Iningi labantu libona izimpawu zokuqala zokuthi i-Flagyl iyasebenza phakathi namahora angu-24 kuya ku-72: ubuhlungu, ingcindezi nomkhuhlane kuyancipha kuqala, bese iphunga, ukuhamba noma ushintsho esitokisini kuhlala ezinsukwini ezilandelayo. Ukuncipha kwezimpawu kusho ukuthi umuthi usebenza ngokumelene nokutheleleka. Lokhu akusho ukuthi ukutheleleka sekuphelile.
Isifinyezo: Izinto Ezibalulekile
- Lindela ukuthuthuka kokuqala emahoreni angu-24 kuya ku-72, ngokuqeda kwezimpawu ngokuphelele kuvame ukuthatha isikhathi eside.
- I-Metronidazole ifinyelela esiqongweni egazini emahoreni angu-1 kuya ku-2, kodwa lokho ukumunca, hhayi ukuncipha kwezimpawu.
- Qedela yonke imithamo. Ukuyeka ngaphambi kwesikhathi ngenxa yokuthi uzizwa ungcono kuyimbangela evamile yokubuyela kwesifo.
- Ukungahambi kahle komlomo okufana nensimbi, isicanucanu nokuchama okumnyama kulindelekile. Ukwanda kobuhlungu, ukubomvu okusakazekayo noma umkhuhlane ngemuva kosuku lwesithathu akulindelekile.
- Ukuphuza utshwala ne-metronidazole kungabonakala njengokuthi ukutheleleka kuyanda.
Izimpawu zokuqala zokuthi i-Flagyl iyasebenza zivela emahoreni angu-24 kuya ku-72
Izimpawu zokuthi i-Flagyl iyasebenza ngokuvamile ziqala emahoreni angu-24 kuya ku-72 ngemuva komthamo wokuqala. Ubuhlungu, ingcindezi nomkhuhlane kuyancipha kuqala, ngoba kulandela ukuvuvukala, okwehla njengoba inani lamagciwane lincipha. Iphunga, ukuhamba kanye noshintsho esitokisini kulandela ezinsukwini ezimbalwa ezilandelayo. Ukuqedwa okuphelele kuvame ukufika ekugcineni kwenkambo yokwelashwa enikeziwe, hhayi ekuqaleni.
Ukuthi lokho kubonakala kanjani usuku nosuku:
- Ukushaya, ukuvuvukala noma ingcindezi encane endaweni yokutheleleka
- Umkhuhlane oyehlayo kunokuba ukhuphuke
- Iphunga lomdobi eligugayo nokuhamba okuncipha, ku-bacterial vaginosis
- Izitokisi ezimbalwa, eziqinile nokubamba okuncane, ekuthelelekeni kwamathumbu noma kwamagciwane
- Isifiso sokudla namandla abuyayo ngokuzithoba, lokhu kuvame ukuba isibonakaliso abantu abasibona kancane futhi abamethemba kakhulu
Umehluko owodwa ofanele ukuwugcina: i-metronidazole ifinyelela phezulu ezingeni legazi cishe emahoreni ayi-1 kuya kwangu-2, kodwa ngeke uzizwe lutho ngaleso sikhathi. Ukumunca akusona isixazululo. Umuthi kufanele ubulawe amagciwane anele ukuze uhlelo lwakho lokuzivikela luyeke ukubanga impendulo ebuhlungu.
Akukho nalulunye lwaloluphawu oluqinisekisa ukuthi ukutheleleka sekususwe.
People also ask
Cha. Lindela okungenani izinsuku ezintathu emva komthamo wakho wokugcina. Incwadi yemiyalelo ye-FDA ithi okungenani izinsuku ezi-3, futhi lokhu kuhlanganisa nezinto eziningi esikhohlwayo ukuthi nazo zine-alcohol: amanzi okugeza umlomo, amayeza okukhwehlela namakhaza, ama-tinctures, neminye imithi egcotshwa esikhunjeni equkethe i-propylene glycol. Nakuba ukusabela kungaba kubi, akukona okubeka impilo engozini ezimeni eziningi, kodwa akukho okuhle okuzozuzwa ngokuzama ukuphuza ngaphambi kwesikhathi.
Yebo. I-Metronidazole ilwa namagciwane abangela i-BV (ukutheleleka kwesitho sangasese), kodwa ayiwathinti amagciwane esikhunta (yeast), ngakho-ke uma amagciwane okuqala esephelile, isikhunta singasabalala. Isibonakaliso sokuthi kukhona inkinga yesikhunta ukuba noketshezi olumhlophe oluwugqinsi nokulunywa kakhulu, ngaphandle kwaleyo nuka efana neyenhlanzi. Lokhu kungenye inkinga edinga umuthi wayo ohlukile, akusho ukuthi i-Flagyl ayisebenzanga.
Ukuzizwa ungcono akufani nokwelashwa
Indlela yokwazi ukuthi ama-antibiotics ayasebenza iyimibuzo ewusizo impela, kodwa iphendula into encane kunalokho abantu abaningi abacabanga ngayo: ukuncipha kwezimpawu kulandela ukuncipha kwamagciwane, hhayi ukuthi ukutheleleka sekuphelile. Lezo zinto ziyahlukana, futhi isikhala lapho kuhlala khona izimo eziphindayo.
I-MedlinePlus iluleka iziguli ukuthi ziqhubeke nokuthatha i-metronidazole isikhathi esigcwele sokwelashwa esinikeziwe noma ngabe sezizizwa zingcono, futhi zibize udokotela wazo uma izimpawu zokutheleleka zisabanjwe ngemuva kokuphela komuthi. Ilebula ye-FDA ye-FLAGYL ibeka inkambo evamile ye-anaerobic kusuka ezinsukwini ezingu-7 kuye kwezingu-10, kanti izifo zamathambo, amalunga, imiphimbo ephansi kanye ne-endocardial ngokuvamile zidinga isikhathi eside.
Ku-trichomoniasis, i-CDC incoma ukuphinda kuhlolwe cishe izinyanga ezintathu kamuva kungakhathalekile ukuthi izimpawu ziyancipha yini, ngqo ngoba ukungabikho kwezimpawu akufakazeli ukwelashwa.
Kukhona isinye isimo esihlukile esibalulekile. Ukuvuselelwa kwe-IDSA/SHEA yango-2021 kwathola ukuthi i-metronidazole ayisasekhuthazwa njengokwelashwa okuphambili kwezifo eziningi ze-C. difficile, i-fidaxomicin iyathandeka kanti i-vancomycin iyindlela. Uma uthatha i-Flagyl ye-C. diff, ungayeki, kodwa qinisekisa uhlelo nodokotela wakho.
People also ask
Cha. Lokho kusho ukuthi umuthi uyaqedwa umzimba futhi uyakhishwa, okwenzekayo noma ngabe ukutheleleka kuyaphela noma cha. Umbala uvela kumuthi, awunangozi, futhi uzophela emva kosuku olulodwa noma ezimbili emva komthamo wakho wokugcina. Bona ukuthi ususilama ngokubheka izimpawu zakho. Kodwa uma umchamo wakho umnyama futhi amehlo noma isikhumba sakho kuphenduka kubephuzi, lokho kungenye inkinga futhi kumele ushayele udokotela ngokushesha ngalolo suku.
Akuhlali kunjalo. Uwuphuze ngokushesha uma ukhumbula, ngaphandle uma sekuseduze nomthamo wakho olandelayo; kuleso simo, weqa lowo obukuphuthele uqhubeke nohlelo lwakho olujwayelekile. Ungalokothi uphuze imithamo emibili ngesikhathi esisodwa. Ukweqa umthamo owodwa akuvamile ukushintsha imiphumela, kodwa ukujwayela ukweqa imithamo kungayishintsha, ngakho qeda inani lezinsuku owalulekwe ngazo, ngisho noma lokho kusho ukuthi uzoqeda umuthi wakho ngosuku olulandelayo.
Isikhathi sokuthi isebenze sincike ngokuphelele kulokho okwelashwa
Isikhathi sokuthi i-metronidazole isebenze ngempela imibuzo emibili. Izimpawu zishintsha phakathi nezinsuku cishe kuyo yonke inkomba. Inkambo ngokwayo isukela kumthamo owodwa kuya ezinyangeni eziyisithupha.
| Ukutheleleka | Inkambo evamile | Isibonakaliso sokuqala sokuthuthuka |
| I-Bacterial vaginosis | 500 mg kabili ngosuku, izinsuku ezingu-7 (CDC) | Uphunga nokuhamba kuncipha, izinsuku 2 kuye kwezingu-3 |
| I-Trichomoniasis | Izinsuku ezingu-7 kwabesifazane; umthamo owodwa ka-2g kumadoda (CDC) | Ukulunywa nokuhamba kuncipha kungakapheli izinsuku |
| I-abscess yamazinyo noma enye ye-anaerobic | Izinsuku ezingu-7 kuye kwezingu-10 (lebula ye-FDA) | Ubuhlungu nokuqunjelwa kuncipha, amahora angu-48 kuye kwangu-72 |
| Amagciwane amathumbu | Izinsuku ezingu-5 kuye kwezingu-10 | Isikhathi nokuqina kwezitokisi kubuyela kokujwayelekile |
| I-Rosacea (i-topical) | Izinsuku ezingu-3 kuye kwezingu-4 | Ukubomvu nezinduna kuncipha kancane kancane |
| Amathambo, amalunga, imiphimbo ephansi, i-endocardial | Izinsuku ezingu-2 kuye kwezi-6 noma ngaphezulu | Kancane, kulinganiselwa ezingqimweni |
Inkambo ende ayisho ukuthi ukutheleleka kubi kakhulu. Kusho ukuthi indawo ethile ilukhuni ukuthi umuthi uyifinyelele.
"Kungcono kodwa akugcwele" kuyisiphetho esivamile - futhi ngokuvamile akubona ukuhluleka
Izimpawu ze-BV kufanele zinciphe nini? Iphunga lomdobi ngokuvamile liyancipha kuqala, ngokuvamile phakathi kwezinsuku ezimbili kuya kwezintathu, kanti ukuhamba nokucasuka kungabambezela kuze kube sekugcineni kwenkambo yezinsuku ezingu-7. Lolo hlelo oluhlukene luvamile futhi akusona isibonakaliso sokuthi i-antibiotic iyayeka ukusebenza.
Ibhuloho liyisimanga, hhayi ukufika. Izimpawu ezithuthuke ngo-70% kuya ku-80% phakathi nenkambo zisesendleleni, zinikezwe ukuthi ziyaqhubeka nokuthuthuka. Ukuma kuvame ukubonwa, hhayi umphumela ongagcini.
I-CDC ithi ukuvakashelwa okungeziwe akudingekile uma izimpawu ze-BV sezincipha, kodwa kufanele ubuyele ukuze uhlolwe uma izimpawu zibuya. I-BV ephindaphindayo ivamile kungakhathalekile ukuthi inkambo yokuqala yasebenza yini, lokho okufanele ukwazi ngaphambi kokuthi uchaze ukubuyela kwezimpawu njengobufakazi bokuhluleka. Izinguquko ezijwayelekile zokuhamba ngesikhathi sakho nazo zivame ukubonwa kabi njengokuhluleka kokwelashwa.
Umkhawulo omayelana nokuhlolwa: izimpawu ezisabanjwe ezinsukwini ezimbili kuya kwezintathu ngemuva kokuqeda inkambo ephelele zidinga ukubizwa, hhayi enye iviki lokulinda.
Izinkathazo eziningi zokuthi "i-Flagyl ayisebenzi" ziphenduka zibe imiphumela emibi — noma utshwala
Ukufuna "i-Flagyl ayisebenzi" kuvame ukuvela kubantu abazizwa bebhedere, hhayi kubantu abaguliswa ngokuqhubekayo. Ukuzizwa ubhedere ngalo mphathi kuvame ukuba ngumuthi kunokuba kube igciwane.
Okulindelekile futhi okulula: ukungahambi kahle komlomo okufana nensimbi, isicanucanu, ukulahlekelwa isifiso sokudla, ikhanda elibuhlungu, umchamo omnyama noma onsundu-nsundu.
Okubonisa ukuhluleka: ubuhlungu, ukuqunjelwa noma umkhuhlane owandayo ngemuva kosuku lwesithathu; ukubomvu okusakazekayo; izimpawu zingashintshi ekugcineni kwenkambo.
Nansi into amakhasi amaningi azongakutsheli yona: ilebula ye-FDA ixwayisa ngotshwala nemikhiqizo equkethe utshwala noma i-propylene glycol ngesikhathi sokwelashwa nangamasuku amathathu okungenani ngemuva komthamo wokugcina. Imiphumela eyenzekayo idala ukubamba, isicanucanu, ukuhlanza, ikhanda elibuhlungu nokushisa, futhi ivame ukudidwa nokuthi ukutheleleka kuyanda. Imikhiqizo yokuhlanza umlomo kanye namazinyo kuhlanganiswa. Uma ufuna inguqulo ende yombhalo wokuthi kungani utshwala nokwelashwa kuxhumana, isihloko sethu mayelana nezimpawu zokuphulukiswa kwesibindi siyachaza.
Uma izimpawu zimile, i-August's $39 ukuvakashelwa ezindaweni eziphuthumayo eziku-inthanethi kukuxhumanisa nomtholampilo ogunyazwe yi-US ongabuyekeza izimpawu zakho futhi unqume ukuthi umuthi ofanele yini. Zicace ngezingqinamba: ukuvakashelwa ngevidiyo akukwazi ukwenza ukuhlolwa kwe-pelvic, ukukhipha i-abscess, noma ukwenza izivivinyo zamalebhu ezingaqinisekisa i-BV noma i-trichomoniasis.
Nini ukubiza, nini ukulinda, futhi nini kuyisimo esiphuthumayo
Shayela ku-911 noma uye egumbini lezimo eziphuthumayo manje uma:
- Ama-hives, ukuqunjelwa kobuso, izindebe, ulimi noma umphimbo, noma ukushoda komoya noma ukudla
- Ukujulukiswa, ukudideka, ukukhuluma okungacacile noma ukulahlekelwa ukuziphatha
- Ukuvuvukala okusha, ukutuzulula noma ubuthakathaka ezandleni noma ezinyaweni (yeka umuthi)
- Isikhumba esisakazekayo, esishubisi noma esikhuculayo
- Isifo sohudo esibi noma esinegazi esinomkhuhlane nokubamba
- Umkhuhlane ophakeme, ukubomvu okusakazekayo, ukushaya kwenhliziyo okusheshayo noma ukuzwa ukukhubazeka
Bhuka ukuvakashelwa phakathi nesonto elilandelayo uma:
- Akukho lutho oluthuthukayo ngemuva kwezinsuku ezingu-3 zokwelashwa
- Izimpawu zisabanjwe ezinsukwini ezimbili kuya kwezintathu ngemuva kokuqeda inkambo
- Izimpawu ziyancipha bese zibuya
- Imiphumela emibi yenza kube nzima ukuthatha imithamo, futhi ngokushesha uma ungakwazi ukuthatha umuthi nhlobo
Xoxa nomtholampilo ngaphambi kokuthi uqale uma: unesifo sesibindi, ukukhubazeka kwezinzwa okudala noma isifo segazi, ukhulelwe noma uyancelisa, uphuza utshwala njalo, noma uthatha i-disulfiram, i-warfarin, noma i-lithium.
Izimpawu zenhlanganisela zifanelwe ukugcizelelwa ngoba abantu bazichaza. Ilebula ibala ukujulukiswa, i-encephalopathy, i-meningitis ye-aseptic kanye ne-neuropathy yokubona noma ye-peripheral njengezingozi ezaziwayo ezidinga ukubikwa ngokushesha nokuyeka umuthi. Umbiko wecala lango-2024 nokubuyekezwa okukhulunywa ngakho kuthola i-peripheral neuropathy ku-17.9% weziguli ezingaphezu kuka-42g umthamo ophelele (izinsuku ezine noma ngaphezulu) kuqhathaniswa ne-1.7% kulelo noma ngaphansi, izimpawu ngokuvamile ziyathuthuka kungakapheli izinsuku ngemuva kokuyeka. Izimpawu zemizwa azisoze zabanga ubufakazi bokuthi umuthi usebenza kanzima.
Imibuzo ejwayelekile
Ngesikhathi esingakanani ngemuva kokuqeda i-Flagyl kufanele ngilinde ngaphambi kokuphuza utshwala?
Cha. Lindela okungenani izinsuku ezintathu ngemuva komthamo wakho wokugcina. Ilebula ye-FDA ichaza okungenani izinsuku ezi-3, futhi umkhawulo ofanayo uhlanganisa nemithombo efihlekile abantu abaningi abayikhohlwayo: imikhiqizo yokuhlanza umlomo, iziphuzo zokukhwehlela nezokuphola, izinyathelo kanye nemikhiqizo ethile yokukhama equkethe i-propylene glycol. Umphumela awumjabulisi kunokuba ubulale ezimweni eziningi, kodwa akukho nzuzo yokuhlola ngokushesha.
Ingabe i-Flagyl ingadala ukutheleleka ngamageyisi ngemuva kokuthi iphelise i-bacterial vaginosis?
Yebo. I-Metronidazole ivimbela amagciwane abanga i-BV kodwa ayizishayi i-Candida, futhi ukuqedwa kokukhula kwamagciwane kungavumela amageyisi ukuthi akenzekele esikhaleni. Ubufakazi buyimvelo yezimpawu: ukuhamba okumhlophe okujiyile nokulunywa okudala ngaphandle kwephunga lomdobi. Kuyinto yokutheleleka ehlukile edinga ukwelashwa okuhlukile, hhayi isibonakaliso sokuthi i-Flagyl ihlulekile.
Ingabe umchamo omnyama noma onsundu-nsundu usho ukuthi i-Flagyl iyasebenza?
Cha. Kusho ukuthi umuthi uyagaywa futhi uyakhiwa, lokho kwenzeka noma ngabe ukutheleleka kusamukela noma cha. Umbala uvela kuma-metabolites e-metronidazole futhi awulimazi, uyadlula kungakapheli usuku olulodwa noma ezimbili ngemuva komthamo wakho wokugcina. Linganisa intuthuko ngezimpawu zakho esikhundleni salokho. Umchamo omnyama futhi ohambisana nokuba namahlongwane amehlo noma isikhumba kuyinto ehlukile futhi udinga ukubizwa ngosuku olufanayo.
Ngiwaphuthelwe umthamo we-Flagyl - ingabe lokho kucekela phansi inkambo yonke?
Hhayi ngokuvamile. Yithathe ngokushesha lapho ukhumbula, ngaphandle uma umthamo wakho olandelayo usuzofika, lapho-ke yeqe lowo owuphuthelwe bese uqhubeka nesimiso sakho. Ungalokothi ubeke kabili. Umthamo owodwa ophuthelweyo ungafinyeleli ngisho kakhulu ukushintsha umphumela, kodwa isimo sezimiso eziphuthelwe siyanjalo, ngakho qedela inombolo ephelele yezinsuku oye wanikezwa yona noma ngabe lokho kusho ukuthi inkambo iphela usuku olulandelayo.
Isiphetho
Izimpawu zokuthi i-Flagyl iyasebenza ziyiqiniso futhi ngokuvamile zifikika emahoreni angu-24 kuya ku-72: ubuhlungu nengcindezi encane, umkhuhlane owehlayo, bese kuphuma iphunga, ukuhamba noma isitokisi kuthuthuka ezinsukwini ezilandelayo. Ziphathe njengobufakazi bokuthi umuthi usebenza, hhayi njengemvume yokuyeka. Qedela inkambo, lindela ukungahambi kahle komlomo okufana nensimbi nomchamo omnyama, yeqa utshwala, futhi ubize uma ungaboni lutho olushintshile ngoSuku lwesithathu noma izimpawu zihlala ezinsukwini ezimbili kuya kwezintathu ngemuva komthamo wakho wokugcina.
Isitatimende: Lesi sihloko siyizinhloso zolwazi kuphela futhi asibandakanyi iseluleko sezokwelapha. Njalo thintana nomhlinzeki wezempilo onekhono ukuze uthole imiqondo yokwelashwa nokwelashwa. Uma ubhekana nesimo esiphuthumayo sezokwelapha, shayela u-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.
