Ukuqondwa kwe-Atopic Dermatitis (Eczema): Izimpawu, Izimbangela, Nokwelashwa

I-Atopic dermatitis, evame ukubizwa ngokuthi i-eczema, iyisimo esingapheli sesikhumba esibangela amabala abomvu, akhazimulayo, futhi ahlunguluzekile esikhumbeni sakho. Kuyisimo esivame kakhulu se-eczema futhi sithinta izigidi zabantu emhlabeni jikelele, kusukela kubantwana abancane kuya kubantu abadala.

Lesi simo sivela lapho isivikelo sesikhumba sakho singasebenzi kahle, okwenza kube lula ukuba izinto eziqinisayo nezingcolisa zingene. I-immune system yakho bese iphendula ngokweqile, ibangele ukuvuvukala nokuhaha okubhekene nakho. Nakuba kungaba nzima ukulawula, ukuqonda isimo sakho kuyisinyathelo sokuqala sokuthola impumuzo.

Zithini izimpawu ze-atopic dermatitis?

Isimpawu esiyinhloko se-atopic dermatitis yukuhaha okukhulu okungaphazamisa ubuthongo bakho nemisebenzi yansuku zonke. Lolu haha luvamise ukuvela ngaphambi kokuba ubona noma yiziphi izinguquko zesikhumba eziqondakala, yingakho odokotela ngezinye izikhathi belithi "ukuhaha okubangela ukukhishwa kwesikhumba."

Ake sibheke izimpawu ezivamile ongazibona esikhumbeni sakho:

• Amabala abomvu noma amnyama-luhlaza, ikakhulukazi ezandleni, ezinyaweni, ezinqenqemeni, ezinqenqemeni zezandla, entanyeni, ezingxenyeni eziphezulu zesifuba, eziphethweni, nasezikodi zesikhumba
• Amabhuluko amancane, aphakamileyo angase akhiphe izinto ezinwetshe lapho ekhuhlwa
• Isikumba esiqinile, esiqhekekile, noma esiqinile ngenxa yokukhuhlwa okuphindaphindayo
• Isikumba esilimele, esibuhlungu, noma esivuvukile ngenxa yokukhuhlwa
• Isikumba esomile esizizwa siqatha noma sinjenge-leather

Kubantwana, uzoqaphela le miqondo ebusweni nasekhanda, kuyilapho abantwana abadala nabantu abadala bavame ukuyithola ezikodweni zamadolo namadolo. Izimpawu zingase ziye ziye, nezinkathi lapho isikumba sakho sizizwa singcono khona kulandela ukukhishwa lapho izimpawu zibuhlungu khona.

Abanye abantu bahlangabezana nezimpawu ezingavamile kodwa ezinzima kakhulu njengokuthinta okubanzi kwesikhumba noma ukutheleleka kwezibhaktheriya okubangelwa ukukhuhlwa okukhulu. Uma uqaphela i-pus, ukugqwala okupinki, noma imigqa ebomvu evela ezindaweni ezithintekile, lokhu kungase kubonise ukutheleleka kwezibhaktheriya okudinga ukunakekelwa ngokushesha kwezokwelapha.

Ziyini izinhlobo ze-atopic dermatitis?

I-Atopic dermatitis ayinazo izinhlobo ezihlukile njengamanye amasimo, kodwa ibonakala ngokuhlukile ngokuya ngobudala bakho nokuthi uyiphethe isikhathi esingakanani. Ukuqonda lezi zindlela kungakusiza ukuba uqonde ukuthi kwenzekani esikhumbeni sakho.

Kubantwana abancane nabantwana abancane, i-eczema ivame ukuvela ebusweni, emakhanda, nasezindaweni ezingaphandle zezandla nezinyawo. Isikumba sivame ukubonakala sibomvu futhi siwetshe, futhi abantwana bangase baphazamiseke ngokukhethekile ngenxa yokuhaha okukhulu abangakwazi ukukhuhlwa ngokuphumelelayo.

Kubantwana abadala nabantu abadala, lesi simo sivame ukuthinta izikodi zesikhumba njengezingaphakathi zamadolo namadolo, kanye nentanyeni, ezinqenqemeni zezandla, nezinqenqemeni zezinyawo. Isikumba kulezi zindawo sivame ukuba siqinile futhi sinjenge-leather eminyakeni eminingi yokukhuhlwa nokuvuvukala.

Abanye abantu bathuthukisa lokho odokotela abakubiza ngokuthi "i-intrinsic" atopic dermatitis, evela ngaphandle kwengxenye evamile yokuziphatha okungafani. Lolu hlobo olungavamile luvamise ukuvela ebuntwaneni futhi lungase lungaphenduli ekwelapheni okuqondiswe ekwelapheni kwe-allergy njengohlobo oluvamile "i-extrinsic."

Yini ebangela i-atopic dermatitis?

I-Atopic dermatitis ithuthukiswa yihlanganisela yezinto ezivela ezifundweni zezofu nokuqiniswa komkhathi. Uma unelesi simo, isivikelo sakho sesikhumba asisebenzi kahle, sivumela ukuba umswakama uphume futhi izinto eziqinisayo zingene kalula.

Izinto eziningi zihlanganyela ekuqaleni kwalesi simo:

• Ukwahluka kwezinto ezivela ezifundweni zezofu ezithinta amaprotheni esikhumba sakho, ikakhulukazi eyodwa ebizwa ngokuthi i-filaggrin
• I-immune system esebenza ngokweqile ephendula ngamandla kakhulu ezintweni ezivamile
• Izinto ezingcolisa emkhathini njengezimpukane, uboya lwezilwane ezifuywayo, i-pollen, noma ukudla okuthile
• Izinto eziqinisayo njengeziqholo ezinzima, izinto zokuhlanza, izinto ezinuka kamnandi, noma izinto ezithile
• Ukuhlupheka, okungase kubangele ukukhishwa ngezinguquko ze-hormonal
• Ukushintsha kwesimo sezulu, ikakhulukazi umswakama ophansi noma ukushisa okukhulu

Umlando wakho womndeni udlala indima ebalulekile futhi. Uma unezihlobo ezine-eczema, i-asthma, noma i-hay fever, kungenzeka kakhulu ukuthi uthuthukise i-atopic dermatitis. Lokhu kuhlangana kuyisigaba salokho odokotela abakubiza ngokuthi "i-atopic triad" – izimo ezintathu ezihlobene ze-allergy ezivame ukuhamba ndawonye emindenini.

Kwezinye izimo ezingavamile, ukutheleleka okuthile kwezibhaktheriya noma ama-virus kungase kubangele ukukhishwa okukhulu, futhi abanye abantu bathuthukisa isimo esibizwa ngokuthi i-eczema herpeticum lapho bekhombiswa yi-herpes simplex virus. Lokhu kudinga ukwelashwa ngokushesha kwezokwelapha njengoba kungaba nzima.

Nini kufanele ubone udokotela nge-atopic dermatitis?

Kufanele ubheke umhlinzeki wezempilo uma ucindezela ukuthi une-atopic dermatitis, ikakhulu uma ukwelashwa okungenayo imithi kungakusizi ngemuva kwamasonto ambalwa. Ukuthola ukuxilongwa okuqondile kuqinisekisa ukuthi uthola ukwelashwa okulungile ngesimo sakho esithile.

Hlela i-aphoyintimenti uma uhlangabezana nokuhaha okuqhubekayo okuphazamisa ubuthongo bakho noma imisebenzi yansuku zonke. Ukuhlupheka okuqhubekayo kobuthongo ngenxa yokuhaha kungathinta isimo sakho sengqondo, ukugxila, kanye nekhwalithi yempilo yakho yonke, futhi udokotela wakho angakusiza ukuba uphule lo mzungulu.

Funani ukunakekelwa ngokushesha kwezokwelapha uma uqaphela izimpawu zokutheleleka, njenge-pus, ukugqwala okupinki noma oluphuzi, imigqa ebomvu evela ezindaweni ezithintekile, noma uma uthuthukisa ubushushu kanye nezimpawu zesikhumba ezibi kakhulu. Lokhu kungase kubonise ukutheleleka kwezibhaktheriya okudinga ukwelashwa ngokushesha kwe-antibiotic.

Kufanele uxhumane nodokotela wakho uma uthuthukisa amabhuluko amancane ahlanganisiwe noma izilonda ezibuhlungu, ikakhulu uma uke ube seduze nomuntu one-cold sores. Lokhu kungase kube yi-eczema herpeticum, ukutheleleka okungavamile kodwa okunzima kwe-viral okudinga ukwelashwa ngokushesha kwe-antiviral.

Ziyini izinto ezikhulayo ze-atopic dermatitis?

Izinto eziningi zingandisa amathuba akho okukhula kwe-atopic dermatitis, ngomlando womndeni uqobo oluqondisa kakhulu. Uma omunye umzali ene-eczema, i-asthma, noma i-allergies, unethuba elingaba ngu-25% lokukhula kwe-atopic dermatitis.

Nawa ama-risk factors ayinhloko okufanele uwaqaphele:

• Umlando womndeni we-eczema, i-asthma, noma i-allergic rhinitis (i-hay fever)
• Ukuhlala ezindaweni zasemadolobheni noma emazweni athuthukile lapho ukukhombiswa kwezinto ezingcolile kubantwana kuphansi khona
• Ukuzalwa kumama abadala noma ukuba nobunzima obukhulu bokuzalwa
• Ukuba nezinye izimo ze-allergy njenge-food allergies noma i-asthma
• Ukukhombiswa ukubhema utshaba, noma ngesikhathi sokukhulelwa noma ebuntwaneni
• Imisebenzi ethile ekuveza izinto eziqinisayo noma ezingcolisa

Ubudala buphinde bube nendima, ngezimo eziningi eziqala ebuntwaneni. Cishe u-60% wabantu abane-atopic dermatitis bayithuthukisa ngonyaka wabo wokuqala wokuphila, futhi u-90% bayithuthukisa ngaphambi kweminyaka emi-5. Noma kunjalo, ingaqala kunoma yiliphi iminyaka, kufaka phakathi ubuntwana.

Ngokuthakazelisayo, ucwaningo oluthile luphakamisa ukuthi ukuhlanzeka kakhulu ekuqaleni kokuphila kungase kukhulise ingozi yakho. "I-hygiene hypothesis" iphakamisa ukuthi ukukhombiswa okuncane kwezinto ezingcolile nezibhaktheriya ebuntwaneni kungase kuholele kwi-immune system esebenza ngokweqile ehlala izama ukwenza izinto ezingafani.

Ziyini izinhlanganisela ezingase zibe khona ze-atopic dermatitis?

Nakuba i-atopic dermatitis ngokwayo ingabi yingozi, ukukhuhlwa okuqhubekayo nezingqinamba zesikhumba zingase ziholele ezinhlanganisela eziningi. Okuvamile kakhulu ukutheleleka kwezibhaktheriya okubangelwa ukutheleleka, okuvela lapho izibhaktheriya zingena khona esikhumbeni esikhuhlwe noma esiqhekekile.

Ukuqonda lezi zinhlanganisela ezingase zibe khona kungakusiza ukuba uthathe izinyathelo zokuzivimba:

• Ukutheleleka kwesikhumba kwezibhaktheriya, okuvamile kakhulu kusuka kubhaktheriya ye-Staphylococcus aureus
• Ukutheleleka kwama-virus, ikakhulukazi i-eczema herpeticum kusuka ku-herpes simplex virus
• Ukwenziwa kwemibala ehlala njalo noma ukushintsha kombala wesikhumba ngenxa yokuvuvukala okuqhubekayo
• Ukuhlupheka kobuthongo okuholela ekhathaleni losuku nokuhlukahluka kwesimo sengqondo
• Imiphumela yezenhlalo nezingqondo, kufaka phakathi ukukhathazeka nokucindezeleka
• I-contact dermatitis ngenxa yokusetshenziswa okukhulu kokwelashwa okusetshenziswayo

Ukuhlupheka kobuthongo kufanele kunakekelwe ngokukhethekile ngoba kuthinta impilo yakho yonke. Uma ukuhaha kukugcina uvuke ubusuku bonke, kungathinta i-immune system yakho, kukwenze ube sengozini yokutheleleka futhi kwenze i-eczema yakho ibe nzima ngokwengeziwe emjikelezweni odukisayo.

Izinhlanganisela ezingavamile kodwa ezinzima zihlanganisa ukutheleleka okubanzi kwezibhaktheriya okungaba yingozi uma kungelashwa. Abanye abantu bathuthukisa i-cataracts noma ezinye izinkinga zamehlo, ikakhulu uma i-eczema ihlala ithonya indawo ezungezile amehlo abo.

I-atopic dermatitis ingavimbeka kanjani?

Nakuba ungakwazi ukuvimba i-atopic dermatitis ngokuphelele, ikakhulu uma une-genetic predisposition, ungathatha izinyathelo zokunciphisa ukukhishwa nokuphatha izimpawu zakho ngokuphumelelayo. Ukuvimbela kugxile ekugcineni isivikelo sakho sesikhumba nokugwema izinto ezibangela ukukhishwa.

Ukukhathalela isikumba nsuku zonke kuyisisekelo sokuvimbela. Ukufaka umswakama esikhumbeni sakho kabili ngosuku nge-moisturizer engenayo i-fragrance, eyi-hypoallergenic kusiza ukulungisa nokugcina isivikelo sakho sesikhumba. Faka i-moisturizer ngaphakathi kwemizuzu emithathu yokugeza ngesikhathi isikumba sakho sisalokhu simile ukuze uvale umswakama.

Ukuqonda nokugwema izinto ezibangela ukukhishwa kwakho kubalulekile ngokulinganayo. Gcina idayari yokukhishwa ukuze uqonde izindlela ezihlobene nokudla, isimo sezulu, ukucindezeleka, noma imikhiqizo oyisebenzisayo. Izinto ezivamile ezibangela ukukhishwa zihlanganisa iziqholo ezinzima, izinto ezinuka kamnandi, i-wool noma izinto ezithambile, izimpukane, nokudla okuthile.

Kubazali abakhathazekile ngabantwana babo, ubufakazi obuthile buphakamisa ukuthi ukuncelisa kuphela ezinyangeni ezine zokuqala zokuphila kungase kusize ekuqedeni ingozi yokukhula kwe-atopic dermatitis. Noma kunjalo, ukugwema ukudla okuthile ngesikhathi sokukhulelwa akukafumaneki ukuthi kuphumelela futhi akukhuthazwa.

I-atopic dermatitis ixilongwa kanjani?

Ukuxilongwa kwe-atopic dermatitis kuvame ukuba kulula futhi kugxile ikakhulukazi ekubhekeni isikumba sakho nokuxoxa ngezimpawu zakho nomlando wakho wezokwelapha. Ayikho i-test eyodwa engakwazi ukuxilonga lesi simo ngokuphelele, kodwa ochwepheshe bezokwelapha bangakwazi ngokuvamile ukuyibona ngokubonakala kwayo okuqondakala nendlela ebonakala ngayo.

Udokotela wakho uzobheka izimpawu ezivamile: amabala esikhumba abomvu, akhazimulayo, avuvukile ezindaweni ezivamile njengezikodwe zamadolo namadolo, kanye nobufakazi bokuhlanza. Bazophinde babuze ngomlando womndeni we-allergies, i-asthma, noma i-eczema, njengoba lezi zimo zivame ukuhamba ndawonye.

Ukuqinisekisa ukuxilongwa, udokotela wakho angase asebenzise izindinganiso ezimiswe ezifaka ukuba nesikhumba esikhazimulayo kanye nezinye izinto ezintathu noma ngaphezulu: ukuvuvukala okubonakalayo ezikodweni zesikhumba, umlando wakho siqu we-asthma noma i-hay fever, isikumba esomile ngokuvamile, noma ukuqala ngaphambi kweminyaka emi-2.

Kwezinye izimo, udokotela wakho angase akhuthaze ukuhlolwa kwe-allergy nge-skin prick tests noma i-blood tests ukuze aqonde izinto ezibangela ukukhishwa. Noma kunjalo, lezi zihloko azivamile ukudingeka futhi ziwusizo uma ucindezela ukuthi ukudla okuthile noma izinto ezingcolisa emkhathini zenza isimo sakho sibe sibi.

Ngokungavamile, uma isimo sakho singavamile noma singaphenduli ekwelapheni, udokotela wakho angase enze i-skin biopsy ukuze akhiphe ezinye izimo ezingase zibukeke zifana ne-atopic dermatitis.

Yini ukwelashwa kwe-atopic dermatitis?

Ukwelashwa kwe-atopic dermatitis kugxile ekuphulukiseni isikumba sakho, ukuvimbela ukukhishwa, nokuphatha izimpawu lapho zivela. Indlela ivame ukubandakanya ihlanganisela yokunakekelwa kwesikhumba nsuku zonke, imithi, nokushintsha kwesitayela sokuphila okuqondiswe ezidingweni zakho ezithile.

Ukufaka umswakama nsuku zonke kuyisisekelo sokwelashwa. Udokotela wakho cishe uzokhuthaza ukufaka i-moisturizer ehlala isikhathi eside, engenayo i-fragrance okungenani kabili ngosuku, futhi ikakhulukazi ngemuva kokugeza. Lokhu kusiza ukulungisa isivikelo sakho sesikhumba futhi kunganciphisa kakhulu isidingo semithi enye.

Ngokuqondene nokukhishwa okusebenzayo, izinketho zakho zokwelashwa zingase zihlanganise:

• I-Topical corticosteroids ukunciphisa ukuvuvukala nokuhaha
• I-Topical calcineurin inhibitors njenge-tacrolimus noma i-pimecrolimus ezindaweni ezinzima
• I-Antihistamines ukusiza ngokuhaha, ikakhulukazi ebusuku
• I-Antibiotics uma ukutheleleka kwezibhaktheriya okubangelwa ukutheleleka kuvela
• I-Wet wrap therapy ngokukhishwa okukhulu
• I-Phototherapy (ukwelashwa ngokukhanya) nge-eczema ehlala njalo, ebanzi

Ngokuqondene nezimpawu ezinkulu ezingaphenduli ekwelapheni okusetshenziswayo, udokotela wakho angase alayishe imithi ye-systemic njenge-oral corticosteroids ukusetshenziswa isikhathi esifushane, noma imithi emisha eqondiswe njenge-dupilumab, evikela ngokukhethekile izindlela ze-immune ezihilelekile kwi-atopic dermatitis.

Ngokungavamile, uma une-eczema enzima kakhulu, engaphenduli ekwelapheni, udokotela wakho angase acabangele ezinye imithi ye-immunosuppressive njenge-methotrexate noma i-cyclosporine, nakuba lokhu kudinga ukulandelelwa ngokucophelela ngenxa yemiphumela emibi engase ibe khona.

Indlela yokuphatha i-atopic dermatitis ekhaya?

Ukuphatha i-atopic dermatitis ekhaya kubandakanya ukudala umkhuba wansuku zonke osekelayo impilo yesikhumba sakho futhi kusize ukuvimbela ukukhishwa. Ikhona ukulandela ngokuqhubekayo izindlela zokunakekelwa kwesikhumba ezilula ezivikela futhi zinakekele isivikelo sakho sesikhumba.

Qala ngomkhuba wakho wokugeza. Thatha izimbobo noma izimbobo ezishisayo (ezingezona ezishisayo) imizuzu engu-10-15 usebenzisa i-cleanser elula, engenayo i-fragrance. Shaya isikumba sakho ngobumnene ngetawuli elithambile, ulisele limncane, bese ufake i-moisturizer ehlala isikhathi eside ukuze uvale umswakama.

Khetha izingubo zakho nembhede ngokucophelela. Izinto ezithambile, eziphefumula njengekhotini zisebenza kangcono, kuyilapho i-wool nezinto ezithambile zingase ziqinisise isikumba sakho. Geza izingubo ezintsha ngaphambi kokuzigqoka, futhi sebenzisa izinto zokuhlanza ezingenayo i-fragrance, eziyi-hypoallergenic ngaphandle kwe-fabric softeners.

Ukuphatha ukucindezeleka kubalulekile ngoba ukucindezeleka kwengqondo kungase kubangele ukukhishwa. Zama izindlela zokupumula njengokuphefumula okujulile, ukucamngca, noma ukuzivocavoca okuthambile. Ukuthola ubuthongo obunempilo kubalulekile ngokulinganayo, nakuba sazi ukuthi ukuhaha kungenza kube nzima lokhu.

Gcina indawo yakho yokuhlala ipholile ngokugcina amazinga omkhathi ophakathi (30-50%) nokugwema ukushisa okukhulu. Sebenzisa i-humidifier ngesimo sezulu esomile futhi ugcine ikhaya lakho lihlanzekile ukuze unciphise izimpukane nezinye izinto ezingcolisa.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola izinzuzo eziningi ngesikhathi sakho nomhlinzeki wakho wezempilo. Qala ngokubhala izimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini eyenza zibe ngcono noma zibe zimbi, nanoma yikuphi ukwelashwa osele ukubekezele.

Dala idayari elula yesimpawu ngesonto noma amabili ngaphambi kwe-aphoyintimenti yakho. Qaphela ukuthi yiziphi izingxenye zomzimba wakho ezithintekile, ukuthi ukuhaha kunzima kangakanani ngesilinganiso esingu-1-10, nanoma yiziphi izinto ezibangela ukukhishwa oziqaphile njengokudla okusha, imikhiqizo, noma izehlakalo eziqinisayo.

Letha uhlu lwemithi yonke nokwelashwa osele ukubekezele, kufaka phakathi imikhiqizo engenayo imithi, imithi yokwelashwa, nezinye izindlela zokwelapha ekhaya. Faka ulwazi mayelana nokuthi yini esebenzile, yini engasebenzisanga, nanoma yimiphi imiphumela emibi ohlangabezane nayo.

Bhala imibuzo yakho ngaphambi kwesikhathi ukuze ungayikhohlwa ngesikhathi se-aphoyintimenti. Imibhalo evamile ingase ihlanganise ukubuza mayelana nokuqonda izinto ezibangela ukukhishwa, izinketho zokwelashwa, ukuthi nini kufanele ulinde ukuthuthuka, noma indlela yokuphatha ukukhishwa emsebenzini noma esikoleni.

Cabanga ukuletha ilungu lomndeni noma umngani ukwesekwa, ikakhulu uma uzizwa ukhuluphuke ngezimpawu zakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo ngesikhathi sokuvakasha.

Yini eyinhloko mayelana ne-atopic dermatitis?

I-Atopic dermatitis iyisimo esingapheli esilawuleka esithinta ikhono lesikhumba sakho sokuzivikela, okuholela ekubeni somile, ukukhazimula, nokuvuvukala. Nakuba kungaba nzima, ukuqonda izinto ezibangela ukukhishwa nokwenza umkhuba wokunakekelwa kwesikhumba nsuku zonke kungathuthukisa kakhulu ikhwalithi yempilo yakho.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi lesi simo sivame kakhulu futhi silawuleka. Ngohlanganisela olufanele lokufaka umswakama nsuku zonke, ukugwema izinto ezibangela ukukhishwa, nemithi efanele uma kudingeka, abantu abaningi bangagcina izimpawu zabo zilawulwa kahle.

Ungangabazi ukusebenzisana eduze nodokotela wakho ukuze uthole indlela yokwelapha esebenza kangcono kuwe. Lokho okusebenza komunye umuntu kungase kungasebenzi komunye, ngakho-ke bekezela njengoba wena nodokotela wakho nilungisa uhlelo lwakho lokulawula.

Khumbula ukuthi i-atopic dermatitis ivame ukuthuthuka ngobudala. Abantwana abaningi bayikhula ngesikhathi sobuntwana, futhi ngisho noma ihlala njalo, ukwelashwa okusha kwenza kube lula kunanini ngaphambili ukuphila kahle naleli simo.

Imibuzo evamile mayelana ne-atopic dermatitis

Ingabe i-atopic dermatitis iyadluliseka?

Cha, i-atopic dermatitis ayidluliseki neze. Awukwazi ukuyithola komunye umuntu noma uyidlulisele kwabanye ngokuthinta. Kuyisimo esitholakala ngenxa ye-immune system yakho nendlela esikhumba sakho esisebenza ngayo, hhayi ngenxa yanoma yiluphi uhlobo lokutheleleka. Noma kunjalo, uma uthuthukisa ukutheleleka okubangelwa ukutheleleka kwezibhaktheriya noma ama-virus ngenxa yokukhuhlwa, lezo zinto zokutheleleka zingase zibe yizinto ezidluliseka.

Ingabe i-atopic dermatitis yami izophela unomphela?

Abantu abaningi, ikakhulu abantwana, bayabona i-atopic dermatitis yabo ithuthuka kakhulu noma iphele njengoba bekhula. Cishe u-60-70% wabantwana abane-eczema bayoyikhula ngesikhathi sobuntwana babo. Noma kunjalo, kwabanye abantu, ihlala njalo isimo esiya sibuya. Ngisho noma ingapheli ngokuphelele, ivame ukuba lula kakhulu ukuyiqondisa ngobudala nokuhlangenwe nakho.

Ingabe ukudla okuthile kungase kubangele i-atopic dermatitis yami?

Izinto ezibangela ukukhishwa ngokudla zivame kakhulu kubantwana abancane abane-atopic dermatitis, zithinta cishe u-30% wabantwana abane-eczema ephakathi nendawo. Izinto ezivamile ezibangela ukukhishwa ngokudla zihlanganisa amaqanda, ubisi, i-soy, i-wheat, izinhlanzi, i-shellfish, nama-nuts. Noma kunjalo, i-food allergies akunakwenzeka ukuba zibe yizinto ezibangela ukukhishwa kubantu abadala. Uma ucindezela izinto ezibangela ukukhishwa ngokudla, sebenzisana nodokotela wakho ukuze uzibone ngokuqondile kunokukhipha ukudla wedwa.

Ingabe kuphephile ukusebenzisa i-steroid creams isikhathi eside?

I-Topical steroids iphephile uma isebenziswa njengoba iyalwe umhlinzeki wakho wezempilo. Ikhona ukusebenzisa amandla afanele endaweni efanele yomzimba wakho isikhathi esifanele. Udokotela wakho cishe uzoqala ngamandla alula asebenzayo futhi angase akhuthaze ukuyisebenzisa ngezikhathi ezithile kunokuba uqhubeke. Ungalokothi uyeke ukusebenzisa i-steroids eyalwe ngudokotela ngaphandle kokubonisana nodokotela wakho, njengoba lokhu kungase kubangele ukukhishwa okubuyayo.

Ingabe ukucindezeleka kungenza i-atopic dermatitis yami ibe sibi?

Yebo, ukucindezeleka kuyinto evamile ebangela ukukhishwa kwe-atopic dermatitis. Uma ucindezelekile, umzimba wakho ukhulula ama-hormones angase andise ukuvuvukala futhi enze isikumba sakho sibe nomphumela omkhulu. Ngaphezu kwalokho, ukucindezeleka kuvame ukuholela ekukhuhlweni okukhulu, okwenza isimo sibe sibi. Ukuphatha ukucindezeleka ngezindlela zokupumula, ubuthongo obunempilo, nezinye izindlela zokuphila ezinempilo kungaba yingxenye ebalulekile yokuphatha i-eczema yakho.