Atopic Dermatitis Kurapa Sarudzo
Zvemukati
- Zvigadzirwa zveOTC
- Vanodzivirira
- Mafuta
- Makirimu
- Mafuta okuzora
- Misoro steroids
- Oral antihistamines
- Mishonga yemishonga
- Prescription yemusoro steroid
- Nyaya dzemusoro calcineurin inhibitors
- Injectable anti-inflammatories
- Oral mishonga
- Phototherapy
- Tora woenda nazvo
Atopic dermatitis (AD) chirwere chisingaperi cheganda chinokanganisa vanhu vanosvika mamirioni gumi nemasere. Iyo inoratidzirwa neganda rakaoma uye inopfuurira itch. AD rudzi rwakajairika rwe eczema.
Kutsvaga chirongwa chakanaka chekudzivirira uye chekurapa cheAD chakakosha kugadzirisa zviratidzo. Asina kurapwa AD anoenderera mberi achifunya uye anotungamira mukuwedzera kukwenya. Ukangotanga kukwenya, uri panyatwa huru yekutapukirwa.
Kurapa kwakanaka kunogona kukubatsira iwe kuchengetedza hupenyu hwepamusoro uye kurara zvirinani. Ose ari maviri akakosha mukuderedza kushushikana, izvo zvinogona kutungamira mukuwedzera kupisa-kumusoro.
Kunyangwe pasina mushonga weAD, pane nzira dzakasiyana dzekurapa. Izvi zvinosanganisira zvinopfuura-the-counter (OTC) zvigadzirwa, mishonga yemishonga, uye phototherapy.
Zvigadzirwa zveOTC
Yakawanda nzira yekurapa yeAD inowanikwa pasina tsamba.
Vanodzivirira
Kunyorovesa ganda ndechimwe chematanho akapusa uye anoshanda kwazvo eAD. Kuti ubvise ganda rakaoma rinokonzerwa neAD, unofanirwa kuwedzera hunyoro paganda. Nzira yakanakisa yekuita izvi ndeyekuzora moisturizer nekukurumidza mushure mekugeza, apo ganda richiri rakanyorova.
OTC moisturizers yakanaka yekurapa kwenguva refu mhinduro. Kune matatu matatu akasiyana ma moisturizers:
Mafuta
Mafuta anonyanya kudzikamisa. Lotion musanganiswa wemvura nemafuta aunogona kuparadzira pamusoro peganda nyore. Nekudaro, iyo mvura iri muchizoro inopwa nekukurumidza, saka inogona kunge isiri sarudzo yakanakisa kune yakaoma AD.
Makirimu
Kirimu musanganiswa semisolid yemafuta nemvura. Mafuta arimo akakwirira mukirimu kupfuura mumafuta. Makirimu anowedzera kusimba kupfuura mafuta, zvichireva kuti iwo anonwisa mvura ganda. Makrisamu inzira huru yezuva nezuva yekunyorovesa ganda risingaperi.
Mafuta okuzora
Mafuta okuzora ndiwo semisolid maoiri ane akanyanya mafuta emukati uye yakanyanya kushoma mvura pane mafuta uye mafuta. Mafuta okuzora anonyorovesa uye anongofanira kuve nemidziyo mishoma. Mafuta akareruka ipetroleum jelly, iyo inongova nechinhu chimwe chete.
Kuva nezvishoma zvigadzirwa kunogadzira mafuta ekuzora sarudzo yakanaka kune avo vane ganda rakaomarara. Nekuti mafomati aya anonzwa kuzora paganda, zvingave zvakanaka kuzviisa usati warara.
Misoro steroids
Kwekurapa-kwenguva pfupi, yakaderera potency topical corticosteroids inowanikwa pamusoro pekambani. Yakadzika-simba hydrocortisone makirimu (Cortaid, Nutracort) anowanikwa kunzvimbo zhinji dzezvitoro nezvitoro.
Unogona kuisa hydrocortisone nekukurumidza mushure mekunyorovesa ganda rako. Inonyanya kushanda pakurapa kuputika.
IAmerican Academy yeDermatology (AAD) inokurudzira kurapa nzvimbo yakakanganiswa kaviri pazuva. Misoro yekorticosteroids haisi yekushandisa kwenguva refu. Pane kudaro, iyo AAD inokurudzira dzimwe nguva kushandiswa kwekudzivirira. Taura nachiremba wako nezve mukana wekushandisa hydrocortisone kamwe kana kaviri pavhiki munzvimbo dzinowanzoitika kupenga.
Oral antihistamines
OTC yemuromo antihistamines inogona kuwedzera kurapwa kwemusoro kweAD. Sekureva kweAD, zvidzidzo pamusoro pekushanda kwema antihistamines zvakasanganiswa. Antihistamines haigone kukurudzirwa seyakazvimirira kurapwa.
Nekudaro, antihistamines senge diphenhydramine (Benadryl) inogona kubatsira kubata iyo itch-kukwenya kutenderera. Iyo idiki sedative mhedzisiro inogona zvakare kubatsira kana yako kuluma ichikuramba wakamuka pahusiku.
Mishonga yemishonga
Kana iwe uchiri kurwira mafira neOTC sarudzo, chiremba wako anogona kukunyorera tsamba. Kune mhando dzakasiyana dzemishonga yekurapa inoshandiswa kurapa AD.
Prescription yemusoro steroid
Mazhinji epamusoro steroid anowanikwa chete nemushonga. Misoroo steroids inosanganiswa ne potency. Iwo anotangira kubva kukirasi 1 (akasimba) kusvika kukirasi 7 (mashoma ane simba).Mazhinji eanonyanya kunaka epamusoro steroid haana kukodzera vana, saka gara uchibvunza chiremba wemwana wako kutanga.
Misoroo steroids inogona kugadzirirwa semafuta, mafuta, kana mafuta anoiswa paganda. Kufanana nevanyorovi, mafuta ekuzora anogona kuve akanakisa sarudzo kana makirimu anowanzo kukonzera kupisa kana kuruma.
Nyaya dzemusoro calcineurin inhibitors
Nyaya dzepamusoro calcineurin inhibitors (TCIs) ingori kirasi nyowani yemishonga inorwisa-kupisa. Izvo hazvina steroid. Asi zvinoshanda pakurapa kumhanyisa uye kuchenesa kunokonzerwa neAD.
Kune maviri ekunyora TCIs pamusika nhasi: pimecrolimus (Elidel) uye tacrolimus (Protopic).
Muna 2006, US Food and Drug Administration (FDA) yakawedzera dema bhokisi rekuyambira chitambi pakuiswa kwemishonga iyi miviri. Nyevero inozivisa vatengi nezve inogona kubatana pakati peTCIs nekenza.
Iyo FDA inobvuma kuti zvinotora makumi emakore ekutsvaga kuti uone kana paine njodzi chaiyo yakaratidza. Zvichakadaro, iyo FDA inokurudzira kuti iyi mishonga ingoshandiswa chete senge yechipiri-yekurapa sarudzo.
Kana chiremba wako akaona kuti AD yako haisi kupindura kumwe kurapwa, vanogona kufunga kwenguva pfupi kurapwa neTCIs.
Injectable anti-inflammatories
Mumwe mushonga mutsva wakabvumidzwa muna2017 neDFA. Dupilumab (Dupixent), injekisheni inorwisa-kuzvimba, inogona kushandiswa padhuze necorticosteroids.
Oral mishonga
Zvinyorwa zvemusoro ndizvo zvakajairika uye zvakanyanya kudzidza kurapwa kweAD. Pane imwe nguva, chiremba wako anogona kupa mishonga yemumuromo yakadai se:
- yemuromo corticosteroids yeakapararira, akaomarara, uye asingagone AD
- cyclosporine kana interferon kune yakaoma AD
- mishonga inorwisa mabhakitiriya kana iwe ukava nehutachiona hwehutachiona hutachiona
Phototherapy
Phototherapy inoreva kurapwa nechiedza. Kurapa nebandbandband ultraviolet B (NB-UVB) mwenje ndiyo yakajairika fomu yephototherapy kune vanhu vane AD. Kurapa neNB-UVB kunobvisa ganda rinokuvadza njodzi yeultraviolet A (UVA) mwenje kubva pakuonekwa kwezuva.
Phototherapy yakanaka yakanaka yechipiri-mutsara sarudzo kana usiri kupindura kune akajairwa kurapwa. Inogona zvakare kushandiswa pakurapa kwekuchengetedza.
Mari uye kuwanika ndezvimwe zvezvinhu zvikuru zvinokanganisa. Iwe ungangoda mukana wekuporesa kurapwa kurapwa kaviri kana katatu pavhiki. Izvi zvingangoda yakakosha nguva yekufamba uye mutengo.
Tora woenda nazvo
Nedzese idzi sarudzo dzekurapa, iwe unofanirwa kuve netariro yekuti iwe unowana nzira yekugadzirisa zviratidzo zvako. Taura nachiremba wako nezvekugadzira chirongwa chakanakisa chekurapa cheAD chako. Kana chiremba wako akakunyorera tsamba nyowani, ita shuwa yekubvunza mibvunzo nezve kushandiswa kwakakodzera.