Uma ungowesifazane oye wabhekana ne-eczema esikhathini esidlule, ukukhulelwa kungase kube yisikhathi empilweni yakho lapho i-eczema yakho ivuleka futhi. Abesifazane abaningi abanomlando we-eczema bayaqaphela ukuthi isimo sesikhumba sivame ukonakala ngesikhathi sokukhulelwa, ngenxa yokushintsha kwamahomoni kanye nokushintsha kwezinga lesikhumba.
Kodwa wenzani ukuphatha i-eczema ngemuva kokukhulelwa? Imiphi imithi ephephile ngenkathi ibeletha, futhi yiziphi izinkinga okufanele uzibheke?
Nazi amathiphu ambalwa wokuphatha i-eczema yakho emva kokulethwa nangaphezulu.
I-Eczema Ngesikhathi sokukhulelwa
Ngempela kunezimo ezihlukahlukene zesikhumba ezingase zenzeke ngesikhathi sokukhulelwa, kusukela ekugqibeni okuvela kuphela kwabesifazane abakhulelwe okuthiwa i-PUPPS, kumabhodlela esikhumba angakwazi ukuhluma ezandleni, emilenzeni nasesisu. Kuzo zonke izimo zesikhumba ezingenzeka ngesikhathi sokukhulelwa, noma kunjalo, i-eczema iyona evame kakhulu.
I-British Medical Journal (BMJ) iphawula ukuthi i-eczema ibhalela noma yikuphi ukusuka kwesithathu kuya kwesigamu sayo yonke izimo zesikhumba abesifazane abathola ngazo ngesikhathi sokukhulelwa. Futhi mhlawumbe iqiniso elimangalisa kunazo zonke ukuthi ukuthi iningi lalezi zenzakalo ze-eczema zisha. Abaningi besifazane abakha i-eczema ngesikhathi sokukhulelwa empeleni bathola isimo okokuqala empilweni yabo ngesikhathi bekhulelwe. Ngamanye amazwi, iningi labesifazane abanesifo se-eczema ngesikhathi sokukhulelwa abakaze babe ne-eczema ngaphambili.
Vele ufake lokho ohlwini lwezindlela zokuguqula ukukhulelwa komzimba wakho, kwesokudla?
Ngakho-ke i-eczema ivuselela nini ikhanda layo elingamukeleki ngesikhathi sokukhulelwa? Isikhathi esivamile kakhulu se-eczema ukubonisa ngesikhathi sokukhulelwa singaphakathi kwamacala amathathu okuqala. Ngenxa yokuthi i-eczema ibangelwa ukuvusa kwemvelo nokungaphakathi, kungaba nzima ukubikezela futhi kungabonakalisa noma kunini ngesikhathi sokukhulelwa.
Ngokuvamile, i-eczema ingaboniswa okokuqala ngemuva kokukhulelwa sekuphelile, kepha ngokuvamile lokhu kwenzeka ngamaphesenti angu-10 amacala.
I-eczema iphethwe ngamasu amaningana ahlukene ngesikhathi sokukhulelwa. Okugxile ekuqinisekiseni ukuthi ayikho enye yokwelapha eyingozi kumntwana okhulayo noma umama ngesikhathi sokukhulelwa. Ukwelashwa kuhloswe ukuba namandla ngokwanele ukuphatha lesi simo ngenkathi ephephile ngokwanele ukuba kungabangeli ukulimala kokukhulelwa.
Lezi zokwelapha ezilandelayo zibhekwa njengokuphephile kwabesifazane ukuthi basebenzise ukuphatha i-eczema ngesikhathi sokukhulelwa:
- Emollients
- I-steroids yezihloko (eziya esikhumbeni)
- Ukukhanya kwe-Ultraviolet B (nakuba abesifazane abakhulelwe kufanele baqaphele ngokushisa kwelanga ngoba bangakwazi ukuzwela isikhumba)
Ezinye izindlela zokwelashwa zisetshenziselwa icala-by-case basis, kuye ngokuthi ubukhulu be-eczema kanye nokuqonda kwedokotela. Lezi zokwelapha zingase zibandakanye i-oral steroids noma ama-steroid aqina kakhulu esikhumbeni, kanye nemithi yokwelapha engasiza ukucacisa i-eczema kwezinye izimo. Abesifazane abakhulelweyo nabamncelisayo kufanele bagweme ukuthatha methotrexate besebenzisa i-PUVA ukwelapha, kodwa, njengoba lezo zindlela ezimbili zokwelapha zifaka ingozi enganeni engathuthuka.
Kungani i-Eczema iqhubekela phezulu ngesikhathi sokukhulelwa?
Kucatshangwa ukuthi i-eczema ivame ukuvuvukala ngesikhathi sokukhulelwa ngenxa yamasosha omzimba ahilelekile. Ngesikhathi sokukhulelwa, amasosha omzimba wesifazane ashintshela ukuthanda izinhlobo ezithile zamaseli omzimba futhi lezo zinguquko zingabangela izimo ezenza i-eczema ithuthuke. Odokotela baye baphawula ukuthi kungase kube khona ushintsho kwesikhumba noma ukushintshwa kwenqubo yeprotheni yesikhumba eyenzeka ngesikhathi sokukhulelwa okungenza indlela ye-eczema.
Ngenhlanhla, i-eczema ayingozi ngesikhathi sokukhulelwa; akusho ukuthi kungabangela ingozi kumama noma umntwana, nakuba kungenakukhathazeka kakhulu.
Ukukhulelwa kungaba nzima ngokwanele kwabanye besifazane ngokomzimba, ngakho ukulawula i-eczema ngempumelelo ngokukhulelwa nangaphezulu kuyisinyathelo esibalulekile.
Indlela Yokusingatha I-Eczema Emva Kokukhulelwa
Ngesikhathi owesifazane engase athole ushintsho eczema ngesikhathi sokukhulelwa, angase azibuze ukuthi yini okufanele alindele ngemuva kokuzalwa kwengane. Ukwelashwa kwe-eczema kungase kuxhomeke ekutheni owesifazane uncelisa yini noma cha, njengoba ezinye izindlela zokwelashwa zinganconywa kumama abahlengikazi.
Ngokuvamile, owesifazane obhekene namacala amancane noma alinganisiwe we-eczema ngesikhathi sokuhamba kwesikhathi angasebenzisa imithi efanayo nokukhulelwa kokuqala. Isibonelo, ukugeza okumswakama (hhayi okushisa kakhulu futhi kungabandi kakhulu) okulandelwa yi-emollients kanye nama-steroids e-topical asetshenziswa njalo. I-Ultraviolet B nayo iphephile ukusebenzisa ngesikhathi sokuncelisa, kepha ngokuvamile akuyona umugqa wokuqala wokuphathwa kwe-eczema. Uma ungakwazi, zama ukuthola ukuthi yini edala i-eczema yakho futhi ugcine engqondweni yakho, ngenxa yokukhulelwa, kungaba yinto ethile endaweni yakho engakukhathazanga ngaphambilini kepha manje idala i-eczema yakho. Izinto ezifana ne-pet dander, ukuzwela kokudla, i-lotions, noma ngisho ne-detergent kungabangela ukuthi i-eczema ivuleke. Kungase futhi kusize ukugcina ukugeza okuncane futhi ugweme izinsipho ezinzima, ikakhulukazi njengoba umzimba wakho ulungisa ukungazwakali.
Imithi yokwelapha kuphela engavunyelwe abesifazane abahlengikazi i-calicalurin inhibitors, nakuba i- British Medical Journal ibona ukuthi akucaci ukuthi umuthi omningi ungena kanjani ubisi lomama onesihlengikazi. Ucwaningo olungaphezulu lufanele lwenziwe ukuthi lusho ngokugcwele ukuthi kuyingozi noma kuphephile ukusebenzisa ngenkathi kubeletha.
Indawo engavamile kakhulu owesifazane angase athole i-eczema ngemuva kokukhulelwa i-areola noma ingono. Nakuba kungavamile kakhulu futhi kwenzeka ezingaphansi kuka-2 amaphesenti omama abancancisayo, i-eczema ingaqhubeka kulezo zindawo. Ngokusho kwe- BMJ , kungenzeka ukuthi kube yinkinga ejwayelekile ye-eczema noma ngenxa yokusabela komntwana odla ukudla okunye ngaphandle kobisi lwebele okungenzeka ukuthi umama angakuzwa. Ezimweni ze-eczema ezinguneni noma e-areola, umama ngokuvamile uzosebenzisa i-stolen emollient kanye ne-topical steroid ezindaweni ezithintekayo phakathi kokuphakelayo. Imithi kanye ne-emollient kumele ihlanzwe kahle ngaphambi kokuba ingane ihlengele futhi noma amaphampu amama, ngakho angangeni ebisi lwebele. Ngalesi sikhathi, ochwepheshe batusa ukuthi omama abancancisa ukugwema ukusebenzisa i-cyclosporin ne-methotrexate ukuphatha i-eczema ngesikhathi sokuhamba kwesikhathi.
Kukhona nokucwaninga okuthakazelisayo okubonisa ukuthi ukucindezeleka kungaba nengxenye ekuthuthukiseni i-eczema, ngakho-ke abesifazane abakhulelwe bangase bakuthole kuwusizo ukuzama amasu okuphatha ukucindezeleka, okufana nokusikwa kwegazi, i-yoga, noma ukuzindla ukuzama ukunciphisa inani lamazinga okucindezeleka empilweni yabo.
Kuthiwani Ngomntwana Wakho?
Uma uthuthukisa i-eczema ngenkathi ukhulelwa, ingabe lokhu kusho ukuthi ingane yakho ingase ibe ne-eczema?
Ezimweni eziningi, i-eczema yisimo esiyinzalo, ikakhulukazi uma ihambisana nanoma yiziphi ezinye izimo zezokwelapha ezifana nezifo ezithinta izifo noma izifo ezizimele. Uma unomlando we-eczema namanye amalungu omndeni futhi ane-eczema, ingane yakho ingase ibe nomthelela wokuthuthukisa i-eczema.
Izwi elivela ku-Verywell
Ukukhulelwa kuvame ukwenza ukuthi i-eczema iqhubekele kwabesifazane abaye baba nayo esikhathini esidlule futhi kungase kuholele ngisho nasezimweni ezintsha zokuqala. Kwezinye izimo, i-eczema ingase ivele yodwa emva kokukhulelwa, kodwa kwabanye, i-eczema ingahlala isikhathi eside ngisho nangemva kokuzalwa kwengane.
Uma i-eczema yakho iqhubeka ngemva kokukhulelwa kwakho, kunezindlela zokuphatha i-eczema ngesikhathi sokuhamba kwesikhathi. Izindlela ezivame kakhulu zokulawula i-eczema emva kokukhulelwa yizindlela ezifanayo ezisetshenziselwa ukukhulelwa, futhi zifaka nokusetshenziswa kwamanzi okugeza, ama-emollients, nama-steroid esiphezulu. Amamama okubeletha kufanele agweme i-cyclosporin ne-methotrexate ukuphatha i-eczema.
Imithombo
Sausenthaler S 1, Rzehak P, Chen CM, Arck P, Bockelbrink A, Schäfer T, Schaaf B, Borte M, Herbarth O, Krämer U, von Berg A, Wichmann HE, Heinrich J; I-LISA Study Group. (2009) Izinkinga zomama eziphathelene nokucindezeleka ngesikhathi sokukhulelwa maqondana ne-eczema yobuntwana: imiphumela evela ku-LISA Study. J Investig Allergol Clin Immunol. (6): 481-7.
> Weatherhead, S., Robson, SC, & Reynolds, NJ (2007). I-eczema ekukhulelwe. I-BMJ: i-British Medical Journal , i- 335 (7611), i-152-154. http://doi.org/10.1136/bmj.39227.671227.AE