Āe. Ka taea e te Metronidazole te whakaputa i te pāhohe pāhohe, ā, koinei te urupare kino rawa atu i runga i ngā tapanga FDA o te rongoā: ko te vulvovaginal candidiasis i roto i te 5.6% o ngā turoro e whakamahi ana i te kirikiri kirikiri 1.3%, me te Candida vaginitis i roto i te tata ki te 10% e whakamahi ana i te Vandazole 0.75% kirikiri. I te nuinga o te wā, ka puta mai te mōrearea i roto i te wāhi ngā mōrearea, ā, kāore i te mate hou.

TL;DR: Ngā kōrero matua

  • Ko ngā tohu pāhohe te tūruaki kotahi e tino korerotia ana i runga i ngā tapanga kirikiri kirikiri metronidazole, i te tata ki te 5.6% ki te 12% i runga i te hua.
  • Ko te tapanga e kii ana ko te nuinga o tenei ka puta mai i te whakaatu i te Candida o mua, ehara i te mea kua mate te huakita tiaki.
  • Ko te ngau hou ehara i te taunakitanga kua rahua te rongoā BV, trichomoniasis rānei.
  • Kua oti te metronidazole. Āpiti atu ki tētahi atu rongoā antifungal. Kaore he painga o te metronidazole anō.
  • Ko te kakara ika e tohu ana ki te BV. Ko te ngau kaha kaore he kakara e tohu ana ki te pāhohe.

Ka taea e te metronidazole te whakaputa i te pāhohe pāhohe? Āe, ā, koinei te tūruaki tino noa i runga i te tapanga

Ka taea e te metronidazole te whakaputa i te pāhohe pāhohe? Āe. I roto i ngā whakamātautau haumanu i muri mai i te tapanga FDA mō te kirikiri kirikiri metronidazole 1.3%, ko te vulvovaginal candidiasis te mate kino rawa atu i korerotia, i te 5.6% o ngā turoro. Ko te tapanga tawhito o te Vandazole mō te 0.75% kirikiri e whakaatu ana i te Candida vaginitis i te tata ki te 10% o ngā turoro i te wā o te rongoā, i muri tonu atu rānei.

Ko taua tapanga Vandazole anō e whakaatu ana i te "mate ngā" i roto i te 12% o ngā turoro, ki te mate upoko i te 7% me te pruritus i te 6%. Ko ngā tohu pāhohe ehara i te kōrero taha ki te rongoā nei. Kei te tihi o te rārangi.

Ko te "10%" te tau e horapa ana i ngā pae whakautu rongoā, ka hoki mai ki taua tapanga Vandazole. I roto i ngā tapanga, ko te whānuitanga tika kei te 5.6% ki te 12%, i runga i te hua me te āhua o te hui i tuhia. Ā, no te mea ko te metronidazole te nuinga o te wā e tohua ana ki ngā wāhine mō te bacterial vaginosis, ka puta mai tēnei tūruaki ki roto i te horopaki BV.

Ko te whakamārama a te tapanga ake: ka whakaatu te metronidazole i te pāhohe kua whai kē koe

Ka taea e ngā rongoā patu huakita te whakaputa i te pāhohe pāhohe? I te nuinga o te wā, ā, ko te tikanga tawhito e mōhiotia ana: ko ngā rongoā whānui pērā i te penicillins, tetracyclines, me ngā quinolones ka whakapouri i ngā momo Lactobacillus tiaki, ā, ka tukua te Candida kia horapa ki te wāhi. He rerekē te mahi a te Metronidazole. He nitroimidazole tēnei e aro ana ki ngā huakita anaerobic me ngā protozoa, ā, kaore e kaha te pā ki ngā lactobacilli.

Na, he aha te take o te 10%? Ko te tapanga Vandazole e whakahoki ana i tēnei. E kii ana te rongoā i te mate o te Candida vaginitis ki te mate ngā rearea, kua mōhiotia kē rānei, kua kāore e mōhiotia, ka kaha ake te kitea i te wā o te rongoā, i te mea kua puta mai he mate hou mai i te kore.* E noho ana te pāhohe ki reira i te taumata iti, ā, kāore i te kaha te kitea. Ko te whakapapa o te tipu huakita ka taea ai e ia te korero ki a ia ano.

He nui ake tēnei i te tangi. Ko te ngau hou i te wā o te rongoā, i muri tonu atu rānei, ehara i te taunakitanga kua rahua te rongoā BV, trichomoniasis rānei. He raru tuarua, motuhake kei runga ake i te rongoā, tera pea kei te pai te mahi. Ā, kāore he mahi antifungal a te Metronidazole, no reira ko te tango atu anō, ko te tono atu rānei i te akoranga roa, kaore he painga ki te ngau.

Ko te whakawhiti ki te kirikiri kirikiri kaore e whakaora i a koe

Mēnā kei te tango koe i te Flagyl, kei te whakaaro koe ki te mate pāhohe mō te take ano e whakaaro ana ngā tangata katoa e whakamahi ana i te kirikiri, ā, kāore i te iti rawa te tūponotanga ki te hua rohe. Ko ngā CDC's 2021 STI Treatment Guidelines e kii ana i ngā mea e rua hei rongoā tuatahi mō te BV: metronidazole ā-waha 500 mg kia rua i te rā mō te wiki, me te kirikiri kirikiri metronidazole 0.75% kia kotahi i te rā mō te rima rā.

Anei te mea kaore e kii atu te nuinga o ngā whārangi: ko ia tau candidiasis i korerotia i runga ake nei, ko te 5.6%, ko te 10%, ko te 12%, ka puta mai i te tapanga kirikiri kirikiri. Ko te ara rohe te wahi tino pai te tuhituhi o ngā tau, ehara i te wahi iti rawa. Ko te reiti ine rite mō te Flagyl ā-waha kaore i te rite te tuhituhi, no reira ko te tangata e kii ana ki a koe te tau ā-waha tika, kei te whakanui noa ia.

Ko te metronidazole ā-waha ka mahi i te tinana katoa, te tikanga ko tona tūponotanga candidiasis kaore i te noho ki te whekau. Ko ngā tohu o te waha me te whekau he wāhanga o taua ahuatanga ano. Ka whai pānga hoki te roa o te akoranga: ko te CDC i neke ngā wāhine whai trichomoniasis mai i te kotahi 2g te horopeta ki te 500mg kia rua i te rā mō te wiki, na te mea ko te akoranga maha ka whakapōuri i te ōwehenga e whakamatautau ana i te pai i te marama kotahi. Ka whiwhi tonu ngā tane i te horopeta kotahi. Akoranga roa, te roa o te whakapiri.

Ko te ngau kaore he kakara ko te pāhohe, ko te kakara ika te tikanga kei reira tonu te BV

Ko te wehewehe i ngā tohu BV me te pāhohe pāhohe ka taea te mahi i te kāinga, ā, ko te tino wehewehe ko te kakara. Ko te kakara e tohu ana ki te BV. Ko te ngau kaha e tohu ana ki te pāhohe.

  • Bacterial vaginosis: he parani mātotoru, hina-ma, he wai rānei te puhā, he kakara ika, he kaha ake i muri i te takatakahanga, ā, he iti noa, he kore rānei te ngau.
  • Pāhohe pāhohe: he parani mātotoru, ma, he pakaru, he rite ki te tiihi whare, he kaha te ngau o te waha, he wera ina mimi ana, ina takatakahanga ana rānei, ā, kaore he kakara ika.
  • Te mate tahi: ngau me te kakara ika tonu. Ko taua huinga te tohu mate takirua, ehara i te mate kotahi e whai ana i te āhua rereke.

Ko te wā ka mārama ake te ahua. Ko ngā tohu BV ka iti haere i roto i te rua ki te toru rā o te tīmatanga o te metronidazole. Na ko te ngau hou, te kino rānei i muri i te toru o ngā rā, i te wiki rānei i muri i te mutunga o te rongoā, ka kitea hei pāhohe. Ko te kakara ika e mau tonu ana i te mutunga o te akoranga ka kitea hei BV kaore i tino mate, he kōrero rerekē tēnā ki tō kaiwhakarato rongoā.

Kia pono ki ngā rohe o konei. Ko te rongoā-whaiaro mā te whakamahi i ngā tohu BV vs pāhohe pāhohe he koretake, ā, ko ngā rangahau o ngā kaihoko rongoā antifungal i te wāhi kore utu ka kitea tonu he ōwehenga nui kei te rongoā i te mea he. Ina ko ngā tohu kaore e rite ki ngā tauira e rua, ko te muru ka tino pai ake, ā, ka penapena te wiki e mate ana koe.

Kaua e mutu te metronidazole, rongoā i te pāhohe tahi me ia

He maha ngā wā ka puta te pāhohe pāhohe i muri mai i te rongoā BV, i waenganui rānei i a ia, kia taea ai te matapae. Ko te ture tuatahi kaore e kitea: kia oti te metronidazole kia rite ki te tohutohu. Ko te mutu wawe ka tūpono ki te rahua te rongoā BV, trichomoniasis rānei, ā, ka puta mai he akoranga tuarua i muri mai. Ko te pāhohe he raru motuhake e hiahia ana ki te rongoā motuhake.

Ko taua rongoā he azole antifungal. Ko te kotahi 150 mg horopeta fluconazole ā-waha he rongoā mana, ā, he pai. Ko te rongoā azole ā-waha kaore i te mana pērā i te miconazole, clotrimazole rānei, e wātea ana i roto i te kotahi, toru, me te whitu rā, he pai, ā, kaore e kaha te pā. Ko ngā tauira roa ka kaha ake, ā, he pai ake te kōwhiri mēnā kua whakaoho kē koe. Ko te rongoā i te BV me te pāhohe i te wā kotahi he tikanga noa, kāore he whakaritenga kia oti tetahi i mua i te tīmatanga o tetahi atu, ā, kāore he tauwhitiwhiti e kaha ai koe ki te wehe i te metronidazole mai i te rongoā azole ā-waha, ahakoui me whakapumau koe i te mahere ki tō kaiwhakarato. Mēnā kei te whakamahi koe i te kirikiri kirikiri, pātai atu ki tō taote rongoā me pēhea te wehewehe i te kirikiri me te rongoā antifungal hei utu i te tango i a rāua i te wā kotahi.

Mēnā ka hiahia koe ki te arotake i te rongoā tere, ka tukua e August he $39 te haerenga rongoā tere ā-ipurangi mā reira ka arotakehia e te kaimātai kua rehitatia ki te US ngā tohu, ā, ka tohua ina tika. Ko te kaimātai te whakatau. Kaore e taea e te haerenga ā-ipurangi te whakamatautau pelvic, te kohikohi rānei i te muru whekau, na reira ko te wā tuatahi, ko ngā tohu kaore e rite ki te tauira tuatahi ka hiahia tonu ki te tiaki i te tangata. Ka rite te arorau ki te rongoā antifungal mana ki etahi atu wāhi o te tinana.

Ko te nuinga o ngā tohutohu ārai mō tēnei kaore i te pono, ko tētahi mahi ka tino pai

Rapua me pēhea te ārai i te pāhohe pāhohe i te wā e tango ana koe i te metronidazole, ā, ka kitea e koe ngā rārangi pono. Ko te pono mārama ko te kore o te taunakitanga kaha ki ngā mahi ārai katoa. Ko te kōwhiri i te rongoā prophylactic antifungal tahi me te metronidazole kaore i tautokona e te taunakitanga pai, ā, ehara i te wāhanga o te tohutohu BV a te CDC. Ko ngā hua o te Lactobacillus probiotic, ā-waha, ā-waha rānei, he raraunga ngoikore, ā, kaore i te rite mō tēnei kaupapa motuhake. He pai te ngana. Kaore e pono te tākana.

Ko te mahi me te tautoko pono he mea kore e pai. Ko te MedlinePlus e tohutohu ana ki ngā turoro kia kii atu ki te kaiwhakarato i mua i te tīmatanga o te metronidazole mēnā kei a ratou tonu te pāhohe pāhohe, te mate ngā rānei. Korerohia i mua i te horopeta tuatahi, ehara i te tīmatanga o te ngau.

Whakaaturia hoki ngā whakapakaritanga: te mate huka, te huka toto kino, te hapūtanga, te mate ngoikore, tae atu ki te HIV me te whakamahi steroid, me ngā akoranga rongoā patu huakita tata, tukurua rānei. I te mea ka taea e ngā rongoā patu huakita te whakaputa i te pāhohe pāhohe ki te tangata whai anō ēnei tūponotanga, he pai te kii i tētahi hītori o te pāhohe i muri i ngā akoranga o mua kia whai mahere kē i mua. Kia ora i te douching, ā, kia karohia te whakamahi tukurua kore-hiahia.

Ka taea e te ngau te tatari mo te haerenga ki te toa rongoā, ko ēnei tohu kaore e taea

Waea atu ki te 911, haere rānei ki te ruma whawhati tata inaianei mēnā:

  • Kei a koe ngā mate ruaki, te ngongo o te ringaringa, te waewae rānei, te rangatōtō, te hikoi kore, te kōrero pōuri rānei. E whakatūpato ana te FDA i ngā tohu neurological nei me kaha te whakamutu i te metronidazole me te kaha te aromatawai. Kati te rongoā me te kite.
  • Kei a koe ngā tohu o te urupare mate pāwera: te pupu o te mata, te korokoro rānei, te uaua ki te manawa, te hives rānei.

Whakaritea he haerenga i roto i te wiki e whai ake nei mēnā:

Kōrero ki tētahi kaimātai i mua i te tīmatanga mēnā:

  • Kei a koe kē he pāhohe pāhohe, he mate ngā rānei, ka puta mai ki a koe i muri i ia akoranga patu huakita, kei te hapū koe, kei te mate huka koe, kei te ngoikore rānei tō punaha ārai mate.

Ngā pātai auau

Ka taea e te metronidazole te whakaputa i te waha waha, ehara i te pāhohe whekau anake?

Āe. Ko te ahuatanga Candida ano hoki, engara i te wāhi rerekē: ngā wāhi ma i runga i te arero, te paparinga o roto rānei, te mamae, te reka rereke rānei. He nui ake te pānga o tēnei ki te metronidazole ā-waha pērā i te Flagyl, e mahi ana i te tinana katoa, i te kirikiri kirikiri ā-waha. Ko ngā tohu o te waha i te akoranga ā-waha roa he mea pai ki te kii ki tō kaiwhakarato, nā te mea ka hiahia ki tētahi atu momo rongoā antifungal.

Kia roa te roa o te pāhohe pāhohe mai i te metronidazole kia kaha ai?

Ko te nuinga o te rongoā pāhohe pāhohe ka kaha i roto i te kotahi ki te rua wiki. Me kite koe i te ngau me te wera e iti haere ana i roto i te rua ki te toru rā o te tīmatanga o te rongoā antifungal, ahakoa ka roa te akoranga katoa e whitu rā. Ki te kore he whakapainga i te rā tuatoru, ā, kua kino ngā tohu, tera pea kua he te tātaritanga, ā, ka hiahia koe ki te whakamātautau hei utu i tētahi pouaka tuarua.

He haumaru tonu te tango i te metronidazole i te wā o te hapūtanga mēnā ka puta tonu te pāhohe pāhohe?

I ētahi wā, ā, ko taua whakatau nā tō kaiwhakarato. E taunaki ana te CDC ki te rongoā i te bacterial vaginosis i te wā o te hapūtanga, no reira ko te whakamutu i te rongoā he uaua te whakatau tika. Mō te taha pāhohe, ko ngā azole ā-waha te nuinga o te wā e pai ake ana i te fluconazole ā-waha i te wā o te hapūtanga. Kaua e timata tetahi i a koe anō i te wā e hapū ana koe. Korerohia ki te kaimātai e whakahaere ana i te hapūtanga he aha te puta mai, ā, kia whiriwhiria e ia.

Kua hoki mai ōku tohu i te marama kotahi i muri i te mutunga o te metronidazole. Ko te pāhohe kē, ko te BV rānei?

Kare pea he pāhohe. Ko te hokinga mai o te BV ka kōrerohia tonu i te tata ki te kotahi i roto i te toru o ngā tāngata i roto i te toru marama, no reira ko te hokinga mai i te marama kotahi ka kaha ake te tikanga ko te BV e hoki mai ana i te mate ngā hou. Tirohia te kakara. Ko te kakara ika me te parani mātotoru me te ngau iti e tohu ana ki te BV, ā, ka hiahia tēnā ki te kaiwhakarato, ehara ki tētahi atu rongoā antifungal mai i te whata rongoā.

Kei te hiahia ahau ki te whakamātautau, ka taea rānei e au te rongoā mā te rongoā antifungal kaore i te mana?

I ētahi wā ka taea e koe te rongoā i a koe anō, engari ko ngā āhuatanga e toru e tika ana kia murua i mua: te wā tuatahi, ngā tohu kaore e rite ki te tauira parani mātotoru me te ngau kaha, me ngā wā tukurua i muri i te rongoā tata. I roto i aua wā, ko te rauna koreutu anō te nuinga o te wā e roa ana te whakaroa. Mēnā kua kitea kē koe he pāhohe i mua, ā, he rite tonu ki tēnei, he pai te rongoā i a koe anō.

Ko te mea nui

Ka taea e te metronidazole te whakaputa i te pāhohe pāhohe? Āe, i te tata ki te 5.6% ki te 12% o ngā kaiwhakamahi i runga i ngā tapanga FDA i whakaputaina mā DailyMed. Ko ngā tapanga e kii ana ko te nuinga o tēnei ko te whakaatu i te pāhohe kua noho kē, te tikanga ko te pāhohe pāhohe i muri i te rongoā BV ehara i te tohu kua rahua te rongoā, ā, kaore he painga o te metronidazole anō no te mea kaore he mahi antifungal. Kia oti te akoranga, āpiti atu ki tētahi rongoā antifungal, ā, kia aromātaihia mēnā ka hoki mai tonu.

Whakakāhoretanga: Ko tēnei tuhinga mō ngā kaupapa mōhiohio anake, ā, kāore e kiia he tohutohu hauora. Me whakapā atu tonu ki tētahi kaiwhakarato hauora whai tohu mō te tātaritanga me ngā whakatau rongoā. Mēnā kei te pahemo koe i tētahi mate hauora, waea atu ki te 911, haere rānei ki te rūma whawhati tata tata tonu.