Izinsisekelo zokugoma
Ukukhathazeka ngokuphendula ngomuthi wokugoma yilokho okuholela abanye abazali ukuba bangene noma bangabambezeli imithi yokugoma yezingane zabo ngokungadingekile. Ngeshwa, lokho akuholela ekuphenduleni okuncane, kushiya lezo zingane zingakhuselekanga futhi zisengozini yezifo eziningi ezivimbela ukugoma .
Ngaphezu kokuqonda eziningi zezinganekwane nezincazelo ezingaqondakali ezizungeze imishanguzo futhi esabisa abazali ekugodleni izingane zabo, ukuqonda izinto ezingabeka izingane engozini enkulu yokuphendula kungakusiza wenze isinqumo sokuthola izingane zakho zigonywe ngokugcwele.
Ingabe Ingane Yakho Isengozini Yokuthola I-Vaccine?
Ukuze usize ukuthola ukuthi ingane yakho inanoma yikuphi ukuphikisana noma izinyathelo zokugwema ukuthola imithi, ochwepheshe batusa ukuthi abazali baphendule imibuzo eyisisekelo ngaphambi kokuba izingane zabo zithole imithi, okufaka:
- Ingabe ingane yakho igula namuhla? Ukugula okuncane, ngisho noma ingane yakho ithatha ama-antibiotic, ngokuvamile akuyona isizathu sokubambezeleka ukuthola umgomo.
- Ingabe ingane yakho inemithi yokwelashwa, ukudla, noma yimuphi umuthi wokugoma? Lo mbuzo ungasiza ekuboneni ukusabela okunamandla kokuthola imithi emithonjeni ethize noma izakhi zokugoma, okubandakanya i-latex, imvubelo, i-gelatin, amaqanda, i-neomycin, i-polymyxin B, noma i-streptomycin, njll, nakuba kufanele uhlale ukhumbule ukuthi izifo ezinzima ezingathinta ingane yakho ukuthola imishanguzo akuvamile
- Ingabe ingane yakho isabele ngokujulile kumgomo wokugoma esikhathini esidlule? Uma kuhlobene ngempela nomgomo wokugoma, lokho kungaba yisizathu sokukugwema esikhathini esizayo
- Ingabe ingane yakho inenkinga yokuthunjwa, ubuchopho noma inzwa? Ngokuvamile, uma usana lwakho lunenkinga eqhubekayo ye-neurologic (eyanda kakhulu), khona-ke umuthi wokugoma we-DTaP cishe uzobe uphoqelelwe kuze kube yilapho isimo somntwana wakho sigxilile
- Ingabe ingane yakho inenkinga yezempilo ngesifo se-asthma, isifo se-lung, isifo senhliziyo, isifo sezinso, isifo somzimba esifana nesifo sikashukela, noma isifo segazi? Lokhu ukuhlonza izingane ezingafanele zithole imithi yokugoma yomshoshaphansi womzimba wamanzi futhi ngubani okufanele athole ukushona komkhuhlane esikhundleni salokho
- Ingabe ingane yakho inomdlavuza, i-leukemia, i-AIDS, noma iyiphi enye inkinga yokuzivikela komzimba? Ezinye izingane ezinezinkinga zesistimu ye-immune akufanele zithole imishanguzo yegciwane ephilayo
- Ingabe ingane yakho ithathwe i-cortisone, i-prednisone, enye i-steroids, noma izidakamizwa ze-anticancer, noma imithi yokwelapha imisebe ezinyangeni ezintathu ezedlule? Ezinye izingane ezithatha imithi ezingashintsha amasosha omzimba kufanele ziphuze ukuthola imishanguzo yegciwane ephilayo. Khumbula ukuthi inkambo emfushane ye-steroids, enjalo isetshenziselwa ukwelapha i-asthma noma ubuthi obubi, ngeke ibe yisizathu sokubambezeleka ukuthola umgomo.
- Ingabe ingane yakho ithole ukumpontshelwa kwegazi noma imikhiqizo yegazi, noma inikezwe umuthi okuthiwa i-immune globulin ngonyaka odlule? Lokhu kungaba yisizathu sokubambezeleka ukuthola umuthi wokugoma wegciwane bukhoma
- Ingabe ingane yakho ikhulelwe noma ikhona ithuba lokuthi iyakhulelwa ngenyanga ezayo? Khona-ke akufanele uthole umgomo wokugoma wegciwane
- Ingabe ingane ithola imishanguzo emavikini 4 adlule? Uma kungenjalo kunikezwe ngesikhathi esifanayo, imishanguzo yegciwane lesandulela ngculazi akufanele inikezwe ngaphakathi kwamasonto amane komunye nomunye
Uma ucabanga ukuthi ingane yakho isengozini yokubhekana nomuthi wokugoma noma ifakwe umjovo wokugoma, qiniseka ukuthi ukhuluma nodokotela wezingane. Kufanele futhi ubike noma yisiphi isisombululo sokugonywa kuSistimu Yokubizela Umcimbi Wokungena Emndenini Ye-Vaccine (VAERS).
Khumbula ukuthi ukuhlolwa kofuzo lwe- MTHFR akuyona into ezokusiza ukuba ubone ukuthi ingane yakho isengozini yokuphendula umuthi wokugoma. Ukukhishwa kwegciwane le- MTHFR nokuhlolwa kwe-intanethi kwe- MTHFR ukuguquguquka kwezakhi zofuzo kuyinto nje yakamuva eyenza abazali bahlukumeze izingane zabo ukugoma izingane zabo. Lokhu akusho ukuthi ukuguqulwa kwezakhi ze- MTHFR akubalulekile. I-Homocystinuria ihlolwe njengengxenye yesikrini somntwana esanda kuzalwa futhi ingabangelwa ukuguquguquka kwegciwane le- MTHFR . Kunezakhi eziningi ze- MHTFR , nakuba ezinye zitholakala ku-26% noma ngaphezulu kwabantu, futhi abanye bangase babe nemiphumela yokuzivikela emdlalweni.
Ngeke akutshele ukuthi ngabe ingane yakho isengozini yokuphendula ngokugoma noma kunjalo.
Ukuhlolisiswa Ngendlela Yokugoma Ijojo noma Ukulimala
Ngenhlanhla, ukulimala kwangempela okugoma kungavamile kakhulu. Isibonelo, ngenkathi i-SIDS, izimpawu zokuqala ze-autism, nezinye izinto zingase zibonakale zihambisana nokuthola imithi, kuye kwafakazelwa (ngokuphindaphinda futhi) ukuthi akubangelwa yimigomo .
Siphinde sazi ukuthi imishanguzo ayibanga noma ibeka izingane engozini yesifo se-celiac, i-multiple sclerosis, i-type 1 yesifo sikashukela, i-arthritis engapheli, nanoma yiluphi uhlobo lwesifo sokugula, kuhlanganise nokugula, i-asthma, noma i-eczema.
Ngokuvamile, izenzakalo ezihambisanayo zithathwa ngemithi yokugoma futhi abazali bangase bafune ukukhishwa umuthi.
Kubaluleke nakakhulu ukuhlola ngokucophelela isimo bese unquma ukuthi empeleni wawuyisenzo sokugoma. Udokotela wakho wezingane angase asebenzise ngisho nethuluzi le-algorithm le-Clinical Immunization Safety Assessment (CISA) ukuze kusize ukuthi ukusabela kwengane yakho kuhambisana kanjani nokubangelwa umgomo.
Kukhona futhi i-algorithm ukusiza ukuthi unqume ukuthi ngabe ingane isabele kanjani kumuthi wokugoma. Uma kwenzeka ukusola okwenziwe okwehliswayo futhi ingane isengasondeli (idinga ukulinganisa okungeziweko komuthi wokugoma), ukuhlola isikhumba kungase kube yindlela enhle ngaphambi kokuba umzali afune ukukhululwa kwezokwelapha.
Kungakhathaliseki ukuthi kwakuyindlela yokusabela okweqile (anaphylaxis) noma enye impendulo, ukusiza ukuthola ukuthi ihlobene yini nokuthola umgomo, kubalulekile ukwazi:
- lapho izimpawu ziqala kuqala, ikakhulukazi uma kuqhathaniswa nalapho ingane yakho ithola imishanguzo yokugcina
- zonke izimpawu ingane yakho ithuthukiswe
- uma kukhona okunye okubangele izimpawu
- okugoma ingane yakho itholakele
- uma ingane yakho ingake isabele nganoma imiphi imithi
Uma ungenaso isiqiniseko sokuthi ingane yakho inomdlavuza, udokotela wakho wezidakamizwa angacela ukuhlola ukuhlolwa kokuvikelwa kokugonywa komtholampilo ku-CDC ukuze uthole iseluleko esengeziwe.
Futhi, kufanele futhi ubike noma yikuphi ukuphendula komuthi wokugonywa kuhlelo lokubika lokugula lokugula (VAERS).
Imithombo:
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Amasevisi Okulawula Nokuvimbela Izifo. Izimo Ezivame Ukungaziphathi Ngokweqile njengezinkomba zokugoma. Kubuyekezwe: Julayi 17, 2012.
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