Umbuzo: U-Non-Gonococcal Urethritis (NGU) Uphathwa kanjani?
Impendulo:
Amacala amaningi we-Non-Gonococcal Urethritis (NGU) ayengatholakali ukutheleleka kwe- chlamydia . Ngakho-ke, i-line yokuqala yokwelapha ye-NGU ifana nokuphathwa kwe-chlamydia .
Uma lokho ukwelashwa kwe-NGU kungasebenzi, futhi uthathe yonke imithi yakho njengoba kuyalwe, odokotela bakho kudingeka baphenye ngokuqhubekayo.
Isinyathelo esilandelayo ngokuvamile kuvame ukukuhlola ukutheleleka kwe- trichomoniasis . Uma lokho kuhlolwa kungalungile, awukwazi ukuthola impendulo ecacile. (Ngokuvamile i-NGU ibangelwa i- mycoplasma , kodwa lokho kuvame ukuhlolelwa kuphela)
Uma udokotela wakho engakwazi ukukhomba ukuthi umthombo wesifo sifo yini, ngokuvamile uzokuphatha ngesinye sezidakamizwa ngezansi. Lokhu kungenxa yokuthi amanye amabhaktheriya abangela i-urethritis kungaba nzima ukubona. Ngakho-ke, ukwelapha i-NGU ngale ndlela kuyindlela ephumelelayo yokuqothula abasolwa kakhulu.
Qaphela: Imithi yezidakamizwa ezingezansi zithathwe eziKhungo Zokulawulwa Kwezifo 2015 imihlahlandlela yokwelapha ye-STD. Khumbula ukuthi udokotela wakho kuphela ongasho ukuthi iyiphi imithi efanelekile.
Imiyalo Ephakanyisiwe Yokuqala Ukwelashwa kwe-NGU
I-Azithromycin 1 g ngomlomo ngesilinganiso esisodwa
OK
I-Doxycycline 100 mg ngomlomo kabili ngosuku ngezinsuku ezingu-7
Ama-Alternative Regimens
I-Erythromycin base 500 mg ngomlomo izikhathi ezine ngosuku ngezinsuku ezingu-7
OK
I-Erythromycin ethylsuccinate 800 mg ngomlomo izikhathi ezine ngosuku ngezinsuku ezingu-7
OK
Levofloxacin 500 mg ngomlomo once kanye ngosuku izinsuku ezingu-7
OK
I-Ofloxacin 300 mg ngomlomo kabili ngosuku ngezinsuku ezingu-7
Ngezinye izikhathi lezi zindlela zingasebenzi. Lokhu kuvame ukuthi ukutheleleka kubangelwa ukutheleleka kwamafungal noma ama-parasitic, njenge-trichomoniasis. (Ngezinye izikhathi ukutheleleka kwe-parasitic kungaphezu kokutheleleka kwebhaktheriya!) Ngakho-ke, uma ukwelashwa kokuqala kwehluleka, odokotela bazozama ezinye izinketho.
Imihlahlandlela Ephakanyisiwe Yamadoda Nge-NGU Lapho Ukuqala Ukwelashwa Akuphumelelanga
I-Metronidazole 2 g ngomlomo ngesilinganiso esisodwa
OK
Tinidazole 2 g ngomlomo ngesilinganiso esisodwa
OK
I-Azithromycin 1 g ngomlomo ngesilinganiso esisodwa (uma singasetshenziselwa ukwelashwa kokuqala)
OK
I-Moxifloxacin 400 mg ngomlomo once ngosuku izinsuku ezingu-7 (uma i-azithromycin isetshenziselwa ukwelashwa kokuqala.)
I-azithromycin ne-moxifloxacin ziyasetshenziswa ngoba kungenzeka ukuthi ziphumelele ngokumelene ne-mycoplasma kuneminye imithi. I-moxifloxacin, ikakhulukazi, isincoma esisha kakhulu. Ngesikhathi izincomo zokwelapha zika-2015 zithunyelwa, i-mycoplasma yabhekwa njengesizathu esikhulu se-NGU. Ngakho-ke, ukwelashwa okuhloswe ku-mycoplasma kwakungabalulekile kubalulekile ngemuva kokuhluleka kokwelapha kokuqala. Kodwa-ke, i-CDC ithole ukuthi i-azythromycin ephakeme kakhulu ayilusizo ekwelapheni i-mycoplasma. Yingakho batusa i-moxifloxacin kunesizungu sesibili sokwelashwa kwe-azithromycin ye-NGU
Ngokuphambene, i-metronidazole ne-tinadazole zisetshenziselwa ukwelapha izifo ezithathelwanayo ze-trichomoniasis. Ukuhlolwa akutholakali yonke indawo kulokhu ukutheleleka kwamadoda.
Sicela uqaphele: Kufanele uvame ukulala ocansini ngenkathi ukwelashwa. Lokhu kunciphisa amathuba okuthi wena nomlingani wakho nidlulisele ukutheleleka emuva nangaphezulu . Noma yimuphi umlingani ovamile ocansini kufanele abuye ahanjiswe ukuhlolwa nokwelapha uma uthola ukuthi une- STD .
Imithombo:
> Workowski KA, i-Bolan GA; Amasevisi Okulawula Nokuvimbela Izifo. Imihlahlandlela yokwelapha yezifo ezithathelwana ngocansi, 2015. Impendulo ye-MMWR Rep. 2015 Jun 5; 64 (RR-03): 1-137. I-Erratum ku: I-MMWR Incomo Yonyaka ka-2015 Aug 28; 64 (33): 924.