回复:哪位大大知道治湿疹的单方

来源: 2009-09-17 20:36:28 [博客] [旧帖] [给我悄悄话] 本文已被阅读:

Lubricants and Moisturizers
To help with dryness, these creams, such as Eucerin, Nivea, Cethaphil Moisturizing Cream, or Lubriderm, should be used every day, even when the eczema isn't flaring-up!

Apply right after baths within 3 minutes (and after the steroid creams) to help trap in moisture and throughout the day as needed.

For severely dry skin, try using an ointment, such as Aquaphor.

Alternative lubricants that some parents find useful include Hydrolatum and Vanicream.

Many experts recommend avoiding moisturizing lotions, as they often don't work as well as a cream or ointment.

Steroid Creams
These are the main treatments for atopic dermatitis when it flares up, and should be applied right after baths (and before a lubricant) and again during the day as directed. When the rash improves, cut back on how often you are using it and then stop until the rash flares up again.

Common steroid creams include Cutivate, Westcort, Lociod Lipocream, Artistocort, and Elocon.

Avoid using prescription steroid creams on the face or in the diaper area, unless specifically instructed to do so. An over the counter 1% Hydrocortisone cream is safer in these areas.

For severe cases of eczema, a steroid ointment may be more effective than a cream.

If your child's eczema improves when he is on a steroid and then quickly flares up again when you stop, it may help to use a 'step down' strategy where you taper the use of the steroid and use it less often, for example every other day and then 2-3 times a week, before finally stopping it. Or use a less potent steroid, like over the counter hydrocortizone after using a prescription strength steroid like Cutivate or Elocon.

You might also ask your doctor about one of the newer non-steroidal medications, like Protopic or Elidel.

Bathing and Eczema
Bathing and eczema is a controversial topic, but many people think the practice of limiting baths is old school or old fashioned. Many experts now recommend a daily bath for kids with eczema.

A daily bath for at least 15-20 minutes helps to moisturize the skin and make it less itchy. Be sure to use a mild, nondrying soap, such as Dove, Neutrogena, Tone, Caress, Dial, Basis, or Purpose, avoid vigorous scrubbing, use a soft towel to pat the skin dry and immediately (within 3 minutes) apply a lubricating cream afterwards.

If your child's skin is not tolerating a daily bath, limit baths to every other day or try using a soap substitute, such as Cetaphil. Avoid using bubble baths, harsh or drying soaps and keep shampoo off the affected areas.