Emla: Ioyile yokubulala iintlungu
Umxholo
I-Emla yikhrimu enezinto ezimbini ezisebenzayo ezibizwa ngokuba yi-lidocaine kunye ne-prilocaine, ene-anesthetic action yalapha. Amafutha athoba ulusu ixesha elincinci, iluncedo ekusebenziseni ngaphambi kokugqobhoza, ukutsala igazi, ukuthatha isitofu okanye ukwenza umngxunya endlebeni, umzekelo.
La mafutha asenokusetyenziswa ngaphambi kweenkqubo ezithile zonyango, ezinje ngokulawula ii-injeksi okanye ukubeka i-catheters, njengendlela yokunciphisa iintlungu.
Yenzelwe ntoni
Njenge-anesthetic yendawo, i-Emla cream isebenza ngokuthambisa umphezulu wolusu ixesha elifutshane. Nangona kunjalo, ungaqhubeka nokuziva uxinzelelo kunye nokuchukumisa. Esi sixhobo sinokusetyenziswa kulusu ngaphambi kweenkqubo zonyango ezinje:
- Ulawulo lwezitofu zokugonya;
- Ngaphambi kokutsala igazi;
- Ukususwa kweentsumpa kumalungu esini sangasese;
- Ukucoca ulusu olonakaliswe zizilonda zomlenze;
- Ukubekwa kweecatheters;
- Utyando olwenziwa ngaphezulu, kubandakanya ulusu lokumilisela;
- Iinkqubo zangaphandle zobugcisa ezibangela iintlungu, ezinje ngokucheba amashiya okanye i-microneedling.
Le mveliso kufuneka isetyenziswe kuphela xa kucetyiswa ngumqeqeshi wezempilo. Ukongeza, kufuneka kuthathelwe ingqalelo ukunqanda ukusetyenziswa kwamanxeba, ukutsha, irhashalala okanye imikrwelo, emehlweni, ngaphakathi kwempumlo, indlebe okanye umlomo, umngxuma nakwizitho zangasese zabantwana abangaphantsi kweminyaka eli-12.
Kusetyenziswa kwanjani
Ubungqingili bukhrim kufuneka busetyenziswe ubuncinci kwiyure enye ngaphambi kwenkqubo. Idosi yabantu abadala imalunga ne-1g yekhrimu kwi-10 cm2 nganye yolusu, emva koko ubeke isincamathelisi ngaphezulu, esele iqulethwe kwiphakheji, eya kususwa ngaphambi nje kokuba inkqubo iqale. Kubantwana:
| 0 - 2 iinyanga | ukuya kwi-1g | ubuninzi be-10 cm2 yolusu |
| Iinyanga ezi-3 - 11 | ukuya kuthi ga kwi-2g | ubuninzi be-20 cm2 yolusu |
| Iminyaka eli-15 | ukuya kwi-10 g | ubuninzi be-100 cm2 yolusu |
| Iminyaka emi-6 ukuya kweli-11 | ukuya kuthi ga kwi-20g | ubuninzi be-200 cm2 yesikhumba |
Xa usebenzisa cream, kubaluleke kakhulu ukuba ulandele le miyalelo ilandelayo:
- Cinezela ukhilimu, wenze imfumba kwindawo apho inkqubo iya kwenziwa khona;
- Susa umboniso wephepha eliphakathi, kwicala elingadibaniyo nokunxiba;
- Susa isiciko kwicala lokuncamathela kokunxiba;
- Beka isinxibo ngononophelo kwimfumba yekhrimu ukuze ungayisasazi phantsi kwengubo;
- Susa isakhelo sephepha;
- Shiya usenza okungenani imizuzu engama-60;
- Susa isinxibo kwaye ususe ukhilimu ngaphambi nje kokuqala kwenkqubo yonyango.
Ukususwa kwekrimu kunye nokuncamathela kufuneka kwenziwe yingcali yezempilo. Kwindawo yesini, ukusetyenziswa kwekrimu kufuneka kwenziwe phantsi kweliso lonyango, kwaye kwilungu lesini lendoda, kufuneka lisebenze kuphela imizuzu eli-15.
Iziphumo ebezingalindelekanga ezinokwenzeka
I-Emla cream inokubangela iziphumo ebezingalindelekanga ezinje nge-pallor, ubomvu, ukudumba, ukutshisa, ukurhawuzelela okanye ubushushu kwindawo yesicelo. Ngaphantsi kakhulu, ukurhawuzelela, ukungabikho komzimba, umkhuhlane, ubunzima bokuphefumla, ukudinwa kunye ne-eczema.
Xa ungasebenzisi
Le khrimu akufuneki isetyenziswe kubantu abangadibaniyo ne-lidocaine, prilocaine, nezinye izinto ezibulala iintlungu ezifanayo, okanye naliphi na elinye icandelo elikwi-cream.
Ukongeza, ayifanele isetyenziswe kubantu abane-glucose-phosphate dehydrogenase, i-methemoglobinemia, i-atopic dermatitis, okanye ukuba umntu uthatha i-antiarrhythmics, phenytoin, phenobarbital, ezinye i-anesthetics zendawo, i-cimetidine okanye i-beta-blockers.
Akufanele isetyenziswe kwizitho zangasese zabantwana abangaphantsi kweminyaka eli-12 ubudala, iintsana ezisandula kuzalwa, nakwabasetyhini abakhulelweyo nabancancisayo, kufuneka isetyenziswe ngononophelo, nasemva kokwazisa ugqirha.
Iimpapasho Ezidumileyo
Ngaba ungazibamba iiMicrobes zabanye abantu zangasese ezivela kwiiNdawo eziphantsi komhlaba?