敏感肌膚 / Help me !肌膚過敏怎麼辦？

<span style="color: rgb(0, 0, 0); font-family: Verdana, 新細明體; font-size: 12px; letter-spacing: 1px; line-height: 18px;">內在因素主要是因為個人情緒及體質對環境、氣候變化不適應，產生敏感的狀態；外在因素則可能是與吃進去的食物（如魚、蝦等）、吸入物（如花粉）、化學物質（如化妝品、染髮劑等）有關。不論是什麼原因，診治前都必須先釐清引發不適的病因，才能對症治療。</span><br /> <br />  

<span style="color: rgb(0, 0, 0); font-family: Verdana, 新細明體; font-size: 12px; letter-spacing: 1px; line-height: 18px;">夏換秋季敏感肌膚患者（如乾性肌膚、年紀較大族群者）常出現不適現象的原因，主要是因為溫度下降，皮膚較乾燥，肌膚自我保護力差，保濕度不足，所以容易出現皮膚敏感的問題，尤其是沒有衣物覆蓋，暴露在外的部位，如臉部。</span><br /> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; color: rgb(102, 102, 153);"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;"><b>敏感≠過敏</b></span></span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">不少人誤以為皮膚「過敏」跟「敏感」是一樣的，馬偕醫院皮膚科醫師蕭百芬解釋，皮膚敏感主要是指皮膚受到各種刺激，出現紅腫、發癢及蛻皮等現象，就皮膚醫學專業立場來看，「敏感」並不算是一種皮膚疾病，過敏則屬疾病之一。敏感型肌膚可透過適當護理，遠離過敏源而改善；過敏則可能與自身的免疫系統有關</span></div> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; color: rgb(102, 102, 153);"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;"><b>常見換季過敏疾病</b></span></span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">換季時，本身有濕疹、異位性皮膚炎、脂漏性皮膚炎，或者是原本就患有皮膚疾病的人，最容易發生皮膚過敏的現象，常見皮膚過敏好發的部位多半在全身最軟嫩之處，如頭皮、臉部。</span></div> <br /> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">●濕疹</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">病 徵：患部出現紅色斑塊，而且非常搔癢。</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">發作部位：臉頰兩側、肘與膝關節、四肢曲側的皮膚。</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">治 療：嚴重時以口服抗組織胺來止癢，症狀輕微時可塗抹類固醇藥膏。</span></div> <br /> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">●脂漏性皮膚炎</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">病 徵：患部會出現紅腫、搔癢、皮膚脫屑等濕疹症狀，且頭皮屑增加。</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">發作部位：好發在皮膚皮脂腺分泌較為旺盛的部位，如臉上的眉毛、鼻翼、頭皮、胸 部或是上背部。</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">治 療：塗抹類固醇藥膏。若頭皮屑增多，症狀輕微時，可以用含抗皮屑芽孢菌成 分的抗屑洗髮精治療。</span></div> <br /> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">●異位性皮膚炎</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">病 徵：「癢」和「皮膚敏感」，這種癢在傍 晚到晚上會更加嚴重。由於遽癢忍難，可能因開始搔抓而破皮、出血甚至 導致細菌感染。</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">發作部位：呈現慢性的皮膚症狀，如明顯一條一 條粗糙的皮膚紋路或黑色素的沉澱。 主要分布在四肢彎曲及身體皺折處。</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">治 療：口服抗組織胺+外用藥膏的治療。</span></div> <br /> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; color: rgb(102, 102, 153);"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;"><b>如何檢測自己是否為敏感肌膚？</b></span></span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">蕭百芬表示，一般而言，敏感性肌膚在受到外界刺激後，容易有緊繃、癢、刺痛、灼熱的感覺，所謂外界刺激，包括保養品的擦拭或氣溫變化等對皮膚具刺激作用的外界因子，其中約50%會出現皮膚表層變化，例如紅、乾燥、脫屑脫皮、浮腫和起水泡等症狀，如果有上述症狀，則可能為敏感肌膚者。</span></div> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; color: rgb(102, 102, 153);"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;"><b>如何紓緩過敏症狀？</b></span></span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">換季時，灰塵及塵蟎容易在毛毯、床墊、枕頭及絨毛玩具等地方滋生，容易使人人出現因搔抓而導致的輕微皮膚過敏症狀，尤其原本就有異位性皮膚炎的人症狀更為明顯。偶爾出現輕微過敏搔抓症狀的人，可用乳液擦拭皮膚，注意肌膚表層保濕，但異位性皮膚炎多為先天過敏性遺傳體質，很難斷根，季節交替時需用類固醇用藥及加強保濕舒緩，才可避免過敏部位搔抓。</span></div> <br /> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; color: rgb(102, 102, 153);"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;"><b>肌膚保養step by step</b></span></span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; color: rgb(255, 153, 0);"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;"><b>《個人篇》</b></span></span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">●以溫水洗臉</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">  皮膚過敏患者洗臉時應以36〜38度的溫水清洗，有異位性皮膚炎的患者應選擇中性、低刺激性且不含香精成分的洗面乳，避免刺激肌膚。</span></div> <br /> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">●使用保濕乳液</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">敏感肌膚者，除了使用專業醫師開立的保濕劑外，平時可在皮膚表層擦拭保濕類乳液，以降低癢感。膚質偏乾性的患者，建議可使用凡士林、嬰兒油等。</span></div> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">●護膚程序越少越好</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">護膚產品塗抹太多層、太厚重，容易引起肌膚過敏，輕薄擦拭即可。另外，選購新的護膚產品時，應先在手上或耳背後做一下測試，看看是否有過敏反應。</span></div> <br /> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">●睡眠充足作息正常</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">充足的睡眠有助皮膚細胞的正常更新，此外，保持樂觀、愉快的心情，生活規律，精神好，也能促使肌膚處於穩定狀態，保持正常功能。</span></div> <br /> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">養成多樣化飲食習慣</span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">吃適量含有蛋白質及維生素等食物，避免偏食，可以使皮膚具有光澤和彈性。</span></div> <br /> <br />  

<div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; color: rgb(255, 153, 0);"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;"><b>《居家環境篇》</b></span></span></div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"> </div> <div style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">●勤打掃，維持環境整潔</span></div> <p style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-family: Verdana, 新細明體; color: rgb(0, 0, 0); font-size: 12px; letter-spacing: 1px; line-height: 18px;"><span style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-style: inherit; font-family: inherit; font-size: larger;">容易皮膚過敏及有異位性皮膚炎的患者，最好不要在房間內擺放絨毛玩具，被單建議選用「可機洗」、「可烘乾」及「防塵蟎」的質料，且必須養成每1〜2周清洗被單及更換枕頭套的習慣，注意個人衛生，減少塵蟎滋生。</span></p> <br />