Zvinokonzeresa Metronidazole: Nei Kuva NeKuravira Kwechishimbi Kuchigadzira uye Kwazvinotora Nguva Yakareba Sei

Zvinokonzeresa zvinowanzobatanidzwa ne metronidazole zvakaita sekuravira kwesimbi, kuda kurutsa, manyoka, nekusagadzikana mudumbu, uye izvi zvinopera mukati mezuva rimwe kana maviri mushure mekunge washandisa mushonga wekupedzisira. Kuravira uku kunobva mumushonga uri muropafemo, kwete kuva nekenza. Kusaona kana kunzwa zvinoruma mumawoko kana mutsoka ndiyo inoda mushonga zvachose.

TL;DR: Zvinokosha Kuyeuka

• Kuravira kwesimbi kunotarisirwa, kwete kuva nekenza, uye hakusi chiratidzo chekuti mushonga unorwisa mabhakitiriya hausisashandi.
• Zvinowanzowanikwa: zvinotanga mukati me dose yekutanga kana yechipiri, zvinosvika pakukwira pamazuva 2 kusvika 3, zvinodzokera kune zvakajairika mazuva 3 kusvika 7 mushure mekushandisa mushonga wekupedzisira.
• Pedza mushonga wacho. Kumira pakutanga nekuti chikafu chinoravira zvisina kunaka ndiyo kukanganisa kukuru kunodziviswa pano.
• Tsanangudzo yekare yekuti "hapana doro" yakadzorwa neCDC, kunyange zvazvo doro richiri kukonzera kuda kurutsa kuipa.
• Kusaona, kunzwa zvinoruma, kana kupisa mumawoko kana mutsoka ndicho chiratidzo chechiitiko chinoda kuongororwa pane kungomirira.

Zvinokonzeresa Zvisingawanikwe Zvakawanda Zve Metronidazole Ndizvo Zviri Mumuromo NeMudumbu, Kwete Zviratidzo Zvekushungurudzika

Zvinokonzeresa metronidazole zvinonyanya kugumira pamuromo ne mudumbu: kuravira kwesimbi kwakapinza, kuda kurutsa, manyoka, kurwadza kwedumbu, nekusagadzikana kwemusoro. Izvi zvinotanga nekukurumidza, zvinosvika pakukwira pakati pemushonga, uye zvinopera mukati mezuva mushure mekushandisa mushonga wekupedzisira. Zvirwere zvakakomba zvinogona kuitika asi hazviwanikwe: zvine chekuita ne tsinga sekusaona kana kunzwa zvinoruma mumawoko netsoka, uye zvine chekuita ne central nervous system sekudzungaira kana kusanzwisisika.

Flagyl ndiyo mhando yemushonga une molecule imwe chete, saka zvinokonzeresa Flagyl ne zvinokonzeresa metronidazole generic zviri rondedzero imwe, kwete mbiri. Zvisinei nezviri pamubhuku rako zvinonzi Flagyl, Flagyl ER, kana metronidazole 500 mg, zvinokonzeresa Flagyl zvawakaregerera nemushonga zvinobva pamushonga iwoyo.

Kuravira hakusi kushamisa kune vanhu vakanyora bhuku racho. Ruzivo rwekurayirwa kwechiremba rwakabvumirwa neFDA paDailyMed runoti zvakajeka kuti "Kuravira kwesimbi kwakapinza, kusafadza hakusi kushamisa." Bhuku iro ra 2018 iri rinonyorawo rurimi rune bvudzi, glossitis, uye stomatitis, izvo zvinogona kuratidza Candida yakawanda panguva yekurapa pane kuravira kwemushonga pachako.

Kana zviri zvese zviri kukunetsa zviri manyoka anonyatso gwedza mudumbu pane kurasikirwa kwekuravira, idzo modhi yakasiyana uye kazhinji mushonga wakasiyana, zviri pedyo ne zvinokonzeresa zve Augmentin. Peripheral neuropathy nekudzungaira kunoitika ne metronidazole, asi kazhinji panguva yemazuva 5 kusvika 10 ekurapa. Zvinopiwa chikamu chazvo pazasi.

Kuravira Kwechishimbi Ndiko Metronidazole Muropafemo Yako, Kwete Kuva NeKenza

Ndinopa nzira inoshanda kuti hapana peji rinonyatsotsanangura. Metronidazole nemishonga inobva mairi inoburitswa muropafemo yako, uko inobatana ne zinc-dependent taste receptors pa rurimi. Hausi kuravira chimwe chinhu pa rurimi. Uri kuravira mushonga uri kufamba mu muviri wako, ndosaka chiratidzo ichi chichinyanya kune metronidazole pane kungova chimiro chakajairika che antibiotics. Vanachiremba vanoti kurasikirwa kwekuravira kunokonzerwa nemishonga kunonzi dysgeusia.

Izvi zvakakosha nekuti zvinobvisa zvimwe zvinhu. Kuravira kwesimbi chete hakusi kuva nekenza, hakusi uchapupu hwekuti chirwere chako chiri kuipa, uye hakusi chiratidzo chekuti mushonga unorwisa mabhakitiriya hausisashandi. Icho chiratidzo chekuti mushonga uri mu muviri wako.

Saka usamire pakutanga. Tsanangudzo dzekurapa kweCDC dzeSTI dzinopa metronidazole yakadai 500 mg kaviri pazuva kwemazuva 7 sekurapa kwekutanga kwe bacterial vaginosis, uye ndiko kupedzisa mushonga, kwete dose yekutanga, kunochenesa chirwere.

Chiratidzo chimwe chinodzoreredza izvi kubva pakuva husina kumbokuvadza kusvika pakutanga. Shanduko yekuravira pamwe nekusaona, kunzwa zvinoruma, kana kupisa mumawoko kana mutsoka zvinonongedzera kunetsekana kwetsinga pane kungova nekusagadzikana kwekuravira kwakajairika, uye bhuku reFDA rinorapa peripheral neuropathy inoramba iripo sezvinhu zvavanofanira kuudzirwa pachena. Iyo combo inoda chiremba, kwete zvimwe zvinhu.

Kwakareba Sei Zvinokonzeresa Metronidazole Zvinogara: Kazhinji Zvinopera Mukati Mezuva Mushure Mekushandisa Mushonga Wekupedzisira

Vanhu vakawanda vanobvunza kuti zvinokonzeresa metronidazole zvinogara kwenguva yakareba sei vanoda nhamba imwe, saka heino: ingangoita mazuva 3 kusvika 7 mushure mekunge washandisa mushonga wekupedzisira wekuravira, nekukurumidza pane izvozvo kune kuda kurutsa. Pharmacology inozvitsigira. Metronidazole's average elimination half-life muvanhu vakuru vakachengeteka iri ingangoita maawa 8 maererano nebvunzo reDailyMed, zvinoreva kuti mushonga unobva mu muviri wako mukati mezuva rimwe kana maviri mushure mekunge wamira.

Chokwadi chakazara chekuti zvinokonzeresa metronidazole zvinogara kwenguva yakareba sei ndechekuti kuravira kunonoka pane zvimwe zvose, uye vashoma vanhu vanorava nekunze kweimwe simbi kwemavhiki maviri kusvika mana. Shandisa chiyero chakajeka: kana kuravira kwako kuchiri kushanduka mavhiki maviri kana anopfuura mushure mekunge wapedza, fonera mushonga. Panguva iyoyo mushonga wanga wava kure, uye shanduko inoramba iripo inoda kutarisa kune zvimwe zvikonzero zvakadai sekunetsana kwemuromo, reflux, dambudziko re zinc kana B12, kana mushonga mumwe.

Zvekudya Zvinobatsira Kuderedza Kuravira Kwechishimbi, Asi Hapana Chinokonzera Kunyatsopera

Aya anoshanda zvakanaka kuti akupedzise svondo:

• Zvinhu zvine zvishoma zvakaora nemaziso. Citrus, pickles, zvipfeko zvevhiniga, uye tomato zvinonzi zvinobvisa simbi zviri nani pane zvakasvibirira kana zvinotapira.
• Gum risina shuga rine citrus kana mint, kana candy hombe risina shuga, pakati pe dose.
• Fukidza nemafuta mashoma esoda yekubika mu kapu yemvura.
• Shandisa midziyo yepurasitiki kana bamboo pane yesimbi, uye usashandise bhodhoro remvura yesimbi.
• Tora dose yega nechikafu, geza rurimi rwako pamwe chete nemazino ako, uye utore mvura yakawanda.

Chiyero chakakodzera kutaura zvakajeka. Kuravira kunobva pamushonga uri muropafemo yako, kwete firimu pa rurimi rwako, saka zvinoshanda nekunatsa zvichidzikisira pane kuzvibvisa. Tarisira kubatsirwa kwakapatsanurwa, kwete kuchinja.

Kana rurimi ruchena kana rine bvudzi, kurwadza kwemuromo, kana kunetseka kwemuromo kutsva kukaonekwa, rega kutaura nachiremba wako, sezvo bhuku reDailyMed rinobatanidza zvinhu izvi ne Candida yakawanda pane kungova nekuravira kwakashanduka chete. Uye usamira kana kugadzirisa dose kuti udzivise kuravira. Izvo zvinoderedza mushonga pasina kugadzirisa dambudziko.

Kuda Kurutsa Kwemetronidazole Nekuravira Kwechishimbi Zvinokonzera Mumwe Kuipa

Kuda kurutsa ne Metronidazole kunowanzova kuduku, asi kazhinji hakusashande chete, uye kubatana kunoshandiswa nepeji kunoshandiswa kunoshandiswa ndiko kuti kuravira kunokonzera izvi. Paunenge zvose zvawakaisa mumuromo wako zvichiratidzwa semashimbi, kudya kunodzikira, zvikafu zvinosara, uye mudumbu usina chinhu kunowedzera kunetseka. Saka kugadzirisa kuravira ndiko chikamu chekugadzirisa kuda kurutsa kwemetronidazole, kwete chirongwa chakasiyana.

Muchokwadi: tora dose yega nechikafu nemvura yakazara, idya zvidiki zvakaiswa zviri nyore pane zviri maviri zvakakura, uye chengeta kure kubva pakubika kwakachenjera apo kuravira kuri pamazuva ayo 2 kusvika 3 akakwira. Vana vanorwara nevanhu vanorwara nevanhu vanorwara nemishonga, kusanganisira kuda kurutsa kubva kune mishonga yeGLP-1, vanoziva chirongwa chakafanana.

Kana kuda kurutsa kana kurutsa kune simba zvakakwana zvekuti haugoni kugumisa dose, fonera mushonga. Kune antiemetics nezvimwe zvinhu. Kutora zvakadzikama kubva pakugumisa mushonga ndiko kusarudzo yakaipa.

500 mg Yakachena Dose Inokonzera Zvakatopenga Zvakatopenga Zvakatopenga Kune Zvakatopenga ZveVaginal Gel

Kutsvaga kwezvinokonzeresa metronidazole 500 mg kunodarika dzimwe mhando dzose nekuti tableti yakachena ndiyo yakakwirira-exposure version yemushonga uyu waunowanzoshandisa, uye mutoro wezvinokonzeresa unotevedzera systemic exposure. CDC inopa 500 mg kaviri pazuva kwemazuva 7 kune bacterial vaginosis; trichomoniasis inoshandisawo oral dosing.

Route ndiyo nyaya yose. Intravaginal gel inopa zvinhu zvakadzika zvakaderera kupfuura kumedza mapiritsi, saka zvichemo zvakanyorwa pasi pezvinokonzeresa metronidazole 500 mg, kunyanya kuravira kusagadzikana, zvinonyanya kuonekwa nechete tableti yakachena.

Cumulative dose ndicho chinoparadzanisa chinetso kubva pangozi chaiyo. Chirevo chekare che 2025 chakanyorwa pa PMC chinotsanangura central nervous system nekuguma kwetsinga, kazhinji pane cumulative doses iri pamusoro pe 42 g kana kurapa kwepamusoro pemavhiki 4. Kosi yemazuva 7 pa 500 mg kaviri pazuva inobva pa 7 g. Apo utachiona uhwu huchiitika, hunogona kudzorerwa, nekudzorera mukati me mavhiki kusvika mwedzi mushure mekunge wamira. Ngaro yengozi yetsinga inobva pakureba kana kudzokororwa kwekosi, kwete dzakajairika.

Haugone Kufanira Kutsigira Doro, Nekuti CDC Yakadzorera Yese Yambiro Yayo

Metronidazole ne doro ndizvo zvakagara zvichinyorwa zvakanyanya muzvipatara zvekunze. Tsanangudzo dzekurapa kweCDC dzeSTI dze 2021 dzinoti kudzivisa doro panguva yekurapa ne metronidazole hazvina basa. Chidzidzo che pharmacology chakadzoreredzwa chakabudiswa muAnnals of Pharmacotherapy chakawana kuti metronidazole haina kukonzera kuwedzera kwe acetaldehyde muropa ne ethanol uye haina kukonzera chero objective kana subjective disulfiram-like reaction.

Saka kuti "mirira mazuva 3 mushure mekushandisa mushonga wekupedzisira" rakabva kupi? Zvinhu zviviri zvakabatana. Yambiro yekudisfiram-like ichiri kunyorwa pamabhuku mazhinji, uye maawa 8 emafari anobvisa mushonga kubva mu muviri wako mumazuva maviri, saka mumwe munhu akaipisa kusvika hwindo rinonzwika serakachengeteka.

Chokwadi chakasimba: uchapupu hwe disulfiram-like reaction chaiyo hwakaderera, asi izvo hazvisi zvakafanana ne chiratidzo chekuenda. Doro rinoodza kuda kurutsa nekunetsana kwemvura apo iwe uchitova nekunetsana, uye hazviite chero chinhu kune chirwere. Kana bhuku rako kana mushonga wako achiti dzivisa, rega kutaura nachiremba wako pane kungobata peji iri sekukanganisa. Rondedzero yakafara yekudyidzana, kusanganisira warfarin, lithium, uye disulfiram pachayo, ndiyo nyaya yakasiyana uye chaiyo.

Kusaona Kana Kunzwa Zvinoruma Mumawoko Kana Mutsoka Ndimwo Mwe Chete Zvinokonzeresa Haungagone Kutsigira

Fonera 911 kana enda kuchipatara chepakutanga nekukurumidza kana:

• Unopinda mudzunga, kusanzwisisika kutsva, kurasikirwa nekubata, kana kunetseka kutaura
• Ganda rine rashes kana hives riri kupararira, kana ganda rako riri kutsva kana kuputika
• Wavhara kumeso, miromo, kana mutsipa, kana kunetseka kufema

Aya anotevedzera zvinokonzeresa MedlinePlus inoudza varwere kuti vabatise sekunonoka panguva yekushandisa metronidazole.

Dhokotera zvisati zvaitika mukati mevhiki inouya kana: unonzwa kusaona, kunzwa zvinoruma, kupisa, kana kurwadza mumawoko kana mutsoka; mapundu kana maronda mumuromo; shanduko yekuravira ichiripo mavhiki maviri kana kupfuura mushure mekupedza; kana kuda kurutsa kwakaipa zvakakwana zvekuti haugoni kupedza mushonga. Bhuku reFDA rinoti peripheral neuropathy inoramba iripo yakambotaura nekuvapo kwekushandisa metronidazole kwenguva refu uye kuti varwere vanofanira kunyeverwa nezvazvo, saka zvinhu zvitsva zvetisinga zvinofanira kuongororwa pane kungomirira.

Taura nachiremba usati watanga kana: uri nepamuviri kana uchiyamwisa, wakatove nekenza kune metronidazole kare, une matambudziko etsinga akange aripo sekutambudzika kwechirwere cheshuga, kana kosi yakarongwa inopfuura mazuva 10.

Kune chikamu chepakati, kutarisa kwevhidhiyo kunoenderana nechirongwa chepamusoro. $39 online urgent care visit inokubatanidza nemunhu ane rezinesi reUS anogona kuongorora zviratidzo zvako uye kuona kana mushonga chero upi kana shanduko kune regime yako yakakodzera. Zvisinei, haikwanise: kuita neurological exam, kana kugadzirisa kudzungaira nekunetseka kufema. Izvo zvinofanira kuva kuchipatara.

Mibvunzo Inowanzobvunzwa

Sei weti yangu ichisviba kana yepepuru-tsvuku ndichishandisa metronidazole?

Kazhinji hachisi dambudziko. Metronidazole inodzimba kuita metabolites ane mavara anogona kuita weti yakaipa, yepepuru, kana yepepuru-tsvuku, uye ruvara runopera kana mushonga wabva mu muviri wako. Hazvireve kuva nekubuda ropa kana kusashanda kwetsvina. Zvakadaro, kana ruvara rwuya nekubuda kweruvara, fivha, kupisa pakunwa weti, kana maronda akaonekwa, rega kuongororwa pane kungofungidzira kuti ndiko kune antibiotic.

Metronidazole inogona kukonzera kunetsana kwemukadzi mushure mekunge yagadzirisa bacterial vaginosis?

Eya. Metronidazole inodzvinyirira mabhakitiriya anokonzeresa bacterial vaginosis asi inosiya fungus isingakanganiswi, saka Candida inogona kuwedzera muchinzvimbo chakazaruka. Kunyanya kubuda kunoonekwa, kutsvedzeka, nekupisa mukati mevhiki mushure mekupedza zvinongedzera kunetsana kwefungus pane kusashanda kwekurapa. Idambudziko rakasiyana rinoda mushonga wakasiyana, saka rega kutaura nachiremba wako kuti zvakashanduka pane kungokumbira kudzokorora kosi ye metronidazole.

Ndichaita sei kana ndikamira kurutsa nekukurumidza mushure me dose kana ndikazvitadza?

Zvinoenderana nenguva. Kana ukatora zvinonyanya ma 30 minutes mushure mekumedza tableti, dose yacho ingangodaro haina kubatwa, saka fonera mushonga wako kuti uitsive. Kune dose yakarasika, tora paunoyeuka kunze kwekunge iyo inotevera yakachengeteka, ipapo uisiye. Usambofa wakavhiringa dose. Mazwi maviri panguva anowedzera kuda kurutsa pasina kuvandudza mwero wekurapa.

Metronidazole yakachengeteka panguva yekuzvitakura kana paunenge uchiyamwisa?

Nguva nenguva, uye ndicho chisarudzo chemushonga pane kuzviongorora. Metronidazole inoshandiswa pakuzvitakura kune zvimwe zvinetso, kusanganisira bacterial vaginosis ine zviratidzo, uye zvigadziriso zvekurapa zvinoyera chirwere chisina kurapwa zvichienzaniswa nemishonga. Kana uri kuyamwisa, bvunza zvakasarudzwa nezvekugadzirisa dose kutenderera zvikafu. Bvunza mubvunzo usati wapinda tableti yekutanga, kwete pakati pembesa.

Metronidazole inoita here kuti mapiritsi ekudzivirira kubata asashande?

Kwete. Metronidazole haisi pakati pe antibiotics inozivikanwa kuderedza huwandu hwezvinodzivirira pamuviri; mishonga ye rifampin-class ndiyo ingori dambudziko chaiyo. Ramba uchitora piritsi rako nenguva. Chivimbiso chakakodzera ndicho chakananga pane che pharmacology: kana metronidazole ichikonzera kurutsa kana manyoka akawanda, kunyanya kwemahomoni kunogona kudzikira, saka shandisa kuchengetedzwa kwemukati panguva uye nekukurumidza mushure meizvozvo.

Probiotics kana yogurt zvinoderedza zvinokonzeresa metronidazole here?

Nguva nenguva, zvishoma. Probiotics ne yogurt yakaipa inogona kubatsira kune antibiotic-yakabatana manyoka, iyo iri pamusoro wezvinokonzeresa metronidazole. Hazviiti chinhu chekuravira kwesimbi, nekuti kunobva pamushonga uri muropafemo yako pane kubva kune yako gut flora. Zviri zvishoma zvine ngozi uye zvakachipa, saka kuedza kwazvo kwakakodzera. Kungoti usatarisira kuravira kudzika.

Chikamu chechipiri: kuravira kwesimbi ndiko kunonyanya kutaurwa nezvazvo pakati pezvinokonzeresa metronidazole uye kusanyanya kuipa. Tarisira mukati me dose kana maviri, zvakaipisisa pamazuva 2 kusvika 3, uye zvinopera mukati mevhiki mushure mekunge washandisa tableti yako yekupedzisira. Pedza mushonga, shandisa chikafu negum kudzikisira kuravira, uye wedzera chete kune kusaona, kunzwa zvinoruma, kana kuravira kunodarika mushonga ne mavhiki maviri.

Chirevo: Chinyorwa ichi chinongova che ruzivo chete uye hachiti ndicho chekurapa. Nguva dzose taura nachiremba ane zvikwaniriso zvekuzviwongorora nekugadzirisa zvigadziriso. Kana uchitambura nezvinetso zvekurapa zvakakomba, fonera 911 kana enda kuchipatara chepakutanga nekukurumidza.