Doxy-PEP, wanda ke nufin rigakafin bayan fallasa ta doxycycline, hanya ce ta rage haɗarin wasu cututtukan da ake haɗa su ta hanyar jima'i (STIs) bayan saduwa da jima'i. Ya ƙunshi shan doxycycline bayan jima'i, kafin a gano cutar.
Doxy-PEP ba wani maganin rigakafi na gaba ɗaya bane da za a sha bayan duk wata saduwa da jima'i. Shawarwarin CDC na yanzu yana ba da shawarar tattauna shi da wasu mutane da suka kamu da cutar STI ta kwayan cuta kwanan nan, yayin da shaidu har yanzu suna da iyaka ga wasu kungiyoyi.
TL;DR: Muhimman abubuwan da za a kiyaye
- Doxy-PEP shine doxycycline da ake sha bayan jima'i don rage haɗarin wasu cututtukan STIs na kwayan cuta.
- CDC tana ba da shawarar tattauna doxy-PEP tare da 'yan luwaɗi, 'yan luwaɗi da sauran maza da ke yin jima'i da maza (MSM) da mata masu canjin jinsi waɗanda suka kamu da sifilis, chlamydia, ko gonorrhea a cikin watanni 12 da suka gabata.
- Mafi yawan adadin shine 200 MG da wuri-wuri bayan jima'i kuma a cikin sa'o'i 72, ba tare da fiye da 200 MG a cikin awanni 24 ba.
- Bincike sun gano raguwar yawa a cikin chlamydia da sifilis, tare da raguwa mafi ƙanƙanta kuma mafi bambanta a cikin gonorrhea.
- Doxy-PEP baya hana HIV, herpes, ko kowace STI, don haka baya maye gurbin kwaroron roba, rigakafin HIV, ko gwajin STI na yau da kullun.
- Shaidu suna da iyaka ga mata masu tsaka-tsaki, maza masu tsaka-tsaki masu jima'i da mata, maza masu canjin jinsi, da wasu al'ummomi.
- Gwajin STI na yau da kullun ya kasance wani muhimmin bangare na kulawa idan kuna amfani da doxy-PEP.
Babu tabbacin abin da za a yi bayan yiwuwar fallasa STI? Gwada Tattalin Halin Alamomin Kyauta na August AI. Tattalin halin AI na iya taimaka muku fahimtar irin kulawar da ta dace, amma ba za ta iya gano STI ba ko maye gurbin gwajin STI. Idan kuna da tsananin alamomi ko gaggawa, kira 911 ko je zuwa ER. Doxy-PEP tantancewa ya kamata masanin kiwon lafiya na farko ko mai ba da sabis na kiwon lafiyar jima'i ya sarrafa shi.
Menene doxy-PEP?
Doxy-PEP na nufin rigakafin bayan fallasa ta doxycycline. Yana amfani da doxycycline, maganin rigakafi, bayan jima'i don rage damar kamuwa da wasu cututtukan STIs na kwayan cuta.
Ra'ayin ya bambanta da shan maganin rigakafi don magance cutar da aka riga aka gano. Tare da doxy-PEP, ana shan magani bayan yiwuwar fallasa a matsayin matakin rigakafi.
Ana amfani da Doxycycline don magance cututtuka da yawa na kwayan cuta, ciki har da chlamydia. Idan kuna neman bayani game da magani bayan gwajin da ya dace, duba jagoranmu game da maganin chlamydia akan layi.
Doxy-PEP ba shi da nufin hana kowace STI, kuma bai kamata a yi amfani da shi a madadin gwaji ko magani mai dacewa ba.
Wanene doxy-PEP?
A cewar shawarwarin doxy-PEP na CDC, masu ilimin likita ya kamata su tattauna doxy-PEP tare da 'yan luwaɗi, 'yan luwaɗi da sauran MSM da mata masu canjin jinsi waɗanda suka kamu da sifilis, chlamydia, ko gonorrhea a cikin watanni 12 da suka gabata.
Shawarar ta dogara ne akan shaidu da ke nuna cewa doxy-PEP na iya rage haɗarin wasu cututtukan STIs na kwayan cuta a cikin waɗannan kungiyoyi.
Wannan baya nufin kowa a cikin waɗannan kungiyoyi yana buƙatar doxy-PEP ta atomatik. Masanin likita ya kamata ya yi la'akari da tarihin STI na kwanan nan, fallasa jima'i, sauran magunguna, rashin lafiyan jiki, da kuma lafiyar jima'i gaba ɗaya kafin bayar da shawarar shi.
Shaidu har yanzu suna da iyaka ga mata masu tsaka-tsaki, maza masu tsaka-tsaki masu jima'i da mata, maza masu canjin jinsi, da wasu al'ummomi. CDC a halin yanzu ba ta bayar da wannan shawarar yau da kullun ga waɗannan kungiyoyi ba saboda shaidun da ake da su ba su isa ba.
Yaya doxy-PEP ke aiki?
Binciken asibiti da CDC ta yi ya gano cewa doxy-PEP na iya rage haɗarin sifilis da chlamydia a cikin al'ummomin da aka yi nazari. Ragewar gonorrhea gaba ɗaya ya kasance mafi ƙanƙanta kuma mafi bambanta.
CDC ta ba da rahoto game da raguwar sama da 70% don sifilis da chlamydia a cikin nazari da yawa, yayin da karewa daga gonorrhea ya kasance ba shi da kyau. Yadda doxy-PEP ke aiki kuma yana iya dogara da bin ka'idoji da kuma al'ummar da ake nazari.
Sakamakon ba su kasance iri ɗaya ba a kowane al'umma. Misali, binciken da aka yi tsakanin mata masu tsaka-tsaki a Kenya bai gano raguwa mai yawa a cikin cututtukan STIs na kwayan cuta ba. Masu bincike sun ba da shawarar cewa bin ka'idoji na iya ba da gudummawa ga sakamakon, kodayake wasu abubuwan da za a yi la'akari da su ma suna buƙatar yin la'akari.
Wannan shine dalilin da ya sa yake da mahimmanci kada a ɗauki doxy-PEP a matsayin dabarun rigakafin STI na dukkan kowa.
Yaya ake shan doxy-PEP?
A karkashin shawarwarin CDC na yanzu, an ba da shawarar adadin doxy-PEP shine 200 MG da wuri-wuri bayan jima'i kuma a cikin sa'o'i 72. Jimillar adadin bai kamata ya wuce 200 MG a cikin awanni 24 ba. CDC tana ba da jagorar yawan amfani a nan.
Ana iya amfani da Doxy-PEP bayan jima'in baka, farji, ko dubura, ya dogara da yanayin mutum da shawarwarin likita.
Doxycycline na iya haifar da illoli kamar:
- Nausea ko damuwa na ciki
- Diarrea
- Ƙara yawan jin tsoron rana
- Taƙamaiman mashako
Shan doxycycline tare da abinci da ruwa mai yawa na iya taimakawa rage damuwa na ciki da na mashako. Tsayawa tsaye bayan shan shi kuma na iya taimakawa rage haɗarin taƙamaiman mashako.
Wasu magunguna da kari na iya tsoma baki tare da shan doxycycline. Antacids da samfurori da ke dauke da calcium, baƙin ƙarfe, ko magnesium na iya buƙatar shan su daban da doxycycline. Bi umarnin da aka bayar tare da takardar likita ko tambayi likitan magunguna game da lokacin da ya dace.
Shin doxy-PEP yana hana duk STIs?
A'a. Doxy-PEP galibi ana amfani dashi don rage haɗarin wasu kwayan cuta STIs.
Yana da mafi karfin shaidu don rage sifilis da chlamydia, yayin da karewa daga gonorrhea ba shi da kyau. Ba ya hana cututtukan ƙwayar cuta kamar HIV ko herpes.
Idan kuna cikin haɗarin HIV, doxy-PEP ba madadin rigakafin HIV ba ne. Ya dogara da yanayinku, PrEP na HIV na iya zama zaɓin rigakafi mai dacewa.
Doxy-PEP kuma baya kawar da buƙatar kwaroron roba, rigakafin rigakafi inda ya dace, ko gwajin STI na yau da kullun.
Shin har yanzu kuna buƙatar gwajin STI idan kuna shan doxy-PEP?
Ee. Doxy-PEP yana rage haɗarin wasu cututtukan STIs na kwayan cuta, amma baya tabbatar da cewa ba za ku kamu da cutar ba.
CDC tana ba da shawarar ci gaba da gwajin STI ga mutanen da ke amfani da doxy-PEP, tare da gwajin da ake yi a farkon lokaci da kuma kowane watanni 3 zuwa 6. Ya kamata a yi gwajin a wuraren jiki da suka dace da fallasa jima'i ku.
Gwajin na yau da kullun na iya gano cututtuka da doxy-PEP ba ya hana, haka kuma cututtuka da ke faruwa duk da rigakafin.
Koyi ƙarin game da gwajin STD akan layi da abin da ake tsammani daga ziyarar tantancewar STI.
Yaya game da juriya ga maganin rigakafi?
Juriya ga maganin rigakafi yana ɗaya daga cikin dalilin da ya sa ake buƙatar amfani da doxy-PEP a hankali. Faɗakarwa akai-akai ga maganin rigakafi na iya shafar kwayan cuta a jiki kuma yana iya ba da gudummawa ga juriya ga maganin rigakafi.
Masu bincike suna ci gaba da nazarin yadda amfani da doxycycline akai-akai ke shafar hanyoyin juriya da microbiome a kan lokaci. Wannan yana ɗaya daga cikin dalilin da ya sa masu ilimin likita ya kamata su sake kimanta lokaci-lokaci ko doxy-PEP har yanzu ya dace.
CDC tana ba da shawarar ci gaba da gwajin STI kowane watanni 3 zuwa 6 ga mutanen da ke amfani da doxy-PEP. Kada ku yi amfani da doxycycline da aka bari ko ku ɗauki takardar likita na wani a madadin tsarin rigakafi na likita.
Zan iya samun doxy-PEP ta yanar gizo?
A wasu lokuta, ana iya amfani da telehealth don tattauna ko doxy-PEP ya dace, kuma lokacin da ya dace a likitance kuma doka ta ba da izini, likita na iya rubuta shi.
Koyaya, ba kowane sabis na telehealth ke bayar da doxy-PEP ba, kuma ba kowa ne mai cancanta ba. Likita na iya buƙatar duba tarihin STI na kwanan nan, fallasa jima'i, magunguna, rashin lafiyan jiki, da sauran bayanan kiwon lafiya kafin rubuta shi.
Ya dogara da yanayinku, ƙila ku ma kuna buƙatar gwajin STI ko gwajin jiki. Ziyarar telehealth ba ta kawar da buƙatar gwaji lokacin da aka nuna gwajin a likitance ba.
Doxy-PEP vs. maganin chlamydia
| Doxy-PEP | Maganin chlamydia |
|---|---|
| Ana amfani da shi don rage haɗarin wasu cututtukan STIs na kwayan cuta bayan jima'i | Ana amfani dashi don magance cutar chlamydia da aka gano |
| Ana shan shi bayan yiwuwar fallasa | Ana shan shi bisa ga takardar likita don magani bayan an gano cutar ko an yi maganin ta a likitance |
| Baya maye gurbin gwajin STI | Ana biye da maganin ta hanyar gwajin da ya dace da ci gaba da likita suka ba da shawarar |
| Ana amfani dashi a matsayin wani bangare na tsarin rigakafin STI na ci gaba ga wasu mutane | Ana amfani dashi don magance cutar da take wanzuwa |
Waɗannan su ne amfani guda biyu daban-daban na doxycycline. Shan doxy-PEP baya nufin za a iya yin watsi da gwajin STI na gaba ko kuma a yi masa magani ba tare da jagorancin likita ba.
Ya kamata ku yi magana da likita game da doxy-PEP lokacin da ya dace?
Yi la'akari da tattauna doxy-PEP tare da likita idan:
- Kun kamu da cutar STI ta kwayan cuta a cikin shekarar da ta gabata.
- Kun sami fallasa jima'i na kwanan nan da ke damun ku.
- Abokin jima'i ya gaya muku cewa yana da STI.
- Kuna da alamomi kamar fitarwa mara kyau, shaƙatawa mai zafi, raunuka, ciwon kugu, ko ciwon kwayayen gwaji.
- Kuna son gwajin STI na yau da kullun ko rigakafin ci gaba.
- Kuna riga kuna shan doxycycline don wani dalili.
- Kuna shakkar ko doxy-PEP ya dace da ku.
Idan kuna da alamomi, kada ku yi zato cewa STI ne ke haifar da su ko kuma doxy-PEP zai magance su. Ana iya buƙatar gwaji da kimantawa ta likita.
Doxy-PEP FAQs
Shin doxy-PEP iri ɗaya ne da PrEP?
A'a. Doxy-PEP da PrEP na HIV magunguna ne daban-daban da ake amfani da su don manufofi daban-daban. Ana amfani da Doxy-PEP don rage haɗarin wasu cututtukan STIs na kwayan cuta, yayin da aka yi amfani da PrEP na HIV don hana kamuwa da cutar HIV.
Zan iya doxy-PEP magance chlamydia?
Ana iya amfani da Doxycycline don magance chlamydia lokacin da aka rubuta shi don cutar da take wanzuwa. Doxy-PEP ya bambanta saboda ana shan shi bayan yiwuwar fallasa don rage damar kamuwa da wasu cututtukan STIs na kwayan cuta. Idan gwajin ku ya fito da chlamydia, kuna buƙatar magani mai dacewa maimakon dogaro da doxy-PEP.
Zan iya mata su sha doxy-PEP?
Binciken da aka yi akan doxy-PEP a cikin mata masu tsaka-tsaki har yanzu yana da iyaka. Binciken da aka yi a Kenya bai gano raguwa mai yawa a cikin cututtukan STIs na kwayan cuta ba, kuma CDC a halin yanzu ba ta bayar da wannan shawarar yau da kullun ga mata masu tsaka-tsaki kamar yadda take yi ga MSM da mata masu canjin jinsi tare da cutar STI ta kwayan cuta na kwanan nan.
Shin doxy-PEP yana hana gonorrhea?
Doxy-PEP na iya rage haɗarin gonorrhea a wasu nazari, amma tasirin bai kasance kamar yadda raguwar da aka gani tare da chlamydia da sifilis ba. Juriya ga gonorrhea ga maganin rigakafi kuma babban damuwa ne.
Zan iya shan doxy-PEP kullun?
Tsarin doxy-PEP na CDC yana dogara ne akan shan 200 MG bayan jima'i, da wuri-wuri kuma a cikin sa'o'i 72, ba tare da fiye da 200 MG a cikin awanni 24 ba. Nawa sau da yawa kuke buƙata ya dogara da ayyukan jima'i da tsarin rigakafin ku. Kada ku canza jadawalin yawan amfani ba tare da tattaunawa da likita ba.
Rabin karshe
Doxy-PEP na iya zama zaɓin rigakafin STI mai amfani ga wasu mutane, amma ba ya dace da kowa ba kuma baya hana kowace STI. Mafi karfin shaidu da kuma shawarar CDC ta yanzu sun shafi 'yan luwaɗi, 'yan luwaɗi da sauran MSM da mata masu canjin jinsi waɗanda suka kamu da cutar STI ta kwayan cuta a cikin watanni 12 da suka gabata.
Shaidu har yanzu suna tasowa ga wasu al'ummomi. Idan doxy-PEP ya dace da ku, ya kamata ya zama wani bangare na babban tsarin kiwon lafiyar jima'i wanda ya haɗa da gwajin STI na yau da kullun, rigakafin HIV mai dacewa, da magani lokacin da aka gano cutar.