U-Emla: Amafutha okubulala izinzwa

-Delile

• Yenzelwe ini
• Isetshenziswa kanjani
• Imiphumela emibi engaba khona
• Lapho ungasebenzisi

U-Emla ukhilimu oqukethe izinto ezimbili ezisebenzayo ezibizwa nge-lidocaine ne-prilocaine, enesenzo sendawo sokubulala izinzwa. Lo mafutha athoba isikhumba isikhathi esifushane, esebenziseka ngaphambi kokuthola ukubhoboza, ukudonsa igazi, ukuthatha umuthi wokugoma noma ukwenza imbobo endlebeni, isibonelo.

Lo mafutha angasetshenziswa futhi ngaphambi kwezinqubo ezithile zokwelashwa, njengokufaka imijovo yokufaka imijovo noma ukubeka ama-catheters, njengendlela yokwehlisa ubuhlungu.

Yenzelwe ini

Njengokubulala izinzwa kwasendaweni, ukhilimu we-Emla usebenza ngokunweba isikhumba esikhaleni isikhathi esifushane. Noma kunjalo, ungaqhubeka uzizwe ucindezelekile futhi uthinta. Leli khambi lingasetshenziswa esikhumbeni ngaphambi kwezinqubo ezithile zokwelashwa ezinjenge:

• Ukuphathwa kwemithi yokugoma;
• Ngaphambi kokudonsa igazi;
• Ukususwa kwezinsumpa esithweni sangasese;
• Ukuhlanza isikhumba esonakaliswe izilonda zomlenze;
• Ukubekwa kwama-catheters;
• Ukuhlinzwa okwenziwa ngenhla, kufaka phakathi ukufakelwa kwesikhumba;
• Izinqubo zobuhle ezingaphezulu ezibangela ubuhlungu, njengokucheba amashiya akho noma i-microneedling.

Lo mkhiqizo kufanele usetshenziswe kuphela uma kunconywa uchwepheshe wezokunakekelwa kwempilo. Ngaphezu kwalokho, kufanele kuqashelwe ukugwema ukusetshenziswa kwamanxeba, ukusha, i-eczema noma imihuzuko, emehlweni, ngaphakathi kwekhala, indlebe noma umlomo, indunu nasesitho sangasese sezingane ezingaphansi kweminyaka eyi-12.

Isetshenziswa kanjani

Ungqimba oluwugqinsi lukakhilimu kufanele lusetshenziswe okungenani ihora eli-1 ngaphambi kwenqubo. Umthamo kubantu abadala ucishe ube u-1g kokhilimu kuyo yonke i-10 cm2 yesikhumba, bese ufaka isinamathelisi ngaphezulu, esivele siqukethe iphakethe, elizosuswa ngaphambi nje kokuba inqubo iqale. Ezinganeni:

Lapho ufaka ukhilimu, kubaluleke kakhulu ukulandela le miyalo elandelayo:

• Cindezela ukhilimu, wenze inqwaba endaweni lapho inqubo izokwenziwa khona;
• Susa ifilimu yephepha elimaphakathi, ohlangothini olunganamatheli lokugqoka;
• Susa ikhava ohlangothini lokunamathisela kokugqoka;
• Beka ukugqoka ngokucophelela enqwabeni kakhilimu ukuze ungakusabalalisi ngaphansi kokugqoka;
• Susa uhlaka lwephepha;
• Shiya ukwenza okungenani imizuzu engama-60;
• Susa ukugqoka bese ususa ukhilimu ngaphambi nje kokuqala kwenqubo yezokwelapha.

Ukususwa kokhilimu nokunamathisela kufanele kwenziwe uchwepheshe wezokunakekelwa kwempilo. Endaweni yezitho zangasese, ukusetshenziswa kokhilimu kufanele kwenziwe ngaphansi kweso elibukhali labezokwelapha, kanti esithweni sangasese sowesilisa, kufanele kusebenze imizuzu eyi-15 kuphela.

Imiphumela emibi engaba khona

Ukhilimu we-Emla ungadala imiphumela emibi efana ne-pallor, ububomvu, ukuvuvukala, ukushisa, ukulunywa noma ukushisa esizeni sokufaka isicelo. Ngaphansi kakhulu, ukuveva, ukungezwani komzimba, umkhuhlane, ubunzima bokuphefumula, ukuquleka kanye ne-eczema kungenzeka.

Lapho ungasebenzisi

Lo khilimu akufanele usetshenziswe kubantu abanegciwane ku-lidocaine, i-prilocaine, amanye ama-anesthetics endawo afanayo, noma enye into ekhona kukhilimu.

Ngaphezu kwalokho, akufanele isetshenziswe kubantu abane-glucose-phosphate dehydrogenase, i-methemoglobinemia, i-atopic dermatitis, noma uma umuntu ethatha ama-antiarrhythmics, i-phenytoin, i-phenobarbital, amanye ama-anesthetics wendawo, i-cimetidine noma i-beta-blockers.

Akufanele isetshenziswe esithweni sangasese sezingane ezingaphansi kweminyaka eyi-12, izingane ezisanda kuzalwa, nakwabesifazane abakhulelwe nabancelisayo, kufanele isetshenziswe ngokuqapha, nangemva kokwazisa udokotela.