Njira Zosankha Kuchiza Dermatitis

Zamkati

• Zogulitsa za OTC
• Zowonjezera
• Zamadzimadzi
• Zokongoletsa
• Mafuta
• Masewera a steroids
• Mankhwala apakamwa
• Mankhwala akuchipatala
• Mankhwala opangira mankhwala
• Matenda a calcineurin inhibitors
• Mankhwala oletsa jakisoni
• Mankhwala apakamwa
• Phototherapy
• Tengera kwina

Atopic dermatitis (AD) ndimatenda achikopa omwe amakhudza anthu pafupifupi 18 miliyoni. Amadziwika ndi khungu louma komanso kuyabwa kosalekeza. AD ndi mtundu wamba wa chikanga.

Kupeza dongosolo labwino lodzitetezera ndi chithandizo cha AD ndikofunikira pakuwongolera zizindikilo. Wosachiritsidwa AD apitilizabe kuyabwa ndikupangitsa kukanda kwina. Mukangoyamba kukanda, mumakhala pachiwopsezo chachikulu chotenga matenda.

Chithandizo chothandiza chingakuthandizeni kukhalabe ndi moyo wabwino komanso kugona mokwanira. Zonsezi ndizofunikira kuti muchepetse kupsinjika, komwe kumatha kubweretsa kuwonjezeka kwamphamvu.

Ngakhale kulibe mankhwala a AD, pali njira zosiyanasiyana zochiritsira. Izi zikuphatikiza zinthu zogulitsa ku-counter (OTC), mankhwala akuchipatala, ndi phototherapy.

Zogulitsa za OTC

Njira zambiri zamankhwala zothandizira AD zimapezeka popanda mankhwala.

Zowonjezera

Kutonthoza khungu ndi imodzi mwamankhwala osavuta komanso othandiza kwambiri a AD. Kuti muchepetse khungu louma lomwe limayambitsidwa ndi AD, muyenera kuwonjezera chinyezi pakhungu. Njira yabwino yochitira izi ndikugwiritsa ntchito chinyezi mutangosamba, khungu likadali lachinyezi.

OTC moisturizers ndi njira yabwino yanthawi yayitali yothandizira. Pali mitundu itatu yosiyanasiyana ya zofewetsa:

Zamadzimadzi

Lotions ndiye opepuka opepuka kwambiri. Mafuta odzola ndi kusakaniza kwa madzi ndi mafuta omwe mungathe kufalikira mosavuta pakhungu. Komabe, madzi odzola amasanduka nthunzi msanga, chifukwa mwina sangakhale chisankho chabwino kwambiri cha AD.

Zokongoletsa

Kirimu ndi chophatikiza cha mafuta ndi madzi. Mafuta ali ndi zonona zambiri kuposa mafuta odzola. Zokongoletsa zimakhazikika kuposa mafuta odzola, kutanthauza kuti amasungunula khungu bwino. Makirimu ndi njira yabwino kwambiri yothira khungu tsiku ndi tsiku.

Mafuta

Mafuta odzola ndi mafuta opaka mafuta ambiri komanso madzi ochepa kuposa mafuta odzola. Mafuta odzola ndiabwino ndipo ayenera kukhala ndi zowonjezera zochepa. Mafuta ophweka kwambiri ndi mafuta odzola, omwe ali ndi chinthu chimodzi chokha.

Kukhala ndi zopangira zochepa kumapangitsa kuti mafuta akhale njira yabwino kwa iwo omwe ali ndi khungu losazindikira. Chifukwa mawonekedwe awa amadzola mafuta pakhungu, ndibwino kuti muwagwiritse ntchito musanagone.

Masewera a steroids

Pochita chithandizo chakanthawi kochepa, potency topical topic corticosteroids imapezeka pompopompo. Mafuta a hydrocortisone okhala ndi mphamvu zochepa (Cortaid, Nutracort) amapezeka m'malo ogulitsira mankhwala ambiri.

Mutha kugwiritsa ntchito hydrocortisone nthawi yomweyo mutatha kusungunula khungu lanu. Ndizothandiza kwambiri pochiza flare-up.

American Academy of Dermatology (AAD) ikulimbikitsa kuchitira malo okhudzidwa kawiri tsiku lililonse. Matenda a corticosteroids sangagwiritsidwe ntchito kwakanthawi. M'malo mwake, AAD imalimbikitsa kugwiritsa ntchito njira zodzitetezera nthawi zina. Lankhulani ndi dokotala wanu za kuthekera kogwiritsa ntchito hydrocortisone kamodzi kapena kawiri pamlungu m'malo omwe mungakumane nawo.

Mankhwala apakamwa

OTC antihistamines amatha kupititsa patsogolo mankhwala a AD. Malinga ndi AAD, kafukufuku wokhudzana ndi mphamvu ya antihistamines ndiosakanikirana. Ma antihistamine samalimbikitsidwa kawirikawiri ngati chithandizo chazokha.

Komabe, antihistamines ngati diphenhydramine (Benadryl) itha kuthandizira kuyendetsa kuzungulira kwake. Kuchepetsa pang'ono kungathandizenso ngati kuyabwa kwanu kukupangitsani kukhala maso usiku.

Mankhwala akuchipatala

Ngati mukumenyanabe ndi moto ndi zosankha za OTC, dokotala wanu akhoza kukulemberani mankhwala. Pali mitundu yosiyanasiyana ya mankhwala akuchipatala omwe amagwiritsidwa ntchito kuchiza AD.

Mankhwala opangira mankhwala

Ma steroids ambiri apakhungu amapezeka kokha mwa mankhwala. Ma steroids am'magulu amathandizidwa ndi potency. Amayambira kalasi 1 (yamphamvu kwambiri) mpaka kalasi 7 (yopanda mphamvu).Ambiri mwa mankhwala otchedwa topical steroids sakhala oyenera kwa ana, choncho nthawi zonse muzifunsa dokotala wa mwana wanu poyamba.

Ma steroids amatha kukonzekera monga mafuta, mafuta, kapena mafuta omwe amagwiritsidwa ntchito pakhungu. Mofanana ndi mafuta onunkhiritsa, mafuta opangira mafuta atha kukhala njira yabwino kwambiri ngati mafuta azipsa kapena obaya.

Matenda a calcineurin inhibitors

Matenda a calcineurin inhibitors (TCIs) ndi gulu latsopanolo la mankhwala odana ndi zotupa. Alibe ma steroids. Komabe ndi othandiza pochiza zotupa ndi kuyabwa zomwe zimayambitsidwa ndi AD.

Pali ma TCIs awiri pamsika lero: pimecrolimus (Elidel) ndi tacrolimus (Protopic).

Mu 2006, US Food and Drug Administration (FDA) idawonjezera chizindikiro chakuda paketi ya mankhwala awiriwa. Chenjezo limachenjeza ogula za kulumikizana kotheka pakati pa ma TCIs ndi khansa.

A FDA akuvomereza kuti zitenga zaka makumi ambiri kuti mudziwe ngati pali chiwopsezo chenicheni chotsimikizika. Pakadali pano, a FDA amalimbikitsa kuti mankhwalawa azingogwiritsidwa ntchito ngati njira yachiwiri yothandizira.

Ngati dokotala akuwona kuti AD yanu sakuyankha mankhwala ena, atha kulingalira za chithandizo chakanthawi kochepa ndi ma TCIs.

Mankhwala oletsa jakisoni

Mankhwala ena atsopano adavomerezedwa mu 2017 ndi FDA. Dupilumab (Dupixent), jakisoni wotsutsa-yotupa, itha kugwiritsidwa ntchito limodzi ndi corticosteroids.

Mankhwala apakamwa

Mankhwala ndi omwe amapezeka kwambiri komanso amaphunziridwa kwambiri ku AD. Nthawi zina, dokotala wanu amatha kukupatsani mankhwala akumwa monga:

• oral corticosteroids ya AD yofala, yovuta, komanso yosagonjetsedwa
• cyclosporine kapena interferon kwa AD yoopsa
• maantibayotiki ngati mutenga matenda pakhungu la bakiteriya

Phototherapy

Phototherapy amatanthauza chithandizo chounikira. Chithandizo chamankhwala ochepetsa ma ultraviolet B (NB-UVB) ndiye njira yodziwika kwambiri yothandizira anthu omwe ali ndi AD. Chithandizo cha NB-UVB chimachotsa khungu kuwonongeka kwa kuwala kwa ultraviolet A (UVA) kuwunika padzuwa.

Phototherapy ndi njira yabwino yachiwiri ngati simukuyankha kuchipatala. Itha kugwiritsidwanso ntchito kuchipatala.

Mtengo ndi kupezeka kwake ndizomwe zimatsutsa kwambiri. Muyenera kupeza chithandizo cha Phototherapy kawiri kapena katatu pa sabata. Izi zingafune nthawi yayikulu yoyendera komanso mtengo wake.

Tengera kwina

Ndi njira zonse zamankhwala izi, muyenera kukhala otsimikiza kuti mupeza njira yothetsera matenda anu. Lankhulani ndi dokotala wanu kuti akupangireni njira yabwino kwambiri yothandizira AD. Ngati dokotala akukulemberani mankhwala atsopano, onetsetsani kuti mufunse mafunso okhudza kugwiritsa ntchito moyenera.