Atopic dermatitis

ʻO Atopic dermatitis kahi maʻi lōʻihi o ka wā lōʻihi (mau) e pili ana i nā huehue scaly a me ka ʻeha. He ʻano eczema ia.

ʻO nā ʻano ʻē aʻe o ka eczema:

• Hoʻokaʻaʻike dermatitis
• Eczema Dyshidrotic
• ʻO ka eczema Nummular
• Dermatitis Seborrheic

ʻO Atopic dermatitis ka hopena o ka ʻili. ʻO ka hopena e alakaʻi i ka hoʻomau mau ʻana o ka ʻume, ka pehu ʻana a me ka ʻulaʻula. ʻOi aku ka maʻalahi o ka poʻe me ka atopic dermatitis no ka mea ʻaʻohe o lākou ʻili i nā protein kikoʻī e mālama i ka pale o ka ʻili i ka wai.

ʻO ka atopic dermatitis ka mea maʻamau i nā pēpē. E hoʻomaka paha ma mua o ka makahiki 2 a 6 mau mahina. Nui nā poʻe i ulu i ka wā makua.

ʻO ka poʻe me ka dermatitis atopic pinepine ka hānō a i ʻole nā ​​manawa āpau. Aia pinepine ka moʻolelo ʻohana o nā maʻi āpau e like me ka hānō, ka huhū hay, a i ʻole eczema. ʻO ka poʻe me ka atopic dermatitis e hoʻāʻo pinepine i ka maikaʻi no nā hoʻāʻo ʻana o ka ʻili āpau. Eia naʻe, ʻaʻole i hoʻokumu ʻia ka atopic dermatitis e nā maʻi āpau.

Hiki i ka mea aʻe ke hana i nā ʻōuli dermatitis atopic:

• Nā mea āpau i ka pollen, punahelu, mites lepo, a holoholona paha
• ʻO ke ea anuanu a maloʻo i ka hoʻoilo
• ʻO ke anuanu a ʻo ka flu
• Kāhea aku me nā mea hoʻonāukiuki a me nā kemika
• Kāhea aku me nā mea ʻoʻoleʻa, e like me ka hulu hipa
• ʻIli maloʻo
• Kaha kaumaha
• Ke hoʻomaloʻo ʻana i ka ʻili mai ka ʻauʻau pinepine ʻana a i ʻole ka ua nui a ʻauʻau pinepine pinepine hoʻi
• Ke wela a i ʻole ke anuanu, a me nā hoʻololi koke o ka mahana
• Pākuʻi ʻia nā poni a i ʻole nā ​​kala i nā ʻili i ka ʻili a i ʻole nā ​​kopa

Hiki i nā hoʻololi o ka ʻili ke hoʻopili:

• ʻO nā pākuʻi me ka ninini ʻana a me ka pala
• ʻO ka ʻili maloʻo a puni ke kino, a i ʻole nā ​​ʻāpana o ka ʻili āpau ma ka hope o nā lima a me mua o nā ʻūhā
• Kahe ka pepeiao a i ʻole ke kahe ʻana
• Nā wahi maka o ka ʻili mai ka wili ʻana
• Hoʻololi ka ʻili o ka ʻili, e like me ke kala ʻoi aku a ʻoi paha ma mua o ka leo o ka ʻili maʻamau
• ʻO kaʻulaʻula a me ka mumū e pili ana i nā pā
• ʻO nā wahi mānoanoa a ʻili hoʻi e like me ka ʻili, i hiki ke hana ma hope o ka huhū lōʻihi a me ka ʻili ʻana

Hiki ke hilinaʻi ka ʻano a me ka wahi o ka ʻino i ka makahiki o ke kanaka.

• I nā keiki ma mua o 2 mau makahiki, hoʻomaka paha ka ʻōpala ma ka maka, ka ʻili, lima a me nā wāwae. Māʻā pinepine ka ʻūlū a hana i nā palapū e hoʻoheheʻe a ʻōpala.
• I nā keiki nui a me nā mākua, ʻike pinepine ʻia ka ʻehu ma loko o nā kuli a me ka kuʻe lima. Hiki ke hōʻike ʻia ma ka ʻāʻī, nā lima, a me nā wāwae.
• I ka poʻe mākua, hiki ke kaupalena ʻia ka hū i nā lima, nā lihilihi, a i ʻole nā ​​genital.
  
• Hiki paha i nā rashes ma nā wahi āpau o ke kino i ka wā o kahi maʻiʻino.

ʻO ka wili ikaika ka mea maʻamau. E hoʻomaka paha ka ʻūlū ma mua o ka puka ʻana o ka ʻino. Kāhea pinepine ʻia ʻo Atopic dermatitis ʻo ka "ʻākeʻakeʻa e kolo ai" no ka mea hoʻomaka ka makaʻu, a laila ukali ka ʻili ma muli o ka ʻili.

E nānā kāu kauka olakino i kou ʻili a hana i kahi hoʻokolohua kino. Pono paha ʻoe i kahi biopsy o ka ʻili e hōʻoia i ka ʻike a i ʻole hoʻokau i nā kumu ʻē aʻe o ka ʻili maloʻo a me ka ʻili.

Hoʻokumu ʻia ka hōʻikeʻike ma:

• Pehea kou ʻili ke nānā aku
• ʻO kāu moʻolelo pilikino a me ka ʻohana

He mea kōkua paha ka hoʻāʻo ʻana i ka ʻili āpau no ka poʻe me:

• Dermatitis atopic paʻakikī
• Nā ʻōuli maʻi ʻē aʻe
• Hoʻopili nā ʻili i nā wahi o ke kino wale nō ma hope o ka hōʻike ʻana i kahi kemikina kikoʻī

E kauoha paha kāu mea hāʻawi i nā moʻomeheu no ka maʻi o ka ʻili. Inā loaʻa ʻoe i ka dermatitis atopic, loaʻa maʻalahi ʻoe i nā maʻi.

MALAMA KAI MA KA HALE

Hiki i ka mālama ʻili i kēlā me kēia lā ke hōʻemi i ka pono o nā lāʻau.

I mea e kōkua ai iā ʻoe e hōʻalo i ka ʻili ʻana o kou ʻehu a me kou ʻili.

• E hoʻohana i kahi moisturizer, cream steroid topical, a i ʻole nā ​​lāʻau ʻē aʻe a kāu mea hāʻawi.
• E lawe i nā lāʻau antihistamine e ka waha e hoʻoliʻiliʻi i ka ʻili nui.
• E hōʻoki pōkole i kou mau manamana lima. E komo i nā mīkina lima māmā i ka wā hiamoe inā pilikia ka ʻōpala ʻana i ka pō.

E mālama i kou ʻili ma ka hoʻohana ʻana i nā hamo (e like me ka ʻaila kālika), nā kalima, a i ʻole nā ​​lotion 2 a 3 mau manawa i ka lā. Koho i nā huahana ʻili i loaʻa ʻole ka ʻalekohola, nā ʻala, nā mea make, a me nā kemika ʻē aʻe. E kōkua pū kahi humuhū e mālama i ka lewa i ka home home.

Hōʻalo i nā mea hōʻino i nā ʻōuli, e like me:

• Nā meaʻai, e like me nā hua manu, i kumu e hopena ai i ka hopena i kahi keiki ʻōpio (e kamaʻilio pinepine me kāu mea hāʻawi)
• Nā mea huhū, e like me ka hulu hipa a me ka lanolin
• Nā kopa a me nā mea holoi holoi, a me nā kemika a me nā mea hoʻoheheʻe
• Hoʻololi koke i ka mahana o ke kino a me ke koʻikoʻi, kahi e hoʻonā ai i ka sweating
• Nā mea hoʻonāukiuki i kumu i nā ʻōuli a pau

Ke holoi a holoi paha:

• Hōʻike i kou ʻili i ka wai no ka manawa pōkole e like me ka hiki. ʻOi aku ka maikaʻi o nā ʻauʻau pōkole, ʻoi aku ma mua o ka ʻauʻau lōʻihi, wela.
• E hoʻohana i nā holoi hoʻomaʻemaʻe kino a hoʻomaʻemaʻe ma kahi o nā kopa maʻamau.
• Mai holoi a maloʻo paha i kou ʻili a lōʻihi a lōʻihi paha.
• E noi i nā kalima lubricating, nā lotions, a me ka hamo i kou ʻili ʻoiai e maʻū mau ma hope o ka ʻauʻau ʻana. E kōkua kēia i ka hei i kou ʻili.

NA LAAU LAPAAU

I kēia manawa, ʻaʻole hoʻohana ʻia nā pana o nā maʻi āpau e mālama atopic dermatitis.

Hiki ke kōkua i nā antihistamines i lawe ʻia e ka waha me ka huehue a i ʻole nā ​​maʻi āpau. Hiki iā ʻoe ke kūʻai pinepine i kēia mau lāʻau me ka ʻole o ka lāʻau.

Mālama mau ʻia ʻo Atopic dermatitis me nā lāʻau i kau pono ʻia ma ka ʻili a i ʻole ka ʻili. Kapa ʻia kēia mau mea he lāʻau lapaʻau kumuhana.

• E kuhikuhi ʻia paha ʻoe i kahi kalima kortisone (steroid) a i ʻole i ka hamo i ka mua. Pono ʻoe i kahi lāʻau ikaika aku inā ʻaʻole holo pono kēia.
• Kāhea ʻia nā lāʻau i kapa ʻia nā immunomodulator topical (TIM) no kekahi mea ma mua o 2 mau makahiki. E nīnau i kāu mea hāʻawi e pili ana i kahi hopohopo no kahi maʻi maʻi ʻaʻai me ka hoʻohana ʻana o kēia mau lāʻau.
• Hiki ke hoʻohana ʻia i nā kalima a me nā hamo i piha i ka tar aila a i ʻole ka anthralin no nā wahi mānoanoa.
• Hiki ke hoʻohana ʻia nā kalima hoʻoponopono i nā ceramides.

Hiki ke kōkua i ka hoʻomaʻū ʻana i ka pulu me nā corticosteroids topical i ke kaohi i ke ʻano. Akā, hiki ke alakaʻi i kahi maʻi.

Nā mālama ʻē aʻe i hiki ke hoʻohana ʻia me:

• ʻO nā kalima Antibiotic a i ʻole nā ​​huaale inā maʻi kou ʻili
• Nā lāʻau e kāohi i ka ʻōnaehana pale
• Nā lāʻau lapaʻau biologic i māka ʻia e hoʻolālā ʻia e hoʻopili i nā ʻāpana o ka ʻōnaehana pale e pili ana i ka atopic dermatitis
• Phototherapy, kahi lapaʻau e hōʻike pono ʻia ai kou ʻili i ke kukui ultraviolet (UV)
• Hoʻohana wā pōkole o nā steroid pūnaewele (steroid i hāʻawi ʻia e ka waha a i ʻole ma o ke aa)

Noho lōʻihi ʻo Atopic dermatitis. Hiki iā ʻoe ke kāohi iā ia ma ka mālama ʻana iā ia, me ka hōʻalo ʻana i nā mea hoʻonāukiuki, a me ka mālama ʻana i kou ʻili i pulu maikaʻi.

I nā keiki, hoʻomaka pinepine ke ʻano e hele a puni ka makahiki 5 a 6, akā e hana pinepine ʻia nā lapalapa ahi. I nā mākua, ʻo ka pilikia ma ke ʻano he wā lōhiu a hoʻi paha.

E paʻakikī paha ka mālama ʻana o ka atopic dermatitis inā:

• Hoʻomaka i ka wā ʻōpio
• Komo i kahi nui o ke kino
• Hana pū ʻia me nā maʻi ʻaʻai a me nā hānō
• Hana ʻia i loko o kekahi me ka moʻolelo ʻohana o ka eczema

Nā pilikia o ka atopic dermatitis:

• ʻO nā maʻi o ka ʻili i hoʻokumu ʻia e nā bacteria, fungi, a i ʻole nā ​​virus
• Scars paʻa
• Nā hopena ʻaoʻao mai ka hoʻohana lōʻihi ʻana o nā lāʻau e kāohi i ka eczema

Kāhea i kāu mea hāʻawi inā:

• ʻAʻole maikaʻi ʻo Atopic dermatitis me ka mālama home
• Hōʻino nā ʻōuli a holo ʻole paha ka lāʻau
• He mau hōʻailona kou o ka maʻi (e like me ke kuni, ʻulaʻula, a ʻeha paha)

ʻO nā keiki i hānai ʻia a hiki i ka makahiki 4 mau makahiki e liʻiliʻi paha e loaʻa i ka atopic dermatitis.

Inā ʻaʻole hānai ʻia kahi keiki, e hoʻohana ana i kahi kumumanaʻo i piha i ka protein waiū bipi i hana ʻia (i kapa ʻia he hydrolyzed formula) e ʻoki ʻia i ka manawa o ka hoʻomōhala ʻana i ka atopic dermatitis.

ʻO ka eczema Infantile; Dermatitis - atopic; Eczema

• Keratosis pilaris - pani
• Atopic dermatitis
• Atopy ma nā kuʻekuʻe wāwae
• Dermatitis - atopic i loko o kahi pēpē
• Eczema, atopic - kokoke loa
• Dermatitis - atopic ma ka maka o ke kaikamahine hou
• ʻO Keratosis pilaris ma ka papalina
• Dermatitis - atopic ma nā wāwae
• Hyperlinearity ma atopic dermatitis

Pūnaewele ʻAmelika ʻAmelika Hui Pū ʻIa o Dermatology. Nā ʻano Eczema: nānā atopic dermatitis. www.aad.org/public/diseases/eczema. Loaʻa iā Pepeluali 25, 2021.

ʻO Boguniewicz M, Leung DYM. Atopic dermatitis. I: Burks AW, Holgate ST, O'Hehir RE, et al, eds. Middleton's Allergy: Nā Manaʻo a me ka Hoʻomaʻamaʻa. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 33.

ʻO Dinulos JGH. Atopic dermatitis. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 5.

McAleer MA, O'Regan GM, Irvine AD. Atopic dermatitis. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 12.