DTP Ugonyo (ugonyo). Komarovsky icebisa ... njani ukulungiselela umntwana wakho ukuze ugonyo ne Dube?

Imigomo khona ukususela ngexesha uCatherine. Enkosi kubo, wakwazi ukuba siphephe amawaka amaxhoba. Ngokuqinisekileyo, kusoloko kukho ingozi yokuba yeziphumo ebezingalindelekanga emva kogonyo, kodwa umsebenzi wonke umzali kukukhusela umntwana wakho kwizifo kakhulu. indlela enobuchule kuphela ugonyo kwaye ziya kukunceda ukuba uphephe imiphumo ebuhlungu. Okulandelayo, cinga into DTP sokugonya. Komorowski - Ugqirha yabantwana odumileyo kaThixo, uncedo neengcebiso ukulungiselela abantwana babase kwisitofu kunye abonakalisa icala kunokwenzeka.

ziqonde DTP

Yintoni na le leta?

- A - leChiza Adsorbed.

- By - unkonkonko.

- D - ukubola komqala.

- C - ngqi.

Isitofu sokugonya iqulathe iintsholongwane okuncitshiswe - amagciwane sezifo ngentla, adsorbed kwi-aluminiyam hayidroksayidi kunye thimerosal. Njengoko kukho zokugonya iseli-sikhululekile yahluzwa ngakumbi. Baye amaqhekeza micro-eziphilayo ezivuselela umzimba ukuvelisa lomzimba oyifunayo.

Qaphela ukuba Dr. Komarovsky ithi: "Vaccination of DPT yeyona inzima kwaye kuthwalwa umntwana nzima. Zimbi element yayo nokuthwaleka pertussis iqulethwe apho kuyo. "

Enye lokugonya likhusela ngokuchaseneyo isifo somqala omhlophe, pertussis kunye nominxano. Ezi zifo kunokukhokelela ekupheleni lusizi, nokuba yingozi ngayo, khangela olandelayo.

isifo esiyingozi

DTP Ugonyo likhusela ngokuchaseneyo pertussis, ukubola komqala kunye nominxano. I eyingozi ngakumbi esi sifo?

unkonkonko - sisifo esibangelwa yintsholongwane yayiyazi. Kukho ukukhohlela kakhulu ezinokubangela ukubanjwa yokuphefumla, ukuxhuzula. Ingxaki ke uphuhliso pneumonia. Esi sifo iyosulela kakhulu kwaye iyingozi, ingakumbi abantwana ukuya kwiminyaka emi-2.

Ukubola komqala - isifo esosulelayo. Kalula yi zamathontsana emoyeni. ukunxila ezimandundu kwenzeka, ngaloo ndlela bakha ukutyabeka ngci phezu tonsils. Ngaba kwenzeka ukudumba womqala, kukho isoyikiso enkulu nokuphazanyiswa intliziyo, izintso kunye nenkqubo luvo.

Ngqi - esi sifo yayiyazi kunye esosulelayo. umonakalo luvo kwenzeka. Oku kunciphisa izihlunu ebusweni, eziphelweni, umqolo. Yiba nzima igwinya, kunzima ukuvula emhlathini. uphazamiseko eyingozi isixokelelwano sokuphefumla. Kwiimeko ezininzi, ukufa. Phumeza kusulelo umonakalo nesikhumba ngenwebu yangaphakathi.

Nini yaye ngubani Dube

Ukususela ukuzalwa komntwana wabeka ucwangciso gonyo. Ukuba uyazihlonela zonke phantsi kogonyo, ukusebenza liya kuba phezulu, umntwana kule meko likhuselwe. DTP lwamachiza, Komorowski byi ingqalelo kuyo, kufuneka kwakhona yenziwe ngexesha elifanelekileyo. Ekubeni usana nezikhuseli mbewu yesifo koomama kuphela kwiiveki zokuqala 6 yokuzalwa.

Yokumilisela inokuba ukwenziwa yesizwe okanye kwamanye amazwe.

Noko ke, Dube, nangona umenzi, laziswa ngamanqanaba amathathu. Ekubeni emva kokuba ugonyo lokuqala amajoni omzimba buthathaka, kuyimfuneko ukuba uhlolisise ugonyo. Kukho umthetho kwi Dube ugonyo:

1. Isitofu sokugonya kufuneka ilawulwe ngamanqanaba amathathu.
2. Kulo mzekelo, lekhefu phakathi amathamo kufuneka ubuncinane iintsuku 30-45.

Ukuba akukho Izimo ukuba kogonyo, ishedyuli imi ngolu hlobo lulandelayo:

• 1 lokugonya - iinyanga ezi-3.
• 2 ugonyo - ngeenyanga 4-5.
• 3 lokugonya - kwiinyanga ezi-6.

Koko lokuphumla kufuneka kwiintsuku ezingama-30. Ngokutsho icebo DPT ugonyo yenziwa:

• kwiinyanga ezili-18.
• iminyaka 6-7.
• iminyaka eli-14.

Abadala zigonywe 1 nexesha kwiminyaka-10. Kuyimfuneko ukuba agcine lekhefu phakathi iingedosi, akufuneki ukuba ibe ngaphantsi kwe kwiiveki ezintandathu.

rhoqo kakhulu ugonyo enye iqulethe elilwa eziliqela izifo. Akunamsebenzi ukulayisha umzimba lo mntwana, njengoko lunikezelwa lula. Umzekelo, ukuba wenziwe ugonyo DPT kunye nepoliyo, Komorowski wathi ukuba angenza ntoni ngexesha elinye wokugcina phantse akukho iziphumo ebezingalindelekanga.

Oral sokugonya nepoliyo, "live". Emva kokuba ayizange ukudibana abantwana eziinzi iiveki ezimbini.

elide njani ukhuseleko

Once kwenziwe lokugonya Dube (Komorowski ucacisa ngolu hlobo), amajoni omzimba aqale ukuba ukhuphe izilwa lwemasisi, ukubola komqala kunye nominxano. Ngenxa yoko, kuye kwafunyaniswa ukuba inyanga enye emva amanqanaba ugonyo lezibulala emzimbeni iya kuba 0.1 IU / ml. Koda kube nini na isenzo wokhuseleko, ngeendlela ezininzi kuxhomekeke iimpawu lokugonya. Ngokuqhelekileyo, ukuziphendulela omzimba yenzelwe iminyaka emi-5. Ngoko ke ogonyo lekhefu yaye iminyaka 5-6. mdala kakhulu ukwenza Dube ngokwaneleyo kanye kwiminyaka eli-10.

Ukuba sokugonya Dube yenziwa egula koko isifo somqala omhlophe, uminxano okanye imasisi, amathuba iphantsi kakhulu. Kukholelwa ukuba le ndoda kule meko biyela ezi ntsholongwane.

Ukuze ukuba kakubi umzimba, kufuneka ikhunjulwe into yokuba kukho iqela Izimo.

Ngubani na ukwenza Dube

Dube - enye sokugonya, nto leyo kakuhle zokuba ebantwaneni. Kwaye ukuba ube naziphi reactions ukuba ugonyo, inokuba neziphumo ebezingalindelekanga. Hayi ukuba iziphumo ezingafunekiyo sokugonya Dube, Komarovsky ucebisa ukuba anikele ingqalelo izizathu apho ugonyo kufuneka kupheliswa.

Kusenokwenzeka ukuba okwexeshana, zibandakanya:

• Unomkhuhlane.
• izifo ezosulelayo.
• iqondo lobushushu emzimbeni Ukwandiswa.
• Exacerbation lwezifo ezingapheliyo.

Kwiimeko ezinjalo kuyimfuneko ukuba aphilise umntwana, ziiveki ezimbini kuphela emva kokuba recovery ngokupheleleyo kungenziwa Dube.

DTP ugonyo ayikwazi kungenziwa xa kukho ezi zifo zilandelayo:

• Ukungaqheleki kule nkqubo ndixhalabele ukuba ngaba ziqhubela phambili.
• ugonyo Previous Kunzima kakhulu ukuba awuthwale.
• Umntwana wakho imbali ukuxhuzula.
• imigomo ngaphambili ukuba yombono febrile.
• Immunodeficiency.
• uvakalelo oluthile kumacandelo sokugonya nobandlululo.

Ukuba umntwana wakho nasiphi na isifo, okanye bayoyika ukuba kuya kubangela iziphumo ezibi ka DPT kogonyo, kufuneka udibane nogqirha. Mhlawumbi uya kuba isitofu sokugonya ukuba ayiqulathanga pertussis toxoid, kuba ukuze baxabane ezibi.

ugonyo kwakhona kungamiswa ukuba umntwana:

• Diathesis.
• ubunzima Low.
• A usana ngaphambi kwexesha.
• Encephalopathy.

Kwezi meko, ugonyo kunokwenzeka kodwa ukulungiselela Ukuchumisa Dube, Komorowski yi kandziyisa kufuneka ube kwimeko yempilo sizinzile. Kungcono usebenzise labantwana sokugonya acellular, ngezinga eliphezulu lawo lokuhlambulula.

ithi kunokwenzeka emva kogonyo

Yintoni enokwenzeka emva zigonywe Dube, imiphumo? Uhlaziya Komorowski kukhokelela ezahlukeneyo. Kwaye bonke abasabela ezibi lungohlulwa lube inobulali, aphakathi kunye kakhulu.

Njengoko umthetho, indlela ukuya lokugonya kubonakala emva amathamo-3. Mhlawumbi kuba mzuzu iqala ukuphuhlisa umzimba. Umntwana kufuneka esweni, ingakumbi kwiiyure zokuqala emva kogonyo yaye kwiintsuku ezintathu ezilandelayo. Ukuba umntwana egula ngosuku lwesine emva kogonyo, akakwazi kunokubangela izifo.

Kukuvela abasabela Ezingalunganga Ezilandela Ugonyo - kuqhelekile kakhulu. Ngalinye wesithathu, ukuze babonakale. abasabela Mild ukuba kwenzeke kwisithuba seentsuku 2-3:

• Isenokuba avuswe lobushushu emva DPT ugonyo. Komorowski icebisa Asikho ahlale kuyo ekuqaleni, musa ukulindela ukwanda ukuya degrees 38. Kufuneka kuphela knock phantsi "paracetamol" okanye "ibuprofen". indlela enjalo kwenzeka emva iiyure ezi-2 ukuya kwezi-3 emva Ukuchumisa.
• Amaninzi emva isitofu kwi yokuziphatha utshintsho umntwana. Yena uba eguquguqukayo, usentlungwini. Le meko unokuthatha iiyure eziliqela. Mhlawumbi itakane endibulala intlungu emva kokuba isitofu. Lowo abe ngovukelo. uya kuwa umsebenzi, nkqu abazizidalwa kancinane esinokubakho umntwana. Kwakhona ilahleko kunokwenzeka kudla, ukozela.
• Indawo apho ngenaliti yenziwa, ukuze neentloni, kubonakale ukufukuka kancinane. Siyaqondakala ke kuvumelekile, kodwa ukudumba akufuneki ngaphezu kwe-5 cm, kwaye anozizi akukho ngaphezulu kwe-8 cm. Isiza isitofu kunokuba buhlungu, ngoko kufuneka ukuba akhuselwe zidibane olungeyomfuneko kunye nentshukumo.
• Kusenokwenzeka imbonakalo egabha.

Iphakathi ukusabela kakhulu ezibi

Asikwazi ngaphandle iimpawu ezininzi kakhulu kunye neziphumo ebezingalindelekanga. Bona azixhaphakanga:

• lobushushu emzimbeni ingase ukuya degrees 39-40.
• Kunokubangela uhlaselwe febrile.
• Le bahlazeke Inaliti ngaphezulu kakhulu-8 cm kwaye ukudumba ivela iisentimitha ngaphezulu kwe-5.
• Sorhudo kunye nokugabha zenzeka.

Ukuba ngayo hlobo lokugonya unee imfuneko engxamisekileyo ukubonisa ugqirha womntwana.

Kwiimeko ezinqabe kakhulu, nto leyo ibangelwa iintshukumo eziqatha ngakumbi ezingalunganga kunokwenzeka:

• yashiya Anaphylactic.
• Angioedema.
• Urticaria, angawokubhuda.
• Amahlaba nge lobushushu emzimbeni yesiqhelo.

Dube - zigonywe (Komarovsky uthi ngenye indlela) ukuba iziganeko ezibi ezinjalo ityala omnye kwesigidi.

reactions ezinjalo zingavela kwimizuzu yokuqala-30 emva ngenaliti. Ngoko ke, ugqirha incomela ukuba bahambe ngokukhawuleza emva ugonyo, uze ube kufutshane izibonelelo zonyango ngeli xesha. Ilandelwa yi bonisa kanye ngugqirha umntwana. Konke oku kwenziwa ukuze abe nako ukunika uncedo eyimfuneko kid.

izenzo zakho emva kogonyo

Ukuze umntwana ubunzima isitofu sokugonya lula, kuyimfuneko nje kuphela ukuze silungiselele, kodwa kwakhona ukuba emva kokuba kakuhle. Oko ukulandela eminye imithetho:

• Umntwana kufuneka ahlambe kwigumbi lokuhlambela kwaye hayi ukuba umanzi kwindawo inaliti.
• UGqr Komarovsky lithethelela ukuba ukuhamba, kodwa akuyomfuneko ukuba sihambe kwiindawo zoluntu.
• Chitha ezi ntsuku 3 ekhaya ngaphandle iindwendwe, ingakumbi xa ubushushu umntwana okanye abangenazigqibo.
• Umoya kwi gumbi kufuneka ofumileyo namnandi.
• Ukuba awuzi imveliso entsha ekutyeni iveki ngaphambi nasemva Ukuchumisa. Ukuba usana ibele, umama wam akuyomfuneko ukuzama izinto ezintsha.
• Kufuneka uqaphele ingakumbi abazali babantwana komzimba. Bonisana nogqirha wakho oko kufuneka banikwe anti-histamines phambi emva kogonyo.

Indlela ukujongana inkangeleko reactions ezibi

Ukubonakaliswa reactions ezibi pulmonary, sisenako. Ekubeni DTP Ugonyo kucingwa ukuba kube nzima kakhulu umzimba, ingakumbi xa ugonyo ngaphambili umntwana ukusabela ezibi. Kufuneka wenze ntoni xa iziganeko ezibi emva kokuba zigonywe Dube:

• Iqondo lobushushu. Komorowski icebisa ukuba iliso rhoqo. Akukho mfuneko yokuba alinde 38, kufuneka unike antipyretic, kamsinya nje iqala ukuba kuvuka.
• kwakukho Ukuba ukudumba, okanye bomvu kuyo inaliti, kufuneka ubonise umntwana kwagqirha. Mhlawumbi eli chiza zange ukungena esihlunwini, kunye namanqatha ongama, ngenxa yokuba lo ukufukuka kunye induration kunokwenzeka. Xa kunjalo, kufuneka udibane nogqirha ekunciphiseni imeko umntwana siphephe iingxaki kunokwenzeka. Ukuba nje ukuba bomvu kancinane, uya kuhla iintsuku ezisi-7 kwaye awudingi ukwenza nantoni na.

Ukwenzela ukuthintela naziphi na iziganeko ezibi kufuneka athathe ingqalelo ukulungiselela umntwana ukuze kogonyo. Kule kamva.

Indlela ukulungiselela umntwana wakho ukuze nogonyo kunye Dube

Komorowski unika iingcebiso ezilula ezimbalwa yaye kuyimfuneko:

• Bonisa sezifo somntwana, ngubani ekufuneka ukuhlola nokuvavanya imeko yakhe ngendlela eyiyo. Ngamanye amazwi, ukuqinisekisa ukuba usana isempilweni.
• Ukuba umntwana wakho ngumzimba, iintsuku ezi-3 phambi kokuba ugonyo kufuneka zingeniswe antihistamine. Ngaphambi koko, kufuneka udibane nogqirha malunga neziyobisi umthamo wayo.
• Kungcono atyelele luvo, badlule umchamo kunye negazi. Ingakumbi xa phambi kokuba umntwana ubunzima nasiphi na isifo.
• Akufunekanga overfeed imini ugonyo lomntwana.
• Ukuba kukho urhano lokuba umntwana bayagula, yaye ukuba umntu kusapho egula, kuyimfuneko ukuba elinye olu gonyo.
• Isitofu sokugonya kufuneka ekumgangatho ophezulu kwaye zaziswa ngokufanelekileyo.

Ngaba kuluncedo ukwenza Dube?

Okwangoku, umntu bagcine kohlelo zisigonyelwe. Khumbula: esi sifo okubeka yingxaki enkulu kakhulu kunokuba nazo emva Ukuchumisa zabanjwa iziphumo Dube. Uhlaziya Komarovsky, wathi, Ndikuvile ugonyo ezahlukeneyo, kodwa kusoloko kukho Plus ngokuchasene ngakumbi. Ngapha koko, ukuba ebegula kunye ukubola komqala nominxano, akukho omzimba kwezi zifo. Medicine akemi ngxi, yaye amachiza eling'awukazi kwaye ikhuseleke kakhulu. Kubalulekile ukucinga ngayo. Akukho mfuneko yokuba esichengeni impilo kunye nobomi bomntwana. Ukunciphisa imingcipheko of imiphumela emibi zokugonya umgangatho, ugqirha ingqalelo. Health wena nosana lwakho.