Ko tēnei aratohu ka whakaputaina e August (meetaugust.ai). E tuku ana a August i te $39 te utu mō te manaaki tere ipurangi, ā, ka taea e ia te tuku rongoā fosfomycin (Monurol) mō ngā mate mimi noa e tika ana. Ka whakamārama tēnei tuhinga he aha te fosfomycin e hiahiatia ana he rongoā i te US, he aha te rerekētanga o ia ki ētahi atu patupatu mate mimi, ā, me pēhea te whiwhi i tēnei rongoā i taua rā anō i te ipurangi.

Kāore, kāore e taea e koe te hoko fosfomycin i runga i te counter i te United States. Ko te Fosfomycin (ingoa waitohu Monurol) he patupatu mate e hiahiatia ana he rongoā, kotahi noa te horopeta e whakamahia ana mō ngā mate mimi noa i ngā wāhine.

I te mea kāore e whakahaeretia ana, ka taea e ngā kaiwhakarato telehealth te tuku i tēnei rongoā i taua rā anō. Ko te putea 3-gram he mea watea nā te mea kotahi te horopeta ka whakaora i te mate katoa, engari he utu nui ki te kore he inihua, ā, kāore e noa ko te kōwhiringa tuatahi pai mō ia mate mimi.

Ngā tohu mate mimi i tēnei wā? Ko te August AI Symptom Checker ka aromātai i ngā tohu o koe i raro iho i te 2 meneti. Ko te August AI Online Urgent Care ka hono koe ki tētahi tākuta whai raihana i roto i ngā meneti mō te aromātai me te tuku rongoā i taua rā anō, ki te tika.

Ka taea e koe te hoko fosfomycin i runga i te counter?

Ka taea e koe te hoko fosfomycin i runga i te counter? Kāore i te USA. Ko te Fosfomycin, e hokona ana i raro i te ingoa waitohu Monurol, he patupatu mate e hiahiatia ana he rongoā i ia whenua. Ka pā tēnei ki te putea 3-gram kotahi te horopeta (te ahua anake e wātea ana i te US) me ētahi atu momo rongoā rite. Kāore he whare rongoā e kaha ki te hoko i tēnei mea ki te kore he rongoā tika.

Ka pono tēnei ahakoa kei te titiro koe ki a CVS, Walgreens, Amazon Pharmacy, Costco, me ētahi atu whare rongoā motuhake. Ētahi whare rongoā ipurangi o te ao ka kii he hokona e rātou a fosfomycin ki te kore he rongoā, engari ko te hoko rongoā e hiahiatia ana he rongoā mai i ngā puna kāore i whakamanatia ka mau he raru haumaru me te ture.

Te kōrero pai: ko te fosfomycin kāore e whakahaeretia, ko te tikanga ka taea e ngā kaiwhakarato telehealth te tuku i tēnei rongoā i muri i tētahi aromātai ngāwari. Ki te tika te rongoā mō tō āhuatanga, ka taea e koe te tuku te rongoā ki tō whare rongoā ā-rohe i roto i ngā haora.

He aha a fosfomycin e hiahiatia ana he rongoā?

E hiahiatia ana a Fosfomycin he rongoā mō ētahi take whai tikanga:

He mea nui te mate tika. Ko ngā tohu mate mimi ka rite ki te mate rewena, ngā mate ka taea te tuku mā te moepata, te kohatu whatukuhu, te mate kohuwhatu rānei. Ko te aromātai a te kaiwhakarato ka āwhina ki te whakapūmau i a koe kei te mate mimi koe i mua i te tīmatanga o ngā patupatu mate.
Te whakahaere patupatu mate. Ko te nui o te whakamahi i tētahi patupatu mate ka puta te manawaro. Kua roa a Fosfomycin e kaha ana ki ngā tauira manawaro o te E. coli, engari nā te mea ka whakamahia ia kia mārama, kia tika. Ko te tuku kia OTC ka tere ake te manawaro, ka whakaiti i tōna whai mana roa.
Kāore e hiahiatia ana te fosfomycin mō ia mate mimi. I ētahi wā ko te nitrofurantoin, te trimethoprim-sulfamethoxazole, ko te cephalexin rānei te kōwhiringa pai ake, i runga anō i tō hītori, ngā mate pāwera, me te momo mate. Ka āwhina te tākuta ki te whakarite i te patupatu mate tika mō tō āhuatanga motuhake.
Ko ngā mate mimi nui ake ka hiahiatia he nui ake. Ki te kua horapa te mate ki ngā whatukuhu, kei roto te kirika, e pā ana rānei ki te wahine hapū, ki te tangata kua heke te āhuatanga tinana, kāore pea te fosfomycin kotahi te horopeta e nui. Ka kitea ēnei āhuatanga i te aromātai.

He aha te rerekētanga o fosfomycin ki ētahi atu patupatu mate mimi?

He āhuatanga whai hua ētahi o te Fosfomycin (Monurol) e rerekē ai ia ki ētahi atu patupatu mate mimi:

Kotahi te horopeta. Kotahi te putea 3-gram kua whakarewa ki te wai ka whakaora i te mate mimi noa katoa. Kāore he akoranga maha-ra e mahara ai. Koinei te tino hoko nui mō ngā tangata e uaua ana ki ngā mahere rongoā.
Ko teitei o te mimi ka puta i roto i te 4 haora. Ka tae te patupatu mate ki te teitei nui i roto i te ara mimi tere, ā, ka noho teitei mō te 24 ki te 48 haora, ka nui te wā hei patu i te huakita.
Tikanga ahurei. Ka aukati a Fosfomycin i te hanga o te pakitara pūtau huakita i te wāhanga tuatahi atu i ngā penicillins, i ngā cephalosporins rānei. Ko te tikanga o tēnei ka mahi tonu ia ahakoa ka manawaro ngā huakita ki ētahi atu patupatu mate.
Kaha ki te E. coli. Ko te E. coli te take o te 80% o ngā mate mimi noa, ā, ko te nuinga o ngā momo ka noho ngohengohe ki te fosfomycin.
Ka noho pai ki te hapūtanga. E kiia ana he haumaru te Fosfomycin i te wā o te hapūtanga (Category B), he mea nui tēnei mō ngā whaea hapū me ngā mate mimi.

Ngā raruraru e pai ana kia mōhio koe: He utu nui a Fosfomycin ki te kore he inihua (he maha tonu te $70 ki te $150 mō te kotahi horopeta), he kino te reka, ā, kāore ia te kōwhiringa pai mō te pyelonephritis, mō ngā mate nui ake rānei. Kua whakaaetia ia mō ngā mate mimi noa i ngā wāhine, ā, kāore e noa te whakamahi ki ngā tāne, ki ngā take nui ake rānei.

A, no tehea ka tika a fosfomycin mō tētahi mate mimi?

He pai te kōwhiringa a Fosfomycin ki te:

Kei a koe te mate kohuwhatu noa (mate pounamu)
Kua pa ki a koe ngā pānga taha patupatu mate i ētahi atu rongoā mate mimi
Ko tō mate i puta mai i ngā huakita ngohengohe ki te fosfomycin (E. coli or Enterococcus faecalis)
Uaua ana koe ki te whakaoti i ngā akoranga patupatu mate maha-ra
Kei te hapū koe me tētahi mate mimi noa
Kei te mate pāwera koe ki ngā raukikini (Bactrim)
Kua tūpono koe ki te mate mimi manawaro patupatu

Kāore ia e noa te tuatahi mō te nuinga o ngā mate mimi noa nā te mea ko te nitrofurantoin (Macrobid) me te TMP-SMX (Bactrim) ka mahi pai, ā, ka iti ake te utu. Engari mō te tangata tika, ko te watea o te kotahi horopeta ka waiho te fosfomycin kia utu nui ake.

Kei reira anō ētahi atu kōwhiringa OTC?

Kāore he patupatu mate OTC kē hei whakaora i ngā mate mimi. Ko ētahi hua e kii ana ka "whakaora" i ngā mate mimi ki te kore he rongoā ka whakaputa pohehe. Engari, ka taea e ētahi hua OTC te āwhina ki te whakahaere i ngā tohu i a koe e whiwhi ana i te rongoā tika:

Phenazopyridine (AZO Standard, Uristat): Ko te kaikōhuru mimi OTC ka whakaora i te wera me te kaha hiahia mimi. Ka huri te mimi ki te karaka. KĀORE e whakaora i te mate, me mau tonu ngā patupatu mate. He haumaru mō te 2 ra te roa ki te kore he tohutohu hauora.
Nga taapiri paramanawa: Ētahi taunakitanga ka tautoko i te aukati i ngā mate mimi e hoki mai ana, engari kāore he taunakitanga kaha mō te whakaora i ngā mate o nāianei.
D-mannose: Ka āwhina pea ki te aukati i te E. coli kia piri ki ngā pakitara pounamu. Mō te whakamahi aukati anake.
Wai me te whakakōkura: Ka āwhina ki te horoi i te ara mimi engari kāore e whakaora i te mate.
Ibuprofen, acetaminophen rānei: Ka whakahaere i te mamae me te mumura i a koe e tatari ana kia mahi ngā patupatu mate.

Kāore tēnei e whakakapi ana i te rongoā patupatu mate mō tētahi mate mimi kua rongoatia. Ko ngā mate mimi kāore i rongoatia ka piki ki te mate whatukuhu, he nui ake te kino.

Me pēhea te whiwhi fosfomycin kua rongoatia i te ipurangi

Ko te whiwhi fosfomycin (Monurol) kua rongoatia mā te telehealth he ngāwari mō ngā take e tika ana.

Hipanga 1: Aromātai tohu. Whakaahuahia ngā tohu mate mimi (te wera i te mimi, te kaha hiahia mimi, te maha o te mimi, te mamae puku) mā te ataata, mā te korerorero anō hoki.
Hipanga 2: Aromātai hītori. Ka pātai te kaiwhakarato mō ngā mate mimi o mua, ngā mate pāwera, ngā rongoā o nāianei, te tūnga hapū, me ngā urupare patupatu mate o mua.
Hipanga 3: Whakatau rongoā. Ki te tika a fosfomycin, ka tukuna e te kaiwhakarato te rongoā ki tō whare rongoā kua tohua. Ki te tika atu tētahi atu patupatu mate (nitrofurantoin, cephalexin, TMP-SMX), ka whakamārama, ka tuku rongoā te kaiwhakarato.
Hipanga 4: Kohikohi i te whare rongoā. Ko te nuinga o ngā whare rongoā ka rongoa i a Monurol, ahakoa ka hiahiatia e ngā whare rongoā iti ake te tono. Ka taea te kohikohi i taua rā anō i CVS, Walgreens, me te nuinga o ngā mekameka nui ake.
Hipanga 5: Aroturuki. Me pai ake ngā tohu i roto i te 24 ki te 48 haora. Ki te kāore, whakapā atu ki tō kaiwhakarato mō te aromātai anō, me te taea te tikanga tikanga mimi.

Ko ētahi āhuatanga ka hiahiatia he manaaki kanohi ki te kanohi: mamae taha nui, kirika teitei, hapū me ngā tohu nui, te kore angitu o te rongoā o mua, me ngā mate mimi e hoki mai ana e tohu ana i ngā huakita manawaro.

Kua rite koe ki te aromātai? Ko te August AI Online Urgent Care mō te $39 te utu ka taea te tuku rongoā fosfomycin (Monurol) me tō rongoā tika rānei mō tō mate mimi noa, me te taea te kohikohi i taua rā anō puta noa i ngā whenua 50 katoa o te US.

Ngā Pātai Auau

Ka taea e koe te hoko Monurol i runga i te counter i te ao?

Ko ētahi whenua ka hokona a fosfomycin ki te kore he rongoā, engari ko te kawemai i ngā rongoā e hiahiatia ana he rongoā mai i ētahi atu whenua ki te US ka takahi pea i ngā ture kawemai a te FDA. Ko te hoko mai i ngā whare rongoā ipurangi o te ao kāore i whakamanatia ka mau he raru haumaru. Ko te huarahi haumaru ko te rongoā telehealth tika o te US.

E hia te utu o fosfomycin me te rongoā?

Ko te Fosfomycin (Monurol) he maha tonu te utu $70 ki te $150 mō te kotahi putea horopeta kotahi ki te kore he inihua. Ka taea e ngā Coupons a GoodRx te whakaiti i tēnei ki te $60 ki te $90 i te nuinga o ngā whare rongoā. Ko te fosfomycin generic he iti te wātea i te US, ka pupuri i ngā utu kia teitei teitei whakaritea ki te nitrofurantoin ($10 ki te $30).

He pai ake a fosfomycin i te nitrofurantoin mō tētahi mate mimi?

Kāore i te tino pai ake, he rerekē noa. Ko te Nitrofurantoin (Macrobid) ka noa te tuatahi mō ngā mate mimi noa nā te mea he iti ake te utu, ā, he rite tonu te whai mana mō te nuinga o ngā tāngata. Ko te painga nui o Fosfomycin ko te watea o te kotahi horopeta. Ka āwhina tō tākuta ki te whiriwhiri i runga i tō āhuatanga motuhake.

Ka taea e ngā tāne te tango fosfomycin mō tētahi mate mimi?

Kua whakaaetia e te FDA a Fosfomycin kia mōhio ki ngā mate mimi noa i ngā wāhine. Ko ngā tāne me ngā mate mimi ka hiahiatia he akoranga patupatu mate roa ake nā te mea ka kiia ko ngā mate mimi a ngā tāne he nui ake. He mea nui te aromātai a te kaiwhakarato mō te mate tika me te rongoā tika.

Kia pēhea te tere o te mahi a fosfomycin?

Ka pai ake ngā tohu i roto i te 24 ki te 48 haora i muri i te tango i te horopeta kotahi. Ki te mau tonu ngā tohu i muri i te 48 haora, ā, ka kino haere, whakapā atu ki tō kaiwhakarato mō te aromātai anō. Ko ngā tohu e mau tonu ana ka tohu i te manawaro patupatu mate, i tētahi mate ke rānei.

Me whai whakamātau ahau i mua i te tango fosfomycin?

Mō ngā mate mimi noa i ngā wāhine me ngā tohu tino kitea, ka taea e ngā kaiwhakarato te tuku rongoā whakaaro me te kore he tikanga. Ki te mau tonu ngā mate mimi, te kore angitu o te rongoā o mua, me ngā tohu kāore i te tino kitea, ko te tikanga mimi ka āwhina ki te tautuhi i te huakita tika me te whakapūmau i te ngohengohetanga patupatu mate.

Ka taea e koe te hoko Fosfomycin OTC?