Matenda a shuga ndi chilichonse chokhudza izi

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Ndi matenda ashuga, ziwalo zambiri zamthupi ndi machitidwe amunthu amakhudzidwa. Miyendo ndi amodzi mwa mipata yomwe matendawa amagwera. Chifukwa cha kuchuluka kwa shuga, kusintha kosasinthika kumachitika m'mitsempha ndi mitsempha yamagazi yomwe imadyetsa mapazi. Ichi ndichifukwa chake chisamaliro choyenera cha matenda osokoneza bongo ndichofunika kwambiri.

Zomwe Zimayambitsa Matendawa Kuwonongeka kwa Chiwindi

1. Kuwonongeka kwa mitsempha ya shuga ndi neuropathy. Pakapita nthawi, mathero amtsempha amiyendo amawonongeka ndi shuga wambiri. Izi zimabweretsa kuphwanya malingaliro awo. Wodwala matenda a shuga amasiya kumva kupweteka, kupanikizika, kutentha. Kutha kumva kupweteka ndikofunikira kwambiri kwa munthu, chifukwa ululu umachenjeza za matenda, owopsa. Kuthekera uku kutaika, ndikosavuta osazindikira mabala kapena zilonda pamiyendo. Chifukwa chake miyendo ya odwala matenda ashuga omwe samva kupweteka, amachedwa kuthandizidwa.
2. Matenda a shuga a shuga - angiopathy. Mu matenda a shuga, ntchito ya mitsempha ya magazi m'thupi lonse imakula. Zida zazing'onoting'ono (zotumphukira) zamiyendo ndizokhudzidwa makamaka, izi zimayambitsa kuphwanya kwa microcirculation ndi hypoxia yama cell. Zotsatira zake, khungu la miyendo mu odwala matenda ashuga limakhala louma komanso louma. Kuuma kwadzuwa kotereku sikumachotsedwa ndi moisturizer ndikuyambitsa ming'alu momwe matendawa amachokera. Zilonda zimayamba, chifukwa cha kuchepa kwachulukidwe kakang'ono, kuchira kwakanthawi yayitali,
3. Matenda osokoneza bongo odwala matenda a shuga - arthropathy. Matenda a shuga a m'magazi amayambitsa kuphwanya kwa mankhwalawa. Chifukwa chake, odwala matenda ashuga nthawi zambiri amakhala ndi ululu m'magawo am'munsi, makamaka poyenda. Arthropathy imayamba ndi kutupa ndi kufupika kwa phazi. Kwa zaka zambiri, kusintha kwa zala kumawonekera, kutupira kwa phazi kumawonedwa. Milandu yayikulu, dislocations, subluxations, fractures zimachitika, chifukwa cha izi, phazi limafupikitsidwa ndikukula.

M'mankhwala amakono, mitundu yonse ya zotupa za matenda ashuga nthawi zambiri imadziwika ndi mawu amodzi - "matenda a shuga".

Zizindikiro

Pali mawonetsero ambiri owonongeka phazi la matenda ashuga. Ena mwa iwo, wodwalayo sangatchulidwe chifukwa cha zovuta za matenda ashuga, kapenanso osazindikira. Poona izi, aliyense wodwala matenda ashuga ayenera kudziwa zomwe zimayambitsa matenda a miyendo.

• khungu lowuma lomwe silingagonje ndi zonona.
• kusenda ndi kuyabwa kwa khungu la miyendo,
• kupindika ndi khungu la mwendo,
• mapangidwe a chimanga kwambiri (hyperkeratosis),
• Kuchepa tsitsi kwa amuna,
• kusintha mawonekedwe ndi kukula kwa misomali,
• kutupa maondo
• Khungu la miyendo limapindika komanso kuzizira kukhudza (kawirikawiri, motsutsana, cyanotic ndi kutentha),
• matenda oyamba ndi khungu la kumapazi ndi misomali,
• dzanzi lam'munsi,
• kupweteka kwa miyendo
• kuphwanya matenthedwe, ma tactile ndi mitundu ina ya zomvera.

Ngati mulibe chidwi ndi zomwe tafotokozazi munthawi yake, ndiye kuti zotsatira zoyipa za zovuta za matenda ashuga zimachitika.

• Zilonda zopweteka komanso zopweteka,
• machira, phlegmon,
• arthropathy
• osteomyelitis (kuchuluka kwamafupa),
• gengren.

Makhalidwe a kupweteka kwa mwendo ndi neuropathy

Miyendo yomwe ili ndi matenda ashuga imapweteka onse poyenda komanso kupuma, makamaka kuvulaza wodwala usiku. Monga lamulo, amakhala a mphamvu zapakatikati, koma pakupita nthawi amalimbitsa ndikuletsa munthu wodwala matenda ashuga kuti asamakhale moyo wabwinobwino. Kupweteka m'mapazi ndi miyendo kumakhala kwapadera, ndipo mafupa akuluakulu sakhala owawa (ndi diabetesic arthropathy). Mu matendawa, kuphatikiza kuti wodwala matenda ashuga ali ndi ululu wamiyendo, Zizindikiro zake zimayang'anidwanso: kukokana, kugunda, kumva tulo, kufooka m'miyendo, kuchepa chidwi, kutupa miyendo.

Zomwe zimayambitsa zizindikiro zomwe zili pamwambazi zimatha kukhala zosiyana ndipo sizimachitika nthawi zonse chifukwa cha chitukuko cha matenda a shuga - ichi ndi kuphatikizira kwa matenda, kuwonongeka kwa mitsempha kapena mitsempha yamagazi, matenda amitsempha, osteochondrosis. Pofuna kudziwa zoyenera, dokotala amayenera kumuwunikira.

Chithandizo cha kupweteka kwa mwendo ndizosiyana ndipo zimatengera matenda oyamba. Mwachitsanzo, mankhwala omwe amagwiritsidwa ntchito pochiza matenda olumikizana samathandiza kuchepetsa ululu m'miyendo ndi matenda a shuga.

Kutupa kwamiyendo m'magazi a shuga kumakhalanso ndi zifukwa zosiyanasiyana. Nthawi zambiri, odwala matenda ashuga amakhala ndi matenda amtima wofanana, ndipo, monga mukudziwa, ndi vuto la mtima madzulo, kutupa kwa miyendo ndi miyendo kumawoneka. Edema imathanso kukhala chifukwa cha mitsempha ya varicose yam'munsi. Morning edema ya miyendo imadziwika ndi matenda ashuga a impso.

Mayeso a phazi la shuga

Ndikofunikira kwambiri kuti muwone dokotala panthawi yake kuti adziwe zovuta za matenda ashuga. Wodwalayo amatha kupenda molondola miyendo yakumunsi mu "Kabungwe ka odwala matenda ashuga." Komwe ophunzitsa ma endocrinologists ophunzitsidwa bwino, madokotala ochita zamankhwala ndi anamwino amagwira ntchito.

Madokotala amazindikira kuchuluka kwa kuwonongeka kwa mwendo, Sinthani mankhwala a shuga, ndikupereka chithandizo chamankhwala a neuro - ndi angiopathy. Anamwino muofesi imeneyi amaphunzitsa odwala chisamaliro choyenera, azitsuka miyendo yawo (kudula chimanga, kugwiritsa ntchito mafuta ochiritsa, ndi zina).

Kufufuzidwa mu "Diabetesic Foot Cabinet" pakuwunika koyamba kwa matenda a shuga, ndiye kamodzi pachaka ndi thanzi labwinobwino.

Kafukufuku wachitika muofesi:

• kuyeserera, ndikuyang'ana kuti muonetsetse momwe malekeredwera,
• kuwunika kwa minyewa
• kupimidwa kwa mafunde a m'miyendo,
• chepetsa kupweteka, tactile, kutentha ndi kugwedeza kwamphamvu,
• electroneuromyography.

Ngakhale kusintha pang'ono pang'onopang'ono (mawonekedwe azizindikiro zatsopano) kapena kutupa pang'ono pakhungu la miyendo - gawo lidzatembenukira kwa dokotala kuti akuthandizeni mkati mwa tsiku limodzi.

Chisamaliro ndi chisamaliro

Kusamalira odwala matenda ashuga kumakhala kutsatira malamulo ochepa osavuta koma ofunika kwambiri:

1. Tsiku lililonse, wodwala matenda ashuga ayenera kusanthula miyendo yake mosamala, makamaka miyendo, matsire, mipata pakati pa zala mothandizidwa ndi kalilore woyimikidwa pansi kapena mothandizidwa ndi achibale. Pakufufuzidwa, ndikofunikira kuzindikira ngati zikanda zazing'ono, mabala, mabisiketi, ming'alu ndi zolakwika zina zamtundu wa khungu zomwe zingakhale njira yolowera matenda.
2. Wodwala matenda ashuga asambitsidwe mapazi ake tsiku lililonse ndi madzi ofunda ndi sopo wosaloŵerera, chisamaliro chapadera ziyenera kulipiridwa kumalo ophatikizika. Pukutani ndi matumba ofewa.
3. Zizindikiro zoyambirira za matenda oyamba ndi fungus zikawoneka, makamaka pakati pa zala, monga kupendapenda, chikwangwani choyera, kufiyira, kuyabwa. Muyenera kulumikizana ndi dermatologist, adzakulemberani mankhwala, omwe amakhala ngati zonunkhira za antifungal.
4. Wodwala wodwala matenda ashuga ayenera kuyang'anitsitsa nsapato zake tsiku ndi tsiku kuti akole zinthu zakunja, akumwetulira misozi ndi zolakwika zina zomwe zimatha kupukusa kapena kuvulaza khungu la miyendo yake. Zilonda zilizonse zokhala ndi ma protrusions zimagawidwa m'magulu a shuga, chifukwa zimatha kupangika m'magazi, zilonda, zilonda zam'mimba.
5. Mosamala kwambiri, sinthani zala zanu, chifukwa ndi bwino kugwiritsa ntchito fayilo ya msomali, osati lumo. Misomali yamafayilo molunjika, ndibwino kuzungulira ngodya osasiya lakuthwa konse, chifukwa zimatha kuvulaza zala zina. Ngati misomali ikakhuthala ndi fayilo, muyenera kuipera pamwambapa, kusiya masamba awiri okha mamilimita atatu. Chingwe chala kwambiri mukamayenda chimayala bedi la msomali wosakhwima ndi kuyambitsa kupweteka.
6. Kuti mutenthe miyendo yanu, ndibwino kugwiritsa ntchito masokosi ofunda, koma osasamba kapena otentha. Anthu odwala matenda ashuga achepetsa kutentha, chifukwa samamva kutentha kwa madzi komwe kungayambitse kutentha. Pazifukwa zomwezo, odwala matenda ashuga sayenera kuweranso miyendo yawo .. Mukamatsuka mapazi, muzipewa kutentha pang'ono kapena kutentha kwambiri. Choyamba, yang'anirani madzi mubafa m'manja ndi pokhapokha onetsetsani kuti sikumatentha kumiza miyendo yanu.
7. Ngati mukuvulala, kumbukirani, chifukwa cha kusoka kwa phazi la matenda ashuga, njira zothetsera zakumwa za "zobiriwira", ayodini, komanso mowa ndi potaziyamu permanganate. Chifukwa chake, zotupa zonse zimayenera kuthandizidwa ndimafuta apadera ochiritsa, 3% yankho la hydrogen peroxide, chlorhexidine, betadine, miramistin komanso kuvala zolimba.
8. Monga lamulo, odwala matenda ashuga ali ndi khungu louma kwambiri kumapazi awo. Pambuyo pakusamba, ndikofunikira kumuthira mafuta ndi zonona zabwino, zopatsa phazi. Ma keloni ozikidwa ndi mafuta a masamba amakhalanso oyenera kuchita izi. Ndikofunikanso kuyika mafuta oyatsira ndi urea tsiku ndi tsiku pakhungu la miyendo.
9. Pakakhala khungu la keratinized, liyenera kuchitidwa ndi pumice. Pankhaniyi, iyi ndiye njira yabwino koposa. Komabe, ma pumice amafunikira kusinthidwa nthawi zambiri, monga fungus imatha kuonekera mu iyoyokha. Osagwiritsa ntchito lumo kapena lumo pantchitoyi. Pambuyo pa mankhwala, khungu liyenera kugwiritsidwa ntchito ndi zonona zabwino.
10. Osagwiritsa ntchito salipod plasters, calluses, zida zodulira kuti muchotse khungu loyipa.
11. Valani nsapato zomasuka zokha. Musaiwale za kugula nsapato zomwe zimafunika kuvala. Tayani nsapato ndi chingwe pakati pa zala zanu. Mukamapundula miyendo, valani nsapato zamatumbo. Osamavala nsapato pamiyendo yopanda, masokongoleti kapena masokosi odetsedwa kapena masitokota, ndipo musamayende opanda nsapato.
12. Yendani tsiku lililonse mu nsapato zabwino kwa mphindi zosachepera 30. Chitani zolimbitsa thupi ndi zolimbitsa thupi miyendo ndi miyendo. Siyani kusuta.

Kuti muthandizidwe bwino komanso kupewa matenda ashuga, khalani ndi shuga wamagazi ndikutsatira malamulo osamalira phazi. Izi zikuthandizira kupewa zovuta zoyipa monga phlegmon ndi gangrene.

Kodi kuchitira matendawa?

Pali njira zingapo zochizira matendawa, Pakati pawo ndi chithandizo cha phazi la matenda ashuga komanso opareshoni.

Tiyeni tiwone bwino za chithandizo cha matenda ashuga omwe ali ndi mankhwala. Njirayi ndi yothandiza ndipo imagwiritsidwa ntchito poyambira matendawa, pomwe minyewa ndi khungu lake sizikuyenda ndipo lingathe kuthandizidwa mosapatsa opaleshoni.

Chinthu choyenera kuchita mukazindikira phazi la matenda ashuga ndikusamutsa wodwala kuti apange insulin, mosasamala kanthu za mtundu wa shuga. Dotolo amatipatsa mankhwala omwe amasintha njira ya mayamwidwe a shuga (zipatso, thioctacid), mavitamini a gulu B.

Matenda a metabolism amayenera kuwongoleredwa pogwiritsa ntchito mankhwala ozikidwa pa urea, albin, etc. Iwo amafunika kuti azitha kusinthasintha kwa magazi ndi kusokonekera kwa magazi.

Kupititsa patsogolo mkhalidwe wodwala, chitetezo chokwanira chimayikidwa pogwiritsa ntchito mankhwala othandizira (mwachitsanzo, Transfer Factor, Splenopida, etc.).

Kukonzekera phazi la matenda ashuga

Ngati wodwala ali ndi zilonda zam'mimba zotupa zomwe sizikhudza mafupa ndi mafupa, maantibayotiki amatha kuperekedwa kwa phazi la matenda ashuga mkati, omwe amayenera kudya kuyambira masiku 7 mpaka 14.

Zilonda zopatsirana zingapo zimafuna kuperekedwa kwa maantibayotiki kudzera m'mitsempha kapena intramuscularly.

Maantibayotiki othandizira zilonda zam'mimba za matenda ashuga:

• Co-amoxiclav.
• Azithromycin
• Avelox,
• Ciprofloxacip
• Invanz.

Chithandizo cha matenda ashuga odwala matenda ashuga chimafuna kuchapa zilonda zam'mimba ndikugwiritsa ntchito mankhwala antiseptic.

Kusankha ndi cholinga cha mankhwalawa aliyense payenera kuchitidwa ndi dokotala.

Kupereka antimicrobial kanthu, antiseptics ayenera kulumikizana ndi zimakhala pafupifupi mphindi 20.

Pa ntchito:

• Hydrogen Peroxide 3%.
• Yankho lamadzimadzi a chlorhexidine 0,05%.
• Yankho lamadzimadzi la ayodini (ayodini-povidone 10%).
• Saline 0,9% (wogwiritsa ntchito bwino kwambiri kuyeretsa).
• Miramistin 0,01%.

M'm bala lomwe mwathandizira, mutha kuyala chopukutira choviikidwa mu ayodini dicerine (betadine).

Kuzungulira chilondacho amaloledwa kugwiritsa ntchito mafuta oonda a hydrocortisone.

Monga zonona za phazi la anthu odwala matenda ashuga ndi khungu louma, makulidwe aliwonse okhuthala ndi oyenera - panthenol kapena bipanthen ndi yoyenera.

Vaselini sangagwiritsidwe ntchito ngati mafuta a phazi la matenda ashuga - samatenga mafuta khungu ndipo amapanga filimu yamafuta pamwamba pake, kuti mpweya ubweretse mpweya.

Ndi phulagmon wodwala kwambiri komanso wodwala matenda ashuga, kufunikira kuchipatala kwa odwala matenda ashuga kumafunika. Woopsa, opaleshoni ndi chithandizo chamankhwala zimachitika m'chipinda chothandizira kwambiri.

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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 amadzi a 0.05%, 0,2%, 1%, 5% ndi 20%,
• zakumwa mowa ndi zopopera za 0,5%,
• ukazi 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.

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. Zina mwa izo zimakhala ndi zopereka zogwiritsa 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.

Mu botolo 1 kapena botolo lokhala ndi kapu kapena utsi - 5 g wa chlorhexidine bigluconate. Zigawo zothandiza: 95% ethanol yokonzedwa ndi madzi oyeretsedwa. Ndi madzi owoneka bwino, opanda utoto omwe amatha kukhala ndi mthunzi pang'ono wa nacre. Amanunkhiza mowa. Spray ndi yankho la 0.5% imayikidwa mu 70 ndi 100 ml.

Zotsatira za pharmacological

Mankhwalawa ali m'gulu la antiseptics ndi mankhwala opha majeremusi. Chipangizocho chili ndi tanthauzo:

• antiseptic
• bactericidal
• kuwala kokongoletsa
• 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 poyerekeza ndi tizilombo toyambitsa matenda otsatirawa:

Bactero> Zamadzimadzi zomwe zimakhala ndi chlorhexidine bigluconate yoposa 0.01% zimakhala ndi bactericidal, zimawononga tizilombo toyambitsa kutentha kwa kutentha kwa + 22 ° C mphindi 1.

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.

Njira yothetsera kugwiritsa ntchito kunja siyimalowa m'magazi ndipo ilibe dongosolo. Pakakhala vuto la kulowetsedwa mwangozi, silimamwa chimbudzi ndipo chimangotsala ndowe ndi ndowe.

Zizindikiro zogwiritsidwa ntchito

Wopanga amalimbikitsa kugwiritsa ntchito njira yothetsera chlorhexidine ponseponse.

Mu matenda azachipatala - kuthandizira komanso kupewa:

• kuyabwa kwa chamatsenga
• kukokoloka kwachiberekero,
• ureaplasmosis,
• chlamydia
• trichomoniasis
• Trichomonas colpitis,
• chinzonono
• chindapusa.

Mu mano ndi ntchito ya ENT, kuwonjezera pamankhwala othandizirana pambuyo pake komanso matenda opatsirana mano, kutsimikizira kugwiritsa ntchito chida ndi matenda wamba:

Yankho likhoza kugwiritsidwanso ntchito ngati mankhwala antiseptic:

• zochizira zilonda zamoto ndi mabala,
• Pakupanga matenda a pakhungu la odwala
• ndi cholinga chotsitsira zida zamankhwala, zida, zida zomwe sizingagwiritsidwe ntchito ndi chithandizo cha kutentha.

Momwe mungagwiritsire ntchito chlorhexidine 0,05?

1. Zovulala zamkhungu, zimayaka: nyowetsani nsalu yosalala ndi yankho la majakisoni ndikugwiritsa ntchito pamalo owawa kwa mphindi 2-3 (sikofunikira kukonza ndi bandi-othandizira kapena bandeji). Ikani ntchito 2-4 pa tsiku.
2. Angina, pharyngitis, laryngitis, mano odwala, zilonda zam'mimba, zotupa, zotupa mkati 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.
3. Kutupa kwamkati mwa maliseche a akazi: m'malo otsetsereka, kukoka, kufinya 0,5-1 ml ya mankhwalawo mu nyini kuchokera pachidebe cha pulasitiki. Kenako muyenera kunama mphindi 8-10. Chitani njira ziwiri tsiku lililonse kwa milungu 1-1.5.
4. Matenda amitsempha yam'mimba: jekeseni 2-3 ml ya yankho kawiri patsiku patsiku la urethra. Njira ya chithandizo ndi masiku 5-10.
5. 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 yothandiza ngati simunatenge masiku osakwana 2 mutagonana mosadziteteza kapena kuphwanya umphumphu wa kondomu.

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:

Pachipatala chachikulu, mankhwalawa amayenera kukhala osakanikirana ndi madzi owiritsa firiji.

Mankhwalawa sanapangidwe kuti azigwiritsidwa ntchito popanga mankhwala a ophthalmic. Chlorhexidine sayenera kuloledwa m'maso. Izi zikachitika mwangozi, ndikofunikira kuti muzimutsuka ndi madzi, kenako ndikukhazikitsa njira yothetsera sodium sulfacil (Albucid).

Odwala amatha kugwiritsa ntchito mankhwalawa mwanjira iliyonse. Komabe, kupeza maswiti, lozenges, muyenera kuonetsetsa kuti ali ndi zotsekemera, osati zoyenera.

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 yolumikizana ndi yankho,
• khungu lalifupi lamanja
• khungu lowuma,
• chithunziensitivity (kuchuluka kwa kuwala kwa dzuwa),
• kuyesa kwa enamel ya mano, kupangika kwa tartar, kulawa kosokonekera (ndi kutsekemera kwapakati pamlomo),
• kupuma movutikira, mantha a anaphylactic (osowa kwambiri).

Malangizo apadera

Kulumikizana kosavomerezeka kwa yankho ndi ming'alu, 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).

Pothetsa mavuto ndende ya pamwambapa 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, koma 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 antiseptic imodzi yokha, maantibayotiki ayenera kumwedwa nthawi yomweyo.

Kugundana ndi yankho kumakhala kothandiza ngati mankhwala.

Kwa ana, makonzedwe okhala ndi chlorhexidine bigluconate amapangidwa ndi cholembedwa "D", mwachitsanzo, makandulo Geksikon D. Lollipops, lozenges kuti ayambenso kumeza, mutha kupereka kwa mwana wamkulu kuposa zaka 5.

Njira yothetsera vutoli sipanga zinthu zachitsulo, pulasitiki, magalasi. 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.

Popeza palibe umboni wa sayansi wotsimikiza kuti mankhwalawo alibe vuto lililonse pogwiritsa ntchito mankhwalawa komanso kunja, mankhwalawa sayenera kuchitira ana osakwana zaka 7. Kusamalira kwapadera kumafunikira pakukamwa pakamwa ndi pakhosi kuti mwana asameze yankho.

Chida chitha kugwiritsidwa ntchito pa nthawi yoyembekezera komanso yoyamwitsa, monga Pakupukutira, kugwiritsa ntchito mu nebulizer, mankhwalawa salowa mu ziwalo zamagazi. 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.

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 cephalosporin.

Mowa wa ethyl umakulitsa mphamvu ya mankhwalawa.

Chlorhexidine akhoza m'malo mankhwala osokoneza bongo ofanana kapena ofanana. Izi ndi:

• Zowopsa
• Anzibel
• Zodwala zopweteka,
• Bactosin
• Hexicon
• Hexoral
• Kubowola
• Curasept
• Miramistin
• Mucosanin,
• Pantoderm
• hydrogen peroxide
• Plivacept,
• Sebidin
• Furatsilin,
• Chlorophyllipt,
• Citadel
• Eludryl et al.

Wopanga

Makina opanga chlorhexidine bigluconate kukonzekera:

• "BioFarmKombinat", "Biogen", "Biochemist", "Kemerovo Pharmaceutical Factory", "Medsintez", "Medkhimprom-PCFK", "Moscow Pharmaceutical Factory" (Russia),
• Nizhpharm, Konzanso, Petrospirt, Rosbio, Fakitala yamafakitale ya St. Petersburg, FarmVILAR, Pharmproekt, EKOlab, Ergofarm, Eskom, Yuzhpharm (Russia) ,
• Glaxo Wellcome (Poland),
• Famar Orleans (USA),
• "Nobelfarma Ilach" (Turkey),
• Herkel (Netherlands),
• AstraZeneca (Great Britain),
• Kuraprok (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 ofunikira kwa 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. Adagona, ndipo kutuluka kwake kudaleka mwachangu. Tsopano nthawi ndi nthawi ndimagwiritsa ntchito yankho la kupewa. Ndipo ndi angina zimathandiza bwino. Chofunikira, chothandiza antiseptic.

Zambiri zamankhwala

Ntchito zochizira komanso chitetezo cha chlorhexidine zaphunziridwa mu mayesero ambiri azachipatala padziko lonse lapansi. Mankhwalawa atsimikizira kuyendetsa bwino kwambiri motsutsana ndi mabakiteriya ambiri, bowa ndi protozoa.

Poyesedwa kwakukulu mu 1988 (Garibaldi, R. A), ma antibacterial a chlorhexidine ndi ayodini wa povidone amafananizidwa. Kutenga nawo mbali poyesaku kunachitika ndi 700 odwala omwe adayikidwa opaleshoni.

Nthawi yomweyo opareshoni isanachitike, odzipereka adasamba ndi imodzi mwa antiseptics. Laborator kusanthula kuti chlorhexidine inachepetsa kuchuluka kwa tizilomboto tating'onoting'ono pakhungu ndi nthawi 9-9,5, pomwe podidone ayodini yekha ndi nthawi 1.5-2.

Mu 2002-2006, United States National Institute of Child Health idawerengera momwe amachiritsira ana akhanda ndi chlorhexidine patatha maola angapo chibadwire. Kafukufukuyu adachitika ku Nepal, komwe chiwerengero cha anthu obadwa kunyumba ndiokwera.

Ntchito yofotokozera idachitika pakati pa anthu am'deralo, 413, omwe mamembala awo adalimbikitsidwa kuchitira ana makanda ndi 4% chlorhexidine solution. Zaka zopitilira 4 zikuwonekera, kuchuluka kwa kufa kwa ana m'maphunziro omwe adaphunzira kunachepa ndi 30%.

Mu 1999, University of Oslo adaphunzira luso la ma antiseptic ochepetsa kufala kwa kachilombo ka matenda kuchokera kwa mayi kupita kwa mwana nthawi yobereka. Malangizo a 0,2% a mankhwalawa anaperekedwa kwa amayi omwe ali ndi kachilomboka nthawi yogwira ntchito.

Zotsatira zake zidawonetsa kuti kuchuluka kwa makanda kumatsika ndi 20%. Palibe zoyipa zomwe zimakhudzana ndi kukhudzana ndi chlorhexidine zimawonedwa mwa ana.

Kafukufuku wakhungu, wolumikizidwa ndi placebo wonena za mphamvu ya mankhwalawa panthawi ya stomatitis adachitika ku University of Kentucky mu 1988.

Odwala omwe adagwiritsa ntchito ma rinses ndi chlorhexidine, olemba adawerengera kuchepa kwa zilonda zam'mlomo pakamwa, kuchepa kwa mitsempha ya streptococcus ndi yisiti.

M'mayesero onse, madokotala adasamala za chitetezo chabwino cha mankhwalawo. Nthawi zina, zomwe zimakhumudwitsa zimimba za pakhungu ndi khungu zimadziwika. Zinali zotheka kuti muchepetse zotsatira zoyipa mutatha kuchepetsa ndende ya antiseptic solution.

Zambiri za poizoni

Kuwopsa kwa chlorhexidine kunawerengedwa mu kuyesa kwa labotale pa mbewa yoyera. 0,5% yankho linaperekedwa kwa nyama mwanjira, mkati mwamitsempha ndi mkati. Zinatsimikiziridwa kuti mankhwalawa alibe mutagenic, teratogenic ndi embryotoxic. Mphamvu yoletsa mphamvu ya ziwalo zoberekera idadziwika.

Kuphatikizika, mawonekedwe omasulira, ma CD

Mitundu yotsatirayi ya chlorhexidine imapezeka pamsika wama Russia:

• Njira zothetsera zamchere ndi yogwira ntchito ya 0.05, 0,1, 0,15, 0,2, 0,5, 1, 4, 5, ndi 20%. Mankhwalawa amawaika m'matumba apulasitiki, mabotolo kapena ndowa za aerosol.
• Mafuta mayankho ndi yogwira pophika 0,5 kapena 0,8%. Fomuyi imagulitsidwa mabotolo a 100-500 ml.
• Vaginal suppositories okhala ndi zinthu zomwe zili 16 ndi 8 mg. Atadzaza matuza a pulasitiki kenako m'mathumba okhala ndi zidutswa 5 kapena 10.
• 0,5% gel osakaniza akunja. Amapangidwa m'machubu a 15-30 g.
• 1% kirimu wogwiritsa ntchito kunja. Amapezeka m'matumba a 50 g.
• 1% emulsion (mu glycerin) wogwiritsa ntchito kunja. Atanyamula mabotolo 200 ml.

Njira yamachitidwe

Potengera thupi, chlorhexidine amadzipatula kuti apange zigawo zomwe zimagwirizana ndi khoma la bakiteriya. Zomwe zimamangidwa ndizabwino kwambiri pazithunzithunzi za pH kuyambira 5 mpaka 8.

Potsika kochepa, mankhwalawa amalepheretsa kuyendetsa ma ion kudzera mu michere ya pathogenic, zomwe zimabweretsa kukula kwa bacteriostatic. Poyerekeza zoposa 0.01%, maselo a cell amasweka, zomwe zimapangitsa kuti amafa apang'onopang'ono.

Pamaso pa magazi ndi mafinya, mphamvu ya mankhwalawa imachepa pang'ono.

Ntchito Yogwiritsa Ntchito Yoyambitsa Matendawa

Chlorhexidine amagwira ntchito motsutsana:

• mabakiteriya okhala ndi gramu (streptococci, staphylococci, clostridia),
• mabakiteriya opanda gramu (neisseria, chlamydia, ureaplasma, bacteroids, enterobacteria),
• yisiti ndi bowa wonga yisiti,
• dermatophytes,
• protozoa (trichomonas, chlamydia, etc.),
• ma virus ena (herpes virus, fuluwenza A virus).

Mankhwalawa sasokoneza lactobacilli, mabakiteriya osagwira asidi komanso fungus spores.

Fungicidal katundu amawonetsedwa pamene kuchuluka kwa chlorhexidine ndioposa 0,05%, virucidal - pamtunda wopitilira 1%.

Dzinalo Lopanda Padziko Lonse

Khodi ya gulu la ATX ndi G01A X. Ikutanthauza antimicrobial othandizira omwe amagwiritsidwa ntchito popanga mankhwala.

Chlorhexidine 1 ndi mankhwala othandiza okhala ndi antiseptic okhudzana ndi biguanides.

Pharmacokinetics

Mankhwalawa akuwonetsa zofunikira pambuyo pa mphindi ziwiri zitatha kunyowetsa gawo loyesedwa la thupi.

Chlorhexidine ndi wopanda ntchito chifukwa cha kutupa kwa ndulu.

Simalowa m'magazi ndipo sichitulutsa zinthu zofunikira m'thupi.

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 tampon 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 kawiri kawiri ndi 5 ml ndi kusisita. Simungathe kupukuta, kuyuma.

Chlorhexidine amagwiritsidwa ntchito pochiza malo opangira opaleshoni ndi zigawo za opereka magazi. Kuti muchite izi, pukuta khungu ndi aseptic swab ya gauze. Njira yothetsera vutoli iyenera kusungidwa kwa mphindi ziwiri. Khungu limathandizidwa chimodzimodzi.

Njira yothetsera vutoli imaloledwa kuyikidwa pamipando, zida, matebulo, etc. Mtengo woyenda ndi 100 ml pa 1 m².Njira yothetsera vutoli imayikidwa zinthu mogwirizana ndi malangizo.

Gelayo amagwiritsidwa ntchito pa stomatitis, balanoposthitis, zotupa zam'mimba, kuti athetse ziphuphu.

Makandulo amayikidwa mu nyini. Chifukwa cha izi, wodwalayo wagona kumbuyo kwake. 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.

Gelayo amagwiritsidwa ntchito pa stomatitis, balanoposthitis, zotupa zam'mimba, kuti athetse ziphuphu. Amagwiritsidwa ntchito kumadera odwala. Zomwezi zimagwiranso ntchito pakugwiritsira 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, ndikofunikira kupaka chikhodzodzo ndi Chlorhexidine. Kutsatira njirayi kumathandiza kupewa kupweteka kwambiri pachimake.

Kupukusa pakamwa panu kumalimbikitsidwa kawiri masana. M'mawa, tsuka pakamwa panu pakudya cham'mawa ndikutsuka mano. Madzulo, muyenera kuchita njirayi m'njira yomweyo. Ziphuphu zimatha masiku 10. Madziwo amayenera kusungidwa pakamwa kwa masekondi 60, chifukwa nthawi imeneyi filimu imapangidwa pa mucous membrane ndi mano omwe amateteza pakulowa kwa tizilombo tating'onoting'ono.

Kuthandiza nsapato ndi Chlorhexidine kumachitika pofuna kuthana ndi matenda oyamba ndi miyendo ndikuchotsa fungo losasangalatsa.

Kuthandiza nsapato ndi Chlorhexidine kumachitika pofuna kuthana ndi matenda oyamba ndi miyendo ndikuchotsa fungo losasangalatsa. Kuti muchite izi, gwiritsani ntchito kutsitsi komwe kumamwetsa mkati mwa nsapato. Njirayi iyenera kuchitidwa tsiku lililonse kukonza zotsatira za njira zopewera. Kuphatikiza apo, khungu la kumapazi limatha kuthandizidwa ndi kutsitsi komweko kuti kuthetsedwe mwachangu kwa tizilombo toyambitsa matenda.

Momwe mungasungire ma rinsing

Njira yothetsera mkamwa imakonzeka kale chifukwa njirazi, 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%: 25 mg ya kukonzekera kokwanira ndi kuwonjezera 70% ethanol kufikira 1 dm³,
• kupeza Chlorhexidine wabwinobwino, kuchuluka komweko kumagwiritsidwa ntchito 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 ola. Osagwiritsa ntchito poizoniyu.

Kodi ndingathe kutsuka m'maso mwanga

Yankho tikulimbikitsidwa kuchitira minofu ya maso ndi kutupa kwa conjunctival. Chifukwa cha izi, yankho lokonzekera la 0.05% limatengedwa. Ngati pali zochulukirapo, ndiye kuti ziyenera kuyamba kuchepetsedwa ndi madzi. Ana ayenera kuthira madzi ndi theka.

Njira yopezetsa maso:

• sinthani njira yothetsera kutentha kwa m'chipinda,
• tsekani maso anu
• kutsuka pang'ono mafinya opakidwa ndi poto yonyowa thonje kuchokera pakona yakunja ya eyelids kupita mkati, mankhwalawo sayenera kulowa pakhungu.

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 chomwe chimadziwika ndi matenda ashuga ndikuwoneka ngati mabala owononga ochiritsa. Satha kuchiritsa kwa nthawi yayitali, zomwe zimapangitsa kukhala kovuta 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 kwambiri ndi mafinya. Poyeretsa m'magulu musagwiritse ntchito zinthu zopangidwa ndi mafuta, chifukwa zimalepheretsa mafinya kutulutsa. 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 kuchuluka kwa matenda ashuga (wodwalayo akuwonjezera kwambiri shuga), ndiye kuti mankhwalawo amaletsedwa kwakanthawi.

Zotsatira zoyipa za chlorhexidine 1

Mu gulu logawanika la odwala, kuwuma pakhungu, kumva kwambiri, komanso kupitirira kwa dermatitis adadziwika.

Kutsuka kwamilomo yayitali kumapangitsa kuti mano asade, ndikupanga tartar. Wodwala amatha kuwona kupatuka.

Kutsuka mkamwa kwa nthawi yayitali ndi mankhwala kumapangitsa kuti mano azidetsa.

Kodi ndizotheka kwa ana Chlorhexidine 1

Silembedwera chithandizo cha mabala, khungu ndi mucous nembanemba kwa odwala mpaka atakwanitsa 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.

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'mimba 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 chamthupi cha maantibayotiki ambiri, makamaka Cephalosporin, Chloramphenicol. Mowa umawonjezera bactericidal mphamvu ya yogwira pophika mankhwala.

Kukonzekera kofanana ndi izi:

• Miramistin
• Betadine
• Chlorhexidine bigluconate,
• Povidin
• Betadine
• Hexicon
• Hexia
• Zoyeserera.

Tsiku lotha ntchito

Yoyenera kugwiritsidwa ntchito kwa miyezi 36. Kutha kwa nthawi imeneyi sikungatenge, chifukwa magwiridwe antchito azakhala otsika kwambiri.

Chlorhexidine - Kugwiritsa Ntchito ndi Kugwiritsa Ntchito 7 Mwazotheka Njira za Chlorhexidine. Mankhwala a penny adalowa m'malo opangira theka ndipo thandizo lanyumba likuthandiza Chlorhexidine kapena Miramistin? Chlorhexidine wokhala ndi thrush. Zotsatira zoyipa za mankhwalawa

Ndemanga pa Chlorhexidine 1

Irina, wazaka 28, ku Moscow: "Chlorhexidine ndi mankhwala ophera tizilombo toyambitsa matenda a khungu. "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 chifukwa cha khungu, mabala. Ndikukwanira kuthana ndi bala ndi yankho kuti muchiritsidwe msanga. ayodini komanso wobiriwira wonyezimira. Chifukwa chake ndimagwiritsa ntchito mankhwala ophera tizilombo ".

Njira zogwiritsira ntchito

Chlorhexidine njira imagwiritsidwa ntchito pakhungu, mucous nembanemba wa genitourinary kapena pakamwa kwa mphindi 1-3. ndi kuthirira kapena thonje thonje.

Popewa matenda opatsirana pogonana, njira yothetsera mavutowo imaperekedwa pogwiritsa ntchito mphuno pampweya: kwa amuna - mu urethra, akazi - kumaliseche kwa mphindi 2-3. Pambuyo pa njirayi, simuyenera kukodza kwa maola awiri. Nthawi yomweyo, tikulimbikitsidwa kuchitira ntchafu zamkati, pubis ndi kumaliseche.

Zochizira urethritis ndi uroprostatitis, yankho limalowetsedwa mu urethra mpaka kawiri pa tsiku kwa masiku 10. Njira zimabwerezedwanso tsiku lililonse.

Kupanga zida zamankhwala ndi zida zamagetsi kumachitidwa ndikupukuta pansi ndi chinkhupule chofinyira pokonzekera kapena ponyowa.

Malo opangira opaleshoni amakonzedwa kawiri ndi gawo la mphindi ziwiri.

Musanagwiritse ntchito chlorhexidine, manja a dokotalayo amayenera kutsukidwa ndi sopo ndikupukuta bwino.

Suppositories amathandizidwa mu intravaginally m'malo apamwamba. Popewa matenda opatsirana pogonana, tikulimbikitsidwa kugwiritsa ntchito 1 suppository pasanathe maola 2 mutagonana. Nthawi zina, 1 supplementory imayendetsedwa kamodzi pa tsiku kwa masabata 1-3.

Gel ndi zonona zimayikidwa m'malo omwe akhudzidwa mpaka katatu pa tsiku. Kutalika kwa mankhwala anatsimikiza aliyense payekha poganiza matenda chithunzi cha matenda.

Zotsatira zoyipa

Mukamagwiritsa ntchito chlorhexidine tingaonere:

• thupi lawo siligwirizana
• dermatitis
• kuyabwa ndi khungu louma
• kumva kukhuthala pakhungu (pakatha mphindi 3-5 mutatha kugwiritsa ntchito),
• Kusintha kwa khungu lamankhwala
• kuchuluka kwa khungu pakukhudzana ndi UV radiation (photosensitivity),
• Madontho a mano, kusokonezeka kwa kukomoka (kokha pokhapokha gingivitis),
• kuyabwa ndi kuyaka mu nyini (pankhani ya ma suppositories).

Kuchita ndi mankhwala ena

Chlorhexidine sigwirizana ndi sopo ndi zotchingira zomwe zimakhala ndi sodium lauryl sulfate, saponins kapena sodium carboxymethyl cellulose. Musanagwiritse ntchito mankhwalawa, zotsalira za zothimbirira ziyenera kutsukidwa.

Ntchito za antiseptic ndizoletsa pamaso pa ayodini komanso zimathandizira pamaso pa mowa wa ethyl.

Kugwiritsa ntchito madzi olimba kumachepetsa mabactericidal a chlorhexidine.

Mothandizidwa ndi alkalis kapena mkaka, mankhwalawa amawola ndi mapangidwe a 4-chloraniline, omwe ali ndi katundu wa carcinogenic.

Ma antiseptic amatha kuphatikizidwa ndi othandizira okhala ndi benzalkonium chloride kapena cetrimonium bromide.

Kugwiritsa ntchito m'maiko osiyanasiyana

Chlorhexidine wavomerezedwa kuti azigwiritsa ntchito kwazaka zoposa 50.

Ma antiseptic amapezeka mu mawonekedwe a mitundu yoyima payokha, komanso ali mgulu la zinthu zosiyanasiyana zophatikizika:

• antibacterial mafuta, zothetsera,
• lozenges for resorption,
• zopangira mano
• kusamba pakamwa,
• shampoos.

M'mayiko a ku Europe, mchere wa acetate wamankhwala ndiwofala kwambiri, womwe mankhwala ake ndi ofanana kwathunthu ndi bigluconate.

Mu 2013, chlorhexidine adaphatikizidwa ku Mndandanda Wofunika wa WHO wa WHO.

Opanga Mwachidule

Ku Russia, kukonzekera kwa chlorhexidine kwa opanga angapo amagulitsidwa. Gawo lalikulu pamsika ndi la mabizinesi apakhomo. Makampani osiyanasiyana amapanga antiseptic pansi pa mayina "Chlorhexidine", "Chlorhexidine Bigluconate" kapena pansi pa mayina awo okhala ndi dzina. Mwa mitundu yamapiritsi, zothetsera ndi kuchuluka kwa 0.05-0.15% zimapezeka.

Kukonzekera kwa chlorhexidine ndi ena opanga:

Ma antiseptic Miramistin (lat. Myramistin) ali pafupi kwambiri ndi chlorhexidine. Mankhwalawa adapangidwa ndi asayansi a Soviet mu 1980s. ngati gawo la Space Biotechnology. Pakadali pano, malonda ake amapangidwa ndi kampani yaku Russia CJSC Infamin ndi kampani yaku Ukraine CJSC Darnitsa. Zogulitsa zimagulitsidwa m'maiko omwe kale anali USSR.

Poyerekeza ndi chlorhexidine, Miramistin ali ndi chiwonetsero chazinthu zambiri zokhudzana ndi antimicrobial.

Omvera mankhwala:

• mabakiteriya okhala ndi gramu komanso gramu-osavomerezeka (kuphatikiza tizilombo ta antibayotiki),
• protozoa (chlamydia, trichomonads, etc.),
• Ascomycetes
• yisiti ndi bowa wonga yisiti,
• dermatophytes,
• fuluwenza, chikuku, mavairasi a herpes, adenoviruses, coronoviruses.

Poyeserera, kuthekera kwa Miramistin pochepetsa ntchito ya kachilombo ka anthu mthupi (HIV) kwatsimikizidwanso.

Ubwino wina wa analogue ndi monga:

• kusowa kwa zakakwiyitsa komanso chifukwa cha zotsatira zake,
• kuthekera kwodzetsa chitetezo chamthupi pakhungu ndi mucous nembanemba,
• kupezeka kwa anti-yotupa komanso kusinthika kwachuma,
• Popeza zoipa zimachitikira mankhwalawa matenda a mano.

Kugwiritsa ntchito Miramistin kumawoneka kuti ndi koyenera pochiza pamlomo wamkamwa, mankhwalawa urological ndi gynecological pathologies komanso kupewa matenda opatsirana pogonana.

Nthawi yomweyo, m'maphunziro a labotale zidatsimikiziridwa kuti chlorhexidine imakhala ndi milingo yapamwamba yolimbana ndi Staphylococcus aureus (St. aureus), E. coli (E. coli), Pseudomonas aeruginosa (P. Aeruginosa) ndi bowa wa Candida (Candida) . Izi zimapangitsa kuti azigwiritsa ntchito kwambiri mankhwala osokoneza bongo komanso mankhwalawa.

Ku Republic of Belarus, kuphatikiza pa Miramistin, generic yake ndi Septomirin, yopangidwa ndi Belmedpreparaty RUE.