Umuthi Wokugomela Isifo Sengulube, iDiphtheria, iPertussis (Tdap)
I-Tetanus, i-diphtheria ne-pertussis yizifo ezimbi kakhulu. Umuthi wokugomela iTdap ungasivikela kulezi zifo. Futhi, umuthi wokugoma we-Tdap onikezwe abesifazane abakhulelwe ungavikela izingane ezisanda kuzalwa kwi-pertussis.
UTETANUS (ILokjaw) ayivamile e-United States namuhla. Kubanga ukuqina kwemisipha ebukhali nokuqina, imvamisa umzimba wonke. Kungaholela ekuqiniseni kwemisipha ekhanda nasentanyeni ukuze ungakwazi ukuvula umlomo, ukugwinya, noma kwesinye isikhathi ngisho nokuphefumula. UTetanus ubulala cishe umuntu oyedwa kwabayishumi abathelelekile noma ngabe sebethole ukwelashwa okungcono kakhulu.
IDIPHTHERIA akuvamile nase-United States namuhla. Kungadala ukumboza okujiyile ukwakheka ngemuva komphimbo. Kungaholela ezinkingeni zokuphefumula, ukukhubazeka, ukwehluleka kwenhliziyo nokufa.
I-PERTUSSIS (Whooping Cough) kubangela iziphonso zokukhwehlela ezinzima, okungadala ubunzima bokuphefumula, ukugabha nokuphazamisa ukulala. Kungabuye kuholele ekunciphiseni isisindo, ukungazibambi, kanye nokwephuka kwezimbambo. Kufika kwababili kwabayishumi kwentsha kanye nabantu abadala abahlanu kwabangu-100 abane-pertussis abalaliswe esibhedlela noma banezinkinga, ezingabandakanya inyumoniya noma ukufa.
Lezi zifo zidalwa amagciwane. I-diphtheria ne-pertussis zisakazeka zisuka kumuntu ziye komunye ngokusebenzisa imfihlo kusuka ekukhwehleleni noma ukuthimula. I-Tetanus ingena emzimbeni ngokusikeka, ngokuklwebheka, noma ngamanxeba. Ngaphambi kwemithi yokugoma, amacala angaba ngu-200,000 ngonyaka we-diphtheria, amacala angama-200,000 we-pertussis, namakhulu amacala we-tetanus, abikwa e-United States unyaka ngamunye. Selokhu kwaqala ukugoma, imibiko yamacala we-tetanus ne-diphtheria yehle cishe ngama-99% naku-pertussis cishe ngama-80%.
Umuthi wokugomela iTdap ungavikela intsha kanye nabantu abadala kwi-tetanus, diphtheria, nase-pertussis. Umthamo owodwa we-Tdap unikezwa njalo lapho uneminyaka engu-11 noma engu-12. Abantu abangazange bayithole i-Tdap kuleyo minyaka kufanele bayithole ngokushesha okukhulu.
I-Tdap ibaluleke kakhulu kochwepheshe bezokunakekelwa kwezempilo nanoma ngubani oxhumana kakhulu nengane engaphansi kwezinyanga eziyi-12.
Abesifazane abakhulelwe kufanele bathole umthamo we-Tdap ngesikhathi konke ukukhulelwa, ukuvikela usana olusanda kuzalwa ku-pertussis. Izinsana zisengozini enkulu yezinkinga ezinzima, ezisongela impilo ezivela ku-pertussis.
Omunye umuthi wokugoma, obizwa nge-Td, uvikela isifo sokuqina kwemisipha kanye ne-diphtheria, kodwa hhayi i-pertussis. I-booster Td kufanele inikezwe njalo eminyakeni eyi-10. I-Tdap inganikezwa njengenye yalezi zikhuthazi uma ungakaze uthole i-Tdap ngaphambili. I-Tdap nayo inganikezwa ngemuva kokusikeka okunzima noma ukushisa ukuvikela ukutheleleka ngqi.
Udokotela wakho noma umuntu okunikeza umuthi wokugoma angakunika eminye imininingwane.
I-Tdap inganikezwa ngokuphepha ngasikhathi sinye neminye imigomo.
- Umuntu owake waba ne-aleji esongela impilo ngemuva kwesilinganiso sangaphambilini sanoma iyiphi i-diphtheria, i-tetanus noma i-pertussis equkethe umuthi wokugoma, noma onenkinga yokungezwani komzimba nanoma iyiphi ingxenye yalo mgomo, akufanele athole umuthi wokugoma we-Tdap. Tshela umuntu onikeza umuthi wokugoma noma imuphi umuthi ongezwani nomzimba onamandla.
- Noma ngubani obenesifo sokuquleka noma sokuquleka isikhathi eside okuphindaphindwayo kungakapheli izinsuku eziyi-7 ngemuva komthamo wobuntwana we-DTP noma i-DTaP, noma umthamo wangaphambilini we-Tdap, akufanele athole i-Tdap, ngaphandle kwalapho kutholakale imbangela ngaphandle komgomo. Basengamthola uTd.
- Khuluma nodokotela wakho uma:
- ukuquleka noma enye inkinga yesistimu yezinzwa,
- wayenobuhlungu obukhulu noma ukuvuvukala ngemuva kwanoma yimuphi umuthi wokugoma oqukethe i-diphtheria, tetanus noma i-pertussis,
- wake waba nesimo esibizwa ngeGuillain-Barré Syndrome (GBS),
- azizwa kahle ngosuku okuhlelwe ngalo isibhamu.
Nganoma imuphi umuthi, kufaka phakathi imigomo, kunethuba lemiphumela emibi. Lezi zivame ukuba mnene futhi zihambe zodwa. Ukusabela okujulile nakho kungenzeka kepha akuvamile.
Iningi labantu abathola umuthi wokugoma we-Tdap abanazinkinga ngawo.
Izinkinga Ezimaphakathi ngokulandela iTdap:(Akuphazamanga nemisebenzi)
- Ubuhlungu lapho kudutshulwe khona (cishe abathathu kwabangu-4 abasha noma aba-2 kwabadala abathathu)
- Ububomvu noma ukuvuvukala lapho kunikezwe khona isibhamu (cishe umuntu ongu-1 kwaba-5)
- Umkhuhlane omncane we-100.4 ° F (kuze kufike ku-1 kwabangu-25 abasha noma umuntu oyedwa kwabayikhulu)
- Ukuphathwa yikhanda (cishe abantu abayi-3 noma aba-4 kwabangu-10)
- Ukukhathala (cishe umuntu oyedwa kwabathathu noma kwabane)
- I-nausea, ukuhlanza, isifo sohudo, ubuhlungu besisu (kufika kwabangu-1 kwabangu-4 abasha noma umuntu oyedwa kwabayishumi)
- Ukugodola, amalunga abuhlungu (umuntu oyedwa kwabayishumi)
- Ubuhlungu bomzimba (cishe umuntu oyedwa kwabathathu noma kwabane)
- I-Rash, izindlala ezivuvukele (ezingavamile)
Izinkinga Ezilinganisiwe ezilandela iTdap:(Iphazanyiswe yimisebenzi, kepha ayidingi ukunakekelwa kwezokwelapha)
- Ubuhlungu lapho kudutshulwe khona (cishe 1 ku-5 noma ku-6)
- Ububomvu noma ukuvuvukala lapho kunikezwe khona isibhamu (kufika kwabangu-1 kwentsha engu-16 noma umuntu oyedwa kwabayishumi nambili)
- Imfiva engaphezu kuka-102 ° F (cishe umuntu oyedwa kwabayishumi kwentsha noma umuntu oyedwa kwabadala abangama-250)
- Ukuphathwa ikhanda (cishe umuntu oyedwa kwabangu-7 abasha noma umuntu oyedwa kwabayishumi)
- Ukucanuzela kwenhliziyo, ukuhlanza, isifo sohudo, ubuhlungu besisu (kufika kubantu abayi-1 noma abathathu kwabayi-100)
- Ukuvuvukala kwengalo yonke lapho kunikezwe khona isibhamu (kufika ku-1 kwabangu-500).
Izinkinga Ezinzima ngokulandela iTdap:(Ayikwazi ukwenza imisebenzi ejwayelekile; kudinga usizo lwezokwelapha)
- Ukuvuvukala, ubuhlungu obukhulu, ukopha nokubomvu engalweni lapho kudutshulwe khona (okungajwayelekile).
Izinkinga ezingenzeka ngemuva kwanoma imuphi umjovo wokujova ojojowe:
- Abantu kwesinye isikhathi baquleka ngemuva kwenqubo yezokwelapha, kufaka phakathi ukugoma. Ukuhlala noma ukulala phansi cishe imizuzu eyi-15 kungasiza ukuvimbela ukuquleka, nokulimala okubangelwa ukuwa. Tshela udokotela wakho uma uzizwa unesiyezi, noma ushintsha umbono noma ukhala ezindlebeni.
- Abanye abantu bathola ubuhlungu obukhulu ehlombe futhi baba nobunzima bokuhambisa ingalo lapho kunikezwe khona isibhamu. Lokhu kwenzeka ngokungavamile.
- Noma imuphi umuthi ungadala ukusabela okweqile komzimba. Ukusabela okunjalo okuvela emthonjeni wokugoma akuvamile, kulinganiselwa emithonjeni engaphansi kwesisodwa esigidini, futhi kungenzeka phakathi nemizuzu embalwa kuya emahoreni ambalwa ngemuva kokugoma. Njenganoma imuphi umuthi, kunamathuba amancane kakhulu omuthi wokugoma obangela ukulimala kabi noma ukufa. Ukuphepha kwemigomo kuhlale kubhekwa njalo. Ngeminye imininingwane, vakashela: http://www.cdc.gov/vaccinesafety/.
- Bheka noma yini ekukhathazayo, njengezibonakaliso zokungezwani komzimba, umkhuhlane ophakeme kakhulu, noma isimilo esingavamile. Izimpawu zokungazwani kahle komzimba zingabandakanya isifuba, ukuvuvukala kobuso nomphimbo, ukuphefumula kanzima, ukushaya kwenhliziyo okusheshayo, isiyezi, nobuthakathaka. Lokhu kuzoqala imizuzu embalwa kuya emahoreni ambalwa ngemuva kokugoma.
- Uma ucabanga ukuthi ukusabela okweqile noma okunye okuphuthumayo okungakwazi ukulinda, shayela u-9-1-1 noma uthole umuntu esibhedlela esiseduze. Ngaphandle kwalokho, shayela udokotela wakho.
- Ngemuva kwalokho, ukusabela kufanele kubikwe ku-Vaccine Adverse Event Reporting System (VAERS). Udokotela wakho angafaka lo mbiko, noma ungazenzela kuwebhusayithi ye-VAERS ku-http: //www.vaers.hhs.gov, noma ngokushayela ku-1-800-822-7967.
I-VAERS ayinikeli iseluleko sezokwelapha.
Uhlelo lweNational Vaccine Injury Compensation Program (VICP) luhlelo oludalelwe ukunxephezela abantu okungenzeka balinyazwe yimithi ethile yokugoma.
Abantu abakholelwa ukuthi kungenzeka balinyazwe umuthi wokugoma bangafunda ngalolu hlelo nangokufaka isicelo sokufaka isicelo sokushayela u-1-800-338-2382 noma ngokuvakashela iwebhusayithi ye-VICP ku-http: //www.hrsa.gov/vaccinecompensation. Kunomkhawulo wesikhathi sokufaka isicelo sesinxephezelo.
- Buza udokotela wakho. Angakunika okufakwa iphakethe lokugoma noma aphakamise eminye imithombo yolwazi.
- Shayela umnyango wezempilo wangakini noma wesifundazwe.
- Xhumana neCenters for Disease Control and Prevention (CDC): Shayela ku-1-800-232-4636 noma uvakashele iwebhusayithi ye-CDC ku-http: //www.cdc.gov/vaccines.
Isitatimende Sokwaziswa Somuthi Wokugoma we-Tdap. UMnyango Wezempilo WaseMelika kanye Nezinsizakalo Zabantu / Izikhungo Zokulawulwa Nokuvikelwa Kwezifo Uhlelo Lukazwelonke Lokugoma. 2/24/2015.
- I-Adacel® (equkethe iDiphtheria, iTetanus Toxoids, Acellular Pertussis Vaccine)
- I-Boostrix® (equkethe iDiphtheria, Tetanus Toxoids, Acellular Pertussis Vaccine)
- I-Tdap