Imiti Isanzwe Igurwa ku Ifarisi ku Bisebere: Ni Iki Gikora & Ryari Ukeneye Agasanduku k'Imiti

Niba ufite ibisebere kandi ushaka kwiruhura mu buryo bukora kuva kuri CVS cyangwa Walgreens mbere yo kujya kwa muganga, uri kubaza ikibazo gikwiye. Ibisubizo nyakuri ni uko imiti isanzwe igurwa ku ifarisi ku bisebere ikora ku bibazo byoroheje. Shampoo za coal tar, asidi ya salisilik, na hydrocortisone isanzwe ishobora gufasha cyane. Ariko ibisebere bikomeye bifuza imiti ivuye kwa muganga kugira ngo bigere ku guhinduka gutera imbere.

Inyandiko iri irakuyobora mu guhitamo ibikoresho byoroheje bikora, ryari igihe cyo kujya kwa muganga, n'ukuntu wabona ubufasha kuri interineti utinze iminsi myinshi utegereje kwemerwa kwa dermatologiste.

Ni irihe tsinda ry'imiti isanzwe igurwa ku ifarisi ku bisebere rikora?

Bitandukanye n'indwara zimwe aho imiti isanzwe igurwa ku ifarisi ari ugushakisha amafaranga, ibisebere bifite imiti isanzwe yemejwe na FDA ikora by'ukuri:

Ku bisebere by'uruhu n'ibyo ku mutwe:

• Coal tar (Neutrogena T/Gel, MG217, Denorex): Yemejwe na FDA ku bisebere. Itindisha uruhu kurenga gusabwa kw'uturemangingo ($8-$15).
• Salicylic acid (MG217, Scalp 18): Ikwigisha kandi ikuraho uduheri. Ikorana neza cyane na coal tar ($10-$20).
• Ketoconazole 1% shampoo (Nizoral): Ntabwo yemejwe na FDA ku bisebere byihariye, ariko igabanya uburibwe kandi ikafasha ibisebere ku mutwe ku bantu benshi ($10-$18).
• Hydrocortisone 1% cream: Ni igikoresho gisanzwe cy'umuti wa steroid gifasha kurwanya ibibazo byoroheje, bikomeza igihe gito.

Ku kwishimagura n'ubworoherane bw'uruhu rusange:

• Imigano ya colloidal oatmeal (Aveeno): Ikwigisha uburibwe n'uburibwe bwiyongereyeho ($8-$15).
• CeraVe cyangwa Cetaphil moisturizers: Iteza imbere igipfukiro cy'uruhu rwononekaye, rwumye ($12-$20).
• Aloe vera gel: Itanga ibimenyetso byo kugabanya uburibwe bwo hejuru ($8-$15).
• Ibinure bya kokoshe: Ikwigisha uduheri twinshi kandi ikagabanya uduheri. Ikorana neza cyane nijoro munsi y'ipfuko y'imyenda yo kwoga ku mutwe.

Inyigisho ziva muri American Academy of Dermatology zemeza ko ari inzira ziboneye zishingiye ku buvuzi mu buryo busanzwe. Siga amafaranga yawe ku bintu byo gukiza ibisebere bifite ibintu bidafite icyo bivuga cyangwa bidafite ubushobozi kandi bidafitwe na FDA.

Ryari imiti isanzwe igurwa ku ifarisi itagishoboye

Imiti isanzwe igurwa ku ifarisi irakora ku bisebere byoroheje, ariko ntibishobora kugenzura ibikomeye. Tekereza kujya kwa muganga niba:

• Imiti isanzwe igurwa ku ifarisi idakora nyuma y'ibyumweru 4 kugeza 6 byo kuyikoresha buri gihe.
• Aho ibisebere byafashe hejuru ya 3% y'umubiri wawe (kugereranywa n'ingano y'ikiganza cyawe cyangwa hejuru).
• Ibisebere bikoraho ahantu hagomba kwitabwaho nk'umusatsi, amaboko, ibirenge, cyangwa imyanya ndangagitsina.
• Ibisebere by'amunyu bigaragare, bigatera urubavu rw'amunyu cyangwa guhinduka kw'amunyu.
• Ibimenyetso bya arthrite ya psoriatic bibaho, nk'ububabare mu ngingo, kwiyongera, cyangwa kwihanganira mu gitondo.
• Ibisebere ku mutwe biracyakomeye kandi ntibishubije shampoo ya coal tar cyangwa ketoconazole.
• Kugira ingaruka ku kwibona bidahindura ubuzima bwawe bwa buri munsi n'ubuzima bwiza.

Ni irihe tsinda ry'imiti ivurwa na muganga rikora?

Imiti ivurwa na muganga ku bisebere ituruka ku gukomera kwinshi kugeza ku bikoresho bya biologics, bitewe n'ubwiyongere:

Imiti ivurwa na muganga:

• Triamcinolone 0.1% cyangwa 0.5%: Ni umuti ukomeye wa steroid wo hanze. Reba Triamcinolone Isanzwe Igurwa ku Ifarisi? kugirango usobanuke neza.
• Clobetasol 0.05%: Ni umuti ukomeye wa steroid ukoreshwa ku bisebere bikomeye, binini. Wagombye gukoreshwa igihe gito.
• Calcipotriene (Dovonex): Ni uruvange rwa vitamin D. Akenshi ihuzwa na steroid yo hanze kugirango ibone ibisubizo byiza cyane.
• Tazarotene (Tazorac): Ni umuti wa retinoid wo hanze ukora neza igihe uhujwe na steroid yo hanze.
• Abahagarariye Calcineurin (Elidel, Protopic): Ni imiti yoroheje, itari steroid ikwiye ku maso n'imyanya idafite ubwoba.

Ku bisebere bikomeye:

• Biologics (Humira, Skyrizi, Cosentyx, Tremfya): Ni imiti ikomeye itanga ibipfuke bigamije inzira zihariye zo kwirinda. Ni impinduka ku bibazo bikomeye ariko bisaba umuhanga.
• Imiti yo mu kanwa: Imiti yo mu kanwa nk'otrexate, cyclosporine, cyangwa apremilast (Otezla).
• Inyandiko zo kuvura hamwe n'imirasire: Kwirinda kw'imirasire ya medikali ya UVB cyangwa PUVA.

Uburyo bwo kubona imiti y'ibisebere kuri interineti

Kuvurwa kw'ibisebere kuri interineti biroroshye kandi birimo ibikoresho byo hanze:

• Intambwe ya 1: Ifoto n'ibimenyetso. Shyiraho amafoto afatika y'ibisebere byawe afashwe mu mucyo kamere, gusobanura aho biherereye n'igihe bimaze, kandi werekana imiti isanzwe igurwa ku ifarisi waba warakoresheje.
• Intambwe ya 2: Kwigana na muganga. Umuganga wemewe asuzuma ikibazo cyawe kugirango atandukanye ibisebere n'ibirumugina, dermatitis, cyangwa indwara z'umuhindo.
• Intambwe ya 3: Gusuzuma no kwita ku bikoresho. Umuganga wawe aguhindurira triamcinolone, calcipotriene, cyangwa imiti ihujwe hashingiye ku bwiyongere bwawe.
• Intambwe ya 4: Kwandika imiti kuri interineti. Inyandiko zawe z'imiti zigura zizoherezwa kuri farumasi yawe kugirango zifatwe ku munsi, zifite igihe cy'isaha 1 kugeza 4.

Amafaranga rusange: Kwigana na muganga ($19-$75) + cream ya generic triamcinolone ($10-$30) cyangwa calcipotriene ($30-$100) = hafi $30-$175 rusange ku bantu bishyura amafaranga.

Ikimenyetso: Ku miti ya biologics cyangwa ibibazo bigoye, umuganga wawe uzakwerekeza kuri dermatologiste usanzwe.

Gura imiti y'ibisebere binyuze kuri August AI

Kubantu bakuru benshi bafite ibisebere byoroheje kugeza ku bikomeye, August AI itanga inzira yihuse, ifasha kubona imiti y'ibyanditswe na muganga:

• Umuhanga wemewe usuzuma binyuze ku ifoto cyangwa videwo.
• Kwemerwa kwandikwa kwa steroid yo hanze, calcipotriene, cyangwa imiti ihujwe.
• Inyigisho zishingiye ku buvuzi. Niba ikibazo cyawe gisaba gusubizwa kwa dermatologiste usanzwe kubera biologics cyangwa imirasire, umuganga wawe azakumenyesha.
• Igiciro cyihariye cya $39 nta bindi bihembo, nta gusabwa, kandi nta insurance ikenewe.

Inkomoko zijyanye: Triamcinolone Isanzwe Igurwa ku Ifarisi? , Kuvura Ibimugina

Bimwe mu bibazwa cyane

Ni irihe tsinda ry'imiti isanzwe igurwa ku ifarisi ryiza ku bisebere?

Ku bisebere by'uruhu, imiti ya coal tar nka (MG217 cyangwa Denorex) n'imiti ya salicylic acid ni amahitamo meza cyane ashingiye ku buvuzi. Ku bibazo bikomeye, imiti isanzwe igurwa ku ifarisi nk'iyo yakoreshwa igihe gito ya hydrocortisone 1% ishobora gutuza igishimaguriro. Guhuza shampoo ya coal tar n'imiti ya salicylic acid irakora neza ku bisebere byo ku mutwe. Biragusabwa kugabanya amafaranga yawe no kwirinda imiti idafite ubushobozi budafite ubushobozi.

Nonese Nizoral shampoo irakwiriye ku bisebere by'umutwe?

Yego, Ketoconazole 1% shampoo (Nizoral) ntabwo yemejwe na FDA ku bisebere, ariko ibikorwa byayo byo kurwanya uburibwe bihugira ibimenyetso by'ibisebere by'umutwe neza. Ni byiza cyane igihe ibisebere by'umutwe bifitanye isano na seborrheic dermatitis, ibyo bikunze kuba.

Ryari ngombwa kujya kwa muganga ku bisebere?

Ugomba kwandika kwa muganga niba imiti isanzwe igurwa ku ifarisi ntigikontrola ibisebere byawe nyuma y'ibyumweru 4 kugeza 6, niba ibisebere byawe bikora hejuru y'ikiganza cyawe, niba ibibazo byibasiye isura yawe cyangwa ingingo zawe, cyangwa niba ibimenyetso bihindura ubuzima bwawe bwa buri munsi. Umuganga kuri interineti ashobora gusuzuma uruhu rwawe kandi akandikira imiti ikomeye kugirango itunganywe ku munsi.

Nshobora kubona cream y'ibisebere kuri interineti?

Yego. Abakoresha interineti bemewe bashobora gusuzuma ibisebere byawe binyuze ku mafoto meza cyangwa videwo kandi bakandikira steroid yo hanze, calcipotriene (Dovonex), tazarotene, cyangwa imiti ihujwe kugirango iboneke ku munsi kuri farumasi yawe. Igiciro rusange cy'amafaranga kirimo kwigana na muganga n'imiti ya generic kirimo kuva $30 kugeza $175.

Ni ngombwa ko nkoresha biologics ku bisebere byanjye?

Biologics isanzwe ikoreshwa ku bisebere bikomeye bidafite ingaruka ku miti yo hanze. Amahitamo nk'a Humira, Skyrizi, cyangwa Cosentyx ashobora guhindura ibibazo bikomeye, nubwo bihenze ($5,000-$20,000+ ku mwaka nta insurance) kandi bisaba ubugenzuzi bwa muganga. Abantu benshi bafite ibisebere byoroheje cyangwa bikomeye babona kwiruhura bashimishije hamwe n'imiti yo hanze.

Ni iki gitandukanya eczema n'ibisebere?

Eczema ikunze guteza ibice bihungabanya, byanduye, cyangwa byanduye bishushanya cyane mu gice cy'uruhu. Ibisebere bitera uduheri twinshi, tw'umweru bifite imipaka yoroheje, bikunze kuboneka ku bikorori, ku ngingo, ku mutwe, no munsi y'umugongo. Bombi bishimira gusuzumwa neza kwa muganga kugirango basobanure neza. Reba Kuvura Ibimugina kugirango uhabwe inyigisho zihariye.