I-gel nge-chlorhexidine umuthi olwa nama-antiseptic onamandla okufakazelwe okwelapha nokuphepha. Kusetshenziswa kudokotela wamazinyo, i-otorhinolaryngology, i-gynecology, i-urology kanye ne-dermatology ukuze kwelashwe futhi kuvikeleke izifo ezibangelwa yigciwane, fungal noma virus virus.
Igama Lezwe elingafanele
I-INN enconywe yi-WHO yiChlorhexidine.
I-gel nge-chlorhexidine umuthi olwa nama-antiseptic onamandla okufakazelwe okwelapha nokuphepha.
Amagama wezohwebo
Ama-antiseptics ngesimo sejeli, kubandakanya i-chlorhexidine, atholakala ngaphansi kwamagama ahlukahlukene:
- Hexicon;
- I-Gel yokwelashwa kwe-antiseptic;
- i-chlorhexidine ijeli yesandla sokuvikela;
- okugcobisayo Kulungile futhi;
- I-Chlorhexidine bigluconate 2% ene-metronidazole;
- I-Curasept ADS 350 (ijeli ye-periodontal);
- Ijeli le-Parodium yezinsini ezibucayi;
- I-Xanthan ijeli nge-chlorhexidine;
- I-Lidocaine + Chlorhexidine;
- I-Katedzhel ene-lidocaine;
- I-Lidochlor.
I-ATX
Ikhodi -D08AC02.
Ama-antiseptics ngesimo sejeli, kufaka phakathi i-chlorhexidine, atholakala ngaphansi kwamagama ahlukahlukene.
Ukwakheka
Njengomuthi osebenzayo, umuthi uqukethe i-chlorhexidine bigluconate, i-cremophor, i-poloxamer, i-lidocaine ingaba izithasiselo ezisebenzayo.
Isenzo se-Pharmacological
Umuthi unomphumela wasendaweni wokulwa namagciwane. Isebenza ngempumelelo ngokumelene nokwehlukahlukana okuningi kwama-microorganisms we-pathogenic (i-gram-positive ne-gram-negative, i-protozoa, i-cytomegaloviruses, amagciwane womkhuhlane, amagciwane we-herpes kanye nezinye izinhlobo zesikhunta ezifana nemvubelo).
I-Enteroviruses, i-adenoviruses, ama-rotavirus, amagciwane angavimbeli i-acid kanye nezinhlamvu zesikhunta amelana ne-chlorhexidine.
Izici ezinhle zomuthi zifaka iqiniso lokuthi alumlutha futhi alephuli i-microflora yemvelo.
I-Pharmacokinetics
Lo muthi awuthengwa ngaphakathi kwesikhumba nolwelwesi lwama-mucous, alunamphumela ohlelekile emzimbeni.
Yini esiza ijeli nge-chlorhexidine
I-Chlorhexidine isetshenziselwa ukwelapha amanxeba, ukushiswa, ukuqunjelwa, ukwelashwa kwezifo zesikhumba ezihlanzayo: i-pyoderma, furunculosis, paronychia ne-panaritium.
Odokotela bamazinyo basebenzisa ithuluzi ekwelapheni izifo zokuvuvukala zolwelwesi lwamafinyila lomlomo wesibeletho: i-periodontitis, i-gingivitis, i-aphthous stomatitis nanjenge-prophylactic ngemuva kokuhlinzwa (maxillofacial and extinyo extinity). Umuthi ufakelwe kumasirinji alahlwayo nge-cannula ethambile.
Isidakamizwa sisetshenziselwa ukwelashwa nokuvimbela ukutheleleka kwezitho zangasese (genital herpes, chlamydia, trichomoniasis, gonorrhea, syphilis).
Ukwelashwa kwendawo kusebenza ngempumelelo kwe-tonsillitis, i-tonsillitis, pharyngitis nasekuvimbeleni izinkinga ngemuva kokuhlinzwa kwe-ENT.
I-Chlorhexidine ehlangene ne-anesthetic isetshenziselwa imisebenzi ye-endoscopic ku-urology; ekubambeni amazinyo - lapho ususa amadiphozithi aqinile wamazinyo.
Contraindication
Ijeli ene-chlorhexidine ayisetshenziselwa i-hypersensitivity ezingxenyeni zezidakamizwa kanye nesikhumba.
I-Chlorhexidine isetshenziswa ngokuqapha ekusebenzeni kwezingane.
Ungayifaka kanjani ijeli ye-chlorhexidine
Le nto isetshenziswa esikhunjeni nasezimvwini ezingama-mucous enesendlalelo esincanyana 2 noma kathathu ngosuku.
Lapho belapha izinsini, benza izicelo zemizuzu engama-2-3 kathathu ngosuku noma basebenzise umgadi okhethekile ngejeli. Isikhathi sokwelashwa siyonqunywa ngudokotela oholayo, ukwelashwa kuvame ukubekelwa izinsuku ezingama-5-7.
Ukuvimbela ama-STDs uma kwenzeka ucansi olungavikelekile lwenziwa ngokushesha (kungabi amahora angaphezu kwama-2), i-genitalia yangaphandle namathanga angaphakathi aphathwa ngomkhiqizo.
Ijeli ene-anesthetic isetshenziselwa ukufakelwa ngokwemiyalo esesimweni sesibhedlela.
Ngoshukela
I-Chlorhexidine iboniswa ekwelapheni amanxeba, ama-abrasions noma ama-trophic ulcers ku-diabetesic foot syndrome; isebenza ngokuthambile futhi ngempumelelo kakhulu kune-iodine, isixazululo esikhanyayo esiluhlaza okotshani noma se-manganese.
I-Chlorhexidine imiselwe ukwelashwa kwamanxeba, ama-abrasions noma ama-trophic ulcers ku-diabetesic foot syndrome.
Imiphumela emibi ye-chlorhexidine ijeli
Ukubonakaliswa kwe-allergen esikhunjeni noma kolwelwesi lwama-mucous kwesinye isikhathi kuyabonakala (i-erythema, ukuvutha, ukulunywa) .Uphulwa okungaba khona kwemvelo ye-pH ukusetshenziswa isikhathi eside.
Kwezinye iziguli, i-enamel yezinyo iba mnyama futhi kushintshwa ukunambitheka kuyaphawulwa.
Umthelela ekhonweni lokulawula izindlela
Umuthi awunawo nomthelela ohlelweni lomzimba, ngakho-ke, kulezi zimo awunakho ukwephulwa.
Imiyalo ekhethekile
Uma umkhiqizo ungena ngephutha emehlweni akho, hlamba ngokushesha ngamanzi bese ufaka isisombululo se-sodium sulfacyl engu-30%.
Ukufakwa kwenani elincane lezinto akubeki usongo oluthile lwezempilo; kuyadingeka ukuthi uhlambe isisu uthathe i-adsorbent (Polysorb noma i-Carbonbon activated).
Isabelo sezingane
Ezinganeni ezingaphansi kweminyaka engu-6 ubudala, i-chlorhexidine ayinqunyelwe kangako. Kubalulekile ukuthi ingane ichaze ukuthi umuthi akufanele ugwinywe.
Ezinganeni ezingaphansi kweminyaka engu-6 ubudala, i-chlorhexidine ayinqunyelwe kangako.
Ekuziqhelaniseni kwamazinyo ezingane, umuthi ubekiwe ekwelashweni kwemiphumela yama-rickets: isifo se-caries nesifo sezinsini.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Ukusetshenziswa kwangaphandle kwesidakamizwa kuvunyelwe (ngaphandle kokwelashwa kokuqhekeka kwengono), ngoba umuthi wokwenza umuthi awungeni gazi.
Ukweqisa
Amacala ezinkinga zokudlula kumthamo onconyiwe awachazwanga, noma kunjalo, umuthi kufanele usetshenziswe ngokuya ngezincomo zezokwelashwa.
Ukuxhumana nezinye izidakamizwa
I-Chlorhexidine ayinconywa ukuthi isetshenziswe ngasikhathi sinye nemithi equkethe iodine ne-iodine, ngoba ukusabela kokuvuvukala kanye ne-dermatitis kungenzeka.
Ama-detergents afaka umuthi, udinga ukuwasha ngaphandle kwesikhumba.
I-ethyl alcohol ikhulisa isenzo se-chlorhexidine.
Ukuhambisana notshwala
Ukusetshenziswa kwangaphandle kwejeli akubangeli imiphumela emibi lapho uphuza iziphuzo eziqukethe i-ethyl ngaphakathi.
Ama-Analog
Izidakamizwa eziningi ezitholakala ngohlobo lwamafomu omthamo ahlukahlukene zinemiphumela ye-antibacterial: Amafutha e-Furacilin, ukhilimu we-Bactroban, isifutho seMalavit, isixazululo se-Miramistin, amaphilisi wesitho sangasese sowesifazane iBeocin, i-Methyluracil suppositories.
Imibandela yekhefu lekhemisi
Ukukhetha okubanzi kwezidakamizwa kubandakanya izimo ezahlukahlukene zeholide.
Ngingakwazi ukuthenga ngaphandle kadokotela
Ama-gel ane-chlorhexidine emakhemisi angathengwa ngaphandle kokuthola umuthi, izidakamizwa ezihlangene ne-lidocaine ziyindlela yokuthola umuthi.
Intengo
Imithi yokwelapha izinsini ibiza kusuka kuma-ruble angama-320. kufika kuma-ruble ayi-1,500., ama-disinfectants wokuhlanza izandla ashibhile - ama-ruble angama-60-120.
Izimo zokugcina zomuthi
Gcina endaweni emnyama, eyomile engenakufinyeleleka ezinganeni. Izimo zokushisa: kusuka ku-+15 kuya ku- + 25ºº, ungavumeli iqhwa.
Isikhathi sokuphelelwa yisikhathi
Akukapheli iminyaka emi-2 kusuka ngosuku lokukhiqizwa.
Umkhiqizi
Ijeli ye-Chlorhexidine ikhiqizwa yizinkampani ezenza imithi emazweni ahlukene:
- I-Hexicon - INizhpharm OJSC, eRussia;
- I-Hexicon STADA - I-Artsnaymittel, eJalimane;
- Ijeli yeChlorhexidine - Ikhemisi, eLugansk, e-Ukraine;
- ijeli yokucubungula i-antiseptic - Technodent, eRussia;
- I-Lidocaine + Chlorhexidine - Germany;
- I-Lidochlor - eNdiya;
- I-Katedzhel ene-lidocaine - i-Austria;
- ijeli lokuvikela izandla uChlorhexidine uDkt. Kuphephile - iRussia;
- ijeli yokugcobisa i-OK plus - i-Biorhythm, eRussia;
- I-Curasept ADS 350 (i-periodontal gel) - i-Italy;
- Ijeli le-Parodium yezinsini ezibucayi - uPierre Fabre, eFrance.
Ukubuyekezwa
UTatyana N., oneminyaka engama-36, uRyazan
Ngaso sonke isikhathi ngigcina isixazululo se-chlorhexidine ekhabinet yemithi yasekhaya yokufaka umlomo nomphimbo. Ngiphinde ngafaka i-bandage ngemuva kokushiswa ngageza isilonda, ngasula isikhumba ekujuleni kanye nasezinduneni. Isebenza ngokushesha futhi ayikhonkothi. Ijeli iyabiza kakhulu, kepha kwesinye isikhathi kulula ukuyisebenzisa.
UDmitry, oneminyaka engama-52, eMoscow
Ngemuva kokuthatha i-Viagra, kuqhamuke kuqhamuke ku-scrotum nokuvuvukala. USuprastin waphuza ngokushesha, kepha kusamele aye kudokotela. Udokotela unikeze uHeonon, ukuqubuka kwanyamalala ngosuku olulandelayo, futhi ukuvuvukala akuphelanga isikhathi esingaphezu kwesonto.
