Atopic Dermatitis Cov Kev Kho Mob Xaiv

Zoo Siab

• OTC cov khoom lag luam
• Lub tshuab ntxuav dej noo
• Lauj Teeb
• Kwv txhiaj
• Tshuaj pleev
• Cov tshuaj steroids
• Qhov ncauj antihistamines
• Daim ntawv yuav tshuaj
• Daim ntawv tshuaj yuav siv cov tshuaj steroids
• Cov ntsiab lus calcineurin inhibitors
• Txhaj tshuaj tiv thaiv kev tiv thaiv kom tsis txhob muaj zog
• Tshuaj kho qhov ncauj
• Kev Kho Duab
• Nqa Nyiaj

Atopic dermatitis (AD) yog daim tawv mob mob ntev ua rau ze li 18 lab tus tib neeg. Nws pom tias cov tawv nqaij qhuav thiab khaus. AD yog yam mob tshwm sim.

Pom ib txoj kev npaj tiv thaiv thiab kho mob zoo rau AD yog qhov tseem ceeb rau kev tswj cov tsos mob. Kev kho mob AD yuav ua rau khaus thiab ua rau khawb ntau dua. Thaum koj pib khawb, koj muaj feem yuav kis tau tus kab mob zoo dua.

Txoj kev kho mob zoo tuaj yeem pab koj tuav lub neej kom zoo thiab pw tsaug zog zoo dua. Ob qho tib si yog qhov tseem ceeb rau txo qis kev ntxhov siab, uas tuaj yeem ua rau nce flare-ups.

Thaum tsis tau kho tus mob AD, nws muaj ntau txoj kev kho mob. Cov no suav nrog tus nqi muag tshuaj (OTC) cov khoom lag luam, tshuaj noj tshuaj, thiab kho duab hluav taws xob.

OTC cov khoom lag luam

Ntau yam kev kho mob kho rau AD tuaj yeem tsis muaj tshuaj.

Lub tshuab ntxuav dej noo

Hws noo daim tawv yog ib qho yooj yim thiab siv tshuaj kho AD. Txhawm rau kom tshem tawm cov tawv nqaij qhuav los ntawm AD, koj yuav tsum ntxiv dej noo rau daim tawv nqaij. Txoj hauv kev zoo tshaj los ua qhov no yog thov cov tshuaj noo tom qab da dej, thaum nws tseem ua rau tawv nqaij tseem ntub dej.

OTC ya raws cov tshuaj yog tshuaj kho kom ntev. Muaj peb ntau yam ntawm moisturizers:

Lauj Teeb

Lotions yog lub teeb pom kev zoo moisturizers. Looj yog sib xyaw dej thiab roj uas koj tuaj yeem yooj yim kis tawm ntawm daim tawv nqaij. Txawm li cas los xij, cov dej hauv cov tshuaj pleev ua kom nrawm nrawm, yog li nws yuav tsis yog qhov kev xaiv zoo tshaj plaws rau AD loj.

Kwv txhiaj

Ib lub lee yog tshuaj semisolid sib xyaw roj thiab dej. Cov roj cov ntsiab lus yog siab dua cream dua li hauv lotion. Cov tshuaj pleev xim muaj ntau xim ntau dua li cov tshuaj pleev, txhais tau tias lawv zoo dua daim tawv nqaij. Cov tshuaj qab zib yog qhov kev xaiv zoo niaj hnub no kom tawv nqaij qhuav.

Tshuaj pleev

Cov tshuaj pleev yog cov roj semisolid uas muaj roj ntau thiab cov dej ntau dua li cov tshuaj pleev thiab pleev. Cov tshuaj pleev yog moisturizing heev thiab yuav tsum tau tsuas yog ob peb yam khoom xyaw. Qhov yooj yim ointment yog roj av jelly, uas tsuas muaj ib qho tshuaj ua ib qho.

Muaj ob peb yam khoom xyaw ua rau pleev tshuaj yog qhov kev xaiv zoo rau cov neeg muaj tawv. Vim tias cov formulations no xav tias muaj roj rau ntawm daim tawv nqaij, nws yuav zoo rau thov lawv ua ntej mus pw.

Cov tshuaj steroids

Rau cov kev kho mob ncua luv, muaj cov tshuaj pleev ib ce qis corticosteroids muaj nyob ntawm lub txee. Cov roj nplaum uas tsis muaj zog hydrocortisone (Cortaid, Nutracort) muaj nyob rau ntawm cov khw muag tshuaj thiab khw muag khoom noj.

Koj tuaj yeem thov hydrocortisone sai sai tom qab koj moisturize koj cov tawv nqaij. Nws yog qhov ua tau zoo tshaj rau kev kho ntshav.

Asmeskas Academy of Dermatology (AAD) pom zoo kho thaj chaw cuam tshuam ob zaug ib hnub. Cov tshuaj pleev corticosteroids tsis yog siv ntev. Hloov chaw, AAD pom zoo rau qee lub sijhawm kev tiv thaiv kev siv. Tham nrog koj tus kws kho mob txog kev siv hydrocortisone ib mus rau ob zaug hauv ib as thiv twg rau cov chaw uas yuav muaj kev phom sij.

Qhov ncauj antihistamines

OTC qhov ncauj tshuaj antihistamines tuaj yeem ntxiv tshuaj kho ntawm AD. Raws li AAD, kev tshawb fawb ntawm kev ua tau ntawm antihistamines tau sib xyaw. Cov tshuaj antihistamines tsis tau pom zoo raws li kev kho mob ib leeg.

Txawm li cas los xij, cov tshuaj tiv thaiv antihistamines zoo li diphenhydramine (Benadryl) tuaj yeem pab tswj cov pob khaus khaus. Cov nyhuv sedative yuav pab tau yog tias koj qhov khaus khaus koj ua hmo ntuj.

Daim ntawv yuav tshuaj

Yog tias koj tseem tawm tsam cov nplaim taws nrog cov kev xaiv OTC, koj tus kws kho mob yuav sau ntawv rau koj. Nws muaj ntau yam tshuaj uas siv los kho AD.

Daim ntawv tshuaj yuav siv cov tshuaj steroids

Feem ntau cov tshuaj pleev ib ce tsuas yog muaj tshuaj nkaus xwb. Cov tshuaj pleev ib ce yog pawg los ntawm potency. Lawv kawm txij hoob 1 (muaj zog) txog hoob 7 (muaj tsawg kawg nkaus).Feem ntau cov tshuaj pleev ntau npaum li cas tsis haum rau menyuam yaus, yog li pheej tham nrog koj tus menyuam tus kws kho mob ua ntej.

Cov tshuaj pleev niaj hnub tuaj yeem npaj los ua cov tshuaj pleev, pleev, lossis tshuaj pleev uas pleev rau ntawm daim tawv nqaij. Zoo li nrog cov moisturizers, tshuaj pleev yuav yog qhov kev xaiv zoo tshaj plaws yog tias cov khoom qab zib ua rau kub hnyiab lossis ntxhiab tsw.

Cov ntsiab lus calcineurin inhibitors

Cov tshuaj calcineurin inhibitors (TCIs) yog cov chav kawm tshiab ntawm kev tiv thaiv kev kho mob. Lawv tsis muaj cov tshuaj steroids. Txawm li cas los lawv ua tau zoo rau kev kho cov pob khaus thiab khaus los ntawm AD.

Muaj ob daim ntawv tshuaj TCIs nyob rau hauv khw hnub no: pimecrolimus (Elidel) thiab tacrolimus (Protopic).

Hauv xyoo 2006, Tebchaws Asmeskas Cov Khoom Noj thiab Tshuaj (FDA) tau ntxiv lub thawv ntawv ceeb toom dub rau lub ntim ntawm ob yam tshuaj no. Cov lus ceeb toom ceeb toom cov neeg tau txais kev pab cuam ntawm kev txuas tau ntawm TCIs thiab mob cancer.

FDA lees tias nws yuav siv sijhawm ntau caum xyoo ntawm kev tshawb fawb los txiav txim siab seb puas muaj kev pheej hmoo tiag tiag. Lub sijhawm no, FDA pom zoo tias cov tshuaj no tsuas yog siv los kho kev xaiv thib ob.

Yog tias koj tus kws kho mob txiav txim siab tias koj AD tsis teb rau lwm cov kev kho mob, lawv yuav txiav txim siab kev kho mob luv nrog TCIs.

Txhaj tshuaj tiv thaiv kev tiv thaiv kom tsis txhob muaj zog

FDA tau tso cai siv lwm xyoo tshiab hauv 2017 los ntawm FDA. Dupilumab (Dupixent), tiv thaiv kab mob los tiv thaiv, tuaj yeem siv nrog corticosteroids.

Tshuaj kho qhov ncauj

Cov tshuaj ntshiab yog cov feem ntau thiab feem ntau tau kawm kho rau AD. Qee zaum, koj tus kws kho mob tuaj yeem sau tshuaj noj rau hauv lub qhov ncauj xws li:

• qhov ncauj corticosteroids rau kis dav, mob hnyav, thiab tiv taus AD
• cyclosporine lossis interferon rau AD loj
• tshuaj tua kab mob yog tias koj muaj kab mob rau daim tawv nqaij kis kab mob

Kev Kho Duab

Kev ua kom zoo nkauj yog hais txog kev kho mob nrog lub teeb. Kev kho mob nrog qhov nqaim ultraviolet B (NB-UVB) lub teeb ci yog cov qauv duab tshaj plaws rau cov neeg muaj AD. Kev kho nrog NB-UVB tshem tawm cov tawv nqaij ua rau muaj kev phom sij ntawm ultraviolet A (UVA) lub teeb los ntawm kev tshav ntuj.

Phototherapy yog ib txoj kev xaiv thib ob yog tias koj tsis teb rau kev kho ntau dua. Nws kuj tseem siv tau rau kev kho kho mob.

Nqi thiab siv tau yog ob ntawm cov rhuav tshem loj tshaj. Koj yuav xav tau kev mus cuag phototherapy kev kho mob ob mus rau peb zaug hauv ib lub lis piam. Qhov no yuav tsum tau siv sijhawm tseem ceeb thiab siv nyiaj ntau.

Nqa Nyiaj

Nrog tas nrho cov kev kho mob no, koj yuav tsum cia siab tias koj yuav pom txoj hauv kev los tswj koj cov tsos mob. Tham nrog koj tus kws kho mob txog kev tsim phiaj xwm kho mob zoo tshaj plaws rau koj. Yog tias koj tus kws kho mob sau koj cov ntawv yuav tshuaj tshiab, nco ntsoov nug cov lus nug txog kev siv raug.