Nga Paanga Taha o te Metronidazole: He aha te Rongo Tāhoroangi ka puta, Ahea hoki te roa o te mutunga o tona paanga

Ko te nuinga o ngā paanga taha o te metronidazole ko te rongo tāhoroangi, te mānukanuka, te korere, me te mamae puku, ā, ka memeha haere ēnei i roto i te kotahi, e rua rā rānei i muri i tō horopeta whakamutunga. Ko te reka o te rongo tāhoroangi ko te rongo o te rongoā i roto i tō arero, ehara i te mate pāwera. Ko te mate koretahi, te ngunguru rānei o ngā ringaringa, waewae rānei te mea motuhake e hiahiatia ana he tohunga hauora.

KUPUTAKA NUI: Ngā mea nui hei maumahara

• Ko te rongo tāhoroangi he paanga noa mai i te rongoā, ehara i te mate pāwera, ehara hoki i te tohu kei te kore te mahi o te rongoā paturopi.
• Te ahua noa: ka timata i roto i te kotahi, e rua rānei o ngā horopeta tuatahi, ka tae ki te tihi i te ra 2 ki te 3, ka hoki ki te noa i te 3 ki te 7 rā i muri i te horopeta whakamutunga.
• Whakaotia te rongoā. Ko te mutu wawe nā te mea ka huri te reka o te kai te hapa nui e taea te karo.
• Kua tangohia te ture tawhito o te "kaua e inu waipiro" e te CDC, ahakoa ka taea tonu e te waipiro te whakararu i te mānukanuka.
• Ko te mate koretahi, te ngunguru, te wera rānei i ngā ringaringa, waewae rānei te tohu whero e hiahiatia ana he aromatawai, kaua ko te manawanui.

Ko te nuinga o ngā paanga taha o te metronidazole he raru noa ki te mangai me te puku, ehara i te tohu kino

Ko ngā paanga taha o te metronidazole ka noho noa ki te mangai me te puku: he rongo tāhoroangi koi, te mānukanuka, te korere, te mamae puku, me te mate upoko. Ka timata ēnei i te tīmatanga, ka tae ki te tihi i waenganui o te rongoā, ā, ka memeha haere i roto i ngā rā i muri i te horopeta whakamutunga. Kei te noho tonu ngā tauhohenga kino engari he onge noa: ngā paanga ki ngā kōiwi pēnei i te mate koretahi, te ngunguru rānei o ngā ringaringa me ngā waewae, me ngā paanga ki te punaha nerve pokapū pēnei i te mate hopu, te raruraru rānei.

Ko te Flagyl te ingoa waitohu o taua matūriki, no reira ko ngā paanga taha o te Flagyl me ngā paanga taha o te metronidazole matūriki he rarangi kotahi, ehara i te tokorua. Ahakoa te panui a tō pounamu i te Flagyl, Flagyl ER, me te metronidazole 500 mg, ka ahu mai ngā paanga taha o te Flagyl i kī ai tō kaipākarere mai i te rongoā ake.

Kāore te reka e ngākaunui ana ki te hunga nana i tuhi te tapanga. E mārama ana te korero a ngā māhere rongoā kua whakaaetia e te FDA i runga i te DailyMed, "He rongo tāhoroangi kino, he mea noa." Ko taua tapanga 2018 hoki ka whakaatu i te arero huruhuru, te glossitis, me te stomatitis, ēnei ka whakaatu i te tipu nui o te Candida i te wā o te rongoā, kaua ki te paanga reka o te rongoā ake.

Ki te ko koe te kōrero nui ko te korere wai, kaua ko te rongo reka kua pakaru, he momo rereke taua, ā, he rongoā rereke tērā, tata atu ki ngā paanga taha o te Augmentin. Ka puta te peripheral neuropathy me te mate hopu ki te metronidazole, engari he onge noa i te rongoā noa 5 ki te 10 rā. Ka whiwhi rātou i tō rātou ake wāhanga i raro nei.

Ko te rongo tāhoroangi ko te metronidazole i roto i tō arero, ehara i te mate pāwera

Anei te tikanga kaore tata nei he whārangi e kaha ana ki te whakamarama. Ka tukuna te metronidazole me ana metabolites ki roto ki tō arero, kei reira ka tauwhitiwhiti ki ngā kaiwhakatau reka e pā ana ki te konutea i runga i te arero. Kāore koe e rongo ana i te mea kei runga i tō arero. Kei te rongo koe i te rongoā e rere ana i roto i a koe, ko te take tēnei e motuhake ai tēnei paanga ki te metronidazole, kaua ki te āhuatanga whānui o ngā rongoā paturopi. E kī ana ngā taote ka puta mai te whakarerekētanga reka na te rongoā ko te dysgeusia.

He mea nui tēnā nā te mea ka whakahokia e ia. Ko te rongo tāhoroangi anake ehara i te mate pāwera, ehara hoki i te taunakitanga kei te kino haere tō mate, kāore hoki i te tohu kei te ngoikore te rongoā paturopi. He tohu tēnā kua uru te rongoā ki roto i tō tinana.

No reira kaua e mutu wawe. E taunaki ana ngā māhere rongoā mate STIs a te CDC i te metronidazole waha 500 mg rua i te rangi mō ngā ra 7 hei rongoā tuatahi mō te bacterial vaginosis, ā, ko te rongoā kua oti, kaua ko ngā horopeta tuatahi, te whakakore i te mate.

Kotahi te rereketanga ka huri tēnei mai i te kore kino ki te tere. Ko te whakarerekētanga o te reka e honoa ana ki te mate koretahi, te ngunguru, te wera rānei i ngā ringaringa me ngā waewae e tohu ana ki te koretahi o te nerve i te whakararuraru reka noa, ā, ka tukuna e te tapanga a te FDA te peripheral neuropathy mau tonu hei mea kia tino whakatūpato ngā tūroro. Ko taua huinga ka hiahiatia he tohunga hauora, kaua he kume ngutu.

Kia roa ana te paanga taha o te metronidazole: ka mutu haere i roto i ngā rā i muri i tō horopeta whakamutunga

Ko te nuinga o te tangata e patai ana kia roa ana te paanga taha o te metronidazole e hiahia ana ki tētahi tau, ko tēnei: tata ki te 3 ki te 7 rā i muri i te horopeta whakamutunga mō te reka, ka tere ake i te mānukanuka. E tautoko ana te rongoā i tēnei. Ko te waenganui o te oranga whakaheke o te metronidazole i roto i ngā pakeke hauora he tata ki te 8 haora e ai ki te tapanga a DailyMed, te tikanga ka tangohia te nuinga o te rongoā i roto i te kotahi, e rua rā rānei o te mutu.

Ko te whakautu pono ki te roa o te paanga taha o te metronidazole ko te roa o te reka i muri i te katoa, ā, he iti noa te hunga ka mau he tapa tāhoroangi ngāwari mō ngā wiki e rua ki te whā. Whakamahia he paepae mārama: ki te kei te whakarerekē tonu tō reka e rua wiki neke atu rānei i muri i tō whakaotinga, karangahia te taote. I taua wā, kua roa te rongoā i te tinana, ā, ko te whakarerekētanga mau tonu ka tika kia tirohia hoki ngā take kē pēnei i te mate puku i te mangai, te reflux, te kore o te konutea, te B12 rānei, me ētahi atu rongoā.

Ngā tinihanga kai ka āta whakaiti i te rongo tāhoroangi, engari kāore he mea hei whakaweto rawa atu

Ka āta mahi ēnei kia taea e koe te haere i roto i te wiki:

• Whakamahia ngā kai māta, waikawa. Ko ngā hua citrus, ngā pikara, ngā kakahu kei roto te winika, me te tōmato ka pai ake te tango i te rongo tāhoroangi i ngā kai papatahi, reka rānei.
• Te ngutu kore huka, te ngutu kore huka rānei, he monamona kore huka rānei, i waenganui i ngā horopeta.
• Horoi ki te haurua tīpune houra tunutunu i roto i te kapu wai.
• Whakamahia ngā taputapu kirihou, rakau rānei hei utu mo te konganuku, ā, kaua e tango i te pounamu wai konganuku.
• Tangohia ia horopeta me te kai, paraihia hoki tō arero me ngā niho, ā, kia mau tonu ngā wai.

He mea tika kia tino korero te rohe. Ka ahu mai te reka i te rongoā i roto i tō arero, ehara i te kiri kei runga i tō arero, no reira ka āta huna e ngā horoi me te ngutu hei utu i te tango. Tataria he whakaora wāhanga, ehara i te whakaweto.

Ki te puta te arero ma, huruhuru rānei, te mamae o te mangai, te mamae hou rānei o te mangai, kōrero atu ki tō taote, nā te mea ka herea e te tapanga a DailyMed ēnei kitenga ki te tipu nui o te Candida kaua ki te whakarerekētanga reka anake. Ā, kaua e peke, kaua hoki e wehewehe ngā horopeta kia karo ai te reka. Ka ngoikore te rongoā me te kore e whakaoti te raruraru.

Ko te mānukanuka o te metronidazole me te rongo tāhoroangi ka whakararu tahi

Ko te mānukanuka o te metronidazole he ngāwari noa, engari he onge noa te haere tahi, ā, ko te hononga e ngaro ana i tata nei he rongoā te reka e hāpai ana. Ina ka rongo te katoa o te mea ka kuhua e koe ki roto ki tō mangai he rongo tāhoroangi, ka heke te hiahia kai, ka peke ngā kai, ā, ka kaha ake te puku kau te pouri. Ko te whakahaere i te reka, no reira, he wāhanga o te whakahaere i te mānukanuka o te metronidazole, kaua ko tētahi kaupapa motuhake.

Nō te mea ka puta: tangohia ia horopeta me te kai me te karaihe wai katoa, kai ngā kai papatahi iti hei utu mo ngā kai nui e rua, ā, whai kē i te kakara kaha o te tunu kai ina ko te tihi o te ra 2 ki te 3 te reka. Ka mohio te hunga e whai wheako ana ki te mānukanuka na te rongoā whānui, tae atu ki te mānukanuka mai i ngā rongoā GLP-1, ki te ahua rite.

Ki te nui te mānukanuka, te ruaki rānei, kia kore ai koe e taea te pupuri i ngā horopeta, karangahia te taote. Kei te noho ngā rongoā mō te mānukanuka me ngā tikanga rereke. Ko te whakarere i te rongoā i te waatea te kōwhiringa kino rawa.

Ko te rongoā waha 500 mg ka nui ake te raru reka i te kirīmi vaginal

Ko ngā rapunga mō ngā paanga taha o te metronidazole 500 mg ka nui ake i ngā puka katoa atu nā te mea ko te papa waha te teitei o te whakaurunga o tēnei rongoā ka tangohia e te nuinga o te tangata, ā, ko te taumahatanga o ngā paanga taha ka rite ki te whakaurunga tinana.

Ko te huarahi te take katoa. Ko te kirīmi vaginal ka tuku i ngā taumata rongoā tinana iti rawa atu i te horomanga o ngā papa, no reira ko ngā amuamu i raro i te ingoa metronidazole 500 mg paanga taha, te whakararuraru reka te tuatahi, ka puta katoa mai i te papa waha.

Ko te nui o te rongoā ka wehe i te raruraru ngāwari mai i te tino mate. Ko tētahi purongo take 2025 i tuhia ki te PMC ka whakaatu i te kino o te nerve pokapū me te peripheral nerve, i te nuinga o te wā i te nui o te rongoā i te 42g neke atu rānei, te rongoā i te roa atu i te 4 wiki. Ko te rongoā 7 rā i te 500 mg rua i te rangi ka tae ki te 7g. Ina puta te kino, ka taea te whakaora, me te whakaora i roto i ngā wiki ki ngā marama i muri i te mutu. Ko te kōrero mō te kino o te nerve ka puta i te rongoā roa, i te rongoā whakahoki rānei, kaua i te rongoā noa.

Kāore pea koe e hiahia ki te karo waipiro, nā te mea kua tangohia e te CDC taua whakatūpato

Ko te metronidazole me te waipiro te takirua e nui atu te whakatūpato i roto i te rongoā manene. E ai ki ngā māhere rongoā mate STIs a te CDC 2021, he kore tika te karo waipiro i te wā o te rongoā metronidazole. Ko tētahi rangahau rongoā whakahaere i whakaputaina i roto i te Annals of Pharmacotherapy i kitea ai, kāore te metronidazole i whakanui ake te acetaldehyde toto me te ethanol, kāore hoki i puta he tauhohenga disulfiram pono, tūturu rānei.

Nō reira nō hea mai te "tatari 3 rā i muri i tō horopeta whakamutunga"? E rua ngā mea i huihui. Kei te tuhia tonu te whakatūpato disulfiram ki runga i ngā tapanga maha, ā, ko te 8-haora te haurua o te ora ka puta te rongoā i roto i te tinana i roto i te kotahi ki te rua rā, no reira ka karapoti ake tētahi ki tētahi matapihi e pai ana te ahua.

Ko te whakarāpopototanga pono: he iti te taunakitanga mō te tauhohenga disulfiram pono, engari ehara tēnā i te tikanga kia mārama katoa. Ka kino te waipiro i te mānukanuka me te ngenge ina pouri kē koe, ā, kāore ia e mahi ki te mate. Ki te kī atu tō tapanga, tō kaipākarere rānei kia karo koe, kōrero atu ki tō taote hei utu mo te rongo ki tēnei whārangi hei whakakore. Ko te rārangi tauwhitiwhiti whānui, tae atu ki te warfarin, te riterio, me te disulfiram ake, he kaupapa motuhake, ā, he kaupapa pono hoki.

Ko te mate koretahi, te ngunguru rānei o ngā ringaringa, waewae rānei te paanga taha kotahi e kore e taea e koe te tatari

Karangahia te 911, haere rānei ki te ruuma ohorere inaianei ki te:

• Kei te mate hopu koe, kei te raruraru hou koe, kei te ngaro te tikanga whakahaere, te uaua rānei ki te korero
• Kei te horapa te kiriwhetunga, te hives rānei, kei te tihikiti rānei te kiri, kei te pupuhi rānei
• Kei te pupuhi te mata, ngutu, korokoro rānei, te uaua rānei ki te manawa

Ka rite ēnei ki ngā tauhohenga e kī ana ngā MedlinePlus ki ngā tūroro kia rongoatia hei mea tere i te wā o te rongoā metronidazole.

Whakaritehia he haerenga i roto i te wiki e whai ake nei ki te: kei a koe te mate koretahi, te ngunguru, te wera, te mamae rānei i ō ringaringa, waewae rānei; ngā pupuhi, ngā kīnaki rānei i roto i tō mangai; kei te noho tonu te whakarerekētanga reka e rua wiki i muri i te whakaotinga; me te mānukanuka tino kino, kaore koe e taea te whakaoti te rongoā. E kii ana te tapanga a te FDA, kua puta te peripheral neuropathy mau tonu ki te rongoā metronidazole roa, ā, me tino whakatūpato ngā tūroro ki a ia, no reira ka aromatawaihia ngā āhuatanga nerve hou hei utu mo te tatari.

Kōrero ki tētahi tohunga hauora i mua i tō tīmatanga ki te: kei te hapū koe, kei te whāngai koe, kua pā atu koe ki te metronidazole i mua, kei a koe kē ngā raruraru nerve pēnei i te mate huka nerve, me te roa atu rānei o te rongoā i te 10 rā.

Mō te hunga kei waenganui, he mea tika te haerenga ataata. Ko te $39 te haerenga ohorere ataata a August ka hono koe ki tētahi tohunga hauora whai raihana i te US, ka taea e ia te arokite i ō tohu me te whakatau mehemea he tika tētahi rongoā, he whakarerekētanga rānei ki tō tikanga. Ko te mea kaore e taea e ia: te mahi i te whakamātautau neurological, me te rongo ki ngā mate hopu me te uaua ki te manawa. Ko ēnei ka tae ki te ruuma ohorere.

Ngā pātai auau

He aha te pouri, te whero-parauri rānei o taku mimi i te wā e tango metronidazole ana ahau?

Kāore he raru i te nuinga o te wā. Ka pakaru te metronidazole ki roto ki ngā metabolites tae ka taea te tautona te mimi kia pouri, whero, parauri rānei, ā, ka ngaro te tae ina puta te rongoā i roto i te tinana. Kāore e tikanga te whakaheke toto, te kino whatukuhu rānei. Ahakoa tēnā, ki te puta te tae me te mamae o te taha, te kirikiri, te wera ina mimi, me ngā kopa toto e kitea ana, tikina he aromatawai hei utu mo te whakaaro he rongoā paturopi tēnei.

Ka taea e te metronidazole te mate huakita i muri i te rongoā i te bacterial vaginosis?

Ae. Ka pehia e te metronidazole ngā kitakita e kaha ana ki te bacterial vaginosis engari ka waiho te rewena kia kore e pa, no reira ka taea e te Candida te tipu ki te waahi ka puta mai. Ko te kiri mā ngāwari, te ngau, me te wera i te wiki i muri i te whakaotinga ka tohu i te mate rewena hei utu mo te korenga o te rongoā. He raru rereke tēnā e hiahiatia ana he rongoā rereke, no reira kōrero atu ki tō taote he aha te mea i huri hei utu mo te tono kia kotahi atu rongoā metronidazole.

He aha taku mahi ki te ruaki ahau i muri tata tonu i te horopeta, ka ngaro rānei tētahi?

Ka whakawhirinaki ki te wā. Ki te ruaki koe i roto i te tata ki te 30 meneti o te horomanga o tētahi papa, kāore pea te horopeta i uru, no reira karangahia tō kaipākarere mō te whakakapi. Mō te horopeta kua ngaro, tangohia ina mahara koe ki te kore te muri e tata ana, katahi ka peke. Kaua rawa e takirua. E rua ngā horopeta i te wā kotahi ka nui ake te mānukanuka me te kore e pai ake te reiti whakaora.

He haumaru te metronidazole i te wā e hapū ana, e whāngai ana rānei?

I ētahi wā, ā, ko te whakatau a te taote hei utu mo te whakatau whaiaro. Ka whakamahia te metronidazole i te wā e hapū ana mō ētahi mate, tae atu ki te bacterial vaginosis whai tohu, ā, ka whakataurite ngā whakatau rongoā i te mate kaore i rongoatia ki te rongoā. Ki te whāngai koe, patai motuhake mō te wā o ngā horopeta huri noa i ngā kai. Kōrero atu te pātai i mua i tō papa tuatahi, kaua i te waenganui o te pounamu.

Ka taea e te metronidazole te iti ake te whai hua o te pire whakahaere whānau?

Kāore. Kāore te metronidazole i waenganui i ngā rongoā paturopi e mōhiotia ana ka whakaiti i ngā taumata whakahaere whānau hormonal; ko ngā rongoā momo rifampin te tino raruraru i reira. Kia mau ki te tango i tō pire i te wā. Ko te mea nui ko te āhua, kaua ko te rongoā: ki te puta te ruaki o te metronidazole, te korere nui rānei, ka taea te whakaurunga o te pire whakahaere whānau kia iti, no reira whakamahia he tiaki taapiri i te wā me te wa poto i muri i aua rā.

Ka taea e ngā probiotics, te miraka pē rānei te whakaiti i ngā paanga taha o te metronidazole?

I ētahi wā, ngāwari. Ka āta āwhina ngā probiotics me te miraka pē noa ki te korere e pā ana ki te rongoā paturopi, ko te pito puku o ngā paanga taha o te metronidazole. Kāore he mahi a ēnei ki te rongo tāhoroangi, nā te mea ka ahu mai i te rongoā i roto i tō arero, kaua i te punaha huakita o tō puku. He iti te kino, he iti te utu, no reira he mea tika te whakamatau. Kaua noa e tataria kia huri te reka.

Te raro: ko te rongo tāhoroangi te mea e tino kōrerohia ana o ngā paanga taha o te metronidazole, ā, ko te mea iti rawa te kino. Tataria i roto i te kotahi, e rua rānei o ngā horopeta, te kino rawa i te ra 2 ki te 3, ā, ka mutu i roto i te wiki o tō papa whakamutunga. Whakaotia te rongoā, whakamahia ngā kai me te ngutu hei āta whakaiti i te reka, ā, kia tere noa ki te mate koretahi, ngunguru rānei, me te reka e roa ake ana i te rongoā e rua wiki.

Whakakāore: Ko tēnei tuhinga mō ngā mōhiohio anake, kāore hoki e kiia hei tohutohu hauora. Me korero tonu ki tētahi kaiwhakarato hauora whai raihana mō ngā whakatau tātaritanga me te rongoā. Ki te wheako koe i tētahi ohorere hauora, karangahia te 911, haere rānei ki te rūma ohorere tata tonu.