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      脊灰疫苗是什么

      【导读】脊灰疫苗听起来有点小高深,其实咧就是妈妈们小时候吃过的糖丸。它的主要功能是帮助宝宝抵挡脊髓灰质炎(俗称小儿麻痹症),所以是非常重要的一种疫苗哦!目前接种站有2种选择,OPV(口服的糖丸或滴剂)和IPV(注射针剂),后面一种需要妈妈自掏腰包,效果也更理想哦!

      脊髓灰质炎疫苗是预防和消灭脊髓灰质炎的有效控制手段。脊髓灰质炎是由脊髓灰质炎病毒所致的急性传染病,病毒主要侵犯人体脊髓灰质前角的灰、白质部分,对灰质造成永久损害,使这些神经支配的肌肉无力,出现肢体弛缓性麻痹。脊髓灰质炎又叫小儿麻痹症,是由于小孩的脊髓、脊神经受病毒感染后而引起的疾病,是一种严重的传染性疾病。部分小孩得病后可以自行痊愈,但多数小孩患病后会出现下肢肌肉萎缩、畸形,结果引起终身残疾,多为跛行甚至根本不能站立、行走,甚至危及生命。

      目前对这种疾病还没有有效的治疗方法,但可通过使用疫苗进行预防。脊髓灰质炎疫苗就是用于预防小儿麻痹的疫苗。我国正在使用的脊髓灰质炎减毒活疫苗(OPV),也就是大家熟悉的“糖丸”,它是由活的、但致病力降低的病毒制成;而另一种名为灭活脊髓灰质炎病毒疫苗(IPV),是一种用死病毒制成的疫苗。自从有了该疫苗,全球的小儿麻痹症发病率逐年下降。

      目前我国大量使用的脊灰疫苗正是糖丸的形式,婴儿一般于第2、4、6月龄时各服一丸。1.5岁~2岁,4岁和7岁时再各服1丸(直接含服或以凉开水溶化后服用)。3次服苗后,?;ぢ士纱?0%以上。血清中3型抗体阳性率可达95%以上。同时抗体可阻止野病毒在肠道生存。腹泻、冷链保存情况均为影响疫苗效果的因素。

      脊灰疫苗糖丸相对大部分的孩子来说,还是具有安全性的,但是不排除它有部分的不良反应,爸比、妈咪对于正常的不良反应无需过于担心。

      脊髓灰质炎病毒疫苗有两种,一种是口服的减毒活疫苗;另外一种是注射型的灭活疫苗。相信很多的爸爸、妈妈会纠结那么这两种疫苗哪种更好?更安全?

      其实,两种都具有一定的安全性,但是我国目前用得最多的就是口服型的糖丸,这个是国家免费提供的,也有一定的预防效果,相对来说,根据每个宝宝体质的特殊性也有一定的副作用,但是一般问题不大,因为这些的不良反应都是可以通过自身进行恢复的。据世界卫生组织估计,接种脊灰减活疫苗后发生疫苗相关麻痹的概率是1/25万左右。所以,爸妈不必担心。

      另外一种就是灭活疫苗,是需要注射的。这种注射的疫苗是从国外进口的,所以相对费用较高,剂量更精准,安全性也更好。权衡接种疫苗的利弊,一个最重要的原则是:预防接种的效益远远大于不良反应危险性。这两种都符合这个原则。

      脊灰疫苗目前分为两种,一种是国内的,一种是进口的。国内一般口服的减活疫苗,俗称糖丸,这种是由国家免费提供,它是计划内疫苗,计划内疫苗都由政府统一采购,并实行免费接种,各预防接种单位不得收取任何费用。另外一种是灭活疫苗,注射剂型,由赛诺菲巴斯德生产,零售价应该是198一针,由于是进口的,采用的是注射形式,所以是需要收取一定的费用的,这个也是国外普遍使用的。这两种疫苗的预防作用是一样的,都可作为预防脊髓灰质炎的疫苗,只要选择一种进行接种就可以了。

      在当前免费的脊灰减活疫苗和自费的脊灰灭活疫苗并存的情况下,如何选择接种,其实取决于个人。

      由于新生儿的免疫能力较弱,所以一出生就必须接种各种各样的疫苗来保证身体的健康,脊灰疫苗就是防止脊髓灰质炎的疫苗,该疫苗的不良反应表现如下:

      一是发热、头痛,但是不会太高,二到三天就可以自愈的。二是轻微腹泻,三可以出现过敏反应,通常和孩子的特殊体质有关,表现为全身的皮疹,一般要抗过敏治疗;以上三种反应都是可以自行痊愈的。

      虽然疫苗可能出现反应,但对绝大多数孩子来说都是安全有效的,但是较为严重的反应就是极少数孩子可以出现疫苗相关性的软瘫,最好到医院检查明确一下原因。如果是怀疑与疫苗有关,可以改用灭活的脊灰疫苗。

      脊灰疫苗也会产生某些不良反应,所以在服用时需要注意的事情,作为爸爸、妈妈的你们不得不知道哦!

      如果接种完疫苗之后,你的小孩有发热、体质异常虚弱、严重佝偻病、活动性结核及其他严重病疾以及1周内每日腹泻4次者均应暂缓服用。HIV感染、异常丙种球蛋白血症、淋巴瘤、白血病、广泛性恶性病变以及其他免疫缺陷者(如服用皮质激素、抗癌药、免疫抑制药或接受辐射等)均属禁忌。

      1、此种疫苗只能口服,不能注射,患胃肠病时最好延缓使用。

      2、脊髓灰质炎疫苗是糖丸或液体的剂型,怕热,遇热会失效,因此不要用热水服药,必须用冷开水送服。服用时先用汤勺或筷子将糖丸研碎,或用汤勺将糖丸溶于冷开水中服用。较大儿童可直接吞服。

      3、最好在服苗后两小时内停止吸吮母乳,否则母乳中抗体会中和疫苗,影响效果。

      4、如果在服用时出现呕吐,应该补服。

      5、服用后一般无不良反应,仅见少数轻微胃肠道症状。

      6、高烧、免疫能力受损、正使用肾上腺皮质激素或抗癌药物治疗者不宜服用脊髓杰质炎疫苗。

      7、对有禁忌症者,可注射丙种球蛋白0.3毫升/千克体重,每天1次,连续2~3天。

      8、一旦发病,应及时去医院隔离治疗,并报告卫生防疫站,做好疫点消毒,密切接触者医学观察20天,对未服过疫苗或服疫苗不全者应立即补服。

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