Madzivirirwe kudzivirira nehepatitis B. The mushonga pamusoro nehepatitis B

Hepatitis B - akabatwa chirwere kuti kazhinji kunotungamirira kukuvara chiropa uye mamwe matambudziko. Pakati vepasi vanhu mamiriyoni 350 dziri utachiwana, zvinenge 250,000 vanofa gore negore nekuora chiropa chirwere. Gore negore, vakanyorwa muRussia chete kusvikira matsva nyaya mamiriyoni 50 nehepatitis B, uye zvachose pane vanenge mamiriyoni 5 vatakuri utachiwana.

"Jaundice" The mushonga pamusoro nehepatitis B ndiyo chete nzira yakavimbika kudzivisa utachiona. Uyu chirwere ngozi, izvo dzimwe nguva haritauri zviratidzo. The chirwere anogona chokuita murombo utano, mukuru neutera muviri, kurasikirwa kudya, mukupandukira mafuta zvokudya, zvirwere chiropa, kuvaviwa uye yellowing ganda. Zvinosuruvarisa kusachengeteka kukuru muchimiro nehepatitis haisi nguva dzose isingarapiki, uye 5-10% nyaya kwaramba. Ipapo kunogona cirrhosis uye kenza chiropa. Muzviitiko, kukuvara chiropa kunoitika zvokuti kunogona kutungamirira kurufu.

Mhando Hepatitis B

Hepatitis B Kune akasiyana siyana uye kunoratidzwa nenzira mbiri:

• chenjera;
• refu.

Hepatitis ari rikwanise muchimiro hwapedyo pakarepo pashure kwemashoko utachiona uye munhu ane kwazvo zviratidzo. Mune zvimwe zviitiko, chirwere inova huru uye upenyu pangozi fomu rinonzi fulminant. Vanopfuura 90% wevarwere vakura vane rikwanise hepatitis C kubatwa zvinobudirira, vamwe chirwere anova refu.

Kana mwana achangoberekwa ndabatwa chiropa kubva mai muna 95% nyaya hosha achipinda chirwere chimiro. Kwokuomerwa zviratidzo ari muchimiro chirwere angava akasiyana uye siyana mukati zvakawanda vatakuri, pasina zviratidzo kusvikira yezviri padariro chisingaperi chiropa, cirrhosis ichifamba. Uyu chirwere chakakomba dzinoratidzwa chinokosha mamiriro chiropa tishu. Pane kuchinja mamiriro, paumbwe vanga migove, nokudaro chibharo inokosha muviri mabasa.

HCV chirwere nzira

The nehepatitis utachiwana B inowanikwa zvose muviri zvinwiwa murwere utachiona aine utachiwana. Mukuru Huwandu kugutsikana nhaka ropa, urume, kusangana nekutsi kwemukadzi secretions. Sezvineiwo zvishoma hutachiwana ziya, nemate, misodzi, weti, uye dzimwe secretions ari vasiri munhu.

Hutachiwana uhu inoparadzirwa zvakananga kuonana mucosal kana kukuvaradzwa ganda chikamu zvipenyu mvura wevarwere dzevanhu.

Vaccination pamusoro nehepatitis B

Munyika dzakawanda, hepatitis B mushonga kunodiwa kuti munhu zvokurapa jeri. Chinonyanya kukosha ndiko kubaya ose vachangoberekwa kubva utachiona pamazuva hwavo rokutanga. Uyewo nechokwadi muri nhomba uye avo Mapato vokuparidzira, yakadai se:

• Varwere nezvirwere kuti zvinoda kwokubatsira intravenous majekiseni, ropa kana hemodialysis;
• Staff ose yezvokurapa masangano;
• zvokurapa vadzidzi;
• kuenda kukireshi uye vokusekondari;
• nhengo dzemhuri chisingaperi chigaro chinotakurwa nehepatitis B;
• vanhu kazhinji kuenda kunzvimbo rurefu kuitika zvazvingava;
• kuti vanhu vanenge kumbobvira kuti nhomba pamusoro utachiwana.

Avo kufanira kupinda chero Mapato nengozi, kuzvimba chiropa B mushonga chinotarisirwa panguva chikumbiro chavo. Mwero kuvanamatidza dzinoongororwa kwakavakirwa kazhinji sei wakashanyira mazino uye zvizorwa kuvhiya, manicure, Hairdressing Salons, pfungwa makurukuriro uye kuwedzerwa ropa uye kuti. D. Zvinofanira kurangarirwa kuti huru nzira chirwere riri pabonde vachionana, kubva nehepatitis B mushonga unofanira richengetwe pasina nguva dzose pabonde naye.

The kubaya purogiramu

Vaccination pamusoro nehepatitis B iri kuitwa intramuscular jekiseni katatu mugore upenyu rokutanga, uye zvadaro inodzokororwa muupenyu kuyaruka muna '14 pamwe penguva 0-1-6 mwedzi. Vaccination pamusoro nehepatitis B inotungamirira pagadzirwe anodzivirira antibodies muviri. The nzira zvakare kuitirwa vanhu vasina nhomba pamberi makore 14, vashandi vezvoutano uye vadzidzi vezvokurapa, varwere chisingaperi zvirwere uye avo zvavo zvinokukanganisa. Nemavhairasi chiropa ndiyo 5-10% nyaya kwava chisingaperi, izvo zvingaita kuti cirrhosis kana kenza chiropa.

Hepatitis B kubaya rinoitwa mumatanho dzakawanda. nzira Izvi fanira vose vana. The kubaya purogiramu:

• wokutanga dose - pashure pokuberekwa, mwana mushonga intramuscularly jekiseni Nezuva rokutanga;
• mumwe dose rechipiri - 6-8 mavhiki zera mushonga chinotarisirwa intramuscularly;
• dose wechitatu - nezuva 7th mwedzi upenyu mushonga chinotarisirwa uyewo.

Nzira mucheche majekiseni anodzivirira pamusoro nehepatitis B dzinoratidzwa vanonzi refu-refu masoja ndangariro, i.e. pashure mushonga kwokubatsira antibodies kwenguva refu vakaramba panguva yakakwirira yakati nguva. Kana paine mukana wokutapukirwa uye kuramba utachiwana rawa, pane kudiwa apiwa majekiseni.

A achangoberekwa chinonyanya nehanya HCV. Kana chirwere kwakaitika munguva ino, ngozi kunoita kuti chirwere kuwedzera kusvika 100%. Asi panguva imwe chete zvirwere zvinoita kuti pave serums uye yokudzivirira muzera rino, ndizvo zvikuru kuramba.

Vana pakarepo pashure pokuberekwa nhomba panguva maternity muzvipatara. kaviri - pashure mwedzi nemwedzi mitanhatu pashure yokutanga kubaya. The mushonga pamusoro nehepatitis B vanofanira kuva vana kiriniki. Zvakakodzera kubaya zano pasina Makwanza akapa 100% kutapata conserved, makore anenge gumi nemashanu.

Pane zviitiko apo nehepatitis B mushonga haripi zvirwere mhinduro. Ichi 5% yevanhu yose kwevanhu. Ipapo iwe unofanira kutsvaka dzimwe nzira kudzivirira utachiwana, uchishandisa mushonga uye kubaya zvimwe zvakawanda.

Jekiseni pamusoro nehepatitis B, vakabvumira muRussia

To musi, kutanga ano zvinhu uye kugadzirira sumo kupinda muviri womunhu kudzivirira utachiwana. MuRussia, akashandisa mushonga pamusoro nehepatitis B, "Engerix-B", "Regevak B", "Eberbiovak HB", Sci-B-Vac, munhu recombinant mbiriso mushonga pamusoro nehepatitis B. mishonga aya kazhinji anogadzirwa pachishandiswa akanatsa nehepatitis B utachiona huri maantigen mu yaunganidzwa magene ouinjiniya kuburikidza maberekero mbiriso masero woga pamusoro aruminiyamu hydroxide. yokudzivirira izvi kunyengedza kugadzirwa dzakananga antibodies pamusoro HBsAg antigen. Maererano nemiedzo kurapwa, kubaya chete vamiririri izvi zvinopa abudirire kudzivirira chirwere muna 95-100% kwevacheche, vana nevakuru pangozi. 95% kwevacheche navanaamai, uyo padzakacherechedza ari antigen kudzivirirwa zvakakwana pamusoro nehepatitis B chirwere pashure kubaya zano 0, 1, 2, 12 mwedzi. kana 0, 1, 6 mwedzi. In utano vanhu kusvika makore 15 maitiro, majekiseni maererano anorimwa 0, 1, 6 mwedzi., Pane rwokudzivirira antibody pamwero pashure pemwedzi minomwe kubva pakutanga kubaya. Zvisinei, pane mishonga vachiri kwete aizvinzwisisa. Somuenzaniso, mushonga "Euvaks" nhasi rakarambidzwa kushandiswa muna Russian Federation, sezvo yakauraya vana vakawanda yokuVietnam.

Contraindications uye divi migumisiro

The mushonga pamusoro nehepatitis B ndiyo chete contraindication muchimiro mubiki wacho mbiriso kusashivirira, sezvo mushonga ingasanganisira zvisaririra vavo. Uyezve, vakurumidze vacheche vanogona kuva pasi zvirwere pakupindurwa mushonga. Zvadaro nehepatitis B mushonga zvinofanira kumbosiyiwa kusvikira mwana wacho kuwedzera uremu kusvika 2 makirogiramu.

Dzimwe nguva pashure kubaya fivha kunoitika chete kana mazuva maviri, achiperekedzwa vakawanda zvakawanda zvive. Very kashoma kuchengetwa neutachiona ari muchimiro urticaria.

Zvakakosha kuti pamuviri uye lactation havasi Mhedziso contraindications kuti kubaya. Muchiitiko chino, kwete varumbidzwa kubaya mhenyu utachiona, kunyimwa virulence. Uyewo panguva pamuviri raitongwa yokudzivirira pamusoro zvirwere zvinotevera: gwirikwiti, rubella, chibhokisi, chibhokisi, tibhii.