He aha te Mate Huka (Eczema)? Tohutohu, Take, me te Maimoatanga

Ko te mate huka, e kiia ana ko te eczema, he āhuatanga kiri roa e puta ai ngā papatahi whero, ngaungau, me te mumura i tō kiri. Ko tētahi o ngā momo eczema tino noa tēnei, ā, e miriona te tokomaha o te iwi puta noa te ao e pā ana, mai i ngā pēpi tae noa ki ngā pakeke.

Ka puta tēnei āhuatanga ina kore e mahi tika te parepare o tō kiri, ka ngāwari ai te tomo atu o ngā mea whakaū me ngā mea pāwera. Katahi ka nui rawa te mahi a tō pūnaha mate, ka puta ai te mumura me te ngaungau e pā ana ki a koe. Ahakoa he raruraru pea te whakahaere, ko te mārama ki tō āhuatanga ko te tīmatanga tuatahi ki te rapu whakaora.

He aha ngā tohu o te mate huka?

Ko te tohu matua o te mate huka ko te ngaungau kaha e taea ai te whakaroa i tō moe me ō mahi o ia rā. Ko te ngaungau nei te nuinga o te wā i mua atu i te kitenga o ētahi huringa kiri e kitea ana, koia te take i karanga ai ngā tākuta i etahi wā ko te "ngaungau e pupuhi ana."

Tāpiritia ngā tohu noa e kitea ana e koe i tō kiri:

• Ngā papatahi whero, pango rānei, ina koa i ngā ringa, ngā waewae, ngā rekereke, ngā ringaringa, te kaki, te uma o runga, ngā kamo, me ngā kopiko kiri
• Ngā pūtahi iti, teitei ka taea te rere wai ina karawhitia
• Kiri mātotoru, pakaru rānei, kākā rānei mai i te karawhiti tonu
• Kiri matao, ngawari, mumura rānei mai i te karawhiti
• Kiri maroke e ngāwari ana te pānga, kiri raukura rānei

I ngā pēpi, ka kitea e koe ngā papatahi nei i te mata me te pūkau, i te wā ka whānau ake ngā tamariki me ngā pakeke ka whānau ake i ngā kopiko o ngā ringa me ngā turi. Ka haere mai, ka haere atu ngā tohu, me ngā wā e pai ake ai te ahua o tō kiri, ka whai ake ngā wā e kino ake ai ngā tohu.

Ko ētahi o te iwi e pā ana ki ngā tohu kaha ake, penei i te pānga o te kiri whānui, te mate huaketo tuarua rānei mai i te karawhiti nui. Ki te kite koe i te pū, te kiri kowhai, te whero rānei e horapa atu ana i ngā wāhi e pā ana, ka tohu pea tēnei i te mate huaketo e hiahia ana ki te tiaki hauora tonu.

He aha ngā momo mate huka?

Kāore he momo motuhake o te mate huka, penei i ētahi atu āhuatanga, engari ka rerekē te whakaatu i runga i tō tau me te roa o tō wā i whiwhi ai. Ko te mārama ki ēnei tauira ka āhei te awhina i a koe ki te mohio ki te aha te mea e puta ana ki tō kiri.

I ngā pēpi me ngā tamariki taitamariki, ka puta te eczema i te mata, te pūkau, me ngā mata o waho o ngā ringa me ngā waewae. Ko te kiri te nuinga o te wā he whero, he tangi, ā, ko ngā pēpi pea ka nui te raruraru na te ngaungau kaha kaore e taea e rātou te karawhiti tika.

Mō ngā tamariki pakeke me ngā pakeke, ko te āhuatanga te nuinga o te wā e pā ana ki ngā kopiko kiri penei i ngā taha o roto o ngā ringa me ngā turi, me te kaki, ngā ringaringa, me ngā rekereke. Ko te kiri i ēnei wāhi te nuinga o te wā he mātotoru, he kiri raukura mai i ngā tau o te karawhiti me te mumura.

Ko ētahi o te iwi e whānau ana i te mea e kiia ana e ngā tākuta ko te "mate huka o roto", e puta ana kaore he waahanga pāwera noa. Ko tēnei momo iti te nuinga o te wā e whānau ana i te pakeketanga, ā, pea kaore e whakautu ki ngā maimoatanga pāwera noa penei i te momo "waho" noa.

He aha ngā take o te mate huka?

Ka puta te mate huka mai i te whakakotahitanga o ngā take ira me ngā mea whakaū taiao. Ki te pā ana ki a koe tēnei āhuatanga, kāore te parepare o tō kiri e mahi tika, ka tuku ai i te makuku ki te rere atu, me ngā mea whakaū ki te tomo atu ngāwari.

He maha ngā take e mahi tahi ana hei whakaū i tēnei āhuatanga:

• Ngā rerekētanga ira e pā ana ki ngā pūtau parepare kiri, ina koa tētahi e kiia ana ko te filaggrin
• He pūnaha mate nui rawa e whakautu ana rawa ki ngā mea whakaū noa
• Ngā mea pāwera taiao penei i ngā pepeke puehu, te huruhuru kararehe, te paura, te kai rānei
• Ngā mea whakaū penei i ngā haupae kaha, ngā mea horoi, ngā kakara, te kakahu rānei
• Te ahotea, e taea ai te whakaū i ngā wā e kino ake ai ngā tohu mā ngā huringa homoni
• Ngā huringa āhuarangi, ina koa te iti o te makuku, te pāmahana nui rānei

He nui te wāhi o tō whānau. Ki te whai koe i ngā whānau e pā ana ki te eczema, te mate huango, te mate huka rānei, ka nui ake te tūponotanga o te whānau o te mate huka. Ko tēnei hononga ko tetahi wāhanga o te mea e kiia ana e ngā tākuta ko te "toru o te mate huka" – e toru ngā āhuatanga pāwera e hono ana e te nuinga o te wā e rere tahi ana i roto i ngā whānau.

I ngā take onge, ko ētahi mate huaketo, mate huaketo rānei ka taea te whakaū i ngā wā e kino ake ai ngā tohu, ā, ko ētahi o te iwi e whānau ana i te āhuatanga e kiia ana ko te eczema herpeticum ina pā ana ki te mate huaketo herpes simplex. E hiahia ana tenei ki te tiaki hauora tonu, na te mea ka kaha.

Nō hea te kite i te tākuta mō te mate huka?

Me kite koe i te kaiwhakarato hauora ki te whakaaro koe kei a koe te mate huka, ina koa ki te kore e awhina ngā maimoatanga i runga i te kaupapa i muri i ngā wiki torutoru. Ko te whiwhi i te tautuhi tika ka whakarite kia whiwhi koe i te maimoatanga tika mō tō āhuatanga motuhake.

Whakarite he whakatau ki te pā ana ki a koe te ngaungau tonu e whakaroa ana i tō moe, i ō mahi o ia rā rānei. Ko te whakaroa moe tonu mai i te ngaungau ka pā ki tō ngakau, tō aro, me tō kounga ora katoa, ā, ka taea e tō tākuta te awhina i te wawahi i tēnei huringa.

Rapua te tiaki hauora tonu ki te kite koe i ngā tohu o te mate, penei i te pū, te kiri kowhai, te whero rānei e horapa atu ana i ngā wāhi e pā ana, te kirika rānei me ngā tohu kiri e kino ake ana. Ka tohu pea ēnei i te mate huaketo e hiahia ana ki te maimoatanga antibiotic tere.

Me whakapiri atu hoki koe ki tō tākuta ki te whānau koe i ngā pupuhi iti whānui, i ngā mamae rānei, ina koa ki te noho koe i te taha o tētahi e pā ana ki ngā mate makariri. Ka taea pea tēnei ko te eczema herpeticum, he mate huaketo onge engari kaha e hiahia ana ki te maimoatanga antiviral tere.

He aha ngā take tūponotanga mō te mate huka?

He maha ngā take ka taea te whakanui ake i tō tūponotanga ki te whānau i te mate huka, ko te hītori whānau te tohu kaha rawa. Ki te whai tētahi mātua i te eczema, te mate huango, te mate pāwera rānei, kei a koe te 25% o te tūponotanga ki te whānau i te mate huka.

Ko ēnei ngā take tūponotanga matua hei mārama:

• Te hītori whānau o te eczema, te mate huango, te mate huka rānei (te mate huka)
• Te noho i ngā tāone nui, i ngā whenua whānui rānei me te iti o te whakaū ki ngā mate i te tamarikitanga
• Te whānau mai i ngā whaea pakeke, te nui ake rānei o te taumaha whānau
• Te whai i ētahi atu āhuatanga pāwera penei i ngā mate pāwera kai, te mate huango rānei
• Te whakaū ki te paowa tapeka, i te wā hapu rānei, i te tamarikitanga rānei
• Ngā mahi ā-pūtea e whakaū ana ki a koe ngā mea whakaū, ngā mea pāwera rānei

He wāhi anō te tau, me te nuinga o ngā take e tīmata ana i te tamarikitanga. Ko te 60% o te iwi e pā ana ki te mate huka e whānau ana i roto i tō rātou tau tuatahi o te ora, ā, ko te 90% e whānau ana i mua i te tau 5. Heoi, ka taea te tīmata i tetahi tau, tae atu ki te pakeketanga.

He mea whakamīharo, ko ētahi rangahau e kōrero ana ko te tino maama i te tīmatanga o te ora ka taea te whakanui ake i tō tūponotanga. Ko te "whakaaro maama" e kōrero ana ko te iti o te whakaū ki ngā mate me ngā huaketo i te tamarikitanga ka āhei te arahi ki te pūnaha mate nui rawa e ngāwari ake ana ki ngā mahi pāwera.

He aha ngā raruraru pea o te mate huka?

Ahakoa kāore te mate huka i te kino, ko te karawhiti tonu me ngā raruraru parepare kiri ka āhei te arahi ki ngā raruraru maha. Ko te mea tino noa ko te mate huaketo tuarua, e puta ana ina tomo ngā huaketo mā te kiri karawhiti, pakaru rānei.

Ko te mārama ki ēnei raruraru pea ka āhei te awhina i a koe ki te tango i ngā mahi hei aukati i a rātou:

• Ngā mate kiri huaketo, te nuinga mai i ngā huaketo Staphylococcus aureus
• Ngā mate huaketo, ina koa te eczema herpeticum mai i te mate huaketo herpes simplex
• Te tohu mau tonu, te huringa tae kiri rānei mai i te mumura roa
• Ngā raruraru moe e arahi ana ki te ngenge i te awatea me ngā huringa ngakau
• Ngā pānga pāpori me ngā ngakau, tae atu ki te awangawanga me te pouri
• Te mate pāwera whakapā mai i te nui o te whakamahinga o ngā maimoatanga o waho

Ko te whakaroa moe e tika ana kia aro nui, na te mea e pā ana ki tō oranga katoa. Ina mutu te ngaungau i a koe i te po i te po, ka pā pea ki tō pūnaha mate, ka nui ake ai tō tūponotanga ki ngā mate, ā, ka kino ake pea tō eczema i roto i te huringa raruraru.

Ko ngā raruraru onge engari kaha ko ngā mate huaketo whānui e taea te kino ki te kore e tukatuka. Ko ētahi o te iwi e whānau ana i ngā cataracts, i ētahi atu raruraru kanohi rānei, ina koa ki te pā tonu te eczema ki te wāhi o rātou kanohi.

Me pēhea te aukati i te mate huka?

Ahakoa kaore e taea e koe te aukati i te mate huka katoa, ina koa ki te whai koe i te tūponotanga ira, ka taea e koe te tango i ngā mahi hei whakaiti i ngā wā e kino ake ai ngā tohu me te whakahaere i ō tohu tika. Ko te aukati e aro nui ana ki te pupuri i tō parepare kiri me te karo i ngā mea whakaū e mohiotia ana.

Ko te tiaki kiri o ia rā te turanga o te aukati. Ko te whakamakuku i tō kiri rua i te rā me te whakamakuku kore kakara, hypoallergenic ka awhina i te whakatikatika me te pupuri i tō parepare kiri. Whakamahia te whakamakuku i roto i ngā meneti e toru i muri i te kaukau i te wā kei te makuku tonu tō kiri hei pupuri i te makuku.

Ko te tautuhi me te karo i ō mea whakaū whaiaro he mea nui ano. Pupurihia he pukapuka o ngā wā e kino ake ai ngā tohu hei tautuhi i ngā tauira e pā ana ki ngā kai, te āhuarangi, te ahotea, ngā hua rānei e whakamahia ana e koe. Ko ngā mea whakaū noa ko ngā haupae kaha, ngā kakara, ngā kakahu huruhuru, ngā kakahu hangahanga rānei, ngā pepeke puehu, me ētahi kai.

Mō ngā mātua e awangawanga ana mō ā rātou tamariki, ko ētahi whakaū e kōrero ana ko te whāngai u nui mō ngā marama e whā tuatahi o te ora ka āhei te awhina i te whakaiti i te tūponotanga ki te whānau i te mate huka. Heoi, ko te karo i ētahi kai i te wā hapu kāore i whakamāramahia te whai hua, kāore hoki i tūtohutia.

Me pēhea te tautuhi i te mate huka?

Ko te tautuhi i te mate huka te nuinga o te wā he ngāwari, ā, e tūtohutia ana i runga i te tirotiro i tō kiri me te kōrero mō ō tohu me tō hītori hauora. Kāore he whakamātautau kotahi e taea te tautuhi i te āhuatanga, engari ko ngā kaiwhakarato hauora whai wheako ka taea te tautuhi i te ahua me te tauira.

Ka titiro tō tākuta ki ngā tohu noa: ngā papatahi kiri whero, ngaungau, mumura i ngā wāhi noa penei i ngā kopiko o ō ringa me ō turi, me ngā tohu o te karawhiti. Ka ui atu rātou ki tō hītori whānau mō ngā mate pāwera, te mate huango, te eczema rānei, na te mea e te nuinga o te wā e rere tahi ana ēnei āhuatanga.

Hei whakau i te tautuhi, ka taea e tō tākuta te whakamahi i ngā tikanga kua whakatūria e whai ana i te kiri ngaungau me te toru atu rānei o ēnei āhuatanga: te mumura e kitea ana i ngā kopiko kiri, te hītori whaiaro o te mate huango, te mate huka rānei, te kiri maroke noa, te tīmatanga rānei i mua i te tau 2.

I ētahi wā, ka tūtohu pea tō tākuta i te whakamātautau pāwera mā ngā whakamātautau kiri, ngā whakamātautau toto rānei hei tautuhi i ngā mea whakaū motuhake. Heoi, kāore ēnei whakamātautau i te mea nui, ā, he awhina noa i te wā e whakaaro ana koe kei ētahi kai, i ngā mea pāwera taiao rānei e kino ake ana tō āhuatanga.

Ka onge, ki te koretake tō āhuatanga, te whakautu rānei ki te maimoatanga, ka taea e tō tākuta te mahi i te biopsy kiri hei whakakore i ētahi atu āhuatanga e rite ana ki te mate huka.

He aha te maimoatanga mō te mate huka?

Ko te maimoatanga mō te mate huka e aro nui ana ki te whakaora i tō kiri, te aukati i ngā wā e kino ake ai ngā tohu, me te whakahaere i ngā tohu ina puta. Ko te whakawhāiti e whakamahi ana i te whakakotahitanga o te tiaki kiri o ia rā, ngā rongoā, me ngā whakarerekētanga oranga e rite ana ki ō hiahia motuhake.

Ko te whakamakuku o ia rā te turanga o te maimoatanga. Ka tūtohu pea tō tākuta ki te whakamahi i te whakamakuku mātotoru, kore kakara, i te iti rawa rua i te rā, ā, ina koa i muri i te kaukau. Ka awhina tēnei i te whakatikatika i tō parepare kiri, ā, ka taea te whakaiti nui i te hiahia mō ētahi atu rongoā.

Mō ngā wā e kino ake ai ngā tohu, ko ō kōwhiringa maimoatanga pea ko ēnei:

• Ngā corticosteroids o waho hei whakaiti i te mumura me te ngaungau
• Ngā kaiwhakaiti calcineurin o waho penei i te tacrolimus, te pimecrolimus rānei mō ngā wāhi ngawari
• Ngā antihistamines hei awhina i te ngaungau, ina koa i te pō
• Ngā antibiotics ki te whānau te mate huaketo tuarua
• Te maimoatanga takai makuku mō ngā wā e kino ake ai ngā tohu
• Te phototherapy (te maimoatanga mā te mārama) mō te eczema tonu, whānui

Mō ngā take kino kāore e whakautu ki ngā maimoatanga o waho, ka tūtohu pea tō tākuta i ngā rongoā pūnaha penei i ngā corticosteroids waha mō te whakamahinga poto, i ngā maimoatanga hou e arotahi ana penei i te dupilumab rānei, e aukati ana i ngā ara mate e pā ana ki te mate huka.

Ka onge, ki te whai koe i te eczema tino kino, te āhei rānei ki te maimoatanga, ka whakaaro pea tō tākuta ki ētahi atu rongoā whakaiti mate penei i te methotrexate, te cyclosporine rānei, ahakoa e hiahia ana ēnei ki te tirotiro ata na te mea he pānga taha pea.

Me pēhea te whakahaere i te mate huka i te kāinga?

Ko te whakahaere i te mate huka i te kāinga e whakauru ana i te hanga i te mahi o ia rā e tautoko ana i tō hauora kiri me te awhina i te aukati i ngā wā e kino ake ai ngā tohu. Ko te matua ko te mau tonu ki ngā mahi tiaki kiri ngawari e tiaki ana, e whāngai ana i tō parepare kiri.

Tīmata ki tō mahi kaukau. Tangohia ngā kaukau, ngā kaukau wai mahana (kāore i te wera) mō ngā meneti 10-15 mā te whakamahi i te horoi ngawari, kore kakara. Patuhia tō kiri kia maroke ngawari ki te tauera ngawari, kia waiho kia makuku iti, ka whakamahi tonu i te whakamakuku mātotoru hei pupuri i te makuku.

Kōwhiria ngā kakahu me ngā moenga mā te ata. Ko ngā kakahu ngawari, manawa penei i te kātene te mahi pai rawa, i te wā ka taea e ngā mea huruhuru me ngā mea hangahanga te whakaū i tō kiri. Horoihia ngā kakahu hou i mua i te kakahu, me te whakamahi i ngā mea horoi kore kakara, hypoallergenic kaore he mea whakamakuku kakahu.

Ko te whakahaere i te ahotea he mea nui, na te mea ka taea e te ahotea te whakaū i ngā wā e kino ake ai ngā tohu. Whakamātauhia ngā tikanga whakahaerenga penei i te manawa hohonu, te whakaaroaro, te whakakori ngawari rānei. Ko te whiwhi i te moe tika he mea nui ano, ahakoa e mohio ana tatou ka taea e te ngaungau te whakaeke i tēnei.

Pupurihia tō taiao noho i te āhuarangi tika mā te pupuri i ngā taumata makuku tika (30-50%) me te karo i ngā pāmahana nui. Whakamahia he whakamakuku i te wā maroke, pupurihia tō kāinga kia ma hei whakaiti i ngā pepeke puehu me ētahi atu mea pāwera.

Me pēhea te whakarite mō tō whakatau tākuta?

Ko te whakarite mō tō whakatau ka awhina i te whakarite kia whiwhi koe i te painga nui mai i tō wā me tō kaiwhakarato hauora. Tīmata mā te tuhi i ō tohu, tae atu ki te wā i tīmata ai, te aha e pai ake ai, te aha rānei e kino ake ai, me ētahi atu maimoatanga kua whakamātauhia e koe.

Hangaia he pukapuka tohu ngāwari mō te wiki, rua rānei i mua i tō whakatau. Tuhia ngā wāhi o tō tinana e pā ana, te kaha o te ngaungau i runga i te pānga 1-10, me ētahi atu mea whakaū pea kua kitea e koe penei i ngā kai hou, ngā hua, ngā mahi ahotea rānei.

Mau mai he rārangi o ngā rongoā me ngā maimoatanga katoa kua whakamahia e koe, tae atu ki ngā hua i runga i te kaupapa, ngā rongoā rongoā, me ngā maimoatanga kāinga. Whakauruhia ngā mōhiohio mō te aha i mahi ai, te aha kāore i mahi ai, me ētahi atu pānga taha kua pā ki a koe.

Tuhia ō pātai i mua kia kaua e wareware i te wā o te whakatau. Ko ngā pātai noa pea ko te ui mō te tautuhi i ngā mea whakaū, ngā kōwhiringa maimoatanga, te wā e tumanako ai ki te whakapai ake, te pēhea rānei te whakahaere i ngā wā e kino ake ai ngā tohu i te mahi, i te kura rānei.

Whakaarohia te kawe mai i te mema whānau, i te hoa rānei mō te tautoko, ina koa ki te pāngia koe e ō tohu. Ka taea e rātou te awhina i a koe ki te maumahara ki ngā mōhiohio nui me te whakarato tautoko ngakau i te wā o te haerenga.

He aha te mea nui mō te mate huka?

Ko te mate huka he āhuatanga roa e taea te whakahaere e pā ana ki te kaha o tō kiri ki te tiaki i a ia, e arahi ana ki te maroke, te ngaungau, me te mumura. Ahakoa he raruraru pea, ko te mārama ki ō mea whakaū me te whakawhanake i te mahi tiaki kiri mau tonu ka taea te whakapai ake i tō kounga ora.

Ko te mea nui hei maumahara ko tēnei āhuatanga he tino noa, he taea te whakaora. Me te whakakotahitanga tika o te whakamakuku o ia rā, te karo i ngā mea whakaū, me ngā rongoā tika ina hiahiatia, ka taea e te nuinga o te iwi te pupuri i ō rātou tohu pai.

Kaua e whakaroa ki te mahi tata me tō kaiwhakarato hauora hei rapu i te whakawhāiti e pai ana mōu. Ko te mea e mahi ana mō tētahi kaore pea e mahi ana mō tētahi atu, no reira kia manawanui i te wā e whakarite ana koe me tō tākuta i tō mahere whakahaere.

Kia mahara ko te mate huka te nuinga o te wā e pai ake ana me te pakeke. Ko te nuinga o ngā tamariki e tipu ake ana i te wā o te tau, ā, ahakoa ka mau tonu, ko ngā maimoatanga hou e ngāwari ake ana i mua i te noho pai me tēnei āhuatanga.

Ngā pātai noa e ui ana mō te mate huka

He mate pāwera te mate huka?

Kāore, kāore te mate huka e pāwera. Kāore e taea te hopu mai i tētahi atu, te horapa atu rānei ki ētahi atu mā te whakapā. He āhuatanga ira tēnei e whānau ana na tō pūnaha mate me te mahi parepare kiri, kāore i te mea pāwera.

Ka ngaro rānei taku mate huka mō ake tonu atu?

Ko te nuinga o te iwi, ina koa ngā tamariki, ka kite i te whakapai ake o te mate huka, te ngaro rānei i te wā e pakeke ana. Ko te 60-70% o ngā tamariki e pā ana ki te eczema ka tipu ake i te wā o te tau. Heoi, mō ētahi o te iwi, ka noho tonu hei āhuatanga ora e haere mai ana, ka haere atu ana. Ahakoa kaore i te ngaro katoa, ka ngāwari ake te whakahaere me te pakeke me te wheako.

Ka taea e ētahi kai te whakaū i taku mate huka?

Ko ngā mea whakaū kai te nuinga o te wā i ngā tamariki taitamariki e pā ana ki te mate huka, e pā ana ki te 30% o ngā tamariki e pā ana ki te eczema. Ko ngā mea whakaū kai noa ko ngā hua manu, te miraka, te soya, te witi, te ika, te shellfish, me ngā nati. Heoi, he iti ake te tūponotanga o ngā mate pāwera kai hei mea whakaū i ngā pakeke. Ki te whakaaro koe kei ngā mea whakaū kai, mahi tahi me tō tākuta hei tautuhi tika i a rātou, kaua e whakakore i ngā kai māu ake.

He haumaru te whakamahi i ngā kiri mīti steroid mo te wā roa?

He haumaru ngā steroids o waho ina whakamahia e rite ana ki te aratohu a tō kaiwhakarato hauora. Ko te matua ko te whakamahi i te kaha tika mō te wāhi tika o tō tinana mō te wā tika. Ko tō tākuta te nuinga o te wā e tīmata ana me te kaha ngawari e whai hua ana, ā, ka tūtohu pea ki te whakamahi i a rātou i etahi wā, kaua e tonu. Kaua rawa e mutu te whakamahi i ngā steroids kua whakaritea kaore i te ui ki tō tākuta, na te mea ka taea te whakaū i te wā e kino ake ai ngā tohu.

Ka taea e te ahotea te kino ake i taku mate huka?

Ae, ko te ahotea he mea whakaū rongonui mō ngā wā e kino ake ai ngā tohu o te mate huka. Ina ahotea koe, ka tukuna e tō tinana ngā homoni ka taea te whakanui ake i te mumura me te whakaū ake i tō kiri. I tua atu, ko te ahotea te nuinga o te wā e arahi ana ki te karawhiti atu, e kino ake ai te āhuatanga. Ko te whakahaere i te ahotea mā ngā tikanga whakahaerenga, te moe tika, me ētahi atu tikanga whakahaere hauora ka taea te wāhanga nui o te whakahaere i tō eczema.