Txawm hais tias muaj ntau ntawm cov neeg tshiab tsim tshuaj tua kab mob thiab tshuaj tua kab mob, muaj qee hom tshuaj siv hauv tshuaj rau ntau xyoo tseem tsis poob lawv qhov tseeb vim lawv cov hauj lwm zoo. Peb tab tom tham txog Dioxidin, dav siv hauv kev phais mob, otorhinolaryngological kev coj ua thiab qee yam kev kho mob.
ATX
J01XX.
Dioxidine yog dav siv hauv kev phais mob thiab ENT xyaum.
Tso cov ntawv thiab cov nyob ua ke
Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm tshuaj pleev thiab ib qho kev daws teeb meem uas muaj cov tshuaj nquag - hydroxymethylquinoxalindioxide.
Tshuaj
Cov tshuaj Dioxidin muaj nyob rau hauv ampoules ntawm 10 thiab 20 ml, uas yog ua los ntawm cov iav pob tshab. Daim ntawv ntawm cov tshuaj no yog siv rau kev siv sab nraud, Txoj kev lis ntshav thiab kev tswj hwm sab hauv. Tej zaum nws yuav muaj 5 thiab 10 mg ntawm cov tshuaj nquag. Hauv kev tsim cov khoom siv tshuaj kho mob, cov dej ua kom huv kuj siv tau.
Tshuaj pleev
Cov tshuaj pleev 5%, npaj rau daim ntawv thov sab nraud, muaj 50 mg ntawm cov tshuaj tivthaiv uas nquag siv thiab muaj nyob hauv lub raj aluminium lossis iav lub khob nrog qhov ntim ntawm 30 thiab 100 g. Kev npaj kuj muaj macrogol, methyl paraben thiab nipazole, uas muaj cov txiaj ntsig kev pab.
Cov tshuaj muaj ob peb yam sib txawv ntawm kev tso tawm.
Mechanism ntawm kev ua
Cov tshuaj yog rau pawg ntawm cov tshuaj tua kab mob ntawm cov khoom siv hluavtaws. Lub ntsiab pharmacological kev txiav txim ntawm cov tshuaj yog antimicrobial. Cov tshuaj uas yog ib feem ntawm dioxidine muaj kev tiv thaiv zoo rau ntau hom kab mob, rhuav tshem phab ntsa ntawm lawv lub hlwb thiab ua rau cov neeg tuag.
Cov tshuaj muaj peev xwm tawm tsam staphylococci, streptococci, protea, Pseudomonas aeruginosa thiab Escherichia coli, pathogens ntawm dysentery, qee hom kab mob anaerobic, Klebsiella, Salmonella.
Thaum kho qhov txhab ntawm daim tawv nqaij, qhov cuab yeej no txhawb nqa sai dua ntxuav ntawm qhov txhab los ntawm cov leeg nqaij thiab ua rau cov nqaij ua kom zoo sai.
Cov Tshuaj Pharmacokinetics
Nrog rau kev siv sab nraud, cov tshuaj tau zoo nyob rau ntawm daim tawv nqaij, mob thiab daim tawv nqaij mob rau hauv cov ntshav. Nws tawm hauv cov zis.
Nrog kev tswj hwm hauv qhov quav, qhov siab tshaj plaws ntawm cov tshuaj pom nyob 1-2 teev tom qab cov tshuaj txeem mus rau hauv cov ntshav. Cov nyhuv ntawm cov tshuaj no kav rau 4-6 teev. Nrog lub caij nyoog siv ntawm kev daws, tsis muaj ib qho yuam kev. Lub cev tshuaj ntawm cov tshuaj tau tawm hauv lub raum.
Kev ntsuas rau siv
Koj tuaj yeem siv cov tshuaj rau cov ntawv thov sab nraud thiab kev tswj hwm intracavitary. Rau txhua daim ntawv ntawm cov tshuaj muaj ib daim ntawv teev npe cais ntawm qhov ntsuas rau siv.
Yog li, kev tso dej tshuaj ntawm Dioxidin raug pom zoo rau cov sepsis, cov txheej txheem dav dav ntawm qhov ua kom huv-ua paug, mob txha caj qaum.
Daim ntawv thov sab nraum zoov
Tshuaj pleev thiab daws tau siv rau cov laj thawj hauv qab no:
- kev kho mob ntawm cov tawv nqaij ua kom puas thiab kub hnyiab, qhov txhab tob hauv cov ntsiab lus necrotic raug tsim, thiab purulent kab noj hniav (tawv nqaij qog, phlegmon, osteomyelitis foci);
- disinfection ntawm qhov txhab tom qab phais;
- kho cov kab mob ntawm daim tawv nqaij ua rau muaj kev npau taws los ntawm kev ua si ntau dua staphylococci thiab streptococci thiab nrog kev tsim cov tawv nqaij pustules ntawm lub ntsej muag thiab lub cev.
- gargling nrog mob caj pas ntawm ib tug kab mob xwm;
- kev kho mob hauv zos ntawm purulent ua mob ntawm lub nruab pa (sinusitis, o ntawm adenoids), pob ntseg (otitis media);
- ntxuav qhov muag nrog mob qhov muag.
Kev tswj hwm intracavitary
Kev txhaj tshuaj Intracavitary ntawm kev daws yog ua raws li urology, gynecology, phais thiab raug kho rau cov txheej txheem mob ntawm lub qhov dej huv, txhim kho hauv plab thiab thoracic. Cov no suav nrog:
- mob purulent cholecystitis;
- mob peritonitis;
- purulent o ntawm cov leeg ua mob rau lub ntsws (pleura);
- kab mob ntawm urogenital kheej ntawm qhov kis ntawm lub cev, nrog los ntawm tsim ntawm necrotic exudate nyob rau hauv cov kab noj hniav ntawm lub tsev me nyuam thiab cov plab hnyuv siab raum.
Cov tshuaj yeeb tshuaj kuj tseem siv los pleev xim rau lub zais zis txhawm rau tiv thaiv kev txhim kho ntawm cov txheej txheem sib kis thiab mob ntawm cov mob ntawm txoj hlab zis tom qab catheterization.
Cov tshuaj yog contraindicated nyob rau hauv cov ntaub ntawv ntawm kev ua tsis taus adrenal ua.
Cov Yuav Tsum Muaj
Cov tshuaj yog contraindicated nyob rau hauv lub xub ntiag ntawm intolerance mus rau lub Cheebtsam ntawm cov tshuaj thiab tsis hnov lus adrenal ua hauj lwm.
Yuav ua li cas qhib ampoule?
Yog hais tias ampoule nrog Dioksidina tov muaj qhov ntu nqaim nrog cov xim zoo nkauj, tom qab ntawd koj yuav tsum tso lub thawv nrog lub cim rau koj, tuav lub nkoj nrog koj lub xib teg thiab, nias rau sab saum toj ntawm ampoule nrog koj tus ntiv tes xoo, rhuav lub hau.
Txhawm rau qhib lub khob ntim cov tshuaj uas muaj cov tshuaj uas muaj qhov taw tes rau sab saud uas tsis muaj qhov cim, koj yuav tsum siv daim ntawv (nws txuas nrog hauv tshuaj). Nws yog qhov tsim nyog los tso cov ntaub ntawv thoob plaws ampoule thiab txiav me me rau sab saum toj ntawm lub khob. Tom qab qhov no, nws yog qhov yuav tsum tau muab qhwv lub caj dab ntim nrog lub phuam so, ntaub lossis paj rwb thiab muab nws coj mus rau qhov zoo ib yam li tau piav saum toj no.
Yuav noj li cas?
Cov yam ntxwv ntawm kev siv yeeb tshuaj yog nyob ntawm daim ntawv ntau npaum li cas thiab qhov ua ntawm pathology. Kev Kho Mob yog nqa tawm txoj hauv kev nram qab no:
- Intravenously, siv cov poob qis. Hauv cov mob ua kom tsis ncaj, 0.5% siv, diluting nws hauv kev daws isotonic kom tau qhov kev nkag siab ntawm cov khoom tiav ntawm 0.1-0.2%. Qhov siab tshaj plaws ib zaug tshuaj rau ntawm cov tshuaj yog 300 mg, ib hnub - 600 mg.
- Kev tswj hwm intracavitary. Txog kev kho cov kab noj hniav kom huv, tsuas yog siv 1% Dioxidin tov, uas yog siv rau qhov tsis muaj tshuaj tiv thaiv rau hauv thaj chaw muaj kab mob uas siv lub raj xa dej tawm, siv raj xa dej lossis txhaj tshuaj 1-2 zaug ib hnub. Kev noj tshuaj txhua hnub - tsis pub ntau tshaj 70 ml. Txoj kev kho mob yog 21 hnub. Yog tias tsim nyog, tuaj yeem kho txuas ntxiv.
- Daim ntawv thov sab nraum zoov. Txhawm rau kho cov qhov txhab tob, koj tuaj yeem siv compresses lossis tampons uas tsau rau hauv 0.5-1% Dioxidine tov thiab thov rau cov qhov txhab ua haujlwm txhua hnub lossis txhua hnub. Cov tawv nqaij mob khov kho tuaj yeem kho nrog tshuaj pleev, thov nws nrog nyias txawm txheej ntawm thaj tsam raug mob.
Nrog ntshav qab zib
Hauv cov ntshav qab zib mellitus, cov tshuaj no feem ntau siv rau sab nraud - los kho cov mob rau trophic thiab lwm yam tawv nqaij los ntawm kev mob plab zom mov. Koj tuaj yeem siv cov cuab yeej raws li tau piav qhia saum toj no.
Nrog rau cov ntshav qab zib, cov tshuaj feem ntau siv sab nraud.
Hauv pob ntseg
Yog hais tias muaj otitis media, pom zoo kom ua kua 0,5% lossis 1% tov rau hauv qhov mob pob ntseg thiab qhov ntswg, tom qab yav tas los ntxuav lub pob ntseg pob ntseg los ntawm kev sib kis nrog paj rwb ntaub ntub dej hauv hydrogen peroxide. Cov koob tshuaj thiab lub sijhawm siv yog txiav txim siab ntawm tus kheej.
Hauv qhov ntswg
Nrog lub qhov ntswg txhaws ntswg hauv cov neeg laus, 0.5% thiab 1% kev daws teeb meem tuaj yeem nkag mus rau hauv cov hlab ntswg (2-3 tee 2-3 zaug hauv ib hnub) lossis siv rau kev ntxuav lub qhov ntswg kab noj hniav. Yav dhau los, txhawm yuav tsum tau ntxuav ntawm cov hnoos qeev.
Nrog rau cov txheej txheem nyuab ntawm cov txheej txheem sib kis hauv cov txheej txheem ntawm txoj hlab pa, tus kws kho mob tuaj yeem sau cov tshuaj hnyav, uas yog kev sib xyaw ntawm dioxidine thiab tshuaj hormonal lossis vasoconstrictor. Piv txwv li, koj tuaj yeem sib xyaw 5 ml ntawm 1% kev daws teeb meem ntawm dioxidine, 5 ml ntawm 0.1% galazolin thiab 2 ml ntawm 0.1% dexamethasone.
Txhawm rau ntxuav lub qhov ntswg, koj tuaj yeem siv qhov tsis muaj qhov lees paub 0.5% kev daws teeb meem lossis tshuaj rau kev tswj hwm qhov ncauj nrog kev noj tshuaj ntawm 10 mg ntawm cov tshuaj nquag, uas yuav tsum tau muab sib xyaw nrog saline hauv kev sib npaug.
Kev nqus tau
Kev nqus tau rau hauv lub khob tshuaj, uas tau nqa tawm nrog cov kab mob kis ntawm cov pa hauv qis, ib qho tshuaj 1% ntawm dioxidine siv. Nws yuav tsum tau txhav nrog sodium tshuaj dawb hauv qhov sib piv ntawm 1: 4. Txog 1 inhalation, 4 ml ntawm cov khoom tiav yuav tsum muaj. Lub sijhawm ntawm 1 ntu yog 5-7 feeb.
Sab sij huam
Cov kev qhia ntawm kev daws rau hauv cov kab noj hniav lossis txoj hlab ntsha tuaj yeem nrog cov tshuaj phiv no:
- nce hauv lub cev kub;
- ua daus no;
- xeev siab, ntuav, raws plab;
- tsis tuaj yeem dag cov leeg;
- mob taub hau.
Kev ua xua
Nrog kev tso tshuaj kom ruaj khov thiab tso ntshav tshuaj, cov tawv nqaij ua xua tuaj yeem tshwm sim. Daim ntawv thov rau sab nraud ntawm tshuaj pleev thiab daws tuaj yeem ua rau khaus khaus ntawm daim tawv nqaij ntawm thaj chaw kho thiab kev loj hlob ze-dermatitis dermatitis.
Dioxidine tuaj yeem raug nqus los ntawm cov tshuaj hnoos qeev.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Ib hom tshuaj tuaj yeem muaj qhov tsis zoo rau kev ceev ntawm psychomotor cov tshuaj tiv thaiv thiab muaj peev xwm tswj cov kev tawm tsam, yog li thaum lub sijhawm kho koj yuav tsum tsis kam tsav lub tsheb lossis lwm lub tsheb.
Cov lus qhia tshwj xeeb
Nws raug nquahu kom siv cov tshuaj tsuas yog hauv qhov xwm txheej uas siv lwm cov tshuaj tua kab mob tsis ua rau tshwm sim.
Yog hais tias tus neeg mob tau kho lub raum tsis ua haujlwm, ces ntau npaum li cas ntawm cov tshuaj antimicrobial txo.
Thaum kho nrog dioxidine, nws raug nquahu kom noj tshuaj tiv thaiv kev ua xua (antihistamines) thiab tshuaj muaj calcium uas. Qhov no yuav txo qhov kev pheej hmoo ntawm phiv.
Ua ntej siv txoj kev daws teeb meem, nco ntsoov tias tsis muaj qhov tshwj xeeb hauv nws. Yog tias muaj cov muaju hauv cov kua, koj yuav tsum ua kom sov ampoule nrog cov tshuaj hauv dej da dej. Kev ploj ntawm cov khoom muaju txhais tau tias cov tshuaj yeeb yam haum rau kev siv.
Cawv tau zoo
Txij li cov tshuaj yog rau cov pab pawg ntawm cov tshuaj tua kab mob, kev siv cov tshuaj no yog txwv tsis pub sib xyaw ua ke nrog kev haus dej haus cawv. Kev haus dej cawv ethyl tsis yog tsuas yog los ua kom qhov cuam tshuam ntawm cov tshuaj antimicrobial uas yog ib feem ntawm kev noj tshuaj, tab sis kuj ua rau kev txhim kho ntawm cov kev mob tshwm sim hnyav.
Siv thaum cev xeeb tub thiab lactation
Vim lub siab toxicity ntawm cov tshuaj thiab nws lub peev xwm nkag mus rau hauv qhov kev tiv thaiv kab ke, nws yog contraindicated yuav siv cov tshuaj thaum lub sijhawm cev xeeb tub thiab pub niam mis.
Kev siv cov cuab yeej no yog txwv tsis pub coj los ua ke nrog kev haus cawv.
Dioxidine ntau npaum rau cov menyuam yaus
Txawm hais tias cov tuam txhab tsim tawm hauv cov lus qhia rau kev siv tshuaj yeeb tshuaj uas muaj kev sib txuam hauv cov menyuam yaus, cov kws kho mob menyuam yaus feem ntau tau muab tshuaj no rau cov neeg mob me. Feem ntau cov feem ntau, txoj hauv kev daws teeb meem nyob rau hauv daim ntawv ntawm txoj kev daws teeb meem pom zoo kom yuav tsum tau nkag mus rau hauv lub taub ntswg, pob ntseg lossis siv rau qhov nqus pa. Cov tshuaj pleev nrog hydroxymethylquinoxalindioxide yog yuav luag tsis siv nyob rau hauv kev xyaum pediatric.
Thaum ua txoj kev kho mob, koj yuav tsum xaiv cov tshuaj tsawg kawg nkaus, vim hais tias cov tshuaj yeeb dej caw muaj tshuaj lom heev. Nws raug nquahu kom muab qhov kev nyiam ua rau 0,5% tov, hauv 1 ml ntawm cov uas muaj 5 mg ntawm cov nquag tivthaiv.
Hauv kev kho mob ntawm lub qhov ntswg, 1-2 tee ntawm cov tshuaj yog instilled rau hauv txhua qhov ntswg tso. Cov txheej txheem tuaj yeem rov qab ua 2-3 zaug nyob rau ib hnub.
Thaum txhawm rau cov tshuaj rau hauv pob ntseg, pob ntseg pob ntseg yuav tsum xub ua kom huv huv ntawm cov leej faj thiab lwm yam tsis zoo uas siv cov paj rwb los qhwv rau hauv hydrogen peroxide. Tom qab hle cov sulfuric ntau ntau, koj yuav tsum qaij me me lub taub hau rau ib sab thiab qhia 2-3 tee cov tshuaj Dioxidine rau hauv pob ntseg nrog lub pob xa los. Hauv chav ob tog ntawm tus txheej txheem mob, kev siv lub zog yuav tsum tau rov ua rau lwm pob ntseg. Ua ntej siv cov tshuaj, nco ntsoov tias lub ntsej muag tsis yog qhov tawg.
Kev ua pa, ib qho 0.5% daws ntawm dioxidine yuav tsum tov nrog sodium chloride hauv 1: 2 piv. Rau cov txheej txheem, koj xav tau 3-4 ml ntawm cov kua raug. Lub sijhawm sijhawm ntawm kev nqus tau yuav tsum tsis pub tshaj 3 feeb. Lub sijhawm kho mob siab tshaj plaws yog 7 hnub.
Cov neeg tsim tshuaj yaj yeeb qhia tias kev siv cov tshuaj dioxidine tsis pom zoo rau menyuam yaus, tab sis cov kws kho mob menyuam yaus feem ntau muab tshuaj rau nws.
Noj ntau dhau
Nrog kev siv lub sijhawm ntev ntawm kev siv tshuaj ntau dua, mob adrenal tsis txaus (hypocorticism) yuav tshwm sim. Hauv qhov no, cov tshuaj tam sim ntawd raug txiav tawm, sai li sai tau, kev kho tshuaj kho mob yog nqa tawm siv cov neeg sawv cev hormonal.
Kev cuam tshuam nrog lwm yam tshuaj
Cov tshuaj tuaj yeem ua ke nrog lwm hom kev tiv thaiv tus kabmob.
Analogs
Cov tshuaj ntawm cov tshuaj tua kab mob suav nrog:
- Dioxol (tshuaj pleev);
- Dioxisept (kev daws rau cov neeg poob thiab kev tswj hwm chaw nyob);
- Voskopran (pleev cov pleev nrog impregnation los ntawm Dintin ointment);
- Dichinoxide (hmoov rau kev npaj cov tshuaj pleev thiab tshuaj tov);
- Dixin (kev daws).
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Koj tuaj yeem yuav cov tshuaj uas muaj ntawv sau los ntawm kws kho mob.
Dioxidine Nqe
Txog 500 rubles yuav tau them nyiaj rau kev ntim rau kev daws 0.5-1% hauv ib lub tsev muag tshuaj. Qee lub khw muag tshuaj muag ampoules ib tus zuj zus (40-50 rubles rau 1 pc.). Ib lub raj nrog tshuaj pleev raug nqi kwv yees li 300 rubles.
Cia rau cov kab mob dioxidine
Dioxidine raug pom zoo kom khaws cia rau hauv qhov chaw txias, tiv thaiv los ntawm tshav ntuj ncaj qha.
Txee lub neej ntawm yeeb tshuaj
Cov neeg tsim khoom lag luam qhia lub sijhawm txuas hnub kawg ntawm cov tshuaj:
- daws - 2 xyoos;
- tshuaj pleev - 3 xyoos.
Tom qab qhib, lub khob ntim nrog cov tshuaj ua kua tuaj yeem khaws cia rau hauv lub tub yees kom ntev dua 7 hnub. Rau tshuaj pleev, qhov kev txwv no tsis siv.
Kev tshuaj xyuas ntawm cov kws kho mob thiab cov neeg mob ntawm dioxidin
A. A. Ivanov, ENT tus kws tshaj lij, Tso Cai.
Cov tshuaj no feem ntau tau sau tseg rau nws cov neeg mob nrog exacerbation ntawm mob otitis ntev thiab purulent sinusitis. Cov cuab yeej siv tsis tau, nws pab tau sai thiab siv tau zoo, txawm tias muaj qee qhov siv tshuaj pleev lwm yam tsis muaj txiaj ntsig zoo. Txawm li cas los xij, kuv tsis qhia kom siv nws yam tsis muaj daim ntawv sau tshuaj los ntawm kws kho mob, vim tias nws muaj kuab lom ntau heev thiab tuaj yeem ua rau kev txhim kho ntawm kev tshwm sim tsis zoo.
Elena, hnub nyoog 29 xyoos, Moscow.
Dioxidine tau rov qab kho nws tus tub rau tus mob otitis ua ntev. Txhawm rau kom tshem tawm tus kabmob, nws yuav siv tsuas yog 1 ampoule rau tag nrho chav kawm ntawm kev kho, yog li nws pheej yig. Rau ib lub lim tiam ntawm kev siv txoj kev daws teeb meem, nws muaj peev xwm tshem tawm tag nrho cov tsos mob ntawm purulent o.
Lisa, 31 xyoo, Ekaterinburg.
Kuv tau paub txog Dioxidin txij li thaum yau - kuv niam ib txwm kho lawv rau kuv qhov kev mob siab. Zoo siab pab. Tam sim no qee zaum kuv siv nws tus kheej thaum kuv tus ntxhais muaj ntsuab snot vim adenoids. Nws pab sai sai thiab zoo, tab sis rau qee qhov laj thawj tsis yog ib txwm muaj.
