Hongu, tinidazole ye BV inoshanda. CDC inoriisa seimwe nzira yekurapa, 2 g mukanwa kamwe chete pazuva kwemazuva maviri kana 1 g kamwe chete pazuva kwemazuva mashanu, ukuwo metronidazole yomukanwa ichiri yekutanga. Mukunetsana kwe tinidazole vs metronidazole ye BV, musiyano chaiwo uri kureba kwegwaro, kwete simba.

TL;DR: Zvinonyanya Kutaurwa

  • Dose yakataurwa ndeye 2 g kamwe chete pazuva kwemazuva maviri, kana 1 g kamwe chete pazuva kwemazuva mashanu, zvese zvichitorwa nezvekudya. Inongopiwa neprescription muUS, inotengeswa seTindamax.
  • Tinidazole uye metronidazole ndezveboka rimwe chete remishonga. Tinidazole inogara kwenguva refu mumuviri, zvichiita kuti mushonga ugare kwenguva pfupi, kwete kuwedzera mwero wekupora.
  • Alerji chaiye kune metronidazole inoita kuti tinidazole ishandiswe, nekuti maererano nekugadzirwa kwemishonga, pane kusawirirana. Clindamycin ndiyo inowanzoshandiswa mune izvozvo.
  • Haufanire kunwa doro panguva yekurapa uye kwemazuva matatu akazara mushure mekupedzisira, zvichienzaniswa nezvinoda metronidazole (anenge maawa makumi maviri nemana).
  • Usashandise tinidazole kana uri nepamuviri, uye haifanirwe kushandiswa mumwedzi mitatu yekutanga yekuzvitakura. Metronidazole ndiyo sarudzo yepamuviri.

Tinidazole ye BV Inoshanda Chaizvo. CDC Haisi Kuisa Pakutanga

Tinidazole ye BV mushonga unobva kune nitroimidazole (inotengeswa seTindamax muUS) iyo 2021 CDC STI treatment guidelines inoti imwe nzira yekurapa: 2 g mukanwa kamwe chete pazuva kwemazuva maviri, kana 1 g mukanwa kamwe chete pazuva kwemazuva mashanu. Zvisarudzo zvekutanga zvinoramba zviri metronidazole yemukanwa 500 mg kaviri pazuva kwemazuva manomwe, kana metronidazole vaginal gel 0.75% kamwe chete pazuva kwemazuva mashanu.

"Alternative" (Imwe nzira) inongoreva kuti haisi yekutanga, uye izvi zvinogona kuonekwa zvisina kumira mushe nguva dzose. Hazvirevei kuti isina simba, uye hazvirevei kuti ndiyo yekupedzisira. Zvinoreva kuti humbowo huri shoma pane hwe metronidazole, saka inoiswa pachinzvimbo chepiri. Muchidimbu, kurapa kwechipiri kwe BV kwakafanana nekwekutanga asi hakusi iko kwakasarudzwa pakutanga. Femu yako yemishonga haizove nayo pasina prescription, uye vanhu vazhinji vanoda kuti metronidazole ive yakaitwa kana yakashayikwa.

Tinidazole Haisi Simba Kudarika Metronidazole. Inongogara Kwenguva Yakareba Mumuviri Mako

Mukuedzwa kwe tinidazole vs metronidazole ye BV, vanhu vanotarisira kuti simba ndiro musiyano mukuru, asi simba ndicho chinhu chisina kunaka kuenzanisa. Zvese zvese zviri nitroimidazoles: boka rimwe chete, nzira imwe chete, basa rimwe chete rekudzimura ma bacteria anogadzira anaerobic. Tinidazole haisi kirasi yakasiyana inochengeterwa zvirwere zvakaoma.

Chisiyano chaiwo ndechekuti mushonga unogara kwenguva yakareba sei mumuviri. Tinidazole inogara mumuviri kwema awa 12 kusvika 14, zvichienzaniswa ne metronidazole inongogara maawa 8, uye nhamba iyi ndiyo inogonesa kuomesa mushonga kamwe chete pazuva kwemazuva maviri kana mashanu kuti zvitsive metronidazole yemazuva manomwe kaviri pazuva.

Izvi ndizvo zvakawanda zvinyorwa zvisingakuudzei: hapana ongororo yakaitwa yakananga pakutsaura mishonga miviri iyi pamadosi avo akataurwa eBV, saka tinidazole inoshandiswa nekuda kwehurongwa hwayo huri nyore, kwete nekuda kwekuvandudza mwero wekupora. BV inovapo zvakare mushure mekurapwa ne metronidazole haisi kuti yave "resistant". BV inowanzo dzoka nezvikonzero zvine chekuita ne vaginal microbiome pane mushonga wacho. Kuchinja kunongochinja hurongwa uye zvinokanganisa, kwete kusimbisa simba.

Alerji Chaiye kune Metronidazole Ndiwo Musiyano Mukuru Kuti Tinidazole Haigone Kugadzirisa

Paunotsvaga nezveimwe nzira ye BV kana uine alerji kune metronidazole, tinidazole inowanzobuda pakutanga, izvo zvakaipa kwazvo. FDA label inorambidza tinidazole kune chero munhu ane kusawirirana kune mamwe ma nitroimidazole derivatives, kusanganisira metronidazole. Kusawirirana mukati meboka ndicho chikonzero chechiyeuchidzo ichi.

Saka musiyano wakakosha ndewearerji ne kusawirirana. Kuputika, kuzvimba kwechiso kana mutsipa, uye kuoma kufema ndiko alerji, uye imwe nzira ye BV alerji kune metronidazole yaunoshandisa ndeye clindamycin, kwete imwe nitroimidazole. Kunzwa kuda kurutsa uye kuravira kwesimbi ndiko kusawirirana, kunogumbura asi hakusi kweimmune, uye hazviregi kushandisa tinidazole.

Zvikonzero chaizvo zvinoita kuti tinidazole ibatsire:

  • Zvinokanganisa mudumbu nezve metronidazole zvakanyanya zvokuti zvinokanganisa kurapwa, asi zvisiri alerji
  • Kuoma chaiko kuipedzisa miziyisi gumi nemana mumazuva manomwe, kunyangwe kubva pakushanda, kufamba, kana kungokanganwa
  • Kuda chaiko kwekurapa kwenguva pfupi kune mushonga wemukanwa
  • BV inodzoka zvakare uko nitroimidazole iri kushandiswa zvakare uye kutora mushonga ndiko dambudziko

Sarudzo yekushandisa mushonga weVaginal inguva yakasiyana. Kana zvinokanganisa zvose mumuviri zviri dambudziko, metronidazole gel panzvimbo yemahwendefa kazhinji inogadzirisa dambudziko iri zviri nani pane kuchinjana mishonga yemukanwa.

Kana wakambova nechiito kune metronidazole uye uchida chirongwa svondo rino, August's $39 online urgent care visit inokubatanidza ne clinician ane rezinesi muUS anotarisa nhoroondo yako uye anoita sarudzo yekuti prescription yakakodzera here. Kushanyira nevideo hakugoni kuita pelvic exam kana kutora vaginal swab, saka zviitiko zvekutanga kana kuti mamiriro asina kujeka zvinoramba zvichida kurapwa panyama. Kana uri nepamuviri, enda nacho kuna OB wako.

Zviviri Zvingasarudzwa Kwemadosi, uye Chidoko Chidoko Hachisi Chiri Nyore

Dose yeTinidazole ye BV inouya nenzira mbiri: 2 g mukanwa kamwe chete pazuva kwemazuva maviri, kana 1 g mukanwa kamwe chete pazuva kwemazuva mashanu, zvese zvichitorwa nezvekudya. Zvese zvinoita 4 g zvichienzaniswa ne 5 g, izvi zvakasiyana mukurongwa, kwete musimba.

Vanhu vazhinji vanofunga kuti kurapwa kwemazuva maviri ndiko kuri nani. Kazhinji hakusi kudaro. Kunzwa kuda kurutsa kunowanikwa pamusoro pe 2 g regimen kupfuura pane 1 g regimen, nekuti unoiswa mushonga wakapetwa kaviri panguva imwe chete. Kana uchigona kunzwa kusvotwa, kana usingakwanise kunzwa zvakaipa panguva yekushanda, iyo yezuva shanu ndiyo sarudzo iri nani kunyange ichigara yakareba.

Kana uchirutsa munguva pfupi mushure mekusarudzwa kwemushonga, fonera anokuraira usati wadzokorora. Usasarudza wega kutora imwe, kunyanya pane hurongwa hwemazuva maviri apo dose yega yega iri hafu yeese kurapwa. Kushungurudzika kwakanyanya kwetsvo kana chiropa kunogona kushandura maitiro ekugadzirisa tinidazole BV dosage, saka taura chero dambudziko rakadaro risati rapiwa prescription.

Doro Rinofanira Kusaririra Kwemazuva Matatu Mushure Mekupedzisira Dose

Tinidazole nedoro zvinofanira kuva zvakaparadzana kwenguva refu kupfuura zvinodiwa ne metronidazole: panguva yekurapa uye kwemazuva matatu (maawa 72) mushure mekupedzisira dose, zvichienzaniswa neanenge maawa makumi maviri nemana ne metronidazole. Kuzvisanganisa kunogona kukonzera reaction yakafanana ne disulfiram: marwadzo mudumbu, kunzwa kuda kurutsa, kurutsa, kupisa, nekurwadza kwemusoro.

Chirambidzo hachisi che zvinwiwa chete. Zvigadzirwa zvine ethanol kana propylene glycol zvinoverengekawo, izvo zvinosanganisira zvimwe zvinwiwa zvekufema nekutonhora. Disulfiram pachayo haifanirwe kutora mukati memavhiki maviri kubva kune tinidazole.

Verenga kana kuverenga usati watanga. Pane hurongwa hwemazuva maviri, hwindo rekunwa doro rinenge mazuva mashanu, saka kurapwa kutanga neChina kunopedza zvese kusvika Svondo.

Zvinokanganisa Zvinokonzera Vanhu Kuti Vachinje Ku Tinidazole, uye Nei Vamwe Vachidzokera

Zvinokanganisa zveTinidazole BV zvinoita sezvakajairika kune wese ane metronidazole: kuravira kwesimbi kana kwakaora, kunzwa kuda kurutsa, kusagadzikana mudumbu, kurwadza kwemusoro, nekushaya simba. Kutora dose yega yega nezvekudya kunoitwa sezvinodiwa, kwete zano rekusarudza, uye kunoderedza kunzwa kusagadzikana mudumbu.

Vanhu vazhinji vanotsigira tinidazole zviri nani, uye izvozvo zvinogona kutarisirwa. Haisi vimbiso. Kuravira kwesimbi kunyanya kunowanikwa muboka, saka chiratidzo chakakudzinga kubva ku metronidazole chinogona kukutevera pano.

Zvisarudzo zviviri zvakakomba. Tinidazole inopesana nevanhu vane Cockayne syndrome, uko ma nitroimidazoles akafanana anosanganisira metronidazole akakonzera kukuvara kwakanyanya uye nguva nenguva kufa kwechiropa. Uye mirai mushonga uye tsvakai rubatsiro nekunzwa titi mumakumbo kana maoko, kana nekusviba kwechiso, urini rwakadzika, kana marwadzo makuru mudumbu.

Kana Uri Nepamuviri, Iyi Ndiwo Nzvimbo Yekuti Metronidazole Inobuda Sei

Tinidazole inofanira kudziviswa kana uri nepamuviri uye inopesana mumwedzi mitatu yekutanga nekuti inoyambuka placenta. Iyo 2021 CDC evidence review iri pachena zvakare: data kubva kumhuka inoratidza njodzi yepakati, uye haifanirwe kushandiswa. Metronidazole inoramba iri chirongwa chakakurudzirwa panguva yekuzvitakura, ndicho chikonzero nei pakuzvitakura kuchinja kunowanzodzokera kumashure.

Ichakwanisa kuona zvinyorwa zvekare zvichitaura tinidazole "Pregnancy Category C." Riona izvozvo semashoko echinyakare pane sechikamu chekuchengeteka kwaizvozvi. FDA yakabvisa A/B/C/D/X system muna 2015 uye yakazvidzosera nekuongorora zvinyorwa zvinotsanangura data chaiyo, ndizvo zvinoitika ne kurambidzwa kwataurwa pamusoro.

Zvitatu zvinokosha kukurukura naOB wako: kana BV yako iri kurwadza uye ichida kurapwa ikozvino, ndeupi mushonga wakasarudzwa panguva yako yekuzvitakura, uye chii chaunofanira kuita kana wakapiwa prescription ye tinidazole vasati vanoziva kuti uri nepamuviri.

Zvimwe Zviratidzo Zvinoreva Kuti Iyi Haisi BV Yakapusa

Fonera 911 kana enda kuchipatara nekukurumidza kana:**

  • Chiso chako kana mutsipa zvine kuzvimba, une kuoma kufema, kana rashes zvinopararira kana hives zvichionekwa mushure medose
  • Ganda rako kana maziso zvine ruvara rwechipupudzi, kana une marwadzo makuru mudumbu
  • Une fivha ine marwadzo mudumbu repasi kana repasi, izvo zvinogona kuratidza pelvic inflammatory disease pane BV
  • Une kubuda kweropa kwakanyanya kwechikadzi

Vhura nguva yekushanya mukati mevhiki rinouya kana:**

  • Zviratidzo zvako hazvichinje kana zvawedzera mushure mevhiki mushure mekuipedzisa kurapwa. Ndizvo zvakakodzera, kwete kungonzwa kuti zvinotora nguva yakareba
  • BV yapinda katatu kana kupfuura mugore rapfuura
  • Kubuda kana kunhuwa kunodzokera mukati memwedzi mushure mekuipedzisa kurapwa

Taura neclinician usati watanga kana:**

  • Uri nepamuviri, ungafanira kuva nepamuviri, kana uri kuyamwisa
  • Wakambova nechiito kune metronidazole chero zvakadaro
  • Une Cockayne syndrome kana chirwere chechiropa
  • Wakatora disulfiram mumavhiki maviri apfuura
  • Haugoni kurega doro kwenguva yakakwana

Mibvunzo Inowanzo Bvunzwa

Ndinogona kutora tinidazole ndichiyamwisa here?

Kazhinji kwete. Tinidazole inopinda mukaka wezamu kune zvakafanana nezviri muropa, uye FDA label inorayira kurega kuyamwisa panguva yekurapa uye kwemazuva matatu mushure mekupedzisira dose. Izvi zvinoreva anenge mazuva mashanu ekurega kuyamwisa pane hurongwa hwemazuva maviri. Kutsikisa nekurasa kunochengetedza mukaka. Bvunza clinician wako kuti kana mushonga wakasiyana uchikodzera zvirongwa zvako zvekudyisa.

Ndinofanira kuitei kana ndakanganwa dose ye tinidazole?

Zvinoenderana nekuti uri pane hurongwa hupi. Maitiro echinyakare ndewe kutora dose yakakanganwika paunenge waizviyeuka, kuisiya kana paine inotevera yakada kuuya, uye usambofa wakapetwa kaviri kuti udzoke. Pane chirongwa chemaviri mazuva, zvisinei, dose imwe yakakanganwika inguva yako yekurapa, saka fonera anokuraira pane kungozviita wega. Izvi zvakasiyana nekutsika dose, izvo zvinogara zvichidaidzwa.

Zvinotora nguva yakareba sei kuti tinidazole ibvise zviratidzo zve BV?

Kazhinji mukati memazuva mashoma mushure mekuipedzisa. Kureba kwekurapwa uye nguva yezviratidzo hazvina kufanana: kubuda uye kunhuwa kunowanzodzikama mumazuva mushure mekupedzisira dose pane panguva yacho, uye kuvandudza kunowanzoonekwa pakati pekurapwa. Hapana bvunzo yekuti mushonga unoshanda sei ye BV. Kana pasina chakachinja mushure mevhiki mushure mechipedzisira dose, ndiyo nguva yekudzokera.

Tinidazole inogona kushandiswa here kana BV ichiramba ichidzoka?

Hongu. Imwe protocol yakavakirwa pane guidelines ye recurrent BV inoshandisa metronidazole kana tinidazole 500 mg kaviri pazuva kwemazuva manomwe, ichiteverwa ne boric acid yemukati, wobva wazvichengeta ne metronidazole gel. Ona chimiro: tinidazole ye BV pano inotsiviwa ne metronidazole mune yekutanga danho, kwete mushonga wakasiyana unoponesa unounzwa nekuti yekutanga yakakundikana.

Tinidazole inodhura kupfuura metronidazole here?

Dzimwe nguva. Generic tinidazole iripo, asi generic metronidazole ndiyo yekare, isingadhure, sarudzo yepamusoro pamapiritsi mazhinji, saka tinidazole inogona kuita mari yakawanda kubva muhomwe uye inoda mvumo yapamberi. Makadhi echipiro chemishonga anobatsira. Bvunza anokuraira kuti asimbise kusawirirana kana chikonzero chekutevera mune yako chart, sezvo izvozvo zviri izvo vanopa vanotarisa. Zvinokosha kuenzanisa ne mari inowanikwa ne metronidazole prescription.

Chii Chinonyanya Kutaurwa: tinidazole ye BV isangwe nzira yakanyorwa mumirairo inochinjanisa miziyisi gumi nemana mumazuva manomwe ne maviri kana mashanu kamwe chete pazuva, uye ndicho chinhu chikuru chaunogamuchira. Mukunetsana kwe tinidazole vs metronidazole ye BV, hapana humbowo hwekuti mwero wekupora wakakwirira, saka kuchinja kunobatsira nekuda kwekusagadzikana kwemudumbu, kutevera, uye kurongwa, kwete nekuti chirwere chakapfuura mushonga wekutanga. Zvisiyaniswa zviviri zvinosarudza zvimwe: metronidazole ndiyo sarudzo yakajeka pakuzvitakura, uye tinidazole inoda hwindo rakasimba remaawa 72 edoro mushure mekupedzisira dose. Alerji yakanyorwa kune metronidazole inongoshandisa clindamycin.

Disclaimer: Chinyorwa ichi chinongobatsira pakuziva chete uye hachisi chipi chekurapa. Nguva dzose taura ne healthcare provider anokwanisa kuti uwane zvirwere nekurapwa. Kana uri kupinda munguva yekukurumidzira kwekurapa, fonera 911 kana enda kuchipatara chepedyo nekukurumidza.