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Ukwelashwa kwe-Seborrheic dermatitis nemithi

Imfundo Yezempilo

I-Dandruff kanye ne-scalp elukhuni kungakhathaza ukubhekana nakho, kepha akudingeki ukuthi zihlale ingunaphakade. Lezi zimpawu zingakhombisa i-seborrheic dermatitis noma i-seborrheic eczema. Funda ukuthi ungaluphatha kanjani lolu daba ekhaya nangemithi. Qhubeka ufunda ukuze ufunde kabanzi ngalolu daba nokuthi yini engenziwa ukuyiphatha.

Kuyini i-seborrheic dermatitis?

I-Seborrheic dermatitis, kwesinye isikhathi ibizwa nge-seborrheic eczema, yisifo esivamile sesikhumba esidala ukulunywa, ama-scaly patches, nesikhumba esibomvu ezindaweni zomzimba ezinezindlala ze-sebaceous ezisebenza ngokweqile noma isikhumba. Kungenzeka futhi nakwezinye izingxenye zomzimba lapho uketshezi lwamafutha luphezulu, njengasebusweni, esifubeni esingenhla nasemhlane.

Kunezinhlobonhlobo zezindlela zokwelashwa ezitholakalayo, kusuka emithini yokuzinakekela kanye nemithi yokubulala amakhambi kuya kuma-shampoo anemithi, okhilimu nama-lotion. I-Seborrheic dermatitis ivame kakhulu, ngezigameko ezingaphezu kwezigidi ezintathu ze-U.S. Ezenzeka minyaka yonke. Ngoba kuvame kakhulu, kukhona ucwaningo oluqhubekayo lwezokwelapha ezintsha. Kube khona izifundo ukunquma ukuthi imishanguzo ethile ingagcina i-seborrheic dermatitis ekuxolelweni futhi inciphise izehlakalo zokweqisa.

Ihlonza kanjani i-seborrheic dermatitis?

Yize kungakatholakali imbangela eqondile yesifo seborrheic dermatitis, abanye odokotela bacabanga ukuthi kubangelwa imvubelo ebizwa ngokuthi yiMalassezia etholakala emfihlakalweni kawoyela esikhunjeni, impendulo engajwayelekile yamasosha omzimba, ingcindezi, isimo sezulu esibandayo nesomile, izinguquko esikhunjeni umsebenzi wokuvimbela, noma izakhi zakho zofuzo.

Labo abasengozini enkulu yesikhumba seborrheic bafaka okulandelayo:

Abantu abanesikhumba / izinduna ezinamafutha
Izinsana
Abantu abadala abaneminyaka engama-30-60 ubudala
Abantu abaphuza utshwala ngokweqile noma abane-pancreatitis enotshwala
Abantu abanesifo sikaParkinson
Abantu abanamasosha omzimba abuthakathaka
Abamukeli bokufakelwa komzimba
Abantu abane-HIV / AIDS
Iziguli ezinesifo senhliziyo

Uma ucabanga ukuthi une-seborrheic dermatitis, bheka lezi zimpawu ezilandelayo:

Ukulunywa (kungaba njalo)
Isikhumba esibomvu
I-Dandruff / emhlophe noma ephuzi ifaka ekhanda lakho, izinwele, amashiya, intshebe, noma amadevu
Isikhumba se-Scaly

Uma ungenaso isiqiniseko sokuthi unayo i-seborrheic dermatitis, hlela i-aphoyintimenti nomhlinzeki wakho oyinhloko wezokunakekelwa kwezempilo, ngoba angasiza ekuhloleni inkinga futhi anikeze nangezeluleko ezengeziwe zezokwelapha.

Noma kungekho sivivinyo sokuxilonga i-seborrheic dermatitis, nakhu ongakulindela lapho kuqokwa udokotela wakho:

Umhlinzeki wakho uzokwenza ukuhlolwa komzimba wakho bese ebuza ngomlando wakho wezokwelapha.
Bangathatha i-biopsy yesikhumba, noma basike isikhumba sakho, bese bayixube nekhemikhali ukulawula ezinye izimo zesikhumba njenge-eczema, i-psoriasis, i-tinea versicolor, i-rosacea, noma olunye uhlobo lokuxhumana nesikhumba.
Udokotela wakho angakunikeza ukuhlolwa kwe-KOH prep ukukhipha ukutheleleka kwefungal.
Udokotela wakho angalawula ukuhlolwa kwegazi uma ecabanga ukuthi i-seborrheic dermatitis yakho ingumphumela wesimo sempilo esingaphansi.

Imibuzo umhlinzeki wakho wezokunakekelwa kwempilo angabuza

Ngesikhathi sokuqokwa kwakho, umhlinzeki wakho angabuza le mibuzo elandelayo ukwazisa kangcono ukuxilongwa kwe-seborrheic dermatitis:

Uziqaphele nini okokuqala izimpawu zakho?
Ngabe ubhekene nokulunywa ekhanda lakho?
Uke wasibona isikhumba esinenkani noma inkwethu ekhanda lakho?
Ngabe uke waba nengcindezi muva nje?
Kukuphi emzimbeni wakho lapho uke wabona ukukala noma ukulunywa?
Uke wahlaselwa yinhliziyo muva nje?
Ingabe uphuza utshwala ngokweqile?
Ngabe uthatha noma imaphi amavithamini, imishanguzo, noma izithasiselo?
Ngabe uke wazama noma yimaphi amakhambi asekhaya ukunciphisa izimpawu?

Imibuzo okufanele uyibuze uchwepheshe wakho wezokunakekelwa kwempilo

Uma une-seborrheic dermatitis, kubalulekile ukuqonda izimbangela nezindlela zokwelashwa zesikhashana esifushane nesikhathi eside. Nayi eminye imibuzo ebaluleke kakhulu ongayibuza ngesikhathi sokuqokwa kwakho:

Yini imbangela yesikhumba sami seborrheic?
Yikuphi ukwelashwa okuphephile ukukusebenzisa enganeni yami ene-seborrheic dermatitis, i-aka cradle cap?
Ngabe kukhona ushintsho lwendlela yokuphila engingayenza ukuqeda ukulunywa noma ukukala?
Imiphi imishanguzo noma ukwelashwa kwasekhaya okuncomayo ukunciphisa izimpawu?

Yize abahlinzeki bokunakekelwa okuyisisekelo nodokotela bezingane bekwazi ukwelapha i-seborrheic dermatitis, bangakudlulisela kudokotela wesikhumba ukuthola ukwelashwa okukhethekile.

Izinketho zokwelashwa kwe-Seborrheic dermatitis

Ngemuva kokuthola ukuxilongwa, uchwepheshe wakho kufanele akunikeze izinketho ezahlukahlukene zokwelapha i-seborrheic dermatitis. Ukwelashwa kuzoncika ebucayi besikhumba, kepha ezimweni eziningi, ukwelashwa kuzobandakanya imikhuba yokuzinakekela (njengokufaka i-moisturizer noma i-aloe), imishanguzo yokubulala amakhambi, noma amanye ama-shampoo, amakhilimu, namafutha.

I-Seborrheic dermatitis iphathwa ngendlela ephawulekayo, futhi ukwelashwa okuphindaphindiwe kungadingeka ukuphatha izimpawu. Ezimweni ezimnene, okhilimu be-topical antifungal noma ama-shampoo anemithi anganela ukulawula izimpawu. Kwezinye izimo lapho ama-topical corticosteroids engafanele khona, ama-topical calcineurin inhibitors (ama-TCIs), okuyimithi engeyona i-corticosteroid topical, angasetshenziswa ngabantu abadala nezingane ezineminyaka engu-2 noma ngaphezulu.

Ungayivimbela kanjani i-seborrheic dermatitis flare-ups

Ukuphatha i-seborrheic dermatitis yakho nokuyivimbela ukuthi ingaphindeki, nazi izinyathelo ezimbalwa ongazithatha:

Geza isikhumba sakho njalo bese ugeza kahle, kodwa gwema insipho enokhahlo.
Geza isikhumba sakho sekhanda nge-shampoo ye-counter-the-counter equkethe i-pyrithione zinc, i-selenium sulfide, i-ketoconazole, noma i-salicylic acid.
Faka ukhilimu omnene we-corticosteroid noma u-antifungal cream ezindaweni ezithintekile.
Gqoka izingubo zikakotini ezibushelelezi ukunciphisa ukucasuka kwesikhumba.
Abesilisa kufanele bahlanze izinwele zobuso njalo ukuze banciphise izimpawu. Ukushefa nakho kungakhulula izimpawu.
Uma ingane yakho ine-seborrheic dermatitis, noma ikepisi lokuzalwa, geza ikhanda lomntwana wakho nge-shampoo engeyona imithi kanye ngosuku bese usebenzisa ibhulashi elithambile ukuze ususe izikali.

I-seborrheic dermatitis shampoo nemithi

Ngezansi kunolwazi ngezinhlobo ezahlukahlukene zemithi nama-shampoo asetshenziselwa ukwelapha i-seborrheic dermatitis.

Izikhunta

Ama-antifungal, abizwa nangokuthi ama-antimycotic, angabulala ukhunta noma anciphise ukukhula kwawo. Ziyasebenza ekwelapheni izifo zokukhunta ezifana nonyawo lomsubathi, umbandamu, i-candidiasis, nokuvimbela amaseli wefungal ekukhuleni nasekuveleni kabusha. Ama-antifungal adumile afaka phakathi iLotrimin (clotrimazole), iSpectazole (econazole), iNizoral (ketoconazole), neLamisil (terbinafine). Eminye imiphumela emibi yama-antifungal yama-topical ukushaywa kwendawo, ukuhlabana, noma ukucasuka.

Izidakamizwa ezilwa nokubola

Izidakamizwa ze-Antiseborrheic zisetshenziselwa ukwelapha i-seborrheic dermatitis futhi zisebenza ngokunciphisa ukukhiqizwa kwamangqamuzana esikhumba nokuvimbela ukukhula kwefungal. Izidakamizwa ezivamile ze-antiseborrheic zifaka i-selenium sulfide, i-zinc pyrithione, ne-salicylic acid. Amagama emikhiqizo adumile afaka iPromiseb neDermazinc. Imiphumela emibi ifaka ukuqubuka, ukulunywa, noma ezimweni ezingavamile, ukuqina esifubeni.

Ama-Corticosteroids

I-Corticosteroids inciphisa ukuvuvukala emzimbeni futhi yehlise umsebenzi kumasosha omzimba. Ama-corticosteroids adumile asetshenziselwa ukwelapha i-seborrheic dermatitis afaka i-Synalar (i-fluocinolone), i-Clobex (i-clobetasol), i-Cormax, i-DesOwen (i-desonide) ne-Desonate. Lolu hlobo lomuthi ludambisa ukuvuvukala, ukulunywa, ukubomvu, kanye ne-allergic reaction. Imiphumela emibi kokhilimu be-steroid ngokuvamile ifaka ukucasuka kwasendaweni, ukushisa, nokuhlaba. Umhlinzeki wakho wezokunakekelwa kwempilo uzokweluleka ngokuthi ungawusebenzisa isikhathi esingakanani umuthi.

Ama-shampoo ane-pyrithione zinc

I-Pyrithione zinc inezindawo zokulwa namagciwane nezokulwa nezifo ezisiza ekunciphiseni ukulunywa nokuvuvukala. Ama-shampoos afana ne-Head & Shoulders Dry Scalp Care noma i-Selsun Blue Dandruff Shampoo ene-pyrithione zinc angasiza ekunciphiseni izimpawu ze-seborrheic dermatitis. Eminye imiphumela emibi engahle yenzeke ifaka phakathi ukuhlaba noma ukushiswa kwesikhumba, isikhumba, noma ukucasuka kwesikhumba.

Ama-shampoo ane-ketoconazole

I-Ketoconazole ivimbela ukukhula kwefungus. Ama-shampoo adumile afaka i-OTC Nizoral A-D Anti-Dandruff Shampoo 1% nemithi kadokotela iNizoral 2% Shampoo. Eminye imiphumela emibi ifaka ukulunywa kwesikhumba okuncane, isikhumba esomile, nokuthungwa kwezinwele okungavamile.

Ama-shampoos anetiyela lamalahle

I-tar yamalahle ingeyesigaba semithi eyaziwa ngokuthi i-keratoplastics futhi yaziwa ukunciphisa ukukhula kwefungal, ukunciphisa ukuvuvukala, ukunciphisa ukulunywa, kanye nokukhiqizwa kwe-sebum ephansi. Isebenza ngokubangela isikhumba ukuthi sichithe ungqimba lwaso oluphezulu lwamaseli esikhumba futhi sinciphise ukukhula kwamaseli esikhumba, ngokuvamile. Amanye ama-shampoo ajwayelekile anetiyela lamalahle njengesithako afaka i-DHS Fragrance-Free Tar Shampoo neNeutrogena T / Gel Therapeutic Shampoo. Eminye imiphumela emibi yalezi shampoo ukunwaya, ukushisa, nokubomvu. I-tar shampoo yamalahle ingadambisa isikhumba, izinwele, izipikili, okokugqoka namashidi.

Yimuphi umuthi ongcono kakhulu we-seborrheic dermatitis?

Umuthi ongcono kakhulu we-seborrheic dermatitis uncike esimweni sezempilo sesiguli, umlando wezokwelapha, nemithi okungenzeka ukuthi bayayithatha engasebenzisana nemithi ye-seborrheic dermatitis kanye nempendulo yesiguli ekwelashweni.

Leli thebula lizosebenza njengeshadi lokuqhathanisa lemithi evame ukubekwa kakhulu ye-seborrheic dermatitis.

Ama-shampoo we-Seborrheic dermatitis nemithi
Igama lomuthi	Isigaba sezidakamizwa	Umzila wokuphatha	Umthamo ojwayelekile	Imiphumela emibi ejwayelekile
Izivivinyo Isixazululo (i-fluocinolone)	ICorticosteroid	Isihloko	Faka ifilimu elincanyana izikhathi ezi-2 kuya kwezingu-4 nsuku zonke njengokuyalelwa	Ukushiswa kwendawo, ukulunywa, ukucasuka
I-Nizoral (ketoconazole)	I-Antifungal	Isihloko	Gcoba imoto ngezinwele ezimanzi, i-lather, bese ugeza kahle. Sebenzisa kabili ngesonto	Isikhumba esomile, ukulunywa, isikhumba sasekhanda esinamafutha
I-Spectazole (i-econazole nitrate)	I-Antifungal	Isihloko	Faka ungqimba omncane endaweni ethintekile kanye noma kabili ngosuku amasonto amabili	Ukushisa, ukucasuka, ubomvu
Promiseb	I-anti-seborrheic	Isihloko	Faka ungqimba omncane esifundeni esithintekile	Ukuqhuma, ukulunywa, ubomvu

Isilinganiso sinqunywa udokotela wakho ngokuya ngesimo sakho sezokwelapha, impendulo ekwelashweni, nobudala. Eminye imiphumela engemihle ekhona.

Yimiphi imiphumela emibi ejwayelekile yemithi yokwelashwa kweseborrheic dermatitis?

Imiphumela emibi ejwayelekile yemithi yokwelashwa kweseborrheic dermatitis ibhalwe ngawodwana esigabeni ngasinye semithi esigabeni sokwelashwa esingenhla. Kubandakanya ukulunywa kanzima, ukushiswa, ububomvu ezindaweni eziphathwayo zesikhumba, ukulahleka kwezinwele nokuvuvukala. Eminye imiphumela emibi ejwayelekile yama-shampoo ifaka ukulunywa kwesikhumba okuncane, isikhumba esomile, ama-pustules wesikhumba, nokugcwala kwezinwele.

Qaphela: Lolu akulona uhlu olugcwele lwemiphumela emibi. Khuluma nochwepheshe wezokunakekelwa kwempilo ukuthola uhlu oluphelele lwezinto ezingezinhle nokuhlangana kwezidakamizwa.

Lithini ikhambi lasekhaya elihle kakhulu le-seborrheic dermatitis?

Ngaphezu kokuthatha umuthi, kukhona amakhambi ambalwa asekhaya angasiza i-seborrheic dermatitis:

Faka uwoyela kakhukhunathi ekhanda lakho. Uwoyela kakhukhunathi kucatshangwa ukuthi unezinto ezilwa namagciwane nezokulwa nezifo ezingasiza ekunciphiseni ukulunywa nokuvuvukala. Qala ngemali encane, bese wengeza uma kudingeka. Faka isipuni esisodwa samafutha kakhukhunathi ekhanda lakho kabili ngesonto, ushiye amahora ambalwa, bese ugeza izinwele zakho kahle.
Sebenzisa uwoyela wetiye. Uwoyela womuthi wetiye unezinto ezilwa namagciwane, ezibulala izinhlungu, nezokulwa nokuvuvukala ezikwenza kube kuhle ekwelapheni i-seborrheic dermatitis. Yinciphise ngoyela wamaminerali noma uwoyela wesithwali, njengowoyela kakhukhunathi, noma uju ngaphambi kokukufaka ekhanda lakho. Shiya ingxube imizuzu emihlanu ngaphambi kokugeza.
Faka uju ezinweleni zakho. Uju oluhlaza lunezinto ezilwa namagciwane futhi lungasenza lube mnandi futhi lusinciphise isikhumba. Hlanganisa izipuni ezimbili zoju oluhlaza, olungacwengekile nenkomishi yamanzi engu-3/4 Faka ingxube ekhanda lakho bese ugeza ngemuva kwemizuzu embalwa.
Geza isikhumba sakho nge-apula cider uviniga. Nciphisa uviniga we-apula cider ngamanzi (1: 1, 1: 2, noma 1: 4) bese usebenzisa ikhambi esikhunjeni sakho. Makuhlale imizuzu eyi-10-15 ngaphambi kokuyigeza. Ungadinga ukusebenzisa lesi sixazululo izikhathi ezimbalwa ngesonto ukuze ubone imiphumela.
Thatha izengezo zamafutha ezinhlanzi. Lawa maphilisi aqukethe i-omega-3 fatty acids, engasiza ekwelapheni i-seborrheic dermatitis.
Gwema imikhiqizo yesitayela. Imikhiqizo equkethe utshwala ingenza ukukala nokucasula kube kubi kakhulu, ngakho-ke kugweme lokhu uma kungenzeka.
Zama imoto yomntwana. Uma ubona ukuthi izinkophe zakho zibomvu noma ziyakhula, hlanganisa inani elincane le-baby shampoo ngamanzi afudumele. Sebenzisa i-swab kakotini ukufaka ungqimba omncane wenhlanganisela, bese ugeza ngamanzi acwebile.
Shintsha indlela odla ngayo. Gwema ukuphuza utshwala, isinkwa, ushukela, nokudla okwenziwe, bese udla ukudla okune-antioxidant okunothile, njengamajikijolo nemifino enamaqabunga, nokudla okulwa nokuvuvukala okufana negalikhi ne-avocado.

Imibuzo ebuzwa njalo mayelana ne-seborrheic dermatitis

Ususa kanjani i-seborrheic dermatitis?

Ukususa i-seborrheic dermatitis, ukwelashwa okuningi kugxila ekukhuliseni izikali, ukunciphisa ukuvuvukala nokuvuvukala, nokumisa ukulunywa. Ezimweni eziningi ezimnene, ukhilimu we-antifungal noma i-shampoo enemithi izokwazi ukunciphisa izimpawu.

Ngingalapha kanjani i-seborrheic dermatitis ekhaya?

Amanye amakhambi asekhaya afaka ukuthatha izengezo zamafutha ezinhlanzi, ukufaka i-aloe vera endaweni ethintekile, ukuthatha ama-probiotic, ukusebenzisa uwoyela wetiye, ukufaka i-apula cider uviniga cwilisa izikali ekhanda lakho, ukumboza ikhanda lakho ngamafutha omnqumo ukukhulula izikali, nokudla ukudla okubandakanya imifino eningi enamaqabunga, izithelo ezinama-antioxidants, ukudla okunevithamini C ephezulu, njengamawolintshi nopelepele wensimbi, nokudla okunevithamini E eningi, njengama-avocado.

Ingabe i-seborrheic dermatitis iyisikhunta?

I-Seborrheic dermatitis yisifo sefungus esingaphezulu nje esenzeka ezingxenyeni ezinamafutha esikhumba sakho. Yize kuphikiswana ngakho , kucatshangwa ukuthi imalassezia yeast kanye ne-seborrheic dermatitis zixhumene ngenxa yempendulo yokuvuvukala engajwayelekile kumvubelo.

Ingabe kukhona umuthi womlomo we-seborrheic dermatitis?

Imithi eminingi ye-seborrheic dermatitis ingokhilimu noma amafutha, kepha i-oral Sporanox (itraconazole) isetshenziselwe ukwelapha amacala e-seborrhoeic dermatitis.

Yiziphi izindlela zokwelapha eziphumelelayo zeSeborrheic dermatitis?

Ukwelashwa okuvamile kwe-seborrheic dermatitis kufaka phakathi ama-antifungals afana ne-econazole, ketoconazole, ne-clotrimazole, ama-corticosteroids afana ne-clobetasol, nama-shampoo aqukethe i-tar tar, i-selenium sulfide, i-tar tar, i-pyrithione zinc, i-salicylic acid, noma i-ketoconazole.