Ko te Metronidazole mō te BV, 500 mg ki roto i te waha kia rua ngā wā ia rā mō te whitu ngā rā, 14 papa katoa. Ko ngā wāhine e tohutohungia ana mō te trichomoniasis, ka whiwhi kē i taua kāriki whitu-rā rite tonu, ko ngā tāne kāti ka whiwhi i te 2 g kotahi noa te wā. Ko te tarukino kotahi, engari he rerekē ngā ture mō te tohutohu hoa, te whakamātau anō, me ngā kōwhiringa wāhi-kiko.
- BV: metronidazole 500 mg kia rua ngā wā ia rā mō te 7 rā, te 0.75% rānei te reeti ā-waha kotahi ia rā mō te 5 rā.
- Trichomoniasis i ngā wāhine: ko taua kāriki 7-rā waha mai i te putanga o te CDC i te tau 2021. Mō ngā tāne, he 2 g kotahi noa te wā.
- Ehara te BV i te mate ka pā te tangata i te taha takatāne, nā reira kāore e tohutohungia e auau ngā hoa. Ko te Trichomoniasis he pērā, nā reira me tohutohu ia hoa.
- Tohutohu anō mō te trichomoniasis i te tata ki te 3 marama. Kāore he whakamātau auau hei whakaora i te BV mēnā ka memeha ngā tohu.
- Kāore kē atu e tautokona ana e te CDC te aukati waipiro, ahakoa ka puta te māuiui nā te metronidazole anō.
Ka whakaorangia te BV e te Metronidazole i roto i te whitu ngā rā, ā, ko te whakamutu wawe te take ka hoki mai anō
Ko te Metronidazole mō te BV, 500 mg ki roto i te waha kia rua ngā wā ia rā mō te whitu ngā rā, 14 papa katoa, ko te kāriki tuatahi i roto i ngā arongā tohutohu maimoana STI a te CDC i te tau 2021. Ko te kōwhiringa kē atu e tohutohungia ana e te CDC, ko te 0.75% metronidazole reeti ā-waha, kotahi te 5 g applicator ka kuhua kotahi ia rā mō te rima ngā rā. Ko te Flagyl te ingoa waitohu mō te metronidazole matū kotahi, nā reira kāore e puta ke te tarukino me te tohutohu.
Ko te nuinga o te tangata ka kite i te rerenga me te kakara ka mutu i te rā tuarua, tuatoru rānei. Ehara koinei te mutunga. Ko te Bacterial vaginosis he nui haere o ngā huakita anaerobika ka nui ake i te lactobacilli tiaki, ā, ka tere ake te mamae o ngā tohu i te horoinga huakita. Kati i te rā tuawhā nā te pai o tō ngākau, ā, kua hoatu e koe te tōtōpū i ora ai te kaha. Nā, ae, ka whakaorangia te BV e te metronidazole, ā, ko te Flagyl mō te BV te tohutohu rite tonu i raro i te tapanga rerekē. Kai katoa ngā papa 14.
Kua ngaro te "kotahi-papa whakaora": ka whiwhi kē ngā wāhine whai trichomoniasis i te 7 rā rite ki te BV
I puta kē te tohutohu metronidazole mō te trichomoniasis i te tau 2021, ā, kāore anō te nuinga o te tangata kia whai i tērā: ko ngā wāhine whai trichomoniasis, ka tohutohungia inaianei kia metronidazole 500 mg kia rua ngā wā ia rā mō te whitu ngā rā, ko te kāriki BV tonu. I puta taua whakarerekētanga a te CDC i muri i te kitenga o tētahi whakamātau whakaarohanga ko te kāriki maha-papa ka whakaiti i te 1 marama te whakamātau whakaora i te haurua nei ka whakaritea ki te 2 g kotahi te wā o mua.
Kāore anō kia tangohia te 2 g kotahi. Mō ngā tāne, ko te 2 g o te metronidazole waha kotahi tonu te kāriki tohutohu, ā, ko te tinidazole 2 g hei kōwhiringa kotahi mō ngā ira tangata e rua.
Ko te koiora te whakamārama he pēhea te rerekē o ngā kāriki e rua. Ko te BV he nui haere o te huakita anaerobika maha e noho ana i roto i tētahi kohinga huakita ki te pakitara o te tenetene, ā, ko ēnei kohinga huakita e hiahiatia ana kia roa te whakapiri atu ki te tarukino kia memeha ai. Ko te Trichomoniasis he parataiti kotahi-pūtau, ko te *Trichomonas vaginalis*, he mea tino ngoikore ki te kotahi wāhi nui o te tarukino. Ko ngā taunakitanga o te whakamātau kua whakaatu noa ake kāore te wāhi nei e tino pono i ngā wāhine.
Ko te hua mahi he nui ake i te rongoā: kāore e tika kia whakamahia ngā papa i toe mai i tētahi wā hei whai i te whakatinanatanga o tētahi o ēnei. Ki te hiahia koe i te putanga tino roa o taua kōrero, panuihia he aha te mea kāore te tohutohu kotahi e rite ki te mate kotahi.
Kāore te BV i te mate ka pā te tangata i te taha takatāne, ā, ka puta kē te tangata katoa e hiahia ana ki te tohutohu
Ko te Bacterial vaginosis he mate ka pā te tangata i te taha takatāne? Kāore. Kāore te BV e kiia he mate ka pā te tangata i te taha takatāne, engari ko te trichomoniasis, ā, ko taua wehewehenga kotahi e whakarerekē ana i ngā mea katoa i raro i te tohutohu. E kii ana te CDC kāore e tohutohungia te tohutohu auau o ngā hoa tāne mō te BV, nā te mea kāore ngā whakamātau o te tohutohu i ngā hoa tāne i whakapai ake i ngā reeti whakaora, i whakaiti rānei i te hokinga mai. Mō te trichomoniasis, me whiwhi katoa ngā hoa tāne i te tohutohu ārahi ārahi, ā, me noho tawhiti kōrua i te sex kia mutu ra ano te tohutohu, kia memeha ra ano ngā tohu.
Tētahi whakatūpato e ngaro ana: ko ngā wāhine kua kitea te BV, he nui te tūponotanga o te trichomoniasis e noho tahi ana. Kāore te kitenga o te BV e whakakore i te mate kā a te tangata. Mēnā kāore tētahi i tango i tō tauira mō te trichomoniasis, pātai atu.
| Bacterial vaginosis | Trichomoniasis | |
|---|---|---|
| Te mana o te mate kā a te tangata | Kāore he mate kā a te tangata | He mate kā a te tangata |
| Kāriki tuatahi mō ngā wāhine | Metronidazole 500 mg kia rua ngā wā ia rā, 7 rā | Metronidazole 500 mg kia rua ngā wā ia rā, 7 rā |
| Kāriki a te hoa | Kāore | Metronidazole 2 g kotahi te wā mō ngā hoa tāne |
| Kōwhiringa reeti kei te wāhi-kiko | Ae, 0.75% reeti mō te 5 rā | Kāore, waha anake |
| Tohutohu hoa | Kāore e tohutohungia | E tohutohungia ana mō ngā hoa katoa |
| Wā whakamātau anō | Kāore he whakamātau auau hei whakaora | Tata ki te 3 marama i muri i te tohutohu |
Ko te whakaoti i ngā papa ehara i te mutunga mō tērā mate, mō tērā rānei
Ko te tohutohu trichomoniasis he whakamātau tautoko, ehara ko ngā papa anake. E kii ana te CDC ko ngā wāhine kaha ki te takatāne me whakamātau anō i te tata ki te toru marama i muri i te tohutohu, ahakoa kua tohutohungia te hoa, kāore rānei, nā te mea he maha ngā wa ka hoki mai. Kaua e whakamātau i mua atu i te toru wiki i muri i te tohutohu: ka taea tonu e te DNA i toe mai i ngā mea kua mate te puta hei whakamātau pai i roto i tētahi whakamātau nucleic acid amplification.
He rerekē te mahi a te BV. Mēnā ka memeha ngā tohu, kāore he whakamātau auau hei whakaora. Engari ka hoki mai anō, ā, mō te tangata kua hoki mai anō, ka whakarārangi te CDC i ngā kōwhiringa whakaora roa: 0.75% metronidazole reeti, te 750 mg rānei te metronidazole papa ā-waha kia rua ngā wā ia wiki mō ngā marama neke atu i te toru.
Ko te mea nui: ka mutu te painga ka mutu te tohutohu whakaora roa. Ka hoatu e te whakaoranga ki a koe ngā marama marino, ehara i te whakaoranga tuturu, ā, he mea nui kia mōhio koe i mua i tō tīmatanga o te toru marama whakatapata. Ko ngā tohu hoki e hoki mai ana ehara i te mea ko te mate rite tonu te mea i a koe i te wa whakamutunga. Whakamātau anō i te whakakī i te tohutohu whakamutunga mai i te mahara.
Ko te reeti ā-waha ka whakaora i te BV engari ka waiho ko te trichomoniasis kia kore e ora
Ko te metronidazole reeti ā-waha he kōwhiringa e tohutohungia ana e te CDC mō te BV anake: 0.75% reeti, kotahi te 5 g applicator ā-waha kotahi ia rā mō te rima ngā rā. He maha ngā tangata e pai ake ana ki a ia, ā, he pai hoki te take. Ka noho te tarukino ki te wāhi, nā reira ko ngā pānga taha o te tinana e puta ai te māuiui o te kāriki waha, te ngārue me te reka kirikiri haere tonu, he iti ake te kitea.
Kāore he painga ki te trichomoniasis, ā, ehara i te mea nā te pai o ngā arongā. Ka noho hoki te parataiti ki roto i te ngongo mimi me ngā kōpuku huri noa i te ngongo mimi, kāore e tae atu te reeti ā-waha. Hei whakaora i a ia, me tohutohu ā-waha te tinana katoa. Kaua rawa e tango i te reeti i toe mai i muri i tētahi tūponotanga o te trichomoniasis.
Ko te whakatūpato waipiro i runga i tō tapanga metronidazole kua tawhito kē
Ka taea e koe te inu waipiro me te metronidazole? E ai ki te CDC, ae: ko ngā arongā o te tau 2021 e kii ana kāore e hiahiatia te karo i te waipiro i te wā o te metronidazole me te tinidazole. Ko te whakatūpato matarohia pērā i te disulfiram i kore te taunakitanga putaiao tino pono, ā, kāore te metronidazole e aukati i te aldehyde dehydrogenase, te whākawa e rite ana ki taua tauākari.
Ka kite tonu koe i te tohutohu tawhito i ngā wāhi katoa: kaua e inu waipiro i te wā o te tohutohu me te 24 ki te 72 haora i muri mai, kua taia ki ngā tapanga o te whare rongoā me ngā pepa a te manawanui i mua ake i te arotake taunakitanga. He whakatāpiri pono: ka puta te ngārue me te reka kirikiri i te metronidazole anō, ā, ka taea e te waipiro te kino ake ngā mea e rua, nā reira he whakaaetanga tēnei engari ehara i te whakatenatena. Mēnā ka kii atu tō taote rongoā ki a koe i tērā atu, whai i tōna tohutohu ka whakaputa te rerekētanga ki a ia kaua ki te whakaaro he he noa te pepa.
Ētahi tohu ā-waha e hiahiatia ana he tirotiro, ehara ko tētahi atu tohutohu
Waea atu ki te 911, haere rānei ki te ruma urupare inaianei mēnā:
- He kirika, he makariri, he mamae nui rānei i te puku o raro, i te kōpuku rānei me te rerenga, ka tohu pea tēnei i te mate kōpuku.
- Ka puta ngā tohu o te mate pāwera ki te metronidazole: whakapāoho, hives, pupū te mata, te korokoro rānei, te uaua rānei ki te manawa.
- Kei te hapū koe, ā, ka puta ngā tohu o te whānau i mua noa atu (ngā kohinga auau, te pakarutanga o te wai, te toto) me ngā tohu mate.
- He nui te toto ā-waha, he toto kāore i te mārama, kāore hoki e pā ana ki te paheketanga.
Whakaritea he toro atu i roto i te wiki e whai ake nei mēnā:
- Ka mau tonu ngā tohu i muri i te whakaotinga o te kāriki whitu-rā.
- Ka hoki mai ngā tohu i roto i ngā wiki i muri i te whakaotinga o te tohutohu.
- Kua puta te hua pai o tētahi hoa mō te trichomoniasis.
- I tohutohungia koe mō te BV engari kāore koe i whakamātauhia mō te trichomoniasis.
Kōrero ki tētahi rata i mua i te tīmatanga mēnā:
- Kei te hapū koe, kei te ngana ana koe kia hapū, kei te whāngai tamaiti rānei.
- Kua kino te pānga ki a koe te metronidazole me te tinidazole i mua.
- Ka kai koe i te disulfiram, warfarin, me te lithium.
- Ka tata koe ki te whakamahi i ngā papa i toe mai i tētahi tohutohu tawhito.
- I homai ki a koe te tinidazole kaua ko te metronidazole.
Mēnā ka hiahia koe i tērā kōrero hohoro, ko te $39 te utu o te toro urupare ipurangi a August ka hono koe ki tētahi rata whai raihana nō Amerika e taea ai e ia te aromātai i āu tohu me te whakatau mena ka tika te tohutohu. Kia mārama ki ngā herenga: kāore e taea e te ataata te mahi i te whakamātau kōpuku, te tango rānei i te tauira ā-waha, nā reira me āta tirohia te whakamātau i te tūranga o te tangata kia hiahiatia tonu ai.
Nā te aha ngā pātai ka pātaipatahia
Ko te Flagyl mō te BV te mea rite ki te metronidazole matū?
Āe. Ko te Flagyl te ingoa waitohu mō te metronidazole, ā, ko te matū kei roto ko te mea kaha rite tonu te kaha. Ko ngā whare rongoā ka hoatu i te matū mā te taunoa i te nuinga o ngā wā. Ko te tirotiro mahi kei te tapanga kaua ki te ingoa: kia mārama ka whakaatu te 500 mg, ko te tohutohu ka kii kia rua ngā wā ia rā, ā, ko te tau ka 14 papa. Ko te reeti ā-waha waitohu ka hokona hei MetroGel-Vaginal.
Ka whakaorangia e te metronidazole te BV me te mate huakita i te wā kotahi?
Kāore. Kāore he mahi a te metronidazole ki te Candida, ko te huakita te take o te mate patua ā-waha, nā reira kāore ia e whai mana ki te māngere me te rerenga ma te teitei. Ko te mate huakita e hiahiatia ana he antifungal pērā i te fluconazole. Ko te mea whakama, ko te nui haere o te huakita ka puta i muri i tētahi akoranga antibiotic, nā reira ko te māngere hou i waenganui i tō whitu rā he mea nui ki te waea atu kaua ki te tango i tētahi antibiotic tuarua.
Ka taea e te metronidazole kotahi te whakaora i te BV?
Kāore i te nuinga. Ko te 2 g kotahi te wā ehara i te kāriki e tohutohungia ana e te CDC mō te bacterial vaginosis, ā, ko te whitu-rā waha te mea pai. Ko taua 2 g kotahi te wā mō te trichomoniasis, te nuinga o te wā i ngā tāne. Mēnā i hoatu e tētahi rata ki a koe tētahi wāhi nui mō te BV, pātai atu he aha i mua i tō tango, nā te mea ko te wā poto te take matua ka hoki mai te BV.
He haumaru te metronidazole hei tango i te wā e hapū ana?
Āe. E kii ana te CDC kāore he hua teratogenic me te mutagenic kua tuhia ā, ka whakaarohia he iti te tūponotanga ki te kukune, nā reira ka whakamahia te metronidazole i te wā hapū mō ngā mate e rua. Ko te Tinidazole te mea nui e tika ana kia karo i te wā hapū. Mēnā kei te hapū koe, kei te whāngai tamaiti rānei, kia mārama ko tēhea o ēnei e rua i tohutohungia koe i mua i tō tuatahi o te tango, nā te mea ka rite ngā ingoa ki te tapanga.
Ka ngoikore te metronidazole i te mana o te mana whānau hormonal?
Kāore. Kāore te metronidazole i roto i ngā antibiotic kua whakaatuhia e whakaiti ana i te mana o te mana whānau, nā reira kāore he take mō te mana whānau tautoko i runga i tēnei take anake. Ko te ruaki me te mate kohinga nui i te wā o te mate ka taea te whakaiti i te whakauru o te papa waha, he take rerekē pea tērā hei pātai atu mēnā ka puta i te wā o tō akoranga.
Ko te mutunga o te kōrero mō te metronidazole mō te BV
Whitu rā, kia rua ngā wā ia rā, 500 mg mō te BV. Ko aua whitu rā nei mō ngā wāhine whai trichomoniasis, ko te 2 g kotahi te wā ka rahuitia mō ngā tāne. Tohutohu hoa mō te trichomoniasis anake. Ā, ko te aukati waipiro i runga i tō pepa kāore kē atu e tautokona ana e te arotake taunakitanga a te CDC.
Ko te ture i raro i ngā mea katoa he ngāwari: kia rite te kāriki ki te mate pono kua puta ki a koe. Kia whakamātauhia kaua ki te whakamahi anō i tētahi tohutohu o mua, nā te mea ka rite ngā papa engari kāore ngā tohutohu.
Whakawātea: Ko tēnei tuhinga mō ngā kōrero anake, kāore hoki e kiia hei tohutohu hauora. Kōrero tonu ki tētahi kaiwhakarato hauora whai raihana mō te whakatau mate me te tohutohu. Mēnā kei te wheako koe i tētahi mate urupare, waea atu ki te 911, haere rānei ki te ruma urupare tata tonu.
