Metronidazole 500 mg inshuro ebyiri ku munsi mu minsi 7 ni gahunda ya mbere ya CDC ishingiye ku kanini yo kuvura bacterial vaginosis, kandi ku bagore ni nayo yakoreshwa cyane mu kuvura trichomoniasis. Ibi bisobanuye ko wanywa kanini 14 mu gihe cyose, ufata imwe buri masaha 12. Ntabwo ivura indwara y'ibicibwa.

Umwanzuro: Ibintu by'ingenzi ugomba kwibuka

  • Iyi dose na gahunda byagenewe ibintu bibiri bikoreshwa mu buryo bumwe: bacterial vaginosis (uburyo bwa mbere) na trichomoniasis ku bagore.
  • Ni umuti wa antibiyotiwe kandi ukanica udukoko twinshi tudakoresha umwuka, nta kintu na kimwe ukorera Candida, bityo ukora gusa niba indwara yaragaragaye neza, ntabwo ari igakeke.
  • Dose 14, ufata hafi buri masaha 12, mugitondo nimugoroba, ufata n'ibiryo niba ugira isesemi.
  • Ibinyabuzima bisanzwe bishira hafi ku munsi wa 3 cyangwa wa 4. Uwo ni umurongo wo hagati, ntabwo ari iherezo.
  • Inkomoko zitandukanye ku bijyanye no kunywa inzoga. Gusubika kwiza ni ukugumana inzoga kugeza ku minsi 3 umaze gufata idosi ya nyuma.

Iyi gahunda yiminsi 7 yerekana indwara imwe muri ebyiri, atari ijana

Metronidazole 500 mg inshuro ebyiri ku munsi mu minsi 7 ni gahunda ya mbere y'inzobere zishinzwe kuvura indwara zandura z'abakoresha imibonano mpuzabitsina (CDC) yagenwe kuri bacterial vaginosis, yanditswe hamwe na metronidazole gel ishyirwa mu gitsina na clindamycin cream. Iyi gahunda imwe yo mu kanini ni yo CDC yageneye abagore bafite trichomoniasis. Indwara ebyiri, gahunda imwe ya kanini isa, bityo ikibumbano cy'imiti wenyine ntikizakubwira icyo urwaye.

Niba bacterial vaginosis ariyo yari indwara, urimo ufata inzira ya mbere isanzwe kandi gel na cream ni zo muganga wawe yahisemo kutakoresha. Gukoresha kanini bisanzwe bihithamo igihe umuntu ashaka kanini aho gukoresha ikintu gisiritswa mu gitsina buri joro, cyangwa igihe inzira yo mu gitsina itoroshye.

Niba trichomoniasis ariyo yari indwara, gahunda yiminsi 7 ihagarariye impinduka zikomeye mu buryo bwo kwivuza. CDC noneho yagennye gahunda yo gufata kanini nyinshi ku bagore aho gufata idosi imwe ya 2g yari isanzwe mu myaka myinshi. Ku bagabo, idosi imwe iracyari gahunda yagenwe, rero niba mugenzi wawe yagiye mu ivuriro afata idosi nini imwe mugihe wowe ufite iminsi 7 yose y'iminani, nta gikosa cyakozwe. Mwafashwe hakoreshejwe amabwiriza atandukanye.

Irinde kwibeshya mbere yo kwemeza: imwe 500 mg inshuro ebyiri ku munsi, ifatanije na minsi 7 igaragara mu bipimo by'imyitozo ya za antibiyotiwe nyinshi n'indwara zitera udukoko twihishemo, kandi MedlinePlus ivuga ko gahunda za metronidazole zikunda guhinduka cyane bitewe n'indwara. Niba nta waguhamagaye ngo aguhe izina ry'indwara, babaze. Ibyo bihindura icyo ugomba gukurikiza.

Metronidazole ntishobora kuvura indwara y'ibicibwa, bityo kwipimisha bigomba kuba byiza

Hano hari impamvu nyayo yo gukoresha metronidazole 500 mg: indwara zimwe na zimwe ziterwa n'ibakteri n'udukoko twihishemo (protozoal), ivura ikabuza ubwiyongere bw'ibakteri. Ibyo ni byo byose ikora. Ibisubizo ku kibazo cy'ikoreshwa rya metronidazole 500 mg ntibisanzwe birimo Candida, igicibwa gitera indwara nyinshi z'ibicibwa mu gitsina.

Ibi ni ingenzi kuruta uko bimeze, kuko ibimenyetso bisa rwose. Kwishimagura, kubabara, kwishyirira mu mwanya no kumva utiherezo mu gihe cy'imibonano mpuzabitsina bishobora guturuka kuri bacterial vaginosis, kuri trichomoniasis, cyangwa ku bicibwa, kandi nta muntu washobora kubitandukanya neza hakoreshejwe ibisobanuro gusa. Gahunda yagenewe ikinyabuzima kitari cyo ntikora kimwe. Ntihagira icyo ikora, kandi urasoza icyumweru utekereza ko imiti yananiwe igihe imiti itari yagenewe ikibazo.

Ikibazo: imiti yanditswe ishingiye ku bisobanuro by'ibimenyetso ku telefone, cyangwa ikomeza ku ndwara ya mbere, ifite agahinda gakomeye. Iyi gahunda ishingira ku muntu wagishije amaso, yipimishije pH y'igitsina, yirebye ikizamini munsi ya mikurosikopi, cyangwa yakoze ikizamini cya acide nucleique amplification. Niba imiti yawe yakozwe gusa ku bimenyetso kandi ntihagire impinduka, kwipimisha ni ikintu cya mbere ugomba gusubiramo, atari dose.

Ni byiza kumenya mbere: guhashya bacterial vaginosis bishobora gukurikirwa no kwishimagura bigaragara kuvura kwa BV yawe, ni ikibazo gitandukanye gifite uburyo bwo kukivura.

Inshuro ebyiri ku munsi ziruta inshuro eshatu ku munsi kuri iyi dose, ariko reba niba ikibumbano cyawe kivuga 250 mg

Icyumweru kimwe cya metronidazole 500mg kanini bisobanuye idosi 14, atari 21, kandi impamvu ziri inyuma yayo ni imiti yoroshye. Metronidazole ifite igihe cyo kuzamuka cy'amasaha 8 mu bakuru, kingana n'igihe urugero ruri mu mbaraga mu gihe cy'amasaha 12. Gahunda zo inshuro eshatu ku munsi zihari ku dosi nkeya kuko dosi nto zigenda vuba.

Noneho reba ikirango. Niba farumasi yawe yaguhaye metronidazole 500mg kanini, idosi imwe yagenwe ni kanini imwe. Niba yahaye 250 mg kanini, idosi imwe yagenwe ni kanini ebyiri zanyowe icyarimwe, kandi abantu banywa imwe mu makosa barasoza icyumweru bafashe kimwe cya kabiri cy'idose yagenwe. Hamagara farumasi aho kwishingikiriza.

Ntiwemere ko kongeramo kwinshi bitandukanye na gahunda ya 250 mg muri raporo. CDC iravuga ko metronidazole 250 mg inshuro eshatu ku munsi mu minsi 7 nk'inzira ya kanini yemewe mugihe cyo gutwita, ibyo ni ugukoresha ukundi kwagenwe, atari kanini ebyiri inshuro ebyiri ku munsi.

Mu buryo bwa pragmatic: shira idosi ku ifunguro rya mugitondo no kuryama, cyangwa ku masaha abiri ahantu habiri haba mu minsi yawe hafi amasaha 12. Kunywa kanini n'ibiryo biragabanya isesemi n'impinduka y'umunyu ikunda kubabaza benshi bavuga ko bafite ingaruka mbi.

Kwicishiriza imbere ku munsi wa 3 ntibisobanuye ko byarangiye

Kuyifatira imiti yose ni ingenzi cyane igihe bidasanzwe byumvikana, kuko kwicisha imbere ku mbaraga zayo bisanzwe biza hafi ku munsi wa 3 cyangwa wa 4, ufite iminsi itatu cyangwa ine y'iminani isigaye mu gitabo. Gutonora birahagarara, impumuro mbi iraza, kwishimagura biroroha, kandi igitekerezo cyoroshye ni uko indwara yarangiye.

Ibihamya bivuga uko atari ko biri, kandi bidasanzwe bivuga ku buryo. CDC yimuye abagore bafite trichomoniasis kuri gahunda y'iminsi 7 kuko gahunda yo gufata kanini nyinshi yagabanyije umubare w'abagaragaje ko bakomeje kugira indwara nyuma y'ukwezi kureba bikorwa ku rugero rwo hagati ku idosi imwe ya 2g. Ibyo byiza byose biva mu minsi ya nyuma y'umuti. Guhagarara ku munsi wa 4 ntugabanyiriza igihe cy'umuti mwiza. Ugabanyiriza igihe cy'umuti woroshye.

Ibitabo by'ibinyabuzima bikoreshwa n'abaturage bigaragaza ikintu kimwe mu magambo atoroshye: guhagarika hakiri kare bishobora gutuma indwara isubira inyuma na niba wumva umeze neza. Kubijyanye na bacterial vaginosis byiharije, ni byiza kumenya icyo ibimenyetso bigomba kugaragara ku munsi n'umunsi, kugira ngo ibikorwa bisanzwe bidafatwe nk'umuti kandi ibikorwa byoroheje bidafatwe nk'akarengane.

Igukanga ku kinyobwa ku kabatare niho koko, kandi itariki izarangirira ishobora kubarwa

Ku bijyanye na metronidazole n'inzoga, inkomoko ushobora gusoma ntibihuza, kandi kwigira nk'uko bitagufasha. Amabwiriza ya CDC avuga mu magambo adahishwe ko kwirinda inzoga mugihe ufata metronidazole cyangwa tinidazole bidakenewe, ivuga ko ubushakashatsi bwa vuba bushya bwakozwe ntibwabonye ibihamya bikomeye ku ngaruka za disulfiram-like kugirango bibyizwe. MedlinePlus, yandikiwe abaturage, iracyakomeza kugira inama yo kwirinda inzoga n'ibicuruzwa bifite propylene glycol mu gihe cyo kwivuza no mu minsi 3 nyuma y'idose ya nyuma. Inyandiko z'ibinyabuzima zikoreshwa na benshi zihurizanya ku masaha 48.

Ibyo abantu benshi ntibazakubwira ni ibi: ko ubwo buryo ari impamo, kandi igikorwa gikwiye ni ugusubika, kuko isesemi n'impinduka y'umunyu byamaze kuba ibibazo bya mbere ku muti kandi inzoga zibica bikaba byoroshye. Niba idosi yawe ya nyuma ari nimugoroba w'umunsi wa 7, igihe cy'amasaha 48 kirarangira ku munsi wa 9 kandi igihe cy'iminsi 3 kirarangira ku munsi wa 10. Hitamo umunsi wa 10 kandi uzaba uri mu mabwiriza yose yasohotse. Verisiyo irambuye iri hano: icyo igukanga ku kinyobwa ku miti yawe ya BV bivuga koko.

Ibyimenyetso bimwe na bimwe bivuga guhagarika gahunda no kwivuza, aho gutegereza ku munsi wa 7

Abantu benshi barangiza iyi gahunda nta kibazo kirenze impinduka y'umunyu. Abacye cyane bagira ingaruka MedlinePlus ivuga ko zigomba guhagarika no kwegera ubuvuzi bwihutirwa, kandi izo ntizirushaho kwihutira kugeza ku munsi wa 7.

Hamagara 911 cyangwa jya mu gikoni cyihutirwa noneho niba:

  • Ufite indwara, urunguruka bushya, uba utazi kugenda, cyangwa uragoye kuvuga.
  • Ubona impeta ikomeye y'ibibazo cyangwa uruhu rw'uruhu rutwarwa.
  • Uburenganzira bwawe, iminwa, ururimi cyangwa ijosi batangira kwiyongera.

Shyira ku murongo wizana mu cyumweru gikurikira niba:

  • Ubona intako, ukagira isesemi cyangwa ukagira umubabaro mu maboko cyangwa amaguru.
  • Ufite ububabare mu gitsina hamwe n'umuriro.
  • Ibyo bimenyetso byawe birakomeye aho kugirango bikomeze kunywa imiti imaze iminsi itandukanye.

Vugana n'inzobere mbere yo gutangira niba:

  • Ntabwo wigeze upimwa kandi indwara yatekerejwe mu bimenyetso.
  • Uri gutwita cyangwa ushaka gutwita.
  • Wagize ibimenyetso by'imitsi ku gihe cya metronidazole cyambere.
  • Imiti yawe yindi ntigeze isuzumwa ku mikorere, iyanditse na Mayo Clinic irerekana buri kimwe.

Kubijyanye n'igice cyo hagati, iyitwa August's $39 online urgent care visit iguhuza n'inzobere yemewe muri Amerika ishobora kureba aho uri mu gihe cyo kwivuza kandi igashyira mu gaciro niba imiti, impinduka mu ngamba, cyangwa kwipimisha byihutirwa ari byo bikwiye. Biba byiza kwerekana ibibazo: video visit ntishobora gukora igenzura ry'igitsina cyangwa gufata igikoresho cy'igitsina, bityo indwara yari itaragaragazwa neza ikeneye igenzura rikomeye. Ibibazo byihutirwa bikwiye kujyanwa mu gikoni cyihutirwa.

Bimwe mu bibazo bikunze kwibazwa

Naramuka nirengagije idose ya metronidazole mu gihe cyo kuyifata inshuro ebyiri ku munsi, mbega nshyiramo ebyiri?

Oya. Niba warirengagije idose ya metronidazole, uyifate uhise uyibona, keretse niba idose yawe ikurikira ari amasaha y'isaha cyangwa abiri. Muri icyo gihe, shira iyatanzwe inyuma ureke gahunda yawe isanzwe y'amasaha 12. Nta na rimwe ufata kanini ebyiri hamwe kugira ngo wiyirengagije, kuko kwiyongera kwa dose biza gushyiramo isesemi n'impinduka y'umunyu udashyiramo igikoresho cyiza cyo kuvura.

Metronidazole 500 mg inshuro ebyiri ku munsi mu minsi 7 ni nziza ku bagore batwite?

Yego. Ni imwe mu gahunda za CDC zemewe za kanini ku bagore batwite bafite bacterial vaginosis, hamwe na 250 mg inshuro eshatu ku munsi mu minsi 7; tinidazole irarwanywa mu gihe cyo gutwita. Kubijyanye na trichomoniasis, CDC ivuga ko ubushakashatsi bwakorewe ku idosi imwe na gahunda nyinshi za metronidazole bwerekanye ko nta kimenyetso cyerekana ko iterwa na teratogenicity, kandi abagore batwite bagomba gupimwa bagafashwa mu gihe cyose.

Ushingizi wanjye nawe ugomba kwivuza?

Rimwe na rimwe. Ku bijyanye na trichomoniasis, yego: abashingizi bagomba kwivuza cyangwa uzongera kwanduza, kandi abashingizi b'abagabo bahabwa idosi imwe ya 2g aho kugira ngo bahabwe gahunda y'iminsi 7. Kuri bacterial vaginosis, kwivuza abashingizi bagabo bisanzwe ntibikubiye mu kwivuza bisanzwe, bityo umushingizi utahawe ikintu ntabwo yaba yirengagijwe.

Metronidazole 500 mg izavura indwara y'umunyu?

Oya. Ibikorwa byayo bikubiyemo ibakteri zidakoresha umwuka na protozoa, kandi indwara z'umunyu zisanzwe ziterwa n'ibinyabuzima hanze y'iki cyiciro, cyane cyane E. coli. Kubabara iyo urimo wiruhura bishobora kandi kubaho n'indwara zo mu gitsina, ni nayo mpamvu ibimenyetso bihora bivanga. Niba ibimenyetso by'umunyu ari byo byingenzi, ibyo bikenera igenzura ryabyo n'indi antibiyotiwe.

Nshobora gukomeza gufata iminani igihe imihango izatangira?

Yego. Kanini z'akanini zinjira mu gifu, bityo imihango ntigira icyo ikora ku buryo imiti ikora, kandi nta mpamvu yo guhagarika cyangwa gutangira bundi bushya. Ibyo ni bimwe mu byiza bifatika ku gutanga imiti mu gitsina, aho igihe cyo gufata igihe cyo kwiyongera ni urugero rwo kwibeshya no kunywa ibicuruzwa.

Ibisobanuro by'umwanzuro ku gihe cy'iminsi 7 ya metronidazole

Metronidazole 500 mg inshuro ebyiri ku munsi mu minsi 7 ni idosi 14, zashyizweho amasaha 12, zafashwe mu gihe cyose cy'iminsi 7 na n'ubwo ibimenyetso byashize hafi ku munsi wa 3 cyangwa wa 4. Gahunda ivuga ko indwara yakoreshejweho yagaragajwe cyangwa trichomoniasis, kandi ntacyo ikora ku bicibwa. Niba ibimenyetso byakomeje, cyangwa byagarutse umaze kurimbura, upimishijwe bundi bushya aho gusubira gutangira iminani isigaye.

Irinde: Inyandiko iri ni iy'amakuru gusa kandi ntibisobanura kugisha inama muganga. Komeza kuvugana n'umuganga wujuje ibisabwa kugira ngo ugire icyemezo n'ubuvuzi. Niba ufite ikibazo gikomeye, hamagara 911 cyangwa jya mu gikoni cyihutirwa ako kanya.