Izinto ze-bactericidal zidlala indima ebalulekile ekwelapheni izifo ezithathelwanayo. Emithini yesimanje, i-Chlorhexidine bigluconate isetshenziswa kakhulu, enomlando ongaphezu kwengxenye yekhulu leminyaka, isebenza kahle ngokumelene nama-bacterium amaningi, futhi kuphephile ukuyisebenzisela umzimba. Ngaphezu kokwelashwa, ukusetshenziswa kwayo kunesizathu sokuvimbela ukwenzeka kabusha kwezinqubo zokuvuvukala.
I-ATX
I-ATX: A01AB03 B05CA02, D08AC02, D09AA12, R02AA05, S01AX09, S02AA09, S03AA04
NgesiLatin - Chlorhexidinum.
I-Chlorhexidine iyatholakala njengesisombululo sokusetshenziswa kwangaphandle.
Khipha amafomu nokwakheka
I-Chlorhexidine iyatholakala ngesimo sesixazululo esisetshenziselwa ukusetshenziswa kwangaphandle (ukuphuza noma ukuphatha ngo-rectally lesi sombululo akukukhuthaziwe).
Ikhambi elinamanzi le-Chlorhexidine bigluconate likhiqizwa futhi lithengiswe ekuqoqweni okungu-0,05% ku-100 ml ebhodleleni elisebhodini lamakhadibhodi, lapho kusetshenziswa imiyalo yokusebenzisa.
I-Chlorhexidine nayo iyatholakala ngesimo sama-supplementories sowesifazane (10 ebhokisini).
Ngaphezu kwalokho, i-chlorhexidine ithengiswa njengento eyomile yokulungiselela izixazululo zokugxila okudingekayo.
I-Chlorhexidine iyatholakala ngohlobo lwama-supplementories wesitho sangasese sowesifazane.
Isenzo se-Pharmacological
I-Chlorhexidine inamandla okuqothula amagciwane, inciphise ukusebenza kwabo futhi idale izithiyo ekukhiqizeni kwabo kabusha. Inombono obanzi womsebenzi maqondana nama-microorganisms amaningi: i-treponemas, chlamydia, ureaplasma, gonococcus, trichomonads, bacteria we-anaerobic.
I-Chlorhexidine iyakwazi ukukhulisa ukuzwela kwamagciwane ekwelashweni ngemithi elwa namagciwane, okuvumela ukubhujiswa kwama-microorganic amelana nemithi evamile yokulwa namagciwane.
Lesi sidakamizwa asinawo umthelela kuma-virus nama-bacteria spores, okumele acatshangwe lapho kutholwa futhi kushiwo umuthi.
I-Pharmacokinetics
Njengoba isixazululo sisetshenziselwa ukusetshenziswa kwangaphandle futhi singathintani ulwelwesi lwe-mucous lwesisu namathumbu, ukufakwa kwento esebenzayo egazini akwenzeki. Lokhu kusho ukuthi umuthi awuthinti zonke izitho nezinhlelo zomzimba.
Izinkomba zokusetshenziswa
Lesi sidakamizwa sisetshenziselwa:
- ukungabonakali kwegciwane lesikhumba nolwelwesi lwe-mucous lomgodi womlomo;
- Amathuluzi okusebenza okusetshenziswa kwezokwelapha kanye ne-cosmetological;
- ukubulala amagciwane ngesandla ngenkathi yezimonyo, yenhlanzeko nangezinqubo zokwelashwa;
- i-rinsing, njengendlela yokwelapha izifo zokuvuvukala zepheji lokuphefumula elingaphezulu, ngoba umuthi unomphumela omnene kulwelwesi lomphimbo.
Ngesikhathi sokucutshungulwa, wonke amathuluzi acwiliswa kusisombululo se-chlorhexidine agcinwa isikhathi esidingekayo. Isikhathi sokuvezwa sincike kwinani lezinto zomculo kanye nokuqoqwa kwekhambi eliphelile.
I-Chlorhexidine ingasetjenziswa ukufaka inzalo imishini yezokwelapha kanye namanye ama-antiseptics (amvame kakhulu asuselwa kotshwala be-isopropyl) nokwelapha isikhumba ngaphambi kokuhlinzwa. Kulokhu, into eyomile esebenza njalo ivame ukuthathwa, yona ixutshiselwe ukuthola ukugxila okudingekayo.
Contraindication
Le ejenti ye-antiseptic ayikwazi ukusetshenziselwa ukwelashwa kwe-conjunctiva nge-conjunctivitis nanoma yisiphi isifo se-ophthalmic.
Kuyenqatshelwa ukufaka isisombululo ukuvula amanxeba, ukusingcwaba endlebeni uma kukhona i-eardrum futhi kufakwa kumanxeba angena ngaphakathi kwe-cranial cavity (kunqunyelwe ikakhulukazi ekusebenzeni ekusebenzeni kobuchopho kanye nezakhiwo eziseduzane nokusebenza okusondelene nomsele we-auditory).
Lapho kukhona i-dermatitis yanoma imuphi umsuka, ukusetshenziswa kwesixazululo salo muthi akuvunyelwe.
I-hydrogen peroxide, ngenxa yezimpawu zayo ze-anionic, ingandisa ukwanda kokuvela okungathandeki kwezinhlangothi, futhi ngenxa yalokho ukusetshenziswa okuhlangene kwale mithi akuvunyelwe.
Ngomqubuko, ukwelapha izinduna ezinsizakalweni zentsha, umuthi usetshenziswa njalo ngendlela yesicelo noma yokunisela izikhathi ezingama-2-3 ngosuku.
Imithamo nokuphatha
Ukusetshenziswa kwalesi sidakamizwa kwehlukile kumithamo nemvamisa yokusetshenziswa, kuye ngohlobo nendawo yalesi sifo.
Ukuvimbela ukutheleleka okungathathelwa ngesikhathi sokuya ocansini, udinga ukusebenzisa isisombululo kungakapheli amahora ama-2 ngemuva kokuhlangana. Kuyadingeka ukunisela isikhumba sendawo yangaphakathi yamathanga bese ubhaqa i-urethra kanye nesitho sangasese sowesifazane. Ngemuva kwalokhu kwenziwa, i-bladder akufanele ikhishwe ngaphambi kwamahora amabili ngemuva kwalokho.
Ngomqubuko, ukwelapha izinduna ezinsizakalweni zentsha, umuthi usetshenziswa njalo ngendlela yesicelo noma yokunisela izikhathi ezingama-2-3 ngosuku.
Kwamathuluzi okusebenza sebenzisa isixazululo esingu-5% lapho amathuluzi ashiyelwe amahora amaningi.
Izandla zikadokotela ohlinzayo ziphathwa ngesixazululo esingu-1% ngokuhlikihla okuncane entendeni yesandla sakho ngemuva kokususa ngokucophelela izinsalela zensipho, ezingabambezeleka ngemuva kokugeza.
Ama-suppositories ekwelashweni kwezifo zezitho zangasese zowesifazane asetshenziswa kaningi ngosuku ngosuku. Isikhathi sokwelashwa sinqunywa ngudokotela uqobo kuye ngesifo, kepha akufanele kuhlale isikhathi esingaphezu kwezinsuku ezingama-20 ukukhipha ukuthuthukiswa kokuphazamiseka kwemicrofilora evamile yesitho sangasese sowesifazane.
Ama-suppositories ekwelashweni kwezifo zezitho zangasese zowesifazane asetshenziswa kaningi ngosuku ngosuku.
Ungayisebenzisa kanjani i-chlorhexidine bigluconate
Ngoshukela
Isetshenziselwa ukubulala izilonda zesisu esisezingeni eliphakeme ezenzeka ngezigaba ezithuthukile zesifo sikashukela, kanye nokuvimbela izinkinga ezithathelwanayo ezihambisana nokutheleleka kwezilonda ezisesiswini esikhulu.
Kwi-gynecology
I-Chlorhexidine kwabesifazane isetshenziselwa ukuvikela nokwelapha izifo ezithathelwana ngocansi, lezo ezihambisana nokuphulwa kwe-microflora ejwayelekile yesitho sangasese sowesifazane (i-bacterial vaginosis), kanye nezifo ezithathelanayo zezitho zangaphandle zesistimu yokuzala yowesifazane (imvamisa kakhulu nge-thrush).
Emsebenzini wokuhlinzwa, i-chlorhexidine isetshenziselwa ukuvimba izinkinga ezithathelwanayo ngemuva kokuhlinzwa ezithweni zangasese sowesifazane.
Kumazinyo
Uma kwenzeka i-caries, i-periodontitis, ngemuva kokukhishwa kwamazinyo noma okunye ukusebenza kwamazinyo, isixazululo se-Chlorhexidine sisiza ukugwema ukubukeka kwezinkinga ze-purulent, ezikhathini eziningi ezikhathaza kakhulu ukwanda kwe-prognosis. Nge-flux, ungasebenzisa ifomu lomthamo ohlukile (isibonelo, ijeli), elisetshenziswa ebusweni bezinsini.
Ngezifo zesikhumba
I-Chlorhexidine ihle kakhulu ekwelapheni izifo zesikhumba ezihambisana nama-microbial and parasitic agents. Kungcono ukusebenzisa kuleli simo ifomu lomthamo wejeli, ngoba umuthi uzohlala ebusweni besikhumba futhi ukugcwala kwento edingekayo ye-antibacterial kuzoqongelela ezingxenyeni zesikhumba.
Ezigulini zesikhumba, kusetshenziswa ifomu lomthamo wejeli.
Kumkhuba we-ENT
Isetshenziselwa ikakhulukazi ukuvikela ukwanda kokutheleleka ngemuva kokuhlinzwa kuma-tonsils noma kwezinye izitho ze-ENT. Ukuvimbela kwenziwa ngokuhlanza umphimbo ngesixazululo izikhathi ezingama-2-3 ngosuku izinsuku ezingama-5-6.
Imiphumela emibi
Ngemuva kokusebenzisa ikhambi, ungathola:
- isikhumba esomile (ngokunyamalala ngokushesha ngemuva kokusetshenziswa);
- ukunamathela kwezintende zezandla;
- umuzwa ovuthayo kanye ne-dermatitis (ezimweni ezingavamile).
Uma kwenzeka noma yikuphi ukusabela okubi, ukusetshenziswa kwalesi sidakamizwa kufanele kuyeke futhi kubonane nodokotela.
Lapho isetshenziswa ekusebenzeni kwamazinyo, kunengozi eyengeziwe yokwakhiwa kwe-tartar kanye ne-discoloration uma kwenzeka ukusetshenziswa kwezidakamizwa isikhathi eside.
Allergies
Uma uhlangabezana nokungezwani komzimba, okufana nokuqhaqha, i-eczema, noma ukuboniswa okuhleliwe (i-edema kaQuincke), kufanele uyeke ukufaka, ususe umuthi kulwelwesi lwe-mucous noma esikhunjeni. Lokhu kwanele ukuqeda ukukhula okulandelayo kokuphendula komzimba.
I-Chlorhexidine ingabamba umphumela we-bactericidal wama-antibiotics, ikakhulukazi ama-cephalosporins, i-chloramphenicol.
Kungcono ukungasisebenzisi isidakamizwa futhi emuva kokusabela okubonwe ngaphambilini.
Imiyalo ekhethekile
Musa ukufaka into eyomile emanzini kanzima ukuze ugweme ukwehla komsebenzi wesithako esisebenzayo. Nge-dilution ayikhuthazwanga ukusebenzisa amanzi e-alkaline, ngoba into esebenzayo izovuleka.
I-Chlorhexidine ingabamba umphumela we-bactericidal wama-antibiotics, ikakhulukazi ama-cephalosporins, i-chloramphenicol.
Ukunquma i-chlorhexidine bigluconate ezinganeni
Ezinganeni, isixazululo seChlorhexidine sinqunyelwe kusuka eminyakeni eyi-12.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Njengoba umuthi unqunyelwe ukusetshenziswa kwangaphandle futhi ungeniswa kancane egazini, empeleni awuthinti i-fetus ngesikhathi sokukhulelwa.
Endabeni yokuncelisa ibele, okuwukuphela kokuncoma ukwenqaba ukufaka umuthi ezinsinini zezilwane ezincelisayo maduze noma ngokushesha ngaphambi kokuncelisa.
Endabeni yokuncelisa ibele, kufanele wenqabe ukufaka umuthi ezinsinini zezilwane ezincelisayo maduze noma ngokushesha ngaphambi kokuncelisa ibele.
Sebenzisa ebudaleni
Ebudaleni, umuthi usetshenziselwa ukwelapha izilonda zokucindezela, izilonda ezinamahlwili ezenzeka ngenxa yokwephulwa kokujikeleza kwegazi kwendawo. Uma imibhede inezici ezijulile, kungcono ukuyiphatha emaphethelweni futhi kancane kuphela - phansi ukugwema ukufakwa kokugxila okukhulu kwento esebenzayo egazini.
Ukuhambisana notshwala
Utshwala obuthathwe ngaphakathi kanye nekhambi le-chlorhexidine elisetshenziswe ngaphandle alusabeli futhi aluhlangani.
Kodwa-ke, uma isetshenziswa ngokulandelana, i-ethanol ingakhulisa amandla we-bactericidal e-chlorhexidine.
Umthelela ekhonweni lokulawula izindlela
Njengoba lesi sidakamizwa singena ekujikelezweni kwe-systemic, asithinti izitho zangaphakathi nezinhlelo, okusho ukuthi lokho akulithinti ikhono lokushayela imoto noma izindlela ezidingayo ukuthi sikhule kakhulu.
Ukufakwa kwenqwaba yezidakamizwa kungathinta kabi imisebenzi ebalulekile yomzimba futhi kuholele ekufeni.
Ukweqisa
Ngokwelashwa kwendawo nomuthi, amacala e-overdose awaziwa.
Uma isixazululo sesigwinyiwe, kubalulekile ukuthi uhlanze isisu ngobisi noma nge-gelatin ngokushesha okukhulu kusukela ngomzuzu wokugwinya. Mhlawumbe i-detoxification therapy ngendlela yamalahle ocushiwe ukuze kugwenywe ukufakwa ngokweqile komuthi egazini.
Ukufakwa kwenqwaba yezidakamizwa kungathinta kabi imisebenzi ebalulekile yomzimba futhi kuholele ekufeni.
Ukuxhumana nezinye izidakamizwa
I-Chlorhexidine ayihambelani ngamakhemikhali nge-iodine nezixazululo zayo, ngakho-ke ukusetshenziswa kwabo okuhlanganisiwe kwandisa ubungozi besikhumba.
Ukusetshenziswa okuhlangene namanye ama-antiseptics, asuselwa kuma-carbonates, phosphates, borates, sulfates nakuma-citrate, noma aqukethe insipho, akwamukeleki.
I-Chlorhexidine ayihambelani ngamakhemikhali ne-Iodine nezixazululo zayo.
Ama-Analog
I-Hexicon.
Imibandela yekhefu lekhemisi
Ihlakazwa emakhemisi ngaphandle kwencwadi kadokotela.
Intengo ye-chlorhexidine bigluconate
Ngokuya ngefomu lomthamo nomenzi, intengo iyahlukahluka kusuka kuma-ruble angama-20 kuye kwangama-300-400 (ngendlela yama-suppositories abiza kakhulu).
Izimo zokugcina zomuthi
Ukubeka endaweni engafinyeleleki khona emazingeni okushisa angekho ngaphezulu kuka-25 ° C.
Umuthi uhanjiswa emakhemisi ngaphandle kwencwadi kadokotela.
Isikhathi sokuphelelwa yisikhathi
Iminyaka emithathu kusukela ngosuku lokukhiqizwa eliboniswe kuphakheji. Endabeni yokulungiswa kwekhambi elihlanjululwe, gcina isisombululo esilungiselelwe isikhathi esingadluli ngeviki elingu-1.
Ukubuyekezwa ku-chlorhexidine bigluconate
Iziguli
UDmitry, oneminyaka engama-22 ubudala
Ngathenga ekhemisi Chlorhexidine for gargling (hhayi kudala ukuthi amathayili asuswa). Ubuhlungu nokucasuka kwehle ngemuva kosuku, okumangazayo injabulo, ngoba ama-lollipops nezinye izidakamizwa azange asize ngampela ekunciphiseni ukucasuka komphimbo.
UJeanne, oneminyaka engama-38
I-Chlorhexidine isize ukwelapha i-thrush, futhi ibingazi ukuthi izosebenzisa ini. Ngenhlanhla, udokotela wanquma ukudonsa izindawo ezisondelene nekhambi. Ngemuva kwezinsuku ezi-5, konke kubuyele kwesejwayelekile. Ngeluleka wonke umuntu nge-thrush ukuthi abuze udokotela wabo ngalesi sidakamizwa.
U-Elena, oneminyaka engama-24
Ngiphathe amakhandlela nge-chlorhexidine. Kuyasiza, okubaluleke kakhulu ukuthi usebenzise njalo futhi ungakhohlwa ukugcina amakhandlela esiqandisini. Kusetshenziswe ngaphambi kweMiramistin, kepha kusuka ku-Chlorhexidine umphumela ongcono kakhulu. Ngeluleka wonke umuntu!
UKonstantin, oneminyaka engama-29 ubudala
Ngisebenzisa ukwelapha izilonda kugogo wami, onesifo sokuqaqanjiswa kwamathambo. Esikhathini esedlule, imiphetho yamanxeba yayivame ukucindezelwa, kepha manje ngiyayiphatha njalo, futhi izilonda zokucindezela zipholisa ngokushesha. Kepha ngomphumela omuhle, udinga ukwelapha amanxeba njalo ngomuthi.
U-Eugene, oneminyaka engama-30
I-antiseptic enhle yokusetshenziswa kwansuku zonke, esetshenziselwa izinhlanzeko. Kwesinye isikhathi ngiyithatha lapho ingekho indlela yokugeza izandla zami. Isikhumba asisho ngaphandle, asihliki. Imvamisa ngihamba nayo lapho ngingenalo ithuba lokugeza izandla zami kahle ngaphambi kokudla, noma ukuphatha amanxeba amancane, ukuhlukunyezwa nokuklanywa. Konke kuphulukisa ngokushesha ngokwanele, empeleni akubhaki futhi akulethi usizi.
Odokotela
U-Anna, oneminyaka engama-44 ubudala, udokotela wezikhumba
Kumkhuba wami, ngisebenzisa lesi sidakamizwa kusukela ekuqaleni komsebenzi wezokwelapha. Angikaze ngehluleke okwamanje. Kucaciselwe ukwelapha i-genitalia yangaphandle nge-gonorrhea, sebenzisa i-gonococcal urethritis, Trichomonas vaginitis. Ukuthuthuka kwenzeka njalo, kaningi emva kwezinsuku ezimbalwa.
USergey, oneminyaka engama-46 ubudala, uchwepheshe we-urologist
Isixazululo se-Chlorhexidine sisetshenziselwe kaningi i-chlamydial urethritis emadodeni. Kunemiphumela emihle yokwelashwa: iziguli zeluleme izikhathi ezingama-2 ngokushesha ukwedlula lapho zisebenzisa i-monotherapy ngendlela yamaphilisi okulwa namagciwane.
UVladimir, oneminyaka engama-40, udokotela wamazinyo
Ngibeka i-Chlorhexidine ngemuva kokukhishwa kwamazinyo. Angizange ngihlangane nezinkinga ze-purulent, ngiphatha iziguli njalo. Ngemuva kwenkambo yokuvimbela yokusebenzisa, akukho ngisho necebo lokulimala.
