Udukoko twa Diphtheria, Tetanusi, pertusis idakora, Polio, hib (inzira y'imikaya)

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Urushyo rw'igicurane, tetanusi, na pertusis idakora (izwi kandi nka DTaP) rufatanyije n'urushyo rwa poliovirus rudakora na Haemophilus B conjugate vaccine (izwi kandi nka IPV na Hib) ni urushyo rufatanye rutangwa mu kwirinda indwara ziterwa na diphtheria, tetanusi (lockjaw), pertusis (inkorora y'imbwa), poliovirus, na Haemophilus influenzae type b. Uru rushyo rukora mu gutuma umubiri utanga ubwiringiro bwigenga (antikorps) kuri izo ndwara. Uru rushyo rutangirwa gusa abana bakiri bato bafite ibyumweru 6 kugeza ku myaka 4, kandi rutangwa mbere y'isabukuru y'imyaka 5 y'umwana. Diphtheria ni indwara ikomeye ishobora gutera ibibazo byo guhumeka, ibibazo by'umutima, kwangirika kw'imitsi, pneumonia, ndetse n'urupfu. Icyago cyo kugira ingaruka zikomeye kiri cyinshi cyane mu bana bato cyane no mu bakuze. Tetanusi (izwi kandi nka lockjaw) ni indwara ikomeye cyane itera ibitotsi n'imitetere y'imitsi ikomeye ishobora kuba ikomeye ku buryo itera amagufwa y'umugongo gusenyuka. Indwara ikomeza kubaho hafi ya bose mu bantu badahabwa inkingo cyangwa badafite uburinzi buhagije bwo kuva ku nkingo zabanje. Pertusis (izwi kandi nka inkoro y'imbwa) ni indwara ikomeye itera inkoro zikomeye zishobora kubangamira guhumeka. Pertusis ishobora kandi gutera pneumonia, bronchitis iramba, ibitotsi, kwangirika kw'ubwonko, n'urupfu. Polio ni indwara ikomeye cyane itera ubumuga bw'imitsi, harimo imitsi ikwemerera kugenda no guhumeka. Indwara ya polio ishobora gutuma umuntu adashobora guhumeka adafashijwe n'imashini yo guhumeka. Ishobora kandi gutuma umuntu adashobora kugenda adafite ibikoresho byo kugenda cyangwa afungiwe mu kagare k'abamugaye. Nta muti wa polio. Kugira indwara ya Haemophilus influenzae type b (Hib) bishobora gutera indwara zihitana ubuzima, nka meningitis, igira ingaruka ku bwonko; epiglottitis, igira ingaruka ku muhogo kandi ishobora gutera urupfu no guhagarara guhumeka; pericarditis, igira ingaruka ku mutima; pneumonia, igira ingaruka ku mpyiko; na septic arthritis, igira ingaruka ku magufwa n'ingingo. Diphtheria, tetanusi, na pertusis ni indwara zikomeye zishobora gutera indwara zihitana ubuzima. Nubwo ingaruka zimwe na zimwe zikomeye zishobora kubaho nyuma y'urushyo rwa DTaP (akenshi biterwa n'igice cy'urushyo rwa pertusis), ibi bibaho gake. Amahirwe yo kuba umwana wawe yakwandura imwe muri izo ndwara, kandi agakomereka burundu cyangwa agakuriramo urupfu, ni menshi cyane kurusha amahirwe yo kuba umwana wawe yakuraho ingaruka zikomeye ziterwa n'urushyo rwa DTaP. Uru rushyo rugomba gutangwa gusa na muganga w'umwana wawe cyangwa undi muhanga w'ubuzima wemerewe. Iki gicuruzwa kiboneka mu buryo bukurikira bwo gutanga umunono:

Mu gihe cyemeza gukoresha urukingo, ibyago byo gukoresha urukingo bigomba kupimirwa ugereranyije n'akamaro kazagira. Iki ni cyemezo wowe na muganga wawe muzafatanya gufata. Kuri uru rukingo, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba wigeze ugira uburwayi butasanzwe cyangwa imitego y'ubuziranenge kuri iyi miti cyangwa izindi miti. Nanone, bwira umuhanga mu by'ubuzima niba ufite izindi mico y'ubuziranenge, nko ku biribwa, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikoresho biri ku gipfunyika cyangwa ku kimenyetso. Ubushakashatsi bukwiye ntabwo bwakozwe ku isano y'imyaka ku ngaruka z'uru rukingo ku bana bari munsi y'ibyumweru 6 n'abana bafite imyaka 5 n'irenga. Ubuziranenge n'ingaruka nziza ntibyarangiye. Jya ubwira muganga wawe niba umwana wawe yavutse imburagihe. Uru rukingo rushobora gutera ibibazo byo guhumeka (urugero, apnea) ku bana bavutse imburagihe. Nta makuru araboneka ku isano y'imyaka ku ngaruka z'uru rukingo ku barwayi bakuze. Ubushakashatsi ku bagore bugaragaza ko iyi miti iteza ibyago bike ku mwana igihe ikoreshwa mu gihe cyo konsa. Nta bushakashatsi buhagije ku bagore bwo kumenya ibyago by'umwana igihe iyi miti ikoreshwa mu gihe cyo konsa. Pima inyungu zishoboka ugereranyije n'ibyago bishoboka mbere yo gufata iyi miti mu gihe cyo konsa. Nubwo imiti imwe n'imwe idakwiye gukoreshwa hamwe na gato, mu bindi bihe imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo hariho isano ishobora kubaho. Muri uru rubanza, muganga wawe ashobora gushaka guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Igihe ubonye uru rukingo, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufashe imiti iri hasi. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Kubona uru rukingo hamwe n'imiti iri hasi ntibisanzwe bisabwa, ariko bishobora kuba ngombwa mu bihe bimwe na bimwe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa ukuntu ukoresha imiti imwe cyangwa yombi. Imiti imwe n'imwe ntikwiye gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya imirire imwe n'imwe kuko isano ishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe nabyo bishobora gutera isano kubaho. Ganira n'umuhanga mu by'ubuzima ku gukoresha imiti yawe hamwe n'ibiribwa, inzoga, cyangwa itabi. Kuba hari ibindi bibazo by'ubuzima bishobora kugira ingaruka ku gukoresha uru rukingo. Jya ubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane: