Ka lāʻau āpau Pentavalent: pehea a i ka wā hea e hoʻohana ai a me nā hopena maikaʻi ʻole
Anter
- Pehea e ho ohana
- He aha nā hopena maikaʻi ʻole e kū mai
- ʻO wai ka mea pono ʻole e hoʻohana
- He aha ke akahele e lawe ai
ʻO ka lāʻau koʻokoʻo pentavalent kahi lāʻau lapaʻau e hāʻawi ai i ka pale ʻana i ka lāʻau i ka diphtheria, ka tetanus, ka maʻi hepe, ka maʻi hepitis B a me nā maʻi i hoʻokumu ʻia e Haemophilus influenzae ʻano b., e pale ana i ka hoʻomaka ʻana o kēia mau maʻi. Ua hana ʻia kēia lāʻau lapaʻau me ka pahuhopu o ka hōʻemi ʻana i ka helu o nā injection, no ka mea, he nui nā antigens i loko o kāna haku mele i ka manawa like, e ʻae ai e pale i nā maʻi like ʻole.
Pono e hāʻawi ʻia ka lāʻau lapaʻau pentavalent i nā keiki mai 2 mau makahiki o ka makahiki, a i ka palena ʻoi aku o 7 mau makahiki. E kūkākūkā i ka papa hana hoʻōla a wehewehe i nā kānalua ʻē aʻe e pili ana i nā lāʻau āpau
Pehea e ho ohana
Pono e lawelawe i ka lāʻau lapaʻau ma 3 mau lā, ma nā wā 60, e hoʻomaka ana ma 2 mau makahiki o ka makahiki. ʻO nā hoʻoikaika ʻana ma 15 mau mahina a me 4 mau makahiki, pono e hoʻokō ʻia me ka lāʻau DTP, me ka makahiki i ʻoi aku ka nui no ka noi ʻana o kēia lāʻau lapaʻau he 7 mau makahiki.
Pono e lawelawe i ka lāʻau lapaʻau i loko o ka intramuscularly, e ka ʻoihana olakino.
He aha nā hopena maikaʻi ʻole e kū mai
ʻO nā hopena maikaʻi ʻole e hiki ke hana ʻia me ka lawelawe ʻana o ka lāʻau lapaʻau pentavalent ʻo ia hoʻi ka ʻeha, ʻulaʻula, pehu a me ka induration o kahi e hoʻopili ʻia ai ka lāʻau āpau a me ka uē kūlohelohe. E aʻo pehea e hakakā ai i nā hopena maikaʻi ʻole o nā lāʻau āpau.
ʻOiai ʻoi iki ka pinepine, ka luaʻi, ka pākī a me ke kuni, nā loli i ka ʻano ʻai, e like me ka hōʻole ʻana e ʻai, ka hiamoe a me ka huhū, hiki pū kekahi.
ʻO wai ka mea pono ʻole e hoʻohana
ʻAʻole pono e hāʻawi ʻia ka lāʻau lapaʻau pentavalent i nā keiki ma mua o 7 mau makahiki, ka mea i hypersensitive i nā ʻāpana o ka haʻilula a i ʻole, ma hope o ka lawelawe ʻana o ka lāʻau ma mua, ua loaʻa ka maʻi fiva ma luna o 39ºC i loko o 48 mau hola ma hope o ka hoʻōla ʻana, hopu ʻia nā maʻi a hiki i 72 mau hola ma hope o ka lawelawe ʻana o ka lāʻau āpau, hāneʻe ka holo ʻana ma waena o 48 mau hola ma hope o ka lawelawe ʻana o ka lāʻau āpau a i ʻole encephalopathy i loko o nā lā 7 e hiki mai ana.
He aha ke akahele e lawe ai
Pono e lawelawe ʻia kēia lāʻau lapaʻau me ka akahele i ka poʻe me thrombositopenia a i ʻole nā maʻi o ke kāpili ʻana, no ka mea ma hope o ka hoʻoponopono intramuscular, hiki ke kahe i ke kahe. I kēia mau hihia, pono i ka ʻoihana olakino ke lawelawe i ka lāʻau āpau me kahi nila maikaʻi, a laila kaomi no 2 mau minuke.
Inā loaʻa i ke keiki kahi maʻi kūpilikiʻi koʻikoʻi a koʻikoʻi paha, pono e hoʻopaneʻe ʻia ka lāʻau lapaʻau ʻana a pono e wailana ʻia ʻo ia ke nalowale nā ʻōuli o ka maʻi.
I ka poʻe me ka maʻi pale ʻole a i ʻole ke ʻimi nei i nā lāʻau hoʻomalu maʻi pale maʻi a i ʻole ke lawe ʻana i nā corticosteroids, ua hōʻemi paha lākou i ka pane pale pale.
E nānā i ka wikiō e hiki mai ana a ʻike i ke koʻikoʻi o ka lāʻau lapaʻau ʻana no ke olakino.