Diphtheria, Tetanus a pertussis vaccine (DTPa)

Anter

• ʻO wai ka mea e lawe
• Hoʻomaʻamaʻa i ka hāpai keiki
• Pehea e lawe ai
• Nā hopena ʻē aʻe
• Ke lawe ʻole ʻoe

Hāʻawi ʻia ka lāʻau āpau e pili ana i ka diphtheria, ka tetanus, a me ka kohō e like me ka injection e koi ʻia ana i nā lāʻau he 4 no ka pale ʻana o ka pēpē, akā hōʻike pū ʻia ia i ka wā hāpai, no nā poʻe loea e hana nei i nā keʻena lapaʻau a me nā haukapila a no nā ʻōpio a me nā mākua āpau e pili pono me ke keiki hānau hou.

Kapa ʻia kēia lāʻau lapaʻau he lāʻau ākea acellular e kūʻē i ka diphtheria, ka tetanus a me ka kohā (DTPa) a hiki ke hoʻopili ʻia i ka lima a me ka ʻūhā, e kahi kahu a kauka paha, ma ke keʻena olakino a i ʻole kahi keʻena pilikino.

ʻO wai ka mea e lawe

Hōʻike ʻia ka lāʻau lapaʻau no ka pale ʻana i ka diphtheria, ka tetanus a me ka kohō i nā wahine hāpai a me nā pēpē, akā pono ia e hoʻopili ʻia i nā ʻōpio āpau a me nā mākua i hiki ke hoʻopili aku me ka pēpē ma 15 mau lā ma mua o ka hānau ʻana. No laila, hiki ke hoʻohana ʻia kēia lāʻau lapaʻau i nā kūpuna, nā ʻanakala a me nā hoahānau o ka pēpē e hānau koke ʻia.

ʻO ka wīwī o nā mākua e pili pili loa me ka pēpē he mea nui ia no ka mea ʻo ka maʻi hepe ka maʻi nui e hiki ai i ka make, ʻo ia hoʻi i nā pēpē ma lalo o 6 mau makahiki o ka makahiki, ka mea e maʻi mau ʻia e ka poʻe kokoke iā lākou. He mea nui e lawe i kēia lāʻau āpau no ka mea ʻaʻole hōʻike mau ka maʻi kahe i nā ʻōuli, a ʻo ia ke kumu e maʻi ai ke kanaka a ʻike ʻole.

Hoʻomaʻamaʻa i ka hāpai keiki

Hōʻike ʻia ka lāʻau lapaʻau e lawe ʻia i ka wā hāpai no ka mea hoʻonāukiuki ia i ke kino o ka wahine e hana i nā mea ʻino, a laila hele i ka pēpē ma o ka placenta, pale iā ia. Paipai ʻia ka lāʻau lapaʻau ma waena o 27 a me 36 mau pule hānau, ʻoiai inā ua loaʻa ka lāʻau i kēia wahine i kekahi hāpai keiki ʻē aʻe, a i ʻole kahi lāʻau ma mua.

Pale kēia lāʻau lapaʻau i ka ulu ʻana o nā maʻi ʻino, e like me:

• Diphtheria: ʻo ia ke kumu o nā ʻōuli e like me ka paʻakikī i ka hanu ʻana, ka pehu ʻana o ka ʻāʻī a hoʻololi i ka puʻuwai puʻuwai;
• ʻO Tetanus: ka mea e hiki ai i ke kāʻili ʻana a me ka ʻāʻī kino i ikaika loa;
• ʻO ka maʻi kohā: ʻeha nui, ihu ihu a me ka malaise nui, ʻoi loa i nā pēpē ma lalo o 6 mau makahiki.

E ʻike i nā lāʻau āpau a pau e pono ai i kāu pēpē e lawe:

Manuahi ka lāʻau hoʻomaʻamaʻa dTpa, ʻoiai he ʻāpana ia o ka papa hana hoʻowalewale kumu no nā keiki a me nā wahine hāpai.

Pehea e lawe ai

Hoʻohana ʻia ka lāʻau lapaʻau ma o ka hoʻokomo ʻana i loko o ka mākala, a he mea pono e lawe i nā koina e like me kēia:

• 1 mahele lāʻau: 2 mahina;
• Lāʻau 2: 4 mahina;
• 3 mahele lāʻau: 6 mau makahiki;
• Hoʻoikaika: ma 15 mau mahina; ma 4 makahiki a laila i kēlā me kēia 10 mau makahiki;
• I ka hāpai keiki: 1 mahele lāʻau mai 27 mau pule hānau a i ʻole 20 mau lā ma mua o ka hānau ʻana, i kēlā me kēia hāpai keiki;
• ʻO nā ʻoihana olakino e hana nei i nā papa hānau a me nā ICU neonatal pono pū kekahi e loaʻa i kahi lāʻau o ka lāʻau āpau me ka booster i kēlā me kēia 10 mau makahiki.
  

ʻO ka mahele kino maʻamau no ka lawelawe ʻana i ka lāʻau lapaʻau i nā keiki ma mua o 1 mau makahiki, ʻo ia ka mākala deltoid o ka lima, no ka mea inā pili ʻia i ka ʻūhā e alakaʻi i ka paʻakikī e hele ma muli o ka ʻeha o ka ʻū a, i ka hapa nui, i kēlā mau makahiki ke hele wāwae nei ke keiki.

Hiki ke lawelawe ʻia kēia lāʻau koʻokoʻo i ka manawa like me nā lāʻau āpau ʻē aʻe i ka papa hana hoʻohiʻopiʻo kamaliʻi, akā pono e hoʻohana i nā syringes ʻokoʻa a koho i nā wahi like ʻole o ka noi.

Nā hopena ʻē aʻe

No 24 a 48 mau hola hiki i ka lāʻau lapaʻau ke hōʻeha i ka ʻeha, ʻulaʻula a me ka hoʻokumu puʻupuʻu ma ka pūnaewele injection. Hoʻohui ʻia, wela paha, huhū a hiamoe paha. I mea e hōʻoluʻolu ai i kēia mau ʻōuli, hiki ke hoʻohana ʻia ka hau i ka pūnaewele lāʻau lapaʻau, a me nā lāʻau antipyretic, e like me Paracetamol, e like me ke alakaʻi a ke kauka.

Ke lawe ʻole ʻoe

Hoʻoikaika ʻia kēia lāʻau lapaʻau no nā keiki i loaʻa i ka pertussis, inā he anaphylactic react i nā lāʻau i hala; inā ʻike ʻia nā ʻōuli o ka hopena immunoallergic, e like me ka ʻili, nā ʻulaʻula i ka ʻili, ke kūkulu ʻia ʻana o nā nodule ma ka ʻili; a i ka hihia o ka maʻi o ke kikowaena ko mākou hopohopo; Wela wela; encephalopathy holomua a i ʻole epilepsy kāohi ʻole ʻia.