Dermatitis yapamwamba - ana - kusamalira kunyumba

Dopatitis ya atopic ndimatenda amtundu wautali (okhalitsa) omwe amakhala ndi zotupa ndi zotupa. Amatchedwanso eczema. Vutoli limachitika chifukwa cha khungu lotengeka kwambiri lomwe limafanana ndi ziwengo. Zikhozanso kuyambika chifukwa cha kupindika kwa mapuloteni ena akhungu. Izi zimabweretsa kutupa khungu nthawi zonse.

Dermatitis yambiri imafala kwambiri mwa makanda ndi ana. Itha kuyamba kuyambira miyezi 2 mpaka 6. Ana ambiri amapitilira msinkhu wawo atakula.

Matendawa amatha kukhala ovuta kuwongolera mwa ana, chifukwa chake ndikofunikira kuti mugwire ntchito limodzi ndi omwe amakupatsani chithandizo chamankhwala. Kusamalira khungu tsiku ndi tsiku ndikofunikira kuti tipewe kuwonongeka ndi khungu kuti lisatenthe.

Kuyabwa kwambiri ndikofala. Kuyabwa kumatha kuyamba ngakhale izi zisanachitike. Matenda a dermatitis nthawi zambiri amatchedwa "kuyabwa komwe kumatuluka" chifukwa kuyabwa kumayamba, kenako khungu limatsatira chifukwa chakukanda.

Kuthandiza mwana wanu kupewa kukanda:

• Gwiritsani ntchito zonunkhira, topical steroid kirimu, zotchinga zotchinga zotchinga, kapena mankhwala ena omwe woperekayo amapereka.
• Chepetsani zikhadabo za mwana wanu. Auzeni kuti azivala magolovesi opepuka pomwe akugona ngati kukanda usiku ndi vuto.
• Perekani antihistamines kapena mankhwala ena pakamwa monga momwe woperekera mwana wanu akuuzira.
• Momwe mungathere, phunzitsani ana okulirapo kuti asakande khungu loyabwa.

Kusamalira khungu tsiku ndi tsiku ndi zinthu zopanda mafuta kumatha kuchepetsa kufunika kwa mankhwala.

Gwiritsani ntchito mafuta onunkhira (monga mafuta odzola), mafuta, kapena mafuta odzola. Sankhani zopangidwa ndi khungu zomwe zimapangidwira anthu omwe ali ndi chikanga kapena khungu losazindikira. Izi sizikhala ndi mowa, zonunkhira, utoto, ndi mankhwala ena. Kukhala ndi chopangira chinyezi kuti mpweya uzikhala wofewa kumathandizanso.

Zodzitetezera ndi zotsekemera zimagwira ntchito bwino zikagwiritsidwa ntchito pakhungu lonyowa kapena lachinyezi. Mukatha kutsuka kapena kusamba, pukusani khungu lanu ndikuwathira mafuta nthawi yomweyo. Woperekayo angakulimbikitseni kuti muveke zodzikongoletsera pakhungu.

Mukamatsuka kapena kusamba mwana wanu:

• Sambani pafupipafupi ndikusunga madzi mwachidule momwe mungathere. Malo osambira ofupikirapo, ozizira ndi abwino kuposa malo osambirapo ataliatali, otentha.
• Gwiritsani ntchito oyeretsa ochepetsa khungu m'malo mwa sopo wachikhalidwe, ndipo muzigwiritsa ntchito pamaso, pamikono, kumaliseche, m'manja, ndi m'miyendo mwa mwana wanu.
• Osapukuta kapena kuyanika khungu molimbika kapena motalika kwambiri.
• Mukangosamba, perekani mafuta onunkhira, mafuta odzola kapena mafuta pamene khungu lidakali lonyowa kuti mugwire chinyezi.

Valani mwana wanu zovala zofewa, zabwino, monga zovala za thonje. Muuzeni mwana wanu kuti amwe madzi ambiri. Izi zitha kuthandiza kuwonjezera chinyezi pakhungu.

Phunzitsani ana okulirapo malangizo omwewa osamalira khungu.

Ziphuphu zokha, komanso kukanda, nthawi zambiri zimayambitsa kusweka pakhungu ndipo zimatha kubweretsa matenda. Yang'anirani kufiira, kutentha, kutupa, kapena zizindikiro zina za matenda. Itanani wopezera mwana wanu chizindikiro choyamba cha matenda.

Zotsatira zotsatirazi zitha kukulitsa zizindikilo za atopic dermatitis:

• Matenda a mungu, nkhungu, nthata, kapena nyama
• Mphepo yozizira komanso youma m'nyengo yozizira
• Chimfine kapena chimfine
• Lumikizanani ndi zopsa mtima ndi mankhwala
• Lumikizanani ndi zinthu zovuta, monga ubweya
• Khungu louma
• Kupsinjika mtima
• Kusamba pafupipafupi kapena kusamba ndikusambira pafupipafupi, komwe kumatha kuyanika khungu
• Kutentha kapena kuzizira kwambiri, komanso kutentha kwadzidzidzi
• Mafuta onunkhira kapena utoto wowonjezeredwa m'matenda a khungu kapena sopo

Pofuna kupewa kukangana, yesetsani kupewa:

• Zakudya, monga mazira, zomwe zimatha kuyambitsa vuto la mwana wakhanda. Nthawi zonse kambiranani ndi omwe akukuthandizani kaye.
• Ubweya, lanolin, ndi nsalu zina zokanda. Gwiritsani ntchito zovala zosalala, zoluka komanso zofunda, monga thonje.
• Kutuluka thukuta. Samalani kuti musamvale mwana wanu nthawi yotentha.
• Sopo zamphamvu kapena zotsekemera, komanso mankhwala ndi zosungunulira.
• Kusintha kwadzidzidzi kwa kutentha kwa thupi, komwe kumatha kuyambitsa thukuta ndikuipiraipira thanzi la mwana wanu.
• Kupsinjika. Onetsetsani zizindikiro zomwe mwana wanu amakhumudwa kapena kupsinjika ndikuwaphunzitsa njira zochepetsera kupsinjika monga kupuma kwambiri kapena kuganizira zinthu zomwe amasangalala nazo.
• Zomwe zimayambitsa zomwe zimayambitsa ziwengo. Chitani zomwe mungathe kuti nyumba yanu ikhale yopanda zovuta monga nkhungu, fumbi, ndi pet dander.
• Pewani kugwiritsa ntchito mankhwala osamalira khungu omwe ali ndi mowa.

Kugwiritsa ntchito zonunkhira, mafuta opaka mafuta, kapena mafuta tsiku lililonse monga momwe adalangizira kungathandize kupewa kuyatsa.

Ma antihistamine omwe amatengedwa pakamwa atha kuthandiza ngati ziwengo zimayambitsa khungu loyabwa la mwana wanu. Mankhwalawa nthawi zambiri amapezeka pakauntala ndipo safuna mankhwala. Funsani omwe amakupatsani mwana wanu zomwe zili zoyenera kwa mwana wanu.

Dermatitis yamatenda nthawi zambiri imachiritsidwa ndi mankhwala omwe amaikidwa molunjika pakhungu kapena pamutu. Izi zimatchedwa mankhwala apakhungu:

• Wothandizirayo atha kupereka kirimu wofatsa wa cortisone (steroid) kapena mafuta poyamba. Ma topical steroids amakhala ndi mahomoni omwe amathandiza "kukhazika mtima pansi" khungu la mwana wanu litatupa kapena lotupa. Mwana wanu angafunikire mankhwala amphamvu ngati izi sizigwira ntchito.
• Mungalimbikitsenso mankhwala omwe amayang'anira chitetezo cha mthupi cha khungu lotchedwa topical immunomodulators.
• Zodzitetezera ndi mafuta okhala ndi ma ceramide omwe amabwezeretsa chotchinga cha khungu amathandizanso.

Mankhwala ena omwe angagwiritsidwe ntchito ndi awa:

• Mankhwala opha tizilombo kapena mapiritsi ngati khungu la mwana wanu liri ndi kachilomboka.
• Mankhwala omwe amaletsa chitetezo cha mthupi kuti achepetse kutupa.
• Phototherapy, mankhwala omwe khungu la mwana wanu limawunikidwa mosamala ndi kuwala kwa ultraviolet (UV).
• Kugwiritsa ntchito kwakanthawi kwa systemic steroids (ma steroids operekedwa pakamwa kapena kudzera mumitsempha ngati jakisoni).
• Jakisoni wa biologic wotchedwa dupilumab (Dupixent) atha kugwiritsidwa ntchito mopepuka mpaka atopic dermatitis.

Wopereka mwana wanu adzakuuzani kuchuluka kwa mankhwalawa kuti mugwiritse ntchito komanso kangati. Osagwiritsa ntchito mankhwala ochulukirapo kapena kuwagwiritsa ntchito pafupipafupi kuposa momwe akufotokozera.

Itanani yemwe amakupatsani mwana ngati:

• Dermatitis ya m'mimba sikhala bwino ndikusamalidwa kunyumba
• Zizindikiro zimaipiraipira kapena mankhwala sakugwira ntchito
• Mwana wanu ali ndi zizindikiro za matenda, monga kufiira, mafinya kapena mabampu odzaza madzi pakhungu, malungo, kapena kupweteka

Chikanga cha ana; Dermatitis - ana atopic; Chikanga - atopic - ana

Eichenfield LF, Tom WL, Berger TG, ndi al. Ndondomeko zosamalira kasamalidwe ka atopic dermatitis: gawo 2. Kuwongolera ndi kuchiza atopic dermatitis ndimatenda apadera. J Am Acad Dermatol. 2014; 71 (1): 116-132. PMID: 24813302 pubed.ncbi.nlm.nih.gov/24813302/.

Eichenfield LF, Tom WL, Chamlin SL, ndi al. Maupangiri othandizira kusamalira atopic dermatitis: gawo 1. Kuzindikira ndikuwunika kwa atopic dermatitis. J Am Acad Dermatol. 2014; 70 (2): 338-351. [Adasankhidwa] PMID: 24290431 pubed.ncbi.nlm.nih.gov/24290431/.

McAleer MA, O'Regan GM, Irvine AD. Dermatitis yapamwamba. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 12.

Sidbury R, ​​Davis DM, Cohen DE, ndi al. Maupangiri akusamalira kasamalidwe ka atopic dermatitis: gawo 3. Kuwongolera ndi chithandizo ndi phototherapy ndi systemic agents. J Am Acad Dermatol. 2014; 71 (2): 327-349. PMID: 24813298 pubed.ncbi.nlm.nih.gov/24813298/.

Sidbury R, ​​Tom WL, Bergman JN, ndi al. Ndondomeko za chisamaliro cha kasamalidwe ka matenda a atopic dermatitis: gawo 4. Kuteteza kuyaka kwamatenda ndikugwiritsa ntchito njira zothandizirana ndi njira. J Am Acad Dermatol. 2014; 71 (6): 1218-1233. PMID: 25264237 pubed.ncbi.nlm.nih.gov/25264237/.

Tom WL, Eichenfield LF. Matenda a eczematous. Mu: Eichenfield LF, Frieden IJ, Mathes EF, Zaenglein AL, olemba. Matenda a Neonatal ndi Khanda. Wachitatu ed. Philadelphia, PA: Elsevier Saunders; 2014: mutu 15.

• Chikanga