Izidakamizwa ezehlukene zingase zisebenzise izigaba ezahlukene ze-eczema
Njengoba i- atopic dermatitis-i- dry, i-scaly, ama-patches ekhanda ekhanda futhi eyaziwa ngokuthi i-eczema-yi-rash engase ifike futhi ihambe, imithi ehlukene ijwayele ukuhlelwa ngezigaba ezihlukahlukene zalesi simo. Njengoba isikhumba esithintekile yilesi sifo kubhekwa sengathi "siyangcola," umgomo wokwelashwa wukuthi isikhumba sibe yisivinini esingcono. Ake sibheke imithi elandelayo engase ibekwe ukusiza ukuphatha lesi simo.
I-Steroids yama-Topical
I-steroid ye-topical yi-steroids ukuthi ugijimela esikhumbeni, njengama-creams, ngokungafani nalabo abathatha ifomu lamaphilisi ngomlomo. Zisekhona ukwelashwa kokuqala kwe-atopic dermatitis flare-ups ngoba ziphumelela ekunciphiseni ukuvuvukala kwesikhumba. I-steroid ye-topical ifika ngamandla ayisikhombisa ahlukene futhi kubalulekile ukusebenzisa amandla afanele engxenyeni ethintekile yomzimba.
I-high-strength steroids ye-topical ngokuvamile igcinwe ukusetshenziswa ezingalweni nasemilenzeni. I-Eczema ebusweni nasezikhumbeni, njengezimpondo noma ubuhlungu, ngakolunye uhlangothi, ngokuvamile kungaphathwa nge-steroids ephansi. Ngezinye izikhathi, udokotela angase ancome ukuthi athathe isitifiketi esinamandla isikhathi esilinganiselwe sokukhululeka ngokushesha bese eshukuthela esterodi enamandla.
I-Bland emollients (moisturizers) -thengiswa phezu kwe-counter-ingase ibe yindlela ephumelelayo yokwelashwa kwezokwelapha.
Calcineurin Inhibitors
I-calcineurin inhibitors yi-Protopic (tacrolimus) no-Elidel (i-pimecrolimus).
Ziyaziwa ngokuthi i-immunomodulators ngoba zishintsha izingxenye zesimiso sokuzivikela somzimba ezenza i-atopic dermatitis ngaphandle kokucindezela isimiso sonke sokuzivikela. Kufanele zisetshenziswe kuphela phakathi kwama-flare-ups.
Ama-antihistamine
Ama-antihistamine omlomo , afana ne-Benadryl (diphenhydramine) noma i-Atarax (i-hydroxyzine), angasetshenziswa ukuphatha itchki ehambisana ne-eczema.
Kubalulekile ukuthi uqaphele ukuthi zingabangela ukulala futhi angeke zisize kuzo zonke izimo ze-atopic dermatitis. Ama-antihistamine ama-creams akufanele asetshenziselwe ukuvuthwa kwe-eczema ngoba aqukethe amakhemikhali angakwazi kakhulu ukuhlukumeza.
Ama-antibiotic omlomo
I-atopic dermatitis inciphisa izivikelo zemvelo zesikhumba, okwenza kube lula ukuthi isikhumba sithole igciwane. Uma i-atopic dermatitis yomuntu ingaphuthuki njengoba ilindelekile, kungenzeka ukuthi isikhumba sithathelelekile. Kulesi simo, izidakamizwa zomlomo-njengeDuricef (cefadroxil) noma i-Keflex (cephalexin) -vame zibekwe uphawu lokuqala lokutheleleka.
I-Oral Steroids
I-corticosteroids yomlomo, njenge-prednisone, i-prednisolone, ne-medrol, ingasetshenziselwa ukuhlaselwa okukhulu kwe-eczema. Zisetshenziswa uma ukuqhuma kuhlanganisa ingxenye enkulu yomzimba nobuso.
Yize zisebenza kahle, ama-steroids omlomo asetshenziselwa isikhathi eside anemiphumela emibi eminingi, kuhlanganise nokuzuza kwesisindo, ukugcoba amathambo nokunciphisa amasosha omzimba.
Ukuze unciphise ingozi yemiphumela emibi, udokotela angase anikeze inkambo emifushane (izinsuku ezinhlanu) ze-steroid yomlomo ukuzolalisa ukushisa. I-steroid ye-topical ingasetshenziselwa ukuqhuma okusele.
I-Tarali yamalahle
I-tar yamalahle , empeleni eyenziwe ngokuqhafaza amalahle, sekuyisikhathi eside iselashwa ngezimo ezihlukahlukene zesikhumba. Izinhlayiya nezinsipho ezinamatela amalahle zingasiza ngamathambo amancane e-dermatitis e-atopic.
I-tar yamakhadi ijwayele ukusebenza kangcono esikhumbeni esinyanyekile esingesiyo isifo. Ngezinye izikhathi lisetshenziselwa ukunciphisa izimpawu zokuqala zokubamba. Noma kunjalo, i-tar yamalahle ingabacasula kakhulu isikhumba esivele siguqukile. Kulungile ukuzama ilahle lamakhaza amacala amancane e-eczema, kodwa kufanele ume ngokushesha uma uthola noma yikuphi ukunyuka kokushaywa noma ukubomvu kokushona.
Leukotriene Inhibitors
I-leukotriene inhibitors, njenge-Singulair (i-montelukast) noma i-Accolate (zafirlukast), imithi engasiza ekunciphiseni ukuvuvukala kwesikhumba.
Le mithi ivame ukusetshenziselwa ukwelapha ezinye izifo ezihlobene nezifo, ezifana ne-asthma kanye ne-allergenic rhinitis (izifo zonyaka). Yize kungase kunconywe abanye, okwamanje akukho idatha ebonisa ukuthi i-leukotriene inhibitors ithuthukisa i-dermatitis ye-atopic.
Okunye Imithi Yokunciphisa Ngomzimba
Imithi eminingi iyaphenywa ukuze ibone ukuthi ingasetshenziswa yini ukuphatha i-eczema. Iningi lazo lisetshenziselwa ukuphatha ezinye izifo ezihlobene, njenge- psoriasis noma i- allergenic rhinitis (izifo zonyaka). Le mithi ihlanganisa:
- I-Cyclosporine
- I-Interferon
- I-Methotrexate
- Azothiaprin
Izidakamizwa ezigunyaziwe ze-FDA ngo-2017
- Crisaborole
- I-Dupilumab
> Imithombo:
> "Ulwazi lwe-Elidel." FDA.gov. 22 Septhemba 2007
> "Ulwazi lwe-Protopic." FDA.gov. 22 Septhemba 2007