Yu dɔn ɛva pul yu tut ɛn di dɛntist injekt sɔlvushɔn na yu gam ɛn jɔs numb da eria de? Ɔ, we yu go fɔ stich wan smɔl wund, dɛn kin jɔs mek di say we de rawnd di wund nɔ gɛt bɛtɛ trɛnk? Na dat wi kin jɔs kɔl ‘Local Anesthesia’. I nɔ de numb yu kɔmplit wan, i de jɔs numb di eria usay yu de fil pen. So, tide wi go tok abaut dis klia, jos laik yu go explein am to yu padi.
Fɔ tɔk am simpul wan, wetin na Local Anesthesia?
Lokal anestezi na wan kayn mɛrɛsin we dɔktɔ dɛn kin yuz fɔ mek smɔl pat na yu bɔdi nɔ gɛt bɛtɛ trɛnk fɔ sɔm tɛm bifo yu du smɔl ɔpreshɔn ɔ du dɔktɔ tɛst. Fɔ ɛgzampul, dɛn kin yuz dɛn fɔ mek smɔl say na yu an na yu an, lɛk wan pat pan yu gam, nɔ gɛt bɛtɛ trɛnk.
Nɔ lɛk ‘Jɛnɛral Anestesia’ (ful anestesia) we dɛn kin gi we dɛn de du big ɔpreshɔn, yu nɔ go lɔs kɔnshɛns we dɛn de du dis. Yu go de wek ɔlsay. Bɔt yu go stɔp fɔ fil pen. Sɔntɛnde, wit dis mɛrɛsin wae de mek yu nɔr de fil fayn, di dɔktɔ kin gi yu wan mɛrɛsin we nɔr de mek yu fil fayn (sedation) fɔ mek yu rilaks ɛn nɔr de fred. I dipen pan wetin dɛn de du ɛn yu kɔndishɔn.
Aw dis mɛrɛsin de wok?
I rili simpul. Mek wi se yu kot yu finga. Dɔn da pen de go tru di nerv dɛn na yu finga to yu bren as pen signal . We di bren ɔndastand da signal de, yu kin fil se, "O, dat kin at."
Local Anesthesia de blok di pen signal fɔ sɔm tɛm frɔm di nerves na di eria to di bren. I tan lɛk se yu stɔp mɛsenja. Dɔn, di pen mɛsej nɔ kin rich na di bren, so yu nɔ kin fil di pen. Bɔt yu kin fil se dɛn de mɔna yu, lɛk se sɔmbɔdi de prɛs di say we yu de.
De tin wae impɔtant pas ɔl na dat dis nɔr de afɛkt yu sɛntral nervous system ɛn mek yu nɔr no natin. Yu kin yɛri ɛn si ɔl wetin de apin rawnd yu.
Di kayn Lokal Anɛstɛsia ɛn Ustɛm fɔ Yuz Am
Dɛn mɛrɛsin ya we de mek pɔsin fil pen kin gɛt difrɛn we dɛn. Ɛn dɛn kin yuz dɛn na difrɛn tin dɛn. Lɛ wi tek wan luk pan wetin dɛn bi.
| Aw fɔ yuz am | Ɛgzampul dɛn ɛn yus kes dɛn |
|---|---|
| Krim/Ointmɛnt/Jɛl dɛn | Fɔ mek di skin nɔ gɛt bɛtɛ trɛnk. Sɔntɛnde, bifo yu gi injɛkshɔn, rɔb di say fɔ mek i nɔ gɛt bɛtɛ trɛnk. |
| Injɛkshɔn dɛn we dɛn kin gi | Di we we dɛn kin yuz mɔ. Fɔ tin dɛn lɛk fɔ pul yu tut, fɔ stich wund, ɔ fɔ tek smɔl pat pan di skin fɔ tɛst (bayopsi). |
| Spray dɛn we dɛn kin yuz | fכ numb di bak pat na di trot, fכ egzampl bifo dεn du εndoskopi. |
| Ay drop dɛn | Bifo dɛn du smɔl ɔpreshɔn dɛn na di yay lɛk ɔpreshɔn we dɛn kin du wit katarakt. |
| Pat dɛn we de na di skin | Fɔ pul sɔm pen we kin gɛt fɔ du wit di nerv fɔ lɔng tɛm. |
Drug dɛn we dɛn kin yuz bɔku tɛm
Sɔm pan di lokal anestetik mɛrɛsin dɛn we dɔktɔ dɛn kin yuz na:
- Benzocaine we gɛt di sik
- Bupivakɛyn we dɛn kin yuz
- Lidokɛyn we dɛn kin yuz
- Ropivakɛyn we dɛn kin yuz
Sɔntɛnde, fɔ mek dɛn mɛrɛsin ya las fɔ lɔng tɛm ɛn fɔ mek dɛn sef, dɔktɔ dɛn kin ad ɔda mɛrɛsin dɛn lɛk epinephrine .
Yu nid fɔ rɛdi? Yu kin it ɛn drink?
Bɔku tɛm, fɔ sɔntin we smɔl, usay na lokal anestezi nɔmɔ dɛn kin gi yu, yu nɔ nid fɔ pripia ɛnitin we spɛshal . Yu kin it ɛn drink lɛk aw yu kin it.
Bɔt mɛmba se if yu ɔpreshɔn involv di dijestiv sistɛm, ɔ if risk de fɔ mek dɛn put yu ɔnda jenɛral anestezi, yu dɔktɔ kin aks yu fɔ fast . So ɔltɛm fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni alɛji we yu gɛt ɔ if yu dɔn gɛt ɛni prɔblɛm wit ɛni anestetik trade.If yu gɛt frayd fɔ nidul (trypanophobia), i fayn fɔ tɔk bɔt dat bak, so dɛn kin tek step fɔ mek yu fil fayn.
Aw lɔng i kin tek fɔ mek di tingling senseshɔn go? Ɛni bad bad tin dɛn de we kin apin to am?
Aw lɔng di ifɛkt dɛm we lokal anestezi kin gɛt kin dipen pan sɔm tin dɛm.
- Usay dɛn bin injɛkt di mɛrɛsin
- Doz fɔ di mɛrɛsin we dɛn gi
- Di kayn mɛrɛsin we dɛn kin yuz
- If dɛn ad ɔda mɛrɛsin dɛn lɛk epinephrine
Bɔrku tɛm, de swɛt kin las fɔ ɛnisay frɔm 30 minit to 12 awa ɔr mɔr. di numbness frכm we dεn pul di tut kin las fכ lεk 5-7 awa. Yu dɔktɔ go tɛl yu bɔt dis bifo tɛm.
Smɔl smɔl sayd ɛfɛkt dɛn
Dɛn tin ya nɔ kin apin so ɔltɛm ɛn bɔku tɛm dɛn nɔ kin siriɔs.
- Smɔl brus ɔ sɔri usay dɛn gi di injɛkshɔn.
- Vertigo (fil lɛk se yu de spin).
- Ed de at.
- Di vishɔn we nɔ klia smɔl.
- Fɔ fil lɛk se yu mɔsul dɛn de twitch.
- Tingling, pin ɛn nidul, we kin las pas aw dɛn bin de tink.
If dis de tek lɔng tɛm pas aw yu bin de tink, tɔk to yu dɔktɔ.
Siriɔs bɔt rili rare kɔmplikeshɔn dɛn
Di chans fɔ mek dɛn tin ya apin rili smɔl , bɔt i impɔtant fɔ no bɔt dɛn.
1. Alɛji Riakshɔn: Sɔm pipul dɛn kin gɛt alɛji fɔ dis mɛrɛsin. If dis apin, i go apia jɔs afta dɛn dɔn gi di mɛrɛsin, so di mɛdikal tim kin trit am wantɛm wantɛm.
2. Local Anesthetic Systemic Toxicity (LAST): Dis na wan sik we nɔ kin apin so ɔltɛm. I kin apin we tumɔs lokal anestetik kam insay di blɔd. di sayn dεm kin sho insay 1-5 minit afta di injεkshכn.
- Fɔ fil se i nɔ izi fɔ yu
- Kɔnfyus
- Diziz we pɔsin kin gɛt
- Wan mɛtal teys we de na di mɔt
- I nɔ izi fɔ tɔk
- Di we aw pɔsin de yɛri kin chenj
If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sik ya afta dɛn dɔn tek yu lokal anestezi, yu fɔ go wantɛm wantɛm to di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) . Pan ɔl we dis na sik we pɔsin kin trit, if dɛn nɔ trit am kwik, i kin mek i gɛt mɔ siriɔs sik lɛk fɔ sik ɛn at pwɛl.
Tin dɛn we yu fɔ tek tɛm wit afta yu dɔn tek di mɛrɛsin
Yu nid fɔ tek tɛm smɔl te di tingling go.
- Drayv: I kin fayn fɔ drayv afta yu dɔn du smɔl tin, lɛk fɔ pul yu tut. Bɔt if dɛn dɔn du ɔpreshɔn pan yu we afɛkt yu an, yu leg, ɔ yu yay, ɔ if dɛn dɔn gi yu mɛrɛsin fɔ mek yu fil fayn, i go bɛtɛ fɔ mek ɔda pɔsin drayv yu .
- Fɔ it ɛn drink:We dɛn pul yu tut ɛn yu gam dɛn de at, nɔ it na da say de. Yu kin bit yu chɛst we yu nɔ no ɛn wund yu gam.
- Bɛlɛ: Dɛn kin tek lokal anestezi se i nɔ bad we uman gɛt bɛlɛ. Bɔt i rili impɔtant fɔ tɔk to yu dɔktɔ ɛn gɛt rayt bifo yu du ɛnitin.
Local Anesthesia na tin we rili yusful na mɛrɛsin. Bikɔs ɔf dis, wi gɛt di chans fɔ du smɔl ɔpreshɔn ɛn tɛst dɛn we wi nɔ go fil pen ɛn we wi go wɛl kwik kwik wan. So nɔ fred dis. If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, tɔk to yu dɔktɔ bɔt am. Dɛn de de fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Lokal anestezi na we yu de mek yu nɔ gɛt bɛtɛ trɛnk fɔ sɔm tɛm nɔmɔ na di smɔl pat na di bɔdi. Yu nɔ go lɔs kɔnshɛns.
- Dɛn kin yuz dis fɔ bɔku smɔl smɔl mɛrɛsin dɛn lɛk fɔ pul yu tut, fɔ sutura wund, ɛn fɔ du smɔl ɔpreshɔn pan yu skin.
- Ɔltɛm tɛl yu dɔktɔ bɔt ɛni alɛji ɔ prɔblɛm we yu bin gɛt wit anestezi we yu bin dɔn gɛt trade.
- Di sayd ɛfɛkt dɛn nɔ kin bɔku ɛn bɔku tɛm dɛn kin smɔl. Bɔt if bad bad sayn dɛn lɛk fɔ mek yu nɔ ebul fɔ blo ɔ fɔ mek yu kɔnfyus, go fɔ kia fɔ yu kwik kwik wan (ETU).
- Tek tɛm we yu de it ɛn drayv, mɔ afta yu dɔn trit yu tit, te di tingling senseshɔn stɔp.
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