I-Atopic Eczema: Indaba kaDinuki kanye nencwadi kadokotela

Njengodokotela, ingxenye enkulu yempilo yami yansuku zonke ukulalela iziguli eziza emtholampilo futhi zelaphe izinkinga zazo zempilo. Kodwa kuyinto ehluke ngokuphelele ukungenelela lapho ingane yomunye wabangane bami abaseduze igula. Le ndaba iseduze kakhulu nenhliziyo yami, njengodokotela nanjengomngane othandekayo ogama lakhe linguPriya.

Ngolunye usuku ekuseni, umngane wami uShalini wangishayela ucingo. Izwi lakhe laligcwele ukukhathala nokukhathazeka. Indodakazi yakhe enonyaka owodwa ubudala, uDinuki, yayihlushwa ubomvu, amabala ezihlathini nasezizandleni amasonto amaningana.

Lesi simo siba sibi kakhulu ebusuku futhi uDinuki omncane uyaziklwebha aze akhale. Ngenxa yalokho, uShalini nomyeni wakhe abakaze balale kahle ebusuku emavikini amaningi. Njengomngane, ngangiqonda ukuthi ubuthakathaka bakhe, ngakho ngaya endlini kaShalini ngalobo busuku. Ngakho saqala uhambo lwethu lokulawula i-eczema kaDinuki.

Kuyini i-Atopic Eczema?

I-Atopic dermatitis yisifo sesikhumba esingapheli esibangela ukoma okukhulu, ukubomvu, kanye nokulunywa kwesikhumba okungabekezeleleki.

Lokhu kuvame kakhulu ezinganeni ezincane, lapho phakathi kuka-5% no-10% wezingane ezincane zibhekana nakho kusenesikhathi.

Izimbangela ze-atopic eczema

Imbangela eyinhloko ye-eczema ubuthakathaka bengqimba yangaphandle yesikhumba sethu egcina umswakama (isivikelo sesikhumba). Izizathu eziyinhloko zalokhu yilezi:

• Izakhi zofuzo: Uma amalungu omndeni ene-asthma, i-hay fever, noma ezinye izifo zokungezwani komzimba, ingane isengozini enkulu yokuba ne-eczema. "Yebo Priya, ngine-asthma," kukhumbula uShalini lapho ngimbuza ngesizinda somndeni wakhe.
• Izici zemvelo: Ngaphezu kokuthambekela kwezakhi zofuzo, lokhu kungabangelwa futhi yizinto ezibangela ukungezwani komzimba endaweni ezungezile.

Izimpawu ze-atopic eczema ezinganeni

Izimpawu emzimbeni kaDinuki zazihambisana ne-atopic eczema:

• Isikhumba siba soma kakhulu futhi sibe namaqhubu noma siqhekeke.
• Amabala abomvu noma ukuqubuka kuvela ezihlathini, ebunzini, kanye nasezindaweni ezizungeze isikhumba sekhanda (ezinganeni ezindala, lokhu kuvame kakhulu ngaphakathi kwezindololwane nangemuva kwamadolo).
• Ukulunywa okukhulu okungabekezeleleki (ingane izwa ukulunywa ikakhulukazi ebusuku lapho kuthule, kanti ukulunywa nakho kuyandiswa ukujuluka).
• Ukuklwebha njalo kubangela ukuthi isikhumba sonakale, sibe lukhuni (lichenification) futhi kuvele amabhamuza.

Izimbangela ezenza kube kubi kakhulu i-eczema

Ngenxa yokuthi isikhumba esivame ukuba ne-eczema sibucayi kakhulu, singasheshe sivuvuke yizici ezilandelayo:

• Isikhumba esomile: Isikhumba esingenawo umswakama soma ngokushesha.
• Izinto ezicasulayo:Amakha, insipho eqinile, izimpushana zokuwasha eziqukethe amakhemikhali, izingubo ezenziwe ngoboya kanye nezindwangu zokwenziwa.
• Izinto ezibangela ukungezwani komzimba: Izibungu zothuli lwendlu, i-dander/amathe ezilwane, kanye nokudla okuthile okubangela ukungezwani komzimba (isib. ubisi lwenkomo, amaqanda, amakinati).
• Ezinye izinto: ukujuluka ngenxa yokushisa okukhulu, ukubanda okukhulu nomoya owomile, ukuthintana nesihlabathi ezindaweni zokudlala.

🚨 Amafulegi Abomvu adinga ukunakekelwa kwezokwelapha okusheshayo

Njengoba kunengozi yokutheleleka ngamagciwane noma amagciwane esikhumbeni esinomkhuhlane, kufanele kutholakale usizo lwezokwelapha ngokushesha uma kuvela izimpawu ezilandelayo:

• Ukuphuma kwesikhumba noma amabala aphuzi: Lokhu kuwuphawu lokutheleleka ngamagciwane (i-Impetigo) ebusweni besikhumba.
• Ama-blister amancane agcwele uketshezi: Uma uhlakulela ama-blister abuhlungu, afana ne-chickenpox, ikakhulukazi ebusweni, kungaba ukutheleleka okuyingozi kwegciwane okubizwa ngokuthi i-Eczema Herpeticum . Lesi yisimo esiphuthumayo sezokwelapha.
• Ingane inomkhuhlane futhi yenqaba ukudla.

Ungayilawula kanjani i-atopic eczema? (Umkhuba Wokunakekela Isikhumba)

Nakuba kungekho muthi othize wokwelapha i-eczema ngokuphelele, ungalawulwa ngokuphelele ngohlelo lokunakekelwa kwesikhumba olujwayelekile.

1. Iziqondiso Zokugeza

• Geza ingane yakho ngamanzi afudumele cishe imizuzu eyi-10-15 nsuku zonke (amanzi ashisayo kakhulu azomisa isikhumba kakhulu).
• Sebenzisa kuphela izinto zokufaka esikhundleni sensipho ezikhipha ukhilimu ezingenazo iziqholo noma amadayi futhi ezinconywa odokotela uma ugeza.
• Ngemva kokugeza, thinta isikhumba sakho kancane, ungasihlikihli kakhulu ngethawula.

2. Ukufumisa (Umthetho Wemizuzu Emi-3)

• Ngemva kokugeza, faka i-moisturizer enhle (emollient) emzimbeni wakho wonke zingakapheli imizuzu emi-3 , ngaphambi kokuba isikhumba sakho some ngokuphelele.
• Faka lesi sithambisi okungenani izikhathi ezingu-2-3 ngosuku, noma nini lapho isikhumba sizizwa somile. Lokhu kudala ungqimba oluvikelayo esikhumbeni.

3. Ukwelashwa Kwezokwelapha

• Ama-Corticosteroids Angaphandle: Faka ama-steroid angaphandle angaphansi anqunywe udokotela wakho izinsuku ezimbalwa kuphela ukuze unciphise ukubomvu nokuvuvukala okukhulu kwesikhumba.
• Imithi yokulunywa: Uma ukuklwebha kakhulu ebusuku kuphazamisa ubuthongo, udokotela uzokunikeza umuthi we-antihistamine ofanele ingane ukusetshenziswa ebusuku kuphela.

Okumele Ukwenze Nokungafanele Ukwenze

Imithombo yesayensi (Izinkomba)

• 📚 I-Atopic eczema - i-NHS
• 📚 Umphumela wokonga ama-steroid wama-emollients ku-atopic dermatitis kanye ne-psoriasis - PMC