Metronidazole don Zazzabin Halid shine 500 mg ta baki sau biyu a rana na tsawon kwanaki bakwai, kwalaye 14 a jimilla. Mata da ake yi wa maganin trichomoniasis yanzu suna samun wannan tsawon kwanaki bakwai iri daya, yayin da mazajen har yanzu suke samun dozi na 2 g sau daya. Kwaya daya, ka'idoji daban-daban kan maganin abokin tarayya, sake gwajawa, da zaɓuɓɓukan na waje.
- Zazzabin Halid: metronidazole 500 mg sau biyu a rana na tsawon kwanaki 7, ko 0.75% farar magani na farji sau daya a rana na tsawon kwanaki 5.
- Trichomoniasis a mata: iri daya tsawon kwanaki 7 ta baki tun bayan sabuntawar CDC ta 2021. Ga maza, dozi na 2 g sau daya.
- Zazzabin Halid ba cuta ce da ake yadawa ta jima'i ba, saboda haka ba a yi wa abokan tarayya magani koyaushe. Trichomoniasis cuta ce, saboda haka duk abokin tarayya yana buƙatar magani.
- Sake gwaji don trichomoniasis bayan kimanin watanni 3. Babu gwajin waraka na al'ada don Zazzabin Halid idan alamomi sun tafi.
- CDC ba ta sake goyon bayan hana giya ba, kodayake metronidazole kanta na iya sa ku gaji.
Metronidazole na warkar da Zazzabin Halid cikin kwanaki bakwai, kuma dakatarwa da wuri shine dalilin da yasa yake dawowa
Metronidazole don Zazzabin Halid shine 500 mg ta baki sau biyu a rana na tsawon kwanaki bakwai, kwalaye 14 a jimilla, tsarin farko a cikin CDC's 2021 STI treatment guidelines. Madadin da CDC ta bayar shine 0.75% metronidazole farar magani na farji, mai sanya kwalaye 5 g sau daya a rana na tsawon kwanaki biyar. Flagyl shine sunan alamar metronidazole iri daya, saboda haka kwaya da dozi ba su canzawa.
Yawancin mutane suna lura da fitar da ruwa da wari yana tsayawa a ranar biyu ko uku. Wannan ba shi bane ƙarshe. Zazzabin Halid yawan girman kwayoyin cuta masu tasowa wanda suka fi kwayoyin cuta masu amfani da lactobacilli, kuma sauyin alamomi yana gaba da tsabtace kwayoyin halitta. Dakatarwa a ranar hudu saboda kuna jin daɗi kuma kun ba wa sauran kwayoyin halitta damar farawa. Don haka, eh, metronidazole yana kula da Zazzabin Halid, kuma Flagyl don Zazzabin Halid shine rubutun likita iri daya a ƙarƙashin wani lakabi daban. Ɗauki duk kwalaye 14.
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Eh. Flagyl sunan kamfani ne na maganin metronidazole, kuma maganin na gaba-gaba (generic) yana dauke da sinadaran maganin iri daya da kuma karfinsa iri daya. A mafi yawan lokuta, kantunan magani sukan bayar da nau'in generic din ne. Abin da ya kamata ka duba shi ne lakabin maganin maimakon sunansa: ka tabbatar an rubuta 500 mg, kuma bayanin yadda za a sha ya nuna sau biyu a rana, sannan kuma adadin kwayoyin su kasance 14. Ana sayar da nau'in man shafawa na farji (vaginal gel) da sunan MetroGel-Vaginal.
A'a. Metronidazole ba ya magance Candida, wato kwayar cutar da ke haifar da kaikayi da fita farin ruwa mai kauri daga gaban mace. Wadannan cututtuka suna bukatar maganin kashe kwayoyin cuta na antifungal irin su fluconazole. Wani abin takaici shi ne, wani lokacin yawan kwayoyin cuta na yeast yakan biyo bayan shan maganin rigakafi (antibiotic), don haka idan ka ji sabon kaikayi a tsakiyar kwanakin bakwai da kake shan magani, gara ka tuntubi likitanka maimakon ka sake shan wani maganin daban.
"Magani na kwalaye daya" ya tafi: mata masu trichomoniasis yanzu suna samun iri daya kwanaki 7 kamar Zazzabin Halid
Dozi na metronidazole don trichomoniasis ya canza a 2021, kuma yawancin mutane ba su faɗi ba: mata masu trichomoniasis yanzu ana ba da shawarar su ɗauki metronidazole 500 mg sau biyu a rana na tsawon kwanaki bakwai, daidai tsarin Zazzabin Halid. CDC ta yi wannan canjin bayan da gwajin raba raba ya gano cewa tsawon kwanaki da yawa ya rage yawan gwaji-na-waraka na wata daya kusan rabi idan aka kwatanta da tsohon dozi na 2 g sau daya.
Dozi na daya ba a cire ba. Ga maza, 2 g na metronidazole ta baki sau daya har yanzu shine tsarin da aka bada shawarar, kuma tinidazole 2 g a matsayin dozi sau daya madadin ga dukkan jinsuna.
Kwayoyin halitta suna bayyana dalilin da yasa kwatancen biyu suka bambanta. Zazzabin Halid yawan girman kwayoyin cuta masu tasowa wanda ke zaune a cikin biofilm akan bangon farji, kuma biofilms suna buƙatar ci gaba, maimakon abubuwan da magani ke tasiri don karya su. Trichomoniasis kwayar halitta ce ta protozoan guda, Trichomonas vaginalis, wacce a tarihi take fuskantar bugu ɗaya na magani. Shaidar gwajin ta nuna cewa bugun bai isa ba a mata.
Sakamako na aiki ya fi muhimmanci fiye da magani: ragowar kwalaye daga lokaci daya bai kamata a yi amfani da su don magance recurrence na dayan ba. Idan kuna son cikakken sigar wannan muhawarar, karanta dalilin da yasa iri daya rubutun likita ba yana nufin iri daya kamuwa da cuta ba.
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Ba kasafai ba. CDC ba ta ba da shawarar shan kwaya 2 g a lokaci daya don magance cutar BV ba, ana fi son shan maganin har tsawon kwana bakwai. Wannan kwaya guda daya ana amfani da ita ne don cutar trichomoniasis, musamman ga maza. Idan likita ya ba ka kwaya daya kacal don BV, ka tambaye shi dalili kafin ka sha, domin rage lokacin shan maganin shi ne babban dalilin da yake sa cutar BV ta sake dawowa.
Eh. Hukumar CDC ta bayyana cewa ba a ga wata illa ga dan tayi ba kuma hadarin ga jariri kadan ne, don haka ana amfani da metronidazole a lokacin juna biyu don magance wadannan cututtuka guda biyu. Sai dai maganin Tinidazole na daban, don haka ya kamata a guji shan sa a lokacin da mace take da juna biyu. Idan kana da juna biyu ko kuma kana shayarwa, ka tabbatar ka tambayi wanne ne aka ba ka kafin ka fara sha, domin sunayensu na iya yin kama a jikin lakabin maganin.
Zazzabin Halid ba cuta ce ta jima'i ba, kuma hakan yana canza wanda kuma yake buƙatar magani
Zazzabin Halid cuta ce ta jima'i? A'a. Zazzabin Halid ba a sanya shi a matsayin cuta da ake yadawa ta jima'i ba, yayin da trichomoniasis cuta ce, kuma wannan bambance bambancen yana sake rubuta komai daga rubutun likita. CDC ta bayyana cewa magani na al'ada ga abokan jima'i ba a bada shawarar ga Zazzabin Halid ba, saboda gwaje-gwaje na magance abokan jima'i na maza ba su inganta yawan warkarwa ko rage recurrence ba. Ga trichomoniasis, duk abokan jima'i ya kamata su sami magani na gaba daya, kuma ku biyun ya kamata ku guji jima'i har sai an kammala magani kuma alamomi sun warware.
Gargaɗi ɗaya da ya ɓace: mata da aka gano suna da Zazzabin Halid suna da haɗarin kamuwa da trichomoniasis a lokaci guda. Gwajin Zazzabin Halid bai hana STI ba. Idan babu wanda ya ɗauki samfurin ku don trichomoniasis, tambaya.
| Bacterial vaginosis | Trichomoniasis | |
|---|---|---|
| STI status | Not an STI | An STI |
| First-line regimen for women | Metronidazole 500 mg twice daily, 7 days | Metronidazole 500 mg twice daily, 7 days |
| Partner's regimen | None | Metronidazole 2 g single dose for male partners |
| Topical option available | Yes, 0.75% gel for 5 days | No, oral only |
| Partner treatment | Not recommended | Recommended for all partners |
| Retest timing | No routine test of cure | About 3 months after treatment |
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A'a. Metronidazole ba ya cikin magungunan da aka tabbatar suna rage tasirin kwayoyin hana daukar ciki, don haka babu bukatar neman wata hanyar kariya ta daban saboda shan wannan maganin. Amma idan kana amai ko gudawa mai tsanani a lokacin da kake rashin lafiya, hakan na iya rage karfin kwayar, wanda hakan lamari ne daban da ya kamata ka tattauna da likitanka idan ya faru a lokacin da kake shan maganin.
Kammala kwalaye ba shine ƙarshen ga kowacce cuta ba
Maganin Trichomoniasis ya haɗa da gwaji na gaba, ba kawai kwalaye ba. CDC ta bada shawara cewa mata masu aikin jima'i su sake gwajawa bayan kimanin watanni uku bayan magani, ko abokin tarayya ya sami magani ko a'a, saboda sake kamuwa da cuta yana da yawa. Kada ku gwada kafin makonni uku bayan magani: ragowar DNA daga kwayoyin da suka mutu na iya sa gwajin nucleic acid amplification ya zama mai inganci.
Zazzabin Halid yana aiki daban. Idan alamomi sun tafi, babu gwajin waraka na al'ada da ake buƙata. Amma recurrence yana da yawa, kuma ga mutanen da ke da yawan recurrence CDC tana jera zabubbukan hana recurrence: 0.75% metronidazole gel ko 750 mg metronidazole allurar farji sau biyu a mako na tsawon watanni uku.
Abin takaici: wannan fa'ida yawanci tana karewa lokacin da maganin hana recurrence ya kare. Hana recurrence yana baku watanni masu natsuwa, ba gyara na dindindin ba, kuma hakan ya cancanci sani kafin ku fara sadaukarwa na watanni uku. Alamomi masu dawowa kuma ba koyaushe bane iri daya da cutar da kuka yi a karon farko. Sake gwaji maimakon sake cika rubutun likita na karshe daga tunani.
Farar magani tana kula da Zazzabin Halid amma za ta bar trichomoniasis ba tare da kulawa ba
Metronidazole farar magani na farji zabin da CDC ta bada shawarar don Zazzabin Halid kawai: 0.75% farar magani, mai sanya kwalaye 5 g ta cikin farji sau daya a rana na tsawon kwanaki biyar. Wasu mutane sun fi son shi, kuma da kyau. Maganin yana zama na gida, don haka illa na tasiri na gaba daya wanda ke sa tsawon baki ya zama mara dadi, tashin zuciya da kuma dandano na kara, ba su da yawa.
Ba shi da amfani a kan trichomoniasis, kuma ba saboda fifiko na jagora ba. Kwayar cutar kuma tana zaune a cikin urethra da kuma glandan periurethral, wanda farar magani na farji ba ya isa. Don tsabtace shi yana buƙatar dozi na baki na gaba daya. Kada ku yi amfani da ragowar farar magani bayan yiwuwar kamuwa da trichomoniasis.
Gargaɗin giya a kan lakabin metronidazole ɗin ku ba ya nan
Zan iya shan giya tare da metronidazole? A cewar CDC, eh: jagororin 2021 sun bayyana cewa hana giya yayin maganin metronidazole ko tinidazole ba shi da mahimmanci. Gargadin halayen disulfiram na gargajiya ya yi karancin shaidar kimiyya mai tabbaci, kuma metronidazole ba ya hana aldehyde dehydrogenase, enzyme da ke da alhakin wannan halayen.
Har yanzu za ku ga tsohon umarni a ko'ina: babu giya yayin magani da kuma na sa'o'i 24 zuwa 72 bayan haka, wanda aka buga a kan lakubibin kantin magani da takardun marasa lafiya da suka gabaci nazarin shaidar. Gaskiyar magana: metronidazole na yawan haifar da tashin zuciya da dandano na kara, kuma giya na iya sa duka su yi muni, don haka wannan izini ne maimakon karfafa. Idan likitan ku ya gaya muku in ba haka ba, bi umurninsa kuma ku tattauna wannan bambancin da shi maimakon ku yi tunanin cewa takardar kawai ba daidai ba ce.
Wasu alamomin farji suna buƙatar bincike, ba wani rubutun likita ba
Kira 911 ko je asibitin gaggawa yanzu idan:
- Kuna da zazzabi, jijiyoyin jiki, ko tsananin zafi a kasa na ciki ko na kasusuwa tare da fitar da ruwa, wanda zai iya nuna cutar kumburi na pelvic.
- Kun sami alamun halayen rashin lafiya ga metronidazole: kurji, kuraje, kumburi na fuska ko makogwaro, ko wahalar numfashi.
- Kuna da ciki kuma kuna da alamomin fara nakuda kafin lokaci (masu karuwa na yau da kullun, ruwa yana zubo, jini) tare da alamomin kamuwa da cuta.
- Kuna da zubar jini mai yawa ko mara bayyani na farji wanda ba shi da alaka da haila.
Yi ajali ziyara a cikin mako mai zuwa idan:
- Alamomi sun ci gaba bayan kammala tsawon kwanaki bakwai.
- Alamomi sun dawo cikin makonni bayan kammala magani.
- Abokin tarayya ya gwada yawa ga trichomoniasis.
- An yi maka magani don Zazzabin Halid amma ba a gwada ka don trichomoniasis ba.
Yi magana da likita kafin ka fara idan:
- Kuna da ciki, kuna kokarin samun ciki, ko kuna shayarwa.
- Kun yi yawa ko ba kyau ga metronidazole ko tinidazole a baya.
- Kuna shan disulfiram, warfarin, ko lithium.
- Kuna shirin amfani da kwalaye da suka rage daga tsohon rubutun likita.
- An baka tinidazole maimakon metronidazole.
Idan kuna buƙatar wannan tattaunawar da sauri, ziyarar likita mai gaggawa ta kan layi ta dala 39 ta August ta haɗa ku da likita mai lasisi na Amurka wanda zai iya duba alamominku da yanke shawara ko rubutun likita ya dace. Ku bayyana iyaka: ziyarar bidiyo ba za ta iya yin binciken kasusuwa ko tattara samfurin farji ba, don haka gwaji na kai tsaye zai iya zama mataki na gaba da ake buƙata.
Tambayoyi akai-akai
Shin Flagyl don Zazzabin Halid iri daya ne da generic metronidazole?
Eh. Flagyl shine sunan alamar metronidazole, kuma generic yana dauke da sinadarin da ke aiki iri daya a karfin iri daya. Kamfanonin kantin magani suna rarraba generic ta atomatik a mafi yawan lokuta. Binciken aiki yana kan lakabin maimakon suna: tabbatar da cewa ya karanta 500 mg, cewa umurnin ya ce sau biyu a rana, kuma cewa adadin kwalaye 14 ne. Farar magani na alamar ana sayar da shi a matsayin MetroGel-Vaginal.
Shin metronidazole yana kula da Zazzabin Halid da kamuwa da yisti a lokaci guda?
A'a. Metronidazole ba shi da tasiri akan Candida, yisti da ke samar da thrush na farji, don haka ba zai yi komai ba ga gogewa da kauri farar fitar ruwa. Kamuwa da yisti yana buƙatar maganin antifungal kamar fluconazole. A hankali, yisti na yawa wani lokacin yakan biyo bayan tsawon maganin rigakafi, don haka sabon gogewa a tsakiyar kwana bakwai ya cancanci kira maimakon na biyu na rigakafi.
Zai iya tsawon dozi daya na metronidazole ya kawar da Zazzabin Halid?
Ba yawanci ba. Dozi na 2 g sau daya ba shine tsarin da CDC ta bada shawarar ba don bacterial vaginosis, kuma tsawon kwanaki bakwai ta baki ya fi dacewa. Wannan dozi na daya na trichomoniasis ne, musamman a maza. Idan likita ya baka dozi daya mai girma don Zazzabin Halid, tambayi dalilin kafin ka sha shi, saboda tsawon lokacin da aka fallasa shine babban dalilin da yasa Zazzabin Halid ke dawowa.
Shin metronidazole yana da lafiya a sha yayin daukar ciki?
Eh. CDC ta bayyana babu alamun da aka rubuta na tasirin fetal ko mutagenic kuma ta yi la'akari da haɗarin jarirai ya yi ƙasa, don haka ana amfani da metronidazole a lokacin daukar ciki don duka kamuwa da cuta. Tinidazole shine keɓantacce mai mahimmanci kuma ya kamata a guji shi yayin daukar ciki. Idan kuna da ciki ko kuna shayarwa, tabbatar da wanne daga cikin biyun aka rubuta muku kafin ku fara shan kashi na farko, saboda sunaye suna kama da juna a kan lakabi.
Shin metronidazole yana sa magungunan hana daukar ciki na hormonal su zama marasa tasiri?
A'a. Metronidazole ba yana cikin rigakafin da aka nuna don rage tasirin magungunan hana daukar ciki na hormonal, don haka babu bukatar maganin hana daukar ciki na kari akan wannan dalilin kadai. Amawa ko gudawa mai tsanani yayin kowane rashin lafiya na iya rage shawo kan kwayar baki, wanda wani batun daban ne da ya cancanci tambaya idan ya faru yayin tsawon ku.
Kammala game da metronidazole don Zazzabin Halid
Kwanaki bakwai, sau biyu a rana, 500 mg don Zazzabin Halid. IRI DAYA kwana bakwai yanzu ga mata masu trichomoniasis, tare da dozi na 2 g sau daya da aka tanada musamman ga maza. Maganin abokin tarayya don trichomoniasis kawai. Kuma hana giya a kan lakabin ku ba ta samun goyon bayan binciken shaidar CDC ba.
Doka a ƙarƙashin komai yana da sauƙi: dace da tsarin don ganewar da kuke da shi. Yi gwaji maimakon sake amfani da rubutun likita na baya, saboda kwalaye na iya kama da juna yayin da umarnin ba haka ba ne.
Bayanin Bada Shawara: Wannan labarin don dalilai na bayanai ne kawai kuma ba ya zama shawara ta likita. Koyaushe tuntuɓi likita mai izini don yanke shawara game da ganewar asali da magani. Idan kuna fuskantar matsalar likita, kira 911 ko je zuwa wurin kula da gaggawa mafi kusa nan da nan.
