Abarwayi benshi babona ko impumuro nk’ifi n’ibimenyetso byo kubyara bidagabanuka hashize amasaha 48 kugeza 72 nyuma yo gutangira Flagyl (metronidazole), ibimenyetso bikaba bikunze gushira ku munsi wa 5 kugeza ku wa 7. Ibimenyetso byerekana ko Flagyl iragenze ku BV bigenda gahoro, ntabwo bibaho mu ijoro rimwe. Niba nta kintu gihindutse ku munsi wa 3, hamagara muganga wawe.

TL;DR: Ibintu Bigenze

  • Uru rubuto rwakomeye mu mubiri wawe mu masaha agera ku mwe kugeza ku abiri, ariko ibimenyetso byo kworoherwa bifata iminsi kuko ibyo ikora ku bagiteri byiyongera ku minsi.
  • Impumuro ihinduka mbere, ibimenyetso byo kubyara n’imikino bizakurikiraho, kandi kwishushyuhirwa cyangwa gutwika bizashira nyuma.
  • Kazamuka gato mu kubyara cyangwa kwirakara mu masaha 24 kugeza 48 ya mbere mubisanzwe ni ibyo byishimo, ntabwo ari ukunanirwa.
  • Igihe cyo kwishyuza ntabwo ari ku munsi wa kabiri. Mwishyure buri gihe niba wumva neza.
  • Nta mwanzuro ku munsi wa 3, cyangwa ibimenyetso byose bisigaye nyuma y’umuti wanyuma, bisobanura gutabaza aho gutegereza.

Ibimenyetso byerekana ko Flagyl iragenze ku BV biza mu bihe byihariye, ntabwo bibaho mu ijoro rimwe

Metronidazole igera ku rwego rw’ibintu by’ibikorwa mu mubiri mu masaha agera ku mwe kugeza ku abiri nyuma y’umuti wa mbere, ariko ibimenyetso byerekana ko Flagyl iragenze ku BV bizagaragara nyuma: impumuro nk’iyi y’ifi n’ibimenyetso byo kubyara bisanzwe bitangira kugabanuka hashize amasaha 48 kugeza 72, kandi ibimenyetso byinshi bikaba bikemuka ku munsi wa 5 kugeza ku wa 7. Nta kintu gihindutse ku munsi wa 3 w’iminsi 7 y’umuti ni impamvu yo gutabaza muganga wawe.

Iyo kirazira ifite impamvu nyayo. Metronidazole igenda muri bagiteri za anaerobic kandi ikaba ikoreshwa mubintu byihutirwa byangiza imirongo ya DNA, bityo kwangirika kw’ibintu bikiyongera ku minsi aho kwirundira rimwe. Ni nayo mpamvu igisubizo ku ngingo ya metronidazole igomba gufata ku BV gikoreshwa mu minsi aho kuba mu masaha: CDC igomba kwishyura ibi nibyo bafata mbere ari metronidazole y’umunwa 500 mg kabiri ku munsi iminsi irindwi. Kwiha ibyishimo ku munsi wa 2 ni ibisanzwe. Ntabwo ari iherezo.

Kuvuga nka vuba bifite akamaro kuruta niba warangije ku munsi wa nyuma

Ni kangahe metronidazole ifata ku BV ni, mubyukuri, ikizamini cyo kwishyura cya bibiri. Kwishyuza ibimenyetso bifata ku murongo ugereranyije, kandi aho uri ku munsi wa kabiri ntakintu kivuze ku ngingo y’aho uzaba ku munsi wa karindwi. Bityo ntukafate mbere inshuro ibintu bikomeye. MedlinePlus irabivuga neza ko gufata metronidazole mbere bifasha mu kuvura bidahagije cyane cyane ko impinduka z’abagiteri zikomeye.

Dore ibyo abantu benshi batazababwira: kurangiza neza ntibyemeza ko wavuwe burundu. Inyungu zo kwirinda mu gihe gito kubw’imirongo y’umunwa cyangwa y’ubugimbu irimo metronidazole zigenda ku 65% kugeza 90%, bityo abagera ku ijana ry’abantu bakomeje kwanga ibintu byose neza. Cleveland Clinic ivuga ko inshuro zo gusubira inyuma zigera ku 10% kugeza 15%, kandi kugeza ku 80% by’abantu bagira BV bazayigira buri gihe. Kwishyuza ibimenyetso ni ikimenyetso, ntabwo ari ibihamya. BV irashobora kuba ihari idafite ibimenyetso.

Impumuro ihinduka mbere, ibimenyetso byo kubyara n’ibyishushyuhirwa bifata igihe

Ni ryari ibimenyetso bya BV bizamera neza? Igisubizo gikoreshwa ni urutonde, ntabwo ari itariki. Impumuro isanzwe igabanuka mbere, impinduka mu kubyara n’imikino bizakurikiraho, kandi kwishushyuhirwa cyangwa gutwika bizashira nyuma. Mbere yo kuvura, BV isanzwe itera ibimenyetso bifite ibara ryera cyane, nk’iry’ifu ry’imvi cyangwa ry’icyatsi kibisi hamwe n’impumuro nk’iyi y’ifi ikaba yiyongera nyuma yo gutera akabariro. Ku masaha 48 kugeza 72, iyo mpumuro igomba kuba yoroheye. Ku minsi 4 kugeza 7, ibimenyetso bisanzwe bikomeye bigahinduka kuba nk’ibyo bidasanzwe cyangwa ibyera kandi bikagabanuka mu mwanya.

Kwishushyuhirwa n’ububabare ntibyari bisanzwe muri BV. Niba utari wabigeramo, ibyo ntakintu bivuga niba imiti irimo ikora cyangwa bidakora. Kandi kuko ibimenyetso bisanzwe bihinduka mu gihe cy’ukwezi kwawe, wigere mu mwanya wawe.

Kubyara byinshi mu gihe cy’iminsi ibiri ya mbere ntibivuze ko imiti idakora

Kubyara nyuma yo gutangira metronidazole ku BV bishobora kwiyongera mu gihe gito, kandi amasaha 24 kugeza 48 ya mbere akaba ari igihe cyo kwiyubaka. Kubyara bike cyane cyangwa kwirakara gato, hamwe n’impumuro irimo igabanuka, bishobora kuba imiti irimo ikora kuruta ko idakora.

Ibyo udashaka muri iki gihe ni ikibazo gishya. Kwiyongera k’ububyara, nk’imitsi y’umweru ikomeye hamwe n’ububabare bukomeye, bishobora kuba imiti y’umushishi itewe n’imiti, cyangwa ikibazo gitandukanye gikenera imiti itandukanye. Imitsi y’ubugimbu nayo irashobora gutera kwirakara ku giti cyayo. Mu buryo bumwe cyangwa ubundi, ibimenyetso bishya cyangwa byiyongereye by’ibintu bikenera kwitabwaho n’umuganga: impinduka mu ibara cyangwa imiterere y’ibimenyetso byo kubyara, impumuro nshya, kwishushyuhirwa mushya, gutwika, kwiyongera kw’ibyo kurenga cyangwa ububabare. Ntugategereze ibyo.

Imitsi y’ubugimbu irashobora kumva vuba kuruta imiti y’umunwa, ariko ntibivuze ko ari igisubizo cyihuse

Ni kangahe imitsi y’ubugimbu ya metronidazole ifata ku BV? Imitsi isanzwe ikoreshwa rimwe ku munsi iminsi itanu kandi ikora mu mbaraga mu bugimbu, bityo impumuro n’ibimenyetso byo kubyara bikaba bishobora kumera nk’ibiza vuba kuruta imiti y’umunwa imara iminsi irindwi. Kwiha vuba ntabwo bifasha. Impinduka zombi ziri mu rwego rumwe rwa 65% kugeza 90% yo kwirinda mu gihe gito.

Igihe cyo kwishyura ku munsi wa nyuma kibaho ku byombi. Abakoresha imitsi bakurikiranwa ku munsi wa 5, abakoresha imiti y’umunwa ku munsi wa 7. Kwirakara k’umubiri cyangwa imiti y’umushishi nyuma y’imiti irwanya bagiteri irashobora kwibeshya ko ari ikibazo. Clindamycin ni imiti isanzwe itangwa mu gihe metronidazole itashimishije, kandi icyo kemezo gikomeye gikomeye ni icy’umuganga.

Niba nta kintu gihindutse ku munsi wa 3, icyo ni igitanga makuru, ntabwo ari kwihangara

Flagyl itakora ku BV ibona ibintu bibiri bitandukanye: nta mwanzuro wose ku munsi wa 3 w’iminsi irindwi, cyangwa ibimenyetso byose bya BV bikiriho nyuma y’umuti wa nyuma. Niba ibimenyetso byo kubyara, impumuro, kwishushyuhirwa cyangwa gutwika bikomeje nyuma yo kurangiza imiti, umuyobozi ni ugutabaza umuganga watanze umuti aho kwemeza ko igihe cyongerewe kizakiza.

Imiti ntiyemera kubera impamvu ziboneka: gusubira inyuma, imiti yihutirwa cyangwa ifatanya, bagiteri zitakigenda, kwibagirwa imiti. Gusuzuma buri gihe niko bitandukanye. Gutegereza igihe kinini ntabwo bigira icyo bifasha. Ntukagarure imiti yasizwe cyangwa ntuzagure imiti ya mugenzi wawe.

Niba wararangije imiti kandi ibimenyetso bikiriho, August's $39 online urgent care visit ikwihuza n’umuganga ufite uruhushya rw’umunyamerika washobora gusuzuma imiti warangije kandi akemeza niba gusubira inyuma cyangwa kwipimisha ari ngombwa. Umuganga ni we ukora icyo kemezo. Gusura mu buryo bwa elegitoroniki ntibishobora kwipimisha imibonano mpuzabitsina cyangwa kwegeranya ibimenyetso byo mu bugimbu ku mugaragaro, bityo utegereze gusubizwa niba kwipimisha byari ngombwa.

Ibimenyetso bimwe na bimwe mu gihe cyo kuvura ntibiba BV na gato

Hamagara 911 cyangwa ugende mu bitaro byihutirwa ubu niba:

  • Ufite kwiyongera mu maso cyangwa mu muhogo, guhumeka bigorana, cyangwa uruhu rwinshi rw’umutuku cyangwa imihango.
  • Wagize ibibazo byo gupfa, gutwika, kugerwa mu gutwika, gufata imitsi cyangwa kubura ubwenge mu gihe cyo kuvura metronidazole.
  • Ufite ibicurane, ibishyuhe, cyangwa ububabare mu nda cyangwa hasi mu nda hamwe n’ibimenyetso byo kubyara, bishobora kuba indwara y’ububyimba bw’igitsina aho kuba BV isanzwe.
  • Ufite imitsi myinshi yo mu gitsina idafitanye isano n’igihe cy’ububyeyi.

Kora gahunda yo gusura mu cyumweru gitaha niba:

  • Ibimenyetso ntibihinduka ku munsi wa 3 w’iminsi irindwi.
  • Ibimenyetso byose bisigaye nyuma y’umuti wawe wa nyuma.
  • Ufite imitsi nshya y’ububyimbano hamwe n’ububabare.
  • Iki ni igihe cya gatatu ubonye BV mu mwaka.

Ganira n’umuganga mbere yo gutangira niba:

  • Urasa cyangwa uronsa.
  • Wari ufite ikibazo gikomeye na metronidazole cyangwa tinidazole.
  • Ufata imiti ikomeye na yo.

Ikibazo gikunze kwibazwa

Birashoboka kunywa inzoga mugihe ufata Flagyl ku BV?

Oya. MedlinePlus irakugira inama yo kwirinda inzoga mu gihe cyo kuvura kandi n’iminsi itatu nyuma y’umuti wa nyuma. Guhuza byombi bishobora gutera ikibazo cya disulfiram-like reaction: kwibanza, kubabara, kuruka, kubabara kandi ibigori. Ibyo bibazo birashobora kwibeshya ko indwara idakora, kandi mu byukuri ni inzoga, bityo bikaba bikwiriye gutegurwa mbere yo gutangira.

Flagyl irakomeye kwifashisha ku BV mu gihe cyo gusama?

Yego, metronidazole ikoreshwa mu gihe cyo gusama, ariko guhitamo imiti, inshuro n’inzira bifitwe na OB-GYN wawe aho kuba ikoreshwa ry’ibimenyetso bya sisitemu. BV idavuwe mu gihe cyo gusama ifite akaga k’agahinda k’igihe kirekire no kubyara ingingo nto, bityo ikaba igomba kwitabwaho n’umuganga wawe. Niba utari uzi niba wasamye, urebe ibimenyetso by’igihe kirekire cyo gusama mbere.

Umuterankunga wanjye akeneye kuvurwa ku BV na we?

Sio bisanzwe. Kuvura BV bisanzwe bikorewe ku muntu ufite ibimenyetso, kandi kuvura abafatanyabikorwa b’abagabo bisanzwe ntabwo ari byo bifuza mbere. Niba ufite umugore cyangwa BV ikomeza kugaruka nyuma yo kurangiza imiti neza, ganira n’umuganga wawe ku buryo bwihariye ku buryo bwihariye, kuko gusubira inyuma ari ibyo bihagije kwari byari bikwiriye kuganirwa aho kuba uguhitamo.

Nzakora iki niba nitwaritse imiti ya metronidazole?

Fata nk’uko wabishobora, keretse niba hafi y’igihe cyo gufata imiti ikurikira, mubo wibagiwe iyo wibagiwe kandi ukomeze udategereje. Ntuzagwe wiyongereye kugirango ugere ku mwanya. Imiti yibagiwe ni impamvu isanzwe ituma imiti idafite akamaro, bityo tuvuge ko wibagiwe iyo raporo uhagaritse ibimenyetso.

Nshaka kwipimisha kugirango mporere ko BV yarangiye?

Sio bisanzwe, niba buri kimenyetso cyakize ku munsi wawe wa nyuma. Kuko ibimenyetso byerekana ko Flagyl iragenze ku BV bitewe n’ibyo umuntu yumva, kwipimisha bizatangira kugenda niba impumuro cyangwa ibimenyetso byo kubyara bikomeje, niba ibimenyetso bigaruka mu cyumweru, cyangwa niba urasama. Baza umuganga niba kwipimisha cyangwa imiti itandukanye bikwiriye kuri wowe.

Ibyingenzi

Ibimenyetso byerekana ko Flagyl iragenze ku BV bikurikira umukino: imiti ikora mu gihe cy’isaha imwe cyangwa ebyiri, impumuro n’ibimenyetso byo kubyara bigabanuka nyuma y’amasaha 48 kugeza 72, ibimenyetso byinshi bikaba byarangiye ku munsi wa 5 kugeza ku wa 7. Nugere ku munsi wa nyuma, ntabwo ku munsi wa kabiri. Nta kintu gihindutse ku munsi wa 3, cyangwa ikintu cyose gisigaye ku iherezo, bisobanura gutabaza.

Inyandiko: Inyandiko iri ni impamvu y’amakuru gusa kandi ntabwo ari igishushanyo mbonera cy’ubuvuzi. Numva umuganga ufite uburenganzira bwo gusuzuma kandi uvuza ibibazo by’ubuvuzi. Niba uri mu kibazo gikomeye cy’ubuvuzi, hamagara 911 cyangwa ugende mu bitaro byegereye ubu.