Āe, ka pai te tinidazole mō te BV. Kei te whakarārangi te CDC hei tikanga rongoā kē, 2 g waha kotahi ia rā mō ngā rā e 2, tērā rānei 1 g kotahi ia rā mō ngā rā e 5, ko te metronidazole waha tonu te tuatahi. Ki te whakatauritehia a tinidazole ki te metronidazole mō te BV, ko te rerekētanga nui ko te roa o te rongoā, ehara ko te kaha.

TL;DR: Ngā Kōrero Matua

  • Ko te horopeta e tohutohungia ana ko te 2 g kotahi ia rā mō ngā rā e 2, tērā rānei 1 g kotahi ia rā mō ngā rā e 5, kāpāpī katoa me te kai. He rongoā whai raihana anake i te US, hokona ai hei Tindamax.
  • He rite tonu te whānau rongoā o te tinidazole me te metronidazole. Na te roa ake o te haurua ora o te tinidazole, ka poto ake te rongoā, ehara i te mea ka nui ake te reiti whakaora.
  • Mena he mate pawera pono ki te metronidazole, kāore e taea te whakamahi i te tinidazole, nā te mea ka taea te urupare ki ngā mea rite. Ko te clindamycin te mea ka whakamahia i taua wā.
  • Kaua e kai waipiro i te wā o te rongoā, me te 3 rā katoa hoki i muri i te horopeta whakamutunga, ka whakaritea ki te tata ki te 24 haora mō te metronidazole.
  • A, whāia te tinidazole i te wā e hapū ana, ā, kua pāpā nei tōna whakamahi i te toru marama tuatahi. Ko te metronidazole te rongoā mō te hapūtanga.

He pai te tinidazole mō te BV. Kua whakatauhia e te CDC kia kaua e tuatahi

Ko te Tinidazole mō te BV he paturopi nitroimidazole (ingoa waitohu Tindamax i te US) e tohutohungia ana e te 2021 CDC STI treatment guidelines hei tikanga rongoā kē: 2 g waha kotahi ia rā mō ngā rā e 2, tērā rānei 1 g waha kotahi ia rā mō ngā rā e 5. Ko ngā kōwhiringa tuatahi e tohutohungia ana ko te metronidazole waha 500 mg rua ia rā mō te 7 rā, tērā rānei te metronidazole gel wāhi wahine 0.75% kotahi ia rā mō te 5 rā.

Ko te "kē" te kupu poto a ngā aratohu, ā, ka pohehe tonu te whakamaoritanga. Kāore i te teitei ake te kaha, kāore hoki i te mea whakamutunga. Ko te tikanga, he iti ake te taunakitanga o muri i te metronidazole, nō reira kei te taha tuarua tōna tūranga. I roto i te reo mārama, ko te rongoā BV tuarua he kōwhiringa e whakaaetia ana, engari ehara i te mea ko te mea tuatahi. Kāore tō whare rongoā e pupuri ai ki te kore he tohutohu nō tākuta, ā, ko te nuinga o ngā inihua e tatari ana kia whakamātauhia, kia whakatauhia rānei te metronidazole i te tuatahi.

Kāore te tinidazole i te kaha ake i te metronidazole. Ka roa ake noa iho te noho ki tō tinana

I te whakataurite a tinidazole ki te metronidazole mō te BV, ko te mea e tataria ana e te tangata ko te kaha, engari he kōhukihuki te kaha. He nitroimidazoles anō rāua: he rite te whānau, te tikanga mahi, te mahi hoki ki te aukati i te tipu o ngā huakita anaerobic. Kāore te tinidazole i te momo rongoā kē e tatari ana mō ngā mate kino ake.

Ko te mea pono ka rereke ko te roa o te noho o ia rongoā ki roto i te tinana. Ko te haurua ora o te tinidazole ki roto i te toto ka 12 ki te 14 haora, ka whakaritea ki te tata ki te 8 haora o te metronidazole, ā, ko taua tau kotahi nei te take e taea ai te horopeta kotahi ia rā mō ngā rā e rua, e rima rānei te roa hei whakakapi i te horopeta rua ia rā, 7 rā te roa o te metronidazole.

Ko te mea kāore ngā whārangi maha e kī atu ki a koe: kāore ētahi rangahau i whakataurite tika i ngā rongoā e rua i ō rātou horopeta kua tohutohungia mō te BV, nō reira ka whiriwhiria te tinidazole mō te kaupapa ngāwari ake, ehara mō te reiti whakaora pai ake. Ko te BV e hoki mai ana i muri i te metronidazole kāore i te tikanga kua "whakatōraro" ki te rongoā. Ko te hokinga mai he mea noa ki te BV nā ngā take e pā ana ki te kohinga huakita o te tenetene atu i te paturopi. Ko te huringa he huringa o te kaupapa me te kōeke o ngā pānga taha, ehara i te whakapai ake i te kaha.

Ko te mate pawera pono ki te metronidazole te take kotahi kāore e taea e te tinidazole te whakatika

A, titiro ki te rongoā kē mō te mate pawera ki te metronidazole mō te BV, ka puta te tinidazole hei ingoa tuatahi, engari he hokinga ke tōna. Ko te FDA label ka pāpā te tinidazole ki te tangata whai mate pāra ki ētahi atu momo nitroimidazole, tae atu ki te metronidazole. Ko te urupare ki ngā mea rite o te whānau te take katoa o te whakatūpato.

Nō reira ko te rerekētanga nui ko te mate pawera ki te kore te manawanui. Ko te māngere, te mōhinuhinu o te mata, te uaua ki te manawa, ko te mate pawera tena, ā, ko te rongoā kē mō te mate pawera ki te metronidazole mō te BV ka waiho ko te clindamycin, ehara ko tetahi atu nitroimidazole. Ko te ruaki me te reka rino te kore manawanui, ahakoa he kino, ehara i te mea pānga ki te punaha ārai mate, ā, kāore e kati te kuwaha ki te tinidazole.

Ko ngā take e tino pai ai te tinidazole:

  • Ngā pānga taha ki te puku i te metronidazole he kino rawa kia whakarerea te rongoā, engari kāore i te mate pawera pono.
  • He uaua ki te whakaoti i ngā horopeta tekau mā whā i roto i ngā rā e whitu, ahakoa nā te mahi neke, te haere, te wareware noa rānei.
  • He tino hiahia ki te rongoā poto ake.
  • Ko te BV e hoki mai ana, kei reira ka tukuruatia te nitroimidazole ā, ko te noho tūpato te wāhi ngoikore.

Ko te rongoā wāhi wahine he rongoā kē katoa tērā. Mena ko ngā pānga taha ki te tinana te raruraru, ko te metronidazole gel hei whakakapi i ngā papa te mea ka pai ake te whakatika atu i te huringa rongoā waha.

Mena kua pā mai tō urupare ki te metronidazole, ā, kei te hiahia koe ki te mahere i tēnei wiki, ko te $39 online urgent care visit o August ka hono koe ki tētahi rata whai raihana i te US e tirotiro ana i tō hītori me te whakatau i te mea tika te tohutohu. Kāore e taea e te ataata te tirotiro i te tenetene, te tango rānei i te tauira tenetene, nō reira ko te wa tuatahi, ko te mea kāore i te mārama, me haere ki te tākuta. Mena kei te hapū koe, kawea tēnei ki tō OB.

E rua ngā kōwhiringa horopeta, ā, ko te mea poto ehara i te mea ngāwari

E rua ngā momo horopeta tinidazole mō te BV: 2 g waha kotahi ia rā mō ngā rā e 2, tērā rānei 1 g waha kotahi ia rā mō ngā rā e 5, kāpāpī katoa me te kai. Ko te katoa o te rongoā he 4 g ki te 5 g, he rerekētanga tera i te kaupapa, ehara i te kaha.

Ko te nuinga o te tangata e whakaaro ana ko te rongoā rua rā te mea pai ake. He maha tonu kāore. Ko te ruaki ka nui ake te puta ki te 2 g horopeta atu i te 1 g horopeta, nā te mea ka rua ake te nui o te rongoā e tomo ana i te wā kotahi. Mena he ngāwari koe ki te māuiui, kāore hoki koe e pai ki te ite kino i te wā e mahi ana, ko te rongoā rima rā te mea pai ake ahakoa roa ake.

Mena ka ruaki koe i muri tata mai i te horopeta, whakapā atu ki te tākuta i mua i te tukuruatanga. Kaua e whakatau māu ake kia kai anō koe, otirā ki te kaupapa e rua rā nei, kei reira ia horopeta te haurua o te katoa o te rongoā. Ko te ngoikoretanga nui o ngā whatukuhu, ā, ko te ate rānei ka taea te whakarereke i te tikanga o te horopeta tinidazole mō te BV, nō reira me whakamōhio atu ki tētahi mate pēnei i mua i te tuhia o te tohutohu, ehara i muri mai.

Kāore te waipiro e tino whakaaetia kia 3 rā i muri i te horopeta whakamutunga

Me wehe te tinidazole me te waipiro kia roa atu i te metronidazole: i te wā o te rongoā me te 3 rā (72 haora) i muri i te horopeta whakamutunga, ka whakaritea ki te tata ki te 24 haora ki te metronidazole. Ko te whakaranu i ō rāua ka puta he tauhohenga rite ki te disulfiram: te mamae o te puku, te ruaki, te wherere, me te upoko mamae.

Kāore te here e mutu ki ngā inu. Ko ngā whakaritenga kei roto te ethanol, te propylene glycol rānei ka uru ki roto, tae atu ki ētahi hua ihu, makariri rānei. Ko te disulfiram anō me kāore e kai i roto i ngā wiki e rua o te tinidazole.

Tātaihia i mua i te tīmatanga. Ki te kaupapa e rua rā nei, ko te katoa o te wā mate, tata ki te rima rā, nō reira ko tētahi rongoā ka tīmata i te Rāpare ka haere tonu ki te wiki.

Ko ngā pānga taha te take e huri ai te tangata ki te tinidazole, me te take e hoki ai ētahi

Ko ngā pānga taha o te tinidazole mō te BV ka kitea e te tangata kua kai metronidazole kē: te reka rino, te ruaki, te mamae o te puku, te upoko mamae, me te ngoikore. Ko te kai o ia horopeta me te kai tetahi wāhanga o te tohutohu, ehara i te tohutohu kōwhiri, ā, ka whakaiti tera i ngā mate o te puku.

E ai ki ngā korero, he maha ngā tangata ka pai ake te manawanui ki te tinidazole, ā, he tūmanako pai tērā. Ehara i te mea ka puta katoa. Ko te reka rino, inā koa, he pānga o te whānau, nō reira ko te tohu i pana ai koe i te metronidazole ka taea te whai i a koe ki konei.

E rua ngā mutu uaua. Ko te Tinidazole ka pāpā ki te tangata whai mate Cockayne syndrome, kei reira ngā nitroimidazoles rite tae atu ki te metronidazole kua puta he kino nui, ā, i ētahi wā he mate whakamate ki te ate. Ā, kati te rongoā ka kimi āwhina mō te ngongo, te ngāngau rānei i ngā ringaringa, waewae rānei, ā, ko te kowhero o te kiri, te mimi pouri, te mamae nui rānei o te puku.

Mena kei te hapū koe, koinei te wāhi e tino toa ai te metronidazole

Me āta whiriwhiri te tinidazole i te wā e hapū ana, ā, kua pāpā nei tōna whakamahi i te toru marama tuatahi nā te mea ka whiti atu ki te kihu. Ko te 2021 CDC evidence review kei te mārama ake: ko ngā raraunga o ngā kararehe e tohu ana he mōrea takatika, ā, me kāore e whakamahia. Ko te metronidazole tonu te rongoā kua tohutohungia puta noa i te hapūtanga, nō reira i te wā e hapū ana ka huri te ara ki tētahi atu ahunga.

Ka kite tonu koe i ngā whārangi tawhito e kī ana ko te tinidazole "Pregnancy Category C." Whakaarohia tērā hei kupu poto tawhito, ehara hei whakatau haumaru o nāianei. I whakarere te FDA i te punaha reta A/B/C/D/X i te tau 2015 ā, ka whakakapi ki te kōrero whakamaoritanga e whakaahua ana i ngā raraunga tūturu, ā, koinei te āhua o te pāpā nei kua whakawhitia.

E toru ngā mea e tika ana kia pātai atu ki tō OB: mena kei te tino kitea ngā tohu o tō BV, ā, me rongoā i tēnei wā, ko tēhea rongoā te mea pai ki tō tau e hapū ana, ā, me pēhea te mahi mena kua whakawhiwhia koe ki tētahi tohutohu tinidazole i mua i te mohiotanga o tētahi kei te hapū koe.

Ētahi tohu e kī ana kāore tēnei i te BV noa

Waea atu ki te 911, tērā rānei haere ki te ruma whawhati tata ināianei mena:

  • Ka mōhinu tō mata, tō korokoro rānei, ka uaua koe ki te manawa, ā, ka puta he kiri whero, māngere rānei i muri i tētahi horopeta.
  • Ka kowhero tō kiri, tō kanohi rānei, ā, ka mamae nui tō puku.
  • He kirikiri koe me te mamae o te puku o raro, te puku rānei, e tohu ana pea kei te mate ngā taihemahema engari ehara i te BV.
  • He toto nui tō tenetene.

Whakaritea tētahi hui i roto i te wiki e tū mai nei mena:

  • Kāore ō tohu e puta, ka kino rānei, tata ki te wiki i muri i te whakaotinga o te rongoā katoa. Ko te roa tera, ehara i te whakaaro noa e roa ana te wā.
  • Kua hoki mai te BV e toru, neke atu rānei ngā wā i roto i te tau kua pahure.
  • Ka hoki mai te paru, te hongi rānei i roto i te marama kotahi i muri i te whakaotinga o te rongoā.

Kōrero ki tētahi rata i mua i te tīmatanga mena:

  • Kei te hapū koe, kei te whakaaro rānei kei te hapū koe, kei te whāngai uma rānei.
  • Kua tauhohe koe ki te metronidazole i roto i tētahi ara.
  • Kei a koe te mate Cockayne syndrome, te mate ate rānei.
  • Kua kai koe i te disulfiram i roto i ngā wiki e rua kua pahure.
  • Kāore e taea e koe te karo i te waipiro mō te katoa o te wā.

Ngā Pātai Auau

Ka taea e au te kai tinidazole i te wā e whāngai uma ana?

Kāore i te nuinga. Ka uru te tinidazole ki roto i te waiu uma ki te taumata tata ki te toto, ā, ko te FDA label ka tohutohu kia whakatāhia te whāngai uma i te wā o te rongoā me te 3 rā i muri i te horopeta whakamutunga. Ko te tikanga, tata ki te rima rā te roa ka mutu te whāngai i te rua rā te rongoā. Ka taea te papu, te maka atu rānei hei pupuri i te waiu. Pātai ki tō rata mehemea ka pai ake tētahi rongoā kē ki tō mahere whāngai.

Me aha ahau mena ka ngaro tētahi horopeta tinidazole?

Kei te whakawhirinaki ki tō kaupapa. Ko te tikanga whānui ko te kai i te horopeta kua ngaro i te wā e mahara ana koe, ka peke mena ka tata te horopeta muri, ā, kaua rawa e rua ki te whakatika. Engari ki te kaupapa e rua rā nei, ko te ngaro o tētahi horopeta he haurua o tō rongoā, nō reira whakapā atu ki te tākuta i te whakatau māu ake. He rerekē tēnei ki te ruaki i te horopeta, e hiahia ana tonu kia whakapā atu.

Kia hia te roa o te wā kia memeha ngā tohu BV nā te tinidazole?

I te nuinga o te wā i roto i te torutoru rā i muri i te whakaotinga. Ko te roa o te rongoā me te roa o te tohu ehara i te mea kotahi: ko te paru me te hongi ka whakaea i ngā rā i muri i te horopeta whakamutunga, kaua i te wā tonu, ā, he maha tonu te kite i te whakapai ake i te waenganui o te rongoā. Kāore he whakamātau tikanga hei whakamātau i te whakaora i te BV. Mena kāore he mea i puta i te wiki i muri i te horopeta whakamutunga, ko tērā tō tohu ki te hoki mai.

Ka taea te whakamahi te tinidazole mena ka hoki mai tonu te BV?

Āe. Ko tētahi tikanga āta whiriwhiria mō te BV e hoki mai ana ka whakamahi i te metronidazole, tērā rānei te tinidazole 500 mg rua ia rā mō te 7 rā, whai muri ko te boric acid wāhi wahine, ā, muri iho ko te metronidazole gel hei whakaiti i te hokinga mai. Kia kite te hanganga: ko te tinidazole mō te BV i konei ka taea te whakakapi ki te metronidazole i te taahiraa tuatahi, ehara i te rongoā whakaora kē e kitea ana nā te mea kua rahua te tuatahi.

He nui ake te utu o te tinidazole i te metronidazole?

I ētahi wā. Kei te wātea te tinidazole taketake, engari ko te metronidazole taketake te mea tawhito, te mea iti ake, te mea matua hoki i runga i te nuinga o ngā rarangi rongoā, nō reira ka nui ake te utu o te tinidazole ki te tangata, ā, ka hiahiatia pea he whakaaetanga i mua. Ka āwhina ngā kāri utu i te whare rongoā. Pātai atu ki tō tākuta kia tuhia te kore manawanui, te take o te noho tūpato rānei ki tō pukapuka, nā te mea koira te mea e titirohia ana e ngā utu. He pai ki te whakataurite ki te utu o tētahi tohutohu metronidazole noa.

Te mutunga: ko te tinidazole mō te BV he tikanga kē kua tohutohungia e ngā aratohu e whakakapi ana i te tekau mā whā horopeta i roto i te whitu rā ki te rua, e rima rānei kotahi ia rā, ā, koira te mea nui e hoatu ana e ia ki a koe. I te whakataurite a tinidazole ki te metronidazole mō te BV, kāore he taunakitanga tika e kaha ake ai te reiti whakaora, nō reira ka whai tikanga te huringa mō te kore manawanui ki te puku, te noho tūpato, me te kaupapa, ehara nā te mea kua wero te mate ki te rongoā tuatahi. E rua ngā rerekētanga e whakatau ana i te toenga: ko te metronidazole te kōwhiringa mārama i te wā e hapū ana, ā, ko te tinidazole e hiahia ana ki te 72-haora te roa o te wā wairua i muri i te horopeta whakamutunga. Ko te mate pawera ki te metronidazole kua tuhia e tohu ana ki te clindamycin hei whakakapi.

Whakakāhoretanga: Ko tēnei tuhinga mō ngā take mōhiohio anake, ā, kāore e kiia hei tohutohu hauora. Me whakapā atu tonu ki tētahi kaiwhakarato hauora whai tohu mō ngā whakatau mo te tohutohu me te rongoā. Mena kei te paingia koe e te mate kino, waea atu ki te 911, haere rānei ki te rūma whawhati tata tata mai.