Atopic dermatitis - nā keiki - homecare

ʻO Atopic dermatitis kahi maʻi lōʻihi o ka wā lōʻihi (mau) e pili ana i nā huehue scaly a me ka ʻeha. Kāhea ʻia ka eczema. ʻO ke kumu ma muli o ka hopena o ka ʻili hypersensitive e like me ka maʻi āpau. Hiki ke kumu ʻia e nā kīnā i kekahi mau protein i ka ʻili o ka ʻili. ʻO kēia ke alakaʻi i ka hoʻomau mau o ka ʻili.

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

Hiki i kēia ʻano ke paʻakikī e kaohi i nā keiki, no laila he mea nui e hana pū me ka mea mālama ola o kāu keiki. He mea nui ka mālama ʻana o ka ʻili i kēlā me kēia lā e pale i ka lapalapa ʻana a mālama i ka ʻili mai ka wela.

Maʻalahi ka ʻili nui. 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.

I mea e kōkua ai i kāu keiki e hōʻalo i ka ʻili.

• E hoʻohana i kahi moisturizer, cream steroid topical, cream hoʻoponopono ālai, a i ʻole nā ​​lāʻau ʻē aʻe a ka mea hāʻawi a ke keiki e kuhikuhi ai.
• E hōʻoki pōkole i nā manamana lima o kāu keiki. E hoʻokomo iā lākou i nā mīkina lima māmā i ka wā e hiamoe ana inā pilikia ka ʻānai ʻana i ka pō.
• Hāʻawi i nā antihistamines a i ʻole nā ​​lāʻau ʻē aʻe e ka waha e like me ka mea i kauoha ʻia e kāu keiki.
• E like me ka hiki, e aʻo aku i nā keiki makua ʻaʻole e ʻili i ka ʻili ʻili.

ʻO ka mālama ʻana i ka ʻili o kēlā me kēia lā me nā huahana pono ʻole i ka alergen e hōʻemi paha i ka pono o nā lāʻau.

E hoʻohana i nā hamo hoʻoliʻiliʻi (e like me ka ʻaila kālika), nā kalima, a me nā lotion. Koho i nā huahana ʻili i hana ʻia no nā poʻe me ka eczema a i ʻole ka ʻili koʻikoʻi. ʻAʻohe i loko o kēia huahana nā ʻalekohola, nā ʻala, nā kala, a me nā kemika ʻē aʻe. ʻO ka humuhū e mālama i ka ea e kōkua pū kekahi.

ʻOi aku ka maikaʻi o ka hana ʻana o ka moisturist a me nā emollients ke hoʻopili ʻia i ka ʻili i pulu a pulu. Ma hope o ka holoi ʻana a ʻauʻau ʻana paha, paʻi ka ʻili i ka maloʻo a laila hoʻopili koke i ka mea hoʻoluʻu. E ʻōlelo paha kāu mea hāʻawi e kau i kahi lole ma luna o kēia mau ʻaila moisturizing ʻili.

Ke holoi a holoi paha i kāu keiki:

• E ʻauʻau i ka pinepine a mālama i ka hoʻopili ʻana o ka wai i kahi pōkole e hiki ai. ʻOi aku ka maikaʻi o nā ʻauʻau pōkole, ʻoi aku ma mua o ka ʻauʻau lōʻihi, wela.
• E hoʻohana i ka hoʻomaʻemaʻe mālama ʻili mālie ma mua o nā kopa kuʻuna, a hoʻohana wale ia mau mea ma ka maka o kāu keiki, ka underarms, nā wahi genital, nā lima, a me nā wāwae.
• Mai ʻānai a maloʻo paha i ka ʻili a ʻoi loa.
• Ma hope pono o ka ʻauʻau ʻana, hoʻopili i ka kirima lubricating, ka wai ʻona, a i ʻole ka hamo ʻoiai e maʻū mau ka ʻili e hei i ka wai.

Hōʻaʻahu i kāu keiki i nā kapa palupalu a ʻoluʻolu hoʻi, e like me nā lole pulupulu. E hoʻoinu i kāu keiki i ka wai nui. Hiki ke kōkua i kēia ke hoʻohui i ka wai i ka ʻili.

E aʻo i nā keiki nui i kēia mau ʻōlelo aʻoaʻo no ka mālama ʻana i ka ʻili.

ʻO ke kūpale iā ia iho, a me ka ʻili ʻana, kumu pinepine i ka haki i ka ʻili a hiki i ka maʻi. E mālama i ka maka no ka ʻulaʻula, hoʻomehana, pehu, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi. Kāhea i kāu mea hāʻawi keiki i ka hōʻailona mua o ka maʻi.

Hiki i nā mea hoʻonāukiuki 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
• ʻO ka lawe pinepine ʻana i ka ʻauʻau a i ʻole ka ua nui a ʻauʻau pinepine, kahi e hoʻomaloʻo ai i ka ʻili
• Ke hele a wela a anu loa paha, 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

I mea e pale aku ai i nā ahi uila, e hoʻāʻo e hōʻalo:

• ʻO nā meaʻai, e like me nā hua manu, he kumu ia e hopena ai i ka hopena i kahi keiki ʻōpio loa. Kūkākūkā mau me kāu mea hāʻawi ma mua.
• ʻO ka huluhulu, lanolin, a me nā lole ʻili ʻē aʻe. E hoʻohana i nā lole ʻono a me nā lole moe, e like me ka pulupulu.
• Hoʻoulu. E makaʻala ʻaʻole e ʻaʻahu i kāu keiki i ka wā mahana.
• 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, i kumu e sweating a hoʻomāhuahua i ke ʻano o kāu keiki.
• Kaumaha. E nānā i nā hōʻailona e manaʻo hoʻohoka a koʻikoʻi paha kāu keiki a aʻo iā lākou i nā ala e hōʻemi ai i ke koʻikoʻi e like me ka hanu ʻana a i ʻole ka noʻonoʻo ʻana i nā mea a lākou e leʻaleʻa ai.
• Nā mea hoʻonāukiuki i kumu i nā ʻōuli a pau. Hana i ka mea hiki iā ʻoe e mālama i kou home me ka ʻole o nā pākuʻi allergy e like me ka puna, ka lepo, a me ka dander pet.
• Hōʻalo i ka hoʻohana ʻana i nā huahana mālama ʻili i loaʻa ka ʻalekohola.

ʻO ka hoʻohana ʻana i nā moisturizers, nā kalima, a me nā hamo i kēlā me kēia lā e like me ke kuhikuhi e kōkua ai i ka pale ʻana i nā lapalapa.

Hiki ke kōkua i nā Antihistamines i lawe ʻia e ka waha inā pili i nā maʻi āpau i ka ʻili huehue o kāu keiki. Loaʻa pinepine ʻia kēia mau lāʻau ma luna o ka pā ʻaʻa a ʻaʻole koi i kahi kuhikuhi. E nīnau i ka mea hāʻawi i kāu keiki i ke ʻano kūpono no kāu keiki.

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 paha ka mea hāʻawi i kahi kirimona kortisone (steroid) ʻoluʻolu a me ka hamo i ka mua. Aia i loko o nā steroid topical kahi hōmona e kōkua ai "e hōʻoluʻolu" i ka ʻili o kāu keiki ke pehu a wela paha. Pono paha i kāu keiki i ka lāʻau ʻoi aku ka ikaika inā ʻaʻole holo pono kēia.
• ʻO nā lāʻau e hoʻoponopono ai i ka ʻōnaehana pale o ka ʻili i kapa ʻia nā immunomodulator topical paha e paipai ʻia.
• ʻO nā Moisturizers a me nā kalima i loaʻa nā ceramides e hoʻihoʻi i ka pale o ka ʻili he mea kōkua pū kekahi.

Nā mālama ʻē aʻe i hiki ke hoʻohana ʻia me:

• ʻO nā kalima Antibiotic a i ʻole nā ​​huaale inā maʻi ka ʻili o kāu keiki.
• Nā lāʻau lapaʻau e kaomi i ka ʻōnaehana pale e hoʻemi i ka pehu.
• Phototherapy, kahi lapaʻau e hōʻike pono ʻia ai ka ʻili o kāu keiki 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 ma ke ʻano he injection).
• Hiki ke hoʻohana ʻia kahi injection biologic i kapa ʻia ʻo dupilumab (Dupixent) no ka dermatitis atopic koʻikoʻi.

E haʻi ka mea hāʻawi i kāu keiki iā ʻoe i ka nui o kēia mau lāʻau e hoʻohana ai a me ka pinepine. Mai hoʻohana i nā lāʻau hou aʻe a hoʻohana pinepine paha iā ia ma mua o ka mea a ka mea hāʻawi.

Kāhea i ka hāʻawi o kāu keiki inā:

• ʻAʻole maikaʻi ʻo Atopic dermatitis me ka mālama home
• Hōʻino nā ʻōuli a holo ʻole paha ka lāʻau
• He hōʻailona ko kāu keiki i ka maʻi, e like me ka ʻulaʻula, ka pona a i ʻole nā ​​puʻupuʻu i piha i ka wai ma ka ʻili, ke kuni, a me ka ʻeha

ʻO ka eczema Infantile; Dermatitis - keiki atopic; Eczema - atopic - keiki

Eichenfield LF, Tom WL, Berger TG, et al. Nā kulekele o ka mālama ʻana no ka mālama ʻana i ka atopic dermatitis: ʻāpana 2. Ka mālama a me ka mālama ʻana i ka dermatitis atopic me nā lāʻau lapaʻau kumuhana. ʻO J Am Acad Dermatol. 2014; 71 (1): 116-132. PMID: 24813302 pubmed.ncbi.nlm.nih.gov/24813302/.

Eichenfield LF, Tom WL, Chamlin SL, et al. Nā kulekele o ka mālama ʻana no ka mālama ʻana i ka atopic dermatitis: ʻāpana 1. ʻIke a me ka loiloi ʻana o atopic dermatitis. ʻO J Am Acad Dermatol. 2014; 70 (2): 338-351. PMID: 24290431 pubmed.ncbi.nlm.nih.gov/24290431/.

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.

Sidbury R, ​​Davis DM, Cohen DE, et al. Nā alakaʻi o ka mālama ʻana no ka mālama ʻana i ka atopic dermatitis: ʻāpana 3. Ka mālama a me ka mālama ʻana me nā phototherapy a me nā ʻenehana ʻōnaehana. ʻO J Am Acad Dermatol. 2014; 71 (2): 327-349. PMID: 24813298 pubmed.ncbi.nlm.nih.gov/24813298/.

Sidbury R, ​​Tom WL, Bergman JN, et al. Nā kulekele o ka mālama ʻana no ka mālama ʻana i ka atopic dermatitis: ʻāpana 4. Ka pale ʻana i nā lapalapa maʻi a me ka hoʻohana ʻana i nā hoʻoponopono a me nā hoʻokokoke. ʻO J Am Acad Dermatol. 2014; 71 (6): 1218-1233. PMID: 25264237 pubmed.ncbi.nlm.nih.gov/25264237/.

ʻO Tom WL, Eichenfield LF. Nā maʻi Eczematous. I: Eichenfield LF, Frieden IJ, Mathes EF, Zaenglein AL, eds. ʻO Dermatology Neonatal a me Infant. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier Saunders; 2014: chap 15.

• Eczema