Namhlanje kubusika eChicago, kwaye ngenxa yobhubhani we-Covid-19, singaphakathi kakhulu kunangaphambili. Oku kubangela ingxaki eluswini.
Umphandle uyabanda kwaye ubhitye, ngelixa ingaphakathi leradiyetha kunye nesithando somlilo livuthelwa lome kwaye lishushu. Sifuna iibhafu ezishushu kunye neeshawa, eziya komisa ngakumbi ulusu lwethu. Ngaphaya koko, iinkxalabo zobhubhane bezisoloko zikhona, nto leyo ikwabeka uxinzelelo kwinkqubo yethu.
Kubantu abaneeczema engapheliyo (ekwabizwa ngokuba yi-atopic dermatitis), ulusu lurhawuzelelwa ngakumbi ebusika.
UGqr. Amanda Wendel, ugqirha wesikhumba kwiSibhedlele saseNorthwestern Central DuPage saseNorthwestern Medicine, wathi: “Siphila kumaxesha eemvakalelo eziphakamileyo, nto leyo enokubangela ukudumba kolusu lwethu.” Ulusu lwethu ngoku lubuhlungu ngakumbi kunangaphambili.
I-eczema ibizwa ngokuba “kukurhawuzelelwa ngokurhawuzelelwa” kuba ukurhawuzelelwa kuqala, kulandele ukugqabhuka komsindo okuzingileyo.
U-Rachna Shah, MD, i-allergist ye-allergies, i-sinusitis kunye neengcali ze-asthma e-Oak Park, wathi xa urhawuzelelwa ungakhululekanga uqalisa, iiplakhu ezirhabaxa okanye ezijiyileyo, izilonda ze-scaly, okanye I-hive iphakama. Ukuvutha okuqhelekileyo kubandakanya iingqiniba, izandla, amaqatha kunye nomva wamadolo. UShah uthe, kodwa irhashalala inokuvela naphi na.
Kwi-eczema, imiqondiso evela kukhuselo lomzimba lomzimba inokubangela ukudumba, ukurhawuzelelwa, kunye nomonakalo kumqobo wolusu. UGqr. Peter Lio, ugqirha wedermatologist kwiYunivesithi yaseNorthwestern, wachaza ukuba imithambo-luvo yokurhawuzelelwa iyafana nemithambo-luvo yeentlungu kwaye ithumela imiqondiso ebuchotsheni ngentambo yomqolo. Xa siphawula, ukunyakaza kweminwe yethu kuya kuthumela isignali yentlungu ephantsi, eya kugubungela ukuvakalelwa kwaye ibangele ukuphazamiseka ngokukhawuleza, ngaloo ndlela ikhulise ukukhululeka.
Ulusu lungumqobo othintela iintsholongwane ukuba zingangeni emzimbeni kwaye zikhusela ulusu ekuphulukaneni nokufuma.
“Sifunde ukuba kwizigulana ezineeczema, umqobo wolusu awusebenzi kakuhle, nto leyo endiyibiza ngokuba kukuvuza kwesikhumba,” utshilo uLio. “Xa umqobo wolusu ungaphumeleli, amanzi anokubaleka ngokulula, nto leyo ebangela ulusu olomileyo, oluthe tyaba, yaye ngokufuthi lungakwazi ukugcina ukufuma. I-Allergens, i-irritants, kunye ne-pathogens inokungena esikhumbeni ngokungaqhelekanga, ibangele ukuba amajoni omzimba asebenze, nto leyo ibangela ukuba umntu angabikho kwaye adumbe. .”
I-Irritants kunye ne-allergens ibandakanya i-atmospheres eyomileyo, utshintsho lobushushu, uxinzelelo, iimveliso zokucoca, iisepha, iidayi zeenwele, iimpahla zokwenziwa, iimpahla zoboya, uthuli-uluhlu lukhula rhoqo.
Ngokwengxelo ye-Allergology International, kubonakala ngathi oku akwanelanga, kodwa i-25% ukuya kwi-50% yezigulane ze-eczema ziye zaguquka kwi-gene encoding ciliated protein, eyiprotheni yokwakheka kwesikhumba. Inokubonelela ngesiphumo sendalo sokuthambisa. Oku kuvumela i-allergen ukuba ingene esikhumbeni, ibangela ukuba i-epidermis ibe yincinci.
“Ingxaki nge-eczema kukuba inezinto ezininzi. U-Lio uthe ucebisa ukukhuphela usetyenziso lwasimahla lwe-EczemaWise ukulandelela iimeko zolusu kunye nokuchonga izinto ezibangela, ukuqonda kunye neendlela.
Ukuqwalasela yonke le miba intsonkothileyo, ukufumanisa oyena nobangela we-eczema kunokuba yindida. Qwalasela la manyathelo mahlanu alandelayo ukufumana isisombululo solusu lwakho:
Ngenxa yokuba umqobo wolusu lwezigulana ezineeczema zihlala zonakele, zichaphazeleka ngakumbi kusulelo lwesibini olubangelwa ziibhaktheriya zolusu kunye neentsholongwane. Oku kwenza ucoceko lwesikhumba lube sisitshixo, kuquka nokugcina ulusu lucocekile kwaye lufumile.
UShah uthe: "Hlamba ishawa eshushu okanye uhlambe imizuzu emi-5 ukuya kweli-10 ngosuku." Oku kuya kugcina ulusu lucocekile kwaye longeze ukufuma.
UShah uthe kunzima ukutshisa amanzi, kodwa kubalulekile ukukhetha amanzi afudumeleyo. Faka amanzi esihlahleni sakho. Ukuba ivakala iphezulu kunobushushu bomzimba wakho, kodwa ingeshushu, yile nto uyifunayo.
Xa kuziwa kwii-agent zokucoca, sebenzisa i-fragrance-free, ukhetho oluthambileyo. UShah uncoma iimveliso ezifana neCeraVe kunye neCetaphil. I-CeraVe iqulethe i-ceramide (i-lipid enceda ukugcina ukufuma kumqobo wolusu).
UShah wathi: “Emva kweshawari, yome kancinci. UShah wathi: "Nokuba usula ulusu lwakho ngetawuli, unokukhulula ngokukhawuleza ukurhawuzelelwa, kodwa oku kuya kubangela iinyembezi ezingakumbi."
Emva koko, sebenzisa i-moisturizer esemgangathweni ophezulu ukuthambisa. Akukho vumba, ikhilimu eshinyeneyo iyasebenza ngakumbi kunelotion. Ukongeza, jonga imigca yesikhumba ebuthathaka kunye nezithako ezincinci kunye ne-anti-inflammatory compounds.
UShah uthe: "Kwimpilo yolusu, ukufuma kwendlu kufuneka kube phakathi kwe-30% kunye ne-35%. UShah uncoma ukubeka i-humidifier kwigumbi apho ulala okanye usebenza khona. Uthe: "Ungakhetha ukuyiyeka kangangeeyure ezimbini ukunqanda ukufuma okugqithisileyo, kungenjalo iya kubangela ezinye izinto ezikwaliwayo."
Coca i-humidifier ngeviniga emhlophe, i-bleach kunye ne-brush encinci ngeveki nganye, njengoko ii-microorganisms ziya kukhula kwi-reservoir kwaye zingene emoyeni.
Ukuvavanya umgangatho womswakama kwindlu ngendlela yakudala, gcwalisa iglasi ngamanzi kwaye ubeke iicube ezimbini okanye ezintathu ze-ice kuyo. Emva koko, linda malunga nemizuzu emine. Ukuba iifom ze-condensation eninzi kakhulu ngaphandle kweglasi, inqanaba lokufuma kwakho linokuba phezulu kakhulu. Kwelinye icala, ukuba akukho condensation, inqanaba lokufuma kwakho linokuba liphantsi kakhulu.
Ukuba ufuna ukunciphisa ukurhawuzelelwa kwe-eczema, qwalasela nantoni na eya kuchukumisa ulusu lwakho, kubandakanya iimpahla kunye nomgubo wokuhlamba. Kufuneka kungabikho vumba, enye yezona zinto zixhaphakileyo ezibangela ukuqhambuka. Umbutho weEczema.
Ixesha elide, umqhaphu kunye nesilika ibingamalaphu akhethwayo kwizigulana ezine-eczema, kodwa uphononongo olupapashwe kwi-American Journal of Clinical Dermatology ngo-2020 lubonise ukuba amalaphu okwenziwa okulwa ne-antibacterial kunye ne-wicking-wicking anokunceda ukunciphisa iimpawu ze-eczema.
Uphononongo olupapashwe kwi-"Clinical, Cosmetic and Research Dermatology" lufumene ukuba izigulane ze-eczema zazinxiba imikhono emide kunye neebhulukhwe ezinde, imikhono emide kunye neebhulukhwe ezenziwe nge-antibacterial zinc fiber ubusuku obuthathu obulandelelanayo, kwaye ubuthongo babo buphuculwe.
Ukunyanga i-eczema akusoloko kulula, kuba kubandakanya okungaphezulu nje kwerhashalala. Ngethamsanqa, kukho iindlela ezininzi zokunciphisa ukusabela komzimba kunye nokunciphisa ukuvuvukala.
UShah uthe ukuthatha iiyure ze-24 ngosuku lwe-antihistamines, njengeClaretin, iZyrtec okanye i-Xyzal, inokunceda ukulawula ukurhawuzelela. "Oku kuya kunceda ukulawula iimpawu ezinxulumene ne-allergies, enokuthetha ukunciphisa ukurhawuzelelwa."
Amafutha e-topical anokunceda ukunciphisa impendulo yomzimba. Ngokuqhelekileyo, oogqirha bamisela i-corticosteroids, kodwa ezinye iindlela zonyango ezingezo-steroid zinokunceda. "Nangona i-topical steroids inokuba luncedo kakhulu, kufuneka silumke singazisebenzisi kakhulu kuba zincinci umqobo wolusu kwaye abasebenzisi banokuxhomekeke kakhulu kuzo," utshilo uLio. "Unyango olungasebenzisi steroids lunokunceda ukunciphisa ukusetyenziswa kwe-steroids ukugcina ulusu lukhuselekile." Unyango olunjalo lubandakanya i-crisaborole ethengiswa phantsi kwegama lezorhwebo elithi Eucrisa.
Ukongeza, i-dermatologists inokuguqukela kunyango lokusonga olumanzi, olubandakanya ukusonga indawo echaphazelekayo ngelaphu elifumileyo. Ukongeza, i-phototherapy isebenzisa imitha ye-ultraviolet ene-anti-inflammatory kunye ne-antibacterial effects eluswini. Ngokutsho kwe-American Dermatological Association, olu nyango lunokuthi "lukhuseleke kwaye lusebenze" ukunyanga i-eczema.
Kwizigulane ezine-eczema ephakathi ukuya kwi-eczema enzima engakhange ikhululeke emva kokusebenzisa unyango lwe-topical okanye olunye unyango, kukho i-biologic drug dupilumab (Dupixent) yamva nje. Iyeza-inaliti elizinikezelayo kanye qho kwiiveki ezimbini-liqulathe i-antibody ethintela ukudumba.
U-Lio uthe izigulane ezininzi kunye neentsapho zikholelwa ukuba ukutya kungunobangela we-eczema, okanye ubuncinane unobangela obalulekileyo. Kodwa uninzi lwabaguli bethu be-eczema, ukutya kubonakala kudlala indima encinci ekuqhubeni izifo zolusu.
"Yonke into inzima kakhulu, kuba akungabazeki ukuba ukutya okutyayo kuhambelana ne-atopic dermatitis, kwaye malunga nesinye kwisithathu sezigulana ezine-allergic dermatitis ephakathi okanye enzima kakhulu inokutya kwangempela," kusho uLio. Ezona zixhaphakileyo kukwalana nobisi, amaqanda, amandongomane, intlanzi, isoya kunye nengqolowa.
Abantu abane-allergies banokusebenzisa iimvavanyo ze-skin prick okanye iimvavanyo zegazi ukuxilonga izinto ezikwaliwayo. Nangona kunjalo, nokuba awuhambisani nokutya, kunokuchaphazela i-eczema.
“Ngelishwa, kukho okungakumbi kweli bali,” utshilo uLio. "Ukutya okuthile kubonakala ngathi kukudumba ngendlela engeyiyo i-allergenic, engaphantsi kwendlela, njengemveliso yobisi. Kwabanye abantu, ukutya isixa esikhulu seemveliso zobisi kubonakala kuyenza imeko ibe mbi ngakumbi.” Kwi-atopic dermatitis okanye Ngokubhekiselele kwi-acne. “Oku ayisiyongxaki yokwenyani, kodwa kubonakala ngathi ibangela ukudumba.”
Nangona kukho iindlela zokubona ukwaliwa kokutya, akukho ndlela iqinisekileyo yokufumanisa uvakalelo lokutya. Eyona ndlela ilungileyo yokubona ukuba awukhathali na kukutya kukuzama ukutya okuphelisa, susa iindidi ezithile zokutya kangangeeveki ezimbini ukuze ubone ukuba iimpawu ziyanyamalala na, uze uzibuyisele ngokuthe ngcembe ukubona ukuba iimpawu ziyaphinda zivele.
"Kubantu abadala, ukuba baqinisekile ukuba kukho into eya kwenza imeko ibe mandundu, ndingazama ukutya okuncinci, okulungileyo," watsho uLio. "Ndikwanethemba lokukhokela abaguli ngokubanzi ngokutya okunempilo: okusekwe kwizityalo, zama ukunciphisa ukutya okucutshungulwayo, ukuphelisa ukutya okuneswekile, kwaye ugxile ekutyeni okwenziwa ekhaya kunye nokutya okupheleleyo."
Nangona kuluqili ukunqanda i-eczema, ukuqala ngala manyathelo mahlanu angasentla kunokunceda ukurhawuzelelwa okuhlala ixesha elide kuthobe.
UMorgan Lord ngumbhali, utitshala, uphucula kunye nomama. Ngoku ungunjingalwazi kwiYunivesithi yaseChicago e-Illinois.
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