Vaccination pamusoro DPT: decoding, pamigumisiro uye mhinduro

Kana mhuri kune mwana muduku, vabereki vechiduku uye saka akakoromora: chii zvokudya, sei kupfeka, zvokuita kana iwe pakarepo kurwara ... Uye zvino, asingasviki mitatu kubva musi wokuberekwa, pediatricians ugodana kubaya chete DTP (inopangidza pamusoro abbreviations - adsorbed pertussis-diphtheria-tetenasi). Zvaakanga verenga pamusoro nemigumisiro yakaipa, vanaamai ndakabata musoro wake. Ngatiedzei pamwe kufunga chii scarier: inoculation akaisa kana kusiya mwana pangozi anotyisa zvirwere?

Chii DTP mushonga

Pazera kwemwedzi mitanhatu kuti aumbe rokuzvidzivirira mwana wavo pachavo, izvo, chokwadi, zvinobatsira kuti uchiyamwisa. Naizvozvo, panguva ino nguva mu pakarenda vanosanganisira DTP kubaya. Achiongorora zvaive inoti muna ayo sezvamunoita rine akauraya masero utachiona zvirwere zvose zvitatu. Izvi zvakakodzera nokuti muviri kuti mwana akasangana masero munenge ngozi uye zvirwere kwakasimbiswa antibodies.

Saka akaumba "cellular ndangariro": Met aine yakafanana utachiona hwakakura mune ramangwana, gadziriro yeuka utachiwana. Agadzirira antibodies achaparadzwa yakabereka pakarepo, izvo zvichakubatsira kuti nokukurumidza kukurira chirwere. Pertussis muviri anokonzera kupfuura chisimba maitiro (tembiricha, kuzvimba), saka vana attenuated yokudzivirira kupa analogue - DT (diphtheria-tetenasi).

How ngozi zvirwere izvi

Uyu zvakarurama achinyengera noutachiona uye yakanyanya kuoma zvakatokura. Ngatikurukurei navo voga:

1. Pertussis. Zvinonzi nyore kuvhiringidzwa chikosoro kana kutonhora banal: zvose zvakafanana chikosoro uye runny mhino. Uye chete mavhiki mashoma, kana zviratidzo SARS vanofanira kare wakaitwa, zviri pachena kuti mufananidzo zvakasiyana. Whooping chikosoro ose zuva ezvinhu ari kungoramba, kunorwadza chikosoro agare kusvika nemaminitsi 15, ichiteverwa kurutsa kana ropa. In vacheche zvinogona kutungamirira kufema kusungwa. Mugumisiro aigona kuva "residual chimiro", apo mumwe kutonhora inoyerera chete zvakakomba chikosoro.

Kana diphtheria uye tetenasi, chinonyanya chakaipisisa chinhu hachisi kwemabhakitiriya pachavo, uye uturu ivo kubereka.

2. Diphtheria. Zvinokachidza kukanganisa mwoyo, chitaka neitsvo, tsinga. Mugumisiro anogona kudzipwa.

3. Tetenasi. Kunyange zvakawanda zvinotyisa toxin zvinoberekwa utachiona hunokonzera kwazvo kwetsandanyama, ayo achiperekedzwa marwadzo uye chinyamunhari chinorwadza. cardiac kusungwa kana kufema - zviri zvakajairika.

The chete vadziviriri vakavimbika ndiko kubaya chete DTP. Achiongorora zvaive dzimwe nguva kutyiswa vabereki vake multicomponent. Asi zvinokosha kwete uwandu asi kugarisana. Ndizvo zvose ichi kuma1940 uye ichiri kunzi yakanaka. Uyezve, pamwe DTP, zviri bvumidzwa kuti nhomba pamusoro poriyo uye nehepatitis B.

Marudzi yokudzivirira anoshandiswa

Nhasi, vabereki vanogona kusarudza chii kuti kudzidzisa mwana wako. For urongwa kubaya inowanzoshandiswa mumhuri Shanduro DTP (inopangidza anomiririrwa zvishoma pamusoro). Nokuti muripo, unogona kuisa mushonga "Infanrix".

Shandisa mubatanidzwa zvinodhaka:

• "Pentaxim" - mureza DTP + poriyo + Hib.
• "Tritanriks-HB» - DTP + nehepatitis B.

kubaya Schedule

Local wevana Kazhinji anonyevera kuti nguva yasvika kuisa mushonga. Nyika dzinosiyana purogiramu siyanei. MuRussia nhasi, mwana anogamuchira wokutanga DTP 3 months zviri. Wechipiri vanofanira kutevera 4,5, wechitatu - mumwedzi mitanhatu. Shure yokumbozorora refu (a gore), wokupedzisira kubaya rakaiswa panguva mwedzi 18. Izvi rinopedzisa zvizere nzira kubaya, uye mwana anowana 100% kudzivirira zvirwere izvi.

Pasinei neizvi, mubvunzo vangani DTP kubaya vanofanira kuwana mbudzana richakazaruka. Mune dzimwe nyika, vari vakaitwa 3, 6 uye mwedzi 18. Uyezve, pane medotvody nezvikonzero zvoutano. Kana kuisa dose wokutanga, uye ipapo utore kuregawo, haufaniri kutanga kubaya wokutanga, kuramba ari kuvhiringidzwa cheni zvakakwana. Revaccination rinoitwa muna 6 14 makore, uye ipapo pamakore gumi.

Zvinofanira kucherechedzwa kuti whooping chikosoro chinonyanya ngozi vana vaduku. Naizvozvo, kana mwana kusvika 4 makore vasina immunized pamwe DTP, ipapo zvinokwanisika baya kugadzirira DT, nekuti pertussis mu vakwegura zera iri Kutamiswa nyore zvikuru.

Kugadzirira kubaya

Hakusi nguva dzose yomunzvimbo wevana kugadza yakazara rokuongorora uye muunganidzwa miedzo isati kubaya. iri nyore rino chakatsanangura, vakapiwa ayo pokuwanda kwebasa. Dzimwe nguva vanachiremba nyore kubvunza vabereki kana mwana akanaka, uye pamusoro maererano ichi, mvumo yacho kubaya. Sezvo basa kuti utano vana anovata vabereki, ivo uye kutora basa matanho:

• Sarudza chiremba yakazvimirira.
• Tora nhungamiro yake pamusoro Analyses uye Ultrasound.
• Shanyira chiremba wetsinga.
• Wana mashoko azere pamusoro anowanika yokudzivirira munyika yako uye vanorumbidza munhu kusarudza.

Kana mwana ane utano hwakanaka, iye zvachose pasina mukana, unogona kununurwa DTP mushonga. Achiongorora zvaive chidimbu ichi anofanira zvinotaurwa zvinotyisa zvirwere iwe kumupa kudzivirirwa. Fungidzira mukomana tsukuduka, hadzina nhomba pamusoro tetenasi. Vangani nguva haana kuputsa ibvi ake, ndikamumara pamusoro ora runotsveyama? Uye zvose zvinokuvadza zvakadai - ndiwo mukana ndibate hutachiwana ngozi muna 85% nyaya.

Kana kubaya musi yainorongwa kwemazuva 6 (3 uye 3 pashure majekiseni anodzivirira pamberi) inofanira kupiwa mwana kuti hafu chinyorero "suprastin" mangwanani uye manheru. Regai kufudza mwana wenyu asati vachishanyira kurapwa mukamuri. Mushure DTP kuisa haana varumbidzwa kwemaminitsi 30 kusiya kukiriniki kuti nokukurumidza kubatsira mune nyaya sema kuita. Pavakasvika kumba, pakarepo kupa antipyretic mumiririri Somuenzaniso, "Nurofen" kana kuisa makenduru pamwe paracetamol. Naivo vave unonyaradza marwadzo mugumisiro ichabatsira mafufu uchatamisa nyore kubaya. Kana pazuva rechipiri tembiricha romuzvarirwo, antipyretic zvinogona wacho. Kana paine munhu mukuru tembiricha, uye pazuva retatu, wozodzoka chiremba wako.

Kudzikira mushure kubaya

Vose fanira yakaomesesa akaitsausira DPT - mushonga, iyo unorira inopangidza pakati adsorbed pertussis-diphtheria-tetenasi. Nhasi, unogona kuwana zvakawanda nezvinhu, kutaura pamusoro kubaya zvarwo, uye vose kubatanidza kuna anotyisa mibairo DPT kubaya.

Inenge 30% nyaya yaitika zvinotevera nemishonga:

• akatsvuka uye mumatenhere jekiseni nzvimbo;
• zvishomanana kuwedzera tembiricha muviri;
• zvakawedzera kufunganya;
• zvomudumbu hurongwa zvirwere.

Zvinofanira kucherechedzwa kuti ichi chinhu kwomuzvarirwo DTP, migumisiro muviri kurwisa mutorwa uye noutsinye masero. Zviratidzo inonyangarika mukati rimwe zuva pashure inoculation. Yanhasi chokwadi ndechokuti kusvikira zvose vana vanotarisirwa azvidavirire nokuda nhungamiro vari kuonana varwere vaiuya kuti kushanya. Naizvozvo, munhu runny mhino uye manyoka pashure kubaya angava asina zvakananga ukama pazviri.

Zvinosuruvarisa, ichi hachisi yakaipisisa chinhu chinogona kuitika mushure DTP mushonga akaponesa. Migumisiro muchimiro simba edema (kupfuura 10cm), anoiswa ndichichema mwana uye clusive tembiricha pamusoro madhigirii 39 vanoonekwa kwazvo. Pane kudaro maitiro nguva anenge 1 kusvika 15,000 vana.

Mune zvisingawanzoitiki Muzviitiko, mabviro angava kuratidzwa kusonanidzwa kare yakavigwa renal pathologies, hepatic, nechepakati huta zvirwere hurongwa. Yakanyorwa nyaya kukurumidza kukura glomerulonephritis uye mwana kufa vhiki pashure DTP. Uyezve, zvinoita anaphylactic kuvhunduka, nezvipusha, encephalopathy. Kakawanda yematambudziko akadaro chaizvo duku, vanenge 1 nyaya pa 500 000-1 000 000 vana. Asi vamwe, iri nyaya zvinouraya ...

The kubaya wekutanga: dzinokosha

Saka, une 3 months, uye pano ndiwo - pepa yokutanga mushonga. Sei munguva ino? Nokuti utero mudumbu kuburikidza achiine rukuvhute tambo akasimuka kubva raamai antibodies. Uye kana, pakarepo mushure mwana anoberekwa kuzozivisa mushonga, vachaita kuvhiringidza kukura kwavo kutapata. Asi zvishoma nezvishoma wechisikigo unodzivirira chinodzivirira ipfupi, inofanira kudzorerwa. Saka tsanangura vanachiremba. Zviya, Ungangove, muchakumbira chii kuisa nhomba. Sarudza imupota ndokunatsawo mushonga, pasinei kuti akabhadhara.

Uye mumwe chinokosha chaizvo. Kana uine chinhu kuvhiringidza mwana wehurumende (snot, zvakawanda zvive), kumbomira kubaya, regai kuteerera simba dzave kuenda kurapwa mukamuri pakarepo. Inogona kusvitsa muna 4 pemwedzi. Utano vashandi - vanhu zvaanoda, ivo vanofanira kuita basa ravo nguva. Asi, nokuda uye makuru, vanhu vashoma nezveutano mwana wenyu. Vanofanira kuva "tick" pamushumo, nokukohwa michero kusuruvara une. Mwari ngaandidzivise, Chokwadi.

Mushure kubaya, vanonyatsoongorora zvinoitwa mwana. Strong achidanidzira, zvekuzvikudza, fivha - zvose izvo vanofanira kuva nechikonzero Kudzimwa kwechikwereti nekutambira majekiseni kwenguva pfupi kana zvachose, zvichienderana kwokuomerwa nemapinduriro. Chete duku kuwedzera kupisa (37-38 madhigirii) inogona aionekwa zvisingatomboiti kufarira DTP mushonga. Kuiswa chisimbiso uye akatsvuka panguva jekiseni nzvimbo hakufaniri kuchengeta kupfuura zuva, uye kupfuura 5 masendimita ari dhayamita. Panzira, zvinodhaka "Infanrix" kazhinji haakonzeri siyana uye matambudziko akashivirira zvakanaka.

The kubaya wechipiri

mazuva 30-45 kana dose wokutanga zvakanaka Kutamiswa, chiremba vanozokumbira iwe kuzodzosera kubaya. Kana mwana ari kurwara panguva ino, muitiro akarara hungu kupora. Tapota ona kuti zvinogona kuva nesimba kupfuura kekutanga. Izvi zvinoitika, nokuti muviri akatotanga vakakwanisa kutanga imwe mari antibodies.

Kana chiremba asina kubvunza, iva nechokwadi kuti kumuyeuchidza pamusoro pavakanzwa wokutanga kubaya. Kana kwave akaratidza, tinofanira kushandisa kupinza mushonga, sezvazvakaita zvaitombova nani. Kana kubaya akanga kuoma, akatsiva DPT DT (pasina rokuti pertussis), kana kukanzura zvachose, pasinei kuteterera.

A yechitatu kubaya

Dzimwe akanga iye, uye kwete wechipiri kubaya, ndiyo mhinduro yakasimba. Panguva ino aunotoziva, sezvinoita mwana anotakura zvinodhaka uyu uye vanogona kusarudza zvakanaka. Chokwadi, hakusi zvakafanira kuzviisa pangozi utano, kana paiva matambudziko inowira. Yakanga pashure rechitatu dose of mushonga ichaongororwa kuti muviri zvakazara anodzivirirwa pazvirwere izvi zvitatu.

Kana kubaya zvinobudirira kunobva jekiseni panzvimbo

Hongu. The mushonga ari dzaizopiwa intramuscular jekiseni. In vana vaduku, chiri tsime kunyatsobudirira pechidya tsandanyama, zviri ipapo uye akaisa DTP mushonga. Decoding (Wongororo kazhinji ane Kusagutsikana aruminiyamu kugutsikana, izvo anoita adjuvant) iri fanira hwaro aripo pamusoro kavha, sezvo unogona kuongorora nokutarisa mufananidzo yacho yokutanga. Zvinosuruvarisa, kwete nguva dzose nyanzvi kutsanangurira vabereki ainetseka, tinofanira chambotaurwa nezvacho aruminiyamu nei, uye Zvichakadai, zvinonzi chokuita mubvunzo wakabvunzwa muna musoro wenyaya muchikamu zvakananga. aruminiyamu hydroxide adsorbed mushonga ose okunze uye anoiteerera panguva jekiseni nzvimbo kwenguva refu, saka kuti zvirwere mhinduro inogona vanowanika vasati vapinda muropa uye achava goho kubva mumuviri. kwete saka mushonga iri jekiseni pasi peganda uye kwete adipose zvinyama, kureva mukati tsandanyama. Vana vakura pane 4 makore kuita pena iri honokono.

Ko Ndinofanira kuisa kubaya?

Nhasi, vabereki here kuisa ashaye chinzvimbo. Asingadi - regai kuita, mhinduro pachako uye mhosva pachako, kana mwana ari kurwara. Tinoisa? Zvakanaka. Asi cherechedza: kana paine matambudziko, uchida kuti nhomba. A zvaida nzwisisika kuongorora, nenzira, hapana anoda kana ibasa. Vabereki kuedza kuwana mhinduro mumabhuku, nyaya, forum, kukurukura DTP. Decoding, ongororo, kurondedzerwa iwayo mashoma chaizvo zviitiko apo migumisiro vari kupfuura yakanyanya - izvi zvose anotaura zvakajeka vachida kubaya. Zvokuita?

Ngativhurei nenhoroondo. Pamberi pakatanga majekiseni anodzivirira pamwe pertussis kurwadzisa vose vana, uye vanenge 5% akafa. Diphtheria Kutamiswa vanenge 25% wevacheche, uye vanourayiswa kuchengetwa% nyaya dzinenge 50. Tetenasi - chirwere ngozi chaizvo. Uye nhasi, pasinei ano zvokurapa, mwero wokufa kwevanhu anenge 80% nyaya.

Chimwe chinhu ndechokuti nokuda vakawanda majekiseni anodzivirira pakati nengozi matenda kwangoderera, saka mwana wenyu anogona kukura uye regai kurwara. Zvakare, muna 70s chinozunguzirwa kwakaitika muEurope, kukundikana baya. Vakatevera vari gumi anotevera nhamba zvirwere, yematambudziko uye nzufu husina nyaya yematambudziko pashure kubaya.

Nokupfupikisa, tinogona kutaura kuti DTP - nhomba, wongororo izvo unogona kuwana zvakawanda kazhinji - nehasha kunaka, nokuda kwayo yakakwirira reactogenicity. Asi kana ukachenjerera kuswedera pakusarudza zvinodhaka zvakaitika rokutanga kuongorora uye gadzirira muviri mwana, unogona kuderedza zvikuru njodzi yematambudziko uye kudzivirira vana kubva kuzvirwere ngozi. Iwe - vabereki, iwe kusarudza.