Recently, I found that more parents were worried about their children’s eczema and were overwhelmed by it, and asked me for advice on how to treat and care for it.
Some parents, although in the hospital after consultation, according to medical advice to use drugs, or no effect, or sometimes recurring, the heart can not help but be irritated, think that the doctor gave the drug is not effective, leaving aside the easy recurrence of pediatric eczema nature, treatment, if you need ten points, drugs can account for three to five points, care can account for five to seven points, although the doctor gave the child the most correct drugs, but one because some young parents medical knowledge Although doctors give children the most correct drugs, but one because some young parents have poor medical knowledge, and two because some doctors in the clinic will not give you the elements of care clear, resulting in the above-mentioned results.
I. How to determine if your baby has eczema?
1. Distribution of lesions: There is no specific location, usually on the baby’s forehead, cheeks or scalp, but it may extend to the arms, legs, chest or other parts of the body.
2, lesion type: can be manifested as either dry, thickened, scaly skin, or some slight redness with blistering and oozing. Different types of medication are different and cannot be generalized, using the wrong medication will aggravate the rash, which will be discussed below.
3, itching: although the baby can not talk, but the baby will be through the bed sheets, adult shoulder friction to relieve itching, at night, the baby often due to extreme itching and restlessness, crying and even affect sleep, and because children scratching with their hands can often lead to bacterial skin infection and further aggravate the condition. (So babies with eczema should often trim their nails for him)
What is the cause of pediatric eczema?
The cause of this disease is complex and is an allergic skin disease. Infant skin development is not yet sound, the stratum corneum is very thin, capillary network is rich, endothelium containing water and chloride is richer, more sensitive to external stimuli, so prone to allergic reactions.
1, genetic: eczema and genetics have a great relationship. If one of the two parents has suffered from allergic diseases, then the baby has a high probability of getting eczema.
2, diet: the occurrence of many pediatric eczema, and diet is closely related. The child’s allergy to breast milk causes eczema in the clinical more common, if after treatment, avoidance of food, after care is still not effective, you can use desensitized milk powder feeding. The milk contains a lot of foreign proteins, which are very likely to cause allergies, other things such as eggs, fish, shrimp, crab, chocolate, fructose and other foods that commonly cause allergies, but not absolutely, need to check the allergens to determine.
3, the environment: environmental factors may also cause eczema, such as woolen fabrics, artificial fiber clothing, dust mites, sweat, urine, dry air, chemicals (skin care products, toiletries, cleaning agents, etc.), plant pollen, animal leather and feathers, the occurrence of infections (viral infections, bacterial infections, etc.), sun exposure, high ambient temperature or wearing too warm, cold, etc., may trigger eczema.
4, emotions: emotional factors are also one of the important factors that aggravate eczema, mental tension is significant for this disease.
Third, parents should master the elements of care
(A) diet.
1, the principle of dietary progression: parents of children need to master and strictly adhere to the basic principles of adding complementary foods, each time only add a food, observe 3 to 5 days to be fully accepted by the baby, and then add new varieties, once allergies occur, it is also easy to distinguish the food that causes allergies, and add each food should start with a small amount (a spoonful or so), gradually increase the amount, which can reduce the occurrence of food allergies.
2. Avoid overfeeding your baby: Maintain normal digestion and absorption capacity, food should be light and add less salt and sugar to avoid excessive accumulation of water and sodium in the body, which will aggravate the exudation and pain and itchiness of the rash and lead to skin eruptions.
(B) Daily precautions.
1. Avoid windy outdoor activities and public places as much as possible;
2, clothing to cotton, pay attention to the appropriate hot and cold, do not wear too warm;
3, it is best not to have pets at home;
4, the baby should be washed in time after urination and defecation to avoid urine stimulation;
5, keep the skin moist, twice a day to rub baby moisturizer;
6, in order to avoid scratching the skin infection, cut nails, available soft cloth loosely wrapped hands;
7, in the eczema attack, do not make vaccination, to avoid adverse reactions;
8, use soap as little as possible, do not use alkaline soap. It is appropriate to use warm water and non-alkaline cleaning products to clean the baby’s body. Do not use any cosmetics except those suitable for babies;
9.If a food allergy is suspected, the mother should also stop eating.
IV. Common problems
(a) A single taboo will affect the baby’s growth! Diet needs to strictly adhere to the principle of recurrence.
The baby’s diet and the mother’s diet should depend on individual differences, a single taboo will make the baby lack a lot of nutrients in the growth process, which is not conducive to the improvement of the disease, but the appropriate taboo is still necessary, especially during the taking of therapeutic drugs, the overall view is more beneficial than harmful, so the above-mentioned dietary progression principle is even more precious.
(B) Is there a special medicine for eczema? Is it possible to use the medication given by the doctor last time without asking about it this time?
The clinical classification of eczema into acute, subacute and chronic is different for all three periods, and clinically rigorous physicians often give several different drugs at the same time, different drugs for different types of rashes, so eczema medication cannot be generalized, there are no special drugs, parents who lack medical knowledge should not give their children medication at will.
(C) about allergen detection methods.
1, in vitro serum allergen-specific IgE determination: for the detection of ingestion (rapid-onset phase), inhalation allergens.
2, in vitro serum allergen-specific IgG determination: mainly used for the detection of food late phase. There are two types of food allergy: one is the appearance of allergic symptoms within a few hours after ingestion, called the rapid-onset phase, mediated by IgE; the other is the appearance of allergic symptoms several days after ingestion, called the late-onset phase, mediated by IgG, chronic allergy mostly requires this test.
3, patch test: mainly used for the detection of type IV allergic reactions, such as the detection of contact materials: clothing dyes, metal jewelry, leather, hair dye, etc.
4.Spot prick test: high safety and sensitivity, high accuracy.
5.Self-serum skin test: the cause of allergic diseases is multifaceted, both possible allergy to external substances, and there may be autoimmune problems. Autoantibodies that cause allergic diseases include: thyroid autoantibodies, anti-IgE antibodies, anti-IgE receptor autoantibodies, etc. The auto-serum test is the main test to screen for diseases caused by auto-antibodies.
6.Biological resonance detection and treatment instrument (Mora): The device detects allergens accurately, providing rapid screening of nearly 1,000 common allergen samples in about 35 categories, while desensitization treatment can be performed, and drug screening, detection of all suspected allergen samples provided by the patient, and selection of the most effective drugs for patients. It has advantages that other testing methods do not have.