【過敏人生】皮膚痕發作必有原因

⭐每人對發物反應不同
⭐宜做個人飲食記錄
#星期四食材

慎防蔬菜類發物
但凡患有濕疹、瘡、疥、癬等皮膚病，長輩們都會苦口婆心叮囑不要吃牛、鵝、鴨、蝦、蟹、無鱗魚等食物，以免加重病情，這些食物中醫稱之為「發物」，發物有助邪的意思，是指能引起舊患復發、將新病加重的食物，患有暗瘡、濕疹、風疹、皮膚病或容易過敏人士要避免食用。以為多吃蔬菜就萬無一失？！其實蔬菜類亦有不少動風、助火及生痰滯氣發物，容易誘發皮膚瘡瘍腫毒，要小心留意，避免皮膚病發作。

常見蔬菜類發物：
茄子 — 為動風發物，性涼，有清熱活血，寬腸通便的功效，適合三高及有痔瘡人士食用。正因其性涼，脾胃虛寒易腹瀉，有皮膚病如濕疹或皮膚過敏、哮喘、癌症、紅斑狼瘡症患者不宜。

竹筍 — 為動風發物，性涼，具清熱化痰、利二便功效，由於筍含豐富纖維，所以具通便效果。惟注意竹筍容易透發或加重皮膚瘡瘍腫毒症狀，皮膚敏感、濕疹患者或容易出風癩者不宜吃。

菇菌 — 為動風食品，一般性平或偏涼，生長在潮濕陰暗處，屬於濕氣重的食物。

南瓜 — 為生痰滯氣發物，性溫，有補中益氣、解毒消腫、潤肺益氣、平喘化痰的功效，對久病後氣虛、乏力、便溏及脾胃虛弱尤其適合。由於屬性溫熱，本身有胃熱、濕熱、氣滯，及易有胃脹的人就要少吃。

芋頭 — 為生痰滯氣發物，性平，能健脾胃及化痰散結，適合淋巴腫大、婦女乳腺增生者服用。脾胃氣虛及有習慣性便秘等人士都適合。

洋蔥 — 為助火發物，性溫，具祛風發汗、行氣化痰、降血壓、降血脂功效，特別適合風寒感冒患者食用。便秘、發熱口渴、皮膚瘡癢、濕疹患者等不宜進食。

韭菜 — 為助火發物，性熱，具健胃暖中、溫腎助陽、散瘀活血功效，適合偏寒體質、陽虛怕冷、腰膝酸軟、男士陽事衰弱、尿頻人士；女士陽氣不足以致行經小腹冷痛食用。由於性熱，陰虛火旺者不宜食用。

薑 — 為助火發物，薑性溫，有發汗散寒、溫中止嘔的功效，對於虛寒體質如陽虛的人士尤其適合，可紓緩因風寒感冒而引起的怕冷頭痛、胃寒引起的胃痛，以及虛寒型經痛等症狀。

蔥 — 為助火發物，性溫，有發汗解表、健胃殺菌、通陽氣散陰寒的作用，能紓緩初起的風寒感冒、鼻敏感、頭痛、胃寒等症狀。體質偏熱、陰虛火旺人士不宜多吃。

蒜 — 為助火發物，性溫，具暖脾胃、行滯氣、降血脂、殺菌功效，適合感冒病人食用，能舒緩初起的風寒感冒、食滯等症狀。由於屬性溫熱，陰虛火旺、身體有偏熱症狀如口瘡、暗瘡、喉嚨痛者不宜食用。

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Beware of vegetables that are stimulating
The elders will often advise young people not to eat beef, goose, duck, prawn, crab, and fish without scales if they suffer from skin diseases like eczema, scab, scabies, and ringworm. Eating these foods, they believe, can exacerbate the problems.

According to Chinese physicians, these foods can trigger pathogenic factors to react, causing a relapse of a pre-existing condition and, to a certain extent, might worsen the problem. Individuals with acne, eczema, rubella, and sensitive skin or any skin diseases should avoid eating them.

How about vegetables? In fact, there are certain vegetables that can also induce phlegm, stagnate the qi, and lead to heat accumulation in the body, triggering old wounds to relapse. To prevent skin diseases from occurring, we have to be extra mindful.

Common stimulating vegetables:
Eggplant – wind activated stimulant. Cool in nature, can clear heat and promote blood circulation, loosen the bowels to relieve constipation. Suitable for those with hyperglycemia, hyperlipidemia, hypertension, haemorrhoids. Because of its cold nature, those with asthenic and cold spleen and stomach, those prone to diarrhea, skin diseases such as eczema or skin allergies, and those with asthma, cancer, and lupus should not eat.

Bamboo shoots - wind activated stimulant. Cool in nature, can clear heat and relieve phlegm and is healthy for urine and bowel movement. The high fibre content can relieve constipation. Please note bamboo shoot is a wind activated stimulant and can trigger skin sores issues so those skin allergy, eczema, and those prone to hives should avoid.

Mushroom - wind activated stimulant. Generally mild or cool in nature. It grows in a humid and dark place, and it has heavy dampness.

Pumpkin - food that induces phlegm and qi stagnation. Warm in nature, can replenish vital energy and strengthen qi, detoxify and relieve swelling, and moisten the lungs. It has healing effects to relieve asthma and decrease phlegm. It is especially suitable for those recovering from chronic illness with qi deficiency, those with loose stool and asthenic spleen and stomach. Although it is full of benefits and nutrients, pumpkins are warm in nature, so those with heat in stomach, damp heat, qi stagnation, or prone to abdominal bloating should avoid pumpkins.

Taro - food that induces phlegm and qi stagnation. Mild in nature, can strengthen the spleen and stomach and reduce phlegm. It is suitable for those with lymphatic swelling and eccyclomastoma. Those with asthenic spleen and stomach or chronic constipation can also have taro.

Onion - fire activated stimulant. Warm in nature, can dispel wind and promote perspiration, promote qi circulation and relieve phlegm, lower blood pressure and blood Iipids. It is especially suitable for those with cold-wind flu. Those with constipation, heat and thirst, itchy skin, sores on skin and eczema should avoid.

Chives - fire activated stimulant. Hot in nature, can warm the stomach, warm the kidneys and nourish yang, relieve bruising and promote blood circulation. Suitable for those with cold body types, yang deficiency, aversion to cold, weak and sore lower back and knees, men with frequent urination, insufficient yang qi that leads to abdominal pain. Due to its hot nature, those with asthenic yin should avoid.

Ginger - fire activated stimulant. Warm in nature, has the effects to promote perspiration and dispel cold, warm the body and relieve vomiting. It is especially suitable for those with asthenic cold body types such as yang deficiency, as it can relieve aversion to cold and headache caused by cold wind flu, stomach pain caused by cold stomach, and asthenic cold type menstrual pain.

Spring onion - fire activated stimulant. Warm in nature. Induces sweating, activates yang qi to dispel yin chill. Relieves early symptoms of wind-chill flu, nasal allergies, headaches, and cold stomach. Not suitable for those with heat-related symptoms, with yin deficiency and excessive internal heat.

Garlic - fire activated stimulant. Warm in nature, can warm both the spleen and the stomach, improve qi stagnation, and help relieve cold and flu at the initial stage. Nevertheless, individuals with heat related symptoms should not consume garlic, such as canker sores, acne and sore throat.

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#男 #女 #濕疹 #暗瘡

讓人聽到就會發癢的疾病➡️疥瘡scabies
疥瘡是由疥蟲所引起，疥蟲會寄生在人類皮膚，透過接觸傳染，好發於擁擠環境及行動不便長期臥床者（所以在安養機構、護理之家常會出現患者）
⚠️疥蟲行動緩慢，與患者接觸時間至少5~10分鐘以上才可能遭到傳染
⚠️有潛伏期，感染疥蟲大約2~5週後會開始出現全身紅疹、搔癢等症狀（晚上睡覺時更嚴重）
⚠️感染患者的衣物建議在熱水中煮過，並再高溫烘乾（高溫可殺死疥蟲）
除了知道這讓人聽到就發癢的疥瘡，也一起認識治療用藥吧~
你有發現藥物們也都在抓癢嗎XD

#鞋槓人森 #藥師 #插畫 #疥瘡 #治療 #安養院 #護理之家 #發癢 #癢 #藥物

產檢的常見問題中，妊娠癢疹排在前幾名，有些產婦求診許多醫療院所，問題還是沒有解決。
長期的抓癢會使皮膚破皮，流血，二度細菌感染。患處表皮增厚，苔蘚化，嚴重者會導致失眠，疲憊，憂鬱而影響工作與生活。

妊娠癢疹泛指與懷孕有關的皮膚搔癢，常伴隨孕期結束而病情逐漸消退。好發的高峰期落在懷孕中末期。影響約十分之一的孕婦。

妊娠癢疹在臨床上有許多可能的鑑別診斷 如 多形性癢疹，異位性癢疹，搔癢性毛囊炎，肝內膽汁鬱滯性疹或妊娠水泡疹 (“類天疱瘡疹“）

其中最常見的是多形性癢疹：它的特徵是在妊娠紋上出現搔癢的丘疹及蕁麻疹狀皮膚斑。約一半的初產婦會從腹部擴展至胸部及背部，沒有波及到臉部及肚臍。通常不會發生在手或腳的末端。我們通常都會給予局部藥膏治療。

雖然大部分與妊娠有關的癢疹對母體及胎兒無影響，但是也有少部分癢疹有潛在的母胎風險，及下一胎孕期復發的可能。如上述分類中的妊娠水泡疹 (“類天疱瘡疹“），它屬於一種罕見的自體免疫性疾病，長全身性水泡，可能生下低體重新生兒，早產或新生兒疱疹性皮膚炎。應及早給皮膚科醫師檢查與治療。還有肝內膽汁鬱滯性疹: 孕婦膽汁酸過高，肝功能異常，血中維他命K濃度低(容易產後大出血)，有可能發生早產或胎兒缺氧，羊水胎便染色，甚至死產或造成新生兒呼吸窘迫症候群。有這樣疑慮的時候會做更多的檢查並可能需要住院觀察與肝膽內科會診。

雖然只是癢，但下次記得告訴您的婦產科醫師，我們願意傾聽任何的”小問題“。

註:皮膚疹的圖片不甚討喜，謹將我認為較有公信力的網站附上，供大家參考。

https://dermnetnz.org/topics/skin-problems-in-pregnancy/

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Itchy rash is one of the most common complaints that I see at prenatal clinics. Some women’s itchiness persists despite multiple treatments and doctors’ opinions. Whilst chronic scratching may lead to skin thickening or recurrent infections, itchiness can severely affect the quality of life of mothers by causing insomnia, tiredness and even depression.

Itchy rash of pregnancy most commonly occurs during second to third trimesters, then improves postpartum. It affects about 10% of the pregnant women.

The differential diagnosis of these itchy rashes is broad, including but not limited to polymorphic eruption of pregnancy (its long acronym is “PUPPP” but I won’t bore you with this), atopic eczema, prurigo of pregnancy, cholestatic pruritis and pemphigoid gestationis. Other diagnoses like contact dermatitis or scabies are not uncommon during pregnancy but I consider them as diagnoses not specific to pregnancies.

The ones that i see the most are polymorphic eruption of pregnancy, it is characterised by raised rash of multiple shapes (polymorphic) especially over the striaes on the tummy. In about half of the mothers with first baby the rash will extend to the chest and the back, however, the face and the belly button are often spared. Also it does not affect hands or feet. Treatment is usually topical.

Although most itchy rashes of pregnancy are not serious, some (although rare) can be quite serious that requires close monitoring and consultation with dermatologists or internal medicine physicians. For example, “pemphigoid gestationis” is a rare autoimmune skin disease during pregnancy that causes bullous eruption all over the body. This is due to formation of antibodies against mother’s skin, and sometimes these antibodies can cross the placenta and affect the babies. Another serious skin condition is cholestatic pruritis, it is due to build up of bile salts in the body from abnormal liver function, which can sometimes lead to a myriad of systemic and fetal complications if not treated.

Remember to tell your obstetrician and gynaecologists about your itchiness. We are here to listen to all of your concerns and worries.

Dogs have boundless enthusiasm but no sense of shame. I should have a dog as a life coach." Moby
The dog is the most faithful of animals and would be much esteemed were it not so common. Our Lord God has made His greatest gifts the commonest.

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Jika ktk mementingkan kesihatan org2 tersayang, sila lah share video tok untuk ilmu. Ngektsai dengan beraninya kali tok berbicara tentang kesihatan memandangkan penularan penyakit HFMD semakin berleluasa. Sik lengkap info tok tetapi sedikit sebanyak dpt memberik amaran dan kesedaran tentang penularan penyakit berjangkit. Sebelum sebarang spekulasi tentang Ngektsai menular, adalah molek jika Ngektsai menyatakan bahawa Ngektsai di pihak yang layak utk bercakap tentang hal ini memandangkan Ngektsai adalah seorang berkelusan aliran kesihatan. Skop video ini menepati apa yg telah dipelajari semasa menjadi student perubatan 13 tahun dahulu. Masalah penularan penyakit berjangkit dapat dicegah.
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Didatangi oleh ibu yg gusar dgn anaknya yg mayb dijangkiti virus HFMD, rupa2nya penyakit lain. Jangan silap menilai antara dua penyakit berbeda ini. Gejala SEAKAN sama tetapi penyakit nyata BERBEDA. Scabies disebabkan oleh kutu/tungau sejenis parasit yg mendiami lapisan bawah kulit, bertelur dan meninggalkan tahi/debris yg menyebabkan ketidakselesaan, manakala HFMD berpunca dari virus yg hanya boleh disembuhkan dengan antibodi yg dihasilkan oleh badan.
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Menilai dari pengalaman masa dahulu, Ngektsai pernah merasai kedua2 penyakit ini. Scabies ; Ngektsai dikuarantin mendiami asrama selama 2 minggu oleh certified dokto, sama jugak dgn HFMD; dikuarantin sama sekali bagi mengelakkan penularan. Kedua2 penyakit ini mempunyai persamaan iaitu mudah berjangkit, tetapi jangan silap menilai.
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Paling penting kepada penjaga/diri sendiri, jika gejala sedemikian berlaku, jangan sekali2 teragak2 berjumpa certified medical officer(dokto kata kita) untuk pengesahan penyakit. Diharuskan membaca melalui google atau sumber lain tetapi biarlah pengesahan dilakukan oleh dokto.
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Apapun, kebersihan harus tip top uols! Tempat tido, pengurusan taik baby, tola, pakaian, mesti dijaga, di rumah, asrama, atau di mana2! Jangan sik sayang ngan kesihatan. Jangan dah kenak baruk nak nyesal. Bersama2 kita mengawal penularan penyakit2 berjangkit seperti tok!
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Ps : jangan org madah aku tok influencer sik berkesedaran ilmu. Dengan platform sebagai influencer, berbekal pengalaman mengemis ilmu dari insan bernama pensyarah, aku share benda2 yg kita rasa remeh kerana belum terjadi dekat kita mpun. Semoga ilmu yg sedikit tok mampu memberik kesedaran tentang benda mcm tok. Amin.