IMetronidazole 500 mg kabili ngosuku amasonto ayi-7 yindlela yokuqala ye-CDC yomlomo yokwelapha i-bacterial vaginosis, kanti kwabesifazane yiyona futhi ekhethwayo yokwelapha i-trichomoniasis. Lokho kungama-tablet angu-14 sekukonke, athathwa cishe emahoreni angu-12 ngokuhlukana. Akwenzi lutho neze ekwelapheni i-yeast infection.

TL;DR: Izinto ezibalulekile okufanele uzikhumbule

  • Lo mphakamo nesiqalo esiqondile kungokwezimo ezimbili empeleni: i-bacterial vaginosis (indlela yokuqala) ne-trichomoniasis kwabesifazane.
  • Kungumuthi wokubulala amagciwane kanye nama-protozoa ongasebenzi nhlobo ku-Candida, ngakho-ke usebenza kuphela uma ukuxilongwa kuqinisekisiwe, hhayi ukucatshangwa.
  • Imithamo eyishumi nane, cishe emahoreni angu-12 ngokuhlukana, ekuseni nakusihlwa, nokudla uma isifo sohudo siyinkinga.
  • Izimpawu ngokuvamile ziba ngcono ngosuku lwes-3 noma lwes-4. Lokho kungukuphakathi, hhayi ukuphela.
  • Imithombo ayivumelani ngotshwala. Ukufunda ngokucophelela ukuthi akukho utshwala kuze kube yizinsuku ezintathu ngemuva komthamo wakho wokugcina.

Lesi siyalo samasonto ayi-7 sibonisa isifo esisodwa kwezimbili, hhayi ishumi nambili

IMetronidazole 500 mg kabili ngosuku amasonto ayi-7 yindlela yokuqala enconyiwe ye-bacterial vaginosis kumihlahlandlela yokwelashwa kwe-STI ye-CDC, ekhonjiswe eduze kwe-metronidazole gel yangaphakathi kanye ne-clindamycin cream. Le ndlela yomlomo efanayo yikho i-CDC encoma yona kwabesifazane abane-trichomoniasis. Izimo ezimbili, umuthi owodwa ofanayo, ngakho-ke ibhodlela lamaphilisi lodwa ngeke likutshele ukuthi yikuphi onakho.

Uma i-bacterial vaginosis kwakuyisifo esiqinisekisiwe, ubambe inketho evamile yomlomo, kanti i-gel ne-cream kwakuyizindlela ezinye umdokotela wakho aphuthelwe yizo. Ukuthathwa komlomo kuvame ukukhethwa lapho umuntu ekhetha amaphilisi kunokusebenzisa isicelo sasebusuku, noma lapho indlela yomgudu wangasese ingasebenzi.

Uma i-trichomoniasis kwakuyisifo esiqinisekisiwe, isihlabayo samasonto ayi-7 sibonisa ushintsho oluyinhloso emkhakheni. I-CDC manje incoma uhlelo lomthamo ophindaphindayo kwabesifazane esikhundleni somthamo owodwa wama-2g obuyisimiso iminyaka. Kwabesilisa, isihloko somthamo owodwa siseyincomo, ngakho-ke uma umlingani wakho ephuma emtholampilo enomthamo omkhulu owodwa kanti wena unamasonto amaningi amaphilisi, akekho owonile. Uwelashwe ngemithetho ehlukene.

Isixwayiso esisodwa ngaphambi kokuba ucabange: umthamo ofanayo wama-500 mg kabili ngosuku, okubhanqaniswa namasonto ayi-7, uvela etafuleni lemithamo yezinye izifo eziningi ze-anaerobic kanye ne-protozoal, kanti i-MedlinePlus ithi izihlelo ze-metronidazole ziyahlukahluka kakhulu ngokuya ngesimo. Uma akekho owakutshela igama lesifo, buza. Kuguqula okudingeka ukwenze ngokuqhubeka.

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Cha. Uma ukhohlwe ukuphuza umuthi wakho we-metronidazole, wuphuze ngokushesha uma ukhumbula, ngaphandle uma sekuyisikhathi sokuthi uphuze umthamo olandelayo (okungaba ihora noma amabili). Kuleso simo, weqa lowo okhohliwe ngawo bese uqhubeka nohlelo lwakho olujwayelekile lokuphuza umuthi njalo emahoreni ayi-12. Ungalokothi uphuze amaphilisi amabili ngesikhathi esisodwa uzama ukubamba isikhathi, ngoba ukuphinda umthamo kwandisa isiyezi nokunambitheka kwensimbi emlonyeni ngaphandle kokusheshisa ukululama kwakho.

Yebo. Lokhu kungomunye wemithamo evumelekile ye-CDC yokwelapha izifo zesitho sangasese sowesifazane (bacterial vaginosis) ngesikhathi sokukhulelwa, kanye nemithamo engu-250 mg ephuzwa kathathu ngosuku izinsuku eziyisikhombisa; kodwa i-tinidazole ayinconywa kwabesifazane abakhulelwe. Mayelana nesifo i-trichomoniasis, i-CDC ithi izifundo ezikwenzile ngemithamo ye-metronidazole azibonanga bufakazi bokuthi ulimaza umntwana esibelethweni, futhi abesifazane abakhulelwe abanezimpawu kumele bahlolwe futhi belashwe kunoma yisiphi isigaba sokukhulelwa kwabo.

IMetronidazole ayikwazi ukubhekana ne-yeast infection, ngakho-ke ukuxilongwa kufanele kube kulungile

Nansi inguqulo emfishane yokuthi i-metronidazole 500 mg isetshenziselwa yini: izifo ezithile zamagciwane kanye nezilokazane (protozoal), ezilwelwa ngokumisa ukukhula kwamagciwane. Lokho kuyispektrum esiphelele. Impendulo yokuthi i-metronidazole 500 mg isetshenziselwa yini ayikaze ifake i-Candida, i-yeast engemuva kwezinkinga eziningi ze-yeast zesitho sangasese sowesifazane.

Lokhu kubaluleke kakhulu kunalokho okubonakala ngakho, ngoba izimpawu ziyahambelana cishe ngokuphelele. Ukuluma, ukuphuma kwamanzi, ukucasuka kanye nokungakhululeki ngesikhathi sokulala kungaba ngenxa ye-bacterial vaginosis, i-trichomoniasis, noma i-yeast, futhi akekho ongazihlukanisa ngokwethenjelwa ngencazelo kuphela. Isihlabayo esihloswe komunye umuntu akusebenzi kahle ngasesinye isikhathi. Akwenzi lutho, futhi uchitha isonto ucabanga ukuthi ukwelashwa kuhlulekile lapho ukwelashwa kungakaze kuqondiswe enkingeni.

Inkinga: umuthi obhalelwe ukuthola izimpawu ngocingo, noma oqhubeka esikhathini esedlule, uyathwala leyo nkinga ngokugcwele. Uhlelo lukubeka njengoba othile ebuke ngempela, elinganise i-pH yesitho sangasese, ahlole isampula ngaphansi kwemikroskopu, noma enze uhlolotsho lwe-nucleic acid amplification. Uma umuthi wakho uvela ezimpawini kuphela futhi akukho lutho oluthuthukayo, ukuxilongwa yinto yokuqala okufanele ubuyekeze, hhayi umthamo.

Kubalulekile ukwazi kusengaphambili: ukuqeda i-bacterial vaginosis kungalandelwa ukweluma okubonakala ngemuva kokwelashwa kwe-BV yakho, okuyinkinga ehlukile enesixazululo esihlukile.

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Kwesinye isikhathi. Uma unesifo i-trichomoniasis, yebo: umlingani wakho kumele naye elashwe ukuze ungaphinde utheleleke, kanti amadoda ajwayele ukunikezwa umthamo owodwa ongu-2 g esikhundleni sokuthi aphuze umuthi izinsuku eziyisikhombisa. Kodwa uma kwenziwa i-bacterial vaginosis, ukwelashwa kwabalingani abangamadoda akuyona ingxenye yendlela ejwayelekile yokwelapha, ngakho-ke uma umlingani wakho engaphiwanga muthi, akusho ukuthi odokotela bebeqaphile.

Cha. Lo muthi wenzelwe ukubulala amagciwane athile (anaerobic bacteria kanye nama-protozoa), kanti izifo zomchamo eziningi zibangelwa amanye amagciwane afana no-E. coli. Ukuzwa ubuhlungu uma uchama kungenzeka nangezifo zesitho sangasese, yingakho izimpawu zivame ukudida. Uma inkinga enkulu kungukuchama, kumele lokho kuhlolwe ngokukhethekile ukuze uthole umuthi ofanele.

Kabili ngosuku kungcono kune kathathu ngosuku ngalo mphakamo, kodwa hlola ukuthi ibhodlela lakho libhala i-250 mg yini

Isonto le-metronidazole 500mg amaphilisi lisho imithamo eyi-14, hhayi eyi-21, futhi i-arithmetic ngemuva kwalokho ilula nge-pharmacology. IMetronidazole inesikhathi esiphindwe kahlanu cishe samahora angu-8 kubantu abadala, esanele ukuthi umthamo wama-500 mg ugcine amazinga omuthi ebangeni eliwusizo kude nehora elingu-12. Izinhlelo zokuphuza kathathu ngosuku zikhona ngemiphamo ephansi ngoba nje imithamo emincane iyashabalala ngokushesha.

Manje hlola ilebula. Uma ikhemisi lakho ligcwalise amaphilisi e-metronidazole 500mg, umthamo owodwa owabhalelwa umthamo owodwa. Uma ligcwalise amaphilisi angama-250 mg, umthamo owodwa owabhalelwa umthamo owodwa, futhi abantu abathatha owodwa ngephutha bachitha isonto benomthamo ongaphansi kunokuhlosiwe. Shayela ikhemisi kunokuba ucabange.

Ungadidanisi lokho kuphindwe kabili ngohlelo oluhlukile lwama-250 mg olusemihlahlandlela. I-CDC ibhala i-metronidazole 250 mg kathathu ngosuku amasonto ayi-7 njengenketho yomlomo eyamukelekayo ekuvamise ukukhulelwa, okuyinto ngempela isivinini esihlukile, hhayi amaphilisi amabili kabili ngosuku.

Ngokusebenza: faka imithamo ekudleni kwasekuseni nasekulaleni, noma kunoma iziphi izindawo ezimbili ezingaguquki osukwini lwakho ezihlukene cishe amahora angu-12. Ukuthatha iphilisi nokudla kunciphisa isifo sohudo kanye nokunambitheka kwensimbi okubhekana nabantu abaningi ababika izimo ezingezinhle.

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Yebo. Amaphilisi aphuzwayo amuncwa emzimbeni ngokusebenzisa uhlelo lokugaya ukudla, ngakho ukuya esikhathini akusiphazamisi isebenza kanjani imithi, futhi asikho isidingo sokuthi ume noma uqale kabusha ukuyiphumuza. Lokhu kuyinzuzo enkulu ngokuqhathaniswa nama-gel afakwa esithweni sangasese, lapho ukuya esikhathini kuvame ukudida abantu futhi kwenze ukuthi bakhohlwe ukusebenzisa umuthi.

Ukuzizwa kangcono ngosuku lwesi-3 akuyona ukuphela

Ukuqeda isihlabayo esiphelele kubaluleke kakhulu ngenkathi kuzwakala kungadingekile, ngoba ukukhululeka kwezimpawu ngalesi sihloko kuvame ukufika ngosuku lwes-3 noma lwes-4, namasonto amathathu noma amane amaphilisi asasekhona ephaketheni. Ukuphuma kwamanzi kuyayeka, iphunga liyanyamalala, ukuluma kuyancipha, futhi isiphetho esicacile ukuthi isifo sesidlulile.

Ubufakazi bubonisa okuhlukile, futhi buqondile ngempela lapha. I-CDC yashukumisa abesifazane abane-trichomoniasis kuhlelo lwamasonto ayi-7 ngoba isihlabayo esiphindaphindayo sinciphise isilinganiso sokuhlolwa futhi sitholakale ng pozitiv ngesivivinyo sokwelashwa senyanga eyodwa cishe ngesigamu uma kuqhathaniswa nomthamo owodwa wama-2g. Lelo nalelo lungelo livela emalangeni angemuva esihlabayo. Ukuyeka ngosuku lwesi-4 akukuniki inguqulo emfushane yesihlabayo esingcono. Kukunika okuthile okuseduze nesibuthaka.

Amalungu omuthi wabathengi enza iphuzu elifanayo ngolimi oluqonde phambili: ukuya ngaphandle ngaphambili kungavumela isifo ukuthi sibuyele ngisho nalapho uzizwa kahle. Ngokukhethekile nge-bacterial vaginosis, kuyasiza ukwazi uhlelo losuku ngosuku lokuthi ukuthuthuka kufanele kubukeke kanjani, ukuze inqubo evamile ingabonakali njengokuphulukisa futhi impendulo eyonqenayo ingabonakali njengokuhluleka.

Isixwayiso setshwala ebhodlela singaqinile njengoba sibonakala, futhi usuku lapho sihlanzekayo lungabalwa

Ngokuphathelene ne-metronidazole notshwala, imithombo ongayifunda kakhulu ayivumelani, futhi ukuzenza sengathi kunjalo akukusizi lutho. Imibhalo ye-CDC ithi ngokuphawulekayo ukugwema utshwala ngenkathi uthatha i-metronidazole noma i-tinidazole akubalulekile, igcizelela ukuthi ucwaningo lwamuva alutholanga ubufakazi obuqinisekile bokuphendula okufana ne-disulfiram okwakhiwe isixwayiso kuso. I-MedlinePlus, ebhalele iziguli, iseluleka ukuthi zigweme imikhiqizo equkethe utshwala kanye ne-propylene glycol ngesikhathi sokwelashwa kanye nezinsuku ezimbalwa ngemuva komthamo wokugcina. Iz reference zezitolo ezisetshenziswa kakhulu zihlukanisa umehluko kuya emizwaneni engama-48.

Nansi into amakhasi amaningi angakutshelwa yona: ukusakazeka kuyiqiniso, futhi isinyathelo esihlakaniphile siyisinyathelo esicophelelayo, ngoba isifo sohudo nokunambitheka kwensimbi sekuyizikhalazo ezivame kakhulu kulesi sihloko futhi utshwala buyobenza bobabili bube bubi kakhulu. Uma umthamo wakho wokugcina ungowakusihlwa kosuku lwesi-7, ibanga lamahora angu-48 liyophela ngosuku lwesi-9 kanti ibanga lezinsuku ezintathu liyophela ngosuku lwesi-10. Khetha usuku lwesi-10 futhi uzobe usezingeni layo yonke imibhalo eshicilelwe. Inguqulo ephelele ingaphakathi lapha: ukuthi isixwayiso setshwala kumuthi wakho we-BV sisho ngempela.

Izimpawu ezithile zisho ukuyeka isihlabayo futhi uhlolwe, hhayi ukulinda usuku lwesi-7

Abantu abaningi baqeda lesi sihloko ngaphandle kokuhlupheka okungaphezu kokunambitheka kwensimbi. Bambalwa abathola izimo ezingezinhle ezingamenza i-MedlinePlus isixwayiso njengezizathu zokuba uyeke futhi ufune usizo lwezokwelapha ngokushesha, futhi lezo ngeke zithuthuke ngokucindezela usuku lwesi-7.

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

  • Ubanjwa yikhanda, ukudideka okusha, ukulahlekelwa ukubambisana, noma ubunzima bokukhuluma.
  • Uthola isikhumba esibi esinomswakama noma esihlutshiwe.
  • Ubuso bakho, izindebe, ulimi noma umphimbo kuqala ukudumba.

Bhuka ukuvakashelwa phakathi nesonto elizayo uma:

  • Uqaphela ukubhanqamisa, ukuluma noma ukushisa ezandleni noma ezinyaweni zakho.
  • Unezinhlungu zesisu ngepalepale.
  • Izimpawu zakho ziyanda kunokuba zithuthuke ngemuva kwezinsuku ezimbalwa usuqala ukwelashwa.

Khuluma nodokotela ngaphambi kokuba uqale uma:

  • Awuzange uhlolwe futhi ukuxilongwa kwacatshangwa kusuka ezimpawini.
  • Ukhulelwe noma uzama ukukhulelwa.
  • Waba nezimpawu zemithambo ngenkathi usebenzisa i-metronidazole ngaphambili.
  • Imithi yakho enye ayikahlolwanga ukubambisana, okuyinto i-Mayo Clinic monograph ifaka ngokuningiliziwe.

Ngenxa yesigaba esimaphakathi, i- $39 online urgent care visit ye-August ikuxhumanisa nodokotela ogunyazwe yi-US ongabuyekeza lapho ukhona esihlabayo futhi anqume ukuthi umuthi, ukushintsha kwecebo, noma ukuhlolwa ubuso nobuso kufanelekile yini. Yiba nombono ocacile ngemikhawulo: ukuvakashelwa ngevidiyo akukwazi ukwenza ukuhlolwa kwesisu noma ukuqoqa i-vaginal swab, ngakho-ke ukuxilongwa okwakungakaze kuqinisekiswe kusadinga ukuhlolwa okusebenzayo. Izimpawu zezingqoko zokukhathazeka zifanele igumbi lezimo eziphuthumayo.

Imibuzo Evame Ukubuzwa

Uma ngiphuthelwa umthamo we-metronidazole ohlelweni oluphuza kabili ngosuku, kufanele ngiphinde kabili?

Cha. Uma uphuthelwe umthamo we-metronidazole, thatha njengoba ukhumbula, ngaphandle uma umthamo wakho olandelayo uhlelwe wamahora nje angaba yiwashi noma amabili. Kuleso simo, shiya lowo ophuthelwe bese ubuyela kuhlelo lwakho olujwayelekile lwama-12 amahora. Ungalokothi uthathe amaphilisi amabili ndawonye ukuze ubuyekeze, ngoba ukuphinda umthamo kukhuphula isifo sohudo nokunambitheka kwensimbi ngaphandle kokuthuthukisa ukuphulukisa.

Ingabe i-metronidazole 500 mg kabili ngosuku amasonto ayi-7 iphephile ngesikhathi sokukhulelwa?

Yebo. Ingenye ye-CDC izindlela zomlomo ezamukelekayo ze-symptomatic bacterial vaginosis ekuvamise ukukhulelwa, eduze kwama-250 mg kathathu ngosuku amasonto ayi-7; i-tinidazole iyagwenywa ekuvamise ukukhulelwa. Ngokubhekene ne-trichomoniasis, i-CDC ithi izifundo zemithamo eyodwa kanye nemithamo ephindaphindayo ye-metronidazole ziye zibonise ubufakazi obunqenayo bokufakelwa, futhi abesifazane abanezikhalazo kufanele bahlolwe futhi belashwe kunoma yisiphi isigaba.

Ingabe umlingani wami udinga ukuwelashwa naye?

Ngezinye izikhathi. Ngokubhekene ne-trichomoniasis, yebo: abalingani bezocansi badinga ukwelashwa noma uzophinda ubanjwe, futhi abalingani besilisa ngokuvamile banikezwa umthamo owodwa wama-2g womlomo kunohlelo lwamasonto ayi-7. Ngokubhekene ne-bacterial vaginosis, ukuwelashwa okuvamile abalingani besilisa akuyona ingxenye yokunakekelwa okujwayelekile, ngakho-ke umlingani ongatholanga lutho akazange aphuthelwe.

Ingabe i-metronidazole 500 mg izwelapha i-urinary tract infection?

Cha. Umsebenzi wayo uhlanganisa amagciwane e-anaerobic kanye nama-protozoa, futhi izinkinga eziyimbangela yomgudu womchamo ziyizidalwa ezingaphandle kwalokhu, ikakhulukazi i-E. coli. Ukushiswa lapho wenza umchamo kungenzeka nasezifweni zesitho sangasese, yingakho izimpawu zihlanganiswa. Uma izimpawu zomgudu womchamo kuyinkinga enkulu, lokho kudinga ukuhlolwa kwayo kanye nenye i-antibiotic.

Ngingaqhubeka ngithatha amaphilisi uma isikhathi sami siqala?

Yebo. Amaphilisi omlomo ayawumuncwa ngesisu, ngakho-ke ukopha kwesikhathi akuthinti ukuthi imithi isebenza kanjani, futhi akukho sizathu sokumisa noma ukuqala kabusha isihlabayo. Lokho kungenye inzuzo ewusizo phezu kwe-intravaginal gel, lapho ukuhlela cishe ngokuphuma kwegazi kuyimbangela ejwayelekile yokudideka kanye nemithamo ephuthelwayo.

Isiphetho sohlabayo lwe-metronidazole lwezinsuku ezingu-7

IMetronidazole 500 mg kabili ngosuku amasonto ayi-7 imithamo eyi-14, ihlukaniswe cishe amahora angu-12, ithathwa ngazo zonke izinsuku eziyisikhombisa ngisho nangemva kokuba izimpawu ziqala ukuba ngcono ngosuku lwesi-3 noma lwesi-4. Uhlelo lukubeka njengokuthi kuxilongwe i-bacterial vaginosis noma i-trichomoniasis, futhi akwenzi lutho ngama-yeast. Uma izimpawu ziba zimbi, noma zibuyela ngemuva kokuqeda, hlolwa kabusha kunokuqala kabusha amaphilisi asele.

Umusho wokuzihlangula: Lesi sihloko ngezinjongo zolwazi kuphela futhi asisho ukwelulekwa kwezokwelapha. Njalo thintana nomhlinzeki wokunakekelwa kwezempilo oqeqeshiwe ukuze uthathe izinqumo zokuxilongwa nokwelashwa. Uma ubhekene nesimo esiphuthumayo sezokwelapha, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.