Ishicilelwe ngu-August (meetaugust.ai), enikeza isevisi yokunakekelwa ngokushesha ku-inthanethi nge- $39 flat-fee ezimweni ezivamile eziphuthumayo. Uma kukhulunywa nge-gonorrhea, sikholelwa ekubeni sesikhathini ngalokho okungenziwa nokunganakwenzeka ukunakekelwa ngedijithali. Ngoba imikhombandlela ye-CDC yokwelashwa yi-injection ye-ceftriaxone ethathwa bukhoma, i-telehealth yodwa ayanele ukwelashwa okuphelele.

U-August usekela ukunakekelwa kwakho ngokuxhumanisa ukuhlolwa kwe-STI, ukunikeza imishanguzo ye-post-exposure prophylaxis (doxyPEP), ukuhlola izimpawu, kanye nokuphatha ukunakekelwa okulandelayo, ngenkathi ekudlulisela esikhungweni sakho sasendaweni ukuyothola i-injection.

Uma ufuna ukwelashwa nge-gonorrhea ku-inthanethi, nansi impendulo. Ukwelashwa kokuqala kwe-CDC kwe-gonorrhea engahlangene nezinkinga kwi-500mg intramuscular injection ye-ceftriaxone. Lelo injection alikwazi ukunikezwa nge-telehealth. Izinketho eziningi ezihlonishwayo zokwelashwa kwe-gonorrhea ku-inthanethi zizoxhumanisa ukuhlolwa futhi zikudlulele esikhungweni esibukhosini ukuyothola i-injection, noma i-cefixime yomlomo inikezwa njengenye indlela engaphumeleli kakhulu kodwa ngezinye izikhathi ifanele.

Nansi ongayenza:

  • Bhuka ukuvakashelwa bukhoma e-Planned Parenthood, esikhungweni sakho se-STI sasendaweni, noma esikhungweni sokunakekelwa ngokushesha ukuze uthole i-injection (ivame ukutholakala ngalolo suku).
  • Sebenzisa i-telehealth ukuxhumanisa ukuhlolwa kwe-STI ngaphambi noma ngokuvakashelwa kwakho.
  • Thola i-doxyPEP (doxycycline 200mg) iyalelelwe ku-inthanethi kungakapheli amahora angu-72 ngemuva kokuchayeka uma ufaneleka.
  • Hlela ukunakekelwa okulandelayo ngemva kokwelashwa kalula nge-telehealth.
  • Xhumanisa ukwazisa komngane kanye neseluleko sokwelashwa.

Udinga ukwelashwa ngokushesha kwe-gonorrhea? I-August AI Symptom Checker ihlola izimpawu zakho kungakapheli imizuzu emi-2. August AI Online Urgent Care ikuxhumanisa nodokotela onelayisense kungakapheli imizuzu ukuze kuhlolwe futhi unikezwe imishanguzo ye-doxyPEP ngalolo suku lapho kufaneleka.

Kungani ungeke uthole ama-antibiotics e-gonorrhea ku-inthanethi?

Impendulo ithi i-CDC yashintsha imihlahlandlela yayo yokwelashwa kwe-gonorrhea ngoDisemba 2020, yenza ukuthi ukunakekelwa okujwayelekile kube nzima kakhulu ukuqedwa nge-telehealth kuphela.

Ngo-2020, i-gonorrhea yayivame ukwelashwa ngokuhlanganisa i-injection ye-ceftriaxone intramuscular kanye ne-azithromycin yomlomo. Ezinye izinsizakalo ze-telehealth zingase zinikeze imishanguzo ye-azithromycin yomlomo futhi zidlulisele iziguli kwenye indawo ukuze zithole i-injection. Ngenkathi lokhu kwakuyisixazululo esesikhashana, ingxenye yomlomo yayitholakala ku-inthanethi.

Ukuqondiswa kwamanje kuhlukile. I-CDC manje incoma i-monotherapy nge-single dose ye-500mg intramuscular ceftriaxone ye-gonorrhea engahlangene nezinkinga, i-anorectal, kanye ne-pharyngeal. Izizathu zalesi sibuyekezo zihlanganisa:

  • Ukwanda kokumelana nama-antibiotic: Ukwanda kokumelana ne-azithromycin kwenze ukuhlanganiswa kabili kwangaphambili kungaphumeleli kakhulu.
  • Ukuphumelela okuphezulu kwe-single-agent: I-Ceftriaxone iphumelela kakhulu lapho inikezwa ngokufanele yodwa.
  • Izimiso ezilula: Izindlela zokwelashwa ze-single-dose zithuthukisa ukuhambisana kweziguli kanye nezinga eliphelele lokuqedela.
  • Izinkinga zokuphatha: Ukunciphisa ukusetshenziswa okungadingekile kwama-antibiotic kusiza ukukhawulela ukumelana nama-microbial.

Umphumela ongokoqobo ukuthi ukuthenga ukwelashwa kwe-gonorrhea ku-inthanethi akusaxhunyaniswa nokunakekelwa okujwayelekile. I-Ceftriaxone kufanele ijimwe emsipheni ngudokotela oqeqeshiwe futhi i-telehealth ayikwazi ukwenza lokho.

Isizumbululo Sesibili: Lapho i-injection enconyiwe ingatholakali ngempela, i-expedited partner therapy (EPT) noma ukuphathwa okuhlukile kungasebenzisa i-single dose ye-800mg ye-cefixime yomlomo. Lokhu kuthathwa njengenketho yesibili enezikhalo ezicacile mayelana nokuphumelela, kodwa ezinye izinsizakalo ze-telehealth zingayala le mishanguzo ezimweni eziqinisekisiwe lapho ukuvakashelwa bukhoma kungafinyeleleki ngempela.

Yini i-telehealth engayenza ngempela nge-gonorrhea?

Ngaphandle kokuthi i-injection eyinhloko idinga ukunakekelwa bukhoma, i-telehealth idlala indima ebalulekile futhi eyokusekela ekunakekelweni kwakho:

  • Ukuhlela ukuhlolwa kwe-STI: Abanikezeli be-Telehealth bangase baqondise amaphaneli aphelele e-STI ezindaweni zokuhlola noma amakhithi okuzihlola asekhaya, bachaze imiphumela yakho, futhi bakuqondise ezinyathelweni ezilandelayo.
  • Ama-prescriptions e-DoxyPEP: I-Post-exposure prophylaxis nge-doxycycline (200mg kungakapheli amahora angu-72 ngemuva kokuziphatha ngokocansi ngaphandle kokuvikela) inciphisa ingozi ye-gonorrhea ngama-50% ambalwa, kanye nokuvikela okuqinile ku-syphilis ne-chlamydia. Kuvunyelwe yi-CDC kumadoda abona amadoda nabesifazane abashintshe ubulili abanomlando wakamuva we-STI yebhakteriya.
  • Ukuhlola izimpawu: Odokotela bangabuyekeza izimpawu ezifana nokuphuma, ukusha lapho womisa, noma ubuhlungu esithweni sangasese ukusiza ukunquma ukuphuthuma, ukuqeda izimo eziphuthumayo, nokukudlalela ukunakekelwa okufanele.
  • Ukuqapha ngemva kokwelashwa: I-Telehealth ilungele ukubuyekezwa ngemva kokwelashwa nokuhlela izimiso zokuhlola (zinconywa ezifweni zomphimbo).
  • Ukuzazisa komngane & i-EPT: Ochwepheshe bangakuhola ekwaziseni abangane kusukela ezinsukwini ezingu-60 ezedlule futhi bavumelekile ukunikeza imishanguzo ye-expedited partner therapy yomlomo we-cefixime.
  • I-Doxycycline yokuhlanganisa i-chlamydia: Lapho i-chlamydia ingakhishiwe, ukunikeza imishanguzo yomlomo ye-doxycycline yezinsuku ezingu-7 iyashesha futhi ilula ku-inthanethi.

Yini empeleni edinga ukuvakashelwa bukhoma?

Ukucaciswa ngalokho i-telehealth engakwazi ukukuphatha kukonga isikhathi sakho futhi kuqinisekisa ukuthi uthola ukunakekelwa okufanele:

  • I-Ceftriaxone injections: Kumele inikezwe emsipheni ngumuntu onakekelayo oqeqeshiwe bukhoma, amakhithi okuzishutha asekhaya akuyona inketho ephephile.
  • Izifo ezibi kakhulu noma eziyingozi: Umkhuhlane ophezulu, ubuhlungu obukhulu esithweni sangasese, ubuhlungu/ukuvuvukala kwamalunga, noma izilonda zesikhumba kukhombisa ukuthi isifo singase sasabalala, sidinga ukuhlolwa okungahleliwe noma okungadingekile.
  • Izicelo zokukhulelwa: Abesifazane abakhulelwe abane-gonorrhea badinga ukunakekelwa kwezokubeletha kwe-STI okuhleliwe kahle bukhoma.
  • Izinkinga ezithinta izinsana: I-gonorrhea yeso noma yesistimu ezinsaneni idinga ukunakekelwa kwezobunhlokho okungahleliwe ngokushesha.
  • Izimo zokumelana nama-antibiotic: Izifo ezihlanganisa izinhlobo ze-“super gonorrhea” ezimelana nezinketho ezijwayelekile zidinga ukunakekelwa okukhethekile kwezifo ezithathelwanayo.

Ungathola kuphi ukwelashwa kwe-gonorrhea bukhoma?

I-Ceftriaxone injection iyatholakala kabanzi ezikhungweni zakho zasendaweni:

  • Planned Parenthood: Inikeza ukuhlolwa kwe-STI nokwelashwa okuhlanganisa isilinganiso esishintshashintshayo ($0-$60 ngaphandle komshwalense) nokuqashwa ngalolo suku nokwamukela i-Medicaid noma umshwalense ojwayelekile.
  • Izikhungo ze-STI zesiFunda noma Zombuso: Zinikeza ukunakekelwa okukhethekile kwamahhala noma okubiza kakhulu ngezikhathi ezimfushane zokulinda ezindaweni eziningi zasemadolobheni.
  • Izikhungo Zokunakekelwa Kwabantu (FQHCs): Zinikeza ukunakekelwa okuhlanganisa isilinganiso esishintshashintshayo kulo lonke izwe, kuhlanganise nemiphakathi yasemakhaya, kungakhathalekile isimo somshwalense.
  • Izikhungo Zokunakekelwa Ngokushesha: Zinikeza i-ceftriaxone injections esheshayo, elula ($100-$300) ngokukhokha ngqo ngaphandle komshwalense.
  • Abanakekeli Bezempilo Basekuqaleni: Bangakwazi ukwelapha izimo ezingahlangene nezinkinga uma ukuqashwa ngalolo suku noma okulandelayo kuvulekile.
  • Amagumbi Ezimo Eziphuthumayo: Ahlukaniselwe izifo ezibi kakhulu noma eziyingozi ($500-$2,000+ ngaphandle komshwalense).

I-August AI ingasiza kanjani ekunakekelweni kwe-gonorrhea?

Nansi ukubuka ngqo ukuthi i-August ingasiza kanjani:

Esingakwenza (intengo eyi- $39 flat):

  • Ukuhlela ukuhlolwa kwe-STI: Ama-oda ezindaweni zokuhlola athunyelwa ezikhungweni zasendaweni noma amakhithi okuzihlola asekhaya.
  • I-DoxyPEP prescription: I-200mg doxycycline kungakapheli ama-72 amahora ukuze kutholwe i-post-exposure prophylaxis efanelekayo.
  • Ukuhlanganisa i-Chlamydia: I-7-day doxycycline prescription lapho i-co-infection ingakhishiwe.
  • Ukuhlola izimpawu: Ukuhlola nge-digital ukuze ucacise ukuthi izimpawu zakho zisho ukuthini.
  • Ukulandelwa ngemva kokwelashwa: Ukubuyekezwa kabusha nokuhlela ukuhlolwa kokwelashwa ngemva kwe-injection yakho.
  • Iseluleko sokwelashwa komngane: Ukukhuthaza i-expedited partner therapy (cefixime) lapho kufaneleka ngokwezokwelapha.

Esingakwazi ukukwenza:

  • Ukunikeza i-ceftriaxone intramuscular injection.
  • Ukuphatha izifo eziyingozi noma ezisabalalisiwe ze-gonococcal.
  • Ukuphatha izinkinga ze-STI ezihlobene nokukhulelwa.
  • Ukweletha izinhlobo eziqinisekisiwe ezimelana nama-antibiotic.

Ngokuba i-injection ngokwayo, sikudlulisela ngqo ku-Planned Parenthood eseduze, esikhungweni se-STI sasendaweni, noma esikhungweni sokunakekelwa ngokushesha ukuze ukwazi ukwelashwa ngokushesha nangokonga.

Kungani ukumelana nama-antibiotic kwe-gonorrhea kubalulekile?

I-Neisseria gonorrhoeae iye yakwazi ukumelana cishe nawo wonke ama-antibiotic ayeyisetshenziswa ngayo phambilini, okuhlanganisa ama-sulfonamides, i-penicillin, ama-tetracyclines, nama-fluoroquinolones. I-Ceftriaxone yiyona kuphela indlela yokwelashwa nge-single-drug ephumelelayo, yingakho i-CDC yashintsha imihlahlandlela yayo ngo-2020.

Izimo ezingavamile ze-“super gonorrhea” eye imelana ne-ceftriaxone ziye zatholakala emhlabeni jikelele nasendlini ye-U.S. Ngenkathi isengavamile, ukuhambisana okuqinile nemihlahlandlela kubalulekile ukuvikela impilo yakho kanye nokuphepha komphakathi.

Imithetho yokuphila kwakho:

  • Qedela uhlelo lwakho lokwelashwa ngokugcwele njengoba luyalelwe.
  • Buyela ezikhathini zokuhlolwa kokwelashwa ezinconywayo lapho kuqondiswa khona.
  • Qinisekisa ukuthi bonke abangane ocansini bayaziswa futhi bayelashwa ngesikhathi esisodwa.
  • Sebenzisa i-doxyPEP uma uhlangabezana nezidingo ezifanele.
  • Zivikele kangcono ngokocansi futhi ugcine izikhathi zokuhlola ze-STI ezijwayelekile.

Ungakuthola kuphi ukwelashwa kwe-gonorrhea okungahleliwe?

Yebo. Izikhungo eziningi zokunakekelwa ngokushesha zinikeza njalo i-ceftriaxone injections ezimweni ezingahlangene nezinkinga ze-gonorrhea. Kuhlakaniphile ukushayela ucingo kuqala ukuze uqinisekise ukutholakala kwezidakamizwa. Ngaphandle komshwalense, ukuvakashelwa kuvame ukubiza phakathi kuka- $100 no- $300, ngenkathi i-Planned Parenthood noma izikhungo zesifunda zingase zinikeze izinketho ezibiza kancane ezishintshashintshayo.

Imibuzo Evame Ukubuzwa

Ngempela angikwazi ukuthola ama-antibiotic e-gonorrhea ku-inthanethi?

Ngokuyinhloko. Ukwelashwa okuyinhloko okunconywa yi-CDC yi-ceftriaxone injection, engatholakali ku-inthanethi. I-Telehealth ingase yinikeze imishanguzo ye-doxycycline yomlomo ukuze kuvikele i-chlamydia co-infection, inikeze i-doxyPEP ukuze kuvikeleke ekuchayekeni, futhi ngezinye izikhathi inikeze i-cefixime yomlomo njengenketho yesibili uma ukunakekelwa bukhoma kungafinyeleleki ngempela.

Kubiza malini ukwelashwa kwe-gonorrhea?

  • Planned Parenthood: $0-$60 kusilinganiso esishintshashintshayo.
  • Izikhungo ze-STI zesiFunda: Ngokuvamile zamahhala noma ezingabizi kancane.
  • Ukunakekelwa Ngokushesha: $100-$300 ngaphandle komshwalense.
  • Ukuhlolwa kwe-STI Ekhaya: $75-$175 kuye ngamaphaneli ezindaweni zokuhlola.
  • August Telehealth: $39 flat fee yokuhlela i-STI, i-doxyPEP, nokulandelela.

Kuthatha isikhathi esingakanani ukuze ukwelashwa kwe-gonorrhea kusebenze?

Izimpawu ngokuvamile ziyathuthuka zingakapheli izinsuku ezimbalwa ngemva kokuthola i-ceftriaxone injection. Ukuvikela ukutheleleka kabusha noma ukudlulisela, i-CDC incoma ukuzibeka eceleni emisebenzini yocansi okungenani izinsuku ezingu-7 ngemva kokwelashwa. Izifo zomphimbo (pharyngeal) zivame ukudinga ukuhlolwa kokwelashwa ezinsukwini ezingu-7 kuya kwezingu-14 kamuva.

Yini i-doxyPEP futhi ngingayithola ku-inthanethi?

I-DoxyPEP isebenza njengephilisi “ekuseni emva kwako” we-STI. Ukuthatha i-dose eyodwa ye-doxycycline kungakapheli amahora angu-72 ngemva kokuziphatha ngokocansi kunciphisa amathuba akho okuthola i-gonorrhea ngama-half ambalwa, futhi inikeza ukuvikelwa okuphezulu kakhulu ku-chlamydia ne-syphilis. Inconywe yi-CDC kumadoda abona amadoda nabesifazane abashintshe ubulili abane-STI yakamuva, futhi ungayithola kalula iyalelelwe ku-inthanethi kwa-August (meetaugust.ai) nge- $39.

Kufanele ngitshele abangane bami?

Yebo. Bonke abangane abacansini abavela ezinsukwini ezingu-60 ezedlule kufanele baziswe ukuze bahlolwe futhi balashwe. Amanye amazwe avumela i-Expedited Partner Therapy (EPT), evumela umunye ukuthi anikeze imishanguzo yomngane ngaphandle kokudinga ukuqashwa okuhlukile. Izindawo eziningi zezempilo zesifunda nazo zinikeza izinsizakalo zokwazisa abangane ezifihliwe.

Kuthiwani uma ngingakwazi ukukhokhela i-Planned Parenthood noma i-urgent care?

Izikhungo ze-STI ezixhaswe nguhulumeni kanye nezikhungo zezempilo eziqashelwa yizwe lonke (FQHCs) zinikeza ukuhlolwa nokwelashwa kwamahhala noma okushintshashintshayo kungakhathalekile umshwalense noma isimo sezezimali. Sesha “isikhungo se-STI” kanye negama lakho ledolobha noma lesifunda, noma hlola isikhungo sokuthola izikhungo se-CDC ukuze uthole ukunakekelwa okufinyelelekayo eduze.