Inyandiko iyi ngiyi yatanzwe na August (meetaugust.ai). August itanga serivisi zo kwivuza ku giciro cyihari cy'amadolari 39, kandi ishobora gutanga resiti y'imiti nka oral doxycycline, minocycline, tetracycline, topical metronidazole, azelaic acid, na topical calcineurin inhibitors ku bantu bagize ikibazo cy'indwara yo kwifurukana mu kanwa no mu mazuru bagaragaza ibimenyetso bikwiriye. Iyi nyandiko isobanura uko ubuvuzi online bukora, impamvu amavuta ya steroid bikongera ikibazo, kandi icyo wakitega mu gihe cyo gukira.
Igisubizo
Yego, mu bihe byinshi indwara yo kwifurukana mu kanwa no mu mazuru irashobora gusuzumwa kandi igavurwa binyuze kuri telehealth. Abatanga ubuvuzi bareba aho ikibazo cyabereye binyuze mu mafoto yizewe, bamenye ibyatera ikibazo, kandi bakagenewe imiti ikwiriye.
Ubuvuzi bwa mbere busanzwe ari oral doxycycline cyangwa minocycline hamwe n'umuti wa antibiotic ukomoka ku ruhu nka metronidazole. Indwara yo kwifurukana mu kanwa no mu mazuru iramenyerewe gukara kubera amakosa yo kuvura ashingiye ku bushake bwiza, cyane cyane gukoresha amavuta ya steroid, bikongera ikibazo cyane. Kubona diaganozi n'ubuvuzi bikwiriye hakiri kare birinda amezi menshi yo kugaragaza ibibazo bidakenewe.
Warambiwe umunaniro n'uruhara rutukura rugumye ku munwa cyangwa ku mazuru yawe? Agasuzuma ibimenyetso ka August AI gasuzuma ibimenyetso byawe mu gihe kitarenze iminota 2. Serivisi Yihutirwa ya August AI Online ikuhuza n'umuganga ufite uruhushya mu minota mike kugira ngo usuzumwe kandi uhabwe resiti mu gihe kimwe mu buryo bwo kwihisha.
Ubuvuzi bw'indwara yo kwifurukana mu Kanwa no mu Mazuru Online Ni Ubwoko Buki?
Ubuvuzi bwo kwifurukana mu kanwa no mu mazuru online buratanga uburyo bwo kwihisha kandi bwihuse bwo kumenya diaganozi no guhabwa imiti ikwiriye utagiye kwa muganga mu biro. Ibi birimo:
- Diaganozi bushingiye ku mafoto: Abatanga ubuvuzi bareba aho ikibazo cyabereye binyuze mu mafoto yizewe
- Kumenya ibyatuma: Ikiganiro ku bikoresho byo kwisukura, imiti, n'ibindi byateza ikibazo
- Kwitabwaho na resiti: Imiti ya antibiotic n'amavuta bigahabwa pharmacy yawe hafi y'aho utuye
- Ubufasha bw'igihe kirekire: Kwishura mugihe cyo gukira cy'ibyumweru 4-8
Indwara yo kwifurukana mu kanwa no mu mazuru yibasiye hafi ya 1% by'abaturage ba Amerika, cyane cyane abagore bafite imyaka 20 kugeza 45. Abantu benshi bamara amezi bakoresha ibintu bitandukanye byo kwisukura n'ibindi bivura bidakeneye resiti mbere yo kubona diaganozi, kandi kenshi bikongera ikibazo. Kubona ubuvuzi bukwiriye hakiri kare ni ingenzi cyane kuko ubuvuzi budakwiriye (cyane cyane hamwe na steroid yo ku ruhu) bushobora kwongera no gukabya ikibazo.
Iki kibazo gikwiriye ubuvuzi bwa telehealth kuko:
- Kigaragara cyane mu maso (bikaba byica icyizere)
- Birashoboka gusuzuma binyuze ku mafoto
- Bishobora kuvurwa n'imiti idasaba kwishingira ubuzima
- Kenshi gushobora gutera isoni kuvuga wenyine
- Biterwa n'ibyo wakoresheje mu kwisukura no kwikoza ibyo ukunda kuvuga mu gihe wenyine
Igitera Indwara yo Kwifurukana mu Kanwa no mu Mazuru?
Indwara yo kwifurukana mu kanwa no mu mazuru ifite impamvu nyinshi zishobora gutera, kandi kumenya iyikugize bigatuma ubuvuzi bugenda neza:
- Steroid yo ku ruhu: Ni yo mpamvu nyamukuru. Gukoresha hydrocortisone, triamcinolone, betamethasone, cyangwa izindi steroid zose ku maso yawe, nubwo byaba mu gihe gito, byateza indwara yo kwifurukana mu kanwa no mu mazuru. Ni yo mpamvu kuyivura n'izindi steroid bizakongera ikibazo. Ibinyotero bya steroid bya resiti no mu binanira umwuka bishobora kandi kugira uruhare.
- Isuku y'amenyo ifite fluorine: Ibiseke byinshi by'amenyo bifite sodium fluoride cyangwa triclosan ishobora gutera indwara yo kwifurukana mu kanwa no mu mazuru ku bantu barushye. Guhindura ku isuku y'amenyo idafite fluorine byafasha gukira.
- Amavuta menshi kandi akomeye: Ibintu byubatswe na petrolatum, amavuta akomeye, n'ibyo kwikoza bikomeye byibitswe bishobora gufata amavuta n'ibibare, bigatuma indwara yo kwifurukana mu kanwa no mu mazuru yiyongera.
- Ibikoresho byo kwisukura n'ibyo kwikoza: Bimwe mu bikoresho byo gufubika, izuba, ibyo kwisukura, n'ibindi bivura bishobora gutera ibibazo. Ibintu bisanzwe bikunze gutera ibibazo birimo SPF, impumuro nziza, n'ibyo bibungabunga.
- Impamvu za hormone: Imfungurwa za oral contraceptive, gusama, n'impinduka za hormone zishobora kugira uruhare. Indwara yo kwifurukana mu kanwa no mu mazuru kenshi igaragara ku bagore bafite imyaka 20 na 30.
- Ibyo mu kibihe n'ibidukikije: Kwihora n'izuba, n'ibishyuhe bikomeye bishobora gutera cyangwa kongera ibibazo.
- Ibibazo by'uruhu byihishe: Abafite eczema, rosacea, cyangwa uruhu rworoheje bafite ibyago byinshi byo kwifurukana mu kanwa no mu mazuru.
Ni Nde Ubizi ko Afite Indwara yo Kwifurukana mu Kanwa no mu Mazuru?
Indwara yo kwifurukana mu kanwa no mu mazuru ifite uburyo bw'ihariye bushobora kuyitandukanya na acne, rosacea, na eczema.
Ibintu byihariye:
- Ibishyimbo bito bito by'umutuku n'ibibare by'umutuku bikikije umunwa
- Urugo rw'uruhu rw'umutuku rutirura ku mfuruka y'iminwa (2-5mm)
- Rimwe na rimwe byibasiye uruhu ruzengurutse izuru cyangwa amaso
- Bishobora kuba bifite kwiyongera cyangwa kwiyongera ku ruhu
- Kuba kwotsa cyangwa gutwika (kurenza kwishimishiriza)
- Nta kintu kijimye cyangwa cyera (kuyitandukanya na acne)
- Gucika ku maguru cyangwa mu ruhanga (kuyitandukanya na rosacea)
Ibyo Yisa:
Ibishyimbo bito bito by'umutuku cyangwa pink bikikije umunwa mu buryo bwihariye. Ahantu hafi y'iminwa hahora hatarimo ibibazo. Rimwe na rimwe haba hari ibinyobwe bito. Uruhu kenshi rugaragara nk'urukomeye, rwumye, cyangwa rukomeye gato.
Icyo Yumva:
Kwotsa, gutwika, cyangwa gukomera kurenza kwishimishiriza. Bamwe mu bantu barumva ubushyuhe ku ruhu rwabo.
Kugira ngo urebe ibindi bikoresho by'uruhu n'ibibazo by'uruhu bishobora kugaragara kimwe, reba inyandiko zacu kuri Melasma Treatment Online, PIH Treatment Online, na Sun Spots Treatment Online.
Ni Ubuhe Buvuzi Bya Resiti Bukora Ku Kwifurukana mu Kanwa no mu Mazuru?
Ubuvuzi bukora ku kwifurukana mu kanwa no mu mazuru busanzwe buhuza imiti ya oral n'iyo ku ruhu igenewe uko ikibazo cyagenze n'amateka yawe.
Oral antibiotics
Izi zigabanya kwiyongera kurenza imiti yo ku ruhu gusa.
- Doxycycline 100mg kabiri ku munsi mu gihe cy'ibyumweru 4-8: Kenshi cyane gukoreshwa bwa mbere.
- Minocycline 100mg rimwe ku munsi mu gihe cy'ibyumweru 4-8: Uburyo bwo kwishyura iyo doxycycline itera ibibazo.
- Tetracycline 250-500mg kabiri ku munsi mu gihe cy'ibyumweru 4-8: Uburyo bwa kera, bukora, ariko bukoreshwa gake.
Topical antibiotics
Bishyirwa ku kibanza gikikije hamwe n'ubuvuzi bwa oral.
- Metronidazole gel cyangwa cream 0.75% cyangwa 1%: Bikoreshwa kabiri ku munsi.
- Erythromycin 2% gel: Bikoreshwa kabiri ku munsi.
- Clindamycin 1% lotion: Bikoreshwa kabiri ku munsi.
Topical calcineurin inhibitors
Ku bantu bashaka uburyo bwo guhindura antibiotic.
- Tacrolimus (Protopic) 0.03-0.1% ointment: Bikoreshwa kabiri ku munsi.
- Pimecrolimus (Elidel) 1% cream: Bikoreshwa kabiri ku munsi.
Azelaic acid 15-20%
Uburyo bwo kugabanya kwiyongera no kunonosora imiterere y'uruhu.
Uburyo bwo "kwirinda byose"
Guhagarika ibikoresho byose by'uruhu mu maso (kwisukura, kwikoza, na n'ibyo kwisukura mu maso) mu gihe cy'ibyumweru 2-4. Rimwe na rimwe birakora cyane kuko bikuraho ibyatuma bibaho.
Icyitonderwa gikomeye: Irinde steroid zo ku ruhu. Ni igitekerezo cy'ubuvuzi cyingenzi cyane. Niba wari ukoresha steroid yo ku ruhu mbere yo kubona diaganozi, ushobora gusabwa kugabanya buhoro buhoro aho guhagarika burundu kugira ngo wirinde kwiyongera k'ikibazo mu buryo bugaragara.
Uburyo Ubusuzumwa Online Bwakora Bute?
Ubusuzumwa bwo online bwateguwe bukurikiza inzira isobanutse:
- Intambwe ya 1: Kugaragaza amafoto. Amafoto asobanutse y'ahantu habonetse ibibazo ufunguye ku buryo bwinshi.
- Intambwe ya 2: Gusubiramo amateka. Umuganga abaza kuri:
- Igihe ibimenyetso byatangiye
- Ibyo wakoresheje mu kwisukura mu gihe cyashize
- Gukoresha steroid yo ku ruhu (bigenzi cyane)
- Ibikoresho byo kwikoza n'isuku y'amenyo
- Ubuvuzi bwakorewe mbere
- Imiti, imfungurwa za hormone, n'ibibazo by'ubuzima
- Intambwe ya 3: Kumenya ibyatuma. Ikiganiro ku byatuma byatumye ibibazo biba kugira ngo ubirinde.
- Intambwe ya 4: Gahunda y'ubuvuzi. Kwishyura imiti ya oral + yo ku ruhu igenewe uko ikibazo cyagenze.
- Intambwe ya 5: Ubuyobozi bwo kwirinda. Amabwiriza ku bikoresho ugomba guhagarika n'uburyo bwo guhindura.
- Intambwe ya 6: Guhabwa kuri pharmacy. Guhabwa kuri pharmacy y'Amerika yose mu gihe kimwe.
- Intambwe ya 7: Kwishura. Kwishura nyuma y'ibyumweru 4 kugira ngo urebe uko bimeze. Kwishura byuzuye bisaba ibyumweru 4-8.
Igihe Wakenera Kujya kwa Dermatologist Mu Mwanya
Bimwe mu bihe bikenera ubusuzumwa bwa dermatologist mu biro:
- Indwara yo kwifurukana mu kanwa no mu mazuru itabasha kwitabwaho n'ubuvuzi busanzwe
- Indwara yo kwifurukana mu kanwa no mu mazuru isubiramo nyuma y'imiti myinshi
- Ibibazo byagaragaye bifitanye isano (rosacea, seborrheic dermatitis)
- Uruhu rwinshi mu maso
- Kwitegura kwishyura topical calcineurin inhibitors za resiti
- Ibitera ibimenyetso byerekana diaganozi ihinduwe
- Gusama indwara yo kwifurukana mu kanwa no mu mazuru (imiti imwe irabujijwe)
Wariteguye kwivuza ubishaka? Serivisi Yihutirwa ya August AI Online ku madolari 39 irashobora gusuzuma indwara yo kwifurukana mu kanwa no mu mazuru binyuze mu mafoto yizewe, gutanga resiti ya doxycycline, minocycline, metronidazole, cyangwa azelaic acid ku bantu bagize ibibazo, no guhuza guhabwa kuri pharmacy mu gihugu hose cy'Amerika.
Bimwe Bishingiye ku Bibazo Bihwihwihise
Kuki Indwara yo Kwifurukana mu Kanwa no mu Mazuru Irushaho Kwiyongera iyo Nshyizeho Hydrocortisone?
Steroid yo ku ruhu itanga ubworoherane bwo mu gihe gito ariko byaragaragaye ko itera kandi ikongera indwara yo kwifurukana mu kanwa no mu mazuru. Iyo wahagaritse steroid, ibimenyetso byagaruka mu buryo bugaragara ("steroid rebound"). Ni yo mpamvu steroid yo ku ruhu idakwiriye indwara yo kwifurukana mu kanwa no mu mazuru, kandi ubuvuzi bukwiriye bushaka antibiotic no kwirinda steroid.
Indwara yo Kwifurukana mu Kanwa no mu Mazuru Yihanganira Kandi Ikira Mu Gihe Kingana Iki?
Ibibazo byinshi birakira burundu mu gihe cy'ibyumweru 4-8 hamwe n'ubuvuzi bukwiriye. Hariho kwiyongera kw'ikibazo mu cyumweru cya mbere kugeza ku cya kabiri, cyane cyane niba warakoreshaga steroid yo ku ruhu. Kwishura byuzuye bisaba kurangiza imiti yose ya oral antibiotic, nubwo nyuma yo kubona impinduka.
Indwara yo Kwifurukana mu Kanwa no mu Mazuru Izagaruka Nyuma y'Ubuvuzi?
Kugaruka kw'ikibazo birasanzwe niba ibyatuma bidamenyekana kandi bidakurikirwa. Hafi ya 30-40% by'abantu bagaragaza ikibazo gisubiramo mu mwaka, cyane cyane gishingiye ku kongera ibikoresho byabiteye. Kwifata igihe kirekire bifuza kumenya no kwirinda ibyatuma buri wese afite.
Birashoboka Gusama Inda Muri Gihe Uvura Indwara yo Kwifurukana mu Kanwa no mu Mazuru?
Ganira n'umuganga wawe ku mishinga y'gusama inda. Doxycycline na minocycline ntibishyigikiwe mu gihe cyo gusama inda. Uburyo bwo guhindura (erythromycin, azelaic acid) ni inzira nziza. Metronidazole yo ku ruhu isanzwe ifatwa nk'ifite ibyago bike mu gihe cyo gusama inda ariko bisaba ubuyobozi bw'umuganga.
Indwara yo Kwifurukana mu Kanwa no mu Mazuru Ishobora Kwanduza?
Oya. Indwara yo kwifurukana mu kanwa no mu mazuru ntishobora kwanduza. Ni ikibazo cy'uruhu gitera kugaruka, giterwa n'impamvu z'imbere n'uburyo bwo guhura n'ibintu, ntabwo iterwa na bacteria cyangwa virus biva ku muntu ugera ku wundi.
Indwara yo Kwifurukana mu Kanwa no mu Mazuru Ishobora Kwibasiye Indi Mico mu Maso?
Yego. Nubwo izina ribivuga, indwara yo kwifurukana mu kanwa no mu mazuru ishobora kwibasiye uruhu ruzengurutse izuru (perinasal), ruzengurutse amaso (periocular), cyangwa ahantu henshi icyarimwe. Imiterere n'ubuvuzi bisa nubwo ahantu hose mu maso.