I-Miramistin 500 ml iyi-antiseptic enomsebenzi wokulwa nokuvuvukala. Lesi sidakamizwa, esakhiwa ososayensi basekhaya njengengxenye yohlelo lwendawo, senzelwe kuphela ukusetshenziswa kwangaphandle. Inokuhlushwa okuphansi futhi akungeni gazi, okungahlanganisi imiphumela ye-systemic futhi kuyenze iphephe impela.
Igama Lezwe elingafanele
Ngeziqondiso ze-WHO, iMiramistin ine-INN ye-benzyl dimethyl-myristoylamino-propylammonium.
I-Miramistin 500 ml iyi-antiseptic enomsebenzi wokulwa nokuvuvukala.
I-ATX
Umuthi ungowokuhlanganiswa kwe-Quaternary ammonium ne-ATX code D08AJ futhi ufakwe eqenjini le-pharmacological of antiseptics.
Khipha amafomu nokwakheka
I-Miramistin iyatholakala ngohlobo lwesisombululo namafutha.
Inketho yokugcoba ifakwe kumashubhu e-aluminium ka-15 noma ama-30 g. Ukuthengwa ngobuningi, kukhiqizwa emabhange ayi-1 kg. Okuqukethwe kwe-miramistin yezinto ezisebenzayo kungu-5 mg ku-1 g wamafutha. Ukwakheka okusizayo kumelelwa yi-propylene glycol, macrogol 400, i-disodium edetate, proxanol 268 namanzi ahlanziwe.
Uhlobo lwamafutha e-Miramistin luhlanganiswe kumashubhu we-aluminium ka-15 noma 30 g.
Isixazululo
Indlela ye-ketshezi yesidakamizwa ayinombala futhi esobala, amagwebu lapho inyakaziswa. Unokunambitheka okumunyu. Isixazululo esitholwe ngokuxuba amanzi okuhlanziwe ne-miramistin powder sinokuhlushwa okungu-0,01%. Kuthululelwa emabhodleleni epulasitiki angama-50, 100, 150, 250 noma 500 ml. Isitsha sivaliwe noma sinomfakisicelo we-urological / fafaza nge cap. Ikhithi ingahlanganisa i-gynecological noma i-spray nozzle ebekwe esikhwameni sepulasitiki esivikelayo. Ukufakwa kwangaphandle kwenziwa ngekhadibhodi. Umyalo unamathiselwe.
Izindlela ezingekho
Ngenxa yokuthi iMiramistin yenzelwe ukusetshenziswa kwezinto ezisetshenziswayo, ayikhishwa ngendlela yamatafula kanye nemijovo. Isixazululo sikhona kuyo yonke indawo, ngakho-ke amaconsi nama-suppositories awakhiqizwa, yize kukhona ama-analogues alesi sidakamizwa ngendlela yama-suppositories namaconsi wamehlo. Ukuze kutholakale kalula isicelo, kwakhululwa i-ointment, kepha azikho izinhlobo zomuthi nokhilimu zomuthi.
Isenzo se-Pharmacological
Isenzo salo muthi sinikezwa isakhi saso esisebenzayo, esifanekiselwa yi-benzyl dimethyl-myristoylamino-propylammonium chloride monohydrate (miramistin). Kuyinto i-cationic surapyant. Iyakwazi ukubopha engxenyeni ye-lipid yolwelwesi lwama-microorganisms, ngaleyo ndlela ibangele ukwanda kokuqina kwesakhiwo se-membrane, okuholela ku-cytolysis nokufa kwe-pathogen.
IMiramistin inomsebenzi ophezulu we-bactericidal.
I-Miramistin inomsebenzi omkhulu we-bactericidal ngokumelana namagciwane amaningi angenayo i-gram-negative ne-gram-positive, i-anaerobic kanye nezinto eziphilayo ze-aerobic, amasiko we-mono- kanye nokuzibandakanya, kufaka phakathi izingqimba ezinamandla okumelana nemithi elwa namagciwane. Isebenza ngamagciwane wezifo ezithathelwana ngocansi futhi ikhombisa umsebenzi omkhulu we-antimycotic. Kukhona futhi ulwazi mayelana nomphumela wokuthambisa wezidakamizwa, kufaka phakathi okuphikisana ne-herpesvirus kanye ne-ejenti ye-causative ye-immunodeficiency syndrome.
Umenzeli obhekwayo uvimbela ukutheleleka kwenxeba futhi lishise izingaphezulu, kusebenze izinqubo zokulungisa izicubu. Ukuthwala inkomba ephezulu ye-osmolar, i-miramistin ilwa kahle nokuvuvukala, isuse ama-exudate enxebeni le-purulent futhi ikhuthaza ukuvela kwesibaya esomile sokuvikela endaweni yomonakalo we-integument. Kulokhu, amangqamuzana angenasisekelo awathinteki futhi ukuphuma kwezindawo zezilonda akuvinjelwe.
Umuthi ukhuphula umsebenzi we-phagocytes, uqinisa ukungavikeleki kokungazibeki ezingeni lendawo. Akubonisi izakhiwo ze-allergenic futhi ayithathwa njengesicasulayo esikhunjeni nasendaweni ye-mucous.
IMiramistin ivimbela ukutheleleka ngokushiswa.
I-Pharmacokinetics
Into esebenzayo i-Miramistin ayikwazi ukuwela isithintelo sesikhumba futhi ayithakwa nge-membrane ye-mucous.
Izinkomba zokusetshenziswa
Ukuqamba kwenzelwe isicelo sendawo futhi kusetshenziselwa ukuhlinza kanye ne-traumatology, ama-obstetrics, i-gynecology kanye ne-urology, i-venereology kanye ne-dermatology, amazinyo kanye ne-otolaryngology ngazo zombili izinhloso zokwelapha kanye ne-prophylactic. Izinkomba ezisetshenziswayo:
- ukusha kwamakhemikhali nokushisayo, amanxeba, ukulimala kokuhlinzwa, ama-fistulas, izifo zokuhlinzwa, ukwelashwa ngaphambi kokuxhunyelelwa kwesikhumba;
- ukuvuvukala kanye nezilonda ezihlanzekile zohlelo lwe-musculoskeletal, njenge-osteomyelitis;
- izifo ezithathelwana ngocansi (i-gonorrhea, i-trichomoniasis, i-syphilis, ukulimala kwe-chlamydia, i-herpesvirus, i-Candida fungus, njll.);
- i-pyoderma, i-dermatomycosis noma ezinye izinhlobo zezilonda ze-mycotic zesikhumba, izipikili kanye namafreyimu e-mucous;
- ukulimala kwe-perineum kanye nesitho sangasese sangasese, kufaka phakathi ukuzuma, i-endometritis, i-vaginitis, ezinye izinkinga ze-gynecological ezihambisana nokutheleleka, ukuvuvukala nokuqina;
- izindlela ezahlukahlukene ze-urethritis, i-prostatitis ne-urethroprostatitis, kufaka phakathi nenkambo engapheli;
- izifo zomgogodla womlomo (i-stomatitis, i-periodontitis, i-gingivitis, njll.), ukwelashwa kwamazinyo, ukunakekelwa kwamazinyo okuvimbelayo;
- ukuvuvukala okukhulu futhi okungapheli kwezitho ze-ENT (i-otitis media, i-laryngitis, i-laryngopharyngitis, i-tonsillitis, i-pharyngitis, i-sinusitis, i-sinusitis, njll.);
- amalensi othintana naye.
I-Miramistin isetshenziswa ikakhulukazi njenge-antiseptic. Kuyasebenza njengengxenye yenkambo ebanzi yokwelashwa, kanye nokuvimbela ukutheleleka nokukhula kokuqina. Umuthi ofanelekile wokwelashwa kokuvikela okuphuthumayo okuhlose ukuvikela ukutheleleka kwezifo ezithathelwana ngocansi. Kuyasebenza futhi njengendlela yokuhlanzeka kwendawo eseduze.
Uhlobo lwamafutha lomenzeli olucubungulwayo kuhloswe ngalo ukuthambisa ingaphezulu lesikhumba phambi kwezinkinga zesikhumba. Ingasetshenziswa futhi njengenye yezindlela zokwelapha ukuklwebheka okujulile, amanxeba, izilonda ezishisa ngokweqile ze-I-III degree, fissures anal. IMiramistin ayinamsebenzi ekulweni nama-hemorrhoid, ngoba ayinawo umphumela we-anti-varicose noma i-anesthetic.
Contraindication
Umuthi uphulwe kuphela kulezi ziguli ezinokubekezelela komuntu siqu ku-miramistin. Endabeni yokusebenzisa amafutha, kungenzeka ukuthi kubhekwe engcupheni yezenzo zezinto ezisizayo.
Umuthi awuthandeki ukusisebenzisa ekwelapheni izingane ezingaphansi kweminyaka engu-3. Uma kuvela isidingo esinjalo, umbuzo kufanele uxoxwe nodokotela wezingane. Umuthi awubekelwe izingane ukuba uzihlambe. Kulesi simo, kunengozi yokugwinya, futhi akukho datha emiphumeleni yayo endaweni yokugaya ukudla.
Akukho okuphikisana nokusetshenziswa kwe-Miramistin ngesikhathi sokukhulelwa.
Akukho okuphikisana kokusetshenziswa kwe-Miramistin ngabesifazane nabesifazane abakhulelwe ngesikhathi sokubeletha. Kodwa-ke, ukubonisana kokuqala kufanele kutholakale futhi umthamo ophelele we-ejenti kufanele uvumelane nodokotela.
Ungayisebenzisa kanjani iMiramistin 500
Isixazululo akuyona ukugxilisa ingqondo futhi isilungele ukusetshenziswa. Ngaphambi kokuyisebenzisa, hlanganisa i-nozzle oyifunayo ngokususa cap yokuphepha. Ukuze usebenzise umuthi njengesifutho, udinga ukususa isembozo noma umfakisicelo we-urological ufake i-nebulizer. Isebenza ngokucindezela, i-3-5 ml ye-antiseptic ikhishwa ngesikhathi. I-nozzle yesitho sangasese sangasese inamathela ngqo kumfakisicelo we-urological.
Isixazululo se-Miramistin sisetshenziswa kanjena:
- Ukulimala kwemvelaphi ehlukahlukene, kufaka phakathi okuhlinzwa, kufafazwa kusuka ku-sprayer noma kugezwe. Zingadonswa nangamawashi afakwe endaweni yesisombululo noma embozwe ngendwangu efakwe lapho kulungiswa, ibeka ngaphansi kokugqoka oku-occlusive.
- Ku-gynecology kanye ne-obstetrics, umuthi usetshenziselwa ukunisela okungaphakathi kwe-intravaginal kusetshenziswa i-nozzle ye-gynecological kanye nokuxhuma. Bangakwazi ukucubungula izicubu ngesikhathi sesigaba se-cesarean. Ekwelapheni izilonda ezivuvukala, i-electrophoresis ene-Miramistin ingabekwa.
- Njengengxenye yokwelapha okuyinkimbinkimbi kwe-urethritis, uketshezi luyafakwa ku-urethra usebenzisa i-nozzle efanelekile.
- Ukuze kwenziwe ukuvimbela kokutheleleka kwezifo ezithathelwana ngocansi, izitho zangasese akufanele zelashwe kungakapheli amahora ama-2 ngemuva kokuxhumana ngocansi. I-genitalia yangaphandle iyahlanzwa noma isulwe ngeswidi egcotshwe inala eMiramistin. Ngaphezu kwalokho, owesifazana udinga ukuphatha isitho sangasese sowesilisa, futhi owesilisa kudingeka ukuthi angenele umuthi umuthi ngaphandle kokuzizwa.
- Ngokuvuvukala komphimbo, indawo ethintekile iniselwa kusuka kusifufa noma isebenzise umuthi njengendlela yokuhlanza. Ukwelapha imidiya ye-otitis, ifakwa emgudwini wokucwaninga wangaphandle. Nge-sinusitis, isetshenziselwa ukugeza ama-sinuses ngemuva kwenqubo yokususa ukunqwabelana kwe-purulent.
- Mhlawumbe ukuphathwa kokusetshenziswa kwezidakamizwa ezinganeni nakubantu abadala ekwelapheni izilonda ezivuthayo zepheji lokuphefumula elingaphezulu. Ngale njongo, kusetshenziswa i-nebulizer ye-ultrasonic enikezela ukuhlakazeka okudingekayo kwekhambi. Ithuluzi lingafakwa ekhaleni, uma ngasikhathi sinye kungadaleki ukoma ngokweqile kwe-mucosa.
- Ukuze uthole izilonda ze-mycotic nezokuvuvukala zesifunda se-intraoral noma yokwelashwa kwe-prophylactic, hlamba umlomo wakho noma uzinisele nge-fafaza.
Ngaphambi kokufaka isicelo se-Miramistin, i-nozzle efiselekayo kufanele ifakwe.
Gwema ukuthintana ngamehlo.
Izithambisi ziphatha ukushiswa nokulimala, zikufake ebusweni ngesendlalelo esincanyana. Ukugqoka oyinyumba kungafakwa ngaphezulu. Amanxeba ama-purulent afakwa ngamabhola kakotini agcwele ugcobe. Izingxenye zomzimba ezithinteka yisifo sesikhumba zithanjiswa ngamafutha noma kufakwe ngendlela yezicelo kusetshenziswa ama-gauze wipes. Uma kunesidingo, izidakamizwa ze-antifungal nezama-antibiotic zisetshenziswa ngokufana.
I-Miramistin isebenza kakhulu uma isetshenziswa ezigabeni zokuqala ze-lesion.
Umthamo, imvamisa kanye nobude bokusebenzisa umuthi kunqunywa ngudokotela, kucatshangelwa i-pathology uqobo, iminyaka yesiguli, indlela asabela ngayo kulo muthi kanye namandla amakhulu abonwayo.
Ngoshukela
Ayikho imiyalo ethile esetshenziselwe umuthi ngabakwa-diabetes.
Imiphumela emibi
Kwesinye isikhathi ngemuva kokufaka umkhiqizo endaweni ephethwe kuba nomuzwa ovuthayo. Umuzwa uhlala isikhathi esifushane futhi unamandla amancane. Inyamalala yodwa ngemuva kwemizuzwana eyi-10-20 ngemuva kokusebenzisa iMiramistin. Le nto ayidingi ukwehliswa komuthi.
Ngemuva kokusebenzisa i-Miramistin, umuzwa wokushiswa okufushane ungavela.
Ezimweni ezingavamile, kukhona ukusabela okungekuhle komzimba endaweni yokuxhumana ye-antiseptic ngesikhumba:
- ukulunywa
- ubomvu
- umuzwa ovuthayo;
- ukweqile;
- umuzwa wokuqina.
Uma kwenzeka ukusabela okubi, ukusetshenziswa okwengeziwe kwe-Miramistin kufanele kuvinjelwe.
Imiyalo ekhethekile
Ukusebenza kwe-Miramistin akukaze kufakazelwe ngokuphelele futhi akwamukelwanga i-WHO. Umuthi udlulise isivivinyo kuphela sasemtholampilo uma kungekho ndlela engaboni ngaso linye nokungahleliwe kocwaningo.
Faka ama-nozzles ngokuqapha. Ukusetshenziswa kwabo okungafanele kanye nengcindezi eqinile yesidakamizwa kungalimaza ubuso be-mucous noma kuvuse ukuqina.
Ukwelashwa ngamehlo, esikhundleni seMiramistin, kusetshenziswa amaconsi e-Okomistin.
Ukwelashwa ngamehlo, kusetshenziswa amaconsi e-Okomistin, anenhlansi ephansi yento esebenzayo. Amehlo abo afakwe ngokuya ngezincomo zikadokotela. Akunakwenzeka ukuzala ngokuzimela iMiramistin futhi uyisebenzisele izinjongo ze-ophthalmic.
Izingane ze-Miramistin ezingama-500
Ngokwesivumelwano nodokotela, umuthi ungasetshenziswa ezinganeni. Iminyaka lapho isetshenziswa ngaphandle kokwesaba yiminyaka emi-3. Kaningi iMiramistin ibekelwa i-pharyngitis, i-laryngitis noma ngesikhathi sokuqothuka kwe-tonsillitis ukwelapha umphimbo. Indlela enconyiwe ukuchelela ngesifutho. Kepha le ndlela ayilungele izingane kuze kube unyaka ngoba kungenzeka ukuthi ingane izominyanisa. Ngokuphefumula, i-laryngospasm kungenzeka.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Umuthi awungeni ukungena kwegazi kanye nobisi lwebele. Ngakho-ke, kubhekwa njengokuphephile kumama nengane kokubili esiteji sokukhulelwa nangesikhathi sokudla kwengane okungokwemvelo. Ukubonisana nodokotela kunconyiwe.
I-Miramistin ingasetshenziswa ngesikhathi sokuqunjelwa.
Ukweqisa
I-Miramistin ibonakala ngokungatholakali okuphelele kokufaka emzimbeni wesikhumba nangaphandle kolwelwesi lwama-mucous. Amacala okweqa izidakamizwa awaziwa.
Ukuxhumana nezinye izidakamizwa
Ukuhlanganiswa kweMiramistin ngama-antibacteria kuholela ekwandeni kwezindawo zabo ze-antimycotic kanye ne-antibacterial. Akukho mininingwane kokunye ukusebenzisana kwezidakamizwa.
Ama-Analog
Ukufana kwezakhiwo zeMiramistin yilezi:
- I-Sepomirin (ikhambi lokusetshenziswa kwangaphandle);
- I-Tamistol (ama-suppositories wokusetshenziswa kowesifazane nowesele);
- I-Okomistin (ophthalmic / noseal / eye amaconsi endlebe).
I-Chlorhexidine isondele kuyo ezinkombeni nasezimpawu zokusebenzisa. Kepha iMiramistin isebenza ngempumelelo ethe xaxa, ngoba iyi-antiseptic entsha futhi ama-pathogen awasenaso isikhathi sokujwayela isenzo sawo.
Izimo zeholide Miramistina 500 kusuka ekhemisi
Umuthi uyathengiswa.
Ngingakwazi ukuthenga ngaphandle kadokotela
Ukuthenga i-Miramistin ekhemisi, awudingi ukuletha incwadi kadokotela.
Intengo yeMiramistin 500
Ungathenga ibhodlela lesisombululo se-500 ml (ngaphandle kwama-nozzles kanye nomfakisicelo) ngentengo yama-ruble angama-590.
Izimo zokugcina zomuthi
Umkhiqizo ugcinwe kude nezingane emazingeni okushisa asekamelweni, okungeke kudlule + 25 ° C.
Isikhathi sokuphelelwa yisikhathi
Isixazululo sigcinwa iminyaka emi-3 kusukela ngosuku lokwenziwa. Ngemuva kwalokho, abayisebenzisi.
Umkhiqizi Miramistin 500
Umuthi ukhiqizwa eRussia ngabakwa-Infamed LLC.
Gcina i-Miramistin ekushiseni komoya okungaphansi kuka- + 25 ° C.
Ukubuyekezwa mayelana ne-Miramistin 500
UNadezhda, oneminyaka engama-32 ubudala, amaCherepovets
Kusetshenziswa isixazululo se-Miramistin lapho indodakazi igula i-laryngitis. Lapho sifafaza kusuka isifutho, wavele wanqwabelana, ngakho-ke bashintsha bayoma. Ngigculisekile ngomphumela. Minus eyodwa - i-aftertaste ebabayo okunzima ukuyibulala nokudla.
Inna, oneminyaka engama-29 ubudala, uSpassk
Ngihlala ngigcina ibhodlela noMiramistin ekhishini lami losizo lokuqala. Leli ithuluzi eliphumelelayo kuzo zonke izikhathi. Idolo ephukile, izinsini ezivuvukala, umphimbo obomvu, izinkinga zabesifazane - ilungele yonke into.
U-Egor, oneminyaka engama-26, uTomsk
Ngithande yonke into eMiramistin ngaphandle kwentengo. Uyabiza, iqiniso. Isikhathi sokuqala ngizwe ngaye ngenkathi i-vet imbhalela inja yami. Ngemuva kwalokho iMramaminin yanqunyelwa ukuthi ngiphathe ukuvuvukala kwe-urethral. Ngamangala futhi ngacabanga ukuthi kwenzeke iphutha, kepha ngathola ukuthi lokhu akuyona indlela yezilwane, kepha kuyinto yokubulala izinzwa engageza amazinyo akho. Indlela yokuphatha kimi ayimnandi, kepha umphumela wajabulisa.
