Udukoko twa Diphtheria, tetanus, pertussis idakora (inyito), polio (inzira yo guterwa mu bice by'iminwa)

Kinrix, Quadracel

Urushinge rukingira difiteri, tetano, na pertusis idakora (izwi kandi nka DTaP) rufatanyije n'urushinge rw'igicurane cya polio (izwi kandi nka IPV) ni urushinge rufatanye rutangwa mu kurinda indwara ziterwa na difiteri, tetano (lockjaw), pertusis (inkorora y'imbwa), na virusi ya polio. Urushinge rukora gutuma umubiri ubwikora ubwinkingiro (antikorps) bwirinda izo ndwara. Urwo rushinge rutangirwa abana bafite imyaka 4 kugeza kuri 6 gusa (mbere y'isabukuru y'imyaka 7 y'umwana). Difiteri ni indwara ikomeye ishobora gutera ibibazo byo guhumeka, ibibazo by'umutima, kwangirika kw'imitsi, pneumonia, ndetse n'urupfu. Icyago cyo kugira ingaruka zikomeye kiri hejuru cyane mu bana bato cyane no mu bakuze. Tetano (izwi kandi nka lockjaw) ni indwara ikomeye cyane itera ibitero by'indwara n'ibibazo bikomeye by'imitsi bishobora kuba bikomeye bihagije gutera amagufwa y'umugongo kuvunika. Indwara ikomeza kubaho hafi ya bose mu bantu batakingiwe cyangwa badafite ubwinkingiro buhagije bwo kuva ku bindi bikingira. Pertusis (izwi kandi nka inkoro y'imbwa) ni indwara ikomeye itera ibitero bikomeye byo gukorora bishobora kubangamira guhumeka. Pertusis ishobora kandi gutera pneumonia, bronchitis iramba, ibitero, kwangirika kw'ubwonko, n'urupfu. Polio ni indwara ikomeye cyane itera ubugufi 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 uravura polio. Urwo rushinge rugomba gutangwa gusa na muganga w'umwana wawe cyangwa munsi y'ubuyobozi bwe. Iki gikoresho kiboneka mu buryo bukurikira bwo gutanga umuti:

Mu cyemezo cyo gukoresha urukingo, ingaruka zo gukoresha urukingo zigomba guhanurwa n'akamaro kazagira. Iki ni cyemezo uzatanga hamwe na muganga wawe. Kuri uru rukingo, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba warigeze ugira uburwayi butasanzwe cyangwa imitego y'ibiyobyabwenge kuri iyi miti cyangwa izindi miti. Nanone, bwira umuhanga mu by'ubuzima niba ufite izindi mico y'uburwayi, nko kurya ibiryo, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikoresho byanditse kuri etiketi cyangwa ubwishingizi. Ibyigisho bikwiye ntibyarakozwe ku isano y'imyaka ku ngaruka z'uru rukingo ku bana bari munsi y'imyaka 4 n'abana bafite imyaka 7 n'irenga. Ubuziranenge n'ingaruka ntabwo byashizweho. Uru rukingo ntirusabwa gukoreshwa mu barwayi bakuru. Ubushakashatsi ku bagore bugaragaza ko iyi miti igira ingaruka nke ku mwana igihe ikoreshwa mu gihe cyo konsa. Nta bushakashatsi buhagije ku bagore bwo kumenya ingaruka ku bana igihe iyi miti ikoreshwa mu gihe cyo konsa. Pima inyungu zishoboka ugereranije n'ingaruka zishoboka 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 ikibazo gishobora kubaho. Muri uru rubanza, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo 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 ikurikira ntibisanzwe bisabwa, ariko bishobora gusabwa mubihe bimwe na bimwe. Niba imiti yombi yanditswe hamwe, muganga wawe ashobora guhindura umwanya cyangwa ukuntu ukoresha imiti imwe cyangwa yombi. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya ibiryo bimwe na bimwe kuko hariho ikibazo gishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe na yo bishobora gutera ikibazo. Ganira n'umuhanga mu by'ubuzima ku gukoresha imiti yawe hamwe n'ibiryo, inzoga cyangwa itabi. Kuba hari ibindi bibazo by'ubuzima bishobora kugira ingaruka ku ikoreshwa ry'uru rukingo. Menya neza kubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane: