"Geksoral Tubbs": malangizo ntchito kwenikweni

Kodi ndi chifukwa chiyani kutenga mankhwala "Geksoral Tubbs?" Malangizo a mankhwala, zizindikiro zake ndi contraindications zafotokozedwa m'nkhani ino. Kuyambira mungathe kuphunzira zimene mitundu ina ya mankhwala ndi, kaya akhoza kugwiritsidwa ntchito pa mimba, kaya mavuto mankhwala ndi zina zotero.

The zikuchokera mankhwala

Kodi maonekedwe alipo mankhwala "Geksoral Tubbs?" Mu kugulitsa ndi mu maonekedwe a mapiritsi suckable omwe zozungulira ndi mawonekedwe lenticular ndi pamwamba akhakula ndi chikasu mtundu.

The yogwira pophika mankhwala ndi chlorhexidine dihydrochloride ndi benzocaine. Koma zigawo wothandiza, ndiye iwo monga isomalt, mafuta peppermint, menthol, aspartame, thymol ndi madzi oyera.

Makhalidwe pharmacological mankhwala

Kodi katundu ndi "Geksoral Tubbs" piritsi? Good zotsatira achire chifukwa phwando awo zikuchokera medicament.

A kukonzekera ophatikizana "Geksoral Tubbs" apakhungu kugwira ntchito antibacterial. Ndi chifukwa cha kupezeka kwa zinthu monga chlorhexidine. Koma benzocaine, ndi mankhwala ochititsa m'deralo, amene amaonetsetsa Kupha zizindikiro ululu.

Mwatsatanetsatane za katundu wa mankhwala

Chlorhexidine ali m'gulu zikuchokera kwa "Geksoral Tubbs" mankhwala, ali bwino ntchito antibacterial ndi galamu alibe ndi galamu HIV mabakiteriya. Pambuyo ingestion wa chinthu yogwira amasokoneza nembanemba cytoplasmic selo bakiteriya. Komabe, si kwambiri ndi dermatophytes, yisiti n'kumugawa m'magulumagulu, mycobacteria ndi ena Proteus ndi Pseudomonas.

Mlingo waukulu wa chlorhexidine dihydrochloride mogwira sing'anga pang'ono zamchere kapena ndale. Chidulo komanso zochita zake kwambiri yafupika. Komanso, mphamvu ya mankhwala yafupika mu kukhalapo kwa magazi, kuchapa komanso mafinya.

Ntchito mapiritsi "Geksoral Tubbs" akutitsogolera kuti kuchepa zikusintha zili tizilombo zoipa malovu. Pankhaniyi, kugwiritsa ntchito mankhwala kwa masabata ochepa (kapena miyezi) limodzi ndi kuchepetsa dzuwa ake. Izi zimachitika chifukwa cha kuchepa kwa tilinazo mabakiteriya.

Kuwonjezera chlorhexidine dihydrochloride, kuonedwa ndi ife lili medicament ndi mchitidwe yogwira monga benzocaine. Ndi mankhwala ochititsa m'deralo, amene mwamsanga relieves ululu pakhosi ndi pakamwa. zotsatira Analgesic kumatenga nthawi yaitali.

Benzocaine akhoza mkatikati mwa gawo lipophilic wa selo nembanemba, kenako n'kuchi- pa nociceptors (zotumphukira) wa khungu ndipo zimagwira ntchito zosiyanasiyana mucous.

Benzocaine mankhwala ochititsa zotsatira zambiri amapezeka masekondi 20-28 pambuyo ntchito. Koma ngati dilution wa yogwira mankhwala malovu kanthu pang'onopang'ono ndichepe.

Pharmacokinetics

Yogwira chigawo chimodzi kukonzekera "Geksoral Tubbs" (chlorhexidine) akhoza angapitirize malovu kuti maola asanu ndi atatu. Pankhaniyi, palibe deta matenda za mayamwidwe ake kudzera mucosa m'kamwa mwa munthu.

Koma benzocaine, polingalira solubility otsika mu madzi, imatsala pang'onopang'ono. Ngati zonse oyaka parabens ofanana nawo, chinthu unagwa mu chiwindi ndi madzi a m'magazi ndi esterases. Chifukwa ndi Mowa, amene zimapukusidwa kuti acetyl coenzyme. Pankhani Para-aminobenzoic asidi, ndi pansi conjugation ndi glycine kapena lotulukira thupi mwa impso sichinasinthe.

Zikuonetsa ntchito mankhwala

Pamene prescribers "Geksoral Tubbs?" Malangizo a mankhwala muli mndandanda uli mmunsiwu kuwerenga:

• zilonda zapakhosi, pharyngitis, ndi matenda ena yotupa kummero;
• gingivitis;
• stomatitis.

Contraindications ntchito mankhwala

Imene milandu ndikoletsedwa kugwiritsa ntchito mankhwala "Geksoral" (aerosol mapiritsi dispersible)? Malinga ndi malangizo Ufumuyo, kugwiritsa ntchito mankhwala ndikoletsedwa milandu zotsatirazi:

• ndi phenylketonuria;
• ndipo bala pa zotupa anam'peza wa M'mimbamo m'kamwa kapena pharynx;
• pa woipa otsika cholinesterase m'mwazi;
• ngati mwana wakwanitsa zaka sizinathe 4 zaka;
• ngati hypersensitivity kwa zigawo mankhwala.

Medicament "Geksoral Tubbs": malangizo ntchito

Anati medicament ntchito timitu yekha. Phale ayenela kuyimisa pang'onopang'ono m'kamwa (mpaka kuvunda yake).

Mankhwala ayenera kuyamba ntchito yomweyo pambuyo zizindikiro woyamba wa matendawa. Komanso, mankhwala ayenera chiperekedwe kwa masiku angapo pambuyo mofulumira wathunthu zizindikiro zonse.

Akulu ndi ana oposa zaka 12, mankhwala nthawi Kwalamulidwa kwa piritsi loyamba lililonse 1 kapena 2 hours (ngati n'koyenera). Komabe, mlingo tsiku la mankhwala sayenera mapiritsi oposa 8 patsiku.

Ana zaka 4 mpaka 12 ya mankhwala kutumikiridwa mu kuchuluka kwa osapitirira anayi mapiritsi tsiku, limene likupezeka chabe pa udindo Dokotala.

mankhwala sayenera kuperekedwa kwa ana kwa zaka 4.

Nthawi cha mankhwala osokoneza bongo

Kodi kukhala mankhwala ambiri osokoneza bongo "Geksoral Tubbs" (tingachipeze powerenga ndi zina zotero.)? Pamene ntchito bwino, mankhwala ambiri osokoneza bongo ndi zosatheka. Pambuyo mchitidwe yogwira - Chlorhexidine - osati odzipereka mu m'magazi, ndi kuchuluka kwa benzocaine wambiri yaing'ono.

Monga kudafotokozedwa pamwamba, chlorhexidine hydrochloride bwino kwambiri sungunuka m'madzi. Choncho milandu onse cha mankhwala osokoneza bongo anafotokoza kokha pamene kulandira zabwino sungunuka chlorhexidine gluconate. Zizindikiro za chikhalidwe ichi ndi mucosal zinawonongedwa ndi mwachindunji kukhudzana ndi mankhwala yogwira, komanso mwadongosolo, koma kusintha, kuwonjezeka mu ndende ya enzyme kwa chiwindi. mankhwala apadera Pankhaniyi palibe.

Ponena benzocaine, ndiye thunthu overdosing angayambe kokha pamene ntchito pachithunzichi mankhwala. Pankhaniyi pali zotsatira poizoni pa wamanjenje dongosolo, amene kumaonekera poyamba ndi kugwedeza, kusanza, kupotokola, kenako maganizo a CNS. Potsilizira pake, wodwala akhoza kugwa mu chikomokere.

Komanso, woipa mkulu wa poizoni chifukwa anatseka misewu ya AV-conduction, bradycardia ndi matenda a mtima. Benzocaine komanso amakhala chifukwa cha methemoglobinemia (wamba ana), amene anatsagana ndi cyanosis ndi asphyxiation.

Kodi kuchitira? Ngati ambiri osokoneza benzocaine, wodwala n'kofunika kupangira kusanza, ndipo nthawi yomweyo kusamba m'mimba. Nthawi zina madokotala mankhwala adamulowetsa makala.

Ngati wodwala anabwera hypoxia ndi anoxia, m'pofunika kuchita kupuma yokumba. Mlandu mtima muyenera kutikita.

Pamene wodwala Kwalamulidwa zopweteka barbiturates kudya (koma osati pansi zopweteka anoxic) ndi "ntchito diazepam". Zikavuta, pambuyo intubation ndi yokumba kupuma ntchito suxamethonium mankhwala enaake.

Kufalitsidwa kwa wodwala anakhalabe mwa kuyambitsa njira electrolyte kapena madzi a m'magazi. Pamene methemoglobinemia ntchito mpaka 50 ml ya methylene buluu njira (1%). Andibaye m'nsinga.

zotsatira zoyipazi

Kodi pali zovuta zilizonse mu "Geksoral" kukonzekera (aerosol, mapiritsi)? Malinga ndi malangizo, mankhwala ali ndi chiwerengero ndi lalikulu la zotsatira zoipa. Iwo akhala anafotokozedwa maphunziro AIDS kapena matenda.

• M'mimba System: kutsitsa mucosa tilinazo pakamwa, kukoma (kapena otchedwa dysgeusia) zosakhalitsa chinenero dzanzi, stomatitis, kusintha kusintha mtundu wa mano ndi lilime, discoloration gulu ndi zipangizo silicate mano kubwezeretsa, detachment wa mucosa mkamwa, mapangidwe tartar kapena zolengeza , glossodiniya ndi kuonjezera malovu zopangitsa (parotid).
• chitetezo chokwanira anthu: zochita hypersensitivity, kuphatikizapo angioedema, urticaria, anaphylactic mantha ndi zochita zina anaphylactic.
• The lymphatic ndi magazi dongosolo: methemoglobinemia.

Ngati zotsatirapo zimenezi zachuluka kapena anati zotsatira zina chokhwima kuti sanali alembedwa mu Buku, ndiye wodwalayo ayenera kudziwitsa dokotala.

Mogwirizana ndi mankhwala ena

kaya ntchito mankhwala kumakhudzanso ntchito njira zina? Zimene limanena Buku? "Geksoral Tubbs" (tingachipeze powerenga ndi zina zotero.) Kodi kuchepetsa ntchito antibacterial wa sulfonamides ndi aminosalicylates. Izi zimachitika kudzera mu mapangidwe asidi metabolite aminobenzoic.

Ponena za zimene chlorhexidine, izo amachepetsa ndinasintha ndi ntchito munthawi yomweyo sucrose, polysorbate 80, wa insoluble nthaka salt, magnesium ndi calcium.

Mankhwala "Geksoral Tubbs 'mimba

Panopa zinachitikira ntchito mankhwala "Geksoral" (mu mawonekedwe a mapiritsi chewable ndi aerosols) unamwino ndi amayi apakati ndi kwina. Ndicho chifukwa chake ntchito n'chotheka pa nthawi imene kuyembekezera phindu mayi ndi kwambiri kuposa chiopsezo kuthekera kwa mwana wosabadwayo, kapena mwana.

malangizo enieni kugwiritsa ntchito mankhwala

Kodi mukufuna kudziwa ntchito otetezeka "Geksoral Tubbs" (Classic) mankhwala? Reviews akatswiri a malo ndi osokoneza: ngati ntchito molakwika, benzocaine zingachititse methemoglobinemia. okhumudwa limodzi ndi zizindikiro monga kusintha mtundu wa mabedi milomo, khungu, ndi misomali. Iwo kukhala wotumbululuka kapena buluu, grayish hue. Komanso, wodwala akhoza kuona lightheadedness, kupweteka kwa mutu, kutopa, kufupika kwa mpweya ndi tachycardia. Maonekedwe zizindikiro izi zikusonyeza kukhalapo kwa methemoglobin ndalama mkulu kapena zolimbitsa, komanso kuchepa kwambiri mpweya magazi.

Pa chiopsezo kukhala methemoglobinemia sachedwa odwala achikulire ndi achinyamata. Ana kupatsidwa mankhwala akhoza kumwedwa kokha moyang'aniridwa ndi wamkulu.

The medicament lili mchitidwe wothandiza monga aspartame. Ndi ndilochokera ku phenylalanine, chomwe ndi chiopsezo zoonekeratu odwala ndi phenylketonuria.

Ntchito medicament ndi kutiletsa pamaso pa zilonda ndi zotupa zoopsa wa M'mimbamo m'kamwa ndi kukhosi. Makamaka samalani kupereka mankhwala kwa ana aang'ono (kwa zaka 4) ndi anthu mkhutu kumeza kapena kukhumba, monga izi zingachititse suffocation.

Ngati mankhwala "Geksoral Tubbs atamaliza alumali moyo, sayenera kuwataya mu madzi zinyalala kapena pa msewu. mankhwala tikulimbikitsidwa kuti adzaikidwa mu phukusi ndi kulitumiza ilo kwa zinyalala ndi. miyeso Izi zingathandize kuti ateteze ndi kuteteza chilengedwe.

Nkhani imene ife mankhwala alibe mphamvu pa luso kuyendetsa galimoto, komanso pochita zinthu zina.

Mitundu ina ya kumasulidwa

Kuwonjezera pa miyala, mankhwala "Geksoral" chopangidwa mitundu ina. Tiyeni tione iwo mwatsatanetsatane.

• 0.1% njira yothetsera ntchito apakhungu. medicament Izi muli hexetidine komanso zinthu ngati wothandiza monga aniseed ndi bulugamu mafuta, Mowa, citric asidi monohydrate, mafuta clove, levomenthol, polysorbate 60, methyl salicylate, mafuta peppermint, madzi oyera, sodium saccharin ndi azorubin. Nthumwi Pakalipano ntchito kokha kwa rinsing mkamwa ndi mmero.
• Aerosol "Geksoral" (kutsitsi). Kugwiritsa ntchito mankhwala zikusonyezedwa milandu chimodzimodzi monga miyala. Utsi ayenera sprayed pa madera okhudzidwa ndi mvulayi pakuti palibe masekondi oposa 2. Childs, ndi kutumikiridwa kawiri patsiku (pambuyo chakudya ndi chakudya). Matenda aakulu aerosol ntchito kawirikawiri.

mankhwala Reviews

Malinga ndi mayankho odwala, mankhwala "Geksoral" uzigwirizana bwino ntchitoyi. Uyamiko kwa Iye, zilonda zapakhosi ndi zilonda zapakhosi, komanso matenda ena yotupa wa pharynx, kodi kusamutsidwa zambiri mosavuta ndi kuyesedwa mwamsanga mokwanira. Koma ndemanga zoipa, ndi zambiri iwo sadziwa amene ntchito mankhwala bwino.