Ukuba ungumfazi oye wabambisana ne-eczema esikhathini esidlulileyo, ukukhulelwa kunokuba lixesha ebomini bakho xa i-eczema yakho ikhupha kwakhona. Abaninzi abasetyhini abanomlando we-eczema bayaqaphela ukuba imeko yesikhumba idla ngokugqithiseleyo ngexesha lokukhulelwa, ngenxa yemimoya ye-hormones kunye neenguqu kwiqondo lesikhumba.
Kodwa wenza ntoni ukulawula i-eczema emva kokukhulelwa? Ziziphi iimyeza ezikhuselekileyo ngexesha lokuncelisa, kwaye yiziphi iingxaki ozimele uzikhangele?
Nazi izicwangciso ezimbalwa zokulawula i-eczema emva kokunikezelwa nangaphezulu.
I-eczema Ngethuba lokukhulelwa
Kukho ngokwenene iintlobo zeemeko zesikhumba ezinokuthi zenzeke ngexesha lokukhulelwa, ukusuka kwi-rash ebonakalayo kuphela kubafazi abakhulelweyo ababizwa ngokuba yi-PUPPS, kwiintlobo zeengxowa zesikhumba ezinokuthi zihlume kwiingalo, imilenze kunye nesisu. Kuzo zonke iimeko zesikhumba ezinokuthi zenzeke ngexesha lokukhulelwa, nangona kunjalo, i-eczema iyona eqhelekileyo.
I-British Medical Journal (BMJ) ibhala ukuba i-eczema i-akhawunti yendawo enye ukusuka kwisithathu ukuya kwisiqingatha seemeko zonke zesikhumba abafazi aba nazo xa bekhulelwe. Kwaye mhlawumbi into ebangelisayo yinto yonke kukuba ezininzi zeemeko ze-eczema zitsha. Ininzi yabasetyhini abahlakulela i-eczema ngexesha lokukhulelwa ngokwenene bafumana imeko yokuqala ngexesha lokuphila kwabo ngexesha lokukhulelwa. Ngamanye amazwi, uninzi lwabasetyhini abane-eczema ngexesha lokukhulelwa abazange babe ne-eczema ngaphambili.
Yongeza nje uluhlu lweendlela zokukhulelwa kuthintsha umzimba wakho, kunene?
Ngaloo nto i-eczema ivela emva kwayo xa ingakhulelwa? Ixesha eliqhelekileyo le-eczema ukuba libonise ngexesha lokukhulelwa liphakathi kweenyanga ezimbini zokuqala. Ngenxa yokuba i-eczema ibangelwa yizinto zokusingqongileyo nezangaphakathi, kunjalo, kunokuba kunzima ukuqikelela kwaye kunokwenene ukubonakalisa nanini na ngexesha lokukhulelwa.
Ngokuqhelekileyo, i-eczema ingabonakalisa okokuqala ngqa emva kokuba ukhulelwe, kodwa oku kubakho kuphela kwi-10 ekhulwini yamatyala.
I-eczema ilawulwa ngeendlela ezahlukeneyo ngexesha lokukhulelwa. Ingqwalasela, ngokuqinisekileyo, kukuqinisekisa ukuba akukho naluphi unyango oluyingozi kumntwana okhulayo okanye umama ngexesha lokukhulelwa. Unyango lujoliswe ekubeni unamandla okwaneleyo ukulawula imeko ngelixa ukhuselekile ngokwaneleyo ukuba ungabangeli nayiphi na ingozi ekukhulelwe.
Ezi zonyango zilandelayo zibhekwa njengekhuselekile kubafazi basebenzise ukunyanga i-eczema ngexesha lokukhulelwa:
- Emollients
- I-headical steroids (ehamba kwesikhumba)
- Ukukhanya kwe-Ultraviolet B (nangona abafazi abakhulelweyo kufuneka baqaphele ngokukhatyiswa kwelanga ngenxa yokuba banokuvakalelwa kwesikhumba)
Ezinye iindlela zonyango zisetyenziswe kwimeko yimeko, ngokuxhomekeka kububungqina be-eczema kunye nengqiqo yokugqirha. Ezi zonyango zingabandakanya i-oral steroids okanye i-steroid ezinamandla zesikhumba, kunye neyeza-antibiotics ezinokukunceda ukucacisa i-eczema kwezinye iimeko. Oomama abakhulelweyo kunye nabamncelisayo kufuneka banqande ukuthatha i-methotrexate kunye nokusebenzisa i-PUVA unyango, nangona kunjalo, njengoko ezo zonyango zimbini zibangele ingozi kumntwana okhulayo.
Kutheni i-Eczema ikhupha phezulu ngexesha lokukhulelwa?
Kucingelwa ukuba i-eczema iyancipha ngexesha lokukhulelwa ngenxa yamaseli omzimba achaphazelekayo. Ngethuba lokukhulelwa, isistim somzimba somzimba sithintela ukuthanda iintlobo ezithile zeeseli zomzimba kwaye ezo zinguqu zinokubangela iimeko ezivumela ukuba i-eczema ikhule. Oogqirha baye baphawula ukuba kunokubakho ukuguquka kwesikhumba okanye ukutshintsha kwenkqubo yeprotheni yesikhumba eyenzekayo ngexesha lokukhulelwa okungenza i-eczema.
Ngenhlanhla, i-eczema ayingozi ngexesha lokukhulelwa; ayifaki nayiphi na ingozi kumama okanye umntwana, nangona kungenakukhathazeka kakhulu.
Ukukhulelwa kunokuba nzima ngokwamanye amabhinqa ngokwenyama, ngoko ukulawula i-eczema ngokuphumelelayo ngokukhulelwa nangaphezulu kuyisinyathelo esibalulekileyo.
Indlela yokusingatha i-Eczema Emva kokukhulelwa
Nangona ibhinqa lingafumana utshintsho kwi-eczema ngexesha lokukhulelwa, unokuzibuza ukuba ungalindela ntoni emva kokuba umntwana ezalwe. Unyango lwe-eczema lunokuxhomekeke ekubeni ingaba lona wesifazane uncelisa, njengokuba ezinye iindlela zonyango azicebisi.
Ngokuqhelekileyo, ibhinqa elijongene nezimo ezincinci okanye ezilinganayo ze-eczema ngethuba lokuphumla lingasebenzisa unyango olufanayo nokukhulelwa kwangaphambili. Ngokomzekelo, iibhagi ezihlambulukileyo (azifudumala kakhulu kwaye zingabi zibandayo kakhulu) zilandelwa zi-emollients kunye ne-steroids ze-topical zisetyenziswa rhoqo. I-Ultraviolet B nayo ikhuselekile ukuyisebenzisa ngexesha lokuncelisa, kodwa ngokuqhelekileyo akuyena umgca wokuqala wonyango kwi-eczema. Ukuba unako, zama ukuqonda oko kukubangela i-eczema yakho kwaye ugcine engqondweni, ngenxa yokukhulelwa, kunokuthi kube yinto ethile kwindawo ongakukhathazeki ngaphambili kodwa ngoku ivuselela i-eczema yakho. Izinto ezifana ne-pet dander, ukukhathazeka kokutya, i-lotions, okanye i-detergent ingabangela ukuba i-eczema ivuke. Kwakhona kunokukunceda ukuqhubeka uhlamba ubuncinci kwaye uphephe isepha ezinzima, ingakumbi njengoko umzimba wakho ulungisa ukuba ungaphindi ukhulelwe.
Ukuphela kwonyango olungenakunyanzeliswa kwabasetyhini abahlengikazi i-calicalurin inhibitors, nangona i- British Medical Journal ibona ukuba akucaci ukuba ingakanani imithi idlula ebisi yobamnakekeli. Kufuneka kwenziwe uphando olungakumbi ukuba uthethe ngokupheleleyo ukuba kuyingozi okanye kukhuselekile ukuyisebenzisa ngexesha lokuncelisa.
Indawo engabonakaliyo ibhinqa lingafumana i-eczema emva kokukhulelwa kwi-areola okanye iimbumba. Nangona kunqabile kwaye kuyenzeka ngaphantsi kwe-2 ekhulwini yabamama abancelisayo, i-eczema inokukhula kule mimandla. Ngokutsho kwe- BMJ , inokuthi yenzeke njengokwimeko eqhelekileyo ye-eczema okanye ngenxa yempendulo evela kwintsana edla ukutya okuthethiweyo ngaphandle kobisi lwebele olunokuba lube noluncedo kuye. Kwiimeko ze-eczema kwiinkopi okanye kwi-areola, umama uya kufaka isicelo se-stolent and stical steroid kwindawo echaphazelekayo phakathi kokutya. Iyeza kunye ne-emollient kufuneka ihlanjwe ngokucokisekileyo ngaphambi kokuba umntwana anakeke kwakhona okanye umama ngamapompo, ngoko awangena kubisi lwebele. Ngeli xesha, iingcaphephe zincoma ukuba oomama abancancisayo banqanda ukusebenzisa i-cyclosporin kunye ne-methotrexate ukunyanga i-eczema ngethuba lokugqibela.
Kukho uphando olunomdla olubonisa ukuba uxinzelelo lunokudlala indima ekuphuhliseni i-eczema, ngoko ke oomama abakhulelweyo banokufumana kukunceda ukuzama iindlela zokulawula uxinzelelo, ezifana nokusilalisa, i-yoga, okanye ukucamngca ukuzama ukunciphisa inani leengcinezelo ebomini babo.
Kuthiwani Ngomntwana Wakho?
Ukuba uhlakulela i-eczema ngexesha lokukhulelwa kwakho, ngaba oko kuthetha ukuba umntwana wakho unokukwazi ukuba ne-eczema?
Kwiimeko ezininzi, i-eczema yimeko yokufa, ingakumbi ukuba ihamba nayo nayiphi na enye imeko yezobuchopho njengengxaki yokugulisa okanye ukuphazamiseka kwemimandla. Ukuba unembali ye-eczema kunye namanye amalungu entsapho enesifo se-eczema, umntwana wakho unokuba nako ukuvelisa i-eczema.
Igama elivela kwi-Verywell
Ukukhulelwa kubangela ukuba i-eczema iqhubeke kubasetyhini ababenayo ngaphambili kwaye ingakhokelela kwiimeko ezintsha zokuqala. Kwezinye iimeko, i-eczema iyakucacisa ngokwakho emva kokukhulelwa, kodwa kwabanye, i-eczema inokuhlala ixesha emva kokuba umntwana ezalwe.
Ukuba i-eczema yakho iyaqhubeka emva kokukhulelwa kwakho, kukho iindlela zokulawula i-eczema ngexesha lexesha lokugqibela. Izindlela eziqhelekileyo zokulawula i-eczema emva kokukhulelwa ziindlela ezifanayo ezisetyenziswayo ngexesha lokukhulelwa, kwaye zibandakanya ukusetyenziswa kwamabhafu ahlambulukileyo, ama-emollients, kunye ne-steroids ye-topical. Oomama abancinci kufuneka baphephe i-cyclosporin kunye ne-methotrexate ukunyanga i-eczema.
Imithombo
I-Sausenthaler S 1, i-Rzehak P, i-Chen CM, i-Arck P, i-Bockelbrink A, i-Schäfer T, i-Schaaf B, i-Borte M, i-Herbarth O, i- Krämer U, i-Berg A, i-Wichmann HE, i-Heinrich J; Iqela leSifundo seLISA. (2009) Iziganeko zentsapho ezixininisekile zengqondo ngexesha lokukhulelwa ngokumalunga ne-eczema yabantwana: iziphumo ezivela kwi-LISA Study. J Uphanda i-Allergol Clin Clin Immunol. (6): 481-7.
> Weatherhead, S., Robson, SC, & Reynolds, NJ (2007). I-eczema xa ukhulelwa. I-BMJ: iBritish Medical Journal , 335 (7611), 152-154. http://doi.org/10.1136/bmj.39227.671227.AE