Ukuphakanyiswa komkhuhlane we-online kungenye yezinye zezinye izinzuzo ezicacile ze-telehealth, ngoba isikhathi siyizinto zonke ezibalulekile kuma-cold sores. Imithi ye-antiviral yokupakisha isebenza kangcono lapho iqala nge-tingle yokuqala, ngaphambi kokuba kuvele amagciwane, futhi ukuvakashelwa ku-inthanethi kukuvumela ukuthi uthole ukwelashwa kungakapheli amahora esikhundeni sokulinda izinsuku ukuze uthole i-aphoyintimenti. Nge-August, uqala ngokuhlola kwe-AI yamahhala, bese kuvakashelwa u-$39 lapho udokotela onelayisensi angakwazi ukukhipha i-antiviral ku-pharmacy yakho ngosuku olufanayo.

TL;DR

  • Imithi ye-antiviral yokupakisha (i-acyclovir, i-valacyclovir, i-famciclovir) isebenza kangcono lapho iqala nge-tingle yokuqala.

  • Isivinini siyisici esibalulekile, ngakho-ke ukuvakashelwa ku-inthanethi okukwelapha kungakapheli amahora kunciphisa ngempela i-sore.

  • I-docosanol ye-OTC (i-Abreva) isiza kancane uma iqaliswe masinyane; imithi ye-antiviral yokupakisha isebenza kangcono.

  • Ama-cold sores abangelwa igciwane le-herpes simplex futhi angalawulwa, kodwa awakwazi ukwelashwa.

  • Ukuqubuka njalo (okumbalwa ngonyaka) kungavinjelwa ngemithi ye-antiviral nsuku zonke, okufanele ukubuze ngayo.

Kungani ukuphakanyiswa komkhuhlane we-online kunqoba ukulinda

Isizathu sezokwelapha sokuthi i-telehealth ilungele lokhu sivame ukuba yisikhathi. Imithi ye-antiviral ye-cold sore iyasebenza kakhulu lapho uyisebenzisa kusenesikhathi, okungcono kakhulu esigabeni sokubambezeleka noma sokulunywa ngaphambi kokuba kuvele igciwane, ngokuya ngesiqondiso se-American Academy of Dermatology. Uma amagciwane esekhona, isikhathi sokwenza okuthile sicishe siphelile. Lokho kwenza indlela yakudala, ukuzwa ukubambezeleka ngoLwesihlanu, ukuthola isikhala somtholampilo ngoMsombuluko, cishe ayisebenzi. Ukuvakashelwa ku-inthanethi kunciphisa leli gcagcagcagca: uyibona izimpawu zokuxwayisa, uyahlolwa kungakapheli amahora, bese uqala imithi ye-antiviral ngenkathi ingakwazi ukunciphisa ukuqubuka. Isivinini akusona isevisi lapha, kuyindlela yokwenza.

Yini udokotela angayikubhalela, nokuthi isebenza kanjani kahle

Ukazi izinketho kusetha izinto ezifanele. Imithi ye-antiviral yokupakisha yama-cold sores yi-acyclovir, i-valacyclovir (i-Valtrex), ne-famciclovir, ethathwa njengezindimbane. Uma iqaliswe kusenesikhathi, inganciphisa ukuqubuka ngosuku olulodwa noma ezimbili futhi inciphise ubuhlungu, futhi kwabanye abantu kukhona indlela yokwelashwa eyodwa, edosisi eliphezulu okuyinto elula kakhulu. Kukhona nama-cream we-antiviral wokupakisha, yize izindimbane ngokuvamile zisebenza kangcono. Akukho kulokhu okwelapha igciwane elingaphansi, elihlala lingasebenzi emzimbeni impilo yonke, kodwa lenza ukuqubuka komuntu ngamunye kube yimfushane futhi kube ngaphansi. Uma uzithola kaningi, imithi efanayo ethathwa nsuku zonke ingavimbela ukuqubuka, okuyingxoxo ehlukile efanele ukwenziwa.

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Imithi kadokotela isebenza kahle kakhulu uma uqala ukuyisebenzisa lapho nje ubona ukuthi indawo iyaxebula noma kukhona okumilayo. Iningi labantu liyabona ukuthi lesi sifo asisabuye sikhule, noma siphola ngokushesha okukhulu kunokuba ngabe awuzange uselaphe.

Odokotela bavame ukuyinikeza le mithi ngokuphepha kubantu abahlale bethola lezi zilonda. Udokotela wakho uzokusiza ukuthi uthole ukuthi ukwelashwa kanye noma uhlelo oluhlukile olufanele izimo zakho.

Ungathola kanjani ukwelashwa ku-inthanethi ngezinyathelo ezi-3

Inqubo yakhelwe isivinini. Isinyathelo sokuqala, nge-tingle yokuqala, chaza izimpawu zakho ku-August, umsizi wezempilo we-AI wamahhala, ukuze uqinisekise ukuthi ukuvakashelwa ku-inthanethi kulungile ngaphambi kokukhokha lutho. Isinyathelo sesibili, bhukha ukuvakashelwa okungu-$39 [⚠qinisekisa: isixhumanisi /telehealth/cold-sore uma ubukhona], lapho udokotela wase-US onelayisensi ahlole izimpawu zakho nomlando wakho, izithombe ziyasiza uma kuvela i-sore, futhi ubuze ngokuqubuka kwangaphambilini neminye imithi. Isinyathelo sesithathu, uma imithi ye-antiviral ilungele, i-prescription isemakethe yakho ngosuku olufanayo, kaningi kungakapheli amahora, ukuze ukwazi ukuqala ngenkathi kubalulekile. Ukuvakashelwa akulokothi kuqinisekise i-prescription, kodwa ama-cold sores kumuntu onemlando ocacile avame ukuba yisinqumo esilula.

I-angle ye-OTC, ngokwethembeka

Awudingi njalo i-prescription, ngakho-ke nansi ukuqhathaniswa okufanele. Ngaphandle kwe-counter, i-docosanol 10% (i-Abreva) iyona yodwa umkhiqizo ogunyazwe yi-FDA ukuze unciphise ukuphulukiswa kwe-cold sore, futhi isiza kancane, kodwa kuphela uma uyiqala ngephuzu lokuqala bese uyifaka njalo. Ama-gel wobuhlungu we-OTC anama-benzocaine noma ama-lidocaine anciphisa ukungakhululeki, futhi izinto ezibandayo ziyasiza. Kwama-cold sore alula, avamile kumuntu oyithola ngokushesha, lokho kungase kwanele. Umzila we-prescription uyawina lapho ukuqubuka kuvamile, kukhulu, kubuhlungu, kuthatha isikhathi ukululama, noma lapho ufuna inketho esebenza kangcono, futhi ikakhulukazi uma ungayiqala kuleso sikhathi sokubambezeleka esikuso nemikhiqizo ye-OTC nayo ithembele kuso.

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Omakhilimu othengwa emakhemisi bangasiza ekwehliseni ubuhlungu futhi basheshise ukusila kwesilonda ezimeni ezilula. Amaphilisi kadokotela asebenza ngaphakathi, okuvame ukunikeza umphumela oqine kakhulu futhi osheshayo kulabo abanezilonda ezinkulu noma ezinzima.

Kufanele ucabange ngokuthola incwadi kadokotela uma izilonda zakho zibuhlungu, zihlala isikhathi esingaphezu kwesonto, noma zivela kaningi kunalokho obungathanda. Udokotela angakunika indlela yokwelapha ephumelelayo ehambisana nezimpawu zakho.

Nini i-cold sore idinga okungaphezu kwe-telehealth

Izimo ezimbalwa zidinga amehlo abhekene. Thola ukuboniswa masinyane uma amagciwane esakazekela eduze noma emehlweni (i-herpes eduze kwamehlo ingahlomula umbono), uma umzimba wakho wobungcweti ubuthakathaka, uma amagciwane esakazeke ngokungajwayelekile noma engavamile, noma uma une-eczema futhi ukuqubuka kusakazeka esikhunjeni esithintekayo. Futhi ukuxuba okujwayelekile okufanele kugqanywe: amagciwane angaphakathi emlonyeni, emagomeni noma esophahleni, avame ukuba ngama-canker sores, angahlobani negciwane le-herpes futhi angaphenduli kumithi ye-antiviral. Uma ungakqinisekisi ukuthi yini onayo, yilokho kanye ukuvakashelwa okukulungisayo.

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Qaphela izilonda ezisakazekela eduze kwamehlo akho, ezibonisa izimpawu zokutheleleka njengobomvu noma ukubomvu okwedlulele, noma ezibangela imfiva ephezulu. Lezi zimpawu zidinga ukuthi udokotela akubone mathupha ukuze akhiphe ithuba lezinkinga ezinkulu.

Kwesinye isikhathi ezinye izinkinga zesikhumba noma ngisho nezifo ezifana ne-impetigo zingabukeka njengesilonda somkhuhlane. Udokotela angakwazi ukuhlukanisa phakathi kwalezi zinto ngokusekelwe emlandweni wakho kanye nezimpawu ozibonayo.

FAQ

Ngingathola nini i-prescription ye-cold sore ku-inthanethi?
Ngokuvamile kungakapheli amahora ambalwa: amaminithi okuhlola kwe-AI kwamahhala, ukubuyekezwa kosuku olufanayo kokuqala u-$39, kanye ne-e-prescription kumakhemisi akho ngemuva kwalokho. Leso sivinini siyinto, ngoba imithi ye-antiviral isebenza kangcono lapho iqala nge-tingle yokuqala.

Ngidinga yini igciwane elibonakalayo ukuze udokotela akubhalisele?
Cha, futhi kungcono ungakulindeli. Isigaba sokubambezeleka noma sokulunywa ngaphambi kokuba kuvele igciwane yisikhathi esingcono sokuqala, ngakho-ke umlando ocacile wale ngcwethe lokuxwayisa uvame ukwanela ukuthi udokotela enze isinyathelo.

Yimiphi imithi ye-antiviral engcono kakhulu kuma-cold sores?
I-acyclovir, i-valacyclovir, ne-famciclovir zonke ziyasebenza; i-valacyclovir ne-famciclovir zidinga imizuliswano embalwa yansuku zonke, futhi ezinye izindlela zokwelashwa ziyisikhathi esisodwa. Udokotela ukhetha ngokuya ngomlando wakho, eminye imithi, kanye nezinto ozikhethayo. Zonke zisebenza kangcono lapho ziqaliswe kusenesikhathi.

Ingabe i-Abreva ingcono njengemithi ye-antiviral yokupakisha?
Cha kancane. I-docosanol (i-Abreva) iyona yodwa inketho ye-OTC efakazelwe ukusheshisa ukuphulukiswa, kodwa izindimbane zokupakisha ngokuvamile zisebenza kangcono, ikakhulukazi uma ukuqubuka kukhulu noma kuvamile. Bobabili bathembele ekuqaleni ngephuzu lokuqala ukuze benze okuningi okuhle.

Ngingakuvimbela ama-cold sores esikhundleni sokuwaphatha nje?
Yebo, uma uwathola kaningi, ambalwa ngonyaka, ukwelashwa nge-antiviral nsuku zonke kunganciphisa ukuthi avela kangaki. Kufanele ukwenze endaweni yakho, kanye neziphakamiso zakho eziyimfihlo njengokukhanya kwelanga, ingcindezi, nokugula.

Ingabe ama-cold sores nama-canker sores afanayo?
Cha. Ama-cold sores abangelwa igciwane le-herpes simplex futhi avele emlonyeni noma eduze nomlomo; ama-canker sores angaphakathi emlonyeni, awavuswa igciwane, futhi awaphenduli kumithi ye-antiviral. Ukwelapha omunye njengomunye kuchitha isikhathi, okwenza ukuvakashelwa kwenziwe.

Ngingakwazi ukudlulisa ama-cold sores kwabanye noma kimina?
Yebo, angakwazi ukudluliswa ngokuxhumana ngqo, ikakhulukazi lapho esebenza. Gwema ukwanga nokuhlanganyela izitsha noma imikhiqizo yezindebe ngesikhathi sokuqubuka, geza izandla zakho, futhi qaphela ukungathinti amehlo akho, ngoba igciwane lingadlulela lapho.

Ingabe umshwalense uhlanganisa imithi ye-antiviral?
I-acyclovir ne-valacyclovir ezijwayelekile azibizi ngisho nangaphandle komshwalense, kaningi nje izimali ezimbalwa ngekhadi lesaphulelo se-pharmacy [qinisekisa: uhla lwentengo zamanje]. Ukuvakashelwa u-$39 kukhokhelwa imali, akudingi umshwalense.