WFU

2018年6月4日 星期一

還在半夜抓個不停?異位性皮膚炎的小朋友,這樣做就好睡了! No more itching at night! Atopic-baby parents, look here!

作者:玉衡中醫診所 廖浩欽醫師




看到這樣的圖,家中有異位性皮膚炎寶寶的家長心中一定有所觸動吧。誰都知道不能抓啊,可是寶寶才多大,連人話都聽不懂多少,叫他不要抓怎可能?可是越抓就越可怕,最終連抗組織胺都止癢無效,夫婦只能楚囚對泣,以淚洗面……但以淚洗面還是不止癢啊,無助的爸媽該怎麼辦呢?
It must be so sad to see a picture like that for a atopic-baby parents. It's almost impossible for a baby to stop scratch, and that causes worse in atopic dermatitis. Parents worry but in vain. How could we help them?


說實話,小廖醫師也很傷腦筋。
Honestly, I'm so troubled, either.

能止癢的東西叫做乳霜,所以以往小廖醫師讓患者止癢的方法就是厚厚的乳霜。不過乳霜裡含有水份,抹上去傷口就很銑很銑,小朋友通常會痛到哭,回家後死都不肯再抹第二次。小廖也很無奈,故此在追尋異位性皮膚炎止癢的路上迷失著…
I used to teach patients to stop itching by creaming, thickly. BUT, water in cream stimulates sharply, so babies fight against creaming. I'm so confusing for searching different way of antipruritics.

濕敷療法居然能有簡化版!Actually, we can have simple wet-dressing at home! 


在中部地區異位性皮膚炎治療的大神,中山醫院的賴柏如醫師,他推行著濕敷療法很久了。這是一種非常有效的止癢方式,不過家居施行起來頗有難度。但是神人總在不經意間出現,今天小廖又拜受了一次「醫師最好的老師乃是病人」。
A famous dermatologist, Dr. Lai, pushes wet-dressing to atopic patients, and that's very useful in anti-pruritic. But it's difficult at home. A smart mother surprise me so much by changing wet-dressing to a simple way.




這是一件小朋友的褲襪,媽媽拿著剪子就下手剪成這樣,這怎麼穿啊?
A tights for kids. The mother cut it like that. Why?




原來這是給小朋友穿上半身的!這位聰明媽媽先照小廖醫師的指示厚敷了一層乳霜之後,再濕濕地穿上褲襪,外頭再罩一件乾的衣服,這就完成了濕敷療法的居家簡便版!小廖醫師當下聽得目瞪口呆,還有這種操作!?太神了!
Amazing! It's made for upper half! She cream her baby thickly then dress the tights, then put on a dry T-shirt. That's simple wet-dressing, and surprise me so much!

有心為小朋友止癢的媽媽們,再看一次喔!
See again!



剪了之後,就照著這樣左右手穿上去,褲檔的部份是在背上的,穿好之後就像這樣。
Cutting the trousers, and wear it by right and left hands just as showing below.




原本睡得不安穩的小朋友,居然變成「隨便抓兩下就睡著了」!各位媽媽們,現在就出發!去菜市場買件便宜的褲襪,拿出你的剪刀,今天就讓小朋友止癢安睡吧!
The baby dramatically stop scratching at sleeping. Ladies, go now! Get a simple tights in markets, do it tonight. Good sleep tonight.
最後附上不抓之後改善的模樣。
Do you want to see before-after pictures? See it below.




延伸閱讀:異位性皮膚炎的惡化與處理