Sɔntɛnde, tin dɛn lɛk ɛkzema ɛn rash na wi skin kin rili anɔynt, nɔto so? I kin it, rɛd, ɛn sɔm tɛm dɛn kin swel... Sɔntɛnde lɛk dis, yu dɔktɔ kin gi yu wan krim we dɛn kɔl Pimecrolimus. Na Sri Lanka, i de ɔnda di brand nem Elidel. So, tide, lɛ wi tɔk bɔt wetin rili bi dis krim, aw fɔ yuz am, ɛn us tin dɛn fɔ tek tɛm wit.
Us kayn mɛrɛsin na Pimecrolimus?
Fɔ tɔk am simpul wan, Pimecrolimus na krim we de ridyus di swel, rɛd, it, ɔ rash we kin kam bikɔs ɔf di tin dɛn we de apin na di skin, mɔ di ɛkzema. Sɔntɛnde, di imyun sistɛm na wi bɔdi kin wok pasmak, ɛn dis kin mek wi gɛt dɛn prɔblɛm ya na di skin. So dis krim de wok bay we i de kɔntrol di ɔva aktiv imyun sistɛm na di skin. Dis nɔto stɛroyd krim.
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu yuz dis krim
Bifo yu bigin fɔ yuz dis krim, yu fɔ rili tɛl yu dɔktɔ if yu gɛt ɛni wan pan di tin dɛn we de dɔŋ ya.
- If yu gɛt wan kayn limfoma we de afɛkt di skin (`Cutaneous T-cell lymphoma`).
- If yu gɛt ɛni wikɛdnɛs ɔ prɔblɛm wit yu imyun sistɛm.
- If yu gɛt ɛni ɔda infekshɔn, inklud wan vayral infɛkshɔn lɛk chikinpoks ɔ hεpi.
- If yu gɛt big say dɛn we yu skin dɔn bɔn ɔ we dɔn pwɛl.
- If yu gɛt wan sik we nɔ kin bɔku na yu skin we dɛn kɔl `Netherton's syndrome`.
- If yu jɔs dɔn du ɔ yu de du redyushɔn tɛrapi.
- If yu gɛt alɛji fɔ pimecrolimus ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ.
- If yu na mama we de gi pikin in bɛlɛ.
Aw ɛksaktɔli yu de yuz dis?
Yu fɔ no dɛn pɔynt ya we yu de yuz dis mɛrɛsin.
Dis na mɛrɛsin we dɛn kin put pan pɔsin in bɔdi nɔmɔ . Nɔ tek am wit yu mɔt fɔ ɛni rizin.
- Wash yu an fayn fayn wan wit sop bifo yu put di krim ɛn afta yu dɔn put am. Bɔt if yu de put di mɛrɛsin na yu tu an, was am bifo yu put am.
- Nɔ mek i go insay yu yay. If yu aksidɛntli gɛt am na yu yay, was dɛn fayn fayn wan wit klin wata.
- Yuz am lɛk aw yu dɔktɔ tɛl yu, di sem tɛm ɛvride. Nɔ yuz pas di mɔni we dɛn tɛl yu fɔ yuz.
- Bifo yu put di mɛrɛsin, klin di say we di skin afɛkt, wet am fayn, ɛn lɛ i dray. Dɔn yu kin put wan rili tint layt pan di krim na di say we di sik dɔn afɛkt.
- Afta yu dɔn put di mɛrɛsin, nɔ kɔba di say wit bandej ɔ ɛni ɔda tin. No prɔblɛm nɔ de fɔ wɛr nɔmal klos.
- Nɔ shawa ɔ mek wata tɔch yu skin fɔ lɛk wan awa so afta yu dɔn put di krim. If yu du dat, yu go was di mɛrɛsin.
- Dɛn kin gi am bak fɔ pikin dɛn we dɔn pas 2 ia fɔ sɔm kɔndishɔn dɛn. Bɔt na yu dɔktɔ go disayd.
Wetin fɔ du if yu tek mɛrɛsin pasmak?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, 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.
Wetin a go du if a mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dabl doz.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Dis krim kin intarakt wit sɔm tin dɛn we yu de yuz am. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin ɛn vaytamɛn dɛn we yu de tek.
| Kayn | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Rum | Alkol ɔ mɛrɛsin we gɛt bɔku bɔku rɔm. |
| Sɔm mɛrɛsin dɛn we gɛt ay blɔd prɛshɔn | Di wan dɛn we de blok di chanɛl we gɛt kalsiɔm. Fɔ ɛgzampul: diltiazem, nifedipine. |
| Drug dɛn we de mek pɔsin nɔ gɛt bɛlɛ | Mεdikeshכn dεm lεk itrakonazכl, kεtokonazכl, εn flukonazכl. |
| Ɔda mɛrɛsin dɛn | Mɛrɛsin dɛn lɛk Cimetidine ɛn Erythromycin. |
| Vaksin dɛn we dɛn kin yuz | Sɔm vaysin kin mek prɔblɛm. Tɔk to yu dɔktɔ bifo yu gɛt di vaysin. |
Tin dɛn we yu fɔ mɛmba we yu de put krim
- Protɛkt yusɛf frɔm di san: Yu skin kin fil smɔl fɔ di san we yu de yuz dis mɛrɛsin. So, nɔ fɔ mek di san shayn dairekt wan . If yu go na do, wɛr klos we kɔba yu skin, yuz gud sanskrin , ɛn nɔ yuz san lamp/tan bed.
- Wach fɔ di chenj dɛn we de apin na di skin: Dɛn dɔn sho se dis mɛrɛsin nɔ kin rili mek pɔsin gɛt kansa na di skin (mɛlanoma ɔ kansa na di skin). So, chɛk yu skin ɔltɛm fɔ si if di say dɛn we yu dɔn gɛt ɔ nyu say dɛn dɔn chenj . If yu notis ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm. Nɔ wɔri, dis nɔ kin apin so ɔltɛm, bɔt i impɔtant fɔ no.
- We yu de drink rɔm: Sɔm pipul dɛn kin gɛt di fes ɔ skin kin flash ɛn flash we dɛn de tek dis mɛrɛsin. If dis apin, tɛl yu dɔktɔ.
- Chek yu prɔgrɛs: I kin tek sɔm tɛm fɔ si di rizulyt we yu yuz di mɛrɛsin. So, go to yu dɔktɔ di tɛm dɛn we dɛn dɔn plan fɔ du lɛk aw dɛn tɛl yu.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm bad bad tin dɛn apin. Sɔm pan dɛn siriɔs, sɔm pan dɛn kɔmɔn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Inflammation/itching na di sayt we dɛn de yuz am | Inflameshɔn, it, krɔst, ɔ pil pan di skin usay dɛn put di mɛrɛsin. |
| Infεkshכn dεm na di skin | Skin de rɛd, swel, fil wam, ɔ pen. |
| Ɔda sayn dɛn we de sho se yu gɛt di sik | Fiva, kol, kɔf, ɔ trot we de at. |
| Di anklɛ we de swel | di limf no dεm na di nεk, di armpit, כ di groin we de swεla. |
| Sayd ɛfɛkt dɛm wae nɔr kin nid fɔ go to dɔktɔ (bɔt tɛl yu dɔktɔ if dɛn kɔntinyu fɔ de) . | |
| Ed de at | Jɛnɛral ed pen. |
| Fɔ fil fayn to layt | Fɔ fil se yu de fil we di san de shayn ɔ brayt layt. |
| Smɔl smɔl blista dɛn | di apinεns fכ sכm rεd blista dεm we gεt pus nia di ia fכlikul dεm na di skin. |
Aw yu kin kip ɛn pul di mɛrɛsin?
Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich . Stɔr am na rum tɛmpracha (bitwin 20-25 digri sɛlshiɔs), nɔ put am na frij. Tek tɛm trowe di mɛrɛsin tyub dɛn we dɔn pas ɔ we yu nɔ nid igen. I bɛtɛ fɔ aks yu dɔktɔ bɔt dis.
Mɛsej we dɛn kin kɛr go na os
- Pimecrolimus na wan mɛrɛsin we dɛn kin put pan pɔsin in bɔdi. Yuz am jɔs lɛk aw yu dɔktɔ tɛl yu.
- Tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt ɛn ɛni ɔda mɛrɛsin we yu de tek.
- Protekt yu skin frɔm di san we yu de put dis krim. I rili impɔtant fɔ yuz tin fɔ protɛkt yusɛf frɔm di san.
- Ɔltɛm chɛk yu skin fɔ si nyu spat ɔ chenj na di spat dɛn we dɔn de. If yu gɛt ɛnitin we de mɔna yu, tɛl yu dɔktɔ wantɛm wantɛm.
- Go to dɔktɔ wantɛm wantɛm if yu gɛt siriɔs alɛji ɔ ɔda siriɔs sayd ɛfɛkt.
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