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Реакция на прививку АКДС: в каких случаях она нормальна, а в каких нет

Реакция прививки АКДСПрививка АКДС входит в национальный календарь и в обязательном порядке делается всем малышам. Да, мама имеет право отказаться от вакцинации, но стоит ли подвергать своего ребёнка серьёзным инфекциям, от которых он будет защищён после укола? Вполне нормальны некоторые реакции на прививку. О них и поговорим подробнее в этой статье.

АКДС: что это за прививка?

Прививка АКДСАКДС – это вакцина сразу против трёх серьёзных инфекций: столбняка, дифтерии и коклюша. Раньше от таких заболеваний страдало и даже погибало довольно большое количество детей, но теперь ситуация изменилась благодаря прививкам.

Существуют разные составы вакцины. В одних содержатся сами возбудители болезней (в малых количествах и нейтрализованные), действие других основано на эффекте памяти. В этом случае клетки лишены некоторых частей, в результате чего они несут нужную информацию, на которую реагирует иммунитет, но инфекцию они возбудить не способны.

Обычно прививку делают малышам в 2-4 месяца. Делается три прививки с интервалом максимум 45 дней. Затем через год проводится ревакцинация. При малейших признаках болезни врач не может сделать укол малышу, это чревато серьёзными последствиями.

Раньше прививку делали в ягодицу, но это не совсем правильно, так как в этой зоне большой слой жира (велик риск сепсиса). Лучшее место для укола – бедро. Хотя из-за этого мамы частенько жалуются, что у ребенка после прививки болит ножка.

Может ли возникнуть реакция на прививку АКДС?

Реакция на прививку АКДСМногие мамы замечают, что ребенок после прививки капризничает, плачет, а место укола покраснело и образовалась шишка. На самом деле реакция вполне нормальна и закономерна, она говорит о том, что компоненты вакцины достигли своей цели и начали действовать.

Всё-таки прививка – это вмешательство в иммунитет и в весь организм в целом, это чужеродные тела. Так что некоторые изменения логичны и являются нормой.

Как дети переносят прививку?

Обо всём маме должен рассказать врач, который проводит осмотр, либо делающая прививку медсестра. Но в любом случае реакция возникает лишь в первые 1-3 суток после укола. Именно за этот период компоненты внедряются туда, куда должны, и начинают действовать.

Если, например, спустя неделю или больше у крохи вдруг повышается температура или ухудшается общее состояние, то не стоит вспоминать об уколе, так как связи тут никакой нет. Вещества вакцины уже давно выполнили свою функцию и активность больше не проявляют. Ищите причину в другом и не вините во всём прививку!

Расшифровка АКДСРасшифровка АКДС и полное описание этой вакцины мы сделали в отдельной статье. Там же мы даем советы родителям по выбору вакцины и необходимости вакцинации.

А здесь мы рассказываем о ревакцинации АКДС, т.е. повторном введении этой прививки.

Возможные реакции ребенка на прививку АКДС

Антитела после прививки АКДСИтак, были введены компоненты прививки. Из-за чего возникает реакция на АКДС у ребенка? Организм каждого малыша индивидуален, так что отреагировать на чужеродные тела он может по-разному. Так, если иммунитет довольно сильный, то он просто легко запомнит «чужаков» и выработает антитела. Если же защитные силы организма ослаблены, то могут возникнуть некоторые проблемы, которые чаще всего являются незначительными.

Итак, какая реакция на прививку нормальна, а при какой стоит начинать беспокоиться?

Нормальные реакции

Для начала перечислим нормальные реакции после прививки АКДС, при возникновении которых не стоит паниковать:

  1. Покраснение и уплотнение АКДСМестная реакция на прививку АКДС в виде покраснения места укола (красное пятно) и его увеличения. Это нормально и происходит потому, что нарушается целостность кожных покровов, мышечной и жировой прослойки, в результате чего несформированные до конца, рыхлые и даже слегка водянистые ткани малыша деформируются, отекают. Кроме того, ткани могут сдавливаться жидкостью вакцины, из-за этого может наблюдаться уплотнение после прививки и увеличение места прокола. А ещё лимфоциты сталкиваются с чужеродными телами и активизируются, что тоже обуславливает изменения.
  2. Уплотнение и покраснение в норме может достигать диаметра, равного 8 сантиметрам, но примерно за неделю она рассосётся. Но если укол был сделан в ягодицу, то местная реакция может быть более ярко выраженной, ведь повреждается жировая ткань, может развиться нагноение.
  3. Болезненность места укола. И это вполне нормально. Дело в том, что нервные окончания из-за отёка тканей сдавливаются и активизируются, посылая в мозг малыша сигнал о боли.
  4. Повышенная температура после прививки АКДС. Она обусловлена высокой активностью коклюшного компонента, содержащегося в составе вакцины. Температура может повыситься до критических отметок (вплоть до 40 градусов). Важно следить за состоянием малыша. Сколько держится температура после АКДС? Не более трех дней, если дольше – обращайтесь к врачу.
  5. Поведение ребенка после прививки: он может быть вялым, сонливым, капризничать.
  6. Насморк и сопли после вакцинации тоже считают нормальными. Может возникать кашель. При этом можно помочь ребенку соответствующими препаратами, чтобы он вдруг не заболел на фоне снижения иммунитета.

Обычно более 3-4 дней реакция не длится, а если она затянулась, то есть повод обратиться к врачу.

Ненормальные побочные реакции

Если врач не учёл какие-то заболевания и отклонения малыша и всё равно назначил прививку, то могут развиться патологические реакции.

  • Побочные реакции на прививку АКДССудороги. Такое бывает в случае слишком высокой температуры, а также тогда, когда имеют место быть нарушения работы нервной системой (это является противопоказанием для вакцинации). Судороги могут быть как единичными и кратковременными, так и частыми и сильными. В любом случае непременно вызывайте врача!
  • Резкое и значительное ухудшение состояния ребёнка. Вероятно, не было замечено какое-то заболевание. В этом случае и без того ослабленный иммунитет просто не перенёс встречу с «чужаками». Требуется немедленная медицинская помощь!
  • Аллергия после прививки АКДС. Понос, сыпь, рвота и прочие проявления могут возникнуть, если у ребёнка аллергия на какой-то компонент вакцины. Сыпь пройдёт, но есть опасность развития анафилактического шока. Так что если состояние ребёнка резко ухудшилось, немедленно вызывайте врача.

Что делать?

Итак, как быть, если началась реакция на прививку? Перечислим основные действия мамы.

  1. Что делать при осложнениях АКДСЕсли температура повысилась до 38,5 градусов и более, то нужно дать малышу жаропонижающий препарат (сироп «Нурофен», свечи «Цефекон», детский «Парацетамол» и другие). В этом случае кроху нельзя кутать. Если температура не снижается, можно раздеть ребёнка и обтереть прохладной водой. В случае отсутствия изменений и дальнейшего повышения, немедленно вызывайте скорую!
  2. Если возникли покраснения и припухлости, то делать ничего не нужно! Иногда мамы в целях облегчения состояния крохи начинают место укола мазать мазями. Но это лишь усугубит ситуацию! Прокол закупорится и забьётся составом, там начнут размножаться бактерии. Так что старайтесь не трогать лишний раз место прививки.
  3. В случае патологических реакций и ухудшении состояния медлить нельзя. Необходимо срочно вызвать врача.
  4. Если поднялась температура, то купание после прививки врачами не рекомендуется. Если её нет, то при купании не трите мочалкой место прививки и не лейте на него мыло.
  5. Можно ли гулять? Гулять тоже не рекомендуется хотя бы один день или в тот период, когда малыш себя не очень хорошо чувствует (есть риск «подхватить» инфекцию).
  6. Также не стоит вводить новые продукты и вести кроху в гости (или приглашать гостей).

Как снизить риск возникновения реакции: меры профилактики

Можно ли что-то предпринять, чтобы вероятность развития реакций была минимальной? Да, можно. Дадим несколько рекомендаций мамам (а лучше, чтобы дал их врач):

  • Меры профилактики перед прививкой АКДСПеред вакцинацией ребёнок должен быть полностью здоровым. Это значит, что не должно быть намёка на простуду и прочие заболевания, а хронические заболевания не должны находиться в стадии обострения.
  • Врач обязан внимательно и тщательно осмотреть кроху: послушать лёгкие, посмотреть уши, горло и нос, измерить температуру. А лучше будет, если будут сданы общие анализы кала, крови и мочи. В этом случае можно будет выявить любые изменения. Кроме того, не должен болеть никто из тех, кто постоянно контактирует с ребёнком.
  • Если у ребёнка есть риск аллергии, то следует быть осторожнее. Врачи рекомендуют за 2-3 дня до даты вакцинации начать давать ребёнку антигистаминное средство, дабы снизить вероятность реакции.
  • Заранее приобретите жаропонижающие лекарства, чтобы они в нужный момент были под рукой.
  • За час до прививки и на протяжении часа после неё малыша лучше не кормить.
  • В течение 30-60 минут после вакцинации побудьте с ребёнком в поликлинике, чтобы моментальные реакции были замечены и устранены.

Зная всё необходимую информацию, мама сможет обезопасить своего ребёнка от нежелательных реакций на прививку АКДС.

Видео

Репортаж о прививке АКДС, что из себя представляет прививка, зачем и когда делается, какие реакции возникают:


Последствия от прививки АКДСПоследствия прививки АКДС в виде осложнений достаточно редки, но они бывают, причем довольно опасные для жизни ребенка. Прочитайте нашу статью, посвященную последствиям вакцинации, чтобы быть в курсе!

Еще одной важной вакциной является «корь, краснуха, паротит»: http://bo-bo-bo.ru/zdorove/privivki/kor-krasnukha-parotit.html Не все родители делают эту прививку, а вы что выберите?

Множество споров возникает и по поводу полиомиелитной вакцинации. Здесь мы рассматриваем последствия этой прививки.

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      1. Таня

        Светлана наверно пользуется голосовым набором, либо поток её мыслей не предусматривает знаки препинания.

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  1244. Екатерина

    Первую АКДС и Полиомелит ставили в 5,5 месяцев, прививку перенесла хорошо, небольшая температура 37,5 на следующий день и всё, хотя я так боялась, что не передать словами, начиталась в интернете отзывов, историй! Вторую АКДС ставили в 9 месяцев, с надеждой, что всё будет хорошо и на этот раз, но не тут то было!( после дневного сна дочка проснулась с плачем, через 10 минут она просто визжала! Ножки болтались, как ниточки, при попытке только прикоснуться к ноге она аж тряслась от боли! В скорой сказали дать обезболивающее, если не полегчает, то приедут. Я конечно дала детский Нуровен и давала пить много воды, в которой развела Энтеросгель. Дочка так накричалась за 1,5 часа, что лежала совершенно без сил(( Препораты конечно подействовали, она не плакала хотя бы, когда не шевелилась, но когда забывалась и шевелила ногой, это ей опять причинило боль. Ночь спала нормально, но возле груди всю ночь. На следующий день температура 37.5 опять Нурофен, но уже легче, начала сидеть и даже вставать, но всё равно, как раненый зверёк подгибает ножку, хромает сильно, посмотрим, что будет дальше. Вот у меня назрел вопрос, понятно температура, реакция организма, но от чего зависит такая сильная боль в месте укола, причем первый раз не болело, а второй раз, болело до нетерпимости! Может в неудачное место медсестра попала…в общем, как Вы думаете? Но видеть такие страдания своего дитя я не могу просто, не знаю, что и делать теперь с 3 прививкой, а потом ещё и ревакцинация!((

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  1245. Мария

    Здравствуйте. Нам поставили отечественную прививку акдс в 4 месяца, перенесли замечательно ни покраснений ни темпиратуры. В 6 месяцев поставили вторую прививку и вот тут я увидела все прелести данной прививки. Конечно жалко малышку, темпиратура 39, место укола покраснело и и появилась шишечка, а также понос. Я конечно понимаю что это реакция нормальная, но я думала если первая перенеслась хорошо то и вторая должна так же перенестись? Хотелось бы узнать у знающих людей не ошибаюсь ли я, следующую прививку лучше платную ставить поскольку такая реакция? А так же хотелось бы узнать сколько раз ставят данную прививку?

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    1. Ольга

      Мы первую прививку делали нашу АКДС и была 38,6 ! После этого делали инфарикс и все было чудесно! Максимум что было 37,1….Зато вот сделали 4-ую АКДС нашу, потому что сейчас нигде нет импортной и температура на 3ий день поднялась резко 38,5!!!

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  1246. Варвара

    Натали, если такая странная реакция,я бы немедленно вызывала врача или консультировалась в скорой помощи. У нас то же была температура после прививки и нога чесалась(акдс в ногу делали и как раз место укола чесалось), вызвали врача, он сказал, что надо почистить организм, выписал Энтеросгель, он нам очень помог. Температура прошла и зуд прекратился, хорошо, что врача вызвала и дала энтеросорбент.

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  1247. Натали

    У меня четверо детей, всем делали и делаем прививки. Малышу 2 года, в четверг сделали очередную АКДС( делали и импортные, и отечественные), всегда все переносил отлично, без температуры и пр прелестей. В этот раз сначала поднялась температура до 37,5, после нурофена темпа спала (наша врач, я ей очень доверяю, не советует ждать повышения темпы выше 37,5 ПОСЛЕ ПРИВИВКИ), больше не поднималась. Но место укола через день очень сильно покраснело прим до диаметра 10-15 см, хотя сильно на боль не жаловался, но выглядело впечатляюще, давала финистил, спал нормально. А с понедельника на вторник опять поднялась температура, прим около 38, во вторник сыпь, похожая на укусы комаров, потом стали красные пятна. К утру прошли, вечером опять обсыпало ещё сильнее, что это -не понятно. Так ребёнок бодр, весел с хорошим аппетитом, даже не особо чешется, т.е. его эта сыпь не беспокоит. Завтра вызываю врача

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  1248. Юлия

    Марина, надо врачу место укола посмотреть, я в такой ситуации, как и Виктория давала Энтеросгель, очень довольна, ребёнку легче стало быстро прям. Этот препарат же выводит аллергены и различную гадость, поэтому и помогает так хорошо.

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  1249. Марина

    Поставили сыну прививку сегодня, сначала хорошо всё было,а теперь начала температура подниматься, место укола покраснело(

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  1250. Виктория

    Ну на прививки иногда бывает реакция в виде температуры или покраснение вместе укола возникает. Я вот в таких ситуациях даю Энтеросгель ребёнку, он хорошо всякие вредности выводит и ребёнку легче быстро становится.

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    1. Аноним

      А можно узнать какой тогда смысл в прививке?!насколько я понимаю вакцина-это ввод «тел инфекции»(так назовем) в организм для того что столкнувшись с ними наши иммунные клетки начали вырабатывать антитела.дабы встретившись с ними повторно.быть готовыми «во все оружии и не пустить врага».в простонародье одним словом иммунитет называется…..а вы даете энтеросгель .чтобы вывести всякие вредности…у меня не вяжется….зачем вообще тогда мучить дитя???!!

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      1. Наталья

        Всякие вредности — имеется в виду консервант и добавочные вещества. Просто так «тела инфекции» в чистом виде не введешь. Их нужно в чем-то растворить и сохранить.

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  1251. Анна

    Мы сделали прививку АКДС в 6 месяцев отечественной вакциной. Температуры не было, только немного покраснело и болело место укола. Перенесли легко, даже не заметили.Все зависит от иммунитета ребенка.

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  1253. София

    У нас индивидуальный график прививок. Делала все прививки не в поликлинике, а в центре вакцинации , в том числе Акдс (делала или пентаксим или инфанрикс). Проблем не было: ни боли, ни температуры. Но вчера пришлось сделать ревакцинацию русской вакциной акдс, так как в центрах исчезли все иностранные препараты и когда появятся — неизвестно ( не знаю связано ли это с санкциями), но реакция у ребенка (3,5 года ужасная). Температура ночью до 38,2. И очень-очень болит ножка. Так, что он не может сам вставать и двигать ею. Очень переживаю. И советую всем у кого есть возможность делать прививку только очищенными иностранными препаратами. Это ужас читать о последствиях и видеть такую реакцию. Всем здоровья и крепких веселых детишек!

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    1. Любовь

      София, подскажите пожалуйста, как долго ребенок не мог встать на ножку? У нас такая де ситуация (очень болит нога, не встает на нее). Что на эту ревкцию вам сказал врач? Я сегодня буду своей звонить, она с обеда.. Не могу дождаться.

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  1254. АНЯ

    всем доброго время суток. в 3 месяца должна сделать вакцинацию АКДС, но муж планирует отпуск. Лично у меня сердце не лежит после прививки менять климат ребенку. Очень интересно мнение врачей, как поступить?

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  1255. Аноним

    Мы сделали прививку неделю назад и каждый день температура достигает 37,5 градусов….Перепробовала давать уже всё и парацетамол, и вибуркол — становить лучше, а на ночь и утром опять всё по-новой…Сегодня попробовала дать уже лаферобион, может он поможет…У кого такое было отзовитесь…

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    2. ирина

      конечно нужна консультация невролога,но скорее всего это аллергическая реакция у ребенка,а значит нужно давать антигистаминный препарат(например финистил или супрастин.

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  1257. Александр

    Спасибо за статью! Сыну три месяца,прививку Акдс сделали три дня назад в обед, мы тут же погуляли, врач насчет прогулок ни чего не сказал,не купались, темпа не поднималась, пора правда болела у него))сегодня третий день-он капризничать стал и плачет,ну надеюсь пройдет!
    А людям отказывающимся от прививок детей хочу сказать-вы эгоисты, живете только за счет тех,кто привит! Ну ни че,вы обожжетесь когда-нибудь, да высокой ценой платить придется

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    3. Елена

      Каждый боится последствий после прививки!мы сделали в 3месяца,образовалось уплотнение,которое прошло только недели 2назад,а нам уже 5,5 плюс мы первые дни просто орали до визгу,я не могла понять в чем причина, а последующие психовали день и ночь… И ко всему через неделю мы заболели,температура и сопли прошли,а кашель до сих пор не могу вылечить,хотя тогда и сейчас горло и легкие чистые!!ну и как после этого не боятся и прививать?

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  1258. Татьяна

    нам 2 года,сделали ревакцинацию АКДС,очень тяжко переносим-температура 38 уже второй день((предыдущие прививки перенесли легче,повышение было до 38 и только в день вакцинации.Спасибо за понятную статью,вроде все уже понимаю,но тяжко,если ребенку тяжко,будьте здоровы))

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  1259. карина

    Сделали эту прививку темпр.39, 5 второй день 39-38, 5 , ночь темпр 38, 2 надеюсь все пройдет завтра переживаю очень особено что судороги были вчера вызывала скорую поставили свечкуви все сегодня даю нурофен , ох страшно

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  1260. автор

    Насмешили меня эти нормы, мол темпа на прививку, мол,если темпа держится больше недели и становится хуже — это не от прививки. Ну бред бредом. Я не собираюсь своего ребенка калечить ядами в прививках. Только тупые мамашки будут убивать своих детей прививочками от страшных болезней.

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    1. Аноним

      отказ от прививок — это мракобесие!!! так что тупые мамаши те, кто прививки не делает!

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    2. Елена

      Хотелось бы чтоб у вас мозгов прибавилось, заболеете ведь не вы а ни в чем не виноватый ребенок! изза таких мамаш и идут все эпидемии

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  1261. это я написал.

    в 5 месяцев сделали первую прививку акдс. в первый день температура поднялась до 38, ночью 39,2. вызывали скорую. давали нурофен, обтирали водой комнатной температуры. раздели ребёнка и сняли памперс. утром 37,5. днём 38. постоянно нурофен. чаще чем положено. так сказал фельдшер. но температура сбивалась плохо. гдето на градус. вызвали врача. врач сказала что всё нормально.. сказала давать фенистил. ночью 38,5. вставили свечку цефикон. упала до 37. на утро 37. к вечеру 36,6. всё, как нам и говорили. но как было страшно!!!

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  1262. Ирина

    Моей младшей дочери сделали АКДС в 3 мес. У нее был рахит и диатез, но педиатр сказала что это не является причинами для отвода. После прививки была высокая температура, в течение трех дней все прошло. Но я заметила что дочь стала хуже держать голову. То что она стала менее активна чем обычно, я списывала на то что она еще не отошла от прививки. Но эти последствия не прошли. У дочи началась задержка моторного развития. Когда я говорила неврологу и педиатру что это после прививки, они отнекивались. В результате в 8 мес нам пришлось лечить дочу в больнице, так как она не умела ни переварачиваться, ни садиться, ни ползать. Слава Богу за хороших специалистов в больнице, которые простимулировали дочу в моторном развитии и к году она смогла догнать сверстников. Вот такая у нас была история с этой прививкой.

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  1263. Елена

    Нам делали прививку в 3 месяца. Сказали, что в день прививки лучше не гулять на улице (это был декабрь), не купать малыша и что может подняться температура. Гуляли мы в тот день на балконе, не купались, хотя я и подмывала его, но осторожно, чтобы не намочить прививку. Температура к вечеру поднялась, до 37,2 — дали жаропонижающее. На следующий день была небольшая припухлость, которая через день прошла.

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  1264. Ирина

    У моей подружки родилась доченька, ей как раз несколько недель. Мы теперь все в хлопотах: советах, бежим с помощью, а вот как раз и эта информация нам очень пригодиться. Вакцинацию обязательно будут проводить. Так что — спасибо большое за дельные советы.

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  1265. aselya

    теперь я знаю почему прививки не делают когда ребёнок болеет, и делают только через месяц после его выздоровления, раньше я этого не понимала, а теперь понимаю. Действительно иногда лучше прочитать самой один раз, чем гадать и спрашивать у всех. Спасибо за информативную статью))_

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