Namuhla ubusika eChicago, futhi ngenxa yobhubhane lweCovil-19, sisendlini enkulu kunangaphambili. Lokhu kudala inkathazo ngesikhumba.
Ingaphandle libanda futhi lingenamikhawulo, ngenkathi ingaphakathi le-radiator nesithando lishaywa lusomile futhi lishisa. Sifuna amabhati ashisayo nama-relors, azosomisa isikhumba sethu. Ngaphezu kwalokho, ukukhathazeka kwe-pandemic kuhlale kukhona, okubuye kube nokucindezela ohlelweni lwethu.
Kubantu abane-eczema engapheli (ebizwa nangokuthi i-atopic dermatitis), isikhumba sihle kakhulu ebusika.
UDkt Amanda Wendel, udokotela wesikhumba esibhedlela saseNyakatho-ntshonalanga ye-Dupage Dupage Enyakatho nentshonalanga, uthe: "Siphila ngezikhathi zemizwa ephezulu, engakhulisa ukuvuvukala kwesikhumba sethu." "Isikhumba sethu manje sibuhlungu kakhulu kunangaphambili."
I-Eczema ibizwa ngokuthi "ukulunywa rash" ngoba ukulunywa kuqala kuqala, kulandelwe ukuqubuka kwentukuthelo.
URachna Shah, MD, olwalliargist for allergy, Sinusitis kanye ne-Asthma Ochwepheshe e-Oak Park, kusho ukuthi uma ungakhululeki ukulunywa uqala, izilonda ezinolaka noma eziqinile, noma izihlakala zikhuphuka. Amafulegi ajwayelekile afaka ama-elbows, izandla, ama-ankle kanye nemihlane yamadolo. UShah wathi, kepha ukuqubuka kungavela noma kuphi.
E-eczema, amasiginali aqhamuka emasosha omzimba angadala ukuvuvukala, ukulunywa, kanye nomonakalo wesithiyo sesikhumba. UDkt Peter Lio, udokotela wesikhumba enyakatho-ntshonalanga yeNyuvesi yaseNyakatho-nyuvesi, wachaza ukuthi ukuluma izinzwa kufana nezinzwa zobuhlungu nokuthumela amasiginali engqondweni ngentambo yomgogodla. Lapho sikha khona, ukunyakaza kweminwe yethu kuzothumela isibonakaliso sobuhlungu obusezingeni eliphansi, okuzomboza umuzwa wokuvuna futhi kubangele ukuphazamiseka okusheshayo, ngaleyo ndlela kukhule umuzwa wokukhululeka.
Isikhumba yisithiyo esivimbela amagciwane ukuthi angenise emzimbeni futhi avimba nesikhumba ekulahlekelweni umswakama.
"Sifunde ukuthi ezigulini ezine-eczema, umgoqo wesikhumba akasebenzi kahle, okuholela ekuthini engikubiza ngokuthi ukuvuthwa kwesikhumba," kusho uLio. "Lapho umgoqo wesikhumba wehluleka, amanzi angaphunyuka kalula, okuphumela esikhunjeni esomile, ethambile, futhi evame ukungakwazi ukugcina umswakama. I-allergen, ama-ecasulayo, namagciwane angangena esikhunjeni ngokungajwayelekile, okwenza amasosha omzimba asebenze asebenze, abuye abuyiselwe amandla okuvuvukala kanye nokuvuvukala. . "
Ama-Iritants nama-allergen afaka umoya owomile, izinguquko zokushisa, ukucindezela, imikhiqizo yokuhlanza, insipho, amadayi ezinwele, izingubo zokwakha, izigqoko zokwakha - uhlu luhlala lukhula njalo.
Ngokusho kombiko ku-AllerGology Inganikeza umphumela wemvelo wokuswakama. Lokhu kuvumela i-allergen ukuthi ingene esikhunjeni, okwenza ukuthi ama-epidermis abe mncane.
"Ubunzima be-eczema ukuthi buyinto ehlukahlukene. ULio uthe uncoma ukulanda uhlelo lokusebenza lwamahhala lwe-ecomawise ukulandelela izimo zesikhumba futhi ukhombe izimbangela, imininingwane nezitayela.
Ukubheka zonke lezi zinto eziyinkimbinkimbi, ukuthola imbangela ye-eczema kungadida. Cabanga ngezinyathelo ezinhlanu ezilandelayo ukuthola isixazululo sakho sesikhumba:
Ngenxa yokuthi umgoqo wesikhumba weziguli nge-eczema uvame ukulinyazwa, zitholakala kakhulu ekuthelelekeni kwezifo zesibili ezibangelwa amagciwane namagciwane. Lokhu kwenza inhlanzeko yesikhumba ikhiye, kufaka phakathi ukugcina isikhumba sihlanzekile futhi sinomswakama.
UShah uthe: "Yenza ukugeza okufudumele noma ukugeza imizuzu emi-5 kuya kwengu-10 ngosuku." "Lokhu kuzogcina isikhumba sihlanzekile futhi sengeze umswakama othile."
UShah wathi kunzima ukungashisi amanzi, kepha kubalulekile ukukhetha amanzi afudumele. Gijimisa amanzi esihlakaleni sakho. Uma kuzwakala kuphakeme kunamazinga okushisa omzimba wakho, kepha akushisi, yilokho okufunayo.
Uma kukhulunywa ngama-ejenti okuhlanza, sebenzisa izinketho ezingenawo amakha, umnene. UShah utusa imikhiqizo efana ne-Cerave neCetaphil. I-Cerave iqukethe i-ceramide (i-lipid esisiza ukugcina umswakama esikhungweni sesikhumba).
UShah wathi: "Ngemuva kokugeza, somile." UShah wathi: "Noma usula isikhumba sakho ngethawula, ungadambisa ngokushesha ukulunywa, kepha lokhu kuzodala izinyembezi eziningi."
Ngemuva kwalokho sebenzisa i-moisturizer esezingeni eliphakeme ukuze i-moisturize. Alikho iphunga, ukhilimu ominyene uphumelela kakhulu kuno-lotion. Ngaphezu kwalokho, hlola imigqa yesikhumba ebucayi ngezithako ezincane kanye nama-anti-inflammory compound.
UShah wathi: "Ngempilo yesikhumba, umswakama wendlu kufanele ube phakathi kuka-30% no-35%." UShah uncoma ukubeka umswakama egumbini lapho ulale noma usebenza khona. Uthe: "Ungakhetha ukuyishiya amahora amabili ukugwema umswakama owedlulele, ngaphandle kwalokho kuzodala ukungezwani komzimba."
Hlanza umswakama ngeviniga omhlophe, i-bleach kanye nebhulashi elincane masonto onke, njengoba ama-microorganisms azokhula endaweni yokugcina amanzi bese ungena emoyeni.
Ukuhlola izinga lomswakama endlini yakudala yendlela, gcwalisa ingilazi ngamanzi bese ubeka ama-cubes amabili noma amathathu kuwo. Ngemuva kwalokho, linda cishe imizuzu emine. Uma amafomu amaningi avuthayo amafomu ngaphandle kwengilazi, izinga lomswakama wakho angaphakama kakhulu. Ngakolunye uhlangothi, uma kungekho ukuvutha, izinga lomswakama wakho lingaphansi kakhulu.
Uma ufuna ukunciphisa ukulunywa kwe-eczema, cabanga noma yini ezothinta isikhumba sakho, kufaka phakathi izingubo zokugqoka kanye nokuwasha i-powder. Kufanele zibe mahhala-mahhala, okungenye yezinto ezivame kakhulu ezidala ukuqubuka. I-Eczema Association.
Isikhathi eside, ukotini nosilika bekuyizindwangu zokukhetha ezigulini ezine-eczema, kepha ucwaningo olushicilelwe ejele laseMelika lwe-dermatology yokwelashwa ngo-2020 lubonise ukuthi izindwangu zokwenziwa antibacterial kanye nomswakama kungasiza ukunciphisa izimpawu ze-eczema.
Ucwaningo olushicilelwe "emtholampilo, lwezimonyo kanye nezimonyo ze-dermatology" zathola ukuthi iziguli ze-eczema zazigqoka imikhono emide namabhulukwe amade, imikhono emide namabhulukwe okwenziwe nge-antibacterial zinc fiber ngezinsuku ezintathu ezilandelanayo, futhi ukulala kwazo kwathuthukiswa.
Ukwelapha i-eczema akuyona into elula ngaso sonke isikhathi, ngoba kubandakanya okungaphezu kokuqubuka nje. Ngenhlanhla, kunezindlela eziningi zokunciphisa impendulo yokuzivikela komzimba futhi kunciphise ukuvuvukala.
UShah uthe uthatha amahora angama-24 ngosuku lwama-antihistamines, njenge-Claretin, iZyrtec noma i-XYZAL, kungasiza ukulawula ukulunywa. "Lokhu kuzosiza ukulawula izimpawu ezihambisana nokungezwani komzimba, okungasho ukunciphisa ukulunywa."
Amafutha e-Topical angasiza ekudambiseni impendulo yokuzivikela komzimba. Imvamisa, odokotela banquma ama-corticosteroids, kepha izindlela zokwelapha ezingezona ze-steroid zingasiza futhi. "Yize ama-steroid aphezulu angasiza kakhulu, kufanele siqaphele ukuthi singawasebenzisi ngokweqile ngoba bancipha umgoqo wesikhumba nabasebenzisi kungenzeka bancike kubo," kusho uLio. "Ukwelashwa okungeyona kwe-steroid kungasiza ukunciphisa ukusetshenziswa kwama-steroid ukugcina isikhumba siphephile." Izindlela zokwelashwa ezinjalo zifaka iCraborole ethengiswa ngaphansi kwegama lezohwebo eucrsa.
Ngaphezu kwalokho, ama-dermatologists angaphendukela ekwelashweni okumanzi okumanzi, okubandakanya ukugoqa indawo ethintekile ngendwangu enomswakama. Ngaphezu kwalokho, i-Phototherapy futhi isebenzisa imisebe ye-ultraviolet enemiphumela yokulwa nokuvuvukala kanye ne-antibacterial esikhunjeni. Ngokusho kwe-American Dermatological Association, lokhu kwelashwa kungaba "kuphephile futhi kusebenze" ukuphatha i-eczema.
Ezigulini ezinokulinganisela kuya ku-Eczema ezinzima ezingakhululeki ngemuva kokusebenzisa izindlela zokwelapha ezingezinhle noma ezihlukile, kukhona i-biupilumab yakamuva ye-biologic (dupixent). Umuthi - umjovo oziphathisiwe kanye njalo emavikini amabili - equkethe i-antibody evimbela ukuvuvukala.
ULio uthe iziguli eziningi nemindeni zikholelwa ukuthi ukudla kuyimbangela ye-eczema, noma okungenani i-trigger ebalulekile. "Kepha iningi leziguli zethu ze-eczema, ukudla kubonakala sengathi kudlala indima encane kakhulu ngokushayela izifo zesikhumba."
"Yonke le nto iyinkimbinkimbi kakhulu, ngoba akungabazeki ukuthi i-allergies yokudla ihlobene ne-atopic dermatitis, futhi cishe ingxenye eyodwa kweziguli kweziguli ezine-allrmatitis enempilo noma enzima yokudla okune-alrmatitis. Okuvame kakhulu kungokwemvelo ubisi, amaqanda, amantongomane, inhlanzi, soya nokolweni.
Abantu abanama-allergies bangasebenzisa izivivinyo ze-skin prick noma ukuhlolwa kwegazi ukuthola ubulili. Kodwa-ke, noma ngabe awudlangile ukudla, kungathinta i-eczema.
Ngeshwa, kunokuningi kule ndaba, "kusho uLio. "Ukudla okuthile kubonakala sengathi kuvuvukala ngendlela engeyona eye-allergenic, ngendlela eqondile, njengemikhiqizo yobisi. Kwabanye abantu, ukudla imali enkulu yemikhiqizo yobisi kubonakala sengathi kwenza isimo sibe sibi. " Nge-atopic dermatitis noma kuze kube sekupheleni komqubuko. "Lokhu akuyona ukungezwani kwangempela, kepha kubonakala sengathi kubangela ukuvuvukala."
Yize kunezindlela zokutholwa zokungezwani kokudla, ayikho indlela echazayo yokuthola ukuzwela kokudla. Indlela engcono kakhulu yokuthola ukuthi ukudla okubucayi ukuzama ukudla okuningana, kuqede izigaba ezithile zokudla amasonto amabili ukubona ukuthi izimpawu ziyanyamalala yini, bese zibakha kabusha kancane ukuze zibone ukuthi izimpawu zivela nini.
"Kwabadala, uma beqiniseka ukuthi okuthile kuzokwenza isimo sibe sibi kakhulu, empeleni ngingazama ukudla okuncane, okuhle," kusho uLio. "Ngiyethemba futhi ukuqondisa iziguli eziphelele ngokudla okunempilo: Kususelwa ezitshalweni, zama ukunciphisa ukudla okusetshenzwe, kuqede ukudla okunoshukela, futhi kugxile ekudleni okusanda kushukela nokuphelele."
Yize kuyinkohliso yokumisa i-eczema, kusukela ngalezi zinyathelo ezinhlanu zingasiza ukulunywa okuhlala isikhathi eside ekugcineni kuncipha.
UMorgan Lord ungumlobi, uthisha, umsizi kanye nonina. Njengamanje unguprofesa e-University of Chicago e-Illinois.
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