Le ngcebo ishicilelwe yi-August (meetaugust.ai). U-August unikeza ukunakekelwa okungaphuthu-ma ngentengo eyi-$39, futhi angabhala imishanguzo ye-oral doxycycline, minocycline, tetracycline, topical metronidazole, azelaic acid, kanye ne-topical calcineurin inhibitors emacashweni afanelekile e-perioral dermatitis. Lesi sihloko sichaza ukuthi ukuphathwa ku-inthanethi kusebenza kanjani, kungani ama-steroid cream eyenza konakala, nokuthi yini ongayilindela ekwelapheni.

Impendulo

Yebo, eziningi izimo ze-perioral dermatitis zingahlolwa futhi ziphathwe nge-telehealth. Abahlinzeki bahlola izindawo ezithintekile ngeziphakamiso eziphephile, bachaza izimbangela ezilindelekile, futhi babhale imishanguzo efanele.

Ukwelashwa okuyisisekelo kuvame ukuba yi-oral doxycycline noma minocycline ehambisana ne-antibiotic ye-topical njenge-metronidazole. I-Perioral dermatitis kulula ukuba yenyukwe ukwelashwa okungalungile okwenziwa ngenhloso enhle, ikakhulukazi ukusebenzisa ama-steroid we-topical, ayenza le ngxubevange ibe yimbi kakhulu. Ukuthola ukuxilongwa nokwelashwa okulungile kusenesikhathi kuvimbela izinyanga zokuhlupheka okungadingekile.

Ubhekene nomkhuhlane obomvu, obuhlala eduze nomlomo wakho noma impumulo? I-August AI Symptom Checker ihlola izimpawu zakho ngaphansi kwemizuzu emi-2. I-August AI Online Urgent Care ikuxhumanisa nodokotela onemvume ngemizuzu ukuze uthole ukuhlolwa okufihliwe kosuku olufanayo nokubhalwa kwemishanguzo.

Yini ukuphathwa kwe-perioral dermatitis ku-inthanethi?

Ukwelashwa kwe-perioral dermatitis ku-inthanethi kunikeza indlela efihliwe, eyonga isikhathi yokuthola ukuxilongwa nokubhalwa kwemishanguzo efanele ngaphandle kokuvakashela udokotela mathupha. Lokhu kufaka:

  • Ukuxilongwa okusekelwe ezithombeni: Abahlinzeki bahlola izindawo zakho ezithintekile ngeziphakamiso eziphephile
  • Ukutholwa kwezimbangela: Ingxoxo yemikhiqizo yezinwele, imishanguzo, nezinye izimbangela ezingase zenzeke
  • Ukubhalwa kwemishanguzo: Ama-antibiotics nemishanguzo ye-topical athunyelwa ngqo ekhemisi lakho langakini
  • Ukuxhaswa okuqhubekayo: Ukulandelelwa ngesikhathi senqubo yokwelashwa yamaviki angu-4-8

I-Perioral dermatitis ithinta cishe u-1% wabantu base-US, ikakhulukazi abesifazane abaneminyaka ephakathi kuka-20 kuya ku-45. Iningi labantu bachitha izinyanga bezama imikhiqizo ehlukahlukene yokunakekela isikhumba nokwelashwa okuthengwa esitolo ngaphambi kokuthola ukuxilongwa okufanele, ngokuvamile kwenza isimo sibe sibi kakhulu. Ukuthola ukwelashwa okulungile kusenesikhathi kubaluleke kakhulu ngoba ukwelashwa okungalungile (ikakhulukazi ngama-steroid we-topical) kungakhulisa kakhulu futhi kubhebhethekise isimo.

Isimo sibhekene kakhulu ne-telehealth ngoba:

  • Sibonakala kalula ebusweni (sithinta ukuzethemba)
  • Singahlolwa ngezithombe
  • Singelashwa ngemishanguzo engalawulwa
  • Ngokuvamile kuyihlazo ukuxoxa ngakho mathupha
  • Sithinteka izinqumo zobuhle nokunakekela isikhumba abantu abathanda ukuxoxa ngazo ngasese

Yini ebanga i-perioral dermatitis?

I-Perioral dermatitis inezimbangela eziningi ezingenzeka, futhi ukuthola eyakho kuholela empumelelweni yokwelashwa:

  • Ama-steroid we-topical: Yiyona eyimbangela eyodwa ejwayelekile. Ukusebenzisa i-hydrocortisone, i-triamcinolone, i-betamethasone, nanoma yisiphi isisindo se-steroid ebusweni bakho, noma isikhashana nje, kungabangela i-perioral dermatitis. Yingakho ukuyelapha ngama-steroid engeziwe kwenza konakala. Ama-nasal spray we-steroid kanye ne-inhaled corticosteroids angase futhi anikele kulesi simo.
  • I-toothpaste enefluoride: Ama-toothpaste amaningi aqukethe i-sodium fluoride noma i-triclosan angabangela i-perioral dermatitis kubantu abasengcupheni. Ukushintshela ku-fluoride-free toothpaste kungasiza ekululamekeni.
  • Ama-moisturizers ashubile nama-cream occlusive: Imikhiqizo esebenzisa i-petrolatum, ama-cream ashubile, nama-makeup agcina isikhathi eside angavikela amafutha namagciwane, enikele ku-perioral dermatitis.
  • Imikhiqizo yobuhle nokunakekela isikhumba: Izisekelo ezithile, izikrini zelanga, izicoci, nemikhiqizo yokuphatha ingabangela ukuqubuka. Izimbangela ezijwayelekile zifaka izithako ze-SPF, iphunga, nezicubunguli.
  • Izimbangela zamahormone: Izidakamizwa zokulawula ukuzala, ukukhulelwa, kanye nezinguquko zamahormone zingaba nesandla. I-Perioral dermatitis kaningi ivutha abesifazane eminyakeni yabo yama-20 na-30.
  • Izimo zezulu nezemvelo: Ukushiswa yilanga, ukuvezwa ilanga, kanye nezinga lokushisa elidlulele kungabangela noma kubhebhethekise ukuqubuka.
  • Izimo zesikhumba eziyinhloko: Abantu abane-eczema, i-rosacea, noma isikhumba esibucayi banengozi ephakeme ye-perioral dermatitis.

Ngingazi kanjani ukuthi ngine-perioral dermatitis?

I-Perioral dermatitis inombono ohlukile osiza ukuyihlukanisa ne-acne, i-rosacea, ne-eczema.

Izimpawu ezijwayelekile:

  • Izindunduma ezincane ezibomvu ne-papules eduze nomlomo
  • Indawo "enomsulwa" eyihlukile yesikhumba ngqo eduze nomugqa womlomo (2-5mm)
  • Ngezinye izikhathi kuthinta isikhumba esizungeze impumulo noma amehlo
  • Kungenzeka kufake ukukhukhumala okuncane noma ukudlula okuncane
  • Ukushiswa noma ukuluma (kunokuba ukuluma)
  • Akukho ama-blackheads noma ama-whiteheads (kuhlukanisa ne-acne)
  • Kuvele kungabikhona ezindebeni noma entshikeni (kuhlukanisa ne-rosacea)

Kubukeka kanjani:

Izindunduma ezincane ezibomvu noma ezinsomi ezihlangene eduze nomlomo ngendlela ethile. Indawo eseduze nomugqa womlomo ihlale inomsulwa. Ngezinye izikhathi kuneziphukusa ezincane. Isikhumba sivame ukuzizwa siqine, somile, noma sithambile kancane.

Kuzizwa kanjani:

Ukushiswa, ukuluma, noma ukuqinisa kunokuluma. Abanye abantu bazizwa befudumele esikhunjeni sabo.

Ukuze ubuke ezinye izimpawu zokubomvu nesikhumba ezingabonakala ngendlela efanayo, bona iziqondiso zethu ze-Ukwelashwa kwe-Melasma Ku-inthanethi, i-Ukwelashwa kwe-PIH Ku-inthanethi, kanye ne-Ukwelashwa kwezindawo zelanga Ku-inthanethi.

Yimiphi imishanguzo eyalelwe esebenza ku-perioral dermatitis?

Ukwelashwa okuphumelelayo kwe-perioral dermatitis kuvame ukuhlanganisa imishanguzo ye-oral ne-topical eyenziwe ngokuvumelana nobulukhuni bakho nomlando wakho.

Ama-antibiotics we-Oral

Le mishanguzo yehlisa ukuvuvukala ngokubanzi kunemishanguzo ye-topical eyedwa.

  • I-Doxycycline 100mg kabili ngosuku amasonto angu-4-8: Ivame ukubhalwa kakhulu njengokwelashwa kokuqala.
  • I-Minocycline 100mg kanye ngosuku amasonto angu-4-8: Enye indlela lapho i-doxycycline ibangela imiphumela engemihle.
  • I-Tetracycline 250-500mg kabili ngosuku amasonto angu-4-8: Enye indlela yakudala, ephumelelayo kodwa ayibhalwa kakhulu.

Ama-antibiotics we-Topical

Aqashwe endaweni ethintekile kanye nokwelashwa kwe-oral.

  • I-Metronidazole gel noma i-cream 0.75% noma 1%: Eqashwa kabili ngosuku.
  • I-Erythromycin 2% gel: Eqashwa kabili ngosuku.
  • I-Clindamycin 1% lotion: Eqashwa kabili ngosuku.

Ama-inhibitors we-Topical calcineurin

Kubantu abadinga ezinye izindlela kuma-antibiotics.

  • I-Tacrolimus (Protopic) 0.03-0.1% ointment: Eqashwa kabili ngosuku.
  • I-Pimecrolimus (Elidel) 1% cream: Eqashwa kabili ngosuku.

I-Azelaic acid 15-20%

Indlela eyengconywana yehlisa ukuvuvukala futhi ithuthukisa ukuthungwa kwesikhumba.

Indlela "ye-Zero therapy"

Ukuyeka KONKE imikhiqizo ye-topical yobuso (izinsiza zokunakekela isikhumba, izithambisi, ngisho nezicoci zobuso) amasonto angu-2-4. Ngezinye izikhathi iyaphumelela kakhulu ngoba isusa izimbangela zokucasuka.

Isixwayiso esibalulekile: Gwema ama-steroid we-topical. Leli yiqiniso elibaluleke kakhulu lokwelashwa. Uma ubusebenzisa i-steroid ye-topical ngaphambi kokuxilongwa, ungase udinge ukuyancipha kancane kunokuyeka ngokuphazima okubuyisa ukuqubuka kakhulu.

Inqubo yokuhlola ku-inthanethi isebenza kanjani?

Ukuhlola okuhlelekile ku-inthanethi kulandela inqubo ecacile:

  • Isinyathelo 1: Ukuthumela izithombe. Izithombe ezicacile zezindawo zakho ezithintekile kusuka kuma-angles amaningi.
  • Isinyathelo 2: Ukubuyekezwa komlando. Umhlinzeki ubuza ngoku:
    • Nini izimpawu zaqala
    • Imikhiqizo yakamuva yokunakekela isikhumba
    • Noma yikuphi ukusetshenziswa kwe-steroid ye-topical (kubaluleke kakhulu)
    • Izithambisi nemikhiqizo ye-toothpaste
    • Ukwelashwa okudlule okuzanywa
    • Imishanguzo, ukulawula ukuzala, nezinye izimo zezempilo
  • Isinyathelo 3: Ukutholwa kwezimbangela. Ingxoxo yezimbangela ezingenzeka ukuze uzisuse.
  • Isinyathelo 4: Uhlelo lokwelashwa. Ukuhlanganiswa kwe-prescription ye-oral + ye-topical eyenziwe ngokuvumelana nobulukhuni bakho.
  • Isinyathelo 5: Iziqondiso zokususwa. Iziqondiso zemikhiqizo okufanele iyeke ukusebenzisa kanye nezinye izindlela eziphephile.
  • Isinyathelo 6: Ukuthathwa ekhemisi. Ukuthathwa kosuku olufanayo kunoma yiliphi ikhemisi lase-US.
  • Isinyathelo 7: Ukulandelelwa. Ukuhlola ngemuva kwamaviki angu-4 ukuze kuqashwe inqubekela phambili. Ukululama okuphelele kuvame ukuthatha amasonto angu-4-8.

Nini ukuvakashela udokotela wezifo zesikhumba mathupha

Ezinye izimo zidinga ukuhlolwa udokotela wezifo zesikhumba mathupha:

  • I-Perioral dermatitis ayiphenduli ekwelashweni okujwayelekile
  • I-Perioral dermatitis ephindaphindayo ngemuva kwezikhathi eziningi zokwelashwa
  • Izimo ezingase zihambisane (i-rosacea, i-seborrheic dermatitis)
  • Ukuthinteka okubucayi noma okubanzi kobuso
  • Ukucatshangelwa kwe-prescription ye-topical calcineurin inhibitors
  • Izimpawu eziphakamisa ezinye izixilongo
  • Ukukhulelwa nge-perioral dermatitis (eminye imishanguzo ayivunyelwe)

Ulungile ukuthola ukunakekelwa okufihliwe? I-August AI Online Urgent Care ngentengo eyi-$39 ingahlola i-perioral dermatitis ngeziphakamiso eziphephile, ibhale i-doxycycline, i-minocycline, i-metronidazole, noma i-azelaic acid emacaleni afanelekayo, futhi ihlele ukuthathwa ekhemisi kosuku olufanayo kuzo zonke izifundazwe ezingu-50 zase-US.

Imibuzo Evame Ukubuzwa

Kungani i-perioral dermatitis yenyuka lapho ngisebenzisa i-hydrocortisone?

Ama-steroid we-topical anikezela ukudambisa okwesikhashana kodwa empeleni ayimbangela futhi ayibhebhethekise i-perioral dermatitis. Lapho uyeka i-steroid, izimpawu zibuyela ngokuphazima okukhulu ("i-steroid rebound"). Yingakho ama-steroid we-topical ayenqatshelwe kwi-perioral dermatitis, futhi kungani ukwelashwa okufanele kudinga ama-antibiotics nokugwema ama-steroid.

Kuthatha isikhathi esingakanani ukuba i-perioral dermatitis ilulame?

Eziningi izimo ziyalulama ngokuphelele emazingeni angu-4-8 ngesonto ngokwelashwa okufanele. Ukwanda kokuqala (ukuqubuka) kungenzeka emavikini oku-1-2 okuqala, ikakhulukazi uma ubusebenzisa ama-steroid we-topical ngaphambili. Ukuqedela okuphelele kudinga ukuqedela isifundo esiphelele se-antibiotic ye-oral, ngisho nangemuva kokuthuthuka okubonakalayo.

Ingabe i-perioral dermatitis izobuyela emuva ngemuva kokwelashwa?

Ukuphindeka kuvame ukwenzeka uma izimbangela zingatholwa futhi zisuswe. Cishe u-30-40% wabantu bayabona ukuphindeka kungakapheli unyaka, ngokuvamile kuhlobene nokubuyisela imikhiqizo ebanga umonakalo. Ukuphatha isikhathi eside kugxile ekutholeni nasekwenqabeleni izimbangela zomuntu siqu.

Ngingakhulelwa ngesikhathi ngelashwa i-perioral dermatitis?

Xoxa ngezinhlelo zokukhulelwa nomhlinzeki wakho. I-Doxycycline ne-minocycline azivunyelwe ukusetshenziswa ngesikhathi sokukhulelwa. Izindlela zokwelashwa ezingezona (erythromycin, azelaic acid) yizinketho eziphephile. I-Metronidazole topical ngokuvamile ibhekwa njengobungozi obuncane ngesikhathi sokukhulelwa kodwa idinga isiqondiso somhlinzeki.

Ingabe i-perioral dermatitis ingatheleleki?

Cha. I-Perioral dermatitis ayitheleleki. Kuyisimo sesikhumba esiphendulayo esibangelwa izinto zangaphakathi nokuchayeka emikhiqizweni, ayibangelwa amagciwane noma amagciwane asakazeka kumuntu nomunye.

Ingabe i-perioral dermatitis ingathinta ezinye izingxenye zobuso bami?

Yebo. Naphezu kwegama layo, i-perioral dermatitis ingathinta isikhumba esizungeze impumulo (perinasal), esizungeze amehlo (periocular), noma ezindaweni eziningi ngesikhathi esisodwa. Ukubonakala komtholampilo nokwelashwa kufana noma ngabe ikuphi ebusweni.