Umeluleki Wokwelapha Isikhwele: Okusebenzayo & Nini Udinga i-Rx

Uma uphila nesikhwele futhi ufuna ukudambisa ngempumelelo kwa-CVS noma kwa-Walgreens ngaphambi kokuzibophezela ukuvakashela udokotela, ubuza umbuzo ofanele ngempela. Impendulo ethembekile ukuthi ameluleki abanye abeluleki be-psoriasis ngempela basebenza ezimweni ezilula. Amashampu ka-coal tar, i-salicylic acid, kanye ne-hydrocortisone ye-OTC kungasiza ngendlela efanele. Kodwa isikhwele esiphakathi kuya kwezihlupho ngempela sidinga ukwelashwa ngencwadi kadokotela ukuze kutholwe ukulawula okuhlala njalo.

Lo mhlahlandlela ukuhamba uhlanganisa ukuthi yimaphi amathuba e-OTC asiza ngempela, nini isikhathi sokukhuphukela ekunakekelweni okubhalwe udokotela, nokuthi ungasithola kanjani usizo ku-inthanethi ngaphandle kokulinda amasonto ukuze uthole i-aphoyintimenti nomeluleki wesikhumba.

Yimaphi ameluleki be-psoriasis e-OTC asebenzayo?

Ngokungafani nezinye izimo lapho amathuba e-OTC engukukhangisa, i-psoriasis inameluleki e-OTC avunyelwe yi-FDA asiza ngempela:

Kwisi-plaque psoriasis nesikhwele esikhumbeni:

• I-coal tar (Neutrogena T/Gel, MG217, Denorex): Ivunyelwe yi-FDA ye-psoriasis. Ivimela ukukhiqizwa kwezicubu zesikhumba ngokweqile ($8-$15).
• I-salicylic acid (MG217, Scalp 18): Iyathambisa futhi isuse izikali. Isebenza kahle lapho ihlanganiswa ne-coal tar ($10-$20).
• I-ketoconazole 1% shampoo (Nizoral): Ayivunyelwe yi-FDA ye-psoriasis ngokukhethekile, kodwa inciphisa ukuvuvukala futhi isiza isikhwele esikhumbeni abantu abaningi ($10-$18).
• I-hydrocortisone 1% cream: Ukhilimu we-steroid ophathwayo ophathwayo we-OTC opholisa okwezikhathi ezithile, ezilula izimpawu ezilula ($6-$12). Inqatshelwe ukusetshenziswa isikhathi esifushane.

Kwihawu nokusekelwa okujwayelekile kwesikhumba:

• Izindunduma zikavithuzi (Aveeno): Ziyaphola ukuvuvukala okubanzi nokuluma ($8-$15).
• Ama-moisturizer e-CeraVe noma e-Cetaphil: Ahlinzeka ngokulungiswa kwe-barrier kwezikhwele ezomisiwe, ezomisiwe ($12-$20).
• I-aloe vera gel: Inikeza ubufakazi obulinganiselayo bokunciphisa ukuvuvukala okuphezulu ($8-$15).
• I-coconut oil: Iyathambisa izikwele ezijiyile futhi inciphise ukukala. Isebenza kahle kakhulu ebusuku ngaphansi kwekepisi leshawu esikhumbeni.

Isiqondiso esivela e-American Academy of Dermatology siqinisekisa ukuthi lezi izinketho eziqinisekiswe ubufakazi ze-OTC. Londoloza imali yakho emikhiqizweni ye-"psoriasis miracle" enezithako ezingacacile noma ezingafakazelwe futhi ezingavunyelwe yi-FDA.

Nini lapho amathuba e-OTC angafezi khona

Ameluleki e-OTC aphatha isikhwele esilula kahle, kodwa awakwazi ukuphatha izimo eziphakathi nazo zonke izihlupho. Cabanga ukufuna incwadi kadokotela uma:

• Ameluleki e-OTC angasebenzi ngemuva kwamasonto angu-4 kuya kwayi-6 okusetshenziswa njalo.
• Izikwele zihlanganisa ngaphezu kuka-3% womzimba wakho (cishe ubukhulu besandla sakho noma ngaphezulu).
• Isikhwele sithinta izindawo ezibucayi njengobuso bakho, izandla, izinyawo, noma izitho zangasese.
• I-scalp psoriasis ivele, ibangela ukugcwala okubonakalayo noma ukuphakama kombhede wewegwe.
• Izimpawu ze-psoriatic arthritis ziqala, njengobuhlungu bemisipha, ukuvuvukala, noma ukuqina kwasekuseni.
• I-scalp psoriasis ihlala iyingozi futhi ayiphenduli kumashampu we-coal tar noma we-ketoconazole.
• Umthelela wokuziphatha uthinta kakhulu ukuthula kwengqondo yakho yansuku zonke nekhwalithi yokuphila.

Yimaphi ameluleki abhalwe udokotela asebenzayo?

Ukwelashwa kwe-psoriasis okubhalwe udokotela kusukela kuma-formulation aqinile kuye kuya kuma-biologics athuthukisiwe, kuncike ubunzima:

Ameluleki aphathwayo abhalwe udokotela:

• I-Triamcinolone 0.1% noma 0.5%: I-steroid ephathwayo ephakathi kuya ephumelela kakhulu. Bona I-Triamcinolone Engathengwa Ngayo? ukuze uthole incazelo eningiliziwe.
• I-Clobetasol 0.05%: I-steroid enamandla aphezulu egcinelwe izikwele eziyingozi, eziyigugu. Ihlose ukusetshenziswa isikhathi esifushane.
• I-Calcipotriene (Dovonex): I-analog ye-vitamin D eyenziwe ngokukhethekile. Ivame ukuhlanganiswa nama-steroid aphathwayo ukuze kutholwe imiphumela ephezulu yomtholampilo.
• I-Tazarotene (Tazorac): I-retinoid ephathwayo esebenza kahle lapho ihlanganiswa nama-steroid aphathwayo.
• Ama-inhibitor e-Calcineurin (Elidel, Protopic): Izinketho ezithambile, ezingezona i-steroid ezifanele ubuso nezindawo ezibucayi zomzimba.

Kwisikhwele esiphakathi kuya kwezihlupho:

• Ama-Biologics (Humira, Skyrizi, Cosentyx, Tremfya): Ukwelashwa okuphuthumayo okuthuthukisiwe okuhlaselela izindlela ezithile zokuzivikela komzimba. Ziyashintsha ezimweni ezihluphayo kodwa zidinga uchwepheshe.
• Imithi yomlomo: Izinketho zesistimu ezifana ne-methotrexate, i-cyclosporine, noma i-apremilast (Otezla).
• Izinkomba zokwelashwa ngamalambu: Ukwelashwa okulawulwa ngokukhanya kwe-UVB noma i-PUVA kwezokwelapha.

Ungathola kanjani ukwelashwa kwe-psoriasis okubhalwe udokotela ku-inthanethi

Ukuthola ukunakekelwa kwe-psoriasis okubhalwe udokotela nge-telehealth kulula futhi kulula kumeluleki aphathwayo:

• Isinyathelo 1: Izithombe kanye nemininingwane ngezimpawu. Layisha izithombe ezicacile zezikwele zakho ezithathwe ekukhanyeni kwemvelo, uchaze indawo yazo kanye nesikhathi, bese ubhala ukuthi yimaphi amaluleki e-OTC ongawasebenzisile kakade.
• Isinyathelo sesi-2: Ukubonisana nge-virtual. Udokotela onemvume uhlola icala lakho ukuze ahlukanise i-psoriasis ne-eczema, i-dermatitis, noma izifo ezifakelwayo.
• Isinyathelo sesi-3: Ukutholwa komdlavuza kanye nohlelo lokunakekelwa. Umhlinzeki wakho ubhala i-triamcinolone, i-calcipotriene, noma ukwelashwa okuhlanganisiwe ngokusekelwe ubunzima be-flare yakho.
• Isinyathelo sesi-4: I-e-prescription. Izindlela zakho zokubhalela ngogesi izindlela zokubhalela ngogesi zithunyelwa ngqo kumakhemisi akho omakhelwane owathandayo ukuze uthathe ngosuku olufanayo, ngokuvamile zilungile zingakapheli amahora angu-1 kuya kwangu-4.

Inani eliphelele: Ukubonisana nge-telehealth ($19-$75) + i-generic triamcinolone cream ($10-$30) noma i-calcipotriene ($30-$100) = cishe u-$30-$175 kuwukuphelele kwabantu abakhokha ngemali.

Qaphela: Ukwelashwa nge-biologic noma izimo eziyinkimbinkimbi, udokotela wakho we-telehealth uzokudlulisa kumeluleki wesikhumba ongatholakala khona.

Thola ukwelashwa kwe-psoriasis nge-August AI

Kubantu abadala abaningi abanesikhwele esilula kuya esimaphakathi, i-August AI ihlinzeka ngendlela esheshayo, esekelayo yokuya kumeluleki abhalwe udokotela:

• Ukuhlolwa kukadokotela onemvume okwenziwa nge-photo noma i-video consultation.
• I-e-prescription yamalungiselelo aphathwayo aqinile, i-calcipotriene, noma ukwelashwa okuhlanganisiwe okuqondisiwe.
• Ukuqondiswa komtholampilo okwethembekile. Uma icala lakho ludinga ukudluliselwa kumeluleki wesikhumba ongatholakala khona ukuze uthole ama-biologics noma ukwelashwa ngamalambu, umhlinzeki wakho uzokwazisa.
• Intengo elula ye-$39 eqondile ngaphandle kwezindleko ezifihliwe, ayikho ubulungu, futhi ayikho umshwalense odingekayo.

Izinsiza ezihlobene: I-Triamcinolone Engathengwa Ngayo? , Ukwelashwa Kwe-Eczema

Imibuzo ejwayelekile ukubuzwa

Ukhona ukhilimu ongcono kakhulu we-OTC we-psoriasis?

Kwi-plaque psoriasis, okhilimu be-coal tar njenge-(MG217 noma i-Denorex) nama-salicylic acid formulation yizona zinketho eziqinisekiswe kakhulu zobufakazi ze-OTC. Ezimweni ezithile, izinketho ze-OTC zesikhathi esifushane njenge-hydrocortisone 1% zingaphola ngobumnene. Ukuhlanganisa ishampu ye-coal tar nokuphathwa kwe-salicylic acid kusebenza kahle esikhwele esikhumbeni. Kungcono ukonga imali yakho ugweme okhilimu be-"miracle" abangafakazelwe.

Ingabe ishampu ye-Nizoral ilungele isikhwele esikhumbeni?

Yebo, i-ketoconazole 1% shampoo (Nizoral) ayivunyelwe ngokukhethekile yi-FDA ye-psoriasis, kodwa izakhiwo zayo ezivimbela ukuvuvukala ziyaphola izimpawu ze-scalp psoriasis ngempumelelo. Kubaluleke kakhulu lapho i-scalp psoriasis ihlanganiswa ne-seborrheic dermatitis, okuyinto evamile kakhulu.

Ngingafaka nini udokotela ngesikhwele?

Ufanele uthintane nomhlinzeki wezokwelapha uma ameluleki be-OTC bengayilawulanga i-psoriasis yakho ngemuva kwamasonto angu-4 kuya kwayi-6, uma izikwele zakho zihlanganisa indawo enkulu kuneyakho, uma izimpawu zithinta ubuso bakho noma imisipha yakho, noma uma izimpawu ziphazamisa ukuthula kwengqondo yakho kwansuku zonke. Umhlinzeki we-telehealth angahlola isikhumba sakho futhi abhale izeluleko eziqinile zokuthathwa ngosuku olufanayo.

Ngingathola ukhilimu we-psoriasis obhalwe udokotela ku-inthanethi?

Yebo. Abahlinzeki be-telehealth onemvume bangahlola i-psoriasis yakho ngamafotho acacile noma ividiyo futhi babhale izeluleko ezithuthukisiwe zamalungiselelo aphathwayo, i-calcipotriene (Dovonex), i-tazarotene, noma ukwelashwa okuhlanganisiwe ukuze uthathe ngosuku olufanayo ekhemisi lakho. Inani eliphelele lekhashawa elikhokhelwa imali libanga kusuka ku-$30 kuye ku-$175, okuhlanganisa kokubili ukubonisana kwe-virtual kanye nemithi ejwayelekile.

Ngidinga ama-biologics esikhwele sami?

Ama-biologics ngokuvamile agcinelwe izimpawu zesikhwele ezimaphakathi kuya kwezihlupho ezingaphenduli ngokwanele kumeluleki aphathwayo. Izinketho njenge-Humira, Skyrizi, noma i-Cosentyx zingaba yizinto ezishintsha izimo ezihluphayo, nakuba zibiza kakhulu ($5,000-$20,000+ ngonyaka ngaphandle komshwalense) futhi zidinga ukugadwa uchwepheshe. Iningi labantu abanesikhwele esilula kuya esimaphakathi bathola ukudambisa ngamalungiselelo aphathwayo kuphela.

Kwabahlukanisa i-eczema nesikhwele?

I-Eczema ngokuvamile ibangela izindawo ezibukeka zivuvukele, ziyaphuma, noma zihlanganiswe neqweqwe, ezivame ukuvela ezindaweni ezigoqekayo zesikhumba. I-Psoriasis ikhiqiza izikwele ezijiyile, eziluhlaza okwesiliva ezinezimbambo ezicacile, ezihlukaniswe kahle, ezivame ukutholakala ezindololweni, emadolo, esikhumbeni, nasezansi emhlane. Bobabili bazuza ekuhloleleni kwezokwelapha okufanele ukuze uthole ukuxilonga okunembayo. Bona Ukwelashwa Kwe-Eczema ukuze uthole isiqondiso esikhethekile.