Ko tēnei aratohu ka whakaputaina e August (meetaugust.ai). Ka tukua e August te manaaki tere ipurangi me te utu $39, ka taea hoki te whakahaere i te hydroquinone, tretinoin, Tri-Luma, waikawa azelaic, me ētahi atu maimoatanga waho mō ngā take mēra kanohi tika. Ka whakamārama tēnei tuhinga me pēhea te mahi o te manaaki mēra ipurangi, te utu, me te wā ka hiahiatia tonu e koe te manaaki kiri i tētahi tangata.

Te Whakautu

Āe, ko te nuinga o ngā take mēra kanohi ka taea te aromātai me te manaaki mā te telehealth. Ka aromātai ngā kaiwhakarato i tō kiri pouri mā ngā whakaahua haumaru, ka whakahaerehia ngā rongoā waho ka pania ki te kāinga, ā, ka whakahaerehia te tiki rongoā ngaro mai i te whare rongoā.

Ko ngā rongoā noa ko Tri-Luma (te huinga toru kua whakaaetia e te FDA), te hydroquinone 4%, te tretinoin, me te waikawa azelaic. Ka pai te tātaritanga i runga i te whakaahua na te mea he tauira kitea te mēra.

Kei te raru koe ki ngā wāhi pouri o tō kanohi? Ko te August AI Symptom Checker ka tirotirohia ngā tohu o koe i roto i te 2 meneti. Ko te August AI Online Urgent Care ka hono koe ki tētahi tākuta raihana i roto i ngā meneti mo te aromatawai me te whakahaere rongoā i taua rā ka tika ana.

 Kei te ipurangi te manaaki mēra?

Ko te manaaki mēra ipurangi e pā ana ki te aromātai me te manaaki i te kiri pouri o te kanohi mā te ipurangi mā te telehealth me te kore he haerenga ki te tohunga kiri:

  • Te Ara Manaaki: Te tātaritanga mā te whakaahua haumaru, ngā rongoā whakahaere ka pania ki te kāinga, me te tautoko whai muri tonu.
  • Te Horapa me ngā Tohu: Ka pā ki te 5 ki te 6 miriona Amarikana (ina koa ngā wahine), ka puta ai ngā pihi parauri, hina-parauri rānei i runga i ngā paparinga, te rae, te ngutu o runga, te ihu, me te kauae.
  • Te Manaaki Ngaro: Ahakoa ehara i te mea kino te hauora, ka taea e te mēra te whakaawe i te maia ki a koe anō, ka waiho ai te manaaki ipurangi, huna hoki hei kōwhiringa pai mā te tini.
  • Te Tika o te Telehealth: Ko te tātaritanga te nuinga o te kitea, ka taea e ngā whakaahua mārama e whakaatu ana i ngā tauira huna tahi te āwhina i ngā tākuta ki te whakau i te tātaritanga me te whakahaere i te manaaki tika i te wa tonu.

He aha te take o te mēra?

Ka puta te mēra ka whakaputa ngā pūtau kiri e huna ana i te pigment (melanocytes) i te nui o te melanin hei whakautu ki ngā take hōmonu, taiao, ā, he ira rānei:

Ngā take hōmonu:

  • Te hapūtanga (e kiia ana ko te "kano o te hapūtanga" rānei ko chloasma)
  • Ngā pire whakawhānau kei roto ko te estrogen, ko te progesterone rānei
  • Te whakakapi hōmonu (HRT) i te wa o te menopause
  • Ngā mate tairoid o raro

Ētahi atu take matua:

  • Te rā: Ka whakaoho te irirangi UV i te mahi a te melanocyte. Ahakoa he iti noa te ra ka taea e ia te kino ake te mēra o mua, te whakaoho rānei i ngā pihi hou.
  • Te ira: Ka puta te mēra i roto i ngā whānau (ka nui ake te mate mēnā he whanaunga tata tōna).
  • Te momo kiri: Ka nui ake te puta i roto i ngā momo kiri Fitzpatrick III ki V (ngā tae kiri waenganui ki te pouri), ahakoa ka pā ki tētahi momo kiri.
  • Ngā take o waho: Ka taea e ētahi hua kiri, whakapaipai, rongoā, me ngā kakara te mahi hei take, hei kino rānei i te kiri pouri.

I te mea he mate mau tonu te mēra, ā, ka hoki mai anō, ka whakakotahi te manaaki whai hua i ngā rongoā whakaea pigment me te tiaki ra ā-ra, tino.

Ko ēhea rongoā whakahaere e mahi ana mō te mēra?

He maha ngā rongoā waho kua whakaaetia ka taea te manaaki i te mēra, i runga i te kaha, te momo kiri, me te hītori hauora:

Te kirīmi Tri-Luma (fluocinolone 0.01% + hydroquinone 4% + tretinoin 0.05%)

  • Ngā Taipitopito: Ko te anake te huinga toru kua whakaaetia e te FDA mo te mēra kanohi ngawari ki te kaha.
  • Te Pai: I roto i ngā whakamātau haumanu, 77% o ngā turoro i whiwhi i te mārama katoa, tata rānei, i te wiki 8.
  • Te whakamahi: Ka pania kotahi i te ra i te po mo te 8 wiki.
  • Te Utu: $150 ki te $350 mo te ngongo kaore he inihua.

Hydroquinone 4%

  • Ngā Taipitopito: He kaiwhakaea pigment e aukati ana i te whakaputa melanin.
  • Te whakamahi: Ka pania kotahi, rua rānei i te ra, ka whakamahia i roto i ngā huringa (i te nuinga o te wa 3 ki te 4 marama, ka whai waahi ki te okioki) hei whakaiti i te tupono o te ochronosis. Ko ngā paanga taha onge ko te pouri o te kiri.
  • Te Utu: $30 ki te $80 mo te kaha whakahaere.

Tretinoin (Retin-A) 0.025% ki te 0.1%

  • Ngā Taipitopito: He huinga huaora A e whakanui ana i te hurihanga o ngā pūtau kiri, ka honoa ki te hydroquinone.
  • Te Utu: $15 ki te $50 me GoodRx mo ngā kōwhiringa taketake.

Waikawa Azelaic 15% ki te 20%

  • Ngā Taipitopito: He kōwhiringa ngawari ake, haumaru hoki mo ngā turoro hapū, mō te hunga rānei e ngāwari ana ki te hydroquinone, e whai hua ana mō te mēra me te kiri pouri i muri mai i te mumura.
  • Te Utu: $30 ki te $100.

Ngā hanganga whakaranu

  • Ngā kirīmi ritenga e whakakotahi ana i te hydroquinone me te tretinoin, te waikawa kojic, etahi atu kai kaha rānei mo ngā hiahia motuhake o te turoro.

Panui: Ko ia mahere manaaki whai hua e hiahiatia ana hoki te whakamahi ā-ra o te tiaki ra SPF 50+ (he pai ake te rongoā kei roto te rino mo te tiaki marama kitea).

Me pēhea te mahi o te aromātai ipurangi?

Ko te aromātai ipurangi mo te mēra ka whai i tētahi tukanga mārama, taahapa:

  • Taahapa 1: Tukunga whakaahua. Tukuna ngā whakaahua mārama, pai te rama o ngā wāhi kua pā mai i ngā koki maha kia taea ai e te kaiwhakarato te aromātai i te tauira, te hohonutanga, me te kaha.
  • Taahapa 2: Te arotake i te hītori. Ka arotake tō tākuta i te roa, ngā take hōmonu (te hapūtanga, ngā pire whakawhānau, HRT), ngā tikanga whakakitenga ki te ra, ngā manaaki o mua, ngā rongoā, me te ngāwari o te kiri.
  • Taahapa 3: Te whakau i te tātaritanga. Ka whakau tō tākuta ko te tauira e ōrite ana ki te mēra, kaua ki te kiri pouri i muri mai i te mumura, ngā iringa o te ra, ngā tauhohenga rongoā, me ngā kiriweti mate pukupuku.
  • Taahapa 4: Te kōwhiri manaaki. I runga i te kaha, te momo kiri, me te tūnga hapū, ka whiriwhiria e tō tākuta te rongoā tika (ka tīmata ngā turoro tuatahi ki te hydroquinone me te Tri-Luma).
  • Taahapa 5: Te tohutohu tiaki ra. Ka tukuna e te kaiwhakarato he aratohu taipitopito mo te SPF 50+ ā-ra me te rino.
  • Taahapa 6: Mahere whai muri. Ka tirohia i te 4 ki te 8 wiki hei aromātai i te whakautu me te whakarerekē i te manaaki mehemea e tika ana.

Ko te tiki rongoā i taua rā ka noa i te wa i tukuna ai te whakahaere.

A, no hea ka kite i tētahi tohunga kiri ki tētahi tangata

Ko ētahi take ka hiahiatia he aromātai kiri ki tētahi tangata, kaua ki te telehealth. Rapua te manaaki ki tētahi tangata mēnā kei a koe:

  • Ngā pihi pigmenti kua piki ake, kua ahua puku rānei (he papa noa te mēra)
  • Te kiri pouri e tere tere ana te whakarerekē, he koretake rānei
  • Kua rahua ngā manaaki waho maha o mua
  • Te hiahia ki ngā manaaki whakahaere (ngā kiri matū, te microneedling, me te rongoā laser)
  • Ngā āwangawanga mo te mate pukupuku kiri (koretake, te taha koretake, te rerekē o te tae)
  • Te hapūtanga me te mēra kaha, ka kino tere rānei
  • Mēra hohonu e hiahiatia ana he aromātai motuhake
  • Kua whakapaehia te ochronosis mai i te whakamahi hydroquinone roa o mua

Mo ēnei āhuatanga, ka taea e ngā tuku tohunga kiri ki tētahi tangata ngā taputapu tātaritanga motuhake pēnei i te Wood's lamp examination me te dermoscopy.

Kua rite koe mo tētahi aromātai ngaro? Ko te August AI Online Urgent Care i te $39 ka taea te tātaritanga mēra mā ngā whakaahua haumaru, te whakahaere i te hydroquinone, tretinoin, Tri-Luma, me te waikawa azelaic mo ngā take tika, me te whakahaere i te tiki rongoā i taua rā puta noa i ngā whenua katoa o Amerika.

 Ngā Pātai

Kia roa te manaaki mēra kia whai hua?

Ko te nuinga o ngā turoro ka kite i te whakapainga tuatahi i roto i te 4 ki te 8 wiki, ka haere tonu te wherikotanga i roto i te 3 ki te 6 marama. Ka tere ake te mahi a Tri-Luma i ngā manaaki kotahi, me te 77% o ngā turoro i roto i te whakamātau haumanu i whiwhi i te mārama tata katoa i te wiki 8. Ko te ririhanga ā-ra me te tiaki ra tino he mea nui.

He haumaru te manaaki mēra i te wa o te hapūtanga?

Ka karo te Hydroquinone me te tretinoin i te wa o te hapūtanga me te ngote. Ko te waikawa azelaic e kiia ana he haumaru mo te hapūtanga, ka taea te whakahaere mā te telehealth. Ko te nuinga o ngā kaiwhakarato ka tūtohu kia tatari kia mutu ra ano te hapūtanga me te ngote i mua i te tīmatanga o ngā tikanga whakahaere i runga i te hydroquinone.

Ka hoki mai anō te mēra i muri i te manaaki?

Āe, he maha tonu te hokinga mai o te mēra ki te kore he tiaki ra. Ka whakaea ngā manaaki i te pigment o nāianei, engari ka noho tonu te tikanga o raro o te whakaputa melanin nui. Ko te SPF 50+ ā-ra me te rino, me te tiaki i te wa poto, ka āwhina ki te aukati i te hokinga mai.

Ka taea e au te whakamahi i ngā kirīmi kore-whakahaere mo te mēra?

Ka taea e ngā kōwhiringa OTC (pēnei i te serums huaora C, niacinamide, waikawa kojic, me te waikawa azelaic iti-pūngao) te āwhina ki te whakamaari rānei i te kiri, engari he onge nei ka rite ki te kaha o te whakahaere. I tangohia e te FDA te hydroquinone OTC mai i ngā whata o Amerika i te tau 2020, ka waiho ai te whakahaere hei anake te huarahi ki te whiwhi hydroquinone.

He aha te tiaki ra te mea nui ki te manaaki mēra?

Ka tika te irirangi UV ki te whakaoho i ngā pūtau melanocyte ki te whakaputa i te melanin. Ki te kore te tiaki ra, ka tere te hokinga mai o te ahunga whakamua o te manaaki. Ko ngā tiaki ra kei roto te rino ka āwhina ki te aukati i te marama kitea, e mohiotia ana hei whakaoho i te mēra.

Ka taea hoki e ngā tāne te whiwhi mēra?

Āe, ahakoa he iti ake te puta ki ngā tāne. Ko te mēra tāne te nuinga o te whakaoho e te ra me te ira tangata, kaua ki te whakarerekē hōmonu. Ko ngā manaaki me ngā aromātai telehealth he rite tonu mo ngā tāne me ngā wahine.