Lapho ingane iphendula izinyanga ezintathu, sekuyisikhathi ukwenza DPT yokugoma kuqala. It ihlose ukuthuthukisa uhlelo wengane mzimba emzimbeni ezifweni ezinkulu ezithathelwanayo ezifana ukukhwehlela whooping, idiphtheria nomhlathi-ngqi. wokugoma eponymous ngokumelene lezi zifo alisetshenziswa namuhla. Yena salandelwa imithi emisha ngempumelelo. Futhi lapha phambi konina nanku umbuzo: onjani umgomo engcono ukukhetha zengane - "Infanrix" noma "Pentaxim"? Uyini umehluko, yiziphi contraindications indlela yokwenza izingane? Kodwa izinto zokuqala kuqala.
Umehluko ukwakheka yokugoma
Yiqiniso, kufanele uqale nge yokuthi lezi yokugoma amabili elihle kakhulu amafemu ezithaka imithi emazweni angaphandle. Ngakho-ke, singasho ngokuqiniseka ukuthi zigezwe kahle futhi imikhiqizo ephephile. Ziqukethe hhayi ejenti lesi sifo, kodwa kuphela antigen wahlukana. Kodwa lesi sitatimende kuyinto 100 amaphesenti weqiniso kuphela "Infanrix" izidakamizwa. Kodwa ku "Pentaxim" yokugoma zifakwe poliomyelitis inactivated. Kodwa beswela ngokuphelele virulence yabo. Naphezu kwakho konke lokhu ukufana phakathi kwalezi izidakamizwa ezimbili, kunzima kakhulu ukusho yimuphi ongcono futhi ephephile - "Infanrix" noma "Pentaxim". Yebo, futhi ukuqhathanisa kubo ngesisekelo ukwakheka, akulungile. Ngempela, umgomo "Infanrix" kuhlanganisa izingxenye ezintathu, lesi sidakamizwa "Pentaxim" - ezinhlanu, wanezela uvendle antigen futhi lwegciwane haemophilus influenzae. Kubalulekile futhi ukuthi akukho izinto ohambisana zihlanganisa mercury, kodwa kukhona aluminium hydroxide kanye formaldehyde akuyona ayinangozi.
Izimo ukusetshenziswa kwezidakamizwa 'Infanrix'
Ngakho, "Infanrix" noma "Pentaxim"? Lapho senza isinqumo, phakathi imigomo, ungabi kahle ngijwayele contraindications ukusetshenziswa kwalezi izidakamizwa. Umgomo wokuqala 'Infanrix' wawukwenqabela ukungenisa abantu ukungabekezelelani ngakunye izingxenye ukuthi zifakwe ngezithako zawo, noma uma izidakamizwa isivele isetshenzisiwe, futhi kwaba khona ukusabela iguliswa ke. Ngokuvamile, izimpawu hypersensitivity ziphezulu lokushisa komzimba (39-40 ° C) nokuvuvukala engaphezu kuka 8 cm ububanzi kusayithi umjovo. Kwangathi ukuzwa yezinkinga ezinzima kakhulu, njengomdlavuza ukushaqeka, okuqhubekayo okhalayo, okuyinto kuthathe amahora amathathu nokuquleka ngaphezulu.
Izimo ukusetshenziswa "Pentaxim" wokugoma
Akukona inkululeko ebanzi ekukhetheni kakhulu izidakamizwa ngenjongo lokugoma ne DTP: noma "Pentaxim" noma "Infanrix." Kodwa kanjani kanzima ukuchaza nalezi yokugoma! Izidakamizwa "Pentaxim" awusebenzi uma kukhona hypersensitivity kuya izingxenye zalo. Futhi ke akuyona eyabelwe seziguli ezisencane ne encephalopathy. Lesi sidakamizwa is engabulawa ukuncoma izingane ababenezikhathi aphendule ngamazwi aqatha amahora 48 emva odlule inkomba wokugoma eyayinekheli ingxenye pertussis. Lokhu kunjalo ikakhulukazi izimpawu ezifana nokuquleka, komzimba, okuqhubekayo ukukhala. Ngokwemvelo nje, umgomo "Pentaxim" alinikwa izingane, uma uke waphawula ukusabela iguliswa izingxenye zalo. Kubalulekile ukuba siqaphelisise isayithi yokuphathwa zomuthi. Edema kufanele kube encane. Imithi "Pentaxim" futhi "Infanrix" kungukuthi yethulwa ngesikhathi ukuthuthukiswa umzimba izifo sibi zokuphefumula, okuyinto ahambisana ngisho ukwenyuka okuncane nje kwamazinga okushisa. Futhi, lokugoma kungcono ukunikeza i exacerbation izifo ezingamahlalakhona okwesikhashana.
Ukusabela Esibi "Infanrix" ukulungiselela
Ngemva kokucabangela contraindications ukusetshenziswa " 'ngemigomo kanye' Pentaxim Infanrix ', umehluko etholakele, kodwa azilutho. Manje kudingeka ufunde ngokucophelela imiphumela engemihle lezi izidakamizwa kubangele. Ake uqale nge wokugoma 'Infanrix'. Ngemuva kwesicelo yayo, izimpawu zendawo kungenzeka. Lena ngokuyinhloko ububomvu, ubuhlungu, ukuvuvukala kancane. Libuye ngokuvamile kungenzeka bagcine futhi izimpawu ezivamile - imfiva omnene, okuqhubekayo okhalayo, isifo sohudo kanye nokuhlanza, ukozela, ukwenqaba ukuba adle, ukhathazeke. Kodwa wonke ukuthi anyamalale emahoreni angama-48. Ukulandela ukuqashwa kukaNksz izidakamizwa 'Infanrix' akuvamile bephawula ukusabela nomzimba. Ezimweni ezingavamile, umgomo kubangela ukushaqeka kanye nokugoqana komzimba. Futhi, umkhuba "Infanrix" wokugoma beziphawuleka imihlola engathandeki ezifana dermatitis, ukukhwehlela, ukucinana kwemigudu yokuphefumula, rhinitis, zokuphefumula kanye nabezindaba otitis. Kodwa lezi zimo ezingajwayelekile kakhulu, imvamisa yazo ingeqi 2-4%.
Imiphumela emibi "Pentaxim" wokugoma
Lapho ebonisa indlela lo "Pentaxim" lokugoma abantwana beba nezimpawu zendawo, kanye eziningi nemiphumela engathandeki letindzala. Isayithi umjovo kungenzeka kancane ububomvu, ukuvuvukala kancane nokuvuvukala. Kukhona ukwanda lokushisa kuya ku-39 ° C. Ingane ingaba babenokuyaluza noma, kunalokho, kube ucobekile futhi bayozela. Ngokuvamile emva yokugoma avele uhudo nokuhlanza. Ukuze uthole olunye izimpawu eziyinkimbinkimbi zihlanganisa njalo ukukhala komntwana, okuyinto kuthathe amahora amathathu nokuningi. Konke lokhu imiphumela emibi okwenzeka ngamahora angu-48. Bathandana nalo babuye bathandane kude futhi asidingi kokungenela udokotela. Phakathi letindzala ukusabela ezingezinhle emuthini "Pentaxim" Ungaphinde ukhethe inkinga yokulala, nokushisa komzimba okukhulu. Ngakho lapho kungcono - "Infanrix" noma "Pentaxim"? Ukwahlulela ngokubukeka imiphumela emibi babangela emzimbeni wengane, imigomo emibili kakhulu komunye nomunye musa ihluke.
Amacala ukusabela iguliswa le "Pentaxim" futhi "Infanrix" wokugoma
Lapho ebonisa indlela lo amalungiselelo "Pentaxim" futhi "Infanrix" ebantwaneni ekuphathweni kuqala futhi okwalandela komjovo ukusabela iguliswa iphutha kakhulu kuyaqabukela. Kwakukhona amacala ukubukeka phezu isifuba isikhumba nesimungumungwane. Libuye ukuthuthukiswa okungenzeka hypotension. Ezimweni ezingavamile, izingane ezaboniswa nokuquleka febrile futhi afebrile. Kodwa namanje kukhona kungenzeka izinkinga eziningi ezinkulu. Kuvele ukunakekelwa esiphuthumayo kudingeka ozibone ukusabela anaphylactic futhi ukushaqeka kanye. Yingakho ehhovisi lakhe, lapho lokugoma Kwenziwa ngqo inqubo, kufanele kube anti-ukushaqeka izidakamizwa. Ezimweni ezingavamile, izingane zingase ukuthuthukisa ukusabela komzimba ngendlela ephansi esitho edema. Ukuze siphendule lo mbuzo, eveza umahluko phakathi 'Infanrix "kusukela" Pentaksima "kunzima. Bobabili izidakamizwa baxabane efanayo umzimba uxabane nawo, kodwa-ke, lapho, kwenzeka kuqhathaniswa akuvamile.
Izixwayiso yokugoma
Ngaphambi inqubo, lokugoma wezingane ubophekile ukuba sihlole umlando isiguli kancane. Ukunakwa kufanele kukhokhelwe ekuphathweni langaphambilini, ukuhlola ukuthi ukusabela nomzimba. Ukuhlolwa okwengeziwe kwemibhalo ingane Kwenziwa, izinga lokushisa kukalwa. Uma ingane yakho ine izimpawu acute nezifo zokuphefumula, lokugoma kufanele imisiwe, kusukela kuba contraindication ukuba nesimiso sokuqondisa izidakamizwa, "Infanrix" futhi "Pentaxim". Imijovo yokugoma kungenziwa kuphela uma ingane enempilo ngokuphelele, ngakho-ke kuyadingeka ukuba ulinde ukunyamalala zonke izimpawu, futhi ukuzinza lokushisa komzimba. Njengoba imithi yokugoma kungadala isimo esibucayi ezifana ukushaqeka anaphylactic, ingane kufanele ihlale bahlolwe isimo sempilo imizuzu engu-30 ngemuva abaphathi. Imithi 'Infanrix' futhi 'Pentaxim "kumele kusetshenziswe ngokuqapha okukhulu e iziguli ezinokuphazamiseka ukopha noma thrombocytopenia uhlelo. Lokhu kungenxa yokuthi i-ujove esicutshini kungabangela ukopha. Ukuze ugweme lokhu, kudingeka ucindezele phansi esihlalweni ekuphathweni imizuzu emithathu, ngaphandle bezihlikihla ke.
Njengoba imithi yokugoma kubekezelelwe izingane?
Abazali abasha, lapho kumelwe ukhethe - "Infanrix" noma "Pentaxim" ngokuyinhloko engaba yokugoma ngokushonelwa ingane yabo. Ukwazi konke Izimo, yezinkinga side effects, kusenzima kungenzeki ukuqagela ukuthi ingane umzimba sibhekane ngokuphumelelayo umgomo. Kukholakala ukuthi izidakamizwa 'Infanrix' idluliswe kalula, futhi iphesenti ingozi ukusabela wendawo kuso kancane kancane. Umgomo iqukethe kuphela izingcezwana antigen ka pathogenic nezilwanyana ezincane ejenti izifo eziyingozi futhi kunciphisa amathuba yezinkinga letindzala. Kodwa, ngakolunye uhlangothi, babe wokugoma ingane abalahlekile izingxenye iqondiswa eceleni, njengoba, kunalokho, kwandisa izingozi ukusabela wendawo. Ngakho-ke yini izidakamizwa ephephile - "Infanrix" noma "Pentaxim"? Izibuyekezo basikisela ukuthi bobabili zinokwethenjelwa. Futhi hlobo luni wokugoma ukukhetha - kungcono abazali wawo wonke umuntu.
izidakamizwa ekuhlanganyeleni
Ukulandela imithetho yokutholwa Russian Federation, izidakamizwa 'Infanrix' futhi 'Pentaxim "ungakwazi ukushayela ngosuku olufanayo nezinye yokugoma kufakwe National Ukugoma Isheduli. Kodwa kumelwe kukhunjulwe ukuthi ezinye izinto kufanele kwetfulwe kwezinye izindawo emzimbeni. Kuyinto yokugoma eliyingxubevange 'Infanrix "futhi" Hiberiks ", kodwa kuphela alisetshenziswa. Nokho nodokotela bezingane eziningi akakuvumeli imali yesondlo yesikhathi esisodwa yokugoma eziningana. ukucindezeleka okunjalo esimisweni sokuzivikela wengane, ngokombono wabo, kwandisa ingozi yokungenwa ukuxakeka.
Ngingakwazi ukusebenzisa "Infanrix" ngemva "Pentaksima"?
Yiqiniso, zonke wokugoma nezilandiso. Kodwa nakhu Kuhle ukukhumbula ukuthi lesi sidakamizwa "Pentaxim" luqukethe amasosha omzimba ngokuqondile abeSecuritate abahlanu ezithathelwanayo. Kodwa umgomo, "Infanrix" kukhona ezintathu kuphela. Ngakho-ke, ngangokunokwenzeka ukugwema ukusetshenziswa kwezidakamizwa ezahlukene. Kungcono sigxile esicini esisodwa wenze imigomo kuphela kubo. Ngomqondo onabile, kuphephile ukuba linqume izidakamizwa "Pentaxim" noma "Infanrix hexa," okuyinto ayiqukethe izingxenye ezintathu noma eziyisithupha. Kodwa, ngeshwa, it is hhayi kukhiqizwa eRussia, ngakho-ke abakwazi ukushayelwa ezishibhile.