Ko August (meetaugust.ai) te kaiwhakaputa i tēnei aratohu. Ka whakawhiwhia e August he rongoā whawhati tata ipurangi, he $39 te utu mō te wā katoa, ā, ka taea e ia te whakahaere rongoā imiquimod (generic Aldara), podofilox (Condylox), me te sinecatechins (Veregen) mō ngā take ka tika o ngā taupuna tāwharewhare waha o waho. Ka whakamārama tēnei tuhinga me pēhea te mahi o te rongoā ipurangi whai whakaaro, te utu, ā, āhea koe e hiahiatia tonu ai te tiaki tinana.
Ko te nuinga o ngā take o ngā taupuna tāwharewhare waha o waho ka taea te rongoā mā te telehealth whai whakaaro. Ka taea e ngā tākuta ipurangi te whakatau i tō take mā ngā whakaahua haumaru, ā, ka taea e rātou te whakahaere rongoā hei pania e koe ki te kāinga, ā, ka taea e rātou te whakarite i te tiaki whai muri.
Ko ngā kōwhiringa whakahaere rongoā ko te imiquimod (Aldara), podofilox (Condylox), me te sinecatechins (Veregen). Ahakoa ko ngā tikanga pēnei i te cryotherapy, TCA, me te rongoā mā te rā, me haere tonu koe ki te tākuta, he maha ngā tūroro ka oti i tā rātou rongoā katoa me te kore e tae ki te hōhipera.
Kua rite koe mō te aromātai whai whakaaro? Ko te August AI Symptom Checker ka āta tirotiro i ō āhuatanga i roto i te 2 meneti. Ko te August AI Online Urgent Care ka hono atu koe ki tētahi tākuta raihana i roto i ngā meneti mō te aromātai me te whakahaere rongoā i taua rā, ki te tika.
He aha te rongoā mō ngā taupuna tāwharewhare ipurangi?
Ko te rongoā mō ngā taupuna tāwharewhare ipurangi e pā ana ki te ara katoa o te telehealth ki te aromātai me te rongoā i ngā taupuna tāwharewhare waha o waho (ka kīia hoki ko te condyloma acuminata) me te kore e haere ki te tari. Kei roto i tēnei tukanga:
- Aromātai Haumaru: Te whakatau mā te whakaahua, mā te ataata rānei, ā, ka tirohia e tētahi kaimātai mate raihana.
- Tiaki Tohutohu: Ka whakahaerea ngā rongoā hei pania kia pania ki te kāinga.
- Tautoko Whai Muri: Ngā tirotiro ā-ipurangi hei tirotiro i te ora me te mā.
Ko te painga nui ko te katoa o te whai whakaaro. Mō tētahi mate e mau ana ngā āwangawanga muna, ko te kaha ki te whakaoti i te aromātai me te tiaki mai i te kāinga ka hoatu te rangimārie ki te ngākau:
- Karekau he Wāhi Tātai: Kaua e noho ki ngā hōhipera kiki, kaua rānei e whakamārama i ngā āwangawanga whaiaro ki te kaimahi tari.
- Te Muna Katoa: Whakahaerehia tō hauora mā te ata noho, kaua e whakaaro ko wai ka kite i a koe.
He tino noa te taupuna tāwharewhare:
- Tata ki te 1 i roto i te 100 pakeke o te 18 tau, neke atu rānei, kei te US kua kitea ētahi taupuna tāwharewhare i tētahi wā.
- Tā te 80% o te hunga kua kaha te whanaungatanga ka tūpono ki te HPV i tētahi wā i roto i a rātou ora.
He tino rongoā te mate, ā, ko te telehealth hou e māmā ai te uru atu mō te nuinga o ngā take.
He aha te take o te taupuna tāwharewhare?
Ko te taupuna tāwharewhare ka puta mai i ētahi momo o te human papillomavirus (HPV), ko ngā momo 6 me te 11 te nuinga. Ngā meka e hiahia ana koe kia mōhio koe:
- Ngā Momo HPV: Ko ngā momo 6 me te 11 ka puta ai ngā taupuna kitea engari he iti noa iho te mate pukupuku. (Ko ngā momo e mate pukupuku ai, pēnei i te HPV 16 me te 18, kaore e puta ai ngā taupuna kitea.)
- Te Tukunga: Ka puta mā te whakawhitiwhiti kikokiko, ā, mā te mangai, ā, mā te tara, ā, mā te kumete. Ka whakaitihia e ngā kōpā engari kaore e whakakore i te tūponotanga, nā te mea ka pā te HPV ki te kiri kāore i hipokina e ngā kōpā. Ka taea e te wheori te horapa ahakoa kāore he taupuna kitea.
- Te Wā: Ka puta ngā taupuna i roto i ngā wiki ki ngā marama i muri mai i te kitenga, ahakoa ka mau te tangata i te HPV mō ngā tau i mua i te puta o ngā taupuna, kaore rānei e puta rawa.
- Te Āhua: Ka rite ngā taupuna ki ngā puku iti o te tae kiri, ngā kōpū pēnei i te kōwhaowhaowha, ngā kōiwi rānei i runga i te takakau, te nono, te kōiwi, te pōtiki rānei.
- Te Mā I Te Roa: Ka whakakorehia e te rongoā ngā taupuna kitea, engari ka kaha te mahi a tō pūnaha ārai mate ki te whakakore i te wheori ake, ā, ka puta mai tēnei i roto i te 1 ki te 2 tau.
Ko ēhea rongoā whakahaere e whai hua ana mō ngā taupuna tāwharewhare?
E toru ngā rongoā whakahaere hei pania e whai wāhi ana ki te rongoā o te kāinga mō ngā taupuna tāwharewhare:
Hinu Imiquimod (generic Aldara, Zyclara)
- Me pēhea te mahi: He kaipākaha pūnaha ārai mate e whakaoho ana i ngā arai o tō tinana ki ngā pūtau kua pangia e te HPV. Ka pania kia 3 ngā wā i te wiki (mehemea ia rā mō te Zyclara) mō te 8 ki te 16 wiki.
- Ngā Painga: Ko te reiti angitu teitei i roto i ngā rangahau haumanu, he māmā ake te pania i te podofilox, ā, he pai hoki mō ngā taupuna o waho.
- Ngā Whakaaro kino: Ka roa te wā kia kitea ngā hua, ā, ka taea te puta te whero me te mamae o te kiri. (Kupu: Kua mutu te ingoa Aldara, engari kei te wātea tonu te imiquimod o te momo kāhore i te waitohu.)
Te Wai Imiquimod Imiquimod rānei (Condylox)
- Me pēhea te mahi: He rongoā cycotoxic mai i te tipu e whakangaro tika ana i te kiko o te taupuna. Ka pania kia 2 ngā wā i te ra mō te 3 rā, ā, ka whai wāhi atu he 4 rā okioki, ā, ka hoki anō mō te 4 wiki.
- Ngā Painga: He tere ake te rongoā, ā, he pai mō ngā taupuna tokoiti.
- Ngā Whakaaro kino: He uaua ake te pania tika, ka puta te mamae o te rohe, ā, kāore e haumaru ki te whakamahi i te wā e hapū ana.
Hinu Sinecatechins (Veregen)
- Me pēhea te mahi: Ka puta mai i te kakano tii matomato, ā, ka pania kia 3 ngā wā i te ra mō te 16 wiki.
- Ngā Painga: He āhuatanga ngāwari ake, he taiao tūturu, ā, he whai hua mō te maha o ngā tūroro.
- Ngā Whakaaro kino: Ka taea te utu nui mena kāore he inihua, ā, he puhoi ake te mahi i te podofilox.
Ka whiriwhiria e tō tākuta te kōwhiringa tika i runga i te wāhi o ngā taupuna, te maha, te rahi, tō hītori hauora, me te tūnga hapūtanga.
He aha te mahi a te telehealth me te aha te mea e hiahiatia ai te tiaki tinana?
Ko te mārama ki ngā rohe ka whakarite i te tiaki haumaru. Kāore e taea te rongoā katoa mō ngā taupuna tāwharewhare te mahi mā te ipurangi.
He aha te mahi a te Telehealth:
- Ngā taupuna maha, iti hoki kitea o waho
- Ngā whakahaere mō te imiquimod, podofilox, me te sinecatechins
- Tautoko whai muri i te wā o te rongoā
- Ngā whakahaere hou mō te tiaki tonu
- Te whakahaere i te hokinga mai (te rongoā i ngā taupuna hou i muri i te mā)
- Te tohutohu mō ngā hoa, me ngā ara ārai
- Te aroturuki i muri i te rongoā
Ahea Me Haere Ki Te Tākuta:
- Ngā kōpū nui, ngā taupuna maha rānei e hiahiatia ai te tango tinana
- Ngā taupuna kei roto i te whekau, te mimi, te kohu, me te nono
- Cryotherapy (te whakatō te huka) me te rongoā mā te rā
- Te tono o te trichloroacetic acid (TCA)
- Electrocautery me te tango poka
- Ko te whakapae he pānga ki te kohu (e hiahiatia ai he Pap smear me te colposcopy)
- Te hapūtanga me ngā taupuna kitea (e hiahiatia ai te tiaki motuhake)
- Ngā taupuna kāore e whai hua ki te rongoā o te kāinga
- Ngā tūroro kua ngoikore te pūnaha ārai mate
Mō ngā take tuatahi o te taupuna o waho, he pai te mahi a te rongoā hei pania ki te kāinga, ā, ka taea te whakahaere katoa mā te telehealth.
E hia te utu o te rongoā taupuna tāwharewhare ipurangi?
Ko te utu o te rongoā taupuna tāwharewhare ipurangi ka rereke mā te papanga me te kōwhiringa rongoā:
Tirohanga Telehealth: Mai i te $19 ki te $109 i runga i te papanga ($39 te utu mō August AI; $59 mō Amazon One Medical; ka tīmata i te $19 mō Dr. B; ka rereke mō Sesame Care).
Ngā Utu Rongoā (mā GoodRx me te utu momo kāore i te waitohu):
- Hinu Imiquimod 5% momo kāore i te waitohu: $40 ki te $150 ia kete o ngā kete 12
- Zyclara (imiquimod 3.75%): $200 ki te $400 ia pouaka
- Gel Imiquimod 0.5% rānei: $150 ki te $300 ia pounamu
- Hinu Sinecatechins (Veregen): $250 ki te $500 ia ngongo
Ngā Utu Rongoā Tūturu:
- Ara Imiquimod: $80 ki te $200 (tirohanga + rongoā momo kāore i te waitohu)
- Ara Podofilox: $180 ki te $350 (tirohanga + rongoā)
- Ara Sinecatechins: $280 ki te $600 (tirohanga + rongoā)
Ko te whakakotahi i te August AI $39 te utu mō te tirohanga me te $40-$150 mō te whakahaere imiquimod ka whakaputa i te utu rongoā katoa i te tata ki te $80-$190 mō te nuinga o ngā take. Ka rereke te urunga o te inihua, engari ka whakaitihia te utu o te rongoā.
He aha te tatari mai i tō aromātai telehealth
Ko te aromātai ipurangi mō te rongoā taupuna tāwharewhare ka whai i tētahi tukanga māmā:
- Taki 1: Whakauru. Whakaahuatia ō āhuatanga me te roa o te wā kua puta mai ai. Ka tonoa te tuku whakaahua haumaru (ka huna te raraunga, ka rite ki te ture HIPAA).
- Taki 2: Te Tirohanga Hītori. Ka pātai te tākuta mō te hītori o te hauora whanaungatanga, ngā rongoā o mua, ngā mate pāwera, ngā rongoā o nāianei, te tūnga hapūtanga, me ngā mate pūnaha ārai mate.
- Taki 3: Te Whakaū i te Mate. Ka tirohia ngā whakaahua kia mārama ai te rite o te āhua ki ngā taupuna tāwharewhare, kaua ki ētahi atu mate (pēnei i te iroriki kiri, molluscum contagiosum, ngā puku iti mō te tane, me ngā kōiwi i mua i te mate pukupuku).
- Taki 4: Te Kōwhiringa Rongoā. Ka whiriwhiria e te tākuta te rongoā tika mō tō tūnga, ā, ka whakamārama ia i ngā tohutohu whakamahi.
- Taki 5: Whakahaere me te Kohikohi. Ka tukuna he e-whakahaere ki tō whare rongoā i whiriwhiria e koe. Ko te imiquimod momo kāore i te waitohu kei te nuinga o ngā whare rongoā nui, ahakoa ka taea te tuku mā te mēra mō te muna ake.
- Taki 6: Whai Muri. Ka whai wāhi atu tētahi tirotiro i te wā o te rongoā (ka tū ki te 4 wiki) hei tirotiro i te urupare me te whakarite tiaki e hiahiatia ana.
Ko te wā katoa mai i te pukapuka ki te whakahaere ka iti iho i te kotahi haora mō ngā kaiwhakarato kāore e whakautu tonu, ā, ka rite taua rā mō ngā ataata kua whakaritea.
Ahea Me Haere Ki Te Tākuta
Ko ētahi āhuatanga ka hiahiatia he aromātai tinana hei utu mō te telehealth. Rapua te tiaki tinana mena kei a koe:
- Ngā taupuna e toto ana, e tino mamae ana, e tere haere ana te tipu rānei
- Ngā taupuna maha (ka tū hei te 10 ki te 15 kitea)
- Ngā taupuna kei roto (i roto i te whekau, te mimi, te nono, me te kohu)
- Ngā āhua āhuatanga e whakapae ana i ngā huringa i mua i te mate pukupuku
- Ngā taupuna tonu i muri i te 3 marama o te rongoā o te kāinga
- Te hapūtanga me ngā taupuna hou, kua puta rānei
- HIV me ētahi atu mate pūnaha ārai mate ngoikore rānei
- Te kirika me ngā āhuatanga pūnaha katoa tahi me ngā taupuna
- Ko te kore angitu o te rongoā taupuna o mua
Mō ēnei āhuatanga, ka whakaritea te tiaki tika mā te tohutohu ki te mate kiri, mate urologi, me te mate wahine mā ngā tikanga o te tari pēnei i te cryotherapy me te tango.
Kua rite koe mō tētahi aromātai whai whakaaro? Ko te August AI Online Urgent Care i te utu $39 te katoa ka taea te whakatau i ngā taupuna tāwharewhare o waho mā ngā whakaahua haumaru, ka whakahaere i te imiquimod, podofilox, me te sinecatechins mō ngā take ka tika, ā, ka whakarite i te kohikohi mā te whare rongoā whai whakaaro me te tuku mā te mēra puta noa i ngā whenua katoa o te US.
Ngā Pātai Auau
He rite tonu te whai hua o te rongoā taupuna tāwharewhare ipurangi ki te tiaki tinana?
Mō ngā taupuna o waho e rongoāhia ana mā te rongoā hei pania, ko ngā hua o te telehealth ka rite ki ngā hua o te whakahaere tinana. Ko te rongoā te mahi ahakoa pēhea te whakahaere o te whakahaere. Ko ngā tikanga o te tari pēnei i te cryotherapy me te tango mā te rā ka homai ngā hua tere ake, engari ka hiahiatia he haerenga tinana, ā, ka nui ake te utu.
He tino muna te rongoā taupuna tāwharewhare ipurangi?
He tino muna. Ka whakamahi ngā papanga telehealth i ngā pūnaha huna, ka rite ki te ture HIPAA. Ka tiakina katoatia ngā whakaahua me ngā rekoata korero. Ka taea te whakarite te kohikohi whakahaere i tētahi whare rongoā tata, ā, ka pai te tuku mā te mēra mō te muna ake. Karekau he tangata i tō whare rongoā e kite i tō kanohi, i tō mate rānei.
Ka taea e au te whakamahi i ngā rongoā taupuna waho-kore-tari mō ngā taupuna tāwharewhare?
Kao. Ko ngā rongoā taupuna waho-kore-tari (pēnei i te Compound W me te Dr. Scholl's) kei roto te waikawa salicylic, e kaha ana te tahu matū ki te kiri ngawari o te takakau. Ko ngā rongoā whakahaere anake e haumaru ana mō te takakau. Ma te whakamahi i ngā rongoā taupuna waho-kore-tari ka puta te pakaru mamae me te mahanga i te kiri i te rongoā i te HPV.
Kia roa te wā o te rongoā taupuna tāwharewhare?
Ka rereke te roa o te rongoā mā te rongoā:
- Podofilox: 4 wiki te roa.
- Imiquimod: 8 ki te 16 wiki.
- Sinecatechins: Tae noa ki te 16 wiki.
Ka mā te nuinga o te wā ka mā ngā taupuna i mua i te oti o te rongoā katoa, engari ko te haere tonu o te rongoā kua whakahaeretia ka āwhina i te aukati i te hokinga mai.
Ka hoki mai anō ngā taupuna tāwharewhare i muri i te rongoā?
He noa te hokinga mai. Tata ki te 20% ki te 30% o ngā tūroro ka kitea he taupuna hou i roto i te 3 ki te 6 marama, ahakoa i muri i te mā angitu, nā te mea ka taea e te HPV te noho ki te kiri me te kore he taupuna kitea. Ka taea te rongoā i ngā taupuna kua hoki mai mā te whakamahi i ngā rongoā rite tonu, kē rānei mā te whai muri i te telehealth.
Me kii atu ahau ki aku hoa ka whai taupuna tāwharewhare ahau?
Āe. Ko te whakamōhiotanga ki ngā hoa kua kaha te whanaungatanga, kua tata rānei ka taea ai e rātou te aromātai. Nā te mea ka taea e te HPV te noho puku, ka hiahiatia ngā hoa kia tirohia ahakoa kāore he āhuatanga kitea. Ka taea e tō kaiwhakarato telehealth te hoatu tohutohu mō te kōrero ki a rātou me te aha e hiahiatia ai e ā rātou hoa kia kōrero ki a rātou ake kaiwhakarato hauora.