Funso: Kodi Osati Gonococcal Urethritis (NGU) Amachitanji?
Yankho:
Ambiri mwa anthu omwe si a Gonococcal Urethritis (NGU) ndi omwe alibe matenda a chlamydia . Choncho, mzere woyamba wa mankhwala a NGU ndi wofanana ndi mankhwala a chlamydia .
Ngati chithandizochi cha NGU sichiri kugwira ntchito, ndipo mutatenga mankhwala anu onse monga momwe adalangizira, madokotala anu amafunika kufufuza zambiri.
Gawo lotsatira ndilo kuti iwo akuyang'ane matenda a trichomoniasis . Ngati mayeserowa ndi oipa, simungapeze yankho lomveka bwino. (Kawirikawiri NGU imayambitsidwa ndi mycoplasma , koma izi sizingayesedwe kawirikawiri)
Ngati dokotala sangathe kudziwa chomwe chimayambitsa matendawa, nthawi zambiri amakuchitirani mankhwalawa m'munsimu. Ichi ndi chifukwa chakuti mabakiteriya ena omwe amachititsa kuti urethritis asakhale ovuta kuwunikira. Choncho, kuchitira NGU njirayi ndi njira yothetsera mavuto omwe anthu ambiri amawaganizira.
Zindikirani: Mankhwala omwe ali m'munsimu amachotsedwa ku Centers for Disease Control 2015 malangizo opatsirana pogonana. Kumbukirani kuti dokotala wanu yekha angakhoze kunena kuti ndi chithandizo chiti chomwe inu mukuyenera.
Analimbikitsa Zomwe Zimayambitsa Chithandizo cha NGU
Azithromycin 1 g pamlomo umodzi
OR
Doxycycline 100 mg pamlomo kawiri pa tsiku kwa masiku asanu ndi awiri
Zochita Zina Zosiyana
Erythromycin pansi pa 500 mg pamlomo pakamwa patsiku masiku asanu ndi awiri
OR
Erythromycin ethylsuccinate 800 mg pamlomo pakamwa patsiku masiku asanu ndi awiri
OR
Levofloxacin 500 mg pamlomo kamodzi pa tsiku masiku asanu ndi awiri
OR
Ofloxacin 300 mg pamlomo pakamwa pa masiku asanu ndi awiri
Nthawi zina mankhwalawa sagwira ntchito. Izi nthawi zambiri chifukwa matendawa amayamba chifukwa cha matenda a fungal kapena parasitic, monga trichomoniasis. (Nthawi zina matenda opatsirana ndi tizilombo toyambitsa matenda akuwonjezera ku matenda a bakiteriya!) Choncho, ngati mankhwala oyamba atalephera, madokotala amayesa njira zina.
Analangizidwa Amuna Omwe Ali ndi NGU Kumene Chilendo Choyambirira Sichidapindula
Metronidazole 2 g pamlomo umodzi
OR
Tinidazole 2 g pamlomo umodzi
OR
Azithromycin 1 g pamlomo umodzi (ngati simunagwiritsidwe ntchito pa mankhwala oyamba)
OR
Moxifloxacin 400 mg pamlomo kamodzi pa tsiku masiku asanu ndi awiri (ngati azithromycin imagwiritsidwa ntchito pa mankhwala oyambirira.)
The azithromycin ndi moxifloxacin zimagwiritsidwa ntchito chifukwa zimakhala zogwirizana ndi mycoplasma kuposa mankhwala ena. The moxifloxacin, makamaka, ndi ndondomeko yatsopano. Panthawi yomwe ndondomeko zachipatala za 2015 zinatulutsidwa, mycoplasma inkaonedwa kuti ndiyi yaikulu ya NGU. Choncho, kulinga chithandizo pa mycoplasma kunali kofunika kwambiri pambuyo polephera kusamba mankhwala. Komabe, CDC yapeza kuti mlingo wapamwamba azythromycin siwothandiza pochiritsa mycoplasma. Ndichifukwa chake amalimbikitsa moxifloxacin m'malo mozungulira kachiwiri ka azithromycin mankhwala a NGU
Mosiyana ndi zimenezi, metronidazole ndi tinadazole zimagwiritsidwa ntchito pofuna kuthetsa matenda opatsirana a trichomoniasis. Kuyesera sikupezeka ponseponse kwa matendawa mwa amuna.
Chonde Dziwani kuti: Muyenera kusiya kugonana mukamalandira mankhwala. Izi zimachepetsa mwayi woti iwe ndi mnzanuyo mutenge kachilombo ka HIV . Wokwatirana naye nthawi zonse ayenera kutumizidwa kukayezetsa ndi kuchipatala mukapezeka kuti muli ndi matenda opatsirana pogonana .
Zotsatira:
> Workowski KA, Bolan GA; Maofesi a Kuletsa ndi Kuteteza Matenda. Malangizo othandizira matenda opatsirana pogonana, 2015. Kupempha MMWR Kukulimbikitsani 2015 Jun 5; 64 (RR-03): 1-137. Erratum mu: MMWR Akulimbikitsidwa Rep. 2015 Aug 28; 64 (33): 924.