Yu ɔ yu pikin de sɔfa wit ɛkzema? Sɔntɛnde, yu dɔktɔ kin gi yu spɛshal krim fɔ ɛp fɔ kɔntrol dis sik. Tacrolimus na wan pan dɛn kayn krim dɛn de. Bɔku pipul sabi am wit di brand nem `Protopic`. So tide, lɛ wi tɔk smɔl bɔt Tacrolimus krim, aw fɔ yuz am, ɛn wetin yu fɔ tek tɛm wit.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu yuse dis mɛrɛsin
Bifo yu dɔktɔ gi yu dis mɛrɛsin, i rili impɔtant fɔ mek yu gi am kɔmplit diskripshɔn bɔt yu wɛlbɔdi prɔblɛm. Mek shɔ se yu tɛl am bɔt ɛni wan pan di kɔndishɔn dɛn we de dɔŋ ya.
| Di tin we de apin to yu | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| Kansa na di skin (e.g., di t-sεl limfoma we de na di skin) . | Dis mɛrɛsin nɔ fayn fɔ sɔm sik dɛn we gɛt kansa na yu skin. |
| Di imyun sistɛm wik ɔ prɔblɛm | Bikɔs dis mɛrɛsin kin chenj di we aw di imyun sistɛm de wok mɔ. |
| Vayral infεkshכn dεm lεk chikinpoks εn hεpi | If yu put dis mɛrɛsin na say usay di sik de, dat kin mek i wɔs. |
| Fɔ gɛt big say we gɛt bɔdi we dɔn bɔn ɔ we dɔn pwɛl | Risk de fɔ mek yu tek mɔ mɛrɛsin insay di bɔdi tru di skin we dɔn pwɛl. |
| Jɛnɛtik skin sik dɛm lɛk Netherton’s syndrome | Dɛn fɔ tek tɛm tink bɔt aw fɔ yuz dis mɛrɛsin pan dɛn kayn patikyula tin dɛn de. |
| I nɔ tu te yet we dɛn dɔn du ɔ du redyushɔn tɛrapi | Intarakshɔn kin de bitwin dis mɛrɛsin ɛn redyushɔn tɛrapi. |
| Alɛji to takrolimus ɔ ɔda mɛrɛsin, it, ɔ tin dɛn we de mek yu nɔ pwɛl | Dis impɔtant fɔ mek yu nɔ gɛt alɛji. |
| Fɔ gɛt bɛlɛ, fɔ tray fɔ gɛt bɛlɛ, ɔ fɔ gi pikin in bɛlɛ | Insay dɛn kayn tin ya, yu fɔ tɔk to yu dɔktɔ bɔt di tin dɛn we kin apin to di pikin. |
Aw ɛksaktɔli yu de yuz dis ɔntmɛnt?
Fɔ mek yu gɛt di bɛst pan dis mɛrɛsin, i rili impɔtant fɔ yuz am kɔrɛkt wan.
Dis mɛrɛsin na fɔ yuz pan pɔsin in bɔdi nɔmɔ . Nɔ tek am wit yu mɔt fɔ ɛni rizin.
- Wash yu an: Wash yu an fayn fayn wan bifo ɛn afta yu dɔn put di mɛrɛsin. Bɔt if yu de put di mɛrɛsin na yu tu an, was yu an nɔmɔ bifo yu put am.
- Nɔ mek i go insay yu yay: If yu aksidɛntli gɛt am na yu yay, was yu yay fayn fayn wan wit klin wata.
- Put wan tin layt: As yu dɔktɔ tɛl yu, put di mɛrɛsin insay wan tin layt nɔmɔ na di say dɛn we di sik afɛkt. If ɛni mɔs de na di say dɛn we di sik dɔn ambɔg bifo yu put di mɛrɛsin, was dɛn wit klin klos ɛn lɛ dɛn dray.
- Tek yu mɛrɛsin di rayt tɛm: Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride, lɛk aw yu dɔktɔ tɛl yu. Nɔ tek pas di mɔni we dɛn tɛl yu fɔ tek.
- Nɔ bandej: Nɔ kɔba di say we dɛn put di mɛrɛsin wit dresin/bandej. Bɔt, prɔblɛm nɔ de fɔ wɛr nɔmal klos.
- Nɔ was afta yu dɔn put di mɛrɛsin: Nɔ was, go swim, ɔ go swim wantɛm wantɛm afta yu dɔn put di mɛrɛsin. If yu du dat, yu go was di mɛrɛsin.
- Nɔ stɔp: Ivin if yu skin bɛtɛ, nɔ stɔp fɔ yuz di mɛrɛsin te yu dɔktɔ tɛl yu fɔ du am.
If yu yuz am fɔ pikin dɛn...
Sɔntɛnde, dɔktɔ dɛn kin gi dis mɛrɛsin to pikin dɛn we dɔn pas 2 ia. Bɔt spɛshal rizin dɛn fɔ de fɔ dat. If yu de yuz dis fɔ pikin, i impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.I rili impɔtant.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek tumɔs pan dis mɛrɛsin, ɔ if pɔsin dɔn tek am, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm . Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Mɛmba se dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb yu mɛrɛsin wit ɔda pipul dɛn.
Wetin a go du if a fɔgɛt fɔ tek mi 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 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.
Wetin na di poshubul intarakshɔn wit dis mɛrɛsin?
We yu yuz dis ɔntmɛnt, di tin dɛn we i kin du kin chenj wit ɔda mɛrɛsin dɛn we yu kin tek, ɛn sɔm drink dɛn. So tɛl yu dɔktɔ bɔt ɔl wetin yu de yuz.
| Us intarakshɔn dɛn kin apin? | Tin dɛn we wi fɔ tink bɔt |
|---|---|
| Drink dɛn we gɛt rɔm | If yu drink rɔm, dat kin mek yu fes ɔ yu skin rɛd ɛn inflam. |
| Sɔm mɛrɛsin dɛn we gɛt ay blɔd prɛshɔn (e.g. Diltiazem, Nifedipine) . | Dɛn mɛrɛsin ya kin chenj di we aw di bɔdi de tek Tacrolimus. |
| Antifungal mεdikeshכn dεm (e.g. Itraconazole, Ketoconazole) . | Dɛn tin ya kin chenj bak di ifɛkt dɛm we Tacrolimus gɛt. |
| Drug dɛn lɛk Cimetidine, Erythromycin | Dɛn tin ya kin mek bak pipul dɛn de tɔk to dɛnsɛf, so tɛl yu dɔktɔ. |
| Vaksin dɛn we dɛn kin yuz | Bifo yu gɛt ɛni vaysin, tɛl yu dɔktɔ se yu de yuz Tacrolimus. |
Dis list nɔr kɔmplit, so i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛm).
Ɔda tin dɛn we yu fɔ mɛmba we yu de yuz am
- Tek tɛm wit di san: Yu skin kin fil smɔl fɔ di san we yu de yuz dis mɛrɛsin. Dis min se i kin tɔn rɛd ɛn bɔn izi wan. So nɔ de na di san as yu ebul. If yu go na do, wɛr klos we go protɛkt yu ɛn yuz gud tin fɔ protɛkt yusɛf frɔm di san. Nɔ yuz san lamp ɔ bed fɔ tan.
- Fɔ mek yu skin bɛtɛ: Yu kin notis se yu skin de bɛtɛ insay sɔm wiks afta yu dɔn yuz di mɛrɛsin. Bɔt kɔntinyu fɔ yuz am fɔ lɔng tɛm we yu dɔktɔ tɛl yu fɔ du am. If nɔr impɔtant afta sɔm wiks, ɔr if yu sik de wɔs, mek shɔ se yu tɛl yu dɔktɔ .
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt, bɔt nɔto ɔlman kin gɛt am.
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Chikinpoks ɔ hεpi (kol so, shingles) infεkshɔn | Dis kin afɛkt di imyuniti, so tɛl am wantɛm wantɛm. |
| Gland dɛn we dɔn swel | Dis kin bi sayn fɔ infekshɔn ɔ ɔda siriɔs kɔndishɔn. |
| Blɔd we de kɔmɔt na di skin, chenj na di we aw di skin de luk (chenj na di kɔlɔ fɔ wan spat, mol, ɔ nyu growth) . | If yu skin chenj, yu fɔ ripɔt to dɔktɔ wantɛm wantɛm. |
| Infεkshכn na di skin כ infεkshכn na di ia fכlikul (Infεkshכn pan di ia fכlikul dεm) . | , . |
| Fɔ fil se yu taya bad bad wan | Dis kin bi sayn fɔ aw di mɛrɛsin de afɛkt di bɔdi. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Bɔn, it, sɔri, ɔ swɛt usay dɛn put di mɛrɛsin | Dis kin bi kɔmɔn fɔ di fɔs de ɛn bɔrku tɛm i kin stɔp insay sɔm dez. |
| Ed pen, mɔsul pen, nɔs | If dɛn tin ya de kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ. |
| Skin we de fil fɔ wam ɔ kol pas aw i kin bi | Dis na kɔmɔn sayd ɛfɛkt bak. |
Aw a fɔ kip dis mɛrɛsin?
- Kip am usay pikin dɛn nɔ go ebul fɔ rich. Dis na di tin we impɔtant pas ɔl.
- Stɔr na rum tɛmpracha (bitwin 15-30 digri sɛlshiɔs).
- Trowe ɛni mɛrɛsin we lɛf afta di de we i fɔ dɔn.
Mɛsej we dɛn kin kɛr go na os
- Tacrolimus na wan krim we dɛn kin yuz fɔ mɛn di sik dɛn we de na di skin lɛk ɛkzema. Na ɔnda dɔktɔ in advays nɔmɔ dɛn fɔ yuz am.
- Bifo yu tek di mɛrɛsin, mek shɔ se yu tɛl yu dɔktɔ bɔt yu ɔda sik dɛn, mɛrɛsin dɛn we yu de tek, ɛn alɛji.
- We yu de put di mɛrɛsin, put am insay wan tin ɛn mɛmba fɔ protɛkt am frɔm di san.
- If yu gɛt ɛni swel, nyu chenj na yu skin, ɔ yu gɛt infɛkshɔn lɛk chikinpoks, go to yu dɔktɔ wantɛm wantɛm.
- If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, nɔ fred fɔ tɔk to yu dɔktɔ.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Aw bɔku Tacrolimus (Tacrolimus / Protopic) ɔntmɛnt/krim de kɔst?
Dis nɔto ɔdinari stɛroyd krim! Dis na wan kayn mɛrɛsin we rili strɔng (Topical Calcineurin Inhibitor) we ɔspitul kin gi fɔ di wan dɛn we gɛt ‘Severe Eczema / Atopic Dermatitis’, we nɔ ɔda mɛrɛsin (ivin steroid) nɔ de ridyus di pen na di skin! Dis nɔ de mek di skin tan lɛk stɛroyd krim, we na di big bɛnifit ya.
💬 Aw yu go mɛn ɛkzema wit dis (Tacrolimus) nɔmɔ we ɔl ɔda krim dɛn nɔ wok?
Eczema na we wi yon imyun sistεm in ‘T-sεl dεm’ de kray εn mek di skin inflameshn/inflammation! pan ɔl we ɔda krim dɛn de go afta am, dis ɔntmɛnt de go stret to di at fɔ dɛn krayzi ‘T-sɛl’ dɛn de ɛn blok/lɔk di ɛnzaym (Calcineurin) we nid fɔ wok da tɛm de. Bikɔs no we nɔ de fɔ mek di mɛsej go tru, di rɛd ɛn it we de na di skin kin dɔn wantɛm wantɛm.
💬 Wetin na di risk we de kil pas ɔl (Black Box Warning) fɔ dis krim?
Dat na di big tin we pɔsin kin fred fɔ yuz dis krim! Sɔm pipul dɛm wae de yuse dis mɛrɛsin fɔ lɔng tɛm dɔn ripɔt se dɛn gɛt ‘skin kansa ɛn limf node kansa (Lymphoma / Skin Cancer)’! So, i nɔ rayt fɔ put am pan pikin dɛn we nɔ rich 2. Dɔn bak, nɔ ɛva go na do na di ‘san/san layt (UV Layt)’ we yu de put dis, di skin kin bɔn wantɛm wantɛm ɔ di risk fɔ gɛt kansa kin bɔku!
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