Gel reMetronidazole nereMetronidazole yemumukanwa zvinorapa BV pamwero wakafanana. Ingangoita 84% yekurapa kwemukati ne gel uye ingangoita 85% nemahwendi. Sarudza zvichienderana nezvinokonzeresa nematambudziko mukunyorwa pachinzvimbo: gel zvinoreva kushandiswa kwechiuno uye zvingangoita kutsamwa kwemunharaunda, ukuwo piritsi zvinoreva mazuva manomwe emahwendi uye mukana wakakwirira wekunzwa kusvotwa uye kuravira kwesimbi.

TL;DR: Zvinyorwa Zvakakosha

  • Zvirevo zvekuporesa zvakafanana nezvakawanda. CDC inonyora ese semishonga yekutanga uye haikurudzire imwe nzira pane imwe zvichibva pakubudirira.
  • Musiyano chaiwo ndeye kugamuchirwa: mahwendi anogona kukonzera kusvotwa uye kuravira kwesimbi, ukuwo gel inogona kukonzera kutsamwa kwemunharaunda uye kuwanda kwebhakitiriya.
  • Gel reMetronidazole yeBV rinowanzo kurongedzerwa semuromo mumwe chete pazuva kwe5 mazuva. Mahwendi eMetronidazole anowanzo kurongedzerwa se 500 mg kaviri pazuva kwe7 mazuva.
  • Zvese zvinyorwa zvezvigadzirwa zvinorayira kudzivisa doro, kunyangwe humbowo hwekuita kwakadai disulfiram hune mukana mushoma kupfuura zvakakurudzirwa kare.
  • BV inogona kudzokera mushure mekurapwa. Kudzokorora hakureve kuti watora mushonga wakasarira.

Haufungire kana zviratidzo zvako zvichinyatsova BV kana kana uchida rubatsiro nekukurumidza? August AI Symptom Checker yemahara inogona kukubatsira kunzwisisa kwekukurumidzira kwezviratidzo zvako uye August's $39 online urgent care visit inokubatanidza nemunhu ane rezinesi reUS anogona kuongorora zviratidzo zvako uye kuona kana kushanya online nekunyora kuri kwakakodzera.

Gel reMetronidazole yeBV rinoshanda: harisi kushanda kupfuura piritsi

Gel reMetronidazole yeBV mushonga wekutanga webacterial vaginosis uye unogona kuita semushonga se oral metronidazole. 2021 CDC STI Treatment Guidelines humbowo hweongororo hunonyora oral metronidazole 500 mg kaviri pazuva kwe7 mazuva uye vaginal metronidazole gel 0.75% semishonga yakakurudzirwa. Sarudzo pakati pawo inowanzobva pane zvinoitika, nyore, nhoroondo yekurapa, uye zvaunoda pachako pane kuti imwe iri nani pane imwe.

Nhamba dzakadzika-dzika dzinowanzotaurwa dzinoratidza zvirevo zvakafanana zvekuporesa kwemukati pakuongorora kwekutanga, neingangoita 83.7% ye gel yemukati uye 85.1% yekurapa kwemumukanwa. Musiyano uyu mudiki, saka kugamuchirwa uye mukana wekuti unogona kupedzisa kurapwa kwakarongedzwa unogona kuva wakakosha pakusarudza pakati pawo.

Nguva inogonawo kuva yakafanana. Kunhuwa kwehove uye kubuda kunogona kutanga kuvandudza mukati memazuva mashoma pane chero mushonga. Kuvandudza hakureve kuti unofanirwa kumisa kurapwa nekukurumidza. Pedzisa mishonga yemazuva mashanu yemushonga kana yemumukanwa yemazuva manomwe, musimboti wakafanana wakakurukurwa apo mushonga wepamusoro wepamusoro unogona kutsiva injection: nzira inogona kuchinja, asi kupedzisa kurapwa kunoramba kuchikosha.

Sarudzo yegel-vs-piritsi ingori mubvunzo wekudzikisira, kwete wekubudirira

Saka gel kana piritsi riri nani kune BV? Kwete mune zvakawanda zvinoreva vanhu. Hapana chimwe chinongova neshanduro "yakasimba", uye kuchinjika kubva kune imwe kuenda kune imwe hakusi kungove kuvandudza.

Zvinokosha ndizvi: kudzokorora kweBV kunowanzoitika mushure mekurapwa. Ongororo dzakabatanidza kudzokorora nezvinhu zvakadai sekugara kwebiofilm, kuchinja kwevaginal microbiome, uye dzimwe nzira. Kana BV ikadzokera mushure mekunge wapedza kurapwa, izvozvo hazvireve kuti watora mushonga wakasarira kana kushandisa mushonga zvisirizvo.

Sarudzo inoshanda ndeyekusawirirana kwemumukanwa, sezvinosvotwa nekunzwira kwesimbi, uye mhedzisiro yemunharaunda yegel uye kudiwa kwekuisa mumukadzi sezvakarongeka.

Gel reMetronidazole vs piritsi: misiyano ingori yemashandisiro, kwete yemukati

Kana zvichienzaniswa, gel reMetronidazole vs piritsi kungori kuenzanisa kwekunyoreka, kusangana nazvo, uye mhedzisiro.

  Gel yemukadzi 0.75% Mahwendi emumukanwa 500 mg
Hurefu hwekurapa 5 mazuva 7 mazuva
Nhamba yemadosi 5 kusvika 10 ma applicatorfuls 14 mahwendi
Kubatana Topical, kushoma kunyura mumuviri Systemic
Mhedzisiro huru Kutsamwa kwemunharaunda, kuoma, kuwanda kwebhakitiriya Kuvhiringidzwa kweGI, kuravira kwesimbi, kurasikirwa nekuda kwekudya
Doro Chinyorwa chinoti vhairai; kuita kushoma Vhairai; yambiro yakasimba, yakanyatsotsanangurwa
Mutengo wakajairwa Zvinosiyana nemhando uye inishuwarisi Mahwendi emujini anowanzo kuve akachipa

Sarudza gel kana mishonga yepamusoro ichiita kuti unzwe kusvotwa, kana uchitora mishonga inopindirana ne systemic metronidazole, kana kuti unoda hurefu hwekurapa husina kureba.

Sarudza piritsi kana ma applicator emukadzi achikunetsa, kana uchibhadhara nemari uye uchida sarudzo yakachipa, kana kuti kuisa chimwe chinhu usiku kwe mazuva mashanu ndicho chinhu chingaita kuti umire pazuva rechitatu.

Hapana sarudzo inoshandura gwara rekupatsanurana nevamwe, uye hapana chinoita kuti zvisafungidzirwe kupedzisa dose yega yega.

Kaviri-zuva MetroGel hakusi nani pane kamwe chete-zuva

MetroGel-Vaginal, Vandazole, uye Nuvessa vose vari metronidazole gel yeBV. Molecule imwe, simba rimwe chete rekugadzirwa 0.75%, zvinyorwa zvakasiyana pamubhokisi.

Chinyorwa cheFDA paDailyMed chinotsanangura muromo mumwe, ingangoita 5g ine ingangoita 37.5mg ye metronidazole, inoiswa mukati memukadzi kamwe kana kaviri pazuva kwe5 mazuva. Chidzidzo chechinyorwa chevakadzi 505 hachina kuwana musiyano wakakosha mune zvinokonzera pakati pemishonga yekamwe chete neyekaviri. Verenga izvozvo zvakanyatsorongedzwa: kaviri pazuva hakusi nesimba rekushungurudza, asi haisiwo chete inobudirira. Tevedzera zvaunorongedzerwa sezvakanyorwa uye usasanganise pachako.

Isa usati warara kuti uderedze kubuda, shandisa applicator nyowani kune yega yega dose, uye pedzisa mazuva mashanu ese kunyangwe kunhuwa kwapera nezuva rechipiri. Gel inopesana mukati memavhiki maviri ekushandiswa kwe disulfiram uye mune chero munhu anoshungurudzika kune nitroimidazole derivatives.

Zvinokonzeresa - kwete zviyero zvekuporesa - ndizvo zvinofanira kusarudza izvi

Zvinokonzeresa zveGel reMetronidazole zvinonyanya kuve zvenharaunda. Cleveland Clinic inonyora musoro, kutsamwa kwenzvimbo yekushandisa uye kuoma, kusvotwa, kurwadziwa nedumbu, uye candidiasis yemukadzi. Mahwendi emumukanwa anoita zvakanyanya kunyanya: kunzwa kwesimbi, kusvotwa, kurasikirwa nekuda kwekudya, kuvhiringidzwa kweura kwakakura.

Hapana kana chimwe chacho chiri chisina basa. Ongororo yemuna 2024 yevaviri vemakumi mana nemaviri yakasimbisa metronidazole neimwe nzira sekurapa kwekutanga kunobudirira, ukuwo ichicherekedza ine huwandu hwakakwirira hwezvinokonzera pane placebo uye pane dzimwe nzira dzisiri dzeantibayotiki dzakadai semiprobiotics yemukadzi.

Doro ndipo apo nzira dzinonyatsoparadzana, uye chikonzero chiri mechaniki. Dosi yemumukanwa inogadzira mazinga eropa, ndicho chikonzero nei kuita kwakadai disulfiram kwekupisa, musoro, kusvotwa, kurutsa, uye kurova kwemoyo nekukurumidza kwakanyatsotsanangurwa nemahwendi. Gel inoshandiswa zvishoma, saka njodzi iyi iri yakaderera. Yakaderera haisi zero, uye chinyorwa chichiri kukuudzai kuti muvhaire doro nezvigadzirwa zvine propylene glycol panguva yekurapwa uye kwenguva yakati pashure. Iyi ndiyo nzira imwe chete yekufunga shure kwekusarudza pakati pezviviri zveantibayotiki pane zvinokonzeresa chete.

Zvimwe zviratidzo zveBV hazvisi BV - ziva izvo zvinoda chipatara

Fonera 911 kana enda kuchipatara chekukurumidzira ikozvino kana:

  • Une dambudziko rekufema, kurwadziwa nechikafu, kurova kwemoyo nekukurumidza, kuzvimba kwakanyanya, kana kudedzera mushure mekunge wamhanyira doro pa metronidazole
  • Une fivha, kutonhora, kana kurwadziwa kwakanyanya kwechibereko pamwe nekubuda, izvo zvinogona kureva chirwere chechipatara
  • Ganda rako kana maziso zvine yero, weti yako inosviba, kana kuti une kurwadziwa kukuru mudumbu, zvese zvinogona kuva zviratidzo zvekukuvara kwechiropa
  • Urine nepamuviri une ma contraction, kumanikidzwa kwechibereko, kana kubuda kweropa pamukadzi

Bhuka kushanya mukati mevhiki rinouya kana:

  • Zviratidzo hazvina kuvandudzika, kana zvakashata, mushure mekunge wapedza kurapwa
  • Une kubuda kweropa kwakawanda kana kusina kujairika pamukadzi
  • Uine zviitiko zvakadzokororwa mukati memwedzi mishoma, kana kuti uchida kushandura mushonga

Taura nemunhu anoona nezvehutano usati watanga kana:

  • Urine nepamuviri kana kuyamwisa
  • Watora disulfiram mumavhiki maviri apfuura, kana kuti une chirwere chechiropa
  • Wanga uine kuzvimba kana kunzwa kunotonhora panguva yekurapwa kwe metronidazole yapfuura

Kugadzirwa nekurasikirwa nekugadzirisa, kana kuzvimba kutsva nekunzwira munzvimbo dzenzira kana pamaziso panguva yekurapwa, kungave kune mhedzisiro yeuremu. Mira kurapwa uye uwane zano usati waenderera.

Kana uchida kuongororwa kwemishonga, August's $39 online urgent care visit inokubatanidza nemunhu ane rezinesi reUS anongopa zviratidzo zvako uye anoona kana kunyorwa kuri kwakakodzera. Iva wakajeka pamusoro pemiganhu: kushanya online hakugoni kuita bvunzo yechibereko kana kuunganidza swab yemukadzi, uye yekutanga kana isina kujeka chiitiko chinowanzo kuda zvese.

Nguva dzakawanda dzinobvunzwa

Ndeupi mushonga we gel reMetronidazole wakachengeteka panguva yekuva nepamuviri kana kuyamwisa?

Dzimwe nguva. Gel reMetronidazole yemukadzi riri FDA Pregnancy Category B, uye chinyorwa chinoti metronidazole inopinda placenta, saka kushandisa panguva yekuva nepamuviri kunofanira kuva sarudzo yemunhu anoona nezvehutano pane sarudzo yekuzadziswa. Kune vanamai vanoyamwisa, mushonga unobuda mumukaka wezamu pamazinga akafanana neadosi yemumukanwa, uye chinyorwa chinorayira kuwedzera kana uchidzinga kuyamwisa kana kumisa mushonga.

Ndinogona kuita bonde ndichishandisa gel reMetronidazole yeBV?

Hauzivi zvekuzviita panguva yemazuva mashanu ekurapa, kunyanya nekuda kwezvikonzero zvemashandisiro. Bonde rinogona kuisa gel panzvimbo uye kuwedzera kutsamwa. Ma mechaniki maviri anokosha kana uchiita izvozvo: gel base inogona kushatisa makondomu erabbera nediyaphrams, izvo zvinokanganisa kuchengetedzwa kwekuita pamuviri uye STIs, uye gel pachayo haisi contraceptive. Bvunza nezve barrier isiri yerabbera svondo iroro.

Mudzimwe wangu anoda kurapwa kweBV here?

Kwete. Kurapwa kwakajairika kwemudzimai kunorapwa hakusi tsika yakajairwa uye hakusati kwaratidzwa kudzivirira kudzokorora, saka kunyorwa kwako kungori kwako. Vanodyidzana navakadzi imwe nhaurwa yakasiyana, sezvo BV inogona kugovaniswa pakati pevanodyidzana navakadzi vanaro, uye mudzimai ane zviratidzo anofanira kuongororwa ari ega pane kurapwa nemubatsiri.

Ndeupi mushonga we gel reMetronidazole uri kudhura kupfuura mahwendi?

Kazhinji. Mahwendi emujini eMetronidazole anowanzo kuve akachipa pane zvese zviri zviviri, sezvo ari ekare, akapararira zvakanyanya. Mitengo yegel inosiyana zvakanyanya nemhando uye nekunyorwa kwako kwekukuvara, uye zvikamu zvemhando zvinogona kuva zvakanyanya kudhura kupfuura gel yemujini. Bvunza pharmacy kuti ivhare ese ari maviri usati wasarudza mushonga.

Gel reMetronidazole richarapawo chirwere chebhakitiriya kana trichomoniasis here?

Kwete. Gel reMetronidazole rinonangisa ma anaerobic bacteria ari shure kweBV uye haridi chero chinhu chebhakitiriya. Inogona chaizvo kuwedzera chimwe, sezvo candidiasis yemukadzi iri mhedzisiro yakazivikanwa. Trichomoniasis inopindura kune metronidazole, asi kune adosi yemumukanwa, kwete gel yemukadzi, saka chirwere chetrich chinoreva mahwendi uye nhaurwa nevamwe vako.

Chinyorwa chepasi: sarudza mushonga uchapedza zvechokwadi

Pamativi ekuporesa, gel reMetronidazole vs piritsi ingori yemushonga. Sarudza pane kugamuchirwa: gel kana mishonga yepamusoro ichiparadza dumbu rako, mahwendi kana ma applicator ari chinhu chisingaendi. Kupinda ndicho chinhu chimwe chete chaunogona kudzora, uye kupedzwa kwechero kwacho kunodarika kuparadza kwe "zviri nani". Zvese zvinoda kunyorwa uye kuongororwa kwechokwadi, kunyanya kune yekutanga kana isina kujairika chiitiko.