Atopic Eczema: Dinuki in stori ɛn wan dɔktɔ in not

As dɔktɔ, wan men pat pan mi ɛvride layf na fɔ lisin to pasɛnt dɛn we de kam na di klinik ɛn trit dɛn wɛlbɔdi prɔblɛm dɛn. Bɔt na rili difrɛn ɛkspiriɛns fɔ intavyu we wan pan mi tayt padi dɛn pikin sik. Dis stori rili nia mi at, as dɔktɔ ɛn as mi dia padi we nem Priya.

Wan mɔnin, mi padi Shalini kɔl mi. In vɔys bin ful-ɔp wit taya ɛn wɔri. In gyal pikin we ol wan ia we nem Dinuki, bin dɔn de sɔfa wit wan rɛd, skel rash na in chɛst ɛn an fɔ sɔm wiks.

Dis kɔndishɔn kin wɔs na nɛt ɛn smɔl Dinuki kin skrach insɛf te i kray. Dis dɔn mek Shalini ɛn in man nɔ slip fayn fɔ lɔng lɔng wiks. As mi padi, a bin ɔndastand se i nɔ ebul fɔ du natin, so a bin go na Shalini in os da sem ivintɛm de. Ɛn na so wi bigin wi waka fɔ kɔntrol Dinuki in atɔpik ɛkzema .

Wetin na Atɔpik Ɛkzima?

Atopic dermatitis na wan sik wae de mek yu skin kin dray bad bad wan, rεd, εn i kin it wae yu nɔr kin ebul fɔ bia.

dis kin rili kכmכn pan yכŋ pikin dεm, wit bitwin 5% εn 10% pan di pikin dεm we de gεt am ali na dεn layf.

Di tin dɛn we kin mek pɔsin gɛt atɔpik ɛkzema

di men tin we kin mek wi gɛt ɛkzema na we di ɔda layt we de na wi skin kin wik we kin kip di wata we de na wi skin (di tin we de ambɔg di skin). Di men rizin dɛn fɔ dis na:

• Jɛnɛtiks: If in famili gɛt asma, hay fiva, ɔ ɔda alɛji, di pikin kin gɛt bɔku risk fɔ gɛt ɛkzema. "O yes, Priya, a gɛt asma," Shalini bin mɛmba we a aks bɔt in famili bakgrɔn.
• di tin dεm we de apin na di envayroment: Apat frכm di jεnεtik prεdispכzishכn, dis kin trigεr bak bay di alergen dεm we de na di envayroment we de rawnd.

Atopik eczema simptom dεm na pikin dεm

Di simptom dɛm na Dinuki in bɔdi bin kɔnsistɛn wit atopik ɛkzema:

• Di skin kin dray pasmak ɛn i kin flay ɔ i kin pul.
• Rɛd spat ɔ rash kin apin na di chɛst, fɔrɛst, ɛn rawnd di skel (insay big pikin dɛn, dɛn tin ya kin apin mɔ na di insay pat pan di ɛlb ɛn biɛn di ni).
• I nɔ kin bia wit siriɔs it (di pikin kin fil di it mɔ mɔ na nɛt we i kwayɛt, ɛn di it kin wɔs bak we i de swet).
• We yu de skrach ɔltɛm, i kin mek di skin pwɛl, i kin tik (lichenification) ɛn i kin mek blista dɛn kɔmɔt.

Trig we de mek ɛkzema wɔs

Bikɔs di skin we gɛt ɛkzema kin rili sɛnsitiv, i kin flay kwik kwik wan bay dɛn tin ya:

• Dray skin: Skin we nɔ gɛt mɔstɔ kin dray kwik kwik wan.
• Di tin dɛn we kin mek pɔsin vɛks:Perfum, harsh sop, was paoda we gɛt kemikal, klos we dɛn mek wit wul ɛn sintetik klos.
• Alɛrjens: Haus dɔst mit, animal dander/saliva, ɛn sɔm alɛrjen it dɛm (e.g., kaw in milk, eg, pinat).
• Ɔda tin dɛn: we pɔsin kin swet bikɔs ɔf di wam pasmak, briz we kin kol pasmak ɛn we kin dray, we i kin tɔch san na say dɛn we dɛn kin ple.

🚨 Rɛd Flag dɛn we nid fɔ go na dɔktɔ wantɛm wantɛm

Bikɔs risk de fɔ mek baktri ɔ vayral infɛkshɔn na di skin we gɛt ɛkzema, dɛn fɔ go to dɔktɔ wantɛm wantɛm if dɛn tin ya apin:

• Skin dischaj ɔ yɔlɔ flɛks: Dis na sayn fɔ baktriyal infɛkshɔn (Impetigo) na di say we di skin de.
• Smɔl blista dɛn we ful-ɔp wit wata: If yu gɛt blista dɛn we de mek yu fil pen, we tan lɛk chikinpoks, mɔ we de rawnd yu fes, i kin bi wan denja vayral infɛkshɔn we dɛn kɔl Eczema Herpeticum . Dis na mɛdikal imejensi.
• Di pikin gɛt fiva ɛn i nɔ gri fɔ it.

Aw fɔ kɔntrol atɔpik ɛkzema? (Rɔtin fɔ kia fɔ di skin)

Pan ɔl we no patikyula mɛrɛsin nɔ de fɔ mɛn ɛkzema ɔltogɛda, dɛn kin kɔntrol am ɔltogɛda if yu de kia fɔ yu skin ɔltɛm.

1. Di Gaydlain fɔ Waf

• Bat yu pikin wit wam wata fɔ lɛk 10-15 minit ɛvride (tu hot wata go mek di skin dray mɔ).
• Yuz ɔl sop we de mek pɔsin fil fayn we nɔ gɛt sɛnt ɔ day ɛn we dɔktɔ dɛn se fɔ was.
• Afta yu dɔn was, pat yu skin jisnɔ, nɔ rɔb am tranga wan wit tawɛl.

2. Moisturizing (3 minit Rul) .

• Afta yu dɔn was, put gud tik mɔstizayza (emollient) pan yu ɔl bɔdi insay 3 minit , bifo yu skin dray ɔl.
• Put dis mɔstizayza at le 2-3 tɛm insay di de, ɛnitɛm we di skin fil se i dɔn dray. Dis kin mek wan layt we de protɛkt di skin.

3. Mɛdikal Tritmɛnt

• Kɔtikosterɔyd dɛn we yu kin put pan yu bɔdi: Put smɔl smɔl stɛroyd dɛn we yu dɔktɔ gi yu fɔ di nɔmba fɔ di de dɛn nɔmɔ we yu dɔn tɛl yu fɔ mek yu skin nɔ rɛd ɛn fɔ mek yu nɔ swel bad bad wan.
• Itch mɛrɛsin: If yu skrach pasmak na nɛt i nɔ ebul fɔ slip, di dɔktɔ go gi am wan antihistamin mɛrɛsin we fayn fɔ di pikin fɔ yuz na nɛt nɔmɔ.

Di tin dɛn we yu fɔ du & wetin yu nɔ fɔ du

Sayɛns sɔs (Rɛfrɛns dɛn) .

• 📚 Atopik ɛkzema - NHS
• 📚 Steroid-sparing ifekt fכ emollients in atopik dεmatitis εn psoriasis - PMC