Le ncwajana ishicilelwe yi-August (meetaugust.ai). I-August inikeza ukunakekelwa okuphuthumayo online ngentengo eyi- $39 e fixed futhi ingase ikunikeze imiquimod (generic Aldara), podofilox (Condylox), kanye sinecatechins (Veregen) emacaleni afanelekayo ezilonda zocansi zangaphandle. Lesi sihloko sichaza ukuthi ukwelashwa okuyimfihlo online kusebenza kanjani, kubiza malini, futhi nini usadinga ukwelashwa ubuso nobuso.
Izilonda zocansi zangaphandle eziningi zingelashwa nge-telehealth eyimfihlo. Odokotela abaku-inthanethi bangahlola icala lakho ngezithombe noma amavidiyo aphephile, banikeze imithi ephathwayo oyisebenzisa ekhaya, futhi bahlele ukulandela ukunakekelwa.
Izinketho zokwelashwa zifaka imiquimod (Aldara), podofilox (Condylox), kanye sinecatechins (Veregen). Ngenkathi izinqubo njenge-cryotherapy, i-TCA, noma ukwelashwa nge-laser kusadinga ukuvakashela udokotela ubuso nobuso, iziguli eziningi ziqeda lonke uhambo lwazo lokwelashwa ngaphandle kokungena emtholampilo.
Ubona amabhamuza ocansini? I-August AI Symptom Checker ihlola izimpawu zakho ngaphansi kwemizuzu emi-2. I-August AI Online Urgent Care ikuxhumanisa nodokotela onelayisensi ngemizuzu ukuze uhlolwe ngosuku olufanayo futhi uthole imininingwane edingekayo.
Kuyini ukwelashwa kwezilonda zocansi online?
Ukwelashwa kwezilonda zocansi online kusho indlela ephelele ye-telehealth yokuhlola nokwelapha izilonda zocansi zangaphandle (ezibizwa nangokuthi i-condyloma acuminata) ngaphandle kokuvakashela udokotela ubuso nobuso. Le nqubo ifaka:
- Ukuhlolwa Okuphephile: Ukuxilongwa okusekelwe ezithombeni noma amavidiyo okubuyekezwe ngudokotela onelayisensi.
- Ukwelashwa Ngesikhungo Esikhethekile: Imithi ephathwayo ebekelwe ukuphathwa ngqo ekhaya.
- Ukusekelwa Kokuqhubeka: Ukuhlola ku-inthanethi ukuze kuqashwe ukuphulukiswa nokuqedwa kwezifo.
Inzuzo enkulu ukuba yimfihlo okuphelele. Ngesimo esiletha izinkinga zangasese, ukukwazi ukuqeda ukuhlolwa nokunakekelwa kusuka ekhaya kunikeza ukuthula kwengqondo:
- Akukho Ukulinda: Gwema ukuhlala emitholampilo enabantu abaningi noma ukuchazela abasebenzi bokwamukela izinto ezibucayi.
- Ubumfihlo Obuphelele: Phatha ukunakekelwa kwakho kwezempilo ngasese ngaphandle kokuzibuza ukuthi ubani ongakubona.
Izilonda zocansi zivamile kakhulu:
- Cishe umuntu oyedwa kweyishumi kubantu abadala base-US abasebenza ngokocansi uba nezilonda zocansi ezibonakalayo ngaso sonke isikhathi.
- Kuze kufike ku-80% abantu abasebenza ngokocansi bahlangana ne-HPV ngesikhathi esithile ekuphileni kwabo.
Lesi sifo singelashwa, futhi i-telehealth yesimanje yenza ukufinyelela kube lula emacaleni amaningi.
Yini eyimbangela izilonda zocansi?
Izilonda zocansi zibangelwa yizinhlobo ezithile ze-human papillomavirus (HPV), ikakhulukazi izinhlobo ze-HPV 6 kanye ne-11. Amaqiniso okudingeka uwazi:
- Izinhlobo ze-HPV: Izinhlobo 6 kanye ne-11 zibangela izilonda ezibonakalayo kodwa azivamise ukubanga umdlavuza. (Izinhlobo ezibanga umdlavuza, njenge-HPV 16 ne-18, azivamise ukubanga izilonda ezibonakalayo.)
- Ukudluliselwa: Kwenzeka ngokuthintana ocansini, anus, noma umlomo ngqo. Amakhondomu anciphisa kodwa angakuvimbeli ngokuphelele ubungozi ngoba i-HPV ingathinta isikhumba esingamboziwe amakhondomu. Igciwane lingasakazeka ngisho nalapho kungekho zintshontsho ezibonakalayo.
- Isikhathi: Izilonda zivame ukuvela amasonto noma izinyanga ngemuva kokuthola igciwane, yize abanye abantu bekuthwala i-HPV iminyaka ngaphambi kokuba kuvele izilonda noma bangalokothi zivele.
- Ukubukeka: Izilonda zingafana namabhamuza amancane ombala wesikhumba, amaqoqo afana ne-cauliflower, noma izilonda ezimicaba ocansini, anus, esifubeni, noma emadolo.
- Ukuqedwa Kwesikhathi Eside: Ukwelashwa kuqedela izilonda ezibonakalayo, kodwa uhlelo lwakho lokuzivikela emzimbeni lusebenza ngokwemvelo ngokuhamba kwesikhathi ukuqedela igciwane ngokwalo, ngokuvamile phakathi konyaka owodwa kuya kwemibili.
Yiliphi imithi enesikhungo esikhethekile esisebenzayo ezilondeni zocansi?
Imithi emithathu ephathwayo enesikhungo esikhethekile iyisisekelo sokwelashwa kwezilonda zocansi ekhaya:
I-Imiquimod cream (generic Aldara, Zyclara)
- Indlela esebenza ngayo: I-modifier ye-immune response eqinisa ukuzivikela komzimba wakho kumangqamuzana anegciwane le-HPV. Isetshenziswa izikhathi ezi-3 ngeviki (noma nsuku zonke nge-Zyclara) amasonto ayi-8 kuya kwayi-16.
- Izinzuzo: Isilinganiso esiphakeme kakhulu sokuphumelela emitholampilo, kulula ukusebenzisa kunengqamuzana le-podofilox, futhi isebenza kahle ezilondeni zangaphandle.
- Amaginga: Kuthatha isikhathi ukubonisa imiphumela futhi kungadala ukubomvu kwesikhumba nokucasuka. (Qaphela: Uhlobo lwe-Aldara lwanqanyulwa, kodwa i-generic imiquimod isatholakala kabanzi.)
I-Podofilox solution noma ijeli (Condylox)
- Indlela esebenza ngayo: Imithi ye-cytotoxic esuselwa esithelweni eyonakalisa ngqo isilonda. Isetshenziswa kabili ngosuku izinsuku ezi-3, ilandelwe ukuphumula kwezinsuku ezi-4, iphindaphindwe kuze kube amasonto ayi-4.
- Izinzuzo: Isikhathi sokwelashwa esisheshayo futhi isebenza kahle ezilondeni ezincane.
- Amaginga: Kunzima ukusebenzisa ngokunembayo, kubangela ukucasuka kwendawo, futhi ayiphephile ukusetshenziswa ngesikhathi sokukhulelwa.
I-Sinecatechins ointment (Veregen)
- Indlela esebenza ngayo: Itholakala ngokukhishwe emaqabeni etiye eluhlaza futhi isetshenziswa izikhathi ezi-3 ngosuku kuze kube amasonto ayi-16.
- Izinzuzo: Ukwakheka okubunene, imvelaphi yemvelo, futhi kusebenza kubantu abaningi.
- Amaginga: Kungaba nzima ngaphandle komshwalense futhi kusebenza kancane kune-podofilox.
Udokotela wakho ukhetha inketho efanele ngokusekelwe endaweni yesilonda, inombolo, usayizi, umlando wakho wezempilo, kanye nesimo sokukhulelwa.
Yini i-telehealth engayenza ngokumelene nalokho okudinga ukuvakashelwa ubuso nobuso?
Ukucaca ngemikhawulo kuqinisekisa ukunakekelwa okuphephile. Akuzona zonke izilonda zocansi ezixoxwa nge-inthanethi.
Okungenziwa yi-telehealth:
- Inombolo encane yezilonda zangaphandle ezibonakalayo
- Imithi ye-imiquimod, podofilox, noma sinecatechins
- Ukusekelwa kokulandela ngemuva ngesikhathi sokwelashwa
- Ukuvuselela imithi yokuqhubeka kokunakekelwa
- Ukuphathwa kokuphinda kubonakale (ukwelashwa izilonda ezintsha ngemuva kokuqedwa kokuqala)
- Ukubonisana kozakwethu neziqondiso zokuvimbela
- Ukuqapha ngemuva kokwelashwa
Lapho udinga ukwelashwa ubuso nobuso:
- Amaqoqo amakhulu noma izilonda eziningi ezidinga ukukhishwa ngokomzimba
- Izilonda ezitholakala ngaphakathi esithweni sangasese sowesifazane, umgudu womchamo, umbeleko, noma i-rectum
- I-cryotherapy (ukuqandisa) noma ukwelashwa nge-laser
- Ukusebenzisa i-trichloroacetic acid (TCA)
- I-electrocautery noma ukususwa ngokuhlinzwa
- Okusolwayo ukuthi umbeleko uthintakele (kudinga i-Pap smear noma i-colposcopy)
- Ukukhulelwa okunama qolo ocansi acacile (kudinga ukunakekelwa okukhethekile)
- Izilonda ezingaphenduli emithini yasekhaya
- Iziguli ezibuthakathaka emzimbeni
Kumacala okuqala ezilonda zangaphandle, imithi yokusebenzisa ekhaya isebenza kahle futhi ingabekwa ngokuphelele nge-telehealth.
Kubiza malini ukwelashwa kwezilonda zocansi online?
Izindleko zokwelashwa kwezilonda zocansi online ziyahlukahluka ngesikhundla nemithi ekhethiwe:
Ukuxoxisana nge-Telehealth: Kusuka ku- $19 kuye ku- $109 kuncike esikhundleni ($39 fixed ne-August AI; $59 ne-Amazon One Medical; kuqala ngo- $19 ne-Dr. B; kuyahlukahluka nge-Sesame Care).
Izindleko zemithi (nge-GoodRx noma intengo ye-generic):
- I-Generic imiquimod 5% cream: $40 kuye ku- $150 iphakethe lemaphakethe ayi-12
- I-Zyclara (imiquimod 3.75%): $200 kuye ku- $400 ibhokisi
- I-Podofilox 0.5% gel noma isixazululo: $150 kuye ku- $300 ibhodlela
- I-Sinecatechins (Veregen) ointment: $250 kuye ku- $500 ithuba
Izindleko Zokwelashwa Zangempela:
- Indlela ye-Imiquimod: $80 kuye ku- $200 (ukuxoxisana + imithi ye-generic)
- Indlela ye-Podofilox: $180 kuye ku- $350 (ukuxoxisana + imithi)
- Indlela ye-Sinecatechins: $280 kuye ku- $600 (ukuxoxisana + imithi)
Ukuhlanganisa ukuxoxisana okuyi- $39 fixed ye-August AI nemithi ye-imiquimod engu- $40 kuye ku- $150 kubeka izindleko zokwelashwa ezijikeleze u- $80 kuye ku- $190 emacaleni amaningi. Umshwalense uyahlukahluka kodwa uvame ukwehlisa izindleko zemithi kakhulu.
Okumele ulindele ukwelashwa kwe-telehealth
Ukuhlolwa okuhle online kwezilonda zocansi kulandela inqubo elula:
- Isinyathelo 1: Ukungena. Chaza izimpawu zakho nokuthi zibe khona isikhathi esingakanani. Kuvame ukucelwa ukulayisha izithombe eziphephile (ezifihliwe futhi ziyahambisana ne-HIPAA).
- Isinyathelo 2: Ukubuyekezwa komlando. Udokotela ubuza ngomlando wakho wokuzala, imithi yangaphambilini, ukungezwani komzimba, imithi yamanje, isimo sokukhulelwa, kanye nezimo zokuzivikela emzimbeni.
- Isinyathelo 3: Ukuqinisekiswa kokuxilongwa. Izithombe ziyabuyekezwa ukuqinisekisa ukuthi ukubukeka kuhambisana nezilonda zocansi kunokuba ezinye izimo (njengezikhumba ezikhuluphele, i-molluscum contagiosum, i-pearly penile papules, noma izilonda ezingaphambi komdlavuza).
- Isinyathelo 4: Ukukhetha imithi. Udokotela ukhetha imithi efanele isimo sakho futhi achaze imiyalelo yokusebenzisa.
- Isinyathelo 5: Imithi kanye nokulandela. Imithi ye-e-prescription ithunyelwa efemisi yakho ekhethiwe. I-generic imiquimod iyatholakala kumafemisi amaningi amakhulu, noma kunjalo, ukuthunyelwa ngeposi nakho kuyinketho yokwengeza ubumfihlo.
- Isinyathelo 6: Ukulandela. Ukuhlolwa ngesikhathi sokwelashwa (ngokuvamile ngemuva kwamasonto ayi-4) kuqapha impendulo futhi kulungise ukunakekelwa njengoba kudingeka.
Isikhathi esiphelele kusukela ekubhukeni kuya emithini singaphansi kwehora kubahlinzeki abasebenza ngokuzimela, noma ngosuku olufanayo kulokho okuhleliwe kuvidiyo.
Nini ukubona udokotela ubuso nobuso
Izimo ezithile zidinga ukuhlolwa ubuso nobuso esikhundleni se-telehealth. Funa ukwelashwa ubuso nobuso uma unezinkinga ezilandelayo:
- Izilonda ezivuvukala, ezibuhlungu kakhulu, noma ezikhula ngokushesha
- Izilonda eziningi (ngokuvamile ezingaphezu kwezi-10 kuye kwezi-15 ezibonakalayo)
- Izilonda ezindaweni zangaphakathi (esithweni sangasese sowesifazane, umgudu womchamo, i-anus, noma umbeleko)
- Ukubukeka okukhathazayo okungabonisa izinguquko ezingaphambi komdlavuza
- Izilonda ezingapheli ngemuva kwezinyanga ezi-3 zokwelashwa ekhaya
- Ukukhulelwa okunamaqolo amasha noma akhona
- I-HIV noma okunye ukungasebenzi kahle emzimbeni
- Umkhuhlane noma izimpawu ezijwayelekile kanye nezilonda
- Ukuhluleka kwemithi yangaphambilini yokwelashwa kwamalunga
Kulezi zimo, ukudluliselwa kuzingcweti zezikhumba, i-urology, noma i-gynecology kunikeza ukunakekelwa okufanele ngemikhuba ehhovisi njenge-cryotherapy noma ukususwa.
Ukubuyekezwa okuphelele kokwelashwa kwezilonda zocansi online, bona i-Genital Warts Treatment Online: guide yethu.
Ukilungele ukwelashwa okuphephile? I- August AI Online Urgent Care ngo- $39 fixed ingaxilonga izilonda zocansi zangaphandle ngokuphepha ngezithombe eziphephile, inikeze imiquimod, podofilox, noma sinecatechins emacaleni afanelekayo, futhi ihlele ukuthathwa kwezemfihlo efemisi noma ukuthunyelwa ngeposi kuwo wonke amazwe angama-50 ase-US.
Imibuzo Evame Ukubuzwa
Ingabe ukwelashwa kwezilonda zocansi online kuphumelela njengokwasekhaya?
Ezilondeni zangaphandle ezilashwa ngemithi ephathwayo, imiphumela ye-telehealth ihambisana nemiphumela yokubeka imithi ekhaya. Imithi yona yenza umsebenzi kungakhathalekile ukuthi yayibhalwe kanjani. Izinqubo zangaphakathi njenge-cryotherapy noma ukususwa nge-laser zinikeza imiphumela esheshayo, kodwa zidinga ukuvakashela ubuso nobuso futhi zingabiza kakhulu.
Kuyimfihlo kangakanani ukwelashwa kwezilonda zocansi online ngempela?
Kuyimfihlo kakhulu. Izikhundla ze-Telehealth zisebenzisa izinhlelo ezifihliwe, eziyahambisana ne-HIPAA. Izithombe namarekhodi okuxoxisana avikelekile ngokuphelele. Ukuthathwa kwemithi kungalungiswa kunoma iyiphi ifemisi yendawo, noma ukuthunyelwa ngeposi kusebenza ukuze uthole ubumfihlo obengeziwe. Akekho emfemitini yakho obona ubuso bakho noma ukuxilongwa kwakho.
Ngingasebenzisa izikhiphi zamalunga ezitholakala ezitolo ezindaweni zocansi?
Cha. Izikhiphi zamalunga ezitholakala ezitolo (njenge-Compound W kanye ne-Dr. Scholl's) ziqukethe i-salicylic acid, ebanga ukusha okubi kwamakhemikhali emizimba yangasese ebucayi. Imithi enesikhungo esikhethekile kuphela ephephile endaweni yocansi. Ukusebenzisa izikhiphi zamalunga ezitholakala ezitolo kungadala ukulimala okubuhlungu nezilonda ngaphandle kokwelapha i-HPV.
Kuthatha isikhathi esingakanani ukwelashwa kwezilonda zocansi?
Isikhathi sokwelashwa siyahlukahluka ngemithi:
- I-Podofilox: Amasonto ayi-4 ubukhulu.
- Imiquimod: Amasonto ayi-8 kuye kwayi-16.
- I-Sinecatechins: Kuze kube amasonto ayi-16.
Izilonda zivame ukuqedwa ngaphambi kokuba sigcwaliswe isikhathi esiphelele, noma kunjalo, ukuqhubeka nesikhathi esinconywayo kusiza ukuvimbela ukubuyela kwayo.
Ngabe izilonda zocansi ziyobuyela ngemuva kokwelashwa?
Ukuphinda kubonakale kuvamile. Cishe amaphesenti angama-20 kuye kwangama-30 eziguli anezilonda ezintsha phakathi kwezinyanga ezi-3 kuye kwezi-6, ngisho nangemuva kokuqedwa ngempumelelo, ngoba i-HPV ingahlala esikhunjeni ngaphandle kwezilonda ezibonakalayo. Izilonda eziphindaphindayo zingelashwa ngemithi efanayo noma ehlukile nge-telehealth yokuqhubeka.
Kufanele ngitshele omunye umuntu ukuthi nginazo izilonda zocansi?
Yebo. Ukwazisa omunye umuntu wokomshado kanye nombhangwane osanda kwenzeka kubavumela ukuba bahlolwe futhi. Ngoba i-HPV ingaba yimfihlo, omunye umuntu angadinga ukuhlola ngisho ngaphandle kwezimpawu ezibonakalayo. Umhlinzeki wakho we-telehealth angakunikeza isiqondiso sokuthi ungaxoxa kanjani ngalezi zindaba nokuthi omunye umuntu wakho kufanele axoxe ngani nabahlinzeki babo bezempilo.