Txhaj tshuaj tiv thaiv ADSM cov neeg laus: contraindications, teeb meem, thiab txheeb xyuas

Yog li ntawd nws tshwm sim hais tias feem ntau ntawm cov neeg laus thiab txaus kawm ntawv cov neeg ntseeg tau hais tias lub sij hawm "tshuaj tiv thaiv" tej zaum yuav txog xwb rau cov me nyuam. Tsis yog txhaj tshuaj tiv thaiv nyob rau hauv adulthood li yam li ib tug me nyuam.

ADSM - dab tsi yog nws

ADSM ntawv paub rau peb txij li thaum yau. Li cas rau cov ADSM-txhaj tshuaj tiv thaiv? Deciphering cov neeg laus thiab cov me nyuam tsim tib tshuaj tiv thaiv. Cov tsiaj ntawv "DSA" txhais tau tias "Diphtheria Toxoid-Stobnyachny", tsab ntawv "M" sawv rau "me me", i.e. nrog txo nqi ntawm qhov tshuaj tiv thaiv antigens.

ADSM - txhaj tshuaj tiv thaiv uas inoculated tiv thaiv tetanus thiab diphtheria. Txhaj tshuaj tiv thaiv ADSM neeg laus kuj yuav tsum tau, raws li zoo li cov me nyuam, nws tiv thaiv tetanus thiab diphtheria. Qhov tshuaj tiv thaiv muaj purified adsorbed rau txhuas hydroxide, tetanus thiab diphtheria toxoids. Lim toxoid - yog kho, uas yog, qhov tsis muaj zog txaus yav toxins, tsis muaj zog txaus txaus xwb yuav ua li cas tsis muaj mob rau tib neeg lub cev, thaum khaws cia cov muaj peev xwm mus tsim kho lub zus tau tej cov kev tiv thaiv.

Lub mechanism ntawm qhov kev txiav txim ADSM

Txhaj tshuaj tiv thaiv ADSM neeg laus nyob rau hauv ib tug tsis muaj zog lub cev qhia tetanus thiab diphtheria toxins, muab khaws cia tseg lawv immunogenic zog. Co toxins ua, nyob rau hauv teb mus rau lub xub ntiag ntawm kev antibody ntau lawm los ntawm lub cev. Lawv yuav tom qab puas diphtheria thiab tetanus.

Figuratively hais lus, txhaj tshuaj tiv thaiv nyob rau hauv ib txoj kev uas zoo sib xws rau cov erased, abortive, ib daim ntawv ntawm cov kab mob tsis ua rau ib tug kev hem thawj rau lub neej thiab kev noj qab nyob vaktsinanta thiab generating resistant iav rau ntau xyoo.

Indications rau txhaj tshuaj tiv thaiv ADSM

Txhaj tshuaj tiv thaiv ADSM neeg laus muab txhua kaum xyoo ntawm lub neej, namely, kaum xyoo tom qab kawg txhaj tshuaj tiv thaiv, tsis muaj teeb meem dab tsi uas muaj hnub nyoog lawv yog nyob rau hauv lub sij hawm ntawm txhaj tshuaj tiv thaiv, thiab thiaj li kom txog thaum nws tuag.

Yog hais tias txhaj tshuaj tiv thaiv tsoom fwv twb ua txhaum thiab tus kawg txhaj tshuaj tiv thaiv yog tswvcuab tshaj 20 xyoo dhau los, tus neeg txhaj tshuaj tiv thaiv ob zaug, piv txwv li ib zaug dua ib qho ntxiv 40 hnub.

Nyob rau hauv lub rooj plaub uas ib tug neeg laus nyob rau tag nrho inoculated rau thawj lub sij hawm, qhov tshuaj tiv thaiv yog muab peb lub sij hawm. Re-txhaj tshuaj tiv thaiv ADSM neeg laus thawj graft cov neeg mob muab 40 hnub tom qab thawj zaug, thiab lub thib peb lub sij hawm txhaj tshuaj tiv thaiv yog muab cia li ib lub xyoo tom qab lub thib ob.

Nyob rau hauv tas li ntawd, muaj yog ib qho mob ceev txhaj tshuaj tiv thaiv ADSM. Nws yog nyob rau kev poob plig cov neeg mob yog hais tias lawv muaj ib tug tej lub qhov txhab, yog hais tias tus yav dhau los txhaj tshuaj tiv thaiv ib ce muaj zog ntau tsib lub xyoos dhau los.

Cov neeg laus tshwj xeeb tshaj yog xav tau revaccination ADSM, raws li lawv muaj ib tug tsis muaj zog txaus tiv thaiv kab mob thiab muaj zog nyhav rau kab mob. Lawv yuav tsum tsis txhob tsis saib tsis xyuas cov ADSM, xa mus rau lub xub ntiag ntawm hnyav tom qab cov kab mob. Nyob rau hauv cov ntaub ntawv no, lub xub ntiag ntawm mob Hoob no yog ib qho hais rau revaccination.

Contraindications rau txhaj tshuaj tiv thaiv ADSM

Muaj tej yam kev mob nyob rau hauv uas lub txhaj tshuaj tiv thaiv yog ua li cas ADSM. Contraindications rau cov neeg laus yog unvaccinated cov neeg mob uas muaj cov mob loj heev immunodeficiency kab mob, ib tug haum Cheebtsam ntawm cov kev npaj, overreaction mus rau lub yav dhau los txhaj tshuaj tiv thaiv. Txhaj tshuaj tiv thaiv ADSM yog ncua nyob rau hauv cov poj niam thaum lub sij hawm cev xeeb tub thiab lactation. Nws kuj yog ntau tshaj li ob lub lis piam los ntawm lub hnub tim ntawm rov qab los ntawm mob ua pa kab mob.

Txoj kev ntawm txhaj tshuaj tiv thaiv ADSM

Toxoid ADSM zoo li whitish ncua kev kawm ntawv yog muab faib nyob rau hauv cia nyob rau hauv ib tug pob tshab kua thiab sludge plaub ya ri. Yog li ntawd, ua ntej qhib lub minyuam lam fwj tshuaj toxoid yuav tsum kwm co qhov kev ncua kom txog thaum tiav homogenization.

Feem ntau cov network zes sib cav tswv yim nyob rau hauv cov ntsiab lus, qhov twg ua ADSM txhaj tshuaj tiv thaiv cov neeg laus. Nyob rau hauv kev tsis sib haum hnov nyob rau hauv lub sij hawm bewilderment sau ntawv, yog vim li cas tsis muaj ib tug twb txhaj tshuaj tiv thaiv nyob rau hauv lub xub pwg nyom, thiab lwm yam - nyob rau hauv lub pob tw.

ADSM toxoid yuav muab intramuscularly, thiab nyob rau hauv lub qaum txheej quadrant ntawm lub gluteal thiab antero-lwm ib feem ntawm lub nruab nrab feem peb ntawm cov femur thiab ib tug hniav. Ib tug tib koob tshuaj toxoid - 0.5 ml.

Muab tau tam sim ntawd yam tshua hyperallergic rau vaktsinantami chaw ua hauj lwm rau ib teev tom qab tshuaj muab soj ntsuam. Txhaj tshuaj tiv thaiv chav yuav tsum tau nruab nrog anti-poob siab kev kho mob cov.

txhaj tshuaj tiv thaiv Guide

Nyob rau hauv qhov kev siv ntawm cov tshuaj txhaj tiv thaiv nqa tawm nruj me ntsis raws li nram no cov kev cai.

Txhaj tshuaj tiv thaiv yuav tsum tau nqa tawm nruj me ntsis muaj menyuam tsis taus pov tseg koob txhaj tshuaj. Tsis txhob sib tov sib txawv tshuaj tiv thaiv. Ib txhij nrog lub ADSM yuav muab yam tshuaj tiv thaiv tshaj koob tshuaj BCG lawm tab sis txhua yam uas lawv yog tswvcuab rau hauv ntau koob txhaj tshuaj ntau qhov chaw ntawm lub cev.

Ua ntej qhov kev siv ntawm txhaj tshuaj tiv thaiv yog tsim nyog los ua tib zoo tshawb xyuas lub minyuam lam fwj hauv thiaj li yuav ascertain nws ntsuam. Tsis haum rau cov kev siv nyob rau hauv qhov tshuaj tiv thaiv vials nrog pom tej yam tshwm sim ntawm kev puas tsuaj, qhov muag plooj cim, nrog pom tseeb kev hloov nyob rau hauv nws cov ntsiab lus. Nco ntsoov xyuas qhov khoom txee lub neej, cia tej yam kev mob muaj cai.

Txhaj tshuaj tiv thaiv txoj kev yog ua nyob rau hauv tag nrho cov ua raws li yuav tsum tau ntawm asepsis thiab antisepsis. Lub qhib vial siv tag nrho thiab yuav tsum tsis txhob yuav khaws cia. Cov ntaub ntawv nyob rau hauv lub serial tooj, ntau lawm hnub thiab hnub uas txhaj tshuaj tiv thaiv yuav tsum tau nkag mus rau hauv lub Logbook nrog passport cov ntaub ntawv vaktsinanta.

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Yuav ua li cas nyuaj yog kis txhaj tshuaj tiv thaiv ADSM neeg laus? Xyuas nyob rau hauv lub network ntawm cov tsis kaj siab txoj kev xav tom qab kuj kiag tov. Ib tug neeg tsis xav dab tsi, ib tug neeg nyob txias, thiab ib tug neeg kub thiab muaj muaj mob heev heev, ib tug neeg flushed thiab mob txhaj tshuaj rau ntawm qhov chaw, ib tug neeg yuav tsis vim hais tias tus mob mus tsa nws txhais tes. Thiab nyob rau hauv txhua tus neeg mob, qhov ua rau tau txhaj tshuaj tiv thaiv ADSM. Sab los nyob rau hauv cov neeg laus (xa mus rau raws li kev xav rau qhov tshuaj tiv thaiv) nyob rau hauv txhaj tshuaj tiv thaiv ADSM yog cov norm. Lawv tsis qhia qhov pib ntawm tus kab mob, thiab lub elaboration ntawm ib tug tib neeg tsis muaj zog. Tom qab ib co sij hawm, lub sab los yog tsis muaj txim lawv tus kheej. Tom qab tag nrho, ib yam ntawm cov yam tsawg kawg reactogenic cov tshuaj ntawm tshuaj tiv thaiv kuj yog precisely ADSM.

Sab los rau cov neeg laus tej zaum yuav manifest nws tus kheej nyob rau hauv daim ntawv ntawm cov general thiab lub zos tshua. Lawv yog cov, nyob ntawm tus neeg mob ntawm tib neeg lub cev, muaj lub teeb thiab hnyav.

Nyob rau hauv thawj 48 teev yuav tsum tau cai luv luv kub sawv thiab malaise, thiab kev mob, nqaij tawv liab, o ntawm lub qhov koob. foob yuav tshwm sim nyob rau hauv daim ntawv ntawm cov nais, tab sis hais tias yog li cas. Nws yog nyob rau hauv ib tug ob peb lub lis piam kiag ntawm nws tus kheej daws. Peb yuav tsum paub hais tias qhov no qhov chaw yuav tsis tau sov so, raws li qhov no yuav ua rau fester. Heev tsis tshua muaj kev fab loj.

Rau cov lus qhia, los yog lub teeb, los yog ib tug loj heev cov tshuaj tiv thaiv rau qhov tshuaj tiv thaiv yog tsis suav tias yog pathological, txij li thaum nws tsis muaj pheej los rau kev kho mob. Ntawm cov hoob kawm, lawv subjectively seeb, tiam sis tsis yog yuav ua tau rau tej kev ua txhaum tom qab ntawd.

Post-txhaj tshuaj tiv thaiv mob ADSM

Txhaj tshuaj tiv thaiv ADSM muab neeg laus mob tsis tshua muaj, tab sis lawv yog, raws li statistics, yog noj qhov chaw nyob rau hauv lub ob tus neeg rau txhua txhua 100 txhiab. Vaktsinantov. Los ntawm lub post-txhaj tshuaj tiv thaiv mob ADSM muaj xws li:

1. loj tsis haum tej yam kev mob xws li post-txhaj tshuaj tiv thaiv anaphylactic poob siab thiab angioedema, thiab generalized urticaria daim ntawv.

2. Post-txhaj tshuaj tiv thaiv encephalitis.

3. Post-txhaj tshuaj tiv thaiv daim npluag paj hlwb.

Haus dej cawv thiab txhaj tshuaj tiv thaiv ADSM

Haus dej cawv nrog ADSM tshuaj tiv thaiv kiag incompatible. Ua ntej hnub uas teem tseg txhaj tshuaj tiv thaiv ADSM, cov neeg laus vaktsinantam yuav tsum tsis txhob haus cawv kom tsawg kawg yog ob hnub.

Tom qab txhaj tshuaj tiv thaiv, pub muaj ib nco yuav tsum tau kev txhawb los ntawm peb ntau hnub. Tsuas yog ces pub ib lub caij nyoog tso cai ua hauj lwm ntawm tsawg haus dej haus cawv nyob rau hauv tsawg heev koob tshuaj. Ib lub lim piam tom qab ntawd, cov hnub ntawm txhaj tshuaj tiv thaiv yog tso cai rau rov pib dua txoj kev siv cov dej cawv nyob rau hauv lub niaj zaus txoj kev.

Yog hais tias koj puas tau coj dej cawv tom qab txhaj tshuaj tiv thaiv, tsis muaj dab tsi yuav tshwm sim, tab sis lub heev kev phiv tshuaj tej zaum yuav ntev npaum li cas. Tawm tsam tom qab ntawm dej cawv qaug cawv tej zaum yuav ua rau kom qhov kub thiab txias cov tshuaj tiv thaiv yuav ua rau kom o thiab mob ntawm lub qhov koob, muaj zog haus dej thaum lub sij hawm lub lim tiam tom qab txhaj tshuaj tiv thaiv yuav tsum tau zam.

Cov neeg laus tas yuav tsum tau revaccinated tshuaj tiv thaiv ADSM. Tetanus thiab diphtheria yog txaus ntshai, lawv yuav ua nyob rau hauv txoj kev tuag. Tetanus yuav kho tsis zoo txawm nyob rau hauv tam sim no tej yam kev mob. Diphtheria yog kho, tab sis muab yus teeb meem. ADSM yog tsis reactogenic tshuaj tiv thaiv yog zoo taus, thiab nyob rau hauv 10 xyoo cov lus rov qab-up yuav muab kev tiv thaiv.

Ua ntej AD diphtheria txhaj tshuaj tiv thaiv ib nrab tuag, 85% ntawm cov neeg mob tuag nrog tetanus kab mob. Ib tug xov tooj ntawm lub teb chaws xws li lub tebchaws United States, ua ib qho los mus tso tseg rau txhaj tshuaj tiv thaiv tiv thaiv hnoos, tetanus thiab diphtheria. Nws twb lub phaum mob, thiab txhaj tshuaj tiv thaiv tau resumed nyob rau hauv lub xeev qhov kev pab cuam.