Izisombululo eziyinkimbinkimbi zokufakwa ngaphakathi ekhaleni nasezindlebeni zenziwa ngokuya ngeresiphi ethile. Ukwakheka kwabo kuncike ekuxilongeni. Ezidakamizweni ezinjalo, i-dioxidine ne-dexamethasone zivame ukusetshenziswa. Ngokuhlanganiswa, bakhulisa ukusebenza kahle kokwelashwa kwezifo ze-ENT futhi bagweme ubunzima.
Isici se-Dioxidine
Kuyindlela yokwelapha elwa namagciwane enomphumela obanzi we-bactericidal. Isebenza ngokukhethekile ngokumelene ne-anaerobes, ebaluleke kakhulu ekwelapheni izifo zezihlanza.
I-Dioxidin ne-Dexamethasone zithuthukisa ukwelashwa kwezifo ze-ENT futhi zigweme izinkinga.
Isebenzayo ngokumelene namagciwane alandelayo:
- Klebsiella;
- staphylococci;
- i-dysenteric nePseudomonas aeruginosa;
- streptococci;
- cholera vibrio;
- Wand kaKoch.
I-Dioxidine iyi-synthetic antibiotic enomphumela obanzi we-bactericidal.
Isenzo somuthi sibonakaliswa ngokucindezelwa komsebenzi obalulekile wezimbali ezinamandla we-pathogenic, ukubhujiswa kolwelwesi lwamaseli webhaktheriya. Ingeniswa ngokushesha ukusetshenziswa kwe-topical, isiza ukuhlanza amanxeba we-purulent, izicubu zokupholisa.
Ukwenza kanjani uDexamethasone
I-glucocorticosteroid yemvelaphi yokwenziwa. Inomphumela oqinile we-immunosuppressive ne-anti-inflammatory. Idizayinelwe ukwenza ngokwejwayelekile i-mineral, protein kanye ne-carbohydrate metabolism.
Yehlisa ukuthambekele kuma-allergener, ibe nomphumela wokubulala umzimba.
Umsebenzi wesidakamizwa udlula kakhulu umphumela we-hydrocortisone ye-hormone.
Umphumela wokuhlangana
Ngenxa yokusetshenziswa kwayo okuhlanganisiwe njengengxube, kuyathuthukiswa:
- umphumela wokulwa nokuvuvukala;
- umsebenzi omuhle kakhulu;
- umphumela we-bactericidal;
- ukumelana ne-allergen.
I-Dexamethasone yakhelwe ukwenza ngokwejwayelekile amaminerali amaminerali, amaprotheni ne-carbohydrate.
Unomphumela wokudonsela amandla emzimbeni.
Izinkomba zokusetshenziswa ngasikhathi sinye
Amaconsi ayinkimbinkimbi abekelwe inkambo evikelekile yezifo zamakhala, kufaka phakathi lezo ezihambisana nezinqubo ze-atrophic.
Izinkomba ezisetshenziswayo yilezi:
- ukusebenza okuphansi kwe-ejenti yokuqothula;
- ukwanda kwesithombe somtholampilo ngokuhambisana nokwelashwa okunqunyelwe;
- ukuguqulwa kwesifo kuya esigabeni esingamahlalakhona;
- isidingo sokusetshenziswa okuhlanganisiwe kwezindlela ezahlukahlukene zokwenza;
- I-etiology exubekile yesifo (ukutheleleka, ukutheleleka ngegciwane ngokumelene nesizinda sokungezwani komzimba noma igciwane).
Ukuphathwa kanyekanye kwezidakamizwa kubekelwe izigaba ezinzima zezifo ze-ENT, kufaka phakathi nokuvuvukala kwe-purulent. Izindlela zisiza ukudambisa ukuvuvukala, ukusabela komzimba.
Izindlela zisiza ukudambisa ukuqothuka.
Contraindication
Ingxube yezidakamizwa ayikwazi ukusetshenziselwa ukungabekezelelani komuntu ngamunye ezintweni ezisebenzayo.
Contraindication yilezi:
- ukukhulelwa nokuqunjelwa;
- umsebenzi okhubazekile we-adrenal;
- ukugcotshwa kwe-eardrum (ukusetshenziselwa umsele wendlebe);
- ukuthatha i-monoamine oxidase inhibitors.
Ama-inhalations awafakwa uma kwenzeka ukwehluleka kwenhliziyo nokuphefumula, ukonakala kolwelwesi lwe-mucous lwepheshana lokuphefumula, ukopha okuvela emaphashini, inyumoniya kanye nomkhuhlane.
Ngokuqapha, umuthi usetshenziselwa ukwehluleka kwezinso.
Ukwephulwa kokusetshenziswa kwe-dioxidine kungumkhawulo weminyaka efinyelela kwayi-18, ngakho-ke ukubonwa kanye nesidingo sokusebenzisa ingxube yezidakamizwa ezinganeni kuhlolwa ngudokotela wobelethisi.
Ungayithatha kanjani i-dioxidine ne-dexamethasone
Amaconsi ayinkimbinkimbi enziwa ngokusetshenziswa kadokotela. Udokotela ohambelayo unquma inani lezithako ezisebenzayo nomthamo ngokuya ngesifo nangobudala besiguli.
Ingxube eqediwe isetshenziselwa ukufakelwa ekhaleni noma ezindlebeni, kwezinye izimo, kwenziwa inhalations.
Kunezindlela eziningi zezixazululo eziyinkimbinkimbi. Zingaqukatha izinto ezi-3-4, kanti kwezinye zazo inani lezithako lingadlula i-10 Ngokubambisana ne-dioxidine ne-dexamethasone, ama-antihistamines, izidakamizwa ze-antiseptic, ama-vasoconstrictors, ama-antibacteric ochungechunge kanye neqembu le-linkcosamides (Linkomycin, sulfacil).
Ingxube eqediwe isetshenziselwa ukufakwa ezindlebeni.
Imikhiqizo yamakhemisi iyanconywa, njengoba ngokupheka kwasekhaya, akunakwenzeka ukugcina umthamo oqondile wezakhi. Isibonelo, kusuka ku-5 ml ampoule, inani elidingekayo ngokuya ngommiselo lingungu-1, 2 noma 3 ml.
Ukuze uthole i-inhalation, amalungiselelo axutshwe nosawoti. Le ndlela isetshenziswa njengokuyalelwa ngudokotela ekwelapheni ukukhwehlela, ikhala eligobhozayo noma umphimbo obuhlungu, okuhambisana nokuvuvukala komphimbo.
Kubalulekile ukubheka izimo zokugcina izixazululo eziyinkimbinkimbi. Zigcine esiqandisini.
Kusuka kubhejane
Umxube ufakwa endimeni ngayinye yamazinyo ngokuya ngohlelo olunqunyiwe. Ngaphambi kwenqubo, kuyadingeka ukuthi uhlambe ngesixazululo esibuthakathaka se-saline sezindinyana zamakhala ezivela kumphimbo nokuqukethwe kwe-purulent.
Lapho unquma ikhambi, izingane zinconywa ukuthi zisebenzise ukotini. Baboshwe ngomuthi futhi babekwa emaphazeni emakhaleni imizuzu eminingana.
Ezimweni ezingavamile, isiyezi ibonwa ngemuva kwamalungiselelo.
Imiphumela emibi ye-dioxidine ne-dexamethasone
Ezimweni ezingavamile, isiyezi nobuthakathaka, ukuphazamiseka kwesigqi senhliziyo, isicanucanu kuyabonakala.
Ukubonakaliswa kwezimpawu zasendaweni kungenzeka, okubandakanya umuzwa wokuba woma, ukulunywa noma ukushiswa, i-nosebleeds.
Into ngayinye esebenzayo ingadala imiphumela emibi ngokuya ngemiyalo.
Umbono wodokotela
UVitaliy Valentinovich, isazi se-otolaryngologist, uNizhny Novgorod: "Uma kungekho mphumela wesikimu esisezingeni eliphakeme sokwelashwa kwepheji lokuphefumula eliphezulu, iziguli ezindala zinqunywa ngezixazululo eziyinkimbinkimbi. Zihlala zinikeza umphumela omuhle."
UNatya Stepanovna, otolaryngologist, eMoscow: "Izidakamizwa zisebenza kakhulu, kodwa kufanele zisetshenziswe kuphela ngokuya ngencwadi kadokotela."
Ukubuyekezwa kweziguli ku-Dioxidine naku-Dexamethasone
U-Albina, oneminyaka engama-32, uTula: "Bengihlushwa imithambo ye-otitis media kusukela ebuntwaneni. Ngenxa yengxube yezidakamizwa, ukwanda kwalesi sifo sekuyivelakancane."
UTatyana, oneminyaka engama-41 ubudala, eSt. Petersburg: "Udokotela wezingane uthinte ingane ukuthi yehle kakhulu. Balungiswa ngokomyalelo. Bahle ngokwehla ngohlelo. Lesi sifo saphaphama ezinsukwini ezinhlanu."
