Ntawm cov tshuaj loj, feem pua tsawg tsawg tau lees paub qhov ua tau zoo thiab tau siv thoob plaws ntiaj teb. Cov tshuaj no suav nrog Chlorhexidine. Cov lus qhia hais txog nws rau cov tshuaj tua kab mob, tiv thaiv ntau yam kab mob. Cov tshuaj yog dav siv nyob rau hauv kev kho hniav, ENT xyaum, gynecology, phais. Nws muaj ntau qhov zoo dua lwm cov tshuaj tua kab mob nrov, qhov tseem ceeb yog nws tus nqi qis dua.
keeb kwm ntawm kev tsim "Chlorhexidine"
tshuaj tua kab mob yog nrov heev. Tab sis tsis yog txhua tus ntawm lawv muaj peev xwm sib npaug. Qee qhov, xws li ci ntsuab ntsuab lossis Miramistin, tsuas yog muaj nyob rau hauv Russia, lwm tus muaj ntau yam kev phiv los yog tus nqi siab. Tab sis muaj ib yam tshuaj uas yog devoid ntawm tag nrho cov shortcomings. Qhov no yog Chlorhexidine. Cov lus qhia rau kev siv sau nws cov txiaj ntsig zoo hauv kab mob, kab mob thiab kab mob fungal.
Cov tshuaj tau tsim nyob rau hauv 50s ntawm lub xyoo pua 20th nyob rau hauv UK. Cov cuab yeej pib muag raws li cov tshuaj tua kab mob hauv zos. Los ntawmrau qee lub sijhawm, cov khoom tshiab ntawm "Chlorhexidine" tau pom. Cov lus qhia pib pom zoo kom siv rau hauv kev kho hniav, raws li nws tau pom tias nws muaj txiaj ntsig zoo rau kev txhim kho cov kab mob periodontal. Tau ntau xyoo ntawm kev siv, nws cov kev ua haujlwm siab ua cov tshuaj tua kab mob rau ntawm daim tawv nqaij thiab cov mucous membranes tau raug pov thawj. Tam sim no kev npaj uas muaj chlorhexidine bigluconate cov lus qhia rau kev siv pom zoo siv hauv tsev kho mob, hauv tsev, thaum lub sij hawm ua kom zoo nkauj. Vim nws muaj ntau yam thiab tus nqi qis, cov tshuaj ntxiv rau cov tshuaj txhuam hniav, tshuaj pleev ib ce, thiab tshuaj.
daim ntawv kho mob
Feem ntau ntawm kev muag koj tuaj yeem nrhiav cov tshuaj chlorhexidine. Cov lus qhia pom zoo kom siv nws nyob rau hauv ntau qhov sib txawv, nyob ntawm seb tus yam ntxwv ntawm pathology thiab qhov chaw ntawm daim ntawv thov. Tsis tas li ntawd, koj tuaj yeem nrhiav tau ntawm muag tswm ciab nrog chlorhexidine, tshuaj pleev, qhov ncauj yaug. Ntxiv cov tshuaj no rau cov tshuaj txhuam hniav, tshuaj ntxuav tes gels, deodorants.
Hauv cov tshuaj, cov kev daws teeb meem sib txawv yog siv. Daim ntawv tshaj plaws yog "Chlorhexidine 0.05". Cov lus qhia pom zoo siv nws rau yaug qhov ncauj thiab caj pas, kho cov tawv nqaij ua ntej kev phais, thiab kho ntau yam kab mob dermatological. Ib qho kev daws teeb meem ntau dua - 0.5% lossis 1% - yog siv los kho qhov txhab mob thiab kho cov cuab yeej kho mob. Tab sis txawm nyob rau hauv qhov tsawg tshaj plaws concentration (0.01%), cov tshuaj yog zoo - nws muaj fungicidal zog.
Kev ua ntawm cov tshuaj "Chlorhexidine"
Qhov kev txiav txim ntawm cov tshuaj no yog ua raws li cov khoom ntawm cov khoom xyaw nquag. Qhov no yog chlorhexidine bigluconate. Cov lus qhia sau nws cov bactericidal siab thiab bacteriostatic zog. Ntawd yog, cov tshuaj tsis yog tsuas yog tso tseg kev faib thiab kev tsim tawm ntawm cov kab mob, tab sis kuj ua rau lawv tag nrho. Qhov no tshwm sim vim hais tias cov molecule ntawm chlorhexidine digluconate raug them zoo, thiab cov phab ntsa ntawm tes ntawm cov kab mob raug them tsis zoo. Thaum kev sib cuag, lawv raug rhuav tshem, cov tshuaj nkag mus rau hauv lub xovtooj ntawm tes thiab rhuav tshem nws tag nrho. Ntxiv mus, tag nrho cov txheej txheem no tsuas siv 20-30 vib nas this.
Ib yam li ntawd, cov tshuaj ua rau cov kab mob fungal. Nkag mus rau hauv lub cell ntawm fungus, cov tshuaj no rhuav tshem nws, thaum cov kab mob tuag. Tag nrho cov no tshwm sim ntawm qhov kub thiab txias. Tsis yog txhua tus tshuaj tua kab mob muaj qhov dav dav ntawm kev ua raws li Chlorhexidine. Cov lus qhia rau kev siv sau tseg tias ntxiv rau cov kab mob thiab cov fungi, cov tshuaj no tuaj yeem rhuav tshem cov kab mob, protozoa thiab qee cov kab mob. Nrog nws, koj tuaj yeem kho mob khaub thuas, cytomegalovirus, herpes, txawm tias HIV. Tab sis cov kws kho mob nco ntsoov tias nws tsuas yog siv tau los ua ib feem ntawm txoj kev kho mob, nrog rau kev siv sab hauv.
Cov lus qhia rau "Chlorhexidine" sau tseg tias, tsis zoo li ntau lwm cov tshuaj tua kab mob, nws kuj cuam tshuam rau kev tsim xws li biofilm. Qhov no, piv txwv li, yog cov quav hniav, uas yuav luag tsis haum rau lwm yam tshuaj tua kab mob. Tom qab tag nrho, cov qauv tshwj xeeb ntawm biofilm ua rau nws ruaj khov. Kev cuam tshuam rauNws tuaj yeem tsuas yog "Chlorhexidine". Cov lus qhia rau kev siv sau tseg tias nws zoo tiv thaiv cov quav hniav.
Tshaj tawm ntawm daim ntawv thov tshuaj
Cov lus qhia rau "Chlorhexidine" piav qhia tias nws yog ib qho tshuaj sab nraud nkaus xwb. Nws tuaj yeem siv los kho qhov chaw ntawm daim tawv nqaij, yaug qhov ncauj, rau douching. Cov tshuaj kuj tseem siv los tua tus kws kho mob ob txhais tes thiab cov cuab yeej kho mob. Qhov ua tau zoo ntawm cov tshuaj tua kab mob no yog vim qhov tseeb tias nws muaj peev xwm khi rau ntawm daim tawv nqaij cov protein thiab lo rau cov tawv tawv. Yog li ntawd, nws cov tshuaj tua kab mob yog tshwm sim hauv 2 hnub.
Tiv thaiv cov kab mob twg yog Chlorhexidine zoo? Cov lus qhia rau kev siv sau tseg tias nws muaj zog dua tiv thaiv kab mob gram-zoo. Cov no yog staphylococci thiab streptococci, uas tuag txawm nyob rau hauv qis concentration ntawm cov tshuaj. Ib qho kev daws teeb meem ntxiv tuaj yeem rhuav tshem cov kab mob gram-tsis zoo: E. coli, enterobacteria, pseudomonads, proteus, salmonella. Nws kuj ua haujlwm tawm tsam cov kab mob thiab qee yam kab mob.
Cov lus qhia piav qhia qhov ua tau zoo ntawm kev siv "Chlorhexidine" los ntawm qhov tseeb tias nws tsis poob nws txoj haujlwm txawm tias muaj cov kua paug lossis cov ntshav. Thaum lwm cov tshuaj tua kab mob hauv cov xwm txheej zoo li no yuav luag tsis muaj txiaj ntsig. Yog li, cov tshuaj no suav nrog ntau yam tshuaj ntxuav tes.
Cov tshuaj no feem ntau siv hauv tshuaj: phais, kho hniav, gynecology, obstetrics, hauv kev kho mob ntawm daim tawv nqaijkab mob. Nws yog siv rau yaug, irrigating, ntxuav, kho qhov txhab los yog tus kws kho mob txhais tes. Cov tshuaj muaj txiaj ntsig yog siv rau kev nqus pa los ntawm nebulizer. Tab sis tsis yog tag nrho. Cov cuab yeej tseem siv los ua ib feem ntawm qee cov tshuaj pleev ib ce, ntxiv rau deodorants, tshuaj txhuam hniav, tshuaj pleev pob txuv.
Chlorhexidine daws 0.05% cov lus qhia rau kev siv pom zoo siv rau kev kho mob ntawm kev txiav, hlawv, kab mob dermatological. Lawv tuaj yeem yaug koj lub qhov ncauj lossis caj pas, siv douching, siv hauv qab daim ntaub qhwv ntawm qhov txhab.
Cov lus qhia rau kev siv "Chlorhexidine" hauv kev kho hniav
Qhov no yog kev siv tshuaj ntau tshaj plaws. Lub peev xwm los nres txoj kev loj hlob ntawm kab mob periodontal, kho gingivitis thiab lwm yam inflammatory kab mob ntawm lub qhov ncauj kab noj hniav twb nrhiav tau yuav luag tam sim ntawd tom qab nws tsim. Yog li, chlorhexidine ntxiv rau qee cov tshuaj txhuam hniav thiab yaug. Tsis tas li ntawd, cov tshuaj tau sau tseg rau cov kab mob xws li:
- periodontitis;
- stomatitis;
- aphthous o ntawm mucosa;
- tiv thaiv kab mob tom qab rho hniav;
- kom tiv thaiv cov quav hniav.
Hauv tag nrho cov xwm txheej no, "Chlorhexidine" raug tshuaj rau kev yaug qhov ncauj. Cov lus qhia rau kev siv pom zoo ua qhov no ob zaug ib hnub twg. Ua ntej koj yuav tsum txhuam koj cov hniav thiab yaug koj lub qhov ncauj kom zoo nrog dej huv. Tom qab siv cov tshuaj tua kab mob rau 10-15 feeb, koj tsis tuaj yeem noj, haus dej lossis txhuam koj cov hniav. Qhov no tuaj yeem txo cov txiaj ntsig ntawm Chlorhexidine. Cov lus qhia rau kev yaug lub qhov ncauj pom zoo kom siv cov tshuaj. 15 ml yog txaus. Thaum yaug, koj yuav tsum sim tsis txhob nqos cov tshuaj. Txawm hais tias nws muaj toxicity tsawg, nws tuaj yeem ua rau tsis zoo rau lub plab zom mov.
Thaum siv "Chlorhexidine" rau kev yaug qhov ncauj, cov kev phiv tshwm sim tuaj yeem ua rau cov hniav tsaus nti. Qhov no tshwm sim tsuas yog 15-20% ntawm cov neeg. Tsis tas li, cov hniav tuaj yeem tig xim av. Yog li ntawd, cov tshuaj ntxuav qhov ncauj niaj hnub no tau pib suav nrog cov khoom tshwj xeeb uas tiv thaiv kom tsis txhob muaj xim. Tsis tas li ntawd, lwm yam kev mob tshwm sim yuav tsis tshua muaj:
- iab hauv qhov ncauj;
- hloov pauv qhov kev xav;
- dryness lossis hlawv ntawm mucosa;
- mob los ntshav cov pos hniav.
"Chlorhexidine": cov lus qhia rau kev siv gargling
Cov khoom xyaw nquag ntawm cov tshuaj yog nquag tawm tsam ntau cov kab mob thiab cov kab mob uas ua rau cov kab mob ntawm lub ntsws sab sauv. Yog li ntawd, Chlorhexidine feem ntau yog siv los ntxuav tsis tau tsuas yog lub qhov ncauj, tab sis kuj caj pas. Nws yog tshuaj rau tonsillitis, tonsillitis, laryngitis. Yog tias tus kab mob no tshwm sim los ntawm tus kab mob streptococci lossis tus kab mob khaub thuas, qhov kev kho no yuav siv tau.
Feem ntau hauv qhov no, 0.02% lossis 0.05% kev daws ntawm chlorhexidine yog siv. Cov lus qhia rau gargling pom zoo kom noj 10-20 ml ntawm cov tshuaj thiab khaws cia rau hauv koj lub qhov ncauj rau 30-40 vib nas this. Nws yog qhov zoo tshaj plaws los ua qhov no tom qab lub qhov ncauj thiab caj pas kho nrog ib tug decoction ntawm chamomile los yogdej qab zib. Nws yog ib qho tsim nyog yuav tau ua cov txheej txheem kho peb zaug hauv ib hnub. Tom qab ntawd, tsis txhob noj lossis haus ib nrab ib teev.
Yuav siv tshuaj li cas hauv gynecology
Feem ntau "Chlorhexidine" 0.05% yog siv tom qab kev sib deev tsis muaj kev tiv thaiv los tiv thaiv kev kis kab mob. Cov tshuaj muaj txiaj ntsig zoo rau kev tiv thaiv kab mob gonorrhea, syphilis, qhov chaw mos herpes, chlamydia. Siv lub nozzle tshwj xeeb, koj yuav tsum tau txhaj tshuaj antiseptic rau hauv qhov chaw mos rau 2-3 feeb. Tom qab ntawd lub duav, pubis, sab nraud genitalia yog ua tiav. Nws tsis pom zoo kom tso zis rau ob peb teev tom qab ntawd. Rau tib lub hom phiaj, qhov chaw mos suppositories nrog chlorhexidine tuaj yeem siv. Cov tshuaj tiv thaiv zoo li no tau zoo yog tias ua tsis pub dhau 2 teev tom qab kev sib deev.
Tsis tas li ntawd, "Chlorhexidine" kuj yog siv los kho ntau yam kab mob gynecological. Qhov no yog vulvitis, colpitis, cervical erosion, thrush. Cov tshuaj yog siv rau qhov no ntawm ib tug concentration ntawm 0.05% los yog diluted nrog dej (ntau dua concentrated). Nws yooj yim dua los siv lub raj mis nrog lub nozzle tshwj xeeb, tab sis koj tuaj yeem nqa ib lub syringe me me.
Siv tswm ciab thiab gel
Tsis ntev los no, koj tuaj yeem yuav cov tshuaj hauv daim ntawv yooj yim dua - hauv daim ntawv gel. Nws muaj 0.5 g ntawm chlorhexidine bigluconate ib 100 g ntawm gel. Xws li cov tshuaj yog tsim nyob rau hauv lub npe "Hexicon". Cov gel no muaj ntau txoj haujlwm, vim nws tuaj yeem siv rau ntau yam tshuaj.
Thaum siv rau hauv kev kho hniav, cov tshuaj tsis muaj kev phiv xws li tshuaj, vim nws tuaj yeem siv taupointwise tsuas yog nyob rau ntawm qhov chaw mob, yog li nws tsis cuam tshuam rau cov hniav enamel. Cov gel kuj tseem siv hauv gynecology thiab urology: nrog vulvitis, balanitis. Thaum siv los kho cov kab mob dermatological, qhov ua tau zoo yog siab dua li cov tshuaj. Tom qab tag nrho, cov gel tseem nyob ntawm daim tawv nqaij ntev dua, ua rau nws cov nyhuv antiseptic. Nws yog siv rau daim tawv nqaij pob khaus, dermatitis, felon, pyoderma, impetigo.
Chlorhexidine suppositories yog nrov hauv gynecology. Lawv siv rau vulvitis, colpitis, vaginitis, thrush, nrog rau kev tiv thaiv ntawm kev sib deev kab mob. Muab tswm ciab thaum sawv ntxov thiab yav tsaus ntuj, rau 5 hnub. Vim qhov tsis tshua muaj siab ntawm cov khoom xyaw nquag thiab cov ntawv tshwj xeeb tso tawm, cov tshuaj suppositories muaj kev nyab xeeb kiag li thiab tuaj yeem siv los kho cov poj niam cev xeeb tub.
Contraindications thiab phiv
Vim cov tshuaj tau zoo kho mob khaub thuas, mob caj pas lossis laryngitis, ntau tus neeg sim siv nws rau lwm yam kab mob. Tab sis qhov no tsis yog ib txwm ua tau. Piv txwv li, "Chlorhexidine" tsis yog siv los ua qhov ntswg, vim nws yuav tsis muaj txiaj ntsig kiag li. Koj tsis tuaj yeem tso nws rau hauv qhov muag, vim hais tias tshwj xeeb txhais tau tias yog siv hauv ophthalmology. Nws tseem yog contraindicated los siv rau kev kho mob ntawm otitis media, thaum instilled rau hauv pob ntseg, nws tuaj yeem ua rau lub paj hlwb puas. Nws tsis pom zoo kom siv cov tshuaj rau kev kho mob ntawm cov poj niam cev xeeb tub, txij li tsis muaj kev tshawb fawb txog nws cov txiaj ntsig ntawm tus menyuam hauv plab. Tib yam siv rau kev kho menyuam yaus. Muab ib qho tshuaj tua kab mob rau sab nraud xwbsiv, thiab yaug qhov ncauj lossis caj pas, tsuas yog siv tau tom qab 18 xyoo.
Cov tshuaj no suav hais tias muaj kev nyab xeeb thiab tsis muaj tshuaj lom. Txawm li cas los xij, cov kev mob tshwm sim qee zaum ua tau. Feem ntau qhov no tshwm sim nrog ib tus neeg intolerance lossis ua txhaum txoj cai siv tshuaj. Qhov no manifests nws tus kheej nyob rau hauv daim ntawv ntawm ib tug tsis haum tshuaj: khaus, pob khaus, dermatitis. Tshwj xeeb tshaj yog nws yog incompatible nrog iodine, xws li kev kho mob yuav ua rau mob dermatitis. Yog li ntawd, thaum siv "Chlorhexidine", nws yog ib qho tsim nyog yuav tsum tso tseg "Iodinol", Lugol's tov, "Jox", "Povidone-iodine", "Betadine". Tsis tas li ntawd, koj tsis tuaj yeem siv nws ua ke nrog hydrogen peroxide thiab txawm tias cov tshuaj pleev ib ce zoo tib yam.
Analogues ntawm cov tshuaj
Tsis muaj cov tshuaj analogues ncaj qha ntawm cov tshuaj no, tsuas muaj ob peb txoj hauv kev rau cov tshuaj uas tseem muaj chlorhexidine bigluconate hauv lawv cov muaj pes tsawg leeg. Cov no yog Amident, Hexicon, Hibiscrab, Plivasept.
Tab sis nrog tib lub hom phiaj, lwm yam tshuaj tuaj yeem siv rau kev tua kab mob thiab kho qhov txhab, yaug qhov ncauj lossis caj pas: hydrogen peroxide, Furacilin, Rotokan, Miramistin, cawv daws ntawm iodine, Protargol, Hexoral thiab lwm yam.
Piv rau lwm cov tshuaj tua kab mob, "Chlorhexidine" suav tias yog qhov zoo dua. Tsis tas li ntawd, feem ntau cov neeg nyiam nws rau nws tus nqi qis - koj tuaj yeem yuav ib lub raj mis tshuajrau 10-20 rubles. Tsis tas li ntawd, nws qhov zoo dua yog tias nws tseem ua haujlwm thaum sib cuag nrog cov ntshav thiab cov kua qaub, thiab lwm yam tshuaj tua kab mob tsis muaj txiaj ntsig hauv cov xwm txheej zoo li no.
Kev tshuaj xyuas ntawm kev siv "Chlorhexidine"
Cov tshuaj no tau nrov ntawm cov kws kho mob thiab cov neeg zoo tib yam rau ntau tshaj li ib nrab xyoo pua. Ntau tus neeg ib txwm muaj nyob rau hauv lawv cov khoom pab thawj zaug, vim nws pab daws cov teeb meem ntawm daim tawv nqaij thiab tsis txhob kis kab mob. Muaj ntau qhov kev tshuaj xyuas zoo txog kev siv "Chlorhexidine" rau kev tiv thaiv kev sib deev. Feem ntau nws kuj yog siv hauv kev kho hniav. Ntau tus kws kho mob tau sau tshuaj ntxuav qhov ncauj tsis tsuas yog rau ntau yam kab mob, tab sis kuj tom qab kev kho hniav. Hauv tag nrho cov xwm txheej no, kev siv cov tshuaj muaj txiaj ntsig zoo. Ntxiv mus, cov kev phiv los yog intolerance yog qhia tsawg heev.
