Umgomo "Varilriks": yokusetshenziswa, ukusebenza, side effects, ukubuyekezwa

Okwamanje, kunezinhlobo eziningi omkhulu yokugoma engavimbela ukutheleleka womuntu izifo ezihlukahlukene. Ezinye zazo uyoba ukuba siphumelele kukho konke ukuphila, kodwa kukhona nalabo kuyodingeka wenze futhi. Phakathi ebuntwaneni izifo upokisi ezivamile. Uma ngaphambili cishe njalo ingane ingane wahlushwa lesi sifo (futhi ngicabanga lokhu cishe ngenakugwemeka), kodwa manje kwase lokugoma ngokumelene upokisi "Varilriks".

Sizozama ukuthola ukuthi ubani sikhombisa lokugoma enjalo, ukuthi isebenza kanjani nokuthi ingabe kukhona Izimo.

isidakamizwa

Umgomo i inani 0.5 ml - iphilisi elilodwa, ehlanganisa ukubunjwa yayo:

• 3,3 lg PFU bukhoma igciwane attenuated Varicella zoster, libhekene umsebenzi wayo okhethekile.
• Njengoba izinto asizayo: sorbitol, abantu serum albumin, i-lactose, amino acid, sulfate neomycin futhi mannitol.

"Varilriks" umkhiqizi uveza ngesimo lyophilizate esetshenziswa ukulungiselela isixazululo kwezokuphatha. Lokhu powder aphuzi noma okusindayo amorphous.

Umgomo zahlanganiswa ngo ingilazi amabhodlela, okuyinto abantu amanzi ukuba alulaze nesipetu. Iphakheji liqukethe umthamo owodwa.

Isenzo kwemithi komjovo

Vaccine "Varilriks" ngemva isingeniso emzimbeni kungabangela uhlobo esibuthaka upokisi yiwo ogelezela cishe izimpawu zingasekho. Ngemva yokugoma izinsuku ezintathu ngemva kokuthintana isiguli, izidakamizwa uyakwazi ukuvikela ezifweni.

Ngamunye wethu wayeqhuba izifundo eziningi ukuthi ngabe ibonisiwe ngempumelelo kakhulu komjovo ngokumelene upokisi kwanoma iyiphi zaba namandla kakhulu. Uma migomo yizingane eziphakathi kwezinyanga 10 futhi ngemva kweminyaka emithathu, ukusebenza walo wawenziwe 100% iminyaka 2.5.

Ukuze test wakhetha abantu ababenezinkinga ingozi yokutheleleka, ukuthi akuyona waphathwa isifo ekuqaleni. Ngakho, ngemva lokugoma, bona avikelwe cishe ngokuphelele ezifweni, futhi uma lokhu akuzange kwenzeke, isiguli wakhuthazelela upokisi kalula, ngaphandle imfiva kanye nokuqhuma omncane.

Lokhu kuqinisekisa kuphela ukuthi umuthi wokugoma "Varilriks" ukuhlangabezana nokulindelwe kodokotela ingasetshenziswa hhayi nje ngobe kutawutfutfukisa yokugoma kwezingane, kodwa futhi abadala.

Obani lokugoma kubalulekile?

Izingane bevame upokisi ngempela kalula, ngokungafani nabantu abadala.

Njengoba sazi ukuthi eminyakeni kukhona eziningi izifo nezinkinga zempilo ezingathí sina ezingaba kakhulu zaba zimbi ngu varicella-zoster igciwane, kukhona ke isigaba ekubulaleni iziguli ezigulela nje kudingeka zigonywe yilezi:

1. Iziguli ezinomdlavuza wegazi oyingozi.
2. Kuxhunyelelwa "Varilriks" ezidingekayo kulabo abaphuza imithi immunosuppressive futhi corticosteroids.
3. Labo babe eyohlinzwa ku Isitho transplantation.
4. Ephambi kwezinduna izifo kohlelo eziphathelene nenhliziyo yamaphaphu.
5. Ukuba khona iziyaluyalu kwamanyuroni.
6. "Varilriks" Umhlahlandlela equkethe lonke ulwazi olufanele, Kunconywa wokugoma abantu abadala ngemva kokuthintana umuntu ogulayo, uma isifo akuthunyelwa ngaphambili.

Iziguli basengozini, kumele ngezikhathi zihlolelwe bangabonwa omzimba kuya varicella zoster igciwane, ukuthi kwakuyisinqumo esenziwe ngesikhathi ku ngokugoma.

Ucwaningo luqinisekisa ukuthi abantu ukuntula mzimba angagcina sifo ngemva sisondelene lokugoma ogulayo nangemva, kodwa kwenzeka ke kuyoba lula kakhulu, nesimungumungwane buzoba buncane evelele.

Izinkomba ukusetshenziswa komjovo

Noma yimuphi umgomo ngokuqinile ethize futhi has izinkomba yayo ukusetshenziswa. Uma sicabangela "Varilriks" imfundo manual liqukethe ulwazi mayelana ngenhloso ukusetshenziswa kwezidakamizwa:

• Imijovo yokugoma Uyi isilinganiso ukukhalima, kusukela ngonyaka owodwa ubudala ezinganeni. I yokugoma lokuqala wenziwa ukuba abantu engozini abangakaze zigonywe futhi babengaguli nalesi sifo.
• Njengoba i-prophylaxis eziphuthumayo ngemva sisondelene varicella nesineke.

Lo mjovo ayikahlanganiswa kufakwe ohlwini saziso, ngakho abazali banelungelo lokukhetha, kufanele bagome izingane zabo futhi bona, noma ithemba, lokuthi ngeke kuthinte igciwane.

Ukuze ayiboniswa yokugoma

Njengoba kukhona iqembu ingozi, okuyinto kumele zigonywe, futhi uba "Varilriks" Izimo ukusetshenziswa, phakathi kwabo ufuna ukugqamisa lokhu okulandelayo:

• Uma kukhona immunodeficiency azalwa naso noma bathenga.
• Ephambi kwezinduna izifo sibi ezithathelwanayo kungcono uyeke ngokugoma.
• Phakathi exacerbation izifo ezingamahlalakhona.
• Phakathi nokukhulelwa kanye lactation.
• ubuthi emathunjini bese khona lokushisa ngokumelene SARS.
• Uma kukhona ukusabela iguliswa imibuso eyakha lo nokulungiselela.
• Akubalulekile ukuba zigonywe "Varilriks" uma hypersensitivity. Izibuyekezo iziguli bathi ingavela eyaba nemiphumela emibi.

Uma unquma ukuba zigonywe, kubalulekile ukuba pre-kuxoxwe ngalolo daba nodokotela wakho.

"Varilriks": side effects

Ngasiphi wokugoma, kanye khona ekulungiseleleni, kungase kube nemiphumela engathandeki. Imiphumela emibi "Varilriksa" zingabi, kuba ngezinga elithile sincike yobudala kanye nesimo jikelele we umzimba graftable.

Uma sikhuluma imiphumela ezingathandeki izingane ezineminyaka engu-9 izinyanga 12 ubudala, ngokuvamile kakhulu lokhu okulandelayo:

1. Ukozela.
2. Kutfutfukiswa izifo zokuphefumula, ukukhwehlela futhi amakhala yisisu.
3. ubuthakathaka Jikelele.
4. A ukwanda okuncane nje kwamazinga okushisa umzimba.
5. ukuqubuka Small esikhumbeni, okuyinto ifomu ngokucace nakakhulu ejwayelekile upokisi.
6. Esikhathini ubuhlungu umjovo indawo nokuvuvukala okuncane.
7. Kakhulu akuvamile waphawula urticaria.

Uma umgomo esinikezwa ingane noma umuntu omdala, lezi zimpawu ezilandelayo babonakala:

1. A ubuhlungu encane indawo umjovo.
2. Puffiness.
3. Hyperemia.
4. Fever nge okwandisa izinga lokushisa kuze kube degrees 39.
5. Ezinye esekhala wezakhiwo.
6. Kusukela pheshana emathunjini bangezwa isicanucanu, ukuhlanza, futhi ubuhlungu epigastric.
7. Lymphadenopathy.
8. Kwangathi ukuphazamisa amajaqamba.
9. Ubuhlungu bemisipha.

Abantu engozini, lokugoma akazange abangele side effects ukuthi kungaba lahluke kabi kulawo ebonwe kwezinye izigaba zezakhamizi. Ngokuvamile kwakuyizwi soreness nokuvuvukala kusayithi umjovo, eyaqala izinsukwana. Abanye baye baphawula ukunyuka kwezinga lokushisa komzimba. Ngokuvamile imiphumela engathandeki iziguli ukuthi unomdlavuza wegazi. Ngokusobala, ukusetshenziswa ahlangene yokwelapha umgomo immunosuppressive ukunikeza mphumela.

Ukuqubuka kwesikhumba ejwayelekile upokisi, ungase futhi avele, kodwa ngesilinganiso esincane kakhulu futhi azinamphumela abhekisele esimweni esasivamile iziguli.

Lapho kabusha lokugoma laligujwa eziya ziba zimbi amathuba okuba nemiphumela engemihle. Ngiphephile ibekezelelwe kahle "Varilriks" kobufakazi nesineke ngisho immunocompromised abonisa ukuthi imfiva ngokuvamile akwenzeki ngokuphazima lapho ukuqubuka encane, futhi uma kukhona ukwanda lokushisa, esifitjhani kakhulu.

wokugoma sokuphuzisa

Uma ulihlola ulwazi mayelana wokugoma, "Varilriks" imfundo manual kubonisa ukuthi izidakamizwa kumele kusetshenziswe phansi kwesikhumba.

Ngaphambi kwalokho, okuqukethwe isitsha nge lyophilisate kufanele buhlanjululwe kuphela, okuyinto unamathele iphakethe anikine kahle kuze ziyoncibilika ngokuphelele. Kuphela ngemva kwalokho ukwakheka kungenziwa uthayiphe isipetu.

Isixazululo Usululungele yokugoma kumele abe umbala kancane aphuzi noma Pinkish ngaphandle ukungcola ehlukahlukene inclusions. Ngaphambi bafake umuthi, kubalulekile ukuba sihlole isitsha for izinhlayiya angaphandle, akudingekile ukuba zigonywe lapho kutholwa.

Uma iphakeji umgomo Kulungile, khona-ke ungakwazi uqhubekele ukwethulwa inqubo. Kufanele uqale ukucubungula indawo umjovo ne ikhambi isinqandakuvunda futhi silivumele shabalala kusukela isikhumba, kungenjalo kukhona ingozi igciwane inactivation, futhi umphumela yokugoma ezinjalo ngeke.

Kufanele sikhumbule ukuthi kudingeka bafake zomuthi ngokushesha ngemva dilution.

izidakamizwa ukweqisa izidakamizwa

Naphezu kweqiniso lokuthi umgomo owodwa isitsha oqukethe umthamo owodwa, kodwa kuye kwaba nezenzakalo kwezidakamizwa ukweqisa izidakamizwa, futhi ngengozi. Izinto ezenziwa abantu ayikwazi ehlisiwe. Esimweni esinjalo isivele okuningi kakhulu emibi:

• Ukuvela Ukudlikizela eqinile.
• Indoda yehlelwa ubuthongo ucobekile.

Ngiyavuma ukuthi akusiyo ukuqhathanisa siphethwe noma amakhala yisisu emva yokugoma.

Isimiso yokugoma

"Varilriks" manual iqukethe ulwazi lemininingwane mayelana nokuthi isikhathi kanye Ukweqiwa okufanele isetshenziswe yokugoma. Uma kuziwa izingane unyaka owodwa iminyaka engu-13, i-milisa kwanele ukusebenzisa umthamo owodwa we-0.5 ml umthamo.

Uma leyo ngane izokwazi abaneminyaka engama-13 nangaphezulu ukuxhumana isiguli noma isengozini, ke izidakamizwa iqondiswa at umthamo 0.5 ml kabili nge nesikhawu phakathi nokuphathwa amaviki kusukela 6 kuya ku-10. "Varilriks" iziguli omdala bafaka ezimbili digital ngezikhawu amasonto ambalwa.

Kuwufanele ukusho mayelana yokugoma at-engozini iziguli. Lezi zihlanganisa iziguli, ene-leukemia acute nge ezinzima isifo esingelapheki futhi iziguli ezelashwayo ngemisebe ukwelashwa immunosuppressive. Ukugonywa owenziwa kulezi ziguli ngesikhathi ukuthethelelwa okuphelele kwalesi sifo main. Ngaphambi yokugoma Kuyadingeka ukwenza ukuhlolwa igazi, okuyinto kufanele ikhombise inombolo lymphocyte okungenani 1200 amaseli / mm. Kubantu, izimpawu kumelwe ingabi ngokuphelele, lubonise ababuthakathaka amasosha omzimba iseli aqashwe.

Lapho efeza wokugoma esigabeni acute (nge nesidingo esiphuthumayo) kufanele uphazamisa nokwelashwa ngamakhemikhali ngaphambi kwesonto yokugoma futhi isikhathi mayelana ezingu-7. Lapho efeza wokugoma is contraindicated ngesikhathi welashwa ngemisebe.

Iqembu efanayo iziguli othola ukufakelwa kwezitho zangaphakathi, lokugoma kufanele kwenziwe amasonto amaningana ngaphambi kokuba kuqalwe ukwelashwa immunosuppressants.

Kukhona amacala ekuphathweni eziphuthumayo komjovo, lokhu kwenzeka ngemva kokuzibeka elangeni varicella. Esimweni esinjalo, umgomo "Varilriks" imfundo manual igxile lokhu, ukuba owethulwa e amahora okuqala angu-96 ngemva yoxhumana nabo, futhi kangcono ngisho ngaphakathi 72.

Ukuxhumana zomuthi nezinye izidakamizwa

Ngaphambi yokugoma, udokotela kufanele anqume hhayi kuphela ukuthi Izimo nesineke, kodwa futhi babuze miphi imithi isiguli kuthatha nokuthi inqubo enza.

Uma isiguli wenza ukwethulwa amasosha omzimba, umgomo "Varilriksom" kungaba kwenziwe emva kwezinyanga ezintathu, hhayi ngaphambi kwalokho. Kuyefana nasendleleni ngaphandle kokumpontshelwa igazi.

Lapho unquma ukusebenzisa "imiyalelo Varilriks 'ukusetshenziswa iyadingeka ukuze kokuhlolisisa. It bababonisa ezicashile ezihlukahlukene usebenzisa izidakamizwa, naphakathi kwalabo okubonisa ukuthi ngemva lokugoma akufanele isetshenziswe ekwelapheni salicylates amasonto ayisithupha. Lokhu ukucaciseleka ingezwe emva amacala eziningana Reye Syndrome ku ngemuva yokugoma ngokumelene varicella zihlonzwe.

Uma ubheka ikhalenda yokugoma izifo we Russian Federation, kungenzeka ukuphetha ngokuthi umuthi "Varilriks" ingasetshenziswa kanyekanye ne yokugoma inactivated. Ukukhethwa kuyinto umgomo ngamarabi.

Isikhathi esining impela ngokuhlanganyela wokugoma yokulwa nesimungumungwane, rubella futhi mumps umgomo wethulwa "imicabango yabantu Varilriks 'abazali uqinisekise ukuthi wokugoma elihlangene akusenzi impendulo somzimba sokuzivikela futhi aliholeli reactogenicity anda yokugoma. I Kungashiwo okufanayo ngesethulo umgomo kanye yokugoma ngokumelene idiphtheria, ngqi futhi pertussis.

Zigonyelwe isimungumungwana ne-rubella futhi mumps Lingase iqondiswa kanyekanye ne "Varilriksom" nje ezindaweni ezahlukene. Kodwa kumelwe futhi ucabangele iqiniso lokuthi uma lezi yokugoma akuzona udokotela oqokwe ngesikhathi esifanayo, kungcono uma isikhawu phakathi kwabo kuyoba cishe inyanga ukufeza ezingeni esiphezulu kwamasosha omzimba.

Uma imibukiso kanye nezinye imijovo nesikhathi phakathi isingeniso yabo kumele kube okungenani izinsuku ezingu-30.

Lapho lokugoma kanyekanye okwenziwa izidakamizwa eziningana, kubalulekile ukuba acabangele contraindications ngamunye wabo. Mhlawumbe kufanele ukukhumbuza ukuthi bonke yokugoma kukhona imijovo ezahlukene futhi ezindaweni ezahlukene. Awukwazi ukwenza imigomo amaningi ngesikhathi esifanayo endaweni efanayo.

Iziguli engozini akuyona efiselekayo ukwethula "Varilriks" ngesikhathi esifanayo namanye imigomo.

Okubalulekile uma usebenzisa izidakamizwa "Varilriks"

Noma yimuphi udokotela uyazi ukuthi igumbi ukwelashwa kufanele itholakale uma impendulo anaphylactic amalungiselelo omzimba izidakamizwa. Lokhu kusebenza futhi egumbini ngokugoma.

Isiguli ngasinye kufanele yokugoma ibe ngaphansi ukunakekelwa kadokotela for isigamu sehora, akusiwona izingane kuphela kodwa futhi abadala. Nakuba ngokuyinhloko "Varilriks" Izibuyekezo omuhle izingane kanye.

Uma umgomo ungowesifazane, sihlelwe esikhathini esizayo esiseduze ukuba nomntwana, kuyinto efiselekayo emva yokugoma ezinyangeni ezintathu ukuze azivikele bekhulelwe.

Iziguli abangenawo abalufundile noma immunodeficiency eyinhloko, ngaphambi umuthi wokugoma ukuze uhlole inombolo lymphocyte egazini.

Uma ufaka "Varilriks" (umjovo), isitatimende uxwayisa ngokuthi izidakamizwa akufanele iqondiswa intramuscularly noma ngemithambo yegazi, phansi kwesikhumba kuphela.

Isikhathi esining impela, kodwa kwaba nezigameko lapho igciwane wokugoma yadluliselwa abantu enempilo. Kule ndaba, labo siphumelele wokugoma, kumelwe ugweme abesifazane abakhulelwe, ikakhulukazi labo esikhathini esifushane, kanye nabantu engozini.

Uma kukhona ukuqubuka, nobuntu varicella yokugoma esikhumbeni, kufanele ugweme singalokothi sithintane no-abesifazane esimweni nalabo abanomthwalo kwaba immunodeficiency.

Uma kwethulwa "Varilriks" (umjovo), ukulaya uthi akukho ingozi buthaka ukunakwa ikhono ukugxilisa ingqondo, ukuze labo ukushayela imoto, ungesabi.

Imithetho isitoreji wokugoma

Lokho kusukela lokugoma kwaba okungenani imiphumela engemihle, kumele kahle egcinwe. Uma sikhuluma umgomo "Varilriks", empilweni yalo eshalofini 1 unyaka, inqobo nje uma kuba lokushisa +2 kuya +8.

Ukuze bakwazi ukuhlola okungapheli, usuku ukukhiqizwa idatha kumuntu kumele kudingeke ukuthi ukhombise ku iphakethe, kanye nesikhathi kokuqedwa kwalo. izinga Vaccine alithintwa yisithwathwa. Ukwakheka sokuqeda lo lyophilizate kungenziwa ligcinwe ngaso ekamelweni lokushisa noma esiqandisini.

Uma une ukuthutha umgomo isizini ashisayo, ngalezi zinhloso kumele amafriji esetshenziswa.

Izibuyekezo komjovo

Lesi sidakamizwa sasetshenziswe maduzane, ngokungafani nezinye izigungu, ngakho abanye abazali kanye nabantu abadala abagijimi ekamelweni lokulashwa ukuvimbela ukutheleleka. Ukugonywa "i-Varilrix" ukubuyekezwa okutholiwe kakhulu kunempilo, naphezu kwesikhathi esifushane sokusetshenziswa.

Abazali bayaqaphela ukuthi izingane zibekezelela ukugoma kahle. Kunezimo zokushisa komzimba okwandisiwe, kodwa ezinganeni kuyindlela yokuphendula evamile cishe yonke imishanguzo. Ngokuyinhloko akuxhomeki kulokho okushiwo yilo muthi, kodwa ngezici zomzimba.

Amaphemikhali amaningi aqaphela ukuthi ngezinsuku ezimbalwa abantwana bane-ukuvuvukala endaweni yokujola kanye nesifo esincane, kodwa konke kuhamba ngokushesha.

Kukhona izibuyekezo lapho abazali bekhononda khona ngesidakamizwa, ngoba emva kokugoma eminyakeni embalwa kamuva, kwakusenokutheleleka nge-varicella-zoster virus. Odokotela bathi isiguli esigonywe kuyoba lula ukubhekana nalesi sifo, kodwa amanye omama aqaphela ukuthi lokhu akunjalo.

Cishe bonke abazali bayaqiniseka ukuthi uma umgomo uphelelwa kahle ngokucabangela izici nokuphikisana, izinkinga, njengombandela, azikho. Imiphumela emibi ayifani kakhulu.

Wonke umuntu uyazi ukuthi izifo ezithathelwanayo zezingane, lapho izinkukhu ezibhekwa khona nazo, kungcono ukufa ebuntwaneni, ngoba abadala kunzima kakhulu ukubekezelela izifo ezinjalo. Ngakho-ke, eminyakeni yamuva, ukubuyekezwa "kwe-Varilrix" kusuka kubantu abadala nakho kuhle. Cishe bonke abaye banesifo sokugoma bathi umzimba uyazibona ngendlela evamile, azikho imiphumela emibi. Ezimweni ezingavamile, kwakukhona ikhanda, kubonakala kubanda noma kukhwehlela, kodwa kusengcono kunokuhlala ekhaya esibhedlela esinamazinga okushisa ama-40 degrees futhi efafaza izibhamu ezibomvu.

Nakekela impilo yakho kanye nempilo yezingane zakho.