Yebo, i-tinidazole ye-BV iyasebenza. I-CDC iyifaka njengohlelo olungahle lwenziwe, 2 g umlomo kanye ngosuku izinsuku ezimbili noma 1 g kanye ngosuku izinsuku ezinhlanu, ngenkathi i-metronidazole yomlomo ihlala iyindlela yokuqala. Ku-tinidazole uma kuqhathaniswa ne-metronidazole ye-BV, umehluko wangempela ubude besheduli, hhayi amandla.

TL;DR: Okubalulekile okubalulekile

  • Isilinganiso esinconywayo ngu-2 g kanye ngosuku izinsuku ezimbili, noma 1 g kanye ngosuku izinsuku ezinhlanu, zombili nodle. Kwenzelwe nge-ngayo kuphela e-US, ithengiswa njengoTindamax.
  • I-Tinidazole ne-metronidazole ziyisibonelo esifanayo somndeni wedakamizwa. Isikhathi eside se-tinidazole sinikeza imvula emfushane, hhayi izinga eliphezulu lokwelapha.
  • Ukungatholi kahle ku-metronidazole kuyayikhipha i-tinidazole, ngoba ukusabela okuphambene kuyinto eqotho. I-Clindamycin yindlela ejwayelekile lapho.
  • Akukho utshwala phakathi nokwelashwa nasemini ezintathu ezigcwele ngemuva komthamo wokugcina, uma kuqhathaniswa cishe amahora angama-24 ku-metronidazole.
  • Gwema i-tinidazole ekhulelwe, futhi ayinconywa esikhathini sokuqala sokukhulelwa. I-Metronidazole iyona ongayikhetha uma ukhulelwe.

I-Tinidazole ye-BV iyasebenza. I-CDC ayiyifaki phambili

I-Tinidazole ye-BV iyi-antibiotic ye-nitroimidazole enikezwa ngayo ngayo (igama lomkhiqizo yiTindamax e-US) ukuthi imihlahlandlela ye-CDC STI yango-2021 iyakubeka njengohlelo olungahle lwenziwe: 2 g umlomo kanye ngosuku izinsuku ezimbili, noma 1 g umlomo kanye ngosuku izinsuku ezinhlanu. Izinketho zokuqala ezinconyiwe zihlala ziyi-metronidazole yomlomo 500 mg kabili ngosuku izinsuku ezikhombisa, noma i-metronidazole gel yesitho sangasese 0.75% kanye ngosuku izinsuku ezinhlanu.

"Okuhleliwe" kuyisibonelo esifushane semihlahlandlela, futhi sihlale sifundwa kabi njalo. Asisho ukuthi sibuthakathaka, futhi asisho ukuthi yisiphetho sokugcina. Kusho ukuthi ubufakazi obusekelwe kuyo bungaphansi kobufakazi obusekelwe ku-metronidazole, ngakho-ke bugcina esigabeni sesibili. Ngolimi olulula, ukwelashwa kwe-BV yesibili kuyinto ekwamukelekayo njengokukhetha kodwa okungewona okusetshenziswa njalo. Ikhemisi lakho ngeke likugcine ngaphandle kwe-ngayo, futhi abaningi abahlinzeki bezimpahla balindele ukuthi i-metronidazole izame noma ikhishwe kuqala.

I-Tinidazole ayinamandla kunoMetronidazole. Ihlala isikhathi eside emzimbeni wakho

Ku-tinidazole uma kuqhathaniswa ne-metronidazole ye-BV, ukuqhathanisa abantu abakulindele ukuba kube amandla, kanti amandla aweyona into efanele ukuyiqhathanisa. Zombili ziyizinhlobo ze-nitroimidazoles: umndeni ofanayo, indlela efanayo, umsebenzi ofanayo wokukhipha amagciwane angahlali e-oxygen. I-Tinidazole ayisiye isigaba esihlukile esigcinelwe izifo ezinzima kakhulu.

Okuhlukile ngempela yilapho zonke izidakamizwa zihlala khona emgqeni wegazi. Isikhathi esiphakathi kwe-tinidazole esiyengayo sibalelwa amahora angu-12 kuye kweyisi-14 uma kuqhathaniswa namahora ayi-8 kaMetronidazole, futhi le nombolo eyodwa yiyona eyenza imvula kanye ngosuku phezu kwezinsuku ezimbili noma ezinhlanu ingangena esikhundleni imvula kabili ngosuku, izinsuku ezikhombisa kaMetronidazole.

Nansi into engakutshelwa amakhasi amaningi: akukho sifundo esake saqhathanisa ngqo izidakamizwa ezimbili ngemithamo yazo enconyiwe ye-BV, ngakho i-tinidazole ikhethwa ngesheduli elula, hhayi ngenxa yamazinga aphezulu okuphulukisa aqinisekisiwe. I-BV ebhekelana nokubuyela emuva ngemuva kwe-metronidazole ayilokothi "iphikisane" kanjalo. Ukubuyela emuva kuvamile ku-BV ngezizathu ezingaphezulu ezihlobene ne-vaginal microbiome kunedicamuzwa. Ukushintsha kuyinto yokushintsha kwesheduli kanye nesithombe sezici ezingezinhle, hhayi ukuvuselelwa kwamandla.

Ukungatholi kahle kuMetronidazole kungukuqala okuyodwa okungenza iTinidazole ingatholakali

Ukucinga i-metronidazole allergy BV alternative bese i-tinidazole uvamise ukuthola igama lokuqala, okuyinto engalungile. Uhlaka lwe-FDA luyalubeka ngaphandle i-tinidazole kunoma ubani ongabekezeleli kwezinye izinhlobo ze-nitroimidazole, okubandakanya ne-metronidazole. Ukusabela okuhlangana emndenini kuyisizathu sonke sokuthi isexwayiso sikhona.

Ngakho-ke umehluko obalulekile yi-allergy uma kuqhathaniswa nokungabekezeleli. Izinduna, ukuvuvukala ubuso noma umphimbo, nokuphefumula kanzima kuyi-allergy, futhi i-metronidazole allergy BV alternative umdokotela wakho oyifunayo lapho yi-clindamycin, hhayi enye i-nitroimidazole. Ukuhlanza kanye nokunambitheka okufana nensimbi kuyinto yokungabekezeleli, okungemnandi kodwa okungeyona i-immunologic, futhi akuvaleli i-tinidazole.

Izinto eziqala ukusiza ngempela i-tinidazole:

  • Izinkinga zesisu kuMetronidazole ezimbi kangangokuthi zingadala ukuthi umthamo ungaphumeleli, kodwa zingeqi ekusabela kwe-allergy
  • Ubunzima obuqotho bokuqedela imithamo eyishumi nane phezu kwezinsuku eziyisikhombisa, kungaba ngenxa yemisebenzi, uhambo, noma ukukhohlwa nje
  • Ukukhetha okucacile emvuleni yomlomo emfushane
  • I-BV ephindaphindayo lapho i-nitroimidazole iphindwa futhi ukuthobela kuyinto ebuthakathaka

Indlela yokuvikela ngesitho sangasese iyindlela ehlukile yalo mphawulo. Uma izinkinga ezithinta umzimba wonke ziyinkinga, i-metronidazole gel esikhundleni samathebulethi ivame ukuyixazulula kahle kunokushintsha izidakamizwa zomlomo.

Uma usuvele ube nempendulo ku-metronidazole futhi ufuna uhlelo ngaleli sonto, i-$39 online urgent care visit ka-August ikuxhumanisa nodokotela onesipiliyoni wase-US ohluza umlando wakho futhi unqume ukuthi i-ngayo iyadingeka yini. Ukubonisana ngengxoxo yevidiyo akukwazi ukwenza ukuhlolwa kwe-pelvic noma ukuqoqa i-vaginal swab, ngakho isiqalo sokuqala noma isithombe esingacacile sisadinga ukunakekelwa komuntu siqu. Uma ukhulelwe, yisa lokhu ku-OB wakho esikhundleni salokho.

Izinketho ezimbili zemvula, futhi eyemfushane ayiyona elula kakhulu

I-Tinidazole BV dosage iza ngezindlela ezimbili: 2 g ngomlomo kanye ngosuku izinsuku ezimbili, noma 1 g ngomlomo kanye ngosuku izinsuku ezinhlanu, zombili zithathwa nodle. Ukuthola sonke siphelele kungama-4 g uma kuqhathaniswa no-5 g, okuyinto umehluko eshedulini, hhayi emandleni.

Abantu abaningi bacabanga ukuthi imvula yezinsuku ezimbili iyona enomusa. Ivamise ukungabi njalo. Ukuhlanza kuvame ukuvela emvuleni engu-2 g kunemvula engu-1 g, ngoba uthola umthamo ophindwe kabili ngesikhathi esisodwa. Uma ulambile, noma ungakwazi ukubekezelela ukuzizwa ubuthakathaka ngesikhathi sosuku lokusebenza, inguqulo yezinsuku ezinhlanu iyona ongayikhetha kangcono naphezu kokuhlala isikhathi eside.

Uma uhlanza ngemuva komthamo, shayela umbhali ngaphambi kokuba uwuphinde. Ungazinqumela ukuthatha omunye, ikakhulukazi esheduli yezinsuku ezimbili lapho umthamo ngamunye uyisiqingatha somthamo wonke. Ukungasebenzi kahle kwezinso noma kwesibindi kungashintsha nendlela i-tinidazole BV dosage ephathwa ngayo, ngakho-ke khombisa noma yikuphi ukuxilongwa okunjalo ngaphambi kokuba kunikezwe i-ngayo kunokuba ngemuva.

Utshwala buhlala buvalelwe izinsuku ezintathu ngemuva komthamo wakho wokugcina

I-Tinidazole notshwala kufanele bahlukaniswe isikhathi eside kunokuba i-metronidazole idinga: ngesikhathi sokwelashwa nasemalangeni amathathu (ama-72 awawo) ngemuva komthamo wokugcina, uma kuqhathaniswa nama-awa angama-24 kuMetronidazole. Ukuhlanganisa kungadala ukusabela okufana ne-disulfiram: izibhamu zesisu, ukuhlanza, ukuhlanza, ukushisa, nomphimbo.

Umkhawulo awugcini kuphela ezinhlobonhlobo. Izilungiselelo ezinye eziqukethe i-ethanol noma i-propylene glycol nazo ziyathathwa, okuhlanganisa ngasese ezinye imikhiqizo yokukhwehlela nengqophamlando ebukhali. I-Disulfiram uqobo akumele ithathwe kungakapheli amasonto amabili kusuka ku-tinidazole.

Yenza izibalo ngaphambi kokuba uqale. Emvuleni yezinsuku ezimbili iwindi elilondoloziwe libalelwa ezinsukwini ezinhlanu, ngakho-ke umthamo oqale ngoLwesine uhamba kuze kube nge mpelasonto.

Izifo ezingezinhle zenza abantu bashintshele kuTinidazole, futhi abanye babuyela emuva

Izifo ezingezinhle ze-Tinidazole BV zizwakala zijwayelekile kulowo othathe i-metronidazole: ukunambitheka okufana nensimbi noma okubaba, ukuhlanza, ukuphathwa yisisu ngokuvamile, umphimbo, nokubuthakathaka. Ukuthatha umthamo ngamunye nodle kuyingxenye yemiyalelo yephepha, hhayi iseluleko esikhethekile, futhi iyayibuyisa imizwa yengxenye yesisu.

Abantu abaningi bathi bavumelana ne-tinidazole kangcono, futhi lokho kuyinto efanele ukuyilindela. Akukona ukuqinisekiswa. Ukunambitheka okufana nensimbi ikakhulukazi kuyisifo esivame kakhulu, ngakho-ke isifo esakudala kwakho ku-metronidazole singakulandela lapha.

Izimo eziqinile ezimbili. I-Tinidazole iyalibeka ngaphandle ebantwini abane-Cockayne syndrome, lapho izinhlobo ze-nitroimidazole ezihlobene ne-metronidazole zibangele ukulimala okubi kwesibindi okwekwaba okubulalayo. Futhi yeka imithi bese ufuna usizo uma unokudlikiza ezandleni noma ezinyaweni, noma uma isikhumba siphenduka sibe yiphuzi, umchamo omnyama, noma ubuhlungu obukhulu besisu.

Uma Ukhulelwe, Lena Yindawo Eyodwa lapho iMetronidazole Iwinela Khona Ngokucacile

I-Tinidazole kufanele igwenywe ekhulelwe futhi iyinqandayo esikhathini sokuqala sokukhulelwa ngoba idlula i-placenta. Ukuhlola ubufakazi kwe-CDC yango-2021 kugcwala kakhulu: imininingwane yezilwane ibonisa ubungozi obuphakathi, futhi akumele isetshenziswe. I-Metronidazole ihlala iyindlela enconyiwe phakathi nokukhulelwa, yingakho uma ukhulelwe ukushintsha kuvame ukuba kwezinye izindlela.

Usazobona amakhasi amadala echaza i-tinidazole "Isigaba Sokukhulelwa C." Phatha lokho njengesibonelo esidala kunokuba kube isimo esinjengamanje sokuphepha. I-FDA yakhishela uhlelo lwezinhlamvu lwe-A/B/C/D/X ngo-2015 yafaka esikhundleni ngalo imibhalo echaza idatha yangempela, okuyinto eyenza ukuthi ukuvinjelwa okungenhla kuchazwe kanje manje.

Izinto ezintathu ezingadingeka ukubuza umdwebi wakho: ukuthi i-BV yakho inganakiwe yini futhi idinga ukwelashwa manje, yimuphi umthamo okhethwa ngawo ngokweminyaka yakho yokukhulelwa, nokuthi yini okumele uyenze uma unikezwa i-ngayo ye-tinidazole ngaphambi kokuba noma ubani azi ukuthi ukhulelwe.

Ezinye Izimpawu Zisho Ukuthi Lokhu Akulona I-BV Eliqhumayo

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

  • Ubuso noma umphimbo wakho kuvuvukala, uphefumula kanzima, noma kuvela isikhumba esibomvu esibanzi noma izinduna ngemuva komthamo
  • Isikhumba sakho noma amehlo kuphenduka umthathu, noma unezibhamu ezinkulu zesisu
  • Unomkhuhlane onezibhamu zesitho sangasese noma isisu esingezansi, okungase kubonise umkhuhlane wesitho sangasese kunokuba i-BV
  • Unezimpawu ezinkulu zesitho sangasese

Bhukha ukuvakashela ngaphakathi kweviki elilandelayo uma:

  • Izimpawu zakho azishintshile noma zibi kakhulu cishe isonto elilodwa ngemuva kokuqedela umthamo ophelele. Leyo yimbandela, hhayi umuzwa ongenacala wokuthi kuthatha isikhathi eside kakhulu
  • I-BV ibuyele izikhathi ezintathu noma ngaphezulu kunyaka odlule
  • Ukuphuma noma iphunga kubuyela emuva kungakapheli nenyanga ngemuva kokuqeda ukwelashwa

Khuluma nodokotela ngaphambi kokuba uqale uma:

  • Ukhulelwe, ungase ukhulelwe, noma ucobisa
  • Wake waphendula kuMetronidazole nganoma iyiphi indlela
  • Une-Cockayne syndrome noma isifo sesibindi
  • Uthathe i-disulfiram emavikini amabili adlule
  • Awukwazi ukugwema utshwala ngokungokoqobo ngewindi eliphelele

Imibuzo Ejwayelekile Kakhulu

Ngingathatha i-tinidazole ngesikhathi ngicobisa?

Ngokuvamile cha. I-Tinidazole idlulela emilweni yobisi ngemilinganiso eseduze nalena esegazini, futhi uhlelo lwe-FDA luyaluleka ukuthi umise ukuncelisa ngesikhathi sokwelashwa nasemalangeni amathathu ngemuva komthamo wokugcina. Lokho kusho cishe izinsuku ezinhlanu ngaphandle kokuncelisa emvuleni yezinsuku ezimbili. Ukukhipha ubisi bese uyalilahla kugcina umkhiqizo. Buza udokotela wakho ukuthi ngabe uhlelo oluhlukile lufanelana necebo lakho lokuncelisa kangcono.

Ngenzeni uma ngiphuthelwa umthamo we-tinidazole?

Kuncike emvuleni onayo. Indlela ejwayelekile ukuthatha umthamo ophuthelwe lapho uwukhumbula, uwudlulise uma omunye usuzophela, futhi ungaphindaphindisi ukuze ubuyekeze. Esheduli yezinsuku ezimbili, nokho, umthamo owodwa ophuthelwe uyisiqingatha sokwelashwa kwakho, ngakho shayela umbhali esikhundleni sokuzenzela. Lokhu kuhlukile ekuhlanzeni umthamo, okuhlale kufanele kube nomdlalo.

Kuthatha isikhathi esingakanani ukuba i-tinidazole iqedele izimpawu ze-BV?

Ngokuvamile kungakapheli izinsuku ezimbalwa ngemuva kokuqedela. Ubude bomthamo kanye nesikhathi sezimpawu azifani: ukuphuma nokunambitheka ngokuvamile kuyancipha ezinsukwini ngemuva komthamo wokugcina kunokuba ngaso leso sikhathi, futhi ukuthuthuka okuthile kuvame ukuvela lapho usuqalile. Akukho ukuhlolwa okujwayelekile kokwelapha kwe-BV. Uma kungekho lutho olushintshile ngeviki ngemuva komthamo wokugcina, lokho kuyisibonelo sakho sokubuyela emuva.

Ungasebenzisa i-tinidazole uma i-BV iqhubeka nokubuyela?

Yebo. Inqubo eyodwa esekelwe emihlahlandleni ye-BV ephindaphindayo isebenzisa i-metronidazole noma i-tinidazole 500 mg kabili ngosuku izinsuku ezikhombisa, ilandelwe yi-boric acid yomlomo, bese kuba i-metronidazole gel yokucindezela. Qaphela indlela: i-tinidazole ye-BV lapha ingafakwa esikhundleni se-metronidazole esinyathelweni sokuqala, hhayi isidakamizwa esihlukile esilethwa ngoba esokuqala sihlulekile.

Ingabe i-tinidazole iyabiza kunoMetronidazole?

Kwezinye izikhathi. I-generic tinidazole iyatholakala, kodwa i-generic metronidazole yiyona endala, eshibhile, kanye nenketho yokuqala kumafomethi amaningi, ngakho-ke i-tinidazole ingabiza kakhulu ephaketheni futhi ingase idinge imvume yangaphambili. Amakhadi esaphulethi e-pharmacy ayasiza. Cela umbhali wakho ukuba aqinisekise ukungabekezeleli noma isizathu sokuthobela esishintshini sakho, ngoba yilokho abahlinzeki abakufunayo. Kufanele kuqhathaniswe nalokho umbhalo we-metronidazole ojwayelekile ubiza ngakho.

Okubalulekile: i-tinidazole ye-BV iyindlela ekuhlahlandlela efakwe ohlwini eyishintshayo imithamo eyishumi nane phezu kwezinsuku eziyisikhombisa ngezimbili noma ezinhlanu kanye ngosuku, futhi yilokho okuyinto eyinhloko ekunikeza yona. Ku-tinidazole uma kuqhathaniswa ne-metronidazole ye-BV, akukho bufakazi obuqondile bamazinga aphezulu okuphulukisa, ngakho-ke ukushintsha kuyenzeka ngenxa yokungabekezeleli kwe-GI, ukuthobela, kanye nesheduli, hhayi ngoba isifo senqobe isidakamizwa sokuqala. Okukhethekile okubili kunquma okunye: i-metronidazole iyona eyona eyokhethwa lapho ukhulelwe, futhi i-tinidazole idinga iwindi lokucindezela kwe-alcohol eliyi-72-hour ngemuva komthamo wokugcina. Ukungatholi kahle okubhalisiwe kuMetronidazole kubonisa i-clindamycin esikhundleni salokho.

Isitatimende: Lesi sihloko sisemgqeni wokwazisa kuphela futhi asisho iseluleko sezokwelapha. Njalo thintana nomhlinzeki wezempilo oqeqeshiwe ukuze uthole ukuxilongwa nezinqumo zokwelashwa. Uma ubhekene nesimo esiphuthumayo sezokwelapha, shayela u-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.