Nā koho koho atopic dermatitis

Anter

• Nā huahana OTC
• Moisturizers
• Lotiona
• Pālima
• ʻAilima
• ʻO nā steroid ʻo topical
• Nā antihistamines waha
• Nā lāʻau lapaʻau
• Hoʻonohonoho ʻia nā steroid topical
• Nā mea kāohi helu helu helu helu
• Injectable anti-inflammatories
• Nā lāʻau lapaʻau waha
• Phototherapy
• Lawe aku

ʻO Atopic dermatitis (AD) kahi ʻano ʻili mau e pili kokoke ana i ka 18 miliona mau kānaka. Hoʻohālikelike ʻia e ka ʻili maloʻo a me ka makaʻu mau. ʻO AD kahi ʻano maʻamau o ka eczema.

ʻO ka loaʻa ʻana o kahi hoʻolālā pale a maikaʻi no AD he mea nui ia no ka mālama ʻana i nā ʻōuli. Hoʻomau ʻia ka AD i hoʻomaʻemaʻe ʻole ʻia a alakaʻi i ka hou ʻana. Ke hoʻomaka koke ʻoe i ka ʻōlala, ʻoi aku ka makaʻu i ka maʻi.

Hiki i ke olakino kūpono ke kōkua iā ʻoe e mālama i ke ola kiʻekiʻe a loaʻa i ka hiamoe maikaʻi. Pono nā mea ʻelua i ka hoʻohaʻahaʻa ʻana i ke koʻikoʻi, a hiki i ka hoʻonui ʻia ʻana o ke ahi.

ʻOiai ʻaʻohe mea lapaʻau no AD, aia kekahi mau koho lapaʻau ʻokoʻa. Hoʻopili kēia i nā huahana over-the-counter (OTC), nā lāʻau lapaʻau, a me phototherapy.

Nā huahana OTC

Loaʻa nā koho lapaʻau he nui no AD me ka ʻole o ka lāʻau.

Moisturizers

ʻO ka hoʻonoe ʻana i ka ʻili kekahi o nā hana AD maʻalahi maʻalahi a maikaʻi hoʻi. I mea e hōʻoluʻolu ai i ka ʻili maloʻo i hoʻokumu ʻia e AD, pono ʻoe e hoʻohui i ka wai i ka ʻili. ʻO ke ala ʻoi loa e hana ai i kēia ka hoʻopili ʻana i kahi moisturizer ma hope koke o ka ʻauʻau ʻana, ʻoiai e ʻūpū ka ʻili.

ʻO nā moisturizer OTC kahi hopena lapaʻau lōʻihi lōʻihi maikaʻi. ʻEkolu mau ʻano moisturizers:

Lotiona

ʻO nā lotiona nā moisturizer māmā loa. ʻO Lotion kahi hui o ka wai a me ka aila e hiki ai iā ʻoe ke hoʻolaha maʻalahi ma luna o ka ʻili. Eia nō naʻe, evaporates koke ka wai i loko o ka lotion, no laila ʻaʻole ia ke koho maikaʻi loa no AD koʻikoʻi.

Pālima

ʻO kahi kalima kahi hui semisolid o ka aila a me ka wai. ʻOi aku ka nui o ka aila ma ka holika ma mua o ka ʻili. ʻOi aku ka emollient o nā kalima ma mua o ka hamo, ʻo ia hoʻi ʻoi aku ka maikaʻi o ka hydrate o ka ʻili. ʻO nā kalima kahi koho moisturizing maikaʻi loa no ka ʻili maloʻo mau.

ʻAilima

ʻO nā aila ʻaila semisolid me nā aila kiʻekiʻe loa a ʻoi aku ka liʻiliʻi o ka wai ma mua o nā lotion a me nā kalima. Hoʻoulu nui ka hamo a loaʻa wale i kahi mau mea hoʻohui. ʻO ka hamo maʻalahi ʻo ka ʻaila ʻaila, kahi hoʻokahi wale nō mea hana.

ʻO ka loaʻa ʻana o nā mea pono he mea maikaʻi loa ka hamo no ka poʻe me ka ʻili koʻikoʻi. Ma muli o ka momona o ka ʻili o kēia mau formulated, ʻoi aku paha ka maikaʻi e hoʻopili iā lākou ma mua o ka hiamoe.

ʻO nā steroid ʻo topical

No ka mālama wā pōkole, loaʻa nā corticosteroids topical potency haʻahaʻa ma luna o ka pā. Loaʻa nā kalima hydrocortisone haʻahaʻa (Cortaid, Nutracort) ma ka hapa nui o nā hale kūʻai lāʻau a me nā hale kūʻai.

Hiki iā ʻoe ke hoʻopili iā hydrocortisone koke ma hope o kou hoʻoliʻiliʻi i kou ʻili. ʻOi aku ka maikaʻi no ka mālama ʻana i kahi lapalapa.

Paipai ka American Academy of Dermatology (AAD) e mālama i ka wahi i hoʻopilikia ʻia i ʻelua mau lā. ʻAʻole no ka hoʻohana wā lōʻihi nā Corticosteroids kumuhana. Ma kahi o ka AAD e paipai aku ai i kekahi manawa no ka mea e pale aku ai i kekahi manawa. E kamaʻilio me kāu kauka e pili ana i ka hiki ke hoʻohana i ka hydrocortisone hoʻokahi i ʻelua mau manawa i kēlā me kēia pule ma nā wahi e ʻike pinepine ʻia i ka uila.

Nā antihistamines waha

Hiki i nā antihistamines waha waha ke kākoʻo i ka mālama kumuhana o AD. Wahi a ka AAD, ua hui like nā haʻawina e pili ana i ka pono o nā antihistamines. ʻAʻole hōʻike pinepine ʻia nā Antihistamines ma ke ʻano he lāʻau kū kū.

Eia nō naʻe, hiki i nā antihistamines e like me diphenhydramine (Benadryl) ke kōkua i ka mālama ʻana i ka pōʻai itch-scratch. Hiki paha ke kōkua i ka hopena hōʻoluʻolu inā e mālama ʻoe i kāu makaʻu i ka pō.

Nā lāʻau lapaʻau

Inā ʻoe e hakakā mau nei i nā ahi me nā koho OTC, e kākau paha kāu kauka iā ʻoe i kahi kuhikuhi. Aia kekahi mau ʻano lāʻau lapaʻau i hoʻohana ʻia e mālama iā AD.

Hoʻonohonoho ʻia nā steroid topical

Loaʻa ka hapa nui o nā steroid topical e ke kuhikuhi. Hoʻohui ʻia nā steroid topical e ka ikaika. Kūleʻa lākou mai ka papa 1 (ikaika) a i ka papa 7 (ʻoi loa o ka ikaika).ʻO ka hapa nui o nā steroid topical potent potent i kūpono ʻole no nā keiki, no laila e kūkākūkā mau me ke kauka o kāu keiki ma mua.

Hoʻomākaukau ʻia nā steroid topical e like me nā lotion, nā kalima, a me nā hamo i hoʻopili ʻia i ka ʻili. E like me nā moisturizers, ʻo nā hamo ke koho maikaʻi loa inā e mālama nā kalima i ke ahi a i ʻole ke ʻū ʻana.

Nā mea kāohi helu helu helu helu

He papa hou kēia o nā mea kūpikipiki cineine cine (TCIs) o ka lāʻau anti-inflammatory. ʻAʻohe o lākou steroid. Akā maikaʻi lākou i ka mālama ʻana i ka hū a me ka nalu i hoʻokumu ʻia e AD.

Aia he mau TCI kuhikuhi ma ka makeke i kēia lā: pimecrolimus (Elidel) a me tacrolimus (Protopic).

I ka 2006, ua hoʻohui ka US Food and Drug Administration (FDA) i kahi lepili hōʻailona ʻeleʻele i ka wahī o kēia mau lāʻau ʻelua. Hoʻomaopopo ka ʻōlelo aʻoaʻo i nā mea kūʻai aku i kahi loulou kūpono ma waena o TCI a me ka maʻi ʻaʻai.

Ua ʻae ka FDA he 10 mau makahiki o ka noiʻi ʻana e hoʻoholo inā aia kekahi pilikia maoli i hōʻike ʻia. I kēia manawa, ua paipai ka FDA e hoʻohana wale ʻia kēia mau lāʻau i koho ʻia no ka lālani lua.

Inā hoʻoholo kāu kauka ʻaʻole pane kāu AD i nā ʻano lāʻau ʻē aʻe, noʻonoʻo paha lākou i ka hana pōkole me TCI.

Injectable anti-inflammatories

Ua ʻae ʻia kekahi lāʻau hou i ka 2017 e ka FDA. ʻO Dupilumab (Dupixent), kahi anti-inflammatory hoʻoheheʻe ʻia, hiki ke hoʻohana ʻia ma ka ʻaoʻao o nā corticosteroids.

Nā lāʻau lapaʻau waha

ʻO nā kuhikuhi kumuhana ka mea maʻamau a aʻo ʻia loa no AD. I kekahi manawa, hiki i kāu kauka ke kuhikuhi i nā lāʻau e like me:

• oral corticosteroids no ka hoʻolaha ākea, koʻikoʻi, a kūpaʻa hoʻi iā AD
• cyclosporine a i ʻole interferon no AD koʻikoʻi
• antibiotics inā hoʻomohala ʻoe i kahi maʻi maʻi bacteria

Phototherapy

ʻO Phototherapy pili i ka mālama ʻana me ka mālam. ʻO ka mālama ʻana me ka lightband ultraviolet B (NB-UVB) ka mālamalama ke ʻano maʻamau o ka phototherapy no ka poʻe me AD. Hoʻopau ka mālama ʻana me NB-UVB i ka ʻili e hōʻino ana i nā makaʻi o ka ultraviolet A (UVA) mai ke kū ʻana o ka lā.

ʻO Phototherapy kahi koho laina lua maikaʻi inā ʻaʻole ʻoe e pane i ka maʻamau maʻamau. Hiki nō ke hoʻohana no ka mālama mālama.

ʻO ke kumukūʻai a me ke komo ʻana he ʻelua ia o nā mea hōʻemi nui. Pono ʻoe e komo i ka mālama ʻana i phototherapy ʻelua a ʻekolu mau manawa i kēlā me kēia pule. Pono paha kēia i ka manawa huakaʻi nui a me ke kumukūʻai.

Lawe aku

Me kēia mau koho lapaʻau a pau, pono ʻoe e manaʻolana e loaʻa iā ʻoe kahi ala e mālama ai i kāu mau ʻōuli. E kamaʻilio me kāu kauka e pili ana i ka hoʻokumu ʻana i kahi hoʻolālā lapaʻau AD maikaʻi loa nāu. Inā kākau kāu kauka iā ʻoe i kahi palapala hou, e hōʻoia e nīnau i nā nīnau e pili ana i ka hoʻohana kūpono.