Yu dɔn tɔk to yu dɔktɔ bɔt wan rɔf, skel pat na yu skin we tan lɛk se na san bɔn am? Yu dɔktɔ go dɔn gi yu dis krim, ɛn i tink se i kin bi kansa ɔ wan lɛsin we yu gɛt bifo yu gɛt kansa. Dis na smɔl spɛshal mɛrɛsin. So i impɔtant fɔ no gud gud wan aw fɔ yuz am, wetin fɔ wach fɔ, ɛn di bad tin dɛn we kin apin to yu.
Wetin na dis Fluorouracil ɛn Diclofenac krim?
Fɔ tɔk am simpul wan, dis na krim we gɛt tu kayn mɛrɛsin we dɛn jɔyn togɛda.
1. Fluorouracil: Dis na wan topical kemotherapy agent we dɛn kin put pan di skin. spεshal wan, i de εp fכ kil abnכmal sεl dεm we de sheb kwik kwik wan, we na kεnsar sεl dεm כ sεl dεm we kin bi kεnsar.
2. Diclofenac: Yu go don hie abaut dis wan. Na mɛrɛsin wae de ridyus pen, swel, ɛn rɛd. We yu de tɔk bɔt mɛrɛsin, na Nɔn-Steroidal Anti-Inflammatory Drug (NSAID).
We dɛn tu tin ya kam togɛda, dɛn kin ɛp fɔ kɔntrol di pen ɛn swɛlin we kin apin we dɛn de pwɛl di sɛl dɛn we nɔ de wok. Dɛn kin yuz am fɔ trit kansa na di skin ɛn di tin dɛn we kin apin to di skin bifo kansa (actinic keratosis).
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu yuz dis mɛrɛsin
Bifo yu gi yu dis krim, yu dɔktɔ go aks yu bɔt yu wɛlbɔdi. Bɔt if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ .
- If yu gɛt prɔblɛm wit blɔd ɔ tin dɛn we de mek yu blɔd nɔ de klɔt izi wan.
- If yu na pɔsin we de smok.
- if yu gεt dεfisit fכ di DPD εnzym (DPD εnzym dεfisiεns). Dis na tin we pɔsin kin gɛt we i kam pan in jɛnɛtiks, ɛn i go impɔtant fɔ mek yu dɔktɔ tɛl yu bɔt am.
- If yu gɛt at sik ɔ yu gɛt ay blɔd prɛshɔn.
- If yu na pɔsin we de drink ɔltɛm.
- If yu gɛt sik na yu kidni ɔ yu gɛt liva sik.
- If wund, krak, ɔ infɛkshɔn de na di skin usay dɛn fɔ put di mɛrɛsin.
- If yu jɔs dɔn gɛt at baypas ɔpreshɔn (Coronary Artery Bypass Graft - CABG) ɔ yu de plan fɔ gɛt wan tumara bambay.
- If yu dɔn gɛt alɛji fɔ Fluorouracil, Diclofenac, aspirin, ɔ ɔda NSAID pen kil.
- If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ.
I rili impɔtant fɔ yu sef fɔ tɛl yu dɔktɔ dis infɔmeshɔn, bikɔs na da tɛm de i go ebul fɔ disayd klia wan if dis mɛrɛsin rayt fɔ yu ɔ nɔ rayt fɔ yu.
Aw ɛksaktɔli yu de yuz dis krim?
Bikɔs dis na mɛrɛsin we de mek yu skin kol, i rili impɔtant fɔ no di rayt we fɔ yuz am.
1. Klin fɔs: Was yu an fayn fayn wan wit sop bifo yu put di mɛrɛsin ɛn afta yu dɔn put am.
2. Pripia di skin: Mek a riphrase dat... Wash di eria na di skin we di mɛrɛsin go put wit mild sop, pat dray wit klin klos, ɛn mek i dray. Nɔ rɔb am tranga wan.
3. Fɔ put di mɛrɛsin: I bɛtɛ fɔ yuz tin we gɛt kɔtɔn tip pas fɔ put di krim dairekt wit yu finga dɛn. Ɔ, wɛr glɔv ɛn put am. If yu aksidɛntli put am wit yu finga dɛn, mek shɔ se yu was yu an dɛn fayn fayn wan afta yu was am .
4. Amount: Put wan tin layt fɔ kɔba di say ɔlsay lɛk aw di dɔktɔ tɛl yu. Nid nɔ de fɔ put am tu tik.
5. Di say dɛn we yu fɔ avɔyd: Tek tɛm mek yu nɔ put dis mɛrɛsin na say dɛn we pɔsin kin fil lɛk yu yay, yu nos, ɛn yu mɔt.
6. Kɔva: Afta yu dɔn put di mɛrɛsin, yu kin kɔba di say wit layt goz dresin. Bɔt nɔ ɛva yuz dresin we nɔ de mek di briz nɔ go insay .
7. Aw fɔ tek am: Yuz dis mɛrɛsin fɔ di ful tɛm we yu dɔktɔ tɛl yu fɔ du. Ivin if i tan lɛk se yu skin de bɛtɛ, nɔ stɔp fɔ tek am if yu dɔktɔ nɔ advays yu.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek yu mɛrɛsin, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu dos di sem tɛm.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Tek tɛm mɔ bɔt dɛn tin ya we yu de yuz mɛrɛsin.
- Tɛm fɔ wɛl: Dis tritmɛnt kin tek 2 to 6 wik ɔ ivin lɔng pas dat. Di impɔtant tin na dat i kin tek 1 to 2 mɔnt fɔ mek yu skin wɛl ɔl ivin afta yu dɔn stɔp fɔ yuz di mɛrɛsin. So, we dɛn de du di tritmɛnt, yu skin kin rɛd, flay, ɛn luk lɛk se i nɔ fayn smɔl. Dat na pat pan di tritmɛnt. Nɔ wɔri bɔt am.
- Tek tɛm wit di san: Yu skin kin rili sɛnsitiv to di san (photosensitivity) we yu de tek dis mɛrɛsin. So nɔ go na do na di san as yu ebul. If yu fɔ go na do, wɛr klos we de kɔba yu skin ɛn yuz gud tin fɔ protɛkt yusɛf frɔm di san . Nɔ yuz san lamp ɔ tanning bed.
- Nɔ gɛt bɛlɛ:Nɔ gɛt bɛlɛ we yu de yuz dis mɛrɛsin. Dis kin ambɔg di pikin we de na in bɛlɛ. If yu de plan fɔ gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt am.
- Kip away frɔm animal dɛn we yu de mɛn (i rili impɔtant!): Dis na sɔntin we yu nid fɔ rili tek tɛm bɔt. Dis mɛrɛsin kin rili pɔyzin to animal dɛn we dɛn kin mɛn (dɔg, pusi). If animal lik di say we dɛn put dis krim, ɔ if i put di mɛrɛsin tiub na in mɔt, i kin ivin mek di animal day.
- Wash yu an fayn fayn wan afta yu dɔn put di mɛrɛsin.
- Tek tɛm trowe di tin dɛn we dɛn yuz fɔ put di mɛrɛsin (kɔtɔn swab, goz).
- Tek tɛm mek di mɛrɛsin nɔ go pan yu klos, bed, ɔ fɔnicha.
- If yu nɔ ebul fɔ avɔyd fɔ tɔch yu animal in skin, aks yu dɔktɔ if yu kin kɔba di say we dɛn put di mɛrɛsin.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Sɔm pan dɛn siriɔs, sɔm pan dɛn kɔmɔn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip ɔ tong. |
| Blɔd we de kɔmɔt | Blak ɔ blɔd stɔl, blɔd na di urine, blɔd we de vɔmit. |
| Siriɔs riakshɔn dɛn na di skin | Fiva, bɔdi we de at, rɛd ɔ pepul blista na di skin, di skin we de pul, ɛn sos insay di mɔt. |
| Ɔda siriɔs sayn dɛn | Chɛst pen, i nɔ kin izi fɔ blo, i nɔ kin si fayn, i nɔ kin izi fɔ tɔk, i kin mek yu nɔ fil fayn na wan say na di bɔdi, yu kin chenj we yu de pis, yu bɔdi kin swel, yu yay ɔ yu skin kin yɔlɔ. |
| If i kɔntinyu ɔ i de mɔna yu, tɛl yu dɔktɔ. | |
| Chenj dɛn na di doz fɔ di mɛrɛsin | Inflameshɔn, pen, it, rɛd, pil, swel. (Dɛn tin ya kin bi pat pan di tritmɛnt, bɔt tɛl yu dɔktɔ if dɛn tranga ɔr dɛn nɔr de kɔntinyu.) |
| Di we aw pɔsin kin fil lɛk di san | I kin mek di skin fil mɔ we di san de shayn. |
Aw fɔ protɛkt di mɛrɛsin?
- Kip fa frɔm pikin ɛn animal dɛn we yu de mɛn. Dis rili impɔtant.
- Stɔr na rum tɛmpracha (bitwin 20-25 digri sɛlshiɔs).
- Trowe di mɛrɛsin we dɔn pas.
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ mek ɛni ɔda pɔsin yuz am.
Mɛsej we dɛn kin kɛr go na os
- Bifo yu yuz dis mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn di mɛrɛsin dɛn we yu de tek.
- Tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am, fɔ di ful tɛm we di kɔs we dɛn tɛl yu fɔ tek. Nɔ stɔp fɔ tek am af-af.
- I nɔmal fɔ mek di skin rɛd ɛn pul we dɛn de trit am ɛn fɔ wan ɔ tu mɔnt afta dat.
- Protɛkt yusɛf frɔm di san. Yuz tin fɔ protɛkt yusɛf frɔm di san ɛn wɛr klos we de kɔba yu skin.
- I rili impɔtant: Nɔ lɛf dis mɛrɛsin usay pikin dɛn ɛn mɔ di animal dɛn we dɛn kin mɛn na os kin ebul fɔ rich. I kin kil dɛn.
- If siriɔs sayd ɛfɛkt apin, go to dɔktɔ wantɛm wantɛm.
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