Bayanan CDC da Sauye-Sauye
Kwayar cuta ta kwayar cutar (BV) ita ce kamuwa da cutar ta jiki wanda ke haifar da lalacewa, fitarwa mai laushi, da halayyar "fishy" wariyar launin fata. Yawancin lokuta ba su da rikitarwa kuma ana iya bi da su tare da kwayoyi kwayoyin maganin kwayoyi, an dauki ko dai ta hanyar magana ko tare da rubutun kalmomi ko gel. Ana ciwo cututtuka na BV zuwa sau da yawa akai-akai, yawanci a cikin watanni uku zuwa 12, yana buƙatar ƙarin ƙwayoyin magunguna.
Ana iya wajabta magani a lokacin daukar ciki don rage haɗarin rikitarwa kamar ƙananan ƙarfin haihuwa da ƙaddamar da ƙwayar jikin.
Gidajen gida
Daya daga cikin manyan matsalolin da ake yi na maganin kwayar cutar kwayar cutar ita ce babban komawa. Wasu nazarin sun nuna cewa kudirin zai iya zama kamar kashi 50 cikin 100; wasu sun gaskata cewa shi ne mafi girma. Kuma, wannan yana haifar da matsala da aka ba da amfani da maganin rigakafi mai yawa na iya ƙara haɗarin juriya.
A karshen wannan, an gano wasu magungunan gida a cikin mata tare da bayyanar cututtuka ta BV . Babban daga cikin wadannan shi ne acidic acid da hydrogen peroxide, duka biyu ba su da tsada kuma sauƙin samu a gidan likitancin ba tare da takardar sayan magani ba.
Ga abin da muka sani:
- An yi amfani da Boric acid don magance ƙwayar yisti ( ƙwararren fata ) na tsawon shekaru 100. Binciken da aka yi a shekara ta 2015 yayi nazarin amfani da shi a matsayin kwakwalwa a cikin mata tare da BV kuma ya gano cewa, bayan kwanaki 10, ƙimar kamuwa da kamuwa da cutar ta kama da irin maganin rigakafi.
- Hydrogen peroxide, wanda aka kawo a cikin wani bayani na intravaginal na kashi 3, an kuma amfani dashi don tsararraki don bi da BV. Duk da haka, bincike a shekarar 2011 daga Jami'ar John Hopkins ya nuna cewa maganin ba zai iya kawar da kwayoyin "mummunan" wadanda ke da alaka da kamuwa da cutar BV ba, yana rage darajarta ga mata da magungunan cututtuka.
Duk da yake ana ganin waɗannan magunguna lafiya da mai araha, ba za a yi amfani dashi ba tare da cikakkun ganewar asali da shigarwar likitanku ba. Wannan hakika gaskiya ce ga masu fama da farko, mata masu juna biyu, ko waɗanda ke da alamun bayyanar cututtuka mai tsanani (ciki har da zazzaɓi, ciwon jiki, ƙyallen jini da / ko ciwo na ciki, ko wahalar wahala).
Sharuɗɗa
Anyi amfani da maganin kwayoyin cuta na kwayar cutar kwayar cutar ga dukkan mata tare da bayyanar cututtuka. Yin haka ba kawai yana taimakawa wajen kawar da kamuwa da cutar ba, yana rage damar mace na samun cutar ta hanyar jima'i irin su gonorrhea , chlamydia , da trichomoniasis .
Hanyoyin da aka fi so
Akwai maganin likitanci guda uku da aka fi so da shawarar da Cibiyoyin Kula da Cututtuka na Cututtuka (CDC) ke bayarwa don kula da BV:
- Metronidazole: Miliyoyin 500 an dauki baki (ta bakin) sau biyu kowace rana har kwana bakwai
- Metronidazole: Gel na kashi 0.75 da ake amfani dashi sau ɗaya kowace rana don kwana biyar ta amfani da ma'aunin mai kwakwalwa na 5.0-gram
- Clindamycin 2.0 kashi cream: amfani sau ɗaya a lokacin kwanta barci kwana bakwai ta amfani da mai 5.0-gram mai intravaginal applicator
Ƙarin Magunguna
Wasu magunguna an adana su don yin amfani da layi na biyu idan bayyanar cututtuka sun sake komawa ko kuma idan mutum yana da tabbacin juriya ga kwayoyin da aka fi so.
Magunguna dabam-dabam sun haɗa da:
- Clindamycin: Miliyoyin miliyoyin 300 sun dauki muryar sau biyu sau ɗaya don kwana bakwai
- Clindamycin: Girasar 100-milligram da ake amfani dasu a lokacin kwanta barci na kwana uku
- Tinidazole: 2.0 grams da aka yi a cikin launi sau ɗaya don kwana biyu
- Tinidazole: 1.0 grams da aka yi a cikin launi sau ɗaya don kwana biyar
Bayyana shawarwarin
Kowane jiyya da aka sanya maka, kana buƙatar kammala karatun ko da idan bayyanar cututtuka ta bayyana. Rashin yin haka zai iya ƙara haɗarin juriya na kwayoyin.
Ana ba da shawara cewa ku guje wa barasa a lokacin farfadowa da kuma tsawon sa'o'i 24. Shan yana iya haifar da bayyanar cututtuka irin su ciwon kai, flushing, m zuciya, rashin ƙarfi na numfashi, tashin zuciya, vomiting, da kuma raguwa.
Don hana ɗaukan hoto zuwa kwayoyin cuta da sauran kwayoyin cututtuka, ya kamata ya kamata ku guje wa jima'i ko amfani da kwaroron roba a duk lokacin da ake jiyya. Duk da yake BV ba a dauke shi da kamuwa da jima'i ba, wasu kwayoyin halitta masu illa mai cutarwa za a iya kama su akan azzakarin namiji, musamman ma a ƙarƙashin goshin. Hatta macen auren jima'i na iya haifar da haɗari saboda ko dai ga fata-ga-dangi ko saduwa ta mutum-to-genital.
Duk da wadannan hadarin, ba a buƙaci kulawa da abokin jima'i.
Hanyoyin Kasuwanci
Yawancin su ne m m. Tsakanin su:
- Magungunan magunguna na iya haifar da ciwon ciki, tashin zuciya, sanyi bayyanar cututtuka (tari, hanci da ciwon zuciya, ciwon makogwaro), da kuma dandano mai kyau a baki.
- Magungunan maganin rigakafi na iya haifar da mummunan yanayi, ciwon kai, tashin zuciya, sanyi bayyanar cututtuka, ƙarancin tingling a cikin hannaye da ƙafa, da kuma dandano mai kyau a baki.
Bayar da ciki
Hulɗar BV mai aiki a lokacin daukar ciki na iya ƙara haɗarin haihuwa, nauyin haihuwa, ƙaddamar da ƙwayar jikin jiki (PROM) kuma, da yawa, rashin kuskure.
Magungunan maganin maganin maganin maganin gargajiya sun fi dacewa, ko dai clindamycin 300 miligrams ko metronidazole 500 miliyoyin riƙi sau biyu a kowace rana kwana bakwai. Magungunan maganin rigakafi masu ban sha'awa, da bambanci, sun nuna rashin tasiri wajen hana rikice-rikice ciki.
Duk da yake yawancin karatu sun nuna cewa yin amfani da maganin maganin maganin rigakafi na iya rage hadarin PROM da nauyin haihuwar ƙananan haihuwa, shaidar ba ta da ikon yin ƙin haihuwa.
Harshin Antibiotic
Kullum magana, hadarin kwayoyin juriya a kwayar cutar vaginosis ba shi da wuri kamar yadda ban mamaki kamar yadda wanda zai iya sa ran. Hakan ya dace da nau'in kwayoyin da ke cikin BV (waxanda suke anaerobic kuma basu buƙatar oxygen) idan aka kwatanta da wadanda aka samu a wasu nau'in vaginitis (waxanda suke da kwayoyin da ke buƙatar oxygen).
Ana gano kwayoyin kwayoyin cuta a waje da jiki kuma sun fi sauƙin daukar kwayar cutar daga mutum zuwa mutum. Wadannan sun haɗa da irin wadannan sanannun irin su Staphylococcus aureus, Streptococcus, da Escherichia coli ( E. coli ). Yin amfani da maganin rigakafi don magance wadannan cututtuka ya haifar da karuwar juriya.
Duk da yake wannan ba shi da yawa tare da kwayoyin da ke cikin BV, juriya yakan iya faruwa a wani lokaci. Ya dogara ne akan irin kwayoyin "mummunan" wadanda zasu iya rinjaye a yayin rashin lafiya na BV. Misali:
- An tabbatar da juriya na maganin metronidazole da za a gina domin amsawa ga irin kwayoyin halitta da aka sani da tsohuwar Atopobium. Haka kuma ba a san shi ba tare da clindamycin.
- Ya bambanta, ƙarfin clindamycin ya zama damuwa mai girma game da gaisuwa na kwayoyin cuta na Prevotella . Haka ba a gani tare da metronidazole ba.
- Akwai kuma rahotanni game da juriya na metronidazole ga wani kwayar cutar ta jiki wanda aka sani da Gardnerella vaginalis.
Amma, a cikin mafi girma tsarin, barazanar har yanzu ana la'akari da low da kuma amfani da magani ba da yawa ya wuce sakamakon.
Don haka, ba za a kauce wa maganin kwayoyin cutar ba saboda yawancin juriya na juriya. A ƙarshe, za a iya kaucewa juriya ta hanyar shan magunguna gaba daya kuma kamar yadda aka tsara. Bugu da ƙari, idan bayyanar cututtuka su sake komawa, kada ku taɓa watsi da su amma ku sa su bi da su gaba daya maimakon daga baya.
Ƙarin Magunguna Makiya (CAM)
Ana haifar da vaginosis na kwayar cutar idan "mai kyau" flora, mai suna lactobacilli, ya ƙare, yana barin kwayar "mummunan" don ci gaba da haifar da kamuwa da cuta. Saboda haka, an nuna cewa masu maganin rigakafi , masu arziki a kwayoyin lafiya kamar Lactobacillus acidophilus , na iya zama da amfani wajen sake furen fure. Kuma, akwai wasu shaidu don tallafa wa wannan.
Binciken bita na 2014 game da binciken binciken asibiti ya tabbatar da cewa yin amfani da kwayar halitta na yau da kullum, ko ta hanyar kari ko abinci kamar yogurt, zai iya hana cutar BV ko taimakawa wajen maganin kwayoyin cutar.
Abin da aka ce, ikon su don magance cutar ta BV da kansu ba shi da wata alama. Ga bangareta, CDC ya dade yana tambaya game da amfani da maganin masu maganin rigakafi a zalunta BV, koda yake nau'i ne na farfadowa. Wannan bai nuna cewa probiotics ba su da darajar; Abin sani kawai babu wani tabbaci cewa kwayoyin kwayoyin halitta zasu iya canzawa daga ciki zuwa ga farji a cikin yawan abubuwan da suka shafi maganin warkewa.
An sami irin wannan shaidar da ta dace da amfani da wasu magunguna na halitta (kamar tafarnuwa ko man shayi) a cikin maganin BV.
> Sources:
> Cibiyoyin Kula da Cututtuka da Cututtuka. "2015 Harkokin cututtukan cututtuka ta hanyar jima'i ta hanyar jima'i: Jagoran kwayoyin cutar." Atlanta, Jojiya; sabunta Yuni 4, 2015.
> Homayouni, A .; Bastani, P .; Ziyadi, S. et al "Hanyoyin probiotics akan sake dawowa da kwayar cutar kwayar cutar: wani bita." J Low Genit Tract Dis. 2014; 18 (1): 79-86. DOI: 10.1097 / LGT.0b013e31829156ec.
> O'Hanlon, D .; Moench, T. da Cone, R. "A cikin ruwa mai zurfi, kwayoyin da ke hade da kwayar cutar bacteria za a iya shafe su da lactic acid amma ba hydrogen peroxide." BMC Infect Dis. 2011; 11: 200. DOI: 10.1186 / 1471-2334-11-200.
> Younos, N., Gobinath, R. Jegasothy, R. et al. "An sabunta kan Gardnerella vaginalis hade da kwayar cuta vaginosis a Malaysia." Asiya Pac J Trop Bio. 2017; 7 (9): 831-35. DOI: 10.1016 / j.apjtb.2017.08.011.
> Zeron Mullins, M. da Trouton, K. "Nazarin BASIC: Binciken da ke dauke da kwayar cutar ne wanda ba shi da ƙari ga metronidazole a cikin bayyanar cututtukan kwayoyin cuta? 2015; 16: 315. DOI 10.1186 / s13063-015-0852-5.