Ko te Cefixime mō te gonorrhea he whawhaki, ehara i te whakakapi mō te kaihautu. Ko te tikanga whakakapi a te CDC ko te 800 mg waha hei kotahi pota, ka whakamahia noa ka kore e wātea te ceftriaxone, ka kore rānei e taea, ā, mō te panganga o te kohanga, te ngongo mimi rānei. Ehara mō te korokoro.

TL;DR: Ngā kōrero matua

  • Ko te Ceftriaxone 500 mg intramuscularly te tikanga tuatahi anake mō te gonorrhea kore uaua.
  • Ko te whakakapi waha o nāianei ko te 800 mg o te cefixime hei kotahi pota, mō te panganga urogenital me te ngongo anake.
  • Ki te kī te whārangi ko te cefixime 400 mg mō te gonorrhea, kei te kōtua nei ia i ngā tohutohu i huri i te tau 2012.
  • He kore pono te Cefixime mō te panganga korokoro, nō reira me noho te hītori o te whakarae ki te tēpu i mua i te tuku o tētahi ki a koe i te pire.
  • He herenga tāpiri tō te tikanga whakakapi: te doxycycline pea, tētahi whakamātautau whakaora, me te whakamātautau anō i muri i te toru marama.

Ko te Cefixime mō te gonorrhea he whawhaki, ehara i te putanga pire o te kaihautu

Ko te Cefixime mō te gonorrhea te tikanga whakakapi a te CDC: 800 mg mā te mangai, kotahi pota. Ka rahuitia mō te āhuatanga ka kore e taea te hoatu te ceftriaxone, ā, ka hipoki noa i te panganga urogenital me te ngongo. Ko te Ceftriaxone 500 mg hei kotahi pota intramuscular (1 g ki te 150 kg neke atu rānei te taumaha) ka noho tonu te maimoatanga tuatahi mō te gonorrhea kore uaua o te kohanga, te ngongo mimi, me te ngongo.

Ko taua hierarchical ko te pharmacology, ehara i te bureaucracy. Ko ngā Tohutohu Maimoatanga STI a te CDC i te tau 2021 ka whakaatu marama ko te cefixime waha kāore e eke ki ngā taumata toto pera te tiketike, te roa rānei pera i te pota 500 mg intramuscular o te ceftriaxone. Te whānau rānei o te rongoā, he ngoikore te whakarae ki te wāhi o te panganga.

Nō reira ka rapua e ngā tāngata he maimoana gonorrhea waha i te tumanako ki te whakawhiti i te ngira ki tētahi papa, ko te whakautu pono ko te wātea te whakawhitinga engari ehara i te mea koretake. Ko te Cefixime tēnei ka whakamahia e koe ka waho katoa te werohanga i te tēpu, ehara i te mea ka tono koe nā te mea ka pai ake koe ki te horomia tētahi mea.

Kua ngaro te Cefixime tōna tūranga tuatahi i te tau 2012, ā, kei te mana tonu taua hītori ki tōna whakahaerenga

Ki te tirotiro koe i te reanga cefixime, he rongoā cephalosporin waha tuatoru, te reanga cephalosporin pera i te ceftriaxone werohanga, engari ka tangohia mā te mangai. I tētahi wā ko ia te tuatahi. Katahi ka kore ia.

I waenganui i te 2010 me te 2012, i tangohia katoatia te cefixime hei tikanga mō te gonorrhea i tūtohingia e te CDC i muri i te piki haere o te atete me ngā rahunga maimoana kua ripoata, ā, i hoki mai ia hei whawhaki anake, kua herea, kua iti te whakamahi. Koia te take katoa e noho ana ia ki te wāhi kei a ia i tēnei rā.

Ka whakatūpato hoki te CDC ko te piki haere o ngā tau waenga iti rawa (MICs) o te cefixime i roto i ngā tauira gonorrhea ka tohu pea i te timatanga o te atete, ā, ko te whakawhirinaki ki te cefixime ka taea te tere ake te atete ki te ceftriaxone, te whakataunga kotahi anake e pono tonu ana ki ia wāhi panganga. Ia pota cefixime ka taea te karo he tangohanga iti tēnei mai i taua pūtea, koia te arorau mahi i muri i te whakamataku mō te super gonorrhea.

Ko te whakataetae NEJM i te tau 1991 o te cefixime kotahi pota ki te ceftriaxone i ripoata ngā reiti whakaora i te 95% ki te 98%. Ko aua tau pono mai i tētahi taupori i mua i te reanga atete, ā, e whakaahua ana rātou i tētahi korokoro kāore kē i te rite te ahua.

Tokowha noa iho ngā āhuatanga e tika ana te maimoana gonorrhea kore werohanga

Ko te maimoana gonorrhea kore werohanga ka rahuitia, ehara i te mea ka whiria. Ko te kupu a te CDC "kāore e wātea, kāore rānei e taea" ka whakatauhia ki tētahi rārangi poto:

  1. He kore ka kohi rānei he raru tuku o te ceftriaxone ki te wāhi maimoana.
  2. Kāore koe e kaha ki te manawanui, kāore rānei e whakaae ki te werohanga intramuscular, tae atu ki te wehi ngira me ngā whakaaro mō te mate toto.
  3. Kāore he wāhi haumanu e wātea ana ki te hoatu i te werohanga, pērā i te telehealth, te mana tere, te uru atu anake mā te whare rongoā.
  4. Te maimoana hoa tere, kei reira ngā tohutohu haumanu a te CDC e whakaae ana ki tētahi pota cefixime 800 mg anake mō tētahi hoa kaore e taea te tirotiro wawe i te haumanu. Ki te kāore ano kia whakakorea te panganga chlamydial, me tango ano e taua hoa te doxycycline 100 mg waha rua i te rā mō te 7 rā ki te taha o te cefixime.

Tokotoru o aua tokowhā he logistics, ehara i te manakohanga haumanu. Ko te take tuawhā e tukuna ana e ngā tāngata, te mate urupa ceftriaxone, te mate pāwera penicillin rānei, ko te ngoikore rawa atu o te huinga: tata 10% o te taupori o Amerika e kī ana he mate pāwera penicillin, engari iti iho i te 1% te mate pono kua whakamanatia, ā, he onge te whakawhiti ira ki ngā cephalosporin tuatoru.

Koinei te mea kāore e kīa e te nuinga o ngā whārangi: ko te ātaahua o te maimoana gonorrhea waha ko te wātea noa, ā, ko te wātea noa te kotahi anake te take kāore e whakaaetia e ngā tohutohu. Ki te ngana koe ki te whai maimoana gonorrhea ipurangi, tatari kia mutu te nuinga o ngā ara ki tētahi werohanga kanohi ki te kanohi.

He wātea tonu te toro ipurangi ka wātea ana te uru atu. Ko te toro haumanu tere ipurangi a August mō te $39 ka honoa koe ki tētahi kaimātai kua rēhitatia ki Amerika nei ka taea te tirotiro i ngā tohu me te hītori whakarae, ā, ka taea te whakahaere te rongoā ka tika ana, mā te kaimātai e whakatau he aha te tika. Ko te mea kāore e taea e ia ko te hoatu i tētahi werohanga ceftriaxone intramuscular, ā, kāore e taea e ia te kohi i ngā pukoro ka whakatau ko tēhea te rongoā e tika ana.

Ko te korokoro te wāhi e mutu ai te noho ōrite o te cefixime me te ceftriaxone

Ko te whakataetae cefixime ki te ceftriaxone pono ka mutu ki te korokoro. Ka whakanohoia e te CDC te reiti whakaora cefixime mō te gonorrhea pharyngeal ki te 92.3% (95% CI 74.9% ki te 99.1%), ā, he whānui taua wāhi whakahaere kia uru ai ngā reiti rahunga kāore tētahi e whakaae. Me whakamahi te Ceftriaxone, ehara te cefixime, ki hea te panganga pharyngeal ka rongoa, kāore rānei e taea te whakakore.

Ko tēnei wāhanga kei a koe. He maha ngā wā kāore he tohu te pharyngeal gonorrhea, nō reira "he pai taku korokoro" kāore e whakangārearea i tētahi mea. I mua i te whakaae ki te kōwhiringa waha, kī atu ki te kaimātai mō te whakarae ira waha me te patai tika mēnā kua tangohia he pukoro korokoro. Ki te kore te whakautu, kāore te pire e tika ana i tēnei wā.

Ki te kī tētahi puna ki a koe ko te 400 mg, kei te kōtua nei ia i tētahi aratohu i huri

Ko ngā whārangi e kōtua ana i te cefixime 400 mg mō te gonorrhea kei te kōtua anō i ngā tohutohu a te CDC i mua i te tau 2012, ehara i te tohutohu o nāianei. Ko te tikanga whakakapi o nāianei ko te cefixime 800 mg waha hei kotahi pota, kia rite ki ngā Tohutohu Maimoatanga STI i te tau 2021.

Ko te tau 400 mg ko te pota tuatahi tawhito, me te pota i whakamahia i roto i ngā tuhinga whakamātau taketake o te tau 1991, koia te take e ora ana i roto i ngā whārangi kua rongoa, ngā rangahau tawhito, me ētahi tohutohu i waho o Amerika. Ehara i te mea he kōwhiringa tuarua whaimana. He fossil tēnei.

Tāpiri atu, ko te cefixime 400 mg kotahi, rua rānei i te rā, e pātahi ana ki ētahi atu panganga, tae atu ki ngā mate rongo mīhini me ngā mate ngongo mimi. Kaua rawa e hanga anō he pota gonorrhea mai i tētahi rongoā kua toe, kaua hoki e wehewehe, kia whakahoki, kia whakatika rānei i a koe anō i te pota. Whakamanatia te tau tika i tuhia ki tō rongoā me te kaiwhakahaere, te kaihoko rānei, ā, panuihia ngā taipitopito katoa o te rongoā cefixime ki te kore e ōrite te tapanga me ngā tohutohu.

Kotahi pota ehara i te katoa o te maimoana, ā, e rua atu āta ngā tikanga

Ki te pānui koe ko te cefixime me te azithromycin te tikanga mō te gonorrhea, kua pau taua huinga. Ko te maimoana takirua te paerewa mai i te tau 2015 ki te 2020, ā, nā te CDC i whakakore i te tau 2020 me te whakahoutanga o te tau 2021 nā te piki haere o te atete ki te azithromycin me te tiaki patuhiropi. Ko te mea kua whakakapi ko te doxycycline 100 mg waha rua i te rā mō te 7 rā, ā, kaore ano hoki kia whakakorea te panganga chlamydial. Ko te Azithromycin 2 g waha inaianei ka puta matua ki te gentamicin 240 mg IM mō te mate pāwera pono ki te cephalosporin, tētahi tikanga e whakaora ana i te 80% noa iho o ngā panganga pharyngeal.

Katahi ka rua āta kāore e taea te whakarere. Ko te whakamātautau whakaora i te 7 ki te 14 rā i muri i te maimoana ka tataria ka whakamahia ana he tikanga whakakapi pērā i te cefixime, nā te mea ka nui ake te rahunga o ngā rongoā tuarua. Aukati i te moe moepuku mō te 7 rā i muri i te maimoana ā, tae noa ki te maimoana o ngā hoa, ā, kia whakaritea he whakamātautau anō mō te panganga hou i te 3 marama.

He ngāwari te ngaro o aua rā. Ka taea e tētahi taupānga hoa hauora pērā i te August AI te āwhina ki te tuhituhi i te rā maimoana, te rā 7, me te hui whakamātautau whakaora, ā, ka pātai i ngā pātai mā te reo mārama i waenganui i ngā toro. He āwhina tēnei ki te tiaki, kāore rawa he kaiwhakatau haumanu. Ko te August AI kāore e whakakapi i te haumanu nāna i tono te whakamātautau.

Ko ētahi tohu te tikanga kāore te pire e tika ana te mahi e whai ake nei

Karangatia te 911, haere rānei ki tētahi ruma mahi urupare ināianei ki te:

  • Te pupuhi o te mata, te korokoro rānei, te uaua ki te manawa, te hives rānei whai muri i te cefixime, te ceftriaxone rānei.
  • Te kirika me te mamae hononga, te pupuhi hononga, te pōrearea rānei e horapa ana, ka tohu pea i te panganga gonococcal disseminated.
  • Te mamae nui o te puku o raro, te puku, me te kirika, ka tohu pea i te mate inflammatory pelvic.

Whakaritea he toro i roto i te wiki e whai ake nei ki te:

  • Te mamae, te pupuhi rānei o te korokoro hou, he epididymitis pea, ā, ka pai ake te tere.
  • Karekau he whakaputa, kāore rānei he mamae 3 ki te 5 rā i muri i te maimoana, e hiahiatia ana he whakamātautau anō me tētahi tikanga rereke, kaua ki te whakahoki i te pota.
  • Kāore ano kia whakaritea he hui whakamātautau whakaora.

Kōrero ki tētahi kaimātai i mua i te tīmatanga ki te:

  • Kua mahi koe i te moe ira waha mai i tō whakamātautau whakamutunga, kāore rānei i tangohia he pukoro korokoro.
  • I kīa atu koe he mate pāwera koe ki te penicillin, ki te cephalosporins rānei, engari kāore koe i whakamātauhia kia oti.
  • Kei te hapū koe.
  • Kei te tukua atu ki a koe te cefixime nā te mea kua mutu te haumanu i te ceftriaxone.

Ngā pātai auau

Kei te wātea te Cefixime i runga i te counter mō te gonorrhea?

Kao. Ko te Cefixime he paturopi me tūtohutia te tākuta i Amerika, ā, kāore he tikanga gonorrhea waha e hokona ana i runga i te counter i konei. Ko ngā papa kua hokona i tāwāhi, ipurangi rānei mā te kore tūtohutia e mau ngā raruraru tūturu: te kaha he, tētahi hua kāore i whakamanatia, ā, kāore he whakamātautau hei whakau ko tēhea ngā wāhi tinana kua pangia. Ko te rongoa me te whakamōhiotanga hoa he wāhanga o te maimoana, ehara i te mea tāpiri.

Ka taea e au te whakamahi i tētahi rongoā cefixime kua toe mai i te UTI, te mate sinus rānei?

Kao. Ko ngā kohinga kua toe he cefixime 400 mg kapeti ka hoatu i ia rā mō tētahi atu panganga, nō reira ka ngākaunui koe ki te nui me te maha o ngā pota. Ko te akoranga kāore i oti, he iti rawa rānei te pota, koia te āhuatanga e whakatipu ana i te gonorrhea atete. Me whai whakamātautau kua tuhia hoki koe, he whakatau mō te tiaki chlamydia, me te maimoana hoa, kāore tētahi o ēnei e tukua e tētahi pounamu kua toe.

Me karo atu e au te waipiro i te wā e tango ana i te cefixime mō te gonorrhea?

Kāore i te nuinga o te wā. Ko te Cefixime ehara i te kotahi o ngā paturopi e hiahiatia ana kia tino karo te waipiro, ā, ko te tikanga gonorrhea he kotahi pota kaua ki tētahi akoranga wiki. Pātai ki tō kaihoko rānei ki te tango koe i ētahi atu rongoā. Ko te herenga whai hua ake ko te whanonga: kaua te tangata e moe moepuku mō te 7 rā i muri i te maimoana ā, tae noa ki te maimoana o ngā hoa, ka ngāwari ake te wareware ki te waipiro.

He haumaru te Cefixime mō te gonorrhea i te wā o te hapūtanga?

Kāore i te nuinga o te wā te kōwhiringa tuatahi. Ko te hapūtanga he take ki te whai i te kōrero, kaua ki te whakaae i te whawhaki waha hei tikanga, nā te mea ko te werohanga tonu te tuatahi, ā, rereke te rongoā hoa e whakamahia ana hei tiaki i te chlamydia i te wā o te hapūtanga. Kaua e tango i tētahi paturopi kotahi pota i tukuna ki a koe mō tētahi hoa. Pātai ki tō taote haea, taote hapūtanga rānei i mua i tētahi pota.

Kia tere te whakapainga o ngā tohu i muri i te kotahi pota o te cefixime?

I te nuinga o te wā i roto i ngā rā tuatahi. Ka ngōnehenehe te whakaputa katahi ka mutu, ā, ka āta ngāwari te wera i te mimi, kaua e ngaro i te pō. Ka taea te roa te hoha iti i muri i te horoinga o te kitakita. Ko te mea nui ko te ahunga: me ngāwera ngā tohu, kaua e noho tonu, kāore rānei e kino. Ki te kore e rereke, karangahia te haumanu kaua ki te tatari i te rā whakamātautau whakaora.

Ko te mutunga ki te kōwhiri i te pire hei utu mō te kaihautu

Ko te Cefixime mō te gonorrhea he whawhaki, ehara i te manakohanga. Ko te 800 mg waha hei kotahi pota, mō te panganga urogenital me te ngongo anake, ā, ka taea te hoatu te ceftriaxone. Whakamanatia ngā mea e toru ki tō kaimātai i mua i te whakaae ki a ia: ko tēhea ngā wāhi i whakamātauhia, tae atu ki te korokoro; te pota tika me te mea ka haere tahi tētahi rongoā hoa; ā, te rā o tō whakamātautau whakaora.

Whakakahoretanga: Ko tēnei tuhinga mō ngā take mōhiohio anake, kāore hoki e kiia he tohutohu hauora. Kōrero tonu ki tētahi kaiwhakarato hauora whai tohu mō ngā whakataunga rongoā me ngā maimoana. Ki te wheako koe i tētahi mate hauora ohorere, karangahia te 911, haere rānei ki te rūma mahi urupare tata tonu.