Kukhuselekile ukutsho ukuba wonke umama uyazi isihlomelo se- DTP , onomgomo wokugoma umntwana kwizifo ezinobungozi njengokukhupha umkhuhlane, i-tetanus kunye ne-diphtheria. Njengomthetho, kunzima ukunyamekela abantwana, ukuhambisa kubazali iintsuku ezimbalwa zamava kunye neengxaki. Mhlawumbi uvile malunga nokugonya kwe-ADSD, okuyikhumbuza igama le-DTP, kodwa, kodwa kunjalo, lihluke kulo. Ngokunjalo, siya kukuxelela ngale nto.
I-ADMD yokugonya yintoni?
Ukuba sithetha malunga nokuchithwa kwe-ADSM yokugonya, ke le mifanekiso isichaza i-diphtheria-tetanus ehlanjululwe i-tetrachloride, i-adsorbed ne-content incinci ye-antigen, oko kukuthi, i-ADS-M-anatoxin. Ngendlela elula, ugonyo luyingxube ye-diphtheria kunye ne-tetanus toxoids, oko kukuthi, izinto eziphathwe ngokukhethekileyo ezidityaniswa ngamagciwane. Ezi ngxube, ukungena emzimbeni, azibangeli ukuphendulwa komzimba onobuthi, kodwa zikhokelela ekubonakaleni kweenguqulelo ze-immunological. Ngaloo ndlela, emva kokungeniswa kwegciwane, amachiza omzimba athile aveliswa kumzimba womntwana, kodwa akukho mphumo onobungozi. Ngaphezu koko, ukuxilongwa kwama-anatoxins kwisigxina se-ADSM kuncitshiswa xa kuthelekiswa ne-DTP. I-ADSM yokugonya ingathathwa njengento eyahlukileyo ye-DTP, nangona kunjalo, ngaphandle kwecandelo le-pertussis. Ngokuqhelekileyo isetyenziselwa ukuhlaziya abantu abadala kunye nabantwana, abaneminyaka engama-6 ubudala, xa isifo sokukhwehlela siphelile ukubeka ingozi yokufa ngenxa yeengxaki ezinokwenzeka. Ngendlela, ngokuqhelekileyo i-ADSM-yokugonya isetyenziselwa ukuvuselela abo bantu abanomzimba onzima ukunyamezela i-DTP. Abantwana bavame ukugonywa ngeminyaka eyi-7 kunye ne-14, kwaye abadala-minyaka yonke eyi-10. Isetyenziswe kwiimeko apho ukugonywa kwabangxamisekileyo kuyadingeka kubantu abaqhagamshelana nezigulane ze-diphtheria.
Iimpawu zokugonya kwe-ADSM
Injoza ye-ADD ifana ne-DTP. Ngokubhekiselele apho indawo yokugonywa inikwe i-ADSM, ngokuqhelekileyo abantwana bexesha lokufundela esikolweni bayanikwa injoza yeesram esiyintsimbi kwi-anterolateral inxalenye yentambo okanye kwi-quadrant yangaphandle ye-buttock. Iilutsha kunye nabantu abadala bayavunyelwa ukuba bafake iireferensi kwiindawo ezichanekileyo.
Iziphumo zokugonya i-ADSM zifana nokubonakaliswa kwe-DTP . Ukuphendula kwi-ADSM kubantwana ngokuqhelekileyo kubonakala kwiintsuku ezimbini zokuqala emva kokujola. Okokuqala, ukushisa komzimba kungakhula. Ukubomvu, ukuvuvukala kunye nokukhathazeka kwendawo yokufakelwa kwegazi kuyabonakala kwakhona. Okuyingozi kakhulu ukuvela kwi-ADAM yokugonywa kweengxaki kubantwana. Ezi zininzi iimpendulo ezithintekayo, phakathi kwazo ezo zinzulu kakhulu ezinokuthi zitshitshise i-anaphylactic emva kokulawulwa kwegciwane. Ngethamsanqa, loo matyala awanqabile. Ukongezelela, ngamanye amaxesha kubantwana, ukushisa komzimba kubaluleke kakhulu-ngaphezu kwama-40 ° C, ukuxubana kunye nomkhuhlane ophezulu, ukubonakala kokuwa (ukuchithwa okucuthayo kwengcinezelo yegazi) kunokwenzeka.
Ukuze ugweme iingxaki ezinokwenzeka zokugonya kwe-ADSD kubantwana okanye ubuncinci ukunciphisa, kubalulekile ukuqwalasela iingcebiso ezininzi. Ngaphambi kokusungula ngokukhawuleza kokugonya komntwana
Iingqinisiso zokudibanisa i-ADSMS zizifo ezinzima kunye nezifo ezingapheliyo kwiimeko zokuxolelwa, iimeko ezinxulumene nokujikeleza kwe-cerebral, ukungathinteki komzimba kunye ne-tetanus toxoid, i-immunodeficiency states.