E aʻo kākou e pili ana i kahi lāʻau lapaʻau e hoʻomāʻū ai i kou ʻili? (Topical Anesthetic)

I kekahi manawa, he mea maikaʻi ke loaʻa kahi ala e hōʻemi ai i ka ʻeha a me ka maneʻo e hele mai me kahi ʻeha liʻiliʻi, ka nahu ʻana o nā pepeke, a i ʻole ke kuni liʻiliʻi, ʻeā? ʻĀ, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lāʻau lapaʻau e hiki ke hoʻohana ʻia i nā manawa e like me kēia, kahi ʻano lāʻau lapaʻau e hiki ke hoʻopili ʻia i ka ʻili e hoʻomāno i ka wahi. Hana kēia mau mea e like me ke kilokilo, e hoʻomāno ana i ka wahi no kekahi manawa.

He aha kēia lāʻau anesthetic topical?

I ka ʻōlelo maʻalahi, ʻo ka anesthetic topical kahi ʻano lāʻau lapaʻau i hoʻopili ʻia ma ka ʻili o kou ʻili a i ʻole nā ​​​​membranes palupalu i loko o kou kino (i ka lāʻau lapaʻau, kapa mākou i kēia ʻo ka mucosa ) e hoʻomāʻū i ka wahi no kekahi manawa. Ua like ia me ke kauka e pīpī ana i kahi liʻiliʻi o ka lāʻau lapaʻau ma mua o ka hāʻawi ʻana iā ʻoe i kahi inikini, a i ʻole ʻoe e hoʻopili i kahi kirīmi lāʻau. ʻO ke ʻano kēia ʻaʻole ʻoe e manaʻo i kekahi mea no kekahi manawa, e like me ka ʻeha a i ʻole ka maneʻo (i kekahi manawa i kapa ʻia ʻo 'pruritus' e nā kauka). ʻAʻole kēia he inikini, he noi topical ia.

E noʻonoʻo, hoʻohana ʻia kēia mau mea e hōʻoluʻolu i ka ʻeha ma kou waha, nā ʻāʻī, ka ihu, ka ʻāʻī, nā pepeiao, kekahi mau ʻāpana o kou mau maka (ʻoi aku hoʻi ke keʻokeʻo o nā maka, i kapa ʻia ʻo 'conjunctiva' ), a i ʻole ma nā wahi e like me 'rectum' a me 'vagina'.

Ma nā ʻano hea e hiki mai ai kēia mau mea?

E nānā, hele mai kēia mau lāʻau anesthetics topical i nā ʻano like ʻole. Aia nā ʻano hiki iā ʻoe ke loaʻa ma ka hale kūʻai lāʻau lapaʻau, a me nā ʻano kūikawā a nā kauka e hoʻohana ai.

• Ma ke ʻano o nā kirīmi .
• E like me nā kulu pepeiao .
• Ma ke ʻano he mau kulu maka .
• Ma ke ʻano he gels .
• Ma ke ʻano he lotion .
• Ma ke ʻano he mau mea poni .
• E like me nā ʻāpana e pipili ana i ka ʻili .
• Ma ke ʻano he mau hopena/wai .
• Ma ke ʻano o nā pīpī .

No laila, ma muli o kāu mau pono, e hoʻoholo ke kauka a kauka lāʻau paha i ke ʻano o kēia e kūpono.

He aha kēia mau ʻano anesthetics topical?

Aia ma mua o hoʻokahi ʻano lāʻau ʻeha. Hiki iā ʻoe ke kūʻai i kekahi o lākou ma ka hale kūʻai lāʻau me ke kauoha ʻole ʻia (nā lāʻau lapaʻau 'Over-the-counter' a i ʻole 'OTC' ). Aia kekahi, i hoʻohana wale ʻia e nā kauka a hoʻohana ʻia no nā kaʻina hana lapaʻau liʻiliʻi.

ʻO kekahi o nā ʻano nui o nā anesthetics topical i hoʻohana ʻia:

• Benzocaine
• ʻO Dibucaine
• Lidocaine
• Fenola
• ʻO Pramoxine
• ʻO Prilocaine

Hiki i kēlā me kēia o kēia mau lāʻau lapaʻau ke hele mai i nā ʻano like ʻole (e like me nā kirīmi, gels, sprays) a hoʻohana ʻia no nā kumu like ʻole. I ka manawa pinepine, hele mai kēia mau mea me ka hui pū ʻana me nā mea lapaʻau ʻē aʻe. No ka laʻana, hiki ke hele mai lākou me nā mea e like me ka hydrocortisone (he lāʻau lapaʻau hoʻi no nā maʻi ʻili), menthol (nāna e hāʻawi i kahi manaʻo hoʻoluʻolu i ka ʻili), a i ʻole methyl salicylate (he lāʻau ʻeha). Hoʻohui ʻia kēia mau mea e like me ke kumu i hana ʻia ai kēlā me kēia lāʻau lapaʻau.

He aha kēia mau mea e hoʻohana ʻia ai?

ʻAe, e nānā kākou i ke ʻano o kēia mau anesthetics topical e kōkua ai. Aia kekahi mau hihia kahi e hoʻohana ʻia ai kēia mau mea ma ka home, a me nā hihia kahi e hoʻohana ai nā kauka iā lākou ma nā haukapila a me nā keʻena lapaʻau.

Nā manawa kūpono e hoʻohana ai ma ka home

ʻO nā anesthetics topical, hiki iā ʻoe ke kūʻai ma luna o ke kūʻai ma ka hale kūʻai lāʻau lapaʻau, hoʻohana pinepine ʻia e hōʻemi i ka ʻeha a me ka ʻeha i hoʻokumu ʻia e:

• Nā nahu a nā ʻaki pepeke: Ke nahu ʻia e ka ʻanuʻu, ke nahu ʻia e ka makika, a i ʻole ke nahu ʻia e ka nalo meli.
• Nā kuni liʻiliʻi a me ka ʻā ʻana o ka lā.
• Nā ʻoki liʻiliʻi, nā ʻōpala.
• Kekahi ʻano ʻili poni: ʻOi loa aku no nā ʻili poni e maneʻo ana ke hoʻopā ʻia e ka poison ivy, poison oak, a me ka poison sumac.
• No ka ʻeha a me ka maneʻo i hoʻokumu ʻia e nā hemorrhoids .
• No nā ʻāʻī ʻeha (aia kekahi mau pīpī).
• No nā ʻeha waha ('Canker sores') .
• ʻO ka maneʻo i hoʻokumu ʻia e nā maʻi hū vaginal .

Akā he mea nui e hoʻomanaʻo i kēia: Hoʻomaha wale kēia mau lāʻau anesthetics topical i nā hōʻailona no ka manawa pōkole. ʻAʻole lākou e ho'ōla i kekahi maʻi a hoʻopau paha i ke kumu o ka maʻi. No ka laʻana, inā loaʻa iā ʻoe ka eczema koʻikoʻi a i ʻole kahi maʻi fungal, pono ʻoe e ʻimi i ka lāʻau lapaʻau mai ke kauka.

Nā hihia i hoʻohana ʻia e nā kauka

I kēia manawa, e nānā kākou i ke kumu o ka hoʻohana ʻana o nā kauka i kēia mau mea. I kekahi manawa hoʻohana wale lākou i kēia lāʻau hoʻomaʻemaʻe topical. I kekahi manawa, hoʻohana lākou ia mea e hoʻopau i kahi inikini, a e hōʻemi i ka ʻeha o ka inikini.

I nā lāʻau lapaʻau ʻili:

• E hōʻemi i ka ʻeha ma mua o ka inikini: No ka laʻana, i ka wā e hāʻawi ai i nā lāʻau pale, a i ʻole i ke kau ʻana i kahi laina IV (laina intravenous) a i ʻole kahi laina arterial.
• E hōʻemi i ka ʻeha ma mua o nā kaʻina hana dermatologic liʻiliʻi a me nā kaʻina hana laser: No ka laʻana, ka wehe ʻana i ka lauoho laser , ka wehe ʻana i ka peʻaNo nā mea e like me ka lawe ʻana i kahi ʻāpana ʻili liʻiliʻi no ka hoʻāʻo ʻana ('Shave or excision biopsies').
• No nā ʻoki kino liʻiliʻi e pili ana i nā ʻāpana o ke kāne: No ka laʻana, ke ʻoki poepoe ʻana , ka meatotomy, a me ka wehe ʻana i nā ʻōpuʻu ʻāpana.
• Hoʻomaha i nā hōʻailona o kekahi mau maʻi ʻeha mau loa: No ka laʻana, ʻeha i hoʻokumu ʻia e nā puʻupuʻu ʻiʻo ('Myofascial trigger points') a me nā kūlana e like me ka trigeminal neuralgia .

I nā lāʻau lapaʻau e pili ana i ka maka:

• E hoʻomānoʻonoʻo i ka ʻili o ka maka: No kekahi mau hoʻokolohua, no ka laʻana, ka hoʻāʻo ʻo Schirmer , no nā ʻoki laser liʻiliʻi, a no nā inikini intravitreal.

I nā lāʻau lapaʻau e pili ana i ka waha a me ka ʻāʻī:

• I ka wā o nā mālama niho, e hoʻomāno i nā ʻāʻī: Ma mua o ke kaomi ʻana i ka anesthetic kūloko i hoʻohana ʻia e unuhi a hoʻopiha paha i ka niho.
• Hoʻomānoanoa i ka waha a me ka ʻāʻī: I ka nānā ʻana i kahi mea maʻi ʻike ma ke komo ʻana i kahi ʻōmole ma ko lākou ʻāʻī ('Awake fiberoptic intubation') a i ʻole ke nānā ʻana i ka larynx ('Laryngoscopy').
• Ke ulu aʻe nā abscess a piha i ka pus, ʻo ka ʻoki ʻana a me ka wehe ʻana iā lākou hiki ke hōʻemi i ka ʻeha.

I nā lāʻau lapaʻau i hana ʻia ma loko o ka pepeiao (ma ka membrane tympanic):

• E hōʻemi i ka ʻeha i ka wā o nā kaʻina hana e like me ka tympanocentesis, ʻo ia hoʻi ka wehe ʻana i ke wai mai hope o ka eardrum .
• I ka wā o ke ʻoki kino e like me ka myringotomy .
• I ke hoʻokomo ʻana, wehe ʻana, a hoʻoponopono ʻana paha i kahi ʻōmole tympanostomy.

I nā lāʻau lapaʻau e pili ana i ka ihu a me ka lua ihu:

• E nānā i ka lua ihu: E hoʻohana i nā mea hana i kapa ʻia he endoscopes paʻa a maʻalahi paha e nānā i loko o ka ihu.
• Kōkua i ka kaohi ʻana i ke kahe ʻana o ke koko ihu ('Epistaxis').
• Hoʻomaha i ka ʻeha ma nā haki ihu.

Pehea e hana ai kēia lāʻau anesthetic topical?

He mea maʻalahi loa ia. Hoʻopale kēia mau lāʻau anesthetics topical i nā hōʻailona mai nā hopena aʻalolo i loko o kou ʻili a i ʻole nā ​​​​membranes mucous a mākou i ʻōlelo ai ma mua. E noʻonoʻo, ʻeha kou ʻili, maneʻo, a i ʻole hoʻopā ʻia i ka wā e hoʻouna ʻia ai kahi leka i kou lolo ma o nā aʻalolo. ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ke pale aku i kēlā mau leka no kekahi manawa. ʻO ia ke kumu e nalowale ai kou manaʻo ma ia wahi. Akā he mea maʻemaʻe kēia, ʻo ia hoʻi, pili wale ia i nā papa luna o kou ʻili. ʻAʻole ia e pili i nā wahi hohonu.

Pehea ʻoe e hoʻohana pono ai i kēia mau mea?

He mea nui loa kēia. ʻOiai inā kūʻai ʻoe i kahi anesthetic topical mai ka hale kūʻai lāʻau me ke kauoha ʻole ʻia, pono ʻoe e heluhelu pono i nā kuhikuhi.A i ʻole e nīnau i kāu kauka a kauka lāʻau paha. Ua wehewehe maopopo ka pūʻolo i kahi e hoʻopili ai, pehea ka nui, a pehea ka pinepine.

Inā ʻoe e hoʻohana ana i kēia ʻano lāʻau lapaʻau ma kahi keiki ʻōpio, e nānā i ka palena makahiki ma ka pūʻolo lāʻau lapaʻau e hōʻoia i kūpono ia no kēlā makahiki. Ma hope o ke kau ʻana i kēia i ka ʻili o kāu keiki, mai hoʻokuʻu iā ia i loko o ko lākou waha. Hiki i kēia mau mea hoʻomaʻemaʻe topical ke hana i nā hopena ʻaoʻao koʻikoʻi inā e hoʻokomo ʻia i loko o ka waha a moni ʻia paha, ʻoi aku hoʻi i nā keiki ʻōpio.

Ke hoʻohana ʻole ʻia, e mālama i kēia lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki a me nā holoholona.

He aha nā hopena ʻaoʻao o kēia?

No ka mea, he nui nā ʻano anesthetics topical, a no ka mea hiki ke hui pū ʻia me nā mea hana lāʻau ʻē aʻe, ʻokoʻa nō hoʻi nā hopena ʻaoʻao. Inā ʻoe e kūʻai ana i kahi lāʻau "OTC" mai kahi hale kūʻai lāʻau lapaʻau, e heluhelu pono i ka ʻāpana hopena ʻaoʻao ma ka pūʻolo.

Palekana kēia mau lāʻau anesthetics topical. Loaʻa nā hopena ʻaoʻao inā hoʻohana nui ʻoe i ka lāʻau lapaʻau (ʻo ia hoʻi, inā ʻoe e omo nui i loko o kou kino) a i ʻole inā ʻoe e ale i ka lāʻau. No laila e hahai pono i nā kuhikuhi ma ka lāʻau lapaʻau āu e kūʻai ai mai ka hale kūʻai lāʻau lapaʻau.

I kekahi manawa hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao e like me kēia:

• ʻIke pōwehiwehi a pālua paha .
• Ke kani ʻana o nā pepeiao (Tinnitus) .
• ʻO ka ʻono metala i loko o ka waha .
• Pōʻaiʻī .
• Hiamoe .
• Hoʻonui ʻia ka helu o ka puʻuwai (Tachycardia) a i ʻole ka puʻuwai naʻau ʻole (Arrhythmia) .
• ʻEha poʻo .
• Luhi .
• Ka haunaele a i ʻole ka huikau .
• Ka ʻūmiʻi ʻana o nā ʻiʻo .
• Nā ʻūlū .

Nā hopena alerika

ʻOiai he mea kakaikahi, hiki ke loaʻa kahi hopena maʻi i kēia anesthetic topical. ʻO nā hōʻailona o kahi maʻi allergy:

• ʻUlaʻula a ʻulaʻula paha o ka ʻili e pālahalaha ana ma waho o kahi i kau ʻia ai ka lāʻau lapaʻau.
• Ka maneʻo nui ʻana i ka ʻili.
• Nā ʻūhini .
• Pehu `(Pehu)` .

ʻO ka maʻamau, e nalo wale nā ​​​​​​mea maʻi ʻaleka liʻiliʻi ma hope o kekahi manawa. Eia nō naʻe, pono ʻoe e hoʻōki i ka hoʻohana ʻana i ka lāʻau lapaʻau nāna i hoʻokumu. Inā hoʻomau kēia mau hōʻailona i ka ʻino, e ʻike i ke kauka.

ʻO kēia nā hōʻailona o kahi hopena alerika koʻikoʻi (anaphylaxis):

* Ka pehu ʻana o nā lehelehe, ke alelo, a i ʻole ka puʻu.

*Paʻakikī ka hanu ʻana (Dyspnea), pōkole o ka hanu, a i ʻole ka wheezing.

* Ka poniuniu a/a i ʻole ka māʻule ʻana.

* ʻEha ka ʻōpū, ka luaʻi ʻana a i ʻole ka maʻi pākī.

* Ke manaʻo nei i ka hopohopo a me ka makaʻu loa.

He pilikia olakino ka anaphylaxis e pono ai ke kōkua koke ʻana o ke kauka. I kēlā hihia, e kelepona koke i ka 911 a i ʻole e hele i ka haukapila kokoke loa.

Āhea wau e ʻike ai i ke kauka?

He mea maikaʻi ke ʻike i ke kauka inā loaʻa kekahi o kēia mau mea iā ʻoe i ka wā e hoʻohana ana i kahi anesthetic topical:

• Inā ʻaʻole e hoʻomaikaʻi ka maʻi āu e hoʻohana nei i ka lāʻau lapaʻau i loko o ʻehiku lā, a i ʻole inā e ʻoi aku ka ʻino.
• Inā loaʻa kahi maʻi ʻili.
• Inā ʻoe e ale iki i ka lāʻau lapaʻau.

He mea naʻauao ke ʻimi i ke kōkua lapaʻau i ka manawa e like me kēia.

ʻO ka hope loa, e hoʻomanaʻo

No laila, he mea maikaʻi kēia mau anesthetics topical e kōkua ana i ka hōʻoluʻolu manawa pōkole i ka ʻeha a me ka maneʻo i loko o ko mākou ʻili a me nā membrane mucous. Hiki iā lākou ke lilo i mea pono no nā pilikia liʻiliʻi e like me nā nahu pepeke a me nā ʻulaʻula liʻiliʻi. Akā e like me nā lāʻau lapaʻau ʻē aʻe, he mea nui loa ia e heluhelu pono i nā kuhikuhi ma mua o ka hoʻohana ʻana i kēia lāʻau a hoʻohana pono. Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao, a inā ʻaʻole i hoʻomaikaʻi kou kūlana ma hope o ka lawe ʻana i ka lāʻau, e kamaʻilio me ke kauka. No ka mea, i kekahi manawa pono paha ʻoe i ka lāʻau lapaʻau. Ua maopopo iaʻu?

Lāʻau hoʻomāʻū , nā lāʻau hoʻomaʻemaʻe ʻili, ʻeha ʻili, maneʻo, nā hopena ʻaoʻao, ka hoʻohana ʻana i nā lāʻau lapaʻau, kōkua mua