Mu pharmacology, pali antiseptic ambiri komanso mankhwala ochita kupanga. Chlorhexidine ndi amodzi mwa iwo. Mapiritsi a Chlorhexidine mwanjira yofananira ndi mawonekedwe omwe kulibe. Koma ma lozenges, omwe amatchedwa lozenges, lozenges okhala ndi chlorhexidine popeza chinthu chokwanira ndi chokwanira m'mafakisi.
Mitundu yomwe ilipo ndi kapangidwe kake
Chlorhexidine ndi motere:
- wokhazikika yankho (ntchito opaleshoni, mano);
- kutsitsi ndi aerosol (opakidwa pakamwa kapena pa zowawa);
- kirimu, mafuta kapena gel (yokhala ndi ntchito yakunja ndi yakwanuko);
- ukazi suppositories (zotchulidwa kuchotsedwa kwa matenda azitsamba);
- lozenges (lozenges kapena lozenges yomwe imagwiritsidwa ntchito ngati antiseptic ya angina);
- chigamba cha bactericidal (ndi mapiritsi a chlorhexidine).
Mapiritsi a Chlorhexidine ndi mawonekedwe omwe kulibe, koma zopangidwa ndi chlorhexidine ndizokwanira, mwachitsanzo, sebidine.
Dokotala ndi amene amasankha mitundu ya mankhwalawa kutengera matendawa, popeza onse amapangidwira mosiyanasiyana. Kuphatikiza pazomwe zimagwira, zimaphatikizanso zina:
- zothetsera zimaphatikizapo madzi oyeretsedwa;
- zopopera ndi ma eerosols - ma extracts a chomera, phula, uchi, mafuta ofunikira, makulidwe ndi ma sol sol;
- chlorhexidine mafuta, mafuta ndi ngale zimapangidwa ndi madzi, chosungira, moisturizer, emulsifiers, emollients, lanolin, mavitamini.
Mitundu yolimba imayimira kukonzekera kophatikiza, kuphatikiza pa chlorhexidine yogwira, kuphatikiza:
- ascorbic acid (mapiritsi a Sebidin);
- mankhwala oletsa benzocaine, hydrogen peroxide (chlorhexidine bigluconate), makulidwe (ma femor suppositories Hexoral);
- anti-yotupa wothandizila enoxolone, mintol ndi shuga mmalo (mapiritsi a Anzibel);
- mankhwala oletsa kupindika komanso vitamini C (Drill lozenges, Anti-Angin lozenges).
Dzinalo Losayenerana
Chlorhexidine.
ATX
R 02 AA 0 5.
Zotsatira za pharmacological
Mankhwala ndi a gulu la antiseptics. The pharmacological zotsatira zikutsutsana ndi:
- mabakiteriya;
- yisiti
- dermatophytes;
- ma lipophilic ma virus.
Pharmacokinetics
Mawonekedwe a mankhwalawa, akalowa mkati mwangozi, samayamwa kuchokera m'mimba, amatulutsa 90% ndi ndowe ndi 1% ndi mkodzo. Mutatenga mapiritsi, mankhwalawo amasungidwa m'matumba mpaka maola 8-10. Mukamagwiritsa ntchito supplementory, mayamwidwe achilengedwe a mankhwalawa (mayamwidwe) sadziwika.
Zomwe zimathandiza chlorhexidine
Mankhwalawa amagwira ntchito zotsatirazi:
- antiseptic;
- bactericidal;
- mankhwala oletsa ululu;
- fungicidal (imakhudza bowa).
Chlorhexidine mu mawonekedwe amadzimadzi amathandizira kupewa komanso kuchiza:
- Trichomonas colpitis;
- khomo lachiberekero;
- kutupa kwa tonsils ndi tonsillitis;
- mavuto pambuyo dzino.
Njira yothetsera vutoli imakhala ngati antiseptic ya:
- zili mano
- chisamaliro chantchito;
- mankhwalawa purras mabala ndi kuwotcha;
- kupewetsa tizilombo toyambitsa matenda, komanso zida zamankhwala.
Mitundu yamlomo imagwiritsidwa ntchito matenda amkamwa ndi pakhosi, siyani kutupa msanga, siyani mawonetsedwe oyamba a pathologies (gingivitis, periodontitis, stomatitis, alveolitis).
Contraindication
Contraindering pakupanga mayankho ndi mafuta ndi:
- Hypersensitivity kwa yogwira mankhwala;
- ziwengo zina zowonjezera;
- dermatitis yapakhungu.
Mapiritsi sakusonyezedwa:
- matenda akulu a ENT;
- kukokoloka pa mucosa pamlomo;
- zilonda zam'mimba;
- mphumu
Momwe mungapangire chlorhexidine
Kugwiritsa ntchito mitundu yosiyanasiyana:
- nyimbo zamadzi zothirira kapena compress zimagwiritsidwa ntchito kawiri pa tsiku;
- popewa matenda a ziwalo zoberekera, njira yothetsera jakisoniyo imalowetsedwa ndi maliseche kumaliseche pambuyo pakugonana (munthawi yomweyo chithandizo cha pubis ndi ntchafu ndikulimbikitsidwa);
- Gargles pakhosi ndi zotchulidwa 3 pa tsiku;
- kutsitsi, kuphatikiza apo komwe kumachepetsa komanso kupukutira zinthu, zitha kugwiritsidwa ntchito nthawi zambiri - mpaka 6;
- mafuta odzola ndi gel osakaniza amagwiritsidwa ntchito kunja kamodzi kawiri pa tsiku;
- matenda amkati amathandizidwa ndi suppositories, amawagwiritsa ntchito kwa masabata 1-3;
- zigamba zimapukutidwa kumalo owonongeka ndikukhazikika tsiku limodzi;
- antiseptic mu mawonekedwe a mapiritsi amalembedwa 4 pa tsiku, onse akulu ndi ana a zaka 5.
Makulidwe olimba (maswiti, ma lozenges) amawadyedwa mukatha kudya, sanatafune kapena kumeza, koma amakonza pang'onopang'ono. Mitundu yaimfa imagwiritsidwanso ntchito pochiza zida zamankhwala (imapukutidwa ndi chinkhupule chothira mu antiseptic kapena chonyowa mkati mwake). Ngati pakufunika kumwa mankhwalawa ndi zovuta mankhwala, mlingo umayikidwa ndi dokotala. Mwachitsanzo, mu urology (urethritis kapena urethroprostatitis), Chlorhexidine amalowetsedwa mu urethra patadutsa masiku 10.
Ndi matenda ashuga
Mu shuga, chlorhexidine angagwiritsidwe ntchito mwanjira iliyonse. Pogwiritsa ntchito maswiti onunkhira, muyenera kuwonetsetsa kuti alibe shuga, koma m'malo.
Zotsatira zoyipa za chlorhexidine
Zotsatira zoyipa:
- chifuwa
- dermatitis;
- kuyabwa
- tartar (wokhala ndi ziphuphu zamkamwa pafupipafupi);
- kuchepa kwa kukoma (ndi gingivitis).
Zokhudza mphamvu pakuwongolera njira
Kupezeka kwa mankhwala mthupi kumayambitsa kuphwanya zotsatira za anti-doping control.
Malangizo apadera
Osalola kuti vutoli lifike pamalo otseguka ndi:
- kuvulala kwamkati kwa ubongo;
- kuvulala kwa msana;
- kukonzanso kwa eardrum.
Malangizo ena:
- Mphamvu ya antibacterial ya mankhwalawa imayamba kukonzedwa;
- Kutentha kukakwera kufika pa 100 ° C, chinthu chomwe chimagwira chimawola ndipo pang'ono ndi pang'ono chimataya;
- sayenera kugwiritsidwa ntchito nthawi yomweyo ndi ayodini ndi antiseptics ena;
- ngati ilowa mucous nembanemba wa maso kapena mkati mwa patsekeke ndi khutu, ndikofunikira kuti muzitsuka bwino ndi madzi;
- osalimbikitsa kuti azigwiritsa ntchito mawonekedwe amadzimadzi kuti ayeretse khungu pakatha zaka 30 mpaka 40 chifukwa choopsa chambiri;
- yankho lake silingamezedwe (ngati mwalowa mwangozi, ndibwino kutsuka m'mimba ndi madzi ambiri);
- zowonjezera sizikulimbikitsidwa kuti zigwiritsidwe ntchito nthawi yomweyo ndi Viagra.
Kupatsa ana
Muubwana, chlorhexidine amagwiritsidwa ntchito mosamala. Ma lozenges ndi lozenges sanadziwike kwa zaka 3 chifukwa chokhala ndi vuto la kulowetsedwa mwa kufuna kwanu (kapena mankhwala, ataperera mu ufa, koma kuyambira wazaka 5). Ana akulimbikitsidwa mitundu ya chlorhexidine yolembedwa "D" (mwachitsanzo, makandulo Geksikon D).
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Mankhwala pazinthu izi alibe contraindicated ngati palibe mavuto. Kwa matenda am'mero, azimayi oyembekezera amapatsidwa mankhwala oteteza khungu la Lizobakt (France), opangidwa mwa mawonekedwe a lozenges.
Bongo
Ma fomu olimba, pofuna kupewa kumwa mankhwala osokoneza bongo, ayenera kumwedwa mogwirizana ndi malangizo omwe aphatikizidwa. Kugwiritsa ntchito yankho nthawi yayitali kapena kutsitsi kumapangitsa kuuma kwa mucous nembanemba.
Kuchita ndi mankhwala ena
Chlorhexidine (mafuta, njira yothetsera) samagwirizana ndi sopo, alkali ndi anionic mankhwala:
- saponins (glycosides);
- colloids (mayankho a gelatinous);
- gamu arabic (polysaccharide zachilengedwe, zomatira zomatira);
- sodium lauryl sulfate (wogwira ntchito yoyeretsa);
- sodium carboxymethyl cellulose (chakudya chomata).
Mankhwala amagwirizana ndi gulu la cationic:
- belzalkonium chloride (chosungira ndi antiseptic);
- cetrimonium bromide (yosungika).
Kuyenderana ndi mowa
Mowa umapititsa patsogolo chlorhexidine.
Analogi
Analogs a mankhwalawa malinga ndi dzina losavomerezeka padziko lonse lapansi (dzina lantchito):
- Chlorhexidine bigluconate;
- Chlorhexidine gluconate;
- Chlorhexidine gifera;
- Ahdez 3000.
Mankhwala ena ozikidwa pa antiseptic:
- Amident, Tsiteal - zothetsera;
- Gibiscrab - makandulo;
- Heoticon, Katedzhel - gel;
- Plivasept - mafuta, yankho, chigamba.
Kupita kwina mankhwala
OTC.
Kodi ndingagule popanda kulandira mankhwala?
Popanda mankhwala, matope a zinthu zophatikizika amagulitsidwa, omwe atha kugulitsidwa mu Mbale za PVC (200 ml) kapena polyethylene canisters (1, 5, 25 ndi 50 l). Mapiritsi, mafuta ndi ma plasters nawonso alibe zina zowonjezera. Koma ndikudziyimira pawokha, muyenera kuwerenga malangizowo.
Mtengo
Mtengo wake umatengera mafomu ndi opanga:
- 100 ml yankho m'mabotolo apulasitiki -12 rub .;
- utsi 100 ml - ma ruble 23.;
- Sebidin mapiritsi 20 ma PC. - ma ruble 150.;
- mapiritsi a ndimu Hexoral Tabs 20 ma PC. - ma ruble 180.;
- aerosol Hexoral (0,2% chlorhexidine) 40 ml - 370 ma ruble;
- utsi wa Anti-Angin 25 ml mu vala ndi kutsitsi - 260 ma ruble .;
- Anti-Angin lozenges 24 ma PC. - ma ruble 170 .;
- zotupa mapiritsi Anti-Angin 20 ma PC. -130 rub .;
- gel osakaniza ndi lidocaine wa Katedzhel 12,5 g - 165 ma ruble.
- Curasept madzi (Switzerland) 200 ml (0,05% chlorhexidine) - 1310 ma ruble.
Zosungidwa zamankhwala
Ndikulimbikitsidwa kusunga chlorhexidine m'malo owuma komanso amdima, pamtunda wosaposa + 25 ° C.
Tsiku lotha ntchito
Moyo wa alumali umasonyezedwa phukusi. Yankho lamadzimadzi limasungidwa kwa zaka zitatu. Mafomu otsalawa ndi zaka 2, izi ndi:
- mano osalala;
- mafuta onunkhira ndi mafuta;
- ma aerosols;
- lozenges;
- suppositories;
- bactericidal chigamba.
Mayankho okonzedwa pakupaka fakitale ayenera kugwiritsidwa ntchito mkati mwa sabata 1 mutatsegulidwa.
Zomwe zakonzedwa kuchipatala ziyenera kudyedwa mkati mwa maola 10 mutakonzekera.
Wopanga
Makampani ena akunja omwe amapanga mankhwala okhala ndi chlorhexidine wogwira:
- Glaxo Wellcome, Poland (Sebidin akukonzekera);
- Famar Orleans, USA (Hexoral Spray);
- Nobelfarm ilach, Turkey (antiseptic Anzibel);
- Herkel, The Netherlands (Drill lozenges, maswiti a Anti-Angin);
- AstraZeneca, UK (yankho);
- Curaprox, Switzerland (Madzi a pakamwa a Curasept);
- GIFRER BARBEZAT, France (mankhwala a Chlorhexidine Giffer).
Mayankho okonzedwa kale ndi chlorhexidine m'mawu oyambira ayenera kugwiritsidwa ntchito pakatha sabata 1 atsegulidwa.
Opanga zapakhomo:
- Nizhpharm OJSC;
- LLC "Rosbio";
- Ergofarm LLC;
- CJSC Petrospirt.
Ndemanga
Maria, wazaka 39, Moscow
Nthawi zonse ndimakhala ndi yankho mu nduna yamankhwala, ndimagwira zonse - kuyambira ziphuphu zakumaso ndi abrasions mpaka ku douching ndi rinsing. Ndipo ngati mafuta a antiseptic ndimagwiritsa ntchito Clotrimazole (komanso ndi chlorhexidine).
Anna, wazaka 18, Omsk
Ma lollipops okoma, ndimagwiritsa ntchito pafupipafupi kuteteza zilonda zapakhosi ndi chimfine.
Mikhail, zaka 64, Penza
M'mbuyomu, ndidayamba kugwiritsa ntchito ayodini. Koma atachitidwa opaleshoni yaposachedwa, madotolo adalimbikitsa Chlorhexidine kuti azisamaliridwa. Kugwiritsa ntchito nthawi zopitilira 2-3, mankhwalawa adathandizira kwambiri, ndipo samasiya zotsalira pazovala (mosiyana ndi greenbacks).
