Umuthi wokugoma wengane nengane: yimiphi imigomo eyisibopho?

Umuthi wokugoma wengane nengane: yimiphi imigomo eyisibopho?

E-France, eminye imigomo iyimpoqo, eminye iyanconywa. Ezinganeni, futhi ikakhulukazi ezinsaneni, imigomo engu-11 ibiyisibopho kusukela ngomhlaka-1 Januwari 2018. 

Isimo kusukela ngoJanuwari 1, 2018

Ngaphambi komhla lu-1 kuJanuwari 2018, imithi yokugoma emithathu yayiyisibopho ezinganeni (leyo elwa ne-diphtheria, i-tetanus novendle) futhi kwatuswa eyisishiyagalombili (i-pertussis, i-hepatitis B, isimungumungwane, umvukuzane, i-rubella, i-meningococcus C, i-pneumococcus, i-hemophilia B). Kusukela ngomhlaka-1 Januwari 2018, le mithi yokugoma engu-11 iyisibopho. Khona-ke uNgqongqoshe Wezempilo, u-Agnès Buzyn wayethathe lesi sinqumo ngenhloso yokuqeda izifo ezithile ezithathelwanayo (ikakhulukazi isimungumungwane) ngoba ukugonywa ngaleso sikhathi kwakubhekwa njengokunganele.

Umuthi wokugomela i-diphtheria

I-Diphtheria yisifo esithathelwanayo esibangelwa amagciwane ahlala emphinjeni. Lokhu kukhiqiza ubuthi obubangela i-angina ebonakala ngokumboza okumhlophe okumboze amathoni. Lesi sifo singase sibe sibi kakhulu ngoba izinkinga zenhliziyo noma zemizwa, ngisho nokufa, zingenzeka. 

Isheduli yokugomela i-Diphtheria:

  • imijovo emibili ezinsaneni: owokuqala unezinyanga ezi-2 kanti owesibili unezinyanga ezi-4. 
  • ukukhumbula ezinyangeni eziyi-11.
  • izikhumbuzo eziningana: lapho uneminyaka engu-6, phakathi kweminyaka engu-11 nengu-13, bese kuba ngabantu abadala abaneminyaka engu-25, engu-45, engu-65, futhi ngemva kwalokho njalo ngemva kweminyaka eyi-10. 

Umuthi wokugomela i-tetanus

I-tetanus yisifo esingatheleleki esibangelwa amagciwane akhiqiza ubuthi obuyingozi. Lobu buthi bubangela ukuqina kwemisipha okuphawulekayo okungathinta imisipha yokuphefumula futhi kuholele ekufeni. Umthombo oyinhloko wokungcola ukuxhumana kwesilonda nomhlaba (ukulunywa kwesilwane, ukulimala ngesikhathi sokusebenza engadini). Ukugoma iyona ndlela yokuzivikela kulesi sifo ngoba ukutheleleka kokuqala akukuvumeli ukuthi ubone isifo sesibili ngokungafani nezinye izifo. 

Isheduli yokugomela i-Tetanus:

  • imijovo emibili ezinsaneni: owokuqala unezinyanga ezi-2 kanti owesibili unezinyanga ezi-4. 
  • ukukhumbula ezinyangeni eziyi-11.
  • izikhumbuzo eziningana: lapho uneminyaka engu-6, phakathi kweminyaka engu-11 nengu-13, bese kuba ngabantu abadala abaneminyaka engu-25, engu-45, engu-65, futhi ngemva kwalokho njalo ngemva kweminyaka eyi-10. 

Umuthi wokugomela uvendle

uvendle yisifo esiyingozi esidalwa yigciwane elidala ukukhubazeka. Zibangelwa ukulimala kwesimiso sezinzwa. Igciwane litholakala ezindleni zabantu abanaleli gciwane. Ukudluliswa kwamanzi ngokusetshenziswa kwamanzi angcolile nangokudayiswa okukhulu.  

Isheduli yokugonyelwa uvendle:

  • imijovo emibili ezinsaneni: owokuqala unezinyanga ezi-2 kanti owesibili unezinyanga ezi-4. 
  • ukukhumbula ezinyangeni eziyi-11.
  • izikhumbuzo eziningana: lapho uneminyaka engu-6, phakathi kweminyaka engu-11 nengu-13, bese kuba ngabantu abadala abaneminyaka engu-25, engu-45, engu-65, futhi ngemva kwalokho njalo ngemva kweminyaka eyi-10. 

Umuthi wokugomela i-pertussis

I-Whooping yisifo esithathelwanayo esibangelwa amagciwane. Kuboniswa ngokukhwehlela okunengozi enkulu yezinkinga ezinsaneni ezingaphansi kwezinyanga ezingu-6. 

Isheduli yokugoma ukukhwehlela:

  • imijovo emibili ezinsaneni: owokuqala unezinyanga ezi-2 kanti owesibili unezinyanga ezi-4. 
  • ukukhumbula ezinyangeni eziyi-11.
  • izikhumbuzo eziningana: eneminyaka engu-6, phakathi kweminyaka engu-11 ne-13.

Umuthi wokugomela isimungumungwane, umvukuzane kanye nerubella (MMR).

Lezi zifo ezintathu ezithathelwanayo zibangelwa amagciwane. 

Izimpawu zesimungumungwane zibonakala ngamaqhubu andulelwe i-rhinitis, conjunctivitis, ukukhwehlela, ukushisa okukhulu kakhulu nokukhathala okukhulu. Kungase kuphakame izinkinga ezinkulu. 

Ama-mumps abangela ukuvuvukala kwezindlala zamathe, ama-parotids. Lesi sifo asisibi kakhulu ezinganeni ezincane kodwa singaba yingozi entsheni nakubantu abadala. 

I-Rubella ibonakala ngomkhuhlane kanye nokuqubuka. Ayinabungozi ngaphandle kwabesifazane abakhulelwe abangagonyiwe, phakathi nezinyanga zokuqala zokukhulelwa, ngoba ingabangela ukukhubazeka kwengane. Ukugoma kusiza ukubona lezi zinkinga. 

Isheduli yokugoma i-MMR:

  • umjovo womthamo owodwa ezinyangeni eziyi-12 bese kuba owesibili phakathi kwezinyanga eziyi-16 neziyi-18. 

Umuthi wokugomela i-Haemophilus influenza uhlobo B

I-Haemophilus influenzae yohlobo B igciwane elibanga i-meningitis kanye nenyumoniya. Itholakala ekhaleni nasemphinjeni futhi isakazwa ngokukhwehlela kanye nama-postilions. Ingozi yokutheleleka okubi kakhulu ithinta ikakhulukazi izingane ezincane.

Isheduli yokugomela i-Haemophilus influenza yohlobo B:

  • imijovo emibili enganeni: munye enezinyanga ezi-2 omunye enezinyanga ezi-4.
  • ukukhumbula ezinyangeni eziyi-11. 
  • uma ingane ingakayitholi le mijovo yokuqala, ukugoma ukubamba kungenziwa kuze kube yiminyaka eyi-5. Ihlelwe kanje: imithamo emibili kanye ne-booster phakathi kwezinyanga eziyisi-6 neziyi-12; umthamo owodwa ongaphezu kwezinyanga eziyi-12 kuze kufike eminyakeni emi-5. 

Umuthi wokugomela iHepatitis B

I-Hepatitis B yisifo esibangelwa amagciwane esihlasela isibindi futhi singaba esingamahlalakhona. Isatshalaliswa ngegazi elingcolile kanye nokuya ocansini. 

Isheduli yokugomela i-Hepatitis B:

  • umjovo owodwa enezinyanga ezi-2 kanti omunye unezinyanga ezi-4.
  • ukukhumbula ezinyangeni eziyi-11. 
  • uma ingane ingakayitholi le mijovo yokuqala, ukugoma ukubamba kungenziwa kuze kube yiminyaka eyi-15. Amasu amabili angenzeka: uhlelo lwakudala lwemithamo emithathu noma imijovo emibili ngokwehlukana kwezinyanga eziyisithupha. 

Ukugonywa kwesifo sokusha kwesibindi kohlobo B kwenziwa ngomgomo ohlangene (i-diphtheria, i-tetanus, i-pertussis, uvendle, i-Hæmophilus influenzæ uhlobo B izifo kanye ne-hepatitis B). 

Umuthi wokugomela ipneumococcal

I-Pneumococcus igciwane elibangela inyumoniya elingase libe yingozi kubantu ababuthaka, izifo ezindlebeni kanye ne-meningitis (ikakhulukazi ezinganeni ezincane). Idluliselwa ngama-postilions kanye nokukhwehlela. Imelana nama-antibiotic amaningi, i-pneumococcus ibangela izifo okunzima ukuzelapha. 

Isheduli yokugomela i-pneumococcal:

  • umjovo owodwa enezinyanga ezi-2 kanti omunye unezinyanga ezi-4.
  • ukukhumbula ezinyangeni eziyi-11. 
  • ezinganeni ezizalwa ngaphambi kwesikhathi kanye nezinsana ezisengozini enkulu yokutheleleka ngamaphaphu, kunconywa imijovo emithathu kanye ne-booster. 

Ukugonywa kwe-pneumococcus kunconywa ngemva kweminyaka emibili kubantwana nakubantu abadala abaye baba ne-immunosuppression noma isifo esandisa ingozi yokutheleleka kwe-pneumococcal njengesifo sikashukela noma i-COPD.

Umuthi wokugomela uhlobo C lwe-meningococcal

Itholakala ekhaleni nasemqaleni, i-meningococcus igciwane elingabangela i-meningitis ezinganeni nakubantu abadala. 

Ishejuli yokugomela uhlobo C lwe-meningococcal:

  • umjovo eneminyaka engu-5.
  • i-booster ezinyangeni eziyi-12 (lomthamo unganikezwa ngomgomo we-MMR).
  • umthamo owodwa ujovwa kubantu abangaphezu kwezinyanga eziyi-12 ubudala (kuze kufike eminyakeni engama-24) abangakawutholi umgomo wokuqala. 

Qaphela ukuthi umuthi wokugomela i-yellow fever uyimpoqo kubahlali base-French Guiana, kusukela ngonyaka owodwa ubudala. 

shiya impendulo