Umshini wokufaka ogcwele (5 g) we-metronidazole vaginal gel, ofakwa embhedeni ngaphambi kokulala, yilokho okudingekayo. Okushintshayo yisikhathi: kunezindlela ezintathu ezivunyelwe (0.75% kanye ngosuku iminyaka emihlanu, 0.75% kabili ngosuku iminyaka emihlanu, kanye nomthamo owodwa we-1.3%), ngakho-ke fanisa ilebula yomuthi wakho ngaphambi komthamo wokuqala.

ISISHUTHELELO: Okubalulekile okubalulekile

  • Umshini wokufaka ogcwele ulingana no-5 g. Wufake ulale phansi, okungcono kakhulu ngaphambi kokulala.
  • Kunezindlela ezintathu ngaphansi kwamagama afanayo. Funda ilebula yakho kunokucabanga.
  • Ayikho indlela evunyelwe yokusebenzisa ngaphandle komshini wokufaka. Shayela umthengisi wemithi ukuze uthole omunye osuku olufanayo.
  • Ungachama ngokushesha ngemva kwalokho, futhi kulindeleke ukuthi i-gel iphume ekuseni okulandelayo.
  • Azikho izinto zokufaka i-tampon nokuhlangana ngokocansi ngesikhathi sokwelashwa, kodwa i-CDC ayisaceli ukuthi ugweme utshwala.

Le ndlela ihlanganisa izinyathelo ezinhlanu — futhi leyo abantu abaningi abayiphutha ukuyenza ngaphambi kokulala

Nansi indlela yokusebenzisa i-metronidazole vaginal gel kusukela ekuqaleni kuze kube sekupheleni. Geza izandla zakho. Faka umshini wokufaka kutuba elivulekile bese ucindezela kusukela phansi kuze kube yilapho ibala lomshini wokufaka ligcwala, okuyimithamo eyodwa engu-5 g. Khipha umshini wokufaka. Guqa amadolo akho, faka umshini wokufaka ubude obuhle emgqeni wesitho sangasese sowesifazane, bese ucindezela isilinda kuze kube sekupheleni. Yikhiphe kancane kancane bese uhlala ulale imizuzu embalwa.

Isikhathi sibaluleke kakhulu kunalokho abantu abaningi abakucabangayo. Amandla omhlaba asebenza ngokumelene nawe lapho umi mpo, ngakho umthamo ofakwe ngaphambi kokuba ume bese uqala usuku lwakho uphuma ngokushesha futhi uhlala ezindongeni zesitho sangasese sowesifazane isikhathi esincane. Ukulala kusho konke lokhu ngesikhathi esisodwa, yingakho umkhiqizo owodwa we-1.3% ubhalwe ngokukhethekile ukuba ucatshangelwe ngaphambi kokulala. Ngokwelashwa kanye ngosuku iminyaka emihlanu, yenza okufanayo ngokuzikhethela.

Imininingwane emithathu ewusizo leyo iphepha eliphrintiwe elilishiyiwe. Faka kuphela ubude obufanele futhi ungacindezeli umshini wokufaka ngokuphikiswa, ngoba ubude akubona obenza umthamo usebenze. Lindela ukuthi umshini wokufaka uzizwe ubushelele uma i-gel isiyifakile, ngakho-ke bamba ibala kunalokho ucindezele ngenkathi uwubeka. Futhi ungasebenzisi i-tampon ngemuva ukuze ugcine i-gel endaweni; i-tampon iyamunca imithi oyikhokhele.

Ayikho indlela evunyelwe yokusebenzisa i-gel ngaphandle komshini wayo wokufaka

Abantu bafuna indlela yokusebenzisa i-metronidazole gel ngaphandle komshini wokufaka ngo-eleven ebusuku, ituba lisendaweni, ibhokisi selilahlwe. Impendulo eqotho iyinto mayelana nokubhalwa kunokuba ukugweba ngawe: akukho ukwakheka okugunyazwe yi-FDA, hhayi umkhiqizo owodwa we-1.3% kanye nomkhiqizo weminyaka emihlanu we-0.75%, uchaza noma iyiphi indlela yokufaka i-gel ngaphandle kwedivayisi yayo. Umshini wokufaka akuyona ukupakisha. Kuyisixhobo sokulinganisa.

Leyo yingxenye ebalulekile ngokwezokwelapha. Umthamo ubhalwe njengo-"mshini wokufaka ogcwele (5 g)," hhayi njengobude noma ibhodi. Inkomba yomunwe, isipuni, noma umshini wokufaka oloanwe ngeke ukwazi ukulinganisa u-5 g, ngakho-ke ukuzenzela akukunikezi umthamo omncane. Kukwenza ube nomthamo ongaziwa.

Shayela umthengisi wemithi ngalolo suku bese ucela umshini wokufaka ozobuyiselwa. Amatoho ajwayelekile ngezinye izikhathi athunyelwa ngaphandle kwawo, futhi imishini yokufaka iyawa, iyaphuka, noma iyanyamalala phakathi nenkambo, ngakho lokhu kuyinto ejwayelekile kunokuba kube into enzima. Okungafanele ukwenze ukweqa umthamo ngasese. Inkambo engaphelele iyisimo esijwayelekile sokubuyela kwesifo, futhi umthengisi wezindaba angabuyisela kalula kunalokho ongakucabanga.

Uma ngabe usuvele wenza isandla esihlanzekile kanye, ungaziphinde ubuyekeze. Shayela umthengisi wezindaba, bese uqhubeka nesimiso esibhalwe nge-applicator efanele.

Isimiso sakho sixhomeke kutuba olitholile, hhayi kulokuthi izimpawu zizizwa zinjani

Isimiso sakho somthamo we-metronidazole gel sibanjiswe ngamandla abhalwe kutuba, futhi izinguqulo ezintathu ezisemthethweni zisakazwa.

  • I-gel engu-0.75%, kanye ngosuku iminyaka emihlanu. Umshini wokufaka ogcwele (5 g) ngaphambi kokulala. Leli yilona isikimu se-CDC sokuqala sokwelapha i-bacterial vaginosis.
  • I-gel engu-0.75%, kabili ngosuku iminyaka emihlanu. Umshini wokufaka njalo ekuseni nakusihlwa, ovunyelwe ulwazi lokunikezwa imithi yi-FDA lwe-NDA 021806.
  • I-gel engu-1.3%, umthamo owodwa. Umshini wokufaka owodwa ofakwe ngaphambili (5 g, cishe u-65 mg we-metronidazole) ngaphambi kokulala, kanye. Akukho-ke enkambo yezinsuku eziningi elandelayo.

Funda amandla kanye nesikhathi ekubhalelweni kwemithi yakho ngaphambi komthamo wokuqala. Uma ilebula nebhokisi zingavumelani, shayela umthengisi wezindaba kunokuba uhlukanise. Futhi qedela inkambo egcwele noma ngabe iphunga nokukhipha kucacile ngosuku lwesibili, njengoba kuvame ukwenzeka.

Hlola umshini wokufaka phakathi kwamathamo — ngaphandle uma owakho ubuyekezelwe ukuba ulahlwe

Ukuthi umshini wakho we-metronidazole gel ungasetshenziswa kabusha noma cha kuxhomeke ngokuphelele kumkhiqizo owutholile. Isikimu esiphindwe kabili ngosuku se-0.75% sisebenzisa umshini wokufaka ongasetshenziswa kabusha ohlanjwa bese uhlanganiswa kabusha phakathi kwamathamo asekuqaleni kwasekuseni nawakusihlwa. Donsa isilinda esibhokisini, uhlambulule zombili izingxenye ngamanzi afudumele anensipho, uhlambe kahle, wome, bese uhlanganisa kabusha.

Umkhiqizo we-1.3% uphambene: umshini wawo wokufaka ufika ugcwele ngaphambili, usetshenziswa kanye, bese ulahlwa. Awukwazi ukugcwaliswa kusuka kutuba elinye. Ungalokothi wabelane ngomshini wokufaka nomuntu, bese ubuyisa isiciko kutuba phakathi kwamathamo.

Ukuchama ngemva kwalokho ngeke kuwuchithe umthamo — futhi ukuphuma kwe-gel akusho ukuthi ayisebenzi

Yebo, ungachama ngemva kokufaka i-metronidazole gel, ngokushesha uma udinga. Umchamo uphuma emzimbeni nge-urethra, imbobo ehlukile ngaphambi kokungena emgqeni wesitho sangasese sowesifazane, ngakho awufezi ukugeza i-gel kuwo.

Nansi into eminingi imiqulu engiyokuphuza yona: iseluleko esibalulekile sokulinda imizuzu engu-30 kuya ku-60 ngaphambi kokuchama sivela kumagazini wezentengiselwano, hhayi emibhalweni ye-FDA, ayibeki isikhathi sokulinda nhlobo. Kubukeka kunakekela, ngakho-ke kuyasakazeka.

Lindela i-gel encane ukuba iphume ebusuku noma ekuseni. Lokho ukuthwala kwenzani into i-gel eyenza, hhayi umuthi ongasebenzi, futhi akusona isizathu sokubuyekezela umthamo. Gqoka i-panty liner kunokuba i-tampon. Ukuhlala ulele imizuzu embalwa ngemva kokufaka kanye nokwenza umthamo ngaphambi kokulala lapho isimiso sakho sivuma kuzokugcina ukungcola kungabi khona. Ingqikithi efanayo isebenza ekusebenziseni i-gel lapho usuke usengusikhathi sakho, okungadingi ukuphazamisa ukwelashwa.

Gxuma ama-tampon nobulili ngesikhathi sokwelashwa — kodwa umthetho kotshwala ubanzi kunalokho owatshelwa

Okufanele ukugweme lapho usebenzisa i-metronidazole gel uhlu olufushane, futhi into eyodwa kulo ishintshile ngasese. I-MedlinePlus iyeluleka ngokumelene nobulili besitho sangasese sowesifazane kanye neminye imikhiqizo yesitho sangasese sowesifazane, kuhlanganise nama-tampons nama-douches, isikhathi sonke sokwelashwa. Gcina i-gel kude namehlo akho, umlomo, nesikhumba sakho; uma ingena emehlweni, hlambulula ngamanzi abandayo bese uthintana nodokotela. I-CDC ngokufanayo ikucela ukuba uzibambe ekwenzeni ucansi noma usebenzise amakhondomu njalo nangendlela efanele kuyo yonke inkambo, okufanele ufunde ngayo ngaphambi kokuba unqume ukuthi uzokwenza ucansi ngenkathi usebenzisa i-metronidazole gel.

Manje umbuzo wokuthi utshwala. Iziqondiso ze-CDC zango-2021 zithi ukuzibamba kotshwala ngesikhathi sokwelashwa nge-metronidazole noma itetacyclacyclinetetrate kuyadingeka, ngoba ubufakazi bokuphendula okufana ne-disulfiram ayuqiniseki. Lokho kuphikisana namashumi eminyaka ama-sticker emithi, futhi yingakho isixwayiso sotshwala ku-metronidazole prescription yakho sifanelwe ukubhekwa kakhulu kunokuvamile ukuthi kubhekwwe. I-gel yesitho sangasese sowesifazane ikhipha umthamo omncane kakhulu emzimbeni ukuqala.

Lapho i-gel ingeyona impendulo: izimpawu ezidinga udokotela, hhayi omunye umthamo

Shayela u-911 noma uye esibhedlela esiphuthumayo manje uma:

  • Uthola izilonda, ukuqunjelwa ubuso noma umphimbo, noma ubunzima bokuphefumula ngemva kokufaka i-gel.
  • Unobuhlungu obukhulu besisu noma esingezansi esesiswini esine-fever noma chills, okungaba uphawu lwesifo sokuvuvukala kwesisu kunalokho i-bacterial vaginosis engenankinga.
  • Unezinkinga ezinkulu zesitho sangasese sowesifazane ezingachazwa yisikhathi sakho.

Bhukha ukuvakashela kungakapheli isonto elilandelayo uma:

  • Izimpawu azithuthuki ngemva kwenkambo egcwele, noma zibuyela ngokushesha ngemva kokuba usuqedile. I-trichomoniasis noma isikhunta semvubelo kungaba yisona sizathu sangempela, futhi ukubuyekezela i-gel ngeke kuthinte noma yikuphi kulokhu. Lokhu kufanele kuphinde kufundwe uma usola ukuthi ukwelashwa kwe-BV kubangele isikhunta semvubelo.

Khuluma nodokotela ngaphambi kokuba uqale uma:

  • Ukhulelwe noma uzama ukukhulelwa. I-bacterial vaginosis engelashwanga ihlotshaniswa nokubeletha ngaphambi kwesikhathi futhi idinga ukuhlolwa kunokuzelapha.
  • Uke waba nezigameko ezintathu noma ngaphezulu eminyakeni eyidlule.
  • I-gel yabelwa omunye umuntu, noma isikhathi esidlule.

Lapho izimpawu zihlala khona noma ungazethembi ukuthi ukuxilongwa kulungile, uku-otent u-August's $39 online urgent care visit uyisinyathelo esilandelayo esihle: udokotela ogunyazwe e-US ubuyekeza izimpawu zakho futhi anqume ukuthi i-prescription iyadingeka yini. Zibheke kahle imikhawulo. Ukubuka ngevidiyo akunakukwazi ukwenza isheke lesitho sangasese sowesifazane noma ukuqoqa iswobhu yesitho sangasese sowesifazane, ngakho udokotela angakuqondisa ukuthi uye endaweni yokwelashwa esikhundleni salokho.

Imibuzo evame ukubuzwa

Ngiyisebenzise umthamo ophindwe kabili we-metronidazole gel uma ngiphuthelwa yikho?

Cha. I-MedlinePlus iyeluleka ukufaka i-gel ngokushesha lapho uyikhumbula futhi ungaziphindiseli kabili. Uma ukhohlwa umthamo wokulala futhi uyikhumbula ekuseni, yisebenzise lapho bese ubuyela emuva kulala ngalobo busuku obufanayo. Esikhathini esiphindwa kabili ngosuku, phuthumisa umthamo omaphakathi nokuthi uzofakwa kunokuba uhlanganise imithamo emibili ngesikhathi esisodwa.

Ngidinga ukuphuma kwakho ngemuva kokuqeda i-metronidazole gel?

Hhayi ngokuvamile. I- CDC ibheka ukuphuma kwakho njengokungadingekile lapho izimpawu zicaca ngemva kokwelashwa. Buyela ekunakekelweni uma izimpawu zibuya, uma uthola ezintsha, noma uma ubengelapha ngenkathi ukhulelwe futhi udokotela wakho wacela ukuthi akubuyekeze. Ukubuya kwesifo kuvamile ngokwanele ukuthi kufanele kuphinde kuhlolwe kunokuphinda ufake i-gel efanayo.

Ngingasebenzisa i-metronidazole gel esele kusuka ku-prescription yakudala?

Cha. Kuyisidakamizwa esibhalwe ukuba sisebenzele isigameko esisodwa esaxilongwa, futhi ituba eliyingxenye lisho ukuthi inkambo yangaphambili ayizange iqedwe. Kungenzeka futhi ukuthi iphelelwe yisikhathi. Okubaluleke kakhulu, akusizi ngesikhunta semvubelo, esibangela izimpawu ezifanayo futhi yisizathu esivamile sokuthi i-gel ibonakale ingasebenzi.

Ingabe i-metronidazole vaginal gel igunyaziwe kubadala?

Yebo. I-gel igunyazwe yi-FDA ukwelapha i-bacterial vaginosis kubesifazane abaneminyaka eyi-12 nangaphezulu. Isigameko sokuqala kumntwana osakhula kusadingeka ukuthi sixilongwe kahle kunokuba usebenzise ituba eloanwe, ngoba izimpawu zihlangana nezinye izimo eziningana ezidinga ukwelashwa okuhlukile.

Ingabe i-metronidazole vaginal gel idinga ukufakwa esiqandisini?

Cha. Yigcine ekamelweni lokushisa nge-cap yayo, kude nokushisa nomswakama. Ikhabethe lokugezela ngqo ngenhla komshukela akulona elilungile ngalolo hlobo. Yigcine ebhokisini layo langempela ukuze amandla kanye nosuku lokuphela kuhlezi kucacile, futhi uyigcine kude nezingane.

Inguqulo emfushane

Fanisa amandla ekubhalelweni kwemithi yakho nesimiso esifanele ngaphambi komthamo wokuqala, ngoba 0.75% kanye no-1.3% azifani izimiso. Sebenzisa umshini wokufaka owafika nawo, bese uwubuyekeza nge pharmacy uma ungekho kunokuzenzela. Bese uqedela inkambo egcwele, ngisho nangemva kokuba izimpawu ziqala ukuthula ngosuku lwesibili.

Isitatimende: Lesi sihloko siyizinhloso zolwazi kuphela futhi asihlangani nezeluleko zezokwelapha. Njalo thintana nomhlinzeki wezempilo ofanelekayo ukuze uthole izinqumo zokuxilongwa nokwelashwa. Uma ubhekene nesimo esiphuthumayo sezokwelapha, shayela u-911 noma uye esibhedlela esiphuthumayo esiseduze ngokushesha.