Rus Articles Journal

Inoculations - protection for two. When to take measures?

the Most part of women in beat of modern life are not in time or forgets to take care of the protection against infectious diseases. Partly it is justified. All of us in the childhood had the mass of infectious diseases, passed through vaccination and therefore got used to consider ourselves immunizirovanny - having antibodies“ at least, to those infections which were ill in the childhood. But it not always so, meanwhile immunity of future mother has to be rather strong and prepared to avoid risk for a fruit and the newborn.

Immunity is a complex of reactions of an organism to invasion of infectious agents (viruses, microorganisms, etc.), parasites (worms, etc.) on formation of cancer cells and fabrics and on many other things.

We live in the unsterile world and continuously we are influenced by attacks of causative agents of infectious diseases. Any decrease in immunity instantly increases probability to catch. It is proved that the fruit of the sick woman is subject to risk in not smaller degree, especially if to consider a special subtlety and responsibility of the transformations happening to it. Through the placenta connecting mother and a fruit both mother`s antibodies, and pathogenic agents can get. In some cases pregnancy of the woman burdens an infectious disease. For a fruit the disease can be fraught with abortion on medical indications, an abortion, uglinesses, malformations. Therefore an opportunity to resist to infections during pregnancy is very important.

Immunization: the action mechanism

As arises resistance to infections? A key role in this process is played by special blood cages - leukocytes and their derivatives - proteins immunoglobulins (antibodies). In response to contact of an organism with pathogenic viruses and microorganisms special groups of leukocytes begin the most difficult activity: absorb activators, develop the antibodies blocking activators and their harmful allocations (toxins), turning them into the waste which is subject to collecting, processing and removal from an organism. Immune reactions are under control of nervous and hormonal systems of regulation therefore failures in work of these systems automatically reduce immunity.

Briefly we will stop on theoretical bases of immunization. Immunization is a creation or formation of immunity to certain diseases. She is passive and active. At passive immunization already ready antibodies to activators and/or their toxins, toxic agents (poison of snakes, arthropods), etc. are entered into an organism. And ways of introduction of antibodies can be various. Mother through a placenta transfers to an antibody fruit, immunizing it, colostrum also contains certain immunoglobulins. On the other hand, there is a mass of medical supplies of antibodies (serums); enter them intramuscularly.

Active immunization under natural conditions comes during an illness: the organism begins to develop antibodies to the activator, “remembers“ it for some time (from several months to one decades). And at repeated infections the illness or does not come (absolute immunity) at all, or proceeds benign (partial immunity).

Active immunity is received also artificially, without transferring of an illness. For this purpose enter into an organism the weakened bacteria or viruses and the specific proteins of the activator modified by means of genetic engineering or others characteristic of it and substances, harmless for the person. To start development of antibodies such harmless contacts happen leukocytes (white blood cells) enough. Artificial creation of active immunity is called vaccination, and the medical supply containing the immunizing component - a vaccine.

Vaccination and pregnancy

Separately wants to tell

about influence of vaccines on a fruit. Introduction of mother of the killed bacteria and viruses does not constitute danger to the kid while introduction of the live weakened microorganisms theoretically can lead to pre-natal infection that, in turn, is fraught with a fruit growth inhibition, malformations. Therefore live vaccines are contraindicated during pregnancy.

Thus, considering vulnerability of a fruit, fight against infections has to have character of precautionary blows. For 1 - 3 month before conception the woman should consult with the infectiologist about the program of necessary inoculations. If your clinical record does not contain exhaustive information on your vaccination and the postponed earlier infectious diseases, then, perhaps, it is necessary to make blood test (on existence of specific antibodies), especially on antibodies to infections, dangerous to a fruit.

we will give the short characteristic of infections in connection with their danger to the pregnant woman and a fruit and with features of immunization Below. It is important to know that inoculations against such dangerous diseases as a rubella, parotitis (mumps), measles, chicken pox, tuberculosis, are contraindicated to pregnant women. Therefore if you have no immunity to these diseases and are already pregnant, strictly follow the rules of anti-infectious safety. For this purpose it is necessary to exclude contact with the diseased, to use all means of increase of nonspecific immunity: to accept polyvitaminic preparations, to avoid physical activities, stresses. Before doing vaccination against these diseases, the woman should pass a test for pregnancy and to cancel vaccination if it is positive.

can be also extremely dangerous by

of the Illness against which vaccination is not strictly contraindicated to a fruit. If the risk of a disease repeatedly exceeds risk from application of a vaccine, the inoculation in such cases nevertheless is done. Though many doctors prefer to appoint vaccination at pregnancy only in the most extreme cases.

If you plan to go to tropical zones of the world during pregnancy or just before conception, then we recommend to refuse such trips. If it is impossible, then it is necessary to consult with the specialist in tropical diseases concerning immunization to endemic infections (for example, yellow fever, the Japanese encephalitis, etc.) and personal rules of hygiene.

Where to do vaccination?

by What

the doctor can competently appoint a vaccinal prevention course? We recommend to pass vaccination in points and at the experts having the state certificate allowing vaccinal prevention.

If pregnant women have children or house which carries out vaccination, it is not necessary to change the program of vaccination of the senior children: it is not dangerous to a fruit. Vaccinal prevention of mother cannot do harm to the child during breastfeeding.

in conclusion once again we will remind

: as a rule, the doctor makes the decision on vaccination of future mother when danger of a disease considerably exceeds that risk which is involved by an inoculation. Therefore to secure itself, it is better to take care of the immunity even before pregnancy.