Miramistin: malangizo ogwiritsira ntchito, mtengo, ndemanga ndi analogi

Kufotokozera kogwirizana ndi 18.04.2019

• Dzina lachi Latin: Miramistin
• Code ya ATX: D08AJ
• Chithandizo: Benzyl dimethyl 3 - myristoylamino) propyl ammonium chloride monohydrate (Benzyldimethyl 3 - myristoilamine) propyl ammonium chlor>

Miramistin imakhala ndi yogwira - Benzyldimethyl 3 - myristoylamino) propyl ammonium chloride monohydrate - 100 mg, komanso madzi oyeretsedwa. Zinthu zina siziphatikizidwa ku Miramistin.

Kutulutsa Fomu

Mankhwalawa amapezeka mu mawonekedwe a yankho lomwe limayikidwa mitu. Ndi madzi owoneka bwino, opanda utoto omwe amayamba kugwedezeka.

Yankho la Miramistin lili m'mabotolo a 50 ml, 100 ml, 150 ml kapena 200 ml, omwe amaikidwa m'mabhokisi. Chidacho chimaphatikizaponso phokoso lopopera kapena pampu ya utsi.

Kutulutsa fomu yogwiritsidwa ntchito kuchipatala - mabotolo 500 ml.

Makandulo, mapiritsi a Miramistin sapezeka.

Zotsatira za pharmacological

The abstract chikuwonetsa kuti Miramistin ali ndi zotsatira zoyipa, kuphatikiza pazipatala zomwe sizimalimbana nawo maantibayotiki.

Chipangizocho chimapereka bactericidal zotsatira poyerekeza ndi mabakiteriya ena omwe amakhala ndi gramu komanso gram-negative, onse aerobic ndi anaerobic. Kuphatikiza zochita pa zovuta zapachipatala momwe mankhwala othandizira amadziwika.

Komanso, antiseptic imapereka mphamvu yotsatsira, kukhudza ma ascomycetes omwe ali a genus Aspergillus ndi Penicillium, imakhudzanso yisiti ndi bowa wonga yisiti, ma dermatophytes, ena mwa mafangasi ena azinthu zingapo, kuphatikizapo mafangasi a microflora, omwe amalimbana ndi ma chemotherapeutic agents.

Wikipedia ikuwonetsa kuti Miramistin ali ndi mphamvu yotsatsira, yowonetsa ntchito yolimbana ndi ma virus, omwe ndi kachilombo ka HIV nsungu ndi ena

Komanso chida chimagwira ntchito yolimbana ndi tizilombo toyambitsa matenda omwe amapatsira anthu kudzera mukugonana.

Kugwiritsa ntchito Miramistin kumalepheretsa matenda opatsirana, zilonda, imathandizira kukonza kukonza kwa minofu, kumapangitsa kuti chiwonetsero cha chitetezo chizigwira bwino ntchito, kuyambitsa mayamwidwe ndi chimbudzi cha phagocytes. Mankhwala amalimbikitsa zochitika za monocyte-macrophage system. Ntchito yolengeza hyperosmolar imadziwikanso, chifukwa chomwe mabala ndi zotumphukira zotupa zimayimitsidwa bwino. Mankhwalawa ndi Miramistin, pali adsorption yofulumira ya puritive exudate, yomwe imathandizira kupangika kwa khungu louma. Pankhaniyi, kupindika ndi ma cell a khungu osawonongeka sikuwonongeka, ndipo epithelization yozungulira siyikuletsa.

Sichikhala ndi zoyipa komanso zosakhumudwitsa kwanuko.

Zizindikiro zogwiritsidwa ntchito

Zizindikiro zotsatirazi zakugwiritsa ntchito Miramistin zimatsimikiziridwa:

• Mu traumatology ndi opaleshoni imagwiritsidwa ntchito pofuna kupewa kutalikirana, pochiza mabala amadzimadzi oyera. Ntchito mankhwalawa purulent-yotupa matenda a minofu ndi mafupa dongosolo.
• Mu obstetrics ndi gynecology, zikuwonetsa kugwiritsa ntchito motere: chithandizo ndi kupewa kuwonjezeranso mabala ndi kuvulala komwe kumachitika pakubala, chithandizo cha kutupa ndi njira zopewera ziwalo zoberekera. Momwe mungagwiritsire ntchito Miramistin mu matenda a azimayi, adokotala amafotokoza mwatsatanetsatane nthawi yoikidwiratu.
• Mu venereology ndi dermatology, amalembedwa kuti athandize komanso kupewa dermatomycosis, pyoderma, yomwe imagwiritsidwanso ntchito candidiasis khungu ndi mucous nembanemba makamaka kuchokera kutupa.
• Mu urology, Miramistin adalembedwa matenda amitsempha ndi urethroprostatitis. Kugwiritsa ntchito mankhwala osokoneza bongo a urethritis a mitundu pachimake ndi matenda.
• M'mano, amathandizira kupewa mankhwalawa chifukwa cha matenda opatsirana komanso otupa omwe amapezeka pamlomo wamkamwa. Mankhwala a Miramistin omwe ali ndi stomatitis amachitidwa (ndikotheka kugwiritsa ntchito ana mu stomatitis), gingivitis, periodontitis. Chidachi chimagwiranso ntchito pochotsa mano.
• Mu otorhinolaryngology imagwiritsidwa ntchito sinusitisndi otitis media laryngitis, pharyngitis, tonsillitis yovuta mawonekedwe. Miramistin adalembedwa zilonda zapakhosi. Makamaka, chida chimagwiritsidwa ntchito povuta pa matenda a pharyngitis, tenillitis, komanso ana a zaka zakubadwa zitatu.
• Chidachi chimagwiritsidwanso ntchito ngati mankhwalawa akuwotcha kwambiri komanso mwakathithi, pokonza mabala omwe adalandiridwa chifukwa chowotcha dermatoplasty.
• Njira yothetsera vutoli imagwiritsidwa ntchito popewa munthu kuchita chitukuko cha matenda omwe amapatsira anthu kudzera mukugonana.

Zotsatira zoyipa

Zotsatira zoyipa nthawi ya mankhwala ndi Miramistin ndizosowa. Nthawi zina kumverera kochepa komwe kumachitika kumatha komwe kumachitika ndi mankhwala. Monga lamulo, chidwi choyaka chimadutsa mwachangu, pomwe kuletsa kwa ndalama sikofunikira. Zotsatira zoyipa zitha kuonekeranso ndi zinthu zina zoyipa.

Kuchita

Omwe akufunafuna yankho ku funso, Miramistin ndi antibayotiki kapena ayi, muyenera kuganizira kuti chida ichi ndi chothandiza kwambiri. Komabe, ziyenera kudziwidwa kuti ndi munthawi yomweyo chithandizo cha mankhwalawa komanso maantibayotiki, kuwonjezereka kwa zotsatira za antifungal ndi antibacterial zam'mbuyo kumadziwika.

Mbiri ya chilengedwe

Miramistin ndi cationic antiseptic wa chitukuko cha kunyumba. Kupangidwa kwake kumapeto kwa m'ma 1970. chinali chipatso cha zoyeserera pamodzi za akatswiri ambiri omwe amagwira ntchito pamunda wamankhwala. Poyamba, mankhwalawa adapangidwira kupha tizilombo toyambitsa matenda pama sitima apamtunda ndi Soviet, komanso koyambirira kwa 1990s. idayamba kugulitsidwa kwambiri.

Kapangidwe ndi mfundo zoyenera kuchitapo

Mankhwala othandizira omwe amagwiritsidwa ntchito pokonzekera Miramistin amatchedwa benzyldimethyl-3-myristoylamino-propyl ammonium chloride monohydrate. Ndi gawo la cationic surfactants.

Miramistin imagwira ntchito motsutsana ndi mabakiteriya ambiri opanda gramu komanso gramu-hasi, kuphatikiza tizilombo ta anti-virus. Chidachi chimagwiritsidwa ntchito posachedwa, kotero, tizilombo tating'onoting'ono sanakhalebe ndi mwayi wotsutsana naye. Opanga mankhwalawa amanenanso kuti ma virus ena amawaganizira mankhwalawo, ngakhale kuti ndi zovuta kwambiri ngati kachilombo ka HIV. Ngakhale mawu omaliza atha kudziwikiridwa kuti ndiwowonjezera mtengo wotsatsa malonda chifukwa mankhwalawa sanachitike. Ndipo nkovuta kuzilingalira mozama ngati mankhwalawo ngati njira yoletsa Edzi. Komabe, madokotala ambiri sakana mphamvu ya mankhwalawa ngati antiseptic wakunja. Ndemanga za odwala ambiri pamankhwala enanso zabwino.

The yogwira mankhwala Miramistin amagwira lipid nembanidwe tizilombo tating'onoting'ono, kuwonjezera kukula kwawo ndipo, kenako, kuwawononga. Zotsatira zake, tizilombo tomwe timafa. Mankhwala samagwira maselo a thupi la munthu.

Mndandanda wa mabakiteriya omwe amadziwika ndi Miramistin ndiwosiyanasiyana:

• khalimotz,
• streptococci,
• cholera vibrios,
• pseudomonads
• Shigella
• Klebsiella
• nsomba
• gonococci
• chlamydia
• Trichomonas
• Pseudomonas aeruginosa,
• makupalat.

Pankhaniyi, mankhwalawa samalowa mu kayendedwe ka kayendedwe kazinthu, pochita pokhapokha pagawo.

Komanso, opanga amati ntchito kutsutsana ndi bowa monga candida ndi protozoa. Kuphatikiza apo, mankhwalawa amatha kugwira ntchito ngati immunomodulator. Mwa zina zopindulitsa za Miramistin, mawonekedwe ake omwe amatha kuyamwa amatha kudziwika. Imatha kuchotsa mafinya pochiritsa mabala. Ndipo mankhwalawa alibe mphamvu pa zimakhala zatsopano zomwe zimapezeka pamalo omwe adawonongeka. Allergenic zimatha mankhwala sazindikira.

Musanagwiritse ntchito, ndikofunikira kukaonana ndi dokotala kuti mudziwe ngati mankhwalawo ali oyenera matenda ena ake. Mwachitsanzo, Miramistin ikhoza kuthandizira ndi matenda a stomatitis opatsirana, koma ndi stomatitis, yomwe imakhala yachilengedwe, siyingakhale ntchito.

Mndandanda wazowonetsa kugwiritsa ntchito antiseptics ulinso wotakata kwambiri. Miramistin itha kugwiritsidwa ntchito mu:

• mzamba
• traumatology
• dermatology
• opaleshoni
• matenda azamama
• mano
• Urology
• otolaryngology.

Ndi momwe Miramistin amagwiritsidwira ntchito:

• chilonda
• kupewa ndi kuchiza matenda opsa ndi kutentha,
• kupewa ndi kuchiza matenda obwera pambuyo pake,
• kupewa zovuta pa nthawi ya opaleshoni yam'mimba,
• kupewa matenda opatsirana ndi ma hemorrhoids,
• Chithandizo cha kutukusira kwa maliseche a akazi (vulvovaginitis, endometritis),
• mankhwalawa genidi candidiasis,
• kupewa matenda mukamvulala,
• kupewa matenda opatsirana pogonana (chlamydia, syphilis, gonorrhea, trichomoniasis),
• mankhwalawa stomatitis, periodontitis,
• ukhondo zochotsa mano,
• media akunja ndi otitis,
• tonsillitis
• sinusitis
• laryngitis
• khungu la pakhungu,
• maliseche
• Chithandizo cha zilonda zam'mimba ndi zilonda zam'mimba,
• streptoderma ndi staphyloderma.

Malangizo apadera

Zotsatira za mankhwala osokoneza bongo a Mutagenic pa kafukufukuyu sizinadziwike.

Pewani kulumikizana ndi maso. Miramistin kwa maso imagwiritsidwa ntchito pokhapokha poika katswiri. Potere, ngati mungathe kutsuka maso ndi njirayi, komanso momwe mungachitire moyenera, muyenera kudziwa kuchokera kwa dokotala. Pochiza matenda amaso, chida chimagwiritsidwa ntchito Okomistin kutengera miramistina.

Popeza chida ichi chimakhala ndi zovuta zambiri, chimayikidwa pa matenda osakanikirana a fungus ndi bacteria. Monga lamulo, izi zimachitika pachigawo choyambirira cha mankhwala, matenda asanakhazikitsidwe.

Contraindication ndi bongo

Chokhacho chobowoleza ndi hypersensitivity ku chinthu chogwira ntchito. Komanso, mankhwalawa sangathe kugwiritsidwa ntchito popanda kufunsa dokotala panthawi yoyembekezera, mwa ana osaposa zaka 3. Popeza antiseptic imagwiritsidwa ntchito mopitirira muyeso, mankhwala osokoneza bongo ndi osatheka. Komabe, sikulimbikitsidwa kugwiritsa ntchito yankho popanda chilolezo cha dokotala masiku opitilira 10, popeza dysbiosis ndiyotheka.

Malangizo ogwiritsira ntchito

Mankhwalawa amangogwiritsidwa ntchito mopitirira. Njira yakugwiritsira ntchito zimatengera makamaka momwe zinthu ziliri. Ngati mabala ndikuwotcha amathandizidwa, ndiye kuti zovala za gauze zomwe zimviikidwa mu Miramistin zimagwiritsidwa ntchito. Ndi urethritis ndi urethrostatitis, yankho limaperekedwa kudzera mu urethra mu 2-5 ml. Ndondomeko ikuchitika 1-2 patsiku, njira ya mankhwala ndi masiku 5-7.

Poletsa matenda opatsirana pambuyo povulala, ma swabs akhathamiritsa 50 ml ya yankho amatumizidwa, omwe amaperekedwa kudzera mu intravaginally. Kuwonetsedwa ndi maola 2, njira ya mankhwala ndi sabata.

Popewa matenda opatsirana pogonana pambuyo paubwenzi, khungu la m'chiuno, maliseche, pubis amayenera kuthandizidwa ndi yankho la yankho. Kenako, pogwiritsa ntchito urological application, amuna - 1.5-3 ml, akazi - 1-1.5 ml ayenera kuyambitsa urethra. Komanso, azimayi ayenera kuyambitsa milomo yowonjezera 5-10 ml. Pambuyo pa njirayi, muyenera kukana kukodza kwa maola awiri 2. Popewa matenda opatsirana pogonana, antiseptic sayenera kugwiritsidwa ntchito pasanathe maola 2 mutagonana.

Ndi laryngitis, pharyngitis ndi tonsillitis, kumakhazikika pakatikati pa khosi ndi yankho (10-15 ml ya rinse). Ndikulimbikitsidwa kupatutsa kasanu ndi kamodzi patsiku. Kutalika kwa choko chimodzi ndi mphindi.

Komanso, ndi matenda opatsirana komanso otupa a chapamwamba kupuma thirakiti, inhalation ndi yankho ungathe. Pankhaniyi, chithandizo chothandiza kwambiri pammero chawoneka. Pachifukwa ichi, ndibwino kugwiritsa ntchito chipangizo chapadera cha inhalation - nebulizer. Nebulizer amatha kusintha njira kukhala aerosol, yomwe imawonjezera kuchiritsa kwake. 3 inhalations tsiku lililonse tikulimbikitsidwa (koma osapitirira 5), ​​ndipo pakachitika njira imodzi yokha ndi 4 ml yankho. Musanagwiritse ntchito nebulizer, tikulimbikitsidwa kuti muchepetse yankho la mankhwala a antiseptic mu saline mogwirizana ndi 1: 2.

Miramistin imagwiritsidwanso ntchito pa matenda a mphuno rhinitis (mphuno ya mphuno). Ndi matendawa, antiseptic ikhoza kukhazikitsidwa mkati mwa m'mphuno.

Pochiza otitis media, tikulimbikitsidwa kubaya 2 ml ya yankho mu khutu la khutu. Kugwiritsa ntchito kwina kwa yankho la otitis media ndikukhazikitsa madontho awiri khutu katatu patsiku.

Ndi stomatitis ndi gingivitis, tikulimbikitsidwa kuti muzimutsuka yankho la 10-15 ml ya katatu patsiku. Ana amaloledwa kutsuka pakamwa pawo kuyambira azaka 6. Njira imodzi, 10 ml ya yankho imatengedwa. Ana aang'ono amatha kupukuta ndi swab yamlomo yothira ndi yankho.

Mankhwalawa amayaka ndi mabala, mafuta omwe ali ndi Miramistin angagwiritsidwe ntchito. Mafutawo amawaika muutoto woonda kamodzi patsiku, pamalo omwe ali ndi vuto. Ndi dermatomycosis, mafuta amayenera kugwiritsidwa ntchito kawiri pa tsiku.

Milandu yayikulu ya bakiteriya, mankhwala a antiseptic ayenera kuphatikizidwa ndi maantibayotiki, omwe ali ndi dermatomycosis ndi mankhwala antifungal.

Phula unzzle kukhazikitsa

Kwa matenda opumira kwambiri pamatumbo, ndikosavuta kugwiritsa ntchito chipsipeso chophatikizira botolo. Pogwiritsa ntchito phokoso ili, mutha kusintha chinthu kukhala chizolowezi. Mphamvu yokhala ndi aerosol yomwe imakankhidwa nthawi iliyonse pamphuno wamphongo imapanikizika imakulitsa mphamvu yogwiritsa ntchito chinthu.

Kukhazikitsa kaphokoso kamakhala kosavuta kwambiri - ingotulutsani kapu kuchokera m'botolo ndikugwiriziza mphuno yochotsedwa pamatayala oteteza m'malo mwake. Ngati wofunsira urological akaphatikizika ndi 50 ml vial (kuti asasokonezedwe ndi nkhuku ya gynecological), uyeneranso kuchotsedwa. Mutha kukanikiza mfuti yothira kuti muwone. Ngati ma aerosol atapakidwa mlengalenga, izi zikutanthauza kuti mphuno ikugwira ntchito. Ndi chosindikizira chimodzi, 3-5 ml yankho limaponyedwa kunja.

Kukhazikitsa kwa mphuno ya gynecological

Mphuno imeneyi imagwiritsidwa ntchito mosavuta kuchiza matenda amisala. Mbale za 50 ndi 100 ml zimapatsidwanso mphuno yofananira. Kukhazikitsa phokoso, muyenera:

1. chotsani kachipewa pambale,
2. Chotsani mphuno pazitsamba zoteteza,
3. angagwirizanitse mphuno ndi mayikidwe amkati pa botolo.

Kupanga ndi mawonekedwe a kumasulidwa

Mankhwalawa amapezeka mu mawonekedwe a yankho lomwe limayikidwa mitu. Ndi madzi owoneka bwino, opanda utoto omwe amayamba kugwedezeka. Miramistin yankho limapezeka m'mabotolo a polyethylene a 50 ml, 100 ml, 150 ml kapena 200 ml, omwe amaikidwa m'mabhokisi amakhadi omwe amakhalanso ndi malangizo ogwiritsira ntchito pofotokozera malowa.

Chidacho chimaphatikizaponso phokoso lopopera kapena pampu ya utsi. Kutulutsa fomu yogwiritsidwa ntchito kuchipatala - mabotolo 500 ml. Makandulo, mapiritsi a Miramistin samatulutsa. Kuphatikizika kwa mankhwalawa kumaphatikizanso zinthu zomwezo, komanso madzi oyeretsedwa.

Mankhwala

Chochita chachikulu cha Miramistin cholinga chake ndi kuthana ndi streptococci, staphylococci. Komanso, mankhwalawa amagwira ntchito motsutsana ndi gramu-gramu, zosapatsa gramu, zopanda spor, sporogenic, anaerobic, aerobic bacteria. Mankhwala a Miramistin, omwe amathandiza ndi matenda opatsirana pogonana, amalimbana bwino ndi chlamydia, trichomoniads, paleponema, gonococci.

Mankhwala amakhalanso ndi sapha mavairasi oyambitsa. Imalimbikitsa chitetezo cha mthupi, imathandizira machiritso. Amadziwika kuti Miramistin amathandizira kuchepetsa kukana kwa ma tizilombo pamagulu othandizira omwe ali ndi antibacterial.

Ndemanga zabwino za Miramistin, wogwiritsidwa ntchito ngati matenda oyamba ndi mafangasi oyambitsidwa ndi bowa ngati yisiti, ascomycetes, dermatophytes. Chifukwa chosapezeka fungo kapena kukoma kwake, komanso kapangidwe kabwino, Miramistin ya ana ikhoza kugwiritsidwa ntchito.

Contraindication ndi zoyipa

Poyerekeza ndemanga zambiri za Miramistin, mankhwalawa amaloledwa bwino. Chowonongera chokhacho chogwiritsa ntchito ndiko kusalolera kwa ziwalo zake.

Nthawi zina mutagwiritsa ntchito Miramistin, malangizo ndi kuwunikira zikunena izi, kumverera kofatsa osati kwakutali kwambiri, komwe, ndi mbali yake yokhayo. Kuwotcha kumangochitika pakokha pakapita kanthawi ndipo sikubweretsa vuto lalikulu.

Analogi ndi mtengo

Ma analogi a Miramistin ku Russia ndi Chlorhexidine, Dekasan, Oktenisept ndi ena. Mtengo wa analogues ukhoza kukhala wokwera komanso wotsika. Komabe, pazomwe Miramistin ikhoza kusintha m'malo onsewo, ndi akatswiri okhawo omwe amatha kudziwa. Mutha kugula Miramistin (yankho) mu mankhwala aliwonse popanda mankhwala a dokotala.

Kuchuluka kwa mankhwalawa kuchipatala kumadalira kuchuluka kwa ma CD. Mtengo wa Miramistin pamafakitala pafupifupi ma ruble 140 pa 150 ml. Mtengo wa kutsitsi wa Miramistin wa ana 150 ml ndi pafupifupi ma ruble 260.

Kusamala Mukamagwiritsa Ntchito Njira Yothetsera Izi

Mukamagwiritsa ntchito, muyenera kusamala kuti madontho amadzimadzi asalowe m'maso. Zochizira zotupa za mucous nembanemba amaso amtundu wakhungu, madontho amaso a Okomistin adapangidwa mwapadera okhala ndi chinthu chomwecho ngati Miramistin.

Muyeneranso kupewa kumeza yankho mukamadzuka.

Gulu la Nosological (ICD-10)

Mankhwala

Miramistin ® imakhala ndi zochitika zambiri zokhudzana ndi antimicrobial, kuphatikiza zovuta zapachipatala zosagwirizana ndi maantibayotiki.

Mankhwala ali ndi tanthauzo la bactericidal motsutsana ndi gramu (kuphatikizapo Staphylococcus spp., Streptococcus spp., Streptococcus pneumoniae), gramu-yopanda (kuphatikizapo Pseudomonas aeruginosa, Escherichia coli, Klebsiella spp.), mabakiteriya aerobic ndi anaerobic, omwe amatanthauzidwa ngati magulu oyanjana ndi microsial, kuphatikiza zovuta zapachipatala zokhala ndi antioxotic.

Imakhala ndi zotsutsana ndi ascomycetes amtundu Aspergillus komanso wokoma mtima Penicillium yisiti (kuphatikizapo Rhodotorula rubra, Torulopsis glabrata) ndi bowa wonga yisiti (kuphatikiza Chinsinsi> kuphatikiza Trichophyton rubrum, Trichophyton mentagrophytes, Trichophyton verrucosum, Trichophyton schoenleini, Trichophyton violacent, Epidermophyton Kaufman-Wolf, Epidermophyton floccosum, Microsporum gypseum, Microsporum canis), komanso mafangasi ena okhala ndi tizilombo tosiyanasiyana tomwe timayanjana ndi ma micobial, kuphatikiza microflora ya fungal yokana mankhwala a chemotherapeutic.

Ili ndi pulogalamu yotsatsira, yogwira motsutsana ndi ma virus ovuta (kuphatikiza ma virus a herpes, HIV).

Miramistin ® imagwira ntchito pazilombo za matenda opatsirana pogonana (kuphatikizapo Chlamydia spp., Treponema spp., Trichomonas vaginalis, Neisseria gonorrhoeae).

Modziletsa kupewa matenda a mabala ndikuwotchedwa. Imayendetsa njira za kukonzanso. Zimatithandizanso kusintha komwe kumachitika pamalo ogwiritsira ntchito pochita ntchito yoyamwa ndi kugaya ntchito za phagocytes, ndikuwonetsa ntchito ya monocyte-macrophage system. Ili ndi ntchito yotchedwa hyperosmolar, chifukwa chomwe imayimitsa bala ndi zotupa, imayamwa exudate, ndikuthandizira kupanga khungu louma. Siziwononga khungu komanso ma cell othandizira pakhungu, sikuletsa epithelization.

Imakhala ilibe zinthu zakukwiyitsa kwanthawi.

Mlingo ndi makonzedwe

Kwathu. Mankhwala ali okonzeka kugwiritsidwa ntchito.

Mayendedwe akugwiritsa ntchito ndi kutsitsi lopopera.

1. Chotsani kapu pamtundu wa vial;

2. Chotsani pompopompo lopopera kuchokera pachitetezo chake.

3. Gwirizanitsani nozzle wopopera m'botolo.

4. Yambitsani phokoso la kupopera ndi kukanikiza kachiwiri.

Mayendedwe a ntchito ya 50 kapena 100 ml ma CD ndi nozzle.

1. Chotsani kapu pazotengera.

2. Chotsani cholumikizira cha gynecological pazopaka zoteteza.

3. Gwirizanitsani mphuno ya mano.

Otorhinolaryngology. Ndi purulent sinusitis - munthawi yochotsera, maxillary sinus amatsukidwa ndi mankhwala okwanira.

Tonsillitis, pharyngitis ndi laryngitis amathandizidwa ndi gargling ndi / kapena kuthilira pogwiritsa ntchito siponji yopopera katatu kukanikiza katatu patsiku. Kuchuluka kwa mankhwalawa 1 muzitsuko ndi 10-15 ml.

Ana. Mu pachimake pharyngitis ndi / kapena kukokomeza matenda a mamiliyoni ambiri, pharynx amathiriridwa ndikugwiritsira ntchito kuphipha kwamaso. Pa zaka 3-6 zaka - 3-5 ml pa ulimi wothirira (chosindikizira chimodzi pamutu wopanda mphuno) katatu patsiku, zaka 7-16 - zaka 7 - 7-7 ml pa ulimi wothirira patsiku, wamkulu kuposa zaka 14 - 10-15 ml pa ulimi wothirira (katatu kukanikiza) katatu patsiku. Kutalika kwa mankhwalawa kuyambira masiku 4 mpaka 10, kutengera nthawi yomwe chikhululukiro chikuchokera.

Mano Ndi stomatitis, gingivitis, periodontitis, tikulimbikitsidwa kuti muzitsuka pamlomo wamkati ndi 10-15 ml ya mankhwala katatu patsiku.

Opaleshoni, traumatology, combustiology. Pofuna kupewa komanso kuchitira achire, amamwetsa mabala ndikuwotcha, amasinja mabala ndi magawo olimba, ndikusintha tampon yothira mankhwala. Njira yochizira imabwerezedwa kawiri pa tsiku kwa masiku 3-5. Njira yothandiza yogwiritsa ntchito mabala ndi zikhomo zofanizira tsiku lililonse mpaka 1 litre la mankhwala.

Obstetrics, gynecology. Pofuna kupewa matenda obwera pambuyo pake, imagwiritsidwa ntchito ngati njira yodutsira ukazi musanabadwe (masiku 5-7), pakubala pambuyo povunikira ukazi uliwonse ndi nthawi yobereka, 50 ml ya mankhwalawa mu mawonekedwe a tampon ndikutuluka kwa maola awiri kwa masiku asanu. Kuti kubereka kukhathamiritsa kwa ukazi, kugwiritsa ntchito mphuno ya m'mimba yophatikizidwa ndi zida kumalimbikitsidwa. Pa nthawi yoperekera azimayi ndi gawo la cesarean, nyini imagwiridwa nthawi yomweyo isanachitike opareshoni - chiberekero ndi chiberekero, ndipo patatha nthawi yotsatila, ma tampons osungunuka ndi mankhwalawa amalowetsedwa mu nyini ndikuwonetsa maola awiri kwa masiku 7. Chithandizo cha matenda otupa chimachitika ndi maphunziro kwa masabata awiri ndi intravaginal makonzedwe a tampons ndi mankhwala, komanso njira ya mankhwala electrophoresis.

Venereology. Popewa matenda opatsirana pogonana, mankhwalawa amagwira ntchito ngati sagwiritsidwa ntchito patadutsa maola awiri atagonana. Kugwiritsa ntchito urogenital, jekeseni zomwe zili mkatikati mwa mtsempha kwa mphindi ziwiri: kwa abambo - 2-3 ml, azimayi - 1-2 ml komanso kumaliseche - 5-10 ml. Kuti zitheke, kugwiritsa ntchito mphuno ya mano kumalimbikitsidwa. Kusintha khungu la mkati mwa ntchafu, tsitsi, kumaliseche. Pambuyo pa njirayi, tikulimbikitsidwa kuti musakodze kukonzekera kwa maola awiri.

Urology Mankhwala osokoneza bongo a urethritis ndi urethroprostatitis, 2-3 ml ya mankhwalawa amapaka jekeseni wa 1-2 patsiku mu urethra, maphunzirowa ndi masiku 10.

Wopanga

LLC "INFAMED K". 238420, Russia, dera la Kaliningrad, chigawo cha Bagrationovsky, Bagrationovsk, st. Omuna, 12.

Tele: (4012) 31-03-66.

Bungweli lidaloleza kuvomereza zodandaula: INFAMED LLC, Russia. 142700, Russia, dera la Moscow, chigawo cha Leninsky, mzinda wa Vidnoe, ter. Malo oyendera mafakitale a JSC VZ GIAP, p 473, 2nd floor, chipinda 9.

Tele: (495) 775-83-20.

Mankhwala a ana

Miramistin kwa ana amalembedwa mtundu wa pharyngitis, komanso kukokoloka kwa mawonekedwe a tonsillitis. Malangizo a Miramistin spray kwa ana amapereka kuti njira yothandizira ana osakwana zaka 3 imangotchulidwa pokhapokha zikuwonetsa. Ana osakwana chaka chimodzi azilandira yankho moyang'aniridwa ndi katswiri.

Chenjezo Miramistin iyenera kulowetsedwa m'mphuno ya mwana ndi mphuno yam'mimba, chifukwa kukwiya kwa nembanemba ya mucous ndikotheka. Phululu lomwe limagwiritsidwa ntchito ndi mankhwalawa silimagwiritsidwa ntchito kwa ana. Ndi nthomba kwa ana, khungu lomwe limakhudzidwa limatha kuthandizidwa ndi yankho. Ndi conjunctivitis mwa ana, ndikofunikira kugwiritsa ntchito mankhwala ena, chifukwa Miramistin imatha kupangitsa kuti thupi lizigwirizana.

Miramistin ya ana akhanda imagwiritsidwa ntchito kuthirira pogwiritsa ntchito chopopera. Kwa ana, mankhwalawa amathanso kugwiritsidwa ntchito pochiza pamalo omwe amafunika kupha nyama.

Maganizo a odwala ndi madokotala

Pa netiweki, nthawi zambiri pamakhala ndemanga zabwino pa Miramistin. Odwala amadziwa kuti mankhwalawa alidi othandizira kwambiri. Amayi amalemba za kugwiritsidwa ntchito kwake mu chiphuphu, zomwe zidapangitsa kuti azitha kuchiritsa mwachangu matenda opatsirana a ziwalo zoberekera.

Kuwunikira kwa Miramistin kwa ana kukuwonetsa kuti yankho lake limathandizira njira yochizira mabala, limagwira chifukwa cha tonsillitis ndi matenda ena. Ndemanga ya kutsitsi kwa ana sikuti mulibe zokhudzana ndi zovuta. Nthawi zina, makolo amalemba za kuwonetsedwa kwakanthawi kochepa. Ogwiritsa ntchito ambiri amalemba zakuti yankho linawathandiza kuthana ndi ziphuphu, imathandizira kuchira kwamayaka.

Popeza kuti mankhwalawa ndi antiseptic wachilengedwe, Miramistin nthawi zambiri amagwiritsidwa ntchito pakhosi. Kugwiritsa ntchito kuti muzitsuka ndi angina, ogwiritsa ntchito adazindikira kuti patatha masiku angapo pamakhala mpumulo wotchulidwa. Komanso, zotsatira zabwino zimawonekera pambuyo popukutira yankho mu khosi la mwana komanso ngakhale khosi la mwana. Nthawi zambiri kuuma kumapangitsa kuti vutolo lithe pang'ono pambuyo poti ligwiritsidwe ntchito koyamba. Nthawi zina odwala amafunsa ngati nkotheka kumeza yankho, lomwe madokotala amachenjeza.

Mayendedwe ena

Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa mozungulira pakakhala pathupi komanso mkaka wa m'mawere, chifukwa kafukufuku mwatsatanetsatane wa chitetezo cha mankhwalawa panthawi imeneyi sanachitike. Ngakhale palibe chomwe chimadziwika pokhudzana ndi mphamvu ya teratogenic ndi embryotoxic ya mankhwalawa, ndibwino kukaonana ndi dokotala pankhani ngati imeneyi.

Ma antiseptic amaperekedwa popanda kulandira mankhwala. Mutha kusunga mankhwalawo kutentha kwa kutentha kwa chipinda (osapitirira + 25 ° C). Moyo wa alumali ndi zaka zitatu. Simungagwiritse ntchito izi pambuyo pake.

Mtengo mumafakisi

Miramistin sitha kutchedwa antiseptic wotsika mtengo kwambiri. Ngakhale botolo laling'ono kwambiri la 50 ml limawononga 80 p. Komabe, mtengo wake ndiwotsika mtengo kwa ogula ambiri.

Zambiri zimatengera kuchuluka kwa yankho. Miramistin amagulitsidwa m'mabotolo okhala ndi 50, 100, 150, 200, 300 ndi 500 ml. Mwachilengedwe, ndalama zochepa, zimakhala zotsika mtengo kuposa wogula. Koma osati zophweka. Mtengo wa chogulitsa mu phukusi la 0,5 lita ndi wotsika kwambiri kuposa phukusi lokhala ndi voliyumu yaying'ono. Zotsatira zake, kugula ndalama zochulukirapo kumakhala kopindulitsa. Kumbali ina, kuchuluka kwakukulu kwa antiseptic monga 0,5 l sikungafunike kwa wodwala wamba. Njira yothetsera mabotolo a theka-lita cholinga chake amagwiritsidwa ntchito kuchipatala.

Mtengo kutengera voliyumu