Atopic dermatitis - bana - tlhokomelo ea lapeng

Atopic dermatitis ke boloetse ba nako e telele (bo sa foleng) ba letlalo bo amang makhopho le ho hlohlona. E boetse e bitsoa eczema. Boemo bona bo bakoa ke ts'oaetso ea letlalo e ts'oanang le ts'oaetso. E kanna ea ba ea bakoa ke liphoso tsa liprotheine tse ling tse kaholimo ho letlalo. Sena se lebisa ho ruruheng ho tsoelang pele ha letlalo.

Dermatitis e atopic e atile haholo ho masea le bana. E ka qala ho tloha likhoeling tsa 2 ho isa ho tse 6. Bana ba bangata ba e feta ka ho ba batho ba baholo.

Boemo bona bo ka ba thata ho bo laola ho bana, kahoo ho bohlokoa ho sebetsa haufi-ufi le mofani oa tlhokomelo ea bophelo ba ngoana oa hau. Tlhokomelo ea letlalo ea letsatsi le letsatsi e bohlokoa ho thusa ho thibela li-flare-up le ho boloka letlalo hore le se ke la chesoa.

Ho hlohlona ho matla ho atile. Ho hlohlona ho ka qala le pele lekhopho le hlaha. Dermatitis e atopic hangata e bitsoa "ho hlohlona hoo ho hlohlona" hobane ho hlohlona hoa qala, 'me ebe lekhopho la letlalo le latela ka lebaka la ho ngoapa.

Ho thusa ngoana oa hau ho qoba ho ngoapa:

• Sebelisa setlolo se khathollang, tranelate ea li-topical steroid, setlolo sa ho lokisa mokoallo, kapa moriana o mong oo mofani oa ngoana ao laelang oona.
• Boloka manala a ngoana oa hao a khutsufalitsoe. Etsa hore ba apare liatlana tse bobebe ha ba robetse haeba ho ngoapa bosiu ke bothata.
• Fana ka li-antihistamine kapa meriana e meng ka molomo joalo ka ha ho laetsoe ke mofani oa ngoana oa hau.
• Ka hohle kamoo ho ka khonehang, ruta bana ba baholo hore ba se ke ba ngoapa letlalo.

Tlhokomelo ea letlalo ea letsatsi le letsatsi e nang le lihlahisoa tse se nang allergen e ka fokotsa tlhokeho ea meriana.

Sebelisa mafura a nolofatsang (joalo ka petroleum jelly), litlolo, kapa litlolo. Khetha lihlahisoa tsa letlalo tse etselitsoeng batho ba nang le eczema kapa letlalo le hlokolosi. Lihlahisoa tsena ha li na joala, monko, lidae le lik'hemik'hale tse ling. Ho ba le humidifier ho boloka moea o le mong ho tla thusa.

Metsi a fofisang le a tlosang monko o sebetsa hantle ha a sebelisoa letlalong le metsi kapa le mongobo. Kamora ho hlatsoa kapa ho hlapa, phunya letlalo ebe o kenya setlolo se nosetsang hang hang. Mofani oa hau a ka boela a khothaletsa ho roala holim'a mafura a tlotsang letlalo.

Ha u hlatsoa kapa u hlapa ngoana oa hau:

• Hlapa khafetsa 'me u lule u kopana le metsi hakhutšoanyane kamoo ho ka khonehang. Libate tse khuts'oane tse pholileng li betere ho feta libaka tse telele, tse chesang.
• Sebelisa lihloeki tse bonolo tsa letlalo ho fapana le lisepa tsa setso, 'me u li sebelise feela sefahlehong sa ngoana, ka tlas'a matsoho, libakeng tsa thobalano, matsohong le maotong.
• Se ke oa hohla kapa ho omisa letlalo ka thata kapa ka nako e telele.
• Hang feela ha u qeta ho hlapa, tlotsa setlolo se tlotsang, setlolo kapa mafura ha letlalo le ntse le le mongobo ho tšoasa mongobo.

Apesa ngoana oa hao liaparo tse bonolo, tse bonolo, tse kang liaparo tsa k'hothone. Noa ngoana oa hao metsi a mangata. Sena se ka thusa ho eketsa mongobo letlalong.

Ruta bana ba baholo malebela ana a tlhokomelo ea letlalo.

Ho phatloha ka bohona, hammoho le ho ngoapa, hangata ho baka ho phatloha letlalong mme ho ka lebisa tšoaetsong. E-ba leihlo bakeng sa bofubelu, mofuthu, ho ruruha kapa matšoao a mang a tšoaetso. Bitsa mofani oa ngoana oa hau ka lets'oao la pele la ts'oaetso.

Lisosa tse latelang li ka mpefatsa matšoao a dermatitis:

• Matšoao a amanang le peo e phofo, hlobo, lerōle kapa liphoofolo
• Moea o batang le o ommeng mariha
• Sefuba kapa ntaramane
• Kopana le lintho tse halefisang le lik'hemik'hale
• Ho ikopanya le lisebelisoa tse thata joalo ka boea
• Letlalo le ommeng
• Ho imeloa kelellong
• Ho hlapa khafetsa kapa ho hlapa hangata le ho sesa khafetsa, ho ka omisang letlalo
• Ho chesa haholo kapa ho bata haholo, hammoho le ho fetoha ha mocheso ka tšohanyetso
• Litlolo tse nkhang hamonate kapa lidae tse kenyellelitsoeng ho litlolo tsa letlalo kapa sesepa

Ho thibela li-flare-ups, leka ho qoba:

• Lijo, joalo ka mahe, tse ka bakang khatello ea maikutlo ho ngoana e monyane haholo. Kamehla buisana le mofani oa hau pele.
• Boea, lanolin, le masela a mang a mabe. Sebelisa liaparo tse boreleli, tse khabisitsoeng le mealo, joalo ka k'hothone.
• Ho fufuleloa. Hlokomela hore u se apare ngoana oa hau haholo nakong ea leholimo le futhumetseng.
• Sesepa se matla kapa sesepa, hammoho le lik'hemik'hale le li-solvent.
• Liphetoho tsa tšohanyetso mocheso oa 'mele, tse ka bakang mofufutso le ho mpefatsa boemo ba ngoana oa hau.
• Khatello ea maikutlo. Shebella matšoao a hore ngoana oa hau o ikutloa a tsielehile kapa a imetsoe kelellong mme o mo rute mekhoa ea ho fokotsa khatello ea maikutlo joalo ka ho hema haholo kapa ho nahana ka lintho tseo ba li ratang.
• Lisosa tse bakang matšoao a ho kula. Etsa sohle se matleng a hau ho boloka lehae la hau le se na lintho tse ka u kulisang tse kang hlobo, lerōle le liphoofolo tse ruuoang lapeng.
• Qoba ho sebelisa lihlahisoa tsa tlhokomelo ea letlalo tse nang le joala.

Ho sebelisa mafura, litlolo kapa mafura letsatsi le leng le le leng joalo ka ha ho laetsoe ho ka thusa ho thibela mollo.

Li-antihistamine tse nkiloeng ka molomo li ka thusa haeba ho kula ho baka letlalo la ngoana oa hao le hlohlona. Meriana ena hangata e fumaneha khaontareng 'me ha e hloke lengolo la ngaka. Botsa mofani oa ngoana oa hau hore na ke mofuta ofe o loketseng ngoana oa hau.

Hangata dermatitis e phahameng e phekoloa ka meriana e behiloeng ka kotloloho letlalong kapa hloohong. Tsena li bitsoa meriana ea lihlooho tsa puisano:

• Mofani oa thepa o tla fana ka tranelate e bonolo ea cortisone (steroid) kapa mafura qalong. Li-steroids tsa lihlooho li na le hormone e thusang "ho khutsisa" letlalo la ngoana oa hau ha le ruruhile kapa le ruruhile. Ngoana oa hau a ka hloka moriana o matla ho feta haeba o sa sebetse.
• Ho ka buelloa le meriana e laolang boits'ireletso ba mmele ba letlalo e bitsoang li-topical immunomodulators.
• Metsi le litlolo tse nang le li-ceramide tse khutlisetsang mokoallo oa letlalo le tsona lia thusa.

Mefuta e meng ea kalafo e ka sebelisoang e kenyelletsa:

• Litlolo kapa lithibela-mafu haeba letlalo la ngoana oa hao le tšoaelitsoe.
• Meriana e hatellang sesole sa 'mele ho fokotsa ho ruruha.
• Phototherapy, kalafo eo letlalo la ngoana oa hau le pepeselitsoeng ka hloko leseli la ultraviolet (UV).
• Ts'ebeliso ea nako e khuts'oane ea systemic steroids (li-steroid tse fanoang ka molomo kapa ka methapo e le ente).
• Ente ea biologic e bitsoang dupilumab (Dupixent) e ka sebelisoa bakeng sa dermatitis e atopic e matla.

Mofani oa ngoana oa hau o tla u joetsa hore na meriana ena u ka e sebelisa le hore na u tla e sebelisa hangata hakae. Se ke oa sebelisa meriana e mengata kapa ua e sebelisa khafetsa ho feta kamoo mofani oa thepa a reng.

Bitsa mofani oa ngoana oa hau haeba:

• Atopic dermatitis ha e ntlafale ka tlhokomelo ea lapeng
• Matšoao a mpefala kapa kalafo ha e sebetse
• Ngoana oa hau o na le matšoao a ts'oaetso, joalo ka bofubelu, boladu kapa maqhubu a tletseng mokelikeli letlalong, feberu kapa bohloko

Eczema ea lesea; Dermatitis - atopic bana; Eczema - atopic - bana

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Eichenfield LF, Tom WL, Chamlin SL, le al. Tataiso ea tlhokomelo ea taolo ea atopic dermatitis: karolo ea 1. Tlhahlobo le tlhahlobo ea atopic dermatitis. J Ke Acad Dermatol. 2014; 70 (2): 338-351. PMID: 24290431 e fetotsoe.ncbi.nlm.nih.gov/24290431/.

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Sidbury R, ​​DMis DMis, Cohen DE, le al. Tataiso ea tlhokomelo ea taolo ea atopic dermatitis: karolo ea 3. Tsamaiso le kalafo ka phototherapy le li-systemic agents. J Ke Acad Dermatol. 2014; 71 (2): 327-349. PMID: 24813298 pubmed.ncbi.nlm.nih.gov/24813298/.

Sidbury R, ​​Tom WL, Bergman JN, le al. Tataiso ea tlhokomelo ea taolo ea atopic dermatitis: karolo ea 4. Thibelo ea malakabe a mafu le ts'ebeliso ea litlhare le katamelo. J Ke Acad Dermatol. 2014; 71 (6): 1218-1233. PMID: 25264237 e fetotsoe.ncbi.nlm.nih.gov/25264237/.

Tom WL, Eichenfield LF. Mathata a eczematous. Ka: Eichenfield LF, Frieden IJ, Mathes EF, Zaenglein AL, bahlophisi. Dermatology ea bongoana le ea masea. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2014: khaolo ea 15.

• Eczema