After entering the winter, the weather is dry, and some children's cheeks, limb joints, torso, eyelids, pinna, behind the ears and other parts of the repeated eczema, but also particularly itchy, making it difficult to sleep and eat. In the eyes of parents, it is the child's eczema attack, in fact, this is mostly atopic dermatitis attack in children.
Parents say that eczema in children is mostly atopic dermatitis
In general, the eczema of children mentioned in the mouth of parents, in fact, mostly refers to atopic dermatitis in infancy and childhood, which is an allergic disease and a chronic, recurrent, inflammatory skin disease, which is characterized by dry, red, itchy and often recurrent, and sometimes even combined with viruses, bacteria and other infections, which brings serious harm to the health of children.
According to epidemiological surveys, in 2014, the prevalence of atopic dermatitis in infants from January to December in 12 cities in China was as high as 30.48%, the prevalence of atopic dermatitis in children aged 1-7 years was 12.94%, and most of the patients with atopic dermatitis in children in China were mild to moderate, accounting for 74.6% and 23.96% respectively, and the severity accounted for only 1.44%.
Zhou Zhen, chief physician of the Dermatology Department of Guangdong Provincial Maternal and Child Health Hospital, said that people with a history of allergic diseases such as parents, siblings and other family members are more likely to develop atopic dermatitis. Environmental factors such as weather changes, lifestyle changes, incorrect bathing, infectious agents and allergen stimulation can also cause skin surface flora disorders, impaired skin barrier function, and skin immune abnormalities, which are important causes of atopic dermatitis.
Prevention and control should start with "moisturizing"
"Because the skin barrier function is impaired, irritants or allergens in the environment cause skin inflammation through the damaged skin, and symptoms of redness, dryness and itchiness occur, so the skin barrier is repaired by moisturizing to treat and prevent the onset of atopic dermatitis." Zhou Zhen said, "In skin care products, try to choose a moisturizer or cream with simple ingredients, no fragrance, no alcohol, and no lanolin ingredients for children, avoid choosing moisturizers containing animal oils, such as sheep oil, horse oil, etc., and choose natural vegetable oils, such as tea seed oil, olive oil, etc., plant ingredients, such as aloe vera juice, etc., as well as various types of antibacterial creams and repair creams." ”
In general, lotions are suitable for summer and when the skin is mildly dry, and creams or ointments are suitable for winter and when the skin is moderately dry. After bathing, use a dry towel to dry (avoid wiping back and forth) immediately after the body moisture (within 3-5 minutes) apply the lotion, the number of application of moisturizer depends on the dryness of the skin, such as after 2-3 hours after the application of the skin again dry, then apply it in time. Therefore, experts recommend that children use at least 100g per week and adults use 250g per week, and it is best to adhere to the long-term use of moisturizing products, even after the dermatitis is relieved, and continue to adhere to it to prevent the recurrence of atopic dermatitis.
Correct understanding of positive treatment
Topical corticosteroids are the first-line treatment for an effective treatment of atopic dermatitis. However, some parents are often too worried about the adverse reactions of topical glucocorticoids, and often have concerns and even refuse to use them. Zhou Zhen said that in fact, parents do not have to worry too much about the side effects of the drug and refuse to use, so as not to delay the child's condition, in general, the doctor will choose different dosage forms and strength of glucocorticoid preparations according to the child's age, the nature of the lesion, the location and the degree of the disease, in order to quickly and effectively control skin inflammation and reduce symptoms, but it is not recommended that parents take drugs themselves, and even blindly use various repair creams, eczema creams, bacteriostatic creams and so on that add hormone components that are not suitable for children.
Tips：
How to avoid inducing atopic dermatitis
◇ Wash: It is recommended that children choose to shower, the water temperature should not be too high, 32 ° C -37 ° C is appropriate, the bathing time should not be too long, 5-10 minutes is appropriate. Infants and young children can take a bath in clean water, while children can choose toiletries dedicated to atopic dermatitis.
◇Clothing: It is recommended to wear loose, soft, sweat-absorbing cotton clothing to reduce sweat and friction on the skin irritation.
◇ Food: Whether the occurrence of atopic dermatitis is caused by food allergies needs to be evaluated and judged by a professional pediatric or pediatric dermatologist. If atopic dermatitis children diagnosed with cow's milk protein allergy are required to avoid cow's milk protein in addition to milk protein, they need to be fed with deeply hydrolyzed protein milk powder or amino acid formula, exclusive breastfeeding or mixed feeding, and nursing mothers should pay attention to avoiding milk and dairy products, and it is recommended to re-evaluate whether the child still has milk protein allergy every 6 months.
◇ Live: Control allergens in the environment, such as dust mites, animal dander, pollen, etc., it is recommended that the appropriate temperature of the environment is 18 ° C -22 ° C, and the humidity is 50%-60%. (Reporter Zhang Hua Correspondent Lin Huifang)
Source: Yangcheng Evening News