Puas yog azithromycin kho chlamydia: Ntau npaum li cas / ntev npaum li cas?

Tom qab noj ob 500mg ntawm cov tshuaj tua kab mob rau cov kab mob chlamydia nws siv sijhawm ntev npaum li cas rau tus kab mob kom tshem tau?

Teb chaws

los ntawm tshuaj.com

Ib koob ntawm azithromycin 1 gram ntawm qhov ncauj yuav kho qhov chaw mos chlamydia raws li CDC Cov Lus Qhia rau Cov Kab Mob Sib Kis , tso tawm xyoo 2015, tab sis tseem suav tias yog tam sim no. Qhov no feem ntau yog noj li plaub 250mg lossis ob 500mg ntsiav tshuaj ntawm azithromycin hauv ib koob.



Cov koob tshuaj yog tib yam rau cov neeg laus thiab cov menyuam yaus hnub nyoog qis dua yim xyoo lossis hnyav dua 45kg. Cov koob tshuaj kuj yog tib yam rau cov neeg muaj HIV thiab cov tsis muaj HIV. CDC pom zoo koob tshuaj no los kho cov kab mob chlamydia hauv qab no:

  • Urogenital (muaj feem xyuam rau ob qho tib si cov zis thiab qhov chaw mos)
  • Anogenital ( cuam tshuam rau ob qho tib si lub qhov quav thiab qhov chaw mos) (Ceeb toom WHO STI cov lus qhia nyiam doxycycline tshaj azithromycin rau kab mob chlamydial anorectal)
  • Oropharyngeal (qhov chaw lossis lub caj pas nyob tom qab ntawm lub qhov ncauj uas suav nrog sab nraub qaum thib peb ntawm tus nplaig, lub palate mos, sab thiab sab nraub qaum ntawm caj pas, thiab cov tonsils).

Tom qab noj azithromycin 1 gram raws li ib koob tshuaj, cov neeg sib deev yuav tsum tsis txhob muaj kev sib deev rau 7 hnub txhawm rau tiv thaiv kev kis tus kabmob mus rau cov neeg koom tes.

Txhua tus neeg koom nrog kev sib deev ntawm tus neeg mob chlamydia yuav tsum tau kho nrog azithromycin 1 gram ntawm qhov ncauj raws li ib koob tshuaj. Nyob ntawm lub xeev cov kev cai lij choj, uas tuaj yeem sib txawv, qhov no yuav ua tau raws li kev kho mob sai sai (raws li kev soj ntsuam kev soj ntsuam tab sis tsis tas tos rau kev kuaj pom tseeb) yog tias tus kws kho mob txhawj xeeb tias tus khub yuav tsis raug tshuaj xyuas lossis kho.

Kev soj ntsuam kev soj ntsuam tuaj yeem ua tiav hauv 3 mus rau 4 lub lis piam txhawm rau kuaj xyuas kev kho tsis ua haujlwm lossis rov ua dua tshiab.

Lymphogranuloma venereum (LGV), yog kab mob chlamydial tshwm sim los ntawm 3 hom kab mob tshwj xeeb Chlamydia trachomatis thiab tus cwj pwm los ntawm ib qho me me, feem ntau asymptomatic daim tawv nqaij lesion, ua raws li cov qog nqaij hlav o nyob rau hauv puab tais lossis pelvis. Yog tias LGV tau txais los ntawm qhov quav, nws tuaj yeem tshwm sim raws li tus mob proctitis.

Rau LGV cov txheej txheem kev sib deev kis tau tus mob WHO nyiam doxycycline 100 mg ntawm qhov ncauj ob zaug ib hnub rau 21 hnub tshaj azithromycin 1 gram ntawm qhov ncauj, txhua lub lim tiam rau 3 lub lis piam.

Dab tsi yog qhov koob tshuaj ntawm azithromycin rau chlamydia?

Qhov pom zoo koob tshuaj ntawm azithromycin rau chlamydia yog 1 gram li ib koob. Cov koob tshuaj no tuaj yeem noj thaum sawv ntxov lossis hmo ntuj thiab tuaj yeem noj nrog lossis tsis muaj zaub mov. Lwm lub npe rau azithromycin yog Zithromax.

Yog tias koj tau noj koj cov koob tshuaj azithromycin ntawm lub plab khoob thiab koj lub plab tau ntxhov siab me ntsis lossis koj muaj mob, nws yog qhov zoo los noj qee yam zaub mov, uas yuav pab daws nws.

Ib koob tshuaj 500mg ntawm azithromycin tsis pom zoo los ntawm cov lus qhia los kho chlamydia. Tseem muaj lub caij nyoog nws yuav ua rau muaj kev pheej hmoo ntawm C. trachomatis cov kab mob ua rau nws tiv taus. Yog tias koj tsuas tau noj lossis tsuas yog tau txhaj tshuaj 500mg ntawm azithromycin, koj yuav tsum rov qab mus rau koj tus kws kho mob kom tau txais 1 gram koob tshuaj. Koj yuav tsum tsis txhob muab koj cov koob tshuaj azithromycin rau lwm tus.

Koj puas tuaj yeem haus cawv thaum noj azithromycin rau chlamydia?

Yog lawm, koj tuaj yeem haus cawv me me thaum koj noj azithromycin tab sis muaj feem ntau ntawm cov cawv tuaj yeem ua rau mob plab hnyuv ntawm azithromycin, xws li xeev siab, raws plab, ntuav, mob plab, dyspepsia, lossis flatulence. Kev haus cawv ntau dhau nrog azithromycin tuaj yeem ua rau koj mob taub hau.

Vim tias azithromycin feem ntau yog noj ib zaug ib zaug, haus cawv tsis zoo li yuav txwv tsis pub azithromycin los kho tus mob chlamydia.

Puas yog azithromycin kho chlamydia?

Kev kho tus nqi ntawm 97% tau tshaj tawm hauv kev tshuaj xyuas ntawm 12 qhov kev sim tshuaj ntsuam xyuas uas tau tshawb xyuas kev siv azithromycin 1 gram rau kev kho mob chlamydia. Qhov ntawd txhais tau tias rau txhua 100 tus neeg mob chlamydia uas noj azithromycin, 97 yuav kho tau thiab 3 yuav tsis kho.

Qhov no tso siab rau tus neeg mob chlamydia noj azithromycin raws nraim li qhia thiab tsis sib koom cov tshuaj nrog leej twg. Txhua tus neeg koom nrog kev sib deev yuav tsum tau kho.

Txawm hais tias azithromycin kho chlamydia hauv tib neeg feem ntau, nws yuav tsis kho qhov kev puas tsuaj tas mus li rau cov ntaub so ntswg los ntawm tus kab mob.

Yog tias koj tau mob chlamydia ua ntej kev kho mob thiab koj cov tsos mob txuas ntxiv mus ntev tshaj li ob peb hnub tom qab tau txais kev kho mob, thov kom rov ntsuam xyuas los ntawm koj tus kws kho mob.

Hmoov tsis zoo, rov kis tus kab mob chlamydia ntau dua. Qhov no txhais tau hais tias txawm tias azithromycin tau kho koj tus kab mob chlamydia tam sim no, qhov no tsis tau txhais hais tias koj yuav tsis kis chlamydia dua. Yog tias koj cov neeg koom nrog kev sib deev tsis tau txais kev kho mob kom tsim nyog, koj muaj kev pheej hmoo siab rau kev rov ua dua tshiab. Muaj chlamydia ntau zaus ua rau cov poj niam muaj kev pheej hmoo siab ntawm cov teeb meem fertility, cev xeeb tub ectopic, thiab kab mob pelvic inflammatory. Cov menyuam mos yug los rau cov niam uas muaj tus kab mob chlamydia tuaj yeem tsim chlamydial conjunctivitis thiab / lossis mob ntsws. Kab mob Chlamydial hauv cov menyuam mos tuaj yeem kho nrog tshuaj tua kab mob.

Peb lub hlis tom qab koj tau kawm tiav ntawm azithromycin koj yuav tsum tau kuaj xyuas chlamydia. Qhov no tsis hais seb koj puas ntseeg tias koj cov neeg koom nrog kev sib deev tau ua tiav zoo.

Yuav noj azithromycin li cas rau chlamydia?

Cov ntsiav tshuaj Azithromycin tuaj yeem noj nrog zaub mov lossis tsis muaj zaub mov. Yog tias koj tau noj koj cov koob tshuaj azithromycin ntawm lub plab khoob thiab koj mob plab lossis mob, nws yog qhov zoo los noj qee yam zaub mov, uas yuav pab daws nws.

Nws siv sijhawm ntev npaum li cas rau azithromycin los kho chlamydia?

Nws yuav siv li ib lub lis piam (xya hnub) rau azithromycin los kho chlamydia.

Tsis txhob sib deev rau xya hnub tom qab noj koj ib koob tshuaj azithromycin, lossis koj tuaj yeem kis tau koj tus khub sib deev nrog chlamydia.

Puas yog azithromycin zoo dua li doxycycline ntawm kev kho chlamydia?

STD cov lus qhia tseem nyiam azithromycin tshaj doxycycline rau kev kho mob chlamydia. Qhov no yog vim li cas hauv qab no:

  • Kev kho tus nqi ntawm azithromycin thiab doxycycline zoo sib xws, 97% thiab 98-100% feem, raws li kev tshuaj ntsuam meta-12 qhov kev sim.
  • Azithromycin yog ib koob tshuaj ib zaug, doxycycline yuav tsum tau muab rau xya hnub, xws li ib zaug ib hnub lossis ob zaug ib hnub.
  • koob tshuaj azithromycin tuaj yeem saib xyuas tau yooj yim yog tias xav tau; Nws yog qhov nyuaj dua los saib xyuas xya hnub ntawm ib zaug ib hnub lossis ob zaug kev kho doxycycline ib hnub
  • Cov neeg muaj feem yuav noj ib koob tshuaj azithromycin ntau dua li ua tiav xya hnub ntawm doxycycline.

Tsis ntev los no, qee cov ntawv tshaj tawm tau qhia tias doxycycline tuaj yeem ua haujlwm zoo dua li azithromycin, tshwj xeeb tshaj yog thaum noj tshuaj tuaj yeem paub tseeb. Kuj tseem muaj qee qhov kev txhawj xeeb tias azithromycin yuav tsis zoo rau cov kab mob anogenital (qhov quav thiab qhov chaw mos) chlamydial.

Puas yog kev kho mob ib txwm tsim nyog rau chlamydia?

Yog lawm, kev kho mob yog tsim nyog rau chlamydia, tshwj xeeb tshaj yog nyob rau hauv cov poj niam ntawm cov me nyuam muaj hnub nyoog, vim hais tias nws txo qhov kev pheej hmoo ntawm chlamydia-koom nrog ectopic cev xeeb tub, fertility teeb meem, thiab kis tau tus mob chlamydia rau neonates thaum yug los. Hauv cov poj niam, ntawm txhua lub hnub nyoog, kev kho mob chlamydia txo qhov kev pheej hmoo ntawm pelvic inflammatory kab mob.

Hauv cov txiv neej, kev kho mob chlamydia txwv tsis pub lawv kis los yog rov ua rau cov neeg koom nrog kev sib deev nrog cov kab mob.

Kho txhua tus neeg uas kuaj pom muaj tus kab mob chlamydia nrog kev pom zoo ntawm cov tshuaj tua kab mob tam sim. Kev qeeb hauv kev kho mob tau cuam tshuam nrog cov teeb meem, xws li kab mob pelvic inflammatory.

Yuav kho chlamydia li cas?

Cov hauv qab no yog cov kev kho mob pom zoo rau cov kab mob chlamydia raws li Cov Lus Qhia rau Cov Kab Mob Sib Kis, tso tawm xyoo 2015, tab sis tseem suav tias yog tam sim no. Tsuas yog ib txoj cai yuav tsum raug xaiv.

  • Azithromycin 1 gram ntawm qhov ncauj raws li ib koob tshuaj
  • LOSSIS
  • Doxycycline 100 mg ntawm qhov ncauj ob zaug ib hnub rau 7 hnub
  • LOSSIS
  • Doxycycline 200mg ntawm qhov ncauj ib hnub ib zaug rau 7 hnub (Doryx).

Alternative regimens muaj xws li:

  • Erythromycin hauv paus 500 mg ntawm qhov ncauj plaub zaug hauv ib hnub rau 7 hnub
  • LOSSIS
  • Erythromycin ethylsuccinate 800 mg ntawm qhov ncauj plaub zaug hauv ib hnub rau 7 hnub
  • LOSSIS
  • Levofloxacin 500 mg ntawm qhov ncauj ib hnub ib hnub rau 7 hnub
  • LOSSIS
  • Ofloxacin 300 mg ntawm qhov ncauj ob zaug ib hnub rau 7 hnub.

Chlamydia yog dab tsi?

Chlamydia yog tus kab mob uas tshwm sim ntau tshaj plaws hauv Tebchaws Meskas, uas muaj ntau tshaj plaws ntawm cov poj niam hnub nyoog qis dua 25 xyoo, txawm hais tias nws tuaj yeem tshwm sim rau txiv neej thiab poj niam thiab txhua lub hnub nyoog. Nws tshwm sim los ntawm cov kab mob hu ua Chlamydia trachomatis , thiab yog tias tsis kho, tuaj yeem ua rau muaj kab mob pelvic inflammatory, ectopic cev xeeb tub, thiab infertility hauv cov poj niam.

Cov tsos mob ntawm chlamydia yog dab tsi?

Ntau tus neeg uas muaj tus kab mob chlamydia tsis muaj tsos mob tshwm sim, thiab lawv cov kab mob tsuas yog tuaj nrog kev tshuaj ntsuam xyuas.

Cov lus qhia tam sim no pom zoo kom txhua tus poj niam hnub nyoog qis dua 25 xyoos tau kuaj mob chlamydia txhua xyoo. Cov poj niam laus uas muaj feem yuav kis tau tus kab mob, xws li cov neeg uas muaj tus khub tshiab, ntau dua ib tus khub poj niam txiv neej, tus poj niam sib deev nrog cov neeg koom nrog, lossis tus khub poj niam txiv neej uas muaj tus kab mob sib deev, yuav tsum tau tshuaj xyuas tsis tu ncua.

Txawm hais tias niaj hnub kev tshuaj ntsuam xyuas chlamydia hauv cov txiv neej hluas tam sim no tsis pom zoo, nws yuav tsum tau txiav txim siab hauv cov neeg uas muaj tus kab mob chlamydia ntau heev (xws li cov chaw kho mob hluas, cov chaw kho mob, thiab cov chaw kho mob STD) lossis cov neeg muaj kev pheej hmoo siab rau chlamydia (xws li cov txiv neej uas. nrog txiv neej pw).

cov tshuaj com ntsiav tshuaj tus cim tus kws pab tswv yim

Qee tus neeg yuav muaj cov tsos mob.

Cov poj niam yuav pom qhov txawv txav ntawm qhov chaw mos los yog teeb meem thaum tso zis (peeing), xws li mob lossis kub hnyiab, xav tau tso zis ntau ntxiv (pee); mob thaum sib deev; los ntshav ntawm lub sij hawm los yog tom qab kev sib deev; sab plab (plab), los yog pelvic (hip) mob los yog cramps los yog.

Cov txiv neej tuaj yeem pom qhov tso tawm ntawm lawv qhov chaw mos, mob lossis tsis xis nyob thaum tso zis (peeing), lossis mob lossis o hauv lawv cov noob qes.

Yuav kuaj mob chlamydia li cas?

Cov kab mob chlamydia tuaj yeem kuaj tau los ntawm kev kuaj zis thawj zaug lossis ib qho swab sau los ntawm endocervix lossis qhov chaw mos hauv cov poj niam, lossis kuaj thawj zaug los yog ib qho swab sau los ntawm cov zis hauv cov txiv neej.

Kev kuaj tus kheej ntawm qhov chaw mos swab muaj thiab ntau tus poj niam pom qhov kev tshuaj ntsuam no tau txais txiaj ntsig zoo.

Cov ntaub ntawv
  • Geisler WM, Uniyal A, Lee JY, et al. Azithromycin piv rau Doxycycline rau Urogenital Chlamydia trachomatis Kab Mob. N Engl J Med. 2015; 373(26): 2512-2521. doi: 10.1056/NEJMoa1502599
  • Workowski, K, Bolan G. US Department of Health thiab Human Services. Cov Lus Qhia Txog Kev Kho Kab Mob Hauv Kev Sib Deev, 2015. Kev Qhia Txog Kev Mob thiab Kev Tuag Txhua Lub Limtiam. 05 Lub Xya hli ntuj 2015: 64(3)
  • WHO Cov Lus Qhia rau Kev Kho Mob Chlamydia trachomatis. Geneva: Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv; 2016. 4, NYEEM NTXIV RAU KEV KHO MOB CHLAMYDIAL INFECTIONS. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/books/NBK379708/
  • Kev kho mob thiab kho mob chlamydia. Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob (CDC) https://www.cdc.gov/std/chlamydia/treatment.htm
  • Daim Ntawv Qhia Txog Kev Kho Mob Chlamydia. Wisconsin Department of Health Services. https://www.dhs.wisconsin.gov/publications/p0/p00197.pdf

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