【保健知多D】益生菌 vs 濕疹?
首先說到濕疹,總是讓人產生一種既無助又無奈的無力感。
唔……暫時姑且撇開中醫不說,在西醫上,難聽一點,濕疹暫時可以說是一種「不治之症」。這就是說,只能醫治,不能根治。
不過人就是這樣,總是不會放過任何一絲希望。
既然如此,人們便可能會嘗試用自己方法治療濕疹當買一個希望。
其中一種希望便是……
益生菌(Probiotics)。
顧名思義,益生菌是「益菌」。
當然既然有益菌,自然有害菌。
對,益菌的其中一個功能主要是跟腸道裡的害菌「搶地盤」,便可能會減少害菌的數量,從而可能會有助預防一些因為細菌感染而誘發的腹瀉,例如旅行者腹瀉(Traveler's Diarrhea, TD)(俗稱「水土不服」)。
在相當程度上,這是一個「以夷制夷」的策略。
看到這裡,各位看倌可能會感到奇怪:
「咦?藥罐子,你自己不是說了嗎?益生菌不是促進腸道健康嗎?這到底跟濕疹又有什麼關係呢?」
對,誠如看倌所言,就算是朋友,說到底,益生菌算是異物,所以便可能是致敏原,反而可能會誘發濕疹,治病不成反致病,不是嗎?
那益生菌跟濕疹到底又有什麼關係?
唔……一般相信益生菌可能會透過抑制Th2細胞(Th2 Cells)(一種輔助型T細胞(Helper T Cells))、增加調節型T細胞(Regulatory T Cells, Treg Cells)所協調的免疫反應,調節人體的過敏反應[1],調理人體的免疫系統,改善過敏體質,從而可能會紓緩濕疹的症狀。
至於說到濕疹,常用的益生菌一般主要有以下兩種:
一、鼠李糖乳桿菌(Lactobacillus rhamnosus)
有研究指出這種益生菌可能會減少兒童罹患濕疹的機會。[2]
二、胚芽乳酸桿菌(Lactobacillus plantarum)
有研究指出這種益生菌可能會減輕濕疹的症狀。[3]
不過所謂「三歲定八十」,細菌定植(Bacterial Colonization)的時間原來是非常重要的關鍵,愈早贏在起跑線,愈容易「調教」人體的免疫系統。[4]
所以益生菌一般較適用於預防嬰兒、兒童的濕疹。
在副作用上,既然稱為益菌,只會有益無害。對吧?
不過跟人一樣,益菌同樣需要「吃貨」為生,在消化的過程裡,便可能會產生氣體,從而可能會誘發胃氣、腹脹。
(如欲了解更多用藥資訊,歡迎看看「小小藥罐子」網誌。)
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Reference:
1. Rather IA, Bajpai VK, Kumar S, Lim J, Paek WK, Park Y-H. Probiotics and Atopic Dermatitis: An Overview. Front Microbiol. 2016;7:507.
2. Wickens K, Black PN, Stanley TV, et al. A differential effect of 2 probiotics in the prevention of eczema and atopy: A double-blind, randomized, placebo-controlled trial. J Allergy Clin Immunol. 2008;122(4):788-94.
3. Han Y, Kim B, Ban J, et al. A randomized trial of Lactobacillus plantarum CJLP133 for the treatment of atopic dermatitis. Pediatr Allergy Immunol. 2012;23(7):667-673.
4. Akelma AZ, Biten AA. Probiotics and infantile atopic eczema. Pediatric Health Med Ther. 2015;6:147-151.
同時也有8部Youtube影片,追蹤數超過3萬的網紅[email protected],也在其Youtube影片中提到,兒童及青少年濕疹 - 陳欣永兒科專科醫生@FindDoc.com FindDoc Facebook : https://www.facebook.com/FindDoc FindDoc WeChat : 快徳健康香港 FindDoc FindDoc Instagram:@finddochk ...
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【花茶療法】主婦們的職業病
⭐家庭成員分擔一下家務吧
⭐讓媽媽雙手有時間休息
#星期四食材
金銀花紓緩主婦手
春夏天氣潮濕,容易令皮膚敏感、濕疹、主婦手等皮膚問題發作,處理家頭細務的媽媽經常接觸水濕,濕邪入侵肌膚,造成痕癢、紅腫、老化等類似濕疹、過敏性皮膚炎的症狀,中醫理論視主婦手為「濕毒浸淫皸裂」的情況,為濕毒之邪鬱於皮膚所致,伴隨症狀為口乾、怕熱、小便偏黃等,宜清熱除濕、解毒止癢,涼茶中常用到的金銀花,屬性偏涼,有清熱解暑、疏散風熱、抗炎的功效,既可內服亦可外敷,有助紓緩主婦手痕癢症狀。平日打邊爐或燒烤後,亦可以金銀花加幾朵菊花煮成銀菊露,有助清熱解毒。
金銀花 — 性涼,有清熱解暑、疏散風熱、抗炎等功效,適合炎夏酷暑引致的頭暈、口乾、多汗煩悶、中暑者食用;適合各種炎性感染、潰瘍等症狀。由於性涼,脾胃虛寒、腹瀉便溏者勿食。注意蠶豆症 (G6PD缺乏症) 患者禁止使用 。
紓緩主婦手茶療:金銀花土茯苓茶
內服:
功效:清熱袪濕止癢,紓緩主婦手皮膚泛紅、滲水、痕癢的問題。
材料:金銀花、土茯苓、連翹、甘草各10克
做法:材料洗淨,800毫升水及材料以武火煮至水滾後調文火煮30分鐘,把茶連渣倒進保溫瓶即可。此茶能反覆沖泡至味淡,建議一星期飲用2-3天,連續兩星期為一個療程。
外洗:
做法:茶療放涼後以薄毛巾(紗巾)或化妝棉沾取藥,輕輕沾濕患處,不建議將藥棉長時間敷在患處,沾濕再自然乾即可。有需要時使用,每天3次,用後毋須沖洗。每天煮新鮮的用來外敷,花水可倒進保溫瓶保溫使用。
注意:請先用小量皮膚看看會否過敏。
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Consume honeysuckle to relieve ’housewife's hand’
The weather during spring and summer is humid, and a humid environment can easily cause skin allergy, eczema, and ‘housewife’s hand’. Stay-home mothers, who have endless house chores to deal with, are always in contact with water. This causes the dampness pathogen to invade through our skin, causing our skin to itch, swell, and age. These symptoms are similar to eczema and atopic dermatitis.
Chinese Medicine theories view ‘housewife’s hand’ as the outcome of the dampness pathogen’s invasion. Other accompanying symptoms include dry mouth, aversion to heat, and yellowish urine. It would be best to clear the heat and dampness from our body and get rid of toxins to prevent itching from getting worse.
Honeysuckle, which is often used in herbal tea, is cool in nature. It can clear the summer heat, dispel wind and heat from the body, and is anti-inflammatory. Other than being a topical medicine, it is also an edible ingredient. One can consume honeysuckle to relieve itchiness caused by ‘housewife’s hand’. When you are planning to eat hotpot or barbecue, consider making a drink with honeysuckle and chrysanthemum. These ingredients can help clear heat and eliminate toxins from the body.
Honeysuckle – cool in nature; can clear summer heat, dispel cold and heat, and is anti-inflammatory. It is suitable to relieve summer-related conditions such as dizziness, dry mouth, excessive sweating, irritability, and heatstroke. It is also suitable to treat infection caused by inflammation and ulcer.
Since it is cool in nature, individuals with a cold and weak stomach and spleen as well as those who experience diarrhea should avoid. People with G6PD deficiency (Glucose-6-Phosphate Dehydrogenase deficiency) should avoid consuming this ingredient as well.
Tea remedy to 'housewives hands': Honeysuckle tea with smilax
For consumption:
Effects: Clears heat, dispels dampness and relieves itchy skin. Relieves redness, seepage and itchiness problem due to housewives hands.
Ingredients: Honeysuckle, smilax, forsythia, liquorice 10g for each
Preparation: Rinse all ingredients. Combine all ingredients with 800ml of water and cook on high heat until boiling. Turn to low heat and simmer for 30 minutes. Pour all contents into a thermos and tea can be re-brewed until flavor weakens. For best results, drink consecutively for 2-3 days. Two weeks for a treatment.
External rinse:
Preparation: Wait until the tea cools down. Use a thin towel or cotton pad to soak up medicine and gently pat on the affected area. We don’t recommend applying medicated cotton on area for long periods of time. Simply damp the area and let it air dry. Do this three times daily and it is not necessary to rinse after. Use as needed. Cook a new batch of medicated water daily to use externally.
Note: use it on a small area first to ensure there is no allergic reaction.
Comment below or like 👍🏻 this post to support us. ❤️ Follow us for more healthy living tips.
#男 #女 #我疲憊 #濕熱
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【藥事知多D】煤焦油真的可以入藥嗎?
如題,請問煤焦油(Coal Tar)可不可以入藥?
換言之,這個問題的真正意思是……
請問煤焦油是不是一種藥?
各位聰明的看倌一定會知道答案當然是「是」,不然這篇文章怎能繼續寫下去?
不過話說回來,煤焦油到底有什麼藥用價值呢?
唔……開始討論前,介紹一下煤焦油:
煤焦油,顧名思義,既是煤,又是油,裡面蘊含豐富的烴(Hydrocarbon),主要源自煙煤(Bituminous Coal)並透過蒸餾法(Distillation)提煉而成的。
這就是說,煤焦油可以說是煤的副產品。
在一般人眼裡,不論是煤還是烴,第一個用途當然是燃料,不是嗎?
至於第二個用途應該是物料,例如瀝青路面封層(Sealcoat)保養路面(這真的是名副其實的「修橋補路無屍骸」),真的很難想像這種黑黝黝、油膩膩的東西竟然可以入藥。
實際上,要是外用,塗抹煤焦油其實可以用來紓緩一些皮膚炎症,例如異位性濕疹(Atopic Dermatitis)、銀屑病(Psoriasis)(俗稱「牛皮癬」),甚至頭皮屑(Dandruff)。
說在前面,除了煤焦油外,其實還有兩種焦油同樣擁有這種藥用價值,分別是頁岩焦油(Shale Tar)、木焦油(Wood Tar)。
相較而言,人們開始發現煤焦油的效果較佳,於是逐漸淘汰頁岩焦油、木焦油。
不過「江山代有才人出,各領風騷數百年。(趙翼《論詩》)」近年一種新焦油開始正在崛起,就是松焦油(Pine Tar)。
好吧!好吧!扯遠了!現在說回煤焦油:
雖然暫時還是不太清楚煤焦油的作用原理,一般相信煤焦油看來能夠刺激短暫性的表皮增生(Epidermal Hyperplasia),然後在UVB這種紫外線的照射下,便可能會抑制DNA的複製,從而抑制表皮細胞的過度增殖,從而減少皮屑的產生[1],同時可能會紓緩痕癢、發炎的症狀。[2]
在用法上,一般建議睡前使用,塗抹患處,翌日早上清洗乾淨患處,目的在給予煤焦油足夠時間發揮藥效。
在副作用上,第一個,不用問,煤焦油是煤,煤是黑色的,煤焦油同樣是黑色的,塗抹這種黑黝黝的煤焦油在肌膚上,當然可能會染黑皮膚,影響外觀,還可能會在衣物上沾染著色,弄污衣物、枕頭、床單。
第二個,不用問,煤焦油是油,塗抹這種油膩膩的煤焦油在肌膚上,黏黏膩膩,固然未必舒服,更加可能會阻塞毛孔,從而誘發毛囊炎。
還有煤焦油擁有一種較濃烈的氣味,並不是所有人都能夠接受得到的,使用的時候,同樣未必舒服,還可能會對皮膚產生刺激,誘發皮膚敏感。所以一般不建議塗抹在滲血流膿的傷口上,減少刺痛感。[3]
(如欲了解更多用藥資訊,歡迎看看「小小藥罐子」網誌。)
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Reference:
1. Thami GP, Sarkar R. Coal tar: past, present and future. Clin Exp Dermatol. 2002;27:99-103.
2. Leung DYM, Eichenfield LF, Boguniewicz M. Atopic dermatitis (atopic eczema). In: Freedberg IM, Eisen AZ, et al, eds. Fitzpatrick's Dermatology in General Medicine, 6th ed. New York, McGraw-Hill, 2003:1180-1194.
3. Raimer SS. Managing pediatric atopic dermatitis. Clin Pediatr. 2000;39:1-14.
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兒童及青少年濕疹 - 陳欣永兒科專科醫生@FindDoc.com
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(一)濕疹如何影響兒童及青少年? 00:08
(二)有什麼治療方法? 01:03
(三)家長如何幫助兒童及青少年面對濕疹? 03:03
(本短片作健康教育之用,並不可取代任何醫療診斷或治療。治療成效因人而異,如有疑問,請向專業醫療人士諮詢。)
參考資料:
1. Brenninkmeijer, E. E., Legierse, C. M., Sillevis Smitt, J. H., Last, B. F., Grootenhuis, M. A., & Bos, J. D. (2009). The course of life of patients with childhood atopic dermatitis. Pediatric dermatology, 26(1), 14–22. https://doi.org/10.1111/j.1525-1470.2008.00745.x
2. Oh, S. H., Bae, B. G., Park, C. O., Noh, J. Y., Park, I. H., Wu, W. H., & Lee, K. H. (2010). Association of stress with symptoms of atopic dermatitis. Acta dermato-venereologica, 90(6), 582–588. https://doi.org/10.2340/00015555-0933
3. Ricci, G., Bellini, F., Dondi, A., Patrizi, A., & Pession, A. (2011). Atopic dermatitis in adolescence. Dermatology Reports, 4(1), 1. doi:10.4081/dr.2012.e1
4. Camfferman D, Kennedy JD, Gold M, Martin AJ, Lushington K. Eczema and sleep and its relationship to daytime functioning in children. Sleep Med Rev. 2010 Dec;14(6):359-69. doi: 10.1016/j.smrv.2010.01.004. Epub 2010 Apr 14. PMID: 20392655.
5. 濕疹的治療方案. (n.d.). Retrieved March 24, 2021, from https://www.hkasthma.org.hk/hk/about-allergies/%E6%B2%BB%E7%99%82%E6%96%B9%E6%A1%88-2
6. Fabbrocini G, Napolitano M, Megna M, Balato N, Patruno C. Treatment of Atopic Dermatitis with Biologic Drugs. Dermatol Ther (Heidelb). 2018 Dec;8(4):527-538. doi: 10.1007/s13555-018-0258-x. Epub 2018 Sep 4. PMID: 30182182; PMCID: PMC6261117.
7. Senner, S., Seegräber, M., Frey, S., Kendziora, B., Eicher, L., & Wollenberg, A. (2020). Dupilumab for the treatment of adolescents with atopic dermatitis. Expert review of clinical immunology, 16(7), 641–650. https://doi.org/10.1080/1744666X.2020.1801420
8. Simpson, E. L., Paller, A. S., Siegfried, E. C., Boguniewicz, M., Sher, L., Gooderham, M. J., Beck, L. A., Guttman-Yassky, E., Pariser, D., Blauvelt, A., Weisman, J., Lockshin, B., Hultsch, T., Zhang, Q., Kamal, M. A., Davis, J. D., Akinlade, B., Staudinger, H., Hamilton, J. D., Graham, N., … Bansal, A. (2020). Efficacy and Safety of Dupilumab in Adolescents With Uncontrolled Moderate to Severe Atopic Dermatitis: A Phase 3 Randomized Clinical Trial. JAMA dermatology, 156(1), 44–56. https://doi.org/10.1001/jamadermatol.2019.3336
9. The struggle is real: A parent's guide to caring for kids with eczema. (2020, October 23). Retrieved March 29, 2021, from https://nationaleczema.org/parenting-eczema-kids/
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(一)失眠為什麼成濕疹病人常見問題? 00:06
(二)為什麼濕疹常於晚上出現? 00:30
(三)濕疹的治療 01:10
(四)濕疹病人安眠錦囊 02:11
(本短片作健康教育之用,並不可取代任何醫療診斷或治療。治療成效因人而異,如有疑問,請向專業醫療人士諮詢。)
參考資料:
1. Hong Kong Asthma Society(2015). Pathology and causes of Eczema. Retrieved from https://hkasthma.org.hk/en/about-allergies/pathology-and-causes-0
2. Department of health (2020). Other Physical Health Problems. Retrieved from
https://www.studenthealth.gov.hk/tc_chi/health/health_ophp/health_ophp_tet.html
3. Bartlet LB, Westbroek R, White JE. Sleep patterns in children with atopic eczema. Acta Derm Venereol. 1997 Nov;77(6):446-8. doi: 10.2340/0001555577446448. PMID: 9394978.
4. Li JC, Fishbein A, Singam V, et al. Sleep Disturbance and Sleep-Related Impairment in Adults With Atopic Dermatitis: A Cross-sectional Study. Dermatitis : Contact, Atopic, Occupational, Drug. 2018 Sep/Oct;29(5):270-277. DOI: 10.1097/der.0000000000000401.
5. Camfferman D, Kennedy JD, Gold M, Martin AJ, Lushington K. Eczema and sleep and its relationship to daytime functioning in children. Sleep Med Rev. 2010 Dec;14(6):359-69. doi: 10.1016/j.smrv.2010.01.004. Epub 2010 Apr 14. PMID: 20392655.
6. Chang, Y. S., & Chiang, B. L. (2016). Mechanism of Sleep Disturbance in Children with Atopic Dermatitis and the Role of the Circadian Rhythm and Melatonin. International journal of molecular sciences, 17(4), 462. https://doi.org/10.3390/ijms17040462
7. Ozawa M, Tsuchiyama K, Gomi R, Kurosaki F, Kawamoto Y, Aiba S. Neuroselective transcutaneous electrical stimulation reveals neuronal sensitization in atopic dermatitis. J Am Acad Dermatol. 2009 Apr;60(4):609-14. doi: 10.1016/j.jaad.2008.11.900. PMID: 19178984.
8. Hong Kong Asthma Society(2015).Treatment option of Eczema. Retrieved from https://hkasthma.org.hk/en/about-allergies/treatment-option-eczema
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eczema atopic dermatitis 在 [email protected] Youtube 的最讚貼文
濕疹 - 陳厚毅皮膚科專科醫生@FindDoc.com
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(一)情緒壓力會誘發濕疹嗎? 00:06
(二)濕疹如何影響患者的心理和情緒健康? 01:01
(三)患者如何面對濕疹帶來的身心壓力? 01:39
(本短片作健康教育之用,並不可取代任何醫療診斷或治療。治療成效因人而異,如有疑問,請向專業醫療人士諮詢。)
參考資料:
1. Kwok, & Law. (n.d.). 濕疹的預防. Retrieved September 25, 2020, from http://www.nur.cuhk.edu.hk/201800907-hkej-hk/
2. 香港過敏協會.濕疹. (2014). Retrieved September 25, 2020, from https://www.allergyhk.org/?page_id=37
3. Eczema and Mental Health: Atopic Dermatitis and Anxiety and Depression. (n.d.). Retrieved September 25, 2020, from https://nationaleczema.org/eczema-emotional-wellness/
4. Halvorsen, J., Lien, L., Dalgard, F., Bjertness, E., & Stern, R. (2015, December 08). Suicidal Ideation, Mental Health Problems, and Social Function in Adolescents with Eczema: A Population-Based Study. Retrieved September 25, 2020, from https://www.sciencedirect.com/science/article/pii/S0022202X15369074
5. Biologics: Dupixent: Atopic Dermatitis Treatment: Eczema Biologics. (2020, August 27). Retrieved September 25, 2020, from https://nationaleczema.org/eczema/treatment/dupixent/
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