Cov tshuaj tiv thaiv "Pentaxim" lossis "Pentavak" yog cov tshuaj tiv thaiv kab mob tshiab tiam tshiab uas muaj ntau qhov zoo dua li tam sim no siv tshuaj tiv thaiv DTP. Qhov zoo yog tias Pentaxim yog cov tshuaj complex thiab cell-free (acellular), nws tau yooj yim zam thiab muaj ntau contraindications tsawg dua DTP. Nrog rau yav tas los, cov teeb meem tau ntxiv los ntawm qhov muaj cov kab mob hauv cell membranes.
History of Creation
"Pentaxim" universal tau tsim nyob rau hauv 1997, Fabkis tsim nws. Nws qhov kev txhawj xeeb nto moo tshaj plaws yog SANOFIPASTEUR, S. A. Cov tshuaj tiv thaiv yog yuav los ntawm txhua lub tebchaws European thiab Asmeskas. Cov teb chaws Europe sab hnub poob siv cov tshuaj hu ua Pentavac, thiab hauv txhua lub tebchaws, suav nrog Russia, nws hu ua "Pentaxim".
Cov tshuaj tau sau npe hauv 97 lub teb chaws thiab nrov thoob plaws ntiaj teb. Nws pab tswj kev tiv thaiv siabtawm tsam 5 kab mob ib zaug. Qhov tshwm sim ntawm cov tshuaj tiv thaiv thoob ntiaj teb no tau ua ntej los ntawm kev tshawb fawb ntev thiab ntxaws txog cov haujlwm tseem ceeb ntawm cov kab mob hnoos hawb pob, tetanus thiab kab mob diphtheria, poliomyelitis thiab Hib kab mob. Cov kev tshawb fawb soj ntsuam tau ua tiav ntawm 10 txhiab tus menyuam yaus thiab tau sau tseg tias muaj cov tshuaj tiv thaiv npaj txhij hauv cov ntshav rau cov kab mob hauv 100% ntawm cov neeg mob.
Txij li xyoo 2011, WHO tau qhia Pentaxim rau hauv cov npe ntawm cov tshuaj tiv thaiv ua haujlwm yuav tsum tau ua. Lawv yuav tsum tau ua yam tsis poob tsis yog tsuas yog noj qab haus huv xwb, tab sis kuj rau cov me nyuam tsis muaj zog.
Cov khoom ntawm "Pentax" raug xaiv zoo kawg nkaus uas lawv tsis cuam tshuam rau ib leeg. Cov tshuaj tiv thaiv muaj:
- cell-free pertussis toxoid;
- tetanus thiab diphtheria toxoid;
- poliovirus 3 hom nyob rau hauv lub xeev inactivated;
- hemagglutinin filamentous lyophilisate.
Qhov ntau yam xwm txheej no txo cov koob txhaj tshuaj. Yog li, cais txhaj tshuaj tiv thaiv kab mob saum toj no yuav yog 12 txhaj tshuaj, thiab kev siv "Pentaxim" - tsuas yog 4. Cov koob tshuaj hauv 1 koob txhaj tshuaj "Pentaxim" yog tsim los nruj me ntsis rau 1 tus menyuam, piv txwv li, koj yuav tsum nkag mus rau cov ntsiab lus kom tiav.
Tshuaj khaws cia thiab hnub tas sij hawm
Tsis pub khov. Cov tshuaj tsuas yog khaws cia ntawm qhov kub zoo hauv lub tub yees los ntawm +2 txog +8 degrees. Kev thauj mus los tsuas yog ua tau ntawm qhov kub qis qis - hauv hnab nrog dej khov qhuav.
Cia li khaws cia rau hauv lub tub yees. Qhov zoo tshaj plaws ua ntej hnub3 xyoos txij li hnub tau tshaj tawm. ampoules nrog hnub tas sij hawm los yog nrog flakes, sediment tsis siv. Qhib ampoules tsis raug khaws cia, tab sis raug rhuav tshem.
sijhawm txhaj tshuaj
Kev kawm thawj zaug yog muab rau tus menyuam noj qab haus huv los ntawm 3 lub hlis hauv daim ntawv 3 txhaj tshuaj nrog so ntawm 1.5 lub hlis. Qhov kawg revaccination yog ua tom qab 1.5 xyoo. Kev hloov cov koob tshuaj ntxiv rau ob peb hnub yog ua tau yog tias muaj kev kho mob kais dej (hnub so, mob khaub thuas ua npaws). Cov txheej txheem tom qab ntawd tsis rov pib dua thiab kev tiv thaiv kev tiv thaiv yuav tsis muaj zog.
Cov niam txiv yuav tsum paub tias cov tshuaj tiv thaiv Hib tom qab muaj hnub nyoog ib xyoos tsuas yog siv 1 zaug xwb. Nyob rau hauv lub neej yav tom ntej, cov tshuaj yog muab tshuaj tsis muaj Hib-lyophilisate.
Lub ntim ntawm cov tshuaj tiv thaiv yog aseptic, lub hlwv muaj ib lub syringe npaj txhij nrog ib koob. Hauv lawv cov kev tshuaj xyuas, cov niam hais tias cov menyuam yaus tsis xav tias yuav txhaj tshuaj tiv thaiv - koob yog nyias. Cov menyuam yaus txog li ib xyoos tau txhaj tshuaj rau hauv tus ncej puab, laus dua - hauv caj npab. Kev tswj hwm intramuscular tsis tau siv vim qhov nyuaj ntawm kev tau txais cov tshuaj tiv thaiv kab mob rau hauv cov ntshav vim muaj txheej txheem tseem ceeb ntawm cov leeg. Tsis tas li ntawd, tsis muaj kev tswj hwm txoj hlab ntshav.
Indications thiab contraindications
Nws paub meej tias kev ntshai ntawm kev txhaj tshuaj tiv thaiv thiab lawv qhov tshwm sim tshwm sim rau ntau tus niam txiv. Nyob rau hauv cov ntaub ntawv ntawm Pentaxim, qhov no yog ib tug kiag li unfounded ntshai. Nws yog ib qho tseem ceeb rau cov niam txiv kom nkag siab tias nws yog kev txhaj tshuaj tiv thaiv uas yuav ua rau tus menyuam noj qab nyob zoo thiab tiv thaiv nws los ntawm kev tsis taus. Qhov tshuaj tiv thaiv no tshwj xeeb tshaj yog pom zoo rau cov menyuam yaus uas muajKuv muaj kev cuam tshuam rau DTP. Thiab tseem rau cov uas muaj:
- kuaj kho mob rau DTP;
- kab mob HIV;
- neurological nra;
- ua xua;
- kev npaj txhij;
- ntshav qab zib thiab dysbacteriosis;
- atopic dermatitis;
- non-progressive encephalopathy.
Tseem muaj contraindications:
- cim qhov txawv txav tom qab txhaj tshuaj tiv thaiv dhau los;
- tus tib neeg hypersensitivity rau cov khoom;
- kab mob npaws;
- reacts to neomycin, streptomycin, polymyxin B;
- kev nce qib encephalopathy tom qab txhaj tshuaj tiv thaiv hauv ib lub lis piam;
- nrog cov hlwv los ntawm cov av qeeg lossis febrile.
Kev tshwm sim tom qab txhaj tshuaj tiv thaiv
Ntev npaum li cas tom qab "Pentax"? Tsis pub dhau ob peb hnub. Qee tus kws kho mob tsis qhia kom txo qis qhov kub thiab txias, thiaj li tsis txo qhov kev tiv thaiv kab mob. Tab sis yog hais tias tus pas ntsuas kub qhia hyperthermia siab tshaj 38 degrees, ces muab tshuaj tua kab mob ua tau.
Lwm tus kws kho mob ntseeg tias yog tias qhov kub thiab txias tom qab "Pentaxim" pib nce siab, nws yuav tsum ua kom qis, vim tias cov tshuaj tiv thaiv kab mob tsis tau txiav txim siab los ntawm nws, thiab tus menyuam tsis zoo. Raws li cov tshuaj tua kab mob, koj tuaj yeem muab tus menyuam Paracetamol lossis Ibuklin. Qhov tseeb nthuav yog tias tom qab qhov thib ob "Pentax" qhov kub thiab txias feem ntau nce yog tias nws tsis nyob ntawd thaum thawj zaug. Tab sis qhov kub thiab txias tom qab 3 "Pentax" tsis tshwm sim. Vim li cas hyperthermia tshwm sim?
Kub tom qab "Pentax" nyob rau hnub ob yog ua tau nrog kev npaj txhij hauv tus menyuam. Tab sis yog tias nws tsis muaj dab tsi cuam tshuam nrog kev txhaj tshuaj yav dhau los, cov tshuaj tiv thaiv Pentaxima tau siv, tab sis ua tib zoo. Thaum kub nce, yuav tsum tau muab tshuaj tua kab mob tam sim.
Nco ntsoov
Lub cev tiv thaiv kab mob muab nws cov lus teb rau kev qhia txog cov tshuaj tiv thaiv ib qho txawv teb chaws. Qhov no yog tus qauv. Yog tias muaj ntau cov lus teb, tej zaum yuav muaj qhov tshwm sim ntawm cov tshuaj tiv thaiv, uas tau muab faib ua hauv zos thiab dav.
Hauv zos - cov no yog cov ntsaws ruaj ruaj me me ntawm qhov chaw txhaj tshuaj, liab liab txog li 8 hli. Tus me nyuam yuav yws tias qhov chaw txhaj tshuaj mob, tab sis qhov no daws sai sai ntawm nws tus kheej.
Kev tshwm sim dav dav - malaise, pw tsaug zog cuam tshuam, tsis qab los noj mov, kub siab tom qab Pentaxim. Tag nrho cov no dhau sai txaus ntawm nws tus kheej. Lub sijhawm kub npaum li cas tom qab "Pentax"? Hyperthermia tau sau tseg hauv txhua tus menyuam thib 5 thiab ploj mus ntawm nws tus kheej hauv 1-3 hnub. Pom tus kws kho mob txog qhov no tsis tshua muaj.
Muaj Teeb Meem
"Pentaxim" tiv thaiv 5 kab mob ib zaug. Cov teeb meem tshwm sim tsuas yog hauv 0.6% ntawm cov tshuaj tiv thaiv. Qhov kub thiab txias tom qab revaccination nrog "Pentaxim" tsis tsim teeb meem txhua. Tab sis txawm tias koj yuav tsum mus ntsib kws kho mob txog qhov kub thiab txias, tsis muaj kev tuag. Qhov kub tom qab "Pentax" saum toj 40 tau sau tseg tsuas yog hauv 0.01% ntawm cov neeg mob. Nws feem ntau ploj mus rau hnub peb.
Feem ntau qhov kub thiab txias tom qab thib obKev txhaj tshuaj "Pentaxima" tau yooj yim zam. Tsuas yog qee zaum, tawm tsam keeb kwm ntawm qhov kub thiab txias, chim siab, capriciousness, lub sij hawm quaj, tsis kam ntawm lub mis thiab pw tsaug zog tsis zoo. Feem ntau, qhov kub thiab txias hauv menyuam yaus tom qab txhaj tshuaj "Pentaxim" tsis tas yuav muaj tus kws kho mob, vim nws dhau mus sai. Cov tsos mob ntawm lub paj hlwb nyob rau hauv daim ntawv ntawm qaug dab peg, mob nqaij, mob taub hau yog tsis tshua muaj.
Qhov tseeb tias qhov ntsuas kub tom qab qhov thib ob "Pentax" yog ntau dua tom qab thawj zaug thiab thib peb, hais ntau yam tshuaj xyuas ntawm niam. Cov niam txiv yuav tsum ceeb toom txog qhov no los ntawm kws kho mob.
Qhov tshwm sim hnyav dua nyob rau hauv daim ntawv ntawm qhov kub siab heev tom qab "Pentaxim" tuaj yeem yog vim kev ua txhaum ntawm lub sijhawm txhaj tshuaj, kev tswj hwm cov tshuaj tiv thaiv tsis raug, lossis yog tias tus txheej txheem tau ua rau tus menyuam tsis noj qab haus huv thaum lub sijhawm ntawd. Yog li ntawd, ua ntej txhaj tshuaj, tus kws kho mob yuav tsum muab nws lub tswv yim tsim nyog tias tus menyuam noj qab nyob zoo, cov niam txiv tuaj yeem thov.
Txoj cai qhia "Pentaxim" tom qab ARVI
Yog tias tus menyuam muaj SARS lossis AII, ces txhaj tshuaj tiv thaiv "Pentaxim" yuav tsum tau nqa tam sim nrog qhov kub thiab txias. Residual catarrhal phenomena nyob rau hauv daim ntawv ntawm cov ntsiab lus ntawm lub qhov ntswg thiab hnoos, instability ntawm cov quav, thiab lwm yam., tsis yog ib qho teeb meem. Cov menyuam yaus uas tau muaj kab mob CNS, suav nrog tus mob meningitis, yuav tsum tau txais kev zam kev kho mob rau rau lub hlis.
Rules for allergies
Yog tias tus menyuam tsis haum, txhaj tshuaj tiv thaiv tsuas yog 2-3 lub lis piam tom qab cov tsos mob hnyav zuj zus. Ntxiv mus, koj yuav tsum nkag mus rau "Pentaxim" nkaus xwb rautawm tsam keeb kwm yav dhau ntawm cov tshuaj tiv thaiv kab mob - sab hauv thiab hauv zos. Yog hais tias qhov ua xua tom qab txhais tau hais tias bronchospasm nyob rau lub sijhawm, kev txhaj tshuaj yuav raug ncua rau ib hlis. Thiab tom qab ntawd koj yuav xav tau kev siv tshuaj hormonal bronchodilators thiab tshuaj tiv thaiv kab mob.
niam txiv coj cwj pwm
Npaj txog qhov kub thiab txias tom qab "Pentax" tsis tsim nyog, vim qhov no yog cov tshuaj tiv thaiv ntawm tus qauv. Txawm hais tias, raws li cov niam txiv, nws yog qhov kub thiab txias uas ib txwm ua rau koj ntxhov siab. Tab sis xws li cov tshuaj tiv thaiv ntawm lub cev qhia txog kev ua haujlwm ntawm lub cev tiv thaiv kab mob. Qhov kub npaum li cas tom qab Pentaxim tus menyuam yuav muaj nyob ntawm nws tus mob, kev tiv thaiv kab mob, kab mob hauv lub paj hlwb, thiab lwm yam. Thaum twg nws raug nquahu kom tig mus rau cov tshuaj? Qhov kub ntawm 38 tom qab Pentaxim tseem tsis tau siv cov tshuaj tua kab mob.
Nyob rau hauv lub xub ntiag ntawm cov teeb meem neurological, nws raug nquahu kom txo qhov kub ntawm 37, 5. Ua ntej noj cov ntsiav tshuaj, ib tug me nyuam yuav tsum tau so nrog vinegar los yog vodka kom txo qhov kub ntawm tag nrho (koj yuav tsum xub tham nrog ib tug kws kho mob. kws kho mob, tsis yog txhua leej txhua tus pom zoo txoj kev). Nws ua haujlwm sai rau tus menyuam mos. Rau tib lub hom phiaj, koj tuaj yeem siv lub decoction ntawm linden paj, chamomile lossis birch buds. Thiab tsuas yog yog tias qhov ntsuas kub tom qab txhaj tshuaj "Pentaxim" hauv tus menyuam tsis poob thiab tseem loj hlob, koj tuaj yeem siv tshuaj tua kab mob. Qhov no yog qhov tseeb tshwj xeeb tshaj yog thaum muaj cov tsos mob ntxiv xws li hnoos, hnoos, raws plab, thiab lwm yam. Tag nrho cov no twb hais txog qhov ntxivkab mob. Kev nce hauv qhov kub thiab txias tom qab Pentaxim txawm tias mus txog 39 degrees kuj yog cov qauv, tab sis nrog nws nws yog qhov tsim nyog los muab cov tshuaj tua kab mob hauv daim ntawv ntawm cov ntsiav tshuaj lossis kua qab zib. Thaum muab tshuaj tua kab mob, koob tshuaj thiab zaus ntawm kev tswj hwm yuav tsum raug soj ntsuam.
Rau qhov kev tiv thaiv kub, nws tsis tuaj yeem muab tshuaj tom qab txhaj tshuaj. Tus cwj pwm no tsis raug cai.
Npaj kom raug txhaj tshuaj tiv thaiv
Qhov phem tshaj plaws yog cov kws kho mob feem ntau tsis piav qhia tag nrho cov ntsiab lus ntawm kev npaj tus menyuam rau kev txhaj tshuaj. Thiab nws tsuas yog nyob ntawm seb tus menyuam yuav hloov nws li cas. Yog li ntawd, nco ntsoov tias yog tias tus me nyuam tau sau npe nrog ib tus kws kho mob nqaim (neurologist, allergist, thiab lwm yam), nws yuav tsum tau sau ntawv tso cai los ntawm nws los tswj Pentoxim. Nws raug nquahu kom dhau UAC thiab OAM. Qhov no yog qhov tsim nyog kom tus kws kho mob tuaj yeem nkag siab tias txhua yam nyob rau hauv kev txiav txim nrog tus menyuam. Feem ntau, cov kws kho mob, vim yog tibneeg hu tauj coob, tshuaj xyuas tus me nyuam superficially ua ntej txhaj tshuaj tiv thaiv, yam tsis tau mus rau qhov kev ntsuam xyuas. Cov niam txiv yuav tsum tsis txhob pom zoo rau txoj hauv kev no. Ib lub lis piam ua ntej thiab tom qab txhaj tshuaj tiv thaiv, nws raug nquahu kom tsis txhob qhia cov khoom noj tshiab thiab tsis txhob muab cov khoom tshiab.
Ib hnub ua ntej thiab ob hnub tom qab txhaj tshuaj, nws raug nquahu kom haus ntau dua thiab tsis pub tus menyuam noj ntau dhau. Artificials zam qhov kev txhaj tshuaj nyuaj dua li cov uas tau pub niam mis. Koj yuav tsum tsis txhob pub 2 teev ua ntej txhaj tshuaj. Tej zaum yuav muab dej tam sim ua ntej txhaj tshuaj.
Ntau hnub kub npaum li cas tom qab txhaj tshuaj tiv thaiv Pentaxim? Qhov no yuav tsum tau qhia rau tus kws kho mob ua ntej. Tom qabtxhaj tshuaj tiv thaiv, yog tias tus menyuam xav tau, taug kev ntawm txoj kev, thiab thaum koj rov qab los tsev, tsis txhob muab nws tso rau ntawm lub rooj. Muab zaub mov tsuas yog thaum tus menyuam thov. Cov zaub mov yuav tsum yog lub teeb, tsis qab zib thiab tsis muaj rog.
Me nyuam mos yuav tsum tsis txhob cem quav. Lub rooj zaum yog ntshaw tsis yog tsuas yog hnub ua ntej cov txheej txheem, tab sis kuj nyob rau hnub ntawm nws, thiab tom qab. Txwv tsis pub, ib qho enema raug pom zoo. Hnub twg txhaj tshuaj tiv thaiv, tsis txhob qhwv koj tus menyuam kom nws tsis tawm hws. Yog hais tias tus me nyuam muaj qhov ntswg qhov ntswg ntev, tab sis tsis muaj lwm yam tshwm sim ntawm tus kab mob, tus me nyuam noj tau zoo, tus kws kho mob nto moo Komarovsky paub tseeb tias cov tsos mob zoo li no tsis cuam tshuam rau cov tshuaj tiv thaiv, tom qab txhaj tshuaj, qhov kub thiab txias yuav sawv. Qhov kub ntawm 37 tom qab Pentaxim tsis tas yuav siv tshuaj tua kab mob yog tias tsis muaj lub nra hnyav.
"Pentaxim" - analogues
Yog tias tsis muaj tshuaj tiv thaiv Pentaxim ntawm lub tsev kho mob thaum lub sijhawm teem tseg, tus kws kho mob yuav pom zoo cov tshuaj uas muaj cov khoom sib hloov. Cov no yog cov tshuaj tiv thaiv xws li DTP, DTP + HepB, Tetraxim, Imovax Polio, Infanrix, Synflorix thiab lwm yam uas tus kws kho mob yuav pom zoo.
Nws yog qhov zoo dua los siv "Tetraxim" rau revaccination, vim nws yog tsim los ntawm tib lub tuam txhab xws li "Pentaxim", tab sis nws tsis muaj HIB tivthaiv nyob rau hauv nws muaj pes tsawg leeg. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias qhov kub thiab txias tom qab 3 "Pentax" tsis tshwm sim, raws li nrog rau thawj koob tshuaj (feem ntau).
Pentaxim lossis DTP: qhov twg zoo dua?
DPT, uas tseem siv tautxij li lub sijhawm ntawm USSR, tau npaj rau kev tiv thaiv tib yam kab mob, tshwj tsis yog rau Hib. Ntawd yog, cov tshuaj tiv thaiv adsorbed yog npaj rau hnoos hawb pob, tetanus thiab kab mob diphtheria. Qhov zoo ntawm Pentaxim yog tias nws tau ntxiv nrog cov khoom tiv thaiv HIB. Tsis tas li ntawd, nws yog acellular, yog li nws tsis yooj yim rau zam. HIB tivthaiv tiv thaiv kab mob gram-tsis zoo, hom kab mob Haemophilus influenzae, nrog rau lawv cov kab mob, koom ua ke los ntawm ib qho qauv antigenic, serotype B. Qhov no yog qhov ua tiav loj ntawm cov kws kho mob hauv thaj chaw kho mob.
Vim li cas? Cov kab mob Hib, uas yuav tau tham hauv qab no, hauv cov menyuam yaus hnub nyoog qis dua 5 xyoos yog qhov ua rau 80% ntawm cov mob ntawm epiglottis, 40% ntawm qhov tshwm sim ntawm meningitis, thiab 20% ntawm mob ntsws.
DTP yog qis dua "Pentax" hauv ntau txoj hauv kev. Ua ntej, tom qab txhaj tshuaj tiv thaiv DPT, tus menyuam txoj kev tiv thaiv kab mob tsis tiav. Thiab Pentaxim yog 100% zoo, muab cov nyhuv immunogenic heev. Qhov thib ob, cellular pertussis tivthaiv "DTP" muab cov lus teb hnyav dua rau cov menyuam yaus. Tsis tas li ntawd, cov tshuaj tiv thaiv kab mob polio hauv qhov ncauj tsis tau lees tias ua haujlwm zoo li Pentaxim.
Tsis tas li ntawd, cov neeg mob ntawm cov tshuaj tiv thaiv kab mob poliomyelitis tsis tau raug cais tawm. Cov tshuaj tiv thaiv kab mob polio hauv Pentaxim tsis ua haujlwm, uas yog, tus kab mob hauv nws raug tua. Thiab cov tshuaj tiv thaiv qhov ncauj muaj tus kab mob nyob tab sis tsis muaj zog. Yog li ntawd, kev siv "Pentaxim" tshem tawm tag nrho cov kev pheej hmoo ntawm kev tsim tshuaj tiv thaiv kab mob poliomyelitis, uas niaj hnub no yog ib qho ntawm feem ntau. Cov teeb meem txaus ntshai tom qab txhaj tshuaj nrog cov tshuaj tiv thaiv nyob.
Qhov tseem ceeb! Yog tias thawj qhov tshuaj tiv thaiv kab mob polio yog los ntawm qhov ncauj te, qhov txuas ntxiv ntawm cov tshuaj tiv thaiv tseem yuav yog cov tshuaj tiv thaiv nyob. Yog tias thawj koob tshuaj polio yog Pentaxim, yav tom ntej, kev txhaj tshuaj intramuscular (Imovax Polio) tuaj yeem siv rau kev txhaj tshuaj. Yog tias txhaj tshuaj tiv thaiv kab mob poliomyelitis tau ua los ntawm Pentaxim, tom qab txhaj tshuaj tiv thaiv kab mob no yuav tsum tau txhaj tshuaj ntawm 4, 5, 6 lub hlis, lub sijhawm kawg - ntawm ib xyoos thiab ib nrab. Tag nrho plaub koob tshuaj Pentaxim tau txais txiaj ntsig zoo.
Yog li ntawd pes tsawg hnub ua qhov kub thiab txias tom qab "Pentax"? Tsis pub ntau tshaj ob mus rau peb hnub tom qab thawj koob tshuaj. Cov tshuaj muaj kev nyab xeeb rau cov menyuam yaus uas nquag mob, uas tsis xav txog DTP. Yog tias tus me nyuam tau muaj qhov tshwm sim hnyav rau DTP, ces nws feem ntau ua rau Pentaxim zoo. "Pentaxim" yog tsim nyob rau hauv ib txoj kev uas ib koob tshuaj rau tus me nyuam tsuas yog tau txais 21 antigens xwb, thiab nrog DTP tus naj npawb no nce mus txog 3002. Qhov no yog ib qho qhia ncaj qha ntawm qhov mob hnyav tom qab txhaj tshuaj tiv thaiv tom qab siv DPT. Yog li, nrog kev taw qhia ntawm Pentaxim, qhov tshwm sim antigenic load yog 100 npaug tsawg dua.
hnub nyoog txhaj tshuaj
Acellular pertussis tivthaiv "Pentaxima" tuaj yeem siv los txhaj tshuaj tiv thaiv menyuam yaus lossis neeg laus ntawm txhua lub hnub nyoog. Qhov no kuj siv tau rau lwm yam tshuaj tiv thaiv. Lawv tuaj yeem siv tau rau txhua lub hnub nyoog ntawm cov menyuam yaus thiab cov neeg laus. Tab sis cov tshuaj tiv thaiv Hib ntawm Pentaxim tau pom zoo siv rau cov menyuam yaus hnub nyoog qis dua rau xyoo,ib zaug. Hauv lwm lo lus, cov tshuaj tiv thaiv Pentaxim tag nrho nrog cov tshuaj tiv thaiv Hib tuaj yeem siv los txhaj tshuaj tiv thaiv menyuam yaus txog 5 xyoos 11 hlis thiab 29 hnub suav nrog.
Nov yog hnub kawg rau kev txhaj tshuaj. Nws yuav tsum tau muab sau tseg tias revaccination nrog Pentaxim tsis yog siv nyob rau hauv Russia thiab lub CIS lub teb chaws. Ntawm no, ADS-M yog siv, uas muaj cov tshuaj antigens qis dua (tsuas yog cov chaw tsim khoom hauv tsev). Txawv teb chaws "Pentavak" yam tsis muaj qhov thib tsib tivthaiv yog siv los ua tshuaj tiv thaiv txhua lub hnub nyoog - menyuam yaus thiab cov neeg laus.
HIB txhaj tshuaj tivthaiv
Ua ntej hais txog lub ncauj lus no, ob peb lo lus hais txog kab mob Hib feem ntau. Hib - ib tug kab mob los yog hemophilic - ib pab pawg neeg ntawm tus kab mob mob, tus causative tus neeg saib xyuas ntawm uas yog Pfeiffer lub wand. Hauv qhov no, cov kab mob ua pa, lub hauv paus paj hlwb feem ntau cuam tshuam, thiab purulent foci tshwm nyob rau hauv ntau yam kabmob, zoo li sepsis. Txoj kev ntawm kev sib kis yog aerogenic.
Cov kab mob twg muaj nyob hauv pab pawg no? Purulent meningitis, sepsis, mob ntsws ntsws, epiglottitis (mob ntawm epiglottis). Kev xyaum txhaj tshuaj tiv thaiv Hib ntawm qhov loj tau pib nyob rau nruab nrab-80s ntawm lub xyoo pua xeem, thiab txij li xyoo 1990 kev txhaj tshuaj Hib tau raug qhia rau hauv lub sijhawm txhaj tshuaj hauv Tebchaws Meskas, Canada thiab qee lub tebchaws ntawm Western Europe.
Qhov thib tsib ntawm cov tshuaj tiv thaiv Pentavak yog tsim los tiv thaiv tus menyuam los ntawm kev kis mob hnyav. Qhov tseeb yog tias hauv cov menyuam yaus hnub nyoog qis dua tsib xyoos, CIB yog tus cwj pwm los ntawm kev kawm hnyav, thiab qhov tshwm sim tuag tsis suav nrog. Qhov no yog vim lub fact tias cov kab mob ntawm cov pab pawg neeg yog resistant rautshuaj tua kab mob.
Tom qab tsib xyoos, lub cev tiv thaiv kab mob loj zuj zus tuaj, thiab Hib yuav tsis txaus ntshai rau tus menyuam. Kev tiv thaiv kab mob tsis tso cai rau cov kab mob hemophilic kom tshem tawm. Cov kab mob yog nquag suppressed, uas tsis tshwm sim ua ntej hnub nyoog tsib xyoos. Tib lub sijhawm, Pentaxim muab kev tiv thaiv siab tom qab txhaj tshuaj tiv thaiv rau lub sijhawm 5 xyoos. Tsis xav tau kev txhaj tshuaj ntxiv lawm. "Pentaxim" tsis tsuas yog tiv thaiv, tab sis yav tom ntej tus me nyuam muaj kev tiv thaiv ntau dua rau SARS, thiab txawm tias nws tau tshwm sim, nws txoj kev kawm yooj yim dua. Cov tshuaj tiv thaiv zoo heev yog tias tus menyuam tsis tau txais thawj xyoo ntawm lub neej, yuav tsum tau muab ua ntej nkag mus rau qib kindergarten, thaum muaj kev pheej hmoo rau tus menyuam hauv tsev mob.
Kev sib raug zoo ntawm Pentaxim nrog rau lwm cov tshuaj tiv thaiv
Txhua cov tshuaj tiv thaiv uas tau sau npe hauv tebchaws Russia yog sib xws nrog Pentakism. Tsuas yog qhov tshwj xeeb yog cov tshuaj tiv thaiv kab mob polio nyob hauv tee. Nrog nws siv, "Pentaxim" raug cais tawm. Qhov ntawd yog, yog tias siv lwm yam tshuaj tiv thaiv, tom qab ntawd Pentakism tuaj yeem siv tau yam tsis muaj kev ntshai. Piv txwv li, thaum thawj zaug txhaj tshuaj, koj tuaj yeem thov "Infanrix" + "ImovaxPolio" + "Hiberix"; ntawm kev txhaj tshuaj thib ob peb thov "Pentaksim". Lub sijhawm thib peb, tib ob cov tshuaj, tab sis tsis muaj Infanrix, vim nws tau hloov los ntawm DPT. Qhov thib plaub revaccination - dua "Infanrix".
Cov kev sib txuas no tsis yog kev taw qhia rau kev nqis tes ua, tab sis tsuas yog daim duab qhia txog kev sib xyaw ua ke ntawm cov tshuaj tiv thaiv tuaj yeem hloov pauv thiab hloov pauv thaum twgplaub txhaj tshuaj no.
Tsis tas li, "Pentaxim" tuaj yeem ua ke ib txhij nrog "Prevenar" (tawm tsam pneumococci) - qhov kub tom qab "Pentaxim" thiab "Prevenar" tsis nce, feem ntau nws tsis siab tshaj 38.
Nyob rau hauv xaus, peb tuaj yeem hais ua piv txwv qhov kev xav ntawm tus kws kho mob menyuam yaus Yevgeny Komarovsky, uas lees paub txoj cai ntawm cov kws kho mob menyuam yaus. Nws ntseeg tias kev txhaj tshuaj tiv thaiv yog txoj hauv kev zoo tshaj plaws los tiv thaiv kev noj qab haus huv ntawm tus menyuam los ntawm cov kab mob txaus ntshai thiab xaiv txoj cai ntawm niam txiv, vim tias cov tshuaj tsis nyob twj ywm thiab cov tshuaj siv niaj hnub no muaj txiaj ntsig zoo thiab muaj kev nyab xeeb dua li kaum xyoo dhau los. "Pentaxim" yuav pab kom tsis txhob muaj ntau yam teeb meem yav tom ntej. Lub luag haujlwm ntawm cov niam txiv yog npaj tus menyuam kom raug txhaj tshuaj thiab ua kom raws sijhawm. Yog li, koj tuaj yeem tiv thaiv koj tus menyuam los ntawm ntau yam mob hnyav, Muaj pes tsawg hnub tuaj yeem ntsuas kub tom qab txhaj tshuaj "Pentaxima" kav ntev? Cov lus nug no tau teb kom ntxaws saum toj no.
