Metronidazole ye BV: Kushandisa, Chirongwa cheZuva neZuva, uye Zvichaitika Mushure meKurapa

Metronidazole ye BV nderimwe remishonga yekurapa ye bacterial vaginosis inorayirwa nachiremba. Chirongwa chekumedza chinowanzoita 500 mg kaviri pazuva kwevhiki, apo nzira yekugadzirisa pahutachiona ndeye 0.75% metronidazole gel kamwe pazuva kwevhiki shanu. Vanhu vazhinji vanoona kunhuwa kwehove kuchitanga kudzikama mukati memazuva maviri kusvika matatu, asi zviratidzo zvinogona kutora nguva yakareba kuti zvidzikame zvizere.

Mushonga unogona kubvisa dambudziko razvino. Haufanire kuti BV haizadzokazve, ndicho chikonzero nei kudzokazve kuchipararira.

TL;DR: Zvinokosha Zvakanzwisiswa

• Nzira mbiri dzekutanga dzeCDC ndidzo metronidazole 500 mg mahwendefa kaviri pazuva kwe 7 mazuva kana 0.75% metronidazole vaginal gel kamwe pazuva kwe 5 mazuva.
• Kuhwa kunowanzo tanga kuderera pazuva rechipiri kusvika rechitatu. Kuzorodzwa kwezviratidzo kunogona kutora nguva yakareba.
• Kana pasina kuvandudzika mushure memazuva mashoma, kana zviratidzo zvicharamba zvichipo mushure mekunge wapedza kurapwa, taura nachiremba wako pane kutanga chirongwa chechipiri wega.
• Gwaro reCDC ra2021 harichakurudzire kudzivisa doro ne metronidazole zvichibva pachekerwo iripo, asi chiratidzo chemushonga chichiri kurayira kudzivisa panguva yekurapa uye kwezasi madiki matatu mushure mezvo.
• BV inowanzo dzokazve mushure mekurapwa. Kana uine zvakare zvakare, bvunza nezve chirongwa chekudzivirira kudzokazve pane kungodzokorora zvidzidzo zvipfupi.

Unoda kutaura nachiremba nezvezviratidzo zvako? August's $39 online urgent care visit inokubatanidza kune chiremba ane rezinesi reUS anogona kuongorora zviratidzo zvako uye kuita sarudzo yekuti kushanya kwepamhepo nekunyora kunokodzera here.

Metronidazole ye BV inobvisa kukura kwemabhakitiriya, asi haisiye kuvimbisa kuti ma-microbiome ako achagara akachengetedzeka.

Metronidazole ye BV imishonga inorayirwa neinotyora mabhakitiriya ekunze inonzi nitroimidazole antibiotic inonangana nemabhakitiriya anogara kunze kwekufema (anaerobic bacteria) anobatanidzwa ne bacterial vaginosis. 2021 CDC STI treatment guidelines inoisa semushonga wekutanga muzvikamu zviviri: mahwendefa e500 mg anotengwa kaviri pazuva kwevhiki kana 0.75% vaginal gel inoshandiswa kamwe pazuva kwevhiki shanu.

Chinangwa ndechekubvisa kuwanda kwemabhakitiriya kunokonzeresa dambudziko razvino. Metronidazole hairegerere kudzorerazve vaginal microbiome kana kuvimbisa kuti lactobacilli dzinodzivirira dzinoramba dzakawanda mushure mekurapa.

Musiyano iwoyo wakakosha nekuti BV inogona kudzoka kunyangwe mushure mekurapa kwemishonga inorwisa mabhakitiriya kunoita seyakashanda. Kudzokazve hazvireve kuti mushonga wakundikana, kuti wakaita chimwe chinhu chisina kunaka, kana kuti mabhakitiriya akatsamwira.

Kupedza chidzidzo kunopera dambudziko iri, kwete njodzi yako ye BV

Hezvino zvichaitika zvinoda kuti zivikanwe: BV inogona kudzoka kunyangwe mushure mekurapwa kunobudirira. CDC guidelines dzinopa chiratidzo kuti kudzokazve kunowanzova, nedzimwe ongororo dzinoratidza kudzokazve mune vanopfuura hafu yevakadzi mukati memwedzi 12.

Izvi zvinochinja zvinoreva kuti hurukuro yekurapa inobatsira inoita sei. Kana wakambove neBV kare, zvakakodzera kubvunza kwete chete kuti, "Chidzidzo ichi chichauraya here?" asiwo, "Ndichaita sei kana chadzoka?"

Kune vanhu vane kudzokazve kwakawanda, vanachiremba vanogona kufunga nezve kurapa kwakadzorera. Muenzaniso mumwe unokurukurwa mumirayiridzo yezvokurapa ndeye 0.75% metronidazole vaginal gel kaviri pasvondo kwemwedzi yakawanda mushure mekurapa dambudziko rinopisa. Chirongwa chaicho chinotsamira pane nhoroondo yako uye chinofanira kubva kuna chiremba wako.

Chinangwa ndechekusaramba uchitora mishonga inorwisa mabhakitiriya nguva dzose kana zviratidzo zvichioneka. Ndizvo kuona kuti chirwere chakachinjwa, kurapa dambudziko razvino nemazvo, uye kuva nezano kana kudzokazve kuchiramba kuchionekwa.

Chidzidzo chemahwendefa chevhiki 7 ndicho chakajairika, ukuwo gel yekunze inopa imwe nzira yekutanga

Metronidazole ye BV dosage inoenderana nekuti ndedzipi fomu dzino rwezira chiremba wako.

Chirongwa chekumedza chinowanzoita metronidazole 500 mg nemuromo kaviri pazuva kwe 7 mazuva. Imwe nzira yekutanga yeCDC ndeye 0.75% metronidazole vaginal gel, neimwe 5 g applicator inoshandiswa mudiki kamwe pazuva kwe 5 mazuva.

Zvose izvi zvinogadzirira kutanga. Sarudzo haisi chete pakati pekurapa kwakasimba" nekunonoka. Chiremba wako anogona kufunga nezvemhaka dzisina kunaka, kupindura kwazvakamboitika kare, kushingirira, uye kuti kurapa kwekunze kana kwemuromo kunobatsira sei kwauri.

Imwe 2 g oral dose ye metronidazole yakaitwa ongororo ye BV, asi hachisi chirongwa chekutanga cheCDC. Mishonga yekudhakwa, kusanganisira secnidazole, inotsvaga pane kutsiva zvidzidzo zvekutanga zvekutanga.

Mitemo miviri inokosha ndiyo: torai mushonga wenyu sezvaunorayirwa uye pedzisai chidzidzo kunyange kana kunhuwa kwapera pakutanga.

Kana ukapotsa dose yemumuromo, itore paunoyeuka kunze kwekunge kwava kuda nguva yekuda. Panyaya iyoyo, svetuka dose yakapotswa uye dzokera kune wako wakajairika hurongwa. Usapetse dose.

Unofanira kuona kunhuwa kuchidzikama pazuva rechitatu, kwete zuva rekutanga

Metronidazole inotora nguva yakareba sei kuti iite basa pa BV? Mushonga unotanga kushanda mushure mekunge watorwa, asi zviratidzo zvako hazvitsvitwi pakarepo.

Chidzidzo chevhiki chinogona kuita seizvi:

• Zuva 1: Unotanga kurapwa. Usatarisira kunhuwa kana kubuda kuti zvipere pakarepo.
• Mazuva 2 kusvika 3: Kunhuwa kwehove kunogona kutanga kudzikama. Kubuda kunogonawo kutanga kuchinja.
• Mazuva 4 kusvika 5: Zviratidzo zvinofanira kuenderera mberi neimwe nzira.
• Mazuva 6 kusvika 7: Ramba uchitora dose yega yega kunyange kana uchinzwa zvakanaka kare.
• Mushure medose yekupedzisira: Kubuda kwakanga kwasara kana kuchinja kunhuwa kunogona kutora nguva yakareba kuti kudzikama.

Iri idzira renzira, kwete chipikirwa. Vamwe vanhu vanovanduka nekukurumidza, ukuwo vamwe vachida nguva yakawanda.

Checkpoint yakakosha ndeye nzira yakazara. Kana zviratidzo zviri kuramba zvichiipa, kana pasina kuvandudzika kwakakosha mushure memazuva mashoma, taura nachiremba wako pane kuwedzera mushonga wega.

Kunaka kwesimbi kunotarisirwa; kutetepa kana kutemha hakusi

Metronidazole ye BV side effects kazhinji inogona kugadziriswa, asi vamwe vanonyatsooneka kupfuura vamwe. MedlinePlus inopa zvakakwana zvakadai sekunaka kwesimbi, kusema, kurutsa, manyoka, uye kurwadza kwemusoro.

Kunaka kwesimbi kunogona kunyanya kusvikeka. Kudya nemushonga wako, kana uchiregererwa nemirayiridzo yako yekuraira, zvinogona kubatsira kuderedza kusema. Gum kana candy isina shuga zvinogona kuita kuti kunaka kwacho kuve nyore kutsungirira.

Kana zvakaipa zviri pamuromo zvichiita kuti zvive zvakaoma kupedza kurapwa, taura nachiremba wako pane kuregedza wega. Fomu yekunze inogona kuva nzira yakakodzera kune vamwe.

Zvimwe zviratidzo zvinoda kuongorora zvakawanda. Taura nachiremba nekukasira kana ukaona kutemha, kutetepa, kutsva, kana kurwadza mumawoko kana tsoka dzako. Tsvaga rubatsiro rwekukurumidzira nezvekugunzwa, kuvhiringidzika kwakanyanya, kurasikirwa nekubatanidza, kana kuita ganda kwakanyanya kunosanganisira kubuda kana kutyoka.

Chirevo chedoro chakachinja muna 2021, asi chiratidzo chemushonga chichiri kutaura kuti uchengetedze

Unogona kunwa doro ne metronidazole ye BV here? Ichi chimwe chezvinhu zvinonyanya kuvhiringa pamirayiridzo yemishonga.

Chikumbiro che2021 CDC guideline update chinoti kudzivisa doro hakuchadiwi zvichibva pane umboo huripo, hwaana chigadziridzo chekutarisa chakatarisirwa pakati pe metronidazole nedoro.

Zvisinei, chinyorwa chemushonga chichiri kutora chinzvimbo chakachengetedzeka. MedlinePlus inopa zano kudzivisa zvinwiwa zve doro nezvigadzirwa zvine doro panguva yekurapa uye kwezasi madiki matatu mushure medose yekupedzisira.

Saka kune zvikamu zviviri zvezano zvekuziva:

• CDC: kudzivisa doro hakuchakurudzirwe zvichibva pane umboo hwakatariswa.
• Chinyorwa chemushonga: chichiri kurayira kudzivisa doro panguva yekurapa uye kwezasi madiki matatu mushure mezvo.

Kana uchida nzira inochengetedzeka, tevera chinyorwa chemushonga nemirayiridzo yechiremba wako. Doro rinogonawo kuita kuti kusema nekugadzirisa mudumbu kuve kwakanyanya, izvo zviri pamwe zvatova zvakaipa zve metronidazole.

Kana usiri kuvanduka, ndiyo fonero, kwete kumirira-uye-kuona

Dambudziko nemetronidazole ye BV isingashande nderekuti mushonga unogona kunge usiri dambudziko.

Zviratidzo zve BV zvinobatana nezvirwere zve mbiriso, trichomoniasis, nezvimwe zvirwere zve pafoni kana zvinotapurwa pabonde. Kana kuongorora kwakaipa, metronidazole haizogadzirisi dambudziko rakavanzika.

Mutemo unoshanda ndewedu: kana uchiona kuvandudzika mushure memazuva mashoma ekurapa, kana zviratidzo zvicharamba zvichipo mushure mekunge wapedza chirongwa chakapedzwa, taura nachiremba wako.

Usaita:

• Tanga zvakare metronidazole yakavharwa kubva kune yekare yekuraira.
• Tora mushonga weumwe munhu.
• Wedzera antifungal kana imwe mishonga inorwisa mabhakitiriya usati waona kuti urikutsvaga chii.
• Ramba uchidzokorora zvidzidzo usati waona kuti chirwere chakachinjwa.

Chiremba wako anogona kunge achida kufunga nezve chirwere chechipiri, BV inoramba ichiripo kana kudzokazve, kuona kwekunze kutsva, kana chimwe chikonzero chezviratidzo. Ndizvo zvakare apo kuti urgent care inogona kuedza BV inova mubvunzo unoshanda. Zvichienderana neimba yekurapa, unogona kuda kuongorora kana swab yepafoni kuti uone kuti chii chiri kuitika.

Kana usina chokwadi chekuti zviratidzo zvako zvinoda rubatsiro rwekukurumidzira kana kusangana kwakajairika, iyo yemahara August AI Symptom Checker inogona kukubatsira kusarudza kuti nderipi nhanho yerubatsiro inogona kudiwa.

Tsvaga rubatsiro rwekukurumidzira ikozvino kana:

• Wazvimba kumeso, miromo, rurimi, kana mutsipa kana kutadza kufema.
• Wagunzwa, kuvhiringidzika kwakanyanya, kana kurasikirwa nekubatanidza.
• Wakaona ganda rakakomba rinobuda kana kutyoka kana rashi rekubvamburana rwakapararira.
• Wane fivha kana kutonhora nekurwadziwa kwakanyanya kwepamudumbu kana kudzika kwepasi.
• Wakapenga uye une kurwadziwa kwakanyanya kwepamudumbu, fivha, kuona, kana mvura ichibuda.
• Une kubuda kwakawanda kana kusajairika kwepafoni nezviratidzo zvinonetsa.

Book kubvunza nachiremba nekukasira kana:

• Zviratidzo zvako hazvina kuvandudzika mushure mekunge wapedza chidzidzo chose.
• Zviratidzo zvako zviri kuipa uchitora kurapwa.
• Iri ndiro chidzidzo chako chechitatu kana chechina mukati memwedzi 12.
• Wakaona kubuda kutsva kana kwakasiyana mushure mekurapwa.
• Wakapenga uye une zviratidzo zve BV.

Taura nachiremba usati watanga metronidazole kana:

• Wakapenga kana uri kuyamwisa.
• Unotora warfarin kana imwe nguva yekuderedza ropa.
• Unotora lithium kana disulfiram.
• Une chirwere chakakomba chechiropa.
• Wakambopindura kune metronidazole kana imwe nitroimidazole.
• Une nhoroondo yekugunzva kana peripheral neuropathy.

Kune dambudziko rinoenderera kana rinodzokazve, August's $39 online urgent care visit inobvumira chiremba ane rezinesi reUS kuongorora zviratidzo zvako uye kuona kuti kurapwa kunokodzera here. Kushanya kwepamhepo hakugoni kuita kuongorora kwepamuviri kana kutora swab yepafoni, saka unogona kuendeswa kune bvunzo yepedyo kana zvichidiwa.

Mibvunzo Inobvunzwa Kazhinji

Metronidazole yakachengeteka kutora panguva yekuzvitakura here?

Metronidazole inowanzo shandiswa kurapa symptomatic BV panguva yekuzvitakura, asi kurapwa chaiko kunofanirwa kusarudzwa nachiremba wako wepamuviri kana mumwe nyanzvi yehutano.

Udza chiremba wako kuti uri nepamuviri usati watanga kurapwa. Usazvirapa pachako uchibva pane yekare yekuraira kana kusarudza pakati pekurapa kwemuromo kana kwekunze pasina zano rekurapa.

Kubvunzwa kwemaitiro nekusarudza kurapwa kunosiyana nekutarisana nemunhu ane zviratidzo. USPSTF haakurudzire kubvunzwa kwakajairika kweBV mune vanepamuviri vasina zviratidzo vasina njodzi yekuberekwa nguva isati yasvika.

Mudzimai wangu anofanira kurapwawo ne BV here?

Kurapwa kwemudzimai kwenguva dzose hakuna kumborayirwa mukutanga kwe BV.

Zvisinei, BV inodzokazve inzvimbo iri kuwedzera yeongororo nehutungamiri hwezvokurapa. Kana zviratidzo zvako zvichidzokazve zvakare, kunyanya zvichibatanidzwa nemudzimai mumwe chete, taura nezvenyaya iyoyo nachiremba wako. Vanogona kuona kuti kubata kwemudzimai kunokodzera here zvichibva pamirayiridzo yazvino nemamiriro ako.

Pane nzira yekutenga isingapiwe rezinesi yekupfuura metronidazole ye BV here?

Hapana mushonga unoshanduka usina rezinesi unonzi unotsiva wekurapa kwemishonga ye BV ine zviratidzo.

Zvigadzirwa zvinotengeswa kune kunhuhwirira kwefoni kana pH zvinogona kushandura zviratidzo, asi hazvidzore kuongorora kwakakodzera nekudiridza kwakakodzera kwekugadzirira kwemabhakitiriya.

Izvo zvakakosha nekuti BV inogona kunzwa yakafanana nezvirwere zve mbiriso nezvimwe zvakawanda zvinotapurwa pabonde. Kurapa chirwere chakashata kunogona kunonoka mushonga waunoda chaicho.

Ndine bvunzo yekutevera mushure mekunge ndapedza metronidazole here?

Kazhinji kwete kana zviratidzo zvako zvakapera zvizere.

Kubvunzwa kwekuedza kwekuvapo kunowanzodiwa mushure mekurapwa kunobudirira. Kutevera kunova kwakakosha kana zviratidzo zvicharamba zvichipo, zvodzokazve nekukurumidza mushure mekurapa, kana kuti zvodzokazve.

Kana zviratidzo zvodzokazve, usafungidzire kuti unoda imwe nguva ye metronidazole. Chiremba wako anogona kuda kuona kuti dambudziko ndiro BV ichiri.

Metronidazole ichaurayawo chirwere che mbiriso here?

Kwete. Metronidazole haiporesi zvirwere zve mbiriso.

Metronidazole inonangana nemabhakitiriya akasarudzwa uye haina simba re antifungal kune Candida. Kana ukaona kubuda kwakawanda kwachena, kuvavira kwakanyanya, kana zvimwe zviratidzo zvakasiyana nezvako zvakajairika zve BV, unogona kuva nechirwere chembiriso kana chimwe chirwere chinoda kurapwa kwakasiyana.

Kana usina chokwadi chekuti chii chiri kunetsa, endesa kuongororwa pane kuzvirapa pachako uchibva pane chimiro chete.

Chikamu chepasi

Metronidazole ye BV nderimwe chezvinhu zvakajairika zvekurapa dambudziko re BV riri mukuitika. Chirongwa chemuromo chinowanzoita 500 mg kaviri pazuva kwe 7 mazuva, ukuwo 0.75% vaginal gel kamwe pazuva kwe 5 mazuva ndiyo imwe nzira yekutanga yeCDC.

Usatarisira kunhuwa kwehove kuti chipere mushure medose yekutanga. Vanhu vazhinji vanoona kuvandudzika pazuva rechipiri kusvika rechitatu, asi kuzorodzwa kwezviratidzo kunogona kutora nguva yakareba.

Kana usiri kuvanduka, zviratidzo zvicharamba zvichipo mushure mechidzidzo, kana BV ichiramba ichidzokazve, usangoramba uchidzokorora kurapwa mumwe. Endesa kuongororwa uye bvunza nezve chirongwa chekudzivirira kudzokazve.

Uye kana uchida kurukura nezvezviratidzo zvako nachiremba, August's $39 online urgent care visit inogona kuva nzvimbo yekutanga inobatsira kana zviratidzo zvako zvichikodzera rubatsiro rwevirtual.