Tipea ynorpeGa wa nevor eHumaTenHo npownTajre ro ynaTcTBOTO. Uyeaime 20 ynamemeomo, Moxe6u ke mpe6a a 20 npowmame noemopHo. «Axo uname ononumennu npawarea, o6pameme ce kaj Bawuom hnexap unu cepuayesm. 1+ Oeoj nex Bu e nponuwan Bau u He mpe6a de uit 20 daeame Ha dpyeu rua, Sudejiu moxe da uM HauImemu, dypu W aK HuSHUME | eeoeemues Bawume. Ynareraoro 2a nayyeHToT COAPHH. 1. Umo npememaeysa Zlepuaaun w 3a wmo ce ynompesyea 2. imo mopa da anaeme nped da 20 ynompesume epMaaun '3 Kano da 20 ynompebyeame Alepwaaun 4. Moi HecaxaHu dejcmea 5. Uysaree u pox Ha ynompeba na [epuasun Dermazin®/ flepmasun® 10 mg/1 g Kpem SILVER SULFADIAZINE ‘Axrpiara cynctanuyia e cpeGpo cyncbannaant Flomounu cyncranuui: xWAporeHpaHo apaxvcoBo Macno (waco OR KAKyipAKH), lictan ankoxon, meTHAnapaxngpokcOensoar, nponineH rhukon, Aponwn apaxnaporcndesoaT, ronscopéar 60, npowNcTeva Bona. ne 1 agpeca Wa HocuTenoT wa oo6peNveTo sa crasaise 80 npomer: Mex ‘Cuonje [JOOEN, ./lepo Hakoa’ 6p.33, Cxonje, P. Maxenounja Vie v anpeca na npowsBoamTenor: Salutas Pharma GmbH, Octepeeawiren, Fepwanvja 4. Llro npercrasyaa nexor flepmasun 2a wiTo ce ynorpe6yea new (1) g npent conpren 10 mg cpeGpo cyncbaanasns Conpxniia Ha naxyeateero: Kyrija co anyuannyacra TySa Koja compxa 50 g KPeM. Alepmaaun kpem ocoGeNo e HaMeHeT 2a npesenunja M nexyBalbe Ha UAceKM aj nauverTa co. pan Of wWaTOpeNNN. AKTHBHaTa cyncTanUija, cpeOpO fynebacaaun, ro cnpeNyea pacTOT W NpOUMPyBalbeTO Ha GaKrepvcKiTe KETepuaau spew nero Taka © HaMeHeT ¥ 32 TPeTMAH H NpeBeMLNia Ha WHcpeKMMH hipn nexyoirye, vnpeet wa wo2eTe, aOpaain, Mar TpayMaroxn pani, RLUSHM doyrt worn pani, xaxo M Ha MecraTa Ha KOM © npecaneha KONA, 2, ro TpeGa pa sHaeTe npen pa ro ynorpeGuTe flepmasnn Hemojre na ynotpeSyeare Aepmasun: Moree cre aneprinin Ha cpe6po cyncbaawasn nnn Ha Guo Koja Om onounure cyncranum Ha Flexor See cre anepriniin Ha wnknpnnn nn coja (Bagere ro AenoT “Bax cpopaaunn 3a Hexon cocTaaHn KoMnoHeHTH Ha flepéasHi”) = ta) npegepewevo poner Ge6viea w HoBoporeHnea 2a speMe Ka pone aga weceLM of xNBOTOT, NOPaaH MonciaTa nojasa Ha NenoBpaTHo Oureryearee Ha MOBOKOT raj Aetara: KepHNKTePye ko cre Bpenea m Bu ce npwGmuecyea TepMivoT Wn cre nen TepHHK fa nopoayeaise, ‘Gkqejin e sroneMeria woxviocta on Nojasa Ha epHinrepyC. Bunere ocoGeno axnmarennn co flepmaantt oxo 0 Tex Ha paHara ynoTpe6a Ha cpeOpo cyndannashn cre paseune aeeika KOMMa anepricka peaxuija He cMeeTe Aa To NpAMeHyeaTe OBO] Trex (engere Aen “Ceproahi, xuBOTHO sarpoayeauka KONtM pearuit” nogony 80 Texcror) _ bro cre npeovernien na Tepanwja co cyncboranan Onnelin moKe Aa actanar aneprickn peaxunt. = gxo uate wapyuleva cbykiuja Ha upKMOT AOD nu Ha GyGpesHTe, 7 Gko mare NacnenHo NopeMeTyBawse Ha MeTaBoMMSMOT Ha UpseHirTe pon teva onWOCHO AedMUMT Ha rnnKoaa-G-cbocdar AexnaporeHase = ako Gonenyeare om nopépwja, Be Monime qa ce nocoseTyaaTe co nekap M Toraul Kora ropenapeneH¥Te ‘yeanyoaisa ce onwecyaane Ha Bac Kora 6ino 80 MntlaToTO, Cepnosiin, KnBOTHO 2arposyBauKn KOXHM peaKunn Npwanenn’ ce crywai a noveMuvanvo xuBOTHO sarposysavi KOneH voHn (Rtevens Johnson-os cHHApOM HTM ToKCHHa enAepManta wexporisa) noCne Ynorpesa wa [lepwaann KpeM, #0} ce MaHiecTHpa KAKO jaxo UpBeHANO Wa ara pacnopeeno 80 OONWK Ha NriycxaBuH no Tenoro (sAAeTe AeN 4) ‘ononnurensn skal Kon Tpe6a fa ce noSapaar exnysyBaaT \pesH 80 YoraTa, Tpnovo, HOCOT, NonoBuTE OPraHH M UPBEMWTO H OTOK Ha OKOTO (KOH/YETHBMTHC). Cove norenunjanko xuBoTHo sarpoayeaun KONO vouNK Ce YECTO NATH CO Gminroun crwnn va rpun, Vwnot Moxe fa ce snown v Aa HanpeAYsa £0 meypuniea pacnopeneni no WertoTO Teno WN Mymetye Ha KOMATSHojronem pusnk on nojasa Ha CepnOSHH KONAH peaKLM NOCTO BO TeK Ha npenre HeWonky egenv npx Tepanuja co 080) Nek ‘Ao Bn ce nojapaT Hexow om o8ve chiinroNM BenHaW NpecraneTe CO ynorpe6a Ha 080) rex M no6apajre nexapexa noMow ‘Axo npn ynorpe6a Ha oB0] nex paaneTe cepuoaka KoxHa peaKunja, Boxe tuuxoraut He eMeeTe loBTOpHo Aa ro 3eMaTe OBO} MEK. Bo Tex Ka ynotpetara Ha o80| nex Moxe aa ce jasat fononnurentit raGwsna Gaxrepicin macbexuni (cynepnncbexuin) Tn aonrorpajua ynorpeGa Ha 080] nex Ha fonema nospulnla Ha KONaTa MOXe Tha nojae Ao HaManyaaive Ha OpojoT Ha GenuTe xpsHi jrreTKH (OArOBOpAK 3a Bilgpena wa opranssMoT on uNcbeKAMY) v KPBHHTE nnowKn (OArOBOPHM 92 Sioymyeame Ha xpsra). TTopaau osa, Bauwor nexap ke Bu wanpasm KoHTpONa va xpenara crivka, ews Hewojre a ro Aasare osoj nex Kaj npemapeeno ponenn Aeua uni Hoeoponemuisa 80 npeuTe 2 MeceuM OA xNBCTOT Nopanh MoxHaTa nojasa Ha Henosparno owreryeaise Wa wosoKOT Kaj AeuaTa (BwaeTe gen “Hewojre Aa jynorpebysare lepuasu") Bpemenoct M Aoeise Cosemyesime ce co Bauuom exap unu dapmayesm nped da sememe KaKos 6uno nex. Viopmnpajre ro Bauwor nexap axo cTe Gpemena nnn AoWTe, aKo wHCNTe ynera cre Speneva, nh ayo niiaHupare Gpemenocr. Sa epeme Ha GpemeHocr sey oes, ‘np ynoTpeGa Ha Llepéasn cTporo npAapxysaire ce KOH ynarcreava Ka Baumor nevap. Bpemenoct Fewojre na ro KopHcuTe 080] nek 80 TeK Ha 6peMleHOcT, a ocoBeHO 80 Tek Ha voto rpoMeceuje, OcBen axo neKapoT ony Aleka Toa e HeonKoAHO. HukaKo Henojre aa ro KOpNcrTe oso] Nek 80 Tek Ha MlocneawTe HenenM Of Gpewenocra nelin Toa Moe Aa NpeAMBEHKa HenoDpETHO CUTETYBAKe Ha ‘MosoKor Ha geTeTo. Doeine Heuojre Aa ro xopycTuTe oBo} nek aKo AoWTe HosopoReHYe rioMnao OA 2 eceult, AOpaan pHaMK of HenoBpATHO OUITeTYBatbe Ha MOSOKOT. ‘Axo nevero e nocTapo of 2 meceum, slekapoT fe OANysH ann fla ce NPOAOMKY fiw aa ce MpeRe co AoeiseTO, CAHOCHO ATM Aa ce NPOAOMKN whi Aa Ce Cepense co nexyeaiseTo, seMalin ja 80 npegsMa oveKysanara KopycT OA ‘oeiseTo 2a GeGero H KOprCTa on Tepanwja sa Majxara, Bnujanne eps cnocoGHocTa 2a soselbe HNN paKyBalbe co MaLMH He nocrojar wxcbopuaunn eka flepwasi srwjae eps cnocoBxocra 2a sosei%e luni paryearse co mauiWHn, Baxtin wnbopmaunu 2a HexoH CocTasHl KoMnoHeHTH Ma HlepMasnH Kpewor coapxn mevannapaxnnpoxcuGexsoar w nponinapaxnapoxcrGeH20ar kon MOKe fa npeAMseAKaaT ANeprHCM PeaKIKK (MOXKH OANOMEHH peak) Tlepmasnn conpxn nponunen rnnkon Ko] MOKe aa npeaWsBHKA upHTaunja Ha kowaTa, NexoT CORBA W apaxscoso waco (wacno OA waKipMKA). AKO CTE laneprini Ha Macro Of KuKHpHKH NH coja He ro yroTpeByBajTe NeKOT WTO Ja ‘conpkt oBaa nowowHa cyncranuja Tepwasin conpxn Yer#n ankoxon, Moxe Aa npeqiseika noKankn KOXHK pearun (ha np. KoMTaKTeH nepuaruTvc), ‘emaiwe Ha Apyrn nexoon Be wonime aa ware npenBNA Reka osHe yaxyeaiea MoKaT fa ce onNeCyBaaT Wa one npovaBog usTO cre FH JeMane 60 MMHaTOTO Mn Ke rH 9eMaTe BO ania. Be wonnwe ga ro micbopmnpare Bawwor nevap unu cbapMayesr ako zemaTe ini ako HeonaMna cre SeMane Koj Gno Apyr eK, AyPHtM OMe LITO He Ce Ha ‘enapem peuenr. Vnepopaupaire ro Bawnor nexap axo semare: 7 NpOTeOTWTINKH eFOHMM KOK Ce MPHMEKYBAaT Ha KONATa, a ce KOpACTAT SaenHO CO aXTHOKOTHUK 2a suoTeIe Ha paHM, Guaejin flepmasnn moxe ‘ha fo nouurmH gejerBoTO Ha awe eHaHNI, = tumeTiai, Ko) ce npHMeHYBa 2a KaManyaaibe Ha cexpeuvja Ha enynosia Kwcenvna, Sunelén NecTO MOKe Aa AOBeRe AO HaManyBaIbe ta GemurTe KDBH KrIETIH KOK ce OFFOBOPHN 3a OABpaNa Na opraHMaMoT. 3. Kaxo fa ce ynorpeGysa Aepmasni Crporo npnapwyaajte ce KoH ynaTeTeaTa Ka nexapor. Hlosnre He cueeTe aa rH menysaTe Wn neKyBaiweTo fa TO NpeKwMysaTe Ges a ce NocoReryBaTe co rnexap. Kpentor Hleptaain e Hamexer 2a noxanna ynorpe6a ‘lexapor Tpe6a aa ja xovTponupa Bawara Tepanwja 80 penosHi Bpewencrs warepeanu. Tipeo wouncrere ja varopesauara & orcTpakeTe ro MprBoTO TBO. Mpewasiajre ro waropesnor nen co KpeMoT flepwaai (cro) co aeBennna oa 2 Ao 4 mm). To Monogr HpeMoT ce HaHlecyBa Ha cTepknia rasa Koja noToa ce cTasa Ha wraropexmuara. Kpenor MoMe CTO Taxa fla Ce HaHece co ynoTpeGa wa crepuyatunatyna wna crepunia paxasuua. KpeNoT oOMsKO ce HaHeCyea eaNalu ANERKO, fa npw nacepvoaH waropennuM noseke nah HeBHO. epMaaHH TpeGa NOBTOpHO face wanece wajwanny enHals 80 Tek Ha 24 waca. Npea ceKDe NoBTOPHO Naecyoaive Ha xpeoT, waropeMiuara mopa Aa ce MoANCTH CO Bona ni Survcentae 2a Ra ce OTCTpAHaT ciTe NpeTXOAHM OCTATOUM Om KPeMOT M CeKPETH on panara, Sason moxe fla ce cTaBaT Hag KpeMoT, vaKO Toa He € HEONxOAKO. Tepmasmn He npeamsenryea Gorka np annaralwjara. He ocrasa drew wa oGnexara uw noctenmuara, Ynorpe6a kaj Hosopomensniba M neua Ynorpeés Ka} Honopononmiba H neue Tepnasan ne Tpe6a fa ce KOpUCTH xa) npenspeMeNo poneH Reta ¥ ROSHAN Ha sospact nomana oa 2 meceus (eMAeTe Aen * Hemojre qa ynorpebyaare Alepmasun’) Tipenopavannor pexum Ha Aoaupalbe H HaWWKOT Ha aNnuKauia Wa KDeMOT Kaj Rochwnea nocraph of 2 Meceua H fella He ce paarvKyBa OA OH} Kaj Bospaciara nonynauna, ‘Axo uname eneemox dexa ecbexmom wa fepmasun e npewHoey cunen unu ‘ipenmoy enab, nocosemysajme ce co Bauuom mexap unu chepwaueem. ‘Axo cre semane noronema 03a of Hepasnn orkonky uro TpeGa ‘ano cme semae nozonena 62a 00 Texom ZlepMasun omxonky wmo mpe6s, eosmaw mpe6a da ce nocosemyeame co Bauuom nexap ur apmauesm. floxoney Repmaann ce KOpMCTH KaKo wIO © nponnulAo, He noeTON sepojaTHocT gn npeaoampaise. Hextojre a Fo yrorpebyeare nogonr nepwoa of OHO} WTO FO ‘onpenitn Baunor nexap. ‘Axo cre sa6opasune pa semere Hlepmaank Ho senaime deojna d03e 3a da ja Hadomecmume nponywmevama dosa, ‘Axo cre a6opasnne na waneceTe Jlepmasun xpem, HaHeceTe ro wTom Ke ce conte, Avo ce GMWKK epeMleTo 2a cNesHOTO HaNecysalbe, noweKaiTe # YnorpedeTe ro Bo TONHOTO speMe. He ynorpebysaiTe noaeie KpeM on Boobiiaenoro sa aa ja Hagontanire sabopasenara A039, Cexoraw kopucrere ja compxetnara oA emia Ty6a sa neveibe Ha camo ener ‘naunerr. {oxonry mare Guno KakBH npawaiea 80 BPcra co ynorpeGara Wa OBO) Ne, oneynmipajre ce co Bawmor nexap wn apwauest, 4, Moxnw Hecakanu pejcTea ‘Karo u cume nexosu, Kpenom ZlepMaaun Moxe da uMe HecaKaHu dejemss, UaKO lucmume He ee jaayeaam xaj cume nayuenmu,‘Ano ce nojanar HeKon of cneqHure cepMosNn HecaKaHn AejcTea, npectanete co ynorpe6a Ha Hlepmasil KpeMoT m BeaHall MaBecTeTe TO cBojot nexap unn ynarere ce Bo HajGnucxara GonHMua: Muiory perks (wone ga ce jasar Kaj nowarky on + Wa 10000 nua) ‘+ xMBOTHO-3arposyBANKH KOXHK PeakUNH KOH BkNyNysaaT cosasatbe Ha ‘nnyckaeu na KONaTa, yoTaTa, ouMTe M roMMTanwue (Steven-Johnson-08 ‘chapoM un ToxCHHa enngepManvia WexponiHsa). Ocranatw wecaKan gejctea Yor Moe a ce jaar np ynorpeba Ha Depkiasn xpewor: ects (woe sa ce java kaj nowanxy of 1 Ha 10 niua) pwrauvia Wa KoxaTa, vewaibe, WyBCTBO Ha neveWwe, Conta Ha MeCTOTO a annuxauija, Hcwn, ciBo oSojyeaise Ha KOxaTa w cryshuuaTa + amanyease Ha OpojoT wa Gen ¥peHK KTeTKH KOR MONE 28 npeawsencaat HaManeNa oAGpanGeHa cnocoGHocT Ha oprannswoT sTonemena nogoxHocT wa mucberuni Henoswara wectora (He Moxe Aa ce npoulenH og pacnonoxusuTe nofaToUM): ‘+ sroneweHa oGoevocT Ha Koxava (xnepnurMenTaunja) 3a epeme Ha ynorpeGa Ha flephasiH Ha noroneMu nospwMHN Ha TenoTO ‘ScoBeno nocne TeUIKH MaropeHLA, NpHABEHH Ce CNeAHNRe HecaKaNn yejcIB, + Hananysatee Ha pojor Ha Lpsens xpani kneTkH (aNeMuja), WTO Mome Aa peauaauika cunmTomn criHH Wa SaMop + Hamanyaaise Wa GpojoT Ka KDBHM NNowKN, WTO MOMe AB MpeANEBHKa ppapeise og Henuara w MOApILM + pecra ‘+ owreTyeaise Ha upH poo u 6yépesn + cosgasaise Ha KpHcTaNM a0 ypHHara KOM ce npenosHasaar no saMaTeH wamnea va ypnwara (xoucranypHla) # oTexNaTo moKpelbe, Uecrorara na nojasa Ha ose HecakaMu aejcTea e HenoawaTa (he MoKe na ce ‘Mpouewit og pacnonoxusuTe nonaTour). Dovjanyeaibe Ha necaxanu pejcrea ‘Axo saBenewuTe Kaxao 6/0 HecaKaHo pejcTs0, peGa fa ro WaBecTuTe BauinoT ‘nerap nh capmayear, Toa ro sxnysyea H cexoe MOXHO HecaKAHO AejcTBO KOS He e HapesieHo 80 o8a ynarcrao, HecaKaHiTe peakumt Of nexosiTe MoXe a Tm pnjaaire eo Haymonandnor yeHTap 2a bapwaxoanrunatua nou AreHuijata 3a heros n meamuMHeKH cpezcraa (yn.Ce.Kupun m Meron) 6p.64 kar 1) unit no nexTporchu nar npery Be6 crpaHara Ha ArenuWara hitp://malmed.gov. mk Co. npwjasysawe Wa wecakanuTe gejcTea MoKeTe fa gonprHeceTe 3 pouekara Ha Gea6eqyocTa wa 080) nex.5. Uysaibe Ha Alepmasnn fla ce uysa_Ha Tenneparypa no 25° C. Teor sysajre ro Ha mecta Nemocrannu 2a noua Pox Ha ynorpeGa ‘Texom ne chee 62 ce ynompeyea no Gamykom Ha ucmeKoM Ha POKOM Wa ymompesa wo e Haeeden Ha naxyeeteomo, Hawun Ha uanapaibe Ha neKor Flexor Mome fa ce Waqaza 80 anrexa cao Ha peuvent (P) ary na nocnenna peewanja Ha BHaTpeuNoTo ynaTCTsO ‘Buampeusomo ynamemeo @ o8o6peHo ‘Bpoj Ha onoGpenne sa cranaibe Ha nexoT Bo npomer:15-3991/14