Wapfa Kugura Metronidazole Idakeneye Agatabo k'Umuganga? (Oya, Ngibi Ibyo Wakora)

Niba uhanganye n'ibimenyetso bya kanseri ya bagiteri (BV) cyangwa indwara ikomeye yo mu gifu kandi wifuza kugura ikintu kuri CVS cyangwa Walgreens uyu munsi nimugoroba, turabyumva rwose. Kugera kwa muganga bifata igihe utaba ufite, kandi kubabara ni impamo. Icyakora, igisubizo gikomeye ni iki: metronidazole ntabwo iboneka ku isoko mu Bwongereza. Bisaba urupapuro rw'umuganga, kandi nta farumasi yemewe yo muri Amerika izayigurisha nta rupapuro rw'umuganga rwemewe.

Amahirwe ni uko kubona urupapuro rw'umuganga byihuta kandi bikagura make kuruta uko abantu benshi babyumva, kandi bitandukanye n'izindi ndwara zimwe na zimwe, nta gisubizo cy'isoko gikora neza kuri BV cyangwa indwara metronidazole ivura. Ubu buvuzi buragusobanurira impamvu bisaba urupapuro rw'umuganga, ibyo ushobora kugerageza kuri farumasi, n'uburyo wakibona kuri interineti mu gihe cy'isaha imwe.

Wapfa kugura metronidazole idakeneye agatabo k'umuganga?

Oya. Metronidazole (amazina y'ubucuruzi nka Flagyl, MetroGel, Nuvessa) ni antibiyotike isaba urupapuro rw'umuganga mu Bwongereza. Ntabwo wayigura kuri CVS, Walgreens, Walmart, Target, cyangwa farumasi iyo ari yo yose yo muri Amerika utagize urupapuro rw'umuganga rwemewe rutanzwe n'umukozi wemewe.

Ibi ni ukuri ku buryo bwose:

• Imiti ya metronidazole ikoreshwa mu kanwa (500mg) kuri BV.
• Igitonyanga cya metronidazole mu gitsina (MetroGel-Vaginal, Nuvessa).
• Ikiroro cya metronidazole ku ruhu (ku ruhu rwa rosacea).
• Metronidazole kuri trichomoniasis cyangwa indwara z'amenyo.

Urubuga rwose rwemera ko "metronidazole idakeneye agatabo k'umuganga" cyangwa "ntabwo bisaba urupapuro rw'umuganga" rwarimo rutarenze amategeko ya Amerika cyangwa rwarimo rugurisha ibicuruzwa byanditswe nabi. FDA yashyize metronidazole mu cyiciro cy'ibisaba urupapuro rw'umuganga kuko kwifashisha nabi bituma habaho kwirwanya kwa antibiyotike kandi ko urugero rukwiye rutewe n'indwara ibyo ivura.

Kuki metronidazole isaba urupapuro rw'umuganga?

FDA yashyizeho ko metronidazole idafunguye ku bantu bose kubera impamvu nyazo:

• Kwanga kwa antibiyotike. Metronidazole ni antibiyotike igamije bagiteri zidakenera ikirere na paraziti zimwe na zimwe. Gukoresha cyane mu buryo budasabye urupapuro r w'umuganga bizihutisha kwanga, bikayibuza gukora kuri bose.
• Kumenya indwara birakenewe. Ibimenyetso bya BV bisa n'iby'ibihumye (bititabira metronidazole), trichomoniasis, na STIs zimwe na zimwe. Gukoresha metronidazole ku ndwara y'ibinyoma bisobanura ko utoroherwa kandi ukagera ubuvuzi bwuzuye.
• Guhururana n'imiti. Metronidazole ihura cyane n'inzoga, ikatera isesemi ikaze, kuruka, n'ibirungurira. Ikindi kandi ihururana na warfarin, lithium, n'indi miti myinshi.
• Urugero rwahinduka. BV isaba 500mg kabiri ku munsi mu gihe cy'iminsi 7. Trichomoniasis isaba 2g inshuro imwe. Indwara z'amenyo zidasaba urugero ruse. Umuganga ni we ufata gahunda iboneye.

Ni ibihe bisubizo byo ku isoko bikora koko?

Hano niho metronidazole itandukanira n'ibindi nka triamcinolone. Nta bicuruzwa byo ku isoko bikora neza kuri kanseri ya bagiteri cyangwa izindi ndwara metronidazole ivura. Dore ibyo uzasanga kuri CVS cyangwa Walgreens n'ibyo zikora:

• Igitonyanga cya RepHresh, Femdophilus, amapoda ya borike. Ibi bishobora gufasha kugumana urugero rwa pH mu gitsina ku bagore bamwe, ariko ntibivura BV iriho. Ni ubufasha bwa mbere mu gihe byiza, ariko si umuti.

• Ibivura ibihumye (Monistat, Vagistat). Ibi bivura indwara z'ibihumye, atari kanseri ya bagiteri. Niba uzikoresheje kuri BV, ntuzoroherwa.
• Probiotiques. Hari ubushakashatsi buvuga ko probiotiques zifasha kwirinda BV igaruka, ariko ntizikiza indwara iriho.
• Ibinyobwa by'ibinyomoro. Bikorewe ku mikorere y'umuyoboro w'inkari, ntabwo bifasha kuri BV.
• Ibiyungura. Bifatwa nk'ikibi kuri BV kuko byangiza bagiteri nziza. Bikurenganire rwose.

Impamo: niba ufite BV iriho, ukeneye urupapuro rw'umuganga rwa metronidazole (cyangwa clindamycin, ikindi gikoreshwa). Nta bicuruzwa byo ku isoko bihwanye na byo.

Igihe ukeneye koko metronidazole

Tekereza kwemererwa kwandikirwa niba ufite kimwe muri ibi:

• Ibimenyetso bya kanseri ya bagiteri. Impumuro nk'ifi, ikiruhuko cyoroheje cyijimye/cyera, kwihagararaho gato mu gitsina.
• Trichomoniasis. Ibiruhuko byijimye/by'umuhondo, kwishimagura, kwotsa.
• BV igaruka. Ibyabaye inshuro 3 kurusha umwaka.
• Indwara z'amenyo cyangwa kubyimba (dokitiri w'amenyo ni we usanzwe yandika).
• Indwara zimwe na zimwe zo mu gifu (H. pylori, C. difficile).
• Ibimenyetso bya rosacea bikomeye (metronidazole yisiga ku ruhu).

Uko wabona urupapuro rwa metronidazole kuri interineti

Kubona urupapuro rw'umuganga rwa metronidazole binyuze muri telehealth byihuta cyane kuri BV cyane:

• Intambwe ya 1: Kwinjiza ibimenyetso. Vuga ibimenyetso byawe, ryari zatangiye, n'ibyo wakoze cyangwa ibyakurya mu gihe cyo hafi. Bisanzwe bifata iminota 2-5.
• Intambwe ya 2: Guhamagara videwo cyangwa bitari video. Umuganga wemewe asuzuma ikibazo cyawe, akenshi mu gihe cy'iminota mike.
• Intambwe ya 3: Kwemeza indwara n'gahunda y'ubuvuzi. Umukoresha yemezako BV (cyangwa akohereza ahandi niba ibimenyetso bivuga ikindi) kandi akemeza ubuvuzi bukwiriye.
• Kwandikirwa kuri email. Metronidazole yo mu kanwa (500mg kabiri ku munsi x iminsi 7) cyangwa mu gitonyanga cyo mu gitsina bigana kuri farumasi yawe kugira ngo bifatwe uwo munsi, bisanzwe bifata amasaha 1-4.

Igiciro cyose: Guhamagara kwa telehealth (19$-75$) + metronidazole rusange (10$-15$) = 30$-90$ byose ku bantu bakoresha amafaranga.

Metronidazole rusange ni ihendutse ahantu hose. Inshuro 500mg yo mu kanwa itwara 10$-15$ kuri Walmart cyangwa Costco hamwe na GoodRx coupon. Kwishura kwa wizana n'ibyo gutanga byihinduranya. Kugira ngo ubone ugereranyo rwa buri kimwe cy'ubuvuzi bwa BV kuri interineti, reba Ubuvuzi Bwa BV Burihendutse kuri Interineti.

Igihe ugomba kubona umuganga mu buryo bwa kanzu

Ibyaha bimwe bisaba gusuzumwa mu buryo bwa kanzu:

• Waramugaye. BV mugihe utwite isaba kwitabwaho na OB-GYN.
• Ufite ibicurane cyangwa ububabare mu nda. Birashobora kugaragaza PID cyangwa indwara ikomeye.
• Ibimenyetso ntibyoroha nyuma yo kurangiza urugero rwuzuye rwa metronidazole.
• BV igaruka (inshuro 4+ ku mwaka) isaba gusuzumwa impamvu zihishe.
• Ntabwo wizeye indwara yawe. Indwara zimwe zisaba gusuzumwa mu buryo bwa kanzu.

Kugira urupapuro rwa metronidazole binyuze muri August AI

Abagore benshi bafite ibimenyetso bya BV byagenze neza, August AI itanga inzira yihuta cyane yo kubona ubufasha bwanditse:

• AI Symptom Checker guhitamo mu gihe cy'iminota 2.
• Kwisuzumisha na muganga wemewe binyuze mu guhamagara videwo bigaragara.
• Kwandikirwa kuri email ya metronidazole ifite gufata ku isaha yo ku farumasi.
• Kwishyura amafaranga ari hagati ya 39$. Nta binyamuryango, nta insurance bisabwa.
• Inama ikomeye. Niba ibimenyetso byawe bivuga ikindi kintu utari BV, umukoresha azakubwira ukuri.

Kugira ngo ubone ugereranyo rwose rw'ibiciro by'ubuvuzi bwa BV kuri interineti mu turere twinshi, reba Ubuvuzi Bwa BV Burihendutse kuri Interineti.

Ibivugwa kenshi

Kuki ntashobora kugura metronidazole idakeneye agatabo k'umuganga?

FDA yashyizeho ko metronidazole isaba urupapuro rw'umuganga kuko ibimenyetso bya BV bisa n'ibindi birimo (ibihumye, trichomoniasis, STIs) bisaba ubuvuzi butandukanye. Kwifashisha nabi kandi bitera kwanga kwa antibiyotike. Kwisuzumisha kwa muganga birizera ko uzabona imiti n'urugero rukwiye.

Ni ikihe gisubizo cyo ku isoko cyegereye metronidazole?

Mu by'ukuri, nta kimwe gisa na metronidazole kuri BV. Ibikoreshwa ku bintu byitwa "uburyo bwo mu gitsina" (RepHresh, Femdophilus, amapoda ya borike) bishobora gufasha kwirinda cyangwa ubufasha bwa mbere ariko ntibivura BV iriho. Niba ufite ibimenyetso biriho, urupapuro rw'umuganga rwa metronidazole cyangwa clindamycin ni ubwo buvuzi bukomeye.

Nshobora kubona metronidazole kuri interineti ku wa mbere?

Yego. Abakoresha telehealth bemewe bashobora gusuzuma ibimenyetso byawe binyuze kuri videwo kandi bakohereza kuri email metronidazole (yo mu kanwa cyangwa yo mu gitsina) kugira ngo ifatwe ku isaha yo ku farumasi. Igiciro rusange cyose gikunze kuba 30$-90$ harimo kwisuzumisha n'imiti rusange.

Metronidazole itwara igihe kingana iki kugira ngo ikore kuri BV?

Ibimenyetso bisanzwe byoroha mu gihe cy'iminsi 2-3 utangiye gukoresha metronidazole yo mu kanwa. Sozamo buri gihe iminsi 7 yose nubwo wamera neza mbere. Kurangiza mbere ni cyo gituma BV igaruka.

Metronidazole irakingeye mu gihe utwite?

Metronidazole ikoreshwa rwose mu gihe utwite, akenshi nyuma y'amezi atatu ya mbere igihe bibaye ngombwa ku buryo bw'ubuvuzi. Abagore batwite bafite BV bagomba kubona OB-GYN aho gukoresha telehealth, kuko gutwita bihindura uburyo bwo kuvura.

Kuki ntakoresha inzoga na metronidazole?

Metronidazole ihagarika imikorere y'inzoga, ikatera isesemi ikaze, kuruka, ibirungurira, n'ububabare bwo mu mutwe iyo bihuje. Irinde inzoga mugihe cyo kwivuza no nibura iminsi 3 nyuma yo kurangiza urugendo.