Yego, tinidazole ku Bicurasiro bya Bakirisu irakora. CDC irayibara nk'inzira y'ibindi bikoreshwa, 2 g mu kanwa inshuro imwe ku munsi mu gihe cy'iminsi 2, cyangwa 1 g inshuro imwe ku munsi mu gihe cy'iminsi 5, mu gihe metronidazole yo mu kanwa isigaye ari iya mbere. Mu kwigereranya tinidazole na metronidazole ku Bicurasiro bya Bakirisu, itandukaniro nyakuri ni uburebure bw'igihe uzayikoresha, atari ubukomezi.

Kwirangira: Ibintu by'ingenzi byo kwibuka

  • Uburyo bwo kwifashisha buri mu gupima ni 2 g inshuro imwe ku munsi mu gihe cy'iminsi 2, cyangwa 1 g inshuro imwe ku munsi mu gihe cy'iminsi 5, byose bifashijwe n'ibiryo. Ni igitangaza cyandikiwe n'umuganga mu USA, kigurishwa nka Tindamax.
  • Tinidazole na metronidazole ni imiti yo mu muryango umwe. Gukomeza gutinda kwa tinidazole byongera igihe gito cyo kwakira, atari ubushobozi bwo gukira buhanitse.
  • Kwanga metronidazole nyakuri bizana tinidazole, kuko kwijyanye na byo birahari. Clindamycin ni igisubizo gisanzwe aho.
  • Nta nzoga mu gihe cyo kwivuza kandi iminsi 3 yose nyuma y'idoze rya nyuma, ugereranyije n'amasaha agera kuri 24 kuri metronidazole.
  • Irinde tinidazole mu gihe utwite, kandi ntabwo yemererwa mu mezi atatu ya mbere. Metronidazole ni ko kemeza gutwita.

Tinidazole ku Bicurasiro bya Bakirisu irafasha. CDC ntibayibara bwa mbere

Tinidazole ku Bicurasiro bya Bakirisu ni imiti ya antibiyotike ya nitroimidazole yandikiwe n'umuganga (izina rya Tindamax mu USA) ko 2021 CDC STI treatment guidelines iyibara nk'inzira y'ibindi bikoreshwa: 2 g mu kanwa inshuro imwe ku munsi mu gihe cy'iminsi 2, cyangwa 1 g mu kanwa inshuro imwe ku munsi mu gihe cy'iminsi 5. Ibikoreshwa by'ibanze bisigaye ni metronidazole mu kanwa 500 mg kabiri ku munsi mu gihe cy'iminsi 7, cyangwa metronidazole gel mu kubyimba ku gipimo cya 0.75% inshuro imwe ku munsi mu gihe cy'iminsi 5.

"Ikindi" ni uburyo bwo gutanga amabwiriza, kandi burakunze gusobanurwa nabi. Ntabwo bisobanura ko intege nke, kandi ntibisobanura ko ari igikoreshwa cy'iherezo. Bisobanura ko ibihamya bifatika bifitanye isano nabyo ari bike ugereranyije na metronidazole, bityo bikaba biboneka mu mwanya wa kabiri. Mu ndimi zasanzwe, igikoreshwa cya kabiri cya BV ni uruhushya rw'umwe ruvugwa rw'urugero rukemewe rutari rwo rwa mbere. Farumasi yawe ntizabifite nta ruhushya rw'umuganga, kandi abantu benshi bashinzwe ubwishingizi batangaho ko metronidazole yaba yarageragejwe cyangwa yangiwe mbere.

Tinidazole ntabwo ikomeye kuruta metronidazole. Iraguma mu mubiri wawe igihe kirekire

Mu kwigereranya tinidazole na metronidazole ku Bicurasiro bya Bakirisu, abantu biteze kwizerwa, kandi kwizerwa ni urugero rwa kure. Bombi ni nitroimidazoles: umuryango umwe, uburyo bumwe, akazi kamwe ko guhagarika bakteriya ya anaerobic. Tinidazole ntabwo ari ubundi bwoko bufite ububiko bw'ibyo byifashishwa byinshi.

Ibyo bitandukanye neza ni ukuntu igihe buri dore rimara mu mubiri. Igice cyo gutinda kwa tinidazole kiragenda amasaha 12 kugeza 14 ugereranyije na metronidazole amasaha agera kuri 8, kandi iyo nimero imwe ni yo ituma igaburirwa rimwe ku munsi mu gihe cy'iminsi ibiri cyangwa itanu ishobora gusimburana metronidazole kabiri ku munsi, iminsi 7.

Hano hari ibyo abantu benshi batazababwira: nta bushakashatsi bwakorewe bwigaragara bwagereranyije ibi dore byombi ku bipimo byabo byagenwe kuri BV, bityo tinidazole ihitamo igaburirwa ryoroheje, atari ko ibisubizo byo gukira byiyongereyeho. BV igaruka nyuma ya metronidazole ntibisanzwe ko "yagize ubwigenge" ahubwo. Kugaruka bisanzwe muri BV ku mpamvu zishingiye cyane ku mikorere ya vage kuruta kuri antibiyotike. Kwimurura ni impinduka mu buryo bwo kugaburirwa no mu bipimo by'inyongeramusaruro, atari ko byongera imbaraga.

Kwanga metronidazole nyakuri ni impamvu imwe tinidazole idashobora gukemura

Shakisha kugirango ubihindure BV umuvuzi wa metronidazole maze tinidazole bikaba ari izina rya mbere rigaragara, kandi ko ari inyuma cyane. Urugero rwa FDA ruvuga ko tinidazole ihagaritswe kubantu bose bafite ubwoba bwo kwanga ibindi byose bya nitroimidazole, harimo metronidazole. Kwijyanye na bo mu muryango ni cyo cyatumye impuruza ihari.

Bityo, itandukaniro ry'ingenzi ni kwanga cyangwa kutihanganira. Guhurura, kurya mu maso cyangwa mu muhogo, no kugorwa no guhumeka ni ibyo kwanga, kandi gusama n'impumuro ya metallic ni uguhangana, bibabaza ariko ntibyoroheje mu mikorere, kandi ntibihagarika inzira ya tinidazole.

Impamvu zifite agaciro kuri tinidazole:

  • Ibyo binyunze ku ruhande bya metronidazole byari bibi cyane kugirango bikureho inzira, ariko bitarageza ku kwanga kw'umubiri
  • Gukorera ibinyunze cumi na bine mu minsi irindwi biragoye, haba kubera akazi, ingendo, cyangwa kwibagirwa gusa
  • Gushaka kworoheje gusobanura igihe gito cyo mu kanwa
  • BV isubiramo aho dore ya nitroimidazole yongera gutangwa kandi ubumenyi ni uruzitiro rwo hasi

Igipimo cy'ubwubatsi ni urugero rw'urubanza rwose rwihariye. Niba ibyatsi by'inyongeramusaruro ari ikibazo, metronidazole gel mu mwanya wa tablet ikunze kuyikemura neza kuruta guhindura dore yo mu kanwa.

Niba waramaze kugira ikibazo kuri metronidazole kandi ushaka gahunda muri iki cyumweru, urugendo rw'ibihumbi 39 rw'ubuvuzi bwihutirwa kuri murandasi rwakubona hamwe n'umuganga ufite uruhushya muri Leta Zunze Ubumwe za Amerika wagenzura amateka yawe kandi akemeza niba guhabwa uruhushya ari ngombwa. Urubanza rwa videwo ntirushobora gukora igenzura ry'umubiri cyangwa gukusanya uruvange rwa vage, bityo ikibazo cy'umunsi wa mbere cyangwa ikintu kitamenyekanye gikomeza kwitabwaho.

Ibyo bikoreshwa bibiri, kandi igihe gito nticyoroshye

Igipimo cya Tinidazole BV kiboneka mu buryo bubiri: 2 g mu kanwa inshuro imwe ku munsi mu gihe cy'iminsi 2, cyangwa 1 g mu kanwa inshuro imwe ku munsi mu gihe cy'iminsi 5, byose bifashijwe n'ibiryo. Kwakira byose ni 4 g ugereranyije na 5 g, ni itandukaniro mu gukoresha, atari mu bukomezi.

Abantu benshi bagira impamvu ko igihe cy'iminsi ibiri ari cyo cyiza. Kenshi cyane ntabwo ari ko bimeze. Kugirira isesemi bikunze kugaragara ku bipimo byo kuri 2 g kuruta ku bipimo byo kuri 1 g, kuko wamaze kwinjiza kabiri dore icyarimwe. Niba ufite impamvu zo kuruka, cyangwa udashobora kwihanganira kwanga akazi mu gihe cy'umunsi, ubwoko bw'iminsi itanu ni ubwo guhitamo nubwo buramba kurushaho.

Niba warutse bidatinze nyuma yo kwakira idose, hamagara uwaguteye uruhushya mbere yo kuyisubiramo. Ntugafate icyemezo ubwawe cyo gufata ikindi, cyane cyane ku gipimo cy'iminsi ibiri aho buri idose ari igice cy'urugendo rwose. Kurengerwa bikomeye kw'impyiko cyangwa igitugu gishobora kandi guhindura uburyo tinidazole BV igipimo gikoreshwa, bityo uhagarike ibyo bisobanuro mbere y'uko uruhushya rutangwa kuruta nyuma.

Inzoga ziguma hanze mu gihe cy'iminsi itatu nyuma y'idoze rya nyuma

Tinidazole n'inzoga bigomba gutandukana igihe kirekire kuruta uko metronidazole isaba: mu gihe cyose cyo kwivuza kandi iminsi 3 (amasaha 72) nyuma y'idoze rya nyuma, ugereranyije n'amasaha agera kuri 24 hamwe na metronidazole. Kubihuza bishobora gutera ikibazo cya disulfiram-like: umubabaro mu nda, isesemi, kuruka, kwirabura, n'umutwe.

Iki kibuza ntikigarukira ku byo kunywa. Ibikoresho birimo ethanol cyangwa propylene glycol nabyo bifatwa, kandi birimo ibikoresho bimwe by'ibinyobwa by'inshinge n'ibicurane. Disulfiram ubwayo ntigomba gufatwa mu gihe cy'ibyumweru bibiri nyuma ya tinidazole.

Kora imibare mbere yo gutangira. Ku gipimo cy'iminsi ibiri, igihe cyose cy'ikidodo kiramara hafi iminsi itanu, bityo urugendo rutangiye ku wa kane rugasohoka mu mpera z'icyumweru.

Ibyiza by'inyongeramusaruro ni impamvu abantu bashimira tinidazole, kandi kuki bamwe bashimira gusubira inyuma

Ibyiza by'inyongeramusaruro bya Tinidazole BV bisa nk'ibisanzwe ku wese wagiye afata metronidazole: impumuro y'icyuma cyangwa y'ububobwa, isesemi, ikibazo rusange cy'igifu, umutwe, n'intege nke. Kwakira buri idose n'ibiryo ni igice cy'ubwoko bwa label, ntabwo ari inama ya option, kandi bifata igice cy'ibibazo by'igifu.

Abantu benshi babona ko tinidazole ihanganirwa neza, kandi ni iby'ingirakamaro kwizera. Ntibisobanura ko bifitanye agaciro. Impumuro y'icyuma cyane cyane ni ubwoko bwo kwakira, bityo ikibazo cyakujyanye na metronidazole kirashobora kukuba hafi.

Ibihagarara bibiri bikomeye. Tinidazole iragomba kuboneka kubantu barwaye indwara ya Cockayne syndrome, aho nitroimidazoles zirimo metronidazole zagize ingaruka zikomeye kandi rimwe na rimwe z'ubuhumyi. kandi uhagarike dore kandi usabe ubufasha kubijyanye n'ibitugu cyangwa ibishinga mu ntoki, cyangwa kubijyanye n'uruhu rwa zahabu, inkari z'umwijima, cyangwa ububabare bukomeye mu gifu.

Niba utwite, iyi ni inzira imwe aho metronidazole itsinda byimazeyo

Tinidazole igomba kwirindwa igihe utwite kandi ihagaritswe mu mezi atatu ya mbere kuko ikurura umwana utwite. Ubushakashatsi bwa CDC muri 2021 burababaza cyane: impamvu z'inyamaswa zerekana akaga gakomeye, kandi ntigomba gukoreshwa. Metronidazole isigaye ari inzira yemejwe mu gihe cyose utwite, ni yo mpamvu mu gihe utwite kwimurura bikunze kugaruka impande z'inyuma.

Uracyabona impapuro za kera zivuga tinidazole "Igice cy'Ubwoko bwo Gutwita C." Koresha ko ari ijambo ryahinduwe kuruta ko ari urwego rushya rw'umutekano. FDA yashyize ku ruhande sisitemu y'amabaruwa A/B/C/D/X mu 2015 kandi iyisimbura n'amagambo asobanura impamvu nyayo, ari nayo mpamvu ihagaritswe hejuru igaragara ubu.

Impamvu eshatu zikwiriye kubaza umuganga wawe: niba BV yawe ifite ibimenyetso kandi ikeneye kwivuza ubu, ni uruhe rugo rushimwa mu gihe cy'imyaka yawe, kandi ni iki wakora niba warahawe uruhushya rwa tinidazole mbere y'uko abantu bamenya ko utwite.

Bimwe mu bimenyetso bivuga ko atari BV isanzwe

Hamagara 911 cyangwa ujye mu cyumba cy'ibitaro byihutirwa ubu niba:

  • Uruhu rwawe cyangwa uruhogo by'amazi, ugorwa no guhumeka, cyangwa ururabyo rw'umubiri cyangwa imihana ihuru ikagaragara nyuma yo kwakira idose
  • Uruhu rwawe cyangwa amaso bihinduka byijimye, cyangwa ufite ububabare bukomeye mu gifu
  • Ufite ibicurane bifite ububabare mu gitsina cyangwa mu nda hasi, bushobora kugaragaza indwara ya PID kuruta BV
  • Ufite amaraso menshi mu gitsina

Koresha urugendo mu cyumweru gitaha niba:

  • Ibimenyetso byawe ntibihinduka cyangwa byiyongereye nyuma y'icyumweru kirenga nyuma yo kurangiza urugendo rwose. Ni urugero, atari impamvu yo kwibaza ko bitwara igihe kinini
  • BV yongeye kugaruka inshuro eshatu cyangwa zirenze mu mwaka ushize
  • Gusohora cyangwa impumuro bigaruka mu gihe cy'ukwezi kumwe nyuma yo kurangiza kwivuza

Ganira n'umuganga mbere yo gutangira niba:

  • Utwite, ushobora kuba utwite, cyangwa usama amashereka
  • Warigeze kugira ikibazo kuri metronidazole mu buryo ubwo ari bwo bwose
  • Ufite indwara ya Cockayne syndrome cyangwa indwara y'umwijima
  • Wafashe disulfiram mu gihe cy'ibyumweru bibiri bishize
  • Nta buryo bwo kwirinda inzoga mu gihe cyose cyagenwe

Ibibazo bisanzwe bibazwa

Nshobora gufata tinidazole nshama amashereka?

Musaba. Tinidazole yinjira mu mashereka ku gipimo cy'icyo mu maraso, kandi urugero rwa FDA ruvuga ko ugomba kwirinda amashereka mu gihe cyo kwivuza kandi iminsi 3 nyuma y'idoze rya nyuma. Bivuze ko amasaha 5 yo kuvamo amashereka ku gipimo cy'iminsi ibiri. Gukoresha ingofero no kurohama bibungabunga igikoresho. Vugana n'umuganga wawe niba igipimo gitandukanye gikwiriye gahunda yawe yo gufumbira.

Nzagikora iki niba numvise idose ya tinidazole?

Bitewe n'igipimo uriho. Uburyo busanzwe ni ugukoresha idose yaburiwe igihe umuntu akibuka, kuyisiga niba igikurikira igereye hafi, kandi ntukigere ufata kabiri kugirango wiyandike. Ku rugendo rw'iminsi ibiri, ariko, idose imwe yaburiwe ni igice cy'ubuvuzi bwawe, bityo hamagara uwaguhaye uruhushya aho kwigira. Ibi bitandukanye no kuruka idose, kuko buri gihe bisaba ko uhamagara.

Bite biramara igihe kingana iki kugirango tinidazole ikuremo ibimenyetso bya BV?

Musaba mu gihe gito cy'iminsi nyuma yo kurangiza. Uburebure bw'urugendo n'igihe cy'ibimenyetso ntabwo ari kimwe: urusyo n'impumuro bisanzwe bigenda mu minsi nyuma y'idoze rya nyuma ahubwo ntibigishyigikiye, kandi bimwe bikunda kwerekana ibice byo hagati. Nta kizamini gisanzwe cyo gukira kuri BV. Niba nta cyahindutse icyumweru kimwe nyuma y'idoze rya nyuma, ni igihe cyawe cyo gusubira inyuma.

Tinidazole ishobora gukoreshwa niba BV ikomeza kugaruka?

Yego. Uburyo bumwe bwo mu gukoresha ubwoko bwa BV bukoresha metronidazole cyangwa tinidazole 500 mg kabiri ku munsi mu gihe cy'iminsi 7, bikurikirwa na boric acid yo mu gitsina, hanyuma metronidazole gel igabanywa. Fungura urugero: tinidazole ya BV hano irasimbuzwa metronidazole mu ntangiriro, atari dore ibindi byo gukiza bikenewe kubera ko ya mbere yananiwe.

Tinidazole irahenze kuruta metronidazole?

Rimwe na rimwe. Tinidazole rusange irahari, ariko metronidazole rusange ni yo ya cyera, ihendutse, kandi ifite agaciro gakomeye kuri formulary nyinshi, bityo tinidazole ishobora kubanza kwishyura cyane kuruta ibyo utishyura kandi ishobora kwaka uburenganzira mbere. Ikiguzi cy'ibigo bikoresha ibyo gucuruza gifasha. Vugana n'uwaguhaye uruhushya kubika impamvu y'ubugome cyangwa ubumenyi mu gitabo cyawe, kuko nibyo abakoresha bashakisha. Birakwiriye guhuzwa na ibiciro bisanzwe by'uruhushya rwa metronidazole.

Icyo wabwirwa: tinidazole ku Bicurasiro bya Bakirisu ni inzira yemejwe mu gukoresha iyigabanyirizwa ikoreshwa mu gihe cy'iminsi irindwi kugeza ku minsi ibiri cyangwa itanu rimwe ku munsi, kandi nibyo koko ni byo birushaho kukugurira. Mu kwigereranya tinidazole na metronidazole ku Bicurasiro bya Bakirisu, nta bimenyetso bigaragara byo kwiyongera kw'ibisubizo, bityo kwimurura bifite ishingiro kubw'ubugome bwo mu gifu, ubumenyi, n'igaburirwa, atari ko indwara yakoresheje dore ya mbere. Impinduka ebyiri zemeza ibindi: metronidazole ni yo mahitamo aziye mu gihe utwite, kandi tinidazole isaba urugendo rwo hanze rwa 72h nyuma y'idoze rya nyuma. Kwanga metronidazole bigaragaza clindamycin ahubwo.

Kuvuga: Ingingo iri ni iy'amakuru gusa kandi ntibisobanura kugira inama ya muganga. Komeza gufata inama ya muganga ufite ubuhanga kugirango ugure ibisubizo n'ibyemezo by'ubuvuzi. Niba ufite ikibazo gikomeye cy'ubuzima, hamagara 911 cyangwa ujye mu bitaro byihutirwa byegereye ubu ako kanya.