I-Atopic Dermatitis, ekwabizwa ngokuba yi-Eczema

Ukuba wena okanye umntwana wakho ukhe wane-eczema eqatha (Atopic Dermatitis) ukugqabhuka, uqhelene nolusu oludumbileyo, olomileyo, olujiyileyo noluhlala luhleli, ukurhawuzelelwa nokurhawuzelelwa. Ngethamsanqa, kukho iindlela zokunciphisa iimpawu.

Kuqikelelwa ukuba iipesenti ezingama-30 zabemi base-US bafumana iimpawu ze-Atopic Dermatitis, ngokutsho kweZiko leSizwe le-Allergy kunye neZifo ezosulelayo, kodwa esi sifo solusu sixhaphake kakhulu kubantwana. Iimpawu zihlala ziqala kwiminyaka emihlanu yokuqala yobomi, rhoqo kwiinyanga ezintandathu zokuqala. Ngokuhamba kwexesha kunye nonyango, njengoko abantwana bekhula, i-eczema iya kuhlala iphelile - kodwa ngamanye amaxesha iqhubela phambili ebuntwini obukhulu.

Izinto ezininzi ezahlukeneyo zinegalelo kwi-eczema, kubandakanywa ukutya kunye nezinto ezinokuthi zenzeke kwindalo, ukomisa kakhulu kolusu, ukwenzakala ngenxa yokukrwela, kunye nokudumba kweebhaktheriya eluswini. Ukujongana nemeko nganye kubalulekile ekulawuleni imeko.

I-eczema kunye neAllergen zokutya

Nangona i-eczema ayisosifo esichasayo, i-allergener ingadlala indima. Phakathi kweentsana kunye neentsana ezinokulinganisela ukuya kwi-eczema enzima, ihlala isisidlo sokutya.

Ezona zidlo zixhaphakileyo eUnited States lubisi lwenkomo, iqanda, ingqolowa, isoya, amandongomane, amandongomane emithi, nokutya kwaselwandle. Ukuba ucinga ukuba umntwana wakho unokuba nayo ukutya kokutya, jonga i-allergist eqinisekiswe yibhodi yovavanyo oluchanekileyo ngaphambi kokususa nakuphi na ukutya ekutyeni komntwana wakho.

Allergens kokusingqongileyo

Ngokuqhelekileyo ngaphakathi iiallergen ezichaphazela i-eczema ziquka iintwala ezinothuli kunye ne-pet dander. Ukunciphisa ukutyhileka kwengolwane, vala imiqamelo kunye noomatrasi ngezigqubuthelo zemite, hlamba iilinen rhoqo ngeveki emanzini ashushu, vacuum nge HEPA (high-efficiency particulate air) vacuum, kwaye unciphise ukufuma okungaphakathi kwindlu ukuya kuma-40-50 ekhulwini, njengoko amangolwane afuna ukufuma. ukuphila.

Akukho manyathelo anokunciphisa ngempumelelo ukudada kwezilwanyana ukuba isilwanyana sihleli ekhaya, kodwa kuya kunceda ukugcina izilwanyana zasekhaya ngaphandle kwamagumbi okulala kunye nefenitshala okanye iiragi apho abantwana balala okanye badlala khona. I-pet dander iqokelela eluthulini lwasekhaya, ke sebenzisa i-HEPA vacuums ukuyigcina iphantsi. Xa konke okunye kusilele, ukufumana ikhaya elitsha lesilwanyana kunokuba lolona khetho kuphela.

Ukuthintela uLusu olomileyo

Ulusu lwabantwana abaneeczema loma ngokukhawuleza kunolusu olusempilweni, ngoko ke kubalulekile ukulugcina lunamanzi.

Oogqirha bahlala bencoma indlela "yokusoka kunye nokutywina" - hlala umntwana ebhafini yamanzi adikidiki imizuzu eli-15 ukuvumela amanzi ukuba angene ngaphakathi, emva koko uvuthulule amanzi amaninzi okanye womise ngobunono ngetawuli kwangoko ugalele i-moisturizer kumaleko ashinyeneyo. . Phinda usebenzise isimanzi rhoqo. UMbutho weSizwe weEczema ucebisa izithambiso zokuthambisa endaweni yokuthambisa okanye izithambiso.

Isihloko seCorticosteroid Medication

Abantwana abaninzi bafuna izithambiso zesikhumba ze-corticosteroid okanye iikhrimu ukulawula i-eczema yabo ngokupheleleyo. Ezi ziza kuluhlu olubanzi lwamandla, ngoko hlala ubuza ugqirha wakho ukuba yeyiphi amayeza kunye nonyango iinketho zilungele umntwana wakho.

Ukulawula ukurhawuzelela

Ukulawula ukurhawuzelelwa kubalulekile: Okukhona umntwana elukrwela ulusu, kokukhona i-eczema isiya iba mandundu, kwaye neempawu zinokuphuma zingalawuleki. I-antihistamines engaphezulu kwe-counter inokunceda ukukhupha i-edge kwi-itch kwaye ivumele ukulala okungcono ebusuku. Abanye abazali bafumana amalaphu amanzi ajikeleze ulusu oluchaphazelekayo lwenza lula ukurhawuzelelwa kwaye iyeke ukukrwela.

Ukuba i-eczema yomntwana wakho ihlala ingalawuleki kakuhle, dibana ne-allergist eqinisekiswe yibhodi yakho ukuze ufumane ezinye iindlela zonyango.


Ukutshintshwa Umzimba kunye ne-Asthma namhlanje Iphephancwadi elithi “Eczema and Allergies” nguJohn Lee, MD, umlawuli weklinikhi weNkqubo yokuLwa neeNdawo zokutya kwiSibhedlele saBantwana saseBoston.

Ezinye izibonelelo zeAtopic Dermatitis:

Iimpawu ze-Atopic Dermatitis

I-Atopic Dermatitis, uhlobo lwe-Eczema, sisifo esingapheliyo sokudumba kolusu esibangela iimpawu ezininzi ezahlukeneyo, ezinokuthatha iindlela ezininzi kwaye zahluke kumntu kumntu. Iimpawu ezininzi zinokubakho ngaxeshanye.

Ezona zikhombisi zixhaphakileyo zezi:

  • ulusu olomileyo umzimba wonke
  • ukurhawuzelela kakhulu, ingakumbi ebusuku
  • Ukudumba kolusu okwenzeka rhoqo
  • Amabala abomvu
  • Amancinci amancinci, aphakanyisiweyo, anokuvuza amanzi kunye nokuqhuma xa ekratshi
  • Ulusu olukrwada, olubuthathaka, oludumbileyo, okanye olujiyileyo ngenxa yokukrwela
Iimpawu ze-Atopic Dermatitis

Iimpawu ze-atopic dermatitis azihlali zihleli. Banokuphela okwethutyana. Nangona kunjalo, nokuba akukho nto inokubonwa kumphezulu wolusu, ukudumba kusekho phantsi kolusu kwaye ekugqibeleni kuya kuvela ngaphandle.

Ezinye iimpawu ezinxulumene ne-atopic dermatitis zibandakanya:

  • Ukurhawuzelelwa ngokungapheliyo, ulusu olunamaxolo: iindawo zolusu ezirhawuzelayo zidla ngokukrweleka, nto leyo eyenza ukuba zirhawuzelelwe nangakumbi. Noko ke, ezi ndawo zolusu zidla ngokukrwelwa, nto leyo ebangela ukuba ulusu oluchaphazelekileyo lube nombala, lube ngqindilili, lube nesikhumba.
  • Usulelo lolusu: Ukukrwela ngokuphindaphindiweyo kunokubangela izilonda ezivulekileyo kunye neentanda. Olu lucango oluvulekileyo lweBacteria kunye neentsholongwane.
  • Isandla sedermatitis: abantu abacoca okanye ababulala iintsholongwane ezandleni zabo bahlala bekwazi ukuphuhlisa i-dermatitis yesandla.
  • I-allergic contact dermatitis: ibonakala emva kokudibana ngokuthe ngqo nento okanye ukusabela kwayo kuyo. Izinto ezininzi zinokubangela ukusabela okunjalo, kuquka iisepha, izithambiso, iziqholo, izacholo nezityalo.
  • I-asthma kunye ne-hay fever: I-atopic dermatitis ihlala iyisandulela se-asthma kunye ne-hay fever. Abantwana abakhe baphathwa zizimpawu ze-atopic dermatitis kwiminyaka yabo yokuqala banamathuba angama-50% okuba bahlaselwe sisifo sombefu kunye nefiva njengolutsha.
  • Ukuphazamiseka kokulala: Ngenxa yokurhawuzelelwa okungapheliyo, abantu abaninzi banenkathazo yokulala nokulala ubusuku bonke. Ukuphazamiseka kokulala kwandisa i-Atopic Dermatitis. Lo ngumjikelo okhohlakeleyo.

Iimpawu ze-Atopic Dermatitis zihlala zivela kula malungu omzimba alandelayo:

  • ubuso
  • entanyeni
  • izandla
  • iingalo
  • iingqiniba
  • ngamadolo
  • iinyawo
  • iinyawo

Ezi ndawo zilandelayo zolusu zichaphazeleka ngokuxhomekeke kubudala:

  • Bantwana: Ubuso - ngakumbi izidlele. I-AD inokusasazeka emzimbeni nakumalungu angaphezulu.
  • Iintsana: Amaqatha, izihlahla, amalungu, kubandakanya iminwe neenzwane.
  • Abantwana abadala kunye nolutsha: Ukugoba kwamalungu (ingqiniba namadolo), nasemva kwezandla, iinyawo, neminwe.
  • abadala: Ukongeza kwiindawo eziqhelekileyo kubantwana abadala kunye nabafikisayo, kukho intamo, iinkophe kunye nobuso.

Imithombo:

https://www.mayoclinic.org/diseases-conditions/atopic-dermatitis-eczema/symptoms-causes/syc-20353273

Yintoni i-Eczema evela kwiNethiwekhi ye-Allergy & Asthma

https://drustvoad.si/atopijski-dermatitis/

Unyango lwe-AD

Akukho lunyango lusemgangathweni kuzo zonke izigulana ezine dermatitis atopic. Isigulana ngasinye kufuneka sinyangwe ngokwaso. Ngoko ke, akukho unyango olunokwenzeka lwe-atopic dermatitis. Unyango lubandakanya izinto ezi-5:

  1. Ukuthintela okubangela
  2. Ukhathalelo lolusu
  3. Unyango lokurhawuzelela
  4. Unyango lokudumba
  5. Uqeqesho nokubuyisela kwisimo sangaphambili

Ukuthintela i-atopic dermatitis-ezibangela

Okokuqala, kubalulekile ukwazi ukuba yintoni eyenza i-atopic dermatitis episode. Oku kunokuba ziinkwethu zothuli, iinwele zezilwanyana, izicoci okanye izinto zokucoca, ukutya, njl njl. Kwakhona, imozulu inokudlala indima.

Uvavanyo oluhambelanayo lunokwenziwa kwi-dermatologist okanye kwiibhubhoratri ezifanelekileyo. Ukuphepha okuhambelanayo kwe-trigger sisiseko sonyango lwe-eczema.

Ukhathalelo lolusu

Ulusu lufuna ukhathalelo lwemihla ngemihla kunye ne-ointment ethambisayo kunye ne-refatting okanye i-lotions yendalo kwaye engenazo izinto ezigcinayo. Iimveliso ze-PH-zingathathi hlangothi zikhethwa ukucoca ulusu.

Uninzi lwezongezo zokuhlambela eziqhelekileyo okanye iijeli zeshawari ziphanga ulusu lomqobo wokukhusela. Ezi, ke ngoko, ziphetshwe ngcono. Oku kuyasebenza nakwiisepha ezimanzi kunye ne-surfactants. Ityuwa njengesongezo sokuhlambela inokunceda ukubopha amanzi esikhumbeni kwaye yenze ibe mnandi ngakumbi. Eyona nto iluncedo kukufafa iijeli zeshawa kunye namafutha okuhlamba.

Emva kokuhlamba okanye ukuhlamba, ulusu akufanele luxutywe lome. Yomile nje kancinci okanye uyithambise. Ngokukhawuleza emva kokuhlamba okanye ukuhlamba, sebenzisa imveliso yokunyamekela oye wayifumana kugqirha wakho okanye kwi-pharmacist ukuze uyisebenzise imihla ngemihla.

Unyango lokurhawuzelela

Ukurhawuzelela kuyabulala kwi-atopic dermatitis. Okukhona ikrwitshiweyo, kokukhona ukudumba kuyenzeka. Lo ngumjikelo okhohlakeleyo. Kuphela ukuphepha i-trigger engaguqukiyo, ukunakekelwa kwesikhumba, kunye nokuthobela iingcebiso zonyango lukagqirha kuya kuphucula ukurhawuzelelwa.

Gcina izipikili zabantwana zifutshane kangangoko kunokwenzeka ukuze ugweme ukulimala. Kwimeko engxamisekileyo, unako ukufaka iiglavu kumntwana.

Unyango lokusonga olumanzi lunokuba luncedo. Emva kokuhlamba ngokufudumeleyo nokuthambisa amayeza, ulusu lwesigulana esonakeleyo lugqunywe ngamalaphu amanzi, adla ngokugqunywa ziimpahla ezomileyo – ezinjengeepyjama, iisweatshirts, okanye iikawusi zetyhubhu.

Unyango lokudumba

Ukudumba ngokuqhelekileyo kunyangwa ngamafutha esikhumba kunye namayeza enkqubo.

Unyango lolusu

Ukudumba okuphakathi ukuya kophakathi kudla ngokunyangwa ngamafutha e-cortisone achasene nokudumba. I-Cortisone ine-anti-inflammatory effect kwaye isetyenziselwa ngokukodwa iziqephu ezibukhali. Ngenxa yeziphumo zayo, i-cortisone kufuneka isetyenziswe kuphela ixesha elifutshane. Ukongezelela, amalungiselelo aqukethe i-cortisone ayifanelekanga kuzo zonke iindawo zesikhumba (umzekelo, ubuso, indawo yesini). Ke ngoko, i-calcineurin inhibitors kufuneka isetyenziswe kwezi ndawo. Ezi creams nazo zinefuthe elichasayo.

Ngaphandle kwamafutha e-cortisone, ezi mveliso zilandelayo zikwasetyenziselwa unyango lwe-atopic dermatitis.

Unyango lwenkqubo

Iimeko ezinzima ze-atopic dermatitis ziphathwa ngamayeza enkqubo. Ngakolunye uhlangothi, i-corticosteroids inokumiselwa ngomlomo okanye njengenaliti, kwaye kwelinye icala, kukho okubizwa ngokuba yi-biologic yonyango, esetyenziswa njengonyango lonyango.

phototherapy

Ifototherapy lunyango lolusu ngemitha ye-electromagnetic, ngakumbi kuluhlu lwe-ultraviolet (UV). Imitha ye-UVA ingena nzulu eluswini kwaye, ngenxa yoko iyakwazi ukulwa ne-foci yokuvuvukala eleleyo. Idosi ephezulu yonyango lwemitha ye-UVA inokusetyenziselwa i-atopic eczema. Imitha ephantsi yedosi ye-UVA isetyenziswa kunyango lwe-PUVA.

Unyango lwe-Atopic Dermatitis

I-PUVA ithetha ukuba isiphumo semitha ye-UVA yomeleza ngesithako esisebenzayo sechiza iPsoralen. I-Psoralen isetyenziswa kwisigulana ngokusebenzisa i-capsules ngendlela yokuhlamba okanye i-ointments (ukuba kuphela iindawo zomzimba ngamnye ezifana nezandla okanye iinyawo ezichaphazelekayo). Indibaniselwano ye-Psoralen kunye ne-UVA ibonakalise ukuba isebenza kakhulu kwizifo ezininzi zolusu, njengoko olu nyango luneziphumo ezivakalayo zokudambisa ukudumba.

Xa kuthelekiswa, unyango lwe-UVB lungena kuphela kumaleko angaphezulu kwesikhumba. Olu hlobo lwe-irradiation lufaniswa nokukhanya kwelanga kwemvelo. Unyango lwe-UVB olusulungekileyo lulula kakhulu ukwenza, luneziphumo ebezingalindelekanga ezimbalwa (lunokusetyenziswa kwabasetyhini abakhulelweyo, abantwana okanye izigulana ezinembali yamathumba), kwaye lusebenza ngendlela efanayo njengonyango lwePUVA kwizifo ezininzi zolusu. Ukongeza ekucinezeleni iinkqubo zolusu oluvuthayo, zonke iifototherapies zikhokelela ekukhanyeni kolusu.

Uqeqesho nokubuyisela kwisimo sangaphambili

Kwiikhosi zoqeqesho lwe-atopic dermatitis, izigulane zifunda indlela yokujongana nesifo kwimpilo yemihla ngemihla nasemsebenzini. Ulwazi kunye neengcebiso ezisebenzayo zokunyamekela ulusu olufanelekileyo, isondlo, ukujongana nokubuyela emva, okanye iindlela zokuphumla zinikezelwa.

Ukuvuselelwa kunokuthathelwa ingqalelo kwi-eczema ebukhali kunye nesifundo sesi sifo kungabikho xesha lingenaempawu. Injongo apha kukuphucula unyango ukuze sikwazi ukuqhubeka nokusebenza.

Kaninzi i-eczema kunye nokurhawuzelelwa kukhokelela kwiingxaki zokulala, ezinokuthi zibeke uxinzelelo lwengqondo kwisigulana. Imithambo yokuphumla ihlala inceda apha. Ukuba izikhalazo zengqondo zichazwe, unyango lwengqondo lunokuba lukhetho.

Izixhobo eziNcedo

imithombo