Mob ntshav qab zib thiab txhua yam hais txog nws

Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.

Mob ntshav qab zib, ntau cov kabmob thiab cov kab ke ntawm tib neeg lub cev tau cuam tshuam. Ob txhais ceg yog ib lub hom phiaj uas tus kabmob ntaus. Vim tias cov ntshav qab zib siab ntau, kev hloov pauv tsis tau tshwm sim hauv cov hlab ntsha thiab cov hlab ntshav uas pub ko taw. Yog li ntawv thiaj li tau tu neeg mob ntshav qab zib kom yog qhov tseem ceeb.

Ua rau mob ntshav qab zib mob ceg

1. Mob ntshav qab zib ua rau lub paj hlwb puas yog neuropathy.Thaum lub sijhawm, cov leeg ntawm cov leeg puas ntsoog vim cov piam thaj ntau. Qhov no ua rau muaj kev ua txhaum ntawm lawv cov rhiab heev. Tus mob ntshav qab zib poob qhov muaj peev xwm hnov ​​mob mob, siab, kub. Thaum lub peev xwm no ploj, nws yog qhov yooj yim heev kom tsis txhob hnov ​​cov qhov txhab lossis txawm mob rau ntawm ob txhais ceg. Tias yog vim li cas ob txhais ceg ntawm cov ntshav qab zib nrog neuropathy tsis mob, thiab lawv tig mus lig rau lawv txoj kev kho mob,
2. Ntshav qab zib vascular puas tsuaj - angiopathy Nyob rau hauv ntshav qab zib mellitus, txoj haujlwm ntawm cov hlab ntshav thoob plaws lub cev tsis zoo. Cov hlab ntsha me me (ntu ib qho) ntawm cov ceg yog tshwj xeeb tshaj yog cuam tshuam, qhov no ua rau kev ua txhaum ntawm microcirculation thiab hypoxia ntawm cov hlwb. Vim li ntawd, daim tawv nqaij ntawm ob txhais ceg hauv cov ntshav qab zib tau qhuav heev thiab tsis ua haujlwm. Xws li pathological dryness tsis raug tshem tawm nrog tus moisturizer thiab ua rau cov kab nrib pleb uas kis tau. Cov qhov txhab pib txhim kho uas, vim tias tsis muaj microcirculation, zoo rau lub sijhawm ntev,
3. Kev noj qab haus huv rau cov leeg ntshav tes taw - arthropathy Tsis pom muaj protein ntau tsis txaus cov metabolism ua rau kev ua txhaum ntawm cov pob txha mos txoj kev loj hlob ntawm hyperostosis. Yog li, cov neeg mob ntshav qab zib feem ntau muaj mob hauv cov pob qij txha ntawm qhov qis qis, tshwj xeeb tshaj yog thaum taug kev. Arthropathy pib nrog o thiab liab ntawm ko taw. Xyoo dhau los, kev deformation ntawm cov ntiv tes zoo li, tshaj tawm o ntawm ko taw yog cai. Hauv cov xwm txheej loj, tsiv chaw, subluxations, pob txha tawg tshwm sim, vim qhov no, ko taw yog sab thiab dav dua.

Hauv cov tshuaj niaj hnub, tag nrho ntau yam kev mob ntshav qab zib feem ntau yog raug txhais los ntawm ib zaug xwb - “mob taw”.

Cov tsos mob

Muaj ntau cov tsos mob ntawm tus mob ko taw puas. Ib txhia ntawm lawv, tus neeg mob yuav tsis tsim nyog rau qhov muaj teeb meem ntshav qab zib, lossis txawm tias tsis ceeb toom txog. Hauv kev pom txog qhov no, txhua tus neeg mob ntshav qab zib yuav tsum paub cov tsos mob ntawm ceg puas hauv ntshav qab zib.

• daim tawv qhuav uas tsis tuaj yeem kov tsis tau nrog qab zib,
• tev thiab khaus ntawm daim tawv nqaij ntawm ob txhais ceg,
• hyperpigmentation thiab depigmentation ntawm daim tawv nqaij ntawm ceg,
• tsim cov qog ntau heev (hyperkeratosis),
• shin plaub hau poob rau txiv neej,
• hloov cov duab thiab tuab ntawm cov ntsia hlau,
• o pob luj taws
• daim tawv nqaij ntawm ob txhais ceg yog daj ntseg thiab txias rau qhov kov (tsis tshua muaj, ntawm qhov tsis sib xws, cyanotic thiab sov),
• fungal kis ntawm daim tawv nqaij ntawm tus taw thiab cov rau tes,
• loog ntawm qhov qis qis,
• ceg mob
• ua txhaum ntawm thermal, tactile thiab lwm hom rhiab.

Yog tias koj tsis them sai sai rau cov tsos mob saum toj no hauv lub sijhawm, tom qab ntawd ua rau muaj mob ntshav qab zib yuav mob ntxiv.

• tsis mob qhov tsis hnov ​​mob thiab qhov txhab,
• abscesses, phlegmon,
• arthropathy
• osteomyelitis (suppuration ntawm pob txha),
• gengren.

Cov yam ntxwv ntawm kev mob caj dab nrog neuropathy

Ob txhais ceg muaj ntshav qab zib ua mob rau ob qho tib si thaum taug kev thiab thaum so, tshwj xeeb tshaj yog cov neeg mob rau hmo ntuj. Raws li txoj cai, lawv yog cov nruab nrab siv, tab sis dhau sijhawm lawv siv ntau dua thiab tiv thaiv tus mob ntshav qab zib los ntawm kev coj ua lub neej zoo. Mob hauv taw thiab txhais ceg yog ib cheeb tsam, thiab cov pob qij txha loj yuav tsis tshua raug mob (mob ntshav qab zib). Hauv cov kabmob no, ntxiv rau qhov tseeb tias tus mob ntshav qab zib tau mob ceg, cov tsos mob kuj tau pom: cramps, tingling, loog, tsis muaj zog hauv ob txhais ceg, txo qis rhiab, o ntawm ob txhais ceg.

Cov ua rau ntawm cov tsos mob saum toj no tej zaum yuav txawv thiab tsis yog ib txwm tshwm sim los ntawm kev txhim kho ntshav qab zib - qhov no yog kev sib koom tes pathology, kev puas tsuaj rau cov hlab ntsha lossis cov hlab ntsha, cov hlab ntsha, osteochondrosis. Txhawm rau kom paub tseeb thiab txheeb xyuas qhov ua rau qhov tseeb, tus kws kho mob yuav tsum pom zoo kom kuaj.

Qhov kev kho mob rau cov mob ntshiv muaj qhov sib txawv thiab nyob ntawm tus kabmob thawj. Piv txwv li, cov tshuaj uas siv los kho cov mob sib koom tes tsis pab txo qhov mob hauv ob txhais ceg mob ntshav qab zib.

Mob caj dab o hauv ntshav qab zib kuj tseem muaj ntau yam ua. Feem ntau, tus neeg mob ntshav qab zib tau muaj kab mob hauv lub plawv, thiab, raws li koj paub, nrog kev mob plawv thaum yav tsaus ntuj, o ntawm txhais taw thiab txhais ceg tau tshwm. Edema kuj tuaj yeem yog vim yog kis rau ntawm cov leeg ntshav ntawm qhov qis qis. Sawv ntxov edema ntawm ob txhais ceg yog yam ntxwv ntawm ntshav qab zib mob raum kev puas tsuaj.

Ntshav qab zib mus ko taw kuaj

Nws yog ib qho tseem ceeb heev uas yuav tau mus ntsib kws kho mob kom ncav sijhawm txhawm rau kuaj mob ntshav qab zib cov teeb meem. Tus neeg mob tuaj yeem soj ntsuam xyuas cov ceg tawv qis hauv "Txhawj kab mob ntshav qab zib ko taw." Qhov twg tshwj xeeb kev cob qhia endocrinologist, vascular kws phais mob thiab cov neeg tu mob ua haujlwm.

Cov kws kho mob txheeb xyuas qhov ntau ntawm cov ceg puas, kho kev kho mob ntshav qab zib, thiab sau ntawv hais txog kev kho mob rau neuro - thiab mob ntsws. Cov kws tu mob nyob hauv cov haujlwm no qhia cov neeg mob kom ua zoo tu ko taw, ua kev tu huv ntawm lawv ob txhais ceg (txiav caj dab, pleev tshuaj pleev, thiab lwm yam).

Yuav soj ntsuam nyob rau hauv "Cov Kab Mob Ntshav Qab Zib" thaum pib kuaj mob ntshav qab zib mellitus, tom qab ntawd tsawg kawg ib xyoos ib zaug nrog kev noj qab haus huv ib txwm muaj.

Tshawb nrhiav hauv chaw ua haujlwm:

• kev soj ntsuam, nrog ib qho kev kuaj xyuas yuav tsum yog cov mem tes ntawm lub qis qis,
• neurological reflex xyuas
• kev kuaj mob ntawm cov hlab ntawm ceg,
• tshuaj xyuas qhov mob, nruj, qhov kub thiab lub cev thiab kev co rhiab,
• electroneuromyography.

Txawm hais tias muaj kev hloov pauv me ntsis hauv cov xwm txheej (qhov pom ntawm cov tsos mob tshiab) lossis mob me ntsis ntawm daim tawv nqaij ntawm ob txhais ceg - ib lub sijhawm yuav tig mus rau kws kho mob rau kev sib tham hauv ib hnub.

Mloog thiab Saib Xyuas

Kev tu xyuas ko taw mob ntshav qab zib yog ua raws qee txoj cai yooj yim tab sis tseem ceeb heev:

1. Txhua txhua hnub, tus mob ntshav qab zib yuav tsum ua tib zoo saib nws ob txhais ceg, tshwj xeeb tshaj yog ntawm taw, ko taw, qhov tsis sib luag ntawm tus ntiv tes nrog kev pab ntawm daim iav tsom teeb rau hauv pem teb lossis nrog kev pab ntawm cov txheeb ze. Ntawm kev tshuaj xyuas, nws yog ib qhov tsim nyog los txheeb xyuas txawm tias me khawb, to, hlwv, tawg thiab lwm yam mob ntawm daim tawv nqaij tuaj yeem dhau los ua lub qhov rooj rau kev kis kab mob.
2. Tus kws kho mob ntshav qab zib yuav tsum ntxuav nws txhais taw txhua hnub nrog dej sov thiab tshuaj ntxuav tes tsis tu ncua, tshwj xeeb yuav tsum them rau qhov chaw sib deev. So lawv nrog blotting taw ntawm cov phuam muag muag.
3. Thaum thawj cov tsos mob tshwm sim ntawm cov kab mob fungal tshwm sim, tshwj xeeb tshaj yog nruab nrab ntawm cov ntiv tes, xws li tev tawm, quav hniav dawb, liab liab, khaus. Koj yuav tsum tau hu rau tus kws kho qhov tawv nqaij, nws yuav muab tshuaj kho, feem ntau yog ua hom tshuaj pleev ib ce.
4. Tus neeg mob ntshav qab zib yuav tsum tshuaj xyuas nws nkawm khau txhua hnub rau cov khoom txawv teb chaws, khoom tsim kua muag thiab lwm yam tsis xws uas tuaj yeem txhuam lossis ua kom tawv nqaij ntawm nws ob txhais ceg. Txhua qhov insoles nrog protrusions yog categorically contraindicated nyob rau hauv cov ntshav qab zib, raws li lawv tuaj yeem tiv thaiv kab mob pab rau kev tsim cov corns, bedsores, mob rau sab hauv.
5. Nrog kev saib xyuas zoo, txheej txheem koj cov ntiv taw, rau qhov no nws yog qhov zoo dua los siv cov ntsia hlau ua ntaub ntawv, tsis yog txiab. Ntsia cov ntsia hlau ncaj, nws yog qhov zoo dua los ua ke cov fab thiab tsis tawm ntawm cov ntse, vim lawv tuaj yeem raug mob rau lwm tus ntiv tes. Yog tias cov ntsia hlau tuab nrog ib daim ntawv, koj yuav tsum tau zom lawv rau saum, tawm tsuas yog 2-3 hli ntawm tuab. Cov ntiv tes tuab tuab heev thaum taug kev yuav ua kom lub siab lub ntsej muag txaj thiab ua rau lub siab mob.
6. Ua kom sov koj ob txhais ceg, nws yog qhov zoo dua yog siv cov thom khwm sov, tab sis tsis yog da dej kub lossis cua sov. Tus mob ntshav qab zib tau txo qis cua sov, vim li ntawd lawv tsis xav tias qhov kub ntawm dej tuaj yeem ua rau kub hnyiab. Rau tib qho laj thawj, cov neeg mob ntshav qab zib yuav tsum tsis txhob yws lawv ko taw.Thaum ntxuav lawv ko taw, kuj yuav tsum zam tsis txhob kub siab lossis qis kub. Ua ntej tshaj, xyuas cov dej hauv lub dab da dej los ntawm txhais tes thiab tsuas yog tom qab ua kom paub tseeb tias nws tsis tau kub ntub koj ob txhais ceg.
7. Yog tias koj pom ib qho kev raug mob, ces nco ntsoov, vim tias qhov khoom ntawm tanning ntawm cov mob ntshav qab zib ko taw, kev haus dej cawv daws ntawm "ntsuab", iodine, nrog rau cawv thiab poov tshuaj permanganate yog contraindicated. Yog li, txhua qhov txhab yuav tsum tau kho nrog cov tshuaj pleev kho tshwj xeeb, muaj 3% tov ntawm hydrogen peroxide, chlorhexidine, betadine, miramistin thiab nruj hnav khaub ncaws.
8. Raws li txoj cai, cov kabmob ntshav qab zib muaj cov tawv nqaij qhuav heev ntawm lawv ko taw. Tom qab ntxuav, nws yog qhov tsim nyog los ntub nws nrog nourishing, nplua nuj kev ua qab zib. Cov cream raws li cov roj zaub ntsuab kuj tsim nyog rau cov laj thawj no. Nws kuj tseem muaj txiaj ntsig los thov kev tiv thaiv cream nrog urea txhua hnub rau daim tawv nqaij ntawm txhais ceg.
9. Thaum pom daim tawv keratinized, nws yuav tsum tau kho nrog pumice. Hauv qhov no, qhov no yuav kho tau zoo tshaj plaws. Txawm li cas los xij, pumice yuav tsum hloov ntau ntau, vim tias pwm yuav tshwm sim hauv nws tus kheej. Tsis txhob siv txiab lossis txhuam hniav rau txoj kev ua no. Tom qab kho, daim tawv nqaij yuav tsum tau muab nrog lubricated nrog qab zib.
10. Tsis txhob siv salipod plasters, calluses, txiav cov cuab yeej kom tshem tawm cov tawv nqaij tawv.
11. Hnav khau yooj yim xwb. Nco txog kev yuav cov khau uas yuav tsum tau hnav. Kaw cov khau khiab nrog txoj siv sia ntawm koj cov ntiv tes. Thaum deforming lub taw, hnav cov khau orthopedic. Tsis txhob hnav khau rau ko taw, darned lossis thom khwm lossis cov thom khwm, thiab tsis txhob mus ko taw.
12. Taug kev txhua hnub hauv khau zoo rau yam tsawg 30 feeb. Ua zaws thiab qoj ib ce rau txhais ceg thiab txhais taw. Txiav kev haus luam yeeb.

Rau txoj kev kho mob zoo thiab kev tiv thaiv ntawm tus mob ko taw mob ntshav qab zib, tswj cov ntshav qab zib kom nyob thiab ua raws txoj cai rau kev saib ko taw. Qhov no yuav pab kom tsis txhob muaj cov teeb meem uas txaus ntshai xws li phlegmon thiab gangrene.

Yuav kho cov kab mob li cas?

Muaj ntau txoj hauv kev los kho tus mob, cov no yog cov kev kho mob rau cov mob ntshav qab zib taw thiab kev phais mob.

Cia wb mus ze saib kev kho mob ntshav qab zib taw nrog kev siv tshuaj. Hom no ua tau zoo thiab tau siv nyob rau hauv thawj theem ntawm tus kabmob, thaum qhov mob ntawm cov nqaij thiab tawv nqaij tsis tau khiav thiab tuaj yeem kho tau uas tsis yog phais.

Thawj qhov uas yuav tsum tau ua thaum ntsuas tus mob ko taw yog kom hloov tus neeg mob mus rau insulin, tsis hais txog kev mob ntshav qab zib. Tus kws kho mob sau cov tshuaj uas kho cov txheej txheem ntawm kev nqus dej qab zib (berlition, thioctacid), cov vitamins ntawm pawg B.

Kev ntshaus plab yuav tsum raug kho siv cov tshuaj raws li urea, albumin, thiab lwm yam. Nws yog qhov yuav tsum tau ua kom lub fluidity thiab coagulability ntawm cov ntshav.

Txhawm rau txhim kho tus neeg mob lub cev, kev tiv thaiv kab mob tau sau siv cov tshuaj tiv thaiv tshuaj tiv thaiv kab mob (piv txwv, Hloov Chaw Hloov, Splenopida, thiab lwm yam).

Ntshav qab zib npaj ko taw

Yog hais tias tus neeg mob muaj qhov txhab mob ua rau tsis mob rau cov pob txha thiab pob qij txha, cov tshuaj tua kab mob tuaj yeem kho tus mob ko taw rau sab hauv, qhov kev nqus tau yuav tsum nyob ntev li 7 txog 14 hnub.

Cov mob sib kis mob hnyav yuav tsum tau tswj hwm cov tshuaj tua kab mob los yog tso tshuaj rau.

Tshuaj tua kab mob rau kev kho mob ua mob rau ko taw:

• Co-amoxiclav.
• Azithromycin
• Avelox,
• Ciprofloxacip
• Invanz.

Kev kho mob ntawm taw taw mob taw yuav tsum tau ntxuav lub qhov txhab ua haujlwm nrog kev siv cov kua tshuaj tua kab mob.

Qhov kev xaiv thiab lub hom phiaj ntawm cov tshuaj hauv txhua tus neeg cov ntaub ntawv yuav tsum tau nqa los ntawm cov kws kho mob mus koom.

Txhawm rau muab cov tshuaj tua kab mob ua haujlwm, antiseptics yuav tsum chwv cov ntaub so ntswg tsawg kawg 20 feeb.

Rau kev siv:

• Hydrogen Peroxide 3%.
• Kev daws auv dej ntawm chlorhexidine 0.05%.
• Kev daws tshuaj iodine (iodine-povidone 10%).
• Cov tshuaj saline 0.9% (tus neeg saib xyuas kev nyab xeeb).
• Miramistin 0.01%.

Hauv qhov txhab kho tau, koj tuaj yeem nteg ib daim npog qhov ntswg duav nrog iodine dicerine (betadine).

Nyob ib ncig ntawm lub qhov txhab raug tso cai rau thov txheej txheej nyias ntawm cov roj pleev hydrocortisone.

Raws li cov tshuaj qab zib rau cov ntshav qab zib nrog cov tawv nqaij qhuav, muaj cov emollient muaj pes tsawg leeg haum - panthenol lossis bipanthen yog qhov haum.

Vaseline tsis tuaj yeem siv ua tshuaj pleev rau tus mob ko taw - nws yog qhov tsis zoo ntawm daim tawv nqaij thiab ua rau zaj duab xis ua roj rau nws cov nplaim, tiv thaiv qhov ntws ntawm oxygen mus rau cov ntaub so ntswg.

Nrog kev kis tus kab mob ntshav qab zib thiab ntshav qab zib phlegmon, yuav tsum tau mus pw hauv tsev kho mob ceev ceev ntawm tus mob ntshav qab zib. Nyob rau hauv cov mob hnyav, kev phais thiab kev kho mob yog nqa tawm hauv chav saib xyuas mob hnyav.

Koj puas nyiam tsab xov xwm? Qhia rau koj cov phooj ywg txog nws →

Tso cov ntaub ntawv thiab cov nyob ua ke

Hauv Lavxias thiab txawv teb chaws, kev lag luam kws tshuaj tsim cov tshuaj nrog cov tshuaj nquag chlorhexidine bigluconate (chlorhexidine bigluconate) ua ntau hom. Nov yog:

• aqueous kev daws teeb meem ntawm 0.05%, 0.2%, 1%, 5% thiab 20%,
• cawv cov kev daws teeb meem thiab tshuaj tsuag ntawm 0.5%,
• qhov paum ntawm qhov paum tas nrho (Hexicon suppositories) 8 thiab 16 mg,
• ntaub xaum
• tsiav tshuaj
• lollipops
• lozenges
• sawv daws
• tshuaj pleev
• bactericidal thaj ua rau thaj.

Rau kev siv tus kheej, cov khoom lag luam tsim tawm hauv ntim ntawm 2, 5, 10, 70, 100 thiab 500 ml. Rau siv rau hauv tsev kho mob - hauv 2 litre fwj.

Kev daws auvous ntawm chlorhexidine bigluconate concentration ntawm 0.05% yog kua ntshiab uas tsis muaj txo. 1 ml ntawm cov tshuaj muaj 0.5 mg ntawm cov tshuaj nquag. Lub koom haum pabcuam yog lim dej kom huv. 70 lossis 100 ml daws tau ntim rau hauv hnab yas lossis khob fwj. Qee tus ntawm lawv muaj nruab nrog dispensers kom yooj yim siv. Cov hlab ua los ntawm polyethylene muaj 2, 5 lossis 10 ml ntawm antiseptic.

Txau nrog 0,5% tov yog muab ntim rau hauv 70 thiab 100 ml.

Hauv 1 lub raj mis lossis lub raj mis nrog lub hau ntim lossis taub hau - 5 g ntawm chlorhexidine bigluconate. Lub Cheebtsam pabcuam: 95% ethanol diluted nrog dej lim. Nws yog cov kua ntshiab, tsis muaj kob uas yuav muaj me ntsis nacre ntxoov ntxoo. Nws hnov ​​ntxhiab tsw ntawm cawv. Txau nrog 0,5% tov yog muab ntim rau hauv 70 thiab 100 ml.

Pharmacological kev txiav txim

Cov tshuaj yog ib feem ntawm pawg sib txawv ntawm kev siv tshuaj tua kab mob thiab tshuaj tua kab mob. Lub cuab tam muaj qhov cuam tshuam:

• antiseptic
• tua kab mob
• lub teeb ua kom loog
• fungicidal (ua rau kev puas tsuaj ntawm fungi).

Qhov xwm ntawm cov nyhuv ntawm cov tshuaj nyob ntawm tus nqi ntawm cov tshuaj nquag. 0.01% kev daws teeb meem muab cov txiaj ntsig bacteriostatic, tiv thaiv kev loj hlob ntawm cov kab mob me me. Cov khoom ua kua nrog cov tshuaj chlorhexidine bigluconate ntau dua 0.01% muaj cov nyhuv bactericidal, rhuav tshem cov kab mob ntawm qhov cua ntawm + 22 ° C rau 1 feeb. 0.05% kev daws teeb meem tsim cov nyhuv fungicidal li ntawm 10 feeb, thiab ntawm 1% cov concentration, virucidal cuam tshuam tawm tsam herpes pathogens tshwm sim.

Kev suav ntawm cov tshuaj nquag ntawm cov tshuaj rhuav tshem lub cell daim nyias nyias ntawm pathogens, uas tsis ntev tuag. Txawm li cas los xij, qee hom qauv kab mob, spores ntawm microbes thiab fungi, ntau hom kab mob tiv thaiv tus neeg sawv cev. Cov txiaj ntsig zoo ntawm cov tshuaj yog manifested nyob rau hauv kev sib raug zoo rau cov nram qab no pathogens ntawm kis kab mob:

Bactero> Cov khoom ua kua nrog cov tshuaj chlorhexidine bigluconate ntau dua 0.01% muaj cov nyhuv bactericidal, rhuav tshem cov kab mob ntawm qhov kub ntawm + 22 ° C hauv 1 feeb.

Vim tias lub sij hawm ntev siv tshuaj tua kab mob, cov tshuaj siv tau dav siv hauv kev phais mob raws li txhais tau tias kev siv tshuaj tua kab mob. Cov tshuaj tso tawm me ntsis qis dua cov kev ua haujlwm ntawm cov tawv nqaij thiab cov qog ua pa nyob rau ntawm cov ntshav, pus, thiab kua dej ua zais hauv lub cev.

Ib qho kev daws teeb meem rau kev siv sab nraud tsis nkag rau cov roj ntsha thiab tsis muaj cov txiaj ntsig hauv lub cev. Thaum raug cov khoom noj tsis haum, nws tsis yog qhov nqus tau ntawm txoj hnyuv thiab yuav luag tag nrog cov quav.

Kev ntsuas rau siv

Cov neeg tsim khoom lag luam pom zoo rau kev siv ntau tshaj plaws ntawm 0.05% chlorhexidine tov hauv kev kho mob.

Hauv kev kho mob gynecology - rau kev kho thiab tiv thaiv:

• khaus ntawm rab qau
• ncauj tsev menyuam yaig,
• ureaplasmosis,
• mob chlamydia
• trichomoniasis
• Trichomonas colpitis,
• gonorrhea
• mob syphilis.

Hauv kev kho hniav thiab ENT xyaum, ntxiv rau kev kho mob tom qab thiab ntxuav hniav looj, qhia txog kev siv cov cuab yeej yog cov kabmob xws li:

Kev daws kuj tuaj yeem siv ua tshuaj tua kab mob hauv zos:

• rau kev kho mob ntawm kub hnyiab thiab mob txhab,
• thaum lub sij hawm ntxuav ntawm daim tawv nqaij ntawm cov neeg mob ua thiab phais neeg ua haujlwm,
• nrog rau qhov sib kis ntawm cov khoom siv kho mob, twj paj nruag, khoom siv uas tsis tuaj yeem raug rau kev kho cua sov.

Yuav thov cov tshuaj chlorhexidine 0.05 li cas?

1. Kev raug mob rau ntawm daim tawv nqaij, kub hnyiab: ntub ib daim ntaub uas tsis huv nrog lub tshuaj tua kab mob thiab siv rau qhov mob ntev li 2-3 feeb (nws tsis tas yuav kho nrog cov hlua khi lossis cov ntaub qhwv). Ua ntawv thov 2-4 zaug ib hnub.
2. Mob Angina, pharyngitis, laryngitis, mob hniav, txhab, fistulas, cov pos hniav mob tom qab phais mob, raug mob ntawm lub qhov ncauj ntawm qhov ncauj: ua ntej tshem tawm cov zaub mov khib nyiab nrog me ntsis dej sov, tom qab ntawd nqa 1-2 tbsp. daws thiab yaug koj lub qhov ncauj, caj pas rau li 1 feeb 3-4 zaug ib hnub. Txawm li cas los xij koj yuav tsum nqos chlorhexidine! Tom qab yaug, tsis txhob haus lossis haus rau 1 teev.
3. Cov txheej txheem mob ntawm tus poj niam lub cev qhov chaw mos: nyob rau hauv txoj hauj lwm nquag, douching, nyem 0,5-1 ml ntawm cov tshuaj mus rau hauv lub paum los ntawm cov thawv yas. Tom qab ntawd dag rau 8-10 feeb. Ua 2-3 tus txheej txheem txhua hnub rau 1-1.5 lub lis piam.
4. Cov kab mob ua ntej tso zis: hno 2-3 ml ntawm kev daws 2-3 zaug ib hnub rau hauv qhov zis. Lub chav kawm ntawm kev kho mob yog 5-10 hnub.
5. Kev tiv thaiv kab mob rau hauv chaw mos: ua ntej tso zis, tom qab ntawd txhaj nrog ib rab koob uas tsis tas txhaj koob 2-3 ml ntawm cov tshuaj mus rau qhov zis, poj niam - 5-10 ml thiab mus rau hauv qhov chaw mos. Yuav tsum tau kho cov tawv nqaij nyob ib ncig ntawm sab nraud ntawm qhov chaw mos. Koj tuaj yeem tso zis nkaus xwb tom qab 2 teev. Qhov kev tiv thaiv kab mob muaj txiaj ntsig yog siv sijhawm ntev dua 2 teev tom qab qhov kev tiv thaiv tsis muaj kev tiv thaiv lossis kev ua txhaum ntawm kev ncaj ncees ntawm lub hnab looj.

0.05% Chlorhexidine daws tau npaj txhij rau kev siv sab nraud. Thaum muaj kev kub siab ntau dua, cov tshuaj yuav tsum tov nrog dej rhaub ntawm chav sov hauv qhov sib piv hauv qab no:

Thaum muaj kev cuam tshuam ntau dua, cov tshuaj yuav tsum tov nrog dej hau ntawm chav tsev kub.

Cov tshuaj tsis yog npaj rau siv hauv kev xyaum ophthalmic. Chlorhexidine yuav tsum tsis txhob pub rau hauv lub qhov muag. Yog tias qhov no tshwm sim los ntawm kev sib tsoo, nws yog ib qho tsim nyog los yaug lawv nrog dej ntws, thiab tom qab ntawd qhia kev daws teeb meem ntawm sodium sulfacil (Albucid).

Cov neeg mob tuaj yeem siv cov tshuaj hauv ib qho twg. Txawm li cas los xij, tau txais cov khaub noom, lozenges, koj yuav tsum xyuas kom lawv muaj cov khoom qab zib, tsis sucrose.

Kev phiv tshuaj ntawm chlorhexidine 0.05

Qhov tsis xav tau ntawm kev siv cov tshuaj tshwm sim hauv qee qhov tsis tshua muaj tshwm sim thiab ploj sai sai tom qab nws tshem tawm. Nov yog:

• kev ua xua - ua pob khaus, liab ntawm daim tawv nqaij, tawm pob, dermatitis hauv qhov chaw sib chwv nrog txoj kev daws,
• luv-term nplaum ntawm daim tawv nqaij ntawm ob txhais tes,
• daim tawv nqaij qhuav,
• kev tsim duab (nce rhiab rau lub hnub ci),
• qhov tsaus ntuj ntawm tus hniav txha hniav laus, nce tsim ntawm tartar, saj perversion (nrog nquag yaug ntawm lub qhov ncauj ntawm lub qhov ncauj),
• txog siav, anaphylactic ceeb (tsis tshua muaj neeg).

Cov lus qhia tshwj xeeb

Cov kev tiv thaiv tsis sib haum ntawm kev daws nrog cov mob meninges, qhib kev raug mob ntawm lub hlwb thiab leeg nrob qaum, txhaws ntsej muag, hnov ​​pob ntseg.

Antiseptic tsis yog siv rau kev kho mob rhinitis, sinusitis, otitis media.

Cov cuab yeej yuav tsum tsis txhob siv rau kis kab mob (rau lub hom phiaj no, koj tuaj yeem siv, piv txwv li Miramistin).

Hauv kev daws teeb meem nrog kev saib xyuas siab dua 0.2%, nws yog txwv tsis pub ua cov qog ua kua thiab qhib nqaij tawv.

Chlorhexidine yog tshuaj, tsis yog khoom tu cev. Koj tsis tuaj yeem siv txoj kev daws teeb meem rau kev saib xyuas txhua hnub ntawm lub qhov ncauj kab noj hniav, ntawm chaw mos, vim tias kev fab tshuaj tuaj yeem tshwm sim, dysbiosis tuaj yeem tsim kho.

Nws yog txwv tsis pub dilute cov tshuaj nrog dej ntxhia, ntxiv ci dej qab zib rau nws.

Qhov ua tau zoo ntawm cov tshuaj nce ntxiv nrog cua sov, tab sis ntawm qhov kub txog + 100 ° C, chlorhexidine bigluconate pov tseg thiab yuav luag poob nws cov khoom kho kom zoo.

Rinsing nrog tov yog qhov ua tau zoo raws li qhov txuas nyob hauv kev kho mob nyuaj. Tab sis nws tsis yooj yim sua kom rhuav tshem cov kab mob pathogenic nrog tsuas yog ib qho kev siv tshuaj tua kab mob, tshuaj tua kab mob yuav tsum tau noj tib lub sijhawm.

Rinsing nrog tov yog qhov ua tau zoo raws li qhov txuas nyob hauv kev kho mob nyuaj.

Rau cov menyuam yaus, kev npaj muaj chlorhexidine bigluconate yog tsim nrog cov ntawv sau "D", piv txwv li, tswm ciab Geksikon D. Lollipops, lozenges rau resorption kom tsis txhob nqos, koj tuaj yeem muab rau cov menyuam hnub nyoog qis dua 5 xyoos.

Kev daws tsis xeb hlau, yas, iav khoom. Txawm li cas los xij, ntawm cov ntaub so ntswg uas tau chwv nrog chlorhexidine, xim av tshwm tuaj thaum ntxuav nrog hypochlorous tus neeg sawv cev.

Yog tias cov tshuaj nkag mus rau hauv lub cev, nws muaj kev cuam tshuam los ntawm kev tiv thaiv kev tiv thaiv doping.

Txij li tsis muaj pov thawj pov thawj ntawm kev ua kom tsis muaj teeb meem ntawm kev siv sab nraud thiab hauv zos, lawv yuav tsum tsis txhob kho cov menyuam yaus tsis tau muaj hnub nyoog 7 xyoo. Yuav tsum muaj kev saib xyuas tshwj xeeb thaum yaug qhov ncauj thiab caj pas kom tiv thaiv tus me nyuam los ntawm kev daws qhov teeb meem.

Cov cuab yeej tuaj yeem siv tau thaum cev xeeb tub thiab pub niam mis, raws li thaum muab yaug, siv hauv lub tshuab nqus tsev tshuaj, cov tshuaj tsis nkag rau hauv cov ntshav ncig. Txawm li cas los xij, douching nrog ib qho kev daws teeb meem yog txwv tsis pub, vim tias thaum lub sijhawm ua cov txheej txheem no, koj tuaj yeem tsim kev tawm tsam tus kabmob mus rau qhov chaw mos. Ntau tus kws kho mob pom zoo siv cov lozobact lozenges kom muaj kev nyab xeeb, Hexicon suppositories txhob siv cov chlorhexidine thaum cev xeeb tub.

Chlorhexidine tuaj yeem siv thaum cev xeeb tub.

Kev cuam tshuam nrog lwm yam tshuaj

Cov tshuaj yog sib xws nrog xab npum, tshuaj ntxuav tes, alkalis thiab lwm yam tshuaj anionic (colloidal ntsiab, cov pos hniav arabic, carboxymethyl cellulose, sodium lauryl sulfate).

Cov cuab yeej siv tau rau cov tshuaj muaj cationic pawg (cetrimonium bromide, benzalkonium chloride, thiab lwm yam).

Kev sib cuam tshuam nrog cov roj carbonates, chlorides, sulfates, phosphates, borates, citrates, cov tshuaj ua rau cov tshuaj tiv thaiv kev tsis haum tshuaj sib xyaw.

Nws yog txwv tsis pub siv Chlorhexidine rau kev yaug nrog rau iodine, Lugol txoj kev daws teeb meem, thiab lwm yam tshuaj tua kab mob.

Nws yog txwv tsis pub siv chlorhexidine rau kev yaug nrog iodine.

Cov tshuaj yuav ua rau muaj kev nkag siab zoo ntawm cov kab mob ua rau cov kab mob rau Neomycin, Kanamycin, Levomycetin, tshuaj tua kab mob ntawm cov pab pawg cephalosporin.

Kev haus cawv ethyl txhim kho kev ua tau zoo ntawm cov tshuaj.

Chlorhexidine tuaj yeem hloov pauv nrog cov tshuaj ntawm cov txiaj ntsig zoo sib xws lossis zoo sib xws. Nov yog:

• Am Nkaub
• Anzibel
• Mob caj pas,
• Bactosin
• Hexicon
• Hexoral
• Laum
• Khawv koob
• Miramistin
• Mucosanin,
• Pantoderm
• hydrogen peroxide
• Plivacept,
• Sebidin
• Furatsilin,
• Chlorophyllipt,
• Citadel
• Eludryl li al.

Chaw tsim tshuaj paus

Cov tuam txhab tsim cov tshuaj chlorhexidine bigluconate npaj:

• "BioFarmKombinat", "Biogen", "Biochemist", "Lub Hoobkas Tshuaj Kemerovo", "Medsintez", "Medkhimprom-PCFK", "Moscow Lub Chaw Tsim Tshuaj" (Russia),
• Nizhpharm, Renewal, Petrospirt, Rosbio, Lub Hoobkas Tshuaj ntawm St. Petersburg, FarmVILAR, Pharmproekt, EKOlab, Ergofarm, Eskom, Yuzhpharm (Russia) ,
• Glaxo Wellcome (Poland),
• Lub npe nrov Orleans (TEB CHAWS USA),
• "Nobelfarma Ilach" (Qaib ntxhw),
• Herkel (Netherlands),
• AstraZeneca (Great Britain),
• Kuraproks (Switzerland),
• Gifrer-Barbeza (Fabkis).

Kev soj ntsuam ntawm Chlorhexidine 0.05

Irina, 28 xyoo, Klimovsk.

Kuv ib txwm muaj cov cuab yeej no hauv kuv lub tsev tshuaj tua kab mob hauv tsev. Kuv feem ntau siv nws thaum kuv xav kho ib tug me tub. Nws yuav los tsev nrog abrasions, ces nws yuav ntes caj pas. Tus nqi tshuaj ib lub penny, thiab cov hauj lwm zoo tsuas yog zoo. Ntxiv mus, chlorhexidine tsis hlawv, tsis ua mob, tsis zoo li iodine, hydrogen peroxide, greenback. Cov tshuaj tseem ceeb rau menyuam yaus.

Mikhail, 32 xyoo, Morshansk.

Thaum tus hniav puas tau raug tshem tawm, nws yaug nws lub qhov ncauj nrog kev daws tom qab noj mov thiab thaum tsaus ntuj. Qhov no yog qhov zoo tiv thaiv qhov txhab tawm tsam kev kis mob. Nws yog qhov zoo uas tsis muaj kev tsis sib haum xeeb tau tshwm sim. Desna kho sai thiab tsis muaj teeb meem. Txij thaum ntawd kuv tau tsav cov khoom no hauv cov khoom siv tsheb.

Marina, 24 xyoo, Krasnogorsk.

Kuv ib zaug tau muaj thrush. Nws sib koom ua ke, thiab kev tawm tsev sai sai. Tam sim no los ntawm ib lub sijhawm Kuv siv cov tshuaj rau kev tiv thaiv. Thiab nrog angina nws pab tau zoo. Qhov tsim nyog, tshuaj tua kab mob zoo.

Cov ntaub ntawv soj ntsuam

Txoj kev kho kom zoo thiab kev nyab xeeb ntawm chlorhexidine tau kawm nyob rau hauv kaum tawm thoob ntiaj teb kev sim tshuaj. Cov tshuaj tau lees paub tias qhov ua haujlwm siab tiv thaiv ntau yam ntawm cov kab mob, fungi thiab protozoa.

Hauv kev sim loj-loj hauv xyoo 1988 (Garibaldi, R. A), cov tshuaj tua cov kab mob chlorhexidine thiab povidone iodine raug sib piv. Kev koom nrog hauv kev sim tau koom nrog 700 tus neeg mob uas tau raug xaj kom phais.

Tam sim ntawd ua ntej kev ua haujlwm, cov neeg ua haujlwm pab dawb tau da dej nrog ib qho ntawm cov ua kom ua tiav. Kev soj ntsuam kuaj pom tias chlorhexidine txo cov microbial ntau ntawm daim tawv nqaij los ntawm 9–9,5 zaug, thaum povidone iodine tsuas yog 1.5-2 zaug.

Nyob rau xyoo 2002-2006, Asmeskas Lub Tsev Haujlwm Saib Xyuas Menyuam Kev Noj Qab Haus Huv tau soj ntsuam seb txoj kev kho cov menyuam mos liab li cas nrog chlorhexidine ntau teev tom qab yug tau los cuam tshuam txog kev tuag ntawm cov menyuam mos. Txoj kev tshawb no tau ua tiav hauv Nepal, qhov feem pua ​​ntawm kev yug menyuam hauv tsev yog qhov siab.

Cov lus piav qhia tau ua haujlwm ntawm 413 cov zej zog hauv zej zog, cov tswvcuab tau pom zoo kom kho cov menyuam mos nrog 4% chlorhexidine tov. Tshaj li ntawm 4 xyoos ntawm kev soj ntsuam, qhov ntau zaus ntawm cov me nyuam tuag nyob rau hauv cov neeg tau kawm tsawg dua 30%.

Xyoo 1999, Tsev Kawm Ntawv University of Oslo tau kawm txog kev muaj peev xwm ua tshuaj tua kab mob los txo qis kev sib kis ntawm cov kab mob streptococci los ntawm niam rau menyuam thaum yug menyuam. Kev daws 0.2% ntawm cov tshuaj tau rau cov poj niam kis tus kab mob thaum ua haujlwm.

Cov txiaj ntsig tau pom tias qhov xwm txheej ntawm cov menyuam mos poob qis dua li 20%. Tsis muaj kev phiv tshuaj dab tsi cuam tshuam nrog kev cuam tshuam nrog chlorhexidine raug pom ntawm cov menyuam yaus.

Ib qho dig muag, kev saib xyuas cov tshuaj placebo rau qhov tshwm sim ntawm cov tshuaj nyob rau hauv chav kawm ntawm stomatitis tau ua nyob hauv University of Kentucky hauv 1988.

Hauv cov neeg mob uas tau pom zoo siv cov tshuaj yaug nrog chlorhexidine, cov sau phau ntawv sau tseg tias qhov hnoos qeev tsawg dua, qhov txo qis hauv streptococcus thiab cov poov xab ua poov xab.

Hauv txhua qhov kev sim, cov kws kho mob tau saib xyuas kom muaj kev nyab xeeb zoo ntawm cov tshuaj. Muaj qee zaus, muaj qhov ua xua nyob rau ntawm cov kab mob ntawm lub qhov muag thiab tawv nqaij tau sau tseg. Nws muaj peev xwm tshem tawm cov kev mob tshwm sim tom qab txo qhov kev xav ntawm cov tshuaj tiv thaiv kab mob.

Cov ntaub ntawv muaj kuab lom

Cov kev mob toxicity ntawm chlorhexidine tau kawm hauv chav sim tshuaj rau nas dawb. 0.5% kev daws tau muab rau cov tsiaj subcutaneously, mob pob ntseg thiab pob ntseg. Nws tau raug pov thawj tias cov tshuaj tsis muaj mutagenic, teratogenic thiab embryotoxic cov teebmeem. Lub zog inhibitory tsis muaj zog rau cov haujlwm ntawm kev ua me nyuam plab hnyuv tau sau tseg.

Kev Sau, tso daim ntawv, ntim khoom

Cov ntawv hauv qab no chlorhexidine muaj nyob rau ntawm kev lag luam kws tshaj lij Lavxias:

• Kev daws teeb meem nrog cov tshuaj cuam tshuam ntawm 0.05, 0.1, 0.15, 0.2, 0.5, 1, 4, 5, thiab 20%. Cov tshuaj yog ntim hauv cov hwj yas, lam fwj lossis aerosol cov kaus poom.
• Cov cawv ua kev daws teeb meem nrog kev siv tshuaj yeeb dej caw ntawm 0.5 lossis 0.8%. Daim foos no muag hauv 100-500 ml fwj.
• Vaginal suppositories nrog cov tshuaj ntxiv ntawm 16 thiab 8 mg. Ntim hauv cov hlwv yas thiab tom qab ntawd hauv cov thawv ntawv los ntawm 5 lossis 10 daim.
• 0.5% gel rau kev siv sab nraud. Nws yog tsim hauv cov raj ntawm 15-30 g.
• 1% cream rau kev siv sab nraud. Muaj nyob hauv cov hlab ntawm 50 g.
• 1% emulsion (hauv glycerin) rau kev siv sab nraud. Ntim hauv 200 ml fwj.

Mechanism ntawm kev ua

Nyob rau hauv ib puag ncig muaj sia, chlorhexidine cuam tshuam los tsim cov cations nquag uas cuam tshuam nrog kev cuam tshuam tsis zoo ntawm cov kab mob ntawm phab ntsa. Cov xwm txheej rau cov khi yog feem ntau nyiam nyob ntawm pH qhov tseem ceeb ntawm 5 txog 8.

Hauv qhov tsis tshua muaj zog, cov tshuaj thaiv kev thauj khoom ntawm ions los ntawm cov kab mob ntawm cov kab mob pathogenic, uas ua rau txoj kev txhim kho ntawm cov kab mob bacteriostatic. Ntawm qhov ntau ntawm ntau dua 0.01%, xovtooj ntawm phab ntsa tawg, uas ua rau cov microbes tuag sai sai.

Thaum muaj ntshav thiab pus, qhov tshwm sim ntawm cov tshuaj txo qis me ntsis.

Antimicrobial Kev Ua Si Spectrum

Chlorhexidine nquag tawm tsam:

• cov kab mob gram-positive (streptococci, staphylococci, clostridia),
• cov kab mob gram-tsis zoo (neisseria, chlamydia, ureaplasma, bacteroids, enterobacteria),
• poov xab thiab poov xab zoo li nceb,
• dermatophytes,
• cov tshuaj protozoa (trichomonas, chlamydia, thiab lwm yam),
• qee cov kab mob (tus kab mob pob mob herpes, khaub thuas A virus).

Cov tshuaj tsis cuam tshuam rau lactobacilli, muaj cov kab mob tiv thaiv kab mob rau cov kab mob thiab cov pwm nphoo.

Fungicidal cov yam ntxwv yog ua kom pom thaum cov concentration ntawm chlorhexidine ntau dua 0.05%, virucidal - ntawm qhov kev txiav txim siab ntau dua 1%.

Lub Npe Tsis Muaj Npe International

Qhov ATX kev faib hom yog G01A X. Hais txog cov tshuaj tua kab mob siv hauv kev soj ntsuam.

Chlorhexidine 1 yog ib qho tshuaj muaj txiaj ntsig nrog cov tshuaj tua kab mob ntsig txog cov tshuaj loj.

Cov Tshuaj Pharmacokinetics

Cov tshuaj ua rau pom qhov kev coj ua tsim nyog tom qab 2-3 feeb tom qab nws ntub cov dej uas tau kho ntawm lub cev.

Chlorhexidine tsis ua haujlwm rau lub qog ua paug.

Nws tsis nkag rau hauv cov ntshav thiab tsis ua kom tsis muaj zog ntawm lub cev.

Cov Yuav Tsum Tau Ua

Cov tshuaj yuav tsum tsis txhob siv los ntawm cov neeg uas muaj kev fab rau ua xua. Kev haus dej haus cawv tsis tau pom zoo siv los kho lub qhov ntswg thiab qhov ncauj. Ob lub qhov muag tau so tsuas yog nrog kev daws teeb meem, tsis nrog cawv.

Nws yog txwv tsis pub muab tshuaj rau cov neeg mob dermatitis. Ceev faj yuav tsum tau muab tshuaj rau hauv kev xyaum rau menyuam yaus. Lawv tsis kho thaj chaw phais nrog kev cuam tshuam ntawm cov leeg ntshav, lub hlwb.

Nws yog txwv tsis pub siv nrog lwm cov tshuaj tua kab mob.

Kev Siv Tshuaj Chlorhexidine 1

Qhov kev daws teeb meem yog muab tsuas yog ntsia sab nraud. Rau lub hom phiaj ntawm kev hnav khaub ncaws, ntub dej thiab ntxhua khaub ncaws, siv cov kev daws teeb meem nrog kev muaj chlorhexidine hauv lawv los ntawm 0.05 txog 0.5%. Txhawm rau ua qhov no, qhov xav tau ntawm txoj kev daws teeb meem tau thov rau qhov tsim nyog ntawm lub cev rau 1-3 feeb ob zaug lossis peb zaug ib hnub. Rau lub hom phiaj ntawm kev thov ib yam tshuaj tua kab mob, dej tau ua tiav lossis tampon siv rau qhov no.

Rau kev kho tshwj xeeb ntawm daim tawv nqaij, nws yog noo nrog Chlorhexidine rau 2 feeb. Nws raug thov los npaj tes ntawm kws phais neeg. Rau qhov no, txhais tes ntxuav kom huv nrog xab npum li 2 feeb, tom qab ntawd qhuav nrog ib daim ntaub uas ntxuav tawm. Txog ntawm daim tawv nqaij qhuav, txoj kev daws teeb meem yog siv ob zaug nrog 5 ml nrog txhuam. Koj tsis tuaj yeem so nws, nws yuav tsum qhuav.

Chlorhexidine yog siv los kho thaj chaw phais thiab lub luj tshib ntawm cov ntshav pab. Txhawm rau ua qhov no, so cov tawv nqaij nrog daim tawv nqaij pleev tawv ntawm daim tawv nqaij. Kev daws yuav tsum khaws cia rau 2 feeb. Cov tawv nqaij tau kho rau tib qho kev coj.

Txoj kev daws teeb meem tau tso cai rau siv rau lub rooj zaum, khoom siv, rooj, thiab lwm yam. Cov dej ntws yog 100 ml rau 1 m².Kev daws yog tso cov khoom raws li cov lus qhia.

Tus xau tau siv rau stomatitis, balanoposthitis, dermatological lesions, kom tshem tau pob txuv.

Cov tswm ciab tso rau hauv qhov chaw mos. Rau qhov no, tus neeg mob pw ntawm nws sab nraub qaum. Cov kws kho mob pom zoo kom siv 1 lub tshuaj ntxiv ob zaug hauv 24 teev rau ib lim tiam, qee zaum txog 10 hnub. Hauv cov xwm txheej loj, cov kws kho mob zuaj ib ce txuas lub sij hawm kho ntxiv 20 hnub.

Tus xau tau siv rau stomatitis, balanoposthitis, dermatological lesions, kom tshem tau pob txuv. Nws raug siv rau thaj chaw muaj kabmob. Tib yam siv rau kev siv cov tshuaj nplaum los yog tshuaj pleev nrog ntxiv ntawm no biguanide.

Hauv cov kab mob pathologies hauv lub qhov ncauj, 1 ntsiav tshuaj yog siv los tuav hauv lub qhov ncauj tom qab noj mov (nce txog 4 zaug hauv 24 teev). Hauv kev kho hniav, cov tshuaj ua kom yaug tau npaj.

Nrog rau qhov mob orethra, lub zais zis, ib qho me me ntawm cov tshuaj tau txhaj rau hauv qhov zis tso zis. Nws raug nquahu kom siv cov tshuaj txhua lwm hnub. Lub sijhawm ntawm cov txheej txheem yog 10 hnub. Ua ntej cystoscopy, nws raug nquahu kom yaug lub zais zis nrog Chlorhexidine. Ua raws li cov txheej txheem no yuav pab kom tsis txhob mob cystitis.

Yaug koj lub qhov ncauj pom zoo 2 zaug thaum nruab hnub. Thaum sawv ntxov, yaug koj lub qhov ncauj tom qab noj tshais thiab txhuam hniav tas. Nyob rau yav tsaus ntuj, koj yuav tsum ua cov txheej txheem nyob rau hauv tib qho kev coj ua. Cov yaug yaug tawm ntev txog 10 hnub. Cov kua yuav tsum khaws cia hauv lub qhov ncauj li 60 vib nas this, vim hais tias thaum lub sijhawm no tau tsim ib zaj yeeb yaj kiab los ntawm cov qog ua kua thiab ntawm cov hniav uas tiv thaiv kom nkag mus ntawm cov kab mob pathogenic.

Kev kho mob ntawm khau nrog Chlorhexidine yog nqa tawm los txhawm rau tiv thaiv cov kab mob fungal ntawm ob txhais ceg thiab tshem tawm cov ntxhiab tsw.

Kev kho mob ntawm khau nrog Chlorhexidine yog nqa tawm los txhawm rau tiv thaiv cov kab mob fungal ntawm ob txhais ceg thiab tshem tawm cov ntxhiab tsw. Txhawm rau ua qhov no, siv cov tshuaj tsuag uas dej pleev xim rau sab hauv khau. Tus txheej txheem no yuav tsum tau ua txhua hnub txhawm rau txhim kho qhov txiaj ntsig ntawm kev tiv thaiv. Tsis tas li ntawd, cov tawv nqaij ko taw tuaj yeem kho nrog tib cov tshuaj tsuag kom tua tau cov kab mob fungal pathogens sai dua.

Yuav ua li cas thiaj yug me nyuam rau yaug

Kev daws rau yaug lub qhov ncauj tau npaj rau cov txheej txheem, vim tias nws yog diluted nyob rau hauv kev nyab xeeb kev tsom xam ntawm 0.05%. Nws tsis nyob hauv dej. Yog hais tias muaj tshuaj ntawm 0.1%, tom qab ntawd ib nrab ntawm cov khob ntawm cov kev daws yuav tsum ntxiv cov dej sib npaug.

Lwm txoj hauv kev rau kev npaj qhov kev daws teeb meem:

• 1 liter ntawm cov dej cawv tov los ntawm Chlorhexidine mloog zoo 20%: noj 25 ml ntawm kev npaj mloog thiab ntxiv 70% cawv rau qib 1 dm³,
• Txhawm rau kom tau ib txwm aqueous Chlorhexidine, tib qhov sib npaug yog siv raws li saum toj no, tab sis tus cawv yog hloov nrog dej distilled,
• txhawm rau 1 liv ntawm 0.05% Chlorhexidine, koj yuav tsum coj 2.5 cm³ ntawm cov tshuaj hauv 20% thiab dilute nws nrog ethanol lossis deionized dej rau 1 liter.

Nws tseem tsis tuaj yeem los yaug koj lub qhov ncauj nrog 0.5%. Nws yuav tsum tau diluted nrog dej nyob rau hauv ib qho kev sib piv ntawm 10 g ib 90 ml dej.

Kev kho cov tshuaj ntawm cov tshuaj yuav tsum tau ua nyob rau hauv qhov tsis huv.

Cov tshuaj kho tau ua nyob rau hauv ib qho tsis huv. Nws raug tso cai rau kom tsis muaj menyuam, thaum kub nce mus rau + 116ºС. Lub sijhawm ua kom tsis muaj menyuam - tsis pub tsawg tshaj ib nrab ib teev. Tsis siv hluav taws xob.

Kuv puas tuaj yeem yaug kuv ob lub qhov muag

Kev daws yog pom zoo los kho qhov muag nqaij nrog qhov mob o. Rau qhov no, ib txoj kev npaj ua tiav ntawm 0.05% tau noj. Yog hais tias muaj ntau qhov feeb meej, ces nws yuav tsum xub muab sib xyaw nrog dej. Cov menyuam yaus yuav tsum tau tov nws nrog dej ib nrab.

Cov txheej txheem rau kev tsim qhov muag:

• sov tov rau chav sov,
• kaw koj lub qhov muag
• maj mam ntxuav cov tsim ua kua paug nrog noo noo noo ncoo los ntawm lub kaum sab nrauv ntawm daim tawv muag rau sab hauv ib qho, cov tshuaj yuav tsum tsis txhob mus rau hauv lub qhov muag.

Cov txheej txheem tau piav qhia yuav tsum tau nqa nrog txog 6 zaug hauv ib hnub. Yog tias cov khoom lag luam nkag mus rau hauv lub qhov muag, nws yuav tsum tau ntxuav tawm.

Thaum kho qhov muag nrog chlorhexidine, txoj kev daws teeb meem yuav tsum tau ua kom sov rau chav sov.

Noj cov tshuaj rau ntshav qab zib

Cov yam ntxwv zoo ntawm ntshav qab zib yog cov tsos ntawm tawv-kho purulent txhab. Lawv yuav tsis tu ntev, uas ua rau nws nyuaj los ua raws li kev nyiam huv. Nws yog ua tau kom kho cov tawv nqaij thiab hnoos qeev tsuas yog tom qab ua cov dej khov kho ntawm cov piam thaj. Yog tsis muaj qhov no, nws tsis yooj yim sua kom ua tiav cov nyhuv ntev. Qeb ntawm glycemia yuav tsum tsis pub dhau 6 mmol, thiab hauv cov zis nws yuav tsum tsis pub txhua.

Lub qhov txhab yuav tsum tau ua kom huv ntawm cov kua paug. Txhawm rau ntxuav categorically tsis txhob siv cov khoom ua los ntawm cov rog, vim tias lawv tiv thaiv kom muaj qhov ntws tawm dawb. Nws raug nquahu kom noj cov tshuaj uas ntxim nyiam thiab tshem tawm cov kua paug. Txhawm rau kom ua kom huv sai, kev tsim cov enzyme yog siv (feem ntau nrog chymotrypsin). Cov ris tsho hnav nrog cov tshuaj tiv thaiv kab mob tau kho 1 zaug nyob rau ib hnub.

Tsuas yog tom qab ua tib zoo tshem tawm cov kua paug yog mob kho nrog chlorhexidine. Yog tias muaj cov cim ntawm ntshav qab zib decompensation (tus neeg mob tau nce siab hauv qab zib), tom qab ntawd txoj kev kho mob yog tso tseg ib ntus.

Qhov tshwm sim los ntawm chlorhexidine 1

Hauv lwm pab pawg ntawm cov neeg mob, kev qhuav ntawm daim tawv nqaij, kev hnov ​​mob ntau dhau, thiab kev nce qib ntawm dermatitis tau sau tseg.

Lub qhov ncauj ntev ntev pab txhawb qhov tsaus ntawm cov hniav, tsim ntawm tartar. Tus neeg mob yuav saj tsis zoo sib xws.

Lub sijhawm ntev yaug ntawm lub qhov ncauj nrog ib qho tshuaj pab cuam txhawm rau ua rau kom cov hniav tsaus nti.

Puas yog nws ua tau rau menyuam yaus Chlorhexidine 1

Nws tsis tau teev rau kev kho mob, nqaij tawv thiab mob rau ntawm cov neeg mob kom txog thaum lawv mus txog 12 xyoos. Kev ntxuav qhov muag yuav tsum tau nqa nrog cov tshuaj uas tsis muaj zog, ua zoo saib xyuas thiab tsis cia nws mus rau ntawm cov qog ua kua. Hauv qee kis, cov ntxim cuam ntxim nyoos cov me nyuam yaus tshaj tawm dua li cov neeg laus.

Chlorhexidine decomposes yog tias rhuab mus rau qhov kub kom nce siab.

Noj ntau tshaj ntawm Chlorhexidine 1

Thaum siv cov tshuaj raws li cov lus qhia, ib qho kev tshaj tawm tsis tau sau tseg.

Yog hais tias tus neeg mob tsis ncaj rau haus cov tshuaj, tom qab ntawd nws yuav tsum ua kom lub plab zom zaub mov kom tiv thaiv kev nqus ntawm cov tshuaj nrog ntshav.

Tom ntej no, koj yuav tsum muab me ntsis mis nyuj, tov ntawm gelatin, lub qe nyoos.

Antidote tsis tsim. Thaum cov tsos mob ntawm kev lom tshwm sim, kev kho mob raws li cov tsos mob tau qhia.

Kev cuam tshuam nrog lwm yam tshuaj

Thaum lub chaw alkaline nce siab siab dua 8 hauv pH, cov tshuaj hloov chaw. Yog tias dej tawv yog siv rau hauv kev zom, lub zog ntawm cov khoom sawv cev yog txo. Tsis txhob siv cov tshuaj ua ke nrog iodine.

Xab npum thiab lwm yam tshuaj zoo sib xws tsis tuaj yeem sib xyaw nrog chlorhexidine. Nws yog tsis sib xws nrog ntsev ntawm phosphoric, hydrochloric, sulfuric acid, ntsev ntawm boron thiab citric acid.

Xab npum thiab lwm yam tshuaj zoo sib xws tsis tuaj yeem sib xyaw nrog chlorhexidine.

Cov tshuaj pab kho lub cev kom zoo rau cov tshuaj tua kab mob feem ntau, tshwj xeeb tshaj yog Cephalosporin, Chloramphenicol. Cawv yuav ua rau cov kab mob bactericidal ua rau lub zog sib xyaw tshuaj.

Npaj nrog zoo xws:

• Miramistin
• Betadine
• Chlorhexidine bigluconate,
• Povidin
• Betadine
• Hexicon
• Hexia
• Ladisept.

Hnub tas sij hawm

Haum rau kev siv rau 36 lub hlis. Tom qab tas sij hawm ntawm lub sijhawm no tsis tuaj yeem coj mus, vim tias cov txiaj ntsig ntawm kev nquag ua haujlwm yuav muaj tsawg heev.

Chlorhexidine - Kev Siv thiab Ua Haujlwm Zoo 7 Txoj Hauv Kev Siv Cov Chlorhexidine. Penny khwv nyiaj tau hloov ib pob khoom siv ua ntej ib nrab-tus neeg pabcuam thiab hauv tsev pabcuam Chlorhexidine lossis Miramistin? Chlorhexidine nrog mob thawb. Sab sij cuam tshuam ntawm cov tshuaj

Kev txheeb xyuas cov tshuaj Chlorhexidine 1

Irina, hnub nyoog 28 xyoo, Moscow: “Chlorhexidine yog tshuaj tua kab mob zoo heev tuaj yeem siv los kho tes thiab kho kab mob ntawm daim tawv nqaij zoo huv si. Nws pab mob ntawm qhov ncauj ntawm qhov ncauj thiab tonsillitis. Kuv yaug kuv lub qhov ncauj 2 zaug ib hnub twg raws li cov lus qhia. "Kev mob o. Thaum kho qhov txhab ntawm daim tawv nqaij, Kuv pom tias tom qab siv cov khoom, lawv kho ntau yam nrawm dua."

Ivan, hnub nyoog 30 xyoo, Tver: “Chlorhexidine pab tiv thaiv kom tsis txhob kis mob los ntawm kev sib daj sib deev tom qab nws sib deev tag.

Kuv siv cov tshuaj no los kho kev txiav, abrasions me me. Tom qab ntawd, lawv zoo sai dua, tsis muaj kab ntawm lawv. "

Svetlana, hnub nyoog 42 xyoos, Lipetsk: "Nrog kev pab ntawm tshuaj, nws tuaj yeem zam kev kis mob ntawm daim tawv nqaij los ntawm kev txiav, khawb. Nws yog qhov txaus los kho lub qhov txhab saum npoo nrog kev daws kom nws kho tau sai. Chlorhexidine zoo tiv thaiv thiab tsis muaj qhov tsis xav tau. Tsis hnav khaub ncaws thiab ntaub pua chaw, tsis zoo li iodine thiab ci ntsa iab ntsuab. Yog li ntawd kuv ib txwm siv rau kev tua kab mob ".

Cov hau kev thov qauv

Chlorhexidine daws teeb meem yog siv rau ntawm daim tawv nqaij, cov leeg ntawm lub plab lossis qhov ncauj ntawm qhov chaw mos li 1-3 feeb. los ntawm kev cog qoob loo lossis paj rwb hleb.

Txog kev tiv thaiv cov mob kas cees, txoj kev daws teeb meem yog muab siv txoj kev tsis muaj qhov khoob ntawm lub vial: rau txiv neej - hauv qhov zis, poj niam - hauv qhov chaw mos rau 2-3 feeb. Tom qab cov txheej txheem, koj yuav tsum tsis txhob tso zis rau 2 teev. Nyob rau tib lub sijhawm, nws raug nquahu los kho sab hauv puab sab hauv, pubis thiab tus caj.

Txog kev kho mob ntawm txoj hlab zis thiab uroprostatitis, txoj kev daws yog txhaj rau qhov mob ntawm txoj hlab zis mus txog 2 zaug hauv ib hnub rau 10 hnub. Cov txheej txheem rov qab ua dua txhua lwm hnub.

Kev ua cov cuab yeej siv kho mob thiab khoom siv yog kwv los ntawm so lub nplaim nrog ib daim txhuam cev dampened hauv kev npaj lossis los ntawm soaking.

Phais teb tau tiav ob zaug nrog kev sib nrug ntawm 2 feeb.

Ua ntej thov chlorhexidine, tus kws phais mob yuav tsum ntxuav nrog xab npum thiab muab so kom huv si.

Cov tshuaj tiv thaiv yog muab intravaginally rau hauv txoj haujlwm supine. Txog kev tiv thaiv STDs, nws raug nquahu kom siv 1 lub tshuaj tsis pub dhau 2 teev tom qab kev sib deev. Hauv lwm qhov xwm txheej, 1 noj tshuaj ntxiv 1 zaug ib hnub twg rau 1-3 lub lim tiam.

Cov kua nplaum thiab lee nplaum pleev rau thaj chaw thaj tsam txog 3 zaug ib hnub. Lub sijhawm sijhawm ntawm kev kho yog txiav txim siab ntawm tus kheej coj mus rau hauv tus account lub chaw kuaj mob ntawm tus kabmob.

Sab sij huam

Thaum siv chlorhexidine tuaj yeem pom:

• kev fab tshuaj tsis haum
• dermatitis
• khaus thiab qhuav tawv nqaij
• zoo nkaus li lo ntawm daim tawv nqaij (thaum thawj 3-5 feeb tom qab thov),
• kho cov tawv nqaij kho,
• nce rhiab ntawm daim tawv nqaij mus rau UV hluav taws xob (duab ci dhau los),
• staining ntawm cov hniav, saj cuam tshuam (tsuas yog hauv kev kho mob ntawm gingivitis),
• khaus thiab hlawv hauv qhov chaw mos (nyob rau hauv cov ntaub ntawv ntawm suppositories).

Kev cuam tshuam nrog lwm yam tshuaj

Chlorhexidine tsis sib haum nrog xab npum thiab tshuaj ntxuav tes muaj sodium lauryl sulfate, saponins lossis sodium carboxymethyl cellulose. Ua ntej siv cov tshuaj, cov khoom ntxuav ntawm xab npum yuav tsum muab ntxuav kom huv.

Antiseptic kev ua ub no yog tshuaj tiv thaiv nyob rau hauv muaj iodine thiab txhim kho nyob rau hauv lub xub ntiag ntawm ethyl cawv.

Kev siv cov dej nyuaj yuav txo cov kab mob bactericidal ntawm chlorhexidine.

Nyob rau hauv cawv ntawm alkalis lossis thaum rhuab, cov tshuaj yaj yeeb nrog kev tsim ntawm 4-chloraniline, uas muaj cov khoom carcinogenic.

Cov tshuaj tiv thaiv kab mob tuaj yeem ua ke nrog cov neeg sawv cev uas muaj benzalkonium chloride lossis cetrimonium bromide.

Daim ntawv thov hauv txawv tebchaws

Chlorhexidine raug pom zoo rau kev siv kho mob hauv ntau tshaj 50 lub xeev.

Cov tshuaj thaiv kab mob muaj nyob rau hauv daim ntawv ntawm cov tshuaj ywj siab cov ntaub ntawv, thiab tseem yog ib feem ntawm ntau cov khoom sib xyaw:

• Tshuaj tua kab mob antibacterial
• lozenges rau resorption,
• tshuaj txhuam hniav
• qhov ncauj,
• tshuaj zawv plaub hau.

Hauv cov tebchaws European, cov ntsev ua kua ntsev ntawm cov tshuaj muaj ntau dua, uas nyob hauv nws lub tsev muag tshuaj yog qhov zoo ib yam rau bigluconate.

Hauv xyoo 2013, chlorhexidine tau teev nyob rau hauv WHO Daim Ntawv Teev Cov Tshuaj Tseem Ceeb.

Txheej txheem cej luam

Hauv tebchaws Russia, chlorhexidine kev npaj ntawm ntau lub kaum ob lub tuam txhab muag. Kev lag luam tseem ceeb yog koom nrog kev lag luam hauv tsev. Cov tuam txhab sib txawv tsim cov tshuaj tua kab mob hauv cov npe "Chlorhexidine", "Chlorhexidine bigluconate" lossis hauv lawv tus kheej lub npe muaj tswv yim. Ntawm cov txheej txheem ntau npaum, cov kev daws teeb meem nrog kev saib xyuas ntawm 0.05-0.15% them.

Qee qhov chlorhexidine npaj thiab lawv cov tuam ntxhab:

Cov tshuaj tua kab mob Miramistin (lat. Myramistin) yog qhov ze tshaj plaws hauv nws lub zog rau chlorhexidine. Cov tshuaj tau tsim los ntawm cov kws tshawb fawb Soviet xyoo 1980s. raws li ib feem ntawm Qhov Chaw Siv Khoom Siv Biotechnology. Lub sijhawm no, cov khoom lag luam yog tsim los ntawm Lavxias lub tuam txhab CJSC Infamed thiab tuam txhab Ukrainian CJSC Darnitsa. Cov khoom lag luam raug muag hauv cov tebchaws ntawm USSR qub.

Piv nrog chlorhexidine, Miramistin muaj qhov pom dav ntawm cov tshuaj tua kab mob.

Rhiab rau cov tshuaj:

• cov kab mob gram-zoo thiab gram-tsis zoo (nrog rau cov tshuaj tua kab mob tiv thaiv kab mob),
• cov tshuaj protozoa (chlamydia, trichomonads, thiab lwm yam),
• Ascomycetes
• poov xab thiab poov xab zoo li nceb,
• dermatophytes,
• kab mob khaub thuas, qhua pias, mob khaub thuas herpes, adenoviruses, mob ua paug.

Hauv kev sim, qhov muaj peev xwm ntawm Miramistin los txo cov haujlwm ntawm tib neeg cov tshuaj tiv thaiv kab mob (HIV) tseem tau pov thawj.

Lwm qhov zoo ntawm cov qauv no muaj xws li:

• tsis muaj cov kev ua hauv zos thiab ua xua,
• muaj peev xwm ua kom muaj kev tiv thaiv hauv zos ntawm cov tawv nqaij thiab hnoos qeev ua kua,
• lub xub ntiag ntawm anti-inflammatory thiab regenerative thaj chaw,
• qhov tsis muaj qhov tshwm sim tsis zoo hauv kev kho cov kab mob hniav (cov neeg mob tsis saib xyuas cov hniav staining thiab kev hloov pauv ntawm saj tsis tau).

Kev siv Miramistin yog txiav txim siab zoo dua nyob rau hauv kev kho mob ntawm lub qhov ncauj ntawm lub qhov ncauj, hauv kev kho mob urological thiab gynecological pathologies thiab rau kev tiv thaiv kev sib kis kab mob sib kis.

Nyob rau tib lub sijhawm, hauv kev kawm tshawb fawb tau ua pov thawj tias chlorhexidine muaj qib siab ntawm kev ua haujlwm tiv thaiv kabmob tiv thaiv Staphylococcus aureus (St. aureus), E. coli (E. coli), Pseudomonas aeruginosa (P. Aeruginosa) thiab Candida nceb (Candida) Cov. Qhov no ua rau nws siv ntau yam siv rau cov hom phiaj aseptic thiab hauv kev kho mob ntawm qhov mob voos.

Hauv koom pheej ntawm Belarus, ntxiv rau Miramistin, nws cov generic yog Septomirin, tsim los ntawm Belmedpreparaty RUE.