Atopic dermatitis - Atopik Dermatit
https://en.wikipedia.org/wiki/Atopic_dermatitis
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References
Atopic Dermatitis 28846349 NIH
Atopik dermatit – ekzemaning bir turi bo'lib, terining surunkali yallig'lanishining eng keng tarqalgan kasalligidir. Uning sabablari murakkab bo'lib, irsiy va atrof‑muhit omillarini o'z ichiga oladi; bu esa terining tashqi qatlamida ham, immunitet tizimida ham anormalliklarga olib keladi.
Atopic dermatitis (AD), which is a specific form of eczema, is the most common chronic inflammatory skin disease. Atopic dermatitis has a complex etiology including genetic and environmental factors which lead to abnormalities in the epidermis and the immune system.
Atopic Dermatitis: Diagnosis and Treatment 32412211Atopik dermatitning kuchayishini nazorat qilish uchun asosiy davolash usuli topikal kortikosteroidlarni qo‘llashdir. Boshlang‘ich davolash sifatida topikal kortikosteroidlarga topikal kalsineurin inhibitörleri bo‘lgan pimekrolimus va takrolimusni qo‘shish mumkin. Standart davolash usullari etarli bo‘lmaganda, ultrabinafsha fototerapiya o‘rtacha va og‘ir atopik dermatit uchun xavfsiz va samarali variant hisoblanadi. Staphylococcus aureusga qarshi antibiotiklar ikkilamchi teri infektsiyalarini davolashda samarali. Garchi yangi dorilar (crisaborole and dupilumab) atopik dermatitni davolashda va‘da berayotgan bo‘lsa‑da, ular hozirda ko‘plab bemorlar uchun juda qimmat.
The primary treatment for flare-ups of atopic dermatitis is using topical corticosteroids. Pimecrolimus and tacrolimus, which are topical calcineurin inhibitors, can be added to topical corticosteroids as initial treatment. When standard treatments aren't enough, ultraviolet phototherapy is a safe and effective option for moderate to severe atopic dermatitis. Antibiotics targeting Staphylococcus aureus are effective against secondary skin infections. While newer medications (crisaborole, dupilumab) show promise for treating atopic dermatitis, they're currently too expensive for many patients.
Atopic dermatitis in children 27166464Atopik dermatit umumiy amaliyotda, ayniqsa bolalar orasida keng tarqalgan muammo hisoblanadi. Ushbu kasallikka chalingan bolalar uchun topikal steroidlarni belgilash bu yaxshi tushunishni talab qiladi. Ota‑onalarga davolanishni davom ettirishda yordam berish, yaxshi tushuntirishni, kortikosteroidlarning uzoq muddatli nojo'ya ta'siri haqida tashvishlarini yengillashtirishni o'z ichiga oladi.
Atopic dermatitis is a common issue in general practice, especially among children. Prescribing topical steroids for kids with this condition requires a good grasp of it. Getting parents to follow through with treatment involves explaining well, easing their worries about long-term side effects of corticosteroids.
Sababi aniq emas, lekin shahar aholisi va quruq iqlimda yashovchilar ko‘proq uchraydi. Kimyoviy moddalar (masalan, sovun) bilan aloqa yoki tez-tez qo‘l yuvish simptomlarni yomonlashtiradi. Hissiy stress ham simptomlarni kuchaytirishi mumkin, ammo u asosiy sabab hisoblanmaydi.
Davolashda avvalo yomonlashtiruvchi omillardan (masalan, sovun) qochish, yallig‘lanish paydo bo‘lganda steroid kremlarini qo‘llash va qichishishni kamaytiruvchi dori-darmonlarni ishlatish kerak. Yomonlashtiruvchi omillarga jun kiyimi, sovun, parfum, chang, ichimlik va sigaret tutuni kiradi. Agar bakterial infektsiya rivojlanadigan bo‘lsa, og‘iz orqali qabul qilinadigan tabletkalar yoki topikal kremlar shaklida antibiotiklar tavsiya qilinadi.
○ Davolash — OTC dori vositalari
Ta’sirlangan hududga OTC steroid kremi qo‘llash va OTC antihistaminiklarni qabul qilish samarali. Ko‘pgina hollarda bu eng muhim yondashuvdir. Turli nemlendiruvchi vositalarni ham qo‘llash mumkin, lekin atopik dermatit immunitet bilan bog‘liq bo‘lgani uchun, faqat nemlendiricilar barcha muammolarni bartaraf eta olmaydi. Lezyonlarni sovun bilan yuvish simptomlarni yomonlashtirishi mumkin. Ko‘pgina allergik kasalliklar uyqusizlik yoki stress holatida kuchayadi.
* OTC antihistamin
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]
* OTC steroid
#Hydrocortisone cream
#Hydrocortisone ointment
#Hydrocortisone lotion
* OTC nemlendiruvchi
#Eucerin
#Cetaphil