Ukugonywa CCP: contraindications side effects

Abazali izingane ziya ziba mandla imibuzo isidingo futhi abheke ukuthi kungenzeka yokugoma umkhuba wokuthi njalo izingane zabo. Sizokwenza ukukhuluma kanjani umgomo ithwala PDA. Abadala ukwethemba abakhiqizi wokugoma, izinga ukukhiqizwa, ukunamathela yezokuthutha isitoreji izimo zabo. Ngaphezu kwalokho, impilo yezingane zethu woniwa futhi buthaka okuthonywa nayizimo zendawo - izingane bevame komzimba, imikhuhlane. Kukhona imibuzo mayelana nendlela ingane kuzothatha umgomo, okuyinto iyolandelwa amasosha omzimba, futhi uyoba yini umphumela kungenzeka impilo womntwana. Izinto eziza kuqala ku-athikili yethu.

Kusukela lokho izifo nokuziphatha lokugoma PDA?

Kuxhunyelelwa CCP - ukwethulwa wokugoma ezifweni ezinjenge isimungumungwana, mumps (edume ngokuthi i "ingulube") ne-rubella. Ukugonywa ngokumelene lezi zifo kungenzeka eyinkimbinkimbi noma ngemigomo monovalent. Ingabe Ngidinga yokuvikela ingane lezi zifo kuka iyingozi?

Isimungumungwane - isifo esithathelanayo ukuthi kuhambisana ukuqubuka alandisa imfiva. Ngemva cishe 5 izinsuku, ukuqubuka iqala ukuze wehlise izinga lokushisa lomzimba ubuyela evamile. isifo esifushane eyehlayo ngokuzimela - kunalokho kuyingozi ngoba umntwana? Ingozi iba ukuthuthukiswa yezinkinga ezihlukahlukene sina: i-pneumonia, encephalitis, abezindaba otitis, nezinye yokulimala kwamehlo. Isici se-ukubhebhetheka kwalesi sifo wukuthi uma nabo isiguli, ingane unvaccinated cishe 100% of the elinegciwane. Ngokuya ngaleli qiniso, izingane zenziwa PDA kancane njalo zigonywe, imiphumela kwakungafanele eside ukufika - izimo zikhulisa njalo ngonyaka.

Rubella ebuntwaneni ibekezelelwe nzima, ngokuvamile ngisho ngaphandle imfiva. Izimpawu ziyefana ukuqubuka encane abazigabisayo nabagcwele zamanzi. Kodwa lesi sifo limelela engozini enkulu owesifazane okhulelweyo, okungukuthi sombungu. Uma intombazane kwakungenziwanga zigonyelwe rubella njengoba ingane noma waphathwa ke, yachuma, bashaye engozini ngesikhathi sokukhulelwa. Rubella kuphazamise ukuthuthukiswa umbungu, ngokuvamile itheleleke umama okhulelwe kuholela lokuzalwa yisisu noma besebancane. Ekuzalweni kwakhe, umntwana kungaholela ukuthi wayenezinkinga ezinkulu ngayo lapho usana, ngokuvamile aluhambisani nawo ekuphileni. Ngakho-ke lokugoma CCP kubalulekile amantombazane.

Mumps kuthinta le parotid salivary indlala. Kukhona ikhanda, kukhona lokushisa eliphezulu, 40 degrees, entanyeni emhlabeni izindlebe ukuvuvukala Kumiswa. Lo mntwana nzima ukuhlafuna, ukugwinya. yezinkinga olungenzeka mumps ukuhlupheka: abezindaba otitis, ukuvuvukala kobuchopho, abafana ngokuvamile ukuthuthukisa ukuvuvukala amasende (orchitis), okungaholela ukungazali esikhathini esizayo.

Zonke izifo ngenhla wadluliselwa amaconsi sisemoyeni futhi ngokusebenzisa kwansuku, okungukuthi, noma ubani angaba batheleleke umuntu unvaccinated, kungakhathaliseki izinyathelo.

Umgomo we operation ye MMR

Zigonyelwe izifo usebenzisa ehlangene noma monovalent. Ukuzivikela komzimba akhiqizwa 92-97% wabantu zigonywe.

Have impahla elivamile laso sonke Amalungiselelo lokugoma PDA - ziqukethe bukhoma (attenuated) Amagciwane. kanjani CCP (lokugoma)? Qondisa amaphuzu ukutheleleka womuntu oqondile emva nokuphathwa izidakamizwa. Kodwa umgomo kuhlinzekelwe inani nezilwanyana ezincane bukhoma emzimbeni yaqala ukusebenza yonke imisebenzi yokuphepha, kuhlanganise ukukhiqizwa kwamasosha omzimba ukuba Amagciwane. isifo High-grade akwenzeki. Nokho, ahlukahlukene ohlangothini ukusabela kungenzeka. Mayelana nabo sizokutshela kamuva ngaphezulu.

Yiziphi wokugoma MMR?

Namuhla emazweni CIS usebenzise lezi imikhiqizo PDA imigomo:

wokugoma Isimungumungwane:

1. I L-16 izidakamizwa Russian ezenziwe. Kungenze ngesisekelo amaqanda izigwaca, okuyinto inzuzo, njengoba amaprotheni inkukhu (okungukuthi, isetshenziswa wokugoma kakhulu angaphandle) e izingane ngokuvamile ukusabela nomzimba.

Mumps:

1. Russian wokugoma bukhoma L-3, kanye ukulungiswa L-16, wenza amaqanda izigwaca.
2. "Pavivak» Czech izidakamizwa.

rubella:

1. "Rudivax" eyenziwe eFrance.
2. "Ervevax", eNgilandi.
3. Indian wokugoma SII.

wokugoma Complex:

1. ukulungiselela Russian of isimungumungwane kanye mumps.
2. "Priorix" - Belgian lokugoma PDA. Izibuyekezo zomuthi omuhle. Wanqoba trust ochwepheshe bezempilo kanye abathengi. Ngo emitholampilo yangasese ukuze yokugoma izifo 3 - isimungumungwane, mumps ne-rubella - wokugoma Kunconywa ngokunembile lokhu njengoba ephephile kakhulu futhi ephumelelayo.
3. wokugoma Dutch "MMP-II» unedumela okuxubile - kukhona bezibona ukuthi izimpawu autism okwenzeka ngemva kokuba ama lokugoma nale izidakamizwa ezinganeni, kodwa ulwazi olunembile eliqinisekisiwe ngakho okwamanje ayikho.

yilona lokugoma kanjani?

Ngokuvamile akakubangeli nobunzima e ukuziphatha CCP-ngokugoma. Basabela kanjani ingane ngesikhathi abaphathi kungase kubonakaliswe ngesimo ukubuyisa eqinile ukukhala. yezinkinga Post-lokugoma ingavela kuphela ngosuku lwesihlanu emva yokugoma. Ukuze unciphise kungenzeka imiphumela emibi izinqubo ayimpoqo kufanele sigcwaliswe kuhambisana zonke izindinganiso zokuphepha. Kuwufanele benaka yokuthi umgomo kumele angakathululwa ngokushesha ngaphambi inqubo. Ukuncibilikisa izidakamizwa kufanele kuphela isixazululo ekhethekile, okuyinto unamathele wokugoma.

Newborn uku hip noma ehlombe, izingane zakhe ezindala - ku subscapular endaweni yokugoma PDA. Izinkinga ukuthi musa ezibangela ukukhathazeka abezimo eziphuthumayo kungabandakanya: ubuhlungu kungenzeka, ububomvu, ukuvuvukala endaweni ka izidakamizwa ekuphathweni esikhathini esiyizinsuku ezimbili. Kodwa uma lezi zimpawu ezingenhla baba evelele futhi ihambisane nezinye ukusabela ezingezinhle kungcono ubonane nodokotela wezingane.

Isimiso yokugoma

Inoculation we-CPC labetibambile kid ubudala, nokugonywa Wabe esephinda eneminyaka engu-6. Kwezinye izimo, le ihlumela wezokwelapha kanye nabantu abadala. Ngokwesibonelo, owesifazane ngesikhathi sokukhulelwa uhlela. Kufanele kuqashelwe ukuthi ukuqala nje ebamba isisu kufanele kuhlelwe emva okungenani izinyanga 3 emva yokugoma PDA.

Umgomo kuhlangene nezinye izidakamizwa ngoba yokugoma: i-CCP kungenziwa kanyekanye kwenziwe nge wokugomela Hib, isifo sokusha kwesibindi kohlobo A, KDP, ngqi, uvendle imigomo.

Izimo Ingabe Ohulumeni Banalo Lonke ukuze lokugoma PDA

Kukhona Izimo ngokuphelele futhi yesikhashana ukugoma PDA. Kudingeke uwuyeke yokugoma ngaphansi kwezimo ezilandelayo isiguli:

• azalwa naso noma bathenga immunodeficiency;
• khona amasosha omzimba yeselula ukukhubazeka;
• ukusabela kabi komzimba ukuze imigomo kwangaphambili;
• khona yokungezwani komzimba ukuze yezingxenye izidakamizwa.

Izimo yesikhashana

Esimweni izinkinga zezempilo yesikhashana zigonywe ingane noma umuntu omdala iqhutshwa ngemva ukululama ephelele kanye nokubuyiselwa mzimba yokugoma PDA zomzimba. Izimo zihlanganisa:

• corticosteroids, immunomodulating izidakamizwa, welashwa ngemisebe nangamakhemikhali;
• acute izinkinga zokuphefumula;
• exacerbation izifo ezingamahlalakhona;
• izifo esilaphekayo sokuhamba kwegazi;
• kwezinkinga zezinso;
• imfiva kanye nemfiva;
• sokukhulelwa.

Common ukusabela ezingezinhle

Ngokuvamile idluliselwe kahle PDA (yokugoma). izigameko ezingezinhle ezavela zenzeka 10% amacala. Ezinye yezinkinga ezivukayo musa abangele ukukhathazeka kodokotela, babhekisela uhlu ovamile esabela abazazi izidakamizwa. Kubalulekile ukukhumbula ukuthi noma iyiphi yokusabela kuya wokugoma MMR singenzeka kuphela kusukela ezinsukwini ezingu-4 kuya ku-15 ngemva ukugoma. Uma noma iyiphi ngeziphambeko impilo yomuntu zigonywe uvele ngaphambi noma ngemva kulezi zinsuku, kungukuthi ezihlobene wokugoma, ngaphandle ububomvu isayithi umjovo we ekuphathweni, okuyinto okubonakale ngezinsuku zokuqala ezimbili.

Ukuze ukusabela evamile ngemva lokugoma PDA zihlanganisa:

• lokushisa ukwanda (kuze kube degrees 39);
• amakhala yisisu;
• ukukhwehlela;
• ububomvu emphinjeni;
• parotid salivary nezindlala;
• komzimba: ukuqubuka, urticaria (ngokuvamile ukusabela okunjalo kwenzeka ku-antibiotic "Neomycin" futhi amaprotheni ingxenye amalungiselelo);
• kwabesifazane zenzeka emva yokugoma ngezikhalo ubuhlungu emisipheni nasemalungeni. Lezi zenzo ezinganeni futhi amadoda kuphela ebonwe 0.3% of amacala.

yezinkinga

Cases sengozini yokuthola izifo ngemva yokugoma PDA. Ngenhlanhla, ziyivelakancane, kwi zasemuva zezinye izinhlelo iziyaluyalu emzimbeni. Izimbangela ukusabela ezingezinhle kungaba isifo lesiguli, umgomo eliphansi, nokusebenzisa kabi izidakamizwa. Izinkinga emva yokugoma PDA zihlanganisa:

1. Ngibanjwe, asathuthuka e-zangokwasemuva zezinhlelo lokushisa eliphezulu. Nale uphawu esimisiwe antipyretics paracetamol, kanye Kunconywa ukuhlolwa kudokotela oyisazi sezinzwa ngezindleko wokuthi yadalwa ngemuva ukuthuthukiswa isimiso sezinzwa.
2. umonakalo Post-lokugoma ubuchopho (encephalitis). Lapho isinqumo sokwenza uphenyo noma ukwenqaba yokugoma CCP kufanele bacabangele ukuthi inkinga enjalo emva yokugoma kwenzeka kancane izikhathi 1000 kunokuhlala ukutheleleka egcwele nesimungumungwane rubella.
3. Ngemva inoculation eyinkimbinkimbi noma mumps wokugoma, okuhlanganisa isifo, 1% amacala meningitis angagcina, kanti ngokudlulisela isifo, lesi sibalo ifinyelela 25%.
4. Ingakapheli imizuzu engu-30 ngemva CCP ngokuxhunyelelwa ukusabela kungenzeka njengoba ukushaqeka anaphylactic. Londoloza ukuphila esimweni esinjalo ngeke epinephrine kuphela. Ngakho-ke, ukwenza akazibekanga - ubheke yokugoma emtholampilo wahulumende nobe wangasese ezikhethekile, kanye ulandela imiyalelo yonke kadokotela, kuhlanganise impendulo trace ukuze umgomo for isigamu sehora ezindongeni ezikhungweni zezempilo. Kudingekile futhi banikwa umhlengikazi kokubonisana ngosuku lwesihlanu kuya kweleshumi emva inoculation.
5. Ezimweni ezingavamile kakhulu bhalisiwe thrombocytopenia - ukwehla ka izinhlayiyana zegazi.

Ukulungiselela yokugoma

Ukuze kuncishiswe ingozi yokuba ezihlukahlukene yezinkinga post-lokugoma, kubalulekile ukuqhuba ukuqeqeshwa zangaphambi ukuthunyelwa ukuba ukugoma. Ikakhulukazi izinyathelo ezinjalo zibalulekile yokugoma kwezingane. Ngaphambi yokugoma isimiso, landela lezi ziqondiso:

1. Ningangeni ekudleni imikhiqizo wengane entsha. Uma umntwana ibele, unina ibele kufanele futhi banamathele Ukudla evamile.
2. Ezinsukwini ezimbalwa nje ngaphambi yokugoma kuyadingeka ukuze baphumelele ukuhlolwa kwegazi kanye nomchamo ezivamile wokuthi yadalwa ezifihliwe, yefilakisi isifo.
3. Izingane abanemizimba komzimba noma ube yezinkinga ezinjalo phakathi imigomo odlule ingasatshenziswa antihistamine izinsuku 2 ngaphambi yokugoma futhi ngemva kwezinsuku ezimbalwa ngokugoma.
4. Ngemva inoculation wenziwa PDA, izinga lokushisa komzimba kujwayele ukubuzwa yamazinga aphezulu. Kodwa, noma kunjalo, odokotela musa batusa ukusebenzisa iindakamizwa antipyretic njengoba isilinganiso izifo. Basuke unikezwe indaba nje kuphela izingane nge nezici ezithile ukuze nokuquleka febrile. Thatha izidakamizwa ngokushesha ngemva nokuphathwa umgomo.
5. Uma ingane yakho ine enempilo futhi ayinaso ubufakazi ukuthola imithi ngaphambi yokugoma ngezinhloso zokuphepha, qiniseka ukuthi indlu has a imithi zosizo lokuqala - antipyretics ( "Nurofen", "Panadol") futhi antihistamine, isibonelo, "Suprastin".
6. Ngokushesha ngaphambi inoculation wengane kufanele lihlolwe isazi sezifo zezingane: ukukala izinga lokushisa, ukuhlola isimo jikelele wezempilo.

Okufanele ukwenze ngemuva imigomo le CCP sika?

Umntwana labetibambile PDA yokugoma? ukusabela komzimba ungakwazi kuphela eze ngosuku 5th. Ukunciphisa nesenzakalo amathuba okuba nemiphumela engemihle, namathela amanye amathiphu. Ngakho, ngemva yokugoma futhi ungavumeli ingane yakho ukuzama ukudla entsha. Futhi, ukususa izibiliboco, awukwazi overfeed ingane. Kubalekile nokudla uketshezi.

Ezinsukwini zokuqala ezimbili kungcono ukuhlala ekhaya, ngoba umzimba iba buthakathaka futhi imvuthu kalula ukungenwa yizifo ngokucindezela ezihlukahlukene nezifo. Kungakapheli namasonto amabili, umkhawulo ukuxhumana ezizungezile. Gwema hypothermia noma okweqile ingane yakho.

Lapho kubalulekile ukuba ushayele udokotela?

Ngemva lokugoma eduze iqaphe umntwana: ukukala njalo lokushisa, ukubukela ngenxa yendlela asabela ngayo, ukuziphatha, izikhalazo. Uma uqaphela izimpawu ezilandelayo kuyisimo esiphuthumayo:

• isifo sohudo,
• ukuhlanza;
• izinga lokushisa eliphakeme, okuyinto ngeke aphule antipyretics;
• lokushisa ngenhla 40 degrees;
• ukuphendula ezinzima iguliswa;
• ukuvuvukala noma umjovo indawo induration, esibalelwa ububanzi mkhulu kunezinhliziyo 3 cm, noma ukusika ithumba;
• isikhathi eside ingane engenangqondo ukukhala;
• Ukudlikizela;
• Angioedema;
• kokuziklinya;
• nokulahlekelwa ukwazi.

Uma sinquma ukuthi ukwenza CCP (lokugoma) nengane noma ukunikeza, nesisindo ngokucophelela ngobuhle nangobubi bawo. Cabangela izibalo esidumazayo ukuthi bathi namagciwane ngokugcwele isimungumungwana, mumps noma rubella, ingozi yezinkinga lamadigri kobukhulu obuhlukahlukene emakhulwini izikhathi ephakeme kunaleyo emva yokugoma nge ngemithi yanamuhla. Ngaphezu kwalokho, omama yangempela ukhulume ezingeni lelisetulu ukuphepha yokugoma PDA - iningi izingane zigonywe awuzange eqoshiwe nanoma yiziphi izinkinga post-ngokugoma. Landela izinyathelo kanye nemiyalelo yezokwelapha - uma umgomo bayozuza imvuthu yakho kuphela ukuvikela izifo ezingathi sína kwababhemayo.