Kwete. Nitrofurantoin (Macrobid) inobvumidzwa chete pazvirwere zvemudundira. Inosimbisa mumuviri wemuchina, kwete muviri wechiuno, saka haisviki mabhakitiriya anokonzeresa bacterial vaginosis. Kuitora hakuna njodzi; kungori kusashanda. Nitrofurantoin inogona kurapa BV pamwero wakakwirira kana kwenguva refu? Uchiri kwete. BV inoda metronidazole kana clindamycin.

TL;DR: Zvinhu Zvakakosha

  • Magwaro akabvumidzwa neFDA e nitrofurantoin anongovhara zvirwere zvemudundira zvisina kuomarara; hapana chirwere chechiuno chiri kutaura pazviri.
  • Mushonga uyu unouraya mabhakitiriya anobatanidzwa neBV pachirevo cherabhoritari, asi unobudiswa nekukurumidza neitsvo saka haisviki padanho rinobatsira muviri wechiuno.
  • Iri hapasisi dambudziko rekuchengetedzeka. Iri dambudziko rekukanganisa nguva: vhiki nemushonga usiri iwo unobva wakubvumidza chirwere kupinda mberi.
  • Kurapa kweBV kwekutanga kunosanganisira metronidazole inotorwa nemuromo, metronidazole gel rechiuno, kana clindamycin cream rechiuno.
  • Kana kusununguka uye kunhuwa zvisina kuchinja mushure memazuva 2 kusvika 3 nemushonga we UTI, unoda kuongororwa, kwete mushonga wakawedzerwa.

Nitrofurantoin Mushonga WeMudundira Chete, Uye BV Haazi Chirwere CheMudundira

Kwete, nitrofurantoin haibatsiri chirwere che bacterial vaginosis, uye izvi hazvisi chinhu chakatsauka. Magwaro akabvumidzwa neFDA e nitrofurantoin capsules anongovhara chinhu chimwe chete: chirwere chemudundira chisina kuomarara, zvinoreva acute cystitis inokonzerwa neE. coli kana Staphylococcus saprophyticus. Magwaro aka akafanana anotaura kuti mushonga wacho haubatsiri pyelonephritis kana perinephric abscess. Chirwere chechiuno hachisvike kunzi munyori.

Mitemo yenyika yekurapa inotaura zvimwe chetezvo nekusasiya. Nitrofurantoin haisi kuoneka mu CDC's 2021 STI Treatment Guidelines muchikamu che bacterial vaginosis. Ngatirove pano zvazvinoreva, zvakadaro. Iri hapasisi chinhu chinodzivisa. Nitrofurantoin haina njodzi kune munhu ane BV. Kungoshanda hazvipo.

Kuuraya Gardnerella Pachirevo CheRabhoritari Hakusati Kuri Kuti Uri Kurapa BV

Nitrofurantoin inobatsira sei BV muchirevo cherabhoritari chakadzika? Patsanangudzo, uye ndipo pekuti kuvhiringidzika kunotangira. Nitrofurantoin inoratidza kushanda chaiko kwein-vitro pamusoro peGardnerella vaginalis uye Atopobium vaginae, dzimwe dzenzara mabhakitiriya anokura zvakanyanya muBV. Papape, izvo zvinoita sezvakanaka.

Ndosaka nhanho dzakawanda dzisingazokutaurirei: kushanda kwein-vitro inhau yepeti dish, kwete nezvemuviri wako. Nitrofurantoin inotorwa uye wobva wadzorwa nekukurumidza neitsvo. Inosimbisa mumuviri wemuchina uye wechidundira, ndizvo chaizvo zvinoita kuti ive mushonga wakanaka we cystitis, uye ndizvo chaizvo zvinoita kuti isabatsire kumwewo. Muviri wechiuno hausi kuona chero kukosha kwekurapa.

Biology yepasi zvakare yakasiyana. BV is a kurasikirwa kweLactobacillus inodzivirira nekuwanda kwe anaerobic bacteria sekunge Gardnerella vaginalis uye Atopobium vaginae, kwete kupinda kwe E. coli mumadziro emudundira. Mushonga unoshanda kwauri uri kubuda weti haugone kugadzirisa kusanzwisisana kwechiuno.

Kutora Macrobid Yakamira yeBV Kwete Chete Kuti Kwete, Asi Kunokubhadhara Vhiki

Kutambanudzirwa kuMacrobid yakamira yeBV zviratidzo kunongonzwisisika zvakakwana: une hafu yeshoma, unoziva kunzwa, uye inguva dza11pm. Dambudziko nderokuti piritsi rinokukuvadza. Dambudziko inguva nomwe yawashandisa uchitenda kuti chirwere chiri kubatwa apo hachisi.

Izvozvo zvakakosha nekuti BV isingapatsanurwi kana kuti yakapatsanurwa zvisiri izvo inobatanidzwa ne njodzi yakawanda yekubereka nguva isati yakwana, kuwanda kwekusvika kwezvirwere zvepabonde zvinosanganisira HIV, uye pelvic inflammatory disease. Zvinhu izvozvo hazvisi zvinokonzera kuchema. Ndizvo zvinokonzera kusatamba vhiki nemushonga usati wazoshanda.

Shandisa izvi semushonga wako wega: kana kusununguka kwemhando yeBV uye kunhuwa zvisina kuvandudzika mukati memazuva 2 kusvika 3 nemushonga we nitrofurantoin, mushonga hausi kubata chirwere chemukati, uye mhinduro ndeyekuti uongorore zvakare pane kuwedzera mazuva emupiritsi mumwe chete. Zvakafanira kuzivawo, BV inodzokorora mu 50% kusvika 80% yevanhu mukati megore kunyangwe mushure mekupatsanurwa kwechokwadi. Imwe nharo yekutanga nemushonga wechokwadi uye kuongororwa kwechokwadi pane substitute.

Mishonga Inopedza BV Chaizvo Ndiyo Metronidazole NeClindamycin

Zvinonyatsopatsanura bacterial vaginosis inguva pfupi yemishonga yemethronidazole kana clindamycin, ichitorwa nemuromo kana kuiswa muchiuno. CDC's 2021 STI Treatment Guidelines inopa matatu emhando dzekutanga: oral metronidazole 500 mg kaviri pazuva kwe7 mazuva, metronidazole 0.75% vaginal gel kamwe chete pazuva kwe5 mazuva, kana clindamycin 2% vaginal cream husiku kwe7 mazuva.

Mishonga yakasiyana iripo, kusanganisira tinidazole ne secnidazole, uye kusarudza pakati peizvi zvese ndeye kliniki. Pamuviri, nhamba yem episodes waedza kare, uye kuti unokwanisa sei kushandisa metronidazole yemumuromo zvese zvinoshandura sarudzo, ndozvikonzerwa nei clinician achifanira kuita izvi pane search result. MedlinePlus inotaura kuti BV ndiyo chirwere chechiuno chinowanzowanikwa muvakadzi vane makore 15 kusvika 44 uye chinopatsanurwa nemapiritsi ekurapa kana cream kana gel rechiuno, kwete nemishonga inoshanda kumudundira chete.

Pedza yese kosi. Kunhuwa nekusununguka kunowanzo gadzikana vasati vava mabhakitiriya akadzokera pamwero wakakwana, uye kumira pakutanga ndiyo imwe yezvikonzero zvakajairika kuti episode yakapatsanurwa idzoke zvakare.

Kana uchida kuonana nhasi, August's $39 online urgent care visit inokubatanidza ne clinician ane rezinesi reUS anogona kuongorora zviratidzo zvako nekupa mushonga kana zvichidikanwa; clinician ndiye anoita sarudzo, uye mushonga hausi kuvimbiswa. Ivai nechikwanisiro nezvezvinogona kushanda: video visit haigoni kuita pelvic exam kana kuunganidza vaginal swab kana culture, saka episode yekutanga, pamuviri, kana kurwadziwa kwechiuno kunoda kutariswa pavanhu. Kuenzanisa online BV treatment services kunogona kubatsira kana uchida kutanga nezvisarudzo.

Zviratidzo Zvinosiyana Kudarika Zvinotarisirwa, BV NeUTI Zvinonzwikwa Zvakasiyana

BV vs UTI zviratidzo zvinosarudza zvakajeka kudarika vanhu vazhinji vanotarisira, izvo zvakafanira kuziva kana uchiedza kuziva kuti sei mushonga usiri wakarurama wakapihwa. BV inogadzira yakapfava, isina ruvara chena, grey, kana yero inobuda ine kunhuwa kwemhuka kunowanzove kwakasimba mushure mekusangana pabonde, kazhinji pasina kupisa paunobuda weti. UTI inogadzira kupisa kana kuruma paunobuda weti, kuda nekukasira uye kakawanda, kumanikidzwa kwepasi pechiuno kana chipenga, uye weti ine makore kana inonhuwa zvakanyanya, pasina kuchinja kwekubuda kwechiuno. Macrobid inobva kune yechipiri column, iyo zvakare ndiyo mamiriro apo sei Macrobid ichienzaniswa neBactrim yeUTI ichinyatsoshanda.

Zviviri zvinokonzeresa. Kusvika 84% yevanhu vane BV havana zviratidzo zvachose, saka kusavapo kwezviratidzo hakutorei chero chinhu. Uye ongororo yemuchina weweti haiongorori BV. Izvo zvinoda vaginal swab kana bvunzo-yakavakirwa zviyero.

Kana Clinician Yako Akapa Mishonga Yese Panguva Imwe Chete, Hakusi Kukanganisa

Unogona kuva neBV neUTI panguva imwe chete here? Hongu, uye musanganiswa uyu wakajairika kuti clinicians vanotarisira. Nitrofurantoin pamwe chete ne metronidazole i regimen chaiyo yakakanganisana: mushonga mumwe unoshanda mudundira, mumwe muchiuno, uye hapana anotsiva mumwe.

Saka usambomira metronidazole nekuti kupisa kweweti kwakagadziriswa kutanga. Izvo zvirwere zvakasiyana pamazuva akasiyana, uye kosi yeBV ichiri kuda kupedzwa. Kana wakapiwa mushonga mumwe chete kunyangwe uine zviratidzo munzvimbo mbiri, bvunza kana chirwere chechipiri chakanyatsovimbiswa.

Zvimwe Zviratidzo zveBV Hazifanire K Waita Kutarisirwa Kwemamwe Maonero

Fonera 911 kana enda kuchipatara chekukurumidza ikozvino kana:

  • Une fivha kana kutonhora pamwe chete nekudzimwa kwechiuno kana pasi pechiuno.
  • Kudzimwa kwechiuno kwakanyanya kana kuwedzera, kunyanya nekuneta kana kurutsa.
  • Une kubuda kunonhuwa kwakashata pamwe ne fivha kana uchinzwa kurwara zvakazara.
  • Une kubuda ropa kwakawanda kwechiuno kusina kubatanidzwa nekuenda kumwedzi.
  • Une pamuviri une kusungirirwa, kumanikidzwa kwechiuno, kubuda kwemvura, kana kubuda ropa kwechiuno. Enda kuchipatara chekutanga.

Buka kushanya mukati mevhiki rinotevera kana:

  • Wapedza mushonga wakazara wekurapa uye kubuda kana kunhuwa zvichiripo.
  • Zviratidzo zvakadzoka mukati me mavhiki ekupedza kurapa.
  • Wave nazvo katatu kana kudarika mukati megore.
  • Watora mushonga weUTI wezviratidzo zvechiuno uye hapana chakachinja.

Taura na clinician usati watanga kana:

  • Une pamuviri kana uri kuyedza kuva nepamuviri.
  • Uri kutambanudzirwa kumishonga yakamira yemhando ipi zvayo.
  • Wapedza zvisina kufanira ne metronidazole kana clindamycin kare.
  • Hukadzingwa nekutsvagiswa uye iri ndiyo episode yekutanga.

Mibvunzo Inobvunzwa Zvose

Nitrofurantoin Ichapatsanura Fungus Yechisikana Kana Trichomoniasis Pane Zvayo?

Kwete. Nitrofurantoin is antibacterial, saka haina simba pane fungal infection, iyo fungal uye inoda kurapa kwe antifungal. Trichomoniasis is a parasitic infection treated with nitroimidazole drugs such as metronidazole or tinidazole, the same family used for BV. Zvikonzero zvitatu zvakasiyana, makirasi emishonga matatu, uye mushonga wekutsvaga haubvumidzi chero ipi.

Zvinoora here kuti ndakatotora Macrobid Pandakanga Ndine BV?

Kwete kazhinji. Kutora kosi ye nitrofurantoin paunenge uine BV hakufambisi BV kana kukuvadza nharaunda yechiuno nenzira yekusingaperi. Unogona kuwana mhedzisiro yemushonga yakajairika: kuneta, musoro, kana weti ine ruvara rwebrown, iyo isina njodzi. Mutengo wechokwadi inguva. Taurira clinician akapa mushonga zvaunotora uye riini, wobva waongororwa nemazvo.

Yekuedzwa Kwemuviri Weti Kana Yekuedzwa Kwemuviri Weti Inogona Kuwanikwa BV?

Kwete. Yekuedzwa kwemuviri weti yakagadzirirwa kukura mabhakitiriya emudundira, uye mabhakitiriya eBV haasi izvo zvavanotaura nezvazvo. Kuongororwa kunoitwa kubva muchiuno, uchishandisa swab ine microscopy yemacell emakiyi, pH yechiuno, uye whiff test, kana molecular panel yakavimbiswa. Yekuedzwa kwemuviri weti yakachena pamwe chete nezviratidzo zvechiuno kazhinji zvinoreva kuti sample isiri yakatorwa.

Ndinogona Kunwa Doro Paunenge Uchitora Metronidazole yeBV?

Kwete. CDC inorayira kurega doro panguva yemishonga yemethronidazole uye kwe24 maawa mushure memushonga wekupedzisira, nekuti musanganiswa unogona kukonzera kupisa, kuneta, kurutsa, uye musoro. Izvi zvinoshanda kune metronidazole yemumuromo kunyanya. Kana uchishandisa mushonga wakasiyana, simbisa hwindo rekurega kwekurega nawo nemupi wako.

BV Inogona Kupera Yega Pasina Mishonga?

Dzimwe nguva. Zvimwe zviitiko zvinopera pasina kurapwa apo Lactobacillus inodzoka, asi hapana nzira yekuvimbisa kuti ndiani achazviita, uye kumirira hakusi sarudzo isina njodzi paunenge uri nepamuviri kana paunenge uine kurwadziwa kwechiuno. Uchitarisa huwandu hwekudzorera kunyangwe mushure mekupatsanurwa, symptomatic BV yakafanira kupatsanurwa nemazvo pane kutarisa.

Chinhu Chekupedzisira Nezve Nitrofurantoin NeBV

Nitrofurantoin inogona kurapa BV? Kwete. Macrobid inobatsira zvirwere zvemudundira nekuti inosimbisa mumuchina pane muviri wechiuno, ndizvo chaizvo nei isingagone kugadzirisa bacterial vaginosis. Metronidazole kana clindamycin zvichaita. Kana mazuva maviri kusvika matatu pamupiritsi usiri uchiita kuti chinhu chichinje, iva neongororo pane kudzoreredza zvakakumirira mubhotere.

Disclaimer: Chinyorwa ichi chinongopa ruzivo chete uye hachibvumidzi zano rekurapa. Nguva dzose taura nachiremba ane ruzivo kuti uwane kuongorora uye zvisarudzo zvekupatsanurwa. Kana uchitaurirana nenjodzi yekurapa, fonera 911 kana enda kuchipatara chekukurumidza chiri pedyo nekare.