Metronidazole kuri BV: Uko iminsi 7 itandukanye n'umuti wa Trichomoniasis

Metronidazole kuri BV ni 500 mg mu kanwa kabiri ku munsi mu gihe cy'iminsi irindwi, ibinini 14 hamwe. Abagore bavurwa kuri trichomoniasis ubu bakoresha uko kwivuza kw'iminsi irindwi, mu gihe abagabo bakomeje guhabwa ikinini kimwe cya 2 g. Imuti imwe, amabwiriza atandukanye kubijyanye no kuvura abafatanyabikorwa, gusubira kwisuzumisha, n'imiti y'inyuma y'uruhu.

• BV: metronidazole 500 mg kabiri ku munsi mu gihe cy'iminsi 7, cyangwa 0.75% ya jeli mu gitsina rimwe ku munsi mu gihe cy'iminsi 5.
• Trichomoniasis ku bagore: imiti imwe y'iminzi 7 mu kanwa kuva CDC yanozeho amabwiriza mu 2021. Ku bagabo, ikinini kimwe cya 2 g.
• BV ntabwo ari indwara yanduzwa mu mibonano mpuzabitsina, ku buryo abafatanyabikorwa badasuzumwa buri gihe. Trichomoniasis ni yo, ku buryo umufatanyabikorwa wese akeneye kuvurwa.
• Saba gusuzumwa kuri trichomoniasis nyuma y'amezi 3. Ntabwo hasuzumwa ko igikurura byanze bikunze kuri BV niba ibimenyetso byaragabanutse.
• CDC ntikigishyigikira kwirinda inzoga, nubwo metronidazole ubwayo ishobora kugutera isesemi.

Metronidazole ivura BV mu minsi irindwi, kandi kuyihagarika mbere ni yo mpamvu isubira

Metronidazole kuri BV ni 500 mg mu kanwa kabiri ku munsi mu gihe cy'iminsi irindwi, ibinini 14 hamwe, gahunda ya mbere mu CDC's 2021 STI treatment guidelines. CDC itanga ikindi cyifuzo ni 0.75% metronidazole jeli mu gitsina, ikintu kimwe cyo gusiga rimwe ku munsi mu gihe cy'iminsi itanu. Flagyl ni izina ry'ubucuruzi kuri metronidazole rusange imwe, ku buryo imiti n'ingano ntibihinduka.

Abantu benshi babona ko ibisohoka n'impumuro biboneka ku munsi wa kabiri cyangwa wa gatatu. Ariko siho irangira. Bacterial vaginosis ni kwiyongera kw'abagiterezi ba anaerobic barenze abakoresha lactobacilli barinda, kandi kugabanya ibimenyetso gutera imbere cyane mbere yo kugabana kw'abagiterezi. Banza ku munsi wa kane kuko wumva urushimishijwe kandi wateye ubwoko bucyeye amahirwe yo kwiyongera. Bityo, yego, metronidazole ivura BV, kandi Flagyl kuri BV ni urwandiko rumwe rw'umuti munsi y'izina ritandukanye. Fata ibinini 14 byose.

"Ikinini kimwe cy'umuti" cyaravuye: abagore bafite trichomoniasis ubu bakoresha iminsi 7 nka BV

Ingano ya metronidazole kuri trichomoniasis yahindutse mu 2021, kandi abantu benshi ntibarabyumva: abagore bafite trichomoniasis ubu basabwa gufata metronidazole 500 mg kabiri ku munsi mu gihe cy'iminsi irindwi, ni kimwe n'umuti wa BV. CDC yakoze iryo hinduka nyuma y'uko ubushakashatsi bwerekanye ko imiti y'inshuro nyinshi yagabanyije ubwandu bwagaragaye nyuma y'ukwezi rimwe ugereranije n'ikinini kimwe cya 2 g cyari gisanzwe.

Ikinini kimwe nticyavanyweho. Ku bagabo, 2 g ya metronidazole mu kanwa rimwe ni gahunda isigaye isabwa, kandi tinidazole 2 g ikinini kimwe ni amahitamo y'uburyo bwose.

Imikorere y'ibinyabuzima isobanura impamvu impinduka zihari hagati y'imyanzuro yombi. BV ni udukoko twinshi twa anaerobic twiyongera mu buryo bwo kwikora kuri uruha rw'umugore, kandi ubu buryo busaba kwihanganira imiti igihe kirekire, kenshi. Trichomoniasis ni umunyu wo mu bwoko bumwe w'abagiterezi, Trichomonas vaginalis, mu mateka wahungabanyijwe na dose imwe nini y'imiti. Ubushakashatsi bwerekanye ko dosi imwe itari ihagije ku bagore.

Impinduka z'ikoreshwa ziruta ubuganga: ibinini byasigaye ku gihe kimwe ntibagomba gukoreshwa kugirango wivuze ubwawe igihe indwara yasubira. Niba ushaka verisiyo yuzuye y'impaka, soma impamvu urwandiko rumwe rw'umuti rutavuga ko ari indwara imwe.

BV ntabwo ari indwara yanduzwa mu mibonano mpuzabitsina, kandi ibyo bihindura abandi bakeneye kuvurwa

Bacterial vaginosis ni indwara yanduzwa mu mibonano mpuzabitsina? Oya. BV ntabwo ifatwa nk'indwara yanduzwa mu mibonano mpuzabitsina, mu gihe trichomoniasis ari yo, kandi iyo n'impamvu imwe irahindura byose kuva ku mwandiko w'umuti. CDC ivuga ko kwivuza abafatanyabikorwa bashobora gutera akaboko bidasabwa kuri BV, kuko ubushakashatsi bwo kuvura abafatanyabikorwa b'abagabo ntibwigeze bugaragaza ibipimo by'ubuvuzi cyangwa kugabanya gusubira. Kuri trichomoniasis, abafatanyabikorwa bose bashobora kwivuza bavuye igihe kimwe, kandi mwese mugomba kwirinda imibonano mpuzabitsina kugeza igihe cy'umuti kirangiye kandi ibimenyetso byagabanyutse.

Inyungu imwe ihagira: abagore bafite BV bafite akaga ko kuba bafite na trichomoniasis. Ubwonko bwa BV ntibuvanaho indwara yanduzwa mu mibonano mpuzabitsina. Niba nta muntu yakuzaniye ubwonko bwa trichomoniasis, bazoza.

Kwamaza ibinini ntibihagije ku ndwara zose

Kwivuza trichomoniasis harimo gusuzumwa nyuma, ntibyo gusa ibinini. CDC igira inama abagore bashobora gutera akaboko ko gusuzumwa bundi nyuma y'amezi 3 kuva kuvura, haba umufatanyabikorwa yaramenyekanye cyangwa ataramenyekanye, kuko gusubira kwandura byoroshye. Ntuzasuzume mbere y'ibyumweru bitatu nyuma yo kuvura: DNA isigaye ku binyabuzima byapfuye ishobora kugira ingaruka kuri test ya nucleic acid amplification kugira ngo isohoke.

BV ikora ukundi. Niba ibimenyetso byaragabanutse, ntabwo hasuzumwa ko byanze bikunze kwivuza. Ariko gusubira kwandura ni kenshi, kandi ku bantu bafite gusubira kenshi CDC itanga uburyo bwo kwirinda gusubira kwandura: 0.75% metronidazole jeli cyangwa 750 mg metronidazole igishyitsi mu gitsina kabiri ku cyumweru mu gihe cy'amezi 3 kurenza.

Ikibazo: ibyo byiza birangira igihe ubwishingizi bwo kwirinda busoreza. Kwirinda kukubona amezi yihanganirwa, ntibisobanura ko uzaba uhumuye, kandi ibyo birakwiriye kumenya mbere yo gutangira igihe cy'amezi 3. Gusubira kw'ibimenyetso ntibisobanura ko ari indwara yawe ya nyuma. Saba gusuzumwa bundi aho gusubira ku mwandiko w'umuti wa nyuma mu mutwe.

Jeli ivura BV ariko yaba yarabuze trichomoniasis

Metronidazole jeli mu gitsina ni amahitamo asabwa na CDC kuri BV gusa: 0.75% jeli, ikintu kimwe cyo gusiga inshuro imwe ku munsi mu gihe cy'iminsi itanu. Bamwe bakunda cyane, kandi bitewe n'impamvu nziza. Imiti iguma ku karere, ku buryo ibibazo by'inyuma by'uruhu bigatuma umuti wo mu kanwa utari mwiza, isesemi n'impumuro nziza, bikunda kuba bike.

Ntabwo ifite akamaro kuri trichomoniasis, kandi ntabwo ari kubera ko aribyo abayobozi bashyigikiye. Uyu munyu kandi wigira mu gitsina cy'umuyoboro n'imyanya y'inyuma, aho jeli mu gitsina itagera. Kugira ngo iboneke bisaba imiti mu kanwa. Ntabwo uzigera ugira jeli yasigaye nyuma yo kwandura trichomoniasis.

Inyandiko y'inzoga kuri metronidazole yawe ntabwo ikibaho

Birashoboka ko inzoga zikoreshwa na metronidazole? Nk'uko CDC ibivuga, yego: amabwiriza yo mu 2021 avuga ko kwirinda inzoga mugihe cy'umuti wa metronidazole cyangwa tinidazole bidakenewe. Inyandiko y'ibyuka bisanzwe bya disulfiram ntabwo yari ifite ibimenyetso bihamamye, kandi metronidazole ntabwo ihagarika aldehyde dehydrogenase, enzyme itera ibyo byuka.

Uracyabona inyandiko ya kera hose: nta inzoga mugihe cyo kuvura kandi amasaha 24 kugeza 72 nyuma yayo, yanditse ku nyandiko za farumasi n'ibitabo by'abanywanyi byakorewe mbere y'ubushakashatsi. Impamvu y'ukuri: metronidazole isanzwe itera isesemi n'impumuro nziza yonyine, kandi inzoga irashobora kubikomeza, ku buryo iyi ari impushya aho kugira ngo irashishirizwe. Niba farumasi yawe ikubwira uko, wigere ku gukoresha impano yabo kandi uhuze ikibazo na bo aho kugira ngo wizere ko ibitabo byose byagiye kuva.

N'ubwo bimeze gutyo, ibimenyetso bimwe by'igitsina bisaba igenzura, ntabwo ari imiti irindi

Hamagara 911 cyangwa jya mu cyumba cy'ibitaro vuba aha niba:

• Ufite ibicurane, ibihumure, cyangwa ububabare bukabije mu nda cyangwa mu gifu hamwe n'ibisohoka, bishobora kugaragaza indwara yo mu gifu.
• Ubonye ibimenyetso by'uburyo bwo kwandura na metronidazole: ubushishito, uburwayi, kubyimba amaso cyangwa ijosi, cyangwa ingorane zo guhumeka.
• Wari utwite kandi ufite ibimenyetso byo kwororoka vuba (kwirambiriza bisanzwe, amazi arahunga, kuruka) hamwe n'ibimenyetso by'ubwandu.
• Ufite amaraso menshi cyangwa atari asanzwe mu gitsina atari ajyanye n'igihe cy'imihango.

Hateganywa gusura mu cyumweru gitaha niba:

• Ibi bimenyetso bikomeje nyuma yo kwamamaza iminsi irindwi.
• Ibi bimenyetso bisubira mu byumweru bike nyuma yo kurangiza kuvura.
• Umuterankunga yaramenyekanye kuri trichomoniasis.
• Wavuriwe BV ariko utigeze usuzumwa kuri trichomoniasis.

Vugana n'umuganga mbere yo gutangira niba:

• Uratwite, urashaka gutwita, cyangwa uronsa.
• Wari wagize impinduka mbi kuri metronidazole cyangwa tinidazole mbere.
• Ufata disulfiram, warfarin, cyangwa lithium.
• Ugiye gukoresha ibinini byasigaye ku mwandiko wa kera.
• Wahawe tinidazole aho kugira ngo uhabone metronidazole.

Niba ukeneye ikiganiro vuba, $39 ya serivise yihutirwa kuri interineti ya August ikuhuza n'umuganga wemejwe na Leta Zunze Ubumwe za Amerika washobora gusuzuma ibimenyetso byawe kandi akemeza niba umwandiko ari ngombwa. Banza kumenya ko kureba videwo ntibishobora gukora igenzura ry'igitsina cyangwa kwaka igitera, ku buryo gusuzumwa ku muntu bishobora kuba intambwe ikurikira.

Ibibazo bisanzwe bibazwa

Ese Flagyl kuri BV ni kimwe na metronidazole rusange?

Yego. Flagyl ni izina ry'ubucuruzi kuri metronidazole, kandi rusange ikorana ikintu kimwe gikomeye mu ntara imwe. Farumasi zikwirakwiza rusange by default mu bihe byinshi. Kureba kw'ibikorwa ni ku nyandiko aho kuba ku izina: menya ko ivuga 500 mg, ko urubwiriza ruvuga kabiri ku munsi, kandi ko umubare ari ibinini 14. Jeli y'igitsina y'ubucuruzi iragurishwa nka MetroGel-Vaginal.

Ese metronidazole ivura BV n'ubwandu bw'umusemburo icyarimwe?

Oya. Metronidazole ntigira ingaruka kuri Candida, umusemburo utera ubwandu bw'igitsina, ku buryo ntacyo byakora ku kwirambiranya n'ibisohoka byera. Ubwandu bw'umusemburo busaba antifungal nk'fluconazole. Bishobora kubabaza ko ubwandu bw'umusemburo buza nyuma y'umuti wa antibiyotike, ku buryo kwirambiranya bushya hagati y'iminsi irindwi yawe birakwiriye gusaba aho kugira ngo wumve irindi antibiyotike.

Ese ikinini kimwe cya metronidazole cyarangiza BV?

Ntabwo bisanzwe. Ikinini kimwe cya 2 g nticyemejwe na CDC kuri bacterial vaginosis, kandi kwivuza iminsi irindwi mu kanwa ni byiza. Ikinini kimwe kirashobora gutera trichomoniasis, cyane cyane ku bagabo. Niba umuganga yaguhaye ikinini kinini kuri BV, bamubaze impamvu mbere yo kugikoresha, kuko kwandura bigaragara gutera kwisubiramo kwa BV.

Ese metronidazole ni ngombwa gukoresha mugihe utwite?

Yego. CDC ivuga ko nta ngaruka zigaragaye cyangwa zamara gutera igitera kandi igatererana ko akaga ku mwana kari gato, ku buryo metronidazole ikoreshwa mu gihe cyo gutwita ku ndwara zose. Tinidazole ni ikindi kintu cyingenzi kandi ugomba kwirinda igihe utwite. Niba utwite cyangwa uronsa, menya ko ibiri muri bibiri wahabwe mbere y'ikinini cya mbere, kuko amazina asa ku nyandiko.

Ese metronidazole ikora ku buryo ubushobozi bwo kurinda gusama bukagabanyuka?

Oya. Metronidazole ntabwo iri mu moko ya antibiyotike yerekana ko igabanya ubushobozi bwo kurinda gusama, ku buryo nta nubwo bikenerwa gukoresha irindi ryo kurinda kubw'impamvu yo kwisabwa. Kwiruka cyangwa impiswi ikabije mugihe cy'indwara iyo ari yo yose ishobora kugabanya imiti y'ikinini, ni ikibazo cyihariye gikwiriye kubazwa niba byabaye mugihe cyo kuvura.

Ibisobanuro ku metronidazole kuri BV

Iminsi irindwi, kabiri ku munsi, 500 mg kuri BV. Iminsi irindwi kandi ku bagore bafite trichomoniasis, hamwe n'ikinini cya 2 g cyagenewe cyane cyane abagabo. Kwivuza abafatanyabikorwa kuri trichomoniasis gusa. Kandi kwirinda inzoga ku nyandiko yawe ntibyashyigikiwe na CDC ubwayo.

Uburyo bwo munsi y'ibi byose buroroshye: shyira gahunda ku ndwara wari ufite. Saba gusuzumwa aho gusubira ku mwandiko wa kera, kuko ibinini byaba asa ariko amabwiriza ntabwo ari kimwe.

Ibyemezo: In Article iyi niho ibitekerezo by'amakuru gusa kandi ntabwo bivuga inama y'ubuvuzi. Guhora uhuza n'umuganga wemewe kugira ngo usabe ibitekerezo n'imyanzuro yo kuvura. Niba ufite ikibazo cy'ubuvuzi, hamagara 911 cyangwa jya mu cyumba cy'ibitaro bya hafi vuba.