Isitofu sokugonya "Varilriks": imiyalelo ukusetyenziswa, impumelelo, ziziphumo ebezingalindelekanga, ncomo

Okwangoku, kukho inani elikhulu wamachiza ezinokuthi ukuthintela usuleleko abantu zizifo ezahlukahlukeneyo. Inxenye ke kubo kuya kufuneka ukuba ube nempumelelo kuyo yonke ebomini, kodwa kukho abo baya ukwenza kwakhona. Phakathi izifo ebuntwaneni irhashalala eqhelekileyo. Ukuba ngaphambili phantse wonke umntwana umntwana wabandezeleka kwesi sifo (kwaye ndicinga oku phantse kunqandwa), kodwa ngoku kwakukho ugonyo nxamnye irhashalala "Varilriks".

Siza kuzama uku bana phandle ngubani lubonisa ugonyo enjalo, ukuba isebenza njani kwaye ingaba kukho Izimo.

ichiza

Isitofu sokugonya ngo-mali ka-0.5 ml - idosi enye, oquka kumafa yayo;

• 3,3 LG PFU of live intsholongwane okuncitshiswe varicella virus zoster, esibonakala umsebenzi wayo ezithile.
• Njengoko izinto abancedisayo: sorbitol, serum albumin yabantu, lactose, acid, sulfate neomycin kunye mannitol.

"Varilriks" umenzi uvelisa ngohlobo a lyophilizate elisetyenziswayo ukulungiselela isisombululo ngenjongo yezolawulo. Le ngumgubo bulubhelu okanye ubunzima amorphous.

Isitofu sokugonya lupakishwa iibhotile zeglasi, eyamnika amanzi yaze yangxenga ifuthe lomanyano isirinji. Le mpahla iqulathe ithamo elinye.

Isenzo amayeza ye lokugonya

Vaccine "Varilriks" emva kokukhutshelwa emzimbeni kungabangela luhlobo elibuthathaka irhashalala, ophuma phantse akukho zimpawu. Emva ugonyo iintsuku ezintathu emva kokuba wadibana umguli, ichiza uyakwazi ukukhusela kwizifo.

Sasiqhuba izifundo ezininzi ezibonakala ngempumelelo ebalaseleyo kwi lugonyo irhashalala nawuphi ubungnqongqo. Ukuba imithi ukuba phakathi kweenyanga ezili-10 kunye neminyaka emithathu kweminyaka, ukusebenza yayo 100% iminyaka 2.5.

Ukuze uvavanyo wakhetha abantu baba ingozi yosulelo, oko alunayo nesi sifo ngaphambili. Ngoko ke, emva kogonyo, ukuba ayakhuselwa phantse ngokupheleleyo ukususela ekusulelekeni, kwaye ukuba oku kwenzeka, isigulane wanyamezela irhashalala lula, ngaphandle umkhuhlane kunye kuqhume ezincinci.

Oku kungqina kuphela ukuba isitofu "Varilriks" ukuhlangabezana nokulindelweyo kumagqirha kwaye zingasetyenziswa kuphela ukuba ugonyo lwabantwana, kodwa abadala.

Kuba lowo ugonyo kubalulekile?

Abantwana badla ubunzima irhashalala kakhulu lula, ngokungafaniyo abadala.

Ngenxa yokuba kule minyaka kukho ezininzi lwezifo ezingapheliyo kunye neengxaki zempilo ezinzulu ukuze mandundu kakhulu yintsholongwane varicella-zoster, ngoko kukho udidi izigulane kufuneka nje ukuba agonywe zezi:

1. Izigulana wegazi oyingozi.
2. Yokumilisela 'Varilriks "ayimfuneko abo uthathe iziyobisi immunosuppressive kunye corticosteroids.
3. Abo utyando kwi abohlukeneyo.
4. Phambi zizifo ezingapheliyo kwenkqubo sentliziyo nezengekho miphungeni.
5. Ubukho ukuphazamiseka neuromuscular.
6. "Varilriks" isikhokelo iqulethe yonke inkcazelo eyimfuneko, nekucetyiswa ukuba ugonyo yabantu abadala emva kokuba wadibana nomntu ogulayo, ukuba esi sifo ukuba ihlawulwe ngaphambi.

Izigulane basengozini, kufuneka avavanywe ngamaxesha ekufunyanisweni kwe-antibodies chicken pox yintsholongwane ukuba isigqibo kwangethuba kwi kogonyo.

Uphando lungqina ukuba abantu abane intswelo omzimba basenokuba esi sifo emva ukunxibelelana ugonyo abagulayo kwaye emva, kodwa kwenzeka oko kuya kuba lula kakhulu, yaye njengamaqhakuva kuya kuba ngaphantsi kubi.

Iimpawu zibonisa ukuba ukusetyenziswa kwe lokugonya

Nawuphi sogonyo ngokungqongqo ezithile kwaye kuyabonisa yayo ukuze zisetyenziswe. Ukuba sicinga "Varilriks" umyalelo manual iqulathe ulwazi ngenjongo yokuba ukusetyenziswa kweziyobisi:

• Imigomo i umlinganiselo zothintelo, ekubeni unyaka omnye ubudala ebantwaneni. Ekugonyweni yokuqala yenziwa kubantu abasemngciphekweni abangazange zigonywe yaye alunayo nesi sifo.
• Njengoko i-prophylaxis ngexesha likaxakeka emva ukunxibelelana olusondeleyo varicella nomonde.

Olu gonyo ayikenziwa engafakwanga kuluhlu lwemisebenzi, ngoko abazali banelungelo lokukhetha, kufuneka agonye umntwana wabo kwaye ngokwabo, okanye ithemba, ukuba akuyi kuchaphazela intsholongwane.

Ukuze engaveli nokugonywa

Njengoko kukho iqela lobungozi, kufuneka zigonywe, kananjalo "Varilriks" Izimo ukusetyenziswa, phakathi kwabo ufuna ukuqaqambisa ezi zilandelayo:

• Ukuba kukho immunodeficiency naso okanye lufundiwe.
• Xa ukubakhona kwezifo zosulele ezosulelayo kubhetele ukuba ayeke kogonyo.
• Ngexesha exacerbation lwezifo ezingapheliyo.
• Ngethuba lokukhulelwa zisanyisa.
• Ityhefu isisu kunye nobukho lobushushu nxamnye SARS.
• Ukuba kukho uxabane ukuba amacandelo yokulungiselela.
• Akukho mfuneko ukuba agonywe "Varilriks" xa hypersensitivity. Izimvo izigulane bathi angavela iziphumo zazo emva kodlwengulo.

Ukuba ugqiba ekubeni ufumane ukugonyelwa, kuyimfuneko pre-thetha nogqirha wakho.

"Varilriks": ziziphumo ebezingalindelekanga

Kuyo nayiphi na sokugonya, kwakunye inxaxheba kumalungiselelo, kusenokuba iziphumo ezingafunekiyo. Iziphumo ezingalindelekanga "Varilriksa 'inokuba nomahluko, oko ukusa kumkhamo othile kuxhomekeke yobudala kunye nemeko ngokubanzi kumzimba graftable.

Ukuba sithethe malunga neziphumo ezingathandekiyo abantwana ukusuka kwiminyaka 9 iinyanga kwi-12 ubudala, ukuba amaninzi zilandelayo:

1. Ubuthongo.
2. Uphuhliso izifo zamaphaphu, a khohlo kunye nempumlo esihambisayo.
3. ubuthathaka jikelele.
4. Ukunyuka omncane lobushushu emzimbeni.
5. irhashalala encinane eluswini, nto leyo ifomu luphuhle okufana irhashalala.
6. Intlungu inaliti kunye iindumbisa okuncinane.
7. Kakhulu ngamaxesha waphawula urticaria.

Ukuba lokugonya ilawulwa njenge elivisayo okanye umntu omdala, ezi mpawu zilandelayo waphawula:

1. A intlungu encinane kuyo inaliti.
2. Sivakale sidumbile.
3. Hyperemia.
4. Fever ne ukwandisa lobushushu ukuya degrees 39.
5. Abanye ezikhala yintloko.
6. Ukususela iphecana zesisu bangafumana isicaphucaphu, ukugabha, kunye neentlungu epigastric.
7. Lymphadenopathy.
8. Ngamana uphazamise amahlaba.
9. Ubuhlungu imisipha.

Abantu abasemngciphekweni, ugonyo akazange abangele ukuba side effects kuya kwahluka kakhulu kwezo waphawula kwezinye iindidi abemi. Amaninzi ukuba iintlungu kwaye ukudumba kuyo inaliti, esenzeka iintsuku ezimbalwa. Abanye baye baphawula ukunyuka kwamaqondo emzimbeni. Kaninzi iimpembelelo ezingathandekiyo kwizigulane kwafunyaniswa wegazi. Kuyabonakala ukuba, ukusetyenziswa idibene unyango lwamachiza kunye immunosuppressive kunika isiphumo enjalo.

Irhashalala okufana irhashalala, nazo abonakale, kodwa izixa amancinane kakhulu kwaye akukho ukusebenza imeko ngokubanzi zezigulane.

Xa kwakhona ugonyo-kwaqondakala zisiba yeziphumo ebezingalindelekanga. Ngokufanelekileyo ukunyamezeleka kakuhle "Varilriks" angqina nomonde nokuba immunocompromised abonisa ukuba ifiva zidla asungule xa kwamaqhakuvana amancinane, kwaye ukuba kukho ukunyuka kwamaqondo obushushu, ixesha elifutshane kakhulu.

ugonyo nomthamo

Xa uhlolisisa ulwazi malunga sokugonya, "Varilriks" umyalelo manual ibonisa ukuba ichiza kufuneka zisetyenziswe kwesikhumba.

Ngaphambi koko, okubhalwe igutyana kunye lyophilisate kufuneka bungxengwe ngamanzi, iqhotyoshelwe ipakethe ndikubambe kakuhle de lichithakale ngokupheleleyo. Kuphela emva koko ekwakhiweni ibe itayishwe isirinji.

Isisombululo ukulungele ugonyo kufuneka babe umbala bulubhelu kancinane okanye ezipinki ngaphandle ukungcola ezahlukeneyo kunye inclusions. Phambi kokuba bafake ichiza, kuyimfuneko ukuhlola igutyana ngenxa amasuntswana angaphandle, akukho mfuneko ukuba agonywe xa zifumaneka.

Ukuba nokupakishwa kwaye isitofu sogonyo Kulungile, ngoko uyakwazi ukuqhubeka ekuqalisweni le nkqubo. Kufuneka kuqala ukusebenza kuyo inaliti kunye isisombululo kubola kwaye kuvumela ukuba ngumphunga nasesikhumbeni, kungenjalo kukho ingozi inactivation yintsholongwane, kunye nefuthe zokugonya ezinjalo ngeke.

Kufuneka kwakhona sikhumbule ukuba kufuneka bafake ichiza ngoko nangoko emva ukuxutywa.

libanda, iziyobisi

Ngaphandle kwento yokuba wamachiza igutyana esinye siqulathe i idosi enye, kodwa kubekho amatyala libanda, iziyobisi, ngengozi. Izinto ezenziwa abantu awukwazi njalo. Kwimeko enjalo ke iziphumo ebezingalindelekanga sele emibi kakhulu:

• Ukuvela yombono olomeleleyo.
• Umntu wafikelwa bubuthongo ecubhukile.

Ndiyavuma ukuba akukho ukuthelekisa siphethwe okanye iimpumlo ezivuzayo emva kogonyo.

Ishedyuli nokugonywa

"Varilriks" manual iqulathe inkcazelo eneenkcukacha malunga ixesha kunye ngokwemithamo ekufuneka zisetyenziswe xa ugonyo. Xa kuziwa abantwana ukususela kunyaka omnye ukuya kweminyaka eli-13, i-sihlume kwanele ukuba usebenzise nedosi enye ye-0.5 ml idosi.

Ukuba umntwana omdala ngaphezu kweminyaka eli-13 yaye ukuqhagamshelana kumguli okanye usemngciphekweni, ngoko ichiza yayisalawulwa ne nedosi ye-0.5 ml nakabini, kudluliswe phakathi ulawulo kweeveki ukususela nge-6 ukuya kwi-10. "Varilriks" izigulane abadala bakwaziswa yedijithali-ezimbini emva kwesithuba kwiiveki eziliqela.

Kubalulekile ukuba athi malunga ugonyo izigulane abasemngciphekweni. Ezi ziquka izigulane leukemia etsolo kunye nesifo kakhulu ezingapheliyo kunye iziguli unyango radiation kunye nonyango immunosuppressive. Ugonyo oluqhutywa kwezi zigulane ngexesha kuxolelwe epheleleyo sifo engundoqo. Phambi kokuba ugonyo kubalulekile ukwenza uvavanyo lwegazi, kufuneka ubonise inani lymphocyte ubuncinane 1200 iiseli / mm. Xa abantu, iimpawu kufuneka ndingekhoyo ngokupheleleyo, ebonisa okukwazi iseli-mediated buthathaka.

Ekwenzeni olu gonyo kwisigaba etsolo (kunye imfuno engxamisekileyo) kufuneka ukuba ziphazamise ichemotherapy kwiveki phambi kokuba ugonyo kwaye isithuba malunga 7 iintsuku. Ekwenzeni olu gonyo sele contraindicated ngexesha radiotherapy.

Iqela elifanayo iziguli abohlukeneyo ngamalungu angaphakathi, ugonyo kufuneka kwenzelwa kwiiveki eziliqela ngaphambi kokuba kuqalwe immunosuppressants unyango.

Kukho iimeko yezolawulo olungxamisekileyo ye sokugonya, oku kwenzeka emva kokuba sesichengeni varicella. Kwimeko enjalo, ugonyo "Varilriks" yemiyalezo lujolise oku, ukuba ingangeniswa kwiiyure zokuqala 96 emva qha, nkqu engcono phakathi 72.

Ukusebenzisana beziyobisi kunye namanye amachiza

Phambi kogonyo, ugqirha kufuneka amisele nje kuphela nokuba Izimo nomonde, kodwa kwakhona ubuze ukuba amayeza isigulane ithatha kwaye ingaba inkqubo esenza.

Ukuba isigulane wenza ukusungulwa omzimba, lokugonya "Varilriksom" enokwenziwa emva kweenyanga ezintathu, kungekhona ngaphambili. Kukwasebenza kwanjalo kuyo kwegazi.

Xa isigqibo ukusebenzisa "imiyalelo Varilriks 'ukuze asetyenziswe iyafuneka ukuqwalaselwa. Lipelwe phandle bokuqonda ezahlukeneyo usebenzisa ichiza, naphakathi kwabo esibonisa ukuba emva kogonyo akufunekanga ukuba isetyenziswe ukunyanga salicylates iiveki ezintandathu. Le ingcaciso kongezwa emva kwiimeko ezininzi syndrome Reye phezu imvelaphi gonyo nxamnye varicella zaye zachongwa.

Ukuba ukhangela ikhalenda ugonyo lokuthintela ye-Russian Federation, kunokwenzeka ukuba ukugqiba ukuba isitofu "Varilriks" zingasetyenziswa ngaxeshanye kunye zokugonya inactivated. Le ngaphandle lugonyo umgada.

Amaxesha amaninzi ngokudibene lugonyo imasisi, rubella kunye mumps sogonyo yaziswa "izimvo Varilriks 'abazali ukuqinisekisa ukuba ugonyo ahlangeneyo akusenzi omzimba umzimba kwaye oko kukhokelela ekwandeni reactogenicity ngamachiza. Kukwanjalo ke malunga nokuqaliswa kwe sokugonya kunye imithi isifo somqala omhlophe, tetanus pertussis.

Ukugonyelwa imasisi, rubella kunye mumps Unga kwenziwa ngaxeshanye "Varilriksom" nje kwiindawo ezahlukeneyo. Kodwa kufuneka ukuba izithathele ingqalelo into yokuba xa ngaba ezi Izitofu ngugqirha abaqeshwe ngexesha elinye, kungcono ukuba lekhefu phakathi kwabo kuya kuba malunga ngenyanga ukuze kufikelelwe kwinqanaba eliphezulu omzimba.

Ukuba imiboniso kunye namanye amachiza, isixa sexesha phakathi intshayelelo yabo kufuneka kwiintsuku ezingama-30.

Xa Ugonyo ngaxeshanye ziziyobisi eziliqela, kuyimfuneko ukuba bakuthathele ingqalelo Izimo ngamnye kubo. Mhlawumbi kufuneka bakhumbuze ukuba onke amachiza iisirinji ezahlukeneyo kwiindawo ezahlukeneyo. Awukwazi ukwenza ugonyo ezininzi ngexesha elifanayo kwindawo enye.

Izigulane abasemngciphekweni akufuneki ukuba kungafundiswa "Varilriks" ngelo xesha njengoko amanye amachiza.

amanqaku ezibalulekileyo xa usebenzisa ichiza "Varilriks"

Namphi na ugqirha uyazi ukuba igumbi imithi kufuneka zifumaneke xa impendulo anaphylactic amalungiselelo komzimba ichiza. Oku kukwasebenza kwigumbi gonyo kulo.

isigulane ngasinye kufuneka ugonyo ekunyanyekelweni likagqirha kangangesiqingatha seyure, akukho kuphela abantwana kodwa abadala. Nakubeni nje "Varilriks" ncomo entle, abantwana ngokunjalo.

Ukuba sogonyo umfazi, icwangciswe kwixa elizayo ukuba lusana, kungakuhle emva kogonyo kwiinyanga ezintathu ukuya bazikhusele bekhulelwe.

Izigulane babe okufunyanwa okanye immunodeficiency ephambili, phambi ugonyo ukukhangela inani lymphocyte egazini.

Ukuba ufaka "Varilriks" (sokugonya), ingxelo ulumkisa ukuba ichiza kufuneka abasayi kwenziwa intramuscularly okanye butofelwe, kwesikhumba kuphela.

rhoqo, kodwa ke kukho iimeko xa intsholongwane lokugonya yadluliselwa kubantu abasempilweni. Kulo mba, abo Sasesiqhube olu gonyo, kufuneka musa ukudibanisa abasetyhini abakhulelweyo, ingakumbi ezo kwixesha elifutshane, kwakunye nabantu ezisemngciphekweni.

Ukuba kukho irhashalala, uphawu varicella gonyo kakhulu eluswini, kufuneka uphephe nayiphi na ukudibana lwabafazi karhulumente kunye abo immunodeficiency kuye.

Seziqalile "Varilriks" (sokugonya), imfundiso ithi akukho ingozi buthathaka ingqalelo kunye nokukwazi ingqalelo, kunjalo, musa ukoyika abo ukuqhuba imoto.

Imithetho yokugcina lwamachiza

Ukuba ugonyo yaba neziphumo ubuncinane kwicala kunokwenzeka, kufuneka igcinwe ngendlela eyiyo. Ukuba sithethe ngayo isitofu "Varilriks", ubomi ezikhabhathini ngunyaka 1, ngokuxhomekeka ukuba kubushushu degrees-phinde ngo 2 ukuya +8.

Ukuze ukwazi ukujonga umhla wokuphelelwa; umhla yemveliso idatha kufuneka kufuneka Makuboniswe iphakheji, kwakunye nexesha lokugqitywa layo. umgangatho Vaccine alichatshazelwa iqabaka. Ubume ngenxa ukuchitha lyophilizate nga mazilondolozwe kubushushu igumbi okanye refrigerated.

Ukuba kufuneka ukuthutha sokugonya ngexesha kushushu, kuba ezi njongo kufuneka zisetyenziswe iifriji.

Izimvo lokugonya

Eli chiza baqala ukusebenzisa kakhulu kutshanje, ngokungafaniyo nezinye izitofu, ngoko abanye abazali, kunye abadala cha sukela kwigumbi unyango ukuthintela ungcoliseko. Yokumilisela 'Varilriks "izimvo ezifunyenweyo becala HIV, nangona ixesha elifutshane ukusetyenziswa.

Abazali ingxelo ukuba abantwana ngobulungisa ukunyamezeleka kakuhle sokugonya. Kukho iimeko fever, kodwa abantwana kuyinto eqhelekileyo xa ufunyansiwe ukuba phantse bonke ugonyo. Kuba buxhomekeke kakhulu kungekhona nkcukacha yokulungiselela kunye iimpawu eziphilayo.

omama abaninzi bathi iintsuku ezimbalwa abantwana wasindiswa ukudumba kuyo inaliti kunye neentlungu kancinane, kodwa ngokukhawuleza idlula.

Kukho izimvo apho abazali va zamabango ichiza, njengokuba emva kogonyo xa isibini kweminyaka kunjalo kukho usuleleko varicella-zoster ntsholongwane. Oogqirha bathi, Noko ke, ukuba abo zigonywe kuya kuba lula kakhulu ukuba bawuthwale sifo, kodwa abanye oomama bathi ukuba oku kuyinyaniso.

Phantse bonke abazali baqiniseke ukuba xa ugonyo kwenziwa ngokuchanekileyo, kuthathelwa ingqalelo iimpawu kunye Izimo, iingxaki ukuba ngokuqhelekileyo kuvuka. Iziphumo ebezingalindelekanga ezinqabileyo kakhulu.

Wonke umntu uyazi ukuba izifo abantwana ezosulelayo, eziquka irhashalala kunye ngcono kwakhona ebuntwaneni bakhe, njengoko kunzima kakhulu ukuba ukuzinyamezela izifo ezifana abadala. Ngoko ke, kwiminyaka yakutshanje "Varilriks" iimpendulo abadala eqalwa okulungileyo. Phantse bonke ubunzima ugonyo bathi umzimba uyabubona iziganeko eziqhelekileyo, kwamaxabiso phantse namnye. Kwiimeko ezinqabe kakhulu, le yintloko waphawula, imbonakalo Ukhohlokhohlo umkhuhlane okanye, kodwa kungcono kunokuba uhleli ekhaya uze esibhedlele kunye lobushushu degrees 40 ayifefe kunye namaqhakuva abomvu.

Thatha Ukunyamekela impilo yakho kunye nempilo iintsana zabo.