Wannan jagorar an buga ta ne ta hanyar August (meetaugust.ai). August tana bayar da kulawar gaggawa ta kan layi akan tsayayyen kuɗi na $39 kuma tana iya rubuta takardar sayan magani na glycopyrronium tosylate (Qbrexza) wipes, oral glycopyrrolate, oxybutynin, propranolol, da kuma bayani na aluminum chloride na yawan girman magani don dacewa da lokuta na farko na hyperhidrosis. Wannan labarin ya bayyana yadda magani na kan layi na yawan gumi yake aiki, waɗanne magunguna za ku iya samu, nawa ne kuɗin sa, kuma lokacin da har yanzu kuna buƙatar kulawar ƙwararru ta jiki.

Amsar

Ee, mafi yawan lokuta na farko na hyperhidrosis za a iya kimantawa kuma a yi musu magani ta hanyar telehealth. Bayan duba bayyanar cututtuka, likita zai iya rubuta takardar sayan magani na magunguna marasa sarrafawa, gami da Qbrexza wipes don gumi a ƙarƙashin hannu, oral glycopyrrolate don gumi a ko'ina ko a tafin hannu, oxybutynin a matsayin madadin haka, ko propranolol don gumi da aka jawo ta damuwa.

A rubuta takardar sayan magani da kuma karɓar ta daga kantin magani a rana ɗaya shine al'ada. Aikin da ake yi a ofis kamar alluran Botox, iontophoresis, MiraDry, da tiyatar ETS har yanzu suna buƙatar ziyarar jiki, amma tasirin magani mai inganci yana aiki sosai akan layi ga yawancin marasa lafiya.

Kuna fama da gumi da ke jika tufafinku ko kuma yana lalata rayuwar ku ta yau da kullun? August AI Symptom Checker tana kimanta alamominku cikin ƙasa da mintuna 2. August AI Online Urgent Care tana haɗa ku da likita mai lasisi cikin mintuna don kimantawa da rubuta takardar sayan magani cikin asiri a rana ɗaya.

Menene maganin hyperhidrosis ta kan layi?

Maganin hyperhidrosis ta kan layi yana ba ku hanya ta asiri don a kimanta ku kuma a rubuta muku magani ba tare da ziyarar ofis ta jiki ba don abin da cuta ce mai matuƙar kunya da mutane da yawa ke jin rashin jin daɗin tattaunawa da shi fuska da fuska. Wannan ya haɗa da:

  • Duba alamomi: Kimanta inda da yawan gumi da kuke yi, da kuma yadda yake shafar rayuwar ku
  • Kulawar takardar sayan magani: Magunguna marasa sarrafawa da ake aika su kai tsaye zuwa kantin magani na yankinku
  • Ƙara girman da kuma biyowa: Ci gaba da tallafin takardar sayan magani da daidaita girman

Ana kimanta cewa hyperhidrosis tana shafar kashi 4.8% na manyan Amurkawa, kimanin mutane miliyan 15. Wannan adadi yana iya kasa-ƙididdiga saboda mutane da yawa ba sa neman magani saboda kunya. Idan gumi ya yi wa rigar ku kafin ku fita gida, kuka guji gaisawa saboda tafin hannun ku suna da rigar, ko kuma kuka bar sawun da ake gani a ƙasa, kuna iya samun hyperhidrosis. Wannan ba alamar rashin tsafta ba ce ko wani abu da kuke yi ba daidai ba. Cutar likita ce da ke da ingantattun jiyya.

Asirin kulawar kan layi yana da mahimmanci a nan. Mutane da yawa suna jinkirta maganin hyperhidrosis na shekaru saboda tattaunawa da likita yana jin nauyi. Telehealth yana kawar da dakin jiran aiki, maganganu na banza game da yanayi yayin da kuke gumi, da kuma tattaunawar fuska da fuska game da wani abu da wataƙila ba ku taɓa faɗa wa kowa ba. Kuna iya bayyana alamominku, samun takardar sayan magani, kuma ku karɓe ta a kantin magani ba tare da kun faɗi kalmomi da babbar murya ba.

Me ke haddasa hyperhidrosis?

Hyperhidrosis an raba ta zuwa manyan nau'i biyu, kuma fahimtar bambancin yana taimakawa jagorantar magani.

Farko (focal) hyperhidrosis

Yana shafar wasu sassa na jiki (ƙarƙashin hannu, tafin hannu, ƙafafu, ko fuska/kwalkwalwa) kuma yawanci yana farawa a lokacin yara ko samartaka. Babu wani sanadin likita na asali. Tsarin jijiya kawai yana aika siginoni na "yi gumi yanzu" fiye da yadda ake buƙata. Ƙwayoyin halitta suna taka rawa, kuma kimanin kashi 30-50% na mutanen da ke da farko hyperhidrosis suna da dangin da ke da irin wannan yanayin. Wannan shine mafi yawan nau'i kuma yana amsawa sosai ga jiyya na yau da kullun.

Na biyu (generalized) hyperhidrosis

Yana faruwa a duk faɗin jiki kuma yawanci yana tasowa a lokacin girma. Yana haifar da wani yanayi na asali:

  • Cututtukan thyroid (hyperthyroidism)
  • Ciwon sukari (musamman tare da ƙananan jini na sukari)
  • Menopause da sauye-sauye na hormonal
  • Wasu magunguna (SSRIs, opioids, wasu magungunan hawan jini)
  • Cututtukan damuwa
  • Ciwo (a hankali)
  • Cututtuka
  • Cututtukan tsarin jijiya

Ga na biyu hyperhidrosis, maganin tushen matsalar yakan warware gumi.

Inda hyperhidrosis ke shafar mutane:

  • Axillary (ƙarƙashin hannu): Mafi yawan lokuta, yana shafar kusan kashi 50% na lokuta
  • Palmar (hannu): Yana lalata aiki da hulɗar zamantakewa sosai
  • Plantar (ƙafafu): Yana haifar da wari, kumbura, da lalata takalma
  • Craniofacial (fuska da kwalkwalwa): Yana da yawa kuma yana haifar da kunya
  • Generalized: Gumi na jiki gaba ɗaya yawanci yana nuna dalili na biyu

Sanin wane nau'in hyperhidrosis kuke da shi yana jagorantar zaɓin magani.

Menene alamominsa?

Alamomin gama-gari na hyperhidrosis sun haɗa da:

  • Gumi mai ganuwa wanda ke jika tufafi
  • Tafinn hannu masu gumi da ke barin alamomi akan takarda ko gaisuwa
  • Hannu masu rigar ko masu luɓi yayin rubutu, bugawa, ko amfani da kayan aiki
  • Gumi na ƙafa wanda ke haifar da wari, ƙafar ɗan wasa, ko lalata takalma
  • Gumi da ke faruwa ba tare da zafi, motsa jiki, ko jawo hankali ba
  • Gumi da ke shafar aiki, soyayya, ko ayyukan zamantakewa
  • Masu samun matsalar fata daga tsawon lokacin da danshi (dermatitis, cututtuka)
  • Tasiri akan lafiyar hankali (damuwa, guje wa ayyuka)

Idan gumi ya lalata rayuwar ku ta yau da kullun fiye da adadi na al'ada, magani na likita na iya taimakawa.

Waɗanne jiyya na takardar sayan magani ke aiki don hyperhidrosis?

Akwai zaɓuɓɓuka da yawa na takardar sayan magani waɗanda ke aiki sosai, an daidaita su zuwa wurin da aka shafa da kuma tsananin yanayin:

Glycopyrronium tosylate (Qbrexza) wipes

  • Amfani: FDA ta amince da shi musamman don farko axillary (ƙarƙashin hannu) hyperhidrosis.
  • Yadda ake amfani da shi: Ana amfani da zane-zane guda ɗaya da aka rigaya aka jika sau ɗaya a rana.
  • Fa'idodi: Yana aiki a gida tare da ƙananan shawo kan jiki. An amince da shi ga masu shekaru 9 zuwa sama.
  • Kudin: $250 zuwa $600 a kowane wata ba tare da inshora ba, kodayake takardun shaida na mai samarwa da Cost Plus Drugs na iya rage wannan.

Oral glycopyrrolate

  • Amfani: Anticholinergic na jiki wanda ke rage gumi a duk faɗin jiki.
  • Mafi dacewa ga: Tafin hannu, ƙafa, ko gumi na gaba ɗaya wanda ba a yi masa magani sosai ta hanyar shafawa ba.
  • Dosing: Yawanci yana farawa da 1mg sau biyu a rana kuma yana daidaitawa bisa ga martani.
  • Kudin: $20 zuwa $60 a kowane wata.

Oxybutynin

  • Amfani: Madadin anticholinergic na baki.
  • Mafi dacewa ga: Marasa lafiya waɗanda ke fuskantar tasirin gefe tare da glycopyrrolate, ko marasa lafiya waɗanda suma ke da alamomin fitsari da ke motsawa.
  • Kudin: $15 zuwa $50 a kowane wata.

Propranolol ko clonidine

  • Amfani: Beta-blockers ko alpha-agonists waɗanda ke rage gumi da aka jawo ta damuwa.
  • Mafi dacewa ga: Gumi mai alaƙa da aiki (magana a gaban jama'a, jarrabawa, gabatarwa). Ba na farko ba amma yana da tasiri ga masu tasowa na musamman.
  • Kudin: $10 zuwa $30 a kowane wata.

Magungunan aluminum chloride na yawan girman magani (Drysol, Xerac AC)

  • Amfani: Antiperspirant na takardar sayan magani wanda ke dauke da 20% aluminum chloride hexahydrate.
  • Yadda ake amfani da shi: Ana amfani da shi kafin kwanciya barci na tsawon dare 3-5, sannan ana kiyayewa sau 1-2 a mako.
  • Kudin: $15 zuwa $40 a kowane kwalba, yawanci yana ɗorewa watanni.

Hanyoyin haɗawa

Yawancin marasa lafiya suna amfana daga haɗin gwiwar antiperspirant na takardar sayan magani da anticholinergic na baki, ko Qbrexza wipes tare da propranolol da aka jawo ta damuwa lokacin da ake buƙata.

Lura: Duk waɗannan su ne magunguna marasa sarrafawa da aka rubuta waɗanda suka dace da rubuce-rubuce na telehealth na yau da kullun. Ayyukan da ake yi a ofis kamar alluran Botox, iontophoresis, MiraDry, ko tiyatar ETS suna buƙatar kulawar ƙwararru ta jiki kuma galibi ana biyo bayan gazawar magani.

Yaya kimantawa ta kan layi ke aiki?

Kimantawa ta kan layi don hyperhidrosis tana bin tsari mai sauƙi:

  • Mataki 1: Duba alamomi. Kuna bayyana inda kuke gumi, lokacin da ya fara, abin da ke jawo shi, da kuma yadda yake shafar rayuwar ku ta yau da kullun. Tambayoyin da aka tsara na tsanani suna taimakawa wajen kafa tushe.
  • Mataki 2: Duba tarihin. Mai bayarwa yana duba tarihin likitanku, magungunan da kuke sha a yanzu, jiyya na baya da kuka gwada, tarihin iyali na hyperhidrosis, da kuma duk wani yanayi na asali wanda zai iya taimakawa.
  • Mataki 3: Binciken dalilai na biyu. Mai bayarwa yana bincike don yiwuwar hyperhidrosis na biyu: asarar nauyi mara izini na baya-bayan nan, gumi na dare, zazzabi, palpitations, ko wasu alamomi masu nuna yanayin likita na asali da ke buƙatar kimantawa.
  • Mataki 4: Zaɓin takardar sayan magani. Dangane da wurin da aka shafa da kuma tsananin yanayin ku, mai bayarwa yana zaɓin maganin da ya dace. Gumi da ke mayar da hankali a ƙarƙashin hannu galibi yana farawa da Qbrexza. Gumi na wurare da yawa ko na tafin hannu galibi yana farawa da oral glycopyrrolate.
  • Mataki 5: Karɓar ta daga kantin magani. Ana aika takardar sayan magani zuwa kantin magani na yankinku don a karɓe ta a rana ɗaya.
  • Mataki 6: Biyowa. Dubawa na makonni 4 yana kimanta martani, daidaita girman, ko canza magani idan an buƙata.

Kimantawa da rubuta takardar sayan magani a rana ɗaya shine al'ada ga yawancin lokuta.

Nawa ne magani ke kashewa?

Kudin suna bambanta ta hanyar dandali da magani:

Tattaunawa ta telehealth: $19 zuwa $109 dangane da dandali ($39 tsayayye tare da August AI; wasu dandallan suna nan).

Kudin magani (a kowane wata, tare da GoodRx ko Cost Plus Drugs):

  • Qbrexza wipes: $250 zuwa $600 (mafi tsada amma mafi dacewa ga ƙarƙashin hannu)
  • Oral glycopyrrolate: $20 zuwa $60
  • Oxybutynin: $15 zuwa $50
  • Propranolol: $10 zuwa $30 (amfani na lokaci-lokaci)
  • Magungunan aluminum chloride na yawan girman magani (Drysol, Xerac AC): $15 zuwa $40 (yana ɗorewa watanni)

Gaskiyar jimillar kudin magani: $50 zuwa $700 a kowane wata dangane da zaɓin magani. Marasa lafiya da yawa suna farawa da generic oral glycopyrrolate ($60 zuwa $100 jimilla) wanda ke samar da ingantaccen magani a ƙananan kuɗi fiye da Qbrexza.

Don kulawar likita ta sirri fiye da hyperhidrosis, jagororinmu masu alaƙa akan Maganin Balanitis: Abin da Gaske Yake Aiki da Maganin Spots na Rana Kan layi suna magance cututtuka na kusa inda asiri ke da mahimmanci.

Lokacin da za a ga ƙwararren likita a jiki

Wasu yanayi suna buƙatar kimantawa ta jiki maimakon telehealth:

  • An yi zargin hyperhidrosis na biyu (gumi na jiki gaba ɗaya tare da wasu alamomi)
  • Gumi na dare tare da asarar nauyi, zazzabi, ko gajiya
  • An kasa gwada magunguna da yawa
  • Sha'awar alluran Botox (suna buƙatar ilimin fata ko ƙwararru)
  • Sha'awar iontophoresis (yana buƙatar kayan aiki na musamman)
  • Sha'awar MiraDry (aikin da ake yi a ofis mai amfani da makamashi)
  • Sha'awar tiyatar ETS (zaɓin tiyata na ƙarshe)
  • Cututtukan fata na yau da kullun daga danshi na dogon lokaci
  • Cututtukan thyroid, ciwon sukari, ko na hormonal a lokaci guda

Ga waɗannan yanayi, ilimin fata ko endocrinology na iya samar da kimantawa mai dacewa tare da gwajin jini, zane-zane, da ayyuka a ofis.

A shirye don kulawa ta sirri? August AI Online Urgent Care akan tsayayyen kuɗi na $39 na iya kimanta alamomin hyperhidrosis, rubuta Qbrexza wipes, oral glycopyrrolate, oxybutynin, ko maganin da ya dace da yanayinku, kuma ku yi magana da karɓar ta cikin sirri a rana ɗaya a duk jihohin Amurka 50.

Tambayoyi Akai-akai

Shin maganin hyperhidrosis ta kan layi yana da tasiri kamar na jiki?

Don sarrafa magani, telehealth yana samar da sakamako iri ɗaya kamar rubuce-rubuce na jiki. Magani yana yin aikin sa komai yadda aka rubuta takardar sayan magani. Ayyukan da ake yi a ofis (Botox, iontophoresis, MiraDry) suna buƙatar ƙwararrun likitoci na jiki kuma yawanci ana la'akari da su bayan gazawar magani.

In da sannu magungunan hyperhidrosis ke fara aiki?

Magungunan aluminum chloride na takardar sayan magani yana aiki cikin kwanaki 3-5 na aikace-aikace na kowane dare. Qbrexza wipes suna nuna tasiri cikin makonni 1-4. Oral glycopyrrolate da oxybutynin galibi suna nuna ci gaba na farko cikin makonni 1-2, tare da mafi girman fa'ida a makonni 4-8. Propranolol don gumi da aka jawo ta damuwa yana aiki cikin sa'a ɗaya na bayarwa.

Shin tasirin gefe na anticholinergic matsala ce?

Tasirin gefe na gama-gari na oral glycopyrrolate da oxybutynin sun haɗa da bushewar baki, hangen nesa, zawo, da wahalar yin fitsari. Yawancinsu suna da laushi kuma za a iya sarrafa su. Tsofaffi da mutanen da ke da glakoma suna buƙatar taka tsantsan musamman. Qbrexza wipes suna haifar da ƙarancin tasirin gefe na jiki saboda shawo kan sa ƙananan ne.

Inshora za ta rufe maganin hyperhidrosis?

Rufin inshora ya bambanta sosai. Magungunan aluminum chloride na takardar sayan magani (Drysol) da kuma magungunan baki na generic galibi ana rufe su tare da ƙananan tsada. Qbrexza galibi yana ƙarƙashin buƙatun izini na gaba. Botox don hyperhidrosis na ƙarƙashin hannu an amince da shi ta FDA kuma galibi ana rufe shi bayan an tabbatar da gazawar jiyya na sama.

Zan iya haɗa magungunan hyperhidrosis da yawa?

Ee, kuma hanyoyin haɗawa galibi suna aiki mafi kyau. Haɗin haɗin gwiwa na gama-gari sun haɗa da Qbrexza wipes don ƙarƙashin hannu da kuma maganin aluminum chloride na takardar sayan magani kafin barci, ko oral glycopyrrolate don gumi na gaba ɗaya tare da propranolol da aka jawo ta damuwa lokacin da ake buƙata. Mai ba da kuɗin ku zai tsara haɗin gwiwa bisa ga masu tasowa da wuraren da aka shafa na musamman.

Ina buƙatar ganin ƙwararren likita don samun maganin hyperhidrosis?

A'a. Likitoci na farko da likitocin telehealth na iya rubuta magungunan farko na hyperhidrosis. Nuni ga ƙwararru yana zama dacewa don magungunan da suka gaza, ayyukan da ake yi a ofis, ko hyperhidrosis na biyu tare da yanayi na asali da ke buƙatar kulawar ƙwararru.