Mankhwala othandiza kwambiri ndi otsika mtengo ndi chlorhexidine bigluconate, omwe agwiritsa ntchito ntchito pafupifupi madera onse a mankhwala chifukwa cha mankhwala omwe amagwiritsidwa ntchito kwambiri. Lero, tiyeni tiyankhule za momwe mankhwalawa amathandizira pochiza matenda aliwonse.
Kodi chlorhexidine ntchito yaikulu bwanji?
Pokhala ndi matenda oyambitsa matenda a bactericidal, mankhwalawa amatha kusintha maselo a microorganism, omwe amaphatikizapo imfa ya bakiteriya.
Ku chlorhexidine bigluconate ndi ofunika:
- Trichomonas vaginalis - causative agent of trichomoniasis;
- Neisseria gonorrhoeae - wothandizira khungu la gonorrhea;
- Chlamidia spp - chlamydia zomwe zimayambitsa conjunctivitis, kugonana ndi m'mimba matenda opatsirana, ornithosis, etc;
- Bacteroides fragilis - omwe amachititsa kuti matenda a anaerobic asokonezeke: sinusitis, kutupa pakati pakati, kupweteka kwa m'kamwa, kutsekula m'mimba, kutentha kwa chiberekero, chifuwa;
- Treponema pallidum - wothandizira wa syphilis;
- Gardnerella vaginalis - imayambitsa gardnerellez kwa amayi, amuna 10% amanyamula matenda.
Ntchito ya mankhwala osokoneza bongo monga Proteus spp, Ureaplasma spp ndi Pseudomonas spp, omwe amapezeka mu matenda opatsirana pogonana, awonetsedwanso.
Spores ya bowa ndi mavairasi (kuphatikizapo herpes ) kwa mankhwala ndi okhazikika.
Kugwiritsiridwa ntchito kwa chlorhexidine kwakukulu mu mazinjini
Mankhwalawa amagwiritsidwa ntchito kwambiri ndi madokotala a mano oti asamathenso kumamwa pakamwa pa gingivitis, periodontitis, stomatitis (ndondomeko 0.05% kapena 0.1%, kutsukidwa katatu patsiku).
Ndibwino kugwiritsa ntchito chlorhexidine bigluconate kwa mouthwash ngati sikutheka kuti muzitsuka mano pa chifukwa china chilichonse. Komabe, mankhwalawa amasiya chikasu chodzola pazitsulo za dzino, choncho mugwiritse ntchito moyenera mu mawonekedwe osinthika. Sambani bwino chida ichi ndi mano.
Madokotala a mano amathandizanso kuti chlorhexidine ikhale yaikulu pamene imatsuka mitsinje ya gingival, mapulotechete, fistula komanso pambuyo pa nthawiontium.
Kugwiritsiridwa ntchito kwa chlorhexidine kumakhudza kwambiri m'mabanja
Mankhwalawa amalephera kugwiritsidwa ntchito pochiza chiberekero pambuyo pa ntchito. Chlorhexidine bigluconate ndi njira zothandizira matenda opatsirana pogonana: pogwiritsa ntchito 0.05% yokonza ndondomeko, umaliseche (5-10 ml) ndi ngalande yamakina (1 - 2 ml) amachiritsidwa mwamsanga pambuyo pa kukhudzana popanda chitetezo, kuphatikizapo ziwalo zakunja, ntchafu.
Pamene kutupa kwa tsamba la mkodzo kumasonyeza kugwiritsa ntchito chlorhexidine bigolconate concentration 0.05% 1 - 2 pa tsiku: mankhwalawa amalowetsedwa mu ngalande ya mkodzo kwa 2 mpaka 3 ml kwa masiku khumi.
Kugwiritsidwa ntchito kwa chlorhexidine kwakukulu motsutsana ndi acne
Mankhwalawa atsimikiziridwa kuti amagwira ntchito kwambiri pochizira mavalasi: amachiritsidwa ndi zilonda kuzungulira pustules. Choncho matendawa salowa mkati, ndipo chimachiza.
Gwiritsani ntchito mankhwalawa, koma pukutani chlorhexidine bigluconate, malo akuluakulu a khungu sakuvomerezeka, chifukwa mankhwalawa amachititsa kuyanika ndi kuyang'ana.
Ndibwino kuti muzisamalira bwino ziphuphu tsiku lililonse musanagwiritse ntchito mankhwala opangidwa ndi acne (kirimu, gel).
Njira zina zogwiritsa ntchito chlorhexidine bigluconate
ENT madokotala amapereka mankhwalawa kuti athe kupewa matenda opatsirana (posting) (rinsing kapena ulimi wothirira kawiri patsiku, 0.1% kapena 0.05%).
Njira zothetsera 0.05%, 0.02% kapena 0,5% zimakhala zothandiza pochiza mabala otseguka, kuyaka: ulimi wothirira ndi ntchito (1 - 3 mphindi) zimachita katatu patsiku.
Ochita opaleshoni amagwiritsa ntchito chlorhexidine bigluconate (20%) ndi ethyl mowa (70%) mu 1:40 chiŵerengero cha kutetezedwa kwa malo opatsirana.