I-Chlorhexidine 1 iyinto ephumelelayo enezakhiwo ze-antiseptic ezihlobene ne-Biguanides. Ikhiqizwa ngezindlela ezahlukahlukene futhi isetshenziselwa inani elikhulu le-pathologies. Ngokusetshenziswa kokuvimbela nokwelapha, akubangeli ushintsho olungafuneki emzimbeni.
Igama Lezwe elingafanele
I-Chlorhexidine.
I-ATX
Ikhodi yokuhlukaniswa kwe-ATX yi-G01A X. Iqondisela kumenzeli wokulwa nezinkinga ezisetshenziselwa ukwelashwa.
I-Chlorhexidine 1 iyinto ephumelelayo enezakhiwo ze-antiseptic ezihlobene ne-Biguanides.
Khipha amafomu nokwakheka
Umuthi ukhishwa ngesimo sento encibilikisiwe kumaswidi asetshenziswa kaningi, isifutho, ukwakheka kwejeli, ukugcotshwa kwama-pessaries nokubekwa esithweni sangasese sowesifazane, ukuncela ukuncela.
Isixazululo
Isixazululo sotshwala siqukethe i-antibacterial compound nge-0,2% noma i-0,5% chlorhexidine. Isixazululo sithululelwa ezilinganisweni zeglasi egayiwe (0,1 L).
Isixazululo sithululelwa ezilinganisweni zeglasi egayiwe (0,1 L).
Ikhilimu
I-Cream yokusetshenziswa kwangaphandle iyatholakala ngesamba esingu-0,2%. Phakathi kwezithako zayo: i-petrolatum, i-glycerin nezinye izinto ezilungele ukusikeka okusebenzayo nokusetshenziswa kwangaphandle.
Gel
Ngokuthengiswa ungathola ijeli yezinyo. Kuqukethe kuphela i-0.12% yento esebenzayo.
Isenzo se-Pharmacological
Umuthi uyasebenza ngokulwa nezinto ezingamagciwane ezifana:
- I-Treponema palidum;
- I-Chlamidia spp .;
- I-Ureaplasma spp .;
- Neisseria gonorrhoeae;
- I-Trichomonas vaginalis;
- I-Gardnerela vaginalis;
- Ama-bacteriides fragillis et al.
Umuthi uvimbela amagciwane esifo sofuba kanye namagciwane.
Inaka ama-bacterium esifo sofuba, amagciwane, amagciwane
- i-hepatitis;
- umkhuhlane
- ukungasebenzi komzimba;
- amagciwane we-herpes;
- ama-rotaviruse;
- ama-enteroviruses.
Umuthi usebenza ku-Candida yeast. Ama-pseudomonads, i-proteina, kanye nezinhlamvu kukhombisa ukuzwela okungenalutho kuyo.
Ayisebenzi ekulimazeni i-gallbladder.
I-Pharmacokinetics
Umuthi ukhombisa isenzo esidingekayo ngemuva kwemizuzu engu-2-3 ngemuva kokuba imanzise ingxenye yomzimba ephathisiwe.
I-Chlorhexidine ayisebenzi ukuvuvukala gallbladder.
Akuangeni egazini futhi akunikezi imisebenzi ehleliwe emzimbeni.
Izinkomba zokusetshenziswa
Ukuqokwa kunesizathu ngesikhathi sokwelashwa:
- I-Trichomonas colpitis;
- ukuguguleka komlomo wesibeletho;
- ukulunywa
- inqubo ye-gonococcal;
- trichomoniasis;
- ukutheleleka kwe-syphilitic;
- izilonda ze-chlamydial;
- ureaplasmas;
- i-gingivitis;
- i-stomatitis;
- i-aphthous lesion;
- isifo sezinsini;
- i-alveolitis;
- i-tonsillitis.
Lapho uvimbela ukutheleleka ngegciwane okuvela ocansini, kusebenza kuphela emizuzwini eyi-120 ngemuva kokuhlangana okungaphephile.
Lesi sidakamizwa sisetshenziselwa nokunakekelwa kwe-postoperative - ekwelapheni ukwephulwa kobuqotho besikhumba, ukutholakala kwempahla yomuntu siqu.
Ezinye izindawo zokusetshenziswa kwekhambi:
- ukungasebenzi kwegciwane lezandla nodokotela ohlinzayo nabasebenzi;
- ukuqedwa kokutheleleka ngezinsimbi zezokwelapha;
- ukucubungula izandla zabasebenzi abasebenza efektri yokudla, ukunakekela amabhizinisi ngokuhambisana namazinga wokuhlanzeka;
Ngendlela yama-pessaries (amakhandlela) okuqondisa ukungena esithweni sangasese, umuthi usetshenziselwa:
- ukwelashwa kwe-vulvovaginitis ye-etiologies ehlukahlukene kanye nokuvuvukala sangasese emantombazaneni;
- i-bacterial vaginosis;
- i-pathologies yokuvuvukala yezitho zangasese;
- Ukuqedwa ngokushesha kwamagciwane asemagciwane ekwelapheni izifo (ku-genicology).
Ngendlela yama-suppositories, umuthi usetshenziselwa i-pathologies yokuvuvukala yezitho zangasese.
Contraindication
Umuthi akufanele usetshenziswe ngabantu abajwayela ukwaliwa yi-allergies. Isixazululo sotshwala asikaze sinconyelwe ukwelashwa kwempumulo kanye nomlomo. Amehlo asulwa kuphela ngesisombululo esinamanzi, hhayi ngotshwala.
Kwenqatshelwe ukunikeza iziguli iziguli ezine-dermatitis. Ukuqapha kufanele kunqunywe kumkhuba wezingane. Abayiphathi indawo yokuhlinzwa ngokungenelela ezinzwa, ebuchosheni.
Kuvinjelwe ukusebenzisa ngokuhambisana namanye ama-antiseptics.
Ungayithatha kanjani iChlorhexidine 1
Isixazululo senziwa kuphela ngaphandle. Ngenhloso yokugoqa, ukumanzisa nokuwasha, thatha izixazululo ngokubakhona kwe-chlorhexidine kuzo kusuka ku-0,05 kuya ku-0,5%. Ukuze wenze lokhu, ivolumu yesisombululo oyifunayo isetshenziswa engxenyeni edingekayo yomzimba imizuzu engu-1-3 kabili noma kathathu ngosuku. Ngenhloso yokusebenzisa i-antiseptic, ukuchelela kwenziwa noma i-tampon isetshenziselwe lokhu.
Ukwelashwa okukhethekile kwesikhumba, kumunyiswa nge-Chlorhexidine imizuzu emi-2. Kusetshenziselwa ukulungisa izandla zohlinzwa. Ukuze wenze lokhu, izandla zigezwa kahle ngensipho okwemizuzu emi-2, bese zomiswa ngendwangu ebulala amagciwane. Esikhunjeni esomile, isixazululo sisetshenziswa ngezikhathi ezithile kabili ama-5 ml ngokuhlikihla. Awukwazi ukusula, kufanele komile.
I-Chlorhexidine isetshenziselwa ukwelapha indawo okuhlinzayo kanye namagobongo ama-elkele abanikela ngegazi. Ukuze wenze lokhu, sula isikhumba nge-aseptic swab ye-gauze. Isixazululo kumele sigcinwe imizuzu emi-2. Isikhumba siphathwa ngendlela efanayo.
Isixazululo sivunyelwe ukuthi sisetshenziselwe izihlalo zamasosha, imishini, amatafula, njll. Izinga lokugeleza liyi-100 ml nge-1 m². Isixazululo sibekwa izinto ngokuya ngemiyalo.
Ijeli isetshenziselwa i-stomatitis, balanoposthitis, izilonda zesikhumba; ukuqeda izinduna.
Amakhandlela abekwe esithweni sangasese. Kulokhu, isiguli silele emhlane wakhe. Izazi ze-gynecologists zincoma ukusebenzisa i-1 supplementory kabili emahoreni angama-24 ngeviki, kwesinye isikhathi kuze kufike ezinsukwini eziyi-10. Ezimweni ezinzima, i-gynecologists yandisa isikhathi sokulashwa sifinyelele ezinsukwini ezingama-20.
Ijeli isetshenziselwa i-stomatitis, balanoposthitis, izilonda zesikhumba; ukuqeda izinduna. Kusetshenziswa ezindaweni ezinesifo. Okufanayo kusebenza ekusetshenzisweni kokhilimu noma wamafutha ngokufakwa kwaleli Biguanide.
Kwi-pathologies yokuvuvukala emlonyeni, ithebhulethi eyi-1 isetshenziselwa ukubamba emlonyeni ngemuva kokudla (kuze kube izikhathi ezi-4 emahoreni angama-24). Esikhathini samazinyo, kuthathwa isixazululo sokuhlanza.
Ngokuvuvukala i-urethra, i-bladder, inani elincane lomuthi lifakwa emgodini we-urethral. Kunconywa ukusebenzisa umuthi zonke ezinye izinsuku. Isikhathi sezinqubo ziyizinsuku eziyi-10. Ngaphambi kwe-cystoscopy, kungakuhle ukuthi uhlambe i-bladder nge-Chlorhexidine. Ukuhambisana nale nqubo kusiza ukugwema i-cystitis eyingozi.
Ukufaka umlomo wakho kunconywa izikhathi ezi-2 phakathi nosuku. Ekuseni, hlamba umlomo wakho ngemuva kokudla kwasekuseni nokuxubha okuphoqelekile. Kusihlwa, kufanele wenze inqubo ngokulandelana okufanayo. Amarins ahlala izinsuku eziyi-10. Uketshezi kufanele ugcinwe emlonyeni amasekhondi angama-60, ngoba ngalesi sikhathi kwakhiwa ifilimu ku-mucosa nasemazinyweni avikela ekufakweni kwamagciwane we-pathogenic.
Ukwelashwa kwezicucu ezineChlorhexidine kwenziwa ukuze kulwelwe ukutheleleka ngefungal emilenzeni kanye nokuqeda iphunga elingajabulisi.
Ukwelashwa kwezicucu ezineChlorhexidine kwenziwa ukuze kulwelwe ukutheleleka ngefungal emilenzeni kanye nokuqeda iphunga elingajabulisi. Ukuze wenze lokhu, sebenzisa isifutho esinisela ingaphakathi lesicathulo. Le nqubo kumele yenziwe nsuku zonke ukuthuthukisa umphumela wezindlela zokuthibela. Ngaphezu kwalokho, ungakwazi ukwelapha isikhumba sezinyawo ngesifutho esifanayo sokuqothula ngokushesha kwamagciwane okukhunta.
Ungazalela kanjani i-rinsing
Isixazululo sokwenza i-rinsing umlomo sesivele sikulungele izinqubo, ngoba ihlanganiswe ekuqoqweni okuphephile kwe-0,05%. Akabilwanga emanzini. Uma kunesisombululo se-0,1%, khona-ke isigamu sengilazi yesisombululo kumele sengeze inani elifanayo lamanzi.
Ezinye izindlela zokulungiselela ikhambi:
- 1 ilitha lekhambi lotshwala kusuka ku-Chlorhexidine engu-20%: thatha i-25 ml yokulungiselela okugxilisiwe bese ufaka i-70% ethanol ezingeni le-1 dm³;
- ukuthola i-Chlorhexidine ejwayelekile yokusebenzisa amanzi isebenzisa izilinganiso ezifanayo nalezi ezingenhla, kepha utshwala buthathelwa ngamanzi alukhuni;
- ukufaka i-1 litre ye-0,05% i-Chlorhexidine, udinga ukuthatha umuthi ongu-2,5³ wesilinganiso ku-20% bese uwusabalalisa nge-ethanol noma ngamanzi we-deionised ku-1 litre.
Akunakwenzeka ukuthi uhlambe umlomo wakho ngo-0,5%. Kumele ihlanjululwe ngamanzi ngesilinganiso se-10 g nge-90 ml yamanzi.
Ikhambi lokwelapha lesi sidakamizwa kumele lenziwe ngaphansi kwezimo eziyinyumba.
Isixazululo sokwelashwa senziwa ngaphansi kwezimo eziyinyumba. Kuvunyelwe ukufaka inzalo, kanti izinga lokushisa likhuphukela ku + 116ºะก. Isikhathi sokubulala inzalo - hhayi ngaphansi kwesigamu sehora. Ungasebenzisi imisebe.
Ngingakwazi ukuwageza amehlo ami
Isixazululo sinconywa ukwelapha izicubu zamehlo ngokuvuvukala kwe-conjunctival. Kulokhu, kuthathwa isixazululo esenziwe ngomumo esingu-0.05%. Uma kunokunye okugxilwe kakhulu, khona-ke kufanele kuqala ukuthi kuhlanjululwe ngamanzi. Izingane kufanele ziyisengeze ngamanzi ayihafu.
Inqubo yokucubungula iso:
- fudumeza ikhambi lokushisa kwegumbi;
- vala amehlo akho;
- geza ngobumnene ubumba obunjiwe ngotshani lukotini oswakanyiswe usuka ekhoneni elingaphandle lamashiya ujikele ngaphakathi; umuthi kufanele ungangeni ku-eye.
Izinqubo ezichazwe kufanele zenziwe izikhathi eziyisithupha ngosuku. Uma umkhiqizo ungena emehlweni, kufanele ugezwe.
Lapho welapha amehlo nge-chlorhexidine, ikhambi kufanele lishiswe ekushiseni kwegumbi.
Ukuthatha umuthi wesifo sikashukela
Isici esibonakalayo sesifo sikashukela ukubonakala kwamanxeba okuqina okupholisa amanxeba. Zingahle zingapholi isikhathi eside, okwenza kube nzima ukulandela izidingo zokuhlanzeka. Kungenzeka ukwelapha ulwelwesi lwesikhumba nolwelwesi kuphela ngemuva kokuqina kwezinkomba zeglucose. Ngaphandle kwalokhu, akunakwenzeka ukufeza umphumela ohlala njalo. Izinga le-glycemia kufanele libe ngaphakathi kwama-6 mmol, futhi umchamo akufanele ube nhlobo.
Isilonda kufanele sihlanzwe ngokuphelele ubomvu. Ekuhlanzeni ngokwezigaba ungasebenzisi imikhiqizo eyenziwe emafutheni, ngoba zivimbela ukuphuma kwethanga ngokukhululekile. Kunconywa ukuthatha izidakamizwa eziheha futhi zisuse ubomvu. Ukusheshisa ukuhlanzwa, kusetshenziswa ama-enzyme form (kaningi nge-chymotrypsin). Ukugqoka okunama-ejenti antimicrobial kunqunyelwe isikhathi se-1 ngosuku.
Kungemva kokususa ngokucophelela ubomvu lapho isilonda siphathwa nge-chlorhexidine. Uma kunezimpawu zokuncipha kwesifo sikashukela (isiguli sanda kakhulu ushukela), khona-ke ukwelashwa kuyakhanselwa okwesikhashana.
Imiphumela emibi ye-chlorhexidine 1
Iqembu elihlukile leziguli laphawula isikhumba esomile, ukuzwela ngokweqile, ukuqhubekela phambili kwesikhumba.
Imilomo emide yomlomo inomthelela ekwenzeni mnyama amazinyo, ukwakheka kwe-tartar. Isiguli singathola ukuphambuka kokunambitha.
Ukuhlala isikhathi eside ngomlomo nomuthi kunomthelela ekwenzeni mnyama kwamazinyo.
Imiyalo ekhethekile
Kubantu abalimele ubuchopho, ukubhujiswa kwentambo yomgogodla, ukugcotshwa kwezicubu zezindlebe, kuyadingeka ukuvimba isixazululo ukuthi singafiki ngaphezulu kwemithambo yezandla. I-Liquid akufanele ivunyelwe ukungena ngaphakathi kwezicubu zendlebe.
Ukukhishwa kwe-bleach ezindaweni lapho i-Chlorhexidine yayikhona kungadala ukuthi amabala ansundu abumbe phezu kwawo.
I-Chlorhexidine iyabola uma ifudunyezwa emazingeni okushisa aphakeme. Ngasikhathi sinye, odokotela baphawula ukwehla kwezakhiwo zalo ezibulala amagciwane.
Kungenzeka yini ezinganeni Chlorhexidine 1
Ayinqunyelwe ukwelashwa amanxeba, isikhumba nolwelwesi lwama-mucous ezigulini ize ifinyelele eminyakeni eyi-12 ubudala. Ukugeza iso kufanele kwenziwe ngesixazululo esibuthakathaka, ukuqaphela futhi kungakuvumeli ukungena kulwelwesi lwama-mucous. Kwezinye izimo, umphumela we-antibacterial enganeni ubizwa kakhulu kunabantu abadala.
I-Chlorhexidine iyabola uma ifudunyezwa emazingeni okushisa aphakeme.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Ngesikhathi sokukhulelwa nokuncelisa, kwakungekho mphumela olimazayo wento yokwelapha emzimbeni wengane. Kodwa-ke, akuvunyelwe ukwenza ukwelashwa isikhathi eside ngalezi zikhathi.
Ukweqisa kwe-Chlorhexidine 1
Lapho usebenzisa umuthi ngokuya ngemiyalo, i-overdose ayizange ibonwe.
Uma isiguli siphuze ikhambi ngephutha, khona-ke kufanele siphathe i-gastric lavage ukuze kuvikeleke umuthi ngegazi.
Okulandelayo, udinga ukunikeza ubisi oluncane, isixazululo se-gelatin, iqanda elibomvu.
I-Antidote ayakhiwe. Lapho kuvela izimpawu zobuthi, ukwelashwa ngokwezimpawu kubonisiwe.
Ukuxhumana nezinye izinto
Lapho imvelo ye-alkaline ikhuphuka ngenhla kwe-8 ku-pH, izidakamizwa ziyaphakama. Uma kusetshenziswa amanzi alukhuni ku-dilution, izindawo ze-antiseptic ze-ejenti ziyancishiswa. Ungawusebenzisi umuthi uhlangana ne-iodine.
Insipho nezinye izinto ezifanayo azikwazi ukuhlanganiswa ne-chlorhexidine. Akuhambisani nosawoti we-phosphoric, hydrochloric, sulfuric acid, usawoti we-boron ne-citric acid.
Insipho nezinye izinto ezifanayo azikwazi ukuhlanganiswa ne-chlorhexidine.
Umuthi uqinisa ukuzwela komzimba kumakhambi amaningi okulwa namagciwane, ikakhulukazi i-Cephalosporin, iChloramphenicol. I-Alcohol ikhulisa umphumela we-bactericidal wesithako esisebenzayo somuthi.
Ama-Analog
Ukulungiselela okunomphumela ofanayo:
- I-Miramistin;
- Bhebadine;
- I-Chlorhexidine bigluconate;
- IPovidin;
- Bhebadine;
- Hexicon;
- Hexia;
- ILisisept.
Imibandela yekhefu lekhemisi
Isixazululo singathengwa kunoma iyiphi ikhemisi ngaphandle kwencwadi kadokotela.
Isixazululo kufanele sigcinwe endaweni emnyama, epholile.
Akukho mkhawulo ngenani lezidakamizwa ezithengiwe.
Malini i-chlorhexidine 1
Intengo ye-100 ml yesidakamizwa ekuhlushwa okujwayelekile ama-ruble angama-25-30. Ukufakwa kwephakethe kubiza isilinganiso sama-ruble angama-50.
Izimo zokugcina zomuthi
Kufanele igcinwe endaweni emnyama, epholile. Ungavumeli iqhwa. Musa ukuveza ukushisa okuphezulu.
Isikhathi sokuphelelwa yisikhathi
Ifanele ukusetshenziswa izinyanga ezingama-36. Ngemuva kokuphelelwa yisikhathi kwalesi sikhathi ngeke kuthathwe, ngoba ukusebenza kwekhompiyutha okusebenzayo kuzoba okuphansi kakhulu.
Umkhiqizi
Ikhiqizwa emabhizinisini weYuzhfarm LLC, iSayensi Production Center Biogen, PFK Renewal, Rosbio (yonke eRussia).
Ukubuyekezwa ku-Chlorhexidine 1
U-Irina, oneminyaka engama-28, eMoscow: "I-Chlorhexidine yisibulala magciwane esingcono kakhulu esingathathwa ukuphatha izandla kanye nokwelapha izifo zesikhumba esihlanzekile. Ngisize ngokuvuvukala kwe-mucosa ne-tonsillitis yomlomo. Ngangihlanza umlomo wami amahlandla ama-2 nsuku zonke ngokwemiyalo. Ngemuva kwezinsuku ezi-5 zokusebenzisa, izimpawu zanyamalala ngokuphelele. "Ukuvuvukala. Lapho belapha amanxeba esikhunjeni, ngabona ukuthi ngemuva kokusebenzisa umkhiqizo, baphola ngokushesha okukhulu."
U-Ivan, oneminyaka engama-30 ubudala, uTver: "UChlorhexidine wasiza ekugwemeni isifo esithathelwana ngocansi ngemuva kokwenza ucansi ngengozi. Wathatha zonke izinyathelo ukuvimbela isifo esidluliselwa ngocansi, njengoba kubhaliwe emiyalweni: wabeka amaconsi amathathu ku-urethra.
Ngisebenzisa lo muthi ukwelapha ukusikeka, ama-abrasions amancane. Ngemuva kwalokho bapholisa ngokushesha okukhulu, akukho mkhondo osasele kubo. "
USvetlana, oneminyaka engama-42, iLipetsk: "Ngosizo lomuthi, kungenzeka ukugwema ukutheleleka kwesikhumba ngenxa yokusikeka, ukuklwebheka. Kwanele ukuphatha ubuso besilonda ngesisombululo ukuze uphilise masinyane. I-Chlorhexidine ibekezelelwe kahle futhi ayinamphumela ongathandeki. Ayisho umbala nezingubo zelineni. i-iodine nohlaza ogqamile. Ngakho-ke ngihlala ngisebenzisela ukubulala amagciwane ".
