebenzi kakuhle ekukhuseleni ukukhulelwa kwengxaki.
Nangona uphando oluninzi lubonisa ukuba ukusetyenziswa kwemithi ye-antibiotiki yomlomo kunganciphisa umngcipheko we-PROM kunye nesisindo sokuzalwa esincinane, ubungqina busoloko bunako ukukhusela ukuzalwa kwangaphambi kokuzalwa.
Ukuchasana kwamayeza
Ngokuqhelekileyo, umngcipheko wokuchasana ne-antibiotics kwi-bacterial vaginosis ayikho ndawo ekhangelekayo njengokuba umntu angalindela. Oku kubangelwe inxalenye kwiindidi zebhaktheriya ezibandakanyeka kwi-BV (e-anaerobic kwaye ayifuni i-oksijeni) xa kuthelekiswa naleyo ifumaneka kwezinye iifom ze- vaginitis (eziyi-aerobic kwaye zifuna i-oxygen).
Ibhaktheriya ye-Aerobic ifunyenwe ngaphandle komzimba kwaye isetyenziswe ngokulula kumntu kumntu. Ezi ziquka iintlobo ezinjengeenkcukacha ezifana neStaplocloccus aureus, iStreptococcus, kunye ne- Escherichia coli ( E. coli ). Ukusetyenziswa kwe-antibiotics ukusabalalisa ukuphathwa kwezi zifo kuye kwabangela ukunyuka kwamazinga okuchasa.
Ngoxa le nto ingaqhelekanga kakhulu kwiibhaktheriya ezibandakanyeka kwi-BV, ukuxhatshazwa ngamanye amaxesha kunokwenzeka. Kuxhomekeka ngokubanzi ngohlobo lwama-bhakteria "amabi" anokubakho ngexesha lokusuleleka kweBV. Umzekelo:
- Ukuxhatshazwa kweMetronidazole kukholelwa ukuba iyakha ngokuphendula uhlobo lwebhaktheriya lwamanzi olusetyhini olubizwa ngokuba yi- Atopobium. Okufanayo kubonakala kuncinci nge clindamycin.
- Ngokwahlukileyo, ukuxhatshazwa kwe-clindamycin kuye kwaba yinkxalabo ekhulayo ngokubhekiselele kwiintlobo ze- Prevotella ze-bacterial. Okufanayo akuzange kubonwe nge-metronidazole.
- Kwakhona kukho iingxelo ze-metronidazole ukumelana nelinye ibhaktheriya eliqhelekileyo lomfazi elibizwa ngokuba yi- Gardnerella vaginalis.
Kodwa, kwisikimu esikhulu, isisongelo sisacetyiswa kwaye izibonelelo zonyango zigqithise kakhulu imiphumo.
Kule nto, unyango lwe-antibiotics alufanele lugwenywe ngenxa yithuba elikhulu lokungaxhasi. Ekugqibeleni, ukuxhatshazwa kunokugwenywa ngokuthatha amayeza akho ngokupheleleyo kwaye njengoko kuchazwe. Ngaphezu koko, ukuba iimpawu ziya kuphinda zibaleke, akufanele uzibandezele kodwa zize zifumane ukuphathwa ngokukhawuleza kunokuba zenzeke.
I-Alternative Medicine (CAM)
I-bacterial vaginosis ibangelwa xa i-"intle" yezilwanyana zesisu, ebizwa ngokuthi i-lactobacilli, iphelile, ivumela ukuba "iibhaktheriya ezimbi" zibangele kwaye zibangele ukusuleleka. Ngaloo ndlela, kucetyiswa ukuba ii- probiotiki , ezizityebi kwiibhaktheriya ezinempilo ezifana neLacbabacillus acidophilus , zinokuba luncedo ekuzaliseni izilwanyana zaselwandle. Kwaye, kukho ubungqina bokuxhasa oku.
Ukuhlaziywa kwee-klinikhi ze-2014 kuphelile ukuba ukusetyenziswa kwansuku zonke kwiprobiotic yomlomo, mhlawumbi ngokuxhaswa okanye ukutya njenge yogurt, kunokuthintela usuleleko lwe-BV okanye kukuncedisa unyango lwe-antibiotic.
Oko kuthethwa, amandla abo okunyanga i-BV isifo ngokwazo akunakwenzeka. Ngenxa yecandelo layo, i-CDC imele ibuze i-probiotics ekuphatheni i-BV, kwanjengokuba ifom yokwenza unyango. Oku akusikhombisi ukuba ii-probiotic zinexabiso; kungokuthi akukho bungqina bokuba ama-probiotic bhakteria angashenxisa ukusuka esiswini ukuya kwisisini ngokubaluleka kokuthathwa kwengqondo.
Kukho ukungabikho kobufakazi obunjalo obuxhasa ukusetyenziswa kwamanye amayeza angokwemvelo (njengegalikhi okanye ioli yeoli) ekuphatheni i-BV.
> Imithombo:
> Amacandelo okuLawula nokuLawula izifo. "Izifo zengonyango zonyango ngo-2015: I-Bacterium Vaginosis." E-Atlanta, eGeorgia; hlaziywa ngoJuni 4, 2015.
> Homayouni, A .; Bastani, P .; Ziyadi, S. et al "Iimpembelelo zeprobiotics ngokuphindaphindiweyo kwe-bacterial vaginosis: ukuhlaziywa." I- J Low Genit Tract Dis. 2014; 18 (1): 79-86. INGXELO: 10.1097 / LGT.0b013e31829156ec.
> O'Hanlon, D .; I-Moench, T. kunye neCone, R. "Kwi-vaginal fluid, iibhaktheriya ezinxulumene ne-bacterial vaginosis zinganqunyulwa nge-lactic acid kodwa ingekho i-hydrogen peroxide." IBucC Disfect Dis. 2011; 11: 200. INGXELO: 10.1186 / 1471-2334-11-200.
> Younos, N., Gobinath, R. Jegasothy, R. et al. "Ukuhlaziywa kwi- Gardnerella vaginalis ehambelana ne-bacterial vaginosis eMalaysia." I- Asian Pac J Trop Bio. 2017; 7 (9): 831-35. INGXELO: 10.1016 / j.apjtb.2017.08.011.
> Zeron Mullins, M. kunye neChungton, K. "UKUFUNDWA KWESICWANGCISO: i-intravaginal boric acid engekho ngaphantsi kwe-metronidazole kwi-bacteria vaginosis ye-symptomatic? 2015; 16: 315. INGXELO 10.1186 / s13063-015-0852-5.