Dermatitis

Dermatitis ni uburwayi busanzwe butera kubyimba no guhumeka kw'uruhu. Bufite impamvu nyinshi n'uburyo butandukanye, kandi akenshi bujyana no gukorora, gukama kw'uruhu cyangwa ibibyimba. Cyangwa bishobora gutera uruhu guhumeka, gusohora amazi, gukomera cyangwa gusenyuka. Ubwoko butatu busanzwe bw'ubwo burwayi ni dermatitis ya atopic, dermatitis yo guhuza n'ibintu, na dermatitis ya seborrheic. Dermatitis ya atopic izwi kandi nka eczema.

Dermatitis si indwara yandura, ariko ishobora kuba idakomeye. Gusukura uruhu buri gihe bituma ibimenyetso bigabanuka. Ubuvuzi bushobora kandi kuba burimo imiti yo kwisiga, amavuta yo kwisiga, na shampoos.

Igishushanyo mbonera cy'uburwayi bwa dermatitis bukorwa no guhuza ibintu bitandukanye ku ruhu rwo mu bwoko butandukanye bw'uruhu. Dermatitis ishobora kugaragara nk'ububabare buhumanya. Buri bwoko bwa dermatitis busanzwe bukunze kugaragara ku gice kimwe cy'umubiri. Ibimenyetso bishobora kuba birimo:

• Kubabara bishobora kubabaza.
• Umurire, uwarushye, ufite amaseseme, bikunze kugaragara ku ruhu rw'abazungu.
• Ububabare ku ruhu rw'ibitutu, ibara ryacyo rihinduka bitewe n'iryo ruhu.
• Ibibyimba, bishobora kuba bifite amazi n'ibishishwa.
• Ibinure.
• Uruhu rworoheye.
• Ububabare buto, buzamutse, bukunze kugaragara ku ruhu rw'abirabura cyangwa abirabura.

Jya kwa muganga niba:

• Uhangayitse cyane ku buryo icyo kibazo kibangamira ibitotsi n'imirimo ya buri munsi.
• Uruhu rwawe rubabaza. -Ufite ubwandu bw'uruhu-reba imirongo mishya, ibyuya, inkovu z'umuhondo. -Ufite ibimenyetso nubwo wagerageje uburyo bwo kwita kuri wowe ubwawe. Shaka ubufasha bwa muganga byihuse niba ufite umuriro kandi ibyo bibara bimeze nk'aho byanduye.

Jason T. Howland: Atopic dermatitis ni indwara iterwa no kwirinda uruhu, isa na aazi mu bihaha, ibicurane byo mu mazuru ndetse na allergie z'ibiribwa mu nda.

Dawn Marie R. Davis, M.D.: Ni indwara ikwirakwira mu mubiri wose. Kubyimba bireba uruhu, kandi uruhu rurakomeye kurusha igihe gisanzwe.

Howland: Ni indwara iramara igihe kirekire kandi ikunda kugaragara rimwe na rimwe. Ibimenyetso bihinduka.

Dr. Davis: Atopic dermatitis ikunda kugaragara nk'ibice by'uruhu byatukura, bisohora amazi, bifite ibinure, bikurura, bifite ibinure, nk'ibice bifite imiterere y'igi y'umubiri.

Uruhu rwacu rusa n'urukuta rw'amatafari. Kandi uko tugenda dukera, cyangwa mu buryo bw'umurage niba dufite ubushobozi bwo kugira uruhu rushobora kwirinda, rushobora kumera nk'igitambara kurusha urukuta rw'amatafari.

Howland: Eczema y'abakuze ikunda kugaragara mu duce tw'umubiri tworoshye gukorana cyangwa gucana umusemburo.

Dr. Davis: Aho umukandara wawe wajya, aho ibicupa byawe cyangwa inkweto byakubita. Niba ufite isaha, aho wambara isaha yawe. Niba ufite ikamba cyangwa ibintu runaka wambara ku ijosi ryawe, nka kollar cyangwa kravate.

Birakomeye koga buri gihe. Birakomeye gutera uruhu amazi akoresheje imiti yo kwisiga idatera allergie. Birakomeye kugenzura niba hari ubwandu.

Howland: Niba ibyo bintu byo kwita ku buzima bwite bitafashije, umuganga wawe ashobora kugutegurira imiti yo kwisiga cyangwa imiti yo kunywa, cyangwa ubundi buryo bwo kuvura.

Ally Barons: Nakuze nkunda amazi, kandi nkunda koga.

Vivien Williams: Ariko umwaka ushize, mu biruhuko byo mu mpeshyi, umurinzi w'amazi Ally Barons yabonye ikimenyetso cy'umutuku kidasanzwe, kirekire, ku kaguru ke nyuma yo koga mu nyanja.

Ally Barons: Ariko nyuma yatangiye gutukura cyane kandi akabura.

Ally Barons: Rero narababaye kuko jellyfish yumvikana neza.

Dawn Marie R. Davis, M.D.: Hariho bimera bimwe na imbuto mu karere, nka dill, buttercup, bergamot, musk ambrette, parsley, parsnip, na imbuto za citrus, cyane cyane lime, iyo ibiyigize bigera ku ruhu rwawe hanyuma bigahura n'izuba, habaho isesengura ry'ibinyabuzima. Kandi ushobora kwibasirwa na dermatitis, yitwa phytophotodermatitis, eczema iterwa n'uruganda-izuba, cyangwa ushobora kwibasirwa na phototoxic dermatitis, bisobanura dermatitis iterwa n'izuba ry'ibimera.

Vivien Williams: Ibintu bisanzwe bibaho iyo ukoze ku bimera bimwe mu gihe ugenda, cyangwa iyo usukura lime mu kinyobwa, wenda ubonye umutobe ku ntoki zawe, ukora ku kuboko kwawe. Kandi iyo izuba rigeze kuri icyo gice, dermatitis igaragara mu buryo bw'ibimenyetso by'intoki cyangwa ibimenyetso by'amazi.

Dawn Marie R. Davis, M.D.: Abantu benshi batekereza ko ari uburozi bw'ibimera bifite imirongo n'imiterere. Ariko, si byo. Ni phytophotodermatitis.

Vivien Williams: Ubuvuzi burimo imiti yo kwisiga no kwirinda izuba.

Ally Barons: Iriya ni yo iri hano ku kaguru kanjye.

Vivien Williams: Ally avuga ko igikorwa cye cyari kibabaza gato, ariko uko igihe gihita kigenda kigabanuka. Ku bw'abaganga, ndi Vivien Williams.

Impamvu isanzwe itera dermatitis ni ugukora ku kintu gisebanya uruhu rwawe cyangwa gitera allergie. Ingero z'ibintu nk'ibyo ni uburozi bw'ibimera, parfum, lotion n'imitako irimo nickel. Izindi mpamvu ziterwa na dermatitis harimo uruhu rwumye, ubwandu bwa virusi, udukoko, umunaniro, imiterere y'umurage n'ikibazo cy'ubudahangarwa bw'umubiri.

Ibintu bisanzwe byongera ibyago byo kwandura indwara y'uruhu harimo:

• Imyaka. Indwara y'uruhu ishobora kugaragara mu myaka yose, ariko indwara y'uruhu ya atopiki iba igaragara cyane mu bana kurusha abakuze. Akenshi itangira mu buto bwa mbere.
• Allergie, indwara y'uruhu ya atopiki na azende. Abantu bafite amateka yabo bwite cyangwa ay'umuryango wabo y'indwara y'uruhu ya atopiki, allergie, ibicurane by'ibyatsi cyangwa azende bafite ibyago byinshi byo kwandura indwara y'uruhu ya atopiki.
• Akazi. Imishinga ikubitsa mu mubano n'ibimetali bimwe na bimwe, ibintu bisohora cyangwa ibikoresho byo gusukura byongera ibyago byo kwandura indwara y'uruhu yo guhuza. Kuba umukozi w'ubuvuzi bifitanye isano n'indwara y'uruhu mu ntoki.
• Izindi ndwara. Indwara zikubitsa mu kuba ufite ibyago byinshi byo kwandura indwara y'uruhu ya seborrheic harimo indwara ya Parkinson, kudakora neza kw'umubiri mu kurwanya indwara na VIH/SIDA.

Kwikura kenshi bishobora kwangiza uruhu bikagutera ibikomere n'uducika. Ibi byongera ibyago byo kwandura bagiteri na fungi. Izo ndwara z'uruhu zishobora gukwirakwira zikagera aho zihitana umuntu, nubwo ari bike.

Ku bantu bafite uruhu rw'umukara n'umukara w'umuhondo, uburwayi bw'uruhu bushobora gutera uruhu rwahuye n'uburwayi guhinduka umukara cyangwa umweru. Ibi bimenyetso byitwa hyperpigmentation nyuma y'uburwayi na hypopigmentation nyuma y'uburwayi. Bishobora kumara amezi cyangwa imyaka kugira ngo uruhu rusubire ku ibara ryarwo risanzwe.

Niba uri gukora akazi gakubiyemo ibintu bibabaza cyangwa ibintu byangiza, yambara imyenda ikurinda. Gutunganya uburyo bworoshye bwo kwita ku ruhu bishobora kandi kugufasha kwirinda indwara y'uruhu. Imyitwarire ikurikira irashobora kugufasha kugabanya ingaruka zo kwumisha umubiri ziterwa no koga:

• Koga igihe gito. Koga iminota 10 gusa. Koresha amazi ashyushye, atari ayashyushye cyane. Amavuta yo koga na yo ashobora kugufasha.
• Koresha isabune nziza cyangwa isabune idafite isabune. Hitamo isabune idafite ibara, inzoga n'impumuro. Isabune imwe n'imwe ishobora kwumisha uruhu. Ku bana bato, ubusanzwe ukeneye amazi ashyushye gusa kugira ngo babashe koga - nta sabune cyangwa amazi yo koga akenewe. Ntukubite uruhu n'igitambaro cyangwa loofah.
• Kumanura. Nyuma yo koga, komanura uruhu buhoro buhoro n'igitambaro cyoroshye. Irinde gukubita cyane.
• Oza uruhu rwose. Mu gihe uruhu rugitaka, komeza ubushuhe bukoresheje amavuta, cream cyangwa lotion. Oza uruhu igihe cyose ukeneye. Hari amavuta menshi yo gusiga ku ruhu. Gerageza ibintu bitandukanye kugira ngo ubone ikikubereye. Amavuta meza yo gusiga ku ruhu ni ayizewe, adafite impumuro, akora neza, ahendutse kandi ukunda gukoresha buri gihe. Ingero harimo Vanicream, Eucerin, CeraVe na Cetaphil. Oza uruhu rwose. Mu gihe uruhu rugitaka, komeza ubushuhe bukoresheje amavuta, cream cyangwa lotion. Oza uruhu igihe cyose ukeneye. Hari amavuta menshi yo gusiga ku ruhu. Gerageza ibintu bitandukanye kugira ngo ubone ikikubereye. Amavuta meza yo gusiga ku ruhu ni ayizewe, adafite impumuro, akora neza, ahendutse kandi ukunda gukoresha buri gihe. Ingero harimo Vanicream, Eucerin, CeraVe na Cetaphil.

Kugira ngo umuganga amenye niba ufite uburwayi bwa dermatitis, ashobora kureba uruhu rwawe akagutega amatwi ku birebana n'ibimenyetso byawe n'amateka yawe y'ubuzima. Ushobora gukenera gukuraho agace gato k'uruhu kugira ngo gupimwe muri laboratwari, ibi bigafasha mu kwirinda izindi ndwara. Ubu buryo bwitwa biopsie y'uruhu.\n\nUmuganga ashobora kugutekerezaho gukora ikizamini cyo gupima ibintu bitera ubu burwayi kugira ngo amenye icyabiteye. Muri iki kizamini, ibintu bike bishobora gutera ubu burwayi bishyirwa ku dupapuro duto dufite ibinini. Hanyuma ibyo dupapuro bishyirwa ku ruhu rwawe. Biguma ku ruhu rwawe iminsi 2 cyangwa 3. Muri icyo gihe, ugomba kugumana umugongo wawe wumye. Hanyuma umuvuzi wawe azareba niba hari ibimenyetso ku ruhu munsi y'ibyo dupapuro maze agenzure niba hakenewe ibindi bipimo.

Ubuvuzi bwa dermatitis butandukanye, bitewe n'icyateye n'ibimenyetso ufite. Niba ingamba zo kwita ku rugo zidatuma ibimenyetso byawe bigabanuka, muganga wawe ashobora kwandika imiti. Ubuvuzi bushoboka burimo:

• Gusiga kuri uruhu rwagize ibyago imiti ikomoka kuri corticosteroid ifite imbaraga nyinshi, igel cyangwa amavuta.
• Gusiga kuri uruhu rwagize ibyago amavuta cyangwa igel ifite calcineurin inhibitor. Iyi ni imiti igira ingaruka ku mikorere y'umubiri. Uzayikenera ikirango cya muganga wawe.
• Kumanika uruhu rwagize ibyago ku mucyo w'umwanya runaka w'izuba cyangwa umucyo w'imiti. Ubu buryo bwitwa light therapy cyangwa phototherapy.
• Gukoresha imiti ifite imbaraga nyinshi mu binyobwa cyangwa imiti iterwa, ku ndwara zikomeye. Ingero ni corticosteroids zinyobwa cyangwa imiti iterwa yitwa dupilumab.
• Gukoresha imyenda y'amazi, ubuvuzi bw'abaganga ku ndwara ikomeye ya atopic dermatitis. Bisobanura gusuka amavuta ya corticosteroid, kuyapfuka n'ubudodo bw'amazi hanyuma ukayashyiraho urwego rw'umwenda wumye.

Imyitwarire iyi yo kwita ku buzima bwawe bwite irashobora kugufasha guhangana na dermatitis no kumva umeze neza:

• Oza uruhu rwawe. Siga amavuta yo kwisiga inshuro imwe cyangwa kabiri ku munsi, nk'igisenge hejuru y'imiti yose uri gukoresha. Amavuta n'amasahani asanzwe arinda uruhu kurusha amavuta afite amazi menshi. Hitamo umusaruro udafite ibara, inzoga, impumuro nziza n'ibindi bigize bishobora kubabaza uruhu. Reka amavuta ashyire mu ruhu mbere yo kwambara.
• Shyiramo igitambaro gikonje, gitose. Shyira igitambaro gikonje, gitose ku gicurane iminota 15 kugeza kuri 30 inshuro nyinshi ku munsi. Ibi birashobora kugufasha guhumuriza uruhu rwawe.
• Koresha amavuta yo gukaraba umusatsi. Ku bw'umutwe, banza ugerageze amavuta yo gukaraba umusatsi adafite imiti arimo selenium sulfide, zinc pyrithione, coal tar cyangwa ketoconazole. Niba bitagufashije, vugana na muganga wawe ku mavuta akomeye yo gukaraba umusatsi, nka ayo aboneka gusa afite ibaruwa y'umuganga.
• Koga mumazi afite ibintu byera. Ibi birashobora gufasha abantu bafite atopic dermatitis ikomeye binyuze mu kugabanya udukoko kuri uruhu. Kugira ngo ubone amazi afite ibintu byera, ongeramo igikombe 1/2 (mililitiro 118) y'amazi yera yo mu rugo, atari amazi yera yibanze, mu gikombe cya galoni 40 (litiro 151) yuzuye amazi ashyushye. Ingano ni iz'igikombe cyuzuye cyuzuye kugeza ku mbuga z'amazi. Nyogoshya kuva mu ijosi hasi cyangwa ahantu hakozwe gusa iminota 5 kugeza kuri 10. Ntugatere umutwe mu mazi. Koga amazi asanzwe, hanyuma ukarabe. Koga mumazi afite ibintu byera inshuro 2 kugeza kuri 3 mu cyumweru.

Abantu benshi bagize amahirwe yo gukoresha amazi yuzuye divayi aho gukoresha amazi yera. Ongeramo igikombe 1 (mililitiro 236) cya divayi mu gikombe cyuzuye amazi ashyushye.

Vugana na muganga wawe niba imwe muri iyi buryo ari igitekerezo cyiza kuri we.

• Kurengera uruhu rwawe. Irinde gukura no gukorora. Fata agace kaguka niba udashobora kwirinda kukorora. Gabanya imisumari yawe kandi wambare utwambaro nijoro. Mu gihe uruhu rwawe rukira, irinde izuba cyangwa koresha ubundi buryo bwo kwirinda izuba.
• Irinde ibintu bizwi cyangwa allergie. Irinde imyenda ikarishye kandi ikubabaza. Kandi gerageza kumenya no gukuraho allergie n'ibindi bintu biri mu kirere cyawe bishobora kubabaza uruhu rwawe. Impumuro nziza ikoreshwa mu bicuruzwa byo kwita ku ruhu ni imwe mu allergie zisanzwe. Irinde gukoresha amavuta, amavuta yo kwisiga, amasabune afite impumuro nziza, amavuta yo kwisiga, n'amavuta yo gukaraba imyenda. Hitamo ibintu bidahumura. Irinde gukoresha amavuta yo gukonjesha mu mashini yo gukaraba cyangwa gukonjesha.
• Genzura umunaniro wawe. Umunaniro wo mu mutwe ushobora gutera ubwoko bumwe bwa dermatitis. Kumenya umunaniro n'ihungabana no gufata ingamba zo kunoza ubuzima bwawe bwo mu mutwe birashobora kugufasha no ku ruhu rwawe.

Koga mumazi afite ibintu byera. Ibi birashobora gufasha abantu bafite atopic dermatitis ikomeye binyuze mu kugabanya udukoko kuri uruhu. Kugira ngo ubone amazi afite ibintu byera, ongeramo igikombe 1/2 (mililitiro 118) y'amazi yera yo mu rugo, atari amazi yera yibanze, mu gikombe cya galoni 40 (litiro 151) yuzuye amazi ashyushye. Ingano ni iz'igikombe cyuzuye cyuzuye kugeza ku mbuga z'amazi. Nyogoshya kuva mu ijosi hasi cyangwa ahantu hakozwe gusa iminota 5 kugeza kuri 10. Ntugatere umutwe mu mazi. Koga amazi asanzwe, hanyuma ukarabe. Koga mumazi afite ibintu byera inshuro 2 kugeza kuri 3 mu cyumweru.

Abantu benshi bagize amahirwe yo gukoresha amazi yuzuye divayi aho gukoresha amazi yera. Ongeramo igikombe 1 (mililitiro 236) cya divayi mu gikombe cyuzuye amazi ashyushye.

Vugana na muganga wawe niba imwe muri iyi buryo ari igitekerezo cyiza kuri we.

Ubuvuzi bwa kivandimwe bwinshi, harimo n'ibiri kuri uru rutonde, byafashije bamwe mu bantu guhangana na dermatitis.

• Gufata ibinyobwa by'imiti, nka vitamine D na probiotics, kuri atopic dermatitis.
• Gusya umutobe w'umuceri ku ruhu, kuri atopic dermatitis.
• Gukoresha shampoo ya 5% ya tea tree oil, ku bw'umutwe.
• Gusya umusaruro wa aloe ku ruhu, kuri seborrheic dermatitis.
• Gufata imiti gakondo y'Abashinwa.

Ibimenyetso byerekana niba ibi buryo bikora binyuranye. Kandi rimwe na rimwe imiti gakondo n'imiti gakondo itera uburibwe cyangwa allergie.

Ubuvuzi bwa kivandimwe rimwe na rimwe bwitwa ubuvuzi bw'ubumwe. Niba utekereza ku binya by'imiti cyangwa ubundi buryo bw'ubuvuzi bw'ubumwe, vugana na muganga wawe ku byiza n'ibibi byabyo.