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Home 人物特寫 專家見解 【藥師我還沒問完】 藥膏亂擦超母湯!想要舒緩皮膚狀況先搞懂這一點!

【藥師我還沒問完】 藥膏亂擦超母湯!想要舒緩皮膚狀況先搞懂這一點!

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【藥師我還沒問完】 藥膏亂擦超母湯!想要舒緩皮膚狀況先搞懂這一點!
如有皮膚藥品的需求還是要諮詢專業醫師或藥師,才能針對症狀進行正確的處置喔!

Q1 夏天被蚊蟲叮咬造成皮膚搔癢受不了,到底該如何止癢呢?
有哪些止癢方式是錯誤的呢?

引起皮膚搔癢的原因有很多,像是汗疹、濕疹、蚊蟲叮咬、黴菌感染等等
提醒大家在皮膚感到搔癢時,應盡量避免自行用藥,也避免抓癢以免情況惡化,甚至造成外傷、發炎進而形成感染
嚴重的話將
引起蜂窩性組織炎

出現皮膚癢時可以先想辦法止癢,如果不見改善,可至皮膚科檢查了解原因,並遵照醫囑用藥為佳
止癢、緩解的方式很簡單,以冰敷為主,例如:用冰塊、冰過的乳液進行舒緩;穿著通風透氣的衣物,避免外在刺激

若要防止蚊子叮咬可穿著淺色長袖衣褲,裸露部位塗抹防蚊液
而有些「香香」的東西,像是香水、化妝品、髮膠….等等,具有會吸引蚊子的花香味
如果你要到蚊蟲較多的地方去時,建議能不擦就不擦。
想要消滅家中蚊蟲最簡單的方法就是清除積水,居家內外巡一巡、把積水倒掉、避免蚊子在積水處產卵。

3種常見的止癢迷思

熱水
僅能達到短暫止癢,過沒多久搔癢症狀就會再次出現,水溫過高容易造成燙傷、加重皮膚症狀

   用指甲在叮咬處壓十字

這是利用「痛或壓」感,去短暫取代「癢」的感覺,效果非常短。

   塗口水
口水中含有許多細菌,用口水舔拭或塗抹於搔癢部位更是不衛生。

Q2 聽說喜歡吃肉或是酸性體質的人比較容易被蚊蟲叮咬,這是真的嗎?

正常人體生理的血液酸鹼度是pH 7.35至7.45(理想值是7.4),超出這個範圍都是不正常的
由此可知,身體酸鹼平衡是屬於自然生理調節,在醫學上沒有所謂的酸性體質
然而,蚊子叮咬人的確有偏好的傾向,影響的因素主要包括體溫、呼吸排出的二氧化碳、流汗分泌的乳酸以及深色的衣物

Q3 除了蚊蟲叮咬外,有時候也會有汗疹、溼疹等症狀,用家用藥膏簡單擦就好了嗎?

汗疹俗稱痱子,由於汗腺被阻塞造成無法排汗,在流汗後常發生於脖子、手腕、膝蓋窩等容易積汗的地方
會出現紅腫、搔癢,長出顆粒狀紅疹的症狀,常與太陽相伴的戶外工作者就屬容易出現汗疹的好發族群。

預防汗疹的方法是穿寬鬆的透氣衣物,並儘量待在比較涼爽的環境,減少大量流汗的機會
若是因工作等因素需在太陽下曝曬,建議在流汗後先拿濕毛巾把汗擦乾或是回家後先沖澡,減少汗停留在皮膚上的時間

濕疹這個疾病其實是一個很廣泛的定義,舉凡孩童常出現的異位性皮膚炎
婦女常出現的富貴手、接觸性皮膚炎、汗皰疹、脂漏性皮膚炎⋯⋯等等
這些會讓皮膚產生發炎、紅腫、組織液滲出、脫屑症狀的皮膚疾病都可以算是濕疹,且大多呈現對稱分布
常見的成因有遺傳、環境因素、食物過敏原、免疫失調等。

引起皮膚問題的原因無所不有,使用的藥物也不完全相同,常用的3種藥物有:

 外用類固醇藥品 
類固醇的作用為血管收縮、抑制增生、免疫抑制以及降低發炎反應,不同的類固醇藥膏有不同的抗發炎程度
弱效的外用類固醇常用於輕微的皮膚發炎症、皮膚較薄的地方,再者患部不同也會影響劑型的挑選,有凝膠、乳膏或水劑
外用類固醇藥物常見副作用為皮膚變薄萎縮、微血管擴張或色素沉澱,發生原因為塗抹方式不當及選用錯誤。

 外用抗黴菌劑 
治療皮膚表淺性黴菌感染,如足癬(香港腳)、體癬、股癬、汗斑的皮膚外用製劑。

 皮膚抗生素製劑 
人體皮膚上會附著各式各樣的微生物,在正常情況下都是相安無事的
但當皮膚受到外傷或是菌叢平衡被破壞,則有可能造成感染。
皮膚菌叢種類會因為部位、皮膚乾燥、潮濕或油脂的程度會生長不同的菌叢,在藥物的選用上也會不一樣
當皮膚沒有受到感染風險時,不可濫用抗生素藥膏,減少破壞正常菌叢。

雖然藥局的普及化及方便性很高,但建議大家勿自行使用各種藥物
如有藥品的需求還是要諮詢專業醫師或藥師,才能針對症狀進行正確的處置喔!

https://www.greattree.com.tw/new/2EC62f3b42e9E5D8