Chifukwa chothandiza, chitetezo komanso mtengo wotsika, njira ya Chlorhexidine 0.05 yakhala nthawi yayitali pakati pa antiseptics wamba. Chidachi chimagwiritsidwa ntchito pochiza khungu, mucous nembanemba pophwanya umphumphu wawo komanso matenda, komanso zida zamankhwala, mipando ndi malo. Ndikofunika kuti mankhwalawa amapereka zotsatira zazitali (mpaka maola 18).
Dzinalo Losayenerana
Chlorhexidine (Chlorhexidine).
Chifukwa chothandiza, chitetezo komanso mtengo wotsika, njira ya Chlorhexidine 0.05 yakhala nthawi yayitali pakati pa antiseptics wamba.
ATX
D08AC02 Chlorhexidine.
Kutulutsa mafomu ndi kapangidwe kake
Ku Russia ndi kunja, makampani opanga mankhwala amapanga mankhwala okhala ndi chlorhexidine bigluconate (chlorhexidine bigluconate) m'njira zosiyanasiyana. Izi ndi:
- mayankho amadzimadzi a 0,05%, 0,2%, 1%, 5% ndi 20%;
- zakumwa zoledzeretsa ndi kupopera kwa 0,5%;
- uke supplementories (Hexicon suppositories) 8 ndi 16 mg;
- ngale;
- makapisozi;
- ma lollipops;
- lozenges;
- mafuta;
- mafuta odzola;
- tizilombo toyambitsa matenda.
Zogwiritsira ntchito payekha, malonda amapangidwa mumtundu wa 2, 5, 10, 70, 100 ndi 500 ml. Gwiritsani ntchito mabungwe azachipatala - mabotolo awiri malita.
Njira Zothetsera
Yankho lamadzimadzi a chlorhexidine bigluconate ndende ya 0,05% ndi madzi opanda chitsimikizo. 1 ml ya mankhwala ali ndi 0,5 mg yogwira ntchito. Gawo lothandiza ndi madzi oyeretsedwa. 70 kapena 100 ml yankho limayikidwa mu mabotolo apulasitiki kapena magalasi. Ena mwa iwo ali ndi zida zopatsira anthu ntchito mosavuta. Matumba opangidwa ndi polyethylene amakhala 2, 5 kapena 10 ml ya antiseptic.
Spray ndi yankho la 0.5% imayikidwa mu 70 ndi 100 ml.
Utsi
Mu botolo 1 kapena botolo lokhala ndi kapu kapena utsi - 5 g wa chlorhexidine bigluconate. Zothandiza: 95% ethanol yovomerezeka ndi madzi oyeretsedwa. Ndi madzi owoneka bwino, opanda utoto omwe amatha kukhala ndi mthunzi wopepuka wa nacre. Amanunkhiza mowa. Spray ndi yankho la 0.5% imayikidwa mu 70 ndi 100 ml.
Zotsatira za pharmacological
Mankhwalawa amaphatikizidwa ndi gulu la antiseptics ndi ma disinfectants. Chipangizocho chili ndi tanthauzo:
- antiseptic;
- bactericidal;
- kuwala kosamalitsa;
- fungicidal (kutsogolera ku chiwonongeko cha bowa).
Momwe mphamvu ya mankhwalawa imatengera kuchuluka kwa yogwira ntchito. 0.01% zothetsera zimapereka bacteriostatic kwambiri, kupewa matenda a tizilombo. Zinthu zamadzimadzi zomwe zimakhala ndi chlorhexidine bigluconate yoposa 0,01% zimakhala ndi bactericidal, zimawononga tizilombo toyambitsa matenda kutentha kwa + 22 ° C kwa mphindi imodzi. 0,05% yankho limatulutsa fungicidal zotsatira mkati mwa mphindi 10, ndipo 1% ndende, zotsatira za virucidal motsutsana ndi tizilombo toyambitsa matenda a herpes zimachitika.
Zingwe za yogwira mankhwala zimawononga ma cell a ma bacteria, omwe amafa msanga. Komabe, mitundu ina ya mabakiteriya, mitundu yambiri ya ma virus ndi mafangasi, ma virus ambiri amakana ndi wothandizirawo. Mphamvu ya mankhwalawa imawonetsedwa pokhudzana ndi tizilombo toyambitsa matenda otsatirawa:
- Bacteroides fragilis;
- Chlamydia spp .;
- Gardnerella vaginalis;
- Neisseria gonorrhoeae;
- Treponema pallidum;
- Trichomonas vaginalis;
- Ureaplasma spp .;
- Pseudomonas ndi Proteus spp. (Zina zamagulu awa a chlorhexidine, bigluconate imakhala ndi zolimbitsa).
Zinthu zamadzimadzi zomwe zimakhala ndi chlorhexidine bigluconate yoposa 0,01% zimakhala ndi bactericidal, zimawononga tizilombo toyambitsa matenda kutentha kwa + 22 ° C kwa mphindi imodzi.
Chifukwa cha kupweteketsa mtima kwakanthawi, mankhwalawa amagwiritsidwa ntchito kwambiri pochita opaleshoni ngati njira yothandizira antiseptic. Mankhwalawa amawonetsera pang'onopang'ono zochita za bactericidal pakhungu ndi mucous nembanemba pamaso pa magazi, mafinya, ndi zithupi zathupi zomwe zimapangidwa ndi thupi.
Pharmacokinetics
Njira yothetsera kugwiritsa ntchito kunja siyimalowa m'magazi ndipo ilibe dongosolo. Pakulowetsedwa mwangozi, sichimakumwa mu chakudya cham'mimba ndipo pafupifupi chimatulutsidwa ndi ndowe.
Zizindikiro zogwiritsidwa ntchito
Wopanga amalimbikitsa kugwiritsa ntchito njira yothetsera chlorhexidine ponseponse.
Mu matenda azachipatala - kuthandizira komanso kupewa:
- kuyamwa kwa msempha;
- khomo lachiberekero;
- ureaplasmosis;
- chlamydia;
- trichomoniasis;
- Trichomonas colpitis;
- chinzonono;
- chindapusa.
Mu mano ndi ntchito ya ENT, kuwonjezera pamankhwala othandizirana pambuyo pake komanso kupewa matenda opatsirana mano, kutsimikizira kugwiritsa ntchito chida ndi matenda wamba:
- stomatitis;
- periodontitis;
- gingivitis;
- alveolitis;
- aft;
- tonsillitis.
Yankho likhoza kugwiritsidwanso ntchito ngati mankhwala antiseptic:
- zochizira mabala ndi mabala;
- pa kupha tizilombo ta pakhungu la odwala
- pofuna kuthira zida zamankhwala, zida, zida zomwe sizingagwiritsidwe ntchito ndi chithandizo cha kutentha.
Contraindication
Mankhwala saloledwa kugwiritsa ntchito:
- anthu omwe ali ndi hypersensitivity yogwira mankhwala;
- pamaso pa dermatitis;
- ngati thupi siligwirizana chifukwa kukhudzana ndi yankho.
Momwe mungagwiritsire ntchito chlorhexidine 0,05?
- Kuvulala kwa khungu, kutentha Ikani ntchito 2-4 pa tsiku.
- Angina, pharyngitis, laryngitis, mano odwala, zotupa, fistulas, chofufumitsa mkaka pambuyo opaleshoni yokhazikika, kuvulala kwa mucosa mkamwa: choyamba chotsani zotheka chakudya ndi madzi otentha pang'ono, ndiye kuti mumatenga 1-2 tbsp. yothetsera ndi kutsuka pakamwa panu, pakhosi pafupifupi mphindi 1 mpaka 3-4 patsiku. Palibe chifukwa muyenera kumeza chlorhexidine! Pambuyo rinsing, osamwa kapena kudya kwa 1 ora.
- Kutupa njira ya kumaliseche wamkazi: m'malo mwake, kugwirira, kufinya 0,5-1 ml ya mankhwalawa kumaliseche kuchokera mumtsuko wapulasitiki. Kenako onama kwa mphindi 8-10. Chitani njira ziwiri tsiku lililonse kwa milungu 1-1.5.
- Matenda amitsempha yam'mimba: jekeseni 2-3 ml ya njira katatu patsiku mu urethra. Njira ya chithandizo ndi masiku 5-10.
- Kupewa kumatenda amtundu: woyamba kukodza, kenako jekesani ndi syringe popanda singano 2-3 ml yankho mu urethra, azimayi - 5-10 ml mpaka kumaliseche. Kuvomerezedwa kuchitira khungu kuzungulira maliseche akunja. Mutha kukodza pokhapokha maola awiri. Njira yodziteteza ndi yogwira ntchito ngati simunatenge nthawi yochepera maola awiri pambuyo poti kugonana kwatetezedwa kapena kuphwanya umphumphu wa kondomu.
Momwe mungasungire ma rinsing?
0,05% Chlorhexidine yankho ndi wokonzeka kugwiritsa ntchito kunja. Pakakhala pa ndende zambiri, mankhwalawa amayenera kukhala osakanikirana ndi madzi owiritsa pamoto kutentha kwa magawo motere:
- 0,2% - 1:4;
- 0,5% - 1:10;
- 1% - 1:20;
- 5% - 1:100.
Pachipatala chachikulu, mankhwalawa amayenera kukhala osakanikirana ndi madzi owiritsa firiji.
Kodi ndingasambe kumaso?
Mankhwalawa sanapangidwe kuti azigwiritsidwa ntchito popanga mankhwala a ophthalmic. Chlorhexidine sayenera kuloledwa m'maso. Izi zikachitika mwangozi, ndikofunikira kuti muzimutsuka ndi madzi, kenako ndikuthandizira yankho la sodium sulfacil (Albucid).
Kumwa mankhwala a shuga
Odwala amatha kugwiritsa ntchito mankhwalawa mwanjira iliyonse. Komabe, pogula maswiti, lozenges, muyenera kuonetsetsa kuti ali ndi lokoma, osati sucrose.
Zotsatira zoyipa za chlorhexidine 0,05
Zotsatira zoyipa zogwiritsidwa ntchito ndi mankhwalawa zimawonekera kawirikawiri ndipo zimatha msanga pambuyo pake. Izi ndi:
- thupi lawo siligwirizana - kuyabwa, redness khungu, zidzolo, dermatitis m'malo kucheza ndi yankho;
- kukhuthala kwakanthawi pakhungu la manja;
- khungu louma;
- photosensitivity (kuchuluka kwa chidwi cha dzuwa);
- khungu la mano enamel, kukula kwa kapangidwe ka tartar, kupotoza kwa kukoma (ndimakonda kutsekemera kwamkamwa);
- kupuma movutikira, mantha a anaphylactic (osowa kwambiri).
Malangizo apadera
Kulumikizana kosagwirizana ndi mavutowo, kuvulala kwa ubongo ndi msana, kuwongoledwa kwamitsempha, mtima wamitsempha.
Antiseptic sanapangire zochizira rhinitis, sinusitis, otitis media.
Chogwiritsidwachi sichiyenera kugwiritsidwa ntchito pakufalitsa ma virus (pachifukwa ichi, mutha kugwiritsa ntchito, mwachitsanzo, Miramistin).
Potsatira mayankho omwe ali pamtunda pamtunda wa 0.2%, ndizoletsedwa kukonza mucous membrane ndi kuvulala pakhungu.
Chlorhexidine ndi mankhwala, osati mankhwala aukhondo. Simungathe kugwiritsa ntchito yankho la kusamalira kwamkamwa, ziwalo, chifukwa matendawo angayambike, dysbiosis imayamba.
Sizoletsedwa kuthira mankhwalawa ndi mchere wam'madzi, onjezerani soda.
Mphamvu ya antibacterial ya mankhwalawa imawonjezeka ndi kutentha, komabe, kutentha pafupifupi + 100 ° C, chlorhexidine bigluconate imawonongeka ndipo pafupifupi imatayika kwathunthu machiritso ake.
Kugundana ndi yankho kumakhala kothandiza ngati mankhwala. Koma ndizosatheka kuwononga mabakiteriya okhala ndi mankhwala ochepa okha, maantibayotiki ayenera kumwedwa nthawi yomweyo.
Kugundana ndi yankho kumakhala kothandiza ngati mankhwala.
Kwa ana, makonzedwe okhala ndi chlorhexidine bigluconate amapangidwa ndi chizindikiritso cha "D", mwachitsanzo, makandulo Geksikon D. Lollipops, lozenges for resorption kuti asamezedwe kumatha kuperekedwa kokha kwa mwana wamkulu kuposa zaka 5.
Njira yothetsera vutoli sipanga zinthu zachitsulo, pulasitiki, galasi. Komabe, pamisempha yomwe idalumikizana ndi chlorhexidine, mawanga a bulauni amawoneka akulumikizana ndi ma hypochlorous agents.
Ngati mankhwalawa alowa mthupi, amakhudza zotsatira za anti-doping control.
Ana amatha chlorhexidine 0,05?
Popeza palibe umboni wa sayansi wotsimikiza kuti mankhwalawo ali ndi vuto lililonse kunja ndi komwe mankhwalawo amagwiritsidwa ntchito, ana osaposa zaka 7 sayenera kuthandizidwa nawo. Kusamalira kwapadera kumafunikira pakukamwa pakamwa ndi pakhosi kuti mwana asameze yankho.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Chida chitha kugwiritsidwa ntchito pa nthawi yoyembekezera komanso yoyamwitsa, monga Pakupukutira, kugwiritsa ntchito mu nebulizer, mankhwalawa salowa mthupi. Komabe, kugona ndi yankho sikuletsedwa, chifukwa munthawi imeneyi, mutha kuyambitsa matenda kulowa mu nyini. Madokotala ambiri amalimbikitsa kugwiritsa ntchito lozenges yotetezeka, Hexicon suppositories m'malo mwa chlorhexidine pa nthawi yapakati.
Chlorhexidine angagwiritsidwe ntchito pa nthawi yapakati.
Chlorhexidine Overdose 0,05
Ngati mankhwalawa agwiritsidwa ntchito molingana ndi malangizo, bongo sizingatheke. Ngati yankho lavulazidwa mwangozi mwambiri, m'mimba liyenera kukhazikitsidwa ndipo enterosorbent iperekedwe kwa womenyedwayo.
Kuchita ndi mankhwala ena
Mankhwalawa sagwirizana ndi sopo, ma detergents, alkali ndi zina anionic (zothetsera za colloidal, gum arabic, carboxymethyl cellulose, sodium lauryl sulfate).
Chipangizochi chikugwirizana ndi zinthu zomwe zimakhala ndi gulu la cationic (cetrimonium bromide, benzalkonium chloride, etc.).
Kugwiritsa ntchito ndi carbonates, chloride, sulfates, phosphates, borates, citrate, mankhwalawa amapanga mosiyanasiyana sungunuka.
Sizoletsedwa kugwiritsa ntchito Chlorhexidine popaka ziwindi limodzi ndi ayodini, yankho la aLilol, ndi mankhwala ena ophera tizilombo.
Sizoletsedwa kugwiritsa ntchito chlorhexidine popanga iodini.
Mankhwalawa amawonjezera chidwi cha mabakiteriya opezeka ku Neomycin, Kanamycin, Levomycetin, maantibayotiki a gulu la cephalosporins.
Mowa wa ethyl umakulitsa mphamvu ya mankhwalawa.
Analogi
Chlorhexidine akhoza m'malo ndi mankhwala ofanana kapena ofanana. Izi ndi:
- Zowopsa;
- Anzibel
- Zodana ndi zilonda zapakhosi;
- Bactosin;
- Hexicon;
- Hexoral;
- Kubowola;
- Curasept;
- Miramistin;
- Mucosanine;
- Pantoderm;
- hydrogen peroxide;
- Plivacept;
- Sebidine;
- Furatsilin;
- Chlorophyllipt;
- Cital;
- Eludryl et al.
Kupita kwina mankhwala
Zogula pa counter.
Kodi chlorhexidine ndi 0 05 motani?
Mtengo umatengera kuchuluka kwa malonda, mtundu wa zinthu zomwe chitsikacho chimapangidwira, mtengo wa zoyendera, ndi gulu la mankhwala. Mtengo pafupifupi wa botolo limodzi la 100 ml umachokera ku 12 mpaka 18 ma ruble.
Zosungidwa zamankhwala
Njira yothetsera vutoli iyenera kutetezedwa kuyambira masana. Kutentha kwamtunda: + 1 ... + 25 ° ะก. Mankhwala ayenera kukhala osatheka ndi ana.
Tsiku lotha ntchito
Kukonzekera kwa mankhwala kumakhalabe ndi mankhwala kwa zaka zitatu, yankho lowumitsidwa - osapitirira masiku 7. Choyimira ntchito sichitha ntchito.
Wopanga
Makina opanga chlorhexidine bigluconate kukonzekera:
- "BioFarmKombinat", "Biogen", "Biochemist", "Kemerovo Pharmaceutical Factory", "Medsintez", "Medkhimprom-PCFK", "Moscow Pharmaceutical Factory" (Russia);
- Nizhpharm, Konzanso, Petrospirt, Rosbio, Fakitala Yogulitsa Mankhwala ku St. ,burgVILAR, Pharmproekt, EKOlab, Ergofarm, Eskom, Yuzhpharm (Russia) ;
- Glaxo Wellcome (Poland);
- Famar Orleans (USA);
- "Nobelfarma Ilach" (Turkey);
- Herkel (Netherlands);
- AstraZeneca (Great Britain);
- Kuraproks (Switzerland);
- Gifrer-Barbeza (France).
Ndemanga pa Chlorhexidine 0.05
Irina, wazaka 28, Klimovsk.
Nthawi zonse ndimakhala ndi chida ichi mu nduna yanga yamankhwala kunyumba. Nthawi zambiri ndimagwiritsa ntchito ndikafuna kuchiritsa mwana wamwamuna. Idzafika kunyumba ndi abrasions, ndiye imagwira pakhosi. Mankhwalawa amawononga ndalama, ndipo magwiridwe antchito ndi abwino kwambiri. Komanso, chlorhexidine sichimawotcha, sichimapweteka, osati ngati ayodini, hydrogen peroxide, greenback. Mankhwala osasinthika a ana.
Mikhail, wa zaka 32, Morshansk.
Molar atachotsedwa, adasambitsa pakamwa pake ndi yankho atatha kudya komanso usiku. Ichi ndi chilonda champhamvu choteteza kumatenda. Ndibwino kuti palibe zosasangalatsa zomwe zingachitike. Desna adachira mwachangu komanso popanda mavuto. Kuyambira pamenepo ndakhala ndikuyendetsa izi mgalimoto.
Marina, wazaka 24, Krasnogorsk.
Nthawi ina ndidakhala ndimatumbo. Anapanga phwandolo, ndipo zotulutsa zinaima mwachangu. Tsopano nthawi ndi nthawi ndimagwiritsa ntchito yankho la kupewa. Ndipo ndi angina zimathandiza bwino.Chofunikira, chothandiza antiseptic.
