Isitofu sokugonya 'RotaTeq': kumenzi, isasetyenziswa myalelo, ncomo

impilo kwinzala - kukuba kuqala abachaphazelekayo kuqala kunye nabazali kukukhuthala. Isiseko kuba oko ithuku of zizale ezendeleyo sofuzo yabantu. Ukongeza koku yezizathu prosaic, abazali aqhutywa nothando olungumangaliso abantwana babo. Kangangeenkulungwane, abantu babecinga ukuba azikhusela njani na umzimba ethe ukusuka arhente banqande ezisongela umntwana naphi na. izifundo Scientific ukuba akubanga lilize - liqulunqe iintlobo wamachiza, umzekelo izifo ezoyikekayo ezifana isibetho, ingqakaqha, kholera, njl La ayimfuneko manyathelo uluntu namhlanje ongazaziyo ubhubhane yoyikekayo ukuba kwenzeka kumaXesha Aphakathi .. Ngubani na odale ugonyo izifo ezininzi, kubandakanywa ezifana eqhelekileyo irotavirus usulelo.

Rotavirus: yintoni na ingozi yayo?

Rotavirus - a silwanyana ethile ebangela iimpawu umntu osulelekileyo efanayo enteritis. Libizwa ngokuba "umkhuhlane wamathumbu" kunye "ngesifo ngezandla ezimdaka". Igama lokugqibela kungenxa yokuba intsholongwane enjalo Awunokosulelwa akaba nakugcinwa postulates ezisisiseko lwezempilo. Ngelishwa, le Isono abantwana - ukuba ngokuyintloko usulelo ekujoliswe kuzo.

Iimpawu zesifo rotaviral yanda ngokukhawuleza, ngokuqhelekileyo ekhatshwa umkhuhlane kunye ukuqunjelwa - ukugabha kunye norhudo. Ingozi kuba izigulane abatsha kukuba emzimbeni umzimba yomntwana ezinokwenzeka kwiiyure nje ezimbalwa. Oku kubonakaliswa ukuba abadala athwale usulelo lula kwaye ngaphandle iziphumo, kodwa abantwana abasengozini. Ingakumbi abo ukuya eziguqulweyo, amabala okudlala kunye nezinye iindawo kunye izihlwele. Ukongeza, irotavirus angangena ummandla izindlu abadala abagulayo. Yinto eyaziwayo ukuba umntu uqalisa zigutyula intsholongwane iintsuku ezimbini phambi kokuba imbonakalo iimpawu eziqaqambileyo kwaye iyaqhubeka ukusasaza malunga neenyanga ezimbini emva kokuphela sifo. Ngoko ke, lo amathuba lesi sifo ubuncinane kanye ukuphila efikelela 100%.

Ngokutsho manani, wonke umntwana yesihlanu amathandathu ukuba esibhedlele emva kokuba bosulelwe yintsholongwane. Ngoko ke, "RotaTeq" sokugonya ngokuba le nkwenkwe iya kuba zifaneleke kakhulu yaye ngokuqinisekileyo ukumkhusela ingozi yosulelo. Ukongeza, iya kuvumela ukuphuhlisa nezifo ezinzileyo ixesha elide nxamnye silwanyana ndlongondlongo.

"RotaTeq" - ukhuseleko enokuthenjwa nxamnye irotavirus

usuleleko Rotavirus ayikho sisigulo olunye-off - it serotypes eziliqela, ngoko ke kunokwenzeka kwakhona ukuba bagule. Ukuze uphephe oku, ukunceda ugonyo 'RotaTeq "kuba iqulethe genomes zonke iintlobo eziphambili kwale ntsholongwane.

Eli chiza isebenza kumgaqo ekukhuleni komntwana kumzimba lomzimba wamiliselwa kwi serotypes ezintlanu eziphambili irotavirus, sisifo yabhalwa ehlabathini lonke ukususela ekuqaleni-imi- 70 kwinkulungwane yokugqibela. Ukususela ngokombono uphuhliso omzimba ukuba isitofu ahlaselayo abanentsholongwane kunceda "RotaTeq." Umenzi ichiza - eUnited States, inkampani - "Merck Sharp & Dohme," kunye neemveliso pre-apakishwe kwi kummandla Netherlands. Ngako oko, akukho mathandabuzo luphile njenge medicament.

Isitofu sokugonya 'RotaTeq ": inkcazelo ubume iziyobisi, pharmacodynamics

Eli chiza liye kwabonakala kuphumelela kwaye zibandakanyiwe xa ikhalenda ugonyo enyanzelekileyo kumazwe amaninzi. Ngomhla kummandla Russian Federation, isigqibo esele yenziwe kodwa, ngoko abanqwenela ukuba uzithengele kulo isitofu sokugonya. Inkcazelo ichiza, nto leyo enikwe kweli nqaku liza kuba luncedo ukuba udidi enjalo yabazali. kukhankanywa nangoko kubalulekile ukuba esi sixhobo ayenzelwanga ukuba iinaliti - ngaphandle ulawulo kuphela ngomlomo emzimbeni. "RotaTeq" Isitofu sokugonya inombala baluthuthu omthubi, kodwa kuvunyelwa ukuba abe nombala, ezipinki ukuba akukho kushenxwe kulo mmiselo.

Njengoko sele kukhankanyiwe, iqulethe serotypes ezintlanu eziphambili irotavirus - ukusuka G-1 ukuya G-4, kwakunye reassortant ebizwa P1a. Bona kwezahlulo genomes kwetishu kunye intsholongwane ophilayo. Ukuphucula incasa imbono kunye nabantwana neziyobisi excipients wongezelela ezifana sucrose. Phakathi kwezinye izinto, ukwakhiwa iquka sodium hayidroksayidi, polysorbate kunye namanye amacandelo. Oku kuyimfuneko ukuze asindise inkcubeko viral kakhulu qualitative. Vaccine "Rotateq" umfanekiso inokubonwa kwinqaku lupakishwa ngemibhobho zeplastiki, ml-2 (idosi enye). Ezinye izikhongozeli babonelelwa esingxotyeni sokhuselo ngefoyile ngamnye.

Kutheni isigqibo ukuphuhlisa isixhobo ebizwa ngokuba 'RotaTeq? " Isitofu sokugonya wadalwa ngenxa pharmacodynamics eziphakamileyo irotavirus kakhulu kwiplanethi yethu. Ezi izifundo ezininzi manani zibonisa ukuba yi-RV luchaphazela malunga ne-95% abantwana abangaphantsi kweminyaka emi-5, ibangela gastroenteritis etsolo , kulandele emzimbeni (emzimbeni). Ngenxa yoko, esibhedlele kuxhomekeka-71% kwizigulane. Amatyala ezibulalayo nazo zabona njengoko sifo limele ingozi mkhulu iintsana. Nyaka ngamnye, abagulayo "umkhuhlane wamathumbu" yehlabathi malunga nabantwana abazizigidi 140. Kulo mba, amazwe amaninzi esigqibeni sokuba liqalise ichiza ibe ikhalenda lugonyo mandatory.

usulelo Rotavirus Ugonyo 'RotaTeq' wadibana ezilindelekileyo - kweziganeko lancipha kakhulu, kwaye inani lamatyala kakhulu Sehle izihlandlo eziliqela. Isetyenziswa kumazwe angaphezu kwama-40 ngempumelelo. Kukho enye inkalo ochaphazela kakhulu ukusebenza ichiza - icandelo wentsholongwane zidityanisiwe. Oku kuthetha ukuba yinxalenye yale ndlela ziquka siyinxalenye yeyona arhente ezosulelayo ukwenzela ukuba eyona mpendulo eyaneleyo omzimba.

Isitofu sokugonya 'RotaTeq': mazwi

Ichiza, wadala ngokusebenzisa uphuhliso entsimini zobunjineli yemfuza, njengokuba sele kukhankanyiwe, esetyenziswa ngempumelelo practice. Ngokutsho isixhobo ukuvula isetyenziswa kuphela xa usaqala. Isitofu sokugonya 'RotaTeq' (manual iqulathe inkcazelo eneenkcukacha malunga ukusetyenziswa kwayo) kungene izihlandlo ezithathu ngamakhefu angekho ngaphantsi kwenyanga enye. Kwedosi yokuqala Kucetyiswa ukuba iphathwe ngaphambi kwe iiveki ezintandathu, kwaye zingadlulanga iinyanga ezimbini ubudala bomntwana. End of ugonyo kufuneka ungadlulanga umntwana efikelela iinyanga ezisibhozo. Kukho ezinye bokuqonda ezibalulekileyo ezinxulumene neziyobisi:

• Ukuba umxholo umntwana esho emlonyeni, ugonyo kufuneka abasayi kwenziwa ngokuphindaphindiweyo, ezifana namava clinical akukho ziphumo ingaba engalindelekanga. Ngokwemithamo ezishiyekileyo kufuneka lenziwe ngokwale ebekiweyo kwikhalenda.
• Abantwana abazalwe ngaphambi zivumelekile ukuba ukuncoma lokugonya, kodwa izalelwe gama ngaphambi kwe kwiveki 25. Ukungenisa baby nyango kufuneka ibe eneminyaka iinyanga enye enesiqingatha.
• Uphononongo lubonise ukuba 'RotaTeq' sokugonya aluchaphazeli omzimba emva kokuba ayizange parallel namanye amachiza (ngokuchasene ukubola komqala kunye nominxano, pertussis acellular, ipoliyo, njalo njalo. D.).

Le inkomba ukusetyenziswa yi nokuthintela izifo irotavirus kwiindidi ezintlanu ezisisiseko.

Iimeko yokugcina yokulungiselela ebaluleke njengoko ixesha ukususela imixholo ezingachanekanga iityhubhu okungathetha ukulahleka okanye ukuguqulwa lepropati ezisisiseko lokugonya. Lobushushu apho ichiza kufuneka igcinwe, uphawu kufuneka mayingagqithi + 8⁰ C. I asezantsi obushushu Ungeno awo yi + 2⁰ C. uzimele Ugonyo akuvumelekanga ngokungqongqo. Kwakhona, indawo umxholo wayo kufuneka ibe mnyama, kunye nokufuma oluphakathi kunye ingafikeleleki ebantwaneni. Faka ichiza kufuneka ngoko nangoko emva kokuba ukuvula kubushushu hayi ngaphezulu kwe + 25⁰ S. In sesinye, vula lokugonya ingagcinwa phantsi kweemeko lobushushu hayi ngaphezu kweentsuku ezimbini.

Imithetho zolawulo

Esi sahluko inkcazelo engqalileyo, kunoko, senzelwe abasebenzi bezonyango ukuqhuba le gonyo. Kodwa abazali nabo banelungelo lokwazi yonke indlela ukulandelela kakuhle kwaye ube eqinisekile ukusebenza okuqhubekayo ichiza. Into yokuqala ekufuneka yenziwe phambi kokuba naluphi sogonyo Kwathi uviwo enyanzelekileyo yi wabantwana. Kufuneka kukhunjulwe ukuba ugqirha kufuneka siqwalasele ngenyameko uphando labazali zifo umntwana-, ubukho negazi lakho, kwakunye ukuhlola imeko yangoku yesigulana encinane. Ukuba sele wathabatha indawo ukuqaliswa sokugonya, ugqirha athole iinkcukacha isiphumo wayo emzimbeni yomntwana.

Kuphela emva kokuba uviwo ngokucokisekileyo a wabantwana isigqibo kogonyo. Ngaphambi koku, ugqirha kufuneka yazise abazali malunga neziphumo ezinokulindeleka kunye reactions neziyobisi ezingalunganga, leyo zinqabile kakhulu, kodwa kwenzeka. Ngokutsho inkqubo eqhelekileyo logonyo, ulawulo yokuqala yomlomo ichiza kufuneka kwenzeka kuhle xa usana ujika kwiiveki ezi-6. Umsebenzi wezempilo usebenzisa algorithm ilandelayo:

• Ikhupha ukuvulwa wesingxobo, kwaye olawula kwisixhobo, yenziwe nkqo ngokucofa phezulu ityhubhu ususa iintsalela iziyobisi afumaneka kummandla kwincam.
• Ihlawuliswe yobunzima kwisixhobo puncturing ube incam elibukhali, elahliweyo ngaphakathi le chap (ngokuhla uye ayeke).
• Ithamo ezilawulwa ngononophelo kwaye kancinci, ukuqondana nemihlathi kwicala lwangaphakathi womntwana, ukuba yokulahla phantse epheleleyo ityhubhu.
• Ukulahlwa kulungiselelwa zeentsalela kunye isikhongozeli eveliswa ngokungqinelana nemiyalelo malunga nokulahlwa kwenkunkuma eziphilayo enobungozi.

Kukho iindawo ezininzi ekufuneka kucaciswa. Umzekelo, ukuba "RotaTeq" sokugonya esimiselwe umntwana iminyaka-4? Impendulo engagungqiyo - akukho. Xa kubudala obungangeeveki 33 ukusetyenziswa kweziyobisi akuthethi ingqondo. Ngamanye amazwi, a bantwana abane okanye elinesithandathu kunye nabantu abadala, kuquka abadala, i-arhente ayikho wabelwa. Kodwa kwimeko oogqirha engathethekiyo kunye ukungawazi kwabazali komthamo lokuqala ngokungeyomfuneko zaziswa. Ukuba oku kuyenzeka, kufuneka ukuba zizalise olu gonyo ngokungqinelana mzobo. Kufuneka kuqatshelwe ukuba ingozi ugonyo kade ayikwazi kuqhutywa, kodwa izifundo zonyango kweli bamasimi azanelanga ukuba ukuqeshwa amachiza ubudala nangaphezulu. Ngoko ke, ngokuthe ngqo ukuya kwiinyanga ezisibhozo, le nkqubo kufuneka igqitywe.

ukusabela ezingalunganga

Njengayo nayiphi na amayeza, "RotaTeq" - isitofu sokugonya esasetyenziswa irotavirus, kunokubangela ukusabela ezibi. Olu luhlu lulandelayo ithathela ingqalelo nezihlandlo ukwenzeka:

• Uphawu kakhulu eziphazamisayo kunye kwalo, apho kunokwenzeka xa usebenzisa ichiza ileus. Ngethamsanqa, kwenzeka kunqabile kakhulu kule meko.
• Ngokulinganayo phenomenon kuphela inokuba nerhashalala.
• A kancinane rhoqo, kodwa kunqabile kakhulu bronchospasm, okanye ukudumba nendlebe.

• Akuvamile, kodwa kwabhalwa amatyala nasopharyngitis kunye iintlobo ezahlukeneyo mlilo ukukhanya.
• Nge Amathuba eliphezulu emva kogonyo komzimba Inokwenzeka, urhudo, akufane - egabha.

Kufuneka wazi ukuba ukuqaleka okuncinane aluxingi kogonyo.

Izimo

Nangona kunjalo, eli chiza Izimo elililo, ubukho apho esalelweyo ngokungqongqo ulawulo wayo yomlomo:

• intussusception (kokuphazamiseka) amathumbu kuye kwaphawulwa ngaphambili kwimbali nomonde;
• immunodeficiency virus okanye rhanelwa simo;
• malformations emathunjini;
• ezinzima ikhatshwe komzimba, ukugabha, urhudo;
• uxabane ku yingxenye eyodwa sokugonya okanye iinxalenye zayo ukunganyamezelani.

Kuba Izimo isihlobo ziquka ezi meko zilandelayo:

• neoplasms amabi;
• izifo iphecana zesisu kwinqanaba oyingozi;
• ezahlukeneyo ukulibaziseka esiphuhlayo;
• igazi yakutshanje.

Kwiimeko ezinjalo, ugonyo kufuneka isetyenziswe ngokuqaphela okukhulu. Kwakhona Awukwazi ukusebenzisa ichiza ngaphambi umntwana kwiiveki ezi-6.

ubungqina isazi

Iingcali qaphela ukusebenza eliphezulu ichiza "RotaTeq" (sokugonya). Uphengululo (Komarovsky, ngasendleleni, abaliqela imbono eziphakamileyo yakhe) bathi, ngokutsho neembono paediatricians, ithetha kakhulu kunciphisa izehlo abantwana zagonywa onyaka iincopho izifo. Phakathi kwezinye izinto, oogqirha bathi ukuba umlinganiselo, ukuba akunjalo ukukhusela ngokupheleleyo arhente wentsholongwane egazini, mhlawumbi uya ukucutha umngcipheko iingxaki esi sifo. Yiyiphi enye into emangalisayo kukuba, ngokutsho bezifo, lokugonya 'RotaTeq? " Komarovskiy evgeniy Olegovich - eyaziwa udokotela, iingcebiso isandi Kuyathenjwa ngabazali abaninzi - ukholelwa ukuba ichiza uyakwazi ukukhusela 80% amatyala osulelo irotavirus nge-100% ngokuqinisekileyo uya kuphelisa iingxaki kunye neengxaki zempilo. Ngokubanzi, oko positive ngale sokugonya yaye icebisa ukusetyenziswa kwayo, Kakade, ukuba akukho Izimo.

reviews abazali

Ntoni abazali bacinga kwezo zakhiwo, ugonyo 'RotaTeq? " Iimpendulo ngayo kubo, ubukhulu becala HIV. Noko ke, abanye abavumi ukuba benze olunye ugonyo, nto leyo esele kakhulu okuninzi, kodwa emva bethetha oogqirha babantwana kunye nabazali abaye zazuza kakade lokugonya - ukutshintsha iingqondo zabo.

Abo Ndiyahamba ekhefini aphesheya kwaye Siyavuya kakhulu ukuba ukukhusela abantwana babo ukususela ekusulelekeni. Ngapha koko, kwiimeko ngendlela engaqhelekanga ngayo umntwana oselula abasengozini sifo. Kukho iimpendulo xa umama uncwine isiqabu ixesha agonye umntwana phambi kokuba ugule ngokwabo. Ukuziva ubunzima iimpawu zesi sifo (nangona abadala loo nto idluliselwa lula kakhulu), abazali ngolonwabo ingxelo ukuba abantwana ukugonywa wagula, nkqu bume ekhaya owosulelekileyo. Ngoko ke, eli yeza 'RotaTeq "efunyenwe ncomo ezintle.

Kakade ke, kukho abasebenzisi ababengaxolanga abo abanelisekanga iindleko ichiza (okunene, kakhulu phezulu), njengoko ingengabo bonke bayakwazi ukuhlawula ukuba idosi enye ye lokugonya 3.200 engange (amaxabiso iyohluka, kuxhomekeka kummandla). Abanye isikhalazo malunga yokunqongophala kwesi sikhundla esixekweni sabo. Kodwa malunga nokusebenza ichiza ekuthiwa isitofu "RotaTeq" akukho zikhalazo. Ngokwahlukileyo koko, uninzi lwabazali bacebisa ukuba uyisebenzise.

Nokuba kukho analogs?

Abo banqwenela ukwenza umntwana wakho ngathi Ukuchumisa, kodwa mzuzu akanawo amandla zemali, kucetyiswa ukuba indawo isixhobo ebizwa isitofu "RotaTeq." Analogue embalwa yakhe, hayi kanye mandithi, oko inikwa ikopi enye. Drug "Rotarix" (iindleko malunga 700 engange) iye iipropati ezifanayo. Alternative kodwa.

Xa isenzo wayo emzimbeni kwaye ukuyilwa ngayo ifana ngokupheleleyo ukuba iindlela 'RotaTeq' lokugonya omzimba. Ikhupha oko kuthetha United Kingdom, ingakumbi, inkampani "GlaxoSmithKline". Le ukulungiselela kwahlukile kancinane kumafa (okunye ezahlukeneyo), kodwa ngenye ifana kakhulu - kufuneka neziphumo ezifanayo ngapha Izimo, indlela isicelo, kunye nexesha (ukususela kwiiveki ezi-6). Gonya iintsana ungaba kuze iinyanga ezintandathu, kodwa inkqubo yolawulo kubandakanya ukusetyenziswa amathamo amabini. Ngaphezu koko, ukuba umntwana ngokugqithiseleyo srygnul nangoko emva ulawulo isitofu, kuyimfuneko ukuba baphinde bangene ithamo kulo kwisisu yomlomo (usebenzisa i kulungiselelwa "Rotateq" into ngaphandle). Le ncwadana ithi emva kweminyaka ukusetyenziswa kunyaka omnye lokugonya ayinasiphumo, kuba ingozi yesifo ngcembe kunciphisa njengoko ukuyilwa microflora emathunjini.

Yenza isigqibo sokugqibela malunga nokusetyenziswa zokugonya abazali kuphela. Ngoko ke, kufuneka bazazi zonke iinkcukacha kunokwenzeka malunga sokugonya yaye walumkisa malunga neziphumo ebezingalindelekanga enokubakho.