You apply moisturizer around-the-clock and avoid allergens. Yet you haven’t experienced relief from the itching, scaling, and dryness of eczema as you’d hoped. This may be a sign that it’s time to re-evaluate your treatments. While it’s true there is no cure for eczema, many treatments are available.
湿疹治疗并不是一种千篇一律的方法。重要的是要知道何时说可能对别人有效的治疗方法对您不起作用。
Here are some signs it’s time to get in touch with your dermatologist or change up your home regimen.
You can expect to have some periods of dry, itchy skin when you’ve been a little lax with your treatment regimen. You may be able to relieve some symptoms by staying on your current regimen. For others, you should see your doctor.
如果您遇到这些症状,请参阅皮肤科医生:
- You’ve
大多数时候都会抑制您的睡眠或日常活动的瘙痒或症状
一周中的。 - You’re
经历与您的湿疹有关的新症状。 - The
duration of time between flare-ups is getting shorter. - Your
eczema seems to be getting worse. - Your
eczema seems to be spreading to new locations.
如果您遇到暗示感染的症状和症状,请与您的医生联系。湿疹使您面临葡萄球菌感染的较高风险。由于葡萄球菌在您的皮肤上生长,因此它们可以感染皮肤的任何开放区域。
It’s important for you to listen to your intuition about your eczema treatments. If you feel your dermatologist isn’t managing your eczema as well as they could, talk to them. You could also look for a new dermatologist who specializes in the treatment of eczema.
关于湿疹治疗疗法的创新和研究正在进行中。这意味着市场上越来越多的治疗方法可以帮助您管理湿疹。有时,找到新的治疗方法可能是尝试不同的治疗方法。这也可能意味着尝试将治疗的组合找到最有效的治疗方法。
润肤剂(保湿剂)
这些是湿疹治疗的中流。大多数湿疹患者每天至少使用两次保湿剂。根据他们的职业和湿疹类型,它们可能会更频繁地应用它们。
If you’re currently using a lotion as a moisturizer, consider upgrading to a cream or ointment. The thicker consistency is reflective of a higher percentage of moisture-retaining oil. The moisturizer should be free of fragrances and dyes.
Topical steroids
These may be used alone or in combination with light therapy. They reduce inflammatory skin reactions that can lead to eczema symptoms. Frequent use of topical steroids can lead to them becoming less effective over time.
局部免疫调节剂
Pimecrolimus (Elidel) and tacrolimus (Protopic) are two topical immunomodulators. These interfere with inflammatory compounds in the skin. They may be especially helpful in treating eczema on your face, genitals, and areas of folded skin. But they’re associated with more side effects than topical corticosteroids, particularly eye irritation.
Wet wraps
湿包裹绷带是严重湿疹治疗的特殊伤口护理方法。他们甚至可能需要入院。它们通常由医生或护士应用。
抗组胺药
抗组胺药可以减少体内的组胺量。组胺是使您的皮肤发痒的原因。抗组胺药通常在治疗儿童的湿疹方面更有效。但是它们也可能有效减少成人的症状。
光疗
This treatment involves exposing skin to ultraviolet light, which can help symptoms. This requires seeing a doctor several days a week for a few months before symptoms begin to subside. After that time, people undergoing phototherapy often make less frequent doctor visits.
口服药物
美国食品药品监督管理局(FDA)批准了许多口腔湿疹治疗。口服皮质类固醇是一种有助于短期爆发的治疗方法。免疫抑制药物通常仅限于中度至重度湿疹治疗。
Injectable medications
In March 2017, the FDA approved the use of dupilumab (Dupixent),一种有助于降低炎症的抗生素。该药物用于治疗中度至重度湿疹。目前正在进行临床试验以进行更多注射药物。
行为咨询
Some people take part in behavioral counseling sessions to change their itching and scratching behaviors. They also use these sessions to help relieve stress, which can worsen eczema symptoms in some people.
If there is a treatment that sounds particularly promising to you, talk to your doctor. Questions you may wish to ask about treatment options include:
- 反思
on my current treatment plan, are there areas where I could benefit from a
不同还是额外的药物? - Are
由于我的湿疹类型或健康,您会为我排除治疗吗? - What
我特定的湿疹类型是现实的治疗前景吗? - What
是一些较新的局部,口服或可注射药物可能会有所帮助的
to me?
与您的医生签到有关您的湿疹的信息可以确保您的治疗计划最有效。虽然您可能不会无湿疹,但治疗的变化可以改善您的生活质量。