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Vicky  留話於：2004/9/13 |
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新生兒臉上紅疹和早上鼻塞 |
1. 我的小孩現在快滿兩個月, 一直都是全母奶, 身上與四肢只有像痱子般的小紅點, 不是很多也不嚴重, 但是臉上的紅疹斷斷續續, 常常紅腫脫皮. 我聽過三種建議, 第一種建議是我們的小兒科醫生說的, 擦含類固醇的藥膏(美國買的Cortaid, 成份1% Hydrocortisone), 執行結果: 兩天就好, 而且皮膚不會乾乾脫皮, 但是皮膚真的看起來會變薄還亮亮的(附作用之一), 但是好沒兩天又會犯. 第二種建議是爸爸同事兒子的小兒科醫生說的, 光是勤用水擦, 執行結果: 沒用, 只會越擦越乾一直脫皮, 紅疹不退. 第三種建議是擦Cleansing Lotion, 是朋友女兒的小兒科醫生說的, 他還說少用水洗(擦), 我試Mustela的, 看起來好像有好一點, 但是不會完全好, 還是紅腫脫皮. 我還試過偏方, 用燕麥片的水擦, 執行結果: 看起來皮膚變嫩, 但是乾後還是繼續脫皮, 紅疹不退. 若是還沒完全好, 是不是不能急著擦保溼的乳霜或乳液? 因為我看這裡討論區的文章, 說是要保濕, 結果不論我是擦Johnson’s baby lotion 還是Mustela的facial hydrating cream, 只會讓紅疹更嚴重. 請問我到底要怎樣寶寶的臉才會好(我們住在美國加州, 氣候比台灣乾燥, 早晚溫差大)? 以這樣的癥狀是異位性皮膚炎嗎? 可以擦Eucerin的Aquaphor (healing ointment)嗎?
2. 寶寶幾乎每天凌晨約4-6點都會鼻塞, 算是過敏性鼻炎還是只是冷, 我已經給他穿薄長袖蓋薄被了, 有什麼辦法可改善根治?
註: 我先生會氣喘, 我自己皮膚常過敏, 小時候鼻子也過敏, 但是我們不會對特定的飲食過敏.
謝謝... |
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蔡緯賢醫師 回應於：2004/9/14 |
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新生兒臉上紅疹和早上鼻塞 |
一般來說，新生兒的臉上常常會出現各種原因所引起的溼疹，臨床上的治療最常用的即是1% Hydrocortisone的藥膏，這是最輕劑量的類固醇，短期使用並不會有什麼副作用。
保溼的保養品對於因乾燥而加重的皮膚炎才會有比較好的效果，但是每個人的体質不同，並無法保證對於每個人都適用。
新生兒的鼻塞通常和過敏沒有明顯的相關性，比較常看見的是小寶寶的鼻孔內被較乾的鼻屎堵了，可以使用沾水的小棉棒清除之。 |
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