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, terining surunkali yallig'lanishining eng keng tarqalgan kasalligidir. Uning sabablari murakkab bo'lib, irsiy va atrof-muhit omillarini o'z ichiga oladi, bu terining tashqi qatlamida va immunitet tizimida 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 kuchayishi uchun asosiy davolash topikal kortikosteroidlarni qo'llashdir. Boshlang'ich davolash sifatida topikal kortikosteroidlarga topikal kalsineurin inhibitörleri bo'lgan pimekrolimus va takrolimus qo'shilishi mumkin. Standart davolash usullari etarli bo'lmaganda, ultrabinafsha fototerapiya o'rtacha va og'ir atopik dermatit uchun xavfsiz va samarali variant hisoblanadi. Staphylococcus aureusga qaratilgan antibiotiklar ikkilamchi teri infektsiyalariga qarshi samarali. Garchi yangi dorilar (crisaborole and dupilumab) atopik dermatitni davolash uchun 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 muammodir. Ushbu kasallikka chalingan bolalar uchun topikal steroidlarni buyurish uni yaxshi tushunishni talab qiladi. Ota-onalarni davolanishni davom ettirishga yordam berish yaxshi tushuntirishni, kortikosteroidlarning uzoq muddatli nojo'ya ta'siri haqida tashvishlarini engillashtirishni 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 noma'lum, ammo shaharlarda va quruq iqlim sharoitida yashovchilar ko'proq ta'sir qiladi. Kimyoviy moddalarga (masalan, sovun) ta'sir qilish yoki tez-tez qo'l yuvish simptomlarni yomonlashtiradi. Hissiy stress simptomlarni yomonlashtirishi mumkin bo'lsa-da, bu sabab emas.
Davolash vaziyatni yomonlashtiradigan narsalardan qochishni (masalan, sovunni ishlatish), alevlenme paydo bo'lganda steroid kremlarini qo'llashni va qichishishga yordam beradigan dori-darmonlarni o'z ichiga oladi. Odatda yomonlashtiradigan narsalarga jun kiyimi, sovun, parfyumeriya, chang, ichimlik va sigaret tutuni kiradi. Agar bakterial infektsiya rivojlansa, antibiotiklar (og'iz orqali yuboriladigan tabletkalar yoki topikal kremlar) kerak bo'lishi mumkin.
○ Davolash ― OTC dori vositalari
Ta'sirlangan hududga OTC steroidini qo'llash va OTC antigistaminini qabul qilish samarali. Aksariyat hollarda bu eng muhimi. Har xil namlovchi vositalarni qo'llash mumkin. Biroq, atopik dermatit immunitet muammosi bo'lganligi sababli, faqat nemlendiricilar barcha muammolarni hal qila olmaydi. Lezyonlarni sovun bilan yuvish simptomlarni yomonlashtirishi mumkin. Aksariyat allergik kasalliklar uxlay olmasangiz yoki stress holatida kuchayadi.
* OTC antigistamin
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]
* Birjadan tashqari steroid
#Hydrocortisone cream
#Hydrocortisone ointment
#Hydrocortisone lotion
* OTC namlovchi
#Eucerin
#Cetaphil