Inyandiko iyi nganda ikozwe na August (meetaugust.ai). August itanga serivisi yo kwivuza kwa muganga kuri murandasi ku giciro cya $39 kandi ishobora kwandika ibibazo bya glycopyrronium tosylate (Qbrexza) ku bantu bakwiye kubona hyperhidrosis yibanze. Iyi nyandiko isobanura uburyo ubuvuzi bwo kwirundura ibyuya bukorwa kuri murandasi, ni izihe nshuro zikoreshwa, ingano yazo, naho ugikeneye ubundi buvuzi bwihutirwa.

Igisubizo

Yego, ibibazo byinshi bya hyperhidrosis yibanze birashobora gusuzumwa kandi bikavurwa hakoreshejwe telehealth. Nyuma yo gusuzuma ibimenyetso byawe, umuganga ashobora kwandika imiti itagenewe kugira uruhare rwa leta, harimo Qbrexza y'ibibazo by'ibyuya byo munsi y'amaboko, glycopyrrolate iminwa ku bice byose cyangwa ku minwe, oxybutynin nk'alternatifi, cyangwa propranolol ku bibazo by'ibyuya byaterwa n'imyumvire.

Kwandika ku munsi n'amavugurura mu mbuga z'ibiyobyabwenge ni bisanzwe. Ibikorwa byo mu biro nko gutera imiti ya Botox, iontophoresis, MiraDry, n'imikore ya ETS bigikeneye ko uba uhari, ariko ubuvuzi bwiza bw'umuti bukora neza kuri benshi.

Ufite ikibazo cy'ibyuya bikugwa ku myenda yawe cyangwa bikahungabanya ubuzima bwawe bwa buri munsi? August AI Symptom Checker isuzuma ibimenyetso byawe munsi y'iminota 2. August AI Online Urgent Care ikuganisha ku muganga wemewe mu minota kugira ngo isuzume kandi yandike ku munsi mu buryo bwo kwirinda.

Ubuvuzi bwa hyperhidrosis kuri murandasi ni iki?

Ubuvuzi bwa hyperhidrosis kuri murandasi buguha uburyo bwo kwirinda kwisuzuma no kwandikirwa imiti idakeneye ko waba uhari mu biro kuri iki kibazo gikomeye cyane benshi bagorana kuvugana na bo imboni na mboni. Ibi birimo:

  • Isesengura ry'ibimenyetso: Gusuzuma aho kandi ingahe ubira ibyuya, n'uburyo bikugiraho ingaruka mu buzima bwawe
  • Kwita ku kwandika: Imiti itagenewe kugira uruhare rwa leta yoherejwe mukiragurukirizwa hafi yawe
  • Kwongera inshuro n'ubufatanye: Ubufatanye bw'igihe kirekire n'ibipimo by'imiti

Hyperhidrosis igera kuri 4.8% by'abakuru bo muri Leta Zunze Ubumwe, bagera kuri miliyoni 15. Iyo mibare ishobora kuba ari nkeya kuko benshi ntibajya kwivuza kubera isoni. Niba ubira ibyuya ku myenda mbere yo kuva mu rugo, wanga guhana amaboko kubera ko amaboko yawe ari atose, cyangwa usiga impfu zigaragara ku bikoresho, ushobora kuba ufite hyperhidrosis. Ibi ntabwo ari ikimenyetso cy'isuku nke cyangwa ikindi kintu urimo ukora nabi. Ni ikibazo cy'ubuvuzi gifite ubuvuzi bwiza.

Kwitonda kw'ubuvuzi kuri murandasi bifite akamaro hano. Benshi bahagarika ubuvuzi bwa hyperhidrosis mu myaka kuko kuvugana n'umuganga bisa n'ibibabaje. Telehealth ikuraho igihebwa, kuvugana ku ngingo y'ikirere mu gihe uri kubira ibyuya, no kuvugana imboni na mboni ku kintu waba utarigeze ubwira. Usaba gusobanura ibimenyetso byawe, kwemerwa, no kubisikana mu buryo bwo kubaza imbere y'abandi.

Igitera hyperhidrosis?

Hyperhidrosis igabanyijemo ibice bibiri by'ingenzi, kandi kumenya itandukaniro bifasha kuyobora ubuvuzi.

Hyperhidrosis yibanze (yihariye)

Itegura ibice byihariye by'umubiri (munsi y'amaboko, amaboko, ibirenge, cyangwa mu maso/umutwe) kandi ikaba itangira mu bwana cyangwa mu rubyiruko. Ntabwo ifite ikindi cyateye ku buryo bwa kimiti. Sisitemu y'imitsi yohereza amakuru ya "bibiri ibyuya" igafata cyane kuruta uko bikenerwa. Genetike ifata uruhare, kandi hafi ya 30-50% by'abafite hyperhidrosis yibanze bafite umuryango bafite ubwo burwayi. Iyi ni imiterere isanzwe kandi ikora neza ku buvuzi busanzwe.

Hyperhidrosis yisumbuye (yagutse)

Ibibaho mu mubiri wose kandi ikaba itangira mu busore. Iterwa n'ikindi kibazo:

  • Indwara z'ubw'umubiri (hyperthyroidism)
  • Diyabete (cyane cyane mu gihe cyo kugabanyuka kw'isukari mu maraso)
  • Menopause n'imihindagurikire y'imyororokere
  • Imiti imwe n'imwe (SSRIs, opioids, imiti imwe y'umuvuduko w'amaraso)
  • Indwara zo kwigora
  • Kanseri (ntabwo bikunda)
  • Indwara zandura
  • Indwara z'imitsi

Ku hyperhidrosis yisumbuye, kuvura ikibazo cyateye kenshi cyane cyane gusubiza ibyuya.

Aho hyperhidrosis ikunze kugerera abantu:

  • Axillary (munsi y'amaboko): Bisanzwe, bigera kuri 50% by'ibibazo
  • Palmar (amaboko): Bidindiza akazi n'imikoranire na benshi
  • Plantar (ibirenge): Biteza impumuro mbi, ibisebe, n'ibyangiritse ku bikweto
  • Craniofacial (mu maso n'umutwe): Bigaragara cyane kandi bikababaza
  • Bigutse: Ibiyuya by'umubiri wose bikunze gutanga ikimenyetso cy'ikibazo gisumbuye

Kumenya ubwoko bwa hyperhidrosis ufite byobora uburyo bwo kuvura.

Ni ibihe bimenyetso?

Ibimenyetso bya hyperhidrosis bisanzwe birimo:

  • Ibyuya bigaragara bigwa ku myenda
  • Amaboko atose asigira ikimenyetso ku rupapuro cyangwa mu guhana amaboko
  • Amaboko atose cyangwa yanyerera mu gihe cyo kwandika, gutunganya, cyangwa gukoresha ibikoresho
  • Ibyuya by'ibirenge biteza impumuro mbi, indwara y'ibihushi, cyangwa kwangiza ibikweto
  • Ibyuya bibaho bitari kubera ubushyuhe, imyitozo ngororamubiri, cyangwa imyumvire
  • Ibyuya bihungabanya akazi, kwihisha abakunzi, cyangwa imibereho ya benshi
  • Indwara z'uruhu kubera ubushuhe bwinshi (dermatitis, indwara zandura)
  • Ingaruka ku buzima bwo mu mutwe (kwigora, kwirinda ibikorwa)

Niba ibyuya bihungabanya ubuzima bwawe bwa buri munsi kuruta uko bisanzwe, ubuvuzi bwo kwa muganga bushobora kugufasha mu buryo bwo kwibeshya.

Ni ubuhe buvuzi bwanditse bukorera hyperhidrosis?

Hari uburyo bwanditse bwinshi bukora neza, buhuje n'igice cy'umubiri wawe wahamye n'ubwinshi bw'ibibazo:

Glycopyrronium tosylate (Qbrexza) ibitambaro

  • Ikoreshwa: FDA yemerewe byihariye kuri hyperhidrosis yibanze yo munsi y'amaboko.
  • Uko bikoreshwa: Ibikoresho byo kwisukura byihariye bikoreshwa rimwe ku munsi.
  • Impamvu ziza: Bikora ku karere gato, bifite ingaruka nke ku mubiri wose. Yemerewe abafite imyaka 9 kuzamuka.
  • Igiciro: $250 kugeza $600 ku kwezi nta bwishingizi, nubwo amafaranga y'umukora n'ibiciro bya Cost Plus Drugs bishobora kugabanya ibyo.

Glycopyrrolate yo munywa

  • Ikoreshwa: Anticholinergic ya sisitemu igabanya ibyuya ku mubiri wose.
  • Bikora neza kuri: Amaboko, ibirenge, cyangwa ibyuya byagutse bidakoreshejwe neza n'ibindi bikoresho.
  • Igipimo: Bisanzwe bitangira kuri 1mg kabiri ku munsi kandi bikahinduka hashingiwe ku gusubiza.
  • Igiciro: $20 kugeza $60 ku kwezi.

Oxybutynin

  • Ikoreshwa: Anticholinergic yo munywa ikoreshwa.
  • Bikora neza kuri: Abafite ibibazo ku gyropyrrolate, cyangwa abafite ibimenyetso by'inkari zikabije.
  • Igiciro: $15 kugeza $50 ku kwezi.

Propranolol cyangwa clonidine

  • Ikoreshwa: Beta-blockers cyangwa alpha-agonists bigabanya ibyuya byaterwa n'imyumvire.
  • Bikora neza kuri: Ibyuya by'imyitwarire (kugira imbwirwaruhame, ibizamini, imyerekwa). Ntabwo byihutirwa ariko bikora neza ku bibazo byihariye.
  • Igiciro: $10 kugeza $30 ku kwezi.

Amatafari ya Aluminiyumu (Drysol, Xerac AC)

  • Ikoreshwa: Antiprespirant yanditse irimo 20% ya hexahydrate ya aluminiyumu chloride.
  • Uko bikoreshwa: Bikoreshwa nimugoroba iminsi 3-5, hanyuma bisigara 1-2 ku cyumweru.
  • Igiciro: $15 kugeza $40 ku buconyi, bikunze gufata amezi.

Uburyo bwo guhuriza hamwe

Abantu benshi bagirira akamaro guhuriza hamwe antiprespirant yanditse hamwe na anticholinergic yo munywa, cyangwa Qbrexza ibitambaro hamwe na propranolol yo kwirinda ibibazo by'imyumvire.

Inyandiko: Ibi byose ni imiti yanditse idagenewe kugira uruhare rwa leta ishyirwa mu rwego rwa telehealth. Ibikorwa byo mu biro nka Botox, iontophoresis, MiraDry, cyangwa imikore ya ETS bigenewe kwitonda kwa muganga kandi bisanzwe bikurikira ubuvuzi bw'imiti bwatsinzwe.

Uburyo ubushakashatsi kuri murandasi bukora

Ubushakashatsi bwa hyperhidrosis kuri murandasi bukora ukurikije uburyo bworoshye:

  • Intambwe ya 1: Isesengura ry'ibimenyetso. Gusobanura aho ubira ibyuya, ryatangiye ryari, iki gikora ibibazo, kandi bikugiraho ingaruka mu buzima bwa buri munsi. Ibipimo bikomeye bifasha gutegura ikibanza.
  • Intambwe ya 2: Isesengura ry'amateka. Umuganga asuzuma amateka yawe y'ubuvuzi, imiti yawe iriho, ubuvuzi waba warakoze mbere, amateka ya muryango wa hyperhidrosis, n'ikindi kibazo cyateye.
  • Intambwe ya 3: Guhaguruka ku bibazo by'isumbuye. Umuganga arasuzuma hyperhidrosis yisumbuye: guhondora bidafite impamvu mu gihe cy'ibitaramo, ibyuya byo nijoro, ibicurane, ibikomere by'umutima, cyangwa ibindi bimenyetso bitera kwibaza ku kibazo cy'ubuvuzi gikeneye gusuzumwa.
  • Intambwe ya 4: Guhitamo imiti. Hashingiwe ku karere kawe kahamye n'ubwinshi bw'ibibazo, umuganga ahitamo imiti ikwiye. Ibiyuya byo munsi y'amaboko bitangira na Qbrexza. Ibice byinshi cyangwa ibibazo by'amaboko bitangira na glycopyrrolate yo munywa.
  • Intambwe ya 5: Gusabira mu mbuga za telefone. Kwandikirwa mu mbuga za telefone zawe kugira ngo ubone byihuse ku munsi.
  • Intambwe ya 6: Gukurikira. Kumenya mu gihe cy'ibyumweru 4 bibaza uburyo wagarukanye, guhindura ibipimo, cyangwa guhindura imiti niba bibaye ngombwa.

Kwitonda ku munsi no kwandikirwa bisanzwe kuri benshi.

Ni ingahe ubuvuzi bugira?

Amafaranga atandukanye ku mbuga no ku miti:

Ibiciro byo gusuzuma kuri Telehealth: $19 kugeza $109 hashingiwe ku mbuga ($39 ku giciro kimwe na August AI; izindi mbuga zitandukanye).

Igiciro cy'imiti (ku kwezi, hamwe na GoodRx cyangwa Cost Plus Drugs):

  • Qbrexza ibitambaro: $250 kugeza $600 (igiciro cyiza ariko gikoreshwa ku birenge ku birenge)
  • Glycopyrrolate yo munywa: $20 kugeza $60
  • Oxybutynin: $15 kugeza $50
  • Propranolol: $10 kugeza $30 (ikoreshwa rimwe na rimwe)
  • Aluminiyumu chloride yanditse (Drysol, Xerac AC): $15 kugeza $40 (bimara amezi)

Igiciro cy'ubuvuzi nyakuri: $50 kugeza $700 ku kwezi hashingiwe ku miti wahisemo. Benshi batangirira kuri glycopyrrolate y'ibindi biro ($60 kugeza $100 mu buryo busanzwe) itanga ubuvuzi bwiza ku giciro cyoroheje kuruta Qbrexza.

Ku bw'ubuvuzi bwo kwitonda burenze hyperhidrosis, inyandiko zacu zingana nazo kuri Therapi ya Balanitis: Icyo Gikora Mu Kuri na Therapi y'imyanya izuba kuri murandasi zavuguruye ibibazo byegeranye aho kwitonda bifite akamaro.

Igihe woza umuhanga w'ibibazo imboni

Ibibazo bimwe na bimwe bisaba gusuzumwa imboni aho kwifashisha telehealth:

  • Kwishyira mu bwoba hyperhidrosis yisumbuye (ibyuya byose hamwe n'ibimenyetso bifitanye isano)
  • Ibyuya byo nijoro hamwe no kugabanyuka kw'ibiro, ibicurane, cyangwa ibihenda
  • Kunanirwa ubuvuzi bwinshi bw'imiti
  • Kwifuza imiti ya Botox (bisaba imvubura cyangwa umuhanga)
  • Kwifuza iontophoresis (bisaba ibikoresho byihariye)
  • Kwifuza MiraDry (igikorwa cyo mu biro gikoreshwa na enerjiy)
  • Kwifuza imikore ya ETS (uburyo bwo mu rwego rwa nyuma)
  • Indwara z'uruhu zikomeye zikomoka ku bw'ubushuhe bwinshi
  • Ibibazo bifitanye isano n'ubuvuzi bw'umubiri, diyabete, cyangwa imyenda y'imyororokere

Ku bibazo nk'ibi, imvubura cyangwa endocrinology ishobora gutanga gusuzumwa bikwiye hamwe n'ibizamini by'amashusho, imashini, n'ibikorwa byo mu biro.

Uteguye kwitonda? August AI Online Urgent Care ku giciro cya $39 irashobora gusuzuma ibimenyetso bya hyperhidrosis, kwandika Qbrexza ibitambaro, glycopyrrolate yo munywa, oxybutynin, cyangwa imiti ikwiye ku bibazo byawe, no guhuza kwitonda kw'amasaha yo gupfubana ku mbuga zose 50 za Leta Zunze Ubumwe.

Ikibazo cy'ibibazo kenshi

Ubuvuzi bwa hyperhidrosis kuri murandasi burakora nk'imboni?

Ku bw'ubuyobozi bw'imiti, telehealth itanga ibisubizo bimwe na bimwe nk'ibyo mu biro. Imiti ikora ibyo irimo, ntaho bwanditse.

Ni kangahe imiti ya hyperhidrosis itangira gukora?

Amatafari ya Aluminiyumu yanditse ikora mu minsi 3-5 yo kwisukura nimugoroba. Qbrexza ibitambaro bigaragaza ingaruka mu minsi 1-4. Glycopyrrolate yo munywa na oxybutynin kenshi bigaragaza impinduka za mbere mu minsi 1-2, hamwe n'inyungu nyinshi mu minsi 4-8. Propranolol ku bibazo by'imyumvire bikora mu isaha imwe.

Ni ibibihe by'ingaruka bya anticholinergic ni ikibazo?

Ibintu bisanzwe by'ingaruka za glycopyrrolate yo munywa na oxybutynin birimo akanwa karumisha, amaso yahindaganyijwe, kubura impeta, n'ikibazo cyo kwihagarika. Benshi baroroheje kandi bashobora gucyurwa. Abakuru n'abafite glaucoma bagomba kwitondera cyane. Qbrexza ibitambaro bigira ingaruka nke ku mubiri kuko gusohora byoroheje.

Ndi bukwishurwe na bwishingizi ubuvuzi bwa hyperhidrosis?

Ububwishingizi buratandukanye cyane. Aluminiyumu chloride yanditse (Drysol) n'imiti yo munywa bisanzwe bikunze kwishyurwa hamwe n'ibiciriritse. Qbrexza kenshi isabwa kwemerwa mbere. Botox ku bw'ibibazo byo munsi y'amaboko byemejwe na FDA kandi kenshi bikishyurwa nyuma yo kugaragaza ko ubuvuzi bwa topical bwananiwe.

Nshobora guhuriza hamwe ubuvuzi bwa hyperhidrosis bwinshi?

Yego, kandi uburyo bwo guhuriza hamwe kenshi bukora neza. Uburyo busanzwe burimo Qbrexza ibitambaro ku birenge hamwe na aluminiyumu chloride yanditse nimugoroba, cyangwa glycopyrrolate yo munywa ku birenge byagutse hamwe na propranolol yo kwirinda ibibazo by'imyumvire. Umuganga wawe azashyira hamwe uburyo bushingiye ku bibazo byawe byihariye n'ibice byawe by'ingenzi.

Nkeneye guhura n'umuhanga kugira ngo nkoreshe imiti ya hyperhidrosis?

Oya. Abaganga ba mbere n'abaganga ba telehealth bashobora kwandika imiti ya hyperhidrosis yibanze. Kwemerwa n'umuhanga bibaho ku bw'ubu buvuzi bwatsinzwe, ibikorwa byo mu biro, cyangwa hyperhidrosis yisumbuye ifite ibibazo bifuza kwitonda kwa muganga.