Nws muaj kev ruaj ntseg hais tias txhua tus niam paub txog DTP koob tshuaj tiv thaiv , uas lub hom phiaj yog txhaj tshuaj tiv thaiv ib tug me nyuam ntawm cov kab mob phem xws li kab mob npaws, kab mob tetanus thiab diphtheria. Raws li txoj cai, nws tsis yooj yim rau menyuam yaus, ua rau cov niam txiv tau qee hnub ntawm kev paub thiab kev txhawj xeeb. Tej zaum koj tau hnov txog qhov tshuaj txhaj tiv thaiv kab mob ADSD, uas yog ib qho ua rau me ntsis npe ntawm DTP lub npe, tab sis, txawm li ntawd los, nws txawv ntawm nws. Namely, peb yuav qhia rau koj txog qhov no.
Tiv thaiv dab tsi ua ADMD tshuaj tiv thaiv?
Yog tias peb tham txog kev txhaj tshuaj tiv thaiv kab mob ADSM, ces qhov no txhais hais tias diphtheria-tetanus purified tetrachloride, adsorbed nrog txo cov ntsiab lus ntawm cov antigens, uas yog, ADS-M-anatoxin. Hauv cov zauv yooj yim, qhov tshuaj tiv thaiv no yog ib qho kev mob ntawm diphtheria thiab tetanus toxoids, uas yog, cov tshuaj tshwj xeeb uas kho uas tawm los ntawm cov kab mob. Cov co toxins, tab tom cev rau hauv lub cev, tsis txhob ua kom muaj kev sib tov tshuaj lom neeg, tab sis ua rau pom qhov txawv ntawm kev hloov ntawm immunological. Yog li, tom qab kev taw qhia txog kev txhaj tshuaj tiv thaiv kab mob, cov tshuaj tiv thaiv tau ua nyob hauv tus me nyuam lub cev, tab sis nws tsis muaj kev mob tshwm sim. Ntxiv mus, cov concentration ntawm anatoxins nyob rau hauv kev txhaj tshuaj tiv thaiv kab mob ADSM yog sib piv nrog DTP. Kev txhaj tshuaj tiv thaiv kab mob ADSM tuaj yeem raug xam tias yog variant ntawm DTP, txawm li cas los xij, tsis muaj tus kab mob pertussis. Feem ntau nws yog siv rau kev rau cov neeg laus thiab cov menyuam yaus tawm, hnub nyoog 6 xyoo, thaum muaj tus kabmob hnoos hawb pob ua rau muaj kev phom sij ntawm lub cev vim muaj teeb meem. Los ntawm txoj kev, feem ntau ADSM-ntsiav tshuaj siv rau kev tshem tawm ntawm cov neeg uas nws lub cev tsis yooj yim zam DTP. Cov menyuam yaus raug txhaj tshuaj thaum muaj hnub nyoog 7 xyoo thiab 14 xyoos, thiab cov laus - txhua txhua 10 xyoo. Nws yog siv rau thaum muaj kev hno tshuaj tiv thaiv rau cov neeg uas nyob nrog cov neeg mob diphtheria.
Ntaus ntawm kev txhaj tshuaj tiv thaiv ntawm ADSM
Kev txhaj tshuaj ntawm ADDS zoo ib yam li DTP. Hais txog qhov chaw txhaj tshuaj tiv thaiv rau ADSM, feem ntau yog cov menyuam yaus hnub nyoog kawm ntawv yuav raug txhaj tshuaj rau hauv nruab nrab ntawm qhov chaw ntawm caj dab los yog hauv lub nraub qaum sab ntawm lub pob tw. Cov tub hluas ntxhais hluas thiab cov laus raug tso cai rau muab cov ntsej muag rau hauv cheeb tsam scapular subcutaneously.
Cov txiaj ntsig ntawm kev txhaj tshuaj tiv thaiv ADSM zoo li kev tshwm sim ntawm DTP . Cov tshuaj tiv thaiv rau ADSM hauv cov me nyuam feem ntau tshwm hauv thawj ob hnub tom qab txhaj tshuaj. Ua ntej tshaj, lub cev kub tau sawv tuaj. Kev ntsuam xyuas liab, o thiab mob ntawm qhov chaw txhaj tshuaj kuj tau muab sau tseg. Qhov tshwj xeeb yog qhov tshwm sim los ntawm ADAM txhaj tshuaj tiv thaiv ntawm cov menyuam yaus. Cov no yog ntau yam kev tsis haum tshuaj, uas cov kev mob hnyav tshaj plaws yog ua rau muaj anaphylactic poob siab tom qab kev txhaj tshuaj tiv thaiv kab mob. Zoo hmoo, xws li mob hnyav heev. Ntxiv rau, qee zaus hauv cov menyuam yaus, lub cev kub hnyiab nce siab - ntau tshaj 40 ° C, qaug dab peg rau kub cev, qhov tshwm sim ntawm lub cev qhuav dej (qhov poob qis hauv cov ntshav siab).
Txhawm rau kom tsis txhob muaj teeb meem ntawm ADSD txhaj tshuaj tiv thaiv me nyuam los yog tsawg kawg los txo kom tsawg, nws yog ib qho tseem ceeb uas yuav tsum tau ua ntau yam kev pom zoo. Ua ntej yuav pib qhia rau tus menyuam qhov tshuaj tiv thaiv
Contraindications for grafting ADSMS yog cov kab mob qoob loo thiab mob ntev nyob hauv lub xeev kev zam txim, cov kev mob txuam nrog kev puas hlwb mob hlwb, cov yeeb yam ntawm kev tsis haum rau kev mob qog nqaij hlav thiab mob tetanus toxoid, xeev tiv thaiv kab mob.