Mafuta okhala ndi chlorhexidine ndi mankhwala antiseptic okhala ndi mphamvu yotsimikizika ya mankhwala komanso chitetezo. Amagwiritsidwa ntchito mu mano, otorhinolaryngology, gynecology, urology ndi dermatology kuti athe kuchiza komanso kupewa matenda oyambitsidwa ndi bakiteriya, fungal kapena virus virus.
Dzinalo Losayenerana
INN yovomerezedwa ndi WHO ndi Chlorhexidine.
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Mafuta okhala ndi chlorhexidine ndi mankhwala antiseptic okhala ndi mphamvu yotsimikizika ya mankhwala komanso chitetezo.
Mayina amalonda
Ma antiseptics omwe amapangidwa ndi gel, yomwe imaphatikizapo chlorhexidine, amapezeka pansi mayina osiyanasiyana:
- Hexicon;
- Gel yothandizira antiseptic;
- chlorhexidine chodzitetezera dzanja;
- mafuta ophikira Chabwino;
- Chlorhexidine bigluconate 2% yokhala ndi metronidazole;
- Curasept ADS 350 (ma periodontal gel);
- Parodium gel osakaniza kwa tiziwalo tating'ono;
- Xanthan gel osakaniza ndi chlorhexidine;
- Lidocaine + Chlorhexidine;
- Katedzhel ndi lidocaine wa;
- Lidochlor.
ATX
Code -D08AC02.
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Ma antiseptics mawonekedwe a gel, omwe amaphatikizapo chlorhexidine, amapezeka pansi mayina osiyanasiyana.
Kupanga
Monga yogwira mankhwala, mankhwalawa amakhala ndi chlorhexidine bigluconate, cosmophor, poloxamer, lidocaine wothandizanso.
Zotsatira za pharmacological
Mankhwalawa ali ndi antiseptic komanso mankhwala opha tizilombo toyambitsa matenda. Mothandizadi amagwiritsa ntchito polimbana ndi tizilombo tating'onoting'ono tambiri tambiri (gramu-gramu ndi gram-negative, protozoa, cytomegaloviruses, ma virus a fuluwenza, ma virus a herpes ndi mitundu ina ya yisiti monga yisiti).
Enteroviruses, adenoviruses, rotaviruses, mabakiteriya osagwira asidi ndi ma spores a fungus amalimbana ndi chlorhexidine.
Makhalidwe abwino a mankhwalawa amaphatikizanso kuti samankhwala osokoneza bongo ndipo samaphwanya microflora yachilengedwe.
Pharmacokinetics
Thupi silimakhudzidwa ndi khungu komanso mucous nembanemba, lilibe dongosolo mthupi.
Zomwe zimathandiza gel osakaniza ndi chlorhexidine
Chlorhexidine amagwiritsidwa ntchito pochiza mabala, kuwotcha, kupukusa mankhwalawa, kuchitira matenda opakidwa pakhungu: pyoderma, furunculosis, paronychia ndi panaritium.
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Madokotala a mano amagwiritsa ntchito chida cha mankhwalawa chotupa cha mucous mkamwa: periodontitis, gingivitis, aphthous stomatitis komanso prophylactic atachitidwa opaleshoni (maxillofacial ndi dzino kutulutsa). Mankhwalawa amawaika mu ma syringe osataya ndi cannula yofewa.
Mankhwalawa amagwiritsidwa ntchito pochiza komanso kupewa matenda amtundu (genital herpes, chlamydia, trichomoniasis, gonorrhea, syphilis).
Chithandizo cham'deralo ndichothandiza tillillitis, tonsillitis, pharyngitis komanso kupewa mavuto atatha opaleshoni ya ENT.
Chlorhexidine osakanikirana ndi mankhwala ochititsa dzanzi amagwiritsidwa ntchito pakugwira ntchito mu urology; mu mano - pochotsa zolimba mano.
Contraindication
Gel yokhala ndi chlorhexidine sagwiritsira ntchito hypersensitivity ku zigawo za mankhwala ndi dermatitis.
Chlorhexidine amagwiritsidwa ntchito mosamala pochita ana.
Momwe mungagwiritsire ntchito mankhwala a chlorhexidine
Thupi limagwiritsidwa ntchito pakhungu ndi mucous nembanemba ndi woonda wosanjikiza 2 kapena katatu patsiku.
Pochiritsa mano, amapangira ntchito kwa mphindi 2-3 katatu patsiku kapena kugwiritsa ntchito kamcherekedwe kamkamwa ndi gel. Kutalika kwa mankhwala kumatsimikiziridwa ndi dokotala, chithandizo nthawi zambiri chimaperekedwa kwa masiku 5-7.
Kupewa kwa matenda opatsirana pogonana ngati mukugonana mosadziteteza kumachitika msanga.
Gel yokhala ndi mankhwala ogwiritsira ntchito mankhwalawa imagwiritsidwa ntchito pokhazikitsa malingana ndi malangizo kuchipatala.
Ndi matenda ashuga
Chlorhexidine akuwonetsedwa zochizira mabala, abrasions kapena trophic zilonda zam'mimba matenda a shuga; imagwira ntchito yofewa komanso bwino kwambiri kuposa ayodini, njira yanzeru yobiriwira kapena ya manganese.
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Chlorhexidine ndi mankhwala zochizira mabala, abrasions kapena trophic zilonda zam'mimba matenda.
Zotsatira zoyipa za chlorhexidine gel
Kuwonekera kwa khungu pakhungu kapena mucous nembanemba nthawi zina kumawonedwa (erythema, kuwotcha, kuyabwa) .kukhoza kuphwanya chilengedwe cha pH ndikugwiritsa ntchito nthawi yayitali.
Mwa odwala ena, mano enamel amadetsa ndipo kusintha kwake kumadziwika.
Zokhudza mphamvu pakuwongolera njira
Mankhwala alibe mwatsatanetsatane thupi, motero, mu izi alibe contraindication.
Malangizo apadera
Ngati mankhwalawo afika mwangozi m'maso mwanu, muzimutsuka nthawi yomweyo ndi madzi ndikukhazikitsa njira ya 30% ya sodium sulfacyl.
Kulowetsa kachinthu kakang'ono sikamayambitsa thanzi, ndikofunikira kuti muzitsuka m'mimba ndikutenga adsorbent (Polysorb kapena activated Carbon).
Kupatsa ana
Kwa ana ochepera zaka zisanu ndi chimodzi, chlorhexidine sichilamulidwa kwenikweni. Ndikofunika kuti mwana afotokozere kuti mankhwalawo sayenera kumeza.
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Kwa ana ochepera zaka zisanu ndi chimodzi, chlorhexidine sichilamulidwa kwenikweni.
Mu zochita za mano a mano, mankhwalawa amadziwitsidwa ngati mankhwalawa amathandizira: ma caries ndi chingamu.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Kugwiritsa ntchito mankhwala kwakunja komweko ndikololedwa (kupatula chithandizo cha ming'alu), popeza mankhwalawa sakulowa m'magazi.
Bongo
Milandu yamavuto akuchulukitsa mlingo woyenera sinafotokozeredwe, komabe, mankhwalawa ayenera kugwiritsidwa ntchito molingana ndi malangizo azachipatala.
Kuchita ndi mankhwala ena
Chlorhexidine osavomerezeka kuti agwiritsidwe ntchito munthawi yomweyo ndi ayodini komanso mankhwala okhala ndi ayodini, chifukwa zotupa ndi dermatitis ndizotheka.
Detergents inactivate mankhwala, muyenera kuwatsuka pakhungu osatsata.
Mowa wa ethyl umakulitsa zochitika za chlorhexidine.
Kuyenderana ndi mowa
Kugwiritsa ntchito kunja kwa gel osavulaza sikumabweretsa mavuto mukamamwa zakumwa za ethyl mkati.
Analogi
Mankhwala ambiri omwe amapezeka mwanjira zamitundu yambiri ali ndi vuto la antibacterial: mafuta a Furacilin, zonona za Bactroban, kutsitsi la Malavit, yankho la Miramistin, mapiritsi amkati a uke, Baneocin ufa wakunja, supplementories a Methyluracil.
Kupita kwina mankhwala
Kusankhidwa kwakukulu kwa mankhwalawa kumaphatikizapo zochitika zosiyanasiyana tchuthi.
Kodi ndingagule popanda kulandira mankhwala?
Mankhwala okhala ndi chlorhexidine m'mafakitale angagulidwe popanda mankhwala, mankhwala ophatikizidwa ndi lidocaine ndi mawonekedwe a mankhwala.
Mtengo
Mankhwala othandizira phamu amtengo wokwera ma ruble 320. mpaka ma ruble 1,500., mankhwala opha tizilombo toyambitsa matenda osalala - 60-120 rubles.
Zosungidwa zamankhwala
Sungani pamalo amdima, owuma osatheka ndi ana. Zotentha: kuyambira +15 mpaka + 25ºº, osalolera kuzizira.
Tsiku lotha ntchito
Osapitirira zaka 2 kuchokera tsiku lopanga.
Wopanga
Chlorhexidine gel opangidwa ndi makampani opanga mankhwala m'mayiko osiyanasiyana:
- Hexicon - Nizhpharm OJSC, Russia;
- Hexicon STADA - Artsnaymittel, Germany;
- Chlorhexidine gel - Pharmacy, Lugansk, Ukraine;
- gel osakaniza antiseptic processing - Technodent, Russia;
- Lidocaine + Chlorhexidine - Germany;
- Lidochlor - India;
- Katedzhel ndi lidocaine - ku Austria;
- zoteteza kwa manja Chlorhexidine Dr. Otetezeka - Russia;
- mafuta odzola a gel osakaniza kuphatikiza - Biorhythm, Russia;
- Curasept ADS 350 (ma periodontal gel) - Italy;
- Parodium gel osakaniza a gamu tcheru - Pierre Fabre, France.
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Ndemanga
Tatyana N., wazaka 36, Ryazan
Nthawi zonse ndimasunga yankho la chlorhexidine m'nyumba yanga yanyumba yamankhwala kuti nditsekeke pakamwa komanso pakhosi. Ndidanyowetsanso bandeji nditawotcha ndikusambitsa bala, ndikupukuta khungu ndikutupa ndi ziphuphu. Imagwira mwachangu ndipo singathe kutsina. Geloyi ndi yodula kwambiri, koma nthawi zina imakhala yosavuta kugwiritsa ntchito.
Dmitry, wazaka 52, Moscow
Pambuyo pa kutenga Viagra, chotupa chinatuluka pakhungu ndi kutupa. Suprastin adamwa nthawi yomweyo, komabe amayenera kupita kwa adotolo. Adotolo adamuwuza Hexicon, zotupa zake zidasowa tsiku lotsatira, ndipo chotupa sichidapitilira sabata limodzi.