I-Dermatitis

I-dermatitis yisimo esivamile esibangela ukukhuluphala nokuvuvukala kwesikhumba. Inezinye izimbangela nezinhlobo futhi ngokuvamile ihilela isikhumba esikhazimulayo, esomile noma isihlungu. Noma ingase ibe yimbangela yokuba isikhumba siqale amabhabha, siqale ukukhishwa, siqale ukubhoboka noma siqale ukubola. Izinhlobo ezintathu ezivamile zalesi simo yi-atopic dermatitis, i-contact dermatitis ne-seborrheic dermatitis. I-Atopic dermatitis iyaziwa nangokuthi yi-eczema.

I-Dermatitis ayiwona umkhuhlane, kodwa ingase ibe yinto engathandeki kakhulu. Ukufaka umswakama njalo kusiza ukulawula izimpawu. Ukwelashwa kungase futhi kuhlanganise amafutha, amakhilimu nama-shampoos ane-medicated.

Isithombe se-contact dermatitis ezinhlotsheni ezahlukene zesikhumba. I-contact dermatitis ingabonakala njengesihlungu esikhazimulayo.

Uhlobo ngalunye lwe-dermatitis luvamise ukuvela engxenyeni ethile yomzimba. Izimpawu zingafaka:

• Ukukhazimula okungaba buhlungu.
• Isikhumba esomile, esiqaqambile, esiqhekekile, esivame kakhulu ekhulwini lesikhumba.
• Isihlungu esikhumbeni esivuvukile esiguquka umbala kuye ngombala wesikhumba.
• Amabhabha, mhlawumbe ane-oozing kanye nokuqhekeka.
• I-dandruff.
• Isikhumba esiqinile.
• Ama-bumps amancane, aphakanyisiwe, avame kakhulu ekhulwini lombala olu-brown noma olu-Black.

Bona udokotela wakho uma:

• Uhlupheka kakhulu kangangokuthi isimo siyaphazamisa ubuthongo nemisebenzi yansuku zonke.
• Isikumba sakho sibuhlungu.
• Une-infections yesikhumba — funa imigqa emisha, ubuhlungu, ama-scabs aphuzi.
• Unezimpawu ngisho nangemva kokuzimisela ngezinyathelo zokunakekela. Funani ukunakekelwa kwangaphambi kokuthi une-fever futhi isikhumba sibonakala singene-infection.

Jason T. Howland: I-atopic dermatitis yisifo sokuqina esikhunjeni, esifana ne-asthma emaphashini, i-hay fever e-sinuses kanye ne-allergies yokudla esibindini.

Dawn Marie R. Davis, M.D.: Yisifo esithinta izicubu eziningi. Ukuvuvukala kuthinta isikhumba, futhi isikhumba siqina kakhulu kunokujwayelekile.

Howland: Yisimo esingapheli futhi sivame ukuqhuma ngezikhathi ezithile. Izimpawu ziyahlukahlukana.

Dr. Davis: I-atopic dermatitis ivame ukuba bomvu, inamanzi, inamaqanda, ikhazimulayo, izingcezu eziqhekekile, njengezindawo ezinqamuzayo noma ezinqamuzayo esikhunjeni.

Isikhumba sethu sifana nodonga lwezitini. Futhi njengoba sikhulile, noma ngokufuywa uma sithambekele ekukhunjeni okuqina, kungabonakala sengathi yibhasikithi le-wicker kunodonga lwezitini.

Howland: I-eczema yabantu abadala ivame ukuvela ezingcebeni ezindaweni zomzimba ezivame ukusuleka noma ukukhishwa.

Dr. Davis: Lapho ibhande lakho lingahlala khona, lapho isigqoko sakho noma izicathulo zikukhazimula khona. Uma unewashi, lapho ungagqoka khona iwashi lakho. Uma une-headband noma izinto ezithile ozigqokayo entanyeni yakho, njenge-necklace noma i-tie.

Kubalulekile ukugeza njalo. Kubalulekile ukuhlanza isikhumba nge-moisturizer engathinti lutho. Kubalulekile ukulandelela ukutheleleka.

Howland: Uma lezo zinyathelo zokunakekela zaziqondene, i-dermatologist yakho ingancoma imithi yendawo noma emlonyeni, noma ezinye izindlela zokwelapha.

Ally Barons: Ngiye ngakhulela emanzini, futhi ngiyathanda ukuqubha.

Vivien Williams: Kodwa ngonyaka odlule, ngesikhathi seholidi yentwasahlobo, umgcini we-lifeguard u-Ally Barons wathola uphawu oluqandile, olude, olude olukhulu olubomvu omunyameni wakhe ngemuva kokuthi angene olwandle.

Ally Barons: Kodwa khona-ke kwaqala ukuqhuma futhi kwaba bomvu.

Ally Barons: Ngakho-ke ngadumazeka ngoba i-jellyfish iyalingana.

Dawn Marie R. Davis, M.D.: Kunezitshalo ezithile nemithi emvelweni, njenge-dill, i-buttercup, i-bergamot, i-musk ambrette, i-parsley, i-parsnip, kanye nemithi yemifino, ikakhulukazi ilayimu, lapho lezi zinto zikhemikhali eziqukethwe zithinta isikhumba sakho bese zivezwa ekukhanyeni kwe-ultraviolet, isenzo sikhemikhali senzeka. Futhi ungathuthukisa i-dermatitis, ebizwa ngokuthi i-phytophotodermatitis, i-eczema ebangelwa ukukhanya kwesitshalo, noma ungathuthukisa i-phototoxic dermatitis, okusho ukuthi i-dermatitis yokuqhuma kwesitshalo.

Vivien Williams: Izimo ezivamile zizoba yilapho uthinta izitshalo ezithile ekuhambeni noma lapho ucindezela ilayimu ekuphuzweni, mhlawumbe uthola amanzi esandleni sakho, uthinta ingalo yakho. Futhi lapho ilanga liqopha leyo ndawo, i-dermatitis ivela ngesimo sezandla noma amaconsi.

Dawn Marie R. Davis, M.D.: Abantu abaningi bacabanga ukuthi yi-poison ivy ngemigqa nemisila. Kodwa empeleni, akunjalo. Yi-phytophotodermatitis.

Vivien Williams: Ukwelashwa kuhlanganisa i-ointment yendawo nokugcina elangeni.

Ally Barons: Kukhona lapha emilenzeni yami.

Vivien Williams: U-Ally uthi isenzo sakhe sibuhlungu kancane, kodwa ngokuhamba kwesikhathi siyaphela. Nge-Medical Edge, nginguVivien Williams.

Imbangela evamile ye-dermatitis ukuxhumana nento ethinta isikhumba sakho noma ebangela isenzo se-allergic. Izibonelo zezinto ezinjalo yi-poison ivy, i-perfume, i-lotion kanye ne-jewelry equkethe i-nickel. Ezinye izimbangela ze-dermatitis zihlanganisa isikhumba esomile, ukutheleleka kwe-viral, ibhaktheriya, ukucindezeleka, ukwakheka kwe-genetic kanye nenkinga ne-immune system.

Izimbangela ezivame kakhulu ze-dermatitis zihlanganisa:

• Ubudala. I-dermatitis ingase ibonakale kunoma iyiphi iminyaka, kodwa i-atopic dermatitis ivame kakhulu kubantwana kunabantu abadala. Ivamise ukuqala ebuntwaneni.
• Ukutheleleka, i-atopic dermatitis ne-asthma. Abantu abanembali yomuntu siqu noma yomndeni ye-atopic dermatitis, ukutheleleka, i-hay fever noma i-asthma banesihlahla esikhulu sokuthuthukisa i-atopic dermatitis.
• Umsebenzi. Imisebenzi ekuthinta nezinsimbi ezithile, izixazululi noma izinto zokuhlanza iyakwandisa ingozi yakho ye-contact dermatitis. Ukuba ngumsebenzi wezempilo kuhlotshaniswa ne-hand eczema.
• Ezinye izimo zempilo. Izimo zempilo ezikwandisa ingozi yakho ye-seborrheic dermatitis zihlanganisa isifo se-Parkinson, ukungabi namandla omzimba kanye ne-HIV/AIDS.

Ukukracatha okuphindaphindayo okubhebha isikhumba kungabangela amanxeba avulekile neziqule. Lokhu kukhuphula ingozi yokutheleleka ngamabhaktheriya nama-fungi. Lezi zifo zesikhumba zingasakazeka futhi zibe yingozi eyingozi empilweni, yize lokhu kungenzeka kancane.

Kubantu abanesikhumba esimnyama nesimnyama, i-dermatitis ingabangela ukuba isikhumba esithintekayo simnyame noma sikhazimule. Lezi zimo zibizwa ngokuthi i-post-inflammatory hyperpigmentation ne-post-inflammatory hypopigmentation. Kungathatha izinyanga noma iminyaka ukuba isikhumba sibuyele emthonjeni waso.

Gqoka izingubo zokukhusela uma wenza umsebenzi ohilela izinto eziqabula noma amakhemikhali abangela ukubola. Ukuthuthukisa inqubo yekunakekelwa kwesikhumba eyisisekelo kungasiza futhi ekunqobeni isifo seddermatitis. Lezi zindlela zilandelayo zingasiza ekunciphiseni imiphumela yokomisa yokuhlanza:

• Thatha iziketi ezimfushane nezigelezana. Khawulelisa isikhathi sakho sokugeza noma sokuhlamba cishe imizuzu eyi-10. Sebenzisa amanzi afudumele, hhayi ashushu. Amafutha okugeza nawo angasiza.
• Sebenzisa insipho ebile noma i-cleanser engenaso isipho. Khetha i-cleanser engenazo izibhebhe, utshwala kanye nezinongo. Ezinye izipho zingomisa isikhumba. Kubantwana abancane, ngokuvamile udinga kuphela amanzi afudumele ukuze bawageze – akukho sipho noma i-bubble bath edingekayo. Ungasiki isikhumba ngesicabha noma i-loofah.
• Shaya ukoma. Ngemva kokuhlanza, shaya isikhumba ngobumnene ngitawuli elithambile. Gwema ukusikwa ngamandla.
• Gcoba yonke isikhumba. Ngesikhathi isikhumba sisalimanzi, vala umswakama ngefutha, ikhilimu noma i-lotion. Gcoba usuku lonke njengoba kudingeka. I-moisturizers eziningi zithengiswa. Zama imikhiqizo ehlukene ukuze uthole eyasebenza kuwe. I-moisturizer efanele iphephile, ayinawo umoya, isebenza kahle, ibiza kancane futhi oyithandayo ukuyisebenzisa njalo. Izibonelo zihlanganisa iVanicream, iEucerin, iCeraVe neCetaphil. Gcoba yonke isikhumba. Ngesikhathi isikhumba sisalimanzi, vala umswakama ngefutha, ikhilimu noma i-lotion. Gcoba usuku lonke njengoba kudingeka. I-moisturizers eziningi zithengiswa. Zama imikhiqizo ehlukene ukuze uthole eyasebenza kuwe. I-moisturizer efanele iphephile, ayinawo umoya, isebenza kahle, ibiza kancane futhi oyithandayo ukuyisebenzisa njalo. Izibonelo zihlanganisa iVanicream, iEucerin, iCeraVe neCetaphil.

Ukuze athole ukuthi une-dermatitis, udokotela wakho cishe uzobheka isikhumba sakho bese ekhuluma nawe ngezimpawu zakho kanye nomlando wakho wezokwelapha. Kungase kudingeke ukuba kuqothulwe ingxenye encane yesikhumba ukuze ifundwe elabhoratri, lokhu kusiza ekuqedeni ezinye izimo. Le nqubo ibizwa ngokuthi i-biopsy yesikhumba.

Udokotela wakho angase aphakamise ukuhlolwa kwe-patch ukuze athole imbangela yezimpawu zakho. Kulokhu kuhlolwa, inani elincane le-allergen ezingase zibe yimbangela libekwa kuma-patch anamathelayo. Khona-ke la ma-patch abekwa esikhumbeni sakho. Ahlala esikhumbeni sakho izinsuku ezingu-2 kuya kwezingu-3. Phakathi nalesi sikhathi, kuzodingeka ugcine umhlane wakho womile. Khona-ke umhlinzeki wakho wezinsizakalo zezempilo uhlola izimpendulo zesikhumba ngaphansi kwama-patch bese enqamula ukuthi ngabe kukhona okunye ukuhlolwa okudingekayo.

Ukwelashwa kwe-dermatitis kuyahlukahluka, kuye ngesizathu nesimptome zakho. Uma izinyathelo zokunakekelwa ekhaya zingalulamisi izimpawu zakho, udokotela wakho angase anikeze imithi. Izindlela zokwelapha ezingase zisetshenziswe zihlanganisa:

• Ukufaka ikhrimu, ijeli noma i-ointment yecorticosteroid enamandla ngokwemithi kwesikhumba esiqabukile.
• Ukufaka ikhrimu noma i-ointment ene-calcineurin inhibitor esikhumbeni esiqabukile. Lena yimithi ethonya isimiso somzimba. Uzodinga iresiphi yedokotela wakho ngayo.
• Ukukhombisa isikhumba esiqabukile emazingeni alawulwayo okukhanya kwemvelo noma okwenziwe ngabantu. Le ndlela ibizwa ngokuthi i-light therapy noma i-phototherapy.
• Ukusebenzisa amaphilisi anamandla ngokwemithi noma imithi eyenziwa ngokuqhafaza, ngezifo ezinzima kakhulu. Izibonelo yi-corticosteroids yomlomo noma i-biologic eyenziwa ngokuqhafaza ebizwa nge-dupilumab.
• Ukusebenzisa izembatho ezimanzi, ukwelashwa kwezokwelapha kwe-atopic dermatitis enzima. Kuhilela ukufaka i-ointment ye-corticosteroid, ukuyifaka ngamabhande amanzi bese ubeka ilayi le-gauze eyomile phezulu.

Lezi zindlela zokunakekela wena ngokwakho zingakusiza ukuba ulawule i-dermatitis futhi uzizwe kangcono:

• Gcoba isikhumba sakho. Faka umgcoba kanye noma kabili ngosuku, njengophahla oluphezulu phezu kwanoma iyiphi ikhilimu enomuthi oyisebenzisayo. Ama-ointment nama-cream avame ukulinda isikhumba kangcono kunama-lotion anemanzi amaningi. Khetha umkhiqizo ongenayo imibala, utshwala, iziphefumulo nezinye izithako ezingase zicasule isikhumba. Vumela umgcoba ukhanye esikhumbeni ngaphambi kokugqoka.
• Faka isembatho esibandayo, esimanzi. Beka isembatho esibandayo, esimanzi phezu kwesikhumba esicasulayo imizuzu engu-15 kuya kwengu-30 izikhathi eziningi ngosuku. Lokhu kungasiza ukuthula isikhumba sakho.
• Sebenzisa ama-shampoo anomuthi. Ngokuphathelene ne-dandruff, qala uzame ama-shampoo angenamibhalo ehlanganisa i-selenium sulfide, i-zinc pyrithione, i-coal tar noma i-ketoconazole. Uma lokho kungasizi, xoxa nodokotela wakho nge-shampoo enamandla, njengalezo ezitholakala kuphela ngomyalelo.
• Gcoba ngamanzi ane-bleach. Lokhu kungasiza abantu abane-atopic dermatitis eqinile ngokunciphisa amabhaktheriya esikhumbeni. Ukuze uthole ukugcoba okunamanzi ane-bleach, engeza i-½ indebe (118 milliliters) ye-bleach yasekhaya, hhayi i-bleach egxilile, ebhafini elingu-40-gallon (151-liter) eligcwele amanzi afudumele. Ukulinganisa kungenzelwe ibhafu enkulu yase-U.S. egcwele ezibukweni zokukhipha amanzi. Gcoba kusuka entanyeni phansi noma kuphela izindawo ezibuhlungu imizuzu engu-5 kuya kwengu-10. Ungawubeki ikhanda phansi kwamanzi. Geza ngamanzi ephumula, bese uqeda. Gcoba ngamanzi ane-bleach izikhathi ezingu-2 kuya kwezingu-3 ngesonto.

Abantu abaningi baye baphumelela ngokusebenzisa ukugcoba okunamanzi ane-vinegar kunokugcoba okunamanzi ane-bleach. Engeza indebe engu-1 (236 milliliters) ye-vinegar ebhafini eligcwele amanzi afudumele.

Xoxa nodokotela wakho ukuthi yikuphi kula maqhinga okuyinto enhle kuwe.

• Vivi isikhumba sakho. Gwema ukusikhafuka nokuzikhubaza. Mbumbuluka indawo ecasulayo ngokubopha uma ungakwazi ukuyeka ukuzikhubaza. Sika izipikili zakho bese ugqoka izihlangu ebusuku. Ngesikhathi isikhumba sakho siphola, hlala ukhulu emini noma sebenzisa ezinye izindlela zokuvikela ilanga.
• Gwema izinto ezicasulayo noma ezingaba yizimbangela zokucasulayo. Gwema izingubo ezinobukhulu nezicasulayo. Futhi zama ukuqonda nokususa izinto ezingaba yizimbangela zokucasulayo nezinye izinto ezingozini yakho ezicasula isikhumba sakho. Izinto ezinuka kamnandi ezisetshenziswa emikhiqizweni yokunakekela isikhumba yiyona enye yezinto ezingaba yizimbangela zokucasulayo. Gwema ukusebenzisa ama-perfume, ama-cologne nama-soaps anuka kamnandi, ama-deodorant nama-detergent okugeza. Khetha izinto ezingenamphumulo. Gwema ukusebenzisa ama-fabric softener eshini noma ebhafini.
• Lawula ukucindezeleka kwakho. Ukucindezeleka ngokomzwelo kungabangela izinhlobo ezithile ze-dermatitis ukuba zikhule. Ukuba uqaphele ukucindezeleka nokukhathazeka nokuthatha izinyathelo zokuthuthukisa impilo yakho yomzwelo kungasiza isikhumba sakho futhi.

Gcoba ngamanzi ane-bleach. Lokhu kungasiza abantu abane-atopic dermatitis eqinile ngokunciphisa amabhaktheriya esikhumbeni. Ukuze uthole ukugcoba okunamanzi ane-bleach, engeza i-½ indebe (118 milliliters) ye-bleach yasekhaya, hhayi i-bleach egxilile, ebhafini elingu-40-gallon (151-liter) eligcwele amanzi afudumele. Ukulinganisa kungenzelwe ibhafu enkulu yase-U.S. egcwele ezibukweni zokukhipha amanzi. Gcoba kusuka entanyeni phansi noma kuphela izindawo ezibuhlungu imizuzu engu-5 kuya kwengu-10. Ungawubeki ikhanda phansi kwamanzi. Geza ngamanzi ephumula, bese uqeda. Gcoba ngamanzi ane-bleach izikhathi ezingu-2 kuya kwezingu-3 ngesonto.

Abantu abaningi baye baphumelela ngokusebenzisa ukugcoba okunamanzi ane-vinegar kunokugcoba okunamanzi ane-bleach. Engeza indebe engu-1 (236 milliliters) ye-vinegar ebhafini eligcwele amanzi afudumele.

Xoxa nodokotela wakho ukuthi yikuphi kula maqhinga okuyinto enhle kuwe.

Izindlela eziningi ezihlukile zokwelapha, kufaka phakathi lezo ezibalwe ngezansi, ziye zasiza abantu abaningi ukuba baqondane ne-dermatitis yabo.

• Ukuthatha izithako zokudla, njenge-vitamin D ne-probiotics, nge-atopic dermatitis.
• Ukufaka i-rice bran broth esikhumbeni, nge-atopic dermatitis.
• Ukusebenzisa i-5% tea tree oil shampoo, nge-dandruff.
• Ukufaka umkhiqizo we-aloe esikhumbeni, nge-seborrheic dermatitis.
• Ukuthatha ukwelashwa ngezitshalo zaseShayina.

Ubufakazi bokuthi lezi zindlela zisebenza buhlangene. Futhi ngezinye izikhathi izindlela zokwelapha ngezitshalo nezikole zendabuko zibangela ukucazuka noma ukucasuka okungaba yimbangela yokucasulayo.

Izindlela ezihlukile zokwelapha ngezinye izikhathi zibizwa ngokuthi yi-integrative medicine. Uma ucabanga ngezithako zokudla noma ezinye izindlela ze-integrative medicine, xoxa nodokotela wakho ngezinzuzo nezingozi zazo.