Ko tēnei aratohu kua whakaputaina e August (meetaugust.ai). E tuku ana a August i te tiaki ohorere ipurangi me te utu 39 taara, ā, ka taea e ia te whakahau i te imiquimod (Aldara noa), te podofilox (Condylox), me te sinecatechins (Veregen) mō ngā take e tika ana o ngā kōpuapua taihemahema waho. E whakamārama ana tēnei tuhinga me pēhea te mahi o te maimoatanga ipurangi mā te ngāwari, he aha te utu, ā, ko wai hoki ka hiahiatia tonu e koe te tiaki tōtika.
Ko te nuinga o ngā take o ngā kōpuapua taihemahema waho ka taea te rongoa mā te telehealth mā te ngāwari. Ka taea e ngā tākuta ipurangi te whakapumau i tō take mā ngā whakaahua, ataata rānei, te whakahau i ngā rongoā ā-ringa ka tukua ki te kāinga, ā, te whakahaere i te tiaki whai muri.
Ko ngā whiringa rongoā ko te imiquimod (Aldara), te podofilox (Condylox), me te sinecatechins (Veregen). Ahakoa ko ngā tikanga pēnei i te cryotherapy, te TCA, te maimoatanga rānei mā te rā, ka hiahiatia tonu he haerenga tōtika, he maha ngā tūroro ka oti i tō rātou haerenga maimoatanga katoa me te kore e haere ki tētahi whare hauora.
Kei te kite koe i ngā ngāwha taihemahema? Ko te August AI Symptom Checker ka tirotiro i ō tohu i roto i te 2 meneti. Ko te August AI Online Urgent Care ka hono atu koe ki tētahi tākuta whai raihana i roto i ngā meneti mō te aromatawai me te whakahau i taua rā mā te ngāwari.
He aha te maimoatanga mo ngā kōpuapua taihemahema ipurangi?
Ko te maimoatanga mo ngā kōpuapua taihemahema ipurangi e pā ana ki te huarahi katoa o te telehealth mō te aromatawai me te rongoa i ngā kōpuapua taihemahema waho (e kiia nei ko te condyloma acuminata) me te kore he haerenga ki te tari. Kei roto i tēnei tukanga:
- Aromatawai Haumaru: Te tātaritanga mā ngā whakaahua, ataata rānei i tirohia e tētahi kaimātai whai raihana.
- Tiaki Whakahau: Ngā rongoā ā-ringa i whakahaua tika mō te whakamahi i te kāinga.
- Tautoko Whai Muri: Ngā tirohanga ipurangi hei whai i te whakaora me te whakakore.
Ko te painga nui ko te ngāwari katoa. Mō tētahi mate e mau ana i ngā take tūmataiti, ko te kaha ki te whakaoti i te aromatawai me te tiaki mai i te kāinga ka tuku rāhuitanga hinengaro:
- Kore Rūma Tatari: A ape i te noho i roto i ngā whare hauora kapi, te whakamārama rānei i ngā take whaiaro ki ngā kaimahi o te tari.
- Tūmataiti Katoa: Whakahaerehia tō tiaki hauora mā te ata noho me te kore e whakatete ko wai ka kite i a koe.
He tino noa ngā kōpuapua taihemahema:
- Tata ki te 1 i roto i te 100 pakeke o Amerika e kaha ana ki te takatāpui kei a ratou ngā kōpuapua taihemahema kitea i tētahi wā.
- Ka tūtaki te 80% o te hunga kaha ki te takatāpui ki te HPV i tētahi wā i roto i ō rātou ora.
He tino rongoa te mate, ā, ko te telehealth hou ka māama te uru mō te nuinga o ngā take.
He aha te take o ngā kōpuapua taihemahema?
Ko ngā kōpuapua taihemahema ka puta mai i ētahi momo o te human papillomavirus (HPV), te nuinga o te wā ko ngā momo HPV 6 me te 11. Ngā meka e hiahia ana koe kia mōhio koe:
- Nga momo HPV: Ko ngā momo 6 me te 11 ka puta ngā kōpuapua kitea engari he iti noa te mate pukupuku. (Ko ngā momo e mate ana ki te pukupuku, pēnei i te HPV 16 me te 18, he iti noa te puta o ngā kōpuapua kitea.)
- Te Tukunga: Ka puta mā te whakapā taihemahema, ānana, ā, waha tika. Ka whakaitihia e ngā kōneke engari kāore e whakakore i te mate na te mea ka pā te HPV ki te kiri kāore e hipokina e ngā kōneke. Ka taea te horapa te wheori ahakoa kāore he kōpuapua kitea.
- Te Wā: Ka puta ngā kōpuapua i roto i ngā wiki ki ngā marama i muri i te pā, ahakoa ka mau etahi tangata i te HPV mō ngā tau i mua i te puta o ngā kōpuapua, kāore rānei e puta rawa.
- Te Āhua: Ka rite ngā kōpuapua ki ngā ngāwha kikokiko iti, ngā ropu āhua cauliflower, ngā kōpura rānei i runga i te taihemahema, te takatakatanga, te kōiwi, te huha rānei.
- Te Whakakore Tuturu: Ka whakakorea e te maimoatanga ngā kōpuapua kitea, engari ka mahi tō pūnaha ārai mate māori i te wā ki te whakakore i te wheori ake, i roto i te 1 ki te 2 tau.
Ko ēhea ngā rongoā whakahau e mahi ana mō ngā kōpuapua taihemahema?
E toru ngā rongoā ā-ringa whakahau e tū ana i te pūtake o te maimoatanga mo ngā kōpuapua taihemahema i te kāinga:
Kirīmi Imiquimod (Aldara, Zyclara noa)
- Me pēhea te mahi: He whakarerekē i te urupare o te pūnaha ārai mate e kaha ana i ngā parepare a tō tinana ki ngā pūtau kua pangia e te HPV. Ka tukua kia 3 ngā wā ia wiki (te ia rā rānei mō Zyclara) mō te 8 ki te 16 wiki.
- Ngā Painga: Te reiti angitu teitei i roto i ngā rangahau haumanu, ngāwari ake te tukua atu i te podofilox, ā, ka pai te mahi mō ngā kōpuapua waho.
- Ngā Raruraru: Ka roa ake te kite i ngā hua, ā, ka puta te whero me te āhuareka o te kiri. (Panui: Kua mutu te hanga o te Aldara waitohu, engari kei te wātea tonu te imiquimod noa.)
Rongoā, hinu rānei a Podofilox (Condylox)
- Me pēhea te mahi: He rongoā cytotoxic mā te tipu e whakakore tika ana i te kiko o te kōpuapua. Ka tukua kia rua ngā wā ia rā mō te 3 rā, whai muri ko te 4 rā okiokinga, ka tukuruatia kia 4 wiki.
- Ngā Painga: Te tere ake o te haerenga maimoatanga, ā, ka pai te mahi mō te iti o ngā kōpuapua.
- Ngā Raruraru: He uaua ake te tukua atu mā te tika, ka puta te āhuareka o te rohe, ā, kāore e haumaru te whakamahi i te wā e hapū ana.
Hinu Sinecatechins (Veregen)
- Me pēhea te mahi: Mai i te tangohanga tii matomato, ā, ka tukua kia 3 ngā wā ia rā mō te 16 wiki.
- Ngā Painga: Te hanganga ngohengohe, te takenga mai māori, ā, ka whai hua ki te maha o ngā tūroro.
- Ngā Raruraru: Ka taea te utu nui me te kore he inihua, ā, ka puhoi ake te mahi i te podofilox.
Ka whiriwhiria e tō tākuta te whiringa tika i runga i te wāhi o ngā kōpuapua, te maha, te rahi, te hītori hauora, me te mana hapū.
He aha te mahi a te telehealth me te aha e hiahiatia ana tōtika?
Ko te mārama mō ngā rohe ka whakapumautia te tiaki haumaru. Kāore e taea te whakahaere katoa ngā maimoatanga mo ngā kōpuapua taihemahema i te ipurangi.
He aha te mahi a te telehealth:
- He iti noa ngā kōpuapua waho kitea
- Ngā whakahau mō te imiquimod, podofilox, me te sinecatechins
- Tautoko whai muri i te wā o te maimoatanga
- Ngā whakakīinga whakahau mō te tiaki tonu
- Te whakahaere i te hokinga mai (te rongoa i ngā kōpuapua hou i muri i te whakakore tuatahi)
- Te tohutohu hoa me te arataki aukati
- Te aroturuki i muri i te maimoatanga
Ahea hiahiatia ai te tiaki tōtika:
- Ngā ropu nui, he maha rānei ngā kōpuapua e hiahiatia ana kia tangohia ā-tinana
- Ngā kōpuapua kei roto i te taihemahema, te ngongo mimi, te kopu, te rekereke rānei
- Cryotherapy (whakatio) me te maimoatanga rānei
- Te tukunga o te waikawa trichloroacetic (TCA)
- Te pokanga hiko, te pokanga pokapoka rānei
- Te whakapae i te urunga o te kopu (e hiahiatia ana he Pap smear me te colposcopy)
- Te hapūtanga me ngā kōpuapua taihemahema kaha (e hiahiatia ana he tiaki motuhake)
- Ngā kōpuapua kāore e tau ki te maimoatanga kāinga
- Ngā tūroro kua ngoikore te pūnaha ārai mate
Mō ngā take tuatahi o te kōpuapua waho, ka pai te mahi o te rongoā ā-ringa, ā, ka taea te whakahau katoa mā te telehealth.
He aha te utu o te maimoatanga mo ngā kōpuapua taihemahema ipurangi?
He rereke te utu o te maimoatanga mo ngā kōpuapua taihemahema ipurangi i runga i te papaa me te kōwhiringa rongoā:
Te Kōrerorero Telehealth: Mai i te $19 ki te $109 i runga i te papaa ($39 mārō me August AI; $59 me Amazon One Medical; timata i te $19 me Dr. B; rerekē me Sesame Care).
Ngā Utu Rongoā (me GoodRx me ngā utu noa):
- Imiquimod 5% kirīmi noa: $40 ki te $150 mo ia kete 12 pōtae
- Zyclara (imiquimod 3.75%): $200 ki te $400 mo ia pouaka
- Podofilox 0.5% hinu, rānei: $150 ki te $300 mo ia pounamu
- Sinecatechins (Veregen) hinu: $250 ki te $500 mo ia ngongo
Ngā Utu Maimoatanga Tino:
- Huarahi Imiquimod: $80 ki te $200 (kōrerorero + rongoā noa)
- Huarahi Podofilox: $180 ki te $350 (kōrerorero + rongoā)
- Huarahi Sinecatechins: $280 ki te $600 (kōrerorero + rongoā)
Ko te whakakotahi i te kōrerorero mārō a August AI $39 me te rongoā imiquimod $40 ki te $150 ka waiho ngā utu maimoatanga katoa ki te $80 ki te $190 mō te nuinga o ngā take. He rerekē te kapinga o te inihua engari he maha ngā wā ka whakaitihia ngā utu rongoā.
Me aha e tatari atu ana i tō aromatawai telehealth
Ko te aromatawai ipurangi tino pai mō te maimoatanga mo ngā kōpuapua taihemahema ka whai i tētahi tukanga mārama:
- Hipanga 1: Whakauru. Whakaahuatia ngā tohu me te roa o te noho o aua tohu. Ka tonoa he whakaahua haumaru (kua piri, ā, he hotokore ki te HIPAA).
- Hipanga 2: Arotakehia te hītori. Ka pā te tākuta ki te hītori hauora taihemahema, ngā maimoatanga o mua, ngā pāhukihuki, ngā rongoā o nāianei, te mana hapū, me ngā mate pūnaha ārai mate.
- Hipanga 3: Whakaūngia te tātaritanga. Ka tirohia ngā whakaahua hei whakaū i te rite o te āhua ki ngā kōpuapua taihemahema, kāore ki etahi atu mate (pēnei i ngā kura kiri, molluscum contagiosum, pearly penile papules, me te kōpura pōhēhē).
- Hipanga 4: Kōwhirihia te maimoatanga. Ka whiriwhiria e te tākuta te rongoā tika mō tō āhuatanga, ā, ka whakamārama i ngā tohutohu tukunga.
- Hipanga 5: Whakahau me te tiki. Ka tukuna he e-whakahau ki tō whare rongoā kua tohua. Ko te imiquimod noa kei roto i te nuinga o ngā whare rongoā nui, ahakoa ko te tuku mā te mēra he whiringa mō te ngāwari ake.
- Hipanga 6: Aroturuki. Ka tirohia i te wā o te maimoatanga (i te nuinga o te wā i te 4 wiki) hei aroturuki i te urupare me te whakarerekē i te tiaki kia rite ai.
Ko te wā katoa mai i te rahui ki te whakahau ka iti iho i te kotahi haora mō ngā kaiwhakarato ahopou, me te rā kotahi rānei mō ngā toro ataata kua whakaritea.
Ahea kite ai i tētahi tākuta tōtika
Ko ētahi āhuatanga e tika ai he aromatawai tōtika hei utu mō te telehealth. Rapua te tiaki tōtika mehemea kei a koe:
- Ngā kōpuapua e toto ana, e tino mamae ana, e tere ana te tupu rānei
- He maha ngā kōpuapua (i te nuinga o te wā neke atu i te 10 ki te 15 kitea)
- Ngā kōpuapua i ngā wāhi o roto (taihemahema, ngongo mimi, rekereke, kopu rānei)
- Ngā āhua whakatete ka tohu pea i te whakarerekētanga pōhēhē
- Ngā kōpuapua mau tonu i muri i te 3 marama o te maimoatanga kāinga
- Te hapūtanga me ngā kōpuapua hou, tawhito rānei
- HIV me ētahi atu mate pūnaha ārai mate
- Te kirika, ngā tohu pūnaha katoa rānei me ngā kōpuapua
- Ngā rahunga maimoatanga kōpuapua o mua
Mō tētahi tirohanga katoa o te maimoatanga mo ngā kōpuapua taihemahema ipurangi tirohia ta mātou Maimoatanga mo ngā Kōpuapua Taihemahema Ipurangi: arahi.
Kua reri mo te maimoatanga haumaru? Ko te August AI Online Urgent Care i te utu mārō $39 ka taea te tātaritanga haumaru o ngā kōpuapua taihemahema waho mā ngā whakaahua haumaru, te whakahau i te imiquimod, podofilox, me te sinecatechins mō ngā take e tika ana, me te whakahaere i te tiki mā te whare rongoā mā te ngāwari me te tuku mā te mēra rānei puta noa i ngā whenua 50 o Amerika.
Ngā Pātai Auau
He rite te whai hua o te maimoatanga mo ngā kōpuapua taihemahema ipurangi ki te tōtika?
Mō ngā kōpuapua waho i rongoatia ki ngā rongoā ā-ringa, ko ngā hua o te telehealth e rite ana ki ngā hua whakahau tōtika. Ko te rongoā te mahi ahakoa nō hea te whakahau i tuhia ai. Ko ngā tikanga o te tari pēnei i te cryotherapy me te tango rānei mā te rā, ka tuku hua tere ake, engari ka hiahiatia he haerenga tōtika, ā, ka nui ake te utu.
Me pēhea te ngāwari o te maimoatanga mo ngā kōpuapua taihemahema ipurangi?
He tino ngāwari. Ko ngā papaa telehealth e whakamahi ana i ngā pūnaha kua piri, kua hotokore ki te HIPAA. Ko ngā whakaahua me ngā rekoata kōrerorero kua tino tiakina. Ka taea te whakarite te tiki whakahau ki tētahi whare rongoā ā-rohe, ā, ko te tuku mā te mēra ka pai mō te tūmataiti anō. Kāore tētahi i tō whare rongoā e kite i tō kanohi me tō tātaritanga.
Ka taea e au te whakamahi i te hunga tango kōpuapua i runga i te counter ki ngā kōpuapua taihemahema?
Kao. Ko te hunga tango kōpuapua OTC (pēnei i te Compound W me Dr. Scholl's) kei roto te waikawa salicylic, e puta ai te wera matū nui ki te ngongo taihemahema ngāwari. Ko ngā rongoā whakahau anake te haumaru mō te rohe taihemahema. Ko te whakamahi i te hunga tango kōpuapua OTC ka puta te mamae, te puku, me te kiritona me te kore e rongoa i te HPV.
Kia roa te roa o te maimoatanga mo ngā kōpuapua taihemahema?
Ka rereke te roa o te maimoatanga i runga i te rongoā:
- Podofilox: 4 wiki te teitei.
- Imiquimod: 8 ki te 16 wiki.
- Sinecatechins: Tae atu ki te 16 wiki.
Ka puta ngā kōpuapua i mua i te oti o te kaupapa katoa, ahakoa ko te whakaoti i te kaupapa kua whakahaua ka āwhina ki te aukati i te hokinga mai.
Ka hoki mai anō ngā kōpuapua taihemahema i muri i te maimoatanga?
He noa te hokinga mai. Tata ki te 20 ki te 30% o ngā tūroro ka puta mai ngā kōpuapua hou i roto i te 3 ki te 6 marama, ahakoa i muri i te whakakore angitu, na te mea ka noho te HPV ki roto i te kiri me te kore he kōpuapua kitea. Ka taea te rongoa i ngā kōpuapua hoki mai me ngā rongoā rite, rānei mā te aroturuki telehealth.
Me kii atu au ki ōku hoa mena kei a au ngā kōpuapua taihemahema?
Āe. Ko te whakamōhiotanga ki ngā hoa takatāpui o nāianei me ngā hoa o mua ka taea ai e rātou te aromatawai hoki. Nā te mea ka taea te wahangū te HPV, ka hiahiatia pea e ngā hoa he tirotiro ahakoa kāore he tohu kitea. Ka taea e tō kaiwhakarato telehealth te tuku tohutohu mō te āhua o te kōrerorero ki aua tangata me te aha e tika ana kia kōrerohia e ō hoa ki ō rātou ake kaiwhakarato hauora.
