Atopic dermatitis - menyuam yaus - kev tu mob hauv tsev

Atopic dermatitis yog ib hom tawv nqaij ntev (ntev) uas ua rau muaj pob txuv thiab khaus. Nws tseem hu ua eczema. Tus mob yog vim muaj qhov tsis haum xim ntawm daim tawv nqaij uas zoo ib yam li ua xua. Nws kuj yuav yog los ntawm qhov tsis xws luag hauv qee cov protein nyob hauv cov tawv nqaij. Qhov no ua rau muaj kev txhim kho tsis tu ncua ntawm daim tawv nqaij.

Atopic dermatitis feem ntau ua rau menyuam yaus thiab menyuam yaus. Nws yuav pib ntxov li hnub nyoog 2 txog 6 hlis. Ntau tus menyuam yaus loj dhau los ntawm qhov pib thaum ntxov.

Tus mob no tuaj yeem tswj hwm tau menyuam yaus, yog li nws tseem ceeb kom ua haujlwm nrog koj tus menyuam tus kws saib xyuas kev noj qab haus huv. Kev tu tawv nqaij txhua hnub yog qhov tseem ceeb los pab tiv thaiv kom tsis txhob mob kub thiab ua kom daim tawv nqaij tsis tuaj.

Kev khaus heev yog tshwm sim. Cov pob khaus yuav pib tshwm sim ua ntej lub pob tshwm. Atopic dermatitis feem ntau hu ua "khaus khaus" vim tias khaus pib, thiab tom qab ntawd daim tawv nqaij sawv raws li kev khawb.

Txhawm rau pab koj tus menyuam kom tsis txhob khawb:

• Siv cov tshuaj pleev kom ntub dej, tshuaj pleev ib ce, tshuaj kho teeb meem, lossis lwm yam tshuaj uas tus kws kho mob muab tshuaj rau.
• Ua kom koj tus menyuam cov rau tes txiav luv luv. Kom lawv hnav looj hnab looj tes thaum pw tsaug zog yog tias kos thaum hmo ntuj muaj teeb meem.
• Muab tshuaj antihistamines los yog lwm yam tshuaj rau hauv lub qhov ncauj raws li kws kho mob muab rau koj.
• Kom ntau li ntau tau, qhia cov menyuam yaus kom tsis txhob khawb cov tawv nqaij khaus.

Kev tu tawv nqaij txhua hnub nrog cov khoom uas tsis muaj allergen tuaj yeem txo qis qhov xav tau tshuaj.

Siv cov tshuaj pleev kom ntub dej noo (xws li roj av jelly), pleev tshuaj pleev, lossis muab tshuaj pleev. Xaiv cov khoom lag luam tawv nqaij uas tau ua rau cov neeg mob qog lossis tawv nqaij tawg. Cov khoom lag luam no tsis muaj cawv, ntxhiab, dyes, thiab lwm yam tshuaj lom neeg. Muaj cua sov cua kev nyab xeeb los pab ua kom huab cua noo kuj yuav pab tau.

Hws noo thiab emollients ua hauj lwm zoo tshaj plaws thaum lawv thov rau cov tawv nqaij uas ntub lossis noo. Tom qab ntxuav los yog da dej, plhws cov tawv nqaij kom qhuav thiab tom qab ntawd siv cov moisturizer sai. Koj tus kws kho mob kuj tseem yuav pom zoo kom tso khaub ncaws hnav dhau ntawm cov tawv pleev kom tawv nqaij.

Thaum ntxuav los yog da dej koj tus menyuam:

• Nquag da dej tsawg dua thiab saib xyuas cov dej kom luv li sai tau. Cov sijhawm luv luv thiab lub cev da dej txias zoo dua ntev dua, kev da dej kub.
• Siv cov tshuaj ntxuav muag tawv nqaij es tsis txhob siv cov tshuaj ntxuav tes, thiab siv lawv rau koj tus menyuam lub ntsej muag, neeg tsis huv, chaw mos, tes thiab taw.
• Tsis txhob txhuam los yog ua kom tawv nqaij tawv dhau rau lossis ntev ntev.
• Txoj cai tom qab da dej, siv cov roj pleev nplaum pleev pleev, pleev tawv pleev, los yog pleev pleev thaum tawv nqaij tseem ntub rau qhov chaw noo.

Hnav koj tus menyuam kom hnav zoo, xws li khaub ncaws paj rwb. Kom koj tus menyuam haus dej kom ntau. Qhov no yuav pab ntxiv noo noo ntawm daim tawv nqaij.

Qhia cov menyuam hlob dua qub cov kev qhia zoo rau kev tu tawv nqaij.

Cov pob khaus nws tus kheej, nrog rau qhov khawb, feem ntau ua rau daim tawv nqaij tawg thiab tuaj yeem ua rau kis tau. Khaws lub qhov muag kom pom kev liab, sov, o, lossis lwm yam tsos mob ntawm tus mob. Hu rau koj tus menyuam tus kws khomob ntawm thawj daim phiajcim qhia tias muaj tus kabmob.

Cov hauv qab no tuaj yeem ua rau cov tsos mob atopic dermatitis mob heev:

• Ua xua rau paj ntoos, pwm, plua plav hmoov av, lossis tsiaj
• Lub caij ntuj no txias thiab qhuav
• Mob khaub thuas lossis mob npaws
• Sib cuag nrog kev ua pa thiab tshuaj lom neeg
• Sib cuag nrog cov ntaub ntawv ntxhib, xws li ntaub plaub
• Qhuav ntawm daim tawv nqaij
• Kev ntxhov siab
• Nquag mus da dej lossis da dej thiab da dej ntau zaus, uas tuaj yeem ua kom tawv nqaij qhuav
• Tau txais kub los yog txias dhau, nrog rau kev hloov kub sai sai
• Cov roj pleev lossis dej zas ntxiv rau cov tawv nqaij pleev lossis xab npus

Txhawm rau tiv thaiv plhws ntshav, sim zam:

• Cov khoom noj, xws li cov qe, uas tuaj yeem ua rau muaj kev tsis haum ntawm cov menyuam yaus. Nco ntsoov tham nrog koj tus kws kho mob ua ntej.
• Cov plaub tsiaj, lanolin, thiab lwm yam ntaub qhwv tawv. Siv cov khaub ncaws du thiab ntaub pua chaw, xws li paj rwb.
• Tawm hws. Ceev faj tsis txhob hnav khaub ncaws koj tus menyuam ntau thaum huab cua sov.
• Cov xab npum muaj zog lossis tshuaj ntxuav tes, nrog rau tshuaj lom neeg thiab cov kuab tshuaj.
• Kev hloov pauv sai ntawm qhov kub ntawm lub cev, uas yuav ua rau tawm hws thiab ua rau koj tus menyuam mob.
• Kev ntxhov siab. Saib cov phiajcim uas koj tus menyuam ntxhov siab lossis ntxhov siab thiab qhia lawv cov hauv kev kom txo kev ntxhov siab xws li sib sib zog nqus pa lossis xav txog tej yam uas lawv nyiam.
• Ua rau kom ua rau muaj kev tsis haum cov tsos mob. Ua tej yam koj tuaj yeem ua tau kom koj lub tsev tsis muaj kev ua xua tuaj ntawm tej pwm xws li pwm, plua plav, thiab tsiaj ntses.
• Zam txhob siv cov khoom tu tawv nqaij uas muaj cawv.

Siv cov moisturizers, cream los yog pleev pleev txhua hnub raws li qhia yuav pab tiv thaiv kom txhob muaj qhov nplaim taws.

Cov tshuaj antihistamines noj ntawm qhov ncauj yuav pab yog tias ua xua ua rau koj tus menyuam cov tawv nqaij khaus. Cov tshuaj no feem ntau muaj nyob ntawm txee thiab tsis tas yuav tshuaj. Nug koj tus menyuam qhov chaw muab kev pab yog qhov zoo rau koj tus menyuam.

Atopic dermatitis feem ntau kho nrog cov tshuaj tso ncaj rau ntawm daim tawv lossis tawv taub hau. Cov no yog hu ua cov tshuaj pleev:

• Tus kws kho mob yuav muab tshuaj cortisone (steroid) pleev los pleev rau thawj zaug thaum xub thawj. Cov tshuaj steroids pleev muaj cov tshuaj hormones uas pab "ua kom" koj tus menyuam cov tawv nqaij thaum nws o o lossis o tuaj. Koj tus me nyuam yuav xav tau cov tshuaj muaj zog ntau dua yog tias qhov no tsis ua haujlwm.
• Cov tshuaj noj uas kho lub cev tiv thaiv kab mob ntawm daim tawv nqaij hu ua cov tshuaj tiv thaiv ua kom lub cev tsis ua hauj lwm.
• Hws noo thiab cream uas muaj ceramides uas ua kom tawv nqaij tawv tuaj.

Lwm txoj kev kho uas yuav siv suav nrog:

• Cov tshuaj tua kab mob los pleev tshuaj yog tias koj tus menyuam cov tawv nqaij kis.
• Cov tshuaj noj uas ua kom lub cev tiv thaiv tsis muaj zog kom txo qis.
• Txoj kev kho kom zoo, kev kho mob uas koj tus menyuam cov tawv nqaij yuav tsum tau txais lub teeb ci ntsa tiv thaiv UV.
• Kev siv sijhawm luv luv ntawm cov tshuaj pleev ib ce (cov tshuaj steroids uas muab los ntawm qhov ncauj lossis los ntawm txoj leeg ntshav uas txhaj tshuaj).
• Kev siv tshuaj biologic hu ua dupilumab (Dupixent) tuaj yeem siv rau kev kho mob me ntsis txog rau mob atopic dermatitis.

Koj tus kws khomob yuav qhia koj tias yuav siv ntau npaum licas thiab tuab npaum cas. Tsis txhob siv cov tshuaj ntau dua lossis siv nws ntau zaus ntau dua li tus kws kho mob tau hais.

Hu rau koj tus menyuam qhov chaw zov menyuam yog:

• Atopic dermatitis tsis zoo dua nrog kev tu mob hauv tsev
• Cov tsos mob hnyav dua los yog kev kho mob tsis ua haujlwm
• Koj tus menyuam muaj cov tsos mob ntawm kev kis tus mob, xws li liab liab, kua paug lossis cov kua dej uas muaj kua rau ntawm daim tawv nqaij, ua npaws, lossis mob

Cov mob viav vias mos mos; Dermatitis - cov menyuam yaus atopic; Eczema - atopic - menyuam yaus

Eichenfield LF, Tom WL, Berger TG, li al. Cov lus qhia ntawm kev saib xyuas rau kev tswj hwm ntawm atopic dermatitis: seem 2. Kev tswj hwm thiab kev kho mob ntawm pob txau atopic dermatitis nrog kev kho mob sab saum toj. J Am Acad DermatolCov. Xyoo 2014; 71 (1): 116-132. PMID: 24813302 pubmed.ncbi.nlm.nih.gov/24813302/.

Eichenfield LF, Tom WL, Chamlin SL, li al. Cov lus qhia ntawm kev saib xyuas rau kev tswj hwm ntawm cov pob qij txha atopic dermatitis: ntu 1. Kev kuaj mob thiab kev soj ntsuam cov mob dopatitis atopic. J Am Acad DermatolCov. Xyoo 2014; 70 (2): 338-351. PMID: 24290431 pubmed.ncbi.nlm.nih.gov/24290431/.

McAleer MA, O'Regan GM, Irvine AD. Atopic dermatitis. Hauv: Bolognia JL, Schaffer JV, Cerroni L, eds. Lub cev ntaj ntsugCov. 4 tug ed. Philadelphia, PA: Elsevier; 2018: chap 12.

Sidbury R, ​​Davis DM, Cohen DE, li al. Cov lus qhia ntawm kev saib xyuas rau kev tswj hwm ntawm atopic dermatitis: ntu 3. Kev tswj hwm thiab kho nrog phototherapy thiab cov neeg ua haujlwm tiv thaiv kab ke. J Am Acad DermatolCov. Xyoo 2014; 71 (2): 327-349. PMID: 24813298 pubmed.ncbi.nlm.nih.gov/24813298/.

Sidbury R, ​​Tom WL, Bergman JN, li al. Cov lus qhia ntawm kev saib xyuas rau kev tswj hwm ntawm atopic dermatitis: ntu 4. Kev tiv thaiv kab mob thiab kev siv tshuaj kho thiab kev ua kom ze. J Am Acad DermatolCov. Xyoo 2014; 71 (6): 1218-1233. PMID: 25264237 pubmed.ncbi.nlm.nih.gov/25264237/.

Tom WL, Eichenfield LF. Eczematous kev ntshawv siab. Hauv: Eichenfield LF, Frieden IJ, Mathes EF, Zaenglein AL, eds. Neonatal thiab Menyuam Mos DermatologyCov. 3lawm ed. Philadelphia, PA: Elsevier Saunders; 2014: chap 15.

• Eczema