Izibhebhe zeMiramistin ziyindlela engekho yesidakamizwa. Le yi-antiseptic yokukhiqiza yasekhaya enomphumela wokulwa nokuvuvukala, ogxile kwisicelo sendawo. Kuyinto yendawo yonke, iyasebenza futhi cishe ayinamibango.
Amafomu akhona akhishwe kanye nokwakheka
Indlela eyinhloko yokukhishwa komuthi yisixazululo esisetshenziswe ngokuphezulu. Akuthathwa ngomlomo futhi akusetshenziselwa ukuphatha kwabazali. Kokunambitha okubabayo, okuwuketshezi okucacile, okungekho umbala nokukhipha amagwebu lapho kushukunyiswa. Kuqukethe i-miramistin powder encibilikisiwe emanzini ahlanziwe. Ukuqoqwa kwento esebenzayo kwikhambi eliphelile ngu-0.01%.
I-ketshezi engu-500, 250, 150, 100 noma 50 ml ithululelwa emabhodleleni epulasitiki. Isitsha singavalwa ngesivalo, sibe nesicelo se-urological noma i-nebulizer ene-cap cap. Izindondo ze-1 pc. ibekwe emabhokisini amakhadibhodi anemiyalo. Ngokwengeziwe, kungafakwa insimbi yesitho sangasese sowesifazane noma yesifutho.
I-Miramistin iyi-antiseptic yasendlini yohlelo lokusebenza loqobo.
Ukuhlukahluka komuthi nakho kuyaqhubeka kuthengiswa. Iqoqo eliningi elimhlophe, elinokhilimu omhlophe ngokuqukethwe okungu-5 mg kwe-1 g ye-ejenti (0.5%). Ukwenziwa okwengeziwe kufaka phakathi:
- propylene glycol;
- i-disodium edetate;
- proxanol-268;
- i-macrogol;
- amanzi.
Amafutha athengiswa ikakhulu kumashubhu angama-15 noma ama-30 g. Umyalo unamathiselwe.
Ukufana kwezakhi zomenzeli okukhulunywa ngazo kwenziwa ngendlela yamakhandlela namaconsi.
Igama Lezwe elingafanele
Izidakamizwa ze-INN - iBenzyldimethyl-myristoylamino-propylammonium (Miramistin).
I-ATX
Umuthi uhlukaniswa njengeqembu le-Quaternary ammonium compounds. Ikhodi yayo ye-ATX yi-D08AJ.
Isenzo se-Pharmacological
Umenzeli okukhulunywa ngaye ukhombisa izakhiwo ze-antiseptic. Ingxenye yayo esebenzayo imelwe yifomu le-monohydrate le-benzyldimethyl-myristoylamino-propylammonium chloride, ebizwa ngokuthi yi-miramistin. Le khompiyutha ingumbumbulu we-cationic. Ukuxhumana ne-membrane lipids, kukhulisa ukuqina kodonga lweseli lama-pathogen, okugcina ngokufa kukamuva.
Umuthi ubonakala ngokudalwa okukhulu kwesenzo. Umsebenzi wayo uqondiswe ngqo:
- amagciwane amaningi, kufaka phakathi amagciwane amelana nezifo ezithinta isibhedlela nezifo ezithathelwana ngocansi;
- i-microflora yesikhunta, okufaka isikhunta seCandida;
- izidalwa ezingamagciwane (kufaka phakathi i-herpevirus kanye ne-HIV);
- izinhlangano ezinamagciwane.
Iyakwazi ukudambisa ukuvuvukala, ikhulise umsebenzi wasendaweni we-phagocytic, ithathe imichilo yokuhlanza, isomise ukuphuma kwamanxeba, iqinise izinqubo zokuphinda ibuye, futhi ivikele ukutheleleka kobuso bezilonda nokulimala kokulimala. Ngasikhathi sinye, le antiseptic ayilimazi izicubu ezinempilo futhi ayivimbeli inqubo yokukhipha indawo eyonakele.
I-Pharmacokinetics
Ngenxa yokuqoqeka okuphansi kwengxenye esebenzayo, umuthi awungeni egazini futhi awunamphumela ohlelekile.
Izinkomba zokusetshenziswa kwe-Miramistin
Le muthi isetshenziswa endaweni ukwelapha izindawo ezithintwe yi-microflora ezitholakala kwimiphumela yako. Ibuye isetshenziselwe izinhloso zokuvimbela ukuvimbela ukukhula kwezifo. Izinkomba zokusetshenziswa kwaso:
- izilonda ze-coccal nezikhunta zesikhumba noma ulwelwesi lwama-mucous, onychomycosis;
- I-stomatitis, i-gingivitis, i-periodontitis nezinye izifo zesifo somlomo wesibeletho;
- umphumela oyinkimbinkimbi ekunqotshweni kwezitho ze-ENT (sinusitis, sinusitis, laryngitis, tonsillitis, pharyngitis, abezindaba ze-otitis);
- ukuphathwa kwamanxeba, ukusha, i-fistulas, ukuhlangana kwemisipha, ukubulala amagciwane ngaphambi kokudluliswa kwesikhumba nasesigabeni se-cesarean;
- izilonda zokuvuvukala-zokuhlanza zohlelo lwe-musculoskeletal, kufaka phakathi i-osteomyelitis;
- izifo ezithathelwana ngocansi (ukuvimbela kanye nokwelashwa okuphelele kwe-candidiasis, i-herpes yesitho sangasese sangasese, i-gonorrhea, i-trichomoniasis, i-syphilis, i-chlamydia);
- i-urethritis, i-vaginitis, i-prostatitis, i-endometritis;
- Ukwelashwa kwe-perineum kanye nesitho sangasese sowesifazane uma kulimala nangemva kokubeletha, kufaka phakathi nokuhanjiswa kwesisu.
Contraindication
I-antiseptic ayikwazi ukusetshenziswa uma kukhona ukwanda kokucabanga kwesenzo sayo. Azikho ezinye izingqinamba eziqinile. Ukusetshenziswa kwezimali zezingane ezingaphansi kweminyaka emi-3 kungenzeka kuphela ngemuva kokubonana nodokotela.
Ungayisebenzisa kanjani iMiramistin
Ngaphambi kokusebenzisa lesi sidakamizwa, kunconywa ukuthi ubonane nodokotela. Uchwepheshe kuphela onganquma umthamo ophelele, imvamisa yesicelo nobude bokusebenzisa kwayo. Ukusebenza kakhulu kufinyelelwa esimweni sokusetshenziswa kwe-antiseptic ngokushesha ngemuva kokutholwa kokutheleleka noma ukulimala.
Ukuze kusetshenziswe i-fluid ngokweqile, kunconywa i-nozzle yokufafaza. Umkhiqizo usatshalaliswa ngokulinganayo ngaphezulu kwendawo ephathisiwe, ugwema ukuxhumana ngamehlo. I-nozzle yesitho sangasese sowesifazane ifakwa kumfakisicelo we-urological onamathiselwe kwi-vial.
I-Miramistin ingasetshenziswa ngezindlela ezahlukene:
- Umonakalo ongaphandle, kufaka phakathi ama-seams, ufafazwa ngaphandle kwesibhamu sokufafaza noma uvinjwe ngesisombululo. Kuvunyelwe ukusebenzisa i-napkin engafakwanga nokusetshenziswa okulandelayo kwengubo e-occlusive ngaphezulu kwayo. Uma kunesidingo, amanxeba akhanywa nge-swabs eyenziwe nge-antiseptics.
- Ukwelapha umgogodla womlomo noma umphimbo obuhlungu, umuthi usetshenziswa njengesifutho noma njengesiphuzo. Ukunambitheka okumunyu komuthi kufanele kucatshangwe. Kubalulekile futhi ukuvikela ukungena kwayo emgodini wokugaya ukudla. Isikhathi esiyi-1, abantu abadala basebenzisa cishe u-15 ml wetshezi (izicindezelo ezi-3-4 kusifutho). Ezinganeni ezineminyaka engu-3-6 ubudala, umthamo owodwa unele (1 cindezela), kwiziguli ezineminyaka engu-7-14 - imithamo emi-2 (ama-5-7 ml noma ama-2 ukuchofoza). Ukucubungula kwenziwa izikhathi ezingama-3-4 ngosuku.
- Nge-sinusitis ye-purulent, lo ketshezi usetshenziselwa ukugeza ama-sinuses ngemuva kokukhishwa kobomvu. Ukwelapha imidiya ye-otitis, izindlebe zakhe ziyafakwa noma zithanjiswe nge-cotton swab, yona ke ifakwe emgudwini wendlebe. I-Miramistin ingasetshenziswa njengamaconsi emakhaleni, uma lokhu kungaholeli ekomiseni ngokweqile kwe-mucosa yamakhala.
- Njengengxenye yomphumela onzima kwipheshana lokuphefumula elingaphezulu, kuyenziwa.
- Ukwelashwa kwe-Vaginal kwenziwa ngokuxhuma noma ngokunisela usebenzisa i-nozzle yesitho sangasese sowesifazane. Endabeni yokuthuthuka kokuvuvukala kwe-gynecological, kungenzeka ukusebenzisa umuthi we-electrophoresis.
- Ukuphathwa kwe-Intraurethral kwenziwa ngokusebenzisa umfakisicelo ofanele.
- Ukuvimbela izifo ezithathelwana ngocansi, ukwelashwa kwezitho zangasese kwenziwa ngaphandle kwamahora ama-2 ngemuva kocansi. Izitho zangasese ziyagezwa noma zisulwe ngesinaphi esimbozwe ku-antiseptic. Owesifazane futhi udinga ukunisela okungaphakathi kwe-intravaginal, futhi owesilisa udinga isingeniso ku-urethra. Ngaphezu kwalokho, udinga ukwelapha i-Miramistin nge-pubis namathanga angaphakathi.
Kusetshenziselwa ukugcotshwa kwamafutha lesi sidakamizwa kusetshenziswa isilonda endaweni yokulimala / ekushiseni ngaphansi kwengubo eyinyumba noma endaweni ethintwe izifo zesikhumba. Umkhiqizo kufanele usatshalaliswe ungqimba oluncane. Amanxeba okuhlunga ayaxhunywa kusetshenziswa imamnistin impregnation.
Ngoshukela
Ukulungiswa komthamo akudingeki.
Imiphumela emibi yeMiramistin
Iziguli eziningi zikhononda ngemizwa evuthayo ngemuva kokusebenzisa lesi sidakamizwa okukhulunywa ngaso. Umuzwa wedlula ngokushesha, akufanele wenqabe ukusetshenziswa kwe-antiseptic. Kubekezelelwa kahle, kepha kuye kwaba nezimo zokungezwani komzimba, ezibonakaliswa ngendlela yokusabela kwendawo:
- hyperemia;
- ukulunywa
- umuzwa ovuthayo;
- yomiswa ngaphandle kwe-mucosa;
- ukuqina kwesikhumba.
Ngemuva kokufaka isicelo seMiramistin, umuzwa ovuthayo endaweni ephathisiwe ungabonakala.
Imiyalo ekhethekile
Umuthi awuhloliwe kahle futhi awemukelwa yi-WHO.
Ukwethulwa komfakisicelo kudinga ukunakekelwa okukhethekile. Izenzo ezingalungile zingalimaza ubuso be-mucous bese ziholele ekuqineni.
Ngokuvuvukala kwamehlo, abakwazi ukungcwatshwa noMiramistin. Ngalezi zinhloso, kusetshenziswa amaconsi e-Okomistin.
Isabelo sezingane
Ungasebenzisa umkhiqizo kusuka eminyakeni emi-3. Ngokwesivumelwano nodokotela wezingane, ukusetshenziswa kwe-antiseptic kuvunyelwe neziguli zeqembu elincane leminyaka. Ebuntwaneni, ukunisela ngenkambiso yomlomo nomphimbo nge-nebulizer kunconyiwe, ngaphandle kwezingane kuze kube unyaka okuthi, ngale ndlela yokwelashwa, zingabheda. Izingane zingabekwa inhalations nge-Miramistin.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Umuthi awuphuliwe ukuze usetshenziswe ngabesifazane abakhulelwe nabancelayo omama, kepha kunconyelwa ukuthola izeluleko zokwelashwa ezandulelayo.
Ithuluzi lingasetshenziswa izingane kusuka eminyakeni emithathu.
Ukweqisa
Ayikho imininingwane emacaleni okweqa ngokweqile.
Ukuxhumana nezinye izidakamizwa
Ngokuhlanganiswa nama-antibhayabhithi, izakhiwo zekhemisi zomuthi ziyathuthukiswa.
Ama-Analog
I-izidakamizwa ze-miramistin ezisebenzayo ziyingxenye yezidakamizwa ezinjalo:
- Okomistin;
- I-Sepomirin;
- Tamistol.
Phakathi kweminye imithi, i-Chlorhexidine ingabhekwa njenge-analogue, noma isetshenziswe isikhathi eside kwezokwelapha kanti ezinye izidalwa ze-pathogenic ziye zathinteka esenzweni sazo.
Imibandela yekhefu lekhemisi
Leli thuluzi lisendaweni yomphakathi.
Ngingakwazi ukuthenga ngaphandle kadokotela
UMiramistin ukhishwa ngaphandle kwencwadi kadokotela.
Intengo
Izindleko zebhodlela lika-50 ml elinomfakisicelo we-urological zivela kuma-ruble angama-217.
Izimo zokugcina zomuthi
Umuthi kufanele uvikeleke ezinganeni. Igcinwa kumnyama omnyama ngamazinga okushisa afinyelela ku- + 25 ° C.
Isikhathi sokuphelelwa yisikhathi
Umuthi ugcina izindawo zawo zemithi iminyaka emi-3 kusukela ngosuku lokwenziwa kwawo.
I-Okomistin iyi-analogue yeMiramistin.
Umkhiqizi
Ukukhiqizwa kwalesi sidakamizwa kwenziwa yinkampani yezokwelapha yaseRussia i-Infamed LLC.
Ukubuyekezwa
IKoromskaya V.N., udokotela wezingane, uSaratov
I-Miramistin ayigwenywanga esikhunjeni noma ngokusebenzisa izingqimba ze-mucous, ayisebenzi njengento ecasulayo. Ngakho-ke, ngiyibeka ngokuphepha ngisho nakubantwana abancane. Ngaphezu kwalokho, kuyinto entsha, futhi ngakho-ke i-antimicrobial esebenza kahle kakhulu ne-antiseptic, ngoba ama-microorganisms awakabi nesikhathi sokuzivumelanisa nayo.
UTatyana, oneminyaka engama-27, uKrasnodar
Ngifunde ngomuthi lapho ngiphatha i-vaginitis. Leli yithuluzi elisebenzayo, elisheshayo futhi elinemisebenzi ehlukahlukene. Manje ngihlala ngiyigcina njalo.
UMarina, oneminyaka engama-34, uTomsk
Akuyona into eshibhile, kodwa esebenza ngempumelelo futhi ephephile. Yisebenzisele i-rinsing, isiza ngokushesha. Umuthi nawo ufanelekile ukusikeka amagciwane namadolo aguqulwa ezinganeni. Ngilithanda kakhulu lelo bhodlela lokufafaza. Akukubi ukufafaza emphinjeni, kepha ilungele kakhulu ekwelapheni amanxeba.
