Mafuta ndi chlorhexidine: malangizo ogwiritsira ntchito

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Contraindication

Zotsutsana zotsatirazi pakugwiritsa ntchito chida ichi zadziwika:

1. Kuzindikira kwakukulu pazinthu zomwe zimapangidwa.
2. Sichigwiritsidwa ntchito pochiza odwala dermatitis.
3. Sikugwiritsidwa ntchito nthawi yomweyo monga antiseptics ena (iyi ndi hydrogen peroxide, etc.).
4. Sipangakhale chothandiza kugwiritsa ntchito njira yophera tizilombo ta opareshoni musanachite opareshoni kapena pambuyo poti mwathandizire pa dongosolo lamitsempha lamkati ndi chitseko cholankhulira.
5. 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.

Zotsatira zoyipa

Zotsatira zoyipa mukamagwiritsa ntchito chlorhexidine zimayamba kawirikawiri. Itha kukhala:

1. Kusintha ndi redness pakhungu.
2. Hypersensitivity ku dzuwa.
3. Mukamagwiritsa ntchito mankhwala othandizira, magazi akumakina amakhala osowa.
4. Momwe thupi limasokoneza.
5. Khungu kumata.
6. Dermatitis

Zotsatira zoyipa mukamagwiritsa ntchito chlorhexidine ndizosowa.

Ma Analogs a Chlorhexidine Bigluconate ndi mankhwala omwe ali ndi chinthu chofanana. Ma Analogs amapezeka mu mitundu yosiyanasiyana ya mitundu - ma gels, mayankho, mafuta odzola, othandizira. Awa ndi Heoticon, Hexicon D (wa ana), Hibiscrab, Amident, ndi ena.
Ma antiseptic othandizira, monga ayodini kapena hydrogen peroxide, amathanso kugwiritsidwa ntchito.

Mtengo wamba wa chlorhexidine umadalira ndende yankho. Nthawi zambiri muma pharmacies mutha kugula Chlorhexidine 0,05%, yomwe ili kale yogwiritsidwa 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.

Mankhwala Okhala Pamalo a Pharmacy

Mankhwala amaperekedwa popanda mankhwala.

Kwa ine, chlorhexidine ndi dokotala kuchokera kwa madokotala. Kunyumba, kumayiko, mgalimoto yamagalimoto ndimakhala ndi mankhwalawa. Ndidula chala changa, mano anga amadwala, cystitis - Ndimagwiritsa ntchito chlorhexidine. Njira yabwino yothetsera matenda a tonsillitis komanso tonsillitis.

Ndimagwira njira zonse galu wanga ndikuchita izi: Ndimachiritsa mabala, zotupa pakhungu, ndikutsuka makutu anga. Kwa masiku opitilira 5, yankho silinatenge. Maphunziro achidule anali okwanira kuthana ndi mavuto anga onse. Ndikulangizani aliyense ku antiseptic iyi!

Ndinkakonda kutsuka zilonda zanga zapakhosi, popeza mankhwalawa atayamba kuonekera, ululuwo umachepa pang'ono ndipo njira yotupa imayamba kuwoneka, koma kuyabwa kumawonekera, osati nthawi yomweyo, koma patsiku lachitatu. Mwachilengedwe, mankhwalawo anayenera kuthetsedwa, kusalolera kwa chinthu china chake chikuwoneka kuti zakhudzidwa.

Mouthwash: Zotsatira zosaoneka bwino

Chimodzi mwazinthu zosasangalatsa zomwe zimachitika chifukwa cha chlorhexidine bigluconate yotsekemera pakamwa ndikuwonetsa madontho a mano, mano, mkamwa ndi kumbuyo kwa lilime.

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Ndikofunikira kudziwa kuti kuwonetsa kwa antiseptic sikudikirira odwala onse. M'mayesero azachipatala, mwayi wokhala nawo womwe ungawonekeke ndi 56%. Komanso, mu 15% ya anthu, kusintha kwa mano ndi lilime kudzatchulidwa. Tsoka ilo, mawonekedwe amtundu momwe mano amadzipaka ndi pakamwa zimayilidwa popanda chifukwa. Ngati mungagwere m'gulu la odwala 15% oopsa, mano anu amatha kutengeka kuchokera pamtundu wakuda mpaka wakuda.

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Poyerekeza ndi zomwe takudziwa, kuthekera kochotsa madontho omwe Chlorhexidine amagwiritsa ntchito njira zaluso akuwoneka olimbikitsa kwambiri. Kuchepa ndi kukula kwa madontho kumawonjezeka mukamayanjana ndi mitundu ya tiyi kapena khofi.

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Posachedwa, opanga ayamba kupanga mkamwa ndi chlorhexidine, zomwe zimaphatikizanso chinthu china chomwe chimachepetsa chiopsezo chokhala pamalo amkamwa. Zinkakhala ndi cholated ndi izi.

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Chlorhexidine - ndi chiyani?

Chlorhexidine, yemwe amadziwikanso kuti chlorhexidine gluconate, ndi mankhwala opha tizilombo toyambitsa matenda omwe amagwiritsidwa ntchito kupukutira khungu musanachite opareshoni ndikuwongoletsa chida chopangira opaleshoni.

Kuika - kusawona khungu la odwala, komanso manja a ogwira ntchito kuchipatala. Amagwiritsidwa ntchito kuyeretsa mabala, kupewa mapangidwe a zolembera pameno, kuchiza matenda a yisiti pamlomo wamkamwa komanso kupewa kutulutsa kwamkodzo. Mndandandawu ulinso ndi kupewa matenda obwera ndi maliseche. Njira yotulutsira mankhwala a chlorhexidine ali ngati mawonekedwe amadzimadzi kapena ufa.

Zotsatira zoyipa zimaphatikizanso kukwiya kwa khungu, kusokoneza mano, komanso matupi ake. Chlorhexidine angayambitse mavuto amaso ngati kukhudzana mwachindunji kumachitika. Kugwiritsidwa ntchito kwa pakati kumawoneka kotetezeka. Chlorhexidine akhoza kusakanikirana ndi mowa, madzi kapena yankho la wogwiritsa ntchito. Imagwira pakulimbana ndi tizilombo tating'onoting'ono, koma chlorhexidine sichimapangitsa spores.

Chlorhexidine adayamba kugwiritsa ntchito zachipatala mu 1950s. Chlorhexidine ali pamndandanda woyamba wa mankhwala ofunikira ku World Health Organisation. Mankhwala otetezeka komanso othandiza kwambiri pakufunika kwachipatala. Chlorhexidine amapezeka pamakontrakitala. Mtengo wokwanira kumayiko akutukuka ndi pafupifupi $ 2.20 - $ 4.10 pa lita imodzi ya 5% yankho.

Malinga ndi gulu la ma pharmacological, Chlorhexidine ndiwothandizirana ndi mankhwala ophera tizilombo toyambitsa matenda. Izi zikutanthauza kuti mankhwalawo ndi oyenera kuphera tizironda, khungu, nembanemba. Koma ndikofunikira kutsatira njira zonse za chitetezo. Bigluconate amagwira ntchito ngati gawo limodzi la mankhwala.

Chlorhexidine amapangidwa m'njira zosiyanasiyana - yankho lamadzimadzi, komanso zowonjezera kumaliseche. Kuphatikiza apo mumasitolo amapeza ma gels kapena zopopera zosiyanasiyana. Mankhwalawa amapezeka pa counter. Imawonedwa ngati mtengo wotsika mtengo pamtengo poyerekeza ndi miramistin.

Mphamvu ya mankhwala a chlorhexidine

Chlorhexidine ndi antiseptic. Imateteza khungu pakhungu ndikupha ma virus ndi mabakiteriya osiyanasiyana. Vutoli limakhudza ma bacteria a mabacteria pokhapokha kutentha kwambiri. Mankhwalawa amatha mankhwala ophera tizilombo toyambitsa matenda, osayambitsa vuto la mucous nembanemba. Kutalika kwa malo omwe akukhudzidwa kumafika maola anayi.

Pankhani yogwiritsa ntchito zakudya zamafesi, mankhwalawa amakhudzanso bakiteriya ndi ma virus omwe amayambitsa matenda osiyanasiyana. Chlorhexidine amagwiritsidwa ntchito mochizira, mwachitsanzo, chlamydia kapena herpes simplex. Koma ndiwokayikitsa kuti atha kuthandiza polimbana ndi mabakiteriya osagwira asidi kapena ma sp bacteria. Sizikhudza lactobacilli yopindulitsa thupi.

Bigluconate ndiye chinthu chomwe chimapanga maziko a Chlorhexidine. Ndi ya cationic biguanides. Thupi limalowa mkati mwa cell ndipo limakhazikika pa cytoplasm ya bakiteriya, kutsekeka kwa mpweya wawo. Izi ndizomwe zimatsogolera ku kufa kwa mabakiteriya. Kuphatikiza apo, bigluconate imatha kuwononga ma bacteria a DNA ndikusokoneza momwe amapangira.

Kugwiritsa ntchito Chlorhexidine

Mu zodzoladzola, nthawi zambiri zimakhala ngati zowonjezera pamafuta komanso monga antiseptic yamisomali. Ma deodorants, antiperspirants, ndipo ngakhale mankhwala amkamwa ali ndi chlorhexidine. Amagwiritsidwa ntchito mankhwala ophera tizilombo. Mankhwala - mankhwala osungira mumadontho amaso, mavalidwe a mabala. Kutengera ndi ichi, milomo ya antiseptic imapangidwa.

Malinga ndi malangizo ogwiritsira ntchito, kugwiritsa ntchito chlorhexidine kumadalira kwambiri ndende, komanso mtundu wa mankhwalawo.

1. Njira yothetsera kuchuluka kwa 0,05% siyenera kuchepetsedwa ngati mukutsuka mmero kapena mano.
2. Ngati ndendeyo ndi 0,5%, ndichikhalidwe kuti chizigwiritsa ntchito kuyeretsa zida zamankhwala, kuchiritsa mabala kapena kuwotcha.
3. 1% yankho - la manja ndi zida musanachite opareshoni.
4. Zothetsera za 5 ndi 20% - popanga zakumwa zochokera m'madzi, glycerol kapena mowa.

Chlorhexidine njira m'madzi

Ili ndi mitundu yambiri yogwiritsa ntchito. Zisonyezero zogwiritsidwa ntchito makamaka zimakhala motere:

• Matenda a khansa komanso mkamwa
• Kuteteza matenda a mano, mabala a postoperative,
• Kuvulala kwachiberekero,
• Kupewa matenda osasangalatsa monga vaginitis, maliseche, gonorrhea, kapena syphilis.

Mowa Chlorhexidine Solution

Kusiyana kwa mtundu wa mowa wa Chlorhexidine ndi madzi ndikuti koyamba sikungatengedwe kuchitira mucosa. Izi zitha kuyambitsa mavuto ambiri, omwe ambiri amawotcha. Madokotala amathandizira manja ndi malo opangira opaleshoni ndi yankho la mowa. Komanso, ndi yankho lake, zida zamankhwala zimateteza matenda.

Makandulo amnyengo

Makandulo otere, opangidwa pamaziko a Chlorhexidine, ali ndi mitundu yambiri yazidziwitso zamankhwala. Mwachitsanzo, zitha kukhala:

• Kupewa matenda amtundu,
• Chiritsani vaginosis ndi matenda ofanana ndi maliseche,

Kupewa zovuta zamatenda omwe alipo ndi kutupa kwa dongosolo la kubereka. Mwachitsanzo, mayeso a intrauterine asanachitike, maopareshoni osiyanasiyana, kuchotsa mimba, kubereka ana, ndi zina zotero.

Chlorhexidine malangizo ntchito - njira ndi Mlingo

Gwiritsani ntchito komanso mlingo nthawi zonse zimatengera mtundu wa pharmacological ndi kuchuluka kwa zinthu zomwe zimagwira. Mosasamala mtundu wa ntchito, mankhwalawa amayenera kugwiritsidwa ntchito mopitirira muyeso kapena kunja. Malangizo ogwiritsira ntchito amaletsa kugwiritsa ntchito chlorhexidine mkati! Simungamwe, ngakhale kumeza mankhwalawa. Kwa thupi, izi zitha kutha kutali ndi zotsatira zabwino kwambiri.

Mlingo wokhazikika wa chlorhexidine gluconate pamilomo ya pamlomo mulinso 15 ml ya yankho. Madzitsuka kwa masekondi 30, kawiri pa tsiku. Gwiritsani ntchito nthawi yomweyo mukatsuka mano. Njira yothetsera njirayo iyenera kumenyedwa mkamwa, kenako itulukirane. Osameza. Osatembenuza kawiri mlingo wa chlorhexidine kuti apange zomwe zasowa. Ngati simukudziwa zoyenera kuchita ngati njirayi idadumpha, funsani malangizo kuti mugwiritse ntchito kapena dokotala.

Zamadzimadzi Chlorhexidine

Mayankho oterowo, kutsatira malangizo ogwiritsidwa ntchito, amangogwiritsidwa ntchito kunja. Amathandizira zilonda za pakhungu, kuwotcha ndi zina zambiri. Kuti muthane ndi vuto lotere, muyenera kupukuta ubweya wa thonje wamba kapena nsalu yowuma pokonzekera. Gwiritsitsani chilonda. Ndikofunika kukonza mafuta odzola ngati amenewa ndi bandeji kapena bandiji yothandizira lonse.

Kuti muchiritse kapena kupewa urethroprostatitis ndi matenda ofanana, chlorhexidine iyenera kuyikiridwa mu urethra. Ma millimitala angapo kangapo patsiku, atatha tsiku limodzi. Kutalika kwa maphunzirowa ndi sabata limodzi ndi theka. Chiloledwa kuti chikhale chopendekera, koma osati motalikirapo kuposa mphindi zitatu. komanso kangapo patsiku.

Pofuna kupewa matenda a njira yakulera, timatembenukira ku malangizo ogwiritsa ntchito. Chlorhexidine ayenera kugwiritsidwa ntchito maola angapo atagonana. Pamaso pa njirayi, ndikofunika kukaona kuchimbudzi, kusamba m'manja, ndikutulutsa ziwalo. Kukonzanso kuchitike pakhungu la pubis, mkati mwa ntchafu. Kudzera pakukodola, madzimadzi ayenera kubayidwa mamilimita awiri kapena atatu kulowa mu urethra kapena mamililita asanu mpaka khumi, makamaka kwa mphindi zingapo. Pambuyo pake, sikulimbikitsidwa kupita kuchimbudzi kwa maola angapo.

Gawo lotsatira la malangizo ogwiritsa ntchito limafotokoza za kuchotsa matenda amkamwa. Chlorhexidine wochokera pakamwa kuphatikiza ndi kusamalira mano nthawi zonse kumatha kuthandizira kuchepetsa kufalikira ndi kusintha mkhalidwe ndi gingivitis wofatsa.

Mouth muzimutsuka chlorhexidine ali ndi zotsatirapo zingapo zoyipa, chimodzi mwazo ndi chosokoneza pa mucous nembanemba wa patsekeke, kapangidwe ka tartar, kukoma kwa mkaka ndi mtundu wa enamel. Kusintha kwa dzino lakunja kumachitika ngati chlorhexidine muzimugwiritsa ntchito kwa milungu inayi kapena kupitilira.

Kugwiritsa ntchito mankhwala ena a chlorhexidine monga njira yolumikizira njira zamakono zoyeretsera pakamwa kwa milungu 6 ndi miyezi 6 kumabweretsa kutsika kwapang'onopang'ono kwa gingivitis poyerekeza ndi chithandizo chamankhwala cham'kamwa chokha.

Ma suppositories anyama

Vaginal suppositories opangidwa kuchokera ku Chlorhexidine amapangidwira kuti aikidwe mu nyini. Njirayi iyenera kuchitika polingalira zigawo za malangizo ogwiritsira ntchito motere: gonani kumbuyo kwanu ndikuyika kandulo mu nyini. Pofuna kuchiza matenda amtundu, suppository imodzi iyenera kugwiritsidwa ntchito kangapo patsiku. Maphunzirowa atenga masiku khumi. Osachepera - sabata.

Ngati ndi kotheka, maphunzirowa atha kupitilira milungu itatu. Kuti tipewe kufalikira kwamatenda, kandulo iyenera kuyikidwa mosamala mu nyiniyo pasanathe maola angapo mutagonana.

Chlorhexidine Aerosol

Chlorhexidine monga aerosol imagwiritsidwa ntchito kupukutira m'manja antchito zamankhwala kapena pamalo ogwirira ntchito kapena zida zamankhwala musanayambe ntchito. Musanayambe njira yothandizira pakhungu, muyenera kusamba m'manja ndi sopo ndikupukuta kwathunthu. Malangizo ogwiritsira ntchito pamenepa ndi osavuta kwathunthu. Chochita chimagwiritsidwa ntchito m'manja kawiri, pang'ono, ndikuchiyika pakhungu kwa mphindi zitatu.

Kuti mupeze malo opangira opaleshoni, nyowetsani ubweya wa thonje mu chlorhexidine ndikupukuta malowo kwa mphindi zingapo. Asanachite opareshoni, wodwala ayenera kusamba ndi kusintha zovala. Kuthira mafuta m'dera lalikulu la ntchito, kuchuluka kwa madzi ofunikira sikungochepera mamililita zana pa mita. Kupanga zida zovuta kumachitika ndi kumiza kwathunthu zida mu yankho.

Kinetics, zikuwonetsa ndi contraindication

Kutha kuyamwa zinthu zogwira ntchito mukamagwiritsa ntchito pakamwa la mano kumakhala pafupi ndi zero. Chifukwa chake, palibe magawo a kinetic a mankhwalawo omwe akufunsidwa.

"Metrogil Dent" imapangidwira zochizira matendawa, zomwe zimayambitsa kutupa pamlomo wa mucosa, periodontal. Mankhwala amagwiritsidwa ntchito mosiyanasiyana mosiyanasiyana gingivitis, periodontitis. Amawonetsedwa ndi cheilitis, gingivitis ya Vincent, yokhala ndi zilonda zam'mimba komanso minofu necrosis. "Metrogil Denta" imathandizira kuphatikiza matenda a periodontal ndi gingivitis, yothandiza mu stomatitis ndi aphthae. Amagwiritsidwa ntchito ngati kuvala ma cell a prostheses oyambitsa kutupa, amaperekedwa kwa periodontal abscess, periodontitis, alveolitis.

Mankhwala osavomerezeka alibe ana. Sikugwiritsidwa ntchito ngati ma pathologies a chapakati mantha dongosolo, PNS.Simungathe kupereka yankho la matenda amwazi, kuphatikiza omwe adalembedwa kale, komanso mukuchulukirachulukira kwazinthu zothandizira komanso zothandiza, zinthu za kusintha kwa nitroimidazole.

Malangizo Apadera

Gawoli lamalangizoli lili ndi mfundo zingapo zomwe zikufunika kuphunziridwa, zomwe zingathandize kugwiritsa ntchito mankhwalawo mosapindulitsa komanso popanda zolakwa zosafunikira. Mwachitsanzo:

• Mankhwala amagwiritsidwa ntchito pamaso pa zinthu zachilengedwe,
• Pewani kulumikizana ndi mankhwalawa, pewani kulumikizana ndi mitsempha yamagetsi. Pokhapokha ngati mulibe chithandizo chamankhwala,
• Ngati chlorhexidine alowa m'maso mwanu, muzitsuka ndi madzi ndi madontho akhungu. Ndipo ngati chlorhexidine wocheperako wameza mwangozi, muyenera kutenga malasha kuti m'mimba,
• Njira yothanirana ndi mowa imayambira mosavuta.

Pa nthawi yoyembekezera

Ngati mukukhulupirira malingaliro a madotolo ndi malangizo ogwiritsira ntchito, kugwiritsa ntchito Chlorgensidin ndikuloledwa mwakachetechete kubereka mwana ndikuyamwa. Mlingo suyenera kusinthidwa. Mankhwalawa samalowa m'mitsempha yamagazi kapena mkaka wa m'mawere konse, chifukwa chake, sichikhudza mwana wosabadwayo m'mimba kapena mkaka.

Ma Vaginal suppositories amatha kugwiritsidwa ntchito musanabadwe mwana kuti musinthe njira zomwe zikugwirizana. Maphunzirowa amatha mpaka sabata limodzi ndi theka. Ndikofunikira kugwiritsa ntchito kandulo imodzi kamodzi kapena kawiri pa tsiku.

Chlorhexidine wa ana

Kwa ana, mankhwala amalembedwa kuyambira azaka khumi ndi ziwiri zokha. Koma zotupa za pakamwa zam'mlomo zitha kugwiritsidwa ntchito akadali aang'ono. Ndondomeko ziyenera kuchitika mosamala, ndipo pokhapokha upangiri wa udokotala. Masetsedwe ayenera kupewedwa chifukwa choti mwana akhoza kumeza yankho.

Kuphatikiza ndi mankhwala ena

Chlorhexidine ayenera kugwiritsidwa ntchito mosamala, chifukwa mwina sichingagwirizane ndi mankhwala ena. Malangizo ogwiritsira ntchito ali ndi mndandanda wa mankhwala osagwirizana. Kuyanjana kuli motere:

• Itha kuphatikizidwa ndi mankhwala ozikidwa pa gulu la cationic,
• Sitikulimbikitsidwa kugwiritsa ntchito limodzi ndi sopo, komanso makonzedwe a gulu la anionic,
• Sizoletsedwa kuphatikiza ma suppositories ndi mankhwala kutengera ayodini.

Zotsatira zoyipa za Chlorhexidine

Ngati mukukhulupirira ndemanga za odwala, mankhwalawo alibe zotsatira zoyipa. Zotsatira zoyipa pakhungu pakhungu, kufupika kwakanthawi kapena kutupa nthawi zina kumachitika. Zonsezi zimatha atatha khungu kulumikizana ndi mankhwala. Pakadali pano, mankhwala sakudziwa vuto limodzi la Chlorhexidine, chifukwa amagwiritsidwa ntchito kunja ndipo samakumana ndi ziwalo zamkati.

Zotsatira zoyipa za kukonzekera kwa chlorhexidine zimayesedwa mwa odwala. Othandizirawo adapha imfa yoposa 99% ya bakiteriya pakhungu mabakiteriya a pini ndi perineum mphindi khumi ndi 30 atatha kugwiritsa ntchito.

Patatha mphindi zisanu atayeretsa nyini ndi chlorhexidine, oposa 99% a mabakiteriya omwe analipo kale anawonongeka. Ngakhale kuti mankhwalawo adayamba kukhala othandizira kuti azitha kupha mabakiteriya, tincture wa chlorhexidine sungayambitse mkwiyo ngati utagwiritsidwa ntchito ngati perigenital antiseptic, chifukwa umayambitsa kukwiya chifukwa cha kuchuluka kwa isopropanol.

Zotsatira zoyipa ndizosagwirizana ndi mankhwalawa akapatsidwa mankhwala waukulu. Zotsatira zoyipa za chlorhexidine zimatha kukhala zofatsa kapena zazikulu, zosakhalitsa kapena zokhazikika. Chlorhexidine pakhungu la groin ndi perineum samayambitsa mavuto.

Katswiri wazamankhwala muchipatala angakulangizeni pazotsatira zoyipa. Akuluakulu alembedwa pansipa:

• kusintha kwa kukoma
• kutupa kwa tiziwalo tating'ono,
• kutsekemera kwamkamwa ndi malo ena mkamwa,
• Madontho, mano, kudzaza.

Siyani kumwa mankhwalawo ndikufunsani kwa dotolo wanu mukakumana ndi izi:

• Zizindikiro zake zamkati:
  • kuvutika kupuma
  • urticaria
  • zotupa
  • kutupa kwa nkhope kapena pakhosi.

Zoletsa ntchito

Kaya kuyambitsidwa kwa chlorhexidine kwanthawi yayitali kwa zaka zambiri kungakhale ndi vuto la carcinogenic sizikudziwikiratu. Malangizo ogwiritsira ntchito samapereka mayankho omveka. Medicines Administration ikualimbikitsa kuchepetsa kugwiritsa ntchito mankhwala otsekemera a chlorhexidine mpaka miyezi isanu ndi umodzi.

Cholepheretsa chachikulu chogwiritsira ntchito mankhwalawa ndi kusalolera kapena kuyanjana kwa kapangidwe kamankhwala. Ngati ndi mwana, Chlorhexidine, ayenera kugwiritsidwa ntchito mosamala ndikuphatikiza ndimankhwala ena. Musanagwiritse ntchito, ndikulimbikitsidwa kukaonana ndi dokotala.

Zosatheka, koma zotheka: mavuto ena a chlorhexidine muzimutsuka

Zochitika zina zoyipa mutagwiritsidwa ntchito ndi yankho la Phlorhexidine ndizosowa kwenikweni. Izi zikuphatikiza:

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• Kusintha kwa maonekedwe, kukoma kowawa,
• kuwotcha kwakanthawi
• dzanzi, kuuma, kapena zilonda zam'mimba zamkamwa ndi lilime,
• kuchuluka kwa magazi mkati mwanga pambuyo kutikita minofu,
• kupweteka kwa dzino kwakanthawi kochepa, kupweteka m'mimba kapena kusamva bwino komanso kuwonjezereka kwa mankhwalawa kwa periodontitis (50.7% ya odwala omwe ali ndi 41,4% akamagwiritsa ntchito mankhwala osokoneza bongo a placebo).

Chlorhexidine mu otorhinolaryngology: Zizindikiro ndi malamulo ogwiritsira ntchito

Ntchito ya Chlorhexidine yolimbana ndi mabakiteriya ambiri omwe ali ndi gramu komanso ma virus imapereka chifukwa chogwiritsira ntchito antiseptic ngati yankho la gargling.

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Kumbukirani kuti matillillitis ambiri (zotupa za m'matumbo) ndi pharyngitis (kutupa kwa pharyngeal mucosa) amagwirizanitsidwa ndi streptococci ndi ma virus ndipo nthawi zambiri amakhala ndi staphylococci.

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Kupukuta pammero, 0.02% ndi 0,05% Chlorhexidine amagwiritsidwa ntchito. Tsoka ilo, mumafamu aku Russia sizotheka kupeza mawonekedwe apadera a garbar. Komabe, Chlorhexidine wodziwika kwambiri wogwiritsidwa ntchito zakunja, yemwe savuta kugula, ndi woyenera kugwiritsidwa ntchito mu ENT.

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Kuti muchepetse, mufunika pafupifupi 20 ml ya 0,02% kapena 10-15 ml ya yankho la 0.05% antiseptic, yomwe imayenera kusungidwa mkamwa kwa masekondi osachepera 45. Pambuyo pa njirayi, simungathe kumwa, kudya ndi kutsuka mano anu pafupifupi mphindi 20-30.

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Kutalika kokwanira bwino kwa chinshexidine katatu patsiku. Ngati mukufuna, chiwerengero cha njirazi chitha kuchuluka. Kutalika kwa chithandizo ndi masiku 5-10 kapena kuposerapo, pomwe pali chosowa. Zabwino pazamankhwala othandizira ammero ndi Chlorhexidine zimaphatikizapo kuyendetsa bwino, chitetezo komanso kugulira mtengo.

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Zomwe sizimapezeka m'malamulo: Chlorhexidine wa inhalation

Kugwiritsa ntchito Chlorhexidine monga yankho la kupuma komanso kumakhala kopatsa chiyembekezo, ngakhale kuti umboni woterewu sunatchulidwe mu malangizo a mankhwalawa. Antiseptic angagwiritsidwe ntchito mu nebulizer. Tinthu tating'onoting'ono ta Chlorhexidine, kulowa m'munsi mwa kupuma, ndi njira yabwino kwambiri yolepheretsa matenda a bronchitis ndi chibayo - chibayo. Kuphatikiza apo, inhalation ndi chlorhexidine ingagwiritsidwe ntchito ngati gawo la zovuta kuchiza kwa laryngitis (kutukusira kwa zingwe za mawu), tonsillitis, tracheitis.

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Kuchulukana kwa machitidwe, komanso kutalika kwa chithandizo kungakhale kopanda malire - mankhwalawa ndi otetezeka.

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Kodi chlorhexidine ndiyofunika kuponya pamphuno yanu?

Mipata yayikulu yotsutsana ndi chikondi chodziwika chimakweza mafunso atsopano. Mankhwala omwe mumakonda omwe adathandizira ndi mamillionitis ndi chibayo, kupindika komanso kuwotcha, poyembekeza kuchiritsidwa matenda atsopano, amayesa kukoka m'makutu ndi m'mphuno. Kodi ndizotheka komanso kothandiza kugwiritsa ntchito yankho la chlorhexidine ngati m'mphuno kapena khutu?

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Tsoka ilo, yankho la funsoli lidzakhala loipa. Ayi, zachidziwikire, antiseptic sangakhale ndi zotsatirapo zoipa. Koma zabwino siziyeneranso kudikirira. Ngakhale ntchito ya Chlorhexidine yolimbana ndi ma virus ambiri omwe amayambitsa sinusitis, kugwira kwake ntchito ngati matsi amphuno kumakhala kopanda zero. Zomwezi zikugwiranso ntchito pa otitis media. Chifukwa chake, osataya nthawi yanu ndi mphamvu zanu, ndikusunga antiseptic mtsogolo - izikhala othandiza.

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Chlorhexidine Gel: Zowonetsa

Posachedwa, mawonekedwe enanso Mlingo wokhala ndi chlorhexidine, gelamu, wawoneka pamsika wamankhwala. Kukonzekera kumakhala ndi 0,5 g yogwira pophika mu 100 ga gel.

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Mu msika wogulitsa mankhwala ku Russia, izi zimagulitsidwa pansi pa dzina la Hexicon ndipo zimapangidwa ndi kampani yaku Germany STADA Artsnaymittel.

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Chodabwitsa chodabwitsa cha mankhwalawa chimatha kudziwika kuti amagwiritsidwa ntchito m'njira zosiyanasiyana. Hexicon imagwiritsidwa ntchito ponse pano komanso zakunja. Gel imalembedwa:

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- mu mano.
Mankhwala akuwonetsa kuti angagwiritse ntchito gingivitis, stomatitis (kuphatikizapo mafthousous), periodontitis. Mosiyana ndi chotsekera pakamwa, gel os mano limagwiritsidwa ntchito mosiyanasiyana madera omwe akhudzidwa. Chifukwa cha izi, mwayi wodziwika ndi Chlorhexidine pa enamel ya mano ndiwocheperako, motero, kupezeka kwa zotsatira zakusokonekera kwamano kumatsikiranso.

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- mu gynecology.
Mankhwala a komweko amagwiritsidwa ntchito ku bongo

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- mu urology.
Hexon gel imalembedwa ngati gawo la zovuta mankhwala a balanitis ndi balanoposthitis - kutupa kwa mutu ndi khungu la mbolo,

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- mu dermatology.
Fomu yotulutsira gel imakhala yabwino kwambiri kuti izigwiritsidwa ntchito pazakudziwitsa: dimba lambiri limalola kuti antiseptic akhazikike ndikuchita kwa nthawi yayitali. Gel ya Hexicon imagwiritsidwa ntchito pochiza pyoderma, panaritium, impetigo, dermatitis. Kuphatikiza apo, mankhwalawa amathandizira pakhungu la diaper mwa akulu ndi ana.

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Hypersensitivity kwa antiseptics

Mukamagwiritsa ntchito njira ya chlorhexidine yogwiritsira ntchito ziwindi, pali mwayi wokhudzana ndi momwe munthu angadziwonetsere kuti amalumikizana ndi khungu, kuyabwa, mapangidwe a vesicle, urticaria, kupuma pang'ono. Woopsa milandu, mwa chidwi (modekha) odwala pali hypothetical Mwina anaphylactic mantha.

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Kuyesedwa kwa anthu angapo odzipereka omwe amagwiritsa ntchito mayeso amkati (khungu limagwiritsa ntchito allergen) kunawonetsa chidwi cha chlorhexidine bigluconate yoposa 2% ya anthu. Malinga ndi ofufuza omwe ali ndi eczema, chiwerengerochi chikhoza kupitilira 5%.

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Chlorhexidine pa mimba ndi mkaka wa m`mawere

Chlorhexidine ali m'gulu la mankhwala B, zomwe zimagwiritsidwa ntchito panthawi yomwe ali ndi pakati sizinaphunzire. Komabe, kafukufuku wokhudza njira yapamwamba kwambiri yanyama mu nyama zinawonetsa kuti chlorhexidine pa 300 mg wa kilogalamu imodzi ya thupi patsiku sizinakhudze mwana wosabadwayo.

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Komabe, poganizira za kusowa kwa kafukufuku kwa amayi apakati, antiseptic iyi imagwiritsidwa ntchito povulala pokhapokha, pamene phindu kwa amayi limakhala lalikulu kuposa kuvulaza kwa mwana.

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Palibenso chidziwitso pakulowerera kwa mankhwalawa mkaka wa m'mawere ndikung'amba pakamwa. Zikatero, akatswiri amalimbikitsa kusamala pakugwiritsa ntchito antiseptics pa nthawi yoyamwitsa, kusankha othandizira omwe ali ndi chitetezo chotsimikiziridwa.

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Ponena za yankho lakunja ndi zowonjezera za ukazi, palibe zoletsa pazolinga zawo.

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Kuthana ndi chlorhexidine mu zochita za ana

Ngakhale kugwiritsa ntchito chlorhexidine ponseponse, mphamvu ya mankhwala mwa ana idaphunziridwa. Kutengera izi, kugwiritsa ntchito antiseptic kutsuka mkamwa ndi pakhosi sikulimbikitsidwa kwa ana ochepera zaka 18. Tikutsindika kuti izi zimangogwiritsidwa ntchito mu ENT pochita ndi mano. Mitundu yakunja ya antiseptic imalembedwa kwa ana azaka zilizonse.

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Ntchito yakunja

0,05% chlorhexidine bigluconate mayankho amatha kuthandizira pochiritsa mabala, mabala, kuwotcha, zikanda zazing'ono ndi mavuto ena, limodzi ndi kuphwanya umphumphu wa khungu.

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Kugundana ndi Chlorhexidine sikugwira ntchito kokha, komanso kosapweteka konse, mosiyana ndi njira zakumwa zoledzeretsa komanso ngakhale hydrogen peroxide.

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Chlorhexidine ndi ayodini njira: zosagwirizana?

Mpikisano wapamtima wa Chlorhexidine ndi njira ina yodziwikiratu yomwe nzika za Russia zimakonda - yankho la ayodini. Titha kunena kuti mankhwalawa ali ndi ubale wovuta kwambiri. Ndipo chifukwa chake.

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Ndi munthawi yomweyo kugwiritsa ntchito mankhwala onse pakhungu kapena mucous nembanemba, pali mwayi wokhala dermatitis - pachimake yotupa khungu matenda. Chifukwa chake, madokotala salimbikitsa kugwiritsa ntchito chlorexidine limodzi ndi kukonzekera kwa ayodini, komanso osati mu dermatology, komanso ku mano, gynecology ndi opaleshoni.

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Kwa wodwala wamba yemwe samadziwa bwino zamankhwala, nthawi zina zimakhala zosadziwika kuti mankhwala ena ali ndi ayodini. Chifukwa chake, tiyeni tilembe mankhwala akuluakulu omwe sayenera kugwiritsidwa ntchito ndi chlorhexidine:

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• Yankho la Lugol - kukonzekera mwanjira yozikidwa potaziyamu iodide),
• Ma Lugs - utsi wothirira pakhosi ndi mucosa wamlomo,
• Yok - muzimutsuka ndi kutsitsi la pakhosi ndi pakamwa.

• povidone-iodine (mayina amalonda Betadine, Betadine, Vokadin) - mayankho ogwiritsira ntchito kunja, mafuta odzola, zowonjezera ukazi.

Ndiye choti musankhe?

Kuwonetsera kofananirana kwa kuchita bwino kwa ma antiseptics awiri odziwika kwambiri aku Russia (komanso osati okhawo) kunachitika pakuyesa kwathunthu kwachipatala ndikuchita nawo odzipereka a 850. Odwala onse amafunikira mankhwalawa kuti apewe matenda a postoperative bala. Zotsatira za kafukufukuyu zikutsimikizira bwino kuchuluka kwa Chlorhexidine: kuchuluka kwa matendawa kunali kutsika kwambiri mu gulu la chlorhexidine bigluconate solution ndipo anali 9.5% poyerekeza ndi 16.1% pagulu la Iodine.

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Kuphatikiza apo, Iodine imakhala poizoni pogwiritsa ntchito nthawi yayitali, komanso kuthekera kwa poizoni kapena kuwonetsa (kumva) kwa Chlorhexidine ndizochepa kwambiri. Ubwino wamapetowa umaphatikiza kuyanjana ndi zinthu zachilengedwe, zomwe sizikhala mwachilengedwe. Chifukwa chake, magazi, mafinya kapena zinthu zina zachilengedwe zimatha kupanga oxidi ndi kumanga iodini, chifukwa chomwe njira yodutsamo iodine sichitha.

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Kuphatikiza apo, pali mwayi wina wosakayika konse wa Chlorhexidine, womwe ndiwofunika kwambiri pogwiritsa ntchito antiseptics mabungwe azachipatala, ndiye mtengo wotsika. Chlorhexidine amatenga 4-5 nthawi zotsika mtengo kuposa ayodini!

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Kutengera izi, akatswiri adazindikira kuti chlorhexidine ndi njira yotetezeka, yotsika mtengo komanso yothandiza kwambiri yankho la ayodini.

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Chlorhexidine mu gynecology: zikuwonetsa ntchito ndi kumasula mawonekedwe

Mphamvu ya antiseptic ya Chlorhexidine ndi kulolerana kwabwino kwambiri kumapangitsa kuti mankhwalawa agwiritsidwe ntchito kwambiri mu obstetrics ndi gynecology.

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Mwa zina mwazomwe mungasankhe:

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• colpitis ya etiology iliyonse, kuphatikizapo trichomonas,
• candidiasis kapena thrush,
• kuyeretsa kwamtundu wamtunduwu pakuwazindikira njira zoyenera kapena pakuchitapo opaleshoni,
• kupewa matenda opatsirana pogonana.

Pali mitundu iwiri yayikulu yomasulira mankhwalawa, yomwe imapangidwa kuti azigwiritsidwa ntchito pazamankhwala. Izi zikuphatikiza:

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• yankho lamadzi pamtunda wa 0.05%,
• ukazi wowonjezera wokhala ndi 16 mg yogwira ntchito,
• gel osakaniza aakazi.

Ganizirani mtundu uliwonse mwatsatanetsatane.

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Chlorhexidine Douching Solution

Njira yadzimadzi ya Chlorhexidine imagwiritsidwa ntchito muzipatala za antiseptic mankhwalawa. Madokotala ena amati douching ndi antiseptic komanso kunyumba.

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Njira yothetsera Chlorhexidine pambiri ya 0,05%, yomwe nthawi zambiri imagulitsidwa m'masitolo ogulitsa mankhwala, imagwiritsidwa ntchito pakumwa mawonekedwe ake osadetseka. Izi zikutanthauza kuti mankhwalawo ali kale okonzeka kugwiritsa ntchito - safunikira kuwonjezera madzi ndi madzi kapena ma sol sol.

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Pali mtundu wina wa mankhwalawa wopaka douching, womwe umasiyana ndi chizolowezi chowonjezera chachikazi. Ngati simunapeze botolo lotere likugulitsidwa - zilibe kanthu. Adzasinthidwa bwino ndi syringe yachizolowezi yopanda phokoso lolimba.

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Kukopa Malamulo

Ngati muli ndi Chlorhexidine ndi chipangizo chothandizira kuchipatala chanu chamankhwala, mutha kuyamba kupanga. Kuti muchite izi, muyenera choyamba kuthira syringe ndi madzi otentha owira mkati ndi kusawiritsa, ndiye kuti, wiritsani mphindi zochepa za mphuno ku botolo kapena syringe (ziyenera kuchotsedwa).

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Njira imodzi yokha, 5-10 ml ya yankho idzafunika. Mwa njira, simuyenera kutentha njira yothetsera douching - mankhwala ndi mankhwala a antiseptic amatha kusintha ndi kutentha kwakukulu.

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Mankhwalawa amalowetsedwa mu nyini kwa mphindi ziwiri. Ndondomeko ikuchitika kangapo 5-7 tsiku lililonse.

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Makandulo okhala ndi chlorhexidine: mafomu otulutsa ndi zisonyezo

Ma supplementor a Vaginal omwe ali ndi antiseptic ndi otchuka kwambiri m'zochita zamankhwala. Amapezeka mu fomu imodzi yotulutsa ndi zinthu zomwe zili ndi 0,008 g mu kandulo imodzi.

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Mwa zina mwa zomwe zikugwiritsidwa ntchito ndi ma suppositories ndi chlorhexidine:

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• ana vulvovaginitis mosasamala za etiology,
• bakiteriya vaginosis,
• colpitis, kuphatikizapo amayi apakati,
• kupewa matenda opatsirana pogonana.

Mankhwalawa ndi mankhwala 1-2 pa tsiku m'mawa ndi madzulo kwa masiku 5-7. Ngati ndi kotheka, chithandizo chitha kupitilizidwa mpaka masiku 14 - 20 kapena kuposerapo.

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Makandulo nthawi zambiri amaloledwa bwino ndipo samayambitsa mavuto, monga kuyabwa kapena kuwotcha.

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Chochititsa chidwi ndi mawonekedwe apamwamba otetezeka, omwe amalola kugwiritsa ntchito mankhwalawa muzochita za ana komanso amayi apakati.

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Chlorhexidine ndi Gardenerellosis Chithandizo: Choonadi chili kuti?

Posachedwa, chidziwitso cha ubale wapakati pa kupanga dokotala pakati pa Chlorhexidine ndi chitukuko cha gardenerellosis chakhala chikuwonekera kwambiri muzinthu za Chirasha. Tiyeni tiwone ngati antiseptic angakhale omwe amayambitsa matendawa.

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Choyamba, tiyeni tikumbukire chomwe gardenerellosis ndi. Gardnerella vaginalis - gardenerella ndi tizilombo tating'onoting'ono tomwe timakhala mu nyini ya akazi athanzi, popanda kuyambitsa, monga lamulo, kuvulala kulikonse.

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Komabe, kuchuluka kwa microflora kusintha, komwe kumatha kuchitika chifukwa chakuchepa kwa chitetezo chokwanira, kugwiritsa ntchito mankhwala a antibacterial kapena antiseptic, gardenerella ikhoza kuyamba kuchuluka. Zotsatira zomveka ndikukula kwa bakiteriya vaginosis, yowonetsedwa ndi kutulutsidwa, kuyabwa ndi mavuto ena.

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Ndipo chlorhexidine ili kuti? Ndiwosavuta: kungoyang'anitsitsa nyini sikanali njira yabwino kwambiri yopangira microflora. Makamaka kugona ndi antiseptic. Ndi chithandizo chopitilira, kusintha kwa pH kwa sing'anga kumachitika, komanso kuyenera ndi kuchuluka kwa mabakiteriya. Chifukwa chake, zinthu zabwino za bakiteriya vaginosis zimapangidwa. Ngati alumikizidwa ndi kuchepa kwa chitetezo, mwachitsanzo, motsutsana ndi maziko am'magazi oyambitsidwa ndi matenda opatsirana, kupezeka kwa gardenerellosis kapena candidiasis (wokhala ndi zifukwa zomwezo) sikadabwitsa aliyense.

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Mapeto akewa ndiwodziwikiratu: Chlorhexidine sitingaganizire kuti ndiye chifukwa cha bakiteriya wa bakiteriya. Koma mankhwalawa atha kupereka chidwi ku kukula kwa gardenerellosis.

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Pofuna kupewa zovuta, amayi omwe ali ndi kuchepetsedwa mayankho amayenera kuyamwa amayenera kuthandizidwa ndimakandulo kapena gelisi lamkati ndi chlorhexidine. Mitundu ya mankhwalawa, mosiyana ndi kugontha, saphwanya mgwirizano wa bakiteriya mu nyini.

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Kulimbana ndi Matenda Ogonana: Kutsika mtengo komanso Kothandiza

Simunganyalanyaze mphamvu ya yankho la chlorhexidine pothana ndi matenda omwe amapatsirana pogonana. Mabakiteriya opanda gramu komanso gram-hasi ndi omwe amachititsa kuti matenda asamayende bwino, omwe amachititsa matenda omwe amakonda kuti asalankhule mokweza. Mwa zina mwa tizilombo:

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• Treponema spp. Kuphatikiza ma spirochete wotumbululuka - oyambitsa wa syphilis,
• Neisseria gonorrhoeae, causative wothandizira wa chinzonono,
• Trichomonas spp. Kuphatikiza choyambirira cha trichomoniasis,
• Chlamidia spp. Kuphatikiza ndi causative wothandizira wa urogenital chlamydia,
• Ureaplasma spp. Kuphatikiza ndi causative wothandizira wa ureaplasmosis.

Kumbukirani zochitika za Chlorhexidine motsutsana ndi kachilombo ka malungo a herpes (Herpes simplex II) ndi HIV.

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Chofunikira chachikulu pakupanga antiseptic ndi nthawi yogwiritsira ntchito. Mankhwala amateteza ku matenda ngati agwiritsidwa ntchito patangopita maola awiri atagonana mosadziteteza. Mitundu yakunja, malaya amkati, pubis imatha kukonza. Kuphatikiza apo, ndikofunikira kuyambitsa urethral wa antiseptic kwa amuna ochuluka kuchuluka kwa 2-3 ml komanso kumaliseche kwa akazi, kuchuluka kwa ntchito ndi 5-10 ml. Nthawi yokonza ndi mphindi 2-3.

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Chenjezo: mankhwala ndi ana ang'ono!

Tanena kale za chitetezo chachikulu cha mankhwalawo, kuphatikiza ndi kumeza mwangozi. Komabe, zikafika kwa mwana wocheperako, chisamaliro chimayenera kutengedwa ndikusunga mankhwalawo kuti ana asawapeze.

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Ngati mwalowa mwangozi thukuta lomwe limakhala ndi chlorhexidine, zizindikiro za poizoni zimayamba. Chifukwa chake, ngati mwana wolemera makilogalamu 10 (wazaka pafupifupi 1) amamwa 30-60 ml ya chithandizo chotsuka, mawonekedwe a:

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• nseru
• kusanza
• Zizindikiro za kuledzera.

Zikatero, makolo amatha kuthandiza mwana posambitsa m'mimba ndi yofooka yankho la potaziyamu permanganate kapena, mwachitsanzo, kulowetsedwa kwa chamomile.

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Pazakagwiritsidwe ntchito

Monga anthu omwe amagwiritsa ntchito Chlorhexidine monga njira yothetsera kapena mafuta okhala ndi cholemba ichi, mankhwalawo amagwiritsa ntchito mankhwala ophera tizilombo toyambitsa matenda. Mankhwala amathandizira kuloza kumitsempha yotupa. Nthawi zambiri, anthu amazindikira kupezeka kwa chifuwa. Mankhwalawa ndi otetezeka, monga omwe omwe amamugwiritsa ntchito amavomereza, koma ndi otsika mtengo kwambiri, chifukwa chake amapezeka pafupifupi aliyense.

Chlorhexidine Analogs

Mwa zofananira za Chlorhexidine, munthu akhoza kupanga limodzi kapangidwe kamakampani aku Germany Stad - Hexicon, komwe kamapezeka mitundu mitundu. Ndikofunikira kudziwa kuti mtengo wa Hexicon ndiwokwera kwambiri kuposa mtengo wa antiseptic.

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Pomaliza, tikuwonjezera kuti Chlorhexidine ndi Hexicon ndi mankhwala a OTC. Kutchuka kwawo ndi kugwira ntchito kwawo ndi kwabwino kwambiri mwakuti nthawi zonse amakhala gawo lamankhwala apanyumba. Mwa njira, chekeni - kodi chlorhexidine wanu sikutha?