Tsis muaj leej twg tau txais kev pov hwm tiv thaiv kab mob tetanus, vim hais tias tus kab mob no tuaj yeem tshwm sim los ntawm kev puas tsuaj rau ntawm daim tawv nqaij thiab cov nqaij mos, ob lub qhov tob tob, thiab khawb deg, txawm kab kab. Vim tias cov neeg tuag siab vim lub cev hloov ntawm cov kab mob no, txhua tus neeg laus yuav tsum tau raug tshem tawm txhua 10 xyoo. Cov txheej txheem siv cov tshuaj toxoid tetanus, nws tuaj yeem raug muab tshuaj rau hauv nws daim ntawv dawb (AC-toxoid), thiab tseem nrog lwm cov tshuaj tiv thaiv (ADS, ADS-M).
Dab tsi yog tetanus toxoid rau?
Cov tshuaj txhaj tiv thaiv no yog siv rau kev tiv thaiv kab mob thiab niaj hnub tiv thaiv kab mob tetanus.
Thawj pawg ntawm indications muaj xws li:
- Txhaj tshuaj tiv thaiv menyuam. Txij thaum muaj hnub nyoog 3 lub hlis, cov tshuaj tiv thaiv kab mob AS, ADS, DTP, los yog ADS-M cov menyuam mosliab uas mob anatoxin yuav tsum muaj. Nws tso cai rau koj kom tsis txhob muaj qhov xwm txheej thawj.
- Teem caij txhaj tshuaj rau cov laus. Tom qab nkag 17 xyoo, tetanus toxoid yog txhaj txhua xyoo.
- Kev kawm ntawm tag nrho cov kev tiv thaiv. Yog tias ib tug neeg twg uas muaj hnub nyoog 26 txog 56 xyoos tau txhaj tshuaj tiv thaiv nrog toxoins (ADS, DTP, ADS-M), nws yuav tsum txhaj tshuaj tiv thaiv tom qab tetanus (AS toxoid) 30-40 hnub tom qab lawv tswj hwm. Rov qab nws yuav tsum nyob rau hauv 0,5-1 xyoo.
Kev tiv thaiv thaum muaj xwm ceev yuav tsum muaj nyob rau hauv cov nram qab no:
- lwm tus neeg yug hauv tsev kho mob thiab yug me nyuam;
- kev raug mob loj heev, nrog los ntawm kev ua txhaum ntawm lub meej mom ntawm daim tawv nqaij thiab daim tawv nqaij;
- tus abscess;
- frostbite;
- Burns ntawm tej keeb kwm 2-4 degrees;
- necrosis ntawm cov nqaij mos;
- gangrene ;
- penetrating wounds, kev puas tsuaj rau lub plab hnyuv siab raum ntawm txoj hlab plawv;
- tom ntawm cov tsiaj, kab.
Thaum tau txais cov kev raug mob no, nws tseem ceeb heev uas yuav tsum tau thov rau lub tsev kho mob rau kev txhaj tshuaj kom sai li sai tau, vim tias lub sij hawm tsim kab mob ntawm tetanus tsuas yog 20 hnub los yog tsawg dua.
Hauv koob tshuaj dabtsi thiab ua li cas yog tetanus toxoid muab?
Rau qhov tsim kom muaj ib qho kev tiv thaiv kab mob, 10 units ntawm qhov kev tiv thaiv ntawm cov toxoid uas tau piav qhia yog txaus. Yog li ntawd, qhov muab tshuaj rau kev txhaj tshuaj tiv thaiv yog 0.5 ml ntawm anatoxin.
Nyob rau hauv tsawg zaus, siv ntawm 1 ml ntawm yeeb tshuaj.
Tus qauv ntawm daim ntawv thov yog ua ib qho kev sib sib zog nqus rau hauv cov cheeb tsam subscapular nrog kev ceev ceev ntawm cov tshuaj.
Tej teebmeem ntawm tus kab mob tetanus toxoid
Raws li txoj cai, qhov tshuaj txhaj tiv thaiv no pauv zoo, tsis ua rau muaj cov tsos mob tsis zoo. Tsawg heev, cov kev mob tshwm sim hauv qab ntawm tetanus toxoid yuav tshwm sim:
- kev txi me me;
- hyperthermia;
- liab liab, o thiab mob hauv qhov nqaij tawv;
- polymorphic ua pob;
- angioedema ;
- urticaria;
- ua rau muaj kev tsis haum.
Cov kev kuaj mob no feem ntau ploj lawv tus kheej 24-48 teev tom qab txhaj tshuaj.
Contraindications thiab teeb meem ntawm tetanus toxoid
Kev tswj ncaj qha, tsis suav tag nrho kev txhaj tshuaj tiv thaiv nrog AS toxoid, yog:
- kev muaj zog ntawm lub cev mus rau lub cheebtsam ntawm kev daws;
- cev xeeb tub.
Tsis tas li ntawd nws yog tsis yooj yim sua kom inoculate nrog xws li cov kab mob:
- immunosuppression;
- anemia;
- oncological pathologies;
- neurological thiab sib kis kab mob;
- cov ntaub ntawv loj ntawm kev tiv thaiv kab mob;
- muaj zog hauv zej zog;
- mob ua rau mob los yog kis mob nkeeg, lawv kev mob nkeeg;
- mob qog nqaij ntuag los yog qaug dab peg.
Qhov qhia txog ntawm cov tshuaj nyob rau hauv no yog fraught nrog teeb meem:
- qhov chaw vascular puas tsuaj;
- polyradiculoneuritis;
- kev puas siab ntsws thoob plaws.