ʻO kēia lā ka hoʻoilo ma Chicago, a no ka maʻi maʻi Covid-19, ʻoi aku mākou i loko o ka hale ma mua o ka wā ma mua. Hoʻopilikia kēia i ka ʻili.
He anu a palupalu ka waho, ʻoiai ʻo loko o ka radiator a me ka umu e puhi ʻia a maloʻo a wela. ʻImi mākou i ka ʻauʻau wela a me ka ua, kahi e hoʻomaloʻo hou ai i ko mākou ʻili. Eia kekahi, ua mau ka hopohopo maʻi maʻi, e hoʻokau pū ana i kā mākou ʻōnaehana.
No ka poʻe me ka eczema mau loa (i kapa ʻia hoʻi ka dermatitis atopic), ʻeha loa ka ʻili i ka hoʻoilo.
Ua ʻōlelo ʻo Kauka Amanda Wendel, he dermatologist ma Northwestern Central DuPage Hospital o Northwestern Medicine: "Ke ola nei mākou i nā manawa o nā manaʻo kiʻekiʻe, hiki ke hoʻonui i ka ʻāʻī o ko mākou ʻili." "Ua ʻoi aku ka ʻeha o ko mākou ʻili i kēia manawa."
Kapa ʻia ʻo Eczema ʻo "rash itching" no ka mea e hoʻomaka mua ka ʻili, a ma hope o ka huhū mau.
Ua ʻōlelo ʻo Rachna Shah, MD, he mea allergist no ka maʻi allergy, sinusitis a me nā ʻoihana hānō ma Oak Park, i ka wā e hoʻomaka ai ka ʻeha ʻoluʻolu ʻole, nā pā palaka a mānoanoa paha, nā ʻōpala scaly, a i ʻole ke piʻi o ka hive. ʻO nā lapalapa maʻamau ka kuʻekuʻe lima, nā lima, nā kuʻekuʻe wāwae a me ke kua o nā kuli. Ua ʻōlelo ʻo Shah, akā hiki ke ʻike ʻia ka maʻi ma nā wahi āpau.
I loko o ka eczema, hiki i nā hōʻailona mai ka ʻōnaehana pale o ke kino ke hoʻoulu i ka mumū, ka ʻili, a me ka pōʻino i ka pale ʻili. Ua wehewehe ʻo Kauka Peter Lio, he dermatologist ma Northwestern University, he ʻano like nā aʻalolo ʻeha me nā aʻalolo ʻeha a hoʻouna i nā hōʻailona i ka lolo ma o ke kuamoʻo. Ke kuhi mākou, e hoʻouna ka neʻe ʻana o ko mākou mau manamana lima i kahi hōʻailona ʻeha haʻahaʻa, e uhi ai i ka ʻeha ʻeha a hoʻoulu koke i ke ʻano o ka hoʻomaha.
ʻO ka ʻili kahi pale e pale ai i nā pathogens mai ke komo ʻana i ke kino a pale pū i ka ʻili mai ka nalowale ʻana o ka wai.
"Ua aʻo mākou i ka poʻe maʻi me ka eczema, ʻaʻole hana pono ka pale ʻili, e alakaʻi ana i ka mea aʻu i kapa ai he leakage ʻili," wahi a Lio. "I ka pau ʻana o ka pale ʻili, hiki i ka wai ke puka maʻalahi, ka hopena i ka ʻili maloʻo, ʻulaʻula, a hiki ʻole ke mālama i ka makū. Hiki i nā allergens, irritants, a me nā pathogens ke komo i loko o ka ʻili me ke ʻano ʻole, e hoʻāla ai ka ʻōnaehana pale, kahi e hoʻoulu hou ai i nā allergies a me ka mumū. .”
ʻO nā mea hoʻonāukiuki a me nā allergens e komo i nā lewa maloʻo, nā hoʻololi o ka mahana, ke kaumaha, nā mea hoʻomaʻemaʻe, nā kopa, nā lauoho lauoho, nā lole synthetic, nā lole huluhulu, nā mites lepo-ke piʻi mau nei ka papa inoa.
Wahi a kahi hōʻike ma Allergology International, ʻike ʻia ʻaʻole lawa kēia, akā ʻo 25% a 50% o nā mea maʻi eczema i loaʻa nā hoʻololi i ka gene encoding ciliated protein, ʻo ia ka ʻili structural protein. Hiki ke hāʻawi i ka hopena moisturizing kūlohelohe. ʻO kēia ka mea e hiki ai i ka allergen ke komo i loko o ka ʻili, e hoʻoheheʻe i ka epidermis.
"ʻO ka paʻakikī me ka eczema he multi-factorial. Ua ʻōlelo ʻo Lio, paipai ʻo ia i ka hoʻoiho ʻana i ka polokalamu manuahi ʻo EczemaWise e nānā i nā kūlana ʻili a ʻike i nā kumu, ʻike a me nā ʻano.
Ke noʻonoʻo nei i kēia mau hiʻohiʻona paʻakikī, hiki ke hoʻomaopopo i ke kumu kumu o ka eczema. E noʻonoʻo i kēia mau ʻanuʻu ʻelima e ʻimi ai i ka hopena o kou ʻili:
Ma muli o ka pōʻino pinepine o ka pale ʻili o nā maʻi me ka eczema, ʻoi aku ka maʻalahi o lākou i nā maʻi lua i hoʻokumu ʻia e ka ʻili bacteria a me nā pathogens. ʻO kēia ka mea e hoʻomaʻemaʻe ai ka ʻili i ke kī, me ka mālama ʻana i ka maʻemaʻe a me ka maʻemaʻe o ka ʻili.
Ua ʻōlelo ʻo Shah: "E hana i kahi ʻauʻau wela a ʻauʻau paha no 5 a 10 mau minuke i ka lā." "E mālama kēia i ka maʻemaʻe o ka ʻili a hoʻohui i kahi maʻa."
Ua'ōleloʻo Shah he mea paʻakikīʻole ka wela i ka wai, akā he mea nui e koho i ka wai mahana. E holo i ka wai ma kou lima. Inā ʻoi aku ke kiʻekiʻe o ka wela o kou kino, akā ʻaʻole wela, ʻo ia kāu makemake.
I ka wā e pili ana i nā mea hoʻomaʻemaʻe, e hoʻohana i nā koho ʻala ʻole a mālie. Manaʻo ʻo Shah i nā huahana e like me CeraVe a me Cetaphil. Loaʻa i ka CeraVe ka ceramide (he lipid e kōkua ai i ka mālama ʻana i ka makū ma ka pale o ka ʻili).
Ua ʻōlelo ʻo Shah: "Ma hope o ka ʻauʻau, maloʻo." Ua ʻōlelo ʻo Shah: "Inā ʻoe e holoi i kou ʻili me kahi kāwele, hiki iā ʻoe ke hōʻoluʻolu koke i ka ʻeha, akā e hoʻonui wale i nā waimaka."
Ma hope o kēlā, e hoʻohana i kahi moisturizer kiʻekiʻe e hoʻomaʻemaʻe. ʻAʻohe mea ʻala, ʻoi aku ka maikaʻi o ka cream dense ma mua o ka lotion. Eia hou, e nānā i nā laina ʻili koʻikoʻi me nā mea liʻiliʻi a me nā pūhui anti-inflammatory.
Ua ʻōlelo ʻo Shah: "No ke olakino ʻili, pono ka haʻahaʻa o ka hale ma waena o 30% a me 35%. Manaʻo ʻo Shah e kau i kahi humidifier i loko o ka lumi kahi āu e hiamoe ai a hana paha. Ua ʻōlelo ʻo ia: "Hiki iā ʻoe ke koho e haʻalele iā ia no ʻelua mau hola e pale aku ai i ka nui o ka wai, inā ʻaʻole ia e hoʻoulu i nā hopena maʻi ʻē aʻe."
E hoʻomaʻemaʻe i ka humidifier me ka vīnega keʻokeʻo, ka bleach a me kahi pulupulu liʻiliʻi i kēlā me kēia pule, no ka mea, e ulu ana nā microorganism i loko o ka waihona a komo i ka lewa.
No ka hoʻāʻo ʻana i ka pae haʻahaʻa o ka hale i ke ala kahiko, e hoʻopiha i ke aniani me ka wai a hoʻokomo i ʻelua a ʻekolu mau pahu hau i loko. A laila, kali ma kahi o ʻehā mau minuke. Inā ʻoi aku ka nui o ka condensation ma waho o ke aniani, kiʻekiʻe paha kou pae haʻahaʻa. Ma kekahi ʻaoʻao, inā ʻaʻohe condensation, haʻahaʻa paha kou pae haʻahaʻa.
Inā makemake ʻoe e hōʻemi i ka ʻona o ka eczema, e noʻonoʻo i kekahi mea e hoʻopā ai i kou ʻili, me ka lole a me ka pauka holoi. Pono lākou e ʻala ʻole, ʻo ia kekahi o nā mea maʻamau e hoʻoulu ai i nā maʻi ʻino. Ahahui Eczema.
No ka manawa lōʻihi, ʻo ka pulupulu a me ka siliki ka lole i koho ʻia no nā poʻe maʻi me ka eczema, akā kahi noiʻi i paʻi ʻia ma ka American Journal of Clinical Dermatology i 2020 i hōʻike ʻia e hiki i nā lole synthetic antibacterial a me ka moisture-wicking ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ka eczema.
ʻO kahi haʻawina i paʻi ʻia ma ka "Clinical, Cosmetic and Research Dermatology" ua ʻike ka poʻe maʻi eczema i nā lima lōʻihi a me nā pālule lōʻihi, nā lima lima lōʻihi a me nā pālule i hana ʻia me ka antibacterial zinc fiber no ʻekolu mau pō, a ua hoʻomaikaʻi ko lākou hiamoe.
ʻAʻole maʻalahi ka mālama ʻana i ka eczema i nā manawa a pau, no ka mea, ʻoi aku ka nui o ka maʻi ʻino. ʻO ka mea pōmaikaʻi, he nui nā ala e hoʻomaha ai i ka pane ʻana o ka immune a hōʻemi i ka mumū.
Ua ʻōlelo ʻo Shah, ʻo ka lawe ʻana i 24 mau lā o nā antihistamines, e like me Claretin, Zyrtec a i ʻole Xyzal, hiki ke kōkua i ka hoʻomalu ʻana i ka ʻili. "E kōkua kēia i ka mālama ʻana i nā hōʻailona e pili ana i nā allergies, ʻo ia paha ke ʻano o ka hōʻemi ʻana i ka ʻili."
Hiki i nā ʻaila poni ke kōkua i ka hoʻomaʻamaʻa ʻana i ka pane ʻana o ka immune. ʻO ka mea maʻamau, kuhikuhi nā kauka i nā corticosteroids, akā hiki ke kōkua pū kekahi mau lāʻau lapaʻau non-steroid. "ʻOiai hiki ke kōkua nui nā steroids topical, pono mākou e makaʻala ʻaʻole e hoʻohana nui iā lākou no ka mea ʻemi lākou i ka pale ʻili a hilinaʻi nui paha nā mea hoʻohana iā lākou," wahi a Lio. "Hiki i nā lāʻau lapaʻau non-steroid ke hōʻemi i ka hoʻohana ʻana i nā steroids e mālama pono i ka ʻili." ʻO ia mau lāʻau lapaʻau he crisaborole i kūʻai ʻia ma lalo o ka inoa kālepa Eucrisa.
Eia hou, hiki i nā dermatologists ke huli i ka wet wrap therapy, ʻo ia hoʻi ke kāʻei ʻana i ka wahi i hoʻopilikia ʻia me ka lole pulu. Eia kekahi, hoʻohana pū ka phototherapy i nā kukui ultraviolet i loaʻa nā hopena anti-inflammatory a me antibacterial ma ka ʻili. Wahi a ka American Dermatological Association, hiki i kēia lāʻau ke "palekana a maikaʻi" e mālama i ka eczema.
No nā poʻe maʻi me ka eczema haʻahaʻa a koʻikoʻi ʻaʻole i hoʻomaha ʻia ma hope o ka hoʻohana ʻana i nā lāʻau lapaʻau topical a i ʻole nā mea lapaʻau ʻē aʻe, aia ka dupilumab lāʻau olaola hou loa (Dupixent). ʻO ka lāʻau lapaʻau-he injection i hoʻokō ponoʻia i hoʻokahi manawa i kēlā me kēia pule ʻelua-loaʻa kahi antibody e pale ai i ka mumū.
Ua ʻōlelo ʻo Lio, he nui nā maʻi a me nā ʻohana e manaʻoʻiʻo ʻo ka meaʻai ke kumu kumu o ka eczema, a i ʻole he kumu nui. "Akā no ka hapa nui o kā mākou poʻe maʻi eczema, ʻano liʻiliʻi ka meaʻai i ka lawe ʻana i nā maʻi ʻili."
"He paʻakikī loa ka mea holoʻokoʻa, no ka mea, ʻaʻohe mea kānalua e pili ana nā mea ʻai i ka dermatitis atopic, a ma kahi o ka hapakolu o nā maʻi me ka maʻi maʻi maʻi haʻahaʻa a koʻikoʻi paha i loaʻa nā maʻi ʻai maoli," wahi a Lio. ʻO ka maʻi maʻamau i ka waiū, hua manu, nati, iʻa, soy a me ka palaoa.
Hiki i ka poʻe me ka maʻi ʻaleʻa ke hoʻohana i nā hoʻāʻo ʻili a i ʻole nā hoʻāʻo koko e ʻike ai i ka maʻi allergies. Eia nō naʻe, inā ʻaʻole ʻoe maʻi i ka meaʻai, hiki ke hoʻopilikia i ka eczema.
"Eia naʻe, ʻoi aku ka nui o kēia moʻolelo," wahi a Lio. “Me he mea ʻai ʻia kekahi mau meaʻai ma ke ʻano non-allergenic, ʻaʻole kikoʻī kikoʻī, e like me nā huahana waiū. No kekahi poʻe, ʻo ka ʻai ʻana i ka nui o nā huahana waiu e ʻoi aku ka maikaʻi o ke kūlana. No ka dermatitis atopic a i ʻole e pili ana i ka ʻekene. "ʻAʻole kēia he allergy maoli, akā me he mea lā ke kumu i ka mumū."
ʻOiai aia nā ʻano ʻike no ka maʻi allergy meaʻai, ʻaʻohe ala ʻike maopopo no ka ʻike ʻana i ka meaʻai. ʻO ke ala maikaʻi loa e hoʻoholo ai inā pili ʻoe i ka meaʻai, ʻo ia ke hoʻāʻo i kahi meaʻai hoʻopau, hoʻopau i nā ʻano meaʻai kikoʻī no ʻelua pule e ʻike ai inā nalowale nā hōʻailona, a laila e hoʻokomo hou iā lākou e ʻike inā e ʻike hou ʻia nā hōʻailona.
"No ka poʻe makua, inā manaʻo lākou he mea e hōʻino ai ke kūlana, hiki iaʻu ke hoʻāʻo i kahi meaʻai liʻiliʻi, ʻo ia ka maikaʻi," wahi a Lio. "Ke manaʻolana nei au e alakaʻi i ka poʻe maʻi me ka ʻai ʻoi aku ka maikaʻi: ka mea kanu, hoʻāʻo e hōʻemi i nā meaʻai i hana ʻia, hoʻopau i nā meaʻai sugary, a nānā i nā meaʻai hou a me nā meaʻai holoʻokoʻa i hana ʻia e ka home."
ʻOiai he mea paʻakikī ke hoʻopau i ka eczema, e hoʻomaka ana me nā ʻanuʻu ʻelima ma luna aʻe e hiki ke kōkua i ka hoʻohaʻahaʻa lōʻihi.
He mea kākau ʻo Morgan Lord, kumu, improviser a makuahine. He polopeka ʻo ia i kēia manawa ma ke Kulanui o Chicago ma Illinois.
©Kuleana kope 2021-Chicago Health. ʻO Northwest Publishing Co., Ltd. ua mālama ʻia nā kuleana āpau. Hoʻolālā ʻia ka pūnaewele e Andrea Fowler Design
Ka manawa hoʻouna: Mar-04-2021