Atopic Dermatitis Eczema

I-atopic dermatitis (i-finyeza) yisimo esibangela ukuba isikhumba sibe omile, sikhaphe kakhulu futhi sibe buhlungu. Ivamile kubantwana abancane kodwa ingase ibonakale kunoma iyiphi iminyaka. I-atopic dermatitis ihlala isikhathi eside (iyisifo esingapheli) futhi ivame ukuvuvukala ngezinye izikhathi. Ingacasula kodwa ayithwali. Abantu abane-atopic dermatitis baphazanyiswa yingozi yokuthuthukisa ukungezwani kokudla, i-hay fever kanye ne-asthma. Ukufaka umswakama njalo nokulandela ezinye izindlela zokunakekela isikhumba kungasusa ukukhaphela nokuvimba ukuqhuma okusha (ukuqhuma). Ukwelashwa kungafaka phakathi amafutha noma amakhilimu anemiphumela yokwelapha.

Izimpawu ze-atopic dermatitis (eczema) zingabonakala kuphi kwenye ingxenye yomzimba futhi zihlukahluka kakhulu kumuntu nomuntu. Zingafaka: Ukukoma, ukubhebhetheka kwesikhumba Ukukhahlela (pruritus) Isifuba esikhumbeni esihlungekile esiguquka umbala kuye ngombala wesikhumba sakho Amaphambili amancane, aphakanyisiwe, esikhumbeni esimnyama noma esimnyama Ukuphuma nokuqina Ukukhuluphala kwesikhumba Ukumnyama kwesikhumba emazwini Isikhumba esiyimuncu, esibuhlungu ngenxa yokukracula I-Atopic dermatitis iqala kaningi ngaphambi kweminyaka emi-5 futhi ingaqhubeka iye eminyakeni yobusha nodokotela. Kwabanye abantu, iyakhula bese iyaphela isikhathi esithile, ngisho nangama-years amaningana. Xoxa nodokotela uma wena noma ingane yakho: Unezimpawu ze-atopic dermatitis Uhlupheka kakhulu kangangokuthi lesi simo siyaphazamisa ubuthongo nemisebenzi yansuku zonke Une-infection yesikhumba — funa imigqa emisha, uboya, ama-scabs aphuzi Unezimpawu ngisho nangemva kokuzimisela ukunakekela Funa usizo lwezokwelapha ngokushesha uma wena noma ingane yakho une-fever futhi isifuba sibonakala singene.

Xoxa nodokotela uma wena noma ingane yakho: Inezimpawu ze-atopic dermatitis Iyaphatheka kabi kangangokuthi isimo siyaphazamisa ubuthongo nemisebenzi yansuku zonke Ine-infection yesikhumba—funa imigqa emisha, ubuhlungu, ama-scab aluhlaza okwesundu Inezimpawu ngisho nangemva kokuzimisela ukunakekela—Funani usizo lokuthi lolu daba luphathwe ngokushesha uma wena noma ingane yakho inethumba futhi isihlungu sibonakala singcolile.

Kubantu abathile, i-atopic dermatitis ihlobene nokuhluka kwe-jini okuthinta ikhono lesikhumba sokuvikela. Ngokusebenza okubuhlungu kokukhusela, isikhumba asinakho ukugcina umswakama nokukhuselwa kubhaktheriya, izinto ezikhuthazayo, izinto ezingqamile nezinto ezingaphandle - njengotshwala. Kubantu abanye, i-atopic dermatitis ibangelwa yibhaktheriya eningi kakhulu ye-Staphylococcus aureus esikhumbeni. Lokhu kuqeda ibhaktheriya enhle futhi kuphazamisa umsebenzi wokukhusela isikhumba. Umsebenzi wokukhusela isikhumba obuthakathaka ungase uqalise impendulo yesistimu yokukhusela umzimba ebangela isikhumba esibuhlungu nezinye izimpawu. I-atopic dermatitis (eczema) ingenye yezinhlobo eziningi ze-dermatitis. Ezinye izinhlobo ezivamile yi-contact dermatitis ne-seborrheic dermatitis (dandruff). I-dermatitis ayiwona umkhuhlane.

Isifaki esikhulu sengozini ye-atopic dermatitis ukuba uke waba ne- eczema, uketshezi, isifo sofuba noma i-asthma esikhathini esidlule. Ukuba namalungu omndeni anezi zimo kuphinde kukwandisa ingozi yakho.

Izinkinga ze-atopic dermatitis (eczema) zingafaka: I-Asthma ne-hay fever. Abantu abaningi abane-atopic dermatitis bathuthukisa i-asthma ne-hay fever. Lokhu kungenzeka ngaphambi noma ngemva kokuthuthukisa i-atopic dermatitis. Uketshezi lokudla. Abantu abane-atopic dermatitis bavame ukuthuthukisa uketshezi lokudla. Esinye sezibonakaliso eziyinhloko zalesi simo yi-hives (urticaria). Isikhumba esinamathambo, esiqinile. Isimo sesikhumba esibizwa nge-neurodermatitis (lichen simplex chronicus) siqala ngephethini yesikhumba esinamathambo. Ugcina indawo, okunika impumuzo yesikhashana kuphela. Ukugqolozela empeleni kwenza isikhumba sibe namathambo ngoba kuqalisa imizimba yezinzwa esikhumbeni sakho. Ngokuhamba kwesikhathi, ungagqolozela ngokujwayelekile. Lesi simo singabangela ukuba isikhumba esithintekayo sibe nombala, sibe bukhulu futhi sibe njengolwethu. Amaqhezu esikhumba alukhuni noma akhanya kunendawo ezungeze. Le nkinga ngemva kokuba isihlungu sipholile ibizwa ngokuthi i-post-inflammatory hyperpigmentation noma i-hypopigmentation. Ivame kakhulu kubantu abanesikhumba esibomvu noma esimnyama. Kungathatha izinyanga eziningana ukuba umbala ungapheli. Ukutheleleka kwesikhumba. Ukugqolozela okuphindaphindwayo okuqhekeza isikhumba kungabangela amaqhuzu avulekile namaqhekeza. Lokhu kukhuphula ingozi yokutheleleka ngamabhaktheriya nezinambuzane. Lezi zifo zesikhumba zingasakazeka futhi zibe yingozi eyingozi empilweni. I-irritant hand dermatitis. Lokhu ikakhulukazi kuthinta abantu abanezandla ezivame ukuba namanzi futhi zivele ezisobeni ezinzima, ama-detergent kanye ne-disinfectant emsebenzini. I-Allergic contact dermatitis. Lesi simo sivame kubantu abane-atopic dermatitis. I-Allergic contact dermatitis iwukukhishwa okunamathambo okubangelwa ukubamba izinto ozithandayo. Umbala wokukhishwa uhluka kuye ngombala wesikhumba sakho. Izinkinga zokulala. Ukukhishwa kwe-atopic dermatitis kungaphazamisa ubuthongo. Izimo zempilo yengqondo. I-Atopic dermatitis ihlotshaniswa nokucindezeleka nokukhathazeka. Lokhu kungahlobana nokukhishwa okuqhubekayo nezinkinga zokulala ezivame kubantu abane-atopic dermatitis.

Ukuthuthukisa inqubo yemfundo yesikhumba eyisisekelo kungasiza ekunciphiseni ukuqhuma kwe-eczema. Lezi zeluleko zilandelayo zingasiza ekunciphiseni imiphumela yokomisa yokuhlanza: Gcoba isikhumba sakho okungenani kabili ngosuku. Amafutha, amafutha, ibhotela le-shea nama-lotion aqinisa ukufuma. Khetha umkhiqizo noma imikhiqizo esebenza kahle kuwe. Ngokuhle, eyona nto ilungile kuwe izoba yilona elivikelekileyo, eliphumelelayo, elithengakali futhi elingenayo iphunga. Ukusebenzisa ijeli yepetroliye esikhumbeni somntwana wakho kungasiza ekunciphiseni ukuthuthukiswa kwe-atopic dermatitis. Gcoba nsuku zonke. Sebenzisa amanzi afudumele, kunokuba afudumele, futhi ubeke umkhawulo wokugeza kwakho noma ukugeza kwakho cishe imizuzu eyi-10. Sebenzisa i-cleanser ebushelelezi, engeyi-soap. Khetha i-cleanser engenayo imibala, utshwala nephunga. Kubantwana abancane, ngokuvamile udinga amanzi afudumele kuphela ukuze bawacoce - akukho siphofu noma i-bubble bath edingekayo. I-soap ingakhungathekisa ikakhulukazi isikhumba sabantwana abancane. Kubantu banoma iyiphi iminyaka, ama-soap e-deodorant nama-soap e-antibacterial angasusa amafutha emvelo esikhumba kakhulu futhi awomise isikhumba. Ungasiki isikhumba ngesicaba noma i-loofah. Shaya ukoma. Ngemva kokuhlanza, shaya isikhumba ngobumnene ngitawuli elithambile. Faka i-moisturizer ngesikhathi isikhumba sakho sisalimanzi (ngaphakathi kwemizuzu emithathu). Izici ezikhuthazayo ze-atopic dermatitis zihlukahluka kakhulu kumuntu ngamunye. Zama ukuqonda futhi ugweme izinto ezikhungathekisayo ezibangela i-eczema yakho. Ngokuvamile, gwema noma yini ebangela ukukhahlela ngoba ukukhahlela kuvame ukubangela ukuqhuma. Izici ezivamile ze-atopic dermatitis zihlanganisa: Ifabrikhi yoboya olukhukhumayo Isikhumba esomile Ukutheleleka kwesikhumba Ukushisa nokushisa Ukuqina Imikhiqizo yokuhlanza Izintwala zethusi ne-pet dander Ukuvundakala I-pollen Ukukhishwa kukatshisha Umoya obandayo nowomile Amaphunga Ezinye izinto zokukhungathekisa ezikhungathekisayo Izingane ezincane nezingane zingaba nokuqhuma okubangelwa ukudla ukudla okuthile, njengeqanda nobisi lwenkomo. Xoxa nodokotela wezingane zakho mayelana nokuqonda ukungezwani kokudla okungenzeka. Uma usuqonde ukuthi yini ebangela i-eczema yakho, xoxa nodokotela wakho mayelana nendlela yokuphatha izimpawu zakho nokuvimbela ukuqhuma.

Ukuthola i-atopic dermatitis, umhlinzeki wakho wezempilo cishe uzoxoxa nawe ngezimpawu zakho, ahlole isikhumba sakho futhi ahlole umlando wakho wezokwelapha. Ungase udinga ukuhlolwa ukuze ubone uketshezi futhi ukhanyise ezinye izifo zesikhumba. Uma ucabanga ukuthi ukudla okuthile kubangele isikhumba somntanakho, buza umhlinzeki wakho wezempilo ngoketshezi lokudla. Ukuhlolwa kwe-Patch Udokotela wakho angase akukhuthaze ukuhlolwa kwe-patch esikhumbeni sakho. Kulolu hlolo, inani elincane lezinto ezahlukene lisetyenziswa esikhumbeni sakho bese livalwa. Ngesikhathi sokuvakasha ezinsukwini ezimbalwa ezizayo, udokotela ubheka isikhumba sakho ukuze abone izimpawu zokubonakala. Ukuhlolwa kwe-patch kungasiza ekutholeni izinhlobo ezithile zoketshezi ebangela i-dermatitis yakho.

Ukwelapha isifo se-atopic dermatitis kungase kuqale ngokufaka umswakama njalo nezinye izindlela zokunakekela. Uma lokhu kungasizi, umhlinzeki wakho wezinsizakalo zezempilo angase aphakamise amafutha anamalungiselelo okulawula ukukhahlela nokusiza ekulungiseni isikhumba. Lezi ngezinye izikhathi zihlanganiswa nezinye izindlela zokwelapha. I-atopic dermatitis ingaphikelela. Kungadingeka uzame izindlela ezahlukene zokwelapha izinyanga noma iminyaka ukuze uyilawule. Futhi ngisho noma ukwelashwa kuphumelela, izimpawu zingabuya (ukuvuvukala). Imithi Imikhiqizo enamalungiselelo efakwa esikhumbeni. Kunezindlela eziningi ezitholakalayo zokusiza ukulawula ukukhahlela nokulungisa isikhumba. Imikhiqizo itholakala ngamandla ahlukahlukene nangezikrini, amajeli namafutha. Xoxa nomhlinzeki wakho wezinsizakalo zezempilo ngezinketho nezifiso zakho. Noma yini oyisebenzisayo, yifake njengoba kuqondiswe (ngokuvamile kabili ngosuku), ngaphambi kokuba ufake umswakama. Ukusetshenziswa kakhulu komkhiqizo we-corticosteroid ofakwe esikhumbeni kungabangela imiphumela emibi, njengokuncipha kwesikhumba. Amafutha noma amafutha ane-calcineurin inhibitor kungaba yisinqumo esihle kulabo abangaphezu kweminyaka engu-2. Isibonelo sibandakanya i-tacrolimus (Protopic) ne-pimecrolimus (Elidel). Yifake njengoba kuqondiswe, ngaphambi kokuba ufake umswakama. Gwema ukukhanya kwelanga okukhulu uma usebenzisa le mikhiqizo. I-Food and Drug Administration idinga ukuthi le mikhiqizo ibe nesixwayiso esimnyama ebhokisini ngengozi ye-lymphoma. Lesi sixwayiso sisekelwe ezimweni ezingavamile ze-lymphoma phakathi kwabantu abasebenzisa ama-topical calcineurin inhibitors. Ngemva kweminyaka eyi-10 yokutadisha, akukho ubudlelwano obubangelayo phakathi kwale mikhiqizo ne-lymphoma futhi akukho gozi eyenyuke kakhulu yomdlavuza eitholiwe. Imithi yokulwa nokutheleleka. Umhlinzeki wakho wezinsizakalo zezempilo angase abele imithi ye-antibiotic yokwelapha ukutheleleka. Amaphilisi alawula ukuvuvukala. Nge-eczema eqinile kakhulu, umhlinzeki wakho wezinsizakalo zezempilo angase abele amaphilisi ukuze akusize ulawule izimpawu zakho. Izinketho zingabandakanya i-cyclosporine, i-methotrexate, i-prednisone, i-mycophenolate ne-azathioprine. La maphilisi aphilayo kodwa awukwazi ukusetshenziswa isikhathi eside ngenxa yemiphumela emibi eqinile. Ezinye izinketho ze-eczema eqinile. I-biologics eyenziwe ngokuqhafaza (ama-monoclonal antibodies) i-dupilumab (Dupixent) ne-tralokinumab (Adbry) kungaba izinketho zabantu abanesifo esiphakathi nendawo esiqinile abaphenduli kahle ekwelapheni okunye. Izifundo zibonisa ukuthi kuphephile futhi kuphumelela ekunciphiseni izimpawu ze-atopic dermatitis. I-Dupilumab yabantu abangaphezu kweminyaka engu-6. I-Tralokinumab yabantu abadala. Izindlela zokwelapha Ukugqoka okunamanzi. Ukwelapha okuphumelelayo, okuqine kakhulu kwe-eczema eqinile kuhilela ukufaka ifutha le-corticosteroid nokugcina imithi ngokubopha nge-gauze emanzi ephezulu kanye nesendlalelo se-gauze eomile. Ngezinye izikhathi lokhu kwenziwa esibhedlela kubantu abanezilonda ezibanzi ngoba kusebenza kakhulu futhi kudinga ubuchwepheshe babesifazane. Noma ubuze umhlinzeki wakho wezinsizakalo zezempilo mayelana nokufunda ukuthi ungayisebenzisa kanjani le ndlela ekhaya ngokuphepha. Ukwelashwa ngokukhanya. Lokhu ukwelapha kusetshenziswa kubantu abangaphili kahle ngokwelashwa okufakwa esikhumbeni noma abavuvukala kabusha ngokushesha ngemva kokwelashwa. Uhlobo oluqondile lokwelashwa ngokukhanya (i-phototherapy) luhilela ukukhombisa indawo ethintekile amazinga alawulwayo okukhanya kwelanga okwemvelo. Ezinye izindlela zisebenzisa i-artificial ultraviolet A (UVA) ne-narrow band ultraviolet B (UVB) yodwa noma ngemithi. Nakuba kuphumelela, ukwelashwa ngokukhanya isikhathi eside kunomphumela omubi, kufaka phakathi ukuguga kwesikhumba ngokushesha, ukushintsha kombala wesikhumba (i-hyperpigmentation) nokunyuka kengozi yomdlavuza wesikhumba. Ngenxa yalezi zizathu, i-phototherapy ayisetshenziswa kakhulu kubantwana abancane futhi ayinikwa izingane. Xoxa nomhlinzeki wakho wezinsizakalo zezempilo ngezinzuzo nezingozi zokwelashwa ngokukhanya. Ukubonisana. Uma uhlupheka noma udumazeka yisimo sakho sesikhumba, kungasiza ukukhuluma nodokotela noma omunye umxhumanisi. Ukuphumula, ukuguqulwa kokuziphatha nokulawula umzimba. Lezi zindlela zingasiza abantu abakhahlela ngokujwayelekile. I-eczema yengane Ukwelapha i-eczema ezinganeni (i-infantile eczema) kubandakanya: Ukubona nokuqeda izinto ezicasula isikhumba Ukugwema izimo zokushisa eziphambili Ukupha ingane yakho ukugeza okufushane emanzini afudumele nokufaka ifutha noma ifutha ngesikhathi isikhumba sisalimanzi Bheka umhlinzeki wezinsizakalo zezempilo yengane yakho uma la manyathelo angalungisi isihlungu noma ibukeka sengathi kutheleleke. Ingane yakho ingase idinge imithi yokubhalwa ukuze ilawule isihlungu noma iwelaphe ukutheleleka. Umhlinzeki wakho wezinsizakalo zezempilo angase futhi aphakamise i-antihistamine yomlomo ukuze usize ukunciphisa ukukhahlela nokubangela ubuthongo, okungasiza ekukhahleleni nasekucasukeni ebusuku. Uhlobo lwe-antihistamine oluphazamisa ubuthongo lungathinta kabi ukusebenza esikoleni kwabanye abantwana. Ulwazi Olwengeziwe Ukulawula umzimba Cela i-aphoyintimenti Kukhona inkinga ngolwazi oluvezwe ngezansi futhi ubuye uthumele ifomu. 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I-atopic dermatitis ingakwenza uzizwe ungakhululekile futhi uthukuthele. Ingaba lukhulu ikakhulukazi, ibe yinto ecasulayo, noma ehlisa isithunzi kubantu abasebasha nabasha. Ingaphazamisa ubuthongo babo, futhi iholele ekuwohlokeni komqondo. Abanye abantu bangase bathole kuwusizo ukukhuluma nodokotela, noma omunye umxhumanisi, ilungu lomndeni, noma umngane. Noma kungaba usizo ukuthola iqembu lokusekela labantu abane-eczema, abazi ukuthi kunjani ukuphila naleli gciwane.