"ITA-HIB" (the mushonga): mirayiridzo kushandiswa. The mushonga pamusoro Hib chirwere

To musi, chimwe chezvinhu zvinokosha kutyisidzirwa kuti utano hwevana vaduku ndiyo Haemophilus influenzae (Hib). Inokudziridza nokukurumidza uye kunogona dzakakomba zvikuru nemigumisiro, kusanganisira rufu. Saka, munguva pfupi yapfuura, munguva yedu nyika, vana uye vamwe vakuru iri jekiseni achishandisa jekiseni chokudzivirira zvinodhaka - "ITA-HIB" (the mushonga). Russia rakabatanidza nawo ayo kubaya karenda chete muna 2011.

Chii Hib?

Utachiona hunokonzera Hib, anonzi Haemophilus influenzae, kana kuomerera Afanasiev-Pfeiffer. Kune mhando tsvimbo iyi matanhatu, asi zvikuru ngozi iri seinä mhando b. Chinokonzera chakakomba nzira chirwere uye zvimwe matambudziko. Inenge 85% vakuru uye 35-40% vana - vatakuri Haemophilus influenzae. Nhamba rakanyatsojeka guru, asi hazvishamisi, nokuti Haemophilus ndezvaiye muchikwata che zvimiso utachiona, saka kuvapo kwayo mumuviri riri shoma anonzi vasingambooni chakaipa nazvo.

The soro chikamu vatakuri Hib chirwere kuchengetwa kindergartens, vanenge 5%. chirwere ichi pachishandiswa kuenda neherikoputa mumate, saka njodzi makaita munzvimbo yakakwirira zvakakwana. In kindergartens chirwere ichi chinogona kuburikidza zvemumba: madhishi, matauro uye matoyi. The kwokuomerwa hosha kunoenderana uwandu utachiona kuwira muviri. Nomurume zviduku anova mutakuri huru kuonana kachitanga chirwere. Kunyange zvazvo kwokupfeka chirwere anoenda kucherechedzwa, zvishoma kwakaderera dziviriro yezvirwere mumuviri pakarepo unobva waziva nezvako zvakakomba zvinotapukira.

Hib chirwere anowanzodanwa inokanganisa vana mwedzi mitanhatu kusvika 5 years. Zvikuru ngozi zera kuti kukura chirwere - kubva 6 kusvika 12 mwedzi, saka mushonga ndiye "ITA-HIB" (mushonga) iri kunyanya kudiwa panguva iyi.

The Haemophilus influenzae ngozi?

"ITA-HIB" (the mushonga) chinangwa zvikuru ndakarumbidzwa pediatricians, nekuti chirwere pamwe kusimba kutapata kunogona kukonzera nhamba yematambudziko chakakomba, akadai:

• yomumuzongoza - inotungamirira kune zvakakomba uropi, kuti chikamu hunofa chirwere zvichienzaniswa nedzimwe mukuru, ndiyo 15%;
• epiglottitis - chirwere kungaita kuti asphyxia, kuti Arikukachidzwa;
• nemabayo - chirwere anokonzerwa Haemophilus influenzae utachiona, kunyanya chinosiyanisa rinorema kuyerera uye yakakwirira chikamu rufu;
• sepsis - kunyange pane zvisingawanzoitiki, asi ane migumisiro yakaipa;
• Bronchitis - kwete ngozi kungofanana nemabayo, asi hwakazara yezwi chirwere chimiro;
• otitis nhau - pamwe rinorema chokubuda kukatyisidzira kukwana kusanzwa.

Izvi tisingatauri chokwadi kuti Hib hwemukondombera hunokonzera chakasimba zvirwere kufema uye kukura chearthritis. Chivande Hib ndechokuti kutanga zviratidzo kakawanda haakonzeri kuzvidya mwoyo vabereki. Clinical zviratidzo kazhinji ndivo vatova kuoneka pamwe nechitarisiko yematambudziko. Kamuti mhando b kunyanya nemishonga inouraya mabhakitiriya, nokudaro vachikonzera yakawanda nematambudziko ari kurapwa chirwere Haemophilus influenzae (Hib). The mushonga hakuvimbisi kuti mwana haasi kurwara, asi kuchakubatsira kuderedza chirwere.

mushonga

"ITA-HIB" (mushonga) iri zvinoberekwa kambani French, "Sanofi Pasteur". It rakanyoreswa muRussia muna 1997, kusvikira 2010 mushonga pamusoro Hib chirwere anoitwa musi chokuzvidira hwaro. Chete pakupera 2010, nokuda mukuru kuitika chirwere, waibatanidzwa karenda kubaya pamutemo.

"ITA-HIB" - mushonga, wongororo zvacho zvikuru dzinopesana. Zvisinei, zviri zvikuru akakurudzira vabereki nevana vari pasi pemakore 5 years. Kunyanya nezvezvitadzo vana, vachirondedzera kune zvinotevera mapoka ngozi:

• rokusamhanyira vacheche;
• vana vari bhodhoro yakakodzwa;
• Vana vane simba zvirwere, vari pasi kakawanda chikosoro;
• Kids vane chirwere zvirwere, nekuti icho muviri yavo haigoni kurwisa zvirwere;
• vana kupinda paruzhinji masangano edzidzo.

"ITA-HIB" (mushonga) iri nezvironda zvetsono, kwete chete vana asiwo vakuru kutambura kubva immunodeficiency.

Sei mushonga mabasa?

Hemophilic mushonga chakavakirwa chakaremara antigen, kuda munhu puroteni Morekuru kuti tetenasi toxoid. Hazvina ane utachiona Haemophilus influenzae mhando B saka havagoni kukonzera chirwere. Tikafunga ane puroteni antigen zvinetso akawanda pakarepo:

• vana yakaumbwa zvakasimba kutapata kuti utachiona;
• Zvakazoitika nechezasi reactogenicity pamusoro mushonga uye kuita kuti vakachengeteka.

Haemophilus mushonga kuchienzaniswa nevezera ravo, uye avo vaviri - mushonga "Hiberiks" uye "Pentaxim" vakatora zvidzidzo zvakawanda zvekuchipatara ane migumisiro zvinopfuura inogutsa. It Vakawana kuti kutapata kunotangira mwana, anodzokororwa kwemakore 4 kwemakore. Nguva iyi ndiyo inokwana, nekuti mugore rechishanu upenyu mwana anotanga kubudisa zvakarurama uwandu antibodies pamusoro Hib hweHIV.

mhando iyi kubaya hakungoiti pachavo kudzivirira chete pazvirwere, asi anosimbisawo boka kutapata. Ongororo kuramba dzakaratidza kuti kuenda kukireshi kuburikidza kubaya kuitika kubva muzana akanga aderedzwa kubva 40 kusvika 3.

The kubaya purogiramu

The mushonga ndiye "ITA-HIB" mirayiridzo Chinyorwa iyo inozivikanwa chiremba ose, vakaisa vana kutanga pa mwedzi miviri zera. Kana kwokutanga kubaya kunoitwa mumwedzi mitanhatu upenyu hwomwana wokutanga, zano anotarira seizvi:

• kutanga - the mushonga anoiswa pamusoro wakaiswa musi;
• rwechipiri - apiwa majekiseni rinoitwa mazuva 30-45;
• nguva yechitatu - wokupedzisira kubaya inofanira kugadzwa rimwe gore pashure yokutanga.

Kana dose wokutanga wanunurwa yechipiri yezana gore, zano, ukuwo, zvinyamusi, kureva izvozvo rinobviswa imwe nhano majekiseni inoitwa penguva 1 mwedzi. Kana mushonga anofanira pashure gore, kuti kushaiwa jekiseni.

"ITA-HIB" - mushonga, mirayiridzo uko kunoda pakuomerera zvaidiwa mitemo. Anobaya aita intramuscularly kana subcutaneously. Kids vari pasi 2 nemakore, vakanga jekiseni mukati Anterior chikamu yehudyu vana vakura - iri pamapfudzi, kana kuti, munzvimbo deltoid tsandanyama.

Features uye sezvamunoita

MuRussia, rimwe kupfuura vakachengeteka uye zvakakunakira jekiseni mushonga ndiye "ITA-Hib". Instructions, wongororo vanachiremba vavatorwa Russian nharo kuti mushonga anobvumirwa kusanganiswa chete sirinji nedzimwe yokudzivirira, akadai DTP mushonga. Pakati huru zvakanakira mishonga iyi zvingasanganisira zvinotevera nuances:

• anongoda hapana divi migumisiro, uye saka vanobvumirwa vana kubva pakuzvarwa;
• It ane rubatsiro zvikuru Pfungwa iri kutsvakwa uwandu antibodies;
• Chinochengeta zvirwere kwenguva refu;
• Zvinoratidza nemigumisiro yakanaka pakurwisa mhando b seinä.

Haemophilus mushonga unoshanda nokuti rokuumba chikamu zvinhu zvine yakakwirira basa. Ivo:

• sucrose;
• yavaibvisa chloride;
• kurapwa mvura jekiseni;
• trometamol;
• remubatanidzwa uye polysaccharide tetenasi mapuroteni.

sezvamunoita Izvi zvinoita kuti tirambe dziviriro yezvirwere mumuviri panguva yakakodzera pamwero kunyange vana vaduku chaizvo.

Maonerwo Akaitwa kubaya uye zvichiita yematambudziko

"ITA-HIB" - mushonga, izvo chaizvo nyore kutakura. Anenge Muzviitiko zvose, dziviriro yezvirwere mumuviri anopindura akatiita kuti pakatanga ari jekiseni, chikamu chiduku bedzi pakati batanidza kuita kukwana. Defence mashandiro kurwisa chirwere achiumbwa mukati memazuva 14 pashure kutarisira. Vanopfuura 90% of nhomba vakawanda, akaramba ari chete pamwero kubva 4 kusvika 5 years.

Kazhinji, kushandisa mushonga haakonzeri chero marwadzo, mune zvimwe zviitiko, pangava akatsvuka, kuzvimba kana induration panguva jekiseni nzvimbo. Mukuwedzera, jekiseni anogona kukonzera zvinotevera matambudziko:

• bundu;
• kuvaviwa;
• upundu;
• kurutsa;
• kufunganya uye mazhinji ndichichema;
• fivhiri;
• mikoko;
• nokugwinha.

Kazhinji, symptomatology iri kuchengetwa apo nokusanganisa yokudzivirira maviri. Ndezvemhuri chose pasina zvokurapa kupindira masikati. Zvinonzi kuzivikanwa kuti mushonga anogona kumutsa nokuwedzera penguva pakati kufema kufamba mu vacheche. Izvi ndezvechokwadi kunyanya vakurumidze vakaberekwa pamberi 28th vhiki.

Kugadzirira kubaya

Kuti tidzivise matambudziko, pakatanga Hib mushonga, somumwe, unofanira kugadzirira. Kuti aite izvi, bata kukurukura nachiremba wako kana chiremba uye kujekesa zvose zvakafanira mashoko ari pamusoro zvivako uye divi Migumisiro zvinodhaka. Mumazuva mashomanana chete risati kubaya inofanira kuva:

• kuitisa zvizere kuongororwa nachiremba;
• kudzivirira mwana kubva nevanhu vanorwara;
• kana mwana kudya mukaka, mai haafaniri kusuma zvokudya itsva zvaunodya - ndiwo hwakazarawo siyana neutachiona.

Muviri mumwe munhu anoita kuti mushonga nenzira dzakasiyana. Kuderedza kana kudzivisa chisingatarisirwi siyana, Zvinokurudzirwa:

• pashure kubaya kuramba pasi vezvokurapa pokudzora kwehafu yeawa;
• kuti mumamiriro nezuva, asi chete munzvimbo pane guru kuwanda vanhu, nzira chete hutachiwana pamwe chirwere;
• mazuva matatu okutanga, unogona kugeza mwana wako ari kugeza hakuna kupfuura maminitsi 3;
• haabatanidzi kutanga zvokudya mwana kana zvigadzirwa zvitsva ramai.

Haemophilus mushonga angaita chinhu chisimbwa kune mumwe zvinoriumba, saka kuzvidzivirira mwero inofanira kutorwa mishonga yakadai se "Suprastin" kana "Zodak" (pamusoro zano chiremba).

Contraindications

Maererano mirayiridzo, kuti mushonga wacho contraindicated mu:

• vanhu vane nomumwe kusashivirirana kuti zvinoumba zvinodhaka;
• vana ane sema kwomusikirwo mushonga uyu kana zvimwe yokudzivirira;
• vana ane sema maitiro kuti tetenasi toxoid.

Nokuti kwakakwana kuitwa pakati chigadzirwa zvinoriumba muviri zvinofanira zvachose utano.

Release chimiro uye mushonga okuchengetera zvinhu

A mushonga bottle sirinji ine mhinduro jekiseni anogadzirwa chafariz rongedza. Kutenga chigadzirwa ichi anobvumirwa chete zvokurapa masangano.

Tuvana ndiro kuti mushonga mufiriji, ari optimum tembiricha - 2-8 Celsius. Kana gadziriro inochengeterwa yakaderera tembiricha izvozvo anorasikirwa zvakawanda chacho vanoshingaira zvivako. Term kushandiswa mushonga - 3 years, pashure icho kushandiswa.