Qhov tshuaj tiv thaiv "Prevenar": kev xyuas. "Prevenar": qho kev qhia ntawv piav qhia

Txhaj tshuaj tiv thaiv yog ib txoj hauv kev los tsim kho tus neeg lub cev tiv thaiv kab mob. Cov tshuaj tiv thaiv yog qhov yuav tsum tau, uas yuav luag tag nrho cov me nyuam ua nrog me me tshwj xeeb, thiab muaj cov uas tau sau tseg tsuas yog qhia txog qee yam. Ua ntej koj yuav tau txhaj tshuaj tiv thaiv rau tus me nyuam, cov ntaub ntawv hais txog nws yuav tsum ua tib zoo kawm, nrog tus kws kho mob tham thiab nyeem cov kev txheeb xyuas. "Prevenar" tsuas yog kev txhaj tshuaj tiv thaiv kab mob xwb, nrog rau kev qhia thiab kev tsis haum xeeb uas koj yuav tsum tau ua tib zoo.

Daim ntawv ntawm qhov teeb meem thiab muaj pes tsawg leeg

Cov tshuaj tiv thaiv Prevenar tsis tsim nyob rau hauv Russia, tab sis yog imported los ntawm abroad (Teb chaws USA, Teb chaws Europe). Muab tso rau hauv 0.5 ml npaj txhij-rau-txhaj koob txhaj tshuaj. Muaj cov tshuaj pneumococcal (polysaccharide + CRM197), xws li polysaccharide serotypes: 4 (2μg), 6B (4 μg), 9V (2 μg), 14 (2 μg), 18C (2 μg), 19F (2 μg) , 23F (2 μg) thiab diphtheria carrier protein CRM197 (20 μg).

Cov khoom siv nyob rau hauv qhov kev rho tawm ntawm qhov rho tawm yog txhuas phosphate, sodium chloride, dej lim dej.

Cov tshuaj tiv thaiv "Prevenar", txheeb xyuas txog cov uas muaj ntau haiv neeg, tag nrho raws li tag nrho cov kev tsim nyog ntawm WHO rau kev tswj thiab tswj cov tshuaj tiv thaiv kab mob pneumococcal. Npaj rau kev tiv thaiv ntawm cov kab mob, uas yog cov causative tus neeg saib xyuas ntawm pneumococcal kab mob.

Tus nqi ntawm cov tshuaj tiv thaiv nws txawv ntawm 3500-4000 rubles.

Pharmacology

Kev ncua kev kawm "Prevenar" muaj xya, peb lub hnub nyoog los yog nees nkaum peb tus kab mob pneumococcal. Lawv npaum li cas yog nyob ntawm hom tshuaj tiv thaiv. Serotypes yog pneumococcal polysaccharides muab rho tawm los ntawm ntau pawg Gram-positive Streptococcus cov kab mob, txhua tus uas tau ua ke nrog diphtheria carrier protein CRM197 thiab adsorbed ntawm txhuas phosphate.

Txhaj tshuaj tiv thaiv nrog Prevenar, uas yog muaj teeb meem heev, pib tsim cov tshuaj tiv thaiv kab mob polysaccharides ntawm Streptococcus pneumoniae hom 4, 6B, 9V, 14, 18C, 19F, 23F. Txoj kev no ua rau lub cev tsis muaj zog. Cov tshuaj tua kab mob uas tiv thaiv tau tus kab mob pneumococcal yog tsim tawm.

Nyhuv ntawm cov tshuaj rau ntawm kev tiv thaiv

Cov me nyuam mos uas muaj hnub nyoog li cas, pib txij li ob lub hlis hauv lub neej, tau txhaj tshuaj raws li ib txoj kab ke. Qhov kev txiav txim no yog xav tau los tsim kom muaj kev tiv thaiv kab mob ntawm lub cev, uas yog nws tus kheej tom qab txhaj koob tshuaj thib ob thiab tom ntej. Nws tau ncav tau pov thawj tias cov tshuaj tua kab mob nce siab tom qab txhaj thawj koob tshuaj tiv thaiv kab mob. Dua li, peb txhaj cov tshuaj tiv thaiv Prevenar 13 yuav tau txhaj, tom qab lub sij hawm qis, uas tau hais tias muaj peev xwm ua kom qhov kev tiv thaiv ntawm tus me nyuam ntxiv thiab tsim kev tiv thaiv rau txhua hom thaum tom qab thawj txheej txheem.

Tsim kom muaj cov tshuaj rau qhov tshuaj tiv thaiv serotypes cai tom qab ib tug tib intramuscular txhaj rau cov me nyuam muaj hnub nyoog li ntawm ob mus rau tsib lub xyoos. Ntawm no, lub cev tsis muaj zog ntawm lub cev yog tib yam li cov menyuam yaus hauv ob xyoos.

Ua ntej pib tua cov tshuaj tiv thaiv "Prevenar 13", cov kev txheeb xyuas uas ua rau peb xav txog qhov kev pom zoo ntawm nws cov kev taw qhia, qhov kev soj ntsuam kuaj loj heev nyob hauv thaj tsam ntawm kev ua kom lub cev tsis muaj zog ntawm lub cev. Thaum lub sij hawm tshawb fawb, muaj li ntawm 18,000 tus me nyuam muaj hnub nyoog 2-15 xyoos tau koom tes. Cov txiaj ntsig tau ua pov thawj qhov kev rho tawm ntawm qhov kev tshem tawm hauv kev sib ntaus tawm tsam cov kab mob pneumococcal pawg los ntawm 97%. Nyob rau tib lub sijhawm, qhov feem pua ntawm cov menyuam hauv Amelikas tau 85%, hauv cov menyuam yaus nyob rau hauv Europe yog li 65 feem pua ntawm 80%.

Txoj kev tiv thaiv kab mob pneumonia uas tshwm sim los ntawm tus kab mob Streptococcus pneumoniae tau mus txog 87.5%, uas tau lees paub los ntawm ntau tus neeg xyuas.

Prevenar tsom nws tshwm sim (54%) thiab rau cov neeg mob uas muaj hnub nyoog 2-15 xyoos. Ntawm no nws raug suav hais tias yog rau cov kab mob siab mob nrab ntawm nruab nrab thiab mob hnyav heev, tau ua los ntawm cov kab mob pneumococci.

Hauv kev txhaj tshuaj tiv thaiv cov me nyuam, lub cev tsis tiv thaiv kab mob hauv hom kabmob yog 33% ntau dua. Tab sis, txawm tias qhov no, cov kab mob uas tshwm sim los ntawm serotypes txhaj raug txo los ntawm 34%. Yog li, cov neeg mob uas muaj mob ua pooj tau tsawg dua 6-18%, nrog cov mob rov qab mob dua 9-23%. Thiab qhov kev xav tau rau tympanostomy hauv kev txhaj tshuaj tiv thaiv cov me nyuam yaus yog 24-39%.

Cov kev qhia thiab kev tsis haum xeeb rau kev txhaj tshuaj tiv thaiv

Cov tshuaj tiv thaiv hu ua Prevenar 13, tau pom zoo los kawm txhua yam ntaub ntawv kho mob, qhia tau tias yog siv cov tshuaj tiv thaiv los ntawm kev tiv thaiv kab mob los ntawm Streptococcus pneumoniae hom 4, 6B, 9V, 14, 18C, 19F thiab 23F (qhov no suav nrog sepsis, mob ntsws, Bacteremia, meningitis thiab otitis ntawm ntau yam degrees) hauv cov menyuam yaus hnub nyoog ntawm ob lub hlis txog tsib xyoos.

Contraindications rau txhaj tshuaj tiv thaiv yog ntau yam kab mob. Cov no yog kis kab mob thiab kis tsis kis: kab mob npaws, mob ua pa nyuaj, mob khaub thuas, mob ntses plab thiab zoo li. Tsis txhob txhaj tshuaj tiv thaiv thaum lub sij hawm muaj kev mob ntxiv ntawm cov mob ntev. Tsis txhob nkag "Prevenar" rau cov me nyuam uas ua rau cov tshuaj tsis haum rau cov tshuaj thiab nws cov tshuaj tuaj, thiab rau cov mob toxoid.

Hauv cov ntawv no thiab lwm yam mob, txhaj tshuaj tiv thaiv nkaus xwb tom qab tus me nyuam ua tiav los yog nyob rau theem ntawm kev mob.

Txhaj tshuaj tiv thaiv: kev qhia siv

Cov tshuaj tiv thaiv no tsuas yog npaj rau kev txhaj tshuaj rau cov leeg hauv plab anterolateral ntawm cov menyuam yaus hnub nyoog ob xyoos, los yog hauv cov leeg ntawm lub xub pwg ntawm cov menyuam uas muaj hnub nyoog ob xyoos.

Tsis muaj thiab tsis muaj qhov xwm txheej yog kev siv tshuaj yeeb dej ntws!

Txhaj tshuaj tiv thaiv kab mob yuav tsum tau nqa tawm raws li qee qhov tawm tswv yim. Yog li, cov menyuam mosliab uas muaj hnub nyoog 2-6 hli txhaj peb koob tshuaj tivthaiv 0.5 ml. Lub caij nyoog nruab nrab ntawm lawv yuav tsum muaj tsawg kawg yog ib lub hlis. Txhaj tshuaj tiv thaiv thawj zaug yog ua raws li qhov kev npaj hauv ob lub hlis, thiab plaub (revaccination) yog nyob rau xyoo ob ntawm tus me nyuam lub neej, qhov zoo tshaj plaws hauv 12-15 lub hlis.

Yog tias tus menyuam tsis tau txhaj tshuaj tiv thaiv kab mob hauv thawj 6 lub hlis, qhov tshuaj tiv thaiv "Prevenar", xyuas txog cov uas txawv, yog nkag rau hauv lub cev raws li cov txheej txheem hauv qab no.
Hauv thaum yau 7-11 lub hlis, ob zaug ntawm ib qho yeeb tshuaj ntawm 0.5 ml txhua tus tau muab. Lub caij nyoog ntawm lub cev yuav tsis pub tsawg tshaj li ib hlis;

Thaum muaj hnub nyoog 12 txog 23 hlis, tus me nyuam tau txhaj ob koob, ib ntu ntawm ib koob yog 0.5 ml. Lub sijhawm ntawm kev txhaj tshuaj yuav tsum yog tsawg kawg 60 hnub. Cov me nyuam muaj hnub nyoog 2 - 5 xyoos ntawm cov tshuaj txhaj ib zaug nyob rau hauv tus nqi ntawm 0.5 ml.

Txhaj tshuaj tiv thaiv ntxiv, tshwj tsis yog cov tswv yim npaj, tsis muaj.

Cov tshuaj tiv thaiv "Prevenar", kws kho mob xyuas txog cov uas feem ntau zoo, yog homogeneous kev raug ncua ntawm cov xim dawb. Nws yog ib qhov ua tau tshwm sim ntawm qhov dej ntawm cov xim dawb. Tam sim ua ntej siv, qhov tshuaj tiv thaiv yog sib zog kom txog thaum uas muaj kua xim tsis tau zoo. Ua ntej txhaj tshuaj tiv thaiv, koj yuav tsum ua tib zoo soj ntsuam cov ntsiab lus ntawm tus kabmob syringe rau cov khoom txawv teb chaws. Yog hais tias lawv yog los yog qhov rho tawm muaj xim txawv, tshwj tsis yog dawb, ces cov tshuaj tsis raug cai.

Cov txheej txheem phiv

Prevenar 13 tau kuaj ntawm cov menyuam yaus uas muaj hnub nyoog li ntawm 6 lub lis piam thiab kaum yim lub hlis. Cov tshuaj tiv thaiv tau txhaj rau tib hnub thaum lwm cov tshuaj tiv thaiv menyuam yaus pom zoo los ntawm Ministry of Health. Cov kev mob tshwm sim tau raug pom: mob nqaij ntuag thiab sib cog ntawm qhov chaw txhaj tshuaj, kub cev.

Thaum lub sij hawm kev tshem tawm, muaj kev tsis txaus siab nyob rau ntawm qhov chaw ntawm kev ua haujlwm nyob rau hauv 36.5% ntawm cov neeg mob, mus txog rau ib ntus ntawm qhov ntuav - 18.5%. Hauv cov menyuam yaus hnub nyoog ob xyoos, qhov kev siv ntau dua ntawm cov kev tshwm sim hauv zos tau muab kaw dua li cov neeg mob hnub nyoog qis dua 1.5 xyoo, tab sis lawv luv heev. Hauv cov me nyuam mos (txog 28 lub lis piam) nrog cov kab mob tsis txheeb hauv kev ntsiag to hauv keeb kwm, muaj kev pheej hmoo ntawm apnea.

Nyob rau hauv cov me nyuam uas yog tshuaj "Prevenar 13" twb qhia nyob rau tib lub sij hawm raws li lub txhaj tshuaj tiv thaiv DTP feem pua postprivivochnyh tshua thiab mob yog siab. Yog li, ib lub cev kub saum toj no 38 ° C nqi muaj cai nyob rau hauv 41,2%, saum toj no 39 ° C - 3.3%, piv rau cov 1.2% - qhov no cov me nyuam pab pawg neeg, uas qhia tsuas yog ib tug DTP tshuaj tiv thaiv.

Xws li tshwm sim tau raug pom zoo thaum raug ncua ntawm "Prevenar" raug muab tso ua ke nrog cov tshuaj txhaj tiv thaiv, feem ntau siv ua menyuam yaus, feem ntau yog txhaj tshuaj tiv thaiv:

• Hawb hnoos;
• Tetanus;
• Hemophilus tus kabmob hom B;
• Kab Mob Siab B;
• Diphtheria;
• Poliomyelitis.

Thaum lub caij soj ntsuam, cov kev mob tshwm sim nram qab no tau txheeb xyuas tau. Qhov no yog, ua ntej ntawm tag nrho cov, liab nrog ib lub cheeb ntawm ntau tshaj 2.4 cm, o, mob mob, compaction nyob rau hauv lub cheeb tsam ntawm kev txhaj tshuaj. Qhov tshuaj tiv thaiv ntawm tus kab mob hauv qee lub sij hawm tau coj mus rau ib ntus kev txwv ntawm kev khiav hauj lwm ntawm qis extremities. Feem ntau, qhov chaw txhaj tshuaj yog khaus, dermatitis lossis khaus tshwm sim.

Ntau zaus muaj lub cev kub txog 38 ° C thiab siab dua, nrog rau kev txob taus, nkees nkees, qaug zog, pluag thiab sib quas ntus, pw tsaug zog ntev heev. Muaj tus mob hyperthermia saum toj no 39 ° C. Qee lub sij hawm muaj cov ntshav hypotension, hypergia, kev fab tshuaj ntawm lub cev, nrog rau kev hnov mob anaphylactic, edema los ntawm ntau yam kev nyuaj, mob ntsws ntsws, ua tsis taus pa, thiab qaug dab peg.

Nyob rau hauv ib feem ntawm lub digestive ib ntsuj av tau muaj raws plab, ntuav, xeev siab, tsis muaj los yog tsis qab los noj mov. Cov tsos mob ntawm ntau hom erythema lossis lymphadenopathy tsis cais tawm.

Cov lus qhia tshwj xeeb kom siv cov tshuaj

Tsuas yog cov me nyuam yaus mus txog tsib xyoos ntawm kev txhaj tshuaj tiv thaiv nrog cov tshuaj tiv thaiv. Cov lus qhia hais tias koob tshuaj tiv thaiv no yog txhaj rau cov laus. Tsis tas li ntawd, nws tus cawv nyob rau hauv kev loj hlob hauv plab thaum lub sij hawm cev xeeb tub twb tsis tau qhia. Cov nyhuv ntawm cov tshuaj nyob rau hauv tus menyuam los ntawm kev haus mis niam tsis tau kawm txaus.

Qhov tshuaj tiv thaiv no yog kom txhaj tshuaj rau tus menyuam noj qab nyob zoo xwb, tsis txhob siv lub sijhawm ua pa thiab lwm yam kabmob. Tshwj xeeb yog tias muaj kev nce hauv lub cev kub. Hauv qhov no, koj yuav tsum tau tos kom tag nrho kev rov zoo los ntawm tus menyuam.

Yuav kom pab tau qhov tsim nyog tau txais kev pabcuam los ntawm kev pheej hmoo ntawm anaphylactic poob siab, tus kws kho mob yuav tsum ua tib zoo saib xyuas tus neeg mob tom qab 30 feeb tom qab kev saib xyuas ntawm cov tshuaj.

Kom tsis txhob muaj qhov kev pheej hmoo ntawm apnea, koj yuav tsum tau soj ntsuam tus neeg mob txog li 48-72 teev, tshwj xeeb tshaj yog nrog kev txhaj tshuaj tiv thaiv kab mob hauv cov menyuam yaus hnub nyoog 28 xyoos.

Cov tshuaj tiv thaiv "Prevenar" (kev txheeb xyuas cov kws kho mob hais tias nws muaj qhov txiaj ntsim zoo rau qhov kev tiv thaiv ntawm tus me nyuam) yuav tsum tau qhia ncaj qha raws li lub tswv yim, yog li tsis txhob ncua qhov txheej txheem.

Cov tshuaj no tsuas yog kev tiv thaiv ntawm cov kab mob Streptococcus pneumoniae, uas yog ib feem ntawm qhov kev ncua, tab sis tsis yog los ntawm lwm tus, xws li cov kab mob tua kab mob.

Raws li kev txhaj tshuaj tiv thaiv, qhov tshwm sim ntawm kev mob ntsws pneumonia tau zoo dua li piv nrog cov me nyuam tsis tau muaj hnub nyoog 32.2% hauv thawj xyoo, thiab 23.4% ntawm thawj ob xyoos.

Cov tshuaj tua kabmob (antipyretic) yuav raug xa kom coj cov menyuam tuaj yeem txhaj koob tshuaj tivthaiv kabmob hnoos hawbpob (pertussis), nrog rau kev txhim kho ntawm cov kev sib txuam tawm. Lawv kuj tau hais rau cov menyuam yaus uas raug teeb meem nrog kev sib cav sib ceg.

Lub pre-diluent yog manufactured nyob rau hauv ib lub syringe npaj rau txoj kev. Nws cov khoom tsis tuaj yeem raug rau lwm lub tshuab ntxuav tais diav los yog sib xyaw ua ke nrog lwm yam tshuaj.

Overdose thiab cuam tshuam nrog lwm cov tshuaj

Cov xwm txheej dhau los ntawm cov tshuaj tiv thaiv overdose, tsis ua raws li lub caij teem txhaj tshuaj thiab lub sijhawm txhaj tshuaj tiv thaiv tau paub. Tej yam zoo li no tuaj yeem ua rau tsis zoo. Yuav kom tsis txhob cia lawv, nws yog qhia kom ua raws li cov lus qhia. Qhov no yog cov lus teb li cas.

Prevenar yog txhaj rau tib hnub xws li lwm cov tshuaj tiv thaiv, tshwj qhov muab koob tshuaj tiv thaiv kab mob BCG. Cov tshuaj no tuaj yeem ua ke nrog cov tshuaj tiv thaiv tiv thaiv kab mob Hib thiab txhaj tshuaj tiv thaiv "Infanriks." Nyob rau hauv qhov kev txhaj tshuaj no yuav tsum tau ua nyob rau ntau qhov chaw hauv lub cev.

Cov tshuaj tso tawm ncaj qha raws li daim ntawv sau los ntawm tus kws kho mob. Cia nws nyob hauv qhov chaw qhuav, txias thiab tsis muaj chaw rau cov me nyuam, thaum kub txog 2 ° txog 8 ° C. Nws tsis yog khov. Txee lub neej ntawm koob tshuaj tiv thaiv no peb xyoos.

Nws zoo dua: Prevenar los yog Pnevmo 23

Feem ntau cov kws kho mob tau muab tshuaj tiv thaiv "Prevenar 13", "Prevenar" lossis "Pnevmo 23". Kev xyuas yog tov. Thawj koob tshuaj tiv thaiv muaj kaum peb serotypes, lub thib ob - xya, thiab feem peb - nees nkaum peb. Cov kws kho mob hais tias yog lawv pib ua kev txhaj tshuaj nrog ib qho tshuaj tiv thaiv nkaus xwb, piv txwv li, "Prevenar", ces koj yuav tsum kawm kom tiav nrog nws. Txawm hais tias muaj 7-nqi tshuaj tiv thaiv tuaj yeem hloov tau rau Prevenar 13

Koj tuaj yeem txhaj tshuaj tiv thaiv cov laus thiab cov laus tshaj 50 xyoo los yog cov uas tau txhaj tshuaj tiv thaiv kab mob pneumococcal. Nyob rau hauv cov no, cov tshuaj "Prevenar" yog ib zaug.

Kev qhia, kev txheeb xyuas thiab LEEJ TWG pom zoo tias qhov kev kho no yuav raug muab rau txhua tus menyuam hnub nyoog qis dua ob xyoos. Cov tshuaj tiv thaiv pab tsim kev tiv thaiv kab mob los ntawm pneumococcus: bronchitis, otitis media, pneumonia, meningitis.

Cov neeg ua hauj lwm hauv cov kab mob ntawm cov kab mob no kuj yog lwm yam mob, tab sis nws yog pawg pneumococcal uas tuaj yeem tsim kev puas tsuaj rau kev noj qab haus huv ntawm tus menyuam, nrog rau kev ua rau nws tuag. Yog tias koj xaiv ntawm Prevenar 7 thiab Prevenar 13, feem ntau koj qhia kom xaiv qhov tom kawg, vim nws muaj ntau hom. Nws tau sau tseg rau cov me nyuam txij 6 hli mus txog 2 xyoos. Cov tshuaj txhaj tiv thaiv no ntev heev.

"Prevenar 23", nyob rau hauv qhov sib txawv ntawm "Prevenar", raug taw nkaus nkaus xwb raws li cov kev taw qhia rau lub hnub nyoog tsawg dua ob xyoos. Cov tshuaj no sib txawv hauv lawv cov teebmeem. Yog tias tus me nyuam mos ab txhaj tshuaj nrog Prednavar, ces ob xyoos tom qab, koj tuaj yeem mus txhaj tshuaj tiv thaiv nrog Prevenar 23. Cov tshuaj tom kawg yog muab rau cov me nyuam tsis muaj zog thiab feem ntau mob nruj raws li tus kws kho mob cov lus qhia. Qhov ua kom zoo dua yog ntau ntau hom - 23. Tshuaj tiv thaiv yog pheej yig dua.

"Pnevmo-23" tsis tsim kom muaj kev tiv thaiv ntev, thiab qhov ntawd, txhua 3-5 xyoos, nws yuav tsum tau ua raws li kev tshem tawm.

Txhaj tshuaj tiv thaiv kab mob txhaj tshuaj: tawm tswv yim

"Prevenar" tau tshwm sim ntau qhov kev tsis sib haum xeeb. Cov lus cog tseg ntawm cov kws kho mob los txhim kho kev noj qab haus huv ntawm tus menyuam thiab kev ua tiav ntawm ntau tus niam, uas cov menyuam yaus tom qab txhaj tshuaj tiv thaiv no tau nres lawm, ua rau ntau tus neeg mob siab rau. Tab sis tsis yog txhua yam yog li tus li nws pom thaum xub thawj siab. Tom qab txoj kev tu, ntau cov me nyuam tau mob ib ce thiab mob siab heev. Qee zaum, qhov tshuaj tiv thaiv tau ua kom kub taub hau, mob ntsws, qhov ntswg thiab lwm cov kab mob, uas tau ntev ntev rov los. Cov nyhuv yog li lawv tsis ua raws li kev txhaj tshuaj. Cov niam txiv ntawm cov tshuaj tiv thaiv cov me nyuam yws ntawm kev sib txuam thiab liab, uas tawm tom qab txhaj tshuaj tiv thaiv ntawm qhov chaw txhaj tshuaj. Ntau tus me nyuam tom qab nws tus txheej txheem txav nrog nyuaj.

Muaj ntau tus neeg uas tau txais kev pab txhaj tshuaj tiv thaiv kab mob kom zoo thiab txo ntau cov kab mob. Thiab ib txhia tau txiav txim siab tias nws yuav tsum tau ua los ntawm kev qhia, uas yog, qaug zog thiab feem ntau cov me nyuam mob, thiab tseem ua rau lub neej txoj hauv kev.

Cov kws kho mob lub tswv yim hais txog kev qhia txog kev txhaj tshuaj tiv thaiv Prevenar rau cov me nyuam raug faib. Qee cov tau txais kev txhaj tshuaj tiv thaiv. Qhia tias muaj kev tiv thaiv ntxiv. Lwm tus neeg tham txog hom 1 thiab 5, uas yog lawv tus kheej muaj peev xwm tswj tau tus kab mob pneumococcal. Cov tshuaj tiv thaiv no kuj tau txwv nyob hauv ntau lub teb chaws.

Los ntawm cov saum toj no nws yuav xaus lus tias qhov tshuaj tiv thaiv "Prevenar" - yog tsis yog ib tug panacea, tab sis ua li cas kom, nws muaj peev xwm ho los txhim kho lub cev ntawm tus me nyuam.