Ee, tinidazole don BV yana aiki. CDC tana jera shi a matsayin hanyar magani ta madadin, 2 g a baki sau ɗaya a rana na kwana 2, ko 1 g sau ɗaya a rana na kwana 5, yayin da metronidazole na baki ya kasance farkon layin. A cikin tinidazole vs metronidazole don BV, ainihin bambancin shine tsawon jadawali, ba ƙarfi ba.

TL;DR: Muhimman abubuwa

  • Dosing na jagora shine 2 g sau ɗaya a rana na kwana 2, ko 1 g sau ɗaya a rana na kwana 5, duka tare da abinci. Wannan magani ne ta takardar likita kawai a Amurka, ana sayar da shi a matsayin Tindamax.
  • Tinidazole da metronidazole suna cikin iyalai na magunguna iri ɗaya. Tsawon rabin rayuwar tinidazole yana samar da tsawon lokaci na magani, ba mafi girman yuwuwar warkewa ba.
  • Gaskiyar rashin lafiyan metronidazole yana kawar da tinidazole, saboda gaskiyar gajeriyar wucewa. Clindamycin yawanci ita ce amsar a can.
  • Babu giya yayin magani kuma tsawon kwana 3 cikakke bayan an sha magani na ƙarshe, idan aka kwatanta da kimanin sa'o'i 24 don metronidazole.
  • Guciye tinidazole a lokacin daukar ciki, kuma ana hana shi a farkon uku na ciki. Metronidazole shine zaɓin daukar ciki.

Tinidazole don BV yana da tasiri. CDC kawai ba ta jera shi na farko ba

Tinidazole don BV magani ne na nitroimidazole antibiotic na wajibi ne (sunan alama Tindamax a Amurka) wanda Jagoran maganin CDC na 2021 na cututtukan da ake kamuwa ta hanyar jima'i (STI) ya lissafa a matsayin hanyar magani ta madadin: 2 g a baki sau ɗaya a rana na kwana 2, ko 1 g a baki sau ɗaya a rana na kwana 5. Zaɓuɓɓen layin farko da aka ba da shawarar har yanzu shine metronidazole na baki 500 MG sau biyu a rana na kwana 7, ko metronidazole gel na farji 0.75% sau ɗaya a rana na kwana 5.

"Madadin" shine taƙaitaccen bayani na jagora, kuma ana karanta shi akai-akai. Wannan ba yana nufin mafi rauni ba ne, kuma ba yana nufin na ƙarshe ba. Yana nufin cewa shaidar da ke bayansa tana da siriri fiye da shaidar da ke bayan metronidazole, don haka yana zaune a cikin ginshiƙi na biyu. A bayyane yake, maganin BV na layin na biyu zaɓi ne mai karɓuwa wanda ba kawai zaɓi na asali ba ne. Shagon kantin ku ba zai sanya shi ba tare da takardar likita ba, kuma yawancin masu samar da inshora suna tsammanin an gwada metronidazole ko kuma an hana shi tun farko.

Tinidazole ba shi da ƙarfi fiye da metronidazole. Yana wucewa ne kawai tsawon lokaci a jikinka

A cikin tinidazole vs metronidazole don BV, kwatancen da mutane ke tsammani shine ƙarfi, kuma ƙarfi shine axis mara kyau. Dukansu nitroimidazoles ne: iyalai iri ɗaya, hanyar aiki iri ɗaya, aiki iri ɗaya na dakatar da ƙwayoyin cuta masu lalacewa. Tinidazole ba sabon nau'i ba ne da aka ajiye don cututtuka masu tsanani.

Abin da ke bambanta gaskiya shine tsawon lokacin da kowane magani ke kasancewa a cikin yaɗa. Rabin rayuwar plasma na tinidazole yana gudana 12 zuwa 14 hours idan aka kwatanta da kimanin 8 hours na metronidazole, kuma wannan lambar guda ɗaya ce dalilin da ya sa za a iya maye gurbin maganin sau ɗaya a rana na tsawon kwana biyu ko biyar da maganin metronidazole sau biyu a rana na kwana 7.

Ga abin da yawancin shafuka ba za su gaya muku ba: babu wani bincike da ya taɓa kwatanta magungunan biyu kai tsaye a allurai da aka ba su na BV, don haka ana zaɓar tinidazole don jadawali mafi sauƙi, ba don ingantacciyar yuwuwar warkewa ba. BV da ke dawowa bayan metronidazole ba lallai ba ne ya "yi juriya" ba. Sake dawowa gama gari ce a BV saboda dalilai da suka fi dacewa da microbiome na farji fiye da maganin rigakafi. Canza magani yana canza jadawali da bayanin gefe, ba haɓaka ƙarfin wuta ba.

Gaskiyar rashin lafiyan metronidazole ita ce abin da tinidazole ba zai iya magancewa ba

Bincika madadin BV na rashin lafiyan metronidazole kuma tinidazole yawanci shine sunan farko da ke bayyana, wanda shine daidai akasin haka. Alamar FDA tana hana tinidazole ga duk wanda ke da rashin lafiyan sauran nitroimidazole derivatives, gami da metronidazole. Gudun wucewa a cikin iyali shine dalilin gaskiya na gargaɗi.

Don haka bambancin da ke da mahimmanci shine rashin lafiyan fiye da rashin haƙuri. Gudajen, kumburin fuska ko makogwaro, da wahalar numfashi shine rashin lafiyan, kuma madadin BV na rashin lafiyan metronidazole da likitanka ke amfani da shi a can shine clindamycin, ba wani nitroimidazole ba. Tashin zuciya da ɗanɗano na ƙarfe suna nuna rashin haƙuri, mara dadi amma ba ta rigakafi ba, kuma ba sa rufe ƙofar tinidazole.

Abubuwan da ke haifar da abin da ke ba da fa'ida ga tinidazole:

  • Abubuwan gefe na GI akan metronidazole masu tsananin tsanani da suka lalata tsawon magani, amma ba har zuwa rashin lafiyan halayen ba
  • Gaskiyar wahalar kammala allurai goma sha huɗu a kan kwana bakwai, ko saboda aikin dare, tafiya, ko mantawa kawai
  • Babban fifiko ga tsawon lokaci na magani a baki
  • Sake dawowa BV inda ake maimaita nitroimidazole kuma bin umarni shine raunin haɗin gwiwa

Zaɓin na farji wani rukunin yanke shawara ne daban gaba ɗaya. Idan abubuwan gefe na tsarin su ne matsala, metronidazole gel maimakon allunan sau da yawa yana magance shi da tsabta fiye da canza magungunan baki.

Idan kun riga kun yi wani halayen ga metronidazole kuma kuna son shiri a wannan makon, ziyarar kulawa mai gaggawa ta kan layi na $39 na August yana haɗa ku da likita mai lasisi a Amurka wanda ke duba tarihin ku kuma yana yanke shawara ko takardar likita ta dace. Ziyarar bidiyo ba za ta iya yin jarrabawar ƙugu ko tattara samfurin farji ba, don haka farkon lokaci ko rashin bayyana yanayi har yanzu yana buƙatar kulawa ta kai tsaye. Idan kana da ciki, kai wannan ga likitan ka na mata maimakon.

Zabin yin allura guda biyu, kuma mafi gajeren ba shi ne mafi sauƙi ba

Tinidazole BV allura tana zuwa ta hanyoyi biyu: 2 g ta baki sau ɗaya a rana na kwana 2, ko 1 g ta baki sau ɗaya a rana na kwana 5, duka ana sha da abinci. Jimlar bayyanarwa shine 4 g idan aka kwatanta da 5 g, wanda bambanci ne a jadawali, ba a ƙarfi ba.

Yawancin mutane suna tunanin cewa tsawon kwana biyu shine mafi kyau. Sau da yawa ba haka bane. Tashin zuciya ya fi yawa a cikin tsarin 2 g fiye da tsarin 1 g, saboda kuna shawo kan adadin magani sau biyu a lokaci ɗaya. Idan kana da saurin tashin hankali, ko kuma ba za ka iya jin dadi ba yayin yini na aiki, tsawon kwana biyar shine zaɓi mafi kyau duk da cewa yana ɗorewa.

Idan ka yi amai jim kaɗan bayan an sha magani, ka kira likitan da ya rubuta maka takardar kafin ka maimaita shi. Kada ka yanke shawara da kanka ka sha wani, musamman a tsarin kwana biyu inda kowane allura shine rabin dukkan magani. Matsalolin koda ko hanta masu tsanani kuma suna iya canza yadda ake sarrafa allurar tinidazole BV, don haka ka bayyana duk wata ganuwa kamar haka kafin a rubuta takardar likita maimakon bayan haka.

Giya tana nan a kashe na tsawon kwanaki uku bayan allura ta ƙarshe

Tinidazole da giya dole ne su kasance masu raba tsawon lokaci fiye da yadda metronidazole ke buƙata: tsawon magani da kuma tsawon kwanaki 3 (72 hours) bayan an sha magani na ƙarshe, idan aka kwatanta da kimanin sa'o'i 24 tare da metronidazole. Haɗa su na iya haifar da halayen kamar disulfiram: ciwon ciki, tashin zuciya, amai, ja, da ciwon kai.

Iyakancewar ba ta iyakance ga abubuwan sha ba. Shirye-shiryen da ke dauke da ethanol ko propylene glycol suma suna lissafa, wanda a hankali ya haɗa da wasu samfuran kashe tari da sanyi na ruwa. Disulfiram kanta ba za a sha ba a cikin makonni biyu na tinidazole.

Yi lissafin kafin ka fara. A kan tsarin kwana biyu, lokacin bushewa gaba ɗaya yana kusan kwanaki biyar, don haka magani da aka fara a ranar Alhamis yana gudana har zuwa karshen mako.

Abubuwan gefe sune dalilin da yasa mutane ke canzawa zuwa tinidazole, kuma me yasa wasu ke komawa baya

Abubuwan gefen tinidazole BV suna daɗaɗawa ga duk wanda ya sha metronidazole: ɗanɗano na ƙarfe ko ɗaci, tashin zuciya, rashin jin daɗin ciki gaba ɗaya, ciwon kai, da rauni. Shan kowane allura tare da abinci yana kasancewa cikin umarnin etiket, ba shawarar zaɓi ba, kuma yana rage tsananin ciwon ciki.

A zahiri mutane da yawa suna sarrafa tinidazole da kyau, kuma wannan abin kwatanta ne a yi tsammani. Ba tabbaci bane. Ɗanɗano na ƙarfe musamman tasiri ne na nau'in magani, don haka alamun da suka sa ka daina metronidazole na iya biyowa anan.

Hudu dakatarwa. Tinidazole yana hana a cikin mutane da cutar Cockayne, inda nitroimidazoles masu alaƙa gami da metronidazole suka haifar da lalacewar hanta mai tsanani kuma wani lokacin ta mutuwa. Kuma dakatar da magani kuma ka nemi kulawa idan akwai kasusuwa ko yatsa a hannaye ko ƙafa, ko ga fatar da ke juyawa ja, fitsari mai duhu, ko tsananin ciwon ciki.

Idan kana da ciki, wannan shine wuri ɗaya da metronidazole ke samun nasara sosai

Dole ne a guji Tinidazole a lokacin daukar ciki kuma ana hana shi a farkon uku na ciki saboda yana wucewa ta mahaifa. Binciken shaidar CDC na 2021 yana da ƙarfi sosai: bayanai daga dabbobi suna nuna matsakaicin haɗari, kuma bai kamata a yi amfani da shi ba. Metronidazole ya kasance wani magani da aka ba da shawarar a duk lokacin daukar ciki, wanda shine dalilin da ya sa a lokacin daukar ciki canjin yakan gudana ta wata hanya.

Har yanzu za ka ga tsofaffin shafuka suna lakabi tinidazole "Rukuni na C na Ciki". Yi amfani da wannan a matsayin taƙaitaccen bayani na tsohuwar hanya maimakon yanayin aminci na yanzu. FDA ta yi ritaya daga tsarin haruffa na A/B/C/D/X a cikin 2015 kuma ta maye gurbinsu da rubutu na labarai wanda ke bayyana ainihin bayanan, wanda shine yadda aka bayyana hana yanzu.

Abubuwa uku da suka cancanci tambayar likitan ka na mata: ko BV ɗinka tana da alamomi kuma tana buƙatar magani yanzu, wanne tsarin aka fi so a cikin yanayin gestasional ɗinka, kuma me za a yi idan an ba ka takardar likita ta tinidazole kafin kowa ya san kana da ciki.

Wasu alamomi na nuna cewa wannan ba BV mai sauƙi ba ne

Kira 911 ko je zuwa dakin gaggawa yanzu idan:

  • Fuskarka ko makogwaro sun kumbura, kana da wahalar numfashi, ko kuma an samu tsananin kurji ko kurji bayan an sha magani
  • Fatar ka ko idonka sun yi ja, ko kuma kana da tsananin ciwon ciki
  • Kana da zazzabi tare da ciwon ƙugu ko ƙananan ciki, wanda zai iya nuna cutar kumburin ƙugu maimakon BV
  • Kana da zub da jini mai yawa daga farji

Yi alƙawarin ziyara a cikin mako mai zuwa idan:

  • Alamomin ka basu canza ba ko kuma sun fi muni kimanin mako guda bayan kammala cikakken magani. Wannan shine matsayi, ba jin daɗi mara ma'ana cewa yana ɗaukar lokaci mai tsawo ba
  • BV ta dawo sau uku ko fiye a cikin shekarar da ta gabata
  • Fitowar ko ƙamshi sun dawo a cikin wata guda bayan kammala magani

Yi magana da likita kafin ka fara idan:

  • Kana da ciki, ko kuna iya samun ciki, ko kuma kuna shayarwa
  • Kun taɓa yin wani halayen ga metronidazole ta kowace hanya
  • Kana da cutar Cockayne ko cutar hanta
  • Kun sha disulfiram a cikin makonni biyu da suka gabata
  • Ba za ka iya guje wa giya ba tsawon lokacin da aka tsara

Tambayoyi akai-akai

Zan iya shan tinidazole yayin shayarwa?

Yawancin lokaci ba. Tinidazole yana wucewa zuwa madarar nono a ma'auni kusan iri ɗaya da na jini, kuma Alamar FDA ta ba da shawarar dakatar da shayarwa yayin magani da tsawon kwanaki 3 bayan an sha magani na ƙarshe. Wannan yana nufin kimanin kwanaki biyar ba tare da nono ba a tsarin kwana biyu. Rarraba da zubarwa yana kiyaye samarwa. Tambayi likitanka ko wani tsarin daban ya dace da tsarin ciyar da ku.

Me zan yi idan na rasa allura ta tinidazole?

Ya danganta da tsarin da kake ciki. A ka'ida ta gaba ɗaya ita ce shan allura da aka rasa lokacin da ka tuna, ka wuce ta idan lokacin na gaba ya kusa, kuma kada ka ninka don samun nasara. A kan tsawon kwana biyu, duk da haka, rasa allura ɗaya shine rabin maganin ka, don haka ka kira likitan da ya rubuta maka takardar maimakon yin yanke shawara da kanka. Wannan ya bambanta da amai da allura, wanda koyaushe yana buƙatar kira.

Yaya tsawon lokacin da tinidazole ke ɗauka don kawar da alamomin BV?

Yawancin lokaci a cikin 'yan kwanaki bayan kammalawa. Tsawon lokacin magani da lokacin alamar ba abu ɗaya bane: fitowar da ƙamshi yawanci suna raguwa a cikin kwanaki bayan allura ta ƙarshe maimakon a lokacin, kuma wasu ingantuwa sau da yawa suna bayyana a tsakiyar hanyar. Babu gwajin tsarkakewa na yau da kullun don BV. Idan babu abin da ya canza mako guda bayan allura ta ƙarshe, wannan shine alamar ku ta komawa.

Ana iya amfani da tinidazole idan BV tana ci gaba da dawowa?

Ee. Tsarin jagora don sake dawowa BV yana amfani da metronidazole ko tinidazole 500 MG sau biyu a rana na kwana 7, sai kuma boric acid na cikin farji, sannan kuma metronidazole gel mai hana. Lura da tsarin: tinidazole don BV anan ana iya maye gurbinsa da metronidazole a matakin farko, ba magani na musamman da aka kawo saboda na farko ya kasa.

Shin tinidazole ya fi metronidazole tsada?

Wani lokaci. Generic tinidazole yana wanzuwa, amma generic metronidazole shine tsohuwar, mafi arha, zaɓi na matakin fifiko akan yawancin jadawali, don haka tinidazole na iya tsada fiye da kashe kuɗi kuma yana iya buƙatar izini na farko. Katin rangwamen kuɗi na kantin magani yana taimakawa. Tambayi likitan ka ya rubuta rashin haƙuri ko dalilin bin umarni a cikin bayanan ka, saboda wannan shine abin da masu biyan kuɗi ke nema. Ya cancanci kwatanta da yawan kuɗin takardar likita na metronidazole.

Mafi mahimmanci: tinidazole don BV madadin da aka jera a cikin jagora wanda ke musanyar allurai goma sha huɗu a kan kwana bakwai don biyu ko biyar a rana ɗaya, kuma wannan shine ainihin babban abin da yake ba ku. A cikin tinidazole vs metronidazole don BV, babu shaidar kai-tsaye na mafi kyawun yuwuwar warkewa, don haka canjin yana da ma'ana don rashin haƙuri na GI, bin umarni, da jadawali, ba saboda kamuwa da cuta ta ƙwace magani na farko ba. Abubuwa biyu masu rashin daidaituwa suna yanke sauran: metronidazole shine bayyanannen zaɓi a lokacin daukar ciki, kuma tinidazole yana buƙatar tsauraran taga giya na awanni 72 bayan allura ta ƙarshe. Rashin lafiyan metronidazole da aka rubuta yana nuna clindamycin maimakon.

Bayanin keɓancewa: Labarin nan yana don dalilai na ilimi kawai kuma ba ya ƙunshi shawarar likita ba. Kullum ka nemi shawara daga kwararre likita don yanke shawara kan ganewar asali da magani. Idan kana fuskantar gaggawar likita, kira 911 ko je zuwa dakin gaggawa mafi kusa nan take.