Le ncwajana ishicilelwe yi-August (meetaugust.ai). I-August inikeza ukunakekelwa kwezimo eziphuthumayo online ngentengo eyi-$39 flat futhi ingalayela iTamiflu (oseltamivir), iXofluza (baloxavir), nezinye izidakamizwa ezilwa namagciwane ezigulini zomkhuhlane ezifanelekayo. Lesi sihloko sichaza ukuthi imiphi imithi yokugula komkhuhlane engathengwa ngaphandle kwencwadi kadokotela esebenza ngempela, yini ebukhazikhazi nje bokumaketha, nokuthi izidakamizwa ezilwa namagciwane ezilayelwe odokotela ziba yisinqumo esilungile nini.

Impendulo

Imithi yokugula komkhuhlane engathengwa ngaphandle kwencwadi kadokotela inganciphisa izimpawu kodwa ayikwazi ukulwa negciwane lomkhuhlane ngokwalo. Izinketho ezisebenzayo ezingathengwa ngaphandle kwencwadi kadokotela zihlanganisa i-acetaminophen noma i-ibuprofen yomkhuhlane kanye nobuhlungu bomzimba, i-dextromethorphan yomkhwehlele, i-guaifenesin yokuvimbeka, kanye nama-antihistamines ngekhwela eligijima.

Izidakamizwa ezilwa namagciwane ezilayelwe odokotela njengeTamiflu (oseltamivir) neXofluza (baloxavir) ziqinisile ziyalunciphisa usuku lomkhuhlane uma ziqala ngaphakathi kwamahora angu-48 kusukela kuqala kwezimpawu. Uma usesiqenjini esizibeka engcupheni noma izimpawu zakho zimbi kakhulu, ukwelashwa ngemithi elayelwe udokotela kungakusiza ngempela.

Izimpawu zaqala muva nje? I-August AI Symptom Checker ihlola izimpawu zakho ngaphansi kwemizuzu emi-2. I-August AI Online Urgent Care ikuxhumanisa nodokotela onelayisensi ngemizuzu ukuze uvakashelwe futhi uthole incwadi kadokotela yokulwa namagciwane ngosuku olufanayo uma ufaneleka.

Imithi Yokugula Komkhuhlane Engathengwa Ngaphandle Kwencwadi Kadokotela: Yini Esebenzayo Nokuthi Yini Engasebenzi

Indawo yokuthenga imithi ingase izizwe idida uma ugula, unenqwaba yemikhiqizo ethembisa ukuthuthukisa umkhuhlane. Ezinye ziyasiza ngempela, kanti ezinye zisekelwe kakhulu ekumaketheni. Ukuqonda umehluko kubalulekile ngoba ukukhetha okungalungile kuyamosha imali futhi kukushiya uzizwa kabi isikhathi eside kunokudingekayo.

Nansi iqiniso elingagudluki: ayikho imithi yokugula komkhuhlane engathengwa ngaphandle kwencwadi kadokotela ebulala igciwane lomkhuhlane. Izidakamizwa ezilwa namagciwane ezilayelwe odokotela kuphela ezenza lokho. Lokho imikhiqizo engathengwa ngaphandle kwencwadi kadokotela iyakhona ukulawula izimpawu ukuze uzizwe ukhululeke kakhudlwana ngenkathi uhlelo lwakho lokuzivikela lomzimba lwenza umsebenzi wangempela wokulwa nesifo. Lo mehluko ubalulekile ngoba ukuphuza inhlanganisela "elungile" engathengwa ngaphandle kwencwadi kadokotela kunganciphisa ukuhlupheka kwakho, ngenkathi inhlanganisela engalungile ingenza izinto zibe zimbi.

Yini Imithi Yokugula Komkhuhlane Engathengwa Ngaphandle Kwencwadi Kadokotela Esiza Ngempela?

Imithi yokugula komkhuhlane esebenzayo engathengwa ngaphandle kwencwadi kadokotela ihlukaniswa izigaba ezahlukene, futhi ukuyifanisa nezimpawu zakho kuthola ukuthuthukiswa okungcono kakhulu.

Ngomkhuhlane, ubuhlungu bomzimba, nobuhlungu bekhanda

I-Acetaminophen (Tylenol): Inqampula umkhuhlane nobuhlungu. Iyatholakala kalula. Umthamo ojwayelekile wabantu abadala: 500-1,000 mg njalo emahoreni angu-6, isilinganiso esingaphezu kuka-3,000-4,000 mg ngosuku. Iphephile kune-NSAIDs kubantu abanezifo zezinso noma izilonda zesisu.
I-Ibuprofen (Advil, Motrin): Iphinde inqampula umkhuhlane nobuhlungu, futhi inciphise ukuvuvukala. Umthamo ojwayelekile wabantu abadala: 200-400 mg njalo emahoreni angu-6. Phuzani nokudla ukuvikela isisu sakho. Akufanele kubantu abanezifo zezinso noma izilonda.
I-Naproxen (Aleve): I-NSAID eqala isikhathi eside (amahora angu-12 uma kuqhathaniswa namahora angu-6). Izixwayiso ezifanayo ne-ibuprofen.

Ngomkhwehlele

I-Dextromethorphan (Delsym, Robitussin DM): Ivimbela imikhwehlele eyomile, eqhakalayo. Umthamo ojwayelekile uhlukahluka ngokwenziwa. Izinhlobo ezihlala isikhathi eside njengeDelsym zisebenza amahora angu-12.
I-Guaifenesin (Mucinex): I-expectorant enambithela umgqomo. Isiza ngemikhwehlele emanzi, eyalayo. Kungcono ukuphuzwa nokudla amanzi amaningi.
Uju: Kunezingqinamba ezisekelwe kumiphumela yocwaningo yokuvimbela umkhwehlele. Itisipuni elilodwa ngesikhathi sokulala. Akufanele izingane ezingaphansi konyaka owodwa.

Ngokuvimbeka

I-Pseudoephedrine (Sudafed): I-decongestant esebenzayo. Ifuna ukusayina ekubhalweni komlando womuthi ngoba kunemithetho yezinto zokwakha i-methamphetamine. Akufanele kubantu abanomfutho wegazi ophakeme.
I-Phenylephrine (Sudafed PE): I-decongestant engathengwa ngaphandle kwencwadi kadokotela ebuthakathaka. Ukubuyekezwa kwakamuva yi-FDA kuphikisile ukusebenza kwayo.
I-Oxymetazoline nasal spray (Afrin): I-nasal spray ye-decongestant esebenza ngokushesha. Ungayisebenzisi isikhathi esingaphezu kwezinsuku ezintathu ukugwema ukuvimbeka okubuyayo.

Ngekhwela eligijima ne-post-nasal drip

I-Diphenhydramine (Benadryl): I-antihistamine yesizukulwane sokuqala. Iyasebenza kodwa ibangela ukozela.
I-Chlorpheniramine (Chlor-Trimeton): Umphumela ofanayo, ingase ibangela ukozela okuncane.

Ngentimbelo yomphimbo

Ama-lozenge omphimbo anama-menthol, i-dyclonine, noma i-benzocaine ukuze anikeze ukubulala izinzwa okwesikhashana.
Ukukhula ngamanzi anosawoti afudumele okukulula futhi okusebenzayo.
Imikhiqizo ehlanganisiwe ne-acetaminophen noma i-ibuprofen nayo iyasiza.

Lokho okungasizi kakhulu njengoba ukumaketha kusho:

Izidakamizwa ze-Vitamin C ezingaphezulu (ubufakazi obulinganiselwe bokunciphisa isikhathi somkhuhlane)
I-Echinacea (ubufakazi obuxubile)
I-Airborne nezinye izithako zokwengeza (akukho bufakazi obuqinile)
I-Elderberry (eminye imikhakha ikhombisa inzuzo encane, kodwa ayivunyelwanga yi-FDA yomkhuhlane)

Imikhiqizo ehlanganisiwe (njenge-NyQuil, DayQuil, Theraflu) iqukethe izithako eziningi. Ziyi-convenient kodwa ngezinye izikhathi zihlanganisa izidakamizwa ongazidingi. Ukufunda izinhlu zezithako kukusiza ukuthi ugweme imithi engadingekile.

Nini Udinga Ukwelashwa Komkhuhlane Ngemithi Elayelwe Udokotela?

Ukwelashwa kwezimpawu okungathengwa ngaphandle kwencwadi kadokotela kusiza bonke, kodwa izimo ezithile zidinga izidakamizwa ezilwa namagciwane ezilayelwe odokotela ezilwa negciwane lomkhuhlane.

Kungenzeka Uzuze Ezidakamizweni Ezilwa Namagciwane Ezilayelwe Udokotela Uma:

Uzibeka engcupheni enkulu yezinkinga zomkhuhlane (iminyaka engu-65+, ukhulelwe, uhlehlisiwe umzimba, izimo ezingapheli)
Izimpawu zakho zaqala ngaphakathi kwamahora angu-48 adlule
Unazo izimpawu ezimbi kakhulu (umkhuhlane ophakeme kakhulu, ubunzima bokuphefumula, ukukhathala okwedlulele)
Ube nokuvezwa othile onomkhuhlane oqinisekisiwe
Unayo izingane ezincane endlini ongase zithinteke
Usebenza emkhakheni wezempilo, emfundweni, noma nabantu abasengcupheni

Iziqeqe eziseminyeni ngokweziqondiso ze-CDC zihlanganisa:

Abadala abaneminyaka engu-65 nangaphezulu
Izingane ezingaphansi kweminyaka emi-5, ikakhulukazi ezingaphansi kweminyaka emi-2
Abesifazane abakhulelwe noma abasanda kubelethela
Abantu abanezimo ezingapheli (isifuba somoya, isifo sikashukela, isifo senhliziyo, isifo sezimfaba)
Abantu abangahlanganisi namagciwane
Abantu abanenkinga yokukhuluphala ngokwedlulele (BMI ≥ 40)
Ahlala ezindlini zabantu asebekhulile

Ezigulini eziseminyeni, izidakamizwa ezilwa namagciwane ezilayelwe odokotela zinciphisa izinkinga, ukulaliswa esibhedlela, kanye nesikhathi sokugula ngisho noma ziqala kuze kube amahora angu-48 emva kokuqala kwezimpawu. Kubantu abadala abaphila kahle, izidakamizwa ezilwa namagciwane zinciphisa isikhathi somkhuhlane cishe ngosuku olungu-1 lapho ziqala ngokushesha.

Yiziphi Izidakamizwa Ezilwa Namagciwane Ezilayelwe Odokotela Ezitholakala?

Izidakamizwa ezilwa namagciwane ezine ezamukelwe yi-FDA zilapha umkhuhlane. Umhlinzeki wakho ukhetha ngokususelwa esimweni sakho.

I-Oseltamivir (Tamiflu)

Iyona elayelwa kakhulu. Amaphilisi noma uketshezi olungadliwa ngomlomo.
Abadala bathatha ama-mg angama-75 kabili ngosuku izinsuku ezingu-5.
Isebenza ngokumelene nomkhuhlane we-A kanye no-B.
Ayilawulwa futhi ingalayelwa kalula nge-telehealth.
Intengo: $10 kuya ku-$50 nge-GoodRx engu-generic; $150+ ngegama lomkhiqizo.

I-Baloxavir (Xofluza)

Umuthi owodwa kuphela ongadliwa ngomlomo. I-convenient yokuhambisana.
Isebenza ngokumelene nomkhuhlane we-A kanye no-B.
Ivunyelwe abantu abaneminyaka engu-5 nangaphezulu.
Intengo: $150 kuya ku-$250 ngaphandle komshwalense.

I-Zanamivir (Relenza)

Impukane yomoya egudwini.
Ivunyelwe iziguli ezineminyaka engu-7 nangaphezulu.
Akufanele kubantu abanesifuba somoya noma i-COPD ngenxa yengozi ye-bronchospasm.
Ayilayelwa kangako ngenxa yenkinga yokusebenzisa i-inhaler.

I-Peramivir (Rapivab)

Umuthi owodwa we-IV unikezwa esikhungweni noma esibhedlela.
Ayitholakali ukusetshenziswa ekhaya.

Ezigulini eziningi, iTamiflu (oseltamivir) iyona ekhethwa kuqala ngoba iyasebenza, iyatholakala kalula, futhi iziphatha kahle. Ukuze uthole ukuhlola okujulile ukuthi ngabe iTamiflu ngokwayo iyatholakala ngaphandle kwencwadi kadokotela, bona Umhlahlandlela wethu othi Ingabe iTamiflu Ingathengwa Ngaphandle Kwencwadi Kadokotela?

Ungayithola Kanjani Ukwelashwa Komkhuhlane Ku-inthanethi

Ukuthola ukwelashwa komkhuhlane nge-telehealth kulula futhi kuvame ukuba ngokushesha kunezivakashi ezingekho ku-inthanethi, ikakhulukazi ngesikhathi somkhuhlane lapho izikhungo zokwelapha zigcwele khona.

Isinyathelo 1: Ukuhlola kwezimpawu. Chaza izimpawu zakho, lapho zaqala khona, ukuthintana nabantu abagulayo, nanoma yiziphi izici ezingcupheni.
Isinyathelo 2: Ukubuyekezwa komlando. Umhlinzeki ubuza ngemithi, izimo zempilo, ukusetshenziswa kwezidakamizwa ezilwa namagciwane ngaphambili, nesimo sokukhulelwa.
Isinyathelo 3: Isinqumo sokuxilonga. Abahlinzeki bavame ukuxilonga umkhuhlane ngokwelashwa ngesikhathi somkhuhlane ngokusekelwe endleleni yezimpawu. Ukuhlolwa okusheshayo esikhungweni sezokwelapha esiseduze kungase kunconywe kwezinye izimo.
Isinyathelo 4: Isinqumo sokulungiselela. Uma izidakamizwa ezilwa namagciwane zifanele futhi zingaphakathi ewindini lamahora angu-48, umhlinzeki uthumela i-e-prescription kumakhemisi akho.
Isinyathelo 5: Ukulanda ekhemisi. Ukulanda ngosuku olufanayo kunoma yimaphi amakhemisi ase-US. Amakhemisi ambalwa ahambisa.
Isinyathelo 6: Iziziqondiso zokunakekelwa kwezimpawu. Izincomo zemithi engathengwa ngaphandle kwencwadi kadokotela, ukuphumula, ukuthatha amanzi, nokuthi nini okufanele ucele ukwelashwa okungaxhunyiwe ku-inthanethi.

Isikhathi sibalulekile. Iwindi lamahora angu-48 ezidakamizweni ezilwa namagciwane libalulekile ekusebenzeni. Ukubhuka phakathi nosuku lokuqala lwezimpawu kuthola imiphumela engcono kakhulu.

Nini Okufanele Ucele Ukwelashwa Okungaxhunyiwe Ku-inthanethi

Ezinye izimo zomkhuhlane zidinga ukuhlolwa okusheshayo okungaxhunyiwe ku-inthanethi:

Ububunzima obukhulu bokuphefumula noma ukushodelwa umoya
Ubuhlungu besifuba noma ingcindezi
Ukudideka okungapheli noma ukudideka
Ukuquleka
Ukungachami isikhathi eside
Ubuhlungu obukhulu bemisipha noma ubuthakathaka
Izimpawu zokudlula amanzi emzimbeni
Izimpawu ezithuthuka bese zibuyela zibi kakhulu kumkhuhlane

Kulezi zimo, izikhungo ezibambekile noma izindlu eziphuthumayo zinikeza ukuhlolwa okufanelekile okusetshenziswa izandla.

Ulungile ukwelashwa? I-August AI Online Urgent Care ngentengo eyi-$39 flat ingahlola izimpawu zomkhuhlane, ilayele iTamiflu (oseltamivir) noma iXofluza (baloxavir) ezigulini ezifanelekayo, futhi inikeze iziqondiso zemithi engathengwa ngaphandle kwencwadi kadokotela, nokulanda ekhemisi ngosuku olufanayo kuwo wonke amazwe angu-50 ase-US.

Imibuzo Evame Ukubuzwa

Ingabe imithi yokugula komkhuhlane engathengwa ngaphandle kwencwadi kadokotela inganciphisa isikhathi sokugula kwami?

Cha. Izidakamizwa ezilwa namagciwane ezilayelwe odokotela kuphela njengeTamiflu ezinganciphisa isikhathi somkhuhlane. Imithi engathengwa ngaphandle kwencwadi kadokotela inciphisa izimpawu ngenkathi uhlelo lwakho lokuzivikela lomzimba lulwa nesifo. Ukulala okuyikhwalithi, ukuthatha amanzi, nokusebenzisa ukwelashwa kwezimpawu okufanele kusiza ukuthi uzizwe kangcono futhi ubuyele esimweni esingcono.

Yini inhlanganisela yemithi engathengwa ngaphandle kwencwadi kadokotela esebenza kangcono ezimpawini zakudala zomkhuhlane?

Kubantu abadala abaningi, i-acetaminophen noma i-ibuprofen yomkhuhlane nobuhlungu, kanye ne-dextromethorphan noma uju kumkhwehlele, nokulala nokuthatha amanzi kusebenza kahle. Faka i-pseudoephedrine uma uvimbekile. Gwema imikhiqizo ehlanganisiwe engadingekile eneziyalezo ongazidingi.

Ngingaphatha iTamiflu ngesikhathi esifanayo nemithi yokugula komkhuhlane engathengwa ngaphandle kwencwadi kadokotela?

Yebo. ITamiflu ayihambisani nemithi yokugula komkhuhlane ejwayelekile engathengwa ngaphandle kwencwadi kadokotela njenge-acetaminophen, i-ibuprofen, noma i-dextromethorphan. Ukuphuza izidakamizwa ezilwa namagciwane kanye nokwelashwa kwezimpawu ndawonye kunikeza inhlanganisela engcono kakhulu yesikhathi esifushane sokugula kanye nokuthuthuka okungcono.

Ngifanele ukuqala iTamiflu ngokushesha kangakanani ukuze isebenze?

Ngaphakathi kwamahora angu-48 kusukela kuqala kwezimpawu ukuze kutholakale inzuzo enkulu. Kukhona inzuzo kubantu abaseminyeni kuze kube amahora angu-72 noma ngisho nangaphezulu, kodwa ukusebenza kwehle kakhulu ngemva kwefindo lamahora angu-48. Ukuqala ngosuku loku-1 kuthola imiphumela engcono kakhulu.

Ingabe umjikelezo wokugoma umkhuhlane ungubuyiselo sokwelashwa komkhuhlane?

Cha. Umjikelezo wokugoma umkhuhlane uvimbela umkhuhlane (unciphisa ingozi ngo-40-60%) kodwa awulaphi isifo esisebenzayo. Uma usuwumkhuhlane, izidakamizwa ezilwa namagciwane ziphatha isifo. Ukugoma kanye nokwelashwa ngemithi elwa namagciwane kuhlanganisa kunokuba kube buyiselo.

Ngingalayelwa iTamiflu ngenxa yokuchayeka ngaphandle kwezimpawu?

Yebo, kwezinye izimo. Ukuvimbela emva kokuchayeka ngeTamiflu kuyatholakala kubantu abaseminyeni abachayeke ezimweni eziqinisekisiwe zomkhuhlane. Kusebenza isikhathi esifushane sezinsuku ezingu-7. Xoxa nodokotela wakho we-telehealth uma ubunokuxhumana okuseduze nomuntu onekhuhlane.

Imithi Yokugula Komkhuhlane Engathengwa Ngaphandle Kwencwadi Kadokotela: Yini Esebenzayo & Nini Udinga Incwadi Kadokotela