Ho pharmacology, ho na le li-antiseptic tse ngata le li-antisetate tse etsang meriana. Chlorhexidine ke e 'ngoe ea tsona. Litafole tsa Chlorhexidine ka mokhoa o tloaelehileng ke mofuta o seng teng. Empa li-lozenges, tse bitsoang lozenges, lozenges tse nang le chlorhexidine kaha ntho e sebetsang li lekane makaleng a meriana.
Mefuta e teng ea tokollo le sebopeho
Chlorhexidine ke e latelang:
- tharollo e tebileng (e sebelisoang ho buoa, ho phekola meno);
- ho fafatsa le aerosol (e fafalitsoeng ka har'a 'metso kapa leqeba);
- tranelate, setlolo kapa gel (e na le ts'ebeliso ea kantle le ea lehae);
- li-supplement tsa botšehali (tse hlalositsoeng bakeng sa ho tlosoa ha tšoaetso ea mafu a basali);
- lozenges (lozenges kapa lozenges e sebedisoang joalo ka antiseptic bakeng sa angina);
- bactericidal patch (ka lipilisi tsa chlorhexidine-soaked).
Matlapa a Chlorhexidine ke mofuta o seng teng, empa lihlahisoa tse nang le chlorhexidine li lekane, mohlala, sebidine.
Ngaka e ikarabella bakeng sa ho khetha mefuta ea moriana ho latela lefu lena, hobane kaofela li etselitsoe maemo a fapaneng. Ntle le ntho e sebetsang, e kenyelletsa lisebelisoa tse ling:
- litharollo li kenyelletsa metsi a hloekisitsoeng;
- meroho le li-aerosols - li-extracts tsa semela, propolis, mahe a linotsi, oli ea bohlokoa, li-thickeners le li-sol sol;
- chlorhexidine litlolo, litlolo le li-gels li entsoe ka metsi, li-preservices, moisturizer, emulsifiers, emollients, lanolin, livithamini.
Mefuta e tiileng e bua ka litokisetso tsa ho kopanya, mme ho ekelletsa ho chlorhexidine e sebetsang, e kenyelletsa:
- ascorbic acid (matlapa a Sebidin);
- anesthetic benzocaine, hydrogen peroxide (chlorhexidine bigluconate), li-thickeners (li-supplement tsa vaginal Hexoral);
- anti-inflammatory agent enoxolone, mintol le sebaka sa tsoekere (matlapa a Anzibel);
- anesthetic tetracaine le vithamine C (Drill lozenges, Anti-Angin lozenges).
Lebitso la Machaba le sa Tšoanelehang
Chlorhexidine.
ATX
R 02 AA 0 5.
Ketso ea pharmacological
Setlhare ke sa sehlopha sa li-antiseptics. Phello ea pharmacological ke ts'ebetso khahlanong le:
- baktheria;
- tomoso
- dermatophytes;
- likokoana-hloko tsa lipophilic.
Mofumahali
Mofuta oa mokelikeli oa moriana, o kenella kahare ka mor'a ho kenella ka phoso, ha o nkuoe ho tsoa ho lijo tse tsoang ka mpeng, o epolotsoeng ke 90% ka mantle le 1% ka moroto. Kamora ho nka matlapa, ntho ena e bolokoa matlong ho fihlela lihora tse 8-10. Ha o sebelisa suppository, ho ruruha hoa tloaelo hoa moriana (ho tlosoa) ho ke ke ha nahanoa.
Ke eng e thusang chlorhexidine
Moriana o etsa mesebetsi e latelang:
- antiseptic;
- bactericidal;
- anesthetic ea lehae (e thibelang li-receptor tsa bohloko);
- fungicidal (e ama fungus).
Chlorhexidine e mefuta ea metsi e sebelisetsoa ho thibela pheko le kalafo.
- Trichomonas colpitis;
- khoholeho ea khohole;
- ho ruruha ha li-tonsils le tonsillitis;
- mathata a ka mor'a ho ntša leino.
Tharollo e sebetsa joaloka antiseptic bakeng sa:
- litaba tsa meno
- tlhokomelo ea poso;
- kalafo ea maqeba a purulent le ho chesa;
- ho se sebetse ka letsoho, hammoho le lisebelisoa tsa bongaka.
Mefuta ea molomo e sebelisoa bakeng sa tšoaetso ea molomo le 'metso, hang-hang emisa ho ruruha, emisa lipontšo tsa pele tsa pathologies (gingivitis, periodontitis, stomatitis, alveolitis).
Contraindication
Lits'ebetso mabapi le khetho ea tharollo le litlolo ke:
- hypersensitivity ho ntho e sebetsang;
- allergy ho likarolo tse ling;
- letlalo la letlalo.
Matlapa ha a bontšoa bakeng sa:
- mafu a matla a ENT;
- khoholeho ea sefahleho ka mucosa ea molomo;
- seso sa ka mpeng;
- asthma
Mokhoa oa ho nka chlorhexidine
Tšebeliso ea mefuta e fapaneng:
- meetso ea metsi bakeng sa nosetso kapa li-compress li sebelisoa makhetlo a mabeli ka letsatsi;
- bakeng sa thibelo ea mafu a litho tsa botona kapa tsa botšehali, tharollo e fanoa ho sebelisoa nozzle ka hara botshehadi kamora ho ts'oaroana (ho khothaletsoa kalafo ea nako e le 'ngoe ea mokokotlo oa pubis le serope);
- Li-Gargles bakeng sa 'metso li laetsoe makhetlo a 3 ka letsatsi;
- ho fafatsa, ntle le moo ho nang le lisebelisoa tse bobebe le mongobo, ho ka sebelisoa hangata - ho fihlela makhetlo a 6;
- litlolo le li-gel li sebelisoa kantle makhetlo a 2 ka letsatsi;
- ts'oaetso ea litho tsa botšehali e phekoloa ka li-suppositories, li li sebelisa libeke tse 1-3;
- likhahla li tšeloa sebakeng se senyehileng mme li tsitsitsoe ka thata bakeng sa letsatsi;
- antiseptic ka mokhoa oa matlapa a behiloeng makhetlo a 4 ka letsatsi, bakeng sa batho ba baholo le bana ho tloha lilemong tse 5.
Metsoako e sa tsitsang (lipompong, li-lozenges) e jeoa ka mor'a lijo, ha e hlafunoe kapa ea metsoa, empa e rarolloa butle-butle. Mefuta ea seretse e boetse e sebelisetsoa ho phekola lisebelisoa tsa bongaka (li phuthoa ka seponche se kolobisitsoeng ho antiseptic kapa se kenelletse ho eona). Haeba ho na le tlhokahalo ea ho nka moriana ka kalafo e rarahaneng, litekanyetso li beoa ke ngaka e eang. Mohlala, ho urology (ka urethritis kapa urethroprostatitis), Chlorhexidine e kenngoa kahare ho urethra ka matsatsi a 10.
Le lefu la tsoekere
Ho tsoekere, chlorhexidine e ka sebelisoa ka mofuta ofe kapa ofe. U sebelisa lipompong tse natefiloeng, u hloka ho etsa bonnete ba hore ha li na tsoekere, empa tse ncha.
Litla-morao tsa chlorhexidine
Litlamorao:
- allergy
- dermatitis;
- ho hlohlona
- tartar (ka makhetlo a molomo oa rinses);
- tahlehelo ea tatso (ka gingivitis).
Tšusumetso ho bokhoni ba taolo ea methapo
Ho ba teng ha moriana 'meleng ho baka tlolo ea litholoana tsa taolo ea anti-doping.
Litaelo tse khethehileng
Se ke oa lumella tharollo ho fihlela libaka tse bulehileng ka:
- kotsi e bohloko ea bokong;
- ho lemala ha lesapo la mokokotlo;
- ho tlotsa ha eardrum.
Likeletso tse ling:
- matla a antibacterial a lithethefatsi a ntlafala ha a futhumetse;
- ha thempereichara e nyoloha ho fihlela ho 100 ° C, ntho e sebetsang e ea bola ebe ka tsela e itseng e lahleha;
- ha ea lokela ho sebelisoa ka nako e tšoanang le iodine le li-antiseptics tse ling;
- haeba e kena ka lera la mucous la leihlo kapa ka hara mothapo o ka hare o nang le lefu la tsebe, ho hlokahala hore o li hlatsoe ka botlalo ka metsi;
- u se ke oa khothaletsa tšebeliso ea liforomo tsa metsi ho hloekisa letlalo kamora lilemo tse 30 ho isa ho tse 40 ka lebaka la kotsi ea ho ts'oaroa ho feteletseng;
- tharollo e ke ke ea metsoa (haeba ho e-ba le ho kenella ka phoso, ho molemo ho hlatsoa mpa ka metsi a mangata);
- suppositories ha e khothalletsoe ho sebelisoa ka nako e le ngoe le Viagra.
Mosebetsi ho bana
Bongoaneng, chlorhexidine e sebelisoa ka hloko. Li-lozenges le lozenges ha li laeloe ho fihlela lilemo tse 3 ka lebaka la kotsi ea ho kenella ntle le boithatelo (kapa ho laetsoe, kamora ho qhekella hore e be phofo, empa ho tloha ho lilemo tse 5). Bana ba khothalletsoa mefuta ea chlorhexidine e ngotsoeng "D" (mohlala, likerese Geksikon D).
Sebelisa nakong ea bokhachane le pelehi
Moriana maemong ana ha o kopantsoe haeba ho se na litla-morao. Bakeng sa maloetse a 'metso, basali ba bakhachane ba fuoa motsoako o sireletsehileng oa "antiseptic" Lizobakt (France), o hlahisitsoeng ka mokhoa oa lozenges.
Bongata
Liforomo tse tiileng, bakeng sa ho qoba tšebeliso e ngata ea meriana, li lokela ho nkuoa ho latela litaelo tse kentsoeng. Ho sebelisoa ha nako e telele ka tharollo kapa sesepa ho baka ho omella ha mucous le letlalo.
Ho sebelisana le lithethefatsi tse ling
Chlorhexidine (setlolo, tharollo) ha e lumellane le sesepa, alkaline le metsoako ea anionic:
- saponins (li-glycosides tse foofo);
- li-colloids (tharollo ea gelatinous);
- gum arabic (polysaccharide ea tlhaho, sekhomaretsi se khomarelang);
- sodium lauryl sulfate (moemeli ea sebetsang oa ho hloekisa);
- sodium carboxymethyl cellulose (sejo se tlatselletsang sa lijo).
Setlhare se lumellana le sehlopha sa cationic:
- belzalkonium chloride (e sirelletsang le e thibelang mafu);
- cetrimonium bromide (e bolokiloeng).
Tekanyo ea joala
Tai e ntlafatsa ts'ebetso ea chlorhexidine.
Li-analog
Li-analoggs tsa moriana ho ea ka lebitso la machaba le sa amehang (lebitso la ntho e sebetsang):
- Chlorhexidine bigluconate;
- Chlorhexidine gluconate;
- Chlorhexidine gifera;
- Ahdez 3000.
Meriana e meng e thehiloeng ho antiseptic:
- Amident, Tsiteal - tharollo;
- Gibiscrab - likerese;
- Heoticon, Katedzhel - gel;
- Plivasept - setlolo, tharollo, patch.
Lipehelo tsa khefu ea khemisi
OTC.
A na nka reka ntle le lengolo la ngaka?
Ntle ho lengolo la ngaka, lihlahisoa tsa seretse tsa ntho e kenelletseng li rekisoa, tse ka rekoang meqomong ea PVC (200 ml) kapa li-canon tsa polyethylene (1, 5, 25 le 50 l). Lipilisi, li-creams le plasters le tsona ha li na litlhoko tse ling tsa tlatsetso. Empa ka kopano e ikemetseng, o hloka ho bala litaelo.
Theko
Theko e ipapisitse le liforomo le bahlahisi:
- Tharollo ea 100 ml ka botlolong ea polasetiki -12 rub .;
- fafatsa 100 ml - li-ruble tse 23 .;
- Sebidin matlapa a 20 likhomphutha. - li-ruble tse 150.;
- matlapa a nang le Lithane tsa Hexoral li-20 likhomphutha. - li-ruble tse 180 .;
- aerosol Hexoral (0,2% chlorhexidine) 40 di ml - 370 li-ruble;
- fafatsa Anti-Angin 25 di ml ka vial e nang le sirapo - li-ruble tse 260 .;
- Anti-Angin lozenges 24 li-pcs. - li-ruble tse 170.;
- matlapa a Resorption Anti-Angin 20 li-pcs. -130 rub .;
- gel e nang le lidocaine Katedzhel 12,5 g - li-ruble tse 165.
- Mokelikeli oa Curasept (Switzerland) 200 ml (0,05% chlorhexidine) - li-ruble tse 1310.
Maemo a polokelo ea moriana
Ho khothalletsoa ho boloka chlorhexidine sebakeng se omileng le se lefifi, ka mocheso o sa feteng 25 + C.
Letsatsi la ho felloa ke nako
Bophelo ba sehatsetsi bo bontšoa ka paketeng. Tharollo ea metsi a metsi e bolokiloe ho fihlela lilemo tse tharo. Liforomo tse setseng ke lilemo tse 2, ke tsena:
- gel ea meno;
- litlolo le litlolo;
- li-aerosols;
- lozenges;
- liphutheloana;
- bactericidal patch.
Litharollo tse lokiselitsoeng tse etselitsoeng ho kenya thepa fekthering li lokela ho sebelisoa pele ho beke tse 1 kamora ho buloa.
Litharollo tse lokiselitsoeng sepetlele li lokela ho jelloa nakong ea lihora tse 10 kamora ho itokisa.
Moqapi
Likhamphani tse ling tsa kantle ho naha tse etsang lithethefatsi ka motsoako o sebetsang oa chlorhexidine:
- Glaxo Wellcome, Poland (Ho hlophisoa ha Sebidin);
- Famar Orleans, USA (Hexoral Spray);
- Nobelfarm ilach, Turkey (antiseptic Anzibel);
- Herkel, Netherlands (Drill lozenges, pipi ea Anti-Angin);
- AstraZeneca, UK (tharollo);
- Curaprox, Switzerland (Mokelikeli oa molomo oa Curasept);
- GIFRER BARBEZAT, France (moriana oa Chlorhexidine Giffer).
Litharollo tse lokisitsoeng tse entsoeng ka chlorhexidine ka har'a sephutheloana sa mantlha li lokela ho sebelisoa pele ho beke tse 1 kamora ho buloa.
Baetsi ba malapeng:
- Nizhpharm OJSC;
- LLC "Rosbio";
- Ergofarm LLC;
- CJSC Petrospirt.
Litlhahlobo
Maria, ea lilemo li 39, Moscow
Ke lula ke e-na le tharollo khabinete ea meriana, ke tšoara ntho e ngoe le e ngoe - ho tloha makhopho le litlolo ho ea ho meno le ho hlatsa. 'Me joaloka setlhare sa antiseptic ke sebelisa Clotrimazole (e boetse e na le chlorhexidine).
Anna, ea lilemo li 18, Omsk
Li-lollipops tse monate, ke sebelisa khafetsa ho thibela 'metso le mafua.
Mikhail ea lilemo li 64, Penza
Pele ke ne ke sebelisa iodine e 'ngoe feela. Empa kamora ho buuoa haufinyane, lingaka li khothalelitse Chlorhexidine bakeng sa kalafo ea suture. E sebelisoa khafetsa ho feta makhetlo a 2-3, sethethefatsi se thusitse haholo, 'me ha se tlohele masalla liaparo (ho fapana le li-greenbacks).
