Metronidazole mō te BV: Te Tukunga, Te Rā i te Rā, me ngā Mea ka Tīmata i muri i te Kaupapa

Metronidazole mō te BV ko tētahi o ngā maimoatanga rongoā tikanga mō te mate kohiropanga wahine. Ko te tikanga kai waha ko te 500 mg rua ia rā mō ngā rā e whitu, ko te kōwhiringa taihemahema ko te 0.75% metronidazole gel kotahi ia rā mō ngā rā e rima. He tokomaha ka kite i te kakara kakara ka timata te whakaiti i roto i ngā rā e rua ki te toru, engari ka roa ake pea ngā tohu ki te whakatau katoa.

Ka taea e te rongoā te horoi i te wā tērā. E kore e taurangi ka noho te BV ki tawhiti, koinei te take e tino noa ai te hokinga mai.

TL;DR: Ngā mea nui hei maumahara

• E rua ngā kōwhiringa tuatahi a te CDC ko te metronidazole 500 mg papa rua ia rā mō te 7 rā rānei te 0.75% metronidazole taihemahema gel kotahi ia rā mō te 5 rā.
• Ka timata te kakara ki te whakaiti tata ki te rā 2 ki te 3. Ka roa ake pea te whakaora katoa o ngā tohu.
• Ki te kore he whakapainga i muri i ngā rā maha, ki te noho tonu rānei ngā tohu i muri i te otinga o te maimoatanga, whakapā atu ki tō kai-whakatakoto kia kaua e timata i tētahi atu kaupapa anō i a koe anō.
• Ko ngā aratohu a te CDC o te tau 2021 kāore e tūtohu ana kia karo i te waipiro me te metronidazole i runga i ngā taunakitanga e wātea ana, engari kei te tohutohu tonu te tapanga rongoā kia karo i te waipiro i te wā o te maimoatanga, me te toru rā i muri mai.
• Ka hoki mai te BV i muri i te maimoatanga. Ki te maha ngā wā ka hoki mai, pātai mō tētahi mahere aukati hokinga mai, kaua ki te whakahoki noa i ngā kaupapa poto.

E hiahia ana koe ki te kōrero ki tētahi rata mō ō tohu? Ko te toro atu ki August mo te $39 i te tuihono ka hono koe ki tētahi rata whai raihana nō Amerika ki te arotake i ō tohu ka whakatau mena ka tika te toro atu i te tuihono me te whakahaunga.

Ko te Metronidazole mō te BV ka horoi i te tipu nui o te kitakita, engari kāore e taurangi ka noho taurite tō microbiome

Metronidazole mō te BV he rongoā paturopi nitroimidazole whakahauhia e whai ana i ngā kitakita anaerob anō hoki e pā ana ki te kohiropanga wahine. Ko te aratohu maimoatanga mate tuku tāwhaiwhai a te CDC o te tau 2021 ka whakarārangitia hei maimoatanga tuatahi i roto i ngā āhua e rua: 500 mg papa e tangohia ana kia rua ia rā mō ngā rā e whitu, he 0.75% rānei te gel taihemahema e whakamahia ana kotahi ia rā mō ngā rā e rima.

Ko te whainga ko te horoi i te tipu nui o te kitakita e puta ai te wā tērā. Kāore te metronidazole e whakahoki tika ana i te microbiome taihemahema, kāore hoki e taurangi ka noho kaha tonu ngā lactobacilli tiaki i muri i te maimoatanga.

He mea nui taua wehewehe nā te mea ka hoki mai te BV ahakoa i muri i te angitu o te kaupapa paturopi. Kāore te hokinga mai e tikanga ana kua rahua te rongoā, kua hē koe i te mahi, kua āhuareka rānei te kitakita.

Ko te otinga o te kaupapa ka mutu te wā tērā, ehara i te mate ngaro o tō mate BV

Koinei te mea kāore ngā whārangi katoa e kī atu ki a koe: Ka taea te hoki mai te BV ahakoa i muri i te maimoatanga angitu. Ko te aratohu a te CDC e kī ana he noa te hokinga mai, me ngā rangahau e whakaatu ana i te hokinga mai i roto i te neke atu i te haurua o ngā wahine i roto i te 12 marama.

Ka huri tēnā i te āhua o tētahi kōrero maimoatanga whai hua. Ki te mea kua pa mai te BV ki a koe i mua, he mea tika kia pātai ehara i te mea, "Ka horoia e tēnei kaupapa?" engari hoki, "He aha taku me mahi mehemea ka hoki mai?"

Mō ngā tāngata he maha ngā hokinga mai, ka taea e ngā rata te whakaaro ki te maimoatanga whakaheke. Ko tētahi tauira e matapaki ana i roto i ngā aratohu rongoā ko te 0.75% metronidazole taihemahema gel rua ia wiki mō ngā marama maha i muri i te maimoatanga o te wā matua. Ko te mahere tika ka whakawhirinaki ki tō hītori me puta mai i tō rata.

Kāore te whainga kia mau tonu te tango paturopi ia wā ka puta mai ngā tohu. Ko te whakau i te mate, te maimoatanga tika o te wā tērā, me te whai mahere mēnā ka noho te hokinga mai hei tikanga.

Ko te kaupapa papa 7-rā te tikanga, ko te gel taihemahema e tuku ana tētahi atu kōwhiringa tuatahi

Ko te metronidazole mō te BV te tikanga ka whakawhirinaki ki te puka ka whakahaungia e tō rata.

Ko te tikanga kai waha tino noa ko te metronidazole 500 mg mā te waha kia rua ia rā mō te 7 rā. Ko tētahi atu kōwhiringa tuatahi a te CDC ko te 0.75% metronidazole taihemahema gel, me tētahi 5 g kaitapere e whakamahia ana i roto i te taihemahema kotahi ia rā mō te 5 rā.

He kōwhiringa tuatahi ēnei e rua. Kāore te kōwhiringa i te mea noa i waenga i te maimoatanga " kaha" me te momo ngoikore. Ka taea e tō rata te whakaaro ki ngā paanga taha, te urupare maimoatanga o mua, te manakohanga, me te mea ka tika ake te maimoatanga taihemahema, waha rānei māu.

Kua rangahaua te tātai kotahi 2 g waha o te metronidazole mō te BV, engari kāore i te tikanga tuatahi a te CDC. Ko ētahi atu maimoatanga tātai kotahi, tae atu ki te secnidazole, he kōwhiringa kē, ehara i te whakakapi mō ngā kaupapa tuatahi tikanga.

E rua ngā ture whai hua ka tino nui: tangohia tō rongoā kia rite ki te whakahaunga, ā, oti te kaupapa ahakoa kua ngaro kē te kakara i mua.

Ki te ngaro tētahi tātai waha, tangohia ina mahara koe engari kāore i te tata te wā mō te muri. I roto i tēnā take, pekeia te tātai kua ngaro ka hoki ki tō kaupapa tikanga. Kaua e takirua te tātai.

Me kite koe i te whakaiti o te kakara i te rā 3, ehara i te rā 1

Kia roa te roa o te metronidazole hei mahi mō te BV? Ka timata te mahi o te rongoā i muri i te tangohanga, engari kāore pea ngā tohu e ngaro tonu.

He kaupapa whitu-rā te roa te tikanga ka āhua pēnei:

• Rā 1: Ka timata koe i te maimoatanga. Kaua e tatari kia ngaro tonu te kakara, te pakanga rānei.
• Ngā rā 2 ki te 3: Ka tīmata te whakaiti o te kakara kakara. Ka timata hoki te huri o te pakanga.
• Ngā rā 4 ki te 5: Ka tino tika kia haere tonu ngā tohu ki te ahunga tika.
• Ngā rā 6 ki te 7: Haere tonu te tango i ia tātai ahakoa ka pai kē koe.
• I muri i te tātai whakamutunga: Ka roa ake pea ētahi pakanga takaroa, ngā huringa kakara rānei kia tau.

He kaupapa whānui tēnei, ehara i te taurangi. Ko ētahi ka tere te pai ake, ko ētahi ka nui ake te wā e hiahiatia ana.

Ko te tirotirohanga nui ko te ahunga whānui. Ki te tino kino haere ngā tohu, ki te kore rānei he whakapainga nui i muri i ngā rā maha, whakapā atu ki tō rata kia kaua ki te tāpiri i ētahi maimoatanga anō i a koe anō.

Ko te reka o te konganuku ka tūmanakohia; ko te weriweri, te keto rānei, ehara

Ko ngā paanga taha o te metronidazole mō te BV ka taea te whakahaere, engari ko ētahi ka tino kitea atu i ētahi. Ko te MedlinePlus ka whakarārangitia ngā paanga taha tae atu ki te reka o te konganuku, te nausea, te ruaki, te mate korere, me te mate mahunga.

Ko te reka o te konganuku ka tino raruraru. Ko te kai me tō rongoā, ina whakaaetia e ngā tohutohu whakahaunga, ka āwhina pea ki te whakaiti i te nausea. Ka taea e te kapia kore huka, te monamona rānei te whakamaama ake i te reka.

Ki te uaua te otinga o te maimoatanga nā ngā paanga taha waha, kōrero ki tō kai-whakatakoto kia kaua e mutu i a koe anō. Ka taea te puka taihemahema te kōwhiringa tika mō ētahi tāngata.

Ko ētahi tohu ka nui ake te aro. Whakapā atu ki tētahi rata wawe ki te puta mai te keto, te weriweri, te wera, te mamae rānei i roto i ō ringaringa, waewae rānei. Rapua he āwhina hauora ohorere mō te roro, te raruraru nui, te ngaro o te rurihanga, me te tauhohenga kiri nui e pā ana ki te pakaru, te kiri rānei.

Kua huri te ture waipiro i te tau 2021, engari kei te kī tonu te tapanga rongoā kia karo

Ka taea e koe te inu waipiro me te metronidazole mō te BV? Koinei tētahi o ngā wāhanga tino whakama o ngā tohutohu rongoā.

Ko te whakahoutanga aratohu a te CDC o te tau 2021 e kī ana kāore e tika ana kia karo i te waipiro i runga i ngā taunakitanga e wātea ana, kāore hoki i whakatauhia te tauhohenga momo disulfiram e tatari ana i waenga i te metronidazole me te waipiro.

Heoi, kei te kaha tonu te tapanga rongoā. E kii ana te MedlinePlus kia karo i ngā inu waipiro me ngā hua kei roto te waipiro i te wā o te maimoatanga, me te toru rā i muri mai i te tātai whakamutunga.

Na reira e rua ngā wāhanga o te tohutohu hei mōhio koe:

• CDC: Kāore e tūtohutia ana te karo waipiro i runga i ngā taunakitanga i tirohia.
• Tapanga rongoā: Kei te tohutohu tonu kia karo i te waipiro i te wā o te maimoatanga, me te toru rā i muri mai.

Ki te hiahia koe i te huarahi tino tiaki, whai i te tapanga rongoā me ngā tohutohu a tō kai-whakatakoto. Ka taea hoki e te waipiro te kino ake te nausea me te puku mamae, he paanga taha kē pea ēnei o te metronidazole.

Ki te kore koe e pai ake, he waea tērā, ehara i te tatari me te titiro

Ko te raruraru o te metronidazole mō te BV kāore e mahi ko te mea kāore pea te rongoā te raruraru.

Ko ngā tohu o te BV ka ōrite ki te mate rewena, te trichomoniasis, me ētahi atu mate taihemahema, mate tuku tāwhaiwhai rānei. Ki te he te mate, kāore te metronidazole e whakaora i te raruraru i raro.

Ko tētahi ture whai hua ko tēnei: ki te kāore koe e kite ana i te whakapainga i muri i ngā rā maha o te maimoatanga, ki te noho tonu rānei ngā tohu i muri i te otinga o te kaupapa whakahaungia, whakapā atu ki tō rata.

Kaua e:

• Tīmata anō i te metronidazole kua toe i tētahi whakahaunga tawhito.
• Tangohia te rongoā a tētahi atu.
• Tāpiri i tētahi rongoā patu harore, paturopi rānei me te kore e mōhio ki te aha tō maimoatanga.
• Tonu te whakahoki i ngā kaupapa me te kore e whakau i te mate.

Ka hiahia pea tō rata ki te whakaaro ki tētahi mate kē, te BV mau tonu, te hoki mai rānei, tētahi tānga hou, me ētahi atu take o ngā tohu. Koinei hoki te wā ka waiho hei pātai whai hua ko te taea o te manaaki ohorere te whakamātau mō te BV. I runga i te whare hauora, ka hiahia koe ki tētahi whakamātautanga, ki tētahi wāwāhi taihemahema rānei hei whakau i te aha e tūpono ana.

Ki te kore koe e tino mōhio mena ka hiahia ō tohu ki te manaaki ohorere, ki tētahi hui tikanga rānei, ka āwhina te Matawhai tohu AI koreutu a August ki te whakatau i te taumata manaaki e tika ana.

Rapua he manaaki ohorere inaianei mehemea:

• He pakia tō mata, ngutu, arero, korokoro rānei, me te uaua ki te manawa.
• He roro koe, he tino raruraru, he ngaro rānei te rurihanga.
• Ka puta mai he pakaru nui, he kiri wete, he mātātahi rānei e horapa ana.
• He kirika, he makariri rānei koe me te mamae nui i te puku, te puku raro rānei.
• He hapu koe me te mamae nui o te puku, te kirika, te kōpūriki, te pakaru rānei o te wai.
• He kaha te pakanga, he pakanga kē rānei tō taihemahema me ngā tohu whakatāpō.

Whakaritehia he hui hauora wawe mehemea:

• Kāore ō tohu i pai ake i muri i te otinga o te kaupapa katoa.
• Kei te kino haere ō tohu i te wā e tango ana koe i te maimoatanga.
• Koinei tō toru, te tuawhā rānei o te mate BV i roto i te 12 marama.
• Ka puta ake he pakanga hou, he kē atu rānei i muri i te maimoatanga.
• He hapu koe me ngā tohu o te BV.

Kōrero ki tētahi rata i mua i te tīmatanga o te metronidazole mehemea:

• He hapu koe, kei te whāngai koe.
• E tango ana koe i te warfarin, i tētahi atu rongoā hei whakaiti toto.
• E tango ana koe i te lithium, i te disulfiram rānei.
• He mate ate nui koe.
• Kua tauhohe koe ki te metronidazole, ki tētahi atu nitroimidazole rānei i mua.
• He hītori koe o te roro, o te periphery neuropathy rānei.

Mō tētahi wāhanga e mau tonu ana, e hoki mai ana rānei, ko te toro atu ki August mo te $39 i te tuihono ka taea e tētahi rata whai raihana nō Amerika te arotake i ō tohu me te whakatau mena ka tika te maimoatanga. Kāore he matauranga pokapū, he kohinga wāwāhi taihemahema rānei ki te kanohi, nō reira ka taea koe te whakahaua ki te whakamātau ki te kanohi i te wā e hiahiatia ana.

Ngā pātai auau

He haumaru te metronidazole i te wā e hapu ana?

Ka whakamahia nuitia te metronidazole ki te tango i te BV whai tohu i te wā e hapu ana, engari me whiriwhiria te maimoatanga tika e tō rata whakawhanau, tētahi atu tohunga hauora whai mana rānei.

Kī atu ki tō kai-whakatakoto kei te hapu koe i mua i te tīmatanga o te maimoatanga. Kaua e rongoā i a koe anō i runga i tētahi whakahaunga tawhito, kāore rānei e whiriwhiri i waenga i te maimoatanga waha, taihemahema rānei me te kore tohutohu hauora.

He rerekē ngā whakatau tātari me te maimoatanga tikanga i te maimoatanga o tētahi tangata he tohu. Kāore te USPSTF e tūtohu ana i te tātari tikanga BV ki ngā manene hapu kāore he tohu, kāore hoki e tūpono ki te whanau wawe.

Me rongoā hoki te hoa tāne mō te BV?

Kāore i te tūtohutia te maimoatanga tikanga o ngā hoa tāne mō te wā tuatahi o te BV.

Heoi, ko te BV hoki mai he wāhanga e tipu ana o te rangahau me ngā aratohu rongoā. Ki te hoki mai tonu ō tohu, otirā me te hoa kotahi, kī atu tēnā tauira ki tō rata. Ka taea e ia te whakatau mena ka tika te whakahaere e pā ana ki te hoa i runga i ngā aratohu o nāianei me ō ahuatanga.

He kōwhiringa kē atu kei te hokona kore utu mō te BV i te metronidazole?

Kāore he rongoā hokona kore utu e kiia ana he whakakapi rite mō te maimoatanga whakahauhia o te BV whai tohu.

Ko ngā hua e hokona ana mō te kakara taihemahema, pH rānei ka taea te huri i ngā tohu mō te wā poto, engari kāore e whakakapi ana i te mate tika me te maimoatanga paturopi e tika ana.

He mea nui tēnā nā te mea ka rite te mate o te BV ki te mate rewena me ētahi mate tuku tāwhaiwhai. Ko te maimoatanga i te mate he taha kē ka whakaroa te rongoā e tino hiahiatia ana e koe.

Kei te hiahiatia he whakamātautau whai muri i te otinga o te metronidazole?

Kāore i te nuinga ki te he te whakaora o ō tohu.

Kāore i te hiahiatia he whakamātautau tikanga mō te horoinga i muri i te maimoatanga angitu. Ka nui ake te whai muri i te wā ka mau tonu ngā tohu, ka hoki mai i muri wawe i te maimoatanga, ka hoki tonu mai rānei.

Ki te hoki mai ngā tohu, kaua e whakaaro me whiwhi anō koe i tētahi kaupapa metronidazole. Ka hiahia pea tō rata ki te whakau ko te BV tonu te raruraru.

Ka horoia hoki e te metronidazole te mate rewena?

Kāore. Kāore te metronidazole e tango i te mate rewena.

Ka whai te metronidazole i ētahi kitakita, kāore hoki he mahi patu harore ki te Candida. Ki te puta mai te pakanga māwhero nui, te māngenge nui, me ētahi atu tohu ka rerekē i tō BV tikanga, ka taea he mate rewena tō mate, tētahi atu mate rānei e hiahiatia ana tētahi maimoatanga kē.

Ki te kore koe e tino mōhio he aha te take o ngā tohu, me rongoa koe i a koe anō i runga i te ahua anake.

Te āhua o raro

Metronidazole mō te BV ko tētahi o ngā huarahi tikanga ki te tango i te wā o te BV e kaha ana. Ko te tikanga kai waha tikanga ko te 500 mg kia rua ia rā mō te 7 rā, ko te 0.75% gel taihemahema kotahi ia rā mō te 5 rā ko tētahi atu kōwhiringa tuatahi a te CDC.

Kaua e tatari kia ngaro te kakara kakara i muri i te tātai tuatahi. He tokomaha ka kite i te whakapainga tata ki te rā 2 ki te 3, engari ka roa ake pea te whakaora katoa o ngā tohu. Otiia ngā tātai katoa ahakoa ka pai kē koe i mua.

Ki te kore koe e pai ake, ka noho tonu ngā tohu i muri i te kaupapa, ka hoki mai rānei te BV, kaua e noho tonu te whakahoki i te maimoatanga kotahi. Me tirotiro anō koe me te pātai mō tētahi mahere aukati hokinga mai.

Ā, ki te hiahia koe ki te matapaki i ō tohu ki tētahi rata, ko te toro atu ki August mo te $39 i te tuihono ka taea te wāhi pai rawa atu ina tika ana ō tohu mō te manaaki tuihono.