In fact, it is not very difficult to treat a disease like eczema. In addition to the necessary medication, all you need to do is to do the relevant care work, such as hygiene, diet, wounds, etc. The basis for treating eczema is generally to find out the cause of eczema and then carry out more detailed treatment. At the same time, it can also allow patients to avoid the factors that cause the disease as much as possible. Eczema is a skin inflammatory reaction with severe itching caused by a variety of internal and external factors. It is divided into three stages: acute, subacute and chronic. The acute phase has an exudative tendency, while the chronic phase has infiltration and hypertrophy. Some patients directly present with chronic eczema. The skin lesions are characterized by polymorphism, symmetry, itching and easy recurrence. General treatment (1) Try to find out the cause of the patient's illness or aggravation, and understand the patient's medical history, work environment, living habits, thoughts and emotions in detail; perform allergen tests, such as skin prick test or intradermal test, specific IgE antibody and patch screening test, to find possible allergens. (2) Avoid adverse external stimuli as much as possible, such as washing with hot water, scratching violently, etc.; try not to wear synthetic fiber underwear and fur products; avoid eating allergenic and irritating foods, such as seafood, chili peppers, alcohol, coffee, etc. (3) Keep your skin clean, prevent skin infections, avoid overwork, and maintain an optimistic and stable mood. Topical treatments It should be mild and non-irritating, and the specific medication should depend on the stage of the disease and the condition of the skin lesions. (1) For acute eczema without exudation, apply calamine lotion externally 4-6 times a day. If itching is obvious, add glucocorticoid cream for external use. Such as 1% hydrocortisone cream or 0.0.1% hydrocortisone butyrate ointment, 0.1% triamcinolone acetonide cream or 0.1 mometasone furoate cream (trade name Eloson), etc., for external use 1-2 times a day. When there is exudation, first use 2%-3% boric acid solution or saline for cold wet compress, 30-60 minutes each time, 2-4 times a day or continuous wet compress. Apply 40% zinc oxide oil externally during the intervals or at night. After the exudation decreases, use zinc oxide paste instead. (ii) For subacute eczema, you can use pastes, such as zinc oxide paste or 5% bran oil paste, or glucocorticoid cream, for external use 2-3 times a day. For chronic eczema, you can use glucocorticoid creams, ointments or plasters, zinc oxide ointments and tar ointments. 1. For glucocorticoids, use 1% hydrocortisone cream or 0.1% hydrocortisone butyrate ointment, 0.05% beclomethasone ointment, 0.1% triamcinolone acetonide cream, 0.1% mometasone furoate cream, 0.05% halometasone cream (trade name Aoneng Skin Ointment) or compound halometasone cream (trade name Xinshiquede), 0.02 clobetasol propionate cream (trade name Enfu Cream), etc. Choose 1-2 of them for external use 2-3 times a day; 15% zinc oxide ointment for external use 2-3 times a day; tars, such as 5%-10% black bean distillate oil ointment, 10% ichthyol ointment, 10% bran distillate oil ointment, etc. Choose 1 of them for external use 2-3 times a day. Non-glucocorticoid anti-allergic topical preparations can also be used, such as 5% ethosulfate ointment (trade name Aidit), 5%-10% sodium cromoglycate cream or ointment, applied topically 2-3 times a day, and a course of treatment is 2-4 weeks. 2. For stubborn hypertrophic skin lesions, you can use triamcinolone urea ointment or 0.1% triamcinolone dimethyl sulfoxide solution; you can also wrap the above ointment with plastic film or cellophane and apply it once a night; you can also apply a hard plaster containing glucocorticoids to small hypertrophic skin lesions. |
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