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32 “НАШЕ ЖИТТЯ”, ЛИПЕНЬ - СЕРПЕНЬ 2010 A Summer Primer by Ihor Magun, MD, FACP The summer months have arrived , and it is a time to trade in the indoor life for outdoor fun. But occasionally things don't always go as planned. Here are some helpful tips to help you handle th ose small inconveniences that somehow always crop up when we least expect them . Bee stings. Most reactions to stings are mild, but severe reactions can occur and a bout fifty deaths per year attributed to bee stings are reported in the United States. Bees a re attracted to dark clothing, perfumes and scented sprays. If you plan to be outdoors, do not use any scented spray. If you are stung, scrape the stinger away using a credit card or your fingernail in a side - to - side motion. It is not advisable to pull the stinger out with tweezers. Paradoxically, this may push the stinger deeper into the skin. Wash the area with soap and water. A cold compress and over - the - counter soothing creams or pain medications can help. Sunburn. Warnings about sun exposure are abunda nt but are all too seldom followed . E veryone is at risk, but people with lighter skin color, light colored hair, light eye color, a family history of skin cancer, freckles , and a personal history of multiple sunburn exposures in a lifetime need to be espec ially careful . Most sunburns are classified as first degree burns. These are usually self - limiting and typically lead to skin peeling after several days. Sunburned skin is always sensitive to the touch and is more sensitive to the sun than intact skin. Car e must be taken to protect this vulnerable skin. Avoid extreme ex po sure to water temperatures (cold or hot). A cool compress may be soothing ; if necessary , take an aspirin or acetaminophen as these can work as a “ cooling down ” mechanism. Appl ying aloe or a cooling over - the - counter lotion can also help. Keep in mind that certain prescription as well as non prescription medications can increase sun sensi tivity , and even s hort - term exposure can cause increased skin reactions. The major players include tetra cycline antibiotics, sulfa antibiotics, certain water (diuretic) pills, non - steroidal anti - inflammatory agents , and others. Your best bet is to ask your pharmacist or physician about sun sensitivity . Determined “tanners,” who are probably not heeding sun - e xposure warnings very well, should be doubly cautious when taking these medications. A n excellent alternative is a spray on tan products . They are safe, inexpensive , and look remarkably natural. Tick bites . Ticks are usually harmless, pin - sized insects. Th ey can transmit Lyme disease, but only if the tick is physically attached to the skin for at least twenty - four continuous hours. If you live in an area where ticks are prevalent, y ou should do a through body check once a day, especially checking exposed ar eas, including the neck and hair. To remove ticks properly, use tweezers and follow up with an antiseptic . Note that n ot every tick carries the bacteria that causes the dreaded Lyme disease. If you have been bitten and are not sure if the tick was a carrie r, check with your physician. Insect repellent spray . The advertisements for sprays have begun, but some people wonder how safe these products are. Surprisingly, t hese products are safe to use. DEET (N,N - diethyl - m - toluamide) has been around for forty years and is available in various formulations. I nsects (mosquito e s) are attracted by skin odors and by carbon dioxide from breath. DEET interferes with a mosquito ’s sensor so it is won’t land and sting. DEET comes in many concentrations, but higher concentrati ons aren't necessarily better — they simply last longer. If you are going outside for less than 2 or 3 hours, purchase a 10 percent concentration or lower; if you plan on being outside longer , purchase a 20 percent concentration or higher. DEET should be was hed off when going indoors and applied only to exposed areas. If you are also applying sunscreen, apply the sunscreen first . It is advisable not to apply DEET more than once a day. On the other hand, sunscreen should be applied and reapplied because it is diluted by sweat, can be wip ed off by a towel , or simply wash away while you are swimming. There are some products that contain both DEET and sunscreen. It is best not to purchase this DETT - sunscreen combination . B uy the products indi - vidually. There are a lso DEET - free products ; most contain oil of lemon eucal y ptus or a form of citronella oil. Your pharmacy will be able to help you select a product , but read labels carefully. O il of lemon should not be used on children below the age Видання C оюзу Українок A мерики - перевидано в електронному форматі в 2012 році . A рхів C У A - Ню Йорк , Н . Й . C Ш A.
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