Ib qho zoo heev thiab pheej yig antimicrobial yog chlorhexidine bigluconate, uas tau pom daim ntawv thov nyob rau hauv yuav luag tag nrho cov tswv teb ntawm cov tshuaj vim nws cov kev tua kab mob exceptional antibacterial. Niaj hnub no, peb tham txog seb qhov tshuaj no zoo li cas hauv kev kho mob ntawm tej yam mob.
Ua li cas chlorhexidine ua haujlwm loj?
Ua ib qho tshuaj antiseptic ntawm cov tshuaj bactericidal hauv zos, cov tshuaj no hloov tau cov cell membrane ntawm cov kab mob hauv lub cev, uas ua rau tuag tau ntawm cov kab mob.
Rau chlorhexidine bigluconate yog rhiab:
- Trichomonas vaginalis - causative agent ntawm trichomoniasis;
- Neisseria gonorrhoeae - ib tus neeg sawv cev ntawm tus mob gonorrhea;
- Chlamidia spp - chlamydia uas ua rau cov neeg mob conjunctivitis, poj niam txiv neej thiab mob plab hnyuv ntxwm, pooj tshuaj, lwm yam;
- Cov kab mob Bacteroides fragilis - cov neeg ua haujlwm ntawm cov kab mob sib kis: mobnkis, nruab nrab pob ntseg mob, qhov ncauj kis mob, mob plab, mob ntsws ntsws, mob ntsws;
- Cov tshuaj tiv thaiv kab mob pillidum - tus neeg sawv cev ntawm tus mob syphilis;
- Gardnerella vaginalis - ua rau cov poj niam txiv neej gardnerellez, cov txiv neej hauv 10% ntawm tus neeg mob yog cov muaj tus kab mob.
Cov kev ua ntawm cov tshuaj tiv thaiv xws li kab mob xws li Proteus spp, Ureaplasma spp thiab Pseudomonas spp, uas muaj nyob rau hauv cov kab mob ntawm cov kab mob genitourinary, kuj tau qhia.
Cov hlab ntsha thiab cov kab mob (tsis suav herpes ) rau cov tshuaj yeeb nkab.
Kev siv chlorhexidine loj heev hauv kev kho hniav
Cov tshuaj siv los ntawm cov kws kho hniav tuaj yeem siv los tua cov kab mob hauv qhov ncauj ntawm kev kho mob gingivitis, periodontitis, stomatitis (concentration 0.05% los 0.1%, yaug peb zaug ib hnub).
Nws yog tsim nyog siv chlorhexidine loj heev rau cov tshuaj yaug qhov ncauj yog tias nws tsis tuaj yeem txhuam cov hniav vim li cas. Cov tshuaj no, txawm li cas los xij, tso cov xim daj rau ntawm tus hniav txha hniav, yog li siv nws zoo dua nyob hauv daim ntawv nplua. Ua zoo ntxuav cov cuab yeej thiab cov hniav cuav.
Cov kws kho hniav kuj tseem tuaj yeem pab cov chlorhexidine loj heev thaum ntxuav lub voos kauv poom, cov nqaij ntshiv, thiab tom qab patchwork rau ntawm daim phiaj.
Kev siv chlorhexidine lojluconate nyob rau hauv gynecology
Qhov tshuaj tiv thaiv no yog nyob hauv kev kho mob ntawm qhov kev ntxub ntxaug tom qab ua haujlwm. Chlorhexidine lojluconate zoo li tiv thaiv kev tiv thaiv kabmob kis tau los ntawm kev sib deev: nrog rau 0.05% concentration preparation, qhov chaw mos (5-10 ml) thiab cov kaus hniav (1 - 2 ml) tam sim ntawd tom qab tiv thaiv kev tiv thaiv, nrog rau sab nraud genitalia, thighs.
Thaum mob ntawm txoj hlab tso zis qhia tau hais tias siv cov chlorhexidine loj loj concentration 0.05% 1 - 2 zaug hauv ib hnub: cov tshuaj yog txhaj rau hauv cov kwj tso urinary rau 2 mus rau 3 ml rau 10 hnub.
Kev siv chlorhexidine lojluconate tawm tsam pob txuv
Cov tshuaj ua pov thawj yuav zoo heev nyob rau hauv kev kho mob ntawm pob txuv: nws yog kho nrog wounds ib ncig ntawm pustules tshem tawm. Yog li ntawd tus kab mob tsis kis tau rau hauv, thiab lub pob kab ntxau zoo.
Kho cov pob khaus kom pom, tab sis so chlorhexidine bigluconate, cov cheeb tsam loj ntawm daim tawv nqaij tsis pom zoo, vim cov khoom yuav ua rau tsis tuaj yeem ua pa thiab chwv.
Nws yog qhov zoo los kho cov ntxau txhua txhua hnub ua ntej siv cov khoom loj los ntawm pob txuv (Lee, gel).
Lwm txoj kev siv chlorhexidine lojluconate
ENT cov kws kho mob muab cov tshuaj tiv thaiv no rau kev tiv thaiv ntawm cov kab mob postoperative (yaug los yog dej txhua hnub, 0.1% lossis 0.05%).
Cov tshuaj 0.05%, 0.02% lossis 0.5% yog qhov zoo rau kev kho mob ntawm qhov chaw qhib, hlawv: dej thiab daim ntawv thov (1 - 3 feeb) ua peb zaug ib hnub twg.
Cov neeg phais yuav siv chlorhexidine bigluconate (20%) nrog ethyl cawv (70%) ntawm 1:40 piv rau kev tua kab mob ntawm kev ua haujlwm.