Kev txhaj tshuaj tiv thaiv tau muaj txij li lub sijhawm Catherine. Ua tsaug rau lawv, ntau txhiab tus neeg raug tsim txom tau txais kev cawmdim. Undoubtedly, yeej ib txwm muaj kev pheej hmoo ntawm kev mob tshwm sim tom qab txhaj tshuaj tiv thaiv, tab sis txoj haujlwm ntawm txhua tus niam txiv yog los tiv thaiv lawv tus menyuam los ntawm cov kab mob loj. Tsuas yog ib txoj hauv kev muaj peev xwm los txhaj tshuaj tiv thaiv thiab kev paub txog yuav pab kom tsis txhob muaj qhov tshwm sim txaus ntshai. Tom ntej no, xav txog dab tsi yog kev txhaj tshuaj DTP. Komarovsky, tus kws kho mob menyuam yaus paub zoo, yuav pab npaj tus menyuam rau kev txhaj tshuaj tiv thaiv thiab muaj kev phiv los ntawm nws cov lus qhia.
Decipher DTP
Cov ntawv no txhais li cas?
- Ib qho tshuaj tiv thaiv adsorbed.
- K rau hnoos hawb pob.
- D rau diphtheria.
- C - tetanus.
Cov tshuaj tiv thaiv muaj cov kab mob tsis muaj zog - cov kab mob ua rau cov kab mob saum toj no, adsorbed los ntawm aluminium hydroxide thiab merthiolate. Kuj tseem muaj cov tshuaj tiv thaiv cell-dawb, ua kom huv dua. Lawv muaj cov kab mob ntawm cov kab mob uas txhawb lub cev los tsim cov tshuaj tiv thaiv tsim nyog.
Nco ntsoov Dr. Komarovsky hais tias: “Kev txhaj tshuaj tiv thaiv DPT yog qhov nyuaj tshaj plaws thiab tuaj yeem nyuaj rau tus menyuam kom zam tau. Teeb meemnws qhov kev txav mus los yog cov kab mob pertussis nws muaj."
Ib qho tshuaj tiv thaiv yuav tiv thaiv kab mob diphtheria, hnoos hawb pob thiab tetanus. Cov kab mob no tuaj yeem ua rau muaj qhov tshwm sim tu siab, thiab txaus ntshai npaum li cas, peb yuav xav txog ntxiv.
kab mob txaus ntshai
DTP tshuaj tiv thaiv yuav tiv thaiv kab mob khaub thuas, kab mob diphtheria thiab tetanus. Vim li cas cov kab mob no txaus ntshai?
hnoos hawb pob yog ib yam kab mob tshwm sim los ntawm tus kab mob hnyav. Muaj hnoos heev, uas tuaj yeem ua rau ua pa tsis ua pa, nqos. Ib qho teeb meem yog kev txhim kho mob ntsws. Tus kab mob no kis tau thiab txaus ntshai heev, tshwj xeeb tshaj yog rau cov menyuam yaus hnub nyoog qis dua 2 xyoos.
kab mob hawb pob yog kab mob sib kis. Ib qho yooj yim kis tau los ntawm huab cua tee. Kev qaug cawv hnyav tshwm sim, thiab cov ntaub ntawv ntom ntom ntawm cov tonsils. o tuaj yeem tshwm sim, muaj kev hem thawj loj ntawm kev cuam tshuam ntawm lub plawv, ob lub raum thiab lub paj hlwb.
Tetanus yog ib qho mob hnyav thiab kis tau. Lub paj hlwb puas lawm. Txo cov leeg nqaij ntawm lub ntsej muag, caj dab, nraub qaum. Muaj kev nyuaj hauv kev nqos, nws nyuaj rau qhib lub puab tsaig. Kev phom sij txaus ntshai ntawm kev ua pa. Feem ntau, kev tuag. Tus kab mob kis tau los ntawm qhov txhab ntawm daim tawv nqaij thiab cov mucous daim nyias nyias.
Thaum twg thiab leej twg ua DTP
Txij thaum yug me nyuam, teem caij txhaj tshuaj tiv thaiv. Yog tias koj ua raws li tag nrho cov ntsiab lus ntawm kev txhaj tshuaj, qhov ua tau zoo yuav siab, tus menyuam hauv qhov no muaj kev tiv thaiv zoo. Kev txhaj tshuaj DTP, Komarovsky nyiam qhov no, kuj yuav tsum tau uaraws sijhawm. Txij li thaum tus menyuam muaj kev tiv thaiv los ntawm leej niam cov tshuaj tiv thaiv tsuas yog thawj 6 lub lis piam txij thaum yug los.
Kev txhaj tshuaj tuaj yeem yog hauv tsev lossis txawv teb chaws.
Txawm li cas los xij, tag nrho cov tshuaj tiv thaiv DTP, tsis hais cov chaw tsim khoom, raug tswj hwm peb theem. Txij li kev tiv thaiv tsis muaj zog tom qab txhaj tshuaj tiv thaiv thawj zaug, nws yog ib qho tsim nyog yuav tsum tau txhaj tshuaj tiv thaiv dua. Muaj txoj cai rau txhaj tshuaj tiv thaiv DTP:
- Cov tshuaj tiv thaiv yuav tsum tau txhaj rau peb theem.
- Hauv qhov no, lub sijhawm ntawm kev txhaj tshuaj yuav tsum yog tsawg kawg 30-45 hnub.
Yog tias tsis muaj contraindications rau kev txhaj tshuaj, lub sijhawm zoo li no:
- 1 txhaj tshuaj ntawm 3 lub hlis.
- 2 txhaj tshuaj ntawm 4-5 lub hlis.
- 3 txhaj tshuaj ntawm 6 lub hlis.
Nyob rau yav tom ntej, lub sijhawm yuav tsum yog tsawg kawg 30 hnub. Raws li txoj kev npaj, kev txhaj tshuaj tiv thaiv DPT yog ua tiav ntawm:
- 18 lub hlis.
- 6-7 xyoo.
- 14 xyoo.
Cov neeg laus tuaj yeem txhaj tshuaj tiv thaiv ib zaug txhua 10 xyoo. Hauv qhov no, nws yog ib qho tsim nyog los saib xyuas lub sijhawm ntawm kev txhaj tshuaj, nws yuav tsum tsis pub tsawg tshaj li ib hlis thiab ib nrab.
Ntau zaus, ib qho tshuaj tiv thaiv muaj cov tshuaj tiv thaiv kab mob tiv thaiv ntau yam kab mob. Qhov no tsis ua rau tus menyuam lub cev tag nrho, vim lawv tau yooj yim zam. Yog li, piv txwv li, yog tias DPT thiab polio txhaj tshuaj tiv thaiv, Komarovsky sau tseg tias lawv tuaj yeem ua tau tib lub sijhawm, vim tias tom kawg tsis muaj kev phiv.
Tshuaj tiv thaiv kab mob polio, qhov ncauj, "nyob". Tom qab ntawd, nws raug nquahu kom tsis txhob tiv tauj cov menyuam uas tsis tau txhaj tshuaj rau ob lub lis piam.
tiv thaiv ntev npaum li cas
Tom qab ntawdraws li kev txhaj tshuaj DPT (Komarovsky piav qhia nws li no), lub cev tiv thaiv kab mob pib tsim cov tshuaj tiv thaiv kab mob qhua pias, kab mob diphtheria thiab tetanus. Yog li, nws tau pom tias tom qab txhaj tshuaj tiv thaiv hauv ib hlis, qib ntawm cov tshuaj tiv thaiv hauv lub cev yuav yog 0.1 IU / ml. Ntev npaum li cas kev tiv thaiv yuav kav ntev npaum li cas nyob ntawm qhov zoo ntawm cov tshuaj tiv thaiv. Raws li txoj cai, kev tiv thaiv kab mob yog xam rau 5 xyoos. Yog li ntawd, lub sijhawm ntawm kev txhaj tshuaj tiv thaiv yog 5-6 xyoo. Thaum muaj hnub nyoog laus, nws txaus los ua DTP ib zaug txhua 10 xyoo.
Yog tias txhaj tshuaj tiv thaiv DTP, ces txoj hauv kev yuav kis kab mob diphtheria, tetanus lossis qhua pias muaj tsawg heev. Nws ntseeg hais tias ib tug neeg nyob rau hauv cov ntaub ntawv no tiv thaiv los ntawm cov kab mob no.
Yuav kom tsis txhob ua mob rau lub cev, nws yuav tsum nco ntsoov tias muaj ntau yam contraindications.
leej twg yuav tsum tsis ua DTP
DTP yog ib qho ntawm cov tshuaj tiv thaiv uas nyuaj rau zam thaum menyuam yaus. Thiab yog tias ua ntej ntawd tsis muaj kev cuam tshuam rau kev txhaj tshuaj, ces nws tuaj yeem ua rau muaj kev phiv. Txhawm rau kom tsis txhob ua rau qhov tsis xav tau ntawm kev txhaj tshuaj tiv thaiv DPT, Komarovsky qhia kom ua tib zoo saib xyuas cov laj thawj vim li cas txhaj tshuaj tiv thaiv yuav tsum tau muab tso tseg.
Cov laj thawj yuav yog ib ntus, cov no suav nrog:
- kab mob khaub thuas.
- kab mob sib kis.
- nce lub cev kub.
- Kev mob hnyav zuj zus.
Nyob rau hauv cov xwm txheej zoo li no, yuav tsum kho tus menyuam, thiab tsuas yog ob lub lis piam tom qab rov ua tiav, koj tuaj yeem ua DPT.
DTP yuav tsum tsis txhob txhaj tshuaj tiv thaiv yog tias muajCov kab mob hauv qab no:
- Kev sib txawv hauv kev ua haujlwm ntawm lub paj hlwb uas vam meej.
- Cov tshuaj tiv thaiv yav dhau los nyuaj heev rau zam.
- Me nyuam muaj keeb kwm qaug dab peg.
- Cov tshuaj tiv thaiv yav dhau los ua rau qaug dab peg.
- Immunodeficiency.
- Tshwj xeeb rhiab heev rau lossis intolerance rau cov tshuaj tiv thaiv.
Yog tias koj tus menyuam muaj kab mob, lossis koj ntshai tias kev txhaj tshuaj tiv thaiv DTP yuav ua rau muaj qhov tshwm sim tsis zoo, koj yuav tsum sab laj nrog kws kho mob. Tej zaum koj yuav tau txhaj tshuaj tiv thaiv kab mob uas tsis muaj kab mob hnoos hawb pob, vim lawv tuaj yeem ua rau muaj kev phom sij.
Kev txhaj tshuaj tiv thaiv kuj yuav ncua yog tias tus menyuam:
- Diathesis.
- Lub yuag.
- menyuam yau.
- Encephalopathy.
Raws li cov xwm txheej no, kev txhaj tshuaj tiv thaiv tuaj yeem ua tau, tab sis kev npaj rau kev txhaj tshuaj tiv thaiv DTP, Komarovsky hais txog qhov no, yuav tsum muaj kev ruaj ntseg ntawm lub xeev kev noj qab haus huv. Nws yog qhov zoo tshaj plaws los siv cov tshuaj tiv thaiv kab mob tsis muaj cell, purified heev rau cov menyuam no.
Muaj peev xwm ua tau tom qab txhaj tshuaj tiv thaiv
Dab tsi yog qhov tshwm sim tom qab txhaj tshuaj tiv thaiv DPT? Kev tshuaj xyuas Komarovsky muab ntau yam. Thiab tag nrho cov kev mob tshwm sim tuaj yeem muab faib ua me me, nruab nrab thiab hnyav.
Feem ntau, cov tshuaj tiv thaiv rau cov tshuaj tiv thaiv tshwm tom qab 3 koob tshuaj. Tej zaum vim tias nws yog los ntawm lub sijhawm no uas lub cev tiv thaiv kab mob pib tsim. Tus menyuam yuav tsum tau saib xyuastshwj xeeb tshaj yog nyob rau thawj teev tom qab txhaj tshuaj tiv thaiv thiab rau peb hnub tom ntej. Yog tus me nyuam mob hnub plaub tom qab txhaj tshuaj, ces nws yuav ua tsis tau tus kab mob.
Qhov tshwm sim ntawm qhov tshwm sim tsis zoo tom qab txhaj tshuaj tiv thaiv yog qhov tshwm sim ntau heev. Txhua tus neeg thib peb yuav muaj lawv. Cov tshuaj tiv thaiv me me uas daws tau hauv 2-3 hnub:
- Nws muaj peev xwm hais tias qhov ntsuas kub yuav nce siab tom qab txhaj tshuaj tiv thaiv DTP. Komarovsky pom zoo kom khob nws thaum pib, koj yuav tsum tsis txhob tos kom nce mus txog 38 degrees. Nws yog tsim nyog los tua tsuas yog "Paracetamol" lossis "Ibuprofen". Cov tshuaj tiv thaiv no yuav tshwm sim 2-3 teev tom qab txhaj tshuaj.
- Ntau tus menyuam tus cwj pwm hloov tom qab txhaj tshuaj. Nws dhau los ua Mood, whiny. Lub xeev no yuav kav ntev li ob peb teev. Tej zaum tus me nyuam txhawj xeeb txog qhov mob tom qab txhaj tshuaj. Cov tshuaj tiv thaiv rov qab kuj raug tso cai. Tus menyuam txoj haujlwm yuav txo qis, txawm tias me ntsis lethargy tuaj yeem tshwm sim. Tsis qab los noj mov thiab tsaug zog kuj ua tau.
- Qhov chaw txhaj tshuaj tuaj yeem ua liab thiab o me ntsis. Qhov no kuj yog ib qho kev pom zoo, tab sis qhov o yuav tsum tsis pub tshaj 5 cm, thiab liab yuav tsum tsis pub tshaj 8 cm. Qhov chaw txhaj tshuaj tuaj yeem mob, yog li koj yuav tsum tau tiv thaiv nws los ntawm qhov tsis tsim nyog kov thiab txav.
- Tau ntuav.
Kev mob tshwm sim nruab nrab thiab hnyav
Nws tsis tuaj yeem tshem tawm qhov tshwm sim ntawm cov kev mob tshwm sim hnyav dua. Lawv tsis tshua muaj ntau:
- KubLub cev tuaj yeem nce mus rau 39-40 degrees.
- Yuav muaj mob qaug dab peg.
- Qhov chaw txhaj tshuaj yuav ua rau reddened, ntau tshaj 8 centimeters, thiab yuav o ntawm ntau tshaj 5 centimeters.
- Zoo thiab ntuav yuav tshwm sim.
Yog tias muaj cov tshuaj tiv thaiv zoo li no tshwm sim, nws tseem ceeb kom coj tus menyuam mus rau kws kho mob.
Hauv qhov tsis tshua muaj tshwm sim, qhov tshwm sim tsis zoo yuav tshwm sim:
- Anaphylactic shock.
- Quicke's edema.
- Urticaria, tawm pob.
- Convulsions nrog lub cev kub ib txwm.
DTP yog ib qho tshuaj tiv thaiv (Komarovsky sau qhov tshwj xeeb), uas ua rau muaj kev phiv tshwm sim hauv ib kis ntawm ib lab.
Cov tshuaj tiv thaiv no yuav tshwm sim hauv thawj 30 feeb tom qab txhaj tshuaj. Yog li ntawd, tus kws kho mob pom zoo kom tsis txhob tawm tam sim ntawd tom qab txhaj tshuaj, tab sis nyob ze ntawm lub tsev kho mob lub sijhawm no. Tom qab ntawd koj yuav tsum rov qab qhia tus menyuam mus rau kws kho mob. Tag nrho cov no yog ua kom muaj peev xwm muab kev pab tsim nyog rau tus menyuam.
Koj qhov kev ua tom qab txhaj tshuaj tiv thaiv
Yuav kom tus menyuam zam qhov tshuaj tiv thaiv yooj yim dua, nws yog qhov tsim nyog tsis yog npaj rau nws, tab sis kuj coj tus cwj pwm kom raug tom qab nws. Namely, ua raws qee cov cai:
- Tus menyuam mos yuav tsum tsis txhob da dej hauv tub thiab qhov chaw txhaj tshuaj yuav tsum tsis txhob ntub.
- Dr. Komarovsky pom zoo kom taug kev, tab sis tsis txhob taug kev hauv qhov chaw pej xeem.
- Siv 3 hnub no hauv tsev yam tsis muaj neeg tuaj xyuas, tshwj xeeb tshaj yog tias tus me nyuam kub los yog qias neeg.
- huab cua sab hauv tsev yuav tsum moist thiab tshiab.
- Koj yuav tsum tsis txhob qhia cov khoom tshiab rau hauv kev noj haus ib lub lis piam ua ntej txhaj tshuaj tiv thaiv thiab tom qab. Yog tus menyuam pub niam mis, niam yuav tsum tsis txhob sim zaub mov tshiab.
- Cov niam txiv ntawm cov menyuam uas muaj kev fab tshuaj yuav tsum ceev faj tshwj xeeb. Tham nrog koj tus kws kho mob txog cov tshuaj tiv thaiv kab mob twg yuav muab ua ntej thiab tom qab txhaj tshuaj.
Yuav coj li cas thaum muaj kev cuam tshuam tsis zoo
Tshwj xeeb me ntsis tseem ua tau. Txij li thaum cov tshuaj tiv thaiv DTP suav hais tias yog qhov nyuaj tshaj plaws rau lub cev, tshwj xeeb tshaj yog tias tus menyuam yav tas los muaj qhov tsis zoo rau kev txhaj tshuaj. Yuav ua li cas thaum muaj kev phiv tom qab txhaj tshuaj tiv thaiv DTP:
- Kub. Komarovsky pom zoo kom saib xyuas nws tas li. Tsis txhob tos txog 38, muab tshuaj tua kab mob kom sai li sai tau thaum nws pib nce.
- Yog tias muaj o lossis liab ntawm qhov chaw txhaj tshuaj, nws yuav tsum tau coj tus menyuam mus rau kws kho mob. Tej zaum cov tshuaj no tsis nkag mus rau hauv cov leeg, tab sis mus rau hauv cov rog subcutaneous, vim qhov no, o thiab induration yuav tshwm sim. Txawm li cas los xij, kev sab laj kws kho mob yog tsim nyog los txo tus me nyuam tus mob thiab tsis suav nrog cov teeb meem tshwm sim. Yog tias nws tsuas yog liab me ntsis, nws yuav ploj mus hauv 7 hnub thiab koj tsis tas yuav ua dab tsi.
Yuav kom tsis txhob muaj kev phiv, koj yuav tsum ua tib zoo npaj tus menyuam kom txhaj tshuaj tiv thaiv. Xav paub ntau ntxiv tom qab.
Yuav npaj koj tus menyuam li cas rau txhaj tshuaj tiv thaiv DTP
Komarovsky muab qee qhov yooj yim thiab tsim nyogTswv yim:
- Qhia tus menyuam rau tus kws kho mob, uas yuav tsum kuaj xyuas thiab ntsuas nws tus mob kom raug. Hauv lwm lo lus, kom paub meej tias tus menyuam noj qab nyob zoo.
- Yog tias koj tus menyuam tsis haum, yuav tsum tau txhaj tshuaj tiv thaiv kab mob 3 hnub ua ntej txhaj tshuaj. Ua ntej qhov no, koj yuav tsum sab laj nrog koj tus kws kho mob txog cov tshuaj thiab nws qhov ntau npaum li cas.
- Nws yog qhov zoo tshaj yog mus ntsib kws kho mob hlwb thiab kuaj zis thiab ntshav. Tshwj xeeb tshaj yog ua ntej tus me nyuam raug mob.
- Tsis txhob pub koj tus menyuam noj ntau dhau rau hnub txhaj tshuaj.
- Yog tias muaj kev xav tias tus menyuam yuav mob, thiab yog tias ib tus neeg hauv tsev neeg mob, nws tsim nyog ncua sijhawm txhaj tshuaj.
- Cov tshuaj tiv thaiv yuav tsum yog cov khoom zoo thiab tswj tau zoo.
Kuv Yuav Ua Li Cas DPT?
Kev tsis lees txais tshuaj tiv thaiv tam sim no tuaj yeem pom. Nco ntsoov: tus kab mob hem muaj teeb meem ntau dua li qhov tshwm sim tom qab txhaj tshuaj tiv thaiv DPT. Kev tshuaj xyuas Komarovsky, raws li nws, tau hnov txog ntau yam txog kev txhaj tshuaj, tab sis muaj ib txwm muaj txiaj ntsig ntau dua li qhov tsis zoo. Tom qab tag nrho, thaum muaj mob diphtheria lossis tetanus, tsis muaj kev tiv thaiv kab mob no. Cov tshuaj tsis nyob twj ywm, thiab cov tshuaj tiv thaiv tau ua kom huv thiab nyab xeeb dua. Nws tsim nyog xav txog nws. Tsis tas yuav muaj kev pheej hmoo rau kev noj qab haus huv thiab lub neej ntawm tus menyuam. Cov tshuaj tiv thaiv zoo tshaj plaws, tus kws kho mob uas mob siab rau tuaj yeem txo qhov kev pheej hmoo ntawm kev mob tshwm sim. Kev noj qab haus huv rau koj thiab koj cov menyuam.
