{"id":3294,"date":"2023-04-10T16:11:07","date_gmt":"2023-04-10T09:11:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=3294"},"modified":"2023-04-17T14:46:09","modified_gmt":"2023-04-17T07:46:09","slug":"kiem-soat-mang-bam-bang-phuong-phap-hoa-hoc-tong-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/kiem-soat-mang-bam-bang-phuong-phap-hoa-hoc-tong-quan\/","title":{"rendered":"Ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ho\u00e1 h\u1ecdc – G\u00f3c nh\u00ecn t\u1ed5ng quan."},"content":{"rendered":"

Bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m t\u1ed1t nh\u1ea5t l\u00e0 k\u1ebft h\u1ee3p ph\u01b0\u01a1ng ph\u00e1p c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc. V\u00ed d\u1ee5, trong kem \u0111\u00e1nh r\u0103ng th\u01b0\u1eddng ch\u1ee9a c\u1ea3 ch\u1ea5t m\u00e0i m\u00f2n, v\u00e0 ch\u1ea5t ch\u1ed1ng m\u1ea3ng b\u00e1m, ch\u1ea5t ch\u1ed1ng vi khu\u1ea9n nh\u01b0 sodium lauryl sulphate, thi\u1ebfc fluoride, triclosan plus zinc citrate tri closan plus copolymers…Ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p h\u00f3a h\u1ecdc b\u1ed5 sung cho ph\u01b0\u01a1ng ph\u00e1p c\u01a1 h\u1ecdc ch\u1ee9 kh\u00f4ng th\u1ec3 thay th\u1ebf cho ph\u01b0\u01a1ng ph\u00e1p c\u01a1 h\u1ecdc \u0111\u01b0\u1ee3c.<\/strong><\/p>\n

1. M\u1ee5c \u0111\u00edch ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p h\u00f3a h\u1ecdc<\/h2>\n

– Ng\u0103n c\u1ea3n t\u1ea1o th\u00e0nh m\u1ea3ng b\u00e1m r\u0103ng.<\/p>\n

– Ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m r\u0103ng.<\/p>\n

– Thay \u0111\u1ed5i th\u00e0nh ph\u1ea7n c\u1ee7a vi khu\u1ea9n m\u1ea3ng b\u00e1m.<\/p>\n

– C\u00f3 t\u00e1c d\u1ee5ng k\u00ecm khu\u1ea9n, di\u1ec7t khu\u1ea9n g\u00e2y b\u1ec7nh s\u00e2u r\u0103ng, b\u1ec7nh quanh r\u0103ng.<\/p>\n

– Thay \u0111\u1ed5i b\u1ec1 m\u1eb7t c\u1ee7a r\u0103ng t\u1eeb \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 b\u00e1m d\u00ednh c\u1ee7a m\u1ea3ng b\u00e1m r\u0103ng.<\/p>\n

M\u1eb7c d\u00f9 c\u00f3 nhi\u1ec1u ch\u1ea5t ch\u1ed1ng vi khu\u1ea9n \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u \u0111\u1ec3 ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m, nh\u01b0ng ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 \u00edt \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 l\u00e0m s\u00e0ng do v\u1ea5n \u0111\u1ec1 b\u00e1m d\u00ednh, ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ch\u1ea5t \u0111\u00f3 trong mi\u1ec7ng, kh\u00f3 kh\u0103n trong vi\u1ec7c k\u1ebft h\u1ee3p v\u00e0o c\u00e1c s\u1ea3n ph\u1ea9m nha khoa kh\u00e1c.<\/p>\n

S\u1eed d\u1ee5ng k\u00e9o d\u00e0i c\u00e1c ch\u1ea5t n\u00e0y g\u00e2y ra:<\/p>\n

– L\u00e0m m\u1ea5t c\u00e2n b\u1eb1ng t\u1ef1 nhi\u00ean vi sinh v\u1eadt m\u00f4i tr\u01b0\u1eddng mi\u1ec7ng.<\/p>\n

– D\u1eabn t\u1edbi ph\u00e1t tri\u1ec3n vi sinh v\u1eadt ngo\u1ea1i sinh.<\/p>\n

– D\u1eabn t\u1edbi s\u1ef1 kh\u00e1ng khu\u1ea9n. C\u00f3 m\u1ed9t v\u00e0i ch\u1ea5t th\u1ecfa m\u00e3n \u0111\u01b0\u1ee3c nh\u1eefng ti\u00eau chu\u1ea9n tr\u00ean.<\/p>\n

2. C\u00e1c ch\u1ea5t ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m t\u1ea1i nh\u00e0<\/h2>\n

– Nh\u1eefng ch\u1ea5t n\u00e0y ph\u1ea3i cung c\u1ea5p v\u1edbi t\u1ea7n su\u1ea5t cao, 1 \u2013 3 l\u1ea7n trong ng\u00e0y<\/p>\n

– Ki\u1ec3m so\u00e1t r\u1ea5t hi\u1ec7u qu\u1ea3 m\u1ea3ng b\u00e1m tr\u00ean l\u1ee3i nh\u01b0ng h\u1ea1n ch\u1ebf \u1edf d\u01b0\u1edbi l\u1ee3i.<\/p>\n

– C\u1ea7n c\u00e2n nh\u1eafc t\u1edbi s\u1ef1 th\u00edch \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 gi\u00e1 c\u1ea3 \u0111\u1ec3 l\u1ef1a ch\u1ecdn s\u1ea3n ph\u1ea9m th\u00edch h\u1ee3p.<\/p>\n

3. C\u00e1c ch\u1ea5t ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m t\u1ea1i ph\u00f2ng kh\u00e1m<\/h2>\n

– Th\u01b0\u1eddng xuy\u00ean ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m \u0111\u1ec3 l\u00e0m ng\u1eebng ti\u1ebfn tri\u1ec3n c\u1ee7a s\u00e2u r\u0103ng v\u00e0 ch\u1eefa tr\u1ecb vi\u00eam quanh r\u0103ng giai \u0111o\u1ea1n s\u1edbm.<\/p>\n

– Hi\u1ec7u qu\u1ea3 cao v\u00ec n\u00f3 \u0111\u01b0\u1ee3c cung c\u1ea5p b\u1edfi nha s\u0129.<\/p>\n

– T\u00e1c d\u1ee5ng k\u00e9o d\u00e0i c\u00f3 th\u1ec3 t\u0103ng th\u00eam nh\u1edd nh\u1eefng ch\u1ea5t gi\u1ea3i ph\u00f3ng ch\u1eadm, nh\u01b0 vecni chlorhexidine.<\/p>\n

4. Nh\u1eefng nh\u00e2n t\u1ed1 \u1ea3nh h\u01b0\u1edfng t\u1edbi ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p h\u00f3a h\u1ecdc<\/h2>\n

– Substantivity: \u0110\u00f3 l\u00e0 kh\u1ea3 n\u0103ng m\u1ed9t ch\u1ea5t b\u00e1m d\u00ednh v\u00e0o b\u1ec1 m\u1eb7t m\u00f4, theo th\u1eddi gian n\u00f3 c\u00f3 th\u1ec3 gi\u1ea3i ph\u00f3ng li\u1ec1u l\u01b0\u1ee3ng th\u00edch h\u1ee3p c\u00e1c ch\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng ch\u00ednh.<\/p>\n

– T\u00ednh th\u1ea5m: l\u00e0 hi\u1ec7u qu\u1ea3 th\u1ea5m s\u00e2u v\u00e0o trong m\u1ea3ng b\u00e1m r\u0103ng c\u1ee7a c\u00e1c ch\u1ea5t.<\/p>\n

– T\u00ednh \u0111\u1eb7c hi\u1ec7u: l\u00e0 t\u00e1c d\u1ee5ng \u0111\u1eb7c hi\u1ec7u l\u00ean m\u1ed9t lo\u1ea1i vi khu\u1ea9n trong m\u1ea3ng b\u00e1m r\u0103ng c\u1ee7a m\u1ed9t ch\u1ea5t.<\/p>\n

– T\u00ednh tan: L\u00e0 kh\u1ea3 n\u0103ng m\u1ed9t ch\u1ea5t c\u00f3 th\u1ec3 h\u00f2a tan theo c\u00e1c ph\u01b0\u01a1ng th\u1ee9c kh\u00e1c nhau \u0111\u1ec3 cho ph\u00e9p gi\u1ea3i ph\u00f3ng nhanh v\u00e0o m\u00f4i tr\u01b0\u1eddng mi\u1ec7ng.<\/p>\n

– T\u00ednh \u1ed5n \u0111\u1ecbnh: l\u00e0 \u0111\u1eb7c t\u00ednh c\u1ee7a m\u1ed9t ch\u1ea5t kh\u00f4ng b\u1ecb ph\u00e1 h\u1ee7y, thay \u0111\u1ed5i th\u00e0nh ph\u1ea7n h\u00f3a h\u1ecdc trong qu\u00e1 tr\u00ecnh b\u1ea3o qu\u1ea3n.<\/p>\n

– Kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn: N\u00f3 l\u00e0 m\u1ed9t ti\u00eau chu\u1ea9n quan tr\u1ecdng c\u1ee7a ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m b\u1eb1ng ch\u1ea5t h\u00f3a h\u1ecdc. M\u1ed9t ch\u1ea5t \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 hi\u1ec7u qu\u1ea3 khi n\u00f3 t\u1edbi \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed ho\u1ea1t \u0111\u1ed9ng, v\u00e0 t\u1ed3n t\u1ea1i \u1edf \u0111\u00f3 \u0111\u1ee7 l\u00e2u \u0111\u1ec3 t\u00e1c d\u1ee5ng hi\u1ec7u qu\u1ea3.<\/p>\n

Ch\u1ea5t ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p h\u00f3a h\u1ecdc t\u1ed1t n\u00ean t\u1eadp h\u1ee3p t\u1ea5t c\u1ea3 nh\u1eefng nh\u00e2n t\u1ed1 tr\u00ean.<\/p>\n

5. T\u00e1c d\u1ee5ng ng\u0103n c\u1ea3n m\u1ea3ng b\u00e1m<\/h2>\n

Ch\u1ea5t h\u00f3a h\u1ecdc ng\u0103n c\u1ea3n t\u1ea1o th\u00e0nh m\u1ea3ng b\u00e1m b\u1eb1ng nh\u1eefng c\u01a1 ch\u1ebf sau:<\/p>\n

– Ng\u0103n c\u1ea3n s\u1ef1 t\u1eadp trung c\u1ee7a vi khu\u1ea9n.<\/p>\n

– Ng\u0103n c\u1ea3n s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n.<\/p>\n

– Ng\u0103n c\u1ea3n s\u1ef1 ho\u00e0n ch\u1ec9nh m\u1ea3ng b\u00e1m r\u0103ng.<\/p>\n

– Thay \u0111\u1ed5i m\u00f4i tr\u01b0\u1eddng vi sinh v\u1eadt \u1edf m\u1ea3ng b\u00e1m r\u0103ng.<\/p>\n

Nh\u1eefng ch\u1ea5t ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m hi\u1ec7n nay th\u01b0\u1eddng c\u00f3 ph\u1ed5 kh\u00e1ng khu\u1ea9n r\u1ed9ng, c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng khu\u1ea9n v\u00e0 di\u1ec7t khu\u1ea9n. Ch\u00fang d\u00ednh v\u1edbi m\u00e0ng vi khu\u1ea9n v\u00e0 t\u01b0\u01a1ng t\u00e1c v\u1edbi n\u00f3, b\u1eb1ng c\u00e1ch \u0111\u00f3 n\u00f3 c\u1ea3n tr\u1edf qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a c\u1ee7a vi khu\u1ea9n v\u00e0 l\u00e0m ch\u1ebft n\u00f3. Ch\u00fang c\u0169ng thay \u0111\u1ed5i t\u00ednh th\u1ea5m m\u00e0ng t\u1ebf b\u00e0o vi khu\u1ea9n, l\u00e0m \u0111\u1ee9t g\u00e3y c\u00e1c b\u00e0o quan b\u00ean trong t\u1ebf b\u00e0o, l\u00e0m tan r\u00e3 protein.<\/p>\n

6. C\u00e1c c\u00e1ch cung c\u1ea5p<\/h2>\n

C\u00e1c c\u00e1ch cung c\u1ea5p ph\u1ea3i th\u1ecfa m\u00e3n nh\u1eefng ti\u00eau ch\u00ed sau:<\/p>\n

– Ph\u1ea3i ph\u00f9 h\u1ee3p v\u1edbi t\u00e1c nh\u00e2n ho\u1ea1t \u0111\u1ed9ng.<\/p>\n

– \u0110\u1ea3m b\u1ea3o cho t\u00e1c nh\u00e2n c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1i \u01b0u.<\/p>\n

– Kh\u00f4ng c\u1ea7n s\u1ef1 th\u00edch nghi c\u1ee7a b\u1ec7nh nh\u00e2n, kh\u00f4ng c\u1ea7n thay \u0111\u1ed5i th\u00f3i quen c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p nh\u01b0: n\u01b0\u1edbc s\u00fac mi\u1ec7ng, gels, kem \u0111\u00e1nh r\u0103ng, k\u1eb9o cao su, vecni… Nh\u1eefng ch\u1ea5t ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m c\u00f3 th\u1ec3 ph\u00e2n lo\u1ea1i th\u00e0nh: ch\u1ea5t cation, anion, kh\u00f4ng anion, nh\u1eefng ch\u1ea5t kh\u00e1c, v\u00e0 k\u1ebft h\u1ee3p nh\u1eefng ch\u1ea5t v\u1edbi nhau.<\/p>\n

6.1. Nh\u1eefng ch\u1ea5t cation<\/h3>\n
\"kiem-soat-mang-bam-1\"
Chlorhexidine l\u00e0 m\u1ed9t ch\u1ea5t ki\u1ec3m so\u00e1t vi khu\u1ea9n khoang mi\u1ec7ng r\u1ea5t t\u1ed1t<\/figcaption><\/figure>\n

Nh\u1eefng ch\u1ea5t n\u00e0y c\u00f3 kh\u1ea3 n\u0103ng ch\u1ed1ng l\u1ea1i vi sinh v\u1eadt h\u01a1n c\u00e1c ch\u1ea5t anion v\u00e0 ch\u1ea5t kh\u00f4ng anion<\/p>\n

– Ch\u1ea5t bisbiguanide: chlorhexidine v\u00e0 alexidine – C\u00f3 amine bac 4 trong c\u1ea5u tr\u00fac: cetylpyridinium chloride, benzethonium chloride v\u00e0 domiphen bromide<\/p>\n

– Nh\u1eefng mu\u1ed1i kim lo\u1ea1i n\u1eb7ng; copper, tin, zinc<\/p>\n

– Pyrimidine: hexidine<\/p>\n

– Herbal extract: sanguinarine<\/p>\n

Hi\u1ec7u qu\u1ea3 nh\u1ea5t l\u00e0 bisbiguanide, ti\u1ebfp theo l\u00e0 mu\u1ed1i kim lo\u1ea1i n\u1eb7ng. T\u00e1c nh\u00e2n s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t l\u00e0 chlorhexidine.<\/p>\n

a) Chlorhexidine<\/p>\n

(1) L\u1ecbch s\u1eed<\/p>\n

Chlorhexidine \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0o n\u0103m 1940 \u1edf n\u01b0\u1edbc Anh, v\u00e0 xu\u1ea5t hi\u1ec7n trong si\u00eau th\u1ecb v\u00e0o n\u0103m 1954 l\u00e0 m\u1ed9t ch\u1ea5t s\u00e1t khu\u1ea9n cho v\u1ebft th\u01b0\u01a1ng. Sau \u0111\u00f3 n\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong y h\u1ecdc, trong s\u1ea3n khoa.<\/p>\n

(2) Ph\u1ed5 kh\u00e1ng khu\u1ea9n<\/p>\n

Ho\u1ea1t \u0111\u1ed9ng ch\u1ed1ng vi khu\u1ea9n c\u1ee7a chlorhexidine trong th\u00ed nghi\u1ec7m l\u00e0 kh\u00f4ng n\u1ed5i b\u1eadt. Nh\u01b0ng ph\u1ed5 kh\u00e1ng khu\u1ea9n c\u1ee7a n\u00f3 l\u00e0 r\u1ed9ng.
\nNh\u00ecn chung, vi khu\u1ea9n gram d\u01b0\u01a1ng nh\u1ea1y c\u1ea3m h\u01a1n vi khu\u1ea9n gram \u00e2m. – Streptococcus mutans r\u1ea5t nh\u1ea1y c\u1ea3m v\u1edbi chlorhexidine.<\/p>\n

– Chlorhexidine t\u00e1c d\u1ee5ng kh\u00e1c nhau v\u1edbi n\u1ed3ng \u0111\u1ed9 kh\u00e1c nhau, \u1edf n\u1ed3ng \u0111\u1ed9 th\u1ea5p n\u00f3 c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng khu\u1ea9n, \u1edf n\u1ed3ng \u0111\u1ed9 cao n\u00f3 c\u00f3 t\u00e1c d\u1ee5ng di\u1ec7t khu\u1ea9n.<\/p>\n

(3) C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a chlorhexidine<\/p>\n

– Thay \u0111\u1ed5i m\u00e0ng t\u1ebf b\u00e0o vi khu\u1ea9n.<\/p>\n

– Cation chlorhexidine b\u00e1m d\u00ednh nhanh l\u00ean m\u00e0ng t\u1ebf b\u00e0o vi khu\u1ea9n, ph\u00e1 h\u1ee7y \u0111\u1eb7c hi\u1ec7u phosphate ch\u1ee9a trong nh\u1eefng th\u00e0nh ph\u1ea7n \u0111\u00f3.<\/p>\n

– M\u00e0ng t\u1ebf b\u00e0o vi khu\u1ea9n kh\u00f4ng c\u00f2n gi\u1eef \u0111\u01b0\u1ee3c t\u00ednh nguy\u00ean v\u1eb9n, chlorhexidine b\u00e1m d\u00ednh v\u00e0o l\u1edbp trong m\u00e0ng t\u1ebf b\u00e0o vi khu\u1ea9n.<\/p>\n

– Chlorhexidine b\u00e1m d\u00ednh v\u00e0o phospholipids v\u00e0 l\u00e0m t\u0103ng t\u00ednh th\u1ea5m c\u1ee7a m\u00e0ng, t\u1eeb \u0111\u00f3 d\u1eabn t\u1edbi b\u1ebb g\u00e3y nh\u1eefng ph\u00e2n t\u1eed nh\u1ecf nh\u01b0 ion kali.<\/p>\n

(4) Ho\u1ea1t \u0111\u1ed9ng ch\u1ed1ng vi khu\u1ea9n<\/p>\n

Chlorhexidine l\u00e0 m\u1ed9t ch\u1ea5t ch\u1ed1ng vi khu\u1ea9n. N\u00f3 l\u00e0 m\u1ed9t cation v\u1edbi<\/p>\n

* Ph\u1ed5 kh\u00e1ng khu\u1ea9n r\u1ed9ng<\/p>\n

* \u0110\u1ed9c t\u00ednh th\u1ea5p<\/p>\n

* B\u00e1m d\u00ednh v\u1edbi da v\u00e0 ni\u00eam m\u1ea1c<\/p>\n

Ph\u1ed5 kh\u00e1ng khu\u1ea9n r\u1ed9ng c\u1ee7a Chlorhexidine l\u00e0:<\/p>\n

– T\u00e1c d\u1ee5ng tr\u00ean vi khu\u1ea9n Gr(+),<\/p>\n

– T\u00e1c d\u1ee5ng tr\u00ean vi khu\u1ea9n Gr(-).<\/p>\n

– N\u1ea5m l\u00ean men.<\/p>\n

– N\u00e1m da.<\/p>\n

– Virus.<\/p>\n

(5) T\u00e1c d\u1ee5ng ph\u1ee5<\/p>\n

– Thay \u0111\u1ed5i v\u1ecb gi\u00e1c.<\/p>\n

– \u0110\u1ed5i m\u00e0u m\u00f4 trong mi\u1ec7ng.<\/p>\n

– Tr\u00f3c v\u1ea3y v\u00e0 \u0111au ni\u00eam m\u1ea1c mi\u1ec7ng.<\/p>\n

(6) Ch\u1ec9 \u0111\u1ecbnh<\/p>\n

* D\u1ea1ng s\u1eed d\u1ee5ng Chlorhexidine<\/p>\n

– N\u01b0\u1edbc s\u00fac mi\u1ec7ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i.<\/p>\n

– Chlorhexidine d\u1ea1ng x\u1ecbt r\u1ea5t h\u1eefu \u00edch cho nh\u1eefng ng\u01b0\u1eddi b\u1ecb t\u00e0n t\u1eadt.<\/p>\n

– Chlorhexidine trong k\u1eb9o cao su.<\/p>\n

– Chlorhexidine trong kem \u0111\u00e1nh r\u0103ng v\u1edbi n\u1ed3ng \u0111\u1ed9 c\u1ee7a n\u00f3 l\u00e0 1%.<\/p>\n

* S\u1eed d\u1ee5ng sau c\u00e1c ph\u1eabu thu\u1eadt mi\u1ec7ng, ph\u1eabu thu\u1eadt quanh r\u0103ng, c\u1eaft l\u1ee3i.<\/p>\n

* B\u1ec7nh nh\u00e2n c\u1ed1 \u0111\u1ecbnh h\u00e0m, s\u1eed d\u1ee5ng chlorhexidine c\u00f3 t\u00e1c d\u1ee5ng c\u1ea3i thi\u1ec7n v\u1ec7 sinh r\u0103ng mi\u1ec7ng, gi\u1ea3m vi khu\u1ea9n trong n\u01b0\u1edbc b\u1ecdt.<\/p>\n

* Chlorhexidine d\u1ea1ng x\u1ecbt, n\u01b0\u1edbc s\u00fac mi\u1ec7ng ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m r\u1ea5t hi\u1ec7u qu\u1ea3 cho nh\u1eefng ng\u01b0\u1eddi b\u1ecb t\u00e0n t\u1eadt c\u1ea3 v\u1ec1 th\u1ec3 ch\u1ea5t l\u1eabn tinh th\u1ea7n.<\/p>\n

* Nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb suy gi\u1ea3m mi\u1ec5n d\u1ecbch, th\u01b0\u1eddng hay x\u1ea3y ra nhi\u1ec5m tr\u00f9ng \u0111\u1eb7c bi\u1ec7t l\u00e0 nhi\u1ec5m n\u1ea5m. Chlorhexidine \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00e0 k\u1ebft h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c ch\u1ed1ng n\u1ea5m.<\/p>\n

* \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao, s\u1eed d\u1ee5ng chlorhexine c\u00f9ng v\u1edbi fluoride c\u00f3 t\u00e1c d\u1ee5ng d\u1ef1 ph\u00f2ng s\u00e2u r\u0103ng.<\/p>\n

* Chlorhexidine \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 t\u00e1i ph\u00e1t c\u1ee7a apt\u01a1 v\u00ec n\u00f3 c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng b\u1ed9i nhi\u1ec5m vi khu\u1ea9n.<\/p>\n

S\u1eed d\u1ee5ng kh\u00ed c\u1ee5 ch\u1ec9nh nha th\u00e1o l\u1eafp v\u00e0 c\u1ed1 \u0111\u1ecbnh s\u1ebd t\u1ea1o th\u00e0nh m\u1ea3ng b\u00e1m nhi\u1ec1u h\u01a1n, lo\u00e9t do ch\u1ea5n th\u01b0\u01a1ng. Chlorhexidine c\u00f3 t\u00e1c d\u1ee5ng ng\u0103n ng\u1eeba v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/p>\n

* Chlorhexidine \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u0103ng th\u00e0nh c\u00f4ng trong c\u1ea5y gh\u00e9p nha khoa.<\/p>\n

* Nh\u1eefng b\u1ec7nh nh\u00e2n \u1edf l\u00e2u trong b\u1ec7nh vi\u1ec7n, nh\u1eefng b\u1ec7nh nh\u00e2n cao tu\u1ed5i, s\u1eed d\u1ee5ng chlorhexidine c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m Streptococcus mutans, v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i vi khu\u1ea9n kh\u00e1c.<\/p>\n

* H\u1ea1n ch\u1ebf nhi\u1ec5m khu\u1ea9n huy\u1ebft sau ph\u1eabu thu\u1eadt t\u1eeb vi khu\u1ea9n mi\u1ec7ng.<\/p>\n

b) Nh\u1eefng ch\u1ea5t anionic<\/p>\n

Sodium lauryl sulphate \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u01b0\u1eddng xuy\u00ean nh\u1ea5t.<\/p>\n

6.2. Nh\u1eefng ch\u1ea5t non \u2013 anionic<\/h3>\n
\"kiem-soat-mang-bam-2\"
Th\u00e0nh ph\u1ea7n n\u01b0\u1edbc s\u00fac mi\u1ec7ng Listerine gi\u00fap ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m hi\u1ec7u qu\u1ea3<\/figcaption><\/figure>\n

– Phenol.<\/p>\n

– Thymol.<\/p>\n

– Listerine (thymol, eucalyptol, menthol v\u00e0 methylsalicylate).<\/p>\n

– Triclosan.<\/p>\n

– 2-Phenylphenol.<\/p>\n

– Hexyl resorcinol.<\/p>\n

Nh\u1eefng ch\u1ea5t hay s\u1eed d\u1ee5ng nh\u1ea5t l\u00e0 triclosan v\u00e0 Listerine.<\/p>\n

6.3. Nh\u1eefng ch\u1ea5t kh\u00e1c<\/h3>\n

Nh\u1eefng ch\u1ea5t kh\u00e1c l\u00e0:<\/p>\n

– Delmopinol\u2014m\u1ed9t ch\u1ea5t ho\u1ea1t \u0111\u1ed9ng b\u1ec1 m\u1eb7t.<\/p>\n

– Enzymes.<\/p>\n

6.4. K\u1ebft h\u1ee3p nhi\u1ec1u ch\u1ea5t kh\u00e1c nhau<\/h3>\n

M\u1ea3ng b\u00e1m r\u0103ng g\u1ed3m nhi\u1ec1u lo\u1ea1i vi khu\u1ea9n kh\u00e1c nhau, v\u00ec v\u1eady c\u1ea7n k\u1ebft h\u1ee3p 2 hay nhi\u1ec1u ch\u1ea5t \u0111\u1ec3 n\u00e2ng cao hi\u1ec7u qu\u1ea3 ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m r\u0103ng.<\/p>\n

Ngu\u1ed3n: Nha c\u1ed9ng \u0111\u1ed3ng t\u1eadp 2 – NXB Gi\u00e1o d\u1ee5c Vi\u1ec7t Nam<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m t\u1ed1t nh\u1ea5t l\u00e0 k\u1ebft h\u1ee3p ph\u01b0\u01a1ng ph\u00e1p c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc. V\u00ed d\u1ee5, trong kem \u0111\u00e1nh r\u0103ng th\u01b0\u1eddng ch\u1ee9a c\u1ea3 ch\u1ea5t m\u00e0i m\u00f2n, v\u00e0 ch\u1ea5t ch\u1ed1ng m\u1ea3ng b\u00e1m, ch\u1ea5t ch\u1ed1ng vi khu\u1ea9n nh\u01b0 sodium lauryl sulphate, thi\u1ebfc fluoride, triclosan plus zinc citrate tri closan plus copolymers…Ki\u1ec3m so\u00e1t m\u1ea3ng […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"\nKi\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ho\u00e1 h\u1ecdc - G\u00f3c nh\u00ecn t\u1ed5ng quan.<\/title>\n<meta name=\"description\" content=\"C\u00e1ch ki\u1ec3m so\u00e1t m\u1ea3ng b\u00e1m t\u1ed1t nh\u1ea5t l\u00e0 k\u1ebft h\u1ee3p ph\u01b0\u01a1ng ph\u00e1p c\u01a1 h\u1ecdc v\u00e0 h\u00f3a h\u1ecdc. 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