"Gardasil" (txhaj tshuaj tiv thaiv) cov lus teb. Yuav ua li cas yog yuav tsum tau txhaj tshuaj tiv thaiv, "Gardasil" los yog "Cervarix"?

Yuav luag 80% ntawm lub ntiaj teb no tus pej xeem ntaus los ntawm tus tib neeg papilloma virus. Nws yog tam sim no lub npe hu ntau tshaj 100 txawv kab mob los ntawm tus kab mob no. Qhov zoo ces, feem ntau ntawm lawv yog cov harmless. Lawv coj xwb mus rau lub tsos ntawm cos, tiam sis yuav tau tsis ntxim rau lub neej ntawm tag nrho cov kab mob. Tab sis muaj siab uas yuav muaj kab mob HPV muaj hom uas muaj nyob rau hauv tag nrho cov neeg mob uas tau raug tshuaj nrog lub tsev me nyuam mob cancer, qhov quav, lwm genitalia, los yog lub suab.

Txhaj tshuaj tiv thaiv tawm tsam tib neeg papilloma virus

Niaj hnub nimno soj ntsuam cam hais tias lub xub ntiag ntawm HPV nyob rau hauv lub cev tsis tau txhais hais tias ib tug neeg muaj mob cancer kab mob tshwm. Tab sis xws li cov neeg mob muaj teeb meem. Tom qab tag nrho, tus kab mob no modifies lub hlwb thiab ua tau txoj kev loj hlob ntawm cov qog.

Kws tuam txhab uas muag tau tsim tshwj xeeb txhaj tshuaj uas kov hlwb ntawm lub cev. Thiab nws tsis pub tus kab mob no yuav nkag mus rau hauv lub cev thiab tau ib tug foothold nyob rau hauv nws. Tam sim no, cov neeg mob yuav xaiv dab tsi zoo ntawm txhaj tshuaj tiv thaiv - "Gardasil" los yog "Cervarix" ua li cas. Ob yam tshuaj tiv thaiv ob yam ntawm HPV, uas yog lub ntsiab precursors ntawm lub tsev me nyuam mob cancer thiab lub qhov quav.

Nta txhaj tshuaj tiv thaiv "Gardasil"

Nws yuav tsum tau to taub hais tias tej yam hais tias tshuaj tiv thaiv no tsis muaj peev xwm los kho tib neeg mob HPV. Tab sis "Gardasil" (txhaj tshuaj tiv thaiv) yog active tiv thaiv 4 hom HPV. Ntawm no, 16 thiab 18 hom yog High kev pheej hmoo, thiab 6 thiab 11 ua qhov chaw mos mob cos - qhov thiaj li hu ua qhov chaw mos mob cos.

Txhaj tshuaj tiv thaiv zoo tshaj plaws nyob rau ntawm ib lub hnub nyoog thaum ib tug neeg tsis tau muaj lub sij hawm los ua tus kab mob nrog hais tias tus kab mob no. Tshuaj Tiv Thaiv manufacturers kom txhaj tshuaj cov me nyuam thiab cov tub ntxhais hluas ua ntej kev sib deev debut.

Scope ntawm kev siv

Yog hais tias koj xav tau txhaj tshuaj tiv thaiv, "Gardasil", ces koj yuav tsum paub hais tias nws tiv thaiv kab mob los ntawm 4 yam ntawm HPV, namely 6, 11, 16 thiab 18. Tag nrho cov lwm yam subtypes ntawm HPV neeg mob yuav tsum raug tus kab mob rau lub neej. Tab sis lawv yog cov tsis raws li yus. Nkag tau rau hauv lub sij hawm txhaj tshuaj tiv thaiv yuav tiv thaiv tau txoj kev loj hlob ntawm dysplasia, thiab nyob rau hauv tej rooj plaub txawm cancer ntawm qhov chaw mos, ncauj tsev me nyuam, qhov quav thiab lwm genitalia, tshwm sim los ntawm ib tug 16-m thiab 18-m HPV hom nyob rau hauv ob qho tib si cov poj niam thiab cov txiv neej.

Yog hais tias peb tham txog cov txhaj tshuaj tiv thaiv, "Cervarix", nws tiv thaiv cov tib kab mob. Qhov no yog vim lub fact tias nws yog active tiv thaiv ob yam ntawm HPV - 16 thiab 18.

tau txaus ntshai

Qhia, tam sim no koj yuav nrhiav tau cov ntaub ntawv hais tias "Gardasil" - txhaj tshuaj tiv thaiv tiv thaiv cev xeeb tub. Raws li ib co neeg, qhov loj txhaj tshuaj tiv thaiv ntawm cov me nyuam nyob rau hauv thaum tiav hluas - ib tug cunning kev npaj rau kev puas tsuaj ntawm cov pejxeem los ntawm nws cov extinction. Muaj ntau tham txog cov kev zoo sib thooj ntawm cov qauv pab ntawm hais tias cov tshuaj nrog tshuaj tiv thaiv, uas yog tsim los ntawm lub Rockefeller Foundation thiab npaj rau ntxias abortions.

Tsis tas li ntawd, txhaj tshuaj tiv thaiv tw hais tias qhov no yog tsis yog ib tug guarantee hais tias ib tug cancer neeg mob yuav tsis. Tab sis tshuaj txhaj tiv thaiv manufacturers tsuas paub meej tias qhov tseeb hais tias lawv cov khoom no yog npaj los mus tiv thaiv cov consolidation ntawm tib neeg papilloma virus nyob rau hauv lub cev.

Nyob rau hauv tas li ntawd, tus neeg tshawb fawb cam hais tias qhov ua rau ntawm ncuav me nyuam tau thiab ntxov ntxov yug cov ntau los ua cov npe tshuaj tiv thaiv "Gardasil". Cov tshuaj tiv thaiv pom zoo los ntawm lub chaw tsim tshuaj paus, yuav tsum tau ua tob ua ntej qhov pib ntawm kev sib deev yam kev ua si los yog los mus tiv thaiv cov teeb meem uas yuav ua rau mob HPV. Yog li ntawd, tham txog teeb meem los yog ineffectiveness ntawm txhaj tshuaj tiv thaiv thaum lub sij hawm cev xeeb tub tsis ua kev zoo siab. Ntxiv mus, phau ntawv no muaj cov ntaub ntawv uas yog ntshaw kom tiv thaiv lawv tus kheej los ntawm tau conception thaum lub sij hawm hauv chav kawm ntawm txhaj tshuaj tiv thaiv thiab tsis siv yog hais tias qhov tseeb ntawm cev xeeb tub tau paub tseeb hais tias.

Txoj kev ntawm qhov kev siv

Muaj ob schemes rau qhov tshuaj tiv thaiv "Gardasil". Txhaj tshuaj tiv thaiv yog ua li cas peb lub sij hawm. Yog hais tias peb lo rau lub ib txwm qauv, qhov thib ob txhaj ua ob lub hlis tom qab thawj zaug. Thiab lub thib peb - txawm 4 lub hlis tom qab lub thib ob. Xws li txhaj tshuaj tiv thaiv cov hoob kawm extends tshaj rau lub hlis.

Tab sis muaj ib tug ceev version. Yog li ntawd nws yog tau ua kom paub ib tug thib ob koob tshuaj ib lub hlis tom qab thawj zaug, thiab lub thib peb - peb tom qab lub thib ob. Hais tias yog tag nrho cov hoob kawm yuav kav rau 4 lub hlis. Tab sis txawm yog hais tias muaj yog ib tug ua txhaum ntawm lub teev ntau yam, tsis txhob txhawj. Hoob no yuav tsum tiav nyob rau hauv cov kev tshwm sim hais tias ib lub xyoo tau ua peb xav tshuaj.

Rau tag nrho cov muaj hnub nyoog pawg yog siv tus nqi qub tshuaj - 0.5 ml. Nws yog tsim los siv intramuscularly nyob rau hauv lub deltoid nqaij. Nws yog tseem tau mus txhaj mus rau hauv lub qaum txheej nto ntawm qhov nruab nrab ntawm tus ncej puab.

Nurse ua rau cov tshuaj yuav tsum paub tag nrho cov kev cai ntawm txoj kev siv. Yog li ntawd, ua ntej yuav siv ib tug pov tseg koob txhaj (vial) nrog cov tshuaj txhaj tiv thaiv yuav tsum tau shaken zoo kom tau ib tug homogeneous slurry turbid. Cov koob tshuaj yog muab nyob rau hauv ib feem, thiab cov kev txhaj tshuaj rau ntawm qhov chaw yog kho nrog 70% cawv.

Yog hais tias lub minyuam lam fwj tshuaj los yog koob txhaj pom txawv teb chaws muaj teeb meem, hais, nws tsuas yog hloov los yog nws tsis yog niaj hnub, nws yog ib tug ua tim khawv rau nws unsuitability.

ntaub ntawv tsim nyog

Nyeem txog txhaj tshuaj tiv thaiv "Gardasil" xyuas, koj muaj peev xwm feem ntau nrhiav tau cov tswv yim hais tias nws tsis pab tau tshem ntawm cov mob cancer. Nws yeej yog. Nws yog npaj rau kev tiv thaiv tiv thaiv ib tug xov tooj ntawm cov kab mob, cov uas yog mob cancer. Tsis tas li ntawd, nws yuav siv tsis tau kom tshem tau ntawm tag nrho cov hom ntawm HPV. Lub ntsiab lus ntawm nws cov kev taw qhia tsuas yog nyob rau hauv tus neeg mob qhov twg tus neeg mob twb tsis tau kab mob los ntawm lub hom tiv thaiv uas txhaj tshuaj tiv thaiv yog zoo. Nws twb tsis muaj cov nyhuv rau ib tug twb active kab mob nyob rau hauv lub cev, uas tau tshwm sim los ntawm HPV. Tsis tas li ntawd tsis tas Hoob no yuav tsis tiv thaiv koj los ntawm tau kab mob. Yog li ntawd, cov kev siv ntawm barrier txoj kev pov thaum lub sij hawm txhaj tshuaj tiv thaiv yog yuav tsum tau. Tsis tas li ntawd, tsis txhob nyeem txog grafting "Gardasil" xyuas, uas piav qhia txog tus kab mob ntawm tej kev sib deev kis kab mob. Nws tsis yog ib txoj kev tiv thaiv tawm tsam lwm yam kab mob.

Raws li nrog rau lwm yam tshuaj tiv thaiv, tsis tag nrho cov neeg muaj cov kev tsim nruab teb. Nws pom qhov tshwm sim ntawm 99% ntawm cov soj ntsuam cov neeg. Thaum nws cov kev taw qhia yuav tsis cais qhov teeb meem ntawm anaphylactic poob siab. Yog li ntawd, yog hais tias tus "Gardasil" (txhaj tshuaj tiv thaiv) nyob rau hauv lub tsev kawm ntawv yog ua los, ces rau ntawm txhais tes neeg tu mob yuav tsum yuav ib tug txhais tau tias ntawm thaum muaj xwm ceev kho mob. Tshaj li 30 feeb ntawm cov neeg mob yuav tsum tau saib. Feem ntau cov feem ntau, cov tshuaj tiv thaiv nyob rau hauv daim ntawv ntawm cov syncope tshwm sim nyob rau hauv cov tub ntxhais cov poj niam thiab cov me nyuam hluas.

teeb meem

Nyob rau hauv tas li ntawd mus rau lub tsawg zaus tej qhov puas yog ib tug anaphylactic cov tshuaj tiv thaiv, muaj tej zaum yuav muaj lwm cov kev phiv tom qab txhaj tshuaj tiv thaiv "Gardasil" twb tau ua tswvcuab. Xyuas thiab cov ntaub ntawv los ntawm lub chaw tsim tshuaj paus qhia tias cov neeg mob feem ntau tsis txaus siab ntawm khaus thiab mob ntawm lub qhov koob thiab nyob rau hauv lub nqua, nyob rau hauv lub tsim ntawm ib tug hematoma los yog kub ib ce. Yuav luag ib tug nyob rau hauv kaum sau tseg o, lossis puas liab liab ntawm lub qhov koob.

Tsis tas li ntawd, muaj ntau yam cov neeg mob tom qab lawv tau raug inoculated "Gardasil" comments tshuav txog cov tsos ntawm qaug zog, ua daus no, general tsis xis nyob, xeev siab, ntuav, bronchospasm, urticaria. Tab sis ntsuam xyuas cov neeg ntawm cov ntaub ntawv no thiab sib txuas lus teeb meem piav nrog cov kev taw qhia ntawm cov tshuaj yog tsis tau.

combining tshuaj

Yog hais tias koj tau pib ib txhaj tshuaj tiv thaiv tus neeg saib xyuas "Gardasil" uas tom ntej tshuaj yuav tsum tau ua xwb nrog rau kev siv tshuaj tiv thaiv no. Nws yuav muab ib txhij nrog lwm yam tshuaj. Ib Ntus kev cuam tshuam yog yuav tsum tau, yog tias ib tug neeg mob yuav tsum tau ua ib tug kev siv tshuaj tiv thaiv active tiv thaiv kab mob siab B, meningococcal, diphtheria, pertussis (siv acellular tivthaiv), tetanus, mob polio. Qhov loj tshaj plaws - ua kom paub lawv mus txawv chaw.

Tsis tas li ntawd raws li ib tug tshwm sim ntawm cov kev tshawb fawb, nws twb pom hais tias cov kev siv ntawm hormonal contraceptives, anti-inflammatory siv tshuaj, analgesics, tshuaj tua kab mob, vitamin complexes, steroid agents tsis cuam tshuam rau miv nyuas siv zug thiab kev nyab xeeb ntawm cov tshuaj tiv thaiv "Gardasil". Txhaj tshuaj tiv thaiv tsis tau soj ntsuam rau cov neeg cov neeg mob uas siv immunosuppressants.

immunobiological zog

Tham txog tag nrho cov tau pros thiab cons ntawm cov tshuaj, muaj ntau yam tsis paub xyov yuav ua li cas qhov tshuaj tiv thaiv ua hauj lwm. Nws yog li ntawm mas lim cov nqaijrog ntawm tib neeg papilloma virus 6, 11, 16 thiab 18 hom. Nyob rau hauv tas li ntawd, cov tshuaj tiv thaiv muaj ib tug adjuvant, L-histidine, poov protein, polysorbate 80, sodium borate. Contrary kom nrov kev ntseeg, koob tshuaj tiv thaiv tsis muaj cov kab mob (tuag los tseem ciaj sia), nws tsuas yog tus kab mob no-zoo li hais, uas yog tsis tau rau cov me nyuam. Tab sis lawv cia li yuav nrhiav tau cov kev kawm tiv thaiv kab mob teb.

Muaj nyob rau hauv txhaj tshuaj tiv thaiv cov nqaijrog yog ua los ntawm cais fermentation. Txhua yam ntawm purified tus kab mob no, nws yog adsorbed rau tshwj xeeb adjuvant uas muaj txhuas. Neeg twg uas paub txog cov tshuaj txhaj tiv thaiv hauv paus ntsiab lus, to taub hais tias "Gardasil" - txhaj tshuaj tiv thaiv tawm tsam tib neeg papilloma virus. Raws li ib tug tshwm sim, nws siv ua tshuaj, uas yog khaws cia rau 36 lub hlis (raws li ib txhia qhov chaw, lawv yog active rau ntau tshaj 8 xyoo). Tab sis nyob rau hauv lub chav kawm ntawm txoj kev tshawb no nws twb tsis pom tsim nyog los ua kev cai re-txhaj tshuaj tiv thaiv.

daim ntawv thov

Siv "Gardasil" (txhaj tshuaj tiv thaiv) nyob rau hauv Russia lug. cov kev pab cuam tau txais nyob rau tsoom fwv qib, raws li uas cov ntxhais hluas muaj txhaj tshuaj tiv thaiv nyob rau hauv Lavxias teb sab Federation dawb. Tshuaj tiv thaiv no cov tsev kawm ntawv, kev noj qab nyob chaw zov me nyuam thiab tsev kho mob. Thaum cov kauj ruam no ntawm tsoom fwv tau ploj mus vim hais tias cov disappointing statistics raug kaw nyob rau hauv lub 2000s. Nyob rau hauv Russia, los ntawm lub tsev me nyuam mob cancer txhua txhua hnub 18 cov poj niam tuag. Thiab nyob rau hauv lub ntiaj teb no hais tias mob ntsia txhua txhua 2 feeb.

Kiag tau tshem ntawm cov mob cancer, ntawm chav kawm, yuav tsis ua hauj lwm, tab sis los txo cov kev pheej hmoo ntawm kev tsim hlav tau. Tom qab tag nrho, nrog raws sij hawm txhaj tshuaj tiv thaiv yuav tiv thaiv tau txoj kev loj hlob ntawm lub tsev me nyuam mob cancer, uas muaj raws li ib tug tshwm sim ntawm cov kev hloov nyob rau hauv lub hlwb los ntawm cov human papillomavirus.

lwm txoj kev

Nrhiav lwm yam tshuaj uas tej zaum yuav tiv thaiv tiv thaiv kev mob kev loj hlob yog tau tsuas yog nyob rau hauv cov ntaub ntawv yog hais tias peb to taub dab tsi yog yuav tsum tau "Gardasil" (kuj). los ntawm dab tsi yuav pab kom cov tshuaj tiv thaiv, yuav piav qhia txog txhua txhua gynecologist thiab immunologist. Raws li hais ua ntej lawm, nws yuav kho tsis tau kab mob HPV, thiab tshwj xeeb tshaj yog mob cancer, tab sis nws yuav pab tau los mus tshem tawm cov tseem human papillomavirus kab mob thiab kev loj hlob ntawm cancer tshwm sim los ntawm lawv.

Lwm yam yog ib tug tshuaj tiv thaiv "Cervarix". Piv txwv li, "Gardasil" (grafting) xwb nyob rau hauv 2014 nyob rau hauv Ukraine. Kom txog thaum uas lub sij hawm lub txhaj tshuaj tiv thaiv tau nqa tawm tsuas nrog rau kev siv ntawm "Cervarix" ib tug yeeb tshuaj uas yog active tiv thaiv ob yam ntawm tus kab mob no - High yuav raug kab mob los 16 thiab 18. Txawm li cas los, universal thiab yuav tsum txhaj tshuaj tiv thaiv yog tsis nyob rau hauv Ukraine.

Xaiv cov tshuaj tiv thaiv yog ib qho zoo ua ke nrog koj tus kws kho mob. Peb yuav tsum tsis txhob hnov qab hais tias lawv yog Attendance zoo tiv thaiv HPV 16 thiab 18 hom thaum lub sij hawm thaum lub cev yog tseem tsis tau qee cov mob no. Tab sis "Gardasil" tseem tau tiv thaiv 6, 11 hom uas ua rau qhov chaw mos mob cos. Qhov no txhais tau tias tus neeg mob txawm tias tom qab ib tug tag nrho cov chav kawm ntawm txhaj tshuaj tiv thaiv txhais tau tias "Cervarix" cos tau tshwm sim nyob rau hauv lub ncauj tsev me nyuam thiab chaw mos. Kev siv lub tshuaj "Gardasil" excludes txoj kev loj hlob ntawm xws li ib tug scenario. Tab sis ob qho tag nrho cov tshuaj tiv thaiv ua tsis tau tejyam los tiv thaiv tawm tsam lwm hom ntawm tus loj ntawm hais tias tus kab mob no.

siv nta

Ua ntej koj yuav tau muab cov tshuaj tiv thaiv, nws yog tsim nyog los qhia kom meej nws cia tej yam kev mob. Yog li, nws yuav tsum tau khaws cia nyob rau hauv ib qhov chaw txias (los ntawm +2 mus +8 ⁰ C), nyob rau hauv uas tsis muaj lub teeb penetrates. Tab sis lub khov ntawm nws tsis tsim nyog. Dhau ib tug yeeb tshuaj rau 3 xyoo, tom qab lub sij hawm ntawm uas lub sij hawm, nws yuav tsum tau muab pov tseg.

Tsis tas li ntawd, muaj ib tug xov tooj ntawm tej teeb meem hais txog kev siv ntawm "Gardasil" txhaj tshuaj nyob rau hauv adulthood. Piv txwv li, lub chaw tsim tshuaj paus neeg pab leg ntaubntawv hais tias ib tug txhaj tshuaj tiv thaiv kev pab cuam yuav tau txais tag nrho cov hluas, tsis hais poj niam txiv neej thiab cov poj niam nyob rau hauv lub hnub nyoog ntawm 45 xyoo. Thaum tshawb fawb hais tias txhaj tshuaj tiv thaiv tom qab 26 xyoo tsis tau muab cov kev tsim tshwm sim. Nyob rau hauv Feem ntau, qhov no tej zaum yog vim lub fact tias cov poj niam nyob rau hauv no muaj hnub nyoog twb yog cov neeg uas hnov txog tib neeg papilloma virus. Yog li ntawd, cov tshuaj tiv thaiv tsis tiv thaiv kab mob thiab yog li tiv thaiv tau qhov kev loj hlob ntawm cancer.

Muaj ntau cov kws txawj hais tias ntau npaum li cas zoo yuav tsum tsis tu ncua saib xyuas los ntawm ib tug gynecologist thiab lub xyoo ua kevcai nco txog cytology. Nws tsis pab tiv thaiv tau tus kab mob, tab sis yuav tsum tau qhia tej kev hloov nyob rau hauv thaum ntxov ua sawv.

Ntawm cov hoob kawm, koj muaj peev xwm nrhiav tau cov ntaub ntawv thiab hais tias yuav tsis muaj kev tiv thaiv los ntawm "Gardasil" cancer. Xyuas hais tias txawm nyob rau hauv txhaj tshuaj tiv thaiv tej zaum yuav tsim lub tsev me nyuam mob cancer kab mob, qhov quav, lub paum los yog lwm genitalia. Qhov no tej zaum yog vim lub fact tias cov tshuaj txhaj tiv thaiv tiv thaiv tawm tsam ob High yuav raug hom ntawm tus kab mob no - 16, 18. Tab sis nyob rau hauv 30% ntawm cov neeg ntawm nrhiav kom tau ntawm mob cancer yog lwm yam kab mob los ntawm HPV kab mob uas yuav pab tau ib tug impetus mus rau lub kev loj hlob ntawm cancer. Yog li ntawd, nyob rau hauv tsis muaj cov ntaub ntawv yuav tsis muab suav hais tias ib tug panacea rau lub txhaj tshuaj tiv thaiv ntawm oncological kab mob. Tsuas yog mus soj ntsuam nyob rau gynecologist thiab kev ib tug smear cytology yuav pab saib xyuas hauv lub xeev ntawm kev noj qab nyob.