Bophelo, Moriana
Tafole liente ho fihlela ho selemo ho bana. Almanaka ea ente ea bana ba ka tlaase selemo se le seng
Batsoali ba mehleng ea kajeno ba arotsoe ka mefuta e meraro: ea pele mabapi le ente ea le bana, batho ba bang khahlanong le, 'me ho ntse ba bang ba ka nahana. Pele haufi le e 'ngoe ea lihlopha tsa ba, ho ke ke ho hlokahala hore ho utloisisa khopolo ea "ente"' me e be a tseba lintho tse bonahalang tse hlahisa. Re tla sheba liente tsohle ka sehloohong ho fihlela ho selemo (e leng e etsang hore e tlamang le e leng taba ea boikhethelo), hammoho le ho sheba lenane la liente phethahatsoa ka mor'a ho fihla a le lilemo li selemo se le seng.
Histori ea ente
Tlaleho ea pele ea letsatsi le ente khutlela lekholong la bo8. Ha a ntse a lingaka tsa Ayurveda fumana hore ente e thibelang sekholopane ea sa hlaheloeng ke eona foromo e matla. Empa ka lebaka la ho haelloa ke tsebo e mabapi le mefuta e sa tsoaneng ba le lefu lena, phello e ba ente hangata e ne e le bolaeang.
Ka lilemo tse makholo, bo-rasaense ba ho tloha linaheng tse sa tšoaneng a bua taba ea ho thibelo ya lefu ka ente, tsamaisa lipatlisiso, ho ngola lipampiri lipatlisiso. Empa feela ho elella lekholong la lilemo la bo19 la lilemo Lui Paster (French immunologist) ka tlang haufi lekane ho mokgweng tsa tsoelo-pele ea ente e ho mafu a sa tšoaneng a tšoaetsanoang.
Ho tloha qalong ea lekholo la mashome a mabeli, ho ne ho pele ho feta 100 ente fapaneng hore sireletsa khahlanong le mafu a tsoaetsanang mashome a mane e bakoang ke libaktheria, likokoana-hloko le protozoa.
ente ke eng?
Ente (ente) - e ntlafatsoa maloetseng maiketsetso, ke fana ka ho batho le lintho tse bonahalang e khethehileng ho ntlafatsa ho hanyetsa lona ho mafu a sa tšoaneng a tšoaetsanoang. Liente se etsang merero ea e thibelang e ka le ho folisa.
ente | |||
Ke mofuta wa microorganisms | Ka mokhoa oa ho etsa thepa | Ke mofuta wa immunogen ho | |
baktheria | Phela likokoana-hloko attenuated | ente liphatsa tsa lefutso bo-enjineri | Ba na le liphatsa tsa lefutso lesedi phetoho lihlahisoa tsa liphatsa tsa lefutso ka liprotheine le kokoana-hloko e le RNA |
Chimeric, ente vector, kapa recombinant | Phatsa ea lefutso e laola tswakana liprotheine sireletsang, aa ageletsweng ka kokoana-hloko e sireletsehileng | ||
bongata ba kokwanahloko | libaktheria bolaoa | Whole-likokoana-hloko tse kapa ente kaofela kokoana-hloko | Ho na le libaktheria kapa likokoana-hloko hore a boloke ka sebopeho lona nakong proizvodnje |
rickettsial | ente lik'hemik'hale, toxoids | Products hlahiswa ho tloha microorganisms kapa metsoako aggregate | |
ente maiketsetso | The immunogen ke lik'hemik'hale analoge tsa protheine sireletsang fumanoa ka ho toba lik'hemik'hale tswakana | ||
Mekhoa ea ho thibela malwetsi
Ente ea bana e etsoa ka litsela tse latelang:
- Entoe nameng. The mokhoa fetisisa khetha ea taolo ente, kaha nyeoeng ena e ananelang ka potlako, maloetseng a qala ho hlahisa ka lebelo, ho fokotsa kotsi ya kulisa.
- The molomo tsela. Ka tsela eo ente e laolwa ke tšoaetso ea enterovirus, eo ka mokgwa wa marotholi, le tsoekere kapa cracker le metsitsoe ka ho mokuli. The bozangi litomba ya mokhoa ona e le hore e ke ke ea ho ketekoa litekanyetso li behoa ea tšepahalang.
- Intradermally. Ka tsela ena, ente e joalo li tsamaisoa ka TB BCG u phele tularemia le sekholopane.
- Subcutaneous ente. The mokhoa ratang ho ba bangata ba inactivated le "phela" ente (rubella, maselese, mumps, bosehla feberu, joalo-joalo).
- Intranasal. Ho akarelletsa ho qaloa ho ente e ka ho nko le fana ka mokhoa oa ho loantšeng mafu propagating droplet mokhoa.
Hlokahalang le boikhethelo liente
Ka naha ea ente na mwango ya Russia Federation ho selemo e kenyeletsang hlokwang mme boikhethelo liente.
Qobelloang ente - ente khahlanong le tšoaetso ea le mafu a mefuta e matla ka ho fetisisa. Ba ne ba boetse ba akarelletsa almanaka eo naha le lebatowa ya liente e thibelang. ente eketsehileng o etsoang tsoa ka kopo ya ba le mamello, ho etsa mohlala, pele ho leeto.
Lekhetlo la ho qetela ea boletsoeng almanakeng ea sechaba ea liente tsa bana ho fihlela ho selemo e mong oa lilemo le ho feta e ile amoheloang ke Order tsa Lekala la Bophelo le Social Development tsa 31/02/11, tlas'a 51H palo "Ka tumello ya eo almanakeng ea sechaba ea ente e thibelang e ka bonahala seoa." Amohelehang liente tafole ho fihlela ho selemo se le seng 'me ba baholo ba e fana ka bakeng sa kenyelletso ea ente e khahlanong le mafu a joalo mantlha tloaelehile hore batho ba a tšoaetsanoang bongata ba kokwanahloko le baktheria, tse kang lefu la sebete B, lefuba, pholio, metso o mosoeu, whooping khohlela, ha mesifa ea mehlahare, mumps le ba bang.
liente hlokahalang ho bana ho fihlela ho selemo - kemiso ea
Mona ka tlase ke lethathamo la liente, eo hakaalo etsa hore ngoana ho fihlela ho selemo.
ente khahlanong le | qala grafting | matlha a revaccination | mantsoe | Lebitso la ente | |||
1st | 2nd | ea boraro | 4th | ||||
lefu la sebete B | Pele lihora tse 24 tsa bophelo | Ka khoeli ea 1st | Ka likhoeli tse 2 | - | Ka selemo | Bana ba kotsing | Euvaks B Engerix B Eberbiovak, H-B-Vax II, Gepatekt, ente e lefu la sebete B, e itseng immunoglobulins batho |
- | Ka likhoeli tse tšeletseng | - | Bana ke kotsing | ||||
lefuba | bophelo 3-7-letsatsi | Ka lilemo tse 7 | Ka lilemo tse 14 | Ho 21, | Ka lilemo tse 28 | Active thibelo ea lefuba | BCG, BCG-M |
Whooping khohlela, metso o mosoeu, ha mesifa ea mehlahare | Ka likhoeli tse 3, lateloa ke 4.5 le dikgwedi tse 6 | Ka likhoeli tse 18 | Ka lilemo tse 6-7 | Ka lilemo tse 14 | A le lilemo li 18, | likhoeli tse ho fihlela ho 18 di sebediswa ente, ho akarelletsa le khohlela whooping, feela joaloka ho tloha lilemong tse 6 - bezkoklyushevye le fokolitse palo ea antigens (bakeng sa bana ba sehlopha ka seng lilemo) | DTP, Infanrix; TD, TD, le d. Adyult T., Imovaks |
ba haemophilus influenzae | Ka likhoeli tse 3, lateloa ke 4.5 le dikgwedi tse 6 kapa Ka likhoeli tse 6, ka nako eo likhoeli tse 7,5 kapa Tloha ka ba lilemo 1 to 5 | Ka likhoeli tse 18 | - | - | - | Atlehe ho latela litaelo feela ho bana ba kotsing | Ketso-HIB (inactivated ente PRT-T) |
pholio | Ka likhoeli tse 3, lateloa ke 4.5 le dikgwedi tse 6 | Ka likhoeli tse 18 | Ka likhoeli tse 20 | Ka lilemo tse 14 | - | MMR-II, Priorix | |
Kemiso ea Thuto ea ente ho fihlela ho selemo ka hanyenyane ile a khaotsa, ho etsa mohlala, ente khahlanong le lefuba bana ba ka tsoalo boima ba ligrama tse ka tlase ho 2.000, etsa hamorao, ha ba ntse ba ba le letlalo otile haholo.
ente khahlanong le | ho etsa | likhoeli tse | |||||
0 | 1 | 2 | 3 | 4.5 | 6 | ||
lefuba | bana bohle ba sehlopheng sena lilemo | letsatsi 3-7 | |||||
lefu la sebete B | bana bohle ba sehlopheng sena lilemo | Ntlha ea pele, boteng ba pref | PE ente | botjha botjha ente | |||
Bana ba kotsing | botjha botjha ente | botjha botjha ente | |||||
tshwaetso Pneumo-coccal | bana bohle ba sehlopheng sena lilemo | ente pele | botjha ente | ||||
whooping khohlela | bana bohle ba sehlopheng sena lilemo | ente pele | botjha ente | botjha botjha ente | |||
metso o mosoeu | |||||||
ha mesifa ea mehlahare | |||||||
Pholio-myelitis | bana bohle ba sehlopheng sena lilemo | Inactivation-virovannaya pholio poliomyelitis ente | Inactivation-virovannaya pholio poliomyelitis ente | Molomo pholio poliomyelitis ente | |||
Bana ba kotsing | Off-virovannaya pholio poliomyelitis ente | ||||||
tshwaetso Hemo-philous | Bana ba kotsing | ente pele | botjha ente | botjha ente | |||
ntaramane | selemo le selemo | ||||||
liente tse eketsehileng
List thibelang ente e kholo ka ho lekaneng, e le mona a bua ka atileng ka ho fetisisa.
ente khahlanong le | sehlopha kotsi | Lebitso la ente |
hepatitis A | Bana ba kenang kindergartens, likolo, le likampong, le ho fallela toropong e 'ngoe le naha | AquaPhone 80, Havrix 720 dil mera 25 |
tsoaetsanang pneumococcal | Bana ba lilemo tsohle | pneumatici 23 |
lefu meningococcal | Bana ba lilemo li lilemo tse 1 to 5 ka lebaka la ho hlōleha ha 'mele o ya ho theha le tšireletso khahlanong le tšoaetso ea | The ente e khahlanong meningococcal lefu A, A le C, meningitis A + C |
letshwao-jere ho ruruha ha boko | Bana ba lilemo tsohle, 'me hangata ho lula ka mofuta |
FSME-mmele boraro Entsepur, IGOs Viry, immunoglobulin FSME-Bulin, immunoglobulin khahlanong le letshwao-jere ho ruruha ha boko |
Seo liente ngoana oa hao etsang selemo ntle qollang
Mora ente e akaretsang ka likhoeli tse 6, le ngoana e enteloa ho 1 selemo. Ho akarelletsa ho ente khahlanong le rubella, maselese le mumps.
Maselese - lefu bongata ba kokwanahloko jala marotholi tsela (nakong moqoqo, ha ho khohlela, e thimola, joalo-joalo ...). Mocheso e hlaha ho 39-40 C. latelang le matšoao: botahoa, lekhopho, diso tsa nasal mucosa esita le qoqotho (coryza, ho khohlela, e thimola, photophobia).
Rubella - tshwaetso vaerase eo. Aba droplet mokhoa. Bana ba ka 'na ho feta batho ba baholo hore ba utloe bohloko le lefu lena. matšoao a: ha matla feberu, lekhopho, ho ruruha lisele tsa mmele nodes. Haeba ngoana oa kula le rubella ka pōpelong, ho na le kotsi e phahameng ea senyeheloa kapa likoli tsa tsoalo ea ho hōla eona.
Mumps - kokoana-hloko e bakang ho mumps lefu. Ha o fumana ho le 'mele oa ka bophelo bo botle ke airborne marotholi tsela le ka beha dintho silafalitsoe, e qala ho atisa ka potlako litsoelesa le mathe. Le matšoao: feberu, kholiso ea litsoelesa le mathe, malaise, tahlehelo ea takatso ea lijo.
Ke ente akaretsang sa selemo tlas'a lekhasi le ka mahetla. Revaccination le hlaha ka lilemo tse 6. Inoculation of 1 selemo hlahisa tšireletso ea boitshireletso khahlanong le maselese, mumps le rubella a le lilemo li 25.
Ho fapana le boemo ba ho liente lefile
Lilemong tsa morao tjena, ho mabokosana ha lingaka litleliniking fa batsoali etsa ka boemo liente bolokolohi le ntle ho leshwa. Ka nako e tšoanang ba etsa liphesente tse lekholo amoheloe hore lefile ente molemo, ha ho na.
Hangata ka ho fetisisa lefile grafting bana ba ka tlaase selemo se le seng a ente eo kenyelletsa ditokiseletso dikarolo 'maloa khahlanong le mafu a kang metso o mosoeu, mokhokhothoane, lefu la sebete B, pholio, ntaramane mofuta B. Free inoculation tšoauoa ka hore le' ngoe kapa ho feta le tlogetswego dikarolo. Sena ha se bolele hore e tla ba thuso. Feela kemiso ea liente ho fihlela, e fana ka liente ka litsela tse ngata, ho etsa mohlala, ente khahlanong pholio e entseng ka thoko (sa intramuscularly le ka molomo).
Hape, ka lebaka la bongata ba e kholo ea ente e ka mor'a ente nyahamisa teng lekana monyetla oa litla-morao, tse neng li sa e-ba joalo ho tekanyetso inoculation. All ente le lefile mmuso di kenyelleditswe ka lethathamo la ae buelletseng le laesense ke Mokhatlo oa Lefatše oa Bophelo (WHO).
Contraindications bakeng sa ente
The contraindications latelang bakeng sa ente:
- 'Nete, ke hore, ba hore ba proven ke lithuto tse sa tšoaneng le ho tse thathamisitsoeng ka semmuso melawana Serussia le tsa machaba.
- Bolumeli ba bohata ke bahanyetsi ba ente.
- Feletseng - ke contraindications 'nete bakeng sa tse ente e ka ho feletseng felisitsoe.
- Tlas'a maemo a (a lekanyelitsoeng) - tse contraindications 'nete, eo ho eona qeto ea ho khanna grafting nka ngaka e thehiloeng histori ea tleleniki ea karete le seoa jwale boemo ba mokuli.
- Nakoana, ke hore, ho ba teng ha ba le mamello ka nako e sa ente ea matšoao a latelang: feberu, sephetho sa amoheleheng mali le moroto le liteko, tse fetang kapa tlas'a sekhahla ea tleleniki, bofokoli, boteng ba dithulaganyo a hlabang.
- Ka ho sa feleng - tseo o ke keng oa tlosoa esita le ka mor'a nako e itseng.
- contraindications poraefete e lebisa ho ente e itseng.
Boitsebiso bo eketsehileng bo mabapi le contraindications ka fumanoa ka ho hlahloba tafole tlase.
ente | contraindications o teng |
ente efe kapa efe | Postvaktsionalnoe complication ka ente pele kapa a hlobaetsang itsoara joang ho qaloa ho |
ente tsohle u phele | Immunostaining malaise ka ente ea pele lihlahala tse kotsi ho ima |
DTP | Tse tsoelang pele mafu tsamaiso ea methapo, febrile tsitsipana |
BCG | Ngwana ha a hlaha bekha dikgerama ka tlase ho 2000 Keloid lebali, ho akarelletsa le mora ka lekhetlo la pele |
Khahlanong le lefu la sebete B | Hypersensitivity (alejiki) ho tomoso moapehi oa |
ente e bang dt, BP-M le M-lipapatso | Matla itšoara joang kapa poso-ente mathata ho ente pele Immunostaining malaise ka ente ea pele malignancies ho ima |
Live maselese ente le mumps, rubella, ho kopantswe di- le MMR | Haholo hypersensitivity (allergy) ho aminoglycosides Anaphylactic itsoara joang ho lehe protheine (ntle le ente rubella) |
A fana ka lethathamo la contraindications atisa ho sekama. Sena ke ka lebaka la ntlafatso ea ente e lilemong tsa morao tjena.
Tips: pele, nakong ea 'me ka mor'a grafting
E le hore ente e o phethahalitse morero oa eona 'me ha baa baka kotsi,' me ngoana a sa tšabe Tsamaiso ena nakong e tlang, ho likhothaletso tse latelang:
- o lokelang ho se etsa mali le moroto liteko;
- fumana maikutlo a boloetse ba methapo le bana le allergist;
- u se ke ua fepa lesea pele ente lijo tse ncha e mo loketseng;
- ha tšosa lesea ente, esita le haeba e 'se metlae foromo;
- Tlisa ho bapala li ratang ho vaccinate ngoana le leleire hloekileng kapa lakane bethe;
- se ke ua lebala ho lengolo ente (haeba leha e le efe);
- buisana le ngaka ea hao lipotso tse tsohle le lipelaelo;
- ka letsatsi la go thibela malwetsi ka boeona, lekanya 'mele oa ngoana ea mocheso;
- Leka a se ke a tšoenyeha ka hore bona ka bobona le ho se bontša ho tšoenyeha hae ho ngoana;
- ha ka nako e sa ente le ngoana o ile a qala ho lla, joale a ke a lla ka eona, 'me joale a re ke ngoana ho nka e tebileng, o lieha phefumoloho.
Mora ente, hopola lintlha tse latelang:
- ho lula tleliniking bakeng sa halofo ea hora ho tsitsisa boemo ba ngoana;
- tabeng ea DTP ente ka nako ea selemo e chesang, le fane ntle ho antipyretic ngoana;
- ka letsatsi la go thibela malwetsi ho qoba mekhoa ea phekolo e ka metsi le maemo e telele.
Hape u se ke ua lebala hore ho fetola ja mekhoa lesea ke ke ha e pejana ho 3 matsatsi a ka mor'a ente. litla-morao ha se hakaalo hore e ba teng hang-hang, ba bang ba ka 'na esita le teng ka letsatsi 5th.
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