Unyango olunjani lwe-dermatitis

Imfundo yezeMpilo

Oonobangela | Iimpawu | Uxilongo | Nxibelelana nonyango lwe-dermatitis | Uthintelo

Iqale njengokurhawuzela okubomvu kurhawuzela kwikona enye yejwabu leso eliphezulu kwaye yasasazeka ukusuka apho ukugubungela bonke ubuso nesifuba. Kwavakala ngathi kukutshiswa lilanga okubi kakhulu, oku kuxobuka kabini okanye kathathu ngemini. Yayirhawuzela ngathi iphambene, njengoko ulusu olufileyo lwaphuka lwaza lwahamba lwenza indawo yolusu olufayo phantsi kwalo. Ndizamile ukusebenzisa amafutha okuthambisa nokunyanga ukunyanga ububomvu nokudumba. Nangona ndandingenayo i-allergies, ndandifumene ne-dermatitis.

Ukuba uke waphendula kwi-ivy yetyhefu okanye i-sumac yetyhefu, uyazi ukuba yeyiphi na i-dermatitis, okanye uqhakamshelwano ne-eczema, yile: amabala esikhumba abomvu, acaphukisayo, adumbile, kwaye arhawuzela apho ulusu lwakho ludibene khona namagqabi. Kwenzeka ngenxa yokuba umzimba wakho wawunokungavisisani nento ethile kwi-ivy enetyhefu. Ngokuqhelekileyo, impendulo iya kuncipha kwiiveki ezimbalwa. Kodwa ngamanye amatyala okunxibelelana nedermatitis, unobangela awucacanga kakuhle, kwaye irhashalala erhawuzelayo inokuqhubeka iinyanga kwaye ichaphazele umgangatho wobomi bakho. Loo matyala anokufuna ukuxilongwa ngokucokisekileyo kunye nonyango olomeleleyo, kodwa uninzi lwamaxesha unokusebenza nomboneleli wakho wezempilo ukuze ufumane unyango olusebenzayo lwe-dermatitis.

Oonobangela

Ukuqhagamshelana nedermatitis kwenzeka xa isikhumba sidibana nento enokuyicasula (i-irritant contact dermatitis) okanye ibangele ukungabikho komzimba (i-allergen contact dermatitis). Irritant dermatitis ixhaphake kakhulu, ibala i-80% yazo zonke iimeko zonxibelelwano zedermatitis, ngokwe Umbutho weSizwe we-Eczema . Ukukhawuleza kwe-diaper, echaphazela ukuya kuthi ga kwiipesenti ezingama-35 zeentsana ngaxa lithile, luhlobo lwesikhumba esikruqulayo esibangelwa kukudibana namanabukeni amdaka.

Ezinye izinto ezicaphukisayo eziqhelekileyo ezinokonakalisa ungqimba lwangaphandle lolusu kwaye zibangele irhashalala zibandakanya:

• Khuhla utywala
• Iblitshi, iisepha, kunye nezithambisi zamalaphu
• Izinto zokunyibilikisa, ezifana nokususa iinzipho
• Iisepha, ishampu, izinto zokuthambisa, ulusu kunye neenwele
• Acids okanye amachiza
• Izityalo
• Izichumisi kunye namayeza okubulala izitshabalalisi
• Iingqungquthela ze-antibiotic ointments okanye i-creams
• Iioyile ezibalulekileyo

Allergic contact dermatitis akhawunti malunga Amashumi amabini% Kuzo zonke iimeko zonxibelelwano zesikhumba. Oku kwenzeka kakhulu xa isikhumba sidibana ne-allergen, into apho ulusu lunobuntununtunu. Kwiimeko ezinqabileyo, i-allergen inokungena emzimbeni ngokutya, amayeza, okanye inkqubo yamazinyo. Oku kubizwa ngokuba yi-systemic contact dermatitis. I-allergen ibangela ukuba amajoni akho omzimba aphendule, kwaye impendulo yakho yamajoni omzimba kukubangela i-dermatitis.

Ukuqhagamshelana ne-allergies kulibazisekile ukusabela kwe-hypersensitivity okubangela ukukhawuleza, kusho uCory Dunnick, MD, ugqirha wesikhumba, uprofesa, kunye nomlawuli wezilingo zonyango kwiYunivesithi yaseColorado kwisebe lezonyango. Irhashalala imele ukudumba eluswini. Iiseli ezibonisa i-antigen (iiseli zeLangerhans) zifumana iiseli ze-T, ezikhupha ii-cytokines (iiproteni ezichaphazela unxibelelwano phakathi kweeseli), zibangela ukudumba kolusu oludibene ne-allergen.

Phantse ama-3,000 eekhemikhali Ziyaziwa ukuba zibangela ukungabikho koqhagamshelwano lwe-dermatitis. Eyona ixhaphakileyo yi-nickel, efumaneka rhoqo kwizacholo nakwibhanti. Ezinye izilwanyana eziqhelekileyo zihlala zifumaneka kwi:

• Amayeza, kubandakanya i-antihistamines yomlomo kunye neoyile / amafutha okuthambisa
• Izidambisi okanye iziyobisi, ngakumbi ezo ziqukethe ialuminium, iziqholo, izinto ezisigcinayo okanye idayi
• Ukuhlamba umzimba, ishampu kunye nedayi yeenwele
• Izinto zokuthambisa, iziqholo, kunye ne-nail polish
• Umungu
• Impahla elukilweyo
• Inambuzane
• Formaldehyde
• Ityhefu yobuthi, isetyum sumac, imango, kunye nezinye izityalo ezinento ekuthiwa yi-urushiol
• Iimveliso ezinjengee-sunscreens kunye namayeza omlomo anokubangela impendulo xa uselangeni (photoallergic contact dermatitis)
• I-diaper rash creams kunye ne-ointments kuba zihlala ziqukethe i-zinc

Iimpawu

Kwiimeko ezininzi, iimpawu zoqhakamshelwano lwe-dermatitis zibonakala ngaphakathi kweeyure zokuvezwa kwento evuselelayo okanye i-allergen, nangona ezinye i-allergen zingathatha usuku okanye ezimbini ukwenza impendulo. Nge-irritant dermatitis, iimpawu zihlala zikhawulelwe kulusu olwenza unxibelelwano ngokuthe ngqo kunye ne-irritant, ngelixa i-allergic contact dermatitis ingaqala ngesiqwengana esincinci okanye amabala usasazeko ukugubungela indawo ebanzi.

Iimpawu zoqhakamshelwano lwe-dermatitis zibandakanya:

• Irhashalala elibomvu okanye amaqhuma abomvu kwindawo echaphazelekayo
• Imvakalelo yokutsha
• Ukuthantamisa
• Ukurhawuzela kunokuba nzima
• Ulusu oluqhekekileyo, i-peels, okanye i-flakes
• Iiblisters ezinokuthi zikhuphe kwaye zigqume ngaphezulu

Kwiimeko ezingapheliyo zoqhakamshelwano lwesikhumba, isikhumba sinokuqina kwaye siqale ukwenza iipleyiti. Ngenxa yeso sizathu, ukunxibelelana nedermatitis kunokufana ne-psoriasis, i-atopic dermatitis, kunye nezinye iintlobo zeczema.

Uninzi lweziganeko zokudibana nedermatitis azinabungozi ngokwasemzimbeni kwaye azisongeli ubomi, kodwa kwiimeko ezinobuzaza zokulaliswa esibhedlele kunokufuneka, kwaye imeko inokuba nefuthe elibi kumgangatho wobomi kunye nempilo yengqondo. Umzekelo, ukukrwempa kunokungenisa ezinye iintsholongwane okanye intsholongwane ekhokelela kusuleleko oluphezulu. Kwimeko yam, iinkophe zam zaziqhekeka zize ziqhekeze kakhulu kangangokuba ndandingaboni kakuhle kusasa de ndithathe ishawa kwaye ndikhuhle lonke ulusu olufileyo. Le meko ikwenze kwanzima ukugxila emsebenzini okanye kwimisebenzi yemihla ngemihla.

Ezinxulumene: I-Psoriasis vs eczema ngokuchasene nolusu olomileyo

Uxilongo

Kwiimeko ezininzi zonxibelelwano lwe-dermatitis, xa i-allergen okanye i-irritant ingasekho kufutshane nesikhumba sakho, iimpawu zakho kufuneka zihambe kwisithuba seeveki ezintathu . Jonga ugqirha ukuba iimpawu zakho ziqhubeka ngaphezu kweeveki ezintathu okanye ukuba ukukhawuleza kusasazeka ngokukhawuleza okanye kungakhathazeki kangangokuba kuthintela ukulala kwakho okanye imisebenzi yansuku zonke. Kuya kufuneka ubonane nogqirha ukuba irhashalala ichaphazela amalungu akho obuni, umlomo, okanye iinkophe, apho ulusu lwakho lucekeceke kwaye lunokonakala ngokulula.

Ukufumanisa imeko yokunxibelelana nedermatitis, umboneleli wakho uya kuvavanya irhashalala kwaye akubuze imibuzo malunga nendawo osebenza kuyo, izinto ozithandayo, izinto zokucoca kunye nezinto zokuthambisa ozisebenzisayo, ukubonakaliswa kwakho kwi-nickel kunye nezinye izinyithi, kunye nezinye izinto ezinokubonisa ukuba yintoni Ukubangela ukusabela kwakho komzimba. Ugqirha unokususa isampulu encinci yesikhumba kwi-biopsy enokuqinisekisa ukuxilongwa.

Ukuchonga i-allergen ethile apho izigulana zi-aleji, oogqirha bahlala bevavanya uvavanyo. Ukuvavanywa kwepatch kubandakanya ii-patches ezinamathelayo ezinamanani amancinci, exutywe nezifo eziqhelekileyo ezisetyenziswa kubo. Ugqirha ubeka iziqwengana kumqolo wesigulana kangangeentsuku ezimbini kwaye emva koko ujonge emva kosuku lwesithathu kunye nolwesine usuku ukuze abone ukuba zeziphi i-allergen, ukuba zikhona, ezibangele impendulo kulusu lwesigulana. Ukuba iziphumo azicacanga, ugqirha usenokubiza uvavanyo oluthe kratya.

Uvavanyo lwam lwepatch luye lwachaza ukuba ndandingadibani ne-nickel, indawo ebizwa ngokuba yi-Cl + Me-isothiazolinone, kunye nenye indawo ebizwa ngokuba yi-colophony. ICl + Me-isothiazolinone sisithako esiqhelekileyo ekuhlambeni umzimba, kwiishampu, kwipeyinti nakwimveliso yokhathalelo lweyadi. IColophony, irosin ephuma kwincindi yemithi yeeconiferous, ifunyanwa kumthi nakumgubo wamaplanga, iipeyinti, amabala, iilacquers, iglu, izinyibilikisi kunye nezinye iimveliso ezithengiswa kwivenkile yezixhobo zokusebenza apho bendisebenza khona.

Unyango

Isinyathelo sokuqala ekuphatheni i-dermatitis yoqhagamshelwano kukuphepha ukucaphukisa okanye i-allergen ebangele ukugqithisa. Ngento efana ne-poison ivy okanye i-oak enetyhefu, oku kunokuba lula ukuyenza, kodwa kwiimeko ezininzi zokunxibelelana ne-dermatitis, ukungabikho komzimba kunokuba nzima. Kum, unyango lwaluthetha ukuba kufuneka ndifumane ibhanti yeplastikhi, ndiyeke umsebenzi kwivenkile yehardware, kwaye ndiqale ndifunde uluhlu lwezithako kuyo nayiphi na isepha, into yokuthambisa, isepha, isepha, okanye enye imveliso yasekhaya enxibelelana nolusu lwam. Kubantu abelana nezinto ezifana nomungu kunye nothuli, kunokuba yinto engenakwenzeka ukuhlala ungenalo i-allergen.

Kwiimeko ezininzi zonxibelelwano lwe-dermatitis, nje ukuba i-irritant okanye i-allergen ichongiwe kwaye igwenywe, ukugqithisa kusombulula ngaphakathi iiveki ezimbini ukuya kwezine ngaphandle kolunye unyango. Ngelixa irhashini liyaphilisa, unokunciphisa ukungonwabi ngala mayeza alandelayo, kubandakanya:

• Ukufaka i-anti-itch cream okanye i-calamine lotion kwindawo echaphazelekayo
• Kuphephe ukukrwempa-ukufaka uxinzelelo olupholileyo kulusu kunokunceda ukurhawuzelela
• Sika kwaye ucoce phantsi kweenzipho
• Ukuntywila emanzini adikidiki kunye neoatmeal okanye isoda yokubhaka yongezwa emanzini
• Ukufaka isicelo hydrocortisone khrimu, enokunceda ukunciphisa ububomvu kunye nokudumba kolusu
• Ukuthatha i-antihistamine yomlomo efana Uncedo lweBenadryl Itch (diphenhydramine), Zyrtec (cetirizine), okanye Claritin (loratadine) ukunceda ukulawula ukurhawuzelela

Kwiimeko ezinzima zoqhakamshelwano lwe-dermatitis okanye amatyala angazisombululi ngokwabo, ababoneleli ngezempilo baya kuhlala bemisela ii-corticosteroids zakwangoko okanye amayeza e-immunosuppressive. Iinketho zonyango zibandakanya:

• Inkqubo (tacrolimus), isithinteli se-calcineurin inhibitor esenza buthathaka amajoni omzimba kunye nokunciphisa ukusabela komzimba
• UElidel (pimecrolimus), isithinteli se-calcineurin inhibitor esicinezela amajoni omzimba kunye nokunciphisa ukusabela komzimba
• Eucrisa (crisaborole), i-nonsteroidal cream enciphisa ukudumba, ukurhawuzelela, kunye nokubomvu
• Iseli (mycophenolate mofetil), i-oral immunosuppressant enceda ukunciphisa ukuphendula komzimba okubangela i-dermatitis
• Isandimmune (cyclosporine), i-calcineurin inhibitor elawulwa ngomlomo okanye ngenaliti ethoba amandla amajoni omzimba kunye nokunceda ukunciphisa ukuphendula komzimba okubangela isifo sedermatitis.
• Vistaril (i-hydroxyzine pamoate), i-antihistamine yomlomo ethintela ii-histamines ezibangela ukusabela komzimba kunye nokunceda ukulawula ukurhawuzelela

Kwirhashalala engaphenduliyo kunyango olungentla, oogqirha banokumisela inkqubo yonyango olukhanyayo, okanye ifotootherapy, esebenzisa ubude bamaza ahlukeneyo elitha ye-ultraviolet ukunceda ukunciphisa ukurhawuzelela nokudumba.

Uthintelo

Eyona ndlela yokuthintela ukunxibelelana nedermatitis kukuchonga izinto eziphazamisayo okanye izinto ezibangela ukuba ulusu lwakho luphume ngokukhawuleza kwaye uphephe ezo zinto. Oku akusoloko kulula ukuyenza, kuxhomekeke kwinto oyithandayo. Amanye amanyathelo onokuwathatha ukukunceda ukuthintela i-flare-ups kubandakanya:

• Hlamba isikhumba sakho kwangoko emva kokuba udibene ne-irritant okanye i-allergen
• Nxiba iimpahla zokuzikhusela, kubandakanya nemikhono emide kunye neebhulukhwe, iiglavu zokhuselo, iiglavu, okanye imaski yobuso, xa kufuneka ujikeleze izinto ezinokubangela ukungazwani
• Vala izinto zokubopha zentsimbi kwimpahla yakho enokucaphukisa ulusu lwakho
• Sebenzisa amafutha okuthambisa okanye into yokuthambisa rhoqo
• Jonga izithako kwiishampu, iisepha, kunye nezinye iimveliso zekhaya, kwaye usebenzise kuphela ezo zingenazo izinto ezaliwa ngumzimba

Isitshixo kukususa naziphi na izizathu ezinokubakho, utshilo uClare Foss, MD, ugqirha wesikhumba kunye neGlenwood Medical Associates eColorado. Iphunga yenye yezona zinto zixhaphakileyo, ke sebenzisa isepha engenawo amanye amakha. Sebenzisa isepha yokuhlamba engenaqholo okanye idayi, kwaye qiniseka ukugcina ulusu lwakho lumanzi. Oko kunokunceda ukukhusela ulusu ukuba lome kwaye lucaphuke. Kwakhona unokuphinda uhlambe impahla ukuze ususe naziphi na iziqholo okanye imichiza.

Ngokuthintela ukuphazamiseka kunye ne-allergener, ukujongana nokukhawuleza ngokukhawuleza, kunye nokuthatha amanyathelo okukhusela, abaninzi abantu banokuyiphatha ngokufanelekileyo i-dermatitis kwaye bayigcine ekuphakamiseni ubomi babo.