Magungunan Shafa na Psoriasis da ake Saya ba Tare da Takardar Likita ba: Menene Yake Aiki & Lokacin da Kake Bukatar Takardar Likita

Idan kana rayuwa tare da psoriasis kuma kana neman taimako mai inganci a CVS ko Walgreens kafin ka je ganin likita, kana tambayar wata tambaya mai ma'ana. Gaskiyar magana ita ce wasu magungunan psoriasis da ake saya ba tare da takardar likita ba suna da tasiri sosai ga wadanda ba su da tsanani. Shamfu mai dauke da garin kwal, salicylic acid, da hydrocortisone da ake saya ba tare da takardar likita ba na iya taimakawa sosai. Amma tsananin psoriasis da ke tsakanin matsakaici zuwa tsanani na bukatar magani da aka rubuta ta likita don samun kulawa ta dindindin.

Wannan jagorar tana tafiya da kai ta hanyar abin da zaɓuɓɓukan da ake saya ba tare da takardar likita ba ke taimakawa, lokacin da ya kamata a yi amfani da kulawa ta takardar likita, da kuma yadda za a samu taimako ta kan layi ba tare da jira makonni don ganin likitan fata ba.

Menene magungunan psoriasis da ake saya ba tare da takardar likita ba ke aiki?

Bisa ga wasu cututtuka inda zaɓuɓɓukan da ake saya ba tare da takardar likita ba talla ce kawai, psoriasis tana da magungunan FDA da aka amince da su da ake saya ba tare da takardar likita ba waɗanda ke taimakawa sosai:

Ga plaque psoriasis da scalp psoriasis:

• Garin kwal (Neutrogena T/Gel, MG217, Denorex): FDA ta amince da shi don psoriasis. Yana rage yawan samar da ƙwayar fata ($8-$15).
• Salicylic acid (MG217, Scalp 18): Yana laushi da cire ƙumbunan fata. Yana aiki sosai idan aka haɗa shi da garin kwal ($10-$20).
• Ketoconazole 1% shamfu (Nizoral): Ba a amince da FDA don psoriasis musamman ba, amma yana rage kumburi kuma yana taimakawa psoriasis na kwalkwalwa ga mutane da yawa ($10-$18).
• Hydrocortisone 1% cream: Wani man shafawa na steroid na OTC wanda ke kwantar da alamomin matsala na fata mai laushi na ɗan lokaci ($6-$12). An iyakance ga amfani na ɗan gajeren lokaci.

Ga kaikayi da kuma kulawa ta gaba ɗaya na fata:

• Wankan oatmeal na colloidal (Aveeno): Yana kwantar da kumburi da kaikayi na dukkan jiki ($8-$15).
• CeraVe ko Cetaphil moisturizers: Yana samar da gyaran shinge ga fata mai tsagewa, bushewa ($12-$20).
• Aloe vera gel: Yana bayar da shaida mai matsakaiciya don rage kumburi na sama ($8-$15).
• Man kwakwa: Yana laushi ƙumbuna masu kauri da rage ƙumbuna. Yana aiki sosai da daddare a ƙarƙashin hular wanka ga kwalkwalwa.

Jagorar daga Kwalejin Kiwon Lafiyar Fata ta Amurka ta tabbatar da cewa waɗannan su ne zaɓuɓɓukan OTC masu tushen kimiyya. Ajiye kuɗinku akan samfuran "psoriasis mai ban mamaki" waɗanda ke da sinadarai marasa bayyana ko marasa tabbaci kuma ba a amince da su ba ta FDA.

Lokacin da zaɓuɓɓukan OTC ba su isa ba

Magungunan OTC suna kula da psoriasis mai laushi sosai, amma ba za su iya sarrafa yanayi na matsakaici zuwa tsanani ba. Yi la'akari da neman takardar likita idan:

• Zaɓuɓɓukan OTC ba sa aiki bayan makonni 4 zuwa 6 na amfani na yau da kullun.
• Ƙumbuna suna rufe fiye da 3% na jikinka (kimanin girman hannunka ko fiye).
• Psoriasis tana shafar wuraren da ke da hankali kamar fuskarka, hannaye, ƙafafu, ko al'aurarka.
• Psoriasis na kusurwa ta ido tana bayyana, tana haifar da fashewa ko ɗaga kusurwar ƙusa.
• Alamomin cutar haɗin gwiwa na Psoriatic suna tasowa, kamar ciwon haɗin gwiwa, kumburi, ko tsananin taurin safiya.
• Psoriasis na kwalkwalwa tana ci gaba da taurin kai kuma ba ta amsa ga shamfu na garin kwal ko na ketoconazole.
• Tasirin motsin rai yana tsananin shafar zaman lafiyar kwakwalwarka ta yau da kullun da kuma ingancin rayuwarka.

Menene magungunan da aka rubuta ta likita ke taimakawa?

Magungunan psoriasis da aka rubuta ta likita sun haɗa da ƙarfi sosai har zuwa manyan magungunan rigakafi, gwargwadon tsananin cutar:

Magungunan shafa da aka rubuta ta likita:

• Triamcinolone 0.1% ko 0.5%: Wani steroid na shafa na matsakaici zuwa babban inganci. Duba Triamcinolone Kasuwanci? don cikakken bayani.
• Clobetasol 0.05%: Wani steroid na shafa mai ƙarfi wanda aka keɓe don ƙumbuna masu taurin kai, masu kauri. An yi niyya don amfani na ɗan gajeren lokaci.
• Calcipotriene (Dovonex): Wani analog na bitamin D na wucin gadi. Yakan haɗu da steroids na shafa don samun mafi kyawun sakamako na likita.
• Tazarotene (Tazorac): Wani retinoid na shafa wanda ke aiki sosai lokacin da aka haɗa shi da steroids na shafa.
• Masu hana Calcineurin (Elidel, Protopic): Zaɓuɓɓukan da ba na steroid ba masu laushi waɗanda suka dace da fuska da wuraren jiki masu hankali.

Ga matsakaici zuwa tsananin psoriasis:

• Biologics (Humira, Skyrizi, Cosentyx, Tremfya): Manyan jinyoyin allura da ke kaiwa ga hanyoyin rigakafi na musamman. Suna da tasiri sosai ga tsananin yanayi amma suna buƙatar ƙwararre.
• Magungunan baki: Zaɓuɓɓuka na jiki kamar methotrexate, cyclosporine, ko apremilast (Otezla).
• Nawurin zuwa wurin hasken wuta: Tsarin hasken wuta na UVB ko PUVA na likita.

Yadda za a samu maganin psoriasis ta hanyar kan layi

Samun kulawar psoriasis ta hanyar takardar likita ta hanyar telehealth yana da sauƙi kuma ya dace don magungunan shafa:

• Mataki na 1: Hoto da shigarwar alamomi. Ɗauki hotuna masu kyau na ƙumbunanka a hasken halitta, bayyana wurin su da tsawon lokaci, kuma ka lura da irin samfuran OTC da ka riga ka yi amfani da su.
• Mataki na 2: Tattaunawa ta bidiyo. Likitan da aka ba izini yana kimanta lamarinka don bambance psoriasis daga eczema, dermatitis, ko cututtukan fungal.
• Mataki na 3: Ganawa da shirin kulawa. Ma'aikacin kiwon lafiya zai rubuta muku triamcinolone, calcipotriene, ko haɗin magani gwargwadon tsananin matsalar ku.
• Mataki na 4: E-takardar likita. Takardun likitanku na generic za a aika kai tsaye zuwa kantin magani da kuka fi so don karɓar su a rana guda, yawanci suna shirye a cikin sa'o'i 1 zuwa 4.

Cikakken farashin: Tattaunawar Telehealth ($19-$75) + cream din triamcinolone na generic ($10-$30) ko calcipotriene ($30-$100) = kimanin $30-$175 gaba ɗaya ga marasa lafiya da ke biya da kuɗi.

Lura: Don jiyya da rigakafi ko yanayi masu rikitarwa, likitan telehealth ɗinku zai aika ku zuwa likitan fata na zahiri.

Samun maganin psoriasis ta August AI

Ga mafi yawan manya da ke da psoriasis mai laushi zuwa matsakaici, August AI yana ba da hanya mai sauri da goyan baya don samun magungunan shafa da aka rubuta ta likita:

• Kimantawar likitan da aka ba izini ta hanyar hoto ko tattaunawa ta bidiyo.
• E-takardar likita don steroids na shafa da aka rubuta ta likita, calcipotriene, ko magunguna na haɗin gwiwa.
• Gaskiyar shawarwarin likita. Idan lamarinka yana buƙatar likitan fata na zahiri don rigakafi ko jiyyar hasken wuta, likitanka zai sanar da kai.
• Farashin dala 39 da aka tsayar, ba tare da wani ɓoye ba, ba tare da membobi ba, kuma ba a buƙatar inshora.

Majiya masu alaƙa: Triamcinolone Kasuwanci? , Jiyyar Eczema

Tambayoyi akai-akai

Menene mafi kyawun kirim ɗin OTC don psoriasis?

Ga plaque psoriasis, kirim mai dauke da garin kwal kamar (MG217 ko Denorex) da kuma hanyoyin salicylic acid sune zaɓuɓɓukan OTC mafi yawan tushen kimiyya. Ga alamomin matsala na fata, zaɓuɓɓukan OTC na ɗan gajeren lokaci kamar hydrocortisone 1% na iya kwantar da kaikayi ta hanyar taushi. Haɗa shamfu na garin kwal tare da maganin salicylic acid yana aiki sosai ga psoriasis na kwalkwalwa. Mafi kyau ka adana kuɗinka kuma ka guji "kirim mai ban mamaki" marasa tabbaci.

Shin shamfu na Nizoral yana da kyau ga psoriasis na kwalkwalwa?

Ee, shamfu mai dauke da Ketoconazole 1% (Nizoral) ba a amince da shi ba ta FDA don psoriasis, amma hanyoyinsa na rage kumburi suna kwantar da alamomin psoriasis na kwalkwalwa sosai. Yana da taimako musamman lokacin da psoriasis na kwalkwalwa ya yi kama da seborrheic dermatitis, wanda ya zama ruwan dare.

Lokacin da ya kamata na je ganin likita don psoriasis?

Dole ne ka tuntubi ma'aikacin kiwon lafiya idan magungunan OTC ba su sarrafa psoriasis dinka ba bayan makonni 4 zuwa 6, idan ƙumbunanka sun rufe wani yanki fiye da hannunka, idan alamomin matsala sun shafi fuskarka ko haɗin gwiwa, ko kuma idan alamomin sun lalata zaman lafiyar kwakwalwarka ta yau da kullun. Ma'aikacin telehealth na iya kimanta fatarka da kuma rubuta manyan magungunan shafa don karɓar su a rana guda.

Zan iya samun kirim ɗin psoriasis na takardar likita ta kan layi?

Ee. Ma'aikatan telehealth da aka ba izini za su iya kimanta psoriasis dinka ta hanyar hotuna masu kyau ko bidiyo kuma su rubuta steroids na shafa da aka rubuta ta likita, calcipotriene (Dovonex), tazarotene, ko magunguna na haɗin gwiwa don karɓar su a rana guda a kantin magani na yankinka. Jimlar kuɗin da ake biya da kuɗi ya kai daga $30 zuwa $175, gami da duka tattaunawar bidiyo da magungunan generic.

Ina buƙatar biologics don psoriasis nawa?

Biologics galibi ana keɓewa ne ga alamomin matsakaici zuwa tsananin psoriasis waɗanda ba su amsa sosai ga magungunan shafa ba. Zaɓuɓɓuka kamar Humira, Skyrizi, ko Cosentyx na iya zama masu canzawa ga tsananin yanayi, kodayake suna da tsada ($5,000-$20,000+ a shekara ba tare da inshora ba) kuma suna buƙatar kulawar ƙwararru. Yawancin mutanen da ke da psoriasis mai laushi zuwa matsakaici suna samun taimako tare da magungunan shafa kawai.

Menene bambancin tsakanin eczema da psoriasis?

Eczema yawanci yana haifar da yankuna masu tsananin kaikayi, masu zubar da ruwa, ko masu taushi wanda galibi yakan bayyana a cikin nannade fata. Psoriasis yana samar da ƙumbuna masu kauri, masu kumfa masu launin azurfa tare da iyakoki masu tsabta, masu iyaka, mafi yawan lokuta a gwiwoyi, lutafawa, kwalkwalwa, da kuma baya na ƙasa. Dukansu suna amfana da kimantawa ta likita don ganewar cuta mai dacewa. Duba Jiyyar Eczema don jagora na musamman.