DTP tshuaj tiv thaiv (txhaj tshuaj tiv thaiv). Komarovsky tswv yim ... Yuav ua li cas npaj koj tus me nyuam txhaj tshuaj nrog DTP?

Cov tshuaj tiv thaiv yeej muaj nyob txij li thaum lub sij hawm ntawm Catherine. Ua tsaug rau lawv, muaj kev tswj kom tsis txhob muaj cov phav phav ntawm cov neeg raug. Nco ntsoov, muaj yog ib txwm txoj kev pheej hmoo ntawm kev phiv tom qab txhaj tshuaj tiv thaiv, tiam sis cov neeg ua hauj lwm ntawm txhua leej niam leej txiv los tiv thaiv koj tus me nyuam los ntawm loj cov kab mob. Tsuas yog competent mus kom ze rau txhaj tshuaj tiv thaiv thiab khiav yuav pab kom tsis txhob muaj dire txim. Tom ntej no, xav txog dab tsi lub DTP tshuaj tiv thaiv. Komorowski - ib tug naas ej me nyuam tus kws kho mob, pab nrog tswv yim rau cov me nyuam npaj rau txhaj tshuaj tiv thaiv thiab tau sab ces.

decipher DTP

Yuav ua li cas cov tsiaj ntawv?

- A - Tshuaj Tiv Thaiv adsorbed.

- By - hnoos.

- D - diphtheria.

- C - tetanus.

Qhov tshuaj tiv thaiv muaj attenuated kab mob - pathogens ntawm lub saum toj no cov kab mob, adsorbed rau txhuas hydroxide thiab thimerosal. Raws li muaj ib lub cell-free tshuaj tiv thaiv yog ntau kom zoo zoo. Lawv muaj daim ntawm micro-kab uas tsim kho lub cev los ua tus yam antibody.

Nco ntsoov tias Dr. Komarovsky hais tias: "Txhaj Tshuaj Tiv Thaiv ntawm DPT yog lub feem ntau nyuab thiab yuav nqa los ntawm ib tug me nyuam nyuaj. Compounding nws tsiv pertussis caij muaj nyob rau ntawd. "

Ib tug tshuaj tiv thaiv tiv thaiv diphtheria, pertussis thiab tetanus. Cov kab mob no yuav ua tau kom ib tug tu siab kawg, thiab yuav ua li cas txaus ntshai lawv, saib tom ntej no.

txaus ntshai tus kab mob

DTP tshuaj tiv thaiv tiv thaiv tus kab mob pertussis, diphtheria thiab tetanus. Qhov ntau txaus ntshai tus kab mob no?

Hnoos - ib tug kab mob tshwm sim los ntawm ib tug mob kab mob. Muaj yog ib tug heev muaj zog hnoos uas yuav ua rau ua pa raug ntes, qaug dab peg. Yam tab kaum yog txoj kev loj hlob ntawm mob ntsws dej. Tus kab mob no mas kis tau thiab txaus ntshai, tshwj xeeb tshaj yog rau cov me nyuam mus txog 2 xyoos.

Diphtheria - kis kab mob. Kis tau yooj yim los ntawm plav mob. Loj intoxication tshwm sim, li no txoj kev ua ib tuab txheej ntawm lub tonsils. Yuav ua li cas o ntawm lub caj pas, muaj yog ib tug loj kev hem thawj rau kev cuam tshuam rau lub plawv, ob lub raum thiab lub paj hlwb.

Tetanus - tus kab mob no yog ib tug mob thiab kis tau. Hlab hlwb puas tsuaj tshwm sim. Nws thiaj li nqaij ntshiv ntawm lub ntsej muag, extremities, tus txha nqaj. Muaj teeb meem nyob rau hauv nqos, tsis yooj yim qhib lub puab tsaig. Nyaum cuam tshuam ntawm cov pa system. Nyob rau hauv feem ntau tus neeg mob, kev tuag. Nqa kab mob los ntawm kev puas tsuaj rau ntawm daim tawv nqaij thiab qog ua kua week.

Thaum twg thiab rau leej twg ua DTP

Txij li thaum yug tus me nyuam ntawm tus me nyuam muab cov txhaj tshuaj tiv thaiv lub sij hawm. Yog hais tias koj ua raws li tag nrho cov nqe lus ntawm kev txhaj tshuaj tiv thaiv, cov hauj lwm zoo yuav tsum siab, tus me nyuam nyob rau hauv cov ntaub ntawv no yog kev tiv thaiv. DTP tshuaj tiv thaiv, Komorowski them xim rau nws, nws yuav tsum tau ua nyob rau hauv ib tug raws sijhawm. Txij li thaum tus me nyuam muaj kev tiv thaiv los ntawm niam tshuaj xwb nyob rau hauv cov thawj 6 lub lim piam ntawm kev yug me nyuam.

Grafting tej zaum yuav lub teb chaws los yog txawv teb chaws siv thiab.

Txawm li cas los, Koob tshuaj DTP, dua li cov chaw tsim tshuaj paus, nkag tau rau hauv peb theem. Txij li thaum tom qab thawj zaug txhaj tshuaj tiv thaiv lub cev tsis muaj zog txaus, nws yog tsim nyog los reassess txhaj tshuaj tiv thaiv. Muaj yog ib txoj cai nyob rau hauv lub DTP txhaj tshuaj tiv thaiv:

1. Qhov tshuaj tiv thaiv yuav tsum tau muab nyob rau hauv peb theem.
2. Nyob rau hauv cov ntaub ntawv no, lub luv ntawm koob tshuaj yuav tsum muaj tsawg kawg yog 30-45 hnub.

Yog hais tias muaj yog tsis muaj contraindications rau txhaj tshuaj tiv thaiv, lub sij hawm yog raws li nram no:

• 1 tshuaj tiv thaiv - 3 lub hlis.
• 2 tshuaj tiv thaiv - nyob rau hauv 4-5 lub hlis.
• 3 tshuaj tiv thaiv - 6 lub hlis.

Tom qab luv yuav tsum muaj tsawg kawg yog 30 hnub. Raws li rau lub hom phiaj ntawm DPT txhaj tshuaj tiv thaiv yog nqa tawm:

• 18 lub hlis.
• 6-7 xyoo.
• 14 xyoo.

Cov neeg laus muaj peev xwm yuav txhaj tshuaj tiv thaiv 1 lub sij hawm nyob rau hauv 10 lub xyoos. Nws yog tsim nyog los soj ntsuam cov luv ntawm koob tshuaj, nws yuav tsum tsis txhob yuav tsawg tshaj li rau lub lis piam.

Heev feem ntau nyob rau hauv tib lub txhaj tshuaj tiv thaiv muaj tshuaj tiv thaiv ib tug xov tooj ntawm cov kab mob. Nws tsis thauj lub cev ntawm tus me nyuam, raws li lawv yog kis tau yooj yim. Piv txwv li, yog tias nqa tawm txhaj tshuaj tiv thaiv ntawm DPT thiab polio, Komorowski hais tias lawv muaj peev xwm ua tau nyob rau tib lub sij hawm raws li tus tom kawg twb yuav luag tsis muaj kev phiv.

Ncauj polio tshuaj tiv thaiv, "nyob". Tom qab nws tsis pom zoo kom kev sib cuag nrog unvaccinated cov me nyuam ob lub lis piam.

Yuav ua li cas ntev li cas kev tiv thaiv

Thaum ua DTP tshuaj tiv thaiv (Komorowski piav txog nws li no), lub cev pib tsim tshuaj tiv thaiv qhua pias, diphtheria thiab tetanus. Yog li, nws twb pom hais tias ib lub hlis tom qab txhaj tshuaj tiv thaiv antibody theem nyob rau hauv lub cev yuav tsum tau 0.1 IU / ml. Yuav ua li cas ntev yuav tiv thaiv txoj cai, nyob rau hauv ntau lub respects nyob rau tus yam ntxwv ntawm qhov tshuaj tiv thaiv. Feem ntau, lub cev tiv thaiv yog tsim los rau 5 xyoo. Yog li ntawd lub luv niaj hnub txhaj tshuaj tiv thaiv thiab yog 5-6 xyoo. Ntau adulthood ua txaus DTP ib zaug nyob rau hauv 10 lub xyoos.

Yog hais tias lub DTP tshuaj tiv thaiv yog ua ces mob diphtheria, tetanus los yog qhua pias, qhov yuav tshwm yog muaj tsawg kawg nkaus. Nws yog ntseeg hais tias tus txiv neej nyob rau hauv cov ntaub ntawv no yog kev tiv thaiv los ntawm cov kab mob.

Nyob rau hauv thiaj li tsis mus ua mob rau lub cev, nws yuav tsum tau nco ntsoov hais tias los ntawm qhov tseeb hais tias muaj ib tug xov tooj ntawm contraindications.

Leej twg tsis tau ua DTP

DTP - ib qho ntawm qhov tshuaj tiv thaiv, uas yog tsis zoo taus nyob rau hauv cov me nyuam. Thiab yog hais tias koj tsis tau muaj tej yam kev xav rau txhaj tshuaj, tej zaum nws yuav ua rau kev phiv. Tsis ua pliaj txim tshuaj tiv thaiv DTP, Komarovsky tswv yim them sai sai mus rau lub yog vim li cas rau cov uas txhaj tshuaj tiv thaiv yuav tsum tau txiav.

Yog vim li cas tej zaum yuav ib ntus, lawv muaj xws li:

• Mob khaub thuas.
• Kis kab mob.
• Nce lub cev kub.
• Exacerbation ntawm tus kab mob.

Nyob rau hauv xws li mob nws yog tsim nyog los kho tus me nyuam, thiab tsuas yog ob lub lis piam tom qab tag nrho rov qab yuav ua tau DTP.

DTP txhaj tshuaj tiv thaiv yuav tsis tau ua yog hais tias muaj yog li nram qab no cov kab mob:

• Kev txawv txav nyob rau hauv lub paj hlwb uas yog progressing.
• Previous txhaj tshuaj tiv thaiv yog ib qhov nyuaj heev los ua tim.
• Koj tus menyuam muaj ib tug keeb kwm mob chua leeg hlwb.
• Nyuam qhuav pib txhaj tshuaj ua febrile convulsions.
• Immunodeficiency.
• Kev rhiab heev rau tshuaj tiv thaiv Cheebtsam lossis intolerance.

Yog hais tias koj tus me nyuam muaj tej yam kab mob, los yog koj yog ntshai hais tias yuav ua phiv los ntawm DPT txhaj tshuaj tiv thaiv, koj yuav tsum tau nrog ib tug kws kho mob. Tej zaum koj yuav muaj ib tug tshuaj txhaj tiv thaiv uas tsis muaj tus kab mob pertussis toxoid, vim hais tias tej zaum lawv yuav ua kev phiv tshuaj.

txhaj tshuaj tiv thaiv tej zaum kuj yuav ncua yog hais tias tus me nyuam:

• Diathesis.
• Tsis tshua muaj ceeb thawj.
• Ib tug ntxov ntxov tus me nyuam.
• Encephalopathy.

Nyob rau hauv cov tej yam, txhaj tshuaj tiv thaiv yog tau tab sis npaj rau kuj ntawm DTP, Komorowski yog qhia ntau txog kev yuav tsum tau nyob rau hauv ruaj khov mob. Nws yog qhov zoo tshaj plaws los mus siv rau tej me nyuam acellular tshuaj tiv thaiv, nrog ib tug high degree ntawm purification.

Tau lub xeev tom qab txhaj tshuaj tiv thaiv

Yuav ua li cas yog cov tau tom qab txhaj tshuaj tiv thaiv nrog DTP, lub txim? Xyuas Komorowski ua txawv. Thiab tag nrho cov kev phiv tshuaj yuav tau muab faib mus rau hauv me me, loj tsawv thiab sab heev.

Raws li ib tug txoj cai, cov tshuaj tiv thaiv rau qhov tshuaj tiv thaiv tshwm tom qab 3 koob tshuaj. Tej zaum vim los ntawm lub sij hawm ntawd nws pib tsim kev tiv thaiv tiv thaiv. Tus me nyuam yuav tsum tau saib xyuas, tshwj xeeb tshaj yog nyob rau hauv thawj lub sij hawm tom qab txhaj tshuaj tiv thaiv thiab rau lub tom ntej no peb hnub. Yog hais tias tus me nyuam tau mob nyob rau lub plaub hnub tom qab txhaj tshuaj tiv thaiv, nws yuav tsis ua rau tus kab mob.

Cov tshwm sim ntawm kev phiv tshuaj nram qab no txhaj tshuaj tiv thaiv - yog heev. Txhua yam ntawm tus thib peb, tej zaum lawv yuav tshwm sim. Me me tshua uas coj qhov chaw tsis pub dhau 2-3 hnub:

• Nws yuav tau tsa ceg kub tom qab DPT txhaj tshuaj tiv thaiv. Komorowski xav churn nws nyob rau hauv thaum pib, tsis txhob cia siab tias nce mus rau 38 degrees. Koj tsuas yuav tau mus khob down "paracetamol" los yog "ibuprofen". Tej tshuaj tiv thaiv no yuav tshwm sim tom qab li 2 mus rau 3 teev tom qab kuj.
• Feem ntau tom qab txhaj tshuaj nyob rau hauv tus me nyuam hloov coj tus cwj pwm. Nws ua moody, tearful. Qhov no mob no yuav kav rau ob peb teev. Tej zaum cov me nyuam yaus bothers mob tom qab txhaj tshuaj. Cov tib tej zaum yuav ib tug backlash. Tus me nyuam yuav poob kev ua si, txawm tias ib tug me ntsis ruamqauj zaum yuav tshwm sim. Nws tseem yog tau poob qab los noj mov, nkees nkees.
• Qhov chaw uas ib tug txhaj tau ua, tej zaum yuav ntsej mua nce ntshav, tshwm ib tug me ntsis o. Qhov no cov tshuaj tiv thaiv no kuj permissible, tab sis o tsum tsis pub tshaj 5 cm, thiab tus liab ntawm tsis muaj ntau tshaj li 8 cm. Lub tsev kawm ntawv ntawm kev txhaj tshuaj yuav mob heev, ces nws yuav tsum tau muaj kev tiv thaiv los ntawm ruaj sib cuag thiab zog.
• Nws yog ua tau lub tsos ntawm ntuav.

Hauj sim mus rau mob loj heev phiv tshuaj

Peb yuav tsis cais ntau cov tsos mob nhyav thiab kev phiv. Lawv yog cov ntau tsis tshua muaj heev:

• Lub cev kub tej zaum yuav sawv mus rau 39-40 degrees.
• Tej zaum yuav ua febrile qaug dab peg.
• Cov kev txhaj tshuaj ntsej mua nce ntshav ho ntau tshaj 8 cm thiab o tshwm ntau tshaj 5 centimeters.
• Raws plab thiab ntuav tshwm sim.

Yog hais tias xws tshua rau qhov tshuaj tiv thaiv yog muaj ib qho mob ceev yuav tsum tau qhia rau tus me nyuam tus kws kho mob.

Nyob rau hauv tsis tshua muaj heev neeg mob, tau ces loj dua phiv tshua:

• Anaphylactic poob siab.
• Angioedema.
• Urticaria, tawm pob.
• Tu-sauv nrog rau tej lub cev kub.

DTP - txhaj tshuaj tiv thaiv (Komarovsky hais tias nws yog lwm yam) hais tias xws li kev phiv cov txheej xwm yog ib tug cov ntaub ntawv nyob rau hauv ib tug lab.

Tej tshua zaum yuav tshwm sim nyob rau hauv thawj 30 feeb tom qab txhaj tshuaj. Yog li ntawd, tus kws kho mob xav tsis tawm tam sim ntawd tom qab lub txhaj tshuaj, thiab nyob ze rau kev kho mob chaw thaum lub sij hawm lub sij hawm no. Raws li los ntawm ib tug qhia tau tias ib zaug ib tug me nyuam tus kws kho mob. Tag nrho cov no yog ua li cas nyob rau hauv thiaj li yuav tsum tau muab cov kev tsim nyog tau kev pab rau cov me nyuam yaus.

Koj nqis tes ua tom qab txhaj tshuaj tiv thaiv

Nyob rau hauv kev txiav txim tias tus me nyuam raug kev txom nyem ib tug tshuaj tiv thaiv yooj yim, nws yog tsim nyog xwb tsis npaj rau nws, tab sis kuj yuav ua tom qab nws kom zoo. Uas yog ua raws li tej kev cai:

• Tus me nyuam yuav tsum tsis txhob da dej nyob rau hauv lub chav da dej thiab tsis los ntub txhaj tshuaj cheeb tsam.
• Dr. Komarovsky xav mus taug kev, tab sis tsis tas yuav mus taug kev nyob rau hauv pej xeem qhov chaw.
• Siv cov 3 hnub nyob rau hauv tsev tsis muaj neeg tuaj saib, tshwj xeeb tshaj yog yog hais tias tus me nyuam kub los yog capricious.
• Cov huab cua nyob rau hauv lub chav tsev yuav tsum noo thiab tshiab.
• Yuav tsum tsis txhob ua kom paub ib tug tshiab khoom nyob rau hauv cov khoom noj rau ib lub lim tiam ua ntej thiab tom qab kuj. Yog hais tias ib tug me nyuam noj niam mis, kuv niam yog tsis tsim nyog los sim cov khoom tshiab.
• Nws yuav tsum tau tshwj xeeb tshaj yog ceev faj rau cov niam txiv ntawm cov me nyuam uas ua xua. Tshawb xyuas nrog koj tus kws kho mob yog dab tsi yuav tsum tau muab anti-histamines ua ntej thiab tom qab txhaj tshuaj tiv thaiv.

Yuav ua li cas nrog rau cov tsos ntawm cov nyom tshua

Manifestation ntawm pulmonary phiv tshuaj, nws yog tseem tau. Txij li thaum DTP tshuaj tiv thaiv yog pom tias yuav ua tau lub feem ntau nyuaj rau lub cev, tshwj xeeb tshaj yog yog hais tias tus ua ntej lawm txhaj tshuaj rau tus me nyuam muaj kev phiv tshuaj. Yuav ua li cas nyob rau hauv cov ntaub ntawv ntawm kev phiv cov txheej xwm tom qab txhaj tshuaj tiv thaiv nrog DTP:

• Kub. Komorowski xav nws lossi saib xyuas. Nws yog tsis tsim nyog tos 38, yuav tsum muab antipyretic, sai li sai raws li nws pib mus rau sawv.
• Yog hais tias muaj tau o, los yog liab ntawm lub qhov koob, koj yuav tau qhia kom tus me nyuam tus kws kho mob. Tej zaum cov tshuaj no tsis tau txais mus rau hauv cov nqaij, thiab subcutaneous rog, vim rau qhov cov o thiab induration zaum yuav tshwm sim. Nyob rau hauv txhua rooj plaub, yuav tsum tau mus tham tau ib tug kws kho mob rau alleviate tus mob ntawm tus me nyuam thiab tsis txhob tau yam mob. Yog hais tias nws yog ib tug me ntsis liab liab, nws yuav los tau 7 hnub thiab tsis tau ua dab tsi.

Nyob rau hauv kev txiav txim kom tsis txhob muaj kev phiv cov txheej xwm yuav tsum ceeb rau tus me nyuam txoj kev npaj rau txhaj tshuaj tiv thaiv. Nyob rau qhov no tom qab.

Yuav ua li cas npaj koj tus me nyuam txhaj tshuaj nrog DTP

Komorowski muab ib tug ob peb yam yooj yim lub tswv yim thiab tsim nyog:

• Qhia tus me nyuam cov menyuam yaus, uas yuav tsum xyuas thiab ntsuam xyuas nws tus mob kom zoo. Nyob rau hauv lwm yam lus, kom paub tseeb tias tus me nyuam yog noj qab nyob zoo.
• Yog hais tias koj tus me nyuam muaj kev ua xua, 3 hnub ua ntej lub txhaj tshuaj tiv thaiv yuav tsum tau xa antihistamine. Ua ntej ntawd, yuav tsum tau nrog ib tug kws kho mob txog cov tshuaj thiab nws cov tshuaj.
• Nws yog qhov zoo tshaj plaws mus xyuas ib tug neurologist thiab dhau zis thiab ntshav mus kuaj. Tshwj xeeb tshaj yog yog hais ua ntej tus me nyuam raug kev txom nyem tej yam kab mob.
• Koj yuav tsum tsis txhob overfeed tus me nyuam txhaj tshuaj tiv thaiv hnub.
• Yog hais tias muaj yog ib tug suspicion hais tias tus me nyuam yuav tau txais muaj mob, thiab yog hais tias ib tug neeg nyob rau hauv lub tsev neeg muaj mob, nws yog tsim nyog los ncua lub txhaj tshuaj tiv thaiv.
• Qhov tshuaj tiv thaiv yuav tsum tau ntawm kev zoo siab thiab kom zoo ua tswvcuab.

Yog nws tsim nyog ua DTP?

Tam sim no, ib tug yuav soj ntsuam failures ntawm txhaj tshuaj tiv thaiv. Nco ntsoov: tus kab mob hawv ib tug loj npaum li cas teeb meem tshaj ces yuav tsum tom qab kuj muaj DTP txim. Xyuas Komarovsky, nws hais tias, tau hnov txawv txhaj tshuaj tiv thaiv, tiam sis nws yog ib txwm ib tug ntxiv rau tshaj tiv thaiv. Tom qab tag nrho, tau lawm mob diphtheria thiab tetanus, muaj yog tsis muaj kev tiv thaiv rau cov kab mob. Tshuaj tsis sawv tseem, thiab cov tshuaj tiv thaiv ntau refined thiab kev ruaj ntseg. Nws yog ib nqi yuav tau xav txog nws. Tsis xav kom raug cov kev kho mob thiab lub neej ntawm tus me nyuam. Txo cov kev txaus ntshai ntawm kev phiv tau zoo tshuaj tiv thaiv, attentive tus kws kho mob. Health rau koj thiab koj tus me nyuam.