{"id":3806,"count":3,"description":"Bakteri\u00e1ln\u00ed vagin\u00f3za (BV) je nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou abnorm\u00e1ln\u00edho vagin\u00e1ln\u00edho v\u00fdtoku u \u017een v reproduk\u010dn\u00edm v\u011bku \u2014 postihuje p\u0159ibli\u017en\u011b jednu ze t\u0159\u00ed \u017een v ur\u010dit\u00e9m okam\u017eiku. Vznik\u00e1, kdy\u017e ochrann\u00e1 vagin\u00e1ln\u00ed mikrofl\u00f3ra dominovan\u00e1 laktobacily je nahrazena p\u0159emno\u017een\u00edm anaerobn\u00edch bakteri\u00ed (Gardnerella vaginalis, Atopobium, Mobiluncus a dal\u0161\u00ed). Klasick\u00fd projev: \u0159\u00eddk\u00fd \u0161edob\u00edl\u00fd v\u00fdtok s charakteristick\u00fdm ryb\u00edm z\u00e1pachem, v\u00fdrazn\u011bj\u0161\u00ed po pohlavn\u00edm styku. Katalog l\u00e9\u010dby BV na MedsBase nab\u00edz\u00ed standardn\u00ed l\u00e9\u010debn\u00e9 mo\u017enosti, dod\u00e1van\u00e9 spole\u010dnost\u00ed <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong>.\n\n<strong>Prvn\u00ed volba antibiotick\u00e9 l\u00e9\u010dby.<\/strong> Metronidazol je l\u00e9kem prvn\u00ed volby \u2014 bu\u010f 500 mg peror\u00e1ln\u011b dvakr\u00e1t denn\u011b po dobu 7 dn\u00ed, nebo vagin\u00e1ln\u00ed gel 0,75% aplikovan\u00fd na noc po dobu 5 noc\u00ed. Alternativa: klindamycin 2% vagin\u00e1ln\u00ed kr\u00e9m aplikovan\u00fd na noc po dobu 7 noc\u00ed, nebo peror\u00e1ln\u00ed klindamycin 300 mg dvakr\u00e1t denn\u011b po dobu 7 dn\u00ed. Jednor\u00e1zov\u00e1 d\u00e1vka tinidazolu 2 g je alternativn\u00ed peror\u00e1ln\u00ed mo\u017enost\u00ed. Prohl\u00e9dn\u011bte si n\u00e1\u0161 <a href=\"https:\/\/medsbase.com\/cs\/antibiotics\/\">Antibiotika<\/a> katalog pro mo\u017enosti metronidazolu (Flagyl, Metroga, Metrogyl Gel), tinidazolu (Tinvista, Tinima) a klindamycinu (Dalacin C, Clinka Gel). Kombinace antibiotika + probiotika s laktobacily <a href=\"https:\/\/medsbase.com\/cs\/revidox-lb\/\">Revidox-LB<\/a> m\u016f\u017ee pomoci obnovit ochrannou mikrofl\u00f3ru po antibiotick\u00e9 l\u00e9\u010db\u011b.\n\n<strong>Topick\u00e9 dopl\u0148ky.<\/strong> Topick\u00fd klotrimazolov\u00fd vagin\u00e1ln\u00ed kr\u00e9m <a href=\"https:\/\/medsbase.com\/cs\/candid-v-gel\/\">Candid V Gel<\/a> je u\u017eite\u010dn\u00fd, kdy\u017e se bakteri\u00e1ln\u00ed vagin\u00f3za vyskytuje sou\u010dasn\u011b s vagin\u00e1ln\u00ed kandid\u00f3zou (b\u011b\u017en\u00fd vzorec). Kombina\u010dn\u00ed sady zahrnuj\u00edc\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medical-emergency-kit\/\">L\u00e9k\u00e1rni\u010dka prvn\u00ed pomoci<\/a> bal\u00ed\u010dek relevantn\u00edch l\u00e9k\u016f pro akutn\u00ed p\u00e9\u010di.\n\n<strong>Jak pou\u017e\u00edvat.<\/strong> Podez\u0159en\u00ed na BV s klasick\u00fdmi projevy (\u0159\u00eddk\u00fd \u0161edob\u00edl\u00fd v\u00fdtok, ryb\u00ed z\u00e1pach, bez sv\u011bd\u011bn\u00ed\/p\u00e1len\u00ed typick\u00e9ho pro kandid\u00f3zu) \u2192 metronidazole 500 mg BID \u00d7 7 dn\u00ed peror\u00e1ln\u011b, nebo 0.75% vaginal gel \u00d7 5 noc\u00ed. T\u011bhotenstv\u00ed s potvrzenou BV \u2192 metronidazole peror\u00e1ln\u011b nebo clindamycin (l\u00e9\u010dba podle n\u011bkter\u00fdch studi\u00ed sni\u017euje riziko p\u0159ed\u010dasn\u00e9ho porodu). Recidivuj\u00edc\u00ed BV (\u2265 4 epizody\/rok) \u2192 prodlou\u017een\u00e1 l\u00e9\u010debn\u00e1 k\u00fara + supresivn\u00ed pod\u00e1v\u00e1n\u00ed metronidazole gelu 2\u00d7 t\u00fddn\u011b po dobu 4\u20136 m\u011bs\u00edc\u016f \u00b1 boric acid 600 mg vagin\u00e1ln\u00ed tobolky.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> Vyhn\u011bte se alkoholu p\u0159i u\u017e\u00edv\u00e1n\u00ed metronidazolu a tinidazolu (disulfiramov\u00e1 reakce \u2014 n\u00e1valy, palpitace, siln\u00e1 nevolnost). Kde je to mo\u017en\u00e9, potvr\u010fte diagn\u00f3zu bakteri\u00e1ln\u00ed vagin\u00f3zy pomoc\u00ed Amselov\u00fdch krit\u00e9ri\u00ed nebo vagin\u00e1ln\u00edho pH (zv\u00fd\u0161en\u00e9 &gt; 4,5) \u2014 empirick\u00e1 l\u00e9\u010dba \"kvasinkov\u00e9 infekce\" p\u0159ehl\u00ed\u017e\u00ed BV (40 % \u017een si diagn\u00f3zu stanov\u00ed chybn\u011b). P\u0159etrv\u00e1vaj\u00edc\u00ed nebo opakuj\u00edc\u00ed se p\u0159\u00edznaky navzdory l\u00e9\u010db\u011b vy\u017eaduj\u00ed gynekologick\u00e9 vy\u0161et\u0159en\u00ed, kompletn\u00ed screening na pohlavn\u011b p\u0159enosn\u00e9 infekce a zv\u00e1\u017een\u00ed trichomoni\u00e1zy (l\u00e9\u010den\u00e9 podobn\u011b metronidazolem) nebo atypick\u00fdch vagin\u00e1ln\u00edch patogen\u016f. BV je spojena s vy\u0161\u0161\u00edm rizikem n\u00e1kazy HIV, oparem, kapavkou a chlamydiemi \u2014 p\u0159i diagn\u00f3ze se doporu\u010duje screening na STI. L\u00e9\u010dba sexu\u00e1ln\u00edch partner\u016f (mu\u017esk\u00fdch partner\u016f) podle d\u016fkaz\u016f NEsni\u017euje recidivu BV.\n\nV\u0161echny produkty pro l\u00e9\u010dbu BV od MedsBase jsou odes\u00edl\u00e1ny z <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm balen\u00edm a jsou kryty na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.","link":"https:\/\/medsbase.com\/cs\/bacterial-vaginosis-bv-treatment\/","name":"L\u00e9\u010dba bakteri\u00e1ln\u00ed vagin\u00f3zy (BV)","slug":"bacterial-vaginosis-bv-treatment","taxonomy":"product_cat","parent":3502,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3502"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}