Chlorhexidine Spray: malangizo ogwiritsira ntchito

INN: Chlorhexidine (Chlorhexidine)

Njira yotulutsira ndalamazi ndi motere. Mankhwala amapezeka mu mawonekedwe a yankho la 0.05% ogwiritsa ntchito kunja. Mu botolo la polymer lopanda phokoso, komanso mabotolo agalasi 100 ml, botolo 1 mumakatoni.

Yankho la mankhwalawa 20% amagulitsidwa m'mabotolo a polymer okhala ndi kapu, 100ml, 500ml.

Makandulo ndi gelisi amapezekanso (zimaphatikizapo lidocaine wa), kirimu, mafuta, utsi ndi chinthu chofanana.

Zotsatira za pharmacological

Yankho lamadzimadzi la Chlorhexidine Bigluconate limayambitsa mavuto a mderalo, makamaka mabakiteriya. Malonda ake ndi ochokera ku dichloro biguanide. Zimakhudza thupi posintha ma cell a membrane a cell a tizilombo tating'onoting'ono. Ma cations omwe amapangidwa ndi kudzipatula kwa mchere wa chlorhexidine amatani ndi zipolopolo za mabakiteriya omwe ali ndi vuto. Zotsatira za mankhwalawa zimathandizira kuwonongeka kwa nembanemba ya cytoplasmic ya bakiteriya. Mlingo wake umasokonekera, kenako bacterium imafa.

Yankho la Chlorhexidine Bigluconate 0,05%, gluconate 20% imawononga bwino tizilombo tambiri tosiyanasiyana. Ndi Neisseria gonorrhoeae, Trichomonas vaginalis, Bacteroides fragilis, Chlamidia spp., Gardnerella vaginalis, Treponema pallidum. Komanso, mankhwalawa amagwira ntchito mogwirizana Ureaplasma spp,, komanso yothandiza kwambiri mogwirizana ndi mavuto ake Proteus spp.ndiPseudomonas spp.

Ma virus amalimbana ndi mankhwalawo (ma virus ndi ena nsungu), spores a bowa.

Ngati mankwala okhala ndi Chlorhexidinum amagwiritsidwa ntchito kusamba m'manja, kapena khungu limaperekedwa ndi mankhwalawo, Chlorhexidine Bigluconate amakhala ndi antibacterial wokhalitsa. Chifukwa chake, mankhwalawa amatha kugwiritsidwa ntchito pochiza manja a dokotala wa opereshoni ndi a opaleshoni.

Chipangizocho chimasunga zochita za antimicrobial pamaso pa mafinya, magazi, ndi zina zambiri, koma pamakhala kuchepa kwake.

Zizindikiro zogwiritsidwa ntchito

Zomwe antiseptic amagwiritsidwa ntchito, mutha kudziwa kuchokera pazomwe zatsimikizidwa kupita pamankhwala. Amagwiritsidwa ntchito kwambiri pochiza matenda omwe amachititsa tizilombo tating'onoting'ono tomwe timayang'ana zotsatira za chlorhexidine, komanso kupewa.

Mankhwalawa amagwiritsidwa ntchito pochiza matenda ena kutengera ndende yankho.

Njira yothetsera 0,05%, 0,1% ndi 0,2% imagwiritsidwa ntchito kwambiri kupewa matenda opatsirana atatha kuchitapo opareshoni. Kugwiritsa ntchito njira zotere mu mano kumachitika pofuna kukonza mano. Momwe mungagwiritsire ntchito chlorhexidine mu mano, madokotala amano amadziwa nthawi zingapo stomatitis, periodontitis kutsuka mano.

Kuchiza khungu kumachitidwa mu urology (ngati kuli kofunikira kulowa mu urethra, etc.), opaleshoni, gynecology isanachitike komanso itatha opaleshoni kuti muchepetse matenda. Kugwiritsa ntchito gynecology ya mankhwalawa kumachitika ndi cholinga chofuna kupukutira zimagwira pakhungu ndi khungu lanu musanadutsidwe kambiri. Momwe mungagwiritsire ntchito yankho kumatengera mtundu wa njira kapena chinyengo.

Mu gynecology, Chlorhexidine amagwiritsidwanso ntchito ngati thrush. Pofuna kuthana ndi kukhumudwa, mkazi amawonetsedwa kuti akugona motsatira chiwembu chapadera.

Chlorhexidine amagwiritsidwa ntchito pochiza matenda ambiri azisamba a mabakiteriya komanso mafangasi ochokera ku fungus. Kugwiritsa ntchito mankhwalawa pamaso pa mabala a purulent, matenda a mucous zimagwira ntchito zomwe zimayambitsidwa ndi tizilombo tating'onoting'ono tomwe timakhudzidwa ndi zinthu zomwe zimagwiritsidwa ntchito ndi mankhwalawa zimasonyezedwanso.

Kodi chlorhexidine amadziwika ndi omwe adalandira kuvulala kwambiri. Chipangizochi chimagwiritsidwa ntchito pochiritsa mabala komanso kuwonongeka pakhungu pofuna kupewa matenda. Kodi ndi chiyani, ndipo ngati kuli koyenera kugwiritsa ntchito chidacho mwanjira inayake, dokotala amawona.

Kukonza kwa Chlorhexidine Bigluconate 0,5% ntchito kuwononga mucous nembanemba ndi khungu, komanso zochizira zida zamankhwala (kutentha kwa yankho kuyenera kukhala madigiri 70 Celsius).

Kukonza kwa Chlorhexidine Bigluconate 1% Amagwiritsidwa ntchito popewa matenda opha zilonda, mabala, kupewetsa tizilombo toyambitsa matenda asanafike opaleshoni, komanso kukonza zida ndi zida zomwe sizingachitike ndi chithandizo cha kutentha.

Kukonza kwa Chlorhexidine Bigluconate 5% ndi 20% ntchito pakukonzekera njira zothetsera madzi, glycerin kapena mowa.

Contraindication

Zotsutsana zotsatirazi pakugwiritsa ntchito chida ichi zadziwika:

• Kuzindikira kwakukulu pazinthu zomwe zimapangidwa.
• Sichothandiza odwala omwe akuvutika dermatitis.
• Sikugwiritsidwa ntchito nthawi yomweyo monga antiseptics ena (izi hydrogen peroxidendi ena).
• Sipangakhale chothandiza kugwiritsa ntchito njira yophera tizilombo ta opareshoni musanachite opareshoni kapena pambuyo poti mwathandizire pa dongosolo lamitsempha lamkati ndi chitseko cholankhulira.
• Sikugwiritsidwa ntchito mu ophthalmology (yankho la funso loti ngati zingatheke kutsuka maso ndi wothandizirali ndi loipa, popeza yankho lokonzekera lomwe limagwiritsidwa ntchito mu ophthalmology).
• Zochizira ana zimagwiritsidwa ntchito mosamala.

Kodi chlorhexidine ndi chiyani?

Malinga ndi gulu la zamankhwala, Chlorhexidine ndi mankhwala opha tizilombo toyambitsa matenda. Izi zikutanthauza kuti angagwiritsidwe ntchito kupukuta mabala, mawonekedwe a pakhungu, khungu ndi mucous membrane, ngati mutsatira malangizowo komanso njira zopewera zomwe zasonyezedwamo. Udindo wa yogwira mankhwala umapangidwa ndi chlorhexidine bigluconate.

Kupanga ndi mawonekedwe a kumasulidwa

Mitundu itatu ya Chlorhexidine imadziwika - madzi am'madzi, njira yothirira mowa komanso zowonjezera ukazi, kuphatikiza ma gels ndi njira zothetsera zomwe zimagwiritsidwa ntchito zimatha kupezeka m'masherefu a mankhwala. Zambiri zikuwonetsedwa patebulopo:

Mapulogalamu oyera a torpedo okhala ndi ma marbling opepuka komanso oyera ngati chikasu, opindika ngati mawonekedwe

Kuzungulira kwa chlorhexidine bigluconate

0.05, 0,5, 1, 5 kapena 20%

8 kapena 16 mg pa 1 pc.

Madzi, ethyl mowa 96%

100 ml mabotolo apulasitiki kapena magalasi, ogwiritsira ntchito - 1 kapena 5 l

5 kapena 10 zidutswa pa chithuza chilichonse

Katundu wa mankhwala osokoneza bongo

Chlorhexidine ndi njira yothandizira kuti khungu lisamatetezeke pakhungu, likuwonetsa ntchito yolimbana ndi bakiteriya wopanda gramu kapena gramu, ma virus. Chipangizochi chimatha kugwira ntchito pazomera zama bacteria pokhapokha kutentha kwambiri. Mankhwala amatsuka, amatulutsa khungu popanda kuwononga khunyu. Imakhala ndi nthawi yayitali mpaka maola anayi.

Pogwiritsa ntchito intravaginal, mankhwalawa amawonetsa antiseptic ntchito yolimbana ndi gramu-bacteria, gram-negative bacteria, ma virus, kuphatikizapo chlamydia, ureaplasma, gardnerella, herpes simplex. Ma Acid osagonjetseka ndi ma spores samvera chidwi ndi mankhwalawa ndi bactericidal. Ikagwiritsidwa ntchito mopitilira muyeso, mankhwalawo sawononga lactobacilli.

Chlorhexidine bigluconate amatanthauza cationic biguanides, ali ndi magulu amino a mapuloteni am'magazi, amalowa m'magazi a bakiteriya, ndikukhazikika pa cytoplasm. Gawoli limalepheretsa kulowa kwa mpweya, komwe kumapangitsa kutsika kwa adenosine triphosphate ndi kufa kwa tizilombo. Mankhwalawa amawononga ma DNA ndi kapangidwe kake m'mabakiteriya, samalowa khungu lolimba.

Chlorhexidine wamadzimadzi Solution

Makina osiyanasiyana ogwiritsira ntchito amagawanitsidwa ndi yankho la madzi a Chlorhexidine. Umboni wake:

• kukokoloka kwachiberekero,
• colpitis
• kuyamwa kwamatsenga, kupewa matenda a chinzonono, chindapusa, trichomoniasis, maliseche ndi matenda ena a kumaliseche,
• kuperewera kwa mano otsuka, chithandizo cha mabala, ma burn,
• gingivitis, stomatitis, aphthosis, periodontitis, tonsillitis, alveolitis, matenda ena am'kamwa.

Chlorhexidine Mowa Wothetsera

Mosiyana ndi amadzimadzi, njira ya Chlorhexidine ya mowa singagwiritsidwe ntchito pochiza zimagwira mucous - izi zimayambitsa kuyaka kwamphamvu ndi zizindikiro zina zosasangalatsa. Zizindikiro pakugwiritsa ntchito chida ichi ndi kukonza kwa ogwira ntchito kuchipatala, malo opangira opaleshoni isanachitike kapena kuwunika. Njira yothirira mowa imathirira malo ogwirira ntchito a zida, zida.

Chlorhexidine wokhala ndi zowonjezera ukazi zimakhala ndi mawonekedwe osiyanasiyana ogwiritsira ntchito. Izi ndi:

• kupewa matenda opatsirana pogonana (syphilis, gonorrhea, ureaplasmosis),
• Chithandizo cha bakiteriya vaginosis, trichomonas, colpitis yosakanikirana,
• kupewa matenda opatsirana ndi otupa mu gynecology (asanachitidwe opaleshoni, kubereka, kuchotsa mimba, kukhazikitsa chipangizo cha intrauterine, diathermocoagulation yamchiberekero, maphunziro a intrauterine).

Mlingo ndi makonzedwe

Kutengera mtundu wa kumasulidwa ndi ndende, njira yothandizira, mulingo wa mankhwalawa, zimatengera. Zomwe zimagwiritsidwa ntchito zimafotokozera kuti mankhwalawo amangopakidwa mopaka kapena mwapamwamba, koma osati mkati - sangamezedwe kapena kuledzera, chifukwa angayambitse zotsatira zosasangalatsa za thupi. Njira zogwiritsira ntchito mankhwalawa zimafotokozedwera malangizo.

Chlorhexidine Solution

Njira zoyipa ndi zakumwa zoledzeretsa zimagwiritsidwa ntchito kunja. Kuchitira microtraumas pakhungu, kukanda, kuwotcha, tikulimbikitsidwa kuti muthepukutani chopukutira ndimadzimadzi ndikuchiyika kumalo owonongeka, mutha kuchiwongola ndi bandeji kapena pulasitala. Zochizira urethritis, urethroprostatitis, Chlorhexidine amawayika mu urethra mu kuchuluka kwa 2-3 ml 2-3 nthawi / tsiku kwa masiku 10 tsiku lililonse. Kuthirira, kuwongolera ndi madzi akumwa kuyenera kupitilira mphindi 1-3 ndikugwiritsanso ntchito 2-3 nthawi / tsiku.

Pofuna kupewa matenda amtundu wa maliseche, mankhwalawa sagwiritsidwa ntchito popitilira maola awiri atagonana. Musanalandire chithandizo, muyenera kupita kuchimbudzi, kusamba m'manja ndi kumaliseche, kukhudza khungu la pubis, ntchafu yamkati, komanso kumaliseche. Kugwiritsa ntchito mphuno, amuna amapaka jekeseni 2-3 ml ya madzi mu urethra, azimayi 5-10 ml kulowa kumaliseche kwa mphindi 2-3 (pakubowoka). Pambuyo pa chithandizo, simungathe kuyendera kuchimbudzi kwa maola awiri.

Momwe mungatsukire pakamwa panu ndi chlorhexidine pambuyo poyambira dzino

Mu mano, rinsing ndi chlorhexidine amagwiritsidwa ntchito mwachangu. Pambuyo pakuchotsa mano, izi zithandiza kupukusa pakamwa ndi kuteteza kulowa kwa tizilomboto kulowa m'timitsempha tambiri. Malangizo obwezera:

• Amachitika kwa ola limodzi ndikatsuka mano, nthawi yomweyo m'mbuyomu ngakhale pambuyo pokanda mkamwa sangadye ndi kumwa,
• ngati mwamwa mwangozi, muyenera kumwa mapiritsi angapo a kaboni
• khazikitsani njirayi katatu / tsiku (m'mawa ndi madzulo),
• musamayendetse kwambiri kuti musasambe magazi oteteza,
• ikani yankho mkamwa mwanu, gwiritsitsani kwa mphindi ziwiri, ndikutikita pang'ono mutu wanu.

Kuchepetsa matenda a chingamu

Mouthwash chlorhexidine angagwiritsidwe ntchito pa matendawa. Malangizo ogwiritsira ntchito:

• sambani mano
• nadzatsuka pakamwa panu ndi mankhwala a mchere wa chamomile kapena ayodini - (mu kapu ya madzi, supuni ya mchere, supuni ya 2/3 yamchere, dontho la ayodini),
• ikani supuni ya kamwa pakamwa panu, natsuka kamphindi, ndi kumulavulira.
• mutatha kudya maola awiri,
• ngati kuperewera sikungachitike (mwachitsanzo, mwa ana), chithandizeni mkamwa ndi thonje swab choviikidwa mu njira ya 0,05% yowonjezeredwa pakati ndi madzi (akuluakulu sangathe kuchepetsedwa).

Zowonjezera

Ma suppositories adapangira makonzedwe a intravaginal. Tulutsa zowonjezera kuchokera phukusi lake lodzitchinjiriza, gonekerani kumbuyo kwanu ndikulowetsa nyini. Monga chithandizo cha matenda, supplementory imodzi imagwiritsidwa ntchito kawiri / tsiku limodzi kwa masiku 7-10, ngati pakufunika, chithandizo chimatenga mpaka masiku 20. Pofuna kupewa matenda, supplementory imodzi imayikidwa mu nyini pasanathe maola awiri kuchokera nthawi yolumikizana. Ma suppositories sagwiritsidwa ntchito pochiza thrush.

Mankhwala a Chlorhexidine

Fomu ya aerosol imagwiritsidwa ntchito kunja kuchitira manja a anthu ogwira ntchito kapena mawonekedwe a ntchito. 5 ml ya chinthucho amachigwiritsa ntchito pakhungu ndikuwazisenda kwa mphindi ziwiri. Musanachiritse madokotala a opaleshoniyo, muyenera kaye kusamba m'manja ndi madzi ofunda ndi sopo kwa mphindi ziwiri, owuma ndi nsalu yotsitsika, ikani zigawo 5 ml kawiri, ndikupaka pakhungu, ndikukhala chinyezi kwa mphindi zitatu.

Kuti muchiritse malo opangira opaleshoni kapena nsonga ya woperekayo, khungu limapukutidwa ndi thonje lothonjetsedwa ndi mankhwala kwa mphindi ziwiri. Madzulo a wodwala ayenera kusamba, kusintha zovala. Nthawi yowonetsera madzimadzi pa malo opangira opaleshoni ndi miniti imodzi. Pochotsa magawo akuluakulu, mulingo wothetsera mavutowo uzikhala 100 ml pa mita imodzi. Kukonza zida zovuta, zimasakanikirana kwathunthu ndikuikidwa mumadzi kuti njira zonse zimadzazidwe.

Dzinalo Losayenerana

Chlorhexidine ndi antiseptic amene amagwiritsidwa ntchito poletsa kukula kwa ntchito ya tizilombo toyambitsa matenda.

Chopanga chachikulu pakuphatikizidwa kwa mankhwala ndi yankho la chlorhexidine 20% (womwe ndi wofanana ndi 5 mg wa chlorhexidine bicluconate).

M'misika, 2 mitundu ya kutsitsi imagulitsidwa:

1. Yankho lamadzi 0,05%. Zomwe zimapangidwira ngati gawo lina zimangokhala ndi madzi oyeretsedwa. Mbale zokhala ndi mphuno yopopera ya 100 ml.
2. Mowa njira ya 0,5%. Othandizira - ethanol ndi madzi oyeretsedwa. Wogulitsidwa mumbale 70 ndi 100 ml wokhala ndi pulasitala wopopera.

Pharmacokinetics

Chochita chake chimapangidwa kuti azigwiritsa ntchito kwambiri. Chifukwa chake, zinthu zomwe sizigwiritsidwa ntchito sizimayamwa ndipo sizilowa mu kayendedwe kazinthu. Ngakhale atamezedwa mwangozi pakamwa, chinthu chogwira ntchito sichingatengeke ndi makhoma am'mimba. Palibe kuyanjana ndi ziwalo zamkati, kuphatikizapo chiwindi ndi impso.

Zomwe zimathandizira chlorhexidine kupopera

Kupukusa pakamwa ndi mmero ndi angina ndi stomatitis, kuthirira kumaliseche ndimatenda am'mimba ndikutulutsa urethra, njira yamadzi imagwiritsidwa ntchito. Amagwiritsidwa ntchito ngati mankhwala a prophylactic a mucous nembanemba.

Utsi wa ethanol sungathe kuwazidwa ziwalo zam'mimba ndi mabala otseguka. M'm zipatala, mankhwalawa amagwiritsidwa ntchito poyeretsa manja a ogwira ntchito kuchipatala. Mankhwala amagwiritsidwa ntchito pochotsa jakisoni m'dera lanu Kwa omwe amapereka, ma edolo oyendayenda samatetezedwa mankhwala asanatenge magazi.

Utsi kuthirira pansi zida zamankhwala.

Mankhwala osokoneza bongo amagwiritsidwa ntchito ndiogulitsa zakudya komanso pophika chakudya pamaso pa anthu kuti asataye matenda ndi kukonza kwa manja.

Kapangidwe ka Chlorhexidine

Mankhwala amapangidwa ndi anthu angapo opanga mankhwala m'mitundu isanu mosiyanasiyana mosiyanasiyana wa yogwira mankhwala - chlorhexidine bigluconate.

Monga gawo la Chlorhexidine, malangizo a zolemba 2:

20% thunthu la chlorhexidine bigluconate, madzi.

Kachigawo kakang'ono ka zomwe zimagwira ntchito kamatsimikizira kuchuluka kwa mankhwalawa ndi kuchuluka kwake.

Chlorhexidine wam'mero ​​ndi pakamwa ayenera kukhala 0,55%. Kuti mugwiritse ntchito payekha, mankhwalawa amagulitsidwa m'mabotolo a 100-500 ml. Gwiritsani ntchito kuchipatala - mpaka malita awiri.

Chlorhexidine: Malangizo ntchito Gargling

Wothandiziridwayo akutsutsa ponseponse.Synthesized kwa nthawi yoyamba zaka zapakati pa makumi awiri ku UK, kwazaka zambiri yakhala ikugwiritsidwa ntchito ngati mankhwala othandizira pakhungu lakunja, zida zamankhwala, komanso pochita opareshoni. Chlorhexidine bigluconate ndi gawo limodzi la mankhwala ambiri olimbana ndi kubwezeretsa, makamaka:

mapiritsi ndi kupopera kwa pakhosi (Anti-Angin, Drill, Sebidin, ndi zina), miyala ya mano (Metrogil Denta, Metrodent, ndi zina), kukonzekera kwa machiritso (Depantol, Pantoderm, etc.), anti-yotupa ya corticosteroid mafuta (Bemilon), ma analgesic gels kupopera (Instillagel, Lidocaine Asept, etc.)

Chimodzi mwazomwe zikugwiritsidwa ntchito ndikukula ndi chlorhexidine malinga ndi malangizo omwe mungagwiritse ntchito ndi:

ARI, pharyngitis, tonsillitis.

Mphamvu ya chlorhexidine wa gargling imatsimikiza ndi kutchulidwa kwa bactericidal ndi fungicidal kwenikweni. M'malo a labotale, zotsatirazi za kuyatsidwa ndi yankho ndi 0.05% ndende pamtunda wama 22 degrees C adawonetsedwa:

kufa kwa mabakiteriya kunachitika mkati mwa mphindi 1, kumwalira kwa bowa - mphindi 10.

Ndi kuwonjezeka kwa kutentha kwa sing'anga kapena Chlorhexidine, malangizo ogwiritsira ntchito onani kuti mphamvu ya mankhwalawa imawonjezeka.

Nthawi yowonekera yomwe imayenera kufa kwa mabakiteriya ndi bowa pa kutentha kwa 40-50 madigiri C imachepetsedwa. Kuti tichotse mabakiteriya kuchokera pakatikati kamlomo malinga ndi malangizo ogwiritsira ntchito sikufuna masekondi oposa 30. Mphamvu ya fungicidal ya mankhwalawa imatha kuonekera chifukwa chotsalira cha mankhwalawa pa mucosa pambuyo pa njirayi.

Momwe mungagwiritsire ntchito chlorhexidine wa gargling malinga ndi malangizo:

Ganizirani kuchuluka kwa yankho la 0.05%. Ngati mumakhala ndi madzi ambiri, ndiye kuti ayenera kuchepetsedwa. Momwe mungaberekere Chlorhexidine kuti muchotsepo tidzakambirana m'ndime yomwe ikugwirizana pansipa. Muzimutsuka masekondi 30. Pafupipafupi njira tsiku lililonse mpaka 3.

Musanagwire mankhwala a Chlorhexidine ndikuchita nawo, muyenera kuwerengera mosamala malangizo omwe angagwiritsidwe ntchito pazomwe mungagwiritse ntchito chida ichi.

Ogwiritsa ntchito ayenera kuchenjezedwa za zotsatira zoyipa monga kuwonongeka kwa khungu la mano ndi mawonekedwe a ma deposits omwe amagwiritsidwa ntchito pafupipafupi kapena kwa nthawi yayitali.

Chlorhexidine: malangizo a ana

Maluso ogwiritsira ntchito mankhwalawa kuti asinthane ndi ana samasiyana ndi zomwe takambirana pamwambapa. Zowonjezera zina mpaka zosakwana 0,05% ndizosatheka chifukwa Kuti mukhale ogwira ntchito mwamphamvu, kuwonjezeka kwa nthawi yowonekera kudzakhala kofunikira.

Mwana asanakakhale ndi Chlorhexidine, ayenera kukumbukira kuti ngakhale malangizo omwe angagwiritsidwe ntchito akuwonetsa kuwonekera kwawonekera kwa zomwe zakhumudwitsa, yankho limakhala lowawa ndipo nthawi zambiri limayambitsa chidwi. Komabe, ana ambiri amaleza modekha momwe mankhwalawo amathandizira, zomwe zimatipatsa mwayi woti tizilankhula za chidwi cha munthu payekha.

Ana ovuta amapita nthawi 2-3 patsiku, kuwonetsetsa kuti mwana sameza yankho. Pachifukwachi, ndikofunikira kusintha njira ya Chlorhexidine ya ana ndi mawonekedwe a kutsitsi kapena kupatsa chidwi ndi chithandizo china.

Chlorhexidine pa nthawi yapakati

Palibe zoletsa zazikulu za chlorhexidine pa nthawi yomwe muli ndi pakati pa malangizo omwe angagwiritsidwe ntchito. Thupi silimamwa pa mucosa, ndipo zotsalazo zikameza, kuyamwa kwachilengedwe kumakhala kwakukulu kwambiri kotero kuti sikungakhale ndi vuto lililonse pa mwana wosabadwayo.

Dziwani kuti Chlorhexidine wa gargling, malangizo ogwiritsira ntchito omwe ali mutu wokhudza nkhaniyi, akhala akugwiritsidwa ntchito kwazaka zopitilira 6. Panthawiyo, ma antiseptics ambiri odziwika masiku ano kulibe, ndipo palibe amene akanachita.

Kwa nthawi yayitali kugwiritsa ntchito mankhwalawa, palibe zoyipa zomwe zidadziwika, ndipo zotsatira zoyipa ndizochepa komanso zosowa.

Kupanga ndi Chlorhexidine: Momwe zimaswana

Palibe chifukwa chothira yankho la 0,05%: mankhwalawa, monga momwe akufotokozera malangizo, ndi omwe angagwiritse ntchito.

Momwe mungagwiritsire ntchito Chlorhexidine wotsekemera ngati muli ndi yankho lokhala ndi zinthu zambiri zogwira ntchito:

Momwe mungachepetse mankhwala a chlorhexidine wopangira mwana? Onani kuchuluka komweko monga pamwambapa. Kuchepetsa m'munsimu 0,05% kumachepetsa kwambiri ntchito yotsuka.

Momwe mungasinthire ndi Chlorhexidine

Musanagundike ndi Chlorhexidine, ndikofunika kuti muzitsuka pakamwa panu ndi madzi abwinobwino. Malangizo ogwiritsira ntchito akuwonetsa kufunikira kutsuka mano musanachitike njirayi. Mankhwalawa amagwira ntchito kwambiri m'malo osaloledwa (pH 5-7) kapena pang'ono zamchere (pH 7-8).

Musamachotsere ndi mchere wambiri kapena wamchere, monga pa pH> 8, mankhwala othandizira amapangika, kupanga njirayi kukhala yopanda ntchito. Pazifukwa zomwezi, madzi olimba sayenera kugwiritsidwa ntchito poyeretsa zamkati: izi zimachepetsa ma bactericidal a antiseptic.

Momwe mungasinthire ndi chlorhexidine malinga ndi malangizo ogwiritsira ntchito:

Tengani yankho la 0.05%. Kapenanso muzithira mchere kuti ukhale wofunikira. Momwe mungachotsere mankhwala a chlorhexidine akhoza kuwerengedwa pamwambapa. Gwiritsani ntchito kapu iliyonse yoyezera pakukhuthulira 15 ml ya chinthucho. Pakakhala kapu yoyezera, mutha kugwiritsa ntchito supuni, yomwe ndiyofanana ndi 15 ml. Kuti muzimutsuka pakhosi ndi Chlorhexidine amatsatira, ndikuponyera mutu wake pang'ono, ndikuyang'ana ndikulankhula kwa vowel iliyonse pa exhale. Muzimutsuka osachepera 30 s. Sikulimbikitsidwa kumeza yankho. Pambuyo rinsing, yankho lonse liyenera kutayidwa. Kudziletsa pazakudya ndi zakumwa - osachepera maola awiri.

Garlic ndi chlorhexidine iyenera kukhala kawiri patsiku: m'mawa mutatha kadzutsa komanso usiku.

Kodi ndingayang'ane ndi chlorhexidine?

Chlorhexidine 0,05% ndi njira yothandiza komanso yotithandizira yophera matenda amkamwa ndi pharynx. Funso lachitetezo ndilofunikira kwambiri tikamanena ngati zingatheke kutsuka khosi ndi Chlorhexidine kwa amayi apakati: kuyamwa kwa mucosa, monga momwe malangizo akugwiritsira ntchito, ndizochepa 1% - izi zimapangitsa kuti mankhwalawa akhale abwino koposa, mwachitsanzo, kupopera kwa Ingalipt.

Tikalankhula za ngati ndizotheka kutsuka khosi ndi Chlorhexidine kwa mwana, ndiye kuti, choyamba, timakhala ndi nkhawa kuti kumeza mwangozi mankhwala. Motere, mankhwalawa akuwonetsa mbiri yabwino yachitetezo kuyambira pamenepo sichimatengedwa mu dongosolo la chimbudzi. 15 ml ya yankho lili ndi 7.5 mg yogwira ntchito.

Pambuyo pomeza mwangozi izi, kuchuluka kwambiri m'magazi kumatha pambuyo pa mphindi 30 ndipo kumakhala 0.000005 mg / l, i.e. ndi 00002% yokha ya zinthu zomwe zimatengedwa kuchokera m'mimba, zomwe zitha kuwonedwa ngati cholakwika cha mawerengeredwe a njira yowunikira.

Zizindikiro zomwe zili pamwambazi zimawerengeredwa pamaziko a zowerengera zasayansi zomwe zapezeka poyeserera pambuyo pameza kamodzi pa 600 ml ya yankho la 0.05%.

Chlorhexidine wa angina

Garlow ndi Chlorhexidine - woyenera angina. Mankhwalawa amagwira pamitundu ingapo ya tizilombo toyambitsa matenda. Malangizo ogwiritsa ntchito zindikirani kuti kukana kwa bakiteriya sikukula.

Ndi tonsillitis, ndikofunika kutsuka pakhosi katatu patsiku. Sitikulimbikitsidwa kuti tichiritsidwe kwa masiku opitilira masiku 7 popanda yopuma, chifukwa mankhwalawa amachititsa kuti mano azisokonekera. Ngati ndi kotheka, pitilizani momwemonso muyenera kusintha mankhwalawo kukhala wofanana ndi fanizo. Momwe mungagwirizane ndi angina mutha kupezeka m'ndime yomwe ili pamwambapa.

Momwe mungapangire pakamwa

Kunena zowona, tikamatsuka, sitimatsuka pang'ono pakamwa ngati pakamwa. Ndipo ndizoyenera, chifukwa mabakiteriya ambiri amapezeka mkamwa, pomwe amatsitsa pharynx.

Kugwetsa pakamwa kumasonyezedwanso kwa zotupa za mucosa: ndi stomatitis, gingivitis. Vuto la 0,05% kapena kupitirira kwa Chlorhexidine limagwiritsidwa ntchito, monga tafotokozera pamwambapa. Ndi kusakwanira, kugwiritsidwa ntchito kwa njirayi kumatha kuwonjezeka mpaka 0,2%.

Chlorhexidine kapena hydrogen peroxide: zomwe zili bwino

Kafukufuku wofananirana ndi zamankhwala omwe amapangitsa kuti peroxide kapena chlorhexidine wabwinoko wothandizirana ndi matenda opuma sanachitidwe. Titha kupanga molimba mtima kuganiza kuti ntchito yotsutsana ndi mankhwala othandizira imakhala yapamwamba mu mankhwala achiwiri.

Hydrogen peroxide, imaphatikiza zinthu zachilengedwe, kuphatikiza mafinya, amathandiza bwino pakuchotsa kwake kwa makina. Katunduyu amalola kugwiritsidwa ntchito kwa chinthu pochita ukhondo ndi angina. Kuphatikiza apo, peroxide simalimbikitsa mtundu wa mano. Mtengo wa mankhwala amafanana.

Ndi gawo la antiseptics odziwika, okwera mtengo komanso ogwiritsa ntchito kwambiri kuchipatala komanso kunyumba. Amapezeka m'mitundu ingapo:

mowa, yankho lamadzimadzi, mapiritsi a kusungunuka.

Nitrofural, yomwe ndi gawo la Furacilin, imawonetsa katundu wa bactericidal (kuphatikiza motsutsana ndi staphylococci), imakhala ndi fungicidal (motsutsana ndi bowa).

Monga taonera mu malangizo ogwiritsira ntchito, milandu ya bakiteriya imakhala yosowa, koma kukana sikufika pamlingo wapamwamba. Monga rinse, furatsilin bwino kulekerera.

Miramistin

Pokhala antiseptic yatsopano, Miramistin imatenga malo mndandanda wazamankhwala abwino kwambiri opaka pakamwa ndi pakamwa, osati molingana ndi luso lake lothandizirana, komanso machitidwe a ogula. Imalekeredwa bwino kwambiri, siyambitsa kukhumudwitsa, ilibe kukoma ndi kununkhira, palibe mavuto osasangalatsa. Nthawi yomweyo, Miramistin ndi wokwera mtengo kwambiri kuposa Chlorhexidine.

Gargling ndi Chlorhexidine: ndemanga

Monga mankhwala a gargling, mankhwalawo amafunsidwa. Ogwiritsa ntchito akuwunikira zotsatirazi zamankhwala:

yogwira ntchito molingana ndi ma antiseptics okwera mtengo, omwe amapezeka - amapezeka ku pharmacy iliyonse, pamtengo wotsika.

Nthawi yomweyo, odwala omwe akuwonetsa kuchuluka kwa mankhwalawa (mawonekedwe amtundu wamkokoma, zotsatira zoyipa zochepa), amakonda ma analogi okwera mtengo kwambiri, omwe amalimbikitsa chisankho chawo ndi zovuta zina zogwiritsa ntchito mankhwalawa:

kulawa kowawa, kumverera koyaka, ogula omwe ali ndi hypersensitivity powunika kwawo amawunikira kuti chlorhexidine, ikapweteka pakhosi, imayambitsa nseru komanso kusanza, kamvekedwe ka mano a enamel (kofotokozedwera m'mayendedwe ogwiritsira ntchito), kufunika kothira mankhwalawa (zosankha zambiri).

Chlorhexidine pakhosi la mwana: ndemanga

Funso loti ana amatha kukhazikika, kutengera chisakanizo chosaneneka cha mankhwalawo, limadetsa nkhawa makolo ambiri. Palibe zotsutsana ndi boma za ana. Ngakhale mwana sakudziwa momwe angatsukire, kugwiritsa ntchito kapena kupopera mbewu mankhwalawa zitha kuchitidwa m'njira zina.

Pakuwona kugwiritsa ntchito chlorhexidine pakhosi pa mwana, zosankha monga kupopera mbewu mkati mwa tsaya, pamphuno, mafuta a mucosa amkamwa zimadziwika.

Koma popeza mwayi wokhawo wa mankhwalawo omwe amafunsidwa ndi mtengo wake wotsika, ndi zinthu zina zonse kukhala zofanana, Chlorhexidine wammero wamaana sichikuwoneka kuti ndi chisankho choyenera.

Pomaliza

Njira yotsuka, malangizo ogwiritsira ntchito omwe takambirana m'nkhaniyi, adagwiritsidwa ntchito bwino kwazaka zopitilira mzere. Mankhwalawa atsimikizira kuti amagwira ntchito, ndipo mtengo wake wachuma umapangitsa kuti ikhale njira ina yosagwiritsira ntchito antiseptic othandizira.

Komabe, mbali zoyipa za mankhwalawo zimapindulitsa. Ngati zaka 20 zapitazo adagwiritsa ntchito kuphatikiza nthawi zambiri mokwanira, lero pali chizolowezi chosinthira kumankhwala apamwamba kwambiri.

M'malo okwanira Chlorhexidine wolephera wamatumbo ndi angina ndi pharyngitis atha kukhala awa:

Miramistin, Octenisept, Tantum Verde Forte (nadzatsuka - wazaka 12), Chlorophyllipt.

Kodi matenda ozizira komanso ozizira amayamba bwanji? Zingwe zimawoneka - thukuta kummero, ndipo ndikameza, zotulutsa zosasangalatsa zimawonekera. Ngati mu nthawi yoyambira njira zodzitetezera - kuuma, ndiye kuti matendawa akhoza kuimitsidwa munthawi.

Njira yothetsera Chlorhexidine yochizira gargling sikuti imathandizanso kukwiya, komanso amalimbana ndi kuyambitsidwa kwa matenda opatsirana.

Mankhwalawa amagwiritsidwa ntchito ngati mankhwala pochotsa ziwiya, kupatula mankhwala ophera tizironda, matenda opatsirana am'mimba, komanso matenda oyambitsidwa ndi matenda a urogenital - komanso ngati njira yolepheretsa kukula kwa matenda.

Chlorhexidine akhoza kugulidwa mu mitundu yotsatsira iyi - kutsitsi, yankho, gel ndi ma suppositories. Kuti muzitsuka kummero kwanu, gwiritsani ntchito yankho lamadzi - "Chlorhexidine bigluconate" mu fomu yomalizidwa.

Chifukwa chiyani amalimbikitsa kutsuka pakhosi ndi "Chlorhexidine" wa tonsillitis, pharyngitis ndi laryngitis?

Izi ndi zotsatirazi:

chimalepheretsa ntchito yofunika ya microflora ya pathogenic yamitundu yosiyanasiyana - mabakiteriya, bowa, anaerobes, majeremusi a protozoan, sizikhudza maluwa opindulitsa, ndiko kuti, amachita mosamala, imathandizira kukonzanso kwa kuwonongeka kwa minofu yofewa.

N`zosatheka kuchiritsa purulent tonsillitis popanda maantibayotiki. Njira yothetsera "Chlorhexidine" imathandizira kugwiritsa ntchito mankhwala a antibacterial cephalosporins ndi macrolytics.

Kugwiritsa ntchito yankho la Chlorhexidine ndi chifukwa chomveka chothandizira kuchiza kwa matenda osachiritsika a tonsillitis, puruseitis ndi pharyngitis, omwe ali ndi stomatitis ndi periodontosis.

Contraindication kuti agwiritse ntchito:

matenda a etiology, zaka za ana osakwana zaka 5, sayanjana ndi antiseptic.

Malangizo apadera: ntchito pa nthawi ya pakati ndi mkaka wa m`mawere - kokha moyang'aniridwa ndi dokotala ngati kuli ndi vuto linalake. Mphamvu ya teratogenic pa mwana wosabadwa sichinaphunzire.

Kuchuluka kwa yankho kungayambitse:

kuchuluka kwa kamwa mucosa, mdima wa dzino enamel, mkhutu kukoma kuzindikira, kusowa tulo.

Kuti muchepetse mavuto obwera chifukwa chake, ndikofunika kutsatira malangizo omwe angapangitsidwe muzimutsuka kapena kugula "Chlorhexidine" mu fomu yomalizidwa.

Palibenso chifukwa choopa kugwiritsa ntchito mankhwala osokoneza bongo kuti musinthe ana. Mwana akamiza mankhwala pang'ono, sadzachira.

Vuto lapoizoni limachitika pokhapokha ngati amamwa kapu yotsimikizika ndi 0.5%. Koma ngakhale atachita izi, zitha kupangitsa kuti Chlorhexidine asinthe - muyenera kutenga sorbent (ngakhale yosavuta kwambiri - kaboni yoyambitsa) ndiyabwino) ndikumwa madzi ambiri. Pambuyo maola 12, mankhwalawa amasiya thupi mwachilengedwe.

Chitetezo ndikuyenda bwino kwa mankhwalawa ayesedwa pamibadwo yambiri ya odwala - agwiritsidwa ntchito kwazaka zopitilira 60. Komabe, muyenera kudziwa kuti ndi gawo liti lazachipatala lomwe limathandizira kuti muchepetse mavuto.

Khosi limachiritsidwa ndi yankho la "Chlorhexidine bigluconate" 0,02 kapena 0,05% - amagulitsidwa mu mankhwala omwe amapangidwa kale.

Ngati akuluakulu amatha kuchoka pang'onopang'ono kuchokera kutsitsi losavuta - imakhala ndi chipangizo chapamwamba, ndiye njira zina zofunika kuzisamalira pochiza ana.

Nembanemba ya ana imakhala yofewa kwambiri, ndipo mafinya akatsukidwa kunja kwa lacunae, amamva kutentha ndikukana njira zina. Chifukwa chake, 0,02% ya Chlorhexidine sitimadzipereka ndi 1/3 ya madzi owiritsa - osati otentha okha. Yankho la 0.05% limadzipukutira pakati.

Simukuyenera kugula yankho la 0.5% - kunyumba ndizovuta kwambiri kuti lizipaka nthawi yomweyo. Ngati palibe mankhwala amtundu wina, ndiye kuti achikulire amasakanikirana ndi madzi mogwirizana ndi 1/10, komanso mankhwalawa a ana a tonsillitis - 1/20.

Ma algorithm ogwiritsira ntchito mankhwalawa pochiza matenda opatsirana a nasopharynx ndiwosavuta kwambiri:

woyamba muzimutsuka mkamwa ndi m'mimba ndi madzi owonekera kuti muchotse zinyalala za chakudya ndi zofunikira zamakonzedwe am'mbuyo, kenako dinani siponji, ndikuwongolera njira yothetsera mavutowo, kapena thirani mankhwalawo mu chipewa choyezera ndikuwatsuka mkamwa ndi mmero.

The pakati pakati pa ndalamayo ndi chakudya ayenera kukhala osachepera 1.5 maola. Akuluakulu amakhala njira za 5-6 patsiku, ana 2-4. Njira ya mankhwala ndi masiku 7.

Pochiza matenda opatsirana a bacterial etiology, mankhwalawa sangathe kutsuka pakamwa panu ndi mmero, komanso kudzaza nebulizer chifukwa cha kupweteka. Inhalations ndi antiseptic ali ndi njira yoteteza - amateteza kupezeka kwa zovuta pambuyo pachimake kupuma matenda - bronchitis ndi chibayo.

Simungagwiritse ntchito antiseptic pazovuta za SARS - sinusitis, sinusitis ndi atitis media. Ngati yankho likalowa mu maxillary sinus kapena chubu la Eustachian, vutoli limakulirakulira. Mankhwalawa sagwiritsidwa ntchito ngati akuphwanya mphuno ndi rhinitis - mphamvu ya njirayi ndiyotsika kwambiri ndipo ma nosebleeds amatha kuwonekera, chifukwa nembanemba imayamba kuwuma.

Chlorhexidine akagwiritsidwa ntchito kutsuka pakhosi panu, zinthu zina sizimagwiritsidwa ntchito.

Komanso, simungathe kuchepetsa yankho ndi madzi amchere, uzipereka mchere, ayodini kapena koloko. Izi zitha kuyambitsa zochita zosayembekezeka.

Mankhwalawa sagwiritsidwa ntchito ngati ali ndi kachilomboka, chifukwa chake ndikofunikira kugula wothandizira wina pogwiritsa ntchito njira zowonekera. Nthawi zambiri amalimbikitsa Miramistin.

Ndikosatheka kuchiritsa maARV kapena kachilombo ka bacteria komwe kali ndi antiseptic imodzi. Njira yotsuka imakhala ndi chithandizo chothandiza, ndipo kugwira ntchito kwake kumatsimikiziridwa ngati gawo la zovuta mankhwala. Kuti muwononge zomera, mabakiteriya amafunika.

0,05% yankho

(madzi amchere a chlorhexidine)

(dzina malonda - hexicon)

Chopanga chachikulu:

0,5 mg chlorhexidine bigluconate mu 1 ml ya yankho25 mg ya chlorhexidine yankho la 20% mu 1 botolo16 mg ya chlorhexidine bigluconate mu 1 supp.

Othandizira:

Madzi oyeretsedwa mpaka kuchuluka kwakeMowa wa Ethyl 95% - 718,5 ml, madzi oyeretsedwa, kuti mupeze buku la yankho la 1 lPolyethylene oxide 400, polyethylene oxide 1500

Katundu Wathupi:

Madzi, yankho lomvekaZopanda maonekedwe, zowoneka bwino, nthawi zina zimakhala ndi opalescent madzi pang'ono ndi fungo la mowaVaginal suppositories ndi oyera kapena achikasu amtundu, owoneka ngati torpedo, pamwamba pake ndi marble pang'ono.

Katemera, mtengo:

Amapezeka mumitundu yosiyanasiyana (ma pulasitiki, mabotolo agalasi), okhala ndi ma dispens kapena opanda iwo.

Mtengo: 0.05% yankho 100 ml: ma ruble 10-15.

70 ndi 100 ml mumabotolo / Mbale zokhala ndi mphuno kapena chipewa chofukizira.

Mtengo 100 ml: 98 rub.

1 kapena 5 supp. Mu phukusi la ma contour. 1, mapaketi awiri m paketi.

Mtengo: No. 10 - 270-280 rubles.

Malangizo apadera

Mosamala anaikapo mankhwala a ana. Ngati mwameza mwanjira iliyonse chlorhexidine, muzimutsuka m'mimba ndi madzi okwanira, kenako ndi adsorbent.

Utsi suyenera kugwiritsidwa ntchito pakumera ndi mabala a mucous. Njira yothetsera ndi utsiwu sioyenera kulumikizana ndi mitsempha yam'maso komanso maukonde. Mukakumana mwangozi ndi maderawa, muzitsuka kwathunthu pansi pamadzi. Ngati kutsitsi kukalowa m'maso mwanu - muzimutsuka ndi madzi ndikukhazikitsa albucid.

Mankhwalawa sagwirizana ndi alkali, sopo ndi mankhwala ena a anionic (gum arabic, colloids, carboxymethyl cellulose, sodium lauryl sulfate, saponins). Sikugwiritsidwa ntchito nthawi imodzi ndi antiseptics ena.

Musaiwale kuti chlorhexidine ndi mankhwala, osati mankhwala aukhondo, chifukwa chake simungathe kugwiritsa ntchito tsiku ndi tsiku kutsekeka kwamkamwa ndi mano, komanso kutsekemera. Pali zizindikiro zowonetsa momwe njirayi ndi yoyenera komanso yofunikira, ndipo iyenera kutsatira. Ngati mumagwiritsa ntchito chlorhexidine mosasamala, izi zimakhala ndi vuto lofanana ndi microflora, kukula kwa dysbiosis komanso thupi lawo siligwirizana.

• Kupewa matenda opatsirana pogonana. Gwiritsani ntchito pasanadutse maola awiri mutangodutsa kondomu, kugonana kosatetezeka. Pafupifupi 2-3 ml ya mankhwalawa amalowetsedwa mu urethra kwa amuna, 2-3 ml mu urethra kwa akazi ndi 5-10 ml mu nyini (chlorhexidine mu mawonekedwe a douching). Amakonzedwa moyenera ndi khungu kuzungulira maliseche. Kugwiritsa akhoza kuchitidwa osapitirira 2 mawola mankhwala.
• Mu gynecology. Gwiritsani ntchito mawonekedwe akunyinyirika ndi zizindikiro zoyenera. Kuchitika mokhazikika, kufinya madontho ochepa a mankhwalawo kumaliseche kuchokera m'botolo. Pambuyo pa njirayi, muyenera kugona pansi kwa mphindi 5 mpaka 10.
• Ndi yotupa matenda a kwamikodzo thito amuna ndi akazi. 2-3 ml yankho limalowetsedwa mu urethra kamodzi kapena kawiri tsiku lililonse kwa masiku 10 motsatira.
• Kuthandizira zotupa za pakhungu, mabala, kuwotcha, yankho limagwiritsidwa ntchito ngati mawonekedwe, omwe atsalira kwa mphindi 1-3.
• Pochita ndewu ndi tillillitis, tonsillitis, pharyngitis. Malangizo ogwiritsira ntchito rinsing - nadzatsuka mkamwa ndi madzi ofunda musanachitike. Kenako tengani 10-15 ml ya yankho ndikusintha bwino ndi masekondi 30. Osamadya kapena kumwa kwa mphindi 60 pambuyo pa njirayi. Sikoyenera kuchepetsa chlorhexidine - yankho la 0,05% ndiyoyenera kutsatira.
• Mu mano. Mano opaka, kutsuka ngalande ya gingival, fistulas, abscess. Amagwiritsidwanso ntchito pochiritsa mano pambuyo patchwork pa periodontal.

• Zaukhondo zochizira maburashi a unamwino

5 ml ya kutsitsi imagawiridwa m'manja ndikusenda kwa mphindi ziwiri.

Njira yothandizira ntchito zakunja ndi zakunja

Njira yothetsera 0,05 ndi 0,2%:

• matenda opatsirana pogonana: genp herpes, syphilis, gonorrhea, trichomoniasis, ureaplasmosis, chlamydia (popewa, pasanathe maola 2 mutagonana),
• Zikopa, ming'alu pakhungu (chifukwa chakupha matenda),
• fungal ndi bacterial matenda a mucous nembanemba ndi khungu la genitourinary ziwalo, kachilombo amayaka, zilonda zam'mimba,
• ntchito mano: alveolitis, periodontitis, aphthae, stomatitis, gingivitis (kwa rinsing ndi kuthirira).

• mabala ndi kuwotcha pamalo, zotupa zodwala, ming'alu pakhungu ndi zotseguka zotupa za mucous (kuchitira),
• chimbudzi chogwiritsa ntchito chipangizo chachipatala (kutentha kwa 70 ° C),
• kupha tizilombo toyambitsa matenda ndi mawonekedwe a ntchito zamagetsi, kuphatikizapo ma thermometers, omwe mankhwalawo amawotcha kutentha.

• kuteteza matenda a pamalo opangira zida zamankhwala, ma thermometers, zida zomwe kutentha kumakhala kosayenera,
• kukonza manja a dokotala wa opereshoni ndi malo opangira opaleshoni musanachite opareshoni,
• pakhungu lopanda matenda,
• zochizira zoyaka ndi mabala a postoperative.

Yankho la 5% limagwiritsidwa ntchito kukonza zakumwa zoledzeretsa, glycerin kapena madzi amadzimadzi a 0.01-1%.

Yothetsera zakumwa zoledzeretsa zakunja

• ukhondo zochapa manja ndi madokotala
• kukonza khungu la maondo owongolera opereka, khungu la jakisoni ndi malo opangira opaleshoni,
• kupewetsa tizilombo toyambitsa matenda kuchipatala komwe kuli zida zamankhwala, zazing'ono m'deralo, kuphatikizapo zida zamano, mankhwala othandizira kutentha omwe ndi osayenera,
• ukhondo kukonza manja kumadokotala, ogwira ntchito zachipatala mabungwe osiyanasiyana opanga ndi zolinga.

Pukusani zakumwa zoledzeretsa zakunja

• ukhondo zochotsa malekezero a opereka, manja a opanga opaleshoni ndi ogwira ntchito zamankhwala, khungu la ntchito ndi jakisoni,
• kuteteza mawonekedwe a zida zamankhwala, zazing'ono m'deralo (kuphatikizapo zida zamano),
• ndi matenda oyambitsidwa ndi bakiteriya (kuphatikizapo chifuwa chachikulu ndi matenda a nosocomial), fungal (candidiasis, dermatophytes) ndi kachilombo komwe adachokera ku mabungwe azachipatala,
• ukhondo kukonza kwa ogwira ntchito zachipatala mabungwe osiyanasiyana ndi mbiri,
• ukhondo kukonza kwa ogwira ntchito mabizinesi othandizira aboma, makampani azakudya, zothandiza anthu.

Kuchepetsa ndi kutsitsi la zakumwa zoledzera zakunja

Njira yothetsera vutoli ndi mowa umagwiritsidwa ntchito kunja.

• ukhondo zochapa m'manja mwa ogwira ntchito pachipatala: 5 ml ya yankho / kutsitsi imayikidwa m'manja ndikusisita kwa mphindi ziwiri,
• Manja a opaleshoni: m'manja omwe adasambitsidwa kale ndi madzi ofunda ndi sopo (kwa mphindi ziwiri) ndikuwuma ndi chosalala, gwiritsani ntchito 5 ml ya chinthucho ndikuchiwotcha kamodzi 2 (simungapukute manja anu ndi thaulo pambuyo pa chithandizo),
• Chithandizo cha mawondo a owongoka kapena opaleshoni: Ndi chosalimba chofewa chokhazikika mu njira / kupopera, kupukuta khungu katatu, kusiya kwa mphindi ziwiri. Komanso, opaleshoniyo isanachitike, wodwalayo amasamba / kusamba ndikusintha zovala,
• Chithandizo cha opaleshoni: khungu lomwe limasungunuka mu yankho / kupopera ndi swaberi yosalala imakulungidwa mbali imodzi, kumanzere kwa mphindi 1 (2 min kwa kutsitsi),
• kuperewera kwa magome, zida, mipando ndi mawonekedwe ena (ang'onoang'ono m'deralo): amathandizidwa ndi ziphuphu zokumbira mu yankho / utsi. Kugwiritsa ntchito ndalama kumatsimikizika potengera kuwerengera kwa 100 ml ya njira / utsi pa 1 sq.m. dera.

Mukamaliza kuthira mankhwala pamtunda wa zida zamankhwala zokhala ndi minofu yothinitsidwa ndi madzi, zodetsa zooneka zimachotsedwa musanalandire chithandizo. Pamaso kukonza, njira zamkati zimatsukidwa ndi syringe kapena ruff m'magolovesi a rabara ndi apron.

Zotengera, zopukutira ndi zochapira zomwe zimatsukidwa ziyenera kutetezedwa ndi zotentha kapena zoteteza ku mankhwalawa molingana ndi malamulo omwe amagwiritsidwa ntchito pa chifuwa chachikulu / viral hepatitis mogwirizana ndi malangizo ophunzitsira. Pambuyo pochotsa zodetsa, zinthuzo zimamizidwa kwathunthu mu njira yothetsera mowa, ndikuzaza ndi njira ndi zingwe. Ngati chinthucho chitha kuphulika, chimasulidwa musananyamize.

Popewa kutulutsa madzi komanso kuchepa kwa ndende ya zakumwa zoledzeretsa, chidebe chokhala ndi yankho chimatsekedwa mwamphamvu ndi lids.

Zogwiritsa ntchito mankhwala ophera utoto wotsukidwa kale kuchokera kuzakumwa zitha kuthandizidwa ndikuthana mobwerezabwereza kwa masiku atatu (ngati antiseptic ogwiritsidwa ntchito amasungidwa mu chidebe chotsekedwa mwamphamvu chomwe sichimalola kusintha kwa mowa. Maonekedwe a ma flakes ndikuthambo kwa yankho / kutsitsi ndiye chifukwa chalowa m'malo.

Kuyanjana kwa mankhwala osokoneza bongo

• mankhwala osagwirizana ndi ma anionic mankhwala ena (carboxymethyl cellulose, gum arabic, colloids), alkali, sopo, wogwiritsa ntchito intravaginal - ndi zitsulo, zomwe zimakhala ndi gulu la anionic (sodium carboxymethyl cellulose, sodium lauryl sulfate, saponins),
• yogwirizana ndi mankhwala omwe amaphatikiza gulu la cationic (cetrimonium bromide, benzalkonium chloride),
• Kuchita bwino kumapangidwira ndi ethanol,
• zimawonjezera chidwi cha mabakiteriya ku cephalosporins, neomycin, kanamycin ndi chloramphenicol,
• osagwiritsidwa ntchito ndi mankhwala okhala ndi ayodini ngati agwiritsidwa ntchito kudzera m'mitsempha.

Ma Analogs a Chlorhexidine ndi Amident, Hexicon, Heoticon D.

Zotsatira zoyipa

Pogwiritsa ntchito Bigluconate munthawi ya mankhwala a Chlorhexidine, zotsatirazi zoyipa zinaonedwa mwa odwala ena:

• khungu lowuma,
• Khungu,
• mawonekedwe otupa,
• dermatitis,
• zithunzi.

Pogwiritsa ntchito njira yotalikirapo yotsuka ndi kuthilira mkamwa, zimatha kusiyanitsa zinthu tartarKusintha kwa mano kumadziwika.

Malangizo ogwiritsira ntchito Chlorhexidine Bigluconate (Njira ndi Mlingo)

Malangizo a chlorhexidine amatipatsa kuti madzi amchere ndi zakumwa za chlorhexidine amagwiritsidwa ntchito pochiza matenda opatsirana.

Malangizo ogwiritsira ntchito Chlorhexidine Bigluconate popewa matenda opatsirana pogonana ndi motere. Yankho la 0.05% silikugwiranso ntchito kuposa maola awiri mutagonana mosadziteteza. Kwa amuna, 2-3 ml ya mankhwalawa amalowetsedwa mumkodzo wamkodzo, kwa akazi, 1-2 ml imalowetsedwa mu ndulu ya kwamkodzo ndi zina 5-10 ml kulowa mu nyini (monga douching gynecology). Komanso, ndikofunikira kuchitira khungu pafupi ndi majini ndi yankho. Malangizo a momwe mungagwiritsire ntchito mankhwalawa muli chenjezo loti kukodza kuyenera kuchitidwa musanadutse maola 2 mutatha kugwiritsa ntchito mankhwalawa. Kupanda kutero, kuyendetsa bwino ntchito kumatsika.

Popewa pankhaniyi, ma suppositories omwe ali ndi Chlorhexidine Bigluconate amathanso kugwiritsidwa ntchito.

Kodi kuchita douching ndi chlorhexidine pamene kukhumudwa ndi matenda ena azachipazi, ndipo ngati nkotheka kutulutsa phokoso pakabuka zina, muyenera kufunsa kaye dokotala wanu wazachipatala. Pakukopa, njira yokhazikika ya 0.05% imagwiritsidwa ntchito, yomwe siyowonjezera madzi. Musanagone, muyenera kugona pansi molunjika, ndikufinya madontho ochepa a chinthu kuchokera m'botolo kulowa mu nyini, kugona pansi kwa mphindi zingapo. Ndi chitukuko cha thupi lawo siligwirizana, njira zotere siziyenera kuchitika.

Njira yogwiritsira ntchito Chlorhexidine mu matenda otupa a kwamikodzo motere: 2-3 ml ya 0,05% imalowetsedwa mu canal canal kamodzi kapena kawiri pa tsiku. Njira ya mankhwala kumatenga masiku 10. Njira yofunsira imeneyi imachitika mwa amuna ndi akazi.

Pofuna kuchiza zowotcha, mabala ndi zotupa zina zapakhungu, yankho la mankhwalawa 0.05%, 0,02% kapena 0,5% amagwiritsidwa ntchito. Amagwiritsidwa ntchito kuthirira kapena kugwiritsa ntchito. Pemphedwa lasiyidwa kwa mphindi 1 kapena 3.Sipuni yokhala ndi chophatikizira chofananira chingagwiritsidwenso ntchito.

Ngati kuli kofunika kupukuta pakhungu musanachite opareshoni, njira ya 20% ya chlorhexidine bigluconate imagwiritsidwa ntchito, yomwe imaphatikizidwa ndi 70% ethyl mowa (gawo limodzi la 20% yankho la chlorhexidine bigluconate ndi magawo 40 a mowa 70%. Malo opangira opaleshoni amakonzedwa kawiri ndi gawo la 2 maminiti.

Mu ntchito ya ENT, chlorhexidine amagwiritsidwa ntchito zilonda zapakhosi, pharyngitis, tonsillitis. Garani ndi angina ndi yankho la 0.2% kapena 0,5%.

Musanagwiritse ntchito Chlorhexidine wa kutsutsanaNdikulimbikitsidwa kuti muzitsuka pakamwa panu ndi madzi ofunda. Kenako kuyanjana ndi angina ndi motere: muyenera kutenga 10-15 ml (pafupifupi supuni) ya yankho, yomwe imatha kuyendetsa pafupifupi masekondi 30. Mutha kubwerezanso kuchita izi. Pambuyo pang'onopang'ono, ndikofunika kuti musatenge chakudya kapena madzi kwa ola limodzi. Momwe mungatsitsire khosi ndi Chlorhexidine, komanso kangati patsiku muyenera kuchita izi pakhomopo, adokotala adzakuwuzani, mukuganizira za zomwe wodwala akukumana nazo. Komanso, katswiri ayenera kufunsidwa ngati kuli kotheka kutsuka khosi ndi Chlorhexidine ngati wodwala akuwonetsa kuwonetsa kwake.

Dziwani kuti ngati kutsanulira mkamwa ndi Chlorhexidine kumayambitsa kutentha, ndiye kuti yankho lake limakhala ndi chidwi chambiri. Choyimira chovomerezeka kwambiri sichikuposa 0.5%. Pasadakhale, malangizo a momwe mungachotsere pakamwa ndi mankhwala ayenera kuphunzira. Kugwetsa pakamwa pambuyo poyambira dzino kumachitika katatu patsiku kwa mphindi imodzi. Kodi ndizotheka kutsuka pakamwa panu pafupipafupi komanso momwe mungatsukire pakamwa panu, ngati zovuta zazindikirika pambuyo pakuchotsa mano, muyenera kudziwa kuchokera kwa katswiri.

Mankhwala a Chlorhexidine sangathe kumeza pakumayamwa; ngati yankho limalowa mwangozi m'mimba, muyenera kumwa mapiritsi a kaboni (piritsi 1 pa 10 kg ya kulemera kwa munthu).

Nasal kutaya ndi sinusitis mankhwalawa sayenera kuchitika mosadalira. Kodi ndizotheka kutsuka mphuno, kutsimikiza kokha ndi dokotala. Njira yothetsera mphuno imatha kulowa mkatikati mwa khutu kapena mkati mwa ubongo, yomwe imakhala yodzala ndi zovuta zazikulu.

Kuchita

Ngati pH ya sing'anga yoposa 8, mitundu yodziwika bwino. Ngati madzi olimba adagwiritsidwa ntchito pokonzekera yankho, mphamvu yake ya bactericidal imachepetsedwa.

Siphatikizidwa ndi mankhwala anionic, makamaka ndi sopo.

Zosagwirizana ndi mankhwala a chloride, makatoni, phosphates, sulfates, borates, citrate.

Mothandizidwa ndi wothandizila, chidwi cha tizilombo tating'onoting'ono pakukopa kowonjezereka neomycin, kanamycin, chloramphenicol, cephalosporin.

Mowa wa ethyl umakulitsa mphamvu ya bactericidal.

Pa mimba ndi mkaka wa m`mawere

Chlorhexidine pa nthawi yoyembekezera komanso nthawi yoyamwitsa imatha kugwiritsidwa ntchito mopitirira. Komabe, ngakhale kuti mimba si kuphwanya kugwiritsa ntchito mankhwalawa, kugwiritsa ntchito njirayi sikulimbikitsidwa.

Gargling panthawi yoyembekezera ndiyotheka kuyang'aniridwa ndi dokotala.

Ndemanga ya Chlorhexidine

Ndemanga pa chlorhexidine bigluconate ndizabwino kwambiri. Akatswiri ndi odwala amawona mtundu wotchulidwa wa antiseptic zotsatira akamagwiritsa ntchito yankho. Zotsatira zoyenera mukamagwiritsa ntchito yankho zimadziwika ndi gargling, mano, ndi gynecology. Zotsatira zoyipa za odwala ndizosowa kwambiri. Zotsatira zabwino zimadziwika mukamagwiritsa ntchito ziphuphu, malingaliro mu nkhaniyi nawonso ndiabwino.

Chlorhexidine wa nkhope imagwiritsidwa ntchito ngati njira yothetsera 0,01%, imakhala ndi zotsatira zoyipa ikalowa mkhungu. Komabe, pakuwunika kwawonekeratu kuti ndibwino kufunsa dotolo kuti adziwe ngati zingatheke kupukuta nkhope ndi yankho lotere, chifukwa momwe munthu angachitire dala mankhwalawo.

Ngati mukukhulupirira ndemanga, Chlorhexidine kuchokera ku ziphuphu amachiritsa moyenera ngati agwiritsidwa ntchito molondola. Chida chikufunika kupukuta malo mozungulira mawonekedwe pamaso. Ambiri amazindikira kuti ziphuphu zimatha kuchotsedwa mwachangu ndikugwiritsa ntchito limodzi ndi njira zina.

Shampoo yokhala ndi 4% chlorhexidine solution yakhala ikugwiritsidwa ntchito bwino popewa matenda amtundu wa khungu. Malinga ndi ndemanga, shampoo yotere ya agalu ndi amphaka amatsuka khungu ndikupangitsa chovalacho kukhala chopepuka.

Mtengo wa Chlorhexidine, komwe mugule

Mtengo wa chlorhexidine umadalira ndende yankho. Nthawi zambiri muma pharmacose omwe mutha kugula Chlorhexidine 0,05%yomwe yakonzeka kale kuti igwiritsidwe ntchito. Mtengo wa mankhwalawa ku Moscow ndi pafupifupi ma ruble 12-18 pa 100 ml. Ngati malo ogulitsa ndi Ukraine, ndiye kuti mtengo wa yankho ndi pafupifupi 5-6 UAH. pa 100 ml.

Mtengo Makandulo Chlorhexidine ndi ma ruble 210-240. kwa ma PC 10. Mtengo Chlorhexidine Bigluconate Spray - 14 - 20 rubles. Kuchuluka kwa gel yomwe imakhala ndi chlorhexidine mumtengo wamapiritsi kumadalira mankhwalawo. Mtengo wake ndi pafupifupi ma ruble 100.