Ingabe Trifectiv Plus iphephile?
Trifectiv Plus ithinta amanxeba, ukusha kanye namanxeba angapheli, umphimbo obuhlungu kanye nokuqubuka kwezinqe, kanti ku-Air version iphefumulelwa nge-nebuliser. Ngakho-ke kulungile ukufuna ukwazi kahle ukuthi yini esebhodleleni nokuthi iphephile kangakanani. Leli khasi lihlanganisa ukuthi iyini i-hypochlorous acid, ukuthi kusho ukuthini ukuba yidivayisi yezokwelapha kanye nokuthi izingcezu zethu zephakheji zithini ngokuphepha (igama negama, lapho kubaluleke khona). Imithombo ibhalwe ngezansi.
Iyini i-hypochlorous acid
I-Hypochlorous acid (i-HOCl) iyi-molecule encane eyenziwe nge-hydrogen, i-oxygen kanye ne-chlorine, futhi umzimba wakho usuvele uyayenza. Amaseli amhlophe egazi abizwa ngokuthi ama-neutrophils asebenzisa i-enzyme, i-myeloperoxidase, ukuguqula i-hydrogen peroxide kanye ne-chloride evamile ibe yi-hypochlorous acid, futhi ayisebenzisela ukulwa nokutheleleka.
Trifectiv Plus yileyo molekyuli efanayo: i-asidi ye-hypochlorous yezinga eliphezulu, eyenziwe ngamanzi ebanga lezokwelapha, futhi yileyo ifomula yonke. Iwuketshezi olucacile, olungenambala. (Ikhemikhali ibilokhu yaziwa cishe iminyaka engamakhulu amabili. Ukugcina i-asidi ye-hypochlorous izinzile ebhodleleni kuyingxenye enzima, futhi yilokho indlela yokukhiqiza ye-Thoclor Labs eyenzelwe kona.)
Ivelaphi (nokuthi kungani ingeyona i-bleach)
I-Hypochlorous acid yaqala ukuchazwa ngo-1834 ngu-Antoine-Jérôme Balard, isazi samakhemikhali saseFrance esathola i-bromine. Wayesazama ukuthola ukuthi i-bleach isebenza kanjani, futhi wenza i-hypochlorous acid wayiqamba ngaleyo ndlela.
I-Bleach (i-sodium hypochlorite) iyisithako esihlobene kodwa esihlukile, futhi iningi lezindaba ze-chlorine ezaziwayo lingelayo. Isixazululo sikaDakin, esasisetshenziselwa ukunisela amanxeba amasosha eMpini Yezwe Yokuqala, sasiyi-bleach encibilikisiwe. Futhi amanzi okuphuza aye aphathwa nge-chlorine kusukela ekuqaleni kwawo-1900.
Lokhu kokubili kuxhumene. Uma i-chlorine noma i-bleach ingena emanzini, enye yayo iba yi-hypochlorous acid, futhi yileyo ndlela eyenza iningi lokubulala amagciwane. Kodwa ziyizinto ezihlukile eziziphatha ngendlela ehlukile (uMnyango wezeMpilo waseJapan uqinisekisa ukuthi kunjalo), ngakho-ke siyazigcina zihlukene futhi asisho ukuthi umlando we-bleach ngowethu. Indaba ye-hypochlorous acid yafika kamuva kakhulu, lapho abacwaningi bekhombisa ukuthi ama-neutrophils ayakha.
Kusho ukuthini ukuthi "idivayisi yezokwelapha ye-Class C"
Trifectiv Plus iyidivayisi yezokwelapha ye-Class C eNingizimu Afrika. Isembozo sayo sichaza Trifectiv Plus Wound & Burn Care njengesixazululo "sokunisela amanxeba, esilwa namagciwane", esifanele ukusetshenziswa emanxebeni avulekile kanye "nanoma yisiphi isimo lapho ubuqotho besikhumba busengozini" (ngesiNgisi esilula, noma ngabe isikhumba siphukile noma sonakele).
Idivayisi yezokwelapha yaseNingizimu Afrika ilawula ukuhlukaniswa kwamadivayisi abe yizigaba ezine, kusukela ku-A kuya ku-D, ngokuya ngokuthi asebenza ngani, ukuthi ahlasela kangakanani, ukuthi asetshenziswa isikhathi esingakanani kanye nengozi ehilelekile. I-plaster noma i-gauze pad iyi-Class A. Ama-dressing enzelwe izilonda ezingapheli kanye nokusha okukhulu yi-Class C, ngenxa yohlobo lwenxeba aqhubeka nalo.
I-Thoclor Labs yenza Trifectiv Plus eStellenbosch ngaphansi kwelayisensi engu-733MD evela ku-SAHPRA, i-South African Health Products Regulatory Authority. Akukho divayisi yezokwelapha engenziwa noma ithengiswe eNingizimu Afrika ngaphandle kwelayisensi efana nale, futhi inkampani idinga uhlelo lwekhwalithi olusebenzayo ukuze ithole eyodwa. Lesi sikhungo siphinde sibe yi-ISO 13485:2016 futhi siqinisekiswe yi-GMP. I-ISO 13485 iyindinganiso yamazwe ngamazwe yezinhlelo zekhwalithi embonini yamadivayisi ezokwelapha, kanti i-GMP imele umkhuba omuhle wokukhiqiza.
Ubani ongayisebenzisa
I-Wound & Burn Care insert ithi "kuphephile ukuyisebenzisa ngesikhathi sokukhulelwa nokuncelisa, kanye nasezinganeni, ezinsaneni nasezilwaneni". Lokho kuhlanganisa nemindeni eminingi (kuhlanganise nenja yomndeni).
Kuphephile uma kugwinywa futhi. I-insert ikwenza uyifuthe ngqo emphinjeni obuhlungu nasemlonyeni wengane ukuze uthole i-oral thrush. Futhi ngaphansi "kwezimpawu ezaziwayo zokusebenzisa ngokweqile", impendulo ye-insert ithi "akekho owaziwayo".
Isikhathi sokuzibamba
Lesi sithasiselo sibala izimo ezimbili okufanele uzikhumbule. Ungasisebenzisi ebusweni isikhathi eside. Futhi lindela ukuthi singasebenzi kahle kanye ne-cortisone noma ijeli yokulwa nokuvuvukala.
Uma isilonda noma isimo sesikhumba singabi ngcono zingakapheli izinsuku ezimbili kuya kwezine, sicela ubone udokotela wakho, umhlengikazi noma usokhemisi. Amanye amanxeba angapheli nawo anezicubu ezifile okudingeka umhlengikazi noma udokotela azisuse ngaphambi kokufaka okokuqala, ngakho-ke kufanelekile ukuthi uhlolwe isilonda esiqinile ngaphambi kokuthi uqale. Futhi ungasebenzisi ibhodlela eliphelelwe yisikhathi.
Ingabe kuyahlaba?
Iningi labantu alizwa lutho nhlobo. Abanye baqala ngokuzwa ukuhlaba okuncane, kungaba ngenxa yomehluko wokushisa phakathi kwesifutho nesikhumba noma komunye umkhiqizo osasele esikhumbeni noma enxebeni, futhi kuvame ukudlula kungakapheli umzuzu. (Ingxenye ikubeka ngokuthi "kungase kube nokuhlaba okuncane ngosuku lokuqala lokusetshenziswa".)
Ngakho-ke hlanza noma yimuphi omunye umuthi wokubulala amagciwane kuqala. Ngaphambi kokufaka i-dressing yokuqala endaweni eqoshiwe noma eqoshiwe, indlela yokufaka i-insert isiponji, amanzi afudumele kanye nebhavu elincane lebhamuza, kuhlanzwe ngokuphelele ngamanzi ahlanzekile, bese komiswa.
Imithetho embalwa esebenzayo
Yigcine kude nezinye izibulali-magciwane. Ungayixubi ne-saline, i-chlorhexidine, i-iodine noma esinye isibulali-magciwane, futhi ungayisebenzisi nazo noma ngemva kwazo. Izithako ezingangeni manzi nezesiliva nazo zingaphandle. Indlela yokufaka i-gauze elukiwe emanzi ebanjwe endaweni yayo ngebhandeji le-crepe noma ithako eliphefumulayo, futhi izinyathelo ezigcwele zisekhasini lethu lokusebenzisa.
Ibhodlela liyingilazi, ngakho-ke qaphela ukuthi ungaliwisi futhi ungalishiyi liseduze nezingane ezincane. Faka isivalo ngemuva kokusebenzisa, esivikela umlomo futhi sisize ekuvimbeleni ukuphuka. Ligcine endaweni yokushisa yegumbi kude nelanga eliqondile, bese ulisebenzisa zingakapheli izinyanga eziyishumi nambili kusukela livuliwe.
Trifectiv Plus Air: imithetho embalwa eyengeziwe
Isixazululo se Trifectiv Plus Air Nebulising siyi-molecule efanayo, ephefumulelwe nge-nebuliser, ngakho-ke ine-insert yayo.
Umthetho obaluleke kakhulu uza kuqala. Ungawusebenzisi ngesikhathi esifanayo ne-cortisone noma i-steroid inhaler. Uma usebenzisa eyodwa, khuluma nodokotela wakho ngaphambi kokuthi uqale, futhi sicela ungayeki noma ushintshe i-inhaler oyinikezwe ngudokotela ngokwakho.
Izingane, nanoma ubani onesifo sokuphefumula esitholakale ukuthi unesifo, kufanele ayisebenzise ngokwesiqondiso sikadokotela wakhe. I-Air insert ithi "iphephile kuwo wonke umndeni kuhlanganise ngesikhathi sokukhulelwa nokuncelisa kanye nezinsana nezingane", futhi ayibaluli izimpawu ezaziwayo zokudlula ngokweqile.
Sebenzisa ingaxutshiwe, ingaxutshiwe lutho (futhi ingasetshenziswanga ne-saline), ku-nebuliser yesimanje eyenza inkungu encane kakhulu. Abantu abadala basebenzisa amamililitha amahlanu ngeseshini. Izingane zisebenzisa uhhafu wemililitha unyaka ngamunye wobudala, kuze kufike kumamililitha amahlanu. Kukaningi kangakanani kuncike ekutheni kungani uyisebenzisa, kanye nekhasi le-Air likubeka lokho. Uma izinto zingathuthuki phakathi kwamahora angamashumi amabili nane kuya kwamashumi amane nesishiyagalombili, bona udokotela wakho.
Ukukhwehlela okuncane ekuphefumuleni kokuqala kungenzeka, kanye nomphimbo owomile noma ukuthimula ngemva kwalokho. Abanye abantu baveza i-phlegm eningi kunokujwayelekile ngemva kwezinsuku ezimbili noma ezintathu. Lokhu kufakwa kubeka lokho ngaphansi kwe-mucus eyayivele isephashini, kodwa uma ukhathazekile, bona udokotela wakho.
Thela kuphela lokho okudingayo ngeseshini ngayinye futhi ungalokothi uthele okusele ebhodleleni. Ungashiyi isixazululo simi ku-nebuliser phakathi kweseshini (sibucayi kakhulu ekukhanyeni). Leli bhodlela nalo liyingilazi, futhi uma selivuliwe, lisebenzise zingakapheli izinyanga eziyisithupha.
Kuphi lapho kusetshenziswa khona i-hypochlorous acid
I-asidi ye-hypochlorous ngokuvamile (hhayi eyethu kuphela) isetshenziswa ekunakekelweni kwamanxeba, okuhlanganisa namanxeba angapheli kanye nezilonda. Isetshenziselwa ukuhlanza izindawo ezithinta ukudla kanye nemishini ezindaweni zokudlela, izindawo zobisi kanye nezimboni zokudla, futhi amanye amazwe ayayivumela emanzini asetshenziselwa ukugeza imikhiqizo emisha. Futhi nomaphi lapho amanzi okuphuza ephathwa khona nge-chlorine, i-asidi ye-hypochlorous yakheka emanzini futhi yenza umsebenzi omningi.
Abalawuli abambalwa bayibiza ngemithetho yabo yokudla kanye nokuhlanza. E-United States, i-Environmental Protection Agency ayidingi i-acid e-hypochlorous ekudingeni umkhawulo wezinsalela lapho isetshenziswa, kuze kube namandla amisiwe, kuma-sanitizer ezindaweni zokuxhumana nokudla ezindaweni zokudlela, ezindaweni zobisi kanye nezitshalo zokucubungula ukudla (inqobo nje uma indawo ikhipha amanzi ngaphambi kokuba ukudla kuthinte). Imithetho yemvelo yoMnyango Wezolimo wase-US ivumela i-acid e-hypochlorous eyenziwe ngamanzi asebenzisa i-electrolyze (amanzi anosawoti ageleza ngogesi) ukuze kuhlanzwe futhi kuhlanzwe imishini kanye nezindawo emapulazini e-organic kanye nasekuphatheni ukudla okungokwemvelo. Bayivumela futhi emanzini athinta izitshalo noma ukudla, inqobo nje uma kukhona ukuhlanza ngamanzi okuphuza ngemva kwalokho. Futhi ngo-2002, uMnyango Wezempilo, Wezabasebenzi kanye Nenhlalakahle waseJapan waqoka "amanzi e-hypochlorous acid" njengesithasiselo sokudla, sokuhlanza ukudla.
Lokhu kumayelana ne-asidi e-hypochlorous njengento ebalulekile ekudleni nasekuhlanzeni. Akukho neyodwa yazo evunyelwe yi- Trifectiv Plus, futhi ayikho neyodwa ephathelene nokunakekelwa kwamanxeba. Ku Trifectiv Plus uqobo, imithetho yedivayisi yezokwelapha engenhla yileyo esebenzayo.
Uma ungumhlengikazi, udokotela noma usokhemisi, izingcezu ezigcwele zephakheji zingezansi, futhi siyajabula ukuthumela amaphepha ezokwelapha uma ucela. Futhi uma kukhona okungaphenduli umbuzo wakho lapha, sithumelele i-imeyili noma usithumelele i-WhatsApp. Singathanda ukuthi ubuze kunokuqagela.
Landa izifakelo zephakheji:

Imithombo
- Balard AJ. Recherches sur la nature des combinaisons décolorantes du chlore. U-Annales de chimie et de physique, 1834; 57:225-304.
- Wisniak J. Antoine-Jerôme Balard. Umtholi we-bromine. I-Revista CENIC Ciencias Químicas, 2004;35(1):35-40.
- UHarrison JE, uSchultz J. Izifundo ngomsebenzi we-chlorinating we-myeloperoxidase. Ijenali ye-Biological Chemistry, 1976;251(5):1371-4.
- Klebanoff SJ. Myeloperoxidase: umngane nesitha. Ijenali ye-Leukocyte Biology, 2005;77(5):598-625.
- Ambrose CT. Incwadi evela ku-Alexis Carrel ephathelene nokwelashwa kwamanxeba empi ngaphambi kokusebenzisa ama-antibiotic: ikhambi le-Carrel-Dakin. I-Journal of Medical Biography, 2021;29(1):3-9.
- I-World Health Organization. I-Chlorine emanzini okuphuza (WHO/SDE/WSH/03.04/45), 2003.
- Izikhungo Zokulawula Nokuvimbela Izifo. Umhlahlandlela wokubulala amagciwane kanye nokubulala amagciwane ezindaweni zokunakekelwa kwempilo, 2008.
- UMnyango Wezempilo, Ezabasebenzi Nezenhlalakahle (eJapane). Izindlela zokubulala amagciwane: amanzi ane-asidi engaphansi kwe-chlorous kanye ne-sodium hypochlorite (ikhasi elihlangene ne-METI kanye ne-Consumer Affairs Agency).
- UHaralović V nabanye. I-Hypochlorous acid: ukuqonda kwezokwelapha kanye nokuhlangenwe nakho kwezokwelapha isikhumba, ukuhlinzwa, udokotela wamazinyo, i-ophthalmology… (isibuyekezo). I-Biomedicines, 2025;13(12):2921.
- Igunya Lokulawula Imikhiqizo Yezempilo laseNingizimu Afrika. Umhlahlandlela wokuhlukaniswa kwamadivayisi ezokwelapha kanye ne-IVD (SAHPGL-MD-04, inguqulo 4), 2024.
- Igunya Lokulawula Imikhiqizo Yezempilo laseNingizimu Afrika. Umhlahlandlela welayisensi yokukhiqiza, ukungenisa, ukuthumela noma ukusabalalisa amadivayisi ezokwelapha kanye ne-IVD, 2019.
- Inhlangano Yomhlaba Wonke Yokumisa Izindinganiso. ISO 13485:2016, Amadivayisi Ezokwelapha: izinhlelo zokuphatha ikhwalithi, izidingo zezinjongo zomthetho.
- Imithethonqubo Kahulumeni wase-US: 40 CFR 180.940, kanye no-7 CFR 205.601, 205.603 kanye no-205.605.
- Izithasiselo zephakheji ze- Trifectiv Plus (isiNgisi, 2026): Ukunakekelwa Kwezilonda Nokusha okungu-100 mL, Ukunakekelwa Kwezilonda Nokusha okungu-450 mL kanye ne-Air Nebulising Solution engu-50 mL.
Ukuvuvukala kunezimpawu ezine:
ukubomvu, ubuhlungu, ukushisa kanye nokuvuvukala.
Uma i-Trifectiv® Plus isetshenziswa esilondeni
zonke izimpawu ezine zokuvuvukala
ziyancipha kakhulu.