Zinthu za bactericidal zimagwira ntchito yofunika kwambiri pakuchiza matenda opatsirana. Mankhwala amakono, Chlorhexidine bigluconate amagwiritsidwa ntchito nthawi zambiri, omwe ali ndi mbiri yoposa theka la zaka, amagwira ntchito motsutsana ndi ma bacteria ambiri, ndipo ali otetezeka kugwiritsa ntchito thupi. Kuphatikiza pa chithandizo chamankhwala, kugwiritsidwa ntchito kwake ndikoyenera kwa kupewa kupezekanso kwa njira zotupa.
ATX
ATX: A01AB03 B05CA02, D08AC02, D09AA12, R02AA05, S01AX09, S02AA09, S03AA04
Mu Chilatini - Chlorhexidinum.
Chlorhexidine imapezeka ngati njira yothandizira panja.
Kutulutsa mafomu ndi kapangidwe kake
Chlorhexidine akupezeka mu mawonekedwe a yankho lomwe limagwiritsidwa ntchito kunja (kumwa kapena kugwiritsanso ntchito njirayi osavomerezeka).
Yankho lamadzimadzi la Chlorhexidine bigluconate limapangidwa ndikugulitsa m'chiwopsezo cha 0,05% mu 100 ml mu botolo la phukusi la makatoni, momwe malangizo ogwiritsidwira ntchito akadaphatikizidwa.
Chlorhexidine imapezekanso mu ma suppositories amkati (10 m'bokosi).
Kuphatikiza apo, chlorhexidine amagulitsidwa ngati chinthu chouma pokonzekera mayankho a zofunika kuzungulira.
Chlorhexidine akupezeka mu mawonekedwe a ukazi suppositories.
Zotsatira za pharmacological
Chlorhexidine amatha kuwononga mabakiteriya, kuchepetsa ntchito zawo ndikupanga zopinga pakubereka kwawo. Ili ndi zochitika zambiri poyerekeza ndi tizilombo tambiri: treponemas, chlamydia, ureaplasma, gonococcus, trichomoniads, mabakiteriya a anaerobic.
Chlorhexidine amatha kuwonjezera kukhudzidwa kwa mabakiteriya ku mankhwala opha maantibayotiki, omwe amalola kuwonongeka kwa tizilombo tosiyanasiyana tomwe timagwirizana ndi mankhwala olimbana ndi antibayotiki.
Mankhwalawa alibe mphamvu pa ma virus ndi ma spores a bacteria, omwe amayenera kuganiziridwa pozindikira ndikupereka mankhwala.
Pharmacokinetics
Popeza njira yothetsera vutoli imagwiritsidwa ntchito pakanthawi kochepa ndipo samalumikizana ndi mucous m'mimba ndi matumbo, kuyamwa kwa zinthu zomwe zimagwira m'magazi sikuchitika. Izi zikutanthauza kuti mankhwalawa samakhudza ziwalo zonse za mthupi ndi machitidwe a thupi.
Zizindikiro zogwiritsidwa ntchito
Mankhwalawa amagwiritsidwa ntchito:
- kusazindikira khungu ndi mucous nembanemba zamkamwa;
- kukonza zida zogwiritsira ntchito zamankhwala ndi zodzikongoletsera;
- kupha tizilombo toyambitsa matenda pogwiritsira ntchito zodzikongoletsera, ukhondo komanso njira zamankhwala;
- rinsing, ngati njira yochizira matenda am'mimba kupuma thirakiti, popeza mankhwalawa ali ndi mphamvu pa mucous nembanemba.
Mukakonza, zida zonse zomwe zimamizidwa mu njira ya chlorhexidine zimasungidwa nthawi yoyenera. Nthawi yowonetsera imadalira kuchuluka kwa zida zamagetsi ndi kuphatikizidwa kwa yankho lomalizidwa.
Chlorhexidine angagwiritsidwe ntchito poiziriritsa zida zamankhwala pamodzi ndi ma antiseptics (omwe nthawi zambiri amatengera mowa wa isopropyl) komanso pochiza khungu musanachite opareshoni. Pankhaniyi, zouma zomwe zimagwira ntchito nthawi zambiri zimatengedwa, zomwe zimapukusidwa kuti mupeze zofunika kuzungulira.
Contraindication
Izi antiseptic wothandizila sangathe ntchito zochizira conjunctiva ndi conjunctivitis ndi matenda aliwonse a ophthalmic.
Ndi zoletsedwa kugwiritsa ntchito yankho kuti mutsegule mabala, kuyiyika m'makutu ngati mukumveka wa eardrum ndikugwiritsa ntchito mabala omwe amalowera mkati mwa cranial patsekiti (imangokhala yogwiritsidwa ntchito pakugwira ntchito paubongo ndi poyandikana ndi magawo oyandikana ndi pafupi ndi khomo lamkati).
Pamaso pa dermatitis kuchokera kulikonse, kugwiritsa ntchito yankho la mankhwalawa ndizoletsedwa.
Hydrogen peroxide, chifukwa cha zida zake za anionic, imatha kuwonjezera zovuta pazoyipa zamkati, chifukwa chake kugwiritsa ntchito mankhwalawa ndizoletsedwa.
Ndi ziphuphu zakumaso, kuchitira ziphuphu mu achinyamata, mankhwalawa amagwiritsidwa ntchito pafupipafupi mawonekedwe a ntchito kapena kuthilira katatu patsiku.
Mlingo ndi makonzedwe
Kugwiritsa ntchito mankhwalawa ndikosiyanasiyana pamankhwala komanso pafupipafupi, kutengera mtundu ndi malo a matendawa.
Popewa matenda omwe angathe kupatsirana pogonana, muyenera kugwiritsa ntchito yankho pasanathe maola 2 mutagwirizana. Ndikofunikira kuthilira khungu lamkati mwa ntchafu ndikusenda urethra ndi nyini. Zitachitika izi, chikhodzodzo sichichotsedweratu pasanathe maola awiri.
Ndi ziphuphu zakumaso, kuchitira ziphuphu mu achinyamata, mankhwalawa amagwiritsidwa ntchito pafupipafupi mawonekedwe a ntchito kapena kuthilira katatu patsiku.
Pazida zogwiritsira ntchito gwiritsani ntchito yankho la 5% momwe zida zimatsalira kwa maola angapo.
Manja a dokotalayo amathandizidwa ndi yankho la 1% mwa kupukuta pang'ono m'manja mwanu mutachotsa mosamala zotsalira za sopo, zomwe zitha kuzengereza mutatsuka.
Mankhwala othandizira matenda a ziwalo zachikazi amagwiritsidwa ntchito kawiri pa tsiku. Kutalika kwa mankhwala kumatsimikiziridwa ndi dokotala aliyense payekha kutengera matendawa, koma sikuyenera kupitirira masiku 20 osapatula chitukuko cha zovuta za microflora yachilendo ya kumaliseche.
Mankhwala othandizira matenda a ziwalo zachikazi amagwiritsidwa ntchito kawiri pa tsiku.
Momwe mungagwiritsire ntchito chlorhexidine bigluconate
Ndi matenda ashuga
Amagwiritsidwa ntchito kuphera zilonda zam'mimba za trophic zomwe zimapezeka m'magawo apamwamba a matenda a shuga, komanso kupewa matenda opatsirana omwe amayamba chifukwa cha zilonda zam'mimba za trophic.
Mu gynecology
Chlorhexidine mwa akazi amagwiritsidwa ntchito popewa ndi kuchiza matenda opatsirana pogonana, omwe amagwirizana ndi kuphwanya microflora yachilendo ya vaginosis (bakiteriya vaginosis), komanso matenda otupa a ziwalo zakunja zamkati mwa wamkazi.
Pochita maopaleshoni, chlorhexidine amagwiritsidwa ntchito popewa matenda obwera pambuyo pazigawo zogonana wamkazi.
Mu mano
Pankhani ya caries, periodontitis, pambuyo poyendetsedwa mano kapena ntchito ina iliyonse mu mano, njira ya Chlorhexidine imathandizira kupewa mawonekedwe a purulent, omwe nthawi zambiri amabweretsa zakukula kwa mankhwalawa. Ndi flux, mutha kugwiritsa ntchito mawonekedwe osiyanasiyana a mankhwalawa (mwachitsanzo, gel,), omwe amawaika pansi pa mano.
Ndi matenda a dermatological
Chlorhexidine ndi wabwino pochiza matenda amkhungu omwe amagwiritsidwa ntchito ndi michere komanso michere. Pankhaniyi, ndibwino kugwiritsa ntchito mawonekedwe a gel, popeza mankhwalawa azikhalanso pakhungu komanso kuchuluka kwa antibacterial chinthu kudzikundikira pakhungu.
Mu matenda a dermatological, mawonekedwe a gel osakaniza amagwiritsidwa ntchito.
Mu ENT mchitidwe
Imagwiritsidwa ntchito makamaka popewa kupezeka kwa matenda pambuyo pa opaleshoni yam'mimba kapena ziwalo zina za ENT. Kupewa kumachitika ndi kupsinjitsa khosi ndi yankho kawiri pa tsiku kwa masiku 5-6.
Zotsatira zoyipa
Pambuyo pakugwiritsa ntchito yankho, mungamve:
- khungu louma (limazimiririka msanga mukagwiritsa ntchito);
- kukakamira kwa manja;
- kutentha kwa moto ndi dermatitis (nthawi zina).
Zotsatira zilizonse zoyipa zikachitika, kugwiritsa ntchito mankhwalawa kuyenera kusiyidwa ndikupita kwa dokotala.
Mukamagwiritsidwa ntchito pochita mano, pamakhala chiwopsezo cha kupangidwa kwa tartar ndi kusokonekera kwa mano ngati munthu angagwiritse ntchito mankhwalawa kwa nthawi yayitali.
Matupi omaliza
Ngati mukukumana ndi zovuta zonse, monga zotupa, chikanga, kapena mawonekedwe a Quincke, muyenera kusiya kugwiritsa ntchito, kuchotsa mankhwalawo pakhungu kapena khungu lanu. Izi ndikokwanira kuti tithane ndi mavuto omwe amabwera pambuyo pake.
Chlorhexidine akhoza kuyambitsa bactericidal mphamvu ya mankhwala othandizira, makamaka cephalosporins, chloramphenicol.
Ndi bwino osagwiritsanso ntchito mankhwalawa mutazindikira kale zomwe zimachitika.
Malangizo apadera
Musasungunulira zinthu zouma m'madzi olimba kuti muchepetse kuchepa kwa ntchito yothandizira. Kwa dilution sikulimbikitsidwa kugwiritsa ntchito madzi amchere, popeza chinthu chomwe chitha kugwira.
Chlorhexidine akhoza kuyambitsa bactericidal mphamvu ya mankhwala othandizira, makamaka cephalosporins, chloramphenicol.
Kupangira chlorhexidine bigluconate kwa ana
Kwa ana, yankho la Chlorhexidine limayikidwa zaka 12.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Popeza mankhwalawa amawerengedwa kuti agwiritsidwe ntchito kwina ndipo amakamizidwa kulowa m'magazi, sizikhudza mwana wosabadwayo panthawi yoyembekezera.
Pankhani yoyamwitsa, lingaliro lokhalo ndilo kukana kuthira mankhwalawa ku tiziwalo ta tating'onoting'ono posakhalitsa kapena musanayamwitsa.
Pankhani yoyamwitsa, muyenera kukana kugwiritsa ntchito mankhwalawa kuzisangalalo za amayi posakhalitsa kapena musanayamwitsa.
Gwiritsani ntchito mu ukalamba
Mukakalamba, mankhwalawa amagwiritsidwa ntchito pochotsa zilonda zam'mimba, zilonda zam'mimba zomwe zimachitika chifukwa chophwanya magazi m'deralo. Ngati mabedi okhala ndi zofooka zakuya, ndibwino kuzichitira m'mphepete ndipo pocheperapo - pansi kuti musamayike kuzama kwa zinthu zomwe zimayikidwa m'magazi.
Kuyenderana ndi mowa
Mowa womwe umatengedwa mkati komanso njira yothandizira kuti mankhwala ena a chlorhexidine asathere ndipo musamayanjane.
Komabe, mukamagwiritsira ntchito mopitilira muyeso, Mowa amatha kupititsa patsogolo bactericidal ya chlorhexidine.
Zokhudza mphamvu pakuwongolera njira
Popeza mankhwalawa salowa mu kayendedwe ka kayendedwe kazinthu, sizikhudza ziwalo zamkati ndi machitidwe, zomwe zikutanthauza kuti sizikhudzanso kuyendetsa galimoto kapena njira zomwe zimafunikira kuchuluka kwambiri.
Kulowetsa kuchuluka kwa mankhwalawa kungasokoneze ntchito zofunika kwambiri za thupi ndipo mpaka kumwalira.
Bongo
Ndi chithandizo chakomweko ndi mankhwalawa, milandu ya bongo yodziwika siyidziwika.
Ngati njirayi yamizidwa, ndikofunikira kuti muzitsuka m'mimba ndi mkaka kapena gelatin posachedwa kuyambira pakumeza. Mwina mankhwalawa amathandizira kuchotsedwa kwa makala kuti mupewe kulowetsedwa kwa mankhwala m'magazi.
Kulowetsa kuchuluka kwa mankhwalawa kungasokoneze ntchito zofunika kwambiri za thupi ndipo mpaka kumwalira.
Kuchita ndi mankhwala ena
Chlorhexidine siogwirizana ndi iodini komanso mayankho malinga ndi izi, chifukwa chake kugwiritsidwa ntchito kwake kumawonjezera chiopsezo cha dermatitis.
Ntchito yogwiritsidwa ntchito pamodzi ndi ma antiseptics ena, omwe amachokera ku ma carbonates, phosphates, borates, sulfates ndi ma citrate, kapena okhala ndi sopo, sivomerezeka.
Chlorhexidine siogwirizana ndi Iodine ndi njira zothetsera.
Analogi
Hexicon.
Kupita kwina mankhwala
Imafalitsidwa kuchokera ku malo ogulitsa mankhwala popanda mankhwala.
Mtengo wa chlorhexidine bigluconate
Kutengera mtundu wa wopanga ndi wopanga, mtengo umasiyana 20 mpaka 300-400 rubles (mwanjira yama suppositories okwera mtengo kwambiri).
Zosungidwa zamankhwala
Kusungira malo osafikirika pa kutentha osaposa + 25 ° C.
Mankhwalawa amachotsedwa pamafakisoni popanda mankhwala.
Tsiku lotha ntchito
Zaka 3 kuyambira tsiku lopangira lomwe lasonyezedwa pa phukusi. Pankhani yokonza yankho litasungunuka, sungani yankho lokonzedwa osaposa sabata limodzi.
Ndemanga pa chlorhexidine bigluconate
Odwala
Dmitry, wazaka 22
Ndinagula ku Chlorhexidine pa pharmacy (osati kale kwambiri pamene matayirowo adachotsedwa). Ululu ndi kupsya mtima kunachepa pambuyo pa tsiku, zomwe zimadabwitsa, chifukwa lollipops ndi mankhwala ena sizinathandize kwenikweni kuthetsa kukwiya.
Jeanne, wazaka 38
Chlorhexidine anathandiza kuchiritsa thrush, ndipo sanadziwe momwe angagwiritsire ntchito. Mwamwayi, adotolo adauza kuti azisokoneza mayankho ndi mayankho. Pambuyo masiku 5, zonse zidabwezereredwa. Ndikulangiza aliyense yemwe ali ndi thrush kuti afunsire dokotala za mankhwalawa.
Elena, wazaka 24
Ndinkathira makandulo ndi chlorhexidine. Zimathandiza, koposa zonse, kugwiritsa ntchito pafupipafupi ndipo musaiwale kusunga makandulo mufiriji. Ntchito pamaso pa Miramistin, koma kuchokera ku Chlorhexidine bwino kwambiri. Ndikulangizani aliyense!
Konstantin, wazaka 29
Ndimagwiritsa ntchito mankhwala othandizira agogo anga, omwe ali ndi matenda a nyamakazi. M'mbuyomu, m'mphepete mwa mabala nthawi zambiri ankaponderezedwa, koma tsopano ndimawachiritsa pafupipafupi, ndipo zilonda zamatenda zimachira msanga. Koma kuti mupange zotsatira zabwino mumayenera kuchitira zilonda mankhwala pafupipafupi.
Eugene, wazaka 30
Ma antiseptic abwino ogwiritsira ntchito tsiku lililonse, ogwiritsidwa ntchito pazinthu zaukhondo. Nthawi zina ndimatenga pomwe palibe njira yosambitsira manja anga. Khungu silimauma, silisalala. Nthawi zambiri ndimapita ndi ine ndikapanda kukhala ndi mwayi wosamba m'manja ndisanadye, kapenanso kuchiritsa mabala ang'onoang'ono, mafinya, komanso zipsera. Chilichonse chimachiritsa mwachangu mokwanira, kwenikweni sichimaphika ndipo sizibweretsa vuto.
Madokotala
Anna, wazaka 44, dermatovenerologist
Pazochita zanga, ndimagwiritsa ntchito mankhwalawa kuyambira pachiyambi cha ntchito zamankhwala. Sindinalepherepo pano. Amanenedwa kuti azichitira kununkhira kwakunja ndi chinzonono, gonococcal urethritis, Trichomonas vaginitis. Kusintha kumachitika nthawi zonse, nthawi zambiri pakatha masiku angapo.
Sergey, wazaka 46, urologist
Chlorhexidine njira yakhala ikugwiritsidwa ntchito mobwerezabwereza kwa chlamydial urethritis mwa amuna. Pali zotsatirapo zabwino zamankhwala: odwala adachira kawiri kuposa momwe amagwiritsira ntchito monotherapy ngati mankhwala.
Vladimir, wazaka 40, wamano
Ndimapereka mankhwala a Chlorhexidine pambuyo pakuchotsa mano. Sindinakumanepo ndi zovuta za purulent, ndimapereka odwala pafupipafupi. Pambuyo pa njira yodzigwiritsira ntchito, palibe lingaliro lakudzudzula.
