如果你经常打扫你的房子，那么你患上某种形式的接触性皮炎比起不经常这样做的风险要高。
关于这个问题已经有很多研究，其中一些研究取得了显着成果。例如，一项研究发现超过81％的清洁工人患有某种形式的职业性手部皮炎。 81％！
这些数字很可耻。
谁不担心他们的洗衣粉有过敏反应或皮疹？
大多数文献会建议你避免某些成分。但清洁产品制造商并没有必要披露其产品中的成分。
所以你该怎么做？继续阅读。我们将解释：
- 什么是皮炎
- 描述各种类型皮炎的症状
- 告诉你这种情况有多普遍
- 强调显示要避免的成份
- 在提供有关如何降低风险的实际措施之前
什么是皮炎？
有许多类型的皮炎，据认为，全球每年有2亿至2亿3千万人被诊断患有各种形式的皮炎（约占总人口的3％）。症状可以在不同条件之间略有不同，但所有类型的皮炎都涉及皮肤炎症，导致以下组合：
- 红色皮肤
- 皮疹或起泡
- 瘙痒或刺痛
- 皮肤增厚或脱皮
不同类型的皮炎可能出现类似症状，并且在许多情况下并存，因此受影响者必须向医生寻求正式诊断。如果皮炎难以诊断或治疗，应寻求皮肤专科医生的专业建议。
皮炎的类型
三种最常见的皮炎类型是湿疹，接触和脂溢性皮炎。如果清洁产品被认为是皮炎的原因，那么将被诊断为“接触性皮炎”，则进一步被归类为“刺激性”或“过敏性”。
- 接触性皮炎 – 炎症皮肤对外部来源的反应
- 刺激性接触性皮炎 – 皮肤损伤引起的炎症（例如，接触清洁产品中的溶剂）
- 过敏性接触性皮炎 – 对过敏原的免疫反应（例如，接触清洁产品中的芳香剂）
接触性皮炎有多常见？
如果全球每年有200-230万人被诊断出患有非特异性皮炎，其中约40％将是由于接触性皮炎引起的。在这些接触性皮炎的病例中，大约80％是刺激性接触性皮炎 – 过敏性接触性皮炎不太常见。接触性皮炎影响的女性多于男性，风险最高的职业是：清洁，烹饪，美发和医疗保健。
清洁工人中最流行的手部皮炎的患病率已经显示在10-28％之间，而其中则高达36％都经常使用含有盐酸的产品。成人比儿童更容易被诊断，但在成人中，40岁以下或以下的人其诊断率没有差异。
是什么原因导致接触性皮炎的？
接触性皮炎可能有很多原因，人们对常见成份的反应也不同。 这让诊断皮炎变得更困难，尤其外部来源不清楚的情况下，应该由经验丰富的皮肤科医生进行补丁测试。 以下是常见刺激物和过敏原的总结（表1）。
如果您被诊断出与清洁产品使用相关的接触性皮炎，避免接触刺激物或过敏原可以防止复发。在18-40％的病例中，接触性皮炎可以完全清除，部分改善率高达80％。难处在于确切地确定导致症状的成份，并且由于清洁产品标签缺乏透明度而变得更为复杂。
由于刺激性接触性皮炎比过敏性接触性皮炎更常见，转换为“无芳香剂”或“不含防腐剂”的产品可能无济于事（尽管它们可能更温和，这可能是有益的）。同样，品牌为“绿色”或“天然”的产品未必含有较少的刺激性成分，因为这些都不是受管制的术语。
如何预防接触性皮炎
采取尽可能减少与刺激物或过敏原接触的措施。
当然，如果制造商没有告诉你产品中的什么，这很难。这时就是我们介入。
除非制造商已完全披露成分，否则我们拒绝审查产品。
我们将列出这些成分，以便您了解产品的清洁程度和含量。
考虑到这些成分，您可以监控以查看哪些产品会引起反应。这可能涉及一些反复试验，但您最终能够针对导致您或您的家人出现问题的成分。
此外
- 接触后尽快用润肤皂替代品冲洗皮肤
- 使用棉衬橡胶手套，并定期取下，以防止出汗
- 经常涂抹润肤霜
- 请遵循产品说明，并经常只在通风良好的地方使用
- 切勿混合清洁产品（这会增加释放挥发性化合物的风险，这可能会刺激肺部，加剧哮喘）
资料来源：https://www.safehouseholdcleaning.com/contact-dermatitis-cleaining/
If you regularly clean your house, you are at a higher risk of suffering from some form of contact dermatitis than if you don’t.
There have been many studies on the subject, some with dramatic results. For example, one study found that over 81% of cleaners suffer from some form of occupational hand dermatitis. 81%!
Those numbers are scandalous.
Who hasn’t worried that they have some allergic reaction or rash from their laundry detergent?Most literature will recommend you avoid certain ingredients. But cleaning product manufacturers aren’t obliged to disclose the ingredients in their products.So what do you do?Read on.We’ll be explaining:
- What Dermatitis is
- Describe the symptoms of the various types of dermatitis
- Show you just how common this condition is
- Highlight the ingredients to avoid
- Before giving some practical measures on how to reduce your risks
What is Dermatitis?
There are many types of dermatitis, and it’s thought that between 200-230 million people globally each year are diagnosed with various forms of dermatitis (around 3% of the population). The symptoms can be subtly different between conditions, but all types of dermatitis involve inflammation of the skin, resulting in a combination of:
- Red skin
- Rashes or blistering
- Itching or stinging
- Thickened or scaling skin
Different types of dermatitis can present with similar symptoms, and in many cases co-exist, so it’s essential that those affected seek a formal diagnosis from a doctor. If the dermatitis is difficult to diagnose or treat, specialist advice from a dermatologist should be sought.
Types of Dermatitis
The three most common types of dermatitis are eczema, contact, and seborrheic. If cleaning products are thought to be the cause of the dermatitis, a person will be diagnosed with ‘contact dermatitis’, which can further be categorized as ‘irritant’ or ‘allergic’.
- Contact dermatitis – inflammatory skin reaction to an external source
- Irritant contact dermatitis – inflammation in response to skin damage (for example, exposure to the solvents in cleaning products)
- Allergic contact dermatitis – an immune response to an allergen (for example, exposure to the fragrances in cleaning products)
How Common is Contact Dermatitis?
If 200-230 million people globally are diagnosed with non-specific dermatitis each year, around 40% of these will be due to contact dermatitis. Within these cases of contact dermatitis, roughly 80% will be irritant contact dermatitis – allergic contact dermatitis is much less common. Contact dermatitis affects more women than men, and the occupations with the highest risk are: cleaning, cookery, hairdressing, and healthcare.
The prevalence of hand dermatitis among cleaners has been shown to be between 10-28%, and up to 36% in those that regularly use products containing hydrochloric acid. Adults are more likely to be diagnosed than children, but among adults there is no difference in the rates of diagnosis in those under or over 40.
What Causes Contact Dermatitis?
There can be many causes of contact dermatitis, and people react differently to common ingredients. This can make diagnosing dermatitis difficult, and in cases where the external source is unclear, a patch test should be carried out by an experienced dermatologist. Below is a summary of common irritants and allergens (Table 1).
Ingredients to Avoid
If you have been diagnosed with contact dermatitis that’s associated with cleaning product use, avoiding contact with the irritant or allergen can prevent recurrence. In 18-40% of cases, contact dermatitis can be completely cleared, with partial improvement seen in up to 80%. The difficulty is identifying exactly which ingredient is causing the symptoms, further complicated by the lack of transparency in cleaning product labels.
As irritant contact dermatitis is much more common than allergic contact dermatitis, switching to products branded as ‘fragrance-’ or ‘preservative-free’ may not help (although they may be milder, which can be of benefit). Similarly, products branded as ‘green’ or ‘natural’ may not contain less irritating ingredients, as these are not regulated terms.
How to Prevent Contact Dermatitis
Where possible steps to minimize contact with irritants or allergens should be taken.
Of course, this is difficult if the manufacturers don’t tell you whats in the product. and this is where we come in.
We refuse to review a product unless the manufacturer has fully disclosed the ingredients.
We will list these ingredients, so you know how well the product cleans and what it contains.
With the ingredients in mind, you can then monitor to see what products cause a reaction. This will probably involve some trial-and-error, but you’ll eventually be able to target the ingredients that cause you or your family some problems.
In addition
- Rinse skin with an emollient soap substitute as soon as possible after contact
- Use cotton-lined rubber gloves, and remove these regularly to prevent sweating
- Frequently apply emollient creams
- Follow the product instructions, and always use in a well-ventilated area
- Never mix cleaning products (this can increase the risk of releasing volatile compounds, which may irritate the lungs, exacerbating asthma)
Source: https://www.safehouseholdcleaning.com/contact-dermatitis-cleaining/
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