Umufashanyigisho umwe wuzuye (5 g) wa metronidazole gel mu gitsina, uyishira mu gitsina nijoro mu gihe uryamye ku mugongo, niwo buryo bwose. Ibihinduka ni gahunda: hari gahunda eshatu zemejwe (0.75% rimwe ku munsi mu gihe cy'iminsi itanu, 0.75% kabiri ku munsi mu gihe cy'iminsi itanu, na dose imwe ya 1.3%), bityo ujye uhuza n'ikibaho cya farumasi yawe mbere yo gufata idose ya mbere.

Mubumye: Ibintu by'ingenzi ugomba kwibuka

  • Umufashanyigisho umwe wuzuye ni 5 g. Uyishire mu gihe uryamye, cyane cyane nijoro.
  • Hari gahunda eshatu zifite amazina asa. Soma iy'iwacu ahubwo ntuzibeshye.
  • Nta buryo bwa nyuma bwo gukoresha gel utayifashijwemo. Hamagara farumasi kugira ngo baguhindurire mu munsi nyine.
  • Ushobora kunyara ako kanya nyuma, kandi gutakaza gel mu gitondo gikurikira ni ibisanzwe.
  • Ntabyo koresha tampon cyangwa imibonano mpuzabitsina mugihe cyose wari uri mu iryoshya, ariko CDC ntabwo ikigusaba kwirinda inzoga.

Uburyo bukoresha intambwe eshanu — kandi ikosa abantu benshi bakora ni ugukoresha mu gihe cyo kuryama

Dore uko wakoresha metronidazole gel mu gitsina kuva ku ntangiriro kugeza ku mpera. Suku amaboko. Shira umufashanyigisho ku ihuru ryuguruye kandi usirite kuva hasi kugira ngo umufashanyigisho wuzure, ni dose imwe ya 5 g. Kura umufashanyigisho. Ryamama ku mugongo n'amaguru ahagaze, shyiramo umufashanyigisho kure uko wumva ari sawa mu gitsina, kandi usirite ikintu cyose. Ku kurura buhoro buhoro kandi ugumye kuryama mu gihe cy'iminota mike.

Igihe ni ingirakamaro kuruta uko abantu benshi babyiteze. Ingaruka ziraguhakaniye iyo uri hejuru, bityo idose ishizwemo mbere yo guhaguruka no gutangira umunsi wawe ikagenda vuba kandi igasigara ku nkuta z'igitsina igihe gito. Igihe cyo kuryama gikemura ibibazo byombi icyarimwe, ni nayo mpamvu igice cya 1.3% gikoreshwa cyanditswe cyane cyane kugirango gishyirwe mu gihe cyo kuryama. Ku mugore ukoresha buri munsi mu minsi itanu, kora kimwe ku bushake.

Ibinyuzwamo bibiri by'ingenzi ibisohoka byanditse bibura. Shira gusa kure uko wumva ari sawa kandi ntuzigere ushyiramo umufashanyigisho ku ngufu, kuko ubujyakuzimu ari cyo gitera idose gukora. Witege ko umufashanyigisho uzagaragara uba wansizeho igihe uba ufite gel, bityo uhagarike ku mugongo aho kuba ku gitsimo mugihe ubishyira. Kandi ntukagire tampon ukoresha nyuma yo gufata gel mu mwanya wayo; tampon iminza imiti waguze.

Nta buryo bwa nyuma bwo gukoresha gel utayifashijwemo

Abantu bashaka uburyo bwo gukoresha metronidazole gel badashyize mu gitsina isaha y'ikumi n'imwe z'ijoro, ihuru mu ntoki, agasanduku karasohotse. Isubizo ry'ukuri ni ukuri kubyerekeye ibisobanuro kuruta uko kugucira urubanza: nta buryo bwemewe na FDA, haba igice cya 1.3% cyangwa igice cya 0.75% cy'iminsi itanu, ntibivuga uburyo bwo gutanga gel budakoresheje igikoresho cyayo. Umufashanyigisho ntabwo ari impago. Ni igipimo.

Ni rwo rushami rushobora kwitwararika mu buryo bw'ubuvuzi. Idose yanditse nka "umufashanyigisho wuzuye (5 g)", atari uburebure cyangwa ikintu gitose. Intoki, ikiyiko, cyangwa umufashanyigisho wa tampon utijyanye ntibishobora gupima 5 g, bityo kugerageza ntibiguha idose ntoya. Ibi bikugira idose utazi.

Hamagara farumasi yatanzwe mu munsi nyine kandi usabe ko baguhindurira umufashanyigisho. Hari igihe ihuru risanzwe ribura umufashanyigisho, kandi abafashanyigisho baramenetse, barasenyutse, cyangwa barabuze hagati mu gihe cy'ubuvuzi, bityo iki ni ikusanya risanzwe kuruta ibisaba gusaba gusubiramo.

Niba warakoresheje intoki nziza rimwe, ntuzongere kwongera gusubiramo. Hamagara umuganga w'ibitaro, hanyuma uzagane gahunda yanditswe ukoresheje umufashanyigisho ukwiye.

Gahunda yawe iterwa n'ihuru wagabiwe, atari uko ibimenyetso biri kugenda bikomeye

Gahunda yawe ya metronidazole gel yagenwe n'imbaraga zanditse ku ihuru, kandi ibice bitatu bikwiye biri mu ikoreshwa.

Soma imbaraga n'ubunini ku kibaho cyawe cy'ibitaro mbere yo gufata idose ya mbere. Niba kibaho n'agasanduku bidasa, hamagara ibitaro ahubwo ntuzajye mu hagati. Kandi uzagere ku mugoroba wose, na naho impumuro n'ibyo uburwayi bikira ku munsi wa kabiri, ibyo akenshi bibaho.

Suku umufashanyigisho hagati y'idose — keretse niba uwaguha yari igenewe kwirukanywa

Niba umufashanyigisho wawe wa metronidazole gel ushobora kongera gukoreshwa biterwa n'ibyo ufite. Gahunda ya 0.75% yo gukoresha kabiri ku munsi ikoresha umufashanyigisho ushobora kongera gukoreshwa ukarabwa kandi ugakorwa hagati y'idose y'umugoroba n'igikoresho. Kura igitsimo mu ihuru, karabwa impande zombi mu mazi ashyushye afite isabune, kwoza neza, ugukanamisha, kandi ugakorwa.

Ibinyuzwamo bya 1.3% ni ukubihindura: umufashanyigisho wayo uba wuzuye, ugakoreshwa rimwe, kandi ugasohoka mu gikoresho. Ntabwo ushobora gusubiramo kuva ku ihuru rindi. Ntabwo ushobora kugabana umufashanyigisho n'undi muntu, kandi ugategura ihuru hagati y'idose.

Kunyunyuta nyuma ntibizasiga idose — kandi gutakaza gel ntibivuze ko idose yashobowe

Yego, ushobora kunyara nyuma yo gushyiramo metronidazole gel, ako kanya niba ubyikeneye. Ururengerwa ruturuka ku rubavu rwa mubi, uruhererekane ku gikoresho imbere y'urwugi, bityo ntibica mu rubavu kandi ntishobora gusohora gel muri yo.

Dore ibyo abantu benshi bashobora kutakubwirira: inama yo gutegereza iminota 30 kugeza 60 mbere yo kunyara ivuye ku bikoresho by'ubucuruzi, atari ku bisobanuro bya FDA, ntibyagenze igihe cyo gutegereza.

Witege ko gel izajya isohoka nijoro cyangwa mu gitondo. Ni uko ibikoresho bikora ibyo gel ikora, atari ko imiti yananiwe, kandi ntabwo ari impamvu yo gusubiramo idose. Wambare ikinini cy'ikositimu ahubwo ntukore tampon. Kuguma hasi mu gihe cy'iminota mike nyuma yo gushyiramo no gukoresha nijoro aho gahunda yawe yemerera bizagabanya imyanda. Iri ryo ni kimwe no gukoresha gel mugihe uri mu gihe cyo kwishushyanya, kutagomba guhagarika ubuvuzi.

Irinde tampon n'imibonano mpuzabitsina mugihe cy'ubuvuzi — ariko gahunda y'inzoga iroroshye kuruta uko wabwirijwe

Ibyo ugomba kwirinda mugihe ukoresha metronidazole gel ni urutonde rugufi, kandi kimwe mubyo kirahindutse. MedlinePlus irakugira inama yo kwirinda imibonano mpuzabitsina hamwe n'ibindi bidukikije mu gitsina, harimo tampon na douches, igihe cyose cy'ubuvuzi. Kugabanya gel mu maso, mu kanwa, no ku ruhu; niba yinjira mu maso, kwoza amazi akonje kandi ukoreshe umuganga. CDC kimwe ibagusaba kwirinda imibonano mpuzabitsina cyangwa gukoresha condom buri gihe kandi neza mu gihe cyose cy'ubuvuzi, ibi byiza gusoma mbere yo gufata icyemezo niba ufite imibonano mpuzabitsina mugihe ukoresha metronidazole gel.

Noneho ikibazo cy'inzoga. Amabwiriza ya 2021 ya CDC avuga ko kwirinda inzoga mugihe ukoresha metronidazole cyangwa tinidazole bitari ngombwa, kuko ibimenyetso byo kugira reaction nkiya disulfiram bidahagije. Ibi birahabanye n'imyaka myinshi y'ububiko bwa farumasi, kandi ni nayo mpamvu ikimenyetso cy'inzoga ku ivuza ryawe rya metronidazole gikwiriye kurebwa cyane kuruta uko bisanzwe. Gel mu gitsina itanga imiti mike cyane mu mubiri kuva kera.

Igihe gel itari igisubizo: ibimenyetso bikenera umuganga, atari idose yindi

Hamagara 911 cyangwa jya mu cyumba cy'ibitaro bwangu niba:

  • Wagize ibintu by'ubushye, kwishima kw'umubiri cyangwa ijosi, cyangwa ingorane zo guhumeka nyuma yo gushyiramo gel.
  • Ufite ububabare bukomeye mu nda cyangwa hasi hamwe n'ibicurane cyangwa ibikonje, bishobora kwerekana indwara yo mu nda aho kuba bacterial vaginosis isanzwe.
  • Ufite ibibazo byinshi by'amaraso mu gitsina bidatwarwa n'igihe cyo kwishushanya.

Kwiyandikisha gusura mu cyumweru gitaha niba:

  • Ibyo bimenyetso ntibyakira nyuma y'umugoroba wose, cyangwa bigaruka vuba nyuma yuko urangije. Trichomoniasis cyangwa indwara ya sifilisi ishobora kuba impamvu nyayo, kandi gusubiramo gel ntibizagarura na rimwe. Ibi byiza byo gusoma niba ukeka ko ubuvuzi bwa BV bwaguteye indwara ya sifilisi.

Guhura n'umuganga mbere yo gutangira niba:

  • Urategetswe cyangwa urashaka gutwita. Bacterial vaginosis idavuwe irahuza n'impundu za kare kandi isaba gusuzumwa aho kwivuza wenyine.
  • Wagize inshuro eshatu cyangwa zirenze mu mwaka ushize.
  • Gel yari yahawe undi muntu, cyangwa ku gihe cyahise.

Igihe ibimenyetso bikomeye cyangwa utari pewe ko uburyo bwawe bw'ubuvuzi buri bukwiye, August's $39 online urgent care visit ni intambwe ikurikira: umuganga ufite uruhushya rwo muri Leta Zunze Ubumwe za Amerika asuzuma ibimenyetso byawe kandi akemeza niba ivuza rikwiriye. Biba byiza kumenya ibyo udashoboye. Gusura videwo ntishobora gukora iperereza ku gitsina cyangwa gufata ubwinja bwa gikore, bityo umuganga ashobora kukuyobora mu buvuzi bw'abantu.

Ibibazo bisanzwe bibazwa

Nzakoresha idose ebyiri za metronidazole gel niba hari idose nasize?

Oya. MedlinePlus irakugira inama yo gushyiramo gel igihe cyose wibutse kandi ntuzigere uhuza. Niba wibagiwe idose yo kuryama kandi ukayibona mu gitondo, uyikoreshe icyo gihe kandi uzagaruke ku gihe cyo kuryama nijoro. Ku gahunda yo gukoresha kabiri ku munsi, sahura idose irimo kuba ikoreshwa cyane kuruta guhuza idose ebyiri hafi y'umwe.

Nzakenera guhurana n'umuganga nyuma yo kurangiza metronidazole gel?

Akenshi oya. CDC ivuga ko guhurana n'abavuzi bitari ngombwa iyo ibimenyetso bikira nyuma y'ubuvuzi. Garuka ku buvuzi niba ibimenyetso bigaruka, niba ufite ibimenyetso bishya, cyangwa niba wavuze mugihe utwite kandi umuganga wawe yasabye kugusubiramo. Gusubira inyuma byara cyane ko bikwiriye gusubiramo aho gusubiramo ibindi bice bimwe.

Nshobora gukoresha metronidazole gel isigaye ku vuza rya kera?

Oya. Ni ibintu byemewe n'amategeko byemejwe ku gihe kimwe cyavuwe, kandi ihuru rimwe risobanura ko gahunda ya mbere itarangijwe. Ishobora kuba yararenze igihe cyayo. Ikiruta byose, ntacyo bimaze ku ndwara ya sifilisi, itera ibimenyetso bifatika kandi ni impamvu isanzwe ituma gel isubira inyuma.

Metronidazole vaginal gel yemejwe kubatware?

Yego. Gel ni FDA yemerewe kuvura bacterial vaginosis mu bagore bafite imyaka 12 cyangwa barenga. Ikizamini cya mbere mu rubyiruko gikwiriye gusuzumwa neza aho guhabwa ihuru ryatizwa, kuko ibimenyetso bifatika n'ibindi bibazo byinshi bikenera uburyo bwiza cyane.

Metronidazole vaginal gel igomba gushyirwa mu bukonje?

Oya. Bika mu bushyushye bw'icyumba ufite cap, kuva ku bushyushyu n'ubushuhe. Ishyirwa mu bubiko bw'umugore rikorana n'uruhererekane rwo koga ntibishoboka impamvu nyinshi. Bika mu gasanduku kayo kugira ngo imbaraga n'igihe cyo kurangirira bikomeze kwumvikana, kandi ubyirindi ku bana.

Igisobanuro cyihuse

Jya uhuza imbaraga ku kibaho cyawe cy'ibitaro n'ubuvuzi bwiza mbere yo gufata idose ya mbere, kuko 0.75% na 1.3% ntibishobora guhurizwa hamwe. Koresha umufashanyigisho waje nawo, kandi uyusubiramo binyuze mu bitaro niba wabuze aho gusaba ubufasha. Hanyuma urangize umugoroba wose, na naho ibimenyetso bikirira ku munsi wa kabiri.

Uburenganzira: Ingingo iyi yose ni ngombwa mu rwego rw'amakuru gusa kandi ntibishyigikira inama z'ubuvuzi. Igomba guhora uhuza n'umuganga ufite ubumenyi kugira ngo ufate imyanzuro y'ubuvuzi n'ubuvuzi. Niba ufite ikibazo gikomeye cy'ubuvuzi, hamagara 911 cyangwa jya ku bitaro bya hafi bwangu.