事件记录
Dr. 米勒: 你的孩子有湿疹. How do you stop that scratching and itching that's driving them crazy? We're going to talk about that next on Scope Radio. 我是博士. 汤姆米勒.
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Dr. 米勒: 我和Dr. 马克Eliason. He's an assistant professor in dermatology. Mark, how do you help kids get through eczema?
Dr. Eliason: 我很想谈谈这个. Eczema also called atopic dermatitis in children. 这是一种发生的情况 . . .
Dr. 米勒: 特应性，这是什么意思?
Dr. Eliason: Oh, atopic means that someone develops eczema with kind of a family disposition. It's not that they ran into something that caused the eczema, it's not that they're doing something wrong, their skin just tends to do this easily on its own.
Dr. 米勒: So they tend to come from a family of scratchers and itchers?
Dr. Eliason: A lot of people in their family probably have it. So, when we help and we counsel parents who have children who have atopic dermatitis, we talk to them about some strategies they can use at home. In addition to some of the medications they can get from their pediatrician or dermatologist, there are some simple things that they can do to make it better. One of them is to try to make sure the skin stays moist. Kids with atopic dermatitis dry out a lot faster than the average person, 而且他们的皮肤并不总是看起来干燥. It doesn't always look flaky or look like it's peeling off, but it is dryer than the average person's skin.
Dr. 米勒: So would that be more common in dry climates?
Dr. Eliason: It's exacerbated and worsens in dry climates such as Nevada and Utah.
Dr. 米勒: 完美的.
Dr. Eliason: 是的. So what we often talk to people about are ways to avoid making the skin dryer. And this sounds pretty counter-intuitive, but bathing can actually be a problem. 大发娱乐的皮肤保持湿润, 不是因为水, but because of oils that we produce naturally, and children with atopic dermatitis make less of this oil and they can't keep it in there like a normal person can.
Dr. 米勒: So too frequent bathing could definitely be a cause . . .
Dr. Eliason: 正确的.
Dr. 米勒: . . . 或者是加重剂.
Dr. Eliason: 精确的. 在大发娱乐的文化中, 大发娱乐鼓励人们每天洗澡, 但实际上, 大发娱乐的皮肤其实并不需要它, 它实际上是有害的. It's okay to take a bath that's warm, that's comfortable. 但是太烫的澡不太好. 或者洗澡时间太长, longer than 10 minutes or so can actually start to pull more oils out than they have and it will make things worse when they get out of the bath.
Dr. 米勒: Now what would be the typical age range for children with eczema? What would be the peak ages, if there is such a thing for eczema?
Dr. Eliason: 它随时都可能发生. For most kids, it happens before puberty, and then it will sometimes happen though in adulthood.
Dr. 米勒: 青春期后情况会好转?
Dr. Eliason: So it's a rough estimate, but about a quarter of kids grow out of it as they go through adolescence. 当大发娱乐和父母交谈的时候, we talk to them about simple things they can also try to help their kids with, which includes things like when kids are bathing, 你要用温和的洗面奶, not the harsh bar soaps but maybe mild soaps, the kinds that don't bubble up or form a lot of lather.
Dr. 米勒: 如?
Dr. Eliason: Cetaphil洁面乳就是一个例子. 优塞林清洁剂, a lot of these soaps that are kind of targeted towards dry skin or hypoallergenic can be helpful. Soaps that have fragrances in them can also be irritants. 当你的孩子从浴缸里出来的时候, it's also a useful thing to do is to moisturize them right away using creams instead of lotions, as lotions don't really moisturize as well as the cream does.
Kids that still are having problems beyond that sometimes benefit from the use of antihistamines, 比如晚上服用苯海拉明. 再一次。, you want to make sure they're safe to take those, but those can take away some of the itching, and by helping kids get a little bit sedated will actually help them fall asleep sometimes when the flares are really bad.
Dr. 米勒: So frequent bathing, not a great idea, use mild soaps, and use creams to keep the skin moist.
Dr. Eliason: 完全. And we even have children sometimes be on creams into ointments or things that have names like Aquaphor or even Vaseline is a simple, very effective thing that can keep the skin very moist and lubricated, and it helps to avoid overuse of some of the prescription medicines that doctors use.
Dr. 米勒: And so if those things aren't working, maybe see the dermatologist?
Dr. Eliason: 肯定.
Dr. 米勒: 非常感谢，马克.
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