Atopic dermatitis - I-Atopic Dermatitishttps://en.wikipedia.org/wiki/Atopic_dermatitis
I-Atopic Dermatitis (Atopic dermatitis) ukuvuvukala kwesikhumba isikhathi eside (dermatitis). Kuvela ezindaweni ezilumayo, ezibomvu, ezivuvukele nezicwilisayo. Ezinganeni, izindawo ezisemathanjeni nasemathunjini zivame ukuthinteka. Kubantu abadala, izandla nezinyawo zivame ukuthinteka. Ukunwaya izindawo ezithintekile kwenza izimpawu zibe zimbi kakhulu, futhi labo abathintekile baba sengozini enkulu yokutheleleka ngezifo zesikhumba. Abantu abaningi abane‑atopic dermatitis bahlakulela ezinye iziphazamiso zokungezwani komzimba ezifana ne‑hay fever noma isifuba somoya.

Imbangela ayaziwa, kodwa labo abahlala emadolobheni nasezindaweni ezomile bavame ukuthinteka. Ukuchayeka kumakhemikhali (isb. insipho) noma ukugeza izandla njalo kwenza izimpawu zibe zimbi nakakhulu. Nakuba ukucindezeleka ngokomzwelo kungase kwandise izimpawu, akusona umphumela oyinhloko.

Ukwelashwa kuhilela ukugwema izinto ezenza isimo sibe sibi kakhulu (isb. ukusetshenziswa kwensipho), ukusebenzisa ama‑steroid creams lapho kuvela ukuqubuka, kanye nemithi yokunciphisa ukuvuvukala. Izinto ezivame ukwenza izimpawu zibe zimbi kakhulu zihlanganisa izingubo zoboya, insipho, iziqholo, uthuli, ukuphuza nentuthu kagwayi. Ama‑antibiotics (okungaba nge‑tablet yomlomo noma i‑cream ye‑topical) angase adingeke uma kutheleleka amabhaktheriya.

Ukwelashwa – Izidakamizwa ze‑OTC
Ukufaka i‑OTC steroid endaweni ethintekile kanye nokuthatha i‑OTC antihistamine kuyasebenza. Ezimweni eziningi lokhu kubalulekile. Kungasetshenziswa ama‑moisturizers ahlukahlukene. Kodwa-ke, njengoba i‑atopic dermatitis iyinkinga yokuzivikela komzimba, ama‑moisturizers wodwa awakwazi ukuxazulula zonke izinkinga. Ukugeza izilonda ngensipho kungase kwandise izimpawu. Izifo eziningi ezingezwani nomzimba zivame ukuba zimbi kakhulu lapho umuntu engakwazi ukulala noma ecindezelekile.

* I‑OTC Antihistamine
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]

* I‑OTC steroid
#Hydrocortisone cream
#Hydrocortisone ointment
#Hydrocortisone lotion

* OTC moisturizer
#Eucerin
#Cetaphil
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Emiphumeleni ka-2022 ye-Stiftung Warentest evela eJalimane, ukwaneliseka kwabathengi nge-ModelDerm bekungaphansi kancane kunokuxhumana okukhokhelwayo kwe-telemedicine.
  • Ivamise ukutholakala ezindaweni ezibukeka obala, njengamajwabu amehlo nentamo. I-atopic dermatitis ngokuvamile ibangelwa ukuzwela kwe-pollen noma izibungu.
  • Lolu hlobo lwe-eczema olunamandla lusabela kahle ku‑lotion ye‑corticosteroid ephansi yamandla. Kungcono ukusebenzisa ama‑topical agents kusengaphambili, njengoba isilonda siba sijiyile futhi siba i‑lichen ngokuklwebheka.
References Atopic Dermatitis 28846349 
NIH
I-atopic dermatitis, uhlobo lwe-eczema, yisimo esivame kakhulu sokuvuvukala kwesikhumba okungapheli. Izimbangela zalo ziyinkimbinkimbi, zihlanganisa izici zofuzo nezemvelo, eziholela ekungasebenzi kahle komzimba, kokubili ungqimba lwangaphandle lwesikhumba namasosha omzimba.
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 32412211
Ukwelashwa okuyinhloko kokuqubuka kwe-atopic dermatitis kusebenzisa ama‑topical corticosteroids. I‑Pimecrolimus ne‑tacrolimus, okuyi‑topical calcineurin inhibitors, zingangezwa kuma‑topical corticosteroids njengokwelashwa kokuqala. Uma ukwelashwa okujwayelekile kunganele, i‑ultraviolet phototherapy iyindlela ephephile nephumelelayo ye‑atopic dermatitis, kusukela ezingeni eliphakathi kuya kwelibuthakathaka. Ama‑antibiotic aqondiswe ku‑Staphylococcus aureus ayasebenza ekulweni nezifo zesikhumba ezibangelwa amagciwane. Nakuba imithi emisha (crisaborole, dupilumab) ibonisa ithemba lokwelapha i‑atopic dermatitis, okwamanje ibiza kakhulu ezigulini eziningi.
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 27166464
I-atopic dermatitis iyinkinga evamile, ikakhulukazi phakathi kwezingane. Ukunikeza ama‑topical steroids ezinganeni ezine lesi simo kudinga ukuqonda kahle. Ukwenza abazali balandele ukwelashwa kuhilela ukuchaza kahle, nokunciphisa ukukhathazeka kwabo mayelana nemiphumela emibi yesikhathi eside ye‑corticosteroids.
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.