I-atopic dermatitis - izingane - ukunakekelwa kwasekhaya

I-atopic dermatitis yisifo sesikhumba sesikhathi eside (esingapheli) esibandakanya ukuqubuka okunamahloni nokunwaya. Kubizwa nangokuthi i-eczema. Lesi simo singenxa yokusabela kwesikhumba oku-hypersensitive okufana nokungezwani komzimba. Kungabangelwa futhi ukukhubazeka kwamanye amaprotheni ebusweni besikhumba. Lokhu kuholela ekuvukeleni okuqhubekayo kwesikhumba.

I-atopic dermatitis ivame kakhulu ezinganeni nasezinganeni. Kungase kuqale kusukela ezinyangeni ezimbili kuya kweziyisithupha ubudala. Izingane eziningi ziyasishiya ngenxa yokuba mdala.

Lesi simo singaba nzima ukusilawula ezinganeni, ngakho-ke kubalulekile ukusebenza eduze nomhlinzeki wezokunakekelwa kwempilo yengane yakho. Ukunakekelwa kwesikhumba nsuku zonke kubalulekile ukusiza ukuvimbela ukuqhuma nokugcina isikhumba singavuvukali.

Ukulunywa okukhulu kuvamile. Ukulunywa kungaqala ngisho nangaphambi kokuvela kokuqubuka. I-atopic dermatitis ivame ukubizwa nge- "itch that rashes" ngoba kuqala ukulunywa, bese kulandela ukuqubuka kwesikhumba ngenxa yokunwaya.

Ukusiza ingane yakho ukuthi igweme ukuklwebheka:

• Sebenzisa i-moisturizer, ukhilimu we-topical steroid, ukhilimu wokulungisa izithiyo, noma omunye umuthi onikezwa ngumhlinzeki wengane.
• Gcina izinzipho zengane yakho zigundiwe. Benze bagqoke amagilavu ​​akhanyayo ngenkathi belele uma ukunwaya ebusuku kuyinkinga.
• Nikeza ama-antihistamine noma eminye imithi ngomlomo njengoba kuchazwe ngumhlinzeki wengane yakho.
• Kangangokunokwenzeka, fundisa izingane ezindala ukuthi zingaklwebhi isikhumba esilumazayo.

Ukunakekelwa kwesikhumba nsuku zonke ngemikhiqizo engenalo igciwane kunganciphisa isidingo semithi.

Sebenzisa amafutha okugcoba (njenge-petroleum jelly), okhilimu, noma ama-lotion. Khetha imikhiqizo yesikhumba eyenzelwe abantu abane-eczema noma isikhumba esibucayi. Le mikhiqizo ayiqukethe utshwala, iphunga, udayi, namanye amakhemikhali. Ukuba ne-humidifier yokugcina umoya umswakama nakho kuzosiza.

Amafutha kanye nama-emollients asebenza kangcono lapho efakwa esikhunjeni esimanzi noma esimanzi. Ngemuva kokuwasha noma ukugeza, phatha isikhumba somile bese ugcoba i-moisturizer khona manjalo. Umhlinzeki wakho futhi angancoma ukubeka okokugqoka phezu kwalezigcobo zokuthambisa isikhumba.

Lapho ugeza noma ugeza ingane yakho:

• Geza kaningi futhi ugcine ukuxhumana kwamanzi kufushane ngangokunokwenzeka. Amabhati amafushane, apholile angcono kunamabhati amade ashisayo.
• Sebenzisa izinto zokuhlanza isikhumba esimnene kunokusebenzisa insipho yendabuko, futhi uzisebenzisele kuphela ebusweni bengane yakho, izikhwama zangaphansi, izindawo zobulili, izandla nezinyawo.
• Ungasikhuhli noma usome isikhumba kanzima noma isikhathi eside kakhulu.
• Ngemuva nje kokugeza, gcoba ukhilimu othambisayo, umuthi wokugcoba, noma amafutha ngenkathi isikhumba sisamanzi ukubamba umswakama.

Gqokisa ingane yakho izingubo ezithambile nezintofontofo, njengezimpahla zikakotini. Cela ingane yakho ukuthi iphuze amanzi amaningi. Lokhu kungasiza ukwengeza umswakama esikhunjeni.

Fundisa izingane ezindala lezi zeluleko ezifanayo zokunakekelwa kwesikhumba.

Ukuqhuma uqobo, kanye nokuklwebheka, kuvame ukudala ukuqhuma esikhunjeni futhi kungaholela ekutheleleni. Bheka iso kubomvu, imfudumalo, ukuvuvukala, noma ezinye izimpawu zokutheleleka. Shayela umhlinzeki wengane yakho kusibonakaliso sokuqala sokutheleleka.

Izimbangela ezilandelayo zingenza izimpawu ze-atopic dermatitis zibe zimbi kakhulu:

• Ukungezwani komzimba nempova, isikhunta, izibungu zothuli, noma izilwane
• Umoya obandayo nokomile ebusika
• Umkhuhlane noma umkhuhlane
• Xhumana nama-irritants namakhemikhali
• Ukuthintana nezinto ezinolaka, njengoboya
• Isikhumba esomile
• Ukucindezeleka ngokomzwelo
• Ukugeza njalo noma ukugeza nokubhukuda kaningi, okungomisa isikhumba
• Ukushisa kakhulu noma ukubanda kakhulu, kanye nokushintsha okungazelelwe kokushisa
• Amakha noma amadayi afakwa kuma-lotion esikhumba noma insipho

Ukuvimbela ukuqhuma, zama ukugwema:

• Ukudla, njengamaqanda, okungadala ukusabela okweqile enganeni esencane kakhulu. Hlala uxoxa nomhlinzeki wakho kuqala.
• Uboya, i-lanolin, nezinye izindwangu eziklwebhekayo. Sebenzisa izingubo ezibushelelezi, ezilungisiwe nezombhede, njengokotini.
• Ukujuluka. Qaphela ukuthi ungagqokisi ingane yakho ngokweqile ngesikhathi sezulu esifudumele.
• Izinsipho ezinamandla noma okokuhlanza, kanye namakhemikhali nama-solvents.
• Izinguquko ezingazelelwe ekushiseni komzimba, okungadala ukujuluka futhi kubhebhethekise isimo sengane yakho.
• Ukucindezeleka. Bheka izimpawu zokuthi ingane yakho izizwa ikhungathekile noma icindezelekile bese uyifundisa izindlela zokwehlisa ingcindezi njengokuphefumula kanzima noma ukucabanga ngezinto ezizithandayo.
• Izimbangela ezibangela izimpawu zokungezwani komzimba. Yenza okusemandleni akho ukugcina ikhaya lakho lingenazimbangela zokungezwani komzimba ezifana nesikhunta, uthuli, kanye nesilwanyane sesilwane esifuywayo.
• Gwema ukusebenzisa imikhiqizo yokunakekelwa kwesikhumba equkethe utshwala.

Ukusebenzisa amafutha okuthambisa, okhilimu noma amafutha nsuku zonke njengoba kuqondisiwe kungasiza ekuvikeleni ukuqhuma.

Ama-antihistamine athathwe ngomlomo angasiza uma ukungezwani komzimba kubanga isikhumba sokuluma kwengane yakho. Le mithi ivame ukutholakala phezu kwekhawunta futhi ayidingi incwadi kadokotela. Buza umhlinzeki wengane yakho ukuthi iluphi uhlobo olulungele ingane yakho.

I-atopic dermatitis ivame ukwelashwa ngemithi ebekwe ngqo esikhunjeni noma ekhanda. Le mithi ibizwa ngokuthi yimithi yokwelapha ngezihloko ezithile:

• Umhlinzeki cishe uzonikeza ukhilimu omnene we-cortisone (steroid) noma amafutha ekuqaleni. I-topical steroids iqukethe i-hormone esiza "ukuzola" isikhumba sengane yakho lapho ivuvukile noma ivuvukala. Ingane yakho ingadinga umuthi onamandla uma lokhu kungasebenzi.
• Kunganconywa nemithi elawula amasosha omzimba esikhunjeni okuthiwa ama-topical immunomodulators.
• Amafutha kanye nokhilimu abaqukethe ama-ceramide abuyisa umgoqo wesikhumba nakho kuyasiza.

Ezinye izindlela zokwelapha ezingasetshenziswa zifaka:

• Ukhilimu noma amaphilisi okulwa namagciwane uma isikhumba sengane yakho sinegciwane.
• Imithi ecindezela amasosha omzimba ukwehlisa ukuvuvukala.
• I-Phototherapy, ukwelashwa lapho isikhumba sengane yakho sivezwa ngokucophelela ekukhanyeni kwe-ultraviolet (UV).
• Ukusetshenziswa kwesikhashana kwe-systemic steroids (i-steroids enikezwa ngomlomo noma ngomthambo njengomjovo).
• Umjovo we-biologic obizwa nge-dupilumab (Dupixent) ungasetshenziselwa ukuthola i-atopic dermatitis elinganiselayo.

Umhlinzeki wengane yakho uzokutshela ukuthi ingakanani le mithi oyisebenzisayo nokuthi uzoyisebenzisa kangaki. Ungawusebenzisi umuthi omningi noma uwusebenzise kaningi kunalokho okushiwo umhlinzeki.

Shayela umhlinzeki wengane yakho uma:

• I-atopic dermatitis ayibangcono ngokunakekelwa kwasekhaya
• Izimpawu ziba zimbi kakhulu noma ukwelashwa kungasebenzi
• Ingane yakho inezimpawu zokutheleleka, njengokubomvu, ubomvu noma amaqhubu agcwele uketshezi esikhunjeni, emkhuhlane, noma ebuhlungwini

I-eczema yezinsana; Dermatitis - izingane atopic; I-Eczema - atopic - izingane

U-Eichenfield LF, uTom WL, uBerger TG, et al. Imihlahlandlela yokunakekelwa kokuphathwa kwe-atopic dermatitis: isigaba 2. Ukuphathwa nokwelashwa kwe-atopic dermatitis ngemithi yokwelapha. J Am Acad Dermatol. 2014; 71 (1): 116-132. I-PMID: 24813302 pubmed.ncbi.nlm.nih.gov/24813302/.

U-Eichenfield LF, uTom WL, uChamlin SL, et al. Imihlahlandlela yokunakekelwa kokuphathwa kwe-atopic dermatitis: isigaba 1. Ukuxilongwa nokuhlolwa kwe-atopic dermatitis. J Am Acad Dermatol. 2014; 70 (2): 338-351. I-PMID: 24290431 pubmed.ncbi.nlm.nih.gov/24290431/.

UMcAleer MA, O'Regan GM, u-Irvine AD. I-atopic dermatitis. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 12.

USidbury R, ​​uDavis DM, uCohen DE, et al. Imihlahlandlela yokunakekelwa kokuphathwa kwe-atopic dermatitis: isigaba 3. Ukuphathwa nokwelashwa nge-phototherapy kanye nama-systemic agents. J Am Acad Dermatol. 2014; 71 (2): 327-349. I-PMID: 24813298 pubmed.ncbi.nlm.nih.gov/24813298/.

ISidbury R, ​​uTom WL, uBergman JN, et al. Imihlahlandlela yokunakekelwa kokuphathwa kwe-atopic dermatitis: isigaba 4. Ukuvimbela ukuqhuma kwezifo nokusetshenziswa kwezindlela zokwelapha ezihlanganayo nezindlela. J Am Acad Dermatol. 2014; 71 (6): 1218-1233. I-PMID: 25264237 pubmed.ncbi.nlm.nih.gov/25264237/.

UTom WL, u-Eichenfield LF. Izinkinga ze-eczematous. Ku: Eichenfield LF, Frieden IJ, Mathes EF, Zaenglein AL, eds. I-Neonatal ne-Infant Dermatology. 3rd ed. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 15.

• I-Eczema