I-Doxy-PEP: Kuyini Futhi Ubani Eyayo

I-Doxy-PEP, emfushane nge-doxycycline post-exposure prophylaxis, indlela yokunciphisa ingozi yezinye izifo ezidluliswa ngocansi zamagciwane (STIs) ngemuva kocansi. Inqubo yokuthatha i-doxycycline ngemuva kocansi, ngaphambi kokuba kutholwe ukuthi kunesifo.

I-Doxy-PEP akuyona i-antibiotic evamile okufanele ithathwe ngemuva kokuhlangana ngokocansi. Isiqondiso samanje se-CDC sincoma ukuthi kuxoxwe ngayo nabantu abathile abake baba ne-STI yamagciwane kamuva nje, kuyilapho ubufakazi busanda kulinganiselwa kwamanye amaqembu.

ISISHUNQILE: Izinto Ezibalulekile

• I-Doxy-PEP yi-doxycycline ethathwa ngemuva kocansi ukunciphisa ingozi yama-STI amanye amagciwane.
• I-CDC incoma ukuthi kuxoxwe nge-doxy-PEP nabobulili obufanayo, abathandana nobulili obuhlukahlukene nabanye abesilisa abalala nabesilisa (MSM) nabesifazane abashintsha ubulili abake baba ne-syphilis, chlamydia, noma i-gonorrhea phakathi nezinyanga ezingu-12 ezedlule.
• Umthamo ojwayelekile ngu-200 mg ngokushesha okukhulu ngemuva kocansi nangaphakathi kwamahora angu-72, kungabi ngaphezu kuka-200 mg esikhathini samahora angu-24.
• Izifundo zithole ukuncipha okukhulu kwe-chlamydia ne-syphilis, nokuncipha okuncane nokuhluka kakhulu kwe-gonorrhea.
• I-Doxy-PEP ayivimbeli i-HIV, i-herpes, noma enye i-STI, ngakho ayifaki indawo yamakhondomu, ukuvikelwa kwe-HIV, noma ukuhlolwa kwe-STI njalo.
• Ubufakazi bukhawulelwe kwabesifazane abathinta ubulili obufanayo, amadoda abobulili obufanayo, amadoda ashintsha ubulili, nabanye abantu.
• Ukuhlolwa kwe-STI njalo kuhlala kuyingxenye ebalulekile yokunakekelwa uma usebenzisa i-doxy-PEP.

Awuqinisekile ukuthi yini ongayenza ngemuva kokuchayeka kwe-STI okungenzeka? Zama ukuhlola kwezimpawu kwamahhala kwe-August AI. Ukuhlunga kwe-AI kungakusiza ukuthi ukhethe uhlobo lokunakekelwa olungafaneleka, kodwa ayikwazi ukuthola i-STI noma ifake indawo yokuhlolwa kwe-STI. Uma unezimpawu ezibi kakhulu noma isimo esiphuthumayo, shayela ku-911 noma uye ku-ER. Ukuhlola i-Doxy-PEP kufanele kuphathwe umdokotela oyinhloko noma umhlinzeki wezempilo ngokocansi.

Yini i-doxy-PEP?

I-Doxy-PEP imele i-doxycycline post-exposure prophylaxis. Isebenzisa i-doxycycline, i-antibiotic, ngemuva kocansi ukunciphisa ithuba lokuthola ama-STI athile amagciwane.

Lo mbono uhlukile ekuthathweni kwama-antibiotic ukwelapha isifo esivele sitholakele. Nge-doxy-PEP, umuthi uthathwa ngemuva kokuchayeka okungenzeka njengesinyathelo sokuvimbela.

I-Doxycycline isivele isetshenziswa ukwelapha izifo eziningi zamagciwane, kuhlanganise ne-chlamydia. Uma ufuna ulwazi mayelana nokwelashwa ngemuva kokuhlolwa okuhle, bona umhlahlandlela wethu wokwelashwa kwe-chlamydia online.

I-Doxy-PEP ayihloselwe ukuvimbela yonke i-STI, futhi akufanele isetshenziswe njengokufaka indawo yokuhlolwa noma ukwelashwa okufanele.

Ubani i-doxy-PEP eyayo?

Ngokweziqondiso ze- CDC ze-doxy-PEP, odokotela kufanele baxoxe nge-doxy-PEP nabobulili obufanayo, abathandana nobulili obuhlukahlukene nabanye abesilisa abalala nabesilisa kanye nabesifazane abashintsha ubulili abake baba ne-syphilis, chlamydia, noma i-gonorrhea phakathi nezinyanga ezingu-12 ezedlule.

Isincomo sisekelwe ebufakazini obubonisa ukuthi i-doxy-PEP inganciphisa ingozi yama-STI athile amagciwane kulawa maqembu.

Lokho akusho ukuthi wonke umuntu kulawa maqembu udinga i-doxy-PEP ngokuzenzakalelayo. Udokotela kufanele acabangele umlando wakho wakamuva we-STI, ukuchayeka ngokocansi, eminye imithi, ukungezwani komzimba, kanye nempilo yonke ngokocansi ngaphambi kokuyincoma.

Ubufakazi busakhawulelwe kwabesifazane abathinta ubulili obufanayo, amadoda abobulili obufanayo, amadoda ashintsha ubulili, nabanye abantu. I-CDC ayinikezi isincomo esivamile samanje samalawa maqembu ngoba ubufakazi obutholakalayo abanele.

Ingakanani i-doxy-PEP esebenza kahle?

Izifundo zomtholampilo ezibuyekezwe yi-CDC zithole ukuthi i-doxy-PEP inganciphisa kakhulu ingozi ye-syphilis ne-chlamydia kubantu abafundiwe. Ukuncipha kwe-gonorrhea ngokuvamile kube okuncane nokuhluka kakhulu.

I- CDC ibika ukuncipha okungaphezu kuka-70% kwe-syphilis ne-chlamydia kwezifundo eziningana, kuyilapho ukuvikelwa ngokumelene ne-gonorrhea kungazinzile. Ukuthi i-doxy-PEP isebenza kanjani ingase futhi incike ekuthobeleni kanye nomphakathi ohlolwayo.

Imiphumela ayizange ifane kuwo wonke umphakathi. Ngokwesibonelo, isivivinyo esingahleliwe sabesifazane abathinta ubulili obufanayo eKenya asizange sithole ukuncipha okubalulekile kuma-STI amagciwane. Abacwaningi baphakamise ukuthi ukuthobela kungase kube nomthelela emiphumeleni, yize ezinye izincazelo kudingeka zicatshangelwe.

Yingakho kubalulekile ukuthi ungayithathi i-doxy-PEP njengesixazululo esifanayo sokuqinisekisa wonke ama-STI.

Ithathwa kanjani i-doxy-PEP?

Ngaphansi kweziqondiso zamanje ze-CDC, umthamo we-doxy-PEP owelulekayo ngu-200 mg ngokushesha okukhulu ngemuva kocansi nangaphakathi kwamahora angu-72. Umthamo ophelele akufanele udlule ku-200 mg esikhathini samahora angu-24. I- CDC inikeza iziqondiso zamanje zokuthatha umthamo lapha.

I-Doxy-PEP ingasetshenziswa ngemuva kocansi olusemlonyeni, olwabesifazane, noma olwasekhwapheni, kuye ngezimo zomuntu ngamunye nezincomo zikadokotela.

I-Doxycycline ingadala imiphumela engemihle njengale:

• Isicanucanu noma ukuphazamiseka kwesisu
• Ukuqunjelwa
• Ukuzwela okwandisiwe ekukhanyeni kwelanga
• Ukucasuka komminzo

Ukuthatha i-doxycycline ngokudla namanzi amaningi kungasiza ekunciphiseni ukuphazamiseka kwesisu neminzo. Ukuhlala uqotho ngemuva kokuyithatha kungasiza futhi ekunciphiseni ingozi yokucasuka komminzo.

Eminye imithi kanye nezithako zingaphazamisa ukumuncwa kwe-doxycycline. Ama-antacid nemikhiqizo equkethe i-calcium, i-iron, noma i-magnesium kungase kudingeke ithathwe ngokuhlukile ku-doxycycline. Landela imiyalelo ehlinzekwe ngencwadi kadokotela wakho noma buza umgoma wakho mayelana nesikhathi esifanele.

Ingabe i-doxy-PEP ivimbela zonke izi-STI?

Cha. I-Doxy-PEP isetshenziswa kakhulu ukunciphisa ingozi yama-STI athile amagciwane.

Inobufakazi obuqinile bokunciphisa i-syphilis ne-chlamydia, kuyilapho ukuvikelwa ngokumelene ne-gonorrhea kungazinzile. Ayivimbeli izifo zamagciwane njenge-HIV noma i-herpes.

Uma usengozini ye-HIV, i-doxy-PEP ayifaki indawo yokuphikiswa kwe-HIV. Kuye ngezimo zakho, ukuphikiswa kwe-HIV i-PrEP kungaba inketho efanele yokuphikiswa.

I-Doxy-PEP futhi ayisusi isidingo samakhondomu, ukugomela lapho kufanele khona, noma ukuhlolwa kwe-STI njalo.

Ingabe usadinga ukuhlolwa kwe-STI uma uthatha i-doxy-PEP?

Yebo. I-Doxy-PEP inciphisa ingozi yama-STI amagciwane athile, kodwa ayiqinisekisi ukuthi ngeke ungenwe yisifo.

I-CDC incoma ukuhlolwa okuqhubekayo kwe-STI kubantu abasebenzisa i-doxy-PEP, ngokuhlolwa ngokuvamile okwenziwa ekuqaleni nangaphakathi kwezinyanga ezingu-3 kuye kwezi-6. Ukuhlolwa kufanele kwenziwe ezindaweni zomzimba ezihlobene nokuchayeka kwakho ngokocansi.

Ukuhlolwa njalo kungabonisa izifo i-doxy-PEP engazivimbeli, kanye nezifo ezenzeka naphezu kokuphikiswa.

Funda kabanzi mayelana nokuhlolwa kwe-STD online nokuthi yini ongayilindela esikhungweni sokuhlolwa kwe-STI.

Kuthiwani ngokumelana namagciwane?

Ukumelana namagciwane kungenye yezizathu zokuthi i-doxy-PEP kufanele isetshenziswe ngokucophelela. Ukuchayeka njalo kuma-antibiotic kungathinta amagciwane emzimbeni futhi kungase kube nomthelela ekumelaneni namagciwane.

Abacwaningi baqhubeka nokufunda ukuthi ukusetshenziswa kwe-doxycycline okuphindaphindiwe kuthinta kanjani izindlela zokumelana nomzimba kanye ne-microbiome ngokuhamba kwesikhathi. Lena ingenye yezizathu zokuthi odokotela kufanele bahlole njalo ukuthi i-doxy-PEP isafaneleka yini.

I-CDC incoma ukulandelela kanye nokuhlolwa kwe-STI njalo ezinyangeni ezingu-3 kuye kwezi-6 kubantu abasebenzisa i-doxy-PEP. Ungasebenzisi i-doxycycline eyintsalela noma uthathe umuthi womunye umuntu njengokufaka indawo yesu lokuvimbela eliqondiswa udokotela.

Ungayithola i-doxy-PEP online?

Kwezinye izimo, i-telehealth ingasetshenziswa ukuxoxa ukuthi i-doxy-PEP ifanele yini, futhi lapho kufanelekile ngokomtholampilo futhi kuvunyelwe ngomthetho, udokotela angase ayibhalisele.

Nokho, akuzona zonke izinsizakalo ze-telehealth ezinikeza i-doxy-PEP, futhi akubona bonke abantu abayikho. Udokotela angase adinge ukubuyekeza umlando wakho wakamuva we-STI, ukuchayeka ngokocansi, imithi, ukungezwani komzimba, kanye nolunye ulwazi lwezempilo ngaphambi kokuyibhalisela.

Kuye ngesimo sakho, ungase futhi udinge ukuhlolwa kwe-STI noma ukuhlolwa komuntu siqu. Ukuvakashelwa kwe-telehealth akususi isidingo sokuhlolwa lapho ukuhlolwa kufanele.

I-Doxy-PEP vs. ukwelashwa kwe-chlamydia

Lawa ngamathuluzi ahlukene okusebenzisa i-doxycycline. Ukuthatha i-doxy-PEP akusho ukuthi ukuhlolwa kwe-STI okuzayo kungaba yi-ignorable noma kuthiwe kuhlaliswa ngaphandle kokuqondiswa ngudokotela.

Nini okufanele uxoxe nodokotela nge-doxy-PEP?

Cabanga ukuxoxa nge-doxy-PEP nodokotela uma:

• Uke waba ne-STI yamagciwane ngonyaka odlule.
• Uke waba nokuchayeka ngokocansi okukukhathazayo.
• Umlingani wakho wokocansi ukutshele ukuthi unayo i-STI.
• Unezimpawu njengokuphuma okungajwayelekile, ukuchama okubuhlungu, amanxeba, ubuhlungu esithweni sangasese, noma ubuhlungu ezinyangeni.
• Ufuna ukuhlolwa kwe-STI okujwayelekile noma ukuphikiswa okuqhubekayo.
• Uke wathatha i-doxycycline ngesizathu esinye.
• Awuqinisekile ukuthi i-doxy-PEP ikufanele yini.

Uma unezimpawu, ungacabangi ukuthi zibangelwa yi-STI noma ukuthi i-doxy-PEP izozelapha. Ukuhlolwa kanye nokuhlola komtholampilo kungase kudingeke.

Imibuzo Evame Ukubuzwa Nge-Doxy-PEP

Ingabe i-doxy-PEP iyafana ne-PrEP?

Cha. I-Doxy-PEP ne-HIV PrEP yimithi ehlukene esetshenziselwa izinhloso ezahlukene. I-Doxy-PEP isetshenziselwa ukunciphisa ingozi yama-STI athile amagciwane, kuyilapho i-HIV PrEP isetshenziselwa ukuvimbela isifo se-HIV.

Ingabe i-doxy-PEP ingalelapha i-chlamydia?

I-Doxycycline ingasetshenziselwa ukwelapha i-chlamydia uma ibhaliselwe isifo esikhona. I-Doxy-PEP ihlukile ngoba ithathwa ngemuva kokuchayeka okungenzeka ukunciphisa ithuba lokuthola ama-STI athile amagciwane. Uma uhlolwa ukuthi unayo i-chlamydia, udinga ukwelashwa okufanele kunokuthembela ku-doxy-PEP.

Ingabe abesifazane bangathatha i-doxy-PEP?

Ucwaningo nge-doxy-PEP kwabesifazane abathinta ubulili obufanayo lusakhawulelwe. Isivivinyo esingahleliwe eKenya asizange sithole ukuncipha okubalulekile kuma-STI amagciwane, futhi i-CDC ayinikezi isincomo esivamile sabesifazane abathinta ubulili obufanayo njengoba yenza kwabesilisa nabesifazane abashintsha ubulili abane-STI yamagciwane yakamuva.

Ingabe i-doxy-PEP ivimbela i-gonorrhea?

I-Doxy-PEP inganciphisa ingozi ye-gonorrhea kwezinye izifundo, kodwa umthelela ubelokhu ungazinzile kunezinga lokuncipha okubonwe nge-chlamydia ne-syphilis. Ukumelana kwe-Gonorrhea kumagciwane aphikisiwe nakho kuyinkinga eqhubekayo.

Ngingathatha i-doxy-PEP nsuku zonke?

Uhlelo lwe-CDC lwe-doxy-PEP lusekelwe ekuthathweni kuka-200 mg ngemuva kocansi, ngokushesha okukhulu nangaphakathi kwamahora angu-72, kungabi ngaphezu kuka-200 mg esikhathini samahora angu-24. Ukuthi uyidinga kangaki kuncike emisebenzini yakho yocansi kanye nesu lakho lokuvimbela. Ungashintshi uhlelo lokuthatha umthamo ngaphandle kokuxoxa nodokotela.

Okokugcina

I-Doxy-PEP ingaba inketho ewusizo yokuqinisekisa i-STI kubantu abathile, kodwa ayifanele bonke futhi ayivimbeli yonke i-STI. Ubufakazi obuqinile kanye nesincomo samanje se-CDC sisebenza kubobulili obufanayo, abathandana nobulili obuhlukahlukene nabanye abesilisa abalala nabesilisa nabesifazane abashintsha ubulili abake baba ne-STI yamagciwane phakathi nezinyanga ezingu-12 ezedlule.

Ubufakazi busathuthuka kwamanye abantu. Uma i-doxy-PEP ikufanele, kufanele ibe yingxenye yesu elibanzi lezempilo ngokocansi elihlanganisa ukuhlolwa kwe-STI njalo, ukuphikiswa okufanele kwe-HIV, kanye nokwelashwa lapho kutholwa isifo.