Lɛ wi lan bɔt wan mɛrɛsin we de mek yu skin nɔ gɛt bɛtɛ trɛnk? (Tɔpik Anestetik) .

Sɔntɛnde, i go fayn fɔ gɛt we fɔ ridyus di pen ɛn it we kin kam wit smɔl injuri, insɛkt bayt, ɔ smɔl bɔn, nɔto so? Wɛl, tide wi go tɔk bɔt wan kayn mɛrɛsin we dɛn kin yuz na tɛm lɛk dis, wan kayn mɛrɛsin we dɛn kin put pan di skin fɔ mek di eria nɔ gɛt bɛtɛ trɛnk. Dɛn tin ya kin wok lɛk majik, ɛn dɛn kin mek di say nɔ gɛt bɛtɛ trɛnk fɔ sɔm tɛm.

Wetin na dis anestetik we dɛn kin put pan pɔsin in bɔdi?

Fɔ tɔk am simpul wan, anestetik we dɛn kin put pan yu bɔdi na wan kayn mɛrɛsin we dɛn kin put pan di say we yu skin de ɔ di dilik mɛmbran dɛn we de insay yu bɔdi (insay mɛrɛsin, wi kin kɔl dis di mucosa ) fɔ mek di say nɔ gɛt bɛtɛ trɛnk fɔ sɔm tɛm. I tan lɛk se sɔntɛnde dɔktɔ kin sprɛy smɔl mɛrɛsin bifo i gi yu injɛkshɔn, ɔ yu kin put krim we gɛt mɛrɛsin. Dis min se yu nɔ de fil ɛnitin fɔ sɔm tɛm, lɛk pen ɔ it (sɔntɛnde dɔktɔ dɛn kin kɔl am ‘pruritus’ ). Dis nɔto injɛkshɔn, na tɔpik aplikeshɔn.

Imajin, dεn kin yus dεn tin ya fכ rεliv di diskכmfכt na yu mכt, gכm, nos, trot, yes, sכm pat dεm na yu yay (especially di wayt dεm na di yay, we dεn kכl di `conjunctiva` ), כ na ples dεm lεk di `rεktum` εn `vagina`.

Us kayn we dɛn tin ya kin kam?

Naw luk, dɛn topical anestetik ya kin kam insay difrɛn we dɛn. Fɔm dɛn de we yu kin gɛt na di famasi, ɛn spɛshal fɔm dɛn de we dɔktɔ dɛn kin yuz.

• Na di fɔm fɔ krim dɛn .
• As di yes de drɔp .
• As ay de drɔp .
• As jel dɛn .
• As loshan dɛn .
• As ɔntmɛnt dɛn .
• As pat dɛn we kin stik to di skin .
• As sɔlvushɔn/likwid dɛn .
• Na di fɔm fɔ sprɛy .

So, i go dipen pan wetin yu nid, dɔktɔ ɔ fama go disayd us kayn dis fayn.

Wetin na dɛn kayn anestetik ya we dɛn kin put pan pɔsin in bɔdi?

I pas wan kayn mɛrɛsin we de mek pɔsin fil pen. Sɔm pan dɛn yu kin bay na di famasi we yu nɔ gɛt prɛskrishɔn ( `Over-the-counter` ɔ `OTC` drɔgs). Ɔda wan dɛn de, we na dɔktɔ dɛn nɔmɔ kin yuz ɛn dɛn kin yuz dɛn fɔ du smɔl smɔl mɛrɛsin dɛn.

Sɔm pan di men kayn anɛstɛtik dɛn we dɛn kin yuz fɔ mɛn pipul dɛn na:

• Benzocaine we gɛt di sik
• Dibukɛyn we dɛn kin yuz
• Lidokɛyn we dɛn kin yuz
• Fɛnɔl we dɛn kɔl
• Pramoksin we dɛn kɔl
• Prilocaine we gɛt di sik

Ɛni wan pan dɛn mɛrɛsin ya kin kam difrɛn we (lɛk krim, jel, sprɛy) ɛn dɛn kin yuz am fɔ difrɛn tin dɛn. Bɔku tɛm, dɛn tin ya kin kam togɛda wit ɔda tin dɛn we dɛn kin yuz fɔ mek mɛrɛsin. Fɔ ɛgzampul, dɛn kin kam togɛda wit tin dɛn lɛk haydrokɔtizɔn (we na mɛrɛsin bak fɔ alɛji na di skin), mɛntɔl (we kin mek di skin kol), ɔ mɛtil salisaylɛt (we na mɛrɛsin we kin mek pɔsin fil pen). Dɛn kin ad dɛn tin ya akɔdin to di rizin we mek dɛn mek ɛni mɛrɛsin.

Wetin dɛn kin yuz dɛn tin ya fɔ?

Okay, naw lɛ wi si wetin ɛksaktɔli dɛn tɔpik anestetik ya de ɛp wit. Sɔm kes dɛn de we dɛn kin yuz dɛn tin ya na os, ɛn bak we dɔktɔ dɛn kin yuz dɛn na ɔspitul ɛn klinik.

Opportunities fɔ yuz na os

Topical anestetik, we yu kin bay ova-di-kɔnta na di famasi, na in dɛn kin yuz fɔ ridyus pen ɛn it we kin kam bikɔs ɔf:

• Insɛkt bit ɔ sting: We ant bit am, mɔskito bit am, ɔ wasp bit am.
• Smɔl bɔn ɛn san bɔn.
• Smɔl smɔl kɔt dɛn, skrach dɛn.
• Sɔm kayn skin rash: Ɛspɛshali fɔ rash we kin it we pɔyzin ayvi, pɔyzin ɔk, ɛn pɔyzin sumak tɔch am.
• Fɔ di pen ɛn it we ɛmoroyd kin mek .
• Fɔ trot we de at (sɔm sprɛy dɛn de).
• Fɔ ɔlsa na yu mɔt (`Kanker sores`) .
• I de it we pɔsin kin gɛt we i gɛt yist na di vagina .

Bɔt i impɔtant fɔ mɛmba dis: Dɛn anestetik ya we dɛn kin put pan pɔsin in bɔdi kin jɔs mek di sik nɔ kam fɔ sɔm tɛm nɔmɔ. Dɛn nɔ de mɛn ɛni sik ɔ pul di tin we de mek pɔsin gɛt di sik. Fɔ ɛgzampul, if yu gɛt siriɔs ɛkzema ɔ yu gɛt fɛns infekshɔn, yu fɔ rili go to dɔktɔ to tritmɛnt.

Kes dɛn we dɔktɔ dɛn kin yuz

Naw lɛ wi si wetin dɔktɔ dɛn kin yuz dɛn tin ya fɔ. Sɔntɛnde, dɛn kin yuz dis topical anestetik nɔmɔ. Ɔda tɛm dɛn, dɛn kin yuz am fɔ mek di injɛkshɔn nɔ fil fayn, ɛn fɔ mek di injɛkshɔn nɔ fil pen.

Insay tritmɛnt dɛn fɔ di skin:

• Ridyus pen bifo yu injɛkshɔn: Fɔ ɛgzampul, we yu de gi vaysin, ɔ we yu de put IV layn (intravenous line) ɔ arterial layn.
• Ridyus pen bifo yu du smɔl smɔl dɛmatɔlɔjik prɔsidyu ɛn laser prosidur: Fɔ ɛgzampul, laser hair removal , tatu removalfכ tin dεm lεk fכ tek sכmכl pat pan di skin fכ tεst (`Shave or excision biopsies`).
• Fɔ smɔl ɔpreshɔn dɛn we gɛt fɔ du wit di man in bɔdi: Fɔ ɛgzampul, fɔ sakɔmsayz , fɔ pul di bɔdi, ɛn fɔ pul di wɔt dɛn na di bɔdi.
• Riliv di simptom dεm fכ sכm krεse pen kכndyushכn dεm: fכ egzampl, pen we kכ z fכ mכsul kכt (`Myofascial trigger points`) εn kכndishכn dεm lεk trigeminal nyuraljia .

Insay tritmɛnt dɛn we gɛt fɔ du wit yay:

• Numb di surface of di eye: Fɔ sɔm tɛst dɛn, fɔ ɛgzampul, di Schirmer’s test , fɔ smɔl smɔl ɔpreshɔn dɛn we dɛn kin du wit lɛsa, ɛn fɔ injɛkshɔn dɛn we dɛn kin put insay di yay.

Insay tritmɛnt dɛn we gɛt fɔ du wit di mɔt ɛn trot:

• We yu de trit yu tit, yu fɔ mek yu gɔm nɔ gɛt bɛtɛ trɛnk: Bifo yu injɛkt di lokal anestetik we dɛn kin yuz fɔ pul ɔ ful-ɔp wan tut.
• Numb di mכt εn trot: We yu de egzamin di sikman we de kכnsis bay we yu put tכb tru in trot (`Awake fiberoptic intubation`) כ egzamin di larynx (`Laryngoscopy`).
• We di absεs dεm de divεlכp εn fulכp wit pus, fכ kכt dεm εn pul dεm, i kin ridyus di pen.

insay di tritmεnt dεm we dεn du insay di yes (pan di tympanic membrane):

• Ridyus di pen we yu de du tin lɛk tympanocentesis, we involv fɔ pul wata we de biɛn di ia drɔm .
• We dɛn de du ɔpreshɔn lɛk we dɛn de pul mayringotomy .
• We yu de put, pul, ɔ manipul wan timpanostomy tiub.

Insay tritmɛnt dɛn we gɛt fɔ du wit di nos ɛn di nos:

• εgzamin di nos kכva: Yuz instrכmεnt dεm we dεn kכl rigid כ fleksibul εndoskop fכ luk insay di nos.
• Ɛp fɔ kɔntrol di blɔd we de kɔmɔt na yu nos (‘Epistaxis’).
• Riliv pen we yu nos brok.

Aw dis anestetik we dɛn kin put pan pɔsin in bɔdi kin wok?

I rili simpul. dis tכpik anεsthεtik dεm de blכk signal dεm frכm di nεv εnd dεm na yu skin כ di mכkus mεmbran dεm we wi bin dכn tכk bכt fכ sכm tεm. Imajin, yu skin kin fil pen, it, ɔ tɔch am we dɛn sɛn mɛsej to yu bren tru di nerv dɛn. Wetin dis mɛrɛsin de du na fɔ blok dɛn mɛsej dɛn de fɔ sɔm tɛm. Na dat mek yu nɔ de fil fayn na da eria de. Bɔt dis na tin we de ɔp ɔp , we min se i jɔs de afɛkt di layt dɛn we de ɔp na yu skin. I nɔ de afɛkt di say dɛn we dip pasmak.

Aw yu kin yuz dɛn tin ya fayn fayn wan?

Dis rili impɔtant. Ivin if yu bay wan topical anestetik frɔm di famasi we yu nɔ gɛt prɛskrishɔn, yu fɔ rili rid di instrɔkshɔn dɛn gud gud wan.Ɔ aks yu dɔktɔ ɔ fama. Di paket sho klia wan usay fɔ put am, ɔmɔs, ɛn aw ɔltɛm yu fɔ yuz am.

If yu de yuz dis kayn mɛrɛsin pan yɔŋ pikin, chɛk di ej limit we de na di mɛrɛsin paket fɔ mek shɔ se i fayn fɔ da ej de. Afta yu dɔn put dis pan yu pikin in skin, nɔ ɛva mek i go insay dɛn mɔt. Dɛn anestetik ya we dɛn kin put pan pɔsin in bɔdi kin mek bad bad tin apin if dɛn put dɛn na di mɔt ɔ swɛla dɛn, mɔ pan yɔŋ pikin dɛn.

We yu nɔ de yuz am, kip dis mɛrɛsin na say we sef usay pikin dɛn ɛn animal dɛn we yu kin mɛn na os nɔ go ebul fɔ rich.

Wetin na di sayd ɛfɛkt dɛm we dis kin gɛt?

Bikɔs bɔku kayn anestetik dɛn de we dɛn kin put pan pɔsin in bɔdi, ɛn bikɔs dɛn kin jɔyn dɛn wit ɔda tin dɛn we dɛn kin yuz fɔ mek mɛrɛsin, di bad tin dɛn we kin apin to pɔsin kin difrɛn bak. If yu de bay ``OTC`` mɛrɛsin frɔm famasi, mek shɔ se yu rid di sayd ɛfɛkt sɛkshɔn na di paket fayn fayn wan.

Dɛn anestetik ya we dɛn kin put pan pɔsin in bɔdi kin jɔs sef . Di sayd ɛfɛkt dɛn kin apin mɔ if yu yuz di mɛrɛsin tumɔs (dat na if yu absɔb tumɔs insay yu bɔdi) ɔ if yu swɛla di mɛrɛsin. So fala di instrɔkshɔn dɛn we de na di mɛrɛsin we yu de bay na di famasi kɔrɛkt wan.

Sɔntɛnde yu kin gɛt sɔm kayn bad bad tin dɛn lɛk dis:

• Blɔr ɔ dɛbul vishɔn .
• Sεns fכ ring na di yes (Tinnitus) .
• Mɛtal teys na di mɔt .
• Diziz we pɔsin kin gɛt .
• Di we aw pɔsin kin slip .
• At rit we de go ɔp (Tachycardia) ɔ at bit we nɔ de bit ɔltɛm (Arrhythmia) .
• Ed de at .
• Taya .
• Agiteshɔn ɔ kɔnfyushɔn .
• Di mɔsul dɛn we de shek shek .
• Di sik dɛn we kin mek pɔsin sik .

Alɛji we pɔsin kin gɛt

Pan ɔl we i nɔ kin apin so ɔltɛm, alɛji kin apin to dis anestetik we dɛn kin put pan pɔsin in bɔdi. Di sayn dɛm fɔ alɛji na:

• Rɛd ɔ chenj in kɔlɔ na di skin we de skata pas di say we dɛn put di mɛrɛsin.
• I de it di skin bɔku bɔku wan.
• Hiv dɛn .
• Swɛlin `(Swɛlin)` .

Bɔku tɛm, smɔl smɔl alɛji dɛn go dɔn fɔ dɛnsɛf afta sɔm tɛm. Bɔt yu fɔ stɔp fɔ yuz di mɛrɛsin we mek i gɛt am. If dɛn sayn ya kɔntinyu fɔ wɔs, go to dɔktɔ.

Dis na di sayn dɛm wae de sho se yu gɛt siriɔs alɛji (anaphylaxis):

* Di lip, tɔŋ, ɔ trot kin swel.

* .I nɔ izi fɔ blo (`Dyspnea`), yu nɔ de blo shɔt, ɔ yu de swɛt.

* Diziz ɛn/ɔ fɔdɔm.

* Bɛlɛ de at, vɔmit ɔ dayarɛa.

* Fɔ fil bad bad wan ɛn fred.

Anafylaksis na mɛdikal imejensi we nid fɔ go to dɔktɔ wantɛm wantɛm. If na so i bi, kɔl 911 wantɛm wantɛm ɔ go na di ɔspitul we de nia yu.

Ustɛm a fɔ go to dɔktɔ?

I fayn fɔ go to dɔktɔ if ɛni wan pan dɛn tin ya apin to yu we yu de yuz wan anestetik we yu kin put pan yu bɔdi:

• If de sik wae yu de yuse mɛrɛsin fɔ nɔr bɛtɛ insay sɛvin dez, ɔr if i de wɔs.
• If infεkshכn na di skin apin.
• If yu swɛla smɔl pan di mɛrɛsin.

I fayn fɔ mek yu go to dɔktɔ fɔ advays di tɛm lɛk dis.

Fɔ dɔn, mɛmba

So, dɛn topical anestetik ya na gud tin we de ɛp fɔ mek wi nɔ fil pen ɛn it na wi skin ɛn di myukɔs mɛmbran fɔ sɔm tɛm. Dɛn kin fayn fɔ smɔl prɔblɛm lɛk insɛkt bayt ɛn smɔl smɔl rash. Bɔt lɛk ɛni ɔda mɛrɛsin, i rili impɔtant fɔ rid di instrɔkshɔn dɛn gud gud wan bifo yu yuz dis mɛrɛsin ɛn yuz am kɔrɛkt wan. If yu gɛt ɛni sayd ɛfɛkt, ɔ if yu sik nɔr bɛtɛ afta yu tek di mɛrɛsin, mek shɔ se yu tɔk to dɔktɔ. Na bikɔs sɔntɛnde, yu kin nid fɔ gɛt mɛrɛsin. Dɔn gɛt am?

` Mεdisin fכ numbing, topical anestetik, skin pen, it, sayd ifekt, yus mεdikeshכn, fכs εd