Metronidazole 500 mg kaviri pazuva kwemazuva 7 ndiyo yekutanga-mutsara wekurapa kweCDC kwebhakteriya vaginosis, uye kune vakadzi zvakare ndiyo nzira inodiwa yekurapa trichomoniasis. Izvo zviri 14 mapiritsi ese, anotora maawa angangoita 12 pakati. Hazviite chero chinhu kune fungal infection.

TL;DR: Zvakakosha kuyeuka

  • Ichi chipimo chakafanana neichi uye nguva zvine chekuita nezvirwere zviviri mukushanda: bhakteriya vaginosis (yekutanga-mutsara) uye trichomoniasis kuvakadzi.
  • Ichi chinhu chekuparadza bhakitiriya uye chekuparadza protozoal chisina simba rekunanga Candida, saka chinoshanda chete kana kuongororwa kwakasimbiswa, kwete kufungidzirwa.
  • Gumi nemana doses, anenge maawa 12 pakati, mangwanani ne manheru, nekudya kana kuda kurutsa kuchinetesa.
  • Zviratidzo zvinowanzo gadzikana pazuva rechi3 kana rechi4. Ndiyo nzvimbo yepakati, kwete mugumo.
  • Zvinyorwa zvinopesana pamusoro pe doro. Kufungisisa kunoti hapana doro kusvikira mazuva matatu mushure me dose yako yekupedzisira.

Iyo 7-zuva script inonongedza kune imwe chezvirwere zviviri, kwete gumi nevaviri

Metronidazole 500 mg kaviri pazuva kwemazuva 7 ndeimwe yemaitiro ekutanga akarumbidzwa kwebhakteriya vaginosis mu CDC's STI treatment guidelines, yakanyorwa padivi pe intravaginal metronidazole gel uye clindamycin cream. Chirongwa chakafanana chemuromo ndicho chinorumbidza CDC kune vakadzi vane trichomoniasis. Zvirwere zviviri, mushonga mumwe chete wakafanana, saka bhodhoro remapiritsi ega harizokuzivisa kuti ndeupi waune.

Kana bhakteriya vaginosis yakanga iri kuongororwa, uri kubata sarudzo yakajairika yemukati, uye gel ne cream zvanga zviri nzira dzimwe dzevarapi vako vakasara. Kutorwa kwezvinhu mukati mutumbi kunowanzoitwa kana mumwe munhu achida mapiritsi pane applicator yeusiku, kana kana nzira yepachibereko isingashande.

Kana trichomoniasis yakanga iri kuongororwa, chirongwa chemazuva 7 chinomiririra shanduko yakafungwa pakushanda. CDC ikozvino inopa zano mushonga wema doses akawanda kune vakadzi panzvimbo pe single 2 g dose iyo yakanga yakajairika kwemakore. Kune varume, kurapwa kwe single-dose kuchiri zano, saka kana murume wako akabuda muchipatara aine imwe dose yakakura iwe uine vhiki remapiritsi, hapana akakanganisa. Wakarapwa nemitemo yakasiyana.

Chenjedzo imwe usati wafungidzira: yakafanana 500 mg kaviri-zuva, 7-zuva pairing inowanikwa mumatafura edosi ezvirwere zvakasiyana-siyana zve anaerobic uye protozoal, uye MedlinePlus inocherekedza kuti metronidazole schedules inosiyana zvakanyanya nechirwere. Kana hapana akakuudza zita rechirwere, bvunza. Zvinoshandura kutevera kwaunoda.

Metronidazole haikwanise kubata fungal infection, saka kuongororwa kunofanira kunge kuri kwakanaka

Heino shanduro yakamanikana yezvinoshandiswa metronidazole 500 mg: zvimwe zvipukanana zvebhakteriya uye parasitic (protozoal), izvo zvinorapa nekumisa kukura kwebhakteriya. Ndiyo yose spectrum. Mhinduro kune izvo zvishandiswa metronidazole 500 mg haisanganisire Candida, iyo fungi iri shure kwezvizhinji zvepfungwa dzemukati dzehupfupisa.

Izvi zvakakosha kudarika zvinonzwika, nekuti zviratidzo zvinopindirana zvakakwana. Kukwenya, kubuda, kutsamwa uye kusagadzikana panguva ye chiito chepabonde zvinogona kubva kubhakteriya vaginosis, kubva kune trichomoniasis, kana kubva kune fungi, uye hapana munhu anogona kuzviparadzanisa nekunzwisisa zvakasimba nekuda kwerondedzero. Chirongwa chakatarwa kune chisina kukodzera chisina kuita hafu-basa. Hazviiti chero chinhu, uye unoshandisa vhiki uchifunga kuti kurapa kwakundikana apo kurapwa kwakanga kusati kwatariswa padambudziko.

Chakavanzika: mushonga wakanyorerwa kubva pane rondedzero yezviratidzo nekuda kwefoni, kana kuenderera mberi kubva pachiitiko chakapfuura, unotakura njodzi iyoyo zvizere. Mushonga unofungidzira kuti mumwe munhu akatarisa chaizvo, akayerera pH yemukati, akaongorora sampuli pasi peurongwa, kana akafambisa nucleic acid amplification test. Kana mushonga wako wakabva kune zviratidzo chete uye hapana chinoenderera mberi, kuongororwa ndicho chinhu chekutanga chekuongorora, kwete chipimo.

Zvakakodzera kuziva pachine nguva: kubvisa bhakteriya vaginosis kunogona kuteverwa ne kukwenya kunoonekwa mushure mekunge BV yako yapera kurapwa, iyo dambudziko rakasiyana nekurapa kwakasiyana.

Kaviri pazuva kunorova katatu pazuva pachiito ichi, asi tarisa kana bhodhoro rako richiti 250 mg

Vhiki remapiritsi e metronidazole 500mg zvinoreva 14 doses, kwete 21, uye arithmetic shure kweizvozvo iri nyore pharmacology. Metronidazole ine half-life yeanosvika maawa 8 muvanhu vakuru, yakareba zvakakwana kuti 500 mg dose kuchengetedza nhanho dzedrug munzvimbo inoshanda pamusoro pechipenga chemaawa 12. Zvirongwa zvekatatu-zuva zvinovapo pamasimba akaderera nekuda kwenzira dzidzi dzedose dzinokurumidza kuderera.

Zvino tarisa label. Kana pharmacy yako yakazadza mapiritsi e metronidazole 500mg, imwe dose yakanyorerwa imwe piritsi. Kana yakazadza mapiritsi e 250 mg, imwe dose yakanyorerwa mapiritsi maviri akatorwa pamwe chete, uye vanhu vanotora imwe netsaona vanopedza vhiki vasina hafu yechikamu chakatarwa. Fona kuna mushonga wemapiritsi panzvimbo pekufungidzira.

Usasanganise iyo doubling-up neyakasiyana 250 mg schedule mune guidelines. CDC inonyora metronidazole 250 mg katatu pazuva kwemazuva 7 seimwe sarudzo yemukati inogamuchirwa mukati mekusununguka, iyo rhythm chaiyo yakasiyana, kwete mapiritsi maviri kaviri pazuva.

Nezve kushanda: sanganisa doses nekudya kwemangwanani uye nguva yekurara, kana kune chero mapoinzi maviri akasimba muhupenyu hwako anenge maawa 12 pakati. Kutora piritsi nekudya kunoderedza kuda kurutsa uye kuravira kwesimbi kunonetsa vanhu vazhinji vanotaura nezve mhedzisiro.

Kunzwa zviri nani pazuva rechi3 hakusi kuguma

Kupedzisa chirongwa chose kunonyanya kukosha panguva chaiyo apo kunonetsa, nekuti mhinduro yezviratidzo pane mushonga uyu inowanzoonekwa pazuva rechi3 kana rechi4, na mapiritsi matatu kana mana achiri mubhaketi. Kubuda kunogadziriswa, kunhuwa kunopera, kukwenya kunodzikama, uye mhedzisiro inooneka ndeyekuti chirwere chakapera.

Zvapupu zvinoti zvisina basa, uye zvine kusiyanisa kwazvo pano. CDC yakafambisa vakadzi vane trichomoniasis kune 7-zuva regimen nekuti chiremba wema doses akawanda wakaderedza chikamu chekuedza chakanaka mushure mekuongorora kwekutanga kwekurapa kune imwe mwedzi kuchitaudza nhamba imwe chete 2 g dose. Zvakanaka zvose zvinobva kune mazuva ekumashure kwechirongwa. Kumira pazuva rechi4 hakukupe vhezheni ipfupi yemushonga uri nani. Zvinokupa chimwe chinhu chakafanana nechepasi.

Mapepa emishonga evatengi anoita chinhu chimwe chete mutauro wakaderera: kumira kare kunogona kuita kuti chirwere chidzoke kunyangwe iwe uchinzwa zvakanaka. Kune bhakteriya vaginosis zvakanyanya, zvine rubatsiro kuziva timeline yeimwe neimwe zuva yezvichaitwa nemarongedzero, kuitira kuti kufambira mberi kwakajairika kuverenge sechipiro uye kupindura kwakapfava kuverenge sekundikana.

Yambiro yezve doro papiritsi yakaderera kudarika zvinonzwika, uye zuva rinopera rinogona kuverengerwa

Pamusoro pe metronidazole ne doro, zvinyorwa zvaunonyanya kuverenga hazvisi kuwirirana, uye kufungidzira zvimwe hazviite kwauri. Zvinyorwa zveCDC zvinotaura zvakajeka kuti kuramba doro panguva yekutorwa kwemetronidazole kana tinidazole hakufanirwi, zvichicherekedza kuti tsvakurudzo yazvino haina kuwana humbowo hwekurambidza kubva pane zvinokonzerwa ne disulfiram-like reaction iyo yambiro yakavakwa pamusoro payo. MedlinePlus, yakanyorerwa varwere, ichiri kuraira kudzivisa doro uye zvigadzirwa zvine propylene glycol panguva yekurapwa uye kwemazuva angangoita 3 mushure me dose yekupedzisira. Zvishandiso zvakakurumbira zvevarapi zvakakamura pakati peawa 48.

Heino izvo mazhinji mapeji achakuudza: kuti kuparadzirwa kwakafanana, uye kufunga kunonzwika ndiko kunokwanisika, nekuti kuda kurutsa uye kuravira kwesimbi ndizvo zvichemo zvakajairika pane chirongwa ichi uye doro rinogona kuwedzera zvese zviri zviviri. Kana dose yako yekupedzisira iri manheru ezuva rechi7, iyo 48-awa window inopera pazuva rechi9 uye iyo 3-zuva window inopera pazuva rechi10. Sarudza zuva rechi10 uye uri mukati meese mazano akabudiswa. Vhezheni yakazara iri pano: zvinoreva yambiro yedoro papiritsi rako re BV.

Zvimwe zviratidzo zvinoreva kumisa chirongwa uye kuona, kwete kumirira zuva rechi7

Vanhu vazhinji vanopedzisa mushonga uyu vasina chimwe chakashata kupfuura kuravira kwesimbi. Vashoma vanogadzira mhinduro dzinonzi MedlinePlus sezvikonzero zve kumisa uye kutsvaga rubatsiro rwekurapa pakarepo, uye izvozvo hazvipindirani nekufambira mberi kusvika pazuva rechi7.

Fonera 911 kana enda kuchipatara chekukurumidzira ikozvino kana:

  • Uine chikomberedzwa, kuvhiringidzika kutsva, kurasikirwa kwekubatana, kana kuomerwa nekutaura.
  • Iwe unogadzira ganda rinonetsa rine maronda kana ganda riri kubva.
  • Chiso chako, miromo, rurimi kana kumedura zvinotanga kuzvimba.

Bvumira kushanya mukati mevhiki rinouya kana:

  • Iwe unoona kuzara, kudedera kana kunyunguduka mumawoko kana makumbo ako.
  • Iwe une marwadzo echiuno aine fivha.
  • Zviratidzo zvako zviri kuipa panzvimbo yekuvandudza mushure mekuva pamushonga kwemazuva akati wandei.

Taura nemurapi usati watanga kana:

  • Hwaive hwaunenge hwaonekwa uye kuongororwa kwakafungidzirwa kubva pazviratidzo.
  • Uri nepamuviri kana uri kuyedza kubata pamuviri.
  • Wakave nezviratidzo zvetsinga pane wekare metronidazole course.
  • Mamwe ako mishonga haasati akaongororwa maonero, iyo Mayo Clinic monograph inonyora zvakadzama.

Kune chikamu chepakati, August's $39 online urgent care visit inokubatanidza nemurapi ane rezinesi reUS anogona kuongorora kwaunenge uri mukati mechirongwa uye kusarudza kana mushonga, shanduko yemaitiro, kana kuongorora kwepedyo zvakakodzera. Iva wakajeka nezve miganhu: kushanya kwevhidhiyo hakukwanise kuita bvunzo yepachibereko kana kuunganidza sampuli yepachibereko, saka kuongororwa kusati kwakasimbiswa kuchiri kuda kuongororwa nemaoko. Zviratidzo zvekukukurumidza zvinoda kuchipatara chekukurumidzira.

Mibvunzo Inobvunzwa Kazhinji

Kana ndikasiya dose yem Maradona ndiri kaviri pazuva, ndinofanira kuwedzera here?

Kwete. Kana wakasiya dose yem Maradona, itore nekukurumidza paunoyeuka, kunze kwekunge dose yako inotevera yakatarwa iri maawa chete kana maviri. Mune zvakadaro, siyana neyakasiyiwa uye dzokera kune yako yakajairika 12-awa rhythm. Usambofa wakatora mapiritsi maviri pamwe chete kuti ukwanise, nekuti kuwedzera dose kunowedzera kuda kurutsa uye kuravira kwesimbi pasina kuvandudza kurapwa.

Zvine njodzi here Metronidazole 500 mg kaviri pazuva kwemazuva 7 panguva yekusununguka?

Hongu. Iyi ndeimwe yemishonga inogamuchirwa neCDC yemukati yekusungwa kwebhakteriya vaginosis, padivi pe 250 mg katatu pazuva kwemazuva 7; tinidazole inodziviswa pakusununguka. Kune trichomoniasis, CDC inocherekedza kuti zvidzidzo zve single-dose uye multidose metronidazole zvine hukapupu hwe teratogenicity, uye vakadzi vese vane zviratidzo vanofanirwa kuongororwa nekurapwa panguva ipi zvayo.

Mutungamiri wangu anofanirwawo kurapwa here?

Dzimwe nguva. Kune trichomoniasis, hongu: vafambidzani vepabonde vanoda kurapwa kana kuti iwe uchangodzokorora chirwere, uye varume vanowanzo kupewa single 2 g oral dose panzvimbo pe 7-zuva chirongwa. Kune bhakteriya vaginosis, kurapwa kwenguva dzose kwevarume hakusi chikamu chekuchengetwa kwakajairika, saka mufambidzani aine chisipo chakapihwa chinhu haana kukanganiswa.

Metronidazole 500 mg icharapa urini tract infection here?

Kwete. Zvichiita zvinovhara bhakteriya dze anaerobic uye protozoa, uye urini tract infections kazhinji zvinokonzerwa nezvinhu zviri kunze kwechirevo ichocho, kazhinji E. coli. Kupisa paunonwa kunogona kuitikawo nezvirwere zvepachibereko, ndicho chikonzero zviratidzo zvinosanganiswa. Kana zviratidzo zveurini zviri dambudziko guru, izvozvo zvinoda kuongororwa kwazvo uye inopesana nebhakitiriya.

Ndinogona kuramba ndichitora mapiritsi kana nguva yangu yekutanga yatanga here?

Hongu. Mapiritsi emukati anotorwa kuburikidza nedumbu, saka kubuda kweropa kwemwedzi hakuna mhedzisiro pamusoro pekuti mushonga unoshanda sei, uye hapana chikonzero chekumisa kana kutangazve chirongwa. Ndizvo zvimwe zvezvinhu zvakanakira kupfuura intravaginal gel, uko nguva yekubuda kweropa inowanzoita chikonzero chekunetseka uye kushaya dose.

Pasi pevashandi pane 7-zuva metronidazole course

Metronidazole 500 mg kaviri pazuva kwemazuva 7 i 14 doses, yakaparadzirwa anenge maawa 12 pakati, yakatorwa kwemazuva manomwe ese kunyangwe mushure mekunge zviratidzo zvagadziriswa pazuva rechi3 kana rechi4. Mushonga unoratidza kuongororwa kwakasimbiswa kwebhakteriya vaginosis kana trichomoniasis, uye hauiti chero chinhu kune fungi. Kana zviratidzo zvichiipa, kana kudzokera mushure mekumira, itsaongorore zvakare panzvimbo pekudzorera mapiritsi akasara.

Chiregerero: Nyaya ino ndeyezvokuziva chete uye haisi kurayira kwekurapa. Nguva dzose taura nemurapi anokwanirwa kuti uwane ongororo uye sarudzo dzekurapa. Kana uri kutambura nedambudziko rekukurumidzira, fonera 911 kana enda kuchipatara chekukurumidzira chepedyo pakarepo.