Vaccination CCP: contraindications me ngā pānga taha

Kei te nui haere ngā mātua o ngā tamariki kōhungahunga e totohe ana te akiaki me te whaihuanga o te werohanga ngā o ratou tamariki. Ka kōrero tatou e pā ana ki te āhua o te kano te maua e PDA. Ngā pakeke e kore whakawhirinaki kaiwhakanao kano, te kounga o ratou tikanga production, pipiki transportation me te rokiroki. I tua atu, takahia te hauora o to tatou mau tamarii e, ka ngoikore e āhuatanga taiao - maha mamae tamariki mate pāwera, maremare. He pātai e pā ana ki te āhua o e tangohia te tamaiti te kano, ka e kia aru i te whakautu ārai, a he aha te mau hopearaa taea mō te hauora o te tamaiti. mea tuatahi tuatahi i roto i to tatou tuhinga.

Mai te mea whakahaere mate werohanga PDA?

Täpiritanga CCP - ko te whakataki o te kano ki mate pērā i karawaka, repe (paingia i huaina he "poaka") me te kōpukupuku. Vaccination ki enei mate kia i roto i te matatini nga kano monovalent ranei. E hiahia ahau he tiaki tamariki i enei mate atu he kino ratou?

Karawaka - Ko te mate mauhoro e haere tahi e te e te hunga ponana āhuatanga, me te kirika. I muri e pā ana ki 5 nga ra, ka tīmata ki te whakaiti hoki pāmahana tinana ki noa te hunga ponana. mate wā-poto e rere takitahi - i te reira he mōrearea hoki te tamaiti? takoto te ati i roto i te whanaketanga o ngā pōauautanga nui: kakā, encephalitis, pāpāho otitis, me ētahi atu kino kanohi. He āhuatanga o te horapa o te mate, ko te e ka i roto i te whakapā ki te manawanui, te tamaiti unvaccinated tata 100% o te pangia. Homai tenei meka, i mahi nga tamariki PDAs iti pinepine kano, kihai i roa te mau hopearaa i roto i te haere mai - kei te piki haere take katoa tau.

Kōpukupuku i roto i tamarikitanga faatia uaua, maha noa kahore kirika. Tohu he ponana iti, me taikiri tetere. Ko te mate tohu he fakatu'utāmaki nui ki te wahine hapu, ara tona kukune. Ki te kahore i werohia te kotiro ki kōpukupuku rite te tamaiti ranei kino ki reira, tupu ake, patua ana e ia i mōrea i roto i te hapūtanga. poka te kōpukupuku ki te whanaketanga o te kukune, arata'i maha huaketo whaea expectant ki whanau materoto taimi halá, ranei. I whanau, ka taea e te tamaiti hua i roto i hē nui o te hou, maha hohotahi ki te ora. Na reira ko te faufaa mō ngā kōtiro te werohanga CCP.

pānga repe pupuhi te repe salivary hūare. He pāhoahoa, i reira te mea he pāmahana nui, 40 nekehanga, i runga i te kaki, me te huri noa i te taringa huamo te hanga e. He uaua ki te tararua ana te tamaiti, horomia. pōauautanga taea o repe mamae: pāpāho otitis, mumura o te roro, maha whakawhanake i te tamariki mumura o nga komurumurua (orchitis), e taea arahi ki te pākoko i roto i te heke mai.

Kua tuku katoa o nga mate i runga i rūrūtia mahino me roto i rā, e ko, Ka taea e te tangata hei tangata unvaccinated pangia, ahakoa o āraihia.

Ko te parau tumu o te mahi o MMR

Werohia ki mate te whakamahi i integrated monovalent ranei. Ko te whakautu ārai whakaputaina i roto i te 92-97% o te iwi kano.

A ani i te taonga noa o te faaineineraa katoa hoki PDAs werohanga - i roto i ratou ora (attenuated) tukumate. Nahea te CCP (werohanga)? Ārahi ngā ki te mate te tangata tika i muri i whakahaere o te tarukino. Ko whakaratohia te kano te mo te maha o microorganisms ora ki te tinana ka anga ki te mahi mahi haumaru katoa, tae atu i te hanga o paturopi ki tukumate. e kore e mate High-kōeke whakawhanake. Heoi, ka taea ngā tauhohe taha. Mō ratou e korero tatou atu i muri mai.

He aha e te kano MMR?

I teie mahana, i roto i te whenua Kihi whakamahi enei hua mō PDAs kano:

kano karawaka:

1. Ko te raau L-16 Russian-hanga. hanga te reira i runga i te pūtake o hua koitareke, i te mea he painga, rite te pūmua heihei (ara, kua whakamahia te reira i roto i te nuinga o kano ke) i roto i ngā tamariki he maha he urupare kë.

repe pupuhi:

1. Russian kano ora L-3, me te te faaineineraa o te L-16, hanga o hua koitareke.
2. "Raau Pavivak» Czech.

kōpukupuku:

1. "Rudivax" hanga i roto i te France.
2. "Ervevax", Ingarangi.
3. Indian kano SII.

kano Matatini:

1. faaineineraa Russian o karawaka me repe.
2. "Priorix" - Beletita PDA werohanga. Reviews o te tarukino pai. riro ia te whakawhirinaki o ngaio hauora me kiritaki. I roto i te haumanu tūmataiti mō te ārainga mate o 3 mate - karawaka, repe me kōpukupuku - tūtohutia kano te ïa tenei rite te haumaru tino me whai hua.
3. kano Tatimana "MMP-II» kua he ingoa whakauru - i reira ko te perception e puta nga tohu o te tūāwhiotanga i muri i te werohanga ki tenei tarukino i roto i ngā tamariki, engari e kore e tika ngā mōhiohio e manatoko e pā ana ki reira i te kau te tīariari.

Kia pehea te ko te werohanga?

Ko te tikanga e kore e meinga fifi i roto i te whakahaere o te CCP-werohanga. tauhohenga o te tamaiti i te wa o te whakahaere kia marama i roto i te puka o te manene i kaha e karanga ana. Ka taea e puta pōauautanga Post-werohanga anake i runga i te rima i muri i te werohanga o te ra. I roto i te tikanga ki te whakaiti i te pānga kino ka taea o ngā tukanga herea kia kawea atu i roto i te hanganga ture ki te paerewa haumaru katoa. Ko reira utu aufauraa i te whakarongo ki te meka e me tätaria te kano tonu i mua ki te tukanga. Tareka te raau kia anake kia he otinga motuhake, piri nei ki te kano.

Ko whanau hou i roto i te hip ranei pokohiwi, nga tamariki pakeke - i roto i te PDA rohe werohanga subscapular. kia ngā pōauautanga kore e e meinga paramedics manukanuka: mamae taea, whero, pupuhi i roto i te rohe o te whakahaere tarukino i rua ra. Otiia ki te riro korerotia, ka haere tahi e te tahi atu tauhohe kino kia kōrero te tākuta tamariki i te tohu i runga ake.

Ko te hōtaka werohanga

Typhoid o te CPC koati tau-tau tū, me ārai mate ka korerotia i tau 6. I roto i ētahi wā, te uhi hauora me ngā pakeke. Hei tauira, he wahine i roto i te hapū whakamahere. Me kï reira e kia kia whakaritea te tīmatanga o te haputanga i muri i te iti o te 3 marama i muri i te werohanga PDA.

ngā te kano te ki atu taero mō te whakatō kano ārai mate: e taea te CCP te wā kotahi kawea atu ki te ārainga mate ki Hib, kakā A, KDP, timu, kano whakamemeke.

contraindications Absolute ki PDAs werohanga

He contraindications tino, me te poto mō ngā kano PDAs. Whai ki te tukuange ārainga mate i raro i nga tikanga e whai ake nei o te manawanui:

• ārai congenital riro ranei;
• aroaro o kohakore wātea i te mate pūtau;
• tauhohe nui ki te kano o mua;
• te aroaro o te mate pāwera ki nga wae tarukino.

contraindications rangitahi

I roto i te kaupapa o ngā raruraru hauora rangitahi kano tamaiti pakeke ranei whakahaere te i muri i ora oti, me te faaho'iraa mai o te PDA werohanga ārai o te tinana. Contraindications ngā:

• corticosteroids, immunomodulating taero, iraruke me te hahau;
• mate romahā whakapeka;
• exacerbation o mate mau;
• mate treatable o te pūnaha reretoto;
• raruraru tākihi;
• kirika, me te kirika;
• hapūtanga.

tauhohe kino noa

Tikanga whakawhiti pai PDA (werohanga). ngā kino puta i roto i te 10% o te wā. Ētahi pōauautanga puta kore e meinga āwangawanga o kaiwhakaako, kōrero ratou ki te rārangi o te whakautu ārai noa ki te tarukino. He mea nui ki te mahara e taea tetahi tauhohenga ki te kano MMR puta noa i te 4 ki te 15 nga ra i muri i te ārainga mate. Ki te puta tetahi ine i roto i te hauora o te tangata te kano i mua i muri i ranei enei rā, e kore e pā ana ratou ki te kano, te kahore hoki whero o te wāhi i werohia o whakahaere, kitea nei i roto i nga ra tuatahi e rua.

Ki te tauhohe mua i muri i te werohanga PDA ngā:

• pāmahana hua (ki runga, ki te 39 nekehanga);
• ihu mātihetihe;
• mare;
• whero o korokoro te;
• repe salivary hūare;
• mate pāwera: hikaka, urticaria (maha puta taua tauhohe i runga i paturopi "Neomycin" me te wahi pūmua o te faaineineraa);
• i roto i nga wahine puta i muri i amuamu werohanga o te mamae i roto i te uaua, me te hononga. Taua tauhohenga i roto i ngā tamariki, me te tangata anake kitea i roto i te 0.3% o te wā.

pōauautanga

Kēhi o pōauautanga nui i muri i PDAs werohanga. Aua'e, he onge ratou, i runga i te whakamārama o te tahi atu disorders i roto i te tinana. Ko te take o tauhohe kino taea e mate o manawanui, ko te kano o te kounga rawakore, te whakamahi hē o te tarukino. Fifi i muri i te werohanga PDA ngā:

1. Haehae, te whakawhanake i runga i te whakamārama o te pāmahana teitei. Ki tenei tohu whakaritea antipyretics paracetamol, me te tūtohu ki te kia te uiui e te toketā neave ki hei rangatira i roto i te papamuri o te whanaketanga o te pūnaha io.
2. Post-werohanga kino roro (encephalitis). A, no te ki te whakatau whakahaere ranei kore o te werohanga e tango CCP ki pūkete e te pōauautanga taua i muri i te werohanga puta 1000 wa iti iho i te ki te mate tonu o karawaka kōpukupuku ranei.
3. I muri i Typhoid o te kano matatini repe ranei, e ngā te mate, 1% o ngā take o meningitis kia whakawhanake, te mea i roto i te whakawhiti mate, tae tenei ahua 25%.
4. I roto i te 30 meneti i muri i te täpiritanga tauhohe CCP he taea rite ru anaphylactic. Tiaki te ora i roto i te āhuatanga i taua e epinephrine anake. Na reira, mahi kore whaiaro - tirohia hoki werohanga i roto i te whare hauora tūmatanui tūmataiti ranei motuhake, me te whai i ngā tohutohu a te tākuta katoa, tae atu i te whakautu wahi ki te kano mo te hawhe haora i te taiepa o ngā pūtahi hauora. kōrero nēhi tika, me te rironga ko runga te rima, me te tekau i muri i Typhoid te ra.
5. I roto i te wā tino onge rēhitatia thrombocytopenia - he hekenga o platelets i roto i te toto.

Takanga hoki werohanga

I roto i te tikanga ki te whakaiti i te tūponotanga o te whakawhanake i te momo o pōauautanga pou-werohanga, he mea e tika ana ki te whakahaere i whakangungu mua-te whakamahinga ki te kano ārai mate. Rawa e nui mō werohanga o ngā tamariki pērā i mehua. I mua werohanga ngā, te whai i enei aratohu:

1. Kaua e tomo ki roto ki te kai o ngā hua hou o te tamaiti. Ki te whāngotetia te tamaiti te, kia piri ano te whaea whāngai ū ki te kai mua.
2. I roto i te torutoru noa ra i mua ki te werohanga he tika ki te tika i te whakamātautau toto me te mimi noa ki te whakahaere tikanga i roto i huna, mangungu mate.
3. Ka taea te whakahaere tamariki e e pängia ana ki te mate pāwera ranei i taua pōauautanga i roto i kano o mua antihistamines 2 ra i mua ki te werohanga me te torutoru nga ra i muri i te werohanga.
4. I muri i Typhoid i mahi PDAs, Kei te maha pāmahana tinana whakaarahia ki ngā taumata teitei. Ko, ahakoa, tākuta e kore tūtohu tango taero antipyretic rite te mehua ārai. E whakaritea ratou anake mō ngā tamariki ki te predisposition ki hukihuki febrile. Tangohia tarukino i muri tonu whakahaere o te kano.
5. Ki te he hauora tō pēpi, me te e kore taunakitanga ki te farii i taero i mua i werohanga mō ngā take haumarutanga, kia tino e kua he rongoa-āwhina tuatahi te whare - antipyretics ( "Nurofen", "Panadol") me antihistamines, mo te tauira, "Suprastin".
6. Tonu i mua ki te Typhoid o te tamaiti kia kia uia e te tākuta tamariki: whanganga te pāmahana, ki te aromatawai i te āhua whānui o te hauora.

Aha ki te mahi i muri i kano o te CCP?

tū ana te tamaiti ko PDA werohanga? Ka taea e anake whakautu o te tinana mai i te ra 5. Hei whakaiti i te takanga o ngā pānga taha, piri ki etahi tohutohu. Na, i muri i werohanga me kore e tukua tō tamaiti ki te tamata kai hou. Ano, te whakakore kai paraurehe, koutou e taea e kore overfeed te tamaiti. Whakanuia tou horomanga inu.

I roto i nga ra tuatahi e rua he pai ki te noho i te whare, no te mea ngoikore te tinana kei te me kongakonga ngāwari i haria ki te mate i te momo o mate. I roto i te rua wiki e rohe whakapā ki te e karapoti ana. A ape i hauhauaitu pukā tō pēpi ranei.

A, no te mea e tika ana ki te karanga i te taote?

I muri i te werohanga āta aroturuki i te tamaiti: whanganga auau pāmahana, mataara hoki ana tauhohe, whanonga, amuamu. Ki te kite koe i nga tohu e whai ake nei o te whawhati tata rata:

• korere;
• ruaki;
• nui pāmahana, e kore e e whatiia antipyretics;
• pāmahana i runga 40 nekehanga;
• nui tauhohenga pāwera;
• huamo ranei te pae werohia induration, moni ki te diameter nui ake i te 3 cm, whēwhē ranei;
• tamaiti noatia auroa karanga;
• haehae;
• Angioedema;
• rāoa;
• mate o te mahara.

A, no te whakatau mehemea ki te hanga i te CCP (werohanga) ki te tamaiti ki te hoatu ranei, paunatia nga pai me ngā raruraru. A feruri i te tatauranga matekiri e mea e ki te mate tonu ki te karawaka, repe kōpukupuku ranei, te mōrea o fifi o rerekē nekehanga o te pakeke i roto i nga rau o nga wa runga ake i muri i te werohanga ki te taero hou. I tua atu, kōrero vahine e tūturu e pā ana ki te taumata tiketike o te haumaru o te werohanga PDA - e kore te nuinga o ngā tamariki werohia nui i tuhia tetahi pōauautanga pou-werohanga. A pee i te mehua ārai me prescriptions hauora - ki te e whai hua anake te kano koutou kongakonga me te tiaki ki mate nui.