Ha ho na motho ea inshorense khahlanong le tšoaetso ea tšoaetso ea tetanase, hobane lefu lena le ka bakoa ke tšenyo leha e le efe ea letlalo le li-tissue tse bonolo, maqeba a mabeli a tebileng, le maqeba a holimo, esita le ho longoa ke likokoanyana. Ka lebaka la ho shoa ha batho ba bangata ka lebaka la ho fetisoa ha sebaktheria sena, motho e mong le e mong e moholo o hloka ho tsosolosoa lilemo tse ling le tse ling tse 10. Mokhoa ona o sebelisa tetanus toxoid, o ka tsamaisoa ka mokhoa o hloekileng (AC-toxoid), hape o kopantsoe le liente tse ling (ADS, ADS-M).
Tetanus toxoid bakeng sa eng?
Pheko ea potso e sebelisetsoa ho thibela tšoaetso ea tšoaetso ea tšoaetso.
Sehlopha sa pele sa lipontšo se akarelletsa:
- Ho koetlisoa ha bana. Ho tloha likhoeling tse tharo, ho entoa ka katleho ea AS, ADS, DTP, kapa masea a ADS-M a nang le anatoxin ho hlokahala. E u nolofalletsa ho thibela tšebetso e ka sehloohong.
- Ho entoa hoa batho ba baholo. Ka mor'a hore motho a finyelle lilemo tse 17, li-tanus toxoid li tsamaisoa ka lilemo tse leshome.
- Thuto ea ho itšireletsa mafung. Haeba motho ea nang le lilemo tse 26 ho isa ho tse 56 a entsoe ka ente e kopantsoeng (ADS, DTP, ADS-M), ho hlokahala hore o entsoe feela ka mor'a hore ho be le tetanase (AS toxoid) matsatsi a 30-40 kamora 'muso oa bona. Pheta hape e lokela ho ba ka selemo sa 0,5-1.
Thibelo ea maemo a tšohanyetso e hlokahala maemong a latelang:
- ho tsoaloa ha sepetlele le ho nts'a mpa;
- likotsi tse ngata, tse tsamaeang le tlōlo ea botšepehi ba li-mucous membrane le letlalo;
- sefuba;
- serame;
- ho chesa leha e le efe ho tsoa ho 2-4 likhato;
- necrosis ea lisele tse bonolo;
- sehlōhō ;
- maqeba a phunyeletsang, ho senya litho tsa tšoaetso ea masapo;
- ho loma ha liphoofolo, likokoanyana.
Ha u fumana likotsi tsena, ke habohlokoa hore u sebelise setsing sa bongaka bakeng sa ho thibela ente ka potlako, hobane nako ea ho phalla ha tetanase e le matsatsi a 20 feela kapa a fokolang.
Ke tekanyo efe le hore na tetanus toxoid e tsamaisoa joang?
Bakeng sa sebopeho se nepahetseng sa karabo ea 'mele ea mmele, lihlopha tse leshome tsa ho tlama li-toxoid li lekane. Ka hona, tekanyo e behiloeng bakeng sa ente e le 0.5 ml ea anatoxin.
Maemong a sa tloaelehang, tšebeliso ea 1 ml ea lithethefatsi.
Mokhoa oa ts'ebetso ke ho etsa ente e tebileng libakeng tsa subscapular le tsamaiso e potlakileng ea lithethefatsi.
Litla-morao tsa tetanase toxoid
Joaloka molao, ente ena e fetisetsoa hantle, ntle le ho baka matšoao a fosahetseng. Hangata haholo litla-morao tse latelang tsa tetanase toxoid li ka 'na tsa etsahala:
- hanyenyane malaise;
- hyperthermia;
- bofubelu, ho ruruha le bohloko maemong a sepakapaka;
- ho phatloha ha polymorphic;
- angioedema ;
- urticaria;
- ho eketsa mafu a ho kula.
Liketsahalo tsena tsa kliniki hangata li nyamela ka boeena ka lihora tse 24-48 ka mor'a hore e entsoe.
Litlhaloso le likhatello tsa tetanase toxoid
Litlhaloso tse tobileng, ho qoba ka ho feletseng monyetla oa ho thibela malwetsi le AS toxoid, ke:
- ho utloisisa ho eketsehileng ha sebōpeho ho metsoako ea tharollo;
- ho ima.
Hape ho ke ke ha khoneha ho kenella ka mafu a joalo:
- ho itšireletsa;
- khaello ea mali;
- ho fokola ha tlhaho;
- maloetse a menahano le a kopantsoeng;
- mefuta e matla ea ho itšireletsa mafung;
- liketso tse matla tsa sebakeng seo;
- ho kula ho matla haholo kapa ho tšoaetsanoang, ho feteletsa ha bona;
- lefu la sethoathoa kapa lefu la sethoathoa.
Ho kenyelletsa lithethefatsi maemong ana ho tletse mathata:
- tšenyo ea likhahla tsa sebakeng seo;
- polyradiculoneuritis;
- ho hlaseloa ke li-vascular.