Eia kekahi, mai hoʻopoina i nā kuleana o nā mākua e koho ma ke kaʻawaleʻana inā paha e hana i kekahi mau hōʻailona i kā lākou pēpē. ʻAʻole kekahi o nā mākua a me nā makua iʻole e hoʻokomo i kā lākou mau keiki, ma muli o nā manaʻo likeʻole. ʻO ka nīnau no ka pono o ka hōʻailona he paʻakikī nui loa, a ma mua o ka hoʻoholoʻana, e'ōlelo pono i ke kauka a noʻonoʻo pono.
Eia kekahi,ʻaʻole hiki ke hanaʻia kekahi pāʻauʻana i kahi keiki e loaʻa iki kekahi mau hōʻailona o ke anuanu a iʻole ka hopena maʻi. I loko o ia hihia, pono e hoʻopaneʻe ka pāpīʻana a hiki i ka manawa e hoʻopakele houʻia ai ka pēpē. Ma hope koke iho o ka maʻi,ʻaʻole i hoʻopōʻia nā lāʻau lapaʻau, ua kākau ke kauka i ka med-vod i loko oʻelua pule. Eia kekahi, ma mua o kou hoʻomakaʻana i ka pāʻana, pono e hele i nā hoʻokolohua, a inā heʻike i nā hewa, pono eʻike i ke kumu.
Ma kēiaʻatikala, e kamaʻilio mākou e pili ana i ka manawa kūpono no ka hōʻoiaʻana i nā keiki olakino ma Rūsia a me Ukraine, a me kaʻokoʻa o nā papa hana hōʻailona ma kēia mau moku'āina.
Ka papa hana o ka wā'ōpiopio i ke kau makahiki ma Rusia
I Rusia,ʻike kekahi keiki hānau hou i ka lāʻau lapaʻau mua no ka mai hepitis B i nā 12 mau hola ma hope o ka hānauʻana. ʻO ke kuʻiʻana e kū'ē i kēia maʻi maʻi hilahilaʻole e hana kokeʻia, no ka mea, he emi loa ka hiki i ka maʻi o ke keiki inā ua maʻi kona makuahine i ka maʻi hepatitis B. Eia kekahi, he mea maʻamau ka maʻi ma ka Russian Federation,ʻo ia hoʻi,ʻaʻole e hōʻeha kekahi i ka palekana mai kēia maʻi.
Loaʻa ka hapanui o nā keiki i nā pākuʻi kūpono o ka hepatitis B ma 3 a me 6 mahina, aiʻole i ka makahiki 1 a me 6, akā no kēlā mau keiki iʻikeʻia e nā mākua i laweʻia i ka maʻi e make ai i ke maʻi, ua hanaʻia ka'ōpala ma 4 mau lā, e like me ka "0- 1-2-12. "
Ma ka lā 4e-7 ma hope o ka hānauʻana, pono ka pilikia o ka pēpē i ka maʻi o ka maʻi - BCG. Inā hānau mua ia ke keiki, aʻaʻoleʻo ia i lapaʻau no kekahi kumu'ē aʻe, hiki i ka BCG ke hana waleʻia ma hope o ka paʻiʻana o ke pēpē noʻelua mahina, ma hope o ka hoʻoholoʻana i ka ho'āʻo Mantou tuberculin.
Mai ka lā 01/01/2014 ua hoʻokomoʻia ka'ūpīʻana i ka maʻi pneumococcal i ka papalena kuʻuna āpau o nā keiki ma Rusia. ʻO ka'ōnaeho e hāʻawiʻia ai kāu keiki i kēia āpau e pili ana i kona mau makahiki. No nā keiki mai ka 2 a 6 mahina, hanaʻia ka'ōpala ma 4 mau lā me ka hoʻopaʻi houʻana i ka 12-15 mahina, no nā keiki mai 7 mahina a hiki i 2 mau makahiki - ma nā papaʻelua, a no nā keiki i piha i ka 2 makahiki, ua hanaʻia ka pāʻau.
Eia kekahi, e hoʻomaka ana i nā mahinaʻekolu, e hoʻomau pinepine ka pēpē i ka palapaʻana i ka pertussis, diphtheria a tetanus, i hui pinepineʻia me nā pākuʻiʻana i ka polio a me ka maʻi hemophilic. I ka hopena, hoʻopauʻia keʻano o nā lāʻau lapaʻau i loko o ka makahiki hoʻokahi me kahi hoʻokahi o ka maʻi lapaʻau, ka'opaʻu a me ka "mumps", aiʻole ka mumupū.
Ma hope o ia, pono ka keiki e hoʻololi i kekahi mau helu hou o ka hanaʻana i nā maʻi pākuʻi pinepine, ma keʻano, i loko o 1.5 mau makahiki - he kāpili houʻana o DTP, a ma ka makahiki 1 a me 8 - o ka poliomyelitis. I kēia manawa, ua hui pinepineʻia kēia mau maʻi āpau a hana like. Eia kekahi, i ka makahiki 6 ā 7 makahiki, ma mua o ke kākau inoaʻana i ke keiki i ke kula, e pāhalahala houʻo ia no ka maʻi'ōpū, ka rubella a me ka mumps, a me ka maʻi a me ka DTP. I ke 13 o kona mau makahiki, e hoʻopaʻi houʻia nā'ōpēpiʻi i nā kaikamāhine, ai ka 14 mau makahiki i nā maʻi a pau, poliomyelitis, diphtheria, tetanus a me pertussis. I ka hopena, e hoʻomaka ana mai ka makahiki 18, ua'ōleloʻia nā mākua a pau e hana hou i nā lāʻau āpau no ka paleʻana i nā maʻi i luna i kēlā me kēia 10 makahiki.
He aha kaʻokoʻa ma waena o ka papa helu o nā hōʻai'ē kūpono no nā keiki ma Ukraine?
Ua like like nā kaʻina hana kuʻikahi ma Rūsia aʻo Ukraine, akā he mauʻano likeʻole kekahi. Eia kekahi laʻana, no ka hoʻomaluʻana i ka maʻi hepaitis B i Ukraine no nā keiki a pau e like me keʻano "0-1-6", a ua hoʻopauʻia ka pāpale o ka DTP i ka 3.4 a me 5 mau mahina. Eia kekahi, ua nalowale ka lapaʻana i ka maʻi pneumococcal i ka papahana o ka'ōiwi'ōpio o Ukraine.
