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The article was translated into English using automatic translation. The editors are working on its improvement.

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<p>At the consultation, ask the client about what medications he is taking. This will facilitate the work and help you choose the right method of procedure.</p><p> Seek medical advice if possible.</p><h2 style="text-align: center;"> <strong>Oncology</strong></h2><p> There are many ways of dermatological treatment of patients with oncological diseases:</p><ul><li> scar camouflage,</li><li> trichological dermopigmentation,</li><li> eyebrows and arrows. </li></ul><p><img alt="" src="https://pro.bhub.com.ua/permanent/upload/files/%D0%BF%D1%80%D0%B8%D0%B5%D0%BC%20%D0%BB%D0%B5%D0%BA%D0%B0%D1%80%D1%81%D1%82%D0%B2.jpg" style="width: 1200px; height: 825px;" /></p><p> When starting to work with a cancer patient, keep in mind that one of the main side effects of drugs aimed at treating cancer is a violation of the function of the bone marrow and, as a result, a decrease in the number of leukocytes in the body. An insufficient number of white blood cells leads to a weakened immune system and the risk of infection. Infection after applying permanent makeup can reset the treatment process, which will ultimately lead to a delay in the course of chemotherapy. The dermopigmentation procedure for such a patient should be prescribed by an oncologist, focusing on the level of leukocytes.</p><p> Another important topic for monitoring the work of a dermopigmentation master is the cases of a patient undergoing hormonal therapy, which can have the following unpleasant effects:</p><ul><li> increased risk of infection due to drug-induced immunosuppression</li><li> slow skin regeneration</li><li> lack of skin protection from ultraviolet radiation</li><li> the possibility of a more pronounced and aggressive reaction to the drug</li></ul><p> Particular attention should be paid to working with a client undergoing radiotherapy. Dermopigmentation in this type of treatment should be carried out as carefully as possible, because the skin exposed to radiotherapy is hyper-pigmented, sensitive, inelastic and vascularized.<br /> Before proceeding with the dermopigmentation procedure on a client with oncology, obtain the consent of his attending physician, as well as the consent of the client to the medical intervention, which must be attached to the document confirming the use of sterile materials. Evaluate potential medications and develop a protocol for self-medication. </p><p><img alt="" src="https://pro.bhub.com.ua/permanent/upload/files/%D0%BB%D0%B5%D0%BA%D0%B0%D1%80.jpg" style="width: 1200px; height: 800px;" /></p><h2 style="text-align: center;"> <strong>General medicines</strong></h2><p> Side effects of the use of non-steroidal anti-inflammatory drugs (aspirin, analgin, ketoprofen, ibuprofen), as well as anticoagulants (heparin, warfarin) are prolonged bleeding and impaired platelet adhesiveness. As a result, carrying out dermopigmentation while taking these drugs can lead to the following unfavorable results:</p><ul><li> retention of pigment in the skin due to excessive bleeding</li><li> prolonged and problematic wound healing</li></ul><p> In order for the result of the work of the master to please the client, and the procedure itself to go correctly, it is not recommended to take non-steroidal anti-inflammatory drugs four days before the appointed day of dermopigmentation. If the client is taking anticoagulants, the dermopigmentation procedure must be approved by the attending physician.</p><h2 style="text-align: center;"> <strong>Caseous preparations</strong></h2><p> The main side effect of the use of caseous drugs, which include levothyroxine and liothyronine, is prolonged wound healing. It is not necessary to start dermopigmentation of the eyes of a client suffering from hypothyroidism, as this can lead to such unpleasant consequences as: eyelid edema, impaired intraocular pressure, lacrimation, inflammation, dry eyes.<br /> Any wound on the eyelid is an open door for antigen. When working in this area, be careful and attentive, as the antigen can lead to thrombosis of the cavernous sinus.</p><h2 style="text-align: center;"> <strong>Immunosuppressive drugs</strong></h2><p> Immunosuppressive drugs are used to control severe allergic reactions and introduced diseases. This class of drugs includes: methotrexate, immunoglobulin, adrenal corticosteroid and cyclosporine. These drugs are used to suppress the immune system of patients, so the main negative reaction of the body to dermopigmentation during their administration is a delay in regeneration. </p><p><img alt="" src="https://pro.bhub.com.ua/permanent/upload/files/%D0%BB%D0%B5%D0%BA%D0%B0%D1%80%D1%81%D1%82%D0%B2%D0%B0.jpg" style="width: 1200px; height: 675px;" /></p><h2 style="text-align: center;"> <strong>Antibiotics</strong></h2><p> A client undergoing antibiotic treatment cannot undergo dermopigmentation because they have an active infection in their body.</p><h2 style="text-align: center;"> <strong>Biophosphonates</strong></h2><p> Bisphosphonates are a group of drugs intended for the treatment of diseases of the skeletal system and disorders of calcium metabolism. Drugs in this group are used to treat postmenopausal osteoporosis, as well as to reduce the risk of spinal fracture, for the treatment of patients with cancer. In patients treated with bisphosphonates, there are changes in the tattoo ink around the lips. For example, changes in the color and aspect of the pigment.</p><h2 style="text-align: center;"> <strong>Psychotropic substances</strong></h2><p> Clients who use psychotropic substances in everyday life are most at risk of infection during the dermopigmentation procedure, as their immunity is reduced. A particular danger to the health of a client who comes for dermapigmentation is the use of such a psychotropic substance as levomisole. This drug can cause inflammation of the blood vessels and necrosis of the skin.</p><p> Clients who use psychotropic substances in everyday life are most at risk of infection during the dermopigmentation procedure, as their immunity is reduced. A particular danger to the health of a client who comes for dermapigmentation is the use of such a psychotropic substance as levomisole. This drug can cause inflammation of the blood vessels and necrosis of the skin.<br /><br /> Dermo-pigmentation treatment statistics show that people who use nicotine regularly suffer from prolonged bleeding during the procedure much more often than those patients who do not smoke. Bleeding during or immediately after the dermopigmentation procedure may be reflected in a decrease in the amount of pigment in the skin, which will negatively affect the result of the master&#39;s work. With dermo-pigmentation of the lips, the pigment may simply disappear in the place where the smoker holds the cigarette filter.</p><p> Alcohol use also refers to the use of psychotropic substances and can inhibit platelet aggregation, which interferes with the normal process of blood clotting. Remember, the dermopigmentation procedure can be done to the client only 24-48 hours after drinking alcohol. </p><p><img alt="" src="https://pro.bhub.com.ua/permanent/upload/files/%D0%BB%D0%B5%D0%BA%D0%B0%D1%80%20%D0%BF%D1%80%D0%B8%D0%B5%D0%BC.jpg" style="width: 1200px; height: 900px;" /></p><h2 style="text-align: center;"> <strong>Painkillers</strong></h2><p> Pain relievers based on lidocaine and prilocaine are not recommended for use in permanent makeup areas, as these drugs are overly alkaline. Treating the skin with activated alkali prior to pigment injection increases the risk of pigment displacement, especially when working with Carbon Black pigment.</p><p> Having familiarized yourself with the main list of side effects of drugs, you can see how many restrictions the use of certain medications by the client introduces into the work of the master. Take a careful history before starting dermopigmentation and always instruct the client about the possible effects of medication.</p><p> The article has been translated.<br /> Source: <em>Educational Sciences: Theory &amp; Practice</em> , 2017</p>

Permanent make-up and medicines: we combine correctly