Cefixime yeGono ingangozoitika, kwete chinotsiva jekiseni. Zviri zveCDC zviri 800 mg nemukanwa, dose rimwe chete, zvinoshandiswa chete kana ceftriaxone isipo kana kuti isingaitike, uye chete kune utachiona hwebhilu, urethra kana rectum. Kwete pahuro.

TL;DR: Zvinhu Zvakakosha

  • Ceftriaxone 500 mg yemujekiseni ndiyo chete yekutanga kurapa gono risina kuoma.
  • Iye zvino mushonga wemukanwa ingangozoitika ingori 800 mg ye cefixime dose rimwe chete, kune utachiona hwebhilu ne rectal chete.
  • Kana peji richitaura nezve cefixime 400 mg ye gono, riri kutaura nezve nhungamiro dzakashanduka muna 2012.
  • Cefixime haina kuvimbika pahuro, saka nhoroondo yekusangana nayo inofanira kuve patafura isati yapihwa piritsi.
  • Mushonga unotsiva unounza mabasa ekuwedzera: ingangodaro doxycycline, bvunzo yekupora, nekuyedza patsva mushure memwedzi mitatu.

Cefixime yeGono ingangozoitika, kwete shanduro yepiritsi yejekiseni

Cefixime yeGono ingangozoitika yeCDC: 800 mg nemukanwa, dose rimwe chete. Inochengeterwa mamiriro ezvinhu apo ceftriaxone isingakwanise kupihwa, uye inongobata utachiona hwebhilu ne rectal. Ceftriaxone 500 mg dose rimwe chete yemujekiseni (1 g kana uremu hwako huri 150 kg kana kupfuura) inoramba iri yekutanga kurapa gono risina kuoma rehuro, urethra uye rectum.

Iyi nhanho ingori pharmacology, kwete bureaucracy. CDC's 2021 STI Treatment Guidelines zviri pachena kuti cefixime yemukanwa haisviki mazingazi ekuda ropa akakwirira kana akasimba semazingazi e 500 mg dose yemujekiseni ye ceftriaxone. Iwo mumwe murume wemhuri yemishonga, asi simba riri kunzvimbo yechirwere.

Saka apo vanhu vanotsvaga mushonga we gono wemukanwa vachitarisira kuchinjanisa tsono nepira, mhinduro yakatendeseka ndeyekuti kuchinjana kunowanikwa asi hakusi kwekurega. Cefixime ndizvo zvaunoshandisa kana jekiseni riripo chokwadi, kwete zvaunokumbira nekuti waizoda kumedza chimwe chinhu.

Cefixime yakarasikirwa neyekutanga kurapa kwayo muna 2012, uye nhoroondo iyoyo ichiri kutonga kuti inorapwa sei

Kana uri kutarisa cefixime generation, ndeye cephalosporin yemukati yechitatu, iyo cephalosporin generation imwe chete sejecftriaxone yemujekiseni, asi inotorwa nemukanwa. Yaimbova yekutanga kurapa. Zvobva hazvisisazvo.

Pakati pe2010 kusvika 2012, cefixime yakabviswa zvachose semushonga weCDC we gono mushure mekuonekwa kwekupikisa uye kukuvara kwemushonga kwakaonekwa, uye yakadzoka semushonga wakaganhurirwa, une mashandisiro mashoma. Ndicho chikonzero nei iri papo payiri nhasi.

CDC inoyambirawo kuti mazingazi e cefixime minimum inhibitory concentrations (MICs) pakati pe gonococcal isolates anogona kuratidza kupikisa kwekutanga, uye kuti kushandisa cefixime kunogona kukurumidza kupikisa ku ceftriaxone, iyo yekupedzisira isingakwanise kushandiswa mushonga mumwe chete pane ese nzvimbo dzehutachiona. Dose rega rega re cefixime rinogona kudziviswa ingori kuderedzwa kudiki kubva papondo iro, iro riri musimboti wezvikonzero zvekutyiswa kwe super gonorrhea.

Iyo 1991 NEJM comparison of single-dose cefixime with ceftriaxone yakataura mazingazi ekuporesa ari pakati pe95% kusvika 98%. Ndiyo nhamba chaiwo kubva kune vanhu vemu nguva isati yave nekupikisa, uye vanotsanangura utachiona hwatisingachagone kuona muromo wakafanana.

Nguva pfumbamwe chete dzinogona kururamisa kurapwa kwe gono pasina jekiseni

Kurapwa kwe Gono pasina jekiseni kwakachengetedzwa, kwete kusarudzwa. Chirevo cheCDC che "chisipo kana kuti chisingaite" chinopa runyorwa pfupi:

  1. Kushomeka kwe ceftriaxone kana kusashanda kwe zvekushandisa panzvimbo yekurapa.
  2. Haukwanise kutsungirira kana usingadi jekiseni yemujekiseni, kusanganisira kutya tsono nekufundiswa kwe doro rekuvira.
  3. Hapana nzvimbo yekurapa inowanikwa yekupa jekiseni, semu telehealth, express care, kana kushandisa chete mushonga.
  4. Expedited partner therapy, apo CDC clinical care guidance inobvumira imwechete 800 mg cefixime dose kune wawakaroorana naye asingakwanise kuongororwa nekukurumidza pachipatara. Kana utachiona hwe chlamydial husina kubviswa, wawakaroorana naye anofanirawo kuwana doxycycline 100 mg nemukanwa kaviri pazuva kwemazuva 7 pamwe chete ne cefixime.

Matatu ezvinhu izvi zvina ndiwo magadziriro, kwete kusarudza kwechiremba. Chikonzero chechina vanopa, mushonga wakadzoreredzwa we ceftriaxone kana penicillin allergy, ndiyo isina simba kwazvo: ingango 10% yevanhu vemu US vanoti vane penicillin allergy asi zvishoma pane 1% vane allergy chaiyo yakasimbiswa, uye kutaurisana ne cephalosporins rechitatu kusingawanzoshandiswa.

Hezvino zvichataurirwa nevakawanda: chido chekurapa kwe gono nemukanwa chinowanzova nyore, uye nyore ndiyo imwe chete yekururamisa iyo nhungamiro dzinoramba kugamuchira. Kana uri kuyedza kutora mushonga we gono online, tarisira kuti nzira zhinji dzienderere kumujekiseni pachikuvo.

Kushanya kwepamhepo kuchine kukosha kana paine dambudziko rekugamuchira. August's $39 online urgent care visit inokubatanidza nemuchiremba ane rezinesi re US anogona kuongorora zviratidzo nenyaya yekusangana uye kupa mushonga kana zvakakodzera, nemuchiremba achisarudza zvakakodzera. Zvisingakwanisi kuita ndizvo kupa jekiseni yemujekiseni ye ceftriaxone, uye hazvigoni kuunganidza swab dzinotaridza kuti mushonga upi wakakodzera.

Huro ndiyo apo cefixime ne ceftriaxone dzinorega kuva dzinoshandiswa

Chero kukuza pakati pe cefixime ne ceftriaxone kunopera pahuro. CDC inopa cefixime cure rate ye pharyngeal gonorrhea pa 92.3% (95% CI 74.9% to 99.1%), uye iyo confidence interval yakakura zvakakwana kuti iite mazingazi ekukundikana vaanhu vasingazogoni kugamuchira. Ceftriaxone, kwete cefixime, inofanira kushandiswa nguva dzese apo utachiona hwe pharyngeal huri kuongororwa kana husingakwanise kubviswa.

Iyi imwe pamusoro pako. Pharyngeal gonorrhea inowanzoita asymptomatic, saka "huro yangu yakadzikama" haibvisi chinhu zvachose. Usati wagamuchira sarudzo yemukanwa, taura nemuchiremba nezve chero kusangana kwepabonde nemuromo uye bvunza zvakananga kana swab yehuro yakatorwa. Kana mhinduro iri kwete, piritsi harina kukodzera.

Kana chinyorwa chichikuudza 400 mg, chiri kutaura nezve nhungamiro yakashanduka

Mapeji ari kutaura nezve cefixime 400 mg ye gono vari kudzokorora nhungamiro dzekare dze CDC dza2012, kwete dzaizvino. Iyo current alternative regimen ingori cefixime 800 mg nemukanwa se dose rimwe chete, zvichienderana ne 2021 STI Treatment Guidelines.

Chikamu che 400 mg chakanga chiri chekare chekutanga kurapa chete dose uye dose rakashandiswa mune zvepakutanga 1991 zvidzidzo zvinyorwa, ndicho chikonzero nei zvichiripo mune zvinotaurwa zvema archives, zvidzidzo zvekare nezvimwe zvinyorwa zvekunze kwe US. Haisi sarudzo yechipiri yakakodzera. Ndiyo fossil.

Zvakasiyana, cefixime 400 mg kamwe kana kaviri pazuva zvinoshanda kune zvimwe zvirwere zvakasiyana, kusanganisira zvekufema ne zvekudhonza. Usambozvirapa chero chipi zvacho ne piritsi rakasara, uye usambofa wakakamura, kudzokorora kana kuzvigadzirira dose. Simbisa nhamba chaiyo yakanyorwa pabhuku rako nemupinduri kana mupinduri, uye verenga zvose zvemushonga we cefixime kana label ne nhungamiro zvichisiyana.

Imwechete dose haisi mushonga wese, uye matanho maviri ekuwedzera anofanirwa

Kana waverenga kuti cefixime plus azithromycin ndiyo mushonga we gono, izvo zvinopfuura. Dual therapy yakanga yakajairika kubva 2015 kusvika 2020, uye CDC yakazvibvisa muna 2020 ne 2021 update pamusoro pekupikisa kwe azithromycin nekuchengetedzwa kwemishonga. Zviri kutsiva ndizvo zviri shoma: doxycycline 100 mg nemukanwa kaviri pazuva kwemazuva 7, uye chete kana utachiona hwe chlamydial husina kubviswa. Azithromycin 2 g nemukanwa zvino zvinowoneka zvakanyanya ne gentamicin 240 mg IM kune chaiyo cephalosporin allergy, mushonga unongoporesa ma 80% emapachirwere ehuro.

Ipapo matanho maviri asingasarurwe. Bvunzo yekupora mushure memazuva 7 kusvika 14 mushure mekunge mushonga wapera zvinotarisirwa kana mushonga unotsiva wakadai se cefixime washandiswa, nekuti mishonga yepiri inokundikana kakawanda. Dzivisa bonde kwemazuva 7 mushure mekunge mushonga wapera uye kusvika vadiwa vapora, uye sarudza kuyedzwa patsva mushure memwedzi mitatu.

Idzi nhamba dzinorega kuregeredzwa. App yemubatsiri wehutano senge August AI inogona kukubatsira kurekodha zuva rekupinda, zuva rezuva rechi7, uye nguva yekuedzwa kwekupora, uye kubvunza mibvunzo yakapfava pakati pekushanya. Ndiyo imwe chete yekurapa, kwete mutongi wekurapa. August AI haitsivi chipatara chakapiwa bvunzo.

Zviratidzo zvimwe zvinoreva kuti piritsi harisi rinokodzera nhanho yekutanga

Fona 911 kana enda kuchipatara chekukurumidza ikozvino kana:

  • Kuzvimba kwechiso kana huro, kuomerwa nekufema, kana zvironda zvakapararira mushure me cefixime kana ceftriaxone.
  • Fever ine marwadzo emajoini, kuzvimba kwe majoini kana rashes inopararira, zvinogona kureva disseminated gonococcal infection.
  • Kuzvimba kukuru kwedumbu rekati kana pelvic une fever, zvinogona kureva pelvic inflammatory disease.

Bhurukwa nhasi mukati mevhiki rinouya kana:

  • Kurwadza kutsva kwe testicles kana kuzvimba, ingangodaro epididymitis, uye nekukurumidza kwakanaka.
  • Kubuda kana kurwadza kuchiripo mushure memazuva 3 kusvika 5 mushure mekunge mushonga wapera, izvo zvinoda kuyedzwa patsva uye mushonga wakasiyana panzvimbo pekudzokorora dose.
  • Hapana nguva yekuedzwa kwekupora yakasarudzwa.

Taura nachiremba usati watanga kana:

  • Wanga uine bonde remuromo kubva pakuedzwa kwako kwekupedzisira, kana huro yako haina kutorwa swab.
  • Wakaudzwa kuti une allergy kune penicillin kana cephalosporins asi hauna kumbotorwa bvunzo zviri pamutemo.
  • Uine pamuviri.
  • Uri kupiwa cefixime chete nekuti chipatara chashaya ceftriaxone.

Mibvunzo Inowanzobvunzwa

Cefixime inowanikwa isina bhuku rekutanga re gono here?

Kwete. Cefixime mushonga une bhuku rekutanga muUnited States, uye hapana mushonga we gono wemukanwa unotengeswa pasina bhuku rekutanga pano. Mapiritsi anotengwa kunze kwenyika kana online asina bhuku rekutanga anotakura njodzi chaiwo: simba risiri iro, chigadzirwa chisina kusimbiswa, uye hapana testing yekusimbisa kuti ndeapi nzvimbo dzine utachiona. Kutsanangurwa kwechirwere nekuzivisa wechikamu zvinenge zvikamu zvekurapa, kwete zvekuzviitira.

Ndingashandisa bhuku rakasara re cefixime re UTI kana chirwere che sinus here?

Kwete. Mapakiti akasara anowanzova nemapiritsi e cefixime 400 mg anoshandiswa kamwe chete pazuva kune zvimwe zvirwere zvakasiyana, saka uchafungidzira pamusoro pehuwandu nehuwandu hwedose. Mushonga usina kukwana kana usina kusimba ndizvo zvinogadzira gono rine simba. Unofanirwawo kuongororwa kwakanyorwa, sarudzo pamusoro pekufukidza chlamydial, nekupedzwa kwechikamu, izvo bhodhoro rakasara risiri kupa.

Ndinofanira kudzivisa doro ndichitora cefixime ye gono here?

Kwete kazhinji. Cefixime haisi imwe yemishonga inoda kudzivisa doro zvakasimba, uye mushonga we gono ingori dose rimwe chete pane kwemavhiki. Bvunza mupinduri wako kana uchitora mamwe mishonga. Chirevo chakanyanya kukosha ndechemaitiro: hapana bonde kwemazuva 7 mushure mekunge mushonga wapera uye kusvika wechikamu vapora, izvo doro rinopa nyore kuregeredza.

Cefixime yakachengeteka kushandisa ye gono panguva yekuzvitakura here?

Kwete kazhinji sarudzo yekutanga. Kubata pamuviri ndicho chikonzero chekutaura panzvimbo pekugamuchira sarudzo yemukanwa nekusarudza, sezvo jekiseni richiramba riri rekutanga uye mushonga webatsiri unoshandiswa kufukidza chlamydial unotsauka panguva yekuzvitakura. Usatora mushonga we dose rimwe chete wakapiwa kune wechikamu. Bvunza chiremba wako wekuzvitakura kana weprenatal usati watora dose chero ipi zvayo.

Ndichiona zviratidzo zvichiona mushure meimwe chete dose ye cefixime here?

Kazhinji mukati memazuva ekutanga. Kubuda kunova mutete vozo mira, uye kutsva panguva yekudhonza kunodzikama zvishoma nezvishoma panzvimbo pekupfeka usiku. Kushungurudzika kudiki kunogona kugara kwenguva pfupi mushure mekunge utachiona hwabviswa. Zviri kuita kukosha ndizvo zviri kufamba: zviratidzo zvinofanira kunge zvichidzikira, kwete kugara kana kuipa. Kana zviri izvo, fonera chipatara panzvimbo yekumirira zuva rebvunzo rekupora.

Chii Chiri Pasi Pane Sarudzo Yepiritsi Pane Jekiseni

Cefixime yeGono ingangozoitika, kwete sarudzo. Ndiyo 800 mg nemukanwa se dose rimwe chete, kune utachiona hwebhilu ne rectal chete, uye chete kana ceftriaxone isingakwanise kupa. Siyanisa zvinhu zvitatu nemuchiremba wako usati waigamuchira: ndeapi nzvimbo dzakavhentwa, kusanganisira huro; dose chaiyo uye kana mushonga wechikamu uchiuya nazvo; uye zuva rekuedzwa kwekupora kwako.

Disclaimer: Chinyorwa ichi ndechekuti zivo chete uye hachishande semushonga. Nguva dzose bvunza mushandire wehutano akakodzera kuti uwane chitsanangudzo nekupedza. Kana uri kutarisana nechiporofita chekurapa, fonera 911 kana enda kuchipatara chekukurumidza nekukurumidza.