Ukulimazeka komgogodla womlomo ne-nasopharynx kuvame ukwenzeka kumkhuba wabelaphi, odokotela bezingane nabanye ochwepheshe abancanyana (otolaryngologists, odokotela bamazinyo, ochwepheshe besifo esithathelwanayo). Ukuvela kwabo kungahle kuhlotshaniswe nezifo ezidluliselwa ngamaconsi omoya kanye nezifo ezithathelwana ngocansi, izinkinga zokuhlinzwa, i-hypothermia nezinye izinto.
Ekwelapheni i-pathologies yamazinyo neye-otolaryngological, kusetshenziswa ama-antiseptics, ama-analgesics nezidakamizwa ezilwa nokuhlasela. IMiramistin neTantum Verde zibonakaliswa umphumela onzima futhi kuvame ukubekelwa ukwelashwa komgogodla womlomo kanye nokunisela komphimbo.
Isici se-Miramistin
Umuthi i-Miramistin, oqukethe into efanayo esebenzayo, uthinta igobolondo langaphandle lamangqamuzana angamagciwane, isikhunta namanye amagciwane. Lokhu kuholela ekubhujisweni okuphelele kolwelwesi kanye nokufa kwe-microorganism. Ngaphezu komphumela we-bactericidal, iMiramistin ivuselela ukulungiswa kwezicubu nokwelashwa kwama-microtraumas endaweni yokufaka isicelo, kusebenze ukusabela kokuzivikela komzimba wendawo futhi kuyeke ukuvuvukala.
I-Miramistin isidakamizwa esivusa ukulungiswa kwezicubu nokwelashwa kwama-microtraumas endaweni yokufaka isicelo.
Izici ze-antiseptic zomuthi zidlulela ku-staphylococcal kanye ne-streptococcal flora (kufaka phakathi i-pneumococci), i-Klebsiella, i-Escherichia coli, isikhunta se-pathogenic, i-pseudomonads, ama-STI (chlamydia, gonorrhea, trichomoniasis, syphilis) namanye amagciwane (i-HIV, i-herpes).
Isenzo se-Miramistin sikhonjisiwe kufaka phakathi maqondana nezinhlangano ezingamagciwane, izinhlobo zamagciwane ezibhedlela ezingazweli emithini elwa namagciwane, kanye nesikhunta elimelana nemithi ye-chemotherapeutic.
I-antiseptic ixhumana kahle nama-antimycotic nama-antibhayoriki endawo: lapho usebenzisa iMiramistin kanye nalezi zindlela zamaqembu, ukusebenza kwawo kuyanda.
Izinkomba zokusetshenziswa kwe-Miramistin yilezi:
- izifo ezithathelwanayo nezivuvukelayo zomgudu wokuphefumula (i-otitis media, i-tonsillitis, i-laryngitis, i-acary pharyngitis, i-tonsillitis, njll);
- ukuvuvukala kwezinsini nomlomo wesibeletho (i-stomatitis, i-periodontitis, i-gingivitis, njll.);
- ukuvimbela izinkinga zokutheleleka kokusebenza nezinqubo zamazinyo;
- ukwelashwa kwesikhumba ezimweni zokuphazamiseka kwezicubu zomzimba lapho kukhona isifo sikashukela (unyawo sikashukela);
- ukuvuvukala okuhlanzekile kohlelo lwe-musculoskeletal, isikhumba nolwelwesi lwama-mucous;
- Ukuvimbela i-STI ngemuva kocansi olungavikelekile;
- ukuvuvukala kohlelo lokuzala lowesifazane (i-vaginitis, i-endometritis), ukulimala kanye nomonakalo wokuzala esithweni sangasese sowesifazane;
- i-urethritis, irethroprostatitis;
- ukulungiswa kwezicubu ezishisiwe zokufakelwa kwesikhumba;
- ukwelashwa kwe-fistulas, ukusha, amanxeba kanye nokunye ukulimala esikhunjeni;
- Ukuhlanzeka ngomlomo, ukufakelwa nokukhishwa kwamazinyo okungasuswayo.
Ngokuya izinkomba, i-Miramistin ichazwe ngesimo sesixazululo noma i-ointment enenhlanganisela yengxenye esebenzayo engu-0,01% no-0.5%. Isixazululo somuthi sisetshenziselwa ukunisela kanye nokuhlanza umphimbo, siphathe umgogodla womlomo, ulwelwesi lwama-mucous nezilonda zesikhumba.
Lapho i-Miramistin isetshenziswa esikhunjeni nasezimvabeni ze-mucous, imiphumela emibi ingahle ivele: ukusha kancane, okuma ngemuva kwemizuzwana engama-20 kuya kwengama-30, noma ukusabela okubi kakhulu komzimba. Ukushiswa isikhathi esifushane akudingi ukuhlukaniswa kwezokwelapha.
Ukuxhumana ngezindlela zokwelashwa ne-Miramistin kungukuzwela komuntu ngamunye umuthi kanye nobudala obungafika eminyakeni emi-3. Ayikho imininingwane ngokuphepha kwezidakamizwa ze-hepatitis B, ngakho-ke kunqunyelwe kwabesifazane abahlengikazi ngokuqapha.
Isebenza kanjani i-Tantum Verde
I-Tantum Verde ikhombisa izakhiwo ze-antiseptic, anti-inflammatory kanye ne-analgesic. Isakhi esisebenzayo somuthi yi-benzidamine, ekwazi ukungena kolwelwesi lweseli futhi ilimaze izakhiwo ezibalulekile zamagciwane ezithinta ngqo ukukhula nokukhula kabusha kwamagciwane.
I-Tantum Verde iyisidakamizwa esine-antiseptic, anti-inflammatory kanye nemiphumela yokuhlaziya ngokulinganisa.
Umphumela we-analgesic uhlotshaniswa nomphumela wokuqina nokubambelela komuthi. Sekutholwe ukuthi i-benzidamine inezinto ezingaba ngu-50% zamandla endawo okubulala izinzwa, asetshenziselwa ukungenelela okuhlinza okungaphezulu. Isikhathi esijwayelekile se-analgesia uma usebenzisa umuthi amahora angama-1.5.
Umphumela we-antimicrobial wesidakamizwa udlulela kuma-pathogens we-aerobic ne-anaerobic, kufaka phakathi i-staphylococci, i-streptococci kanye ne-antimycotic ukumelana nobunzima besikhunta seCandida, esivame ukubangela ukutheleleka kwezitho ze-ENT nomgogodla womlomo.
Ukusetshenziswa kwale antiseptic kukhonjisiwe kuma-pathologies alandelayo:
- ukutheleleka kwe-mucosa yomlomo (i-gingivitis, i-periodontitis, i-glossitis, njll);
- i-candida stomatitis yomlomo wesibeletho (ngokuhambisana nama-antimycotic e-systemic);
- izinqubo zokutheleleka ezingatheleleki futhi ezingatheleleki ezithweni ze-ENT (i-tonsillitis, i-acary kanye ne-lazary gastngitis, i-laryngitis);
- isifo se-periodontal;
- i-sibous sialadenitis (ukuvuvukala kwesikhumba se-salivary).
Isifo i-Periodontal ngesinye sezinkomba zokusetshenziswa kwomuthi i-Tantum Verde.
Futhi, umuthi ubekelwe ukuvikela izinkinga zegciwane ekusebenzeni komlomo, izinqubo zamazinyo, ukulimala komhlathi nobuso.
Umuthi uvezwa ngezindlela ezi-3 zokukhishwa: isixazululo sokukhipha umlomo nomphimbo, amaphilisi kanye ne-aerosol. Ukuqoqwa kwento esebenzayo kwizixazululo kungu-0,15%, kanti umthamo wayo kwithebhulethi eli-1 noma ingxenye yokufafaza yi-3 mg no-0.255 mg.
Lapho usebenzisa umuthi ngokuya ngemiyalo, kungavela ukusabela okungendawo kwendawo (ukoma, ukuqina komlomo, umuzwa ovuthayo endaweni yesicelo).
Ukuvela kokuqhuma kukhombisa ukuthuthukiswa komzimba kanye nesidingo sokushintsha umuthi.
Ezigulini ezinokuthambekela kokusabela komzimba kanye ne-asthma ye-bronchial, ama-benzidamine agents anqunywa ngokuqapha ngenxa yobungozi be-bronchus ne-laryngospasm.
Ukuxhumana ngezindlela zokwelapha izidakamizwa yilezi:
- ukungahambisani nezinto ezikhona ekwakhiweni kwe-aerosol, amaphilisi nesixazululo (kufaka phakathi i-phenylketonuria nokungabekezelelani kwe-fructose);
- iminyaka yezingane (kuze kube yiminyaka emithathu ye-aerosol, kuze kube yiminyaka eyi-6 yamathebulethi, kuze kube yiminyaka eyi-12 ukuthola isisombululo).
Ukuqhathanisa kweMiramistin noTantum Verde
Ngaphandle kwezinkomba eziningi ezifanayo zokusetshenziswa, le mishanguzo ayizona izifaniso futhi ayinazo izinto ezivamile ekwakhiweni kwayo. Ngokutheleleka kwamagciwane we-pharynx ne-cavity yomlomo, ukusetshenziswa okuhlangene kwalezi zidakamizwa kungabekwa.
Ukufana
Ngaphezu kwezinkomba ezisetshenziswayo, izidakamizwa ziyefana kokucacisiwe komphumela (ukuba khona komphumela we-antiseptic), imiphumela emibi (kuzo zombili lezi zimo, ukushisa kungenzeka ku-mucosa ngemuva kokusetshenziswa) nokuphepha kwamaqembu asengozini yeziguli (zombili lezi zidakamizwa zivunyelwe ukusetshenziswa ngesikhathi sokukhulelwa nasebuntwaneni).
Uyini umehluko
Umehluko wezimali ezi-2 ubonwa kulezi zinto ezilandelayo:
- indlela yokusebenza;
- indlela yokukhishwa komuthi;
- uhla lwezicelo emikhakheni ehlukahlukene yezokwelapha.
Yikuphi okushibhile
Intengo yeMiramistin (ibhodlela lekhambi le-150 ml) isuka kuma-ruble angama-385. Izindleko zeTantum Verde ziqala kusuka kuma-ruble angama-229 (nge-aerosol), ama-ruble angama-278 (ukuthola isixazululo) noma ama-ruble angama-234 (amaphilisi).
Ngokunikezwa isikhathi esinconyiwe sokwelashwa kanye nethamo lokwelapha lezidakamizwa, i-Miramistin isidakamizwa esibiza kakhulu.
Yikuphi okungcono: Miramistin noma Tantum Verde
Bobabili ama-antiseptics banezinzuzo zabo, ezinquma ukusetshenziswa okuthandwayo kwezinkomba ezahlukahlukene.
I-Miramistin inomkhono obanzi womsebenzi nomsebenzi omkhulu we-antimicrobial. Kusetshenziswa emikhakheni ehlukahlukene yezokwelapha, ngakho-ke iyithuluzi lomhlaba wonke lekhithi losizo lokuqala. Ngaphezu kwalokho, lesi sidakamizwa sandisa umphumela wamaphilisi we-antibacterial kanye nama-antifungal. Ukwelashwa kweMiramistin kunconyelwa izifo ezibangelwa amagciwane, kubandakanya okucasulwe ama-STI, isibhedlela kanye ne-micyplora ye-atypical.
Uma kuqhathaniswa neTantum Verde, iMiramistin inenqwaba yokuqalwa kwesenzo nomsebenzi omkhulu we-antimicrobial.
Umsebenzi weTantum Verde njenge-antiseptic uphansi kunowakwaMiramistin, kepha unomphumela omuhle wokulwa nokuvuvukala kanye ne-analgesic. Umuthi ubekelwe izinhlungu ezinzima endaweni yokuvuvukala (umphimbo, ulimi, i-larynx, i-gum, njll) kanye ne-etiology yegciwane lesifo. Zonke izindlela ezi-3 zokukhishwa komuthi zilungele ukwelashwa kwezifo zomphimbo nomgodi womlomo.
Ukukhetha i-Miramistin noma i-Tantum Verde ukuthola ukwelashwa, kanye nokwenza isinqumo sokubuyisela lesi sidakamizwa, kufanele kwenziwe ngudokotela ohambelayo, obheka imiphumela yezifundo zaselebhu kanye nezinsizakalo, izikhalazo nomlando wesiguli.
Okwezingane
Zombili lezi zidakamizwa ziphephile ezigulini ezingaphezulu kweminyaka engu-3.
Ezinganeni ezingaphansi kwalo nyaka, la ma-antiseptics anqunywa ngokwezinkomba eziqinile nangaphansi kokuhlolwa ngudokotela.
Ukubuyekezwa kweziguli
UTatyana, oneminyaka engama-33, uMinsk
I-Miramistin isidakamizwa esihle kunazo zonke ukuvikela ezifweni nasekuvimbeleni ukwanda kwamanxeba. Noma yimuphi umonakalo esikhunjeni sezingane uphathwa nguye kuphela, ngoba Kuyasebenza impela futhi akulethi ukungaphatheki kahle njenge-iodine noma i-peroxide.
IMiramistin ilungele ukuyisebenzisela imithambo ebuhlungu: isheshe ilethe impumuzo futhi ayinayo imvamisa yamakhemikhali.
Umuthi uveza ngokuphelele ukubaluleka kwawo.
U-Olga, oneminyaka engama-21, uTomsk
Kwi-pharyngitis elandelayo, umeluleki unqume iTantum Verde. Ngemuva kokufunda ukubuyekezwa, ubengabaza, kodwa wanquma ukulandela izincomo zikadokotela. Isidakamizwa sijabulile: zisuse ngokushesha zonke izimpawu ezingemnandi, zavunyelwa okokuqala ngqa kuzo zonke izinsuku zokugula ukuba zidle ngokuzithoba futhi zathambisa umphimbo.
Kumele kucaciswe ukuthi lo muthi awufani ncamashi namanye ama-antiseptics: umuthi wawo osebenzayo kungenzeka ukuthi ube yi-ejenti elwa nokuvuvukala, ngakho-ke usiza kahle ngobuhlungu.
Ukubuyekezwa kodokotela eMiramistin naseTantum Verde
Budanov E.G., otolaryngologist, uSochi
I-Tantum Verde iyisidakamizwa esisebenzayo esingokwalapha kanye nama-analgesics wendawo. Ngiyinikeza ezigulini ezinezifo ezingamagciwane zokuphefumula ezinzima kanye nezifo ezingelula zamagciwane umphimbo. Izinzuzo zayo zifaka ukunambitheka okumnandi, amafomu wokukhishwa afanelekile nokubekezelela okuhle kwezingane neziguli ezindala.
Ukuntuleka kwemali nge-benzidamine kuwumsebenzi ophansi we-antibacterial. Ekungeneni kwe-tonsil okucasulwe yi-streptococci, kungcono ukuyibuyisela ngama-antiseptics asuselwa kwi-miramistin noma chlorhexidine.
I-Orekhov N.A., udokotela wamazinyo, uShebekino
I-Miramistin iyikhambi elihle elivela kumkhiqizi wasekhaya, ohluka kwifomu lomthamo osebenzayo kanye nobubanzi besenzo sokulwa nomuthi.
Ngincoma ukuthi ihlukaniswe nezifo, ukuhlanza ochwepheshe, ngemuva kokukhishwa kwamazinyo nokuhlinzwa kwezinsini. Le antiseptic isetshenziswa ngokusetshenziswa hhayi kuphela kumazinyo, kepha nakwezokwelapha, kwizingane nakwamanye amasimu.
