Yini umgomo we-DTaP-HepB-IPV? Izimpawu, Izimbangela, & Nokwelashwa Kwasekhaya

Umjovo we-DTaP-HepB-IPV ungumjovo ohlanganisiwe ovikela ezifweni ezinhlanu eziyingozi ngomjovo owodwa. Lo mjovo uhlanganisa ukuvikelwa ku-diphtheria, i-tetanus, i-acellular pertussis (ukukhwehlela okukhulu), i-hepatitis B, kanye ne-polio ngomthamo owodwa onikezwa ngomjovo wemisipha, ngokuvamile ethangeni noma engalweni yengane yakho.

Abahlinzeki bezempilo bavame ukuncoma lo mjovo ohlanganisiwe wezingane ezisencane ngoba unciphisa inani eliphelele lemijovo edingekayo ngenkathi enikeza ukuvikelwa okuphelele. Umgomo usiza amasosha omzimba wengane yakho ukuthi afunde ukuqaphela nokulwa nalezi zifo ngaphambi kokuthi zihlangane nazo empilweni yangempela.

Uyini umgomo we-DTaP-HepB-IPV?

Umgomo we-DTaP-HepB-IPV ukugonywa okuhlanu-ngakunye okuvikela ku-diphtheria, i-tetanus, i-acellular pertussis, i-hepatitis B, kanye ne-polio. Ingxenye ngayinye iqondise esifweni esithile esingabangela izinkinga ezinzima noma ukufa, ikakhulukazi ezinganeni ezincane.

Lo mjovo ohlanganisiwe uqukethe izingxenye ezibuthakathaka noma ezingasebenzi zalezi zinhlangano ezibangela izifo, ezifundisa ngokuphephile amasosha akho omzimba ukuthi aqaphele futhi alwe nezifo zangempela. Umgomo unikezwa njengomjovo we-intramuscular, okusho ukuthi uqondiswa ngqo emsipheni lapho amasosha omzimba angasabela kahle kuwo.

Abahlinzeki bezempilo ngokuvamile banikeza lo mjovo ezinganeni eziqala eneminyaka engu-2 ubudala njengengxenye yesimiso sokugoma esivamile sezingane. Ifomethi yokuhlanganisa isho ukuthi ukubhoboza okuncane ngoshinga enganeni yakho ngenkathi kugcinwa izinga elifanayo lokuvikelwa njengemigomo yomuntu ngamunye.

Kuzizwa kanjani ukuthola umgomo we-DTaP-HepB-IPV?

Izingane eziningi zithola ukuqina okuncane kuphela ngesikhathi somjovo wangempela, okufana nokuchofoza okusheshayo noma ukushaya okuhlala imizuzwana embalwa nje. Indawo yokujova ingase izizwe ithambile noma ibuhlungu usuku noma ezimbili ngemva kwalokho, okufana kakhulu nomuzwa ngemva kwanoma yimuphi omunye umjovo.

Abanye abantwana bangase bakhulelwe iqhubu elincane, elibomvu endaweni yokujova noma babe nokukhathala okuncane amahora angama-24-48. Lezi zimo zivamile ngokuphelele futhi zibonisa ukuthi amasosha omzimba womntwana wakho aphendula kahle emutheni.

Ngezinye izikhathi, izingane zingase zithuthukise umkhuhlane ophansi noma zibonakale zikhathele kancane kunokujwayelekile usuku noma ezimbili. Lezi zimpawu ezincane ngokuvamile zizixazulula zodwa ngaphandle kokwelashwa futhi ziyizimpawu zokuthi umuthi usebenza njengoba kuhloswe ngayo.

Yini ebangela ukusabela emutheni we-DTaP-HepB-IPV?

Ukusabela okuncane emutheni we-DTaP-HepB-IPV kwenzeka ngoba amasosha omzimba womntwana wakho afunda ngokuqhubekayo ukuqaphela nokuphendula ezingxenyeni zomuthi. Lokhu kusabela komzimba kwenza ama-antibody azovikela ekuthelelekeni okuzayo kwalezi zifo.

Ingxenye ye-pertussis yomuthi ivame kakhulu ukubangela imiphumela emibi emincane efana nokukhathala noma umkhuhlane ophansi. Amasosha omzimba aphatha izingxenye zomuthi njengezinto zangaphandle futhi enza impendulo evikelayo, okungase ngezinye izikhathi kubangele ukungakhululeki kwesikhashana.

Izingane ngazinye zingase zisabele ngendlela ehlukile ngokusekelwe kumasosha omzimba abo ahlukile, ubudala, nempilo yonke. Ezinye izingane azinayo impendulo ebonakalayo nhlobo, kanti ezinye zingase zibe nezimpawu ezincane ezixazululwa ngokushesha.

Yiziphi izimo umuthi we-DTaP-HepB-IPV ovikela kuzo?

Lo muthi ohlanganisiwe unikeza ukuvikelwa ezifweni ezinhlanu eziyingozi ezithelelanayo ezingabangela izinkinga ezinzima noma ukufa, ikakhulukazi ezinganeni ezincane. Isifo ngasinye siqondisa izingxenye ezihlukene zomzimba futhi singaholela ezinkingeni zempilo zesikhathi eside uma sithathelwe.

Ake ngikuhambise ukuthi yini ingxenye ngayinye evikela kuyo, ukuze uqonde ukuthi kungani lokhu kuvikelwa okuphelele kubalulekile empilweni yengane yakho:

• I-Diphtheria: Ukutheleleka ngamabhaktheriya okwenza ungqimba oluqinile emqaleni, okwenza kube nzima ukuphefumula futhi okungase kubangele izinkinga zenhliziyo
• I-Tetanus: Ukutheleleka ngamabhaktheriya okubangela ukuqina kwemisipha okukhulu futhi okungaholela ku-"lockjaw" lapho imisipha yomhlathi iba lukhuni
• I-Pertussis (Umkhuhlane Wokukhwehlela): Ukutheleleka ngamathambo okuphefumula okuthelelanayo okubangela ukukhwehlela okunamandla futhi okungaba yingozi ekuphileni kwezinsana
• I-Hepatitis B: Ukutheleleka ngegciwane elihlasela isibindi futhi elingabangela isifo sesibindi esingamahlala-khona, i-cirrhosis, noma umdlavuza wesibindi
• I-Polio: Ukutheleleka ngegciwane elingabangela ukukhubazeka nobuthakathaka bemisipha, ngezinye izikhathi elithinta imisipha yokuphefumula

Lezi zifo zake zaba yizifo ezivamile zezingane ezazibangela izinkulungwane zokufa nokukhubazeka unyaka ngamunye. Namuhla, ngenxa yezinhlelo zokugoma, azivamile emazweni anamazinga aphezulu okugoma, kodwa ukuvikelwa kuqhubeka kuphela uma sigcina izinga eliphezulu lokugoma.

Ingabe ukusabela komgomo kungazixazulula ngokwako?

Yebo, ukusabela okuningi emgomeni we-DTaP-HepB-IPV kuzixazulula ngokuphelele ngokwazo phakathi kwamahora angu-24-48 ngaphandle kokwelashwa. Umzimba wengane yakho ngokwemvelo usebenzisa izingxenye zomgomo futhi ukusabela okuncane kokuvuvukala kuyazinzisa ngokushesha.

Ukusabela okuvamile njengobuhlungu endaweni yokujova, ukucasuka okuncane, noma umkhuhlane ophansi ngokuvamile kuvamise ukufinyelela phezulu ngosuku lokuqala futhi kuthuthuke kancane kancane. Lokhu kusabela okwesikhashana futhi akubangeli zinkinga eziqhubekayo noma izinkinga.

Ukuvikeleka okunikezwa umgomo, nokho, kuhlala isikhathi eside futhi kunikeza ukuvikelwa iminyaka eminingi. Ngenkathi imiphumela emibi yesikhashana iphela ngokushesha, ama-antibody okuvikela ahlala ohlelweni lwengane yakho ukuvikela ekuthelelekeni okuzayo.

Zingalawulwa kanjani izindlela zokuphendula umgomo ekhaya?

Ungasiza ingane yakho izizwe ikhululekile ngemva kokugonywa ngezindlela ezilula, ezinobumnene ezinciphisa ukungakhululeki okuncane. Lezi zinyathelo zokunakekela ekhaya zinganciphisa ubuhlungu futhi zisize ingane yakho iphumule kangcono ngenkathi amasosha omzimba ayo esabela emgomeni.

Nazi ezinye izindlela eziphephile nezisebenzayo zokuphatha ukusabela okuvamile komgomo ekhaya:

• Sebenzisa indwangu ebandayo, emanzi endaweni yokujova imizuzu engu-10-15 ukunciphisa ukuvuvukala nobuhlungu
• Nikeza ukugona okwengeziwe nokududuza ngoba izingane zivame ukuzizwa zingcono ngokunakekelwa okwengeziwe nokuthuliswa
• Nikeza uketshezi oluningi ukuze ingane yakho ihlale inamanzi, ikakhulukazi uma inomkhuhlane omncane
• Sebenzisa izidambisi zokucasuka ezifanele iminyaka njenge-acetaminophen noma i-ibuprofen uma udokotela wakho ezitusa ngenxa yokungakhululeki
• Khuthaza ukunyakaza okumnene kwengalo noma umlenze lapho kutholwe khona umjovo ukuvimbela ukuqina

Khumbula ukuthi akudingeki ukuthi welaphe konke ukusabela okuncane - izingane eziningi zenza kahle ngokunethezeka okwengeziwe nokuphumula. Thembela emizweni yakho ngalokho ingane yakho ekudingayo, futhi unganqikazi ukuxhumana nomhlinzeki wakho wezempilo uma unezinkinga.

Yini ukwelashwa kwezokwelapha kokusabela okukhulu komgomo?

Ukusabela okukhulu emgomeni we-DTaP-HepB-IPV akuvamile kakhulu, kodwa abahlinzeki bezempilo balungiselelwe ukukwelapha uma kwenzeka. Ochwepheshe bezokwelapha banezinqubo ezithile nokwelashwa okutholakalayo kunoma yikuphi ukusabela okukhulu komzimba noma izinkinga.

Uma kwenzeka ukusabela okukhulu komzimba (i-anaphylaxis), abasebenzi bezokwelapha bazohlinzeka ngokushesha nge-epinephrine neminye imithi ephuthumayo. Izikhungo zezempilo ezinikeza imigomo zihlonyiswe ngezinto eziphuthumayo nabasebenzi abaqeqeshwe ukubhekana nalezi zimo ezingavamile kodwa ezinzima.

Abahlinzeki abaningi bemithi yokugoma bakucela ukuthi ulinde imizuzu eyi-15-20 ngemuva kokugonywa ukuze ubheke noma yiziphi izimpendulo eziphuthumayo. Lesi sikhathi sokulinda sivumela abasebenzi bezempilo ukuthi bakwazi ukuhlonza ngokushesha nokwelapha noma yiziphi izinkinga ezingase zivele ngemuva nje komjovo.

Kufanele ngithintane nini nodokotela mayelana nezimpendulo zomgomo?

Kufanele uthinte umhlinzeki wakho wezempilo uma ingane yakho ithuthukisa izimpawu ezibonakala zizimbi kakhulu kunezimpendulo ezivamile zomgomo. Ngenkathi izimpendulo eziningi zivamile futhi zizolindeleka, ezinye izimpawu zidinga ukunakekelwa kwezokwelapha ukuqinisekisa ukuphepha nenduduzo yengane yakho.

Kubalulekile ukwazi ukuthi izimpendulo zidlule nini ububanzi obujwayelekile, ukuze uthole isiqondiso esifanele sezokwelapha uma kudingeka:

• Umkhuhlane ophezulu ongaphezu kuka-104°F (40°C) ongayiphenduli imithi yokunciphisa umkhuhlane
• Ukukhathala okukhulu noma ukukhala okuthatha amahora angaphezu kwama-3 futhi okungenakududuzwa
• Izimpawu zokungezwani komzimba nezinto ezithile njengezinduna, ukuvuvukala kobuso noma umphimbo, noma ubunzima bokuphefumula
• Ukuhlaselwa yisithuthwane noma ukugcwala kwanoma yiluphi uhlobo, ngisho noma kungokwesikhashana
• Ukozela okukhulu noma ubunzima bokuvusa ingane yakho
• Ukuvuvukala okukhulu, ububomvu, noma ukufudumala endaweni yokujova okuba kubi ngemuva kwama-24 amahora

Shayela ku-911 ngokushesha uma ingane yakho inobunzima bokuphefumula, ukuvuvukala okukhulu, noma ibonakala sengathi inokungezwani komzimba okukhulu. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha eziphuthumayo, yize zingavamile kakhulu ngalo mgomo.

Ziyini izici eziyingozi zezimpendulo zomgomo?

Izingane eziningi zingawuthola ngokuphepha umgomo we-DTaP-HepB-IPV ngaphandle kwanoma yiluphi ukhathazo olukhulu lwezimpendulo ezinzima. Kodwa-ke, izimo ezithile zezokwelapha noma okuhlangenwe nakho kwangaphambilini kungase kwenze ezinye izingane zithambekele ekubeni nezimpendulo noma zingakwazi ukuthola umgomo ngokuphepha.

Umhlinzeki wakho wezempilo uzobukeza umlando wezokwelapha wengane yakho ngaphambi kokugoma ukuze athole noma yiziphi izinto ezingase zibe yingozi. Ukuqonda lezi zinto kusiza ekuqinisekiseni ukuthi ingane yakho ithola umgomo ngokuphepha nangokufanele.

Nawa amacala amakhulu angase athinte ukuphepha noma isikhathi somgomo:

• Ukuphendula okukhulu komzimba ngaphambilini kunoma iyiphi ingxenye yomgomo noma umthamo wangaphambilini
• Ukugula okuphakathi nendawo kuya kokukhulu njengamanje ngomkhuhlane, okungase kudingeke ukuthi kulibazise ukugoma
• Izifo zesimiso somzimba sokuzivikela ezithinta indlela umzimba osabela ngayo emithini yokugoma
• Ukuthuthumela ngaphambilini noma izimo zemizwa ezingase zibe zimbi ngenxa yomkhuhlane
• Izifo zokuphuma igazi ezingase zibangele izinkinga ngemijovo yemisipha

Ukuba nalezi zinto eziyingozi akusho ngaso sonke isikhathi ukuthi ingane yakho ayikwazi ukuthola umgomo, kodwa kusho ukuthi umhlinzeki wakho wezempilo uzothatha izinyathelo ezengeziwe zokuphepha noma ashintshe uhlelo lokugoma njengoba kudingeka.

Ziyini izinkinga ezingase zibe khona zokungagonywa?

Izifo ezivinjwa ngumgomo we-DTaP-HepB-IPV zingabangela izinkinga ezinzima, ezisongela impilo ezingaphezu kakhulu kwemiphumela emibi yomgomo. Ngaphandle kokugoma, izingane zihlala zibhekene nalezi zifo ezingavinjwa ezingabangela ukukhubazeka unomphela noma ukufa.

Ukuqonda izinkinga ezingase zibe khona kusiza ukubeka izinzuzo nemingcipheko yomgomo ngendlela efanele. Izifo lo mgomo ozivimbayo ngokomlando ziye zabangela ukuhlupheka okukhulu futhi zisaqhubeka nokwenza kanjalo ezindaweni ezinamazinga aphansi okugoma.

Isifo ngasinye sithwala izingozi zaso ezinzima nemiphumela engase ibe khona yesikhathi eside:

• Izinkinga ze-Diphtheria: Ukuhluleka kwenhliziyo, ukukhubazeka, izinkinga zokuphefumula, nokufa ezigamekweni ezingama-5-10%
• Izinkinga ze-Tetanus: Ukuqina kwemisipha okukhulu, amathambo aphukile, ubunzima bokuphefumula, nokufa ezigamekweni ezingama-10-20%
• Izinkinga ze-Pertussis: Umkhuhlane wamaphaphu, ukulimala kobuchopho, ukuquleka, nokufa, ikakhulukazi ezinsaneni ezingaphansi kwezinyanga eziyisi-6
• Izinkinga ze-Hepatitis B: Isifo sesibindi esingamahlalakhona, i-cirrhosis, umdlavuza wesibindi, nokufa ngenxa yokuhluleka kwesibindi
• Izinkinga ze-Polio: Ukukhubazeka unomphela, izinkinga zokuphefumula, nokufa ngenxa yokuhluleka kokuphefumula

Lezi zinkinga zenzeka kaningi kakhulu kubantu abangagonywanga abanalesi sifo uma kuqhathaniswa nokusabela okungavamile okungathi sína okuvela emgomeni. Umgomo unikeza indlela ephephe kakhulu yokuthuthukisa ukuzivikela kunokufaka engozini yokutheleleka ngokwemvelo.

Ingabe umgomo we-DTaP-HepB-IPV muhle noma mubi ohlelweni lomzimba lokuzivikela kwengane yami?

Umgomo we-DTaP-HepB-IPV muhle kakhulu ohlelweni lomzimba lokuzivikela lwengane yakho ngoba uqeqesha ngokuphepha amaseli omzimba okuzivikela ukuthi aqaphele futhi alwe nezifo eziyingozi. Esikhundleni sokwenza buthaka uhlelo lomzimba lokuzivikela, imigomo empeleni iyalomelela ngokuveza okulawulwayo ezingxenyeni zesifo ngaphandle kokubangela ukugula.

Uhlelo lomzimba lokuzivikela lwengane yakho lungakwazi ukubhekana nama-antigen amaningi ngesikhathi esisodwa - empeleni, izingane zihlangana nezinkulungwane zama-antigen nsuku zonke ngemisebenzi ejwayelekile efana nokudla, ukuphefumula, nokudlala. Umgomo uqukethe ingxenyana encane kuphela yama-antigen uhlelo lomzimba lokuzivikela lwengane yakho olulawula njalo.

Umgomo usiza uhlelo lomzimba lokuzivikela lwengane yakho ukuthi luthuthukise inkumbulo yokuzivikela emzimbeni, ludale amaseli akhethekile akhumbulayo ukuthi angalwa kanjani nalezi zifo eminyakeni ezayo. Lokhu kuvikela kuvumela ingane yakho ukuthi igweme izinkinga ezingathi sína lezi zifo ezingazibangela ngenkathi yakha ukuzivikela okunamandla.

Yini okungase kuthathwe njengokuthi iyiziphi izindlela umgomo we-DTaP-HepB-IPV ongase uzenze?

Ukuphendula okuncane komgomo ngezinye izikhathi kungase kudidaniswe nezinye izinkinga ezivamile zezingane, ikakhulu njengoba izingane ezincane zivame ukuba nezifo ezincane ezihlukahlukene nokungakhululeki. Isikhathi sezimpawu ngemuva kokugonywa ngokuvamile sisiza ukuhlukanisa ukusabela komgomo kwezinye izimo.

Ukusabela okujwayelekile komgomo kuvame ukuqala phakathi kwamahora angu-24-48 ngemuva kokugonywa futhi kulungiswe ezinsukwini ezimbalwa. Uma izimpawu zivela kamuva kakhulu noma zihlala isikhathi eside kunokulindelekile, maningi amathuba okuthi zihlobene nenye into ingane yakho ehlangane nayo.

Izimo ezivamile ezingase zibukeke zifana nokusabela komgomo zihlanganisa:

• Izifo ezinamagciwane: Zingabangela umkhuhlane nokucasuka kodwa ngokuvamile zihlala isikhathi eside futhi zingase zihlanganise nezinye izimpawu ezinjengamakhala agobhozayo noma ukukhwehlela
• Ukuqhumuka kwamazinyo: Kubangela ukucasuka futhi ngezinye izikhathi umkhuhlane ophansi, kodwa ngokuvamile kuthinta izinsini namaphethini okuchitheka kwamathe
• Izifo zendlebe: Zingabangela umkhuhlane nokucasuka kodwa ngokuvamile zihlanganisa ukudonsa indlebe, ukuphazamiseka kokulala, futhi ngezinye izikhathi ukukhipha amanzi
• Ukulimala okuncane: Ama-bruises noma ama-bumps angase adidaniswe nokusabela kwendawo yokujova uma kwenzeka eduze nendawo yokugoma
• Ukuzwela kokudla: Kungabangela ukucasuka futhi ngezinye izikhathi ukuqubuka, kodwa ngokuvamile kuhlobene nezikhathi zokudla nezimpawu zokugaya ukudla

Uma ungaqiniseki ukuthi izimpawu zihlobene yini nomgomo noma enye into, xhumana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso. Bangasiza ukuthola imbangela futhi bancomende ukunakekelwa okufanele.

Imibuzo evame ukubuzwa mayelana nomgomo we-DTaP-HepB-IPV

Q1: Zingaki izilinganiso zomgomo we-DTaP-HepB-IPV ezidingwa yingane yami?

Ingane yakho ngokuvamile idinga izilinganiso ezintathu zomgomo we-DTaP-HepB-IPV njengengxenye yochungechunge lwabo lokugoma oluyinhloko. Abahlinzeki bezempilo bavame ukunikeza lezi zilinganiso eneminyaka engu-2, 4, kanye no-6, ngokulandela uhlelo lokugoma oluncane olunconyiwe.

Ngemva kwezithombe zokuqala, ingane yakho izodinga ezinye izithombe zokugomela ezinamakhono ahlukene okugoma ukuze igcine ukuvikeleka njengoba ikhula. Umhlinzeki wakho wezempilo uzokuqondisa ngohlelo olugcwele lokugoma ukuze uqinisekise ukuthi ingane yakho ihlala ivikelekile ebusheni bayo bonke.

Q2: Ingabe ingane yami ingathola ezinye izigoma ngesikhathi esifanayo ne-DTaP-HepB-IPV?

Yebo, ingane yakho ingathola ngokuphepha ezinye izigoma ezijwayelekile zobuntwana ngesikhathi esifanayo sokuvakasha njengomgomo we-DTaP-HepB-IPV. Abahlinzeki bezempilo bavame ukunikeza imigomo eminingi ngesikhathi esifanayo sokuqokwa ukuze bagcine izingane ohlelweni futhi banciphise inani lokuvakasha emtholampilo.

Izigoma zinikezwa ezindaweni ezihlukene zokujova, ngokuvamile ezingalweni noma emilenzeni ehlukene, ukunciphisa ukuphatheka kabi kunoma iyiphi indawo eyodwa. Ukuthola imigomo eminingi ngesikhathi esisodwa akukhuphuli ingozi yemiphumela emibi engathí sina noma kunciphise ukusebenza kahle kwanoma yimuphi umgomo ngamunye.

Q3: Kufanele ngenzeni uma ingane yami iphuthelwa umthamo we-DTaP-HepB-IPV ohleliwe?

Uma ingane yakho iphuthelwa umthamo ohleliwe, xhumana nomhlinzeki wakho wezempilo ukuze uhlele kabusha ngokushesha okukhulu. Akudingeki ukuthi uqale kabusha uchungechunge lonke lomgomo - ingane yakho ingaqhubeka nje lapho beyeke khona ohlelweni.

Akukho igebe elikhulu phakathi kwemithamo, ngakho-ke noma ngabe isikhathi esiningi sidlulile, imithamo yangaphambilini isabalwa ekuvikelweni okuphelele. Umhlinzeki wakho wezempilo uzonquma isikhathi esingcono kakhulu sokubamba imigomo ephuthelwe ngokusekelwe eminyakeni yengane yakho kanye nesimo sempilo.

Q4: Ingabe kuphephile ukunikeza umgomo we-DTaP-HepB-IPV ezinganeni ezingakazalwa?

Yebo, izingane ezingakazalwa kufanele zithole umgomo we-DTaP-HepB-IPV ngokuya ngeminyaka yazo yobuchronological, hhayi iminyaka yazo elungisiwe. Izinsana ezingakazalwa empeleni zisenengozi enkulu yezinkinga ezivela ezifweni lo mgomo ozivimbayo, okwenza ukugoma ngesikhathi esifanele kubaluleke kakhulu.

Abahlinzeki bezempilo bangase bathathe izinyathelo ezengeziwe zokuphepha lapho begoma izingane ezizalwe ngaphambi kwesikhathi, njengokuziqapha eduze ngemva kokugoma. Kodwa-ke, umgomo uphephile futhi usebenza kahle ezinganeni ezizalwe ngaphambi kwesikhathi futhi unikeza ukuvikeleka okubalulekile ezinyangeni zazo zokuqala ezibuthakathaka.

Q5: Ingabe abantu abadala bangawuthola umgomo we-DTaP-HepB-IPV?

Umgomo ohlanganisiwe we-DTaP-HepB-IPV wenzelwe ngqo izingane ezisencane. Abantu abadala abadinga ukuvikelwa kulezi zifo bathola izindlela ezahlukene zomgomo ezifanele kakhulu iminyaka yabo kanye nokuvuthwa kwamasosha omzimba.

Abantu abadala ngokuvamile bathola ama-booster e-Tdap (tetanus, diphtheria, and pertussis) njalo eminyakeni eyi-10, kanye nemigomo ehlukene ye-hepatitis B kanye ne-polio uma kudingeka. Umhlinzeki wakho wezempilo angathola ukuthi yimiphi imigomo oyidingayo ngokusekelwe emlandweni wakho wokugoma, iminyaka, kanye nezinto eziyingozi.