Chlorhexidine 1 ndi mankhwala othandiza okhala ndi antiseptic okhudzana ndi biguanides. Zimapangidwa m'njira zosiyanasiyana ndipo zimagwiritsidwa ntchito kuchuluka kwa ma pathologies. Pogwiritsa ntchito njira zopewera komanso zochizira, sizimayambitsa kusintha kosafunikira mthupi.
Dzinalo Losayenerana
Chlorhexidine.
ATX
Khodi ya gulu la ATX ndi G01A X. Amatanthauzira othandizira othandizira omwe amagwiritsidwa ntchito pazachipatala.
Chlorhexidine 1 ndi mankhwala othandiza okhala ndi antiseptic okhudzana ndi biguanides.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala amamasulidwa mu mawonekedwe a chinthu chosungunuka chomwe chimagwiritsidwa ntchito pambiri, kupopera, kupaka kwa gel, mafuta ndi mafuta pessaries kuti aikidwe mu nyini, dragee akuyamwa.
Njira Zothetsera
Yankho la mowa lili ndi antibacterial pawiri wokhala ndi 0,2% kapena 0,5% chlorhexidine. Njira yothetsera vutoli imathiridwa m'mbale zagalasi lozungulira (0,1 L).
Njira yothetsera vutoli imathiridwa m'mbale zagalasi lozungulira (0,1 L).
Kirimu
Kirimu wakugwiritsa ntchito kunja akupezeka mu kuchuluka kwa 0,2%. Zina mwazophatikizira: petrolatum, glycerin ndi zinthu zina zoyenera kupukusa ndi kugwiritsa ntchito kunja.
Gel
Pogulitsa mutha kupeza gel. Lili ndi 0.12% yokha pazomwe zimagwira.
Zotsatira za pharmacological
Mankhwala amagwira ntchito motsutsana ndi bakiteriya monga:
- Treponema palidum;
- Chlamidia spp .;
- Ureaplasma spp .;
- Neisseria gonorrhoeae;
- Trichomonas vaginalis;
- Gardnerela vaginalis;
- Bacterioides fragillis et al.
Mankhwalawa amathandizira mabakiteriya a chifuwa chachikulu ndi ma virus.
Inactivate mabakiteriya a chifuwa chachikulu, ma virus, ma parasites:
- hepatitis;
- chimfine
- chitetezo chokwanira;
- ma virus a herpes;
- rotaviruses;
- enteroviruses.
Mankhwalawa amachita pa yisiti ya Candida. Pseudomonads, proteina, ndi ma spores amawonetsa kuti alibe chidwi nacho.
Yogwiritsa ntchito ndulu yotupa.
Pharmacokinetics
Mankhwalawa akuwonetsa zofunikira pambuyo pa mphindi 2-3 atanyowetsa gawo loyesedwa la thupi.
Chlorhexidine ndi wopanda ntchito chifukwa cha kutupa kwa ndulu.
Simalowa m'magazi ndipo sichitulutsa zinthu zofunikira m'thupi.
Zizindikiro zogwiritsidwa ntchito
Poikidwiratu pamakhala chovomerezeka pamankhwala:
- Trichomonas colpitis;
- kukokoloka kwa khomo pachibelekeropo;
- kuyabwa
- njira ya gonococcal;
- trichomoniasis;
- syphilitic matenda;
- zotupa za chlamydial;
- ureaplasmas;
- gingivitis;
- stomatitis;
- zilonda zam'mimba;
- matenda a chingamu;
- alveolitis;
- tonsillitis.
Poletsa matenda oyamba ndi bakiteriya omwe amagonana, amangogwira pakangotha mphindi 120 kuchokera pachiwopsezo chosagwirizana.
Mankhwalawa amagwiritsidwanso ntchito posamalira pambuyo pothandizira - pochotsa kuphwanya umphumu, kuzindikira zinthu zomwe wodwalayo ali nazo.
Madera ena ogwiritsira ntchito yankho:
- kusazindikira kwa manja a opereshoni ndi ogwira ntchito;
- kuthetsa matenda ndi zida zamankhwala;
- kukonza manja a ogwira ntchito m'mafakitale azakudya, othandizira makampani malinga ndi njira zaukhondo;
Mwanjira ya ma pessaries (makandulo) oyendetsera nyini, mankhwalawa amagwiritsidwa ntchito:
- mankhwala a vulvovaginitis osiyanasiyana etiologies ndi kutukusira kwa nyini mwa atsikana;
- bakiteriya vaginosis;
- zotupa matenda a kumaliseche;
- Kutha mwachangu kwa tizilombo toyambitsa matenda pakachilombo ka matenda (genicology).
Mwanjira yama suppositories, mankhwalawa amagwiritsidwa ntchito popanga matenda amchiberekero.
Contraindication
Mankhwalawa sayenera kugwiritsidwa ntchito ndi anthu omwe amakonda kuchita ziwengo. Mankhwala osokoneza bongo samalimbikitsidwa pochotsa mphuno ndi pakamwa. Maso amapukuta kokha ndi yankho lamadzi, osati ndi mowa.
Sizoletsedwa kupereka mankhwala kwa odwala omwe ali ndi dermatitis. Chenjezo liyenera kuikidwa mu machitidwe a ana. Samagwira malo opangira opaleshoni ndikuthandizira pa mitsempha, ubongo.
Ndi zoletsedwa kugwiritsa ntchito limodzi ndi antiseptics ena.
Momwe mungatengere Chlorhexidine 1
Yankho limaperekedwa kunja kokha. Pofuna kuwongolera, kunyowetsa ndikusamba, tengani mayankho ndi kukhalapo kwa chlorhexidine mwa iwo kuyambira 0,55 mpaka 0,5%. Kuti muchite izi, voliyumu yofunikira imayikidwa gawo lofunikira la thupi kwa mphindi 1-3 kawiri kapena katatu patsiku. Pofuna kugwiritsa ntchito antiseptic, kuthilira kumachitika kapena swab imagwiritsidwa ntchito pamenepa.
Mankhwalawa apadera pakhungu, limaphatikizidwa ndi Chlorhexidine kwa mphindi ziwiri. Amagwiritsidwa ntchito kukonzekeretsa manja a dokotalayo. Kuti tichite izi, manja amasambitsidwa bwino ndi sopo kwa mphindi ziwiri, kenako ndikuwuma ndi nsalu yotetezedwa. Pakhungu louma, yankho limagwiritsidwa ntchito pafupipafupi 5 ml ndi kutikita. Simungathe kupukuta, kuyuma.
Chlorhexidine amagwiritsidwa ntchito pochiza malo opangira opaleshoni ndi zigawo zamagazi opereka magazi. Kuti muchite izi, pukuta khungu ndi aseptic swab ya gauze. Njira yothetsera vutoli iyenera kusungidwa kwa mphindi ziwiri. Khungu limathandizidwa mbali yomweyo.
Njira yothetsera vutoli imaloledwa kuyikidwa pampando wa zida, zida, matebulo, etc. Mtengo woyenda ndi 100 ml pa 1 m². Njira yothetsera vutoli imayikidwa zinthu mogwirizana ndi malangizo.
Gel imagwiritsidwa ntchito pa stomatitis, balanoposthitis, zotupa za m'matumbo; kuchotsa ziphuphu.
Makandulo amayikidwa mu nyini. Pachifukwa ichi, wodwalayo wagona pamsana pake. Gynecologists amalimbikitsa kugwiritsa ntchito 1 supplementory kawiri mu maola 24 kwa sabata, nthawi zina mpaka masiku 10. Woopsa milandu, gynecologists kuwonjezera nthawi ya masiku 20.
Gel imagwiritsidwa ntchito pa stomatitis, balanoposthitis, zotupa za m'matumbo; kuchotsa ziphuphu. Amagwiritsidwa ntchito kumadera odwala. Zomwezi zimagwiranso ntchito pakugwiritsa ntchito kirimu kapena mafuta ndi kuwonjezera kwa biguanide iyi.
M'matenda otupa mkamwa, piritsi 1 imagwiritsidwa ntchito pakamwa pakatha kudya (mpaka kanayi mwa maola 24). Mu mano, njira yotsuka imakonzedwa.
Ndi kutupa kwa urethra, chikhodzodzo, mankhwala ochepa amaphatikizidwa mu ngalande ya urethral. Ndikulimbikitsidwa kugwiritsa ntchito mankhwalawa tsiku lililonse. Kutalika kwa njira ndi masiku 10. Pamaso pa cystoscopy, ndibwino kuti muzitsuka chikhodzodzo ndi chlorhexidine. Kutsatira njirayi kumathandiza kupewetsa pachimake cystitis.
Kutsegula pakamwa panu kumalimbikitsidwa katatu patsiku. M'mawa, tsuka pakamwa panu pakudya cham'mawa komanso kutsuka koyenera. Madzulo, muyenera kuchita njirayi m'njira yomweyo. Ziphuphu zimatha masiku 10. Madziwo amayenera kukhala pakamwa kwa masekondi 60, chifukwa nthawi imeneyi filimu imapangidwa pa mucosa ndi mano omwe amateteza pakulowa kwa tizilomboti toyambitsa matenda.
Chithandizo cha nsapato za Chlorhexidine zimachitika pofuna kuthana ndi matenda oyamba ndi mafupa m'miyendo ndikuchotsa fungo losasangalatsa.
Chithandizo cha nsapato za Chlorhexidine zimachitika pofuna kuthana ndi matenda oyamba ndi mafupa m'miyendo ndikuchotsa fungo losasangalatsa. Kuti muchite izi, gwiritsani ntchito kutsitsi komwe kumamwetsa mkati mwa nsapato. Njirayi iyenera kuchitidwa tsiku lililonse kukonza zotsatira za njira zodzitetezera. Kuphatikiza apo, mutha kuchiza khungu la mapazi ndi kutsitsi komweko kuti muchotse mwachangu matenda opha tizilombo.
Momwe mungasungire ma rinsing
Njira yothetsera mkamwa imakonzekera kale njira, chifukwa imawilitsidwa mu ndende yotetezeka ya 0.05%. Samagona m'madzi. Ngati pali yankho la 0.1%, ndiye theka lagalasi la yankho liyenera kuwonjezera madzi omwewo.
Njira zina pokonzekera yankho:
- 1 lita imodzi yothetsera zakumwa zoledzeretsa za Chlorhexidine 20%: tengani 25 ml ya kukonzekera kozama ndikuwonjezera 70% Mowa mu 1 dm³;
- kuti mupeze madzi amchere Chlorhexidine amagwiritsanso ntchito zomwezo monga pamwambapa, koma mowa umasinthidwa ndimadzi osungunuka;
- kuti muchepetse 1 lita imodzi ya 0,05% Chlorhexidine, muyenera kumwa mankhwalawa 2,5³ mu 20% ndikuthira ndi madzi a ethanol kapena deionized 1 lita.
Sizotheka kutsuka pakamwa panu ndi 0,5%. Iyenera kuchepetsedwa ndi madzi muyezo wa 10 g pa 90 ml ya madzi.
The achire yankho la mankhwalawa ziyenera kuchitidwa wokha wosabala.
Njira yothetsera mankhwalawa imachitika povundikira. Amaloledwa kudziwitsa, pomwe kutentha kumakweza mpaka + 116ºС. Kutalika kwa njira yolera yotsekemera - osachepera theka la ora. Osagwiritsa ntchito poizoniyu.
Kodi ndingathe kutsuka m'maso mwanga
Yankho tikulimbikitsidwa kuchitira minofu ya maso ndi kutupa kwa conjunctival. Kwa izi, yankho lokonzekera la 0.05% limatengedwa. Ngati pali zochulukirapo, ndiye kuti ziyenera kuyamba kuchepetsedwa ndi madzi. Ana ayenera kuwathira madzi ndi theka.
Njira yopezetsa maso:
- tenthetsani yankho la kutentha kwa chipinda;
- tsekani maso anu;
- sambani pang'onopang'ono mafinya ophatikizika ndi thonje lonyowa kuchokera pakona yakunja ya eyelids mpaka mkati; mankhwalawa sayenera kulowa m'maso.
Njira zomwe zafotokozedwera ziyenera kuchitika mpaka 6 pa tsiku. Ngati mankhwalawo alowa m'maso, ayenera kutsukidwa.
Pochiza maso ndi chlorhexidine, yankho lake liyenera kutenthetsedwa ndi kutentha kwa firiji.
Kumwa mankhwala a shuga
Chizindikiro chazovuta za shuga ndikuwoneka ngati mabala olimbitsa. Satha kuchiritsa kwa nthawi yayitali, zomwe zimapangitsa kuti zikhale zovuta kutsatira zofunikira zaukhondo. Ndikotheka kuchitira khungu ndi mucous nembanemba pokhapokha pakukhazikika kwa zizindikiro za shuga. Popanda izi, ndizosatheka kukwaniritsa zotsatira zosatha. Mlingo wa glycemia ukhale mkati mwa 6 mmol, ndipo mkodzo suyenera kukhala konse.
Chilondacho chizitsukidwa bwino ndi mafinya. Poyeretsa m'magulu musagwiritse ntchito zinthu zopangidwa ndi mafuta, chifukwa zimaletsa kutulutsa kwaulere kwa mafinya. Ndikulimbikitsidwa kumwa mankhwala omwe amakopa ndikuchotsa mafinya. Kuti muchepetse kuyeretsa, mapangidwe a enzyme amagwiritsidwa ntchito (nthawi zambiri ndi chymotrypsin). Zovala ndi antimicrobial othandizira zimayikidwa 1 nthawi patsiku.
Pambuyo pochotsa mafinya mosamala ndi pomwe bala limathandizidwa ndi chlorhexidine. Ngati pali zizindikiro za kuperewera kwa shuga (wodwalayo akuchulukirachulukira shuga), ndiye kuti mankhwalawo amaletsedwa kwakanthawi.
Zotsatira zoyipa za chlorhexidine 1
Gulu lina la odwala linazindikira kuti khungu louma limatha, kumverera kwakukulu, kupitirira kwa dermatitis.
Kutsuka kwamilomo yayitali kumapangitsa kuti mano asade, ndikupanga tartar. Wodwala amatha kuwona kupatuka.
Kutsuka pakamwa kwakanthawi ndi mankhwalawa kumathandizira kuti mano asade.
Malangizo apadera
Mwa anthu omwe ali ndi vuto laubongo, kuwonongeka kwa chingwe cha msana, kutsekeka kwa minofu ya khutu, ndikofunikira kuti vutoli lisafike pamalopo. Mafuta sayenera kuloledwa kulowa mkati mwa khutu.
Kutulutsidwa kwa bulitchi kumadera komwe Chlorhexidine adakhalako kumatha kupangitsa mawanga a bulauni kupanga.
Chlorhexidine amawola ngati watenthedwa ndi kutentha kwakukulu. Nthawi yomweyo, madotolo amawona kuchepa kwa mankhwala ake opha tizilombo toyambitsa matenda.
Ndikotheka kwa ana Chlorhexidine 1
Silembedwera chithandizo cha mabala, khungu ndi mucous membrane kwa odwala mpaka atafika zaka 12. Kusamba ndi maso kuyenera kuchitidwa ndi yankho losalimba, kusamala osalilola kuti lipike. Nthawi zina, mphamvu ya antibacterial mwa mwana imadziwika bwino kuposa akuluakulu.
Chlorhexidine amawola ngati watenthedwa ndi kutentha kwakukulu.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Panthawi yokhala ndi pakati komanso yoyamwitsa, sizinachitike zovulaza za thupi la mwana. Komabe, sikuloledwa kuchita zochiritsa kwakanthawi kambiri.
Mankhwala osokoneza bongo a Chlorhexidine 1
Pogwiritsa ntchito mankhwalawa mogwirizana ndi malangizo, mankhwala osokoneza bongo sanadziwike.
Ngati wodwalayo amamwa yankho mwangozi, ndiye kuti ayenera kuchita zam'mimbamo kuti alepheretse kuyamwa kwa magazi ndi magazi.
Chotsatira, muyenera kupatsa mkaka pang'ono, yankho la gelatin, dzira laiwisi.
Mankhwala osakhazikika. Zizindikiro za poizoni zikaonekera, chithandizo malinga ndi zomwe zasonyezedwacho chikuwonetsedwa.
Kuchita zinthu zina
Pamene chilengedwe chamchere chimakwera pamwamba pa 8 pH, mankhwalawa amayamba. Ngati madzi olimba agwiritsidwa ntchito pochotsa, zinthu zoyipa za wothandizirazo zimachepetsedwa. Osagwiritsa ntchito mankhwalawa limodzi ndi ayodini.
Sopo ndi zinthu zina zofananira sizingaphatikizidwe ndi chlorhexidine. Sikugwirizana ndi mchere wa phosphoric, hydrochloric, sulfuric acid, mchere wa boron ndi citric acid.
Sopo ndi zinthu zina zofananira sizingaphatikizidwe ndi chlorhexidine.
Mankhwalawa amathandizira chidwi cha thupi ku maantibayotiki ambiri, makamaka Cephalosporin, Chloramphenicol. Mowa umawonjezera bactericidal mphamvu ya yogwira pophika mankhwala.
Analogi
Kukonzekera kofanana ndi izi:
- Miramistin;
- Betadine;
- Chlorhexidine bigluconate;
- Povidin;
- Betadine;
- Hexicon;
- Hexia;
- Zoyeserera.
Kupita kwina mankhwala
Njira yothetsera vutoli ingagulidwe ku mankhwala aliwonse popanda mankhwala.
Njira yothetsera vutoli iyenera kusungidwa m'malo amdima, abwino.
Palibe choletsa kuchuluka kwa mankhwalawa omwe agulidwa.
Kuchuluka kwa chlorhexidine 1
Mtengo wa 100 ml wa mankhwalawa mu ndende yokhazikika ndi ma ruble 25-30. Ma paketi othandizira amawononga ma ruble 50.
Zosungidwa zamankhwala
Iyenera kusungidwa pamalo amdima, ozizira. Osalola kuzizira. Osatulutsa kutentha kwakukulu.
Tsiku lotha ntchito
Yoyenera kugwiritsidwa ntchito kwa miyezi 36. Kutha kwa nthawi imeneyi sikungatenge, chifukwa magwiridwe antchito amakhala otsika kwambiri.
Wopanga
Zimapangidwa m'mabizinesi a Yuzhfarm LLC, Science Science Production Center Biogen, PFK Renewal, Rosbio (onse ku Russia).
Ndemanga pa Chlorhexidine 1
Irina, wazaka 28, ku Moscow: "Chlorhexidine ndi mankhwala ophera tizilombo toyambitsa matenda a pakhungu. Amathandizanso kutupa kwa kamwa kapenanso kukomoka kwamatumbo. Ndinakhomerera pakamwa kawiri tsiku lililonse mogwirizana ndi malangizo. "Kutupa. Pochiza mabala pakhungu, ndidazindikira kuti atagwiritsa ntchito mankhwalawa, amachira msanga."
Ivan, wazaka 30, Tver: "Chlorhexidine adathandizira kupewa matenda opatsirana pogonana atagonana mwangozi. Adatenga njira zonse kuti ateteze matenda opatsirana pogonana, monga momwe adalembera malangizo: adayika madontho atatu mu urethra.
Ndimagwiritsa ntchito mankhwalawa kuchiza mabala, abrasions yaying'ono. Pambuyo pake, amachira mwachangu, palibe otsala. "
Svetlana, wazaka 42, Lipetsk: "Mothandizidwa ndi mankhwala, ndizotheka kupewa matenda a pakhungu chifukwa cha mabala, zipsera. Ndikokwanira kuthira pamalopo ndi yankho kuti lithe mwachangu. ayodini komanso wobiriwira wonyezimira. Chifukwa chake ndimagwiritsa ntchito mankhwala ophera tizilombo ".
