Emla: Mafuta odzola

Zamkati

• Ndi chiyani
• Momwe mungagwiritsire ntchito
• Zotsatira zoyipa
• Nthawi yosagwiritsa ntchito

Emla ndi kirimu chomwe chimakhala ndi zinthu ziwiri zotchedwa lidocaine ndi prilocaine, zomwe zimachita mankhwala oletsa kupweteka. Mafutawa amatonthoza khungu kwakanthawi kochepa, kukhala kothandiza kugwiritsa ntchito musanaboole, kutulutsa magazi, kutenga katemera kapena kuboola khutu, mwachitsanzo.

Mafutawa atha kugwiritsidwanso ntchito njira zina zamankhwala, monga kuperekera jakisoni kapena kuyika ma catheters, ngati njira yochepetsera kupweteka.

Ndi chiyani

Monga mankhwala oletsa ululu m'deralo, zonona za Emla zimagwira ntchito posanja khungu kwakanthawi kochepa. Komabe, mutha kupitiriza kumva kukakamizidwa ndikukhudza. Chida ichi chitha kugwiritsidwa ntchito pakhungu njira zina zamankhwala monga:

• Kupereka katemera;
• Asanatenge magazi;
• Kuchotsa njerewere kumaliseche;
• Kukonza khungu lowonongeka ndi zilonda zam'miyendo;
• Kukhazikitsidwa kwa catheters;
• Opaleshoni yapadera, kuphatikizapo kulumikiza khungu;
• Njira zodzikongoletsera zomwe zimapweteka, monga kumeta ndevu kapena microneedling.

Izi zimayenera kugwiritsidwa ntchito ngati akuvomerezedwa ndi akatswiri azaumoyo. Kuphatikiza apo, chisamaliro chiyenera kuchitidwa kuti zisagwiritsidwe ntchito pazilonda, pakuyaka, pachimake kapena pamikanda, m'maso, mkatikati mwa mphuno, khutu kapena pakamwa, anus komanso kumaliseche kwa ana osakwana zaka 12.

Momwe mungagwiritsire ntchito

Zakudya zonona zonona ziyenera kugwiritsidwa ntchito osachepera ola limodzi musanachitike. Mlingo wa akulu ndi pafupifupi 1g wa kirimu pa 10 cm2 iliyonse pakhungu, kenako ikani zomatira pamwamba, zomwe zili kale mu phukusi, lomwe lidzachotsedwa dongosolo lisanayambe. Kwa ana:

Mukamagwiritsa ntchito zonona, ndikofunikira kutsatira malangizo awa:

• Finyani kirimu, ndikupanga mulu pamalo pomwe ndondomekoyi ichitikire;
• Chotsani filimu yapakatikati, pambali yosavala yovalira;
• Chotsani chivundikirocho kumbali yomata ya kavalidwe;
• Ikani mavalidwe mosamala pamulu wa zonona kuti musafalikire povala;
• Chotsani chimango cha pepala;
• Siyani kuchitapo kanthu kwa mphindi zosachepera 60;
• Chotsani mavalidwe ndikuchotsa zonona musanayambike chithandizo chamankhwala.

Kuchotsa zonona ndi zomatira ziyenera kuchitidwa ndi akatswiri azaumoyo. Kudera loberekera, kugwiritsa ntchito zonona kuyenera kuchitidwa moyang'aniridwa ndi azachipatala, ndipo kumaliseche kwa amuna, imayenera kugwira ntchito kwa mphindi 15 zokha.

Zotsatira zoyipa

Zonona za Emla zimatha kuyambitsa zovuta zina monga pallor, redness, kutupa, kuyaka, kuyabwa kapena kutentha pamalo opangira ntchito. Pafupipafupi, kumangoyakika, ziwengo, kutentha thupi, kupuma movutikira, kukomoka ndi chikanga kumachitika.

Nthawi yosagwiritsa ntchito

Izi zonona siziyenera kugwiritsidwa ntchito kwa anthu omwe matupi awo sagwirizana ndi lidocaine, prilocaine, mankhwala ena ofanana nawo opatsirana m'deralo, kapena china chilichonse chomwe chimapezeka mu zonona.

Kuphatikiza apo, sayenera kugwiritsidwa ntchito kwa anthu omwe ali ndi vuto la glucose-phosphate dehydrogenase, methemoglobinemia, atopic dermatitis, kapena ngati munthuyo atenga antiarrhythmics, phenytoin, phenobarbital, anesthetics ena am'deralo, cimetidine kapena beta-blockers.

Sitiyenera kugwiritsidwa ntchito kumaliseche a ana osakwana zaka 12, akhanda akhanda msanga, komanso amayi apakati ndi oyamwitsa, ayenera kugwiritsidwa ntchito mosamala, ndipo atadziwitsa adotolo.