Umntanakho uye waba nemithi eminingi noma eminingi, kepha awukwazi ukuthola amarekhodi akhe okugoma. Udokotela wakho akakwazi ukuthola nabo noma. Wenzani? Ingabe udinga ukuqala ukuthola amahlumela futhi? Ngeshwa, lokhu kwenzeka kaningi kunalokho ongakucabanga.
Ukuthola Amarekhodi We-Lost Shot
Imindeni ihamba, odokotela bahlala umhlalaphansi, futhi amarekhodi alahleka. Uma lokhu kwenzeka kuwe ngaphambi kokuthi uqhubeke noma yikuphi okunye, kukhona izinto ezimbalwa ongayenza ukuze uthole amarekhodi okudubula kwengane yakho:
- Thintana nezikhungo zokunakekelwa kwesikhashana zangaphambilini, izikole, amakamu, noma omunye umuntu ongase unikeze ikhophi yerekhodi lakhe lokudubula, futhi ubone ukuthi banayo yini ikhophi.
- Uma udokotela wakho odlule ehamba noma ethatha umhlalaphansi, xhumana nomphakathi wezokwelapha wangakini noma ibhodi lezokwelapha lombuso ukuze ubone ukuthi amarekhodi amadala angagcinwa kuphi. Odokotela kufanele bagcine amarekhodi amadala isikhathi esithile, kodwa ukuthi kuhluka kangakanani isikhathi kusuka kuhulumeni kuya kuhulumeni.
- Uma udokotela wezingane zakho usasebenza, zama ihhovisi lakhe futhi ukuze ubone ukuthi angayithola yini. Nakuba amarekhodi ezokwelapha ngezinye izikhathi aphutha, ngokuvamile kungenzeka ukuba abathola uma abasebenzi behhovisi beqhubeka bebuka.
- Thola ukuthi isimo sakho sine-registry yokugoma futhi, uma kunjalo uma ingane yakho inamarekhodi okugoma kuwo. yonke imishanguzo yengane ene-computer yomthetho wokugoma.
Ungabuye ubuyekeze amarekhodi wezokwelapha ezigcwele wengane yakho uma lokho kutholakala. Kungenzeka ukuthi ngisho noma ungenalo uhlelo lokugoma lomntanakho, ungase ukwazi ukuyilungisa ngokusebenzisa amanothi akho kadokotela noma unesi.
Ukuphinda i-Vaccines
Uma i-record shot yomntwana ilahlekile ngempela, iKomidi Elilulekayo Lokuzivocavoca (ACIP) lincoma ukuthi ingane "kufanele ithathwe njengento engenakwenzeka futhi kufanele iqale ohlelweni lokugoma olufanele."
Ezimweni eziningi, uma ungaqiniseki uma ingane yakho ithola umgomo, khona-ke ingahle iphindwe.
Ngokusho kwe-American Academy of Pediatrics, "akukho bufakazi obubonisa ukuthi ukuphathwa kwe-MMR, varicella, Hib, isifo sofuba B noma isifo somuthi we-poliovirus kubantu abasemagciwane kakade kuyingozi."
Ukuhlola I-Titers
Njengoba izingane eziningi nabazali cishe bengalindeli ukudubula okungaphezulu, i-ACIP inikeza okunye okukhethwa kukho: "Ukuvivinya kwe-Serologic yokuzivikela kuyindlela yokugoma ama-antigens athile." Lokho kusho ukuthi ukuhlolwa kwegazi kungenziwa ukuze uzame ukufakazela ukuthi ingane yakho isivele ithole zonke izibhamu zakhe.
Ukuhamba ngale ndlela, ingane ingahlolwa i:
- Izisulu: i-anti-measle antibody (IgG)
- Amagundane: ama-mumps antibody (IgG)
- I-Rubella: i-rubella isidumbu somzimba we-enzyme immunoassay (EIA) test (IgG)
- I-Hepatitis A: i-hepatitis A yokuhlolwa kwama-antibody (IgG)
- I-hepatitis B: ukuhlolwa kwesibindi esiphezulu se-hepatitis B
- I-Diphtheria: i-antibody i-diphtheria antitoxoid antibody
- I-tetanus: i-antibody tetanus antitoxoid
Lezi zivivinyo nazo ngezinye izikhathi zenzelwe izingane ezamukelwe emhlabeni wonke okungenzeka zithole imithi ethile ezweni lakubo ngaphambi kokutholwa.
Azikho izivivinyo zokukhipha ukuphindwa kabusha kweHaemophilus influenzae uhlobo b (Hib), varicella, poliovirus, noma imishanguzo ye-pertussis . Ngenhlanhla, udinga kuphela umthamo owodwa we-Hib ngemva kwezinyanga eziyi-15, futhi awutholi nhlobo uma uneminyaka emihlanu ubudala.
Ngakho-ke, uma ingane yakho eneminyaka esikoleni ibe nemiphumela emihle kubo bonke abahlolwayo ngenhla, kungenzeka ukuthi ayidingi ukuphinda i-MMR, i-hepatitis A, i- hepatitis B , i-IPV, noma imishanguzo ye-Varivax.
Ngemiphumela yokuhlolwa, udokotela wakho wezingane angabhala incwadi echaza ukuthi ingane yakho igweme izifo ezivimbela ukugoma futhi akudingeki ukuba iphinde iphinde ibuyele imishanguzo.
Umntanakho angasadingeka umuthi wokugoma i-poliovirus, umuthi wokuvimbela u-varicella, kanye nokudubula kwe-pertussis (i-DTaP vs Tdap) nanoma yimiphi imishanguzo lapho izivivinyo zibonisa ukuthi akanakho igciwane lesandulela ngculaza, noma kunjalo.
Kuthiwani ngo-Prevnar? Nakuba kungase kungatholakali kabanzi, kune-test test ye- Streptococcus pneumoniae IgG antibody 7 engasiza ekuqinisekiseni ukuthi ingane yakho ine-Prevnar.
NjengaHib, i-Prevnar ikakhulukazi ezinsaneni, ezincane, nasezikoleni zasenkulisa, futhi akudingeki ukuba izingane ezindala esikoleni. Ngakho-ke, ukuqinisekisa lo mgomo akuvame ukubaluleka njengabanye.
Khumbula ukuthi kukhona ukuhlaselwa okuncane okwenziwe kulezi zivivinyo kunokuba uphinde uphinde uphinde uphinde uphinde uphonse imithi. Ngenye, kunezindleko zokuhlolwa, okungenakuhlanganiswa nomshuwalense. Futhi, ungadinga incwadi entsha ngaso sonke isikhathi lapho ingane yakho ishintsha izikole, iya ekamu elisha , liya ekolishi, njll.
Futhi ngenkathi ingane yakho ingase ingadingi ukudubula enye, inkinga ngalolu cwaningo ukuthi uma unezinga eliphansi lama-antibodies, bese ngaphezu kwenduku yokuhlolwa kwegazi, khona-ke uzobe esadinga ukudubula.
Ukugwema Amarekhodi Okudubula Amalahle
Ukusiza ukugwema ukuba yisimweni lapho irekhodi lokukhishwa kwengane yakho lingase lilahleke, kungaba usizo uku:
- Khuthaza udokotela wakho ukuba ahlanganyele ohlelweni lokubhalisa lokugoma
- Yiba nekhophi yakho yerekhodi lokudutshulwa kwengane yakho livuselelwe njalo lapho ingane yakho ithola imishanguzo ehhovisi lezingane zakho
- Yenza ikhophi yerekhodi lomgogodla wengane yakho bese uyigcina endaweni ephephile, njengesiphephelo sasekhaya esinikeza ukuvikelwa komlilo futhi okungenakuvimbela amanzi
- Gcina ikhophi yesibili yomlando wokugoma wengane yakho endaweni yesibili ngaphandle kwekhaya lakho, njengebhokisi lokupholisa eliphephile noma ikhaya lelunga lomndeni
Isiphepho uKatrina kufanele sibe yindlela yokuvusa ukuthi amarekhodi abalulekile angabhubhisa. Ngaphandle kokulahlekelwa amarekhodi ekhaya lakho, ngale nhlekelele enkulu, amarekhodi ehhovisi likadokotela wakho cishe ayolahleka, futhi. Ngenhlanhla, eLouisana kakade yayinehlelo lokulandela ukugoma lokugoma. Ngakho-ke, ngisho nangokulahlekelwa okuningi kwezikhukhula, amarekhodi okugoma ahlala aqinile.
> Umthombo:
> Iziphakamiso ze-Vaccine nezinkombandlela ze-ACIP: Izimo ezikhethekile. Amasevisi Okulawula Nokuvimbela Izifo. https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/special-situations.html#t-01.