The mushonga "Prevenar": wongororo. "Prevenar": ane mirayiridzo tsananguro

Vaccination - ndiyo imwe nzira kukurudzira masoja yevanhu gadziriro. Vaccinate vanosungirwa, izvo kuti zvinenge zvose vana vane kusara shoma, uye pane avo basa chete zvimwe zviratidzo. Usati chinhu nhomba mwana unscheduled, mashoko pamusoro zvinofanira kuchengetwa, bvunza chiremba wako uye kuverenga wongororo. "Prevenar" ndiyo chete mushonga chete, pamwe zviratidzo uye contraindications yawakashandira kungwarira.

Release chimiro uye sezvamunoita

The mushonga "Prevenar" haina kubudiswa kuRussia uye yabva kumwe (USA, Europe). Akapa makagadzirira akagadzirwa syringes kuti jekiseni Vhoriyamu 0.5 Rine mamiririta. Zvinosanganisira pneumococcal remubatanidzwa (polysaccharide + CRM197), kusanganisira polysaccharides serotypes: 4 (2mkg), 6b (4 micrograms), 9V (2mkg), 14 (2 micrograms), 18C (2 micrograms), 19F (2 micrograms) , 23F (2 micrograms) uye mutakuri diphtheria mapuroteni CRM197 (20 MG).

Ebetsero zvinoriumba ari slurry nziyo dziri: aruminiyamu phosphate, yavaibvisa chloride, kwakadonhera mvura anatswa.

Drug "Prevenar", iro akaongororazve zvakasiyana siyana zvakazara asangana ose WHO nemitemo zvaidiwa kugadzirwa uye kudzora conjugated pneumococcal yokudzivirira. Aiendeswa kudzivisa zvirwere, inova causative nomumiririri pneumococcal noutachiona.

Mari mushonga iri kuwanda 3500-4000 rubles.

pharmacology

Suspension "Prevenar" rine mu nechivako kwayo, nomwe, nenhatu kana maviri navatatu pneumococcal utachiona. nhamba yavo kunobva mhando mushonga. Serotypes zvinomiririra pneumococcal polysaccharides zvinobva akasiyana mapoka giremu-zvakanaka utachiona Streptococcus, imwe neimwe iri pamwe keriya diphtheria CRM197 mapuroteni uye adsorbed zviende aruminiyamu phosphate.

Vaccination gadziriro "Prevenar" ratings izvo kumbonyanya dzisingapindirani kunokonzera kugadzirwa antibodies pamusoro polysaccharides okuva Streptococcus pneumoniae 4, 6b, 9V, 14, 18C, 19F, 23F. Izvi zvinoita muviri zvirwere. Yakabudiswa antibodies anokwanisa kuramba pneumococcal zvirwere.

Zvazvakaita zvinodhaka riri zvirwere

Grudnichkovogo vana vezera kubvira mwedzi miviri kurarama, kuita majekiseni mune imwe muenzaniso. Sumo hurongwa hwakadaro majekiseni vaifanira kuumba chenguva masoja mhinduro, iro rinowanika shure kwerekutanga, kuti majekiseni anodzivirira wechipiri kwaizotevera. Zvinonzi nesayenzi nekusimba kuti uwandu antibody inowedzera zvikuru pashure yokutanga kubaya. Total raitongwa pashure imwe nguva, mishonga vatatu mushonga, "Prevenar 13", wongororo izvo inoti kuti anogona yekudyidzana kusimbisa rokuzvidzivirira mwana nokusika antibodies kune utachiona zvose shure kwerekutanga muitiro.

Nokuumbwa antibodies kuti mushonga serotypes vakachengeta pashure chete intramuscular jekiseni mune vana vezera boka maviri kusvika mashanu. Pano, masoja zvairatidza zvakafanana mune vana makore maviri.

Asati atanga "Prevenar 13" mushonga, izvo wongororo vanomanikidzwa kufunga pamusoro rinenge ratangwa rinofanira kupera kutarisira ichiitwa chiremba nomuedzo hombe mu masero muviri zvirwere. Kudzidza vanobatanidzwa anenge 18.000 vana makore 2 - 15 mwedzi. Zvabuda akaratidza kubudirira kuturika iri pneumococcal kudzora chirwere boka kuburikidza 97%. Kana chikamu muzana iyi vana American anoenzanirana 85% vana European kunge ranged pakati 65 kusvika 80%.

Kubudirira kudzivisa kwemabhakitiriya nemabayo kunokonzerwa serotype pamusoro Streptococcus pneumoniae, kwakasvika pachiyero 87,5%, izvo hwakasimbiswa vakawanda wongororo.

"Prevenar" akaratidza mugumisiro wake (54%) uye varwere makore 2 - 15 mwedzi. Pano zvaiita pamusoro otitis vezvenhau uye rikwanise kukuvadza kushatiriswa serotypes ose pneumococci.

Nhomba vana zvirwere Kupindura utachiona haana kuiswawo pakati nziyo, akanga akakwirira kubudikidza 33%. Asi pasinei izvi ungaderedza nhamba zvirwere anokonzerwa serotypes vari jekiseni 34%. Nokudaro, akaderedza uwandu Muzviitiko otitis vezvenhau vari 6-18% pamwe idzokororo chakasimba nyaya iri 9-23%. A kudiwa tympanostomy nhomba vana ikaurawa 24-39%.

Zvairatidza uye contraindications kuti kubaya

The mushonga "Prevenar 13", wongororo iyo yekupinda zvakasimba kudzidza mashoko ose anoratidzwa kushandiswa kuzvidzivirira zvinodhaka nokuda kudzivirira zvirwere kushatiriswa Streptococcus pneumoniae yoga anonyatsovhura 4, 6b, 9V, 14, 18C, 19F uye 23F (ichi zvinosanganisira sepsis, mabayo, bacteremia, yomumuzongoza, uye otitis kunosiyana madhigirii) vana vezera boka kubva mwedzi miviri kwemakore mashanu.

Contraindications kuti kubaya hurwere zvakasiyana. Ndicho chirwere uye non-zvinotapuriranwa: yokuSpain, SARS, dzihwa, kwazvo huro, uye zvakafanana. Zvisiri nhomba panguva exacerbation echirwere zvirwere. Hazvina zvakafanira kupinda "Prevenar" vana vari hypersensitive kuti zvinodhaka uye Excipients, uyewo kuti diphtheria toxoid.

Mune izvi nezvimwewo zviitiko, kubaya rinoitwa chete pashure kuzoita mwana kwakakwana kana padariro kanganwiro chirwere.

The mushonga "Prevenar": mirayiridzo kushandiswa

The mushonga chete arongera intramuscular jekiseni anterolateral zvoushumiri pechidya muvana vane makore kusvika makore maviri, kana, neimwe nzira, kupinda deltoid tsandanyama pakati pamafudzi vana vakura kupfuura makore maviri.

Kumbobvira, chero zvodini, mushonga hauna chinotarisirwa nomutsinga!

Vaccination yaifanira ari muenzaniso chaiwo. Saka, vacheche nemakore 2-6 mwedzi mushonga chinotarisirwa Rine mamiririta matatu 0.5. The penguva pakati pavo Hachifaniri isingasviki mwedzi mumwe. Wokutanga mushonga kuti urongwa chinotarisirwa kwemwedzi miviri, uye wechina (booster) - mugore upenyu rechipiri, optimally pa 12-15 mwedzi.

Kana mwana haana wakasimwa mumwedzi mitanhatu upenyu rokutanga mushonga "Prevenar", iro akaongororazve yakasiyana, iri chakaunzwa mumuviri zvinotevera mazano.
In vana makore 7-11 mwedzi vari kutarisirwa mishonga maviri 0.5 Rine mamiririta bhuku rimwe nerimwe. Chinguva pakati majekiseni kunge kanenge mwedzi;

Pazera 12 kusvika 23 mwedzi mwana kuitwa nhomba mumatanho maviri, bhuku rimwe dose iri 0.5 Rine mamiririta. Zororo pakati majekiseni havafaniri kuva mazuva asingasviki 60. Babies zera boka 2 - 5 makore zvinodhaka raitongwa singly mune imwe mari 0.5 Rine mamiririta.

Mamwe majekiseni kunze aronga Zvirongwa hazvibviri.

The mushonga "Prevenar" apindure vanachiremba pamusoro kupfuura zvakanaka, ndiko homogeneous chena kuturika. Zvinogamuchirika zvakakwana pakuonekwa ramakore chena precipitate. Pakarepo pamberi kushandiswa, kuti mushonga uchizuzwa kusvikira homogeneous ruvara mvura. Asati kubaya chinofanira ukanyatsoongorora zviri sirinji pakuvapo dzimwe inoramba. Kana vaine kana kuturika ane ruvara vamwe pane chena, kuti mushonga haafaniri kushandiswa.

nemishonga

"Prevenar 13" kwakaitwa vana zvachose utano makore vhiki nhanhatu mwedzi mishanu. The mushonga chinotarisirwa nezuva rimwe chete nevamwe muduku majekiseni, izvo ndakarumbidzwa Bazi Health. Of kukanganiswa zviitiko vakanga yakati: marwadzo uye kunama nzvimbo kubaya, nefivhiri.

In nedanho revaccination yaiitwa nokukurumidza kupfuura kusagadzikana pane nzvimbo muchibereko muna 36,5% nyaya, kusvikira kwenguva chiveve kuti wamativi - 18.5%. In vana vane makore makore maviri, akawanda kusimba vomunharaunda siyana yakanyorwa pane Varwere makore 1.5, asi vakanga pfupi chaizvo. In vacheche (vhiki 28) pamwe nevyzrevshie miviri pulmonary ino munhau ane mukana kufema.

In vana vari zvinodhaka "Prevenar 13" wakatangwa panguva iyoyo sezvo kubaya DTP ndivo postprivivochnyh siyana uye matambudziko akanga yepamusoro. Saka, mumwe muviri tembiricha pamusoro 38 ° C mwero yaiitwa 41,2%, pamusoro 39 ° C - 3,3%, zvichienzaniswa kuna 1,2% - ichi vana boka, iyo akatanga chete DTP mushonga.

Similar mananara yakaonekwa, uye ibatanidzo kuturika "Prevenar" pamwe hexavalent yokudzivirira, inowanzoshandiswa chiremba tsika, kazhinji pamwe yokudzivirira:

• whooping chikosoro;
• tetenasi;
• Haemophilus influenzae mhando B;
• chiropa B;
• diphtheria;
• poriyo.

Pamiedzo kurapwa, zvinotevera nemishonga kunge kuzivikanwa. Izvi anonyanya akatsvuka dhayamita kupfuura 2.4 cm kuzvimba, marwadzo, induration ari jekiseni wongoramba. Izvi zvakaitwa nhengo mune zvimwe zviitiko zvakatungamirira sehofisi yairambidzwa basa rezasi wamativi. Mune zvisingawanzoitiki zviitiko, jekiseni site pasi kuvaviwa, dermatitis kana urticaria akasimuka.

Kakawanda vakachengeta yakakwirira muviri tembiricha kuti 38 ° C uye kumusoro, uyewo kushatirwa, hope, lethargy, murombo, uye inoratidza kurara, kunyanya tearfulness. Zviitiko hyperthermia kupfuura 39 ° C. Dzimwe nguva akacherekedza hypotension, gipergiya, neutachiona, kusanganisira anaphylactic kuvhunduka, kuzvimba kunosiyana kunzwisisa, zvemapapu kurwadza kwacho, kupfupika mweya, nokugwinha kwakaitika.

Pamusoro chikamu zvomudumbu turakiti aiva manyoka, kurutsa, kuda kurutsa, kushaya kana kurasikirwa kudya. Zvinokwanisika nechitarisiko erythema multiforme kana lymphadenopathy.

Mirayiridzo Special nokuti kushandiswa kwezvinodhaka

Vana chete pasi shanu nhomba zvinodhaka "Prevenar". Guide akati mushonga anopiwa vanhu vakuru. Uyewo haana kuzivisa kukanganisa kwayo pamusoro kukura mudumbu panguva yepamuviri. Hazvina kukwana kuti kudzidza kubata zvinodhaka pamusoro mwana kuburikidza mukaka.

mushonga uyu inokurudzirwa chinofanira kutarisirwa chete mwana utano, hazvifaniri kushandiswa panguva rikwanise kufema uye zvimwe zvirwere. Kunyanya kana paine kuwedzera tembiricha muviri. Muchiitiko chino, unofanira kumirira yakazara kuzoita mwana.

Kuti tive vakagadzirira kupa rubatsiro zvakafanira muna ndingangokuvara panowanikwa anaphylactic nehana, chiremba vanofanira kuongorora murwere pa maminitsi 30 post-dose.

Kuti tidzivise ngozi kufema vanofanira kuchengeta murwere pamusoro maawa 48-72, kunyanya panguva chikuru kubaya vana pasi pemakore kwevhiki 28.

The mushonga "Prevenar" (wongororo vanachiremba nezvazvo, kuti zvakanaka kuti mwana zvirwere) anofanira kuzviita zvakasimba maererano zano, saka regai kumbosendeka muitiro.

Kugadzirira anodzivirira chete pamusoro okuva Streptococcus pneumoniae, dziri slurry, asi kwete nevamwe, kusanganisira invasive zvirwere.

Somugumisiro, kuitika nemabayo majekiseni kunoderedza zvichienzaniswa nevana unvaccinated rokutanga gore 32.2%, uye nokuda maviri okutanga - ne 23.4%.

zvinodhaka Antipyretic vari zano kutora vana nhomba akabatana pertussis majekiseni, kuitira kudzivisa chitange febrile siyana. Vanewo ushandiswe vana uye akaronga kuti convulsive siyana.

Prevenar anoitwa ari kare akapedza muitiro sirinji majekiseni. zvirimo haagoni muhomwe imwe ndiro kana batanidza pachako nevamwe mishonga.

Ovhadhozi uye mushonga mukukurukurirana

Kare kwave anozivikanwa zviitiko mushonga ovhadhozi, asiri zvaidiwa kubaya zano uye nguva ichaitika majekiseni anodzivirira kutyorwa. Zvinhu izvi zvinogona kukonzera vasingadiwi migumisiro. Kuitira kudzivisa kwavari, vari zano kuti nhomba maererano nemirayiridzo. Izvi chete vachiti.

"Prevenar" raitongwa nezuva rimwe chete nevamwe purogiramu yokudzivirira, kunze BCG. The mushonga inogona pamwe kuzvidzivirira mushonga pamusoro Hib hweHIV uye mushonga 'Infanrix'. Muchiitiko chino, kubaya zvinofanira kuitwa munyika dzakasiyana-siyana dzomuviri.

The mushonga asunungurwa kunoparirwa mushonga. Chinofanira kuchengetwa rakaoma, inotonhorera uye pasingasvikire vana ari tembiricha kubva 2 ° kusvika 8 ° C. Haina inogwamba. The pasherefu upenyu mushonga ndiwo makore matatu.

Ndezvipi zviri nani, "Prevenar" kana "Pneumo 23»

Kakawanda pediatricians yakatarwa mushonga "Prevenar 13," "Prevenar" kana "Pneumo 23". Reviews yakasananiswa. Wokutanga mushonga ine gumi serotypes, wechipiri - nomwe, uye wechitatu --maviri navatatu. Nyanzvi dzinoti kana iwe akatanga kuita majekiseni anodzivirira mushonga Somuenzaniso, "Prevenar", ipapo unofanira kupedza kosi kwayo. Kunyange akabvumira yokutsiva 7-valent mushonga "Prevenar 13 '

Unogona kuita privivkuu uye vakuru vakuru makore 50 kana avo kare majekiseni kuti pneumococcal mushonga. raitongwa kamwe zvinodhaka "Prevenar" Muzviitiko izvi.

Instructions, inofambiswa uye WHO vanokurudzira kubaya kuita izvi zvinoreva kuti vana vose pasi makore maviri. The mushonga unobatsira kuti vave kutapata zvirwere zvinokonzerwa pneumococcus: bronchitis, otitis nhau, mabayo, yomumuzongoza.

Causative vamiririri zvirwere izvi zvingava zvimwe zvirwere, asi pneumococcal boka kunogona kukonzera irreparable kukuvara utano hwomwana, kusanganisira afunge rufu rwake. Kana kusarudza pakati yokudzivirira "Prevenar 7" uye "Prevenar 13," kuti kazhinji vanenge zano kusarudza zvapedzisira, nokuti rine nhamba huru utachiona. Raitongwa vana pakati 6 mwedzi uye makore maviri. The mushonga ane refu nguva dzokuteerera.

"Prevenar 23," kusiyana "Prevenar" riri basa chete pamusoro uchapupu zera boka pamusoro kwemakore maviri. mishonga ava zvakasiyana ari rova yavo. Kana grudnichkovy mwana majekiseni "Prevenar", pashure pemakore maviri unogona kugadzira mushonga gadziriro "Prevenar 23." Wokupedzisira mushonga jekiseni simba uye kakawanda kurwara navana zvakasimba pasi yachiremba kurayira. Chisingarambiki anobatsirwei vakawandisa utachiona - 23. The mushonga inotengeka.

"Pneumo-23" hakuiti kusika kutapata kwenguva refu, uye naizvozvo, 3-5 makore ose yaifanira revaccination.

Majekiseni anodzivirira Vaccine: wongororo

"Prevenar" hwakonzera nharo kukakavadzana. Zvipikirwa vanachiremba kuvandudza mamiriro hutano mwana uye kufara chiitiko vanaamai vakawanda vane vana pashure kubaya vakarega kurwadziwa, kumanikidza vakawanda kuriteerera. Asi kwete zvinhu zvose sezvo zvichiita sokuti pakutanga kuaona. Pashure inoculation sei vana vazhinji vairwara, uye akaramba kukuvadza. Mune zvimwe zviitiko, mushonga kwakamutsa yakakwirira tembiricha, bronchitis, rhinitis nezvimwe zvirwere kuti vane kuramba tichishanda kupora nguva. Kuvhiringidzwa aiva akafanana kana akanga asina kumboita majekiseni anodzivirira. Kunyunyutira vabereki nhomba vana uye chisimbiso, akatsvuka, iyo inosiya kuseri kubaya panguva nzvimbo jekiseni. Vazhinji vevana pashure kutarisirwa kwaro vakatamira yakaoma.

Kune vanhu vakawanda vari majekiseni akabatsira vaonekere kutapata uye kubvisa zvimwe zvirwere. Uye vamwe vakasvika pakugumisa kuti zvinofanira kuitwa bedzi mushonga, kureva, simba uye kazhinji kurwara vana, uyewo achitungamirira chinoshingaira mararamiro.

Maonero kuvarapi pamusoro pakatanga "Prevenar" vana rwakakamukana mushonga. Vamwe vakayambira kuti nhomba. Anoratidza kuwedzera kutapata. Vamwe vanotaura utachiona 1 uye 5, izvo vanokwanisa zvakatsamwisa pneumococcal chirwere. Uyewo, kuti mushonga kunorambidzwa munyika dzakawanda.

Kubva pamusoro zvinogona vakagumisa kuti mushonga "Prevenar" - harisi mushonga, asi wakaita zvakanaka, yekudyidzana chinogona kuvandudza zvirwere mwana.