Abazali abaningi abanezingane ezine-eczema bayazazi izindlela zokwelapha zokulawula nokuvimbela ama-eczema flares. Naphezu kwemizamo yabo emihle, i-eczema yengane yabo ingaqhubeka.
Funda izindlela ezehlukene zokwelapha i-eczema ngalokhu kuhlanganiswa.
Izindlela ezivamile zokuphatha i-Eczema
Uma ngabe ingane yakho ihlale igcwele ama-eczema, ungase uvele uzama ukuwalawula ngokusebenzisa isikhathi esifushane samafutha e-steroid ephansi noma okuphakathi kokudla noma i-non-steroidal eczema imithi, njenge-Elidel noma i-Protopic.
Kubuye kuvame ukusetshenziswa ukusebenzisa ama-moisturizers ngaphezu kwamanye imithi yengane yengane yakho ngesikhathi se-eczema flares noma uwasebenzise kwezinye izikhathi zosuku. I-steroid ukhilimu noma amafutha angeke asebenze uma ubeka phezu kwesikhumbuzo se-moisturizer.
Ukusebenzisa i-moisturizer nsuku zonke futhi kungakapheli imizuzu emithathu ukuphuma ebhodini noma ekugezeni kunganciphisa ama-eczema-flare-ups, njengoba kungakugwema ukusebenzisa amanzi ashisayo ekugeza noma ekugeza. Esikhundleni sokusebenzisa insipho enonya, insipho emnene, njenge-Dove noma i-Oyili ye-Olay, noma isabelo seseti, njenge-Cetaphil Gentle Skin Cleanser, ingasiza.
Abanye odokotela batusa ukuthi abazali banike ingane yabo i-antihistamine, efana no-Benadryl noma i-Atarax (i-prescription amandla antihistamine), ukusiza ukulawula ukucheka, ikakhulukazi ngesikhathi sokulala. Iseluleko esifanayo sisebenza ekugwemeni izimbangela ezidumile, njengezibhuku zokugeza , izidakamizwa , izidlo zokudla , ukushisa nokushisa, uboya kanye nokugqoka kwe-polyester.
Odokotela bangase batusa ukuthi ingane izame ukhilimu noma ukugcoba okungenayo i-steroidal, njenge-Atopiclair, noma usebenzise ukugqoka okumanzi noma ukugqoka okumanzi okomile ngenkathi kunamaphutha okulawula kanzima. Ngesinye isikhathi abazali bayelulekwa ukuba bahlanze izingubo zabo ezinganeni ngeDreft noma ezinye izinto ezikhethekile zokuhlanza izingubo, "njenge-Tide Free (i-Ultra Tide Free, i-Tide Powder Free), i-All Small & Mighty Free Clear noma i-Ivory Snow.
Ukugcina iminwe yengane yakho ifushane, ukuze ingalimazi isikhumba sakhe uma ihlaselwa ingase iphinde ithuthukise izimpawu.
Ngeshwa, ngisho nabazali abenza konke okushiwo ngenhla basalokhu behlupha ukuphatha i-eczema yengane yabo.
Nakuba ukulawulwa kwe-eczema empofu ngezinye izikhathi kuhlobene nokungahambisani, ukuqonda noma ukuhlela uhlelo lwe-eczema yokwelapha, ezinye izingane zivele zinzima ukulawula i-eczema. Ngokuzama ukwelashwa okusha, i-dermatologist yezingane ingasiza lezi zingane zikwazi ukulawula i-eczema, kepha ngokuvamile imfundo ingavimba futhi ilawule ama-eczema flares.
Izifo Zama-Staph ne-Eczema
Uma ingane yakho inzima ukulawula i-eczema, ungase ucabange nokuthi angase abe nesifo sofuba sesibili. Udokotela wakho wezingane uzosolwa ngokutheleleka ngokutheleleka kwebhaktheriya uma isikhumba somntanakho sibomvu futhi sinama-crusts enemibala phezu kwawo, amabhuleki agcwele ama-pus noma avela emanzi futhi ehla.
Ochwepheshe abaningi be-eczema bakholelwa ukuthi iStaph. i-aureus (MRSA) ibhaktheriya ihlasela izingane eziningi ezisenayo i-eczema futhi zingabangela ama-eczema flares. Eqinisweni, ucwaningo olulodwa lwabonisa ukuthi amaphesenti angaphezu kuka-90 weziguli ezine-dermatitis e-atopic ahlanganiswa ne-bacterial MRSA.
Yingakho odokotela abaningi, ngaphezu kwemithi yendabuko ye-eczema flares, bazophinde banikeze i-antibiotic.
Uma ingane yakho isivele ikhona kuma-antibiotic futhi isikhumba sakhe sisabonakala sesandulela ngculazi, khona-ke kungenzeka ukuthi abe nama-bacterium we-MRSA esikhumbeni sakhe, futhi angadinga imithi elwa namagciwane ehlukile, njenge-Bactrim noma i-Clindamycin, ukuze uthole ukutheleleka.
Isiko lesikhumba singasiza ekunqumeni ukuthi i-eczema yengane yakho iyanzima yini ngokutheleleka kwebhaktheriya nokuthi yimiphi imithi elwa namagciwane ezosiza ekuyiphathe.
I-Hard-to-Control Eczema
Ngaphandle kwemithi ye-eczema ngenhla, i-dermatologist yezingane ingase iphakamise ukusebenzisa indlela yokwelapha ehlehlisiwe. Lokhu kusho ukuthi esikhundleni sokumisa ukhilimu we-steroid noma amafutha lapho i-flare ingaphansi kokulawula, ushintshe kumandla aphansi e-steroid ngezinsuku ezimbalwa noma amasonto.
Isibonelo, ungase uhambe ekhanda le-prescription-amandla e-steroid ukhilimu, njenge-Cutivate noma i-Elocon, ku-OTC i-hydrocortisone ukhilimu ngaphambi kokuba uyeke ukusebenzisa i-steroid ngokuphelele.
Ngaphandle kwalokho, udokotela wakho wezingane angase ahambe ekumeni i-steroid yakho nsuku zonke kuze kube yinye ilanga. Lokhu kungasiza isikhumba somntanakho ukuba singaphinde siphume ngokushesha uma ushiya ukusebenzisa imithi ye-steroid.
Ukuzama i-steroid esiphezulu-enezikhwepha eziphezulu ezindaweni ezingaphenduli ukwelashwa nge-steroid yamandla-okulinganayo kungasiza futhi. Ama-steroids aphakeme kakhulu angabandakanya ukuguqula amafutha, i-Diprolene AF cream, ne-Lidex cream. Khumbula ukuthi lezi-steroids eziphakeme kakhulu zivame ukusetshenziswa kuphela isikhathi esifushane, njengezinsuku ezintathu noma ezine, futhi azikho ebusweni.
Udokotela wezingane angase futhi ahlele ingxube ehlanganisiwe ye-steroid ene-moisturizer, efana ne-triamcinolone acetonide 0.1% yamafutha kanye no-Aquaphor. Ukwengeza, ama-bleach ahlanjululwa ngesonto onke angasiza ekuvimbeleni ukutheleleka kwe-staph. Ukusebenzisa le nqubo, i-1/4 indebe ye-bleach yasendlini yengezwa kubhavu eligcwele amanzi ashisayo. Ingane yakho ingakwazi ukungena kulokhu kubhukuda, okuzofana nedamu lokubhukuda elichloriniwe, imizuzu engu-10 kuya kwangu-20.
Mxoshe ngemuva kokugeza futhi njengokujwayelekile, umntanakho umile futhi amboze ngomswakama wamanzi ngaphakathi kwemizuzu emithathu ukugibela emanzini okugeza. Khumbula ukuthi okugeza okuhlanjululwe nge-bleach kuvame ukuvinjelwa kanye kanye ngesonto ngoba kungacasula futhi kufanele kwenziwe njalo ngaphansi kokuqondiswa kwengane yakho noma udokotela wezingane.
Ukuphulukisa ezinye izindlela zokwelashwa kungamalahle okushisa amalahle nama-shampoos, ukwelashwa nge-cyclosporine, okuvimbela isimiso somzimba sokuzivikela, kanye ne-ultraviolet (UV) ukuphathwa kwe-phototherapy. Khumbula ukuthi ukusebenzisa i-tar yamalahle, i-cyclosporine ne-phototherapy ngokuvamile igcinelwe amacala ahlukumezayo we-eczema.
Imithombo:
> Atopic Dermatitis. Simpson EL - Med Clin North Am - 2006 Jan, 90 (1), 149-167.
I-atopic dermatitis: Isibuyekezo nokubuyekezwa kwezincwadi ze-Lipozencic J - Dermatol Clin - 01-OCT-2007; 25 (4): 605-12.