Ngenxa yokusebenza kwayo, ukuphepha kanye nentengo ephansi, isixazululo seChlorhexidine 0.05 kudala saba phakathi kwama-antiseptics athandwa kakhulu endawo. Leli thuluzi lisetshenziselwa ukwelapha ulwelwesi lwesikhumba, ulwelwesi lwe-mucous uma lokwephula ubuqotho babo kanye nokutheleleka, kanye nezinsimbi zezokwelapha, ifenisha kanye nezakhiwo. Kubalulekile ukuthi umuthi uhlinzeke ngemiphumela yesikhathi eside (kuze kube ngamahora we-18).
Igama Lezwe elingafanele
I-Chlorhexidine (Chlorhexidine).
Ngenxa yokusebenza kwayo, ukuphepha kanye nentengo ephansi, isixazululo seChlorhexidine 0.05 kudala saba phakathi kwama-antiseptics athandwa kakhulu endawo.
I-ATX
D08AC02 Chlorhexidine.
Khipha amafomu nokwakheka
E-Russia nakwamanye amazwe, imboni yezemithi ikhiqiza izidakamizwa i-chlorhexidine bigluconate esebenzayo (chlorhexidine bigluconate) ngezindlela ezahlukahlukene. Lokhu:
- izixazululo ezinamanzi ze-0,05%, u-0,2%, 1%, 5% no-20%;
- izixazululo zotshwala nezifafaza ze-0.5%;
- ama-supplementories wesitho sangasese sowesifazane (i-Heoticon suppositories) 8 no-16 mg;
- amagugu;
- amaphilisi;
- ama-lollipops;
- i-lozenges;
- okhilimu;
- okokugcoba;
- ama-bactericidal patches.
Ngokusetshenziswa ngakunye, umkhiqizo ukhiqizwa ezitsheni ze-2, 5, 10, 70, 100 no-500 ml. Ukusetshenziswa ezikhungweni zezokwelapha - emabhodleleni angu-2 litre.
Isixazululo
Isixazululo samanzi se-chlorhexidine bigluconate okuhlushwa ngo-0,05% kuyinto ewuketshezi olucacile ngaphandle kokudonsa. I-1 ml yesidakamizwa iqukethe i-0.5 mg yento esebenzayo. Ingxenye esekelwayo ingamanzi ahlanziwe. Izisombululo ezingama-70 noma eziyi-100 zifakwa emabhodleleni epulasitiki noma engilazi. Ezinye zazo zinezindawo zokuhlanza kalula ukusetshenziswa kwazo. Amhubhu enziwe nge-polyethylene aqukethe 2, 5 noma 10 ml we-antiseptic.
Isifutho ngesisombululo esingu-0.5% sifakwe ku-70 no-100 ml.
Futha
Ebhodleleni eli-1 noma ibhodlela eline-spray cap noma i-nozzle - 5 g we-chlorhexidine bigluconate. Izakhi ezisizayo: i-95% ethanol exutshwe namanzi ahlanziwe. Unguketshezi olucacile, olungenamibala olungaba nomthunzi okhanyayo we-nacre. Ihogela utshwala. Isifutho ngesisombululo esingu-0.5% sifakwe ku-70 no-100 ml.
Isenzo se-Pharmacological
Umuthi ufakwa eqenjini lama-antiseptics kanye nama-disinfectants. Ithuluzi linomphumela:
- i-antiseptic;
- i-bactericidal;
- i-anesthetic ekhanyayo;
- fungicidal (okuholela ekubhujisweni kwesikhunta).
Uhlobo lomthelela womuthi kuncike enanini lezinto ezisebenzayo. Izisombululo ze-0.01% zinikeza umphumela we-bacteriostatic, ukuvimbela ukukhula kwama-microorganisms. Imikhiqizo ye-Liquid enenqwaba ye-chlorhexidine bigluconate engaphezu kwe-0,01% inomphumela we-bactericidal, ibhubhisa ama-pathogen ekushiseni komoya okungu-+ 22 ° C umzuzu owodwa. Izisombululo ze-0.05% zikhiqiza umphumela we-fungicidal kungakapheli imizuzu eyi-10, kuthi ekugxileni okungu-1%, umphumela we-virucidal ngokumelene namagciwane we-herpes.
Izintambo zento esebenzayo yesidakamizwa icekela phansi ulwelwesi lwamagciwane, olusheshe lufe. Kodwa-ke, ezinye izinhlobo zamagciwane, izinsalela zamagciwane kanye nesikhunta, izinhlobo eziningi zamagciwane ziyamelana nomenzeli. Umphumela ophumelelayo womuthi ubonakaliswa maqondana namagciwane alandelayo wezifo ezithathelanayo:
- Ama-bacteriides fragilis;
- I-Chlamydia spp .;
- I-Gardnerella vaginalis;
- Neisseria gonorrhoeae;
- I-Treponema pallidum;
- I-Trichomonas vaginalis;
- I-Ureaplasma spp .;
- I-Pseudomonas ne-Proteus spp. (kwezinye izinhlobo zalezi zifo ezingama-chlorhexidine, i-bigluconate inomphumela olinganiselayo).
Imikhiqizo ye-Liquid enenqwaba ye-chlorhexidine bigluconate engaphezu kwe-0,01% inomphumela we-bactericidal, ibhubhisa ama-pathogen ekushiseni komoya okungu-+ 22 ° C umzuzu owodwa.
Ngenxa yomphumela wesikhathi eside wokubulala amagciwane, umuthi usetshenziswa kabanzi ekuhlinzeni njengezindlela zokwelapha ezibulala amagciwane. Umuthi ukhombisa ukusebenza okuphansi kwe-bactericidal esikhunjeni nasekulwelweni kwezimpawu zomzimba phambi kwegazi, ukhunta, noketshezi lomzimba olwenziwe ngumzimba.
I-Pharmacokinetics
Isixazululo esenzelwe ukusetshenziswa kwangaphandle asingeni lokungena kwegazi futhi asinamphumela ohlelekile. Uma kwenzeka ukungena kokuthile ngengozi, akuxhunyiwe emzimbeni wokugaya ukudla futhi ucishe wakhululwa ngokuphelele kanye namalondolo.
Izinkomba zokusetshenziswa
Umenzi utusa ukusetshenziswa okubanzi kwesixazululo se-chlorhexidine esakazekile esingu-0,05% kwezokulashwa.
Kwi-gynecology - ekwelashweni nasekuvimbeleni:
- ukulunywa kwe-veva;
- ukuguguleka kwesibeletho;
- ureaplasmosis;
- chlamydia;
- trichomoniasis;
- I-Trichomonas colpitis;
- i-gonorrhea;
- syphilis.
Ekusebenzisaneni kwamazinyo naku-ENT, ngaphezu kwezokwelapha nge-postoperative kanye nokubulala magciwane amazinyo, izinkomba zokusetshenziswa kwaleli thuluzi yizifo ezifuze lezi:
- i-stomatitis;
- i-periodontitis;
- i-gingivitis;
- i-alveolitis;
- i-aft;
- i-tonsillitis.
Isixazululo singasetshenziswa njenge-antiseptic yendawo:
- ekwelashweni kokusha kanye namanxeba;
- ngesikhathi sokubulala amagciwane kwesikhumba seziguli ezisetshenzisiwe kanye nabasebenzi bomnyango wokuhlinzwa;
- ngenhloso yokukhipha amagciwane imishini yezokwelapha, amathuluzi, amadivaysi angenakuthathwa ekwelashweni kokushisa.
Contraindication
Umuthi uvunyelwe ukusebenzisa:
- abantu abane-hypersensitivity yomuntu ngamunye entweni esebenzayo yesidakamizwa;
- phambi kwe-dermatitis;
- esimweni sokuphazamiseka komzimba ngenxa yokuxhumana nesixazululo.
Ungayisebenzisa kanjani i-chlorhexidine 0.05?
- Ukulimala kwesikhumba, ukushiswa: gcoba indwangu eyinyumba ngesisombululo se magciwane bese usebenza endaweni ebuhlungu imizuzu engama-2-3 (akudingekile ukulungisa nge-band-aid noma ngebhandeshi). Faka isicelo izikhathi ezingama-2-4 ngosuku.
- I-Angina, i-pharyngitis, i-laryngitis, amazinyo anesifo, ama-abscesses, i-fistulas, izinsini ezivuthayo ngemuva kokuhlinzwa ngezikhathi ezithile, ukulimala kwe-mucosa yomlomo: kuqala ususe imfucumfucu yokudla enamanzi afudumele amancane, bese uthatha u-1-2 tbsp. Isixazululo bese usula umlomo, umphimbo isikhathi esingangemizuzu eyi-1 izikhathi ezi-3 ngosuku. Akunakusho ukuthi kufanele ugwinye i-chlorhexidine! Ngemuva kokuphaza, ungaphuzi noma udle ihora eli-1.
- Izinqubo zokuvuvukala zesitho sangasese sowesifazane: endaweni ethambekele kuyo, ekuphumeni, kufafaza i-0.5-1 ml yesidakamizwa esithweni sangasese kusuka esitsheni sepulasitiki. Bese uqamba amanga imizuzu engama-8-10. Yenza izinqubo ezingama-2-3 nsuku zonke amaviki awu-1-1.5.
- Izifo zamapheshana we-Urinary: jovela ama-2-3 ml wesisombululo izikhathi ezingama-2-3 ngosuku ku-urethra. Inkambo yokwelashwa iyizinsuku ezingama-5- 10.
- Ukuvimbela ukutheleleka ngokobulili: kuqala uchame, bese ufaka isirinji ngaphandle kwenalithi 2-3 ml yesisombululo ku-urethra, abesifazane - 5-10 ml futhi ungene esithweni sangasese. Ukwelashwa okuphoqelekile kwesikhumba okuzungeze i-genitalia yangaphandle. Ungachama kuphela ngemuva kwamahora ama-2. Isinyathelo sokuvimbela siyasebenza uma kungathathanga isikhathi esingaphansi kwamahora ama-2 ngemuva kokuphela kocansi olungavikelekile noma ukwephulwa kokwethembeka kwekhondomu.
Ungazalela kanjani i-rinsing?
0.05% Isixazululo se-Chlorhexidine sikulungele ngokuphelele ukusetshenziswa kwangaphandle. Ekuhlolweni okuphezulu, umuthi kufanele uhlanganiswe namanzi abilisiwe ekushiseni kwegumbi kulezi zindlela ezilandelayo:
- 0,2% - 1:4;
- 0,5% - 1:10;
- 1% - 1:20;
- 5% - 1:100.
Ekuqoqweni okuphezulu, umuthi kufanele uhlanganiswe namanzi abilisiwe ekushiseni kwegumbi.
Ngingakwazi ukugeza amehlo ami?
Umuthi awuhloselwe ukusetshenziswa ku-ophthalmic. I-Chlorhexidine akufanele ivunyelwe emehlweni. Uma lokhu kwenzeka ngengozi, kuyadingeka ukuthi uzihlanze ngamanzi agobhozayo, bese ufaka isixazululo se-sodium sulfacil (Albucid).
Ukuthatha umuthi wesifo sikashukela
Iziguli zingawusebenzisa umuthi nganoma iyiphi indlela. Kodwa-ke, lapho uthenga uswidi, i-lozenges, kufanele uqiniseke ukuthi aqukethe i-sweetener, hhayi i-sucrose.
Imiphumela emibi ye-chlorhexidine 0.05
Imiphumela engathandeki yokusetshenziswa komuthi ivela ezimweni ezingandile futhi isheshe inyamalale ngemuva kokuhoxiswa kwayo. Lokhu:
- ukungahambi kahle komzimba - ukulunywa, ubomvu kwesikhumba, ukuqubuka, isikhumba ezindaweni zokuxhumana nekhambi;
- ukunamathela kwesikhashana kwesikhumba sezandla;
- isikhumba esomile;
- i-photosensitivity (ukukhulisa ukuzwela ukukhanya kwelanga);
- ukumiswa ubumnyama koqweqwe lwawo, ukwanda okwenziwe i-tartar, ukuhlanekezela ukunambitheka (ngokuqina njalo kwe-patity yomlomo);
- ukuphefumula, ukushaqeka kwe-anaphylactic (okungavamile kakhulu).
Imiyalo ekhethekile
Ukuthintana okungabonakali kwesisombululo ngezifo ezinamadoda, ukulimala okuvulekile kwengqondo nentambo yomgogodla, i-eardrum eyenziwe kahle, i-nerve yezinzwa.
I-antiseptic ayihloselwe ukwelashwa kwe-rhinitis, sinusitis, abezindaba ze-otitis.
Ithuluzi akufanele lisetshenziselwe ukutheleleka ngegciwane (ngale njongo, ungasebenzisa, isibonelo, Miramistin).
Ezixazululweni ezinokuhlungwa okungaphezulu kwe-0,2%, kwenqatshelwe ukucubungula ulwelwesi lwama-mucous nokulimala kwesikhumba okuvulekile
I-Chlorhexidine umuthi, hhayi umkhiqizo wokuhlanzeka. Awukwazi ukusebenzisa isixazululo ukunakekelwa kwansuku zonke zomlomo wesibeletho, izitho zangasese, ngoba kungavela ukungezwani komzimba, i-dysbiosis ingakhula.
Kwenqatshelwe ukuthambisa umuthi ngamanzi amaminerali, engeza i-baking soda kuwo.
Umphumela we-antibacterial wesidakamizwa ukhuphuka ngokushisa, noma kunjalo, emazingeni okushisa angaba ngu-100 ° C, i-chlorhexidine bigluconate ibhujiswa futhi icishe ilahlekelwe ngokuphelele izakhiwo zayo zokuphilisa.
Ukuhlangana ngesisombululo kuyasebenza njengento efanelekayo ekwelapheni okuyinkimbinkimbi. Kodwa akunakwenzeka ukubhubhisa ama-bacterium we-pathogenic kuphela nge-antiseptic, ama-antibiotic kufanele athathwe ngasikhathi sinye.
Ukuhlangana ngesisombululo kuyasebenza njengento efanelekayo ekwelapheni okuyinkimbinkimbi.
Ezinganeni, amalungiselelo aqukethe i-chlorhexidine bigluconate akhiqizwa ngokumaka okumaka "D", ngokwesibonelo, amakhandlela uGeksikon D. Lollipops, i-lozenges ukuze aqale kabusha ukugwema ukugwinya anganikezwa ingane eneminyaka emi-5 kuphela.
Isixazululo asonakalisi insimbi, ipulasitiki, imikhiqizo yengilazi. Kodwa-ke, ezicutshini ezihlangane ne-chlorhexidine, kuvela amabala ansundu lapho kuhlangana nama-hypochlorous agents.
Uma umuthi ungena emzimbeni, uthinta umphumela wolawulo lwe-doping.
Ingabe izingane zingaba u-chlorhexidine 0.05?
Njengoba kungekho bufakazi besayensi bokungalinyazwa ngokuphelele kokusetshenziswa kwomuthi kwangaphandle nangokwendawo, izingane ezingaphansi kweminyaka engu-7 ubudala akufanele ziphathwe nayo. Kudingeka ukunakekelwa okukhethekile lapho uhlaba umlomo nomphimbo ukuvimba ingane ukuba iginye isixazululo.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Ithuluzi lingasetshenziswa ngesikhathi sokukhulelwa nokuncelisa, njengoba lapho u-rinsing, usebenzisa i-nebulizer, umuthi awungeni ohlelweni lokujikeleza kwegazi. Kodwa-ke, ukulala ngesisombululo akuvunyelwe, ngoba phakathi nale nqubo, ungaletha ngephutha ukutheleleka esithweni sangasese. Odokotela abaningi bancoma ukusebenzisa i-lozenges ephephile ye-lozoenges, i-Hexicon suppositories esikhundleni se-chlorhexidine ngesikhathi sokukhulelwa.
I-Chlorhexidine ingasetshenziswa ngesikhathi sokukhulelwa.
I-Chlorhexidine okweqile kwe-0.05
Uma umuthi usetshenziswa ngokuhambisana nemiyalo, i-overdose ayinakwenzeka. Uma isixazululo sigwinywe ngengozi ngamanani amakhulu, isisu kufanele sihlanjululwe bese kunikezwa osisulu ngokuthile.
Ukuxhumana nezinye izidakamizwa
Umuthi awuhambelani nensipho, okokuhlanza, i-alkali nezinye izinto ze-anionic (izixazululo ze-colloidal, i-gum arabic, i-carboxymethyl cellulose, i-sodium lauryl sulfate).
Ithuluzi liyahambisana nezinto ezineqembu le-cationic (cetrimonium bromide, benzalkonium chloride, njll).
Ukusebenzisana nama-carbonates, chloride, sulfates, phosphates, borates, ama-citrate, izidakamizwa zisebenza kancane kancane i-compounds encibilikayo.
Kwenqatshelwe ukusebenzisa i-Chlorhexidine ukuthola i-rinsing kanye ne-iodine, isixazululo seLugol, nezinye izidakamizwa.
Kwenqatshelwe ukusebenzisa i-chlorhexidine ekuxhumaniseni nge-iodine.
Umuthi wandisa umuzwa wokuqina kwezitshalo ezibangelwa amagciwane ku-Neomycin, Kanamycin, Levomycetin, ama-antibiotic eqembu le-cephalosporins.
I-ethyl alcohol ikhulisa ukusebenza kahle kwesidakamizwa.
Ama-Analog
I-Chlorhexidine ingashintshwa nezidakamizwa ezinomphumela ofanayo noma ofanayo. Lokhu:
- Amident;
- Anzibel
- Umphimbo obuhlungu obuhlungu;
- I-Bactosin;
- Hexicon;
- I-Hexoral;
- Ukushayela;
- I-Curasept;
- I-Miramistin;
- I-Mucosanine;
- I-Pantoderm;
- i-hydrogen peroxide;
- I-Plivacept;
- Sebidine;
- UFuratsilin;
- I-Chlorophyllipt;
- I-Cital;
- U-Eludryl et al.
Imibandela yekhefu lekhemisi
Kuthengiwe ngaphezulu kwekhawunta.
Malini i-chlorhexidine 0 05?
Intengo incike kubungako bomkhiqizo, uhlobo lwento okwenziwe ngalo isitsha, izindleko zokuhamba, kanye nesigaba sokhemisi. Izindleko ezijwayelekile zebhodlela elingu-100 ml zisukela kuma-ruble ayi-12 kuye kwangama-18.
Izimo zokugcina zomuthi
Isixazululo kufanele sivikeleke emini. Ibanga lokushisa: + 1 ... + 25 ° ะก. Umuthi kufanele ube ungatholakali ezinganeni.
Isikhathi sokuphelelwa yisikhathi
Ukulungiswa kwemithi kugcina izindawo zayo zokwelapha iminyaka emi-3, ikhambi elihlanjululwe - hhayi ngaphezulu kwezinsuku eziyi-7. Umkhiqizo ophelelwe isikhathi awunakusetshenziswa.
Umkhiqizi
Amafemu akhiqiza amalungiselelo e-chlorhexidine bigluconate:
- "BioFarmKombinat", "Biogen", "Biochemist", "Kemerovo Pharmaceutical Factory", "Medsintez", "Medkhimprom-PCFK", "Fekthri Yemithi YaseMoscow" (Russia);
- I-Nizhpharm, i-Renewal, i-Petrospirt, iRosbio, iSt. Fisherst. Fisherst, FirmVILAR, Pharmproekt, EKOlab, Ergofarm, Eskom, Yuzhpharm (Russia) ;
- UGlaxo Wellcome (ePoland);
- I-Famar Orleans (USA);
- "UNobelfarma Ilach" (Turkey);
- Herkel (Netherlands);
- I-AstraZeneca (Great Britain);
- I-Kuraproks (Switzerland);
- UGifrer-Barbeza (France).
Ukubuyekezwa ku-Chlorhexidine 0.05
U-Irina, oneminyaka engama-28 ubudala, uKlimovsk.
Ngihlala nginaleli thuluzi ekhabinet yemithi yasekhaya. Ngivame ukuyisebenzisa lapho ngidinga ukwelapha indodana encane. Izofika ekhaya ne-abrasions, khona-ke izobamba umphimbo. Umuthi ubiza ipeni, kanti ukusebenza kwawo kukhulu nje. Ngaphezu kwalokho, i-chlorhexidine ayishisi, ayibangeli buhlungu, ayifani ne-iodine, i-hydrogen peroxide, eluhlaza. Umuthi ongenakufinyeleleka ezinganeni.
UMikhail, oneminyaka engama-32, uMorshansk.
Lapho i-molar isuswa, wagcoba umlomo wakhe ngekhambi ngemuva kokudla nasebusuku. Lokhu kuvikela isilonda esinamandla ngokumelene nokutheleleka. Kuhle ukuthi kungabikho mizwa engathandeki. U-Desna welapha ngokushesha futhi ngaphandle kwezinkinga. Kusukela ngaleso sikhathi bengilokhu ngishayela lo mkhiqizo ekhishini lezimoto.
UMarina, oneminyaka engama-24, uKrasnogorsk.
Ngake ngaba ne-thrush. Wenza ukucwilisa, futhi ukonakala kwema ngokushesha. Manje isikhathi nesikhathi ngisebenzisa ikhambi lokuvikela. Futhi nge-angina kusiza kahle.I-antiseptic edingekayo, esebenzayo.
