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Immunizatsiya dar Tojikiston

PADARON VA MODARONI MUHTARAM!

Sari vaqt guzaronidani immunizatsiyai kudakoni SHumoro az bemorihoi falaj, gepatiti V, sil, guluzindonak, kabudsulfa, kuzoz, siroyati rotavirusi, surkhcha, gulafshon va siroyati gemofilii tipi b emin nigoh medorad.

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Masalai imunizatsiya dar Tojikiston dar asosi Qonuni Jumhurii Tojikiston № 680 az 29.12.2010 tanzim karda meshavad.

TAQVIMI MILLII IMMUNIZATSIYA

   Namudi vaksina Muhlati immunizatsiyakuni
OPV-0 (sifri),GV-1 Dar muddati 24 soati bad az tavallud
BSJ Dar ruzhoi 3-5-umi bad az tavallud
Pentavalenti -1 (AKDS-1, Hib, GV-2), OPV-1 Rota-1 Dar 2 mohagi
Pentavalenti 2 ( AKDS-2, Hib-2,GV-3),OPV-2 Rota-2 Dar 3 mohagi
Pentavalenti 3 ( AKDS – 3, Hib -3, GV – 4), OPV -3 IPV Dar 4 mohagi
ST(MR)- 1 OPV-4 Dar 12 mohagi
AKDS -4 Dar 16 -23 mohagi
ST(MR) -2; BSJ -2, ADS Dar 6 solagi
ADS –M ; BSJ — 3 Dar 16 solagi
ADS – M -2, 3,4,5 Bad har 10 sol ( 26,36,46,56)


KORMANDONI TIB DAR HUZURI SHUMO BAROI HAR YAK IMMUNIZATSIYA AZ SUZANDORUI NAV BOYAD ISTIFODA BARAND!
 

Suzandoruhoe, ki istifoda burda meshavand, boyad hamon zamon dar quttihoi mahvi bekhatar cham karda,  suzonda shavand.

IMMUNIZATSIYA  BEPUL MEBOSHAD!

iminiza

OPV                — vaksinai ziddi bemorii falaj:

GV                     —  vaksinai ziddi bemorii gepatiti V:

BSJ                — vaksinai ziddi bemorii sil;

AKDS              — vaksinai ziddi bemorihoi guluzindonak, kabudsulfa va kuzoz;

Pentavaleni  —  vaksinai ziddi bemorikhoi guluzindonak, kabudsulfa, kuzoz, siroyati gemofilii tipi (Hib), gepatiti V;

SG(MR)            —  vaksinai ziddi bemorikhoi surkhcha va gulafshon;

ADS                  —  vaksinai ziddi bemorihoi guluzindonak va kuzoz;

ADS-M           —   vaksinai ziddi bemorihoi guluzindonak va kuzoz bo miqdori kamtarini antigentho (baroi kalonsolon);

ROTA               —  vaksinai ziddi bemorii shikamravi kudakon, ki sababgorashon siroyati rotavirusi meboshand;

IPV               — vaksinai gayrifaolkardashuda bar ziddi bemorii falaj.

   Bemorihoe, ki dar Jumhurii Tojikiston bo vositai immunizatsiya peshgiri karda meshavand:

FALAJ — bemorii siroyatshavanda meboshad, ki aslan ba sistemai asab tasir namuda, ba falajshavii dastu poy va hatto ba marg merasonad. Bemorii falaj ba mayubii yakumra meovarad.

GEPATITI V — bemorii siroyatshavanda meboshad, ki bevosita ba jigar tasir mekunad. SHakli davomdori in bemori ba sirroz va saratoni jigar tabdil meyobad.

SIL —  bemorii siroyatshavanda meboshad, ki ba shush va digar uzvhoi odam tasir merasonad. Namudi vazmini bemori dar shakli varami pardai magzi sari (meningit) kudakon mushohida karda meshavad. Bemori asosan boisi oqibathoi khatarnok va favti bemor megardad.

KABUDSULFA — bemorii khatarnoki kudakona meboshad, ki ba on asosan sulfai davomdori vaznin khos ast. Barangezandai bemorii kabudsulfa bisyor khosiyati siroyatii baland dorad. Bemori be tabobati sarivaqti ba favt merasonad.

GULUZINDONAK — bemorii shadidi siroyatshavanda meboshad, ki ba vositai sulfa va atsa zadan az odami bemor yo dorandai barangezandai guluzindonak ba odami solim meguzarad. Hususiyati bemori az sarshavii dardhoi sabuk dar gulu to bemorii vaznini ba hayot tahdidkunanda iborat ast. Holati vaznin ba osebi mushakhoi dil rasonda, sababi favti bemor megardad.

KUZOZ — barangezandai on bo vositai zakhmhoi kushodai badani odam vorid shuda, boisi vaznin shudani holati bemor megardad. Ba in bemori larzishi mushakhoi ruy, dastu poy va oqibatkhoi falaji mushakhoi nafaskashi khos hastand. Dar bisyor holatho bemorro ba favt meovarad.

SURHCHA — bemorii shadidi siroyatshavanda meboshad, ki ba on balandshavii harorati badan, iltihobi rohhoi nafas, varamii chashmho va  paydoshavii donachaho, ki avval dar pardahoi luobii chashm, dahon va bad az sar ba poyon dar tamomi badani bemor pahn meshavand, khosand.

GULAFSHON — bemorii shadidi siroyati buda, bo vositai virusho meguzarad. Asosan baroi homiladoron nihoyat khatarnok ast. Agar zani homilador ba in bemori giriftor shavad, kudaki navzodi u bo nuqsomhoi ziyod – karshavi, nobinoi, nuqsonhoi dil ba dunyo meoyad.

GEMOFILI TIPI b — bemorii siroyatshavanda buda, bo on asosan kudakon giriftor meshavand. Barangezandai on chupchai gemofilii tipi b buda, sababgori bemorii gazzaki shush va gazzaki pardai magzi sar meshavad.

SIROYATI ROTAVIRUSI — yake az bemorihoi pahnshudai shikamravi kudakon buda, nihoyat khatarnok meboshad, asosan dar fasli tobiston avj  megirad. Makhsusan kudakoni to 2 sola beshtar bemor meshavand va be tabobati favri ba halokat merasand.

MUQOISAI ARZISHI IMMUNIZATSIYA VA TABOBAT

Nomgui bemoriho Arzishi immunizatsiya (bo dollari IMA) Arzishi tabobat az in bemoriho (bo dollari IMA)
1 Gepatiti V 12,64 42500
2 Kabudsulfa 1,52 433
3 Kuzoz 1,52 695
4 Guluzindonak 1,80 278
5 Guluzindonak (shakli toksiki) 1,80 843
6 Falaj (shakli paralitiki) 1,20 8025
7 Surkhcha (shakli sabuk) 1,68 150
8 Surkhcha (shakli vaznin) 1,68 247
9 Siroyati rotavirusi 5,60 52
Hamagi 29,24 53223

HOLATHOI NOMATLUBI BADIIMMUNIZATSIYA (HNBI)

  Holathoi ehtimolii nomatlubi badt immunizatsiya Muhlati ehtimolii bavuqu omadani holathoi nomatlubi badi immunizatsiya Hususiyathoi asosii kliniki CHorabinihoi favri hangomi bavuku omadani HNBI
Nomgui doruvori va chorabiniho  Miqdor (doza) vobasta ba sinu sol

 

1-6 sola 7-9 sola
4. Kollaps(bekhushshavi) -24 soat — berangii pusti badan— behushshavi

— pastshavi  yo tamoman nest shudani tonusi mushakho

— pastshavii fishori khun

— ba pusht khobondan— spirti nashatiri buy kardan

— tamini havoi toza

— Kordiamin yo Kofein (tagi pust) — 1 marotiba

— qandchoi garm

0.3 ml — 0,5 ml 0.5 ml
3. Aksulamali allergiki (varami Kvinke, krapivnisa) 0-10     ruz — varamii ruy va gulu— dushvorshavii nafaskashi

-tez-tez zadani dil

— paydoshavii donachahoi kaloni surkh dar pusti badan

-Dimedrol 1 % yo Suprastin 2,5% (daruni mushshak)- 1 marotiba 0,1 ml baroi har soli hayot 0,5 ml – 1,0 ml
—          Prednizolon yo Gidrokortizon 30 mg ( daruni mushak) 0,5 ml – 1,0ml 1,0 ml – 1,5 ml
—          Deksometazon 4 mg 1 marotiba (daruni mushak) 0,5 mk — 1,0 ml 1,0 ml – 1,5 ml
6. Ikhtilojho(sudorogi) 0-24 soat — Kashishkhurii mushakhoi badan — Diazepam 0,5% ampula 2,0 ml — 1 marotiba (daruni mushak) 0,5 ml -1,0 ml 1,3 ml – 2,0 ml
— GOMK (Oksibutirat natriy) — ampula bo 10,0 mg, 20% • mahlul 2,0 ml – 4,0 ml 4,0 ml — 6,0 ml
—          Magniy sulfat (MgSO4 )- 25% -1 marotiba (daruni mushak) 3,0 ml 5,0 ml

TARTIBI IMUNIZASIYA:

iminiza-2

  1. Dar boloi miz pakhta va suzandorui istifodashudaro naguzored;
  2. Badi guzaronidani immunizatsiya, sarpushi suzanro napushoned;
  3. Suzandoruhoi istifodashudaro hamon zamon ba quttihoi mahvi bekhatar (QMB) partoed;
  4. Dar khej mavrid vaksinahoro dar rui yakhquttiho baroi oson shudani koraton naguzored, chunin holat metavonad ba vayronshavii vaksinahoe, ki ba yakhkuni hassosiyat dorand, ovarda rasonad;
  5. Zarfhoi kushodai vaksinahoro dar vaqti sessiyahoi immunizatsioni az nurkhoi oftob nigoh doshta, dar khafaki chuzdoni kharorati choy kuned:
  6. Dar vaqti guzarondani immunizatsiya dar hujrai immunizatsiyakuni boyad tanho vaksinator, volidayni kudak va kudaki immunizatsiyashavanda boshand;
  7. Az volidayn khohish namoed, ki hangomi paydo shudani yagon namud holatkhoi nomatlub, hatman ba tabibi mintaqavi yo ba hamshirai tib murojiat namoyand;
  8. Bad az guzaronidani immunizatsiya, az volidayni kudak khohish namoed, ki dar davomi 30 daqiqa az muassisai tibbi dur naravand;
  9. Quttihoi mahvi bekhatarro ba partovgokhho napartoed;
  10. Quttikhoi mahvi bekhatarro dar joyhoi ba aholi dastnoras nigoh doshta, bad az sessiyahoi immunizatsioni dar joi makhsusgardonidashuda bekhatar mahv kuned;
  11. Tamomi vaksinahoi khushkkardashudaro (diofilizirovanniy: BSJ, SG) bad az halkunoni tanho to 6 soat istifoda burdan mumkin ast. Bad az 6 soat onro boyad bekhatar mahv namud;
  12. Vaksinahoi bisyorvoyaro (OP V, AKDS, ADS, ADS-m) to 28 ruzi bad az kushodanashon istifoda burdan mumkin ast, agar talabothoi zerini ba onho munosibbuda rioya karda shuda boshand:

—          muhlati istifodabariashon naguzashta boshad;

—          vaksinaho dar yakhdon, dar kharorati +20S + 80 S nigoh doshta shuda boshand;

—          dahoni zarfi vaksina dar zeri ob namonda boshad;

—          khama voyahoi vaksina az zarfash bo rioyai qoidahoi aseptika girifta shuda boshand;

—          termoindikatori zarfi vaksina rangi khudro digar nakarda boshad.

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