I-atopic dermatitis - abantwana - ukhathalelo lwasekhaya

I-atopic dermatitis sisifo sexesha elide (esingapheliyo) solusu esibandakanya isikhumba kunye nerhashalala. Ikwabizwa ngokuba yi-eczema. Imeko ibangelwa kukungasabeli kakuhle kolusu olufana nokwaliwa. Isenokubangelwa ziziphene kwiiproteni ezithile kumphezulu wolusu. Oku kukhokelela ekuvukeleni okuqhubekayo kwesikhumba.

I-atopic dermatitis ixhaphake kakhulu kwiintsana nasebantwaneni. Inokuqala ukuqala kwiinyanga ezi-2 ukuya kwezi-6 ubudala. Uninzi lwabantwana luyakudlula ngokuba sele bekhulile.

Le meko kunokuba nzima ukuyilawula ebantwaneni, ke kubalulekile ukuba usebenze ngokusondeleyo nomboneleli wezempilo womntwana wakho. Ukhathalelo lolusu lwemihla ngemihla lubalulekile ekuncedeni ukuthintela i-flare-ups kunye nokugcina ulusu lungatshi.

Ukurhawuzelela kakhulu kuqhelekile. Ukurhawuzelela kungaqala kwangaphambi kokuba kuvele irhashalala. I-atopic dermatitis ihlala ibizwa ngokuba "kukudlathuka kweerhashalala" kuba ukurhawuzelela kuyaqala, emva koko ukurhawuzelela kolusu kulandela ngenxa yokukrwela.

Ukunceda umntwana wakho aphephe ukukrwela:

• Sebenzisa i-moisturizer, i-topical steroid cream, isithintelo sokulungisa isithintelo, okanye elinye iyeza ekubonelelwa ngumboneleli womntwana.
• Gcina iinzipho zomntwana wakho zisikiwe. Banxibe iiglavu ezikhanyayo ngelixa uleleyo xa ukrwela ebusuku yingxaki.
• Nika ii-antihistamines okanye amanye amayeza ngomlomo njengoko kumiselwe ngumboneleli womntwana wakho.
• Kangangoko kunokwenzeka, fundisa abantwana abadala ukuba bangakrwabi ulusu olurhawuzayo.

Ukhathalelo lwemihla ngemihla lolusu kunye neemveliso ezingenazifo zinokunciphisa isidingo samayeza.

Sebenzisa ioyile yokuthambisa (enje nge petroleum jelly), iikhrimu, okanye into yokuthambisa. Khetha iimveliso zesikhumba ezenzelwe abantu abane-eczema okanye ulusu olubuthathaka. Ezi mveliso azinabutywala, ivumba, idayi, kunye nezinye iikhemikhali. Ukuba ne-humidifier yokugcina umoya omanzi kuya kunceda.

Izinto zokuthambisa kunye ne-emollients zisebenza kakuhle xa zisetyenziswe kulusu olumanzi okanye olufumileyo. Emva kokuhlamba okanye ukuhlamba, bamba ulusu lome kwaye emva koko uthambise amafutha okuthambisa ngoko nangoko. Umboneleli wakho unokucebisa ukuba ubeke isinxibo ngaphezulu kwezi zithambiso zokuthambisa ulusu.

Xa uhlamba okanye uhlamba umntwana wakho:

• Hlamba rhoqo kwaye ugcine unxibelelwano lwamanzi lufutshane kangangoko. Ngokufutshane, iibhafu ezipholileyo zingcono kunezo zide, ezishushu.
• Sebenzisa izinto zokucoca ulusu ngobumnene kunokusebenzisa iisepha zesiko, kwaye uzisebenzise kuphela ebusweni bomntwana wakho, phantsi kwekhwapha, kwiindawo zangasese, ezandleni nasezinyaweni.
• Sukukhuhla okanye ukomisa ulusu kakhulu okanye ixesha elide.
• Kanye emva kokuhlamba, thambisa ioyile yokuthambisa, okanye into yokuthambisa ngelixa ulusu lusemanzi ukubamba ukufuma.

Nxibisa umntwana wakho iimpahla ezithambileyo nezitofotofo ezifana neempahla zomqhaphu. Cela umntwana wakho ukuba asele amanzi amaninzi. Oku kunokunceda ukongeza ukufuma kulusu.

Fundisa abantwana abadala ezi ngcebiso ngokunyamekela ulusu.

Irhashalala ngokwalo, kunye nokukrwela, zihlala zibangela ulusu kwaye zinokukhokelela kusulelo. Gcina iso ububomvu, ukufudumala, ukudumba, okanye ezinye iimpawu zosulelo. Tsalela umnikezeli womntwana wakho kumqondiso wokuqala wosulelo.

Ezi zinto zilandelayo zinokubangela ukuba iimpawu ze-atopic dermatitis zibe mbi:

• Ubundlobongela kumungu, umngundo, uthuli okanye izilwanyana
• Umoya obandayo nolomileyo ebusika
• Umkhuhlane okanye umkhuhlane
• Ukuqhagamshelana ne-irritants kunye neekhemikhali
• Ukudibana nezinto ezirhabaxa, ezinje ngoboya
• Ulusu olomileyo
• Uxinzelelo lweemvakalelo
• Ukuhlamba rhoqo okanye iishawa kunye nokudada rhoqo, okunokomisa ulusu
• Ukuba shushu kakhulu okanye kubanda kakhulu, kunye notshintsho ngequbuliso kumaqondo obushushu
• Iziqholo okanye iidayi ezifakwe kwilusu okanye iisepha

Ukuthintela i-flare-ups, zama ukunqanda:

• Ukutya, okufana namaqanda, kunokubangela ukungaziphathi kakuhle kumntwana omncinci kakhulu. Soloko uxoxa nomboneleli wakho kuqala.
• Uboya, i-lanolin, kunye namanye amalaphu akrwelekayo. Sebenzisa impahla egudileyo, enombala kunye neebhedi, ezinje ngomqhaphu.
• Ukubila. Lumka unganxibi ngaphezu komntwana wakho xa kushushu.
• Iisepha ezomeleleyo okanye iisepha, kunye neekhemikhali kunye nezixazululi.
• Ukutshintsha ngesiquphe kubushushu bomzimba, obunokubangela ukubila kunye nokuba mandundu kwemeko yomntwana wakho.
• Uxinzelelo. Jonga imiqondiso yokuba umntwana wakho uziva ekhathazekile okanye enoxinzelelo kwaye umfundise iindlela zokunciphisa uxinzelelo njengokuphefumla nzulu okanye ukucinga ngezinto abazithandayo.
• Izinto ezibangela iimpawu zokungabikho komzimba. Yenza okusemandleni akho ukugcina ikhaya lakho lingenazo izinto ezibangelwa kukungabikho komzimba ezifana nokubumba, uthuli kunye nesilwanyana sasekhaya.
• Kuphephe ukusebenzisa iimveliso zolusu ezinesiselo esinxilisayo.

Ukusebenzisa i-moisturizers, i-creams, okanye i-ointments imihla ngemihla njengoko kulandelwe kunokunceda ukukhusela i-flares.

Ii-antihistamines ezithathwe ngomlomo zinokunceda ukuba i-allergies ibangela ulusu lomntwana wakho olurhawuzayo. La mayeza ahlala efumaneka ekhawuntareni kwaye awufuni ngugqirha. Buza umboneleli womntwana wakho ukuba loluphi uhlobo olulungele umntwana wakho.

I-atopic dermatitis ihlala iphathwa ngamayeza abekwe ngqo kulusu okanye entlonzeni. Lawa abizwa ngokuba ngamayeza asemxholweni:

• Umboneleli uya kuthi amisele i-cortisone (steroid) cream okanye mafutha athambileyo ekuqaleni. Izihloko ze-steroids ziqulathe ihomoni enceda "ukuzola" isikhumba somntwana wakho xa sidumbile okanye sidumbile. Umntwana wakho unokufuna iyeza elinamandla ukuba alisebenzi.
• Amayeza alawula amajoni omzimba esikhumbeni abizwa ngokuba zii-topical immunomodulators nawo anokucetyiswa.
• Izinto zokuthambisa kunye neekhrim eziqukethe iiseramide ezibuyisela umqobo kulusu ziyanceda.

Olunye unyango olunokusetyenziswa lubandakanya:

• Izithambisi okanye iipilisi ezibulala iintsholongwane ukuba ulusu lomntwana wakho lusulelekile.
• Amayeza acinezela amajoni omzimba ukunciphisa ukudumba.
• I-Phototherapy, unyango apho ulusu lomntwana wakho luvezwa ngononophelo kukukhanya kwe-ultraviolet (UV).
• Ukusetyenziswa kwexesha elifutshane kwe-systemic steroids (i-steroids enikezwa ngomlomo okanye nge-vein njenge-injection).
• Inaliti ye-biologic ebizwa ngokuba yi-dupilumab (iDupixent) inokusetyenziselwa ukumodareyitha ukuya kwi-atopic dermatitis.

Umboneleli womntwana wakho uya kukuxelela ukuba ungakanani la mayeza oza kuwasebenzisa kwaye kaninzi kangakanani. Sukusebenzisa amayeza amaninzi okanye uwasebenzise rhoqo kunokuba umboneleli esitsho.

Fowunela umnikezeli womntwana wakho ukuba:

• I-atopic dermatitis ayibi bhetele kunyango lwasekhaya
• Iimpawu ziba mandundu okanye unyango alusebenzi
• Umntwana wakho uneempawu zosulelo, ezinjengobomvu, ubomvu okanye amaqhuma agcwalise ulwelo kulusu, umkhuhlane, okanye iintlungu

I-eczema yabantwana; Dermatitis - abantwana atopic; I-eczema - i-atopic - abantwana

I-Eichenfield LF, uTom WL, uBerger TG, et al. Izikhokelo zokhathalelo lolawulo lwe-atopic dermatitis: icandelo 2. Ulawulo kunye nokunyanga i-atopic dermatitis ngamayeza onyango. Ndiyi-Acad Dermatol. Ngo-2014; 71 (1): 116-132. IINKCUKACHA: 24813302 pubmed.ncbi.nlm.nih.gov/24813302/.

I-Eichenfield LF, uTom WL, uChamlin SL, et al. Izikhokelo zokhathalelo lolawulo lwe-atopic dermatitis: icandelo 1. Ukuxilongwa kunye nokuvavanywa kwe-atopic dermatitis. Ndiyi-Acad Dermatol. Ngo-2014; 70 (2): 338-351. IINKCUKACHA: 24290431 pubmed.ncbi.nlm.nih.gov/24290431/.

UMcAleer MA, O'Regan GM, Irvine AD. Dermatitis ephezulu. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 12.

ISidbury R, ​​i-Davis DM, iCohen DE, et al. Izikhokelo zokhathalelo kulawulo lwe-atopic dermatitis: icandelo 3. Ulawulo kunye nonyango lwefototherapy kunye neearhente zenkqubo. Ndiyi-Acad Dermatol. Ngo-2014; 71 (2): 327-349. IINKCUKACHA: 24813298 pubmed.ncbi.nlm.nih.gov/24813298/.

ISidbury R, ​​uTom WL, uBergman JN, et al. Izikhokelo zokhathalelo kulawulo lwe-atopic dermatitis: icandelo 4. Ukuthintela ukutsha kwesifo kunye nokusetyenziswa kweendlela zokudibanisa kunye neendlela. Ndiyi-Acad Dermatol. Ngo-2014; 71 (6): 1218-1233. IINKCUKACHA: 25264237 pubmed.ncbi.nlm.nih.gov/25264237/.

UTom WL, uEichenfield LF. Ukuphazamiseka kwe-eczematous. Ku: Eichenfield LF, Frieden IJ, Mathes EF, Zaenglein AL, eds. I-Dermatology yeNonatal kunye neentsana. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 15.

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