Анализ крови на вторичный иммунодифицит после спленектомии

[marusya_3103]

Здравствуйте! Подскажите, пожалуйста, моей дочери (11 лет) месяц назад удалили селезенку вследствие падения с высоты. Иммунолог предложил сдать анализ крови на наличие вторичнтго иммунодифицита, оговорившись, что впринципе за такой короткий срок после операции он мог и не развиться. Анализ стоит очень дорого. Подскажите, есть ли необходимость в этом анализе в данное время или лучше провести его через год?

[KhasanovMD]

Нет, этот анализ Вам даже бесплатно не нужен.
А вот общий анализ крови на анализаторе если есть, стоит загрузить сюда

[marusya_3103]

Пока есть только клинический анализ крови перед выпиской из больницы от 23.09.14: лейк 8,58*10(3), эр 3,84*10(6)/мм3, HBO 108,5 г/л, тромб 910*10(3)/мм3, с/я 61%, э 5%, мон. 5%, л. 28%, СОЭ 25мм/час.
Скажите, пожалуйста, есть ли необходимость делать прививки от пневмококка (пневмо 23), менингита и гемофильной инфекции?

[KhasanovMD]

Обязательно!
Есть определенные особенности ведения так что лучше поискать адекватного очного педиатра, чем тратить время и финансы на ненужный анализ.

[Ссылки доступны только зарегистрированным пользователям ]

Immunizations — Experts recommend that people without a functional spleen have certain vaccinations to reduce the risk of sepsis. Although these vaccines do not prevent all infections with pneumococcus, Haemophilus influenzae type B (Hib), and meningococcus, they can protect most people and reduce the severity of infection in others. When possible, vaccines should be given at least two weeks before planned surgical removal of the spleen. The vaccine should be given 14 or more days after emergency removal of the spleen (eg, due to trauma). The following recommendations are intended for people in the United States without a functional spleen; recommendations in other countries may differ:
●Pneumococcal vaccine – The pneumococcal vaccine is recommended for all people who do not have a functional spleen. Two types of pneumococcal vaccines are available, PPSV23 and PCV13. Young children receive PCV13 as part of their routine infant immunizations. PCV13 is also recommended for adults who do not have a functional spleen. In addition, PPSV23 is recommended for adults and children ≥2 years who do not have a functional spleen. When possible, PPSV23 is given at least eight weeks after PCV13 immunization. (See "Patient information: Vaccines for infants and children age 0 to 6 years (Beyond the Basics)" and "Patient information: Adult vaccines (Beyond the Basics)".)
●Hib vaccine – Most adults have been exposed to Hib and are therefore immune. However, because there is a small risk that the person is not immune, experts advise people without a functional spleen to have the Hib vaccine if it was not given previously (it became available in the United States in 1988). If a person is unsure if the vaccine was given during childhood, a blood test can be done to determine if he or she is immune. (See "Patient information: Adult vaccines (Beyond the Basics)".)
●Meningococcal vaccine – The meningococcal conjugate vaccine (MCV4, Menactra or Menveo) is recommended for people without a functional spleen.
●Influenza vaccine – Influenza (the flu), a highly contagious viral infection, is a common cause of pneumonia and other bacterial infections. Therefore, a once-yearly influenza vaccination (usually given in the fall) is recommended for people without a functional spleen. (See "Patient information: Influenza symptoms and treatment (Beyond the Basics)".)
Booster vaccines — Additional ("booster") doses of the pneumococcal and meningococcal vaccines may be recommended to help maintain immunity. The need for a booster depends upon the individual’s situation and the type of vaccine previously given. A booster dose of the Hib vaccine is not routinely needed but is occasionally given to those who do not develop a good antibody response to the vaccine.