Iyini i-Chlorhexidine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Chlorhexidine iyisibulali-magciwane esinamandla esibulala amagciwane esikhumbeni sakho futhi sisiza ekuvikeleni izifo. Ungase uyibone njengesisombululo esiphuzi noma esiphinki udokotela wakho asisebenzisela ukuhlanza isikhumba sakho ngaphambi kokuhlinzwa, noma njengesithako kweminye imithi yokugeza umlomo nemikhiqizo yokunakekela amanxeba. Le mithi ethenjwayo ibilokhu igcina abantu bephephile emagciwaneni ayingozi amashumi eminyaka, futhi ukuqonda ukuthi isebenza kanjani kungakusiza ukuthi uyisebenzise ngempumelelo uma umhlinzeki wakho wezempilo eyincoma.

Iyini i-Chlorhexidine?

I-Chlorhexidine iyimithi elwa namagciwane ebulala amagciwane, amagciwane, kanye nesikhunta lapho ithintana nakho. Cabanga ngayo njengomkhiqizo wokuhlanza onamandla oklanyelwe ukusetshenziswa kwezokwelapha. Isebenza ngokuphazamisa izindonga zamaseli amagciwane, empeleni iwaphula ukuze angakwazi ukubangela izifo.

Le mithi iza ngezinhlobo eziningana ezihlanganisa izixazululo, ama-gel, ama-wipes, kanye nama-foam. Ukugxila kungahluka kuye ngokuthi isetshenziselwani. Isibonelo, izixazululo zokulungiselela ukuhlinzwa zivame ukuqina kunezinto ezihloselwe ukunakekelwa kwamanxeba nsuku zonke ekhaya.

Isetshenziselwani i-Chlorhexidine?

I-Chlorhexidine isebenza njengomugqa wakho wokuqala wokuzivikela ezifweni ezimweni eziningi zezokwelapha. Abahlinzeki bezempilo bathembele kuyo ngoba isebenza ngokushesha futhi iyaqhubeka nokuvikela isikhumba sakho ngisho nangemva kokuthi somile.

Nazi izindlela eziyinhloko i-chlorhexidine ekusiza ngazo ukuthi uhlale uphephile ezifweni:

• Ukuhlanza isikhumba ngaphambi kokuhlinzwa noma izinqubo zezokwelapha
• Ukulungisa izindawo zokujova noma ukubeka umugqa we-IV
• Ukuhlanza nokubulala amagciwane okusikeka okuncane nokuklwebheka
• Ukuvimbela ukutheleleka ngamakatheta noma amadivayisi ezokwelapha
• Ukwelapha izimo ezithile zesikhumba ezibangelwa amagciwane
• Ukunakekelwa komlomo ngezifo zamagciwane noma ngemva kwezinqubo zamazinyo

Udktela wakho angase futhi ancome i-chlorhexidine ezimweni ezingavamile njengokwelapha izifo ezithile zama-fungal noma ukulungisa isikhumba sakho uma unesimiso somzimba esingavikelekile. Okubalulekile ukuthi idala isivikelo esiqhubekayo sisebenza ngisho nangemva kokusisebenzisa.

Isebenza Kanjani I-Chlorhexidine?

I-Chlorhexidine isebenza njengomshabalalisi oqondiswe ngqo ohlasela ngqo igobolondo elingaphandle lamagciwane. Uma uyisebenzisa esikhumbeni sakho, ngokushesha iqala ukudiliza izindonga zamaseli amabhaktheriya, amagciwane, nama-fungi, okubangela ukuthi afe ngemizuzwana.

Okuthuthukisa ukusebenza kahle kwe-chlorhexidine amandla ayo okuqhubeka. Ngokungafani nezinto zokuhlanza ezisekelwe otshwaleni eziphuka ngokushesha, i-chlorhexidine inamathela esikhumbeni sakho futhi iyaqhubeka nokubulala amagciwane amahora ngemva kokusetshenziswa. Lokhu kuvikela okuqhubekayo yikho okwenza odokotela abahlinzayo bavame ukuyikhetha ekulungiseleleni izindawo zokuhlinzwa.

Umuthi uthathwa njengomuthi onamandla amancane, onamandla kune-soap namanzi ajwayelekile kodwa othambile kunezinye izinto zokubulala amagciwane ezinamandla embonini. Ithola ibhalansi enhle phakathi kokusebenza kahle nokuphepha ekusetshenzisweni njalo esikhumbeni somuntu.

Kufanele Ngiyithathe Kanjani I-Chlorhexidine?

Ukusetshenziswa kwe-chlorhexidine ngendlela efanele kuqinisekisa ukuthi uthola ukuvikelwa okuphezulu ngenkathi unciphisa noma yikuphi ukucasuka okungenzeka. Indlela yokusebenzisa incike ohlotsheni olulusebenzisayo nokuthi ulusebenzisa kuphi.

Ukuze uhlanze isikhumba, qala ngokususa noma yikuphi ukungcola okubonakalayo noma imfucumfucu ngensipho namanzi. Bese usebenzisa isixazululo se-chlorhexidine usebenzisa ukunyakaza okuthambile, okuyindilinga, ukumboza yonke indawo enconyiwe ngumhlinzeki wakho wezempilo. Vumela ukuthi kome ngokuphelele ngaphambi kokumboza ngamabhandishi noma izingubo.

Uma usebenzisa ama-wipes e-chlorhexidine, sebenzisa i-wipe entsha endaweni ngayinye oyihlanza. Ungawasebenzisi kabusha ama-wipes noma uwaqede kamuva, ngoba lokhu kungasakaza amagciwane kunokuwaqeda.

Ukuze isetshenziswe ngomlomo, landela imiyalelo eqondile yodokotela bamazinyo noma udokotela wakho mayelana nokunciphisa nokuvama. Ungalokothi ugwinye izixazululo ze-chlorhexidine, futhi gwema ukudla noma ukuphuza okungenani imizuzu engama-30 ngemva kokusetshenziswa ukuze ugcine ukusebenza kwayo.

Kufanele ngiyithathe isikhathi esingakanani i-Chlorhexidine?

Ubude besikhathi sokusetshenziswa kwe-chlorhexidine buxhomeke ngokuphelele kulokho okwelaphayo kanye nezincomo zomnikezi wakho wokunakekelwa kwezempilo. Ngezindlela ezenziwa kanye njengokuhlanza ngaphambi kokuhlinzwa, uzoyisebenzisa kanye ngaphambi kwale nqubo.

Ukunakekelwa kwamanxeba okuqhubekayo, ungase uyisebenzise nsuku zonke izinsuku eziningana noma amasonto kuze kube yilapho inxeba liphola ngokuphelele. Udokotela wakho uzokuqondisa ukuthi uyeke nini ngokusekelwe ekutheni isikhumba sakho siyaphola kanjani nokuthi ngabe zikhona yini izimpawu zokutheleleka.

Uma usebenzisa i-chlorhexidine ezimweni ezingapheli noma ukunakekelwa kwe-catheter yesikhathi eside, ithimba lakho lokunakekelwa kwezempilo lizosungula isimiso esivamile. Bazophinde baqaphe isikhumba sakho nganoma yiziphi izimpawu zokucasuka noma ukuzwela okungase kuvele ngokusebenzisa isikhathi eside.

Yiziphi Imiphumela Eceleni ye-Chlorhexidine?

Abantu abaningi bayayibekezelela kahle i-chlorhexidine, kodwa njenganoma imuphi umuthi, ingabangela eminye imiphumela emibi. Izindaba ezinhle ukuthi ukusabela okungathi sína akuvamile, futhi imiphumela eminingi emibi imnene futhi yesikhashana.

Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa ukubomvu kwesikhumba okwesikhashana, ukusha okuncane noma ukugwaza uma kuqala ukusetshenziswa, nokoma kwesikhumba okuncane. Lokhu kuvame ukunyama ngemizuzu embalwa kuya emahoreni ngemva kokusetshenziswa.

Nansi imiphumela emibi okufanele uyibheke, ihlelwe ngokuthi ivela kaningi kangakanani:

Imiphumela emibi evame kakhulu:

• Ukuvuvukala kwesikhumba okwesikhashana noma ukubomvu
• Umuzwa wokusha omnene ngesikhathi sokusetshenziswa
• Ukomiswa kwesikhumba noma ukuhlukana
• Ukuguquka kombala kwesikhumba okwesikhashana (ngokuvamile kuyanyamalala)

Imiphumela emibi engavamile kodwa engenzeka:

• Ukusabela kwesikhumba okungokomzimba njengokuqubuka noma imihuzuko
• Ukwanda kokuzwela kwesikhumba elangeni
• Ukushintsha kombala kwesikhumba okuqhubekayo
• I-dermatitis yokuthintana uma isetshenziswe isikhathi eside

Imiphumela emibi engavamile kodwa ebucayi:

• Ukusabela okukhulu komzimba (ubunzima bokuphefumula, ukuvuvukala)
• Ukusha kwamakhemikhali ngesisombululo esigxilile
• Ukumuncwa okuhlelekile okuholela ebuthini (akuvamile kakhulu)

Uma uhlangabezana nanoma yikuphi ukucasuka okuqhubekayo, ukuvuvukala okungajwayelekile, noma ubunzima bokuphefumula, xhumana nomhlinzeki wakho wezempilo ngokushesha. Lokhu kungase kubonise ukusabela komzimba okudinga ukunakwa ngokushesha.

Ubani Ongafanele Athathe I-Chlorhexidine?

Ngenkathi i-chlorhexidine iphephile kubantu abaningi, abantu abathile kufanele bayigweme noma bayisebenzise ngokuqapha okwengeziwe. Umhlinzeki wakho wezempilo uzobuyekeza umlando wakho wezokwelapha ukuze aqinisekise ukuthi ilungele wena.

Akufanele usebenzise i-chlorhexidine uma wazi ukuthi unokungezwani nayo noma nganoma yiziphi izithako zayo. Uma uke waba nokusabela kwamanye ama-antiseptic noma izilondolozi, khuluma ngalokhu nodokotela wakho njengoba ungase uthambekele ekusabeleni ku-chlorhexidine futhi.

Abantu okufanele basebenzise i-chlorhexidine ngokuqapha bahlanganisa labo abanesikhumba esizwelayo kakhulu, i-eczema, noma ezinye izimo zesikhumba ezingapheli. Abesifazane abakhulelwe nabancelisayo kufanele baxoxe ngokusetshenziswa nomhlinzeki wabo wezempilo, nakuba i-chlorhexidine ngokuvamile ithathwa njengephephile uma isetshenziswe njengoba kuqondiswe.

Izingane ngokuvamile zingasebenzisa i-chlorhexidine, kodwa ukugxila kanye nemvamisa kungase kudingeke ukuthi kulungiswe. Ungalokothi usebenzise izixazululo zamandla abantu abadala ezinsaneni noma ezinganeni ezincane ngaphandle kwesiqondiso esithile sezokwelapha.

Amagama Omkhiqizo we-Chlorhexidine

I-Chlorhexidine itholakala ngaphansi kwamagama amaningi omkhiqizo, ngalinye lenzelwe ukusetshenziswa okuthile. Okujwayelekile ongahlangana nakho kufaka phakathi i-Hibiclens, i-ChloraPrep, ne-Betasept yokulungiselela isikhumba.

Ukunakekelwa komlomo, ungase ukubone emikhiqizweni efana ne-Peridex noma i-PerioGard. Eminye imikhiqizo yokunakekelwa kwamanxeba etholakala ngaphandle kwemvume kadokotela nayo iqukethe i-chlorhexidine, nakuba ngokuvamile isezingeni eliphansi kunalelo lemithi kadokotela.

Izinhlobo ezivamile zitholakala kabanzi futhi zisebenza ngempumelelo efana nemikhiqizo enegama. Okubalulekile ukukhetha ukugxila okulungile kanye nokwakheka okufanele izidingo zakho ezithile, okungasiza umhlinzeki wakho wezempilo ukuthi akutholele zona.

Ezinye izindlela ze-Chlorhexidine

Uma i-chlorhexidine ingakulungele, ezinye izindlela ezinganikeza ukuvikelwa okufanayo kwe-antiseptic. Umhlinzeki wakho wezempilo angase akuncome lezi ngokusekelwe esimweni sakho esithile kanye nanoma yikuphi ukuzwela onakho.

I-Povidone-iodine (Betadine) iyindlela ejwayelekile esebenza ngempumelelo ngokumelene namagciwane. Ilungele ikakhulukazi ukunakekelwa kwamanxeba kodwa ingangcolisa izingubo nesikhumba okwesikhashana. Izixazululo ezisekelwe otheni zisebenza ngokushesha kodwa azinikezi ukuvikelwa okuhlala njalo okunikezwa yi-chlorhexidine.

Ukunakekelwa kwesikhumba kwansuku zonke, izinketho ezimnene njenge-hydrogen peroxide encishisiwe noma izixazululo ze-saline zingase zifanele. Lezi azinamandla kodwa futhi mancane amathuba okuthi zibange ukucasuka uma zisetshenziswa njalo.

Udokotela wakho angase futhi asikisele imikhiqizo ethile yokunakekelwa kwamanxeba ehlanganisa ama-ejenti amaningi e-antiseptic noma lawo aklanyelwe isikhumba esibucayi. Enye indlela engcono kakhulu incike kulokho okwelaphayo kanye nokubekezelelana kwesikhumba sakho.

Ingabe i-Chlorhexidine ingcono kune-Povidone-Iodine?

Kokubili i-chlorhexidine ne-povidone-iodine ziyizinto ezinhle kakhulu ze-antiseptics, kodwa ngamunye unamathuba ayingqayizivele ngokuya ngezidingo zakho ezithile. Akukho noyedwa ongcono kunomunye.

I-Chlorhexidine inikeza ukuvikelwa okuhlala isikhathi eside futhi mancane amathuba okuthi ibange ukucasuka kwesikhumba uma isetshenziswa ngokuphindaphindiwe. Ilungele ikakhulukazi izimo lapho udinga khona isenzo esiqhubekayo se-antiseptic, njengokunakekelwa kwe-catheter noma ukulungiselela ngaphambi kokuhlinzwa.

I-Povidone-iodine isebenza ngokushesha ekuqaleni futhi isebenza kahle ezinhlotsheni eziningi zezinto eziphilayo, okuhlanganisa ezinye ezingase zingabonwa yi-chlorhexidine. Kodwa-ke, ingase ithukuthelise isikhumba esibucayi futhi ayinikezi ukuvikelwa okufanayo okwandisiwe.

Umhlinzeki wakho wezempilo uzokhetha ngokusekelwe ezintweni ezifana nokuthi yiziphi izinto eziphilayo abazihlosile, ukuthi udinga isikhathi esingakanani ukuvikelwa, kanye nokuzwela kwesikhumba sakho. Zombili ziyizinketho ezithembekile, ezisebenzayo ekunakekelweni kwezempilo.

Imibuzo Evame Ukubuzwa Mayelana ne-Chlorhexidine

Q1. Ingabe i-Chlorhexidine iphephile ku-Diabetes?

Yebo, i-chlorhexidine ngokuvamile iphephile futhi ivame ukunconywa kubantu abanesifo sikashukela. Eqinisweni, ingasiza ngoba isifo sikashukela singanciphisa ukuphola kwamanxeba futhi sandise ingozi yokutheleleka.

Abantu abanesifo sikashukela bayazuza esenzweni se-antiseptic esihlala isikhathi eside se-chlorhexidine, esihlinzeka ukuvikelwa okwandisiwe kokusikeka okuncane nokuklwebheka. Kodwa-ke, uma une-diabetic neuropathy nokuzwela okuncishisiwe ezinyaweni zakho noma ezandleni, qaphela ngokwengeziwe ukulandela imiyalelo yokusebenzisa ukuze ugweme ukusetshenziswa ngokweqile.

Njalo yazisa umhlinzeki wakho wezempilo ngesifo sakho sikashukela uma beqoka i-chlorhexidine, njengoba bengase bafune ukuqapha ukuphola kwakho eduze noma balungise ukugxila ngokuya ngokulawulwa kukashukela wakho wegazi.

Q2. Kufanele ngenzeni uma ngisebenzisa i-Chlorhexidine eningi ngengozi?

Uma usebenzise i-chlorhexidine eningi esikhumbeni sakho, geza ngobumnene indawo ngamanzi ahlanzekile ukuze ususe okweqile. Ungahlikihli noma usebenzise insipho, ngoba lokhu kungase kwandise ukucasuka.

Qaphela izimpawu zobubomvu obandayo, ukusha, noma ukulimala kwesikhumba emahoreni ambalwa alandelayo. Uma uqaphela ukucasuka okukhulu noma uma indawo iba buhlungu, xhumana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso.

Uma umuntu emunca i-chlorhexidine ngengozi, geza umlomo wakhe ngamanzi bese uthintana nenkampani elawula ubuthi noma udokotela wakho ngokushesha. Nakuba amanani amancane engase angabangeli ingozi enkulu, akuhloselwe ukuthi ingamuncwa futhi ingabangela ukuphazamiseka kwesisu.

Umbuzo 3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Chlorhexidine?

Uma uphuthelwa ukusetshenziswa kwe-chlorhexidine okuhleliwe, kuyisebenzise ngokushesha nje lapho ukhumbula. Nokho, uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe, weqa lowo ophuthelwe futhi uqhubeke nohlelo lwakho olujwayelekile.

Ungaphindi izicelo ukuze ulungise imithamo ephuthelwe, njengoba lokhu kungakhuphula ingozi yakho yokucasuka kwesikhumba. Umphumela we-antiseptic awenzi ngaphakathi ohlelweni lwakho njengemithi yomlomo.

Uma usebenzisa i-chlorhexidine ekunakekelweni kwamanxeba futhi uphuthelwa izicelo eziningana, xhumana nomhlinzeki wakho wezempilo. Bangase bafune ukuhlola indawo ukuze baqinisekise ukuthi iyaphola kahle futhi balungise uhlelo lwakho lokwelapha uma kudingeka.

Umbuzo 4. Ngingayeka nini ukuthatha i-Chlorhexidine?

Ungayeka ukusebenzisa i-chlorhexidine uma umhlinzeki wakho wezempilo ekutshela ukuthi ayisadingeki, noma uma isimo osilaphekayo sesixazululiwe. Lesi sinqumo sincike kulokho okuyisebenzisela khona.

Ukunakekelwa kwamanxeba, ngokuvamile uzoyeka uma inxeba seliphiliswe ngokuphelele futhi kungekho zimpawu zokutheleleka. Ukulungiselela ngaphambi kokuhlinzwa, uzoyisebenzisa kanye kuphela ngaphambi kwenqubo.

Uma usebenzisa i-chlorhexidine ezimweni ezingamahlalakhona noma ukunakekelwa kwesikhathi eside, ithimba lakho lezempilo lizohlola njalo ukuthi ngabe ukuqhubeka nokuyisebenzisa kuyadingeka yini. Ungayeki ngokuphazima kweso uma uyisebenzisela ukunakekelwa okuqhubekayo kwemishini yezokwelapha ngaphandle kokuxhumana nomhlinzeki wakho kuqala.

Umbuzo 5. Ngingayisebenzisa i-Chlorhexidine neminye imithi?

I-Chlorhexidine ngokuvamile ingasetshenziswa kanye neminye imithi eminingi njengoba isetshenziswa ngaphandle futhi ayimuncwa kakhulu egazini lakho. Nokho, ezinye izindlela zokuxhumana neminye imikhiqizo yangaphandle kungenzeka.

Gwema ukuxuba i-chlorhexidine namanye ama-antiseptics noma amakhemikhali anolaka, ngoba lokhu kungakhuphula ukucasuka noma kunciphise ukusebenza. Uma usebenzisa eminye imithi yendawo endaweni efanayo, yihlukanise okungenani ngemizuzu engu-15-30.

Njalo yazisa umhlinzeki wakho wezempilo ngayo yonke imithi oyithathayo, okuhlanganisa imikhiqizo etholakala ngaphandle kwekhawunta kanye nezithasiselo. Bangakunika iseluleko ngesikhathi esingcono kakhulu nendlela yokusebenzisa ukuqinisekisa ukuthi zonke izindlela zakho zokwelapha zisebenza kahle ndawonye.