Iningi labantu libona ukubola okufana nenhlanzi kanye nokopha kuncipha emva kwamahora angu-48 kuya ku-72 sizoqala i-Flagyl (metronidazole), nezinye izimpawu sezidlulile cishe ngosuku lwesihlanu kuya losikhombisa. Izimpawu zokuthi i-Flagyl iyasebenza ku-BV zibonakala kancane kancane, azibonakali ngokushesha. Uma kungashintshanga lutho ngosuku lwesithathu, shayela umunikeze imiyalelo.

NGAMAFINYEZO: Okubalulekile

  • Umuthi usebenza emzimbeni wakho phakathi kwamahora amabili kuya kwamabili, kodwa ukudambisa izimpawu kuthatha izinsuku ngoba umonakalo owenzayo kumagciwane uyanqwabelana emithinzini.
  • Ukubola kuyaphela kuqala, ukopha kanye nokuhambisana kokubili kuyalandela, futhi ukulunywa noma ukusha kuyaphela ekugcineni.
  • Ukukhuphuka kancane kokopha noma ukucasuka emahoreni okuqala angu-24 kuya ku-48 kuvamise ukuba umsindo, kungabi ukwehluleka.
  • Isikhathi sokudlula/ukwehluleka siyisiphetho somjikelezo, hhayi usuku lwesibili. Qedela yonke imithamo ngisho noma uzizwa kahle.
  • Akukho ukuthuthuka ngosuku lwesithathu, noma yiziphi izimpawu ezisele ngemuva komthamo wokugcina, kusho ukushayela umunikeze imiyalelo kunokulinda.

Izimpawu Zokuthi i-Flagyl Iyasebenza ku-BV Zifikika Ngezigaba, Zingafiki Ngokushesha

I-Metronidazole ifinyelela amazinga asebenzayo emzimbeni kungakapheli cishe ihora elilodwa kuya kwamabili kusukela emthambweni wokuqala, kodwa izimpawu zokuthi i-Flagyl iyasebenza ku-BV zibonakala kamuva: iphunga elifana nenhlanzi nokopha kuvamise ukuqala ukuncipha emahoreni angu-48 kuya ku-72, futhi iningi lezimpawu libuyela kwakho kusukela ngosuku lwesihlanu kuya losikhombisa. Akukho ukushintsha nhlobo ngosuku lwesithathu lwenkambo yezinsuku ezine kufanele kube yisizathu sokushayela umunikeze imiyalelo.

Lokho kulibaziseka kunomshikashika ngemuva kwayo. I-Metronidazole ingena emagciwaneni angasebenzi futhi incishiswe ibe ama-free radicals aphula imicu ye-DNA, ngakho-ke umonakalo we-cytotoxic uyanqwabelana emithambeni kunokuba uchitheke ngesikhathi esisodwa. Kuyisizathu futhi ukuthi impendulo yokuthi kuthatha isikhathi esingakanani i-metronidazole isebenze ku-BV ikalwa ngezinsuku kunokuba amahora: i- i-CDC inikeza ngomlomo i-metronidazole 500 mg kabili ngosuku izinsuku ezine. Ukuzizwa kangcono ngosuku lwesibili kuvamile. Akuyona imigqa yokugcina.

Ububanzi bokuthi isebenza kanjani bubalulekile kunokuthi uhlanzekile ngomthamo wokugcina

Kuthatha isikhathi esingakanani i-metronidazole isebenze ku-BV, ngokuqotho, umbuzo wokuhlola ongekhona. Ukudambisa izimpawu kuhlala kusezigqamweni, futhi lapho ukhona ngosuku lwesibili akutshelwa kancane mayelana lapho uzobe khona ngosuku lwesikhombisa. Ngakho ungayeki ngaphambi kwesikhathi uma izinto zithuthuka. I-MedlinePlus ichaza ngokucacile ukuthi ukuyeka i-metronidazole ngaphambi kwesikhathi kubeka engozini ukwelashwa okungaphelele kokungalungiswa kwamagciwane.

Nansi into amakhasi amaningi angakutshelile: ukuqedela ngokuphelele akukwazisi ukwelashwa. Izilinganiso zokwelashwa zesikhathi esifushane zemijikelezo ye-metronidazole yomlomo noma yomjikelezo eminingi zingaba ngama-65% kuya ku-90%, ngakho-ke iningi elikhulu lisahluleka ngemuva kokwenza konke kahle. I-Cleveland Clinic ibeka isibalo sokwelashwa kabusha cishe esingu-10% kuya ku-15%, futhi kuze kufike ku-80% wabantu abathola i-BV bazoba nayo futhi nganoma yisiphi isikhathi. Ukudambisa izimpawu kuwukukhetha, hhayi ubufakazi. I-BV ingaba khona ngaphandle kwezimpawu.

Ukubola Kuyaphela Kuqala, Ukopha Nokulunywa Kuthatha Isikhathi Ukudambisa

Nini izimpawu ze-BV zizothuthuka? Impendulo ewusizo iyinkulumo, hhayi usuku. Ukubola kuvamise ukuncipha kuqala, ukopha kanye nokuhambisana kuyalandela, futhi ukulunywa noma ukusha kuyaphela ekugcineni. Ngaphambi kokwelashwa, i-BV ivamise ukukhiqiza ukopha okubuncane, okumhlophe okumhlophe, okuhlaza okwesibhakabhaka noma okuhlaza okotshani kunokubola okufana nenhlanzi okunamandla kakhulu ngemuva kocansi. Ngamahnya-hora angu-48 kuya ku-72, lelo phunga kufanele libe buthakathaka kakhulu. Kusukela ngosuku lwesine kuya lwesikhombisa, ukopha kuvamise ukuqina ube mhlophe noma obumhlophe obujwayelekile bese kuyancipha.

Ukulunywa nokusha akuyona into evamile ku-BV. Uma ungazange ube nazo, ukungabikho kwazo ekuqaleni akutshelwa lutho ukuthi i-antibiotic iyasebenza yini. Futhi ngoba ukopha kuvamile ukushintsha kuzo zonke imijikelezo yakho, zilinganise ngokumelene nengqikithi yakho.

Ukopha Okuningi Emahoreni Amabiliokuqala Akubona Ukwehluleka Komuthi

Ukopha ngemuva kokuqala kwe-metronidazole ye-BV kungakwanda isikhashana, futhi amahora okuqala angu-24 kuya ku-48 angcono kakhulu ukuthathwa njengewindi lokulungisa. Ukopha okwengeziwe okuncane noma ukucasuka kancane, ngenkathi iphunga selincipha, kubonisa umuthi usebenza kunokuba uhluleke.

Lokho okungalungele kulelo windi yinkinga entsha yangempela. Ukopha okunamandla, okumhlophe, okufana ne-curd kunokulunywa okukhulu kubonisa ukutheleleka kwenyikima okubangelwa yi-antibiotic, okuyindaba ehlukile edinga ukwelashwa okuhlukile. Amafomu agcwele ijeli angabangela nokucasuka kwendawo ngokwawo. Noma iyiphi indlela, izimpawu ezintsha noma ezibhebhethekayo zifanele ukuxhumana nodokotela: ushintsho lombala noma ukuhambisana kokopha, iphunga elisha, ukulunywa okusha, ukusha, ukuvuvukala noma ubuhlungu. Ungalindelanga lezi zinto.

Ijeli Yengqondo Ingazizwa Ngokushesha Kunokuba Ibhodi, Kodwa Akusona Isixazululo Esifushane

Kuthatha isikhathi esingakanani ijeli ye-metronidazole isebenze ku-BV? Ijeli ivamise ukuthathwa kanye ngosuku izinsuku ezine futhi isebenza endaweni yomjondolo, ngakho-ke ukudambisa iphunga nokopha kungazizwa sengathi kusebenza ngokushesha kunomjikelezo womlomo wezinsuku ezine. Ukuzwa ngokushesha akuzona izibalo ezinhle. Zombili izindlela zihlalisa esikhwameni esifanayo esingu-65% kuya ku-90% sezibalo zokwelashwa zesikhathi esifushane.

Ukuhlolwa kokuphela komjikelezo kuyasebenza kokubili. Abasebenzisi bejeli bahlola ekupheleni kosuku lwesihlanu, abasebenzisi bebhodi ekupheleni kosuku lwesikhombisa. Ukucasuka kwendawo noma ukutheleleka kwenyikima ngemuva kwe-antibiotic kungalandela ukusetshenziswa kwe-gel futhi kungadukise njengokwehluleka. I-Clindamycin iyona eyona enye indlela etholakalayo lapho i-metronidazole ingabekezeleli, futhi leso sinqumo singowokunikeza imiyalelo.

Uma Kungashintshanga Lutho Ngosuku Lwesithathu, Lena Yimfundo, Hhayi Ukungabekezeli

I-Flagyl ayisebenzi ku-BV yehluleka ngezindawo ezimbili ezihlukene: ukungabikho kokuthuthuka nhlobo ngosuku lwesithathu lwenkambo yezinsuku ezine, noma izimpawu ze-BV ezisele ngemuva komthamo wokugcina. Uma ukopha, iphunga, ukulunywa noma ukusha kuhlala ngemuva kokuqedela inkambo, umyalelo ukuthi ushayele udokotela owabelayo kunokucabanga ukuthi isikhathi esithe xaxa sizokulungisa. Izinkambo ziyahluleka ngezizathu ezibonakalayo: ukutheleleka kabusha, ukutheleleka okuhlukile noma okubambisene, izinhlobo ezihlaselayo, imithamo eyenqatshelwe. Ukuhlolwa kabusha yikho okuhlukile kuzo. Ukulinda isikhathi eside akusho lutho. Ungaqali kabusha ama-antibiotics asele noma ubhale umuthi womngane.

Uma uqedile inkambo futhi izimpawu zisakhona, ivakashi le-August le- $39 online urgent care likuxhumanisa nodokotela ogunyazwe yi-US ongabuyekeza inkambo oyiqedile futhi anqume ukuthi ukwelashwa kabusha noma ukuhlolwa kufanele yini. Odokotela wenza leso sinqumo. Ivakashi lodwa alikwazi ukwenza ukuhlolwa komlomo noma ukuqoqa isampula lomjondolo uqobo, ngakho-ke lindela ukudluliselwa uma ukuhlolwa kudingeka.

Ezinye Izimpawu Phakathi Nokwelashwa Azikona Neze i-BV

Shayela ku-911 noma uye egumbini lezimo eziphuthumayo manje uma:

  • Uvuvukele ubuso noma umphimbo, unenkinga yokuphefumula, noma unembozo olubanzi noma izimila.
  • Uthola ukulimale, ukulunywa, ubuthakathaka, ukudideka noma ukudideka phakathi kokwelashwa kwe-metronidazole.
  • Unefiva, izikhwehlela, noma ubuhlungu esifubeni noma esiswini esingezansi kanye nokopha, okungabonisa ukutheleleka kwesibeletho okungahambi kahle kune-BV nje.
  • Ukolwa kakhulu egumbini lomjondolo okungahlobene nokuya esikhathini.

Bhukha ivakashi phakathi nesonto elizayo uma:

  • Izimpawu azishintshi ngosuku lwesithathu lwenkambo yezinsuku ezine.
  • Izimpawu zihlala ngemuva komthamo wakho wokugcina.
  • Uthola ukopha okufana ne-curd okusha kunokulunywa.
  • Leli yisiqeshana sakho sesithathu se-BV ngonyaka.

Khuluma nodokotela ngaphambi kokuba uqale uma:

  • Ukhulelwe noma uncelisa.
  • Uke waba nempendulo yangaphambili ku-metronidazole noma ku-tinidazole.
  • Uthatha imithi ehambisana nayo.

Imibuzo Evame Ukubuzwa

Ngingaphuzela utshwala ngenkathi ngithatha i-Flagyl ye-BV?

Cha. I-MedlinePlus incoma ukugwema utshwala phakathi nokwelashwa nangamahora angu-at least amathathu ngemuva komthamo wokugcina. Ukuhlanganisa lezi zinto ezimbili kungabangela ukuziphatha okufana ne-disulfiram: ukubomvu, ukuhlanza, ukuhlanza, ukuphazamiseka kanye nobuhlungu bekhanda. Lokho kuziphatha kulula ukudukisa njengokuthi ukutheleleka akubuyeli emuva, lapho empeleni kuyisiphuzo, ngakho-ke kufanele kucatshangwe ngaphambi kokuba uqale.

Ingabe i-Flagyl iphephile ukuthathwa ku-BV ngesikhathi sokukhulelwa?

Yebo, i-metronidazole isetshenziswa ngesikhathi sokukhulelwa, kodwa ukukhetha umuthi, umthamo, nendlela kungowakho nodokotela wakho wokubeletha kunokuba kube ngowokuhlola izimpawu. I-BV engelashwanga ngesikhathi sokukhulelwa ibeka engozini enkulu yokubeletha ngaphambi kwesikhathi nesisindo esingaphansi sokuzalwa, ngakho-ke kufanele iphatheke ngqo nodokotela wakho wokubeletha. Uma ungayazi ukuthi ukhulelwe yini, buyekeza izimpawu zakuqala zokukhulelwa kuqala.

Ingabe umngane wami udinga ukwelashwa ku-BV futhi?

Hhayi ngokuvamile. Ukwelashwa kwe-BV okujwayelekile kuqondiswe kumuntu onazo izimpawu, futhi ukwelashwa okuvamile kwabalingani besilisa akuwona ingxenye yomgomo wokuqala. Uma unomlingani wesifazane noma i-BV ihlala ibuyela emuva ngemuva kwezinkambo eziphumelelayo, yisho i-partner care ngqo nodokotela wakho, ngoba ukuphinda kabusha kuvamile kakhulu ukuba kube yinto okufanele iqondanise ngayo kunokuba kuqagame.

Ngenzani uma ngiphuthelwa umthamo we-metronidazole?

Yithathe ngokushesha lapho ukhumbula, ngaphandle kokuthi cishe yisikhathi somthamo olandelayo, lapho khona uzoqaqa owenqatshelwe bese uqhubeka njengokuhleliwe. Ungaphindisi kabili ukuze ubuyekeze. Imithamo eyenqatshelwe yisizathu esivamile sokuthi inkambo ingasebenzi kahle, ngakho-ke khuluma nganoma yini oyiphuthelwe lapho ubika izimpawu.

Ngidinga ukuhlolwa okulandelayo ukuqinisekisa ukuthi i-BV isihambile?

Hhayi ngokuvamile, uma zonke izimpawu zidlulile ngesikhathi somthamo wakho wokugcina. Ngoba izimpawu zokuthi i-Flagyl iyasebenza ku-BV azibonakali, ukuhlolwa kuyasebenza ukucela lapho iphunga noma ukopha kuhlala khona, lapho izimpawu zibuyela emavikini, noma lapho ukhulelwe. Cela umunikeze imiyalelo ukuthi ukuhlolwa kabusha noma i-regimen ehlukile kufanele yini kulungele isimo sakho.

Okubaluleke Kakhulu

Izimpawu zokuthi i-Flagyl iyasebenza ku-BV zilandelana njengesigqamulo: umuthi osebenzayo kungakapheli ihora elilodwa kuya kwamabili, iphunga nokopha kuncipha emahoreni angu-48 kuya ku-72, izimpawu eziningi sezidlulile ngosuku lwesihlanu kuya losikhombisa. Zilinganise esikhathini somthamo wokugcina, hhayi ngosuku lwesibili. Akukho ukushintsha ngosuku lwesithathu, noma noma yini esele ekupheleni, kusho ukushayela.

Isaziso: Lesi sihloko singokwemininingwane kuphela futhi akubona ukwelulekwa kwezokwelapha. Njalo xhumana nomunikezi wokunakekelwa kwezempilo ongafanele ukuthola izinqumo zokuxilonga nokwelashwa. Uma ubhekene nesimo esiphuthumayo sezokwelapha, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.