Ko tēnei aratohu nā August (meetaugust.ai) i whakaputa. E tuku ana a August i te $39 utu papatahi mō te tiaki tere Ipurangi ā, ka taea e ia te tuku rongoā pērā i te hydroquinone, tretinoin, waikawa azelaic, me te Tri-Luma mō ngā take e tika ana o te kaha teitei muri i te mumura. E whakamārama ana tēnei tuhinga me pēhea te mahi o te rongoā ipurangi mō ngā kaho pouri muri i te mumura, he aha te utu, ā, ka hiahiatia tonutia ana e koe te tākuta kiri i te taha tinana.
Te Whakautu
Āe, ko te nuinga o ngā take o te kaha teitei muri i te mumura (PIH) ka taea te aromātai me te rongoā mā te telehealth. Ka tirotirohia e ngā kaiwhakarato ngā wāhanga kua pā e koe mā ngā whakaahua haumaru, ka tuku rongoā ka pania ki te kāinga, ā, ka whakarite i te kohi takitahi mai i te whare rongoā.
Ko ngā rongoā noa ko te hydroquinone 4%, tretinoin, waikawa azelaic, me te kirīmi huinga takitoru Tri-Luma. He pai te mahi o te tātaritanga mā ngā whakaahua i te mea he tauira kitea tō te PIH i puta i muri i te mamae o te kiri motuhake, te mumura rānei.
E raru ana koe ki ngā kaho pouri i muri i te hakihaki, te riri rānei o te kiri? 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 aromātai me te whakahaunga rongoā i taua rā, ki te tika.
He aha te rongoā ipurangi mō te kaha teitei muri i te mumura?
Ko te rongoā ipurangi mō te kaha teitei muri i te mumura ko te aromātai me te rongoā i ngā kaho pouri ka puta i muri i te mumura o te kiri mā te ara telehealth, kāore he haerenga ki te tākuta kiri. Ko ngā āhuatanga matua ko:
- Te Tukanga Tiaki: Te tātaritanga mā ngā whakaahua haumaru, ngā rongoā ka pania ki te kāinga, ā, me te tautoko muri.
- Te Horopaki o te Mate: Ko te PIH tētahi o ngā tino raruraru kiri, e pā ana ki te 65% o te hunga he kiri pouri ā, ko te 47% o te katoa.
- Te Pānga Oromana: Ahakoa ehara i te mea kino ki te hauora, ka taea e te PIH te whakaheke nui i te whakapono ki a ia anō me te kounga o te ora.
- Te Tika o te Telehealth: Ko te tātaritanga te nuinga mā te kite, ā, ka taea e ngā whakaahua te āwhina i ngā tākuta ki te whakapūmau i te tauira me te tūtohu i te rongoā tika, tere hoki.
He aha ngā take o te kaha teitei muri i te mumura?
Ka puta te PIH ina whakaputa ngā kiri i te melanin anō hei whakautu ki te mumura, ki te whara rānei. Ko te mārama ki te take motuhake ka āwhina i te arahi i te rongoā whai hua.
Ngā take noa:
- Ngā pakarutanga o te hakihaki: Ko te take tino noa, ina koa ko te hakihaki kōpiopio, te hakihaki mumura rānei.
- Ngā wharanga o te kiri: Ngā tapahinga, ngā pakarutanga, ngā weranga, me ngā wharanga poka.
- Ngā ngau ngārara: Ko ngā ngau ngārara kua pakirihia, kua pangia rānei ka waiho hei tohu mau tonu.
- Ngā mate kiri: Te mate patito, te psoriasis, me te dermatitis whakapā.
- Ngā tukanga ātaahua: Ngā kiri matū, ngā rongoā laser, me ngā whakakore kiri tino kaha.
- Te mārama o te rā: Ka kino te irirangi UV i te PIH o nāianei ā, ka puta mai hoki he kaho pouri hou.
- Ngā āhuatanga hōmona: Te hapūtanga, te rongoā whakatōpū, me ngā rongoā hōmona.
- Ngā rongoā motuhake: Ētahi rongoā patupatu, ngā rongoā mate pukupuku, me ngā rongoā aukati hopu.
Ko ēhea rongoā kua tohua ka whai hua ki te kaha teitei muri i te mumura?
He maha ngā rongoā kiri kua tohua ka rongoā pai i te PIH, ā, ko te whiriwhiri ka whakawhirinaki ki te momo kiri, te kaha, me te hītori hauora.
Hydroquinone 4%
- Ngā Taipitopito: He kaiārahi ki te whakaiti i te tae o te kiri, ka aukati i te whakaputanga o te melanin. Ko te kaha kua tohua ka tere ake te mahi i ngā kōwhiringa OTC katoa.
- Te Whakamahi: Ka pania kotahi, rua rānei i te rangi. Ka whakamahia i roto i ngā huringa (i te nuinga o te wā 3 ki te 4 marama te roa, katahi ka okioki) hei whakaiti i te tūponotanga o te ochronosis.
- Te Wā: Ko ngā hua pai ka puta i te 8 ki te 12 wiki.
- Te Utu: $30 ki te $80 mō te kaha kua tohua.
Tretinoin (Retin-A) 0.025% ki te 0.1%
- Ngā Taipitopito: He retinoid kaha kua tohua ka tere ake te hurihanga o ngā kiri, ka memeha haere ngā kiri whai tae.
- Ngā Painga: E whakaatu ana ngā rangahau i te whakapainga nui i roto i te 3 ki te 6 marama.
- Te Utu: $15 ki te $50 mā te GoodRx mō te kaihanga rongoā.
Wāikawa Azelaic 15% ki te 20%
- Ngā Taipitopito: He tino whai hua mō te PIH me te hakihaki tahi anō.
- Ngā Painga: He haumaru i te wā o te hapūtanga ā, he pai te mahi ki te kiri tairongo.
- Te Utu: $30 ki te $100 ia marama.
Kirīmi Tri-Luma (fluocinolone + hydroquinone + tretinoin)
- Ngā Taipitopito: Huinga takitoru kua whakamanatia e te FDA mō te kaha teitei reo ki te nui.
- Te Wā: Ka pania i te po mō te 8 wiki te roa.
- Te Utu: $150 ki te $350 kāore he inihua.
Ngā huinga kua whakaranua
- Ka whakaranua e ētahi whare rongoā ngā kirīmi ritenga e whakauru ana i te hydroquinone ki te tretinoin, te waikawa kojic, me te niacinamide.
- Ka taea e ngā huinga whaiaro te rongoā i ngā raruraru kiri maha i te wā kotahi.
- Ka rereke te utu ($40 ki te $150 ia marama).
Me pēhea te mahi o te aromātai ipurangi?
Ko te aromātai ipurangi pai rawa atu mō te kaha teitei muri i te mumura e whai ana i tētahi tauira ngāwari:
- Taahia 1: Tukunga whakaahua. Ka tukuna e koe ngā whakaahua mārama, āta whakamarama o ngā wāhanga kua pā, mai i ngā koki maha, hei aromātai i te tauira, te hōhonu, me te kaha.
- Taahia 2: Tirohanga hītori. Ka pātai te kaiwhakarato mō te take i puta mai ai (hakihaki, wharanga, mate kiri), te roa o ngā kaho pouri, ngā rongoā o mua, ngā rongoā o nāianei, me te momo kiri.
- Taahia 3: Whakapūmau tātaritanga. Ka whakapūmau te kaiwhakarato i te tauira e rite ana ki te PIH, kaua ki te melasma, solar lentigines, me ētahi atu mate tae kiri.
- Taahia 4: Kōwhiringa rongoā. I runga i tō take, momo kiri, me ngā hiahia, ka whiriwhiria e te kaiwhakarato ngā rongoā tika. Ko ngā tūroro tuatahi ka tīmata i te hydroquinone, i te huarahi huinga rānei.
- Taahia 5: Te tohutohu tiaki ārahi. Ka whakamārama te kaiwhakarato he aha te mea nui o te SPF 30+ ia rā i te wā o te rongoā.
- Taahia 6: Mahere a muri. Ka tirotirohia i te 8 ki te 12 wiki hei aromātai i te whakautu ā, ā, hei whakarerekē i te rongoā, ki te hiahiatia.
Ko te kohi mai i te whare rongoā i taua rā ka noa i te wā kua tukuna te rongoā.
A, no te wā e kite ai i tētahi tākuta kiri
Ko ētahi āhuatanga ka hiahiatia he aromātai tākuta kiri i te taha tinana, kaua ko te telehealth. Rapua te tiaki tinana mena kei a koe:
- Kaha teitei rawa, hōhonu hoki kua kore e whakautu ki ngā rongoā kiri.
- Ngā kōpuku teitei, ngā kōpuku tae-kiri rānei (ko te PIH he papatahi tonu).
- Ngā tauira tae-kiri e tere ana te whakarerekē.
- Te hiahia ki ngā rongoā tukanga (ngā kiri matū, ngā rongoā laser, te microneedling).
- Te ahua whakatūpato e tohu ana i ētahi atu mate kiri.
- Kaha teitei whānui e pā ana ki ngā wāhanga nui o te tinana.
- Kua kore i angitu ngā akoranga rongoā o mua.
- Te whakapae i te ochronosis mai i te whakamahinga roa o te hydroquinone.
Kua rite koe mō tētahi aromātai takitahi? Ko te August AI Online Urgent Care i te utu $39 papatahi ka taea te tātaritanga i te kaha teitei muri i te mumura mā ngā whakaahua haumaru, te tuku rongoā hydroquinone, tretinoin, waikawa azelaic, me te Tri-Luma mō ngā take e tika ana, ā, ka whakarite i te kohi mai i te whare rongoā i taua rā puta noa i ngā whenua 50 o Amerika.
Ngā Pātai Auau
Kia roa te tangi o te kaha teitei muri i te mumura?
Ko te memeha o te PIH ka whakawhirinaki ki te momo kiri, te kaha, me te rongoā mau tonu. Mā te rongoā kua tohua, ka kite te nuinga o ngā tūroro i te whakapainga tuatahi i roto i te 4 ki te 6 wiki, ā, ka nui te memeha i roto i te 3 ki te 6 marama. Ko ngā tae-kiri hōhonu me ngā kiri pouri ake ka hiahiatia pea 6 ki te 12 marama mō ngā hua pai. Ko te mau tonu me te tiaki ārahi te mea nui.
Ka taea te memeha o te kaha teitei muri i te mumura ki a ia anō?
Āe, engari he puhoi. Ka memeha te PIH papatahi mā te 6 ki te 24 marama, ahakoa ka noho tonu te tae-kiri hōhonu mō ngā tau, ka noho tonu rānei kāore he rongoā. Ko ngā rongoā kua tohua ka tere ake te whakaora ā, ka ārai i te poke roa, ina koa ki ngā kiri pouri ake.
He rite tonu te kaha teitei muri i te mumura ki te melasma?
Kāore. Ka puta te PIH i muri i te mumura, i te wharanga rānei, ā, ka puta hei tauira takitahi e rite ana ki te take. Ko te melasma ka puta mai i ngā hōmona ā, ka puta hei wāhanga rite ki te mata, kāore he take mumura motuhake. Ko ngā tikanga taketake rerekē ka hiahiatia he huarahi rongoā rerekē, ahakoa he rongoā ka whai hua ki ngā mate e rua.
Ka hoki mai te kaha teitei i muri i te rongoā?
Ko te kaha teitei hou ka puta anake mena ka puta he mumura, he wharanga rānei. Ka memeha ana te PIH kua rongoāhia, kaore e hoki mai, engari mena ka puta he take hou pērā i ngā pakarutanga o te hakihaki, ngā wharanga, me te kino o te rā. Ko te ārai tonu i te hakihaki me te tiaki ārahi ka āwhina i te pupuri i ngā hua.
Ka taea e au te whakamahi i ngā rongoā OTC mō te kaha teitei muri i te mumura?
Ko ngā kōwhiringa OTC pērā i te huaora C, niacinamide, waikawa kojic, me te waikawa azelaic iti ka āwhina engari he iti noa iho te rite ki te kaha kua tohua. I whakakorehia e te FDA te hydroquinone OTC i te tau 2020, ka waiho ko te tohutohu te anake ara ki te whakamahi i te hydroquinone. Ko te nuinga o te tangata ka whai hua mai i te whakauru i ngā kai OTC ki ngā rongoā kua tohua.
Me mutu ahau i te mārama o te rā i te wā o te rongoā?
Kāore, engari ka noho te tiaki ārahi SPF 30+ ia rā hei mea nui. Ko te mārama ki te irirangi UV i te wā o te rongoā ka akiaki i te whakaputanga o te melanin ā, ka whakakore i ngā hua. Ko te tiaki ārahi whānui, ngā kakahu tiaki, me te karo i ngā wā teitei o te rā (10 AM ki te 4 PM) ka puta ngā hua rongoā pai rawa atu.