Mishonga inogona kunyatsodzivisa MS kudzokazve, kuwedzera kune zvirwere zvakakomba
Pamusana pekunyanya kunetseka kwekuti mamwe majekiseni anogona kukonzera multiple sclerosis relapse , vanhu vazhinji vakazvimiririra kugamuchira mafungiro kana zvichiuya pakuwana zvirwere.
Ichokwadi ndechokuti zvidzidzo zvezesayenzi zvinoratidza kuti hapana kuwirirana pakati pekudzivirirwa nemushonga uye kuva nehuwandu hwehuwandu hwekuwedzera kweMS, kana kuti pasina kungoita zvidzidzo zvakaitwa kuti zviratidze zvakadaro.
Saka chero "kushungurudzika" kwakanyatsofungidzira pasina svitsiro yesayenzi.
Zvechokwadi, zvirwere zvinonyanya kukosha mukudzivirira zvirwere, zvimwe zvingakanganisa upenyu kune avo vane MS . Izvi ndechokuti munhu ane MS angave ane simba rakasimba rekudzivirira zvirwere kubva kuutora steroid uye / kana zvimwe zvirwere-kugadzirisa mishonga. Ichokwadi kuti kutora utachiona kunogonawo kukonzera kushandiswa kweSMS zvakare-kaviri kamuviri mumuviri wako.
Kunyange zvazvo chiremba wako achiziva kuti ndeipi zvirwere zvaunokwanisa uye hazvikwanise kuva nazvo, nguva dzose zvakanaka kuti uwane ruzivo iwe pachako, sezvo zvichiri zvimwe zvisiri izvo (kunyange mukati mehutano). Zvichitaura zvishoma, kunzwisisa chokwadi chiri shure kwehutano hwekudzivirira kunogona kuponesa upenyu kune iwe kana mudiwa wako.
Mishonga Inodzivirirwa Kune Vanhu vane MS
Injectable Flu Vaccine
ICentral for Disease Control and Prevention (CDC) inokurudzira chirwere chegore negore kumunhu wese mwedzi mitanhatu uye kupfuura.
Kuwana furu yegore negore kunokosha zvakanyanya kune vanhu vane multiple sclerosis vanotora immunosuppressants (saiyo sronicid steroids kana zvimwe zvirwere-kuchinja kurapwa saNovantrone). Kunyange zvazvo zvakanakisisa kuti utachiona hwako hufurwe munaOctober, gare gare uri nani kudarika.
Chikonzero chokuti chero munhu upi zvake ane MS (pasinei nemishonga ipi-inogadzirisa zvirwere iyo vari kutora) inogona kuwana injectable chirwere chinoputika nokuti haina ine virusi mhenyu.
Izvo chete ndeyekuti vanhu veLimtrada (alemtuzumab) vanofanira kuve nechokwadi kuti vanowana chirwere chinopfura masvondo masere vasati vawana Lemtrada mukana. Izvi zvinowedzera kukwanisa kwemasimba avo ekudzivirira zvirwere kuti zvive zvakasimba zvinorwisana nehutachiona hwehutachiona.
Chirwere chechirwere cheFluMist uye Fluzone high dose vaccine vaccine hazvikurudzirwi kuvanhu vane MS. Iyo FluMist inorarama hutachiwana hwehutachiona hwehutachiona (hunoreva kuti hutachiwana hunoshandurwa kuitira kuti huve husisina simba, asi huchiri kurarama). Saka izvi hazvikurudzirwi kuvanhu vane utachiona husina simba, sezvo zvichiita kuti varware.
Zvinonakidza kuziva kuti CDC haisati ikurudzira FluMist kune munhu chero upi zvake (pasinei nokuti maitiro edziviriro ezvirwere zvemasimba avo) sei nekuda kwekunetseka pamusoro pekubudirira kwayo.
IFluzone haina kushandiswa (saka haine chirwere chehutachiwana) asi kazhinji inokurudzirwa kune avo vane makore makumi matanhatu nekure, sezvo ine kane kana yakawanda antigen. Izvi zvinofanirwa kusika simba rakasimba rekuzvidzivirira mumuviri muvanhu vanoigamuchira sezvo chimiro chemuviri chekuzvidzivirira chinowedzera simba nezera.
Izvo zvataurwa, National MS Society haina kukurudzira Fluzone kune vanhu vane MS, sezvo panguva ino hapana tsvakurudzo inoongorora kuitika kwayo kune vanhu vane MS.
Pneumovax 23 uye Prevnar 13 Pneumococcal Vaccines
Zvirwere zvepneumococcal (pane maviri) zvinodzivirira kumarudzi emaabhakitiriya anogona kukonzera pneumonia, iyo inopisa mapapu. Zvose izvi zvirwere hazvina kugadziriswa uye dzinofungidzirwa dzakachengeteka kune vanhu vane MS. Kunyange zvazvo CDC inorumbidza vose vacheche muvanhu vane makore makumi matanhatu nemakore kana kupfuura (ingave kana vasina MS), iyo American Academy of Neurology inokurudzirawo zvirwere kune avo vane MS vane matambudziko emapapu, uye / kana avo vanoshandisa gumbo revasimba nguva kana kuti mubhedha-wakasungwa.
TDAP (Tetanus, Diphtheria, Pertussis) Chirwere
Tetanus ihutachiona hunokonzerwa nebhakitiriya Clostridium tetani, uye inogona kukonzera kushungurudzika kwemisumbu kusimbiswa, kutemwa kwemasana, kugumburwa, uye zvinetso zvinomedza.
Utachiona hweTetanus hukurudzirwa kune wese wese uye hauna hutachiwana hunorarama. Muvanhu vakuru, chirwere chacho chinopiwa pamwe chete ne diphtheria (Td) kana pamwe chete ne diphtheria uye pertussis (Tdap). Mushonga we pertussis unodzivirira pakurwara kwebhakitiriya kunonzi kuokwidza kukwezva .
ICDC inokurudzira kuti vose vakuru vane makore gumi nemapfumbamwe kana kupfuura vagamuchire mukana weTdap kana vasina kumbobvuma imwe, pasinei kana dd yekupedzisira yeTd yaive. Chiitiko cheTd chinokurudzirwa makore ose gumi.
Hepatitis B Vaccine
Chirwere cheHepatitis B chirwere chisingaitiki (chakaurayiwa) icho chinopiwa sematatu kusvika mana pamwedzi wechitanhatu. Vacheche iko zvino vakapa mukana wavo wekutanga wehepatitis B pakuberekwa, uye zvinokurudzirwa kuti vose vana nevechiri kuyaruka vasina kugamuchira chirwere, vachengetwe.
Kune vanhu vakuru vasina kuzororwa, CDC inokurudzira kupora mune vanhu vakasiyana-siyana vevanhu vakadai
- Vanhu vanoenda kunzvimbo uko kune kuwedzerwa kwehuwandu hwehupatachi B
- Vanhu vanoshanda muzvivako zvehutano
- Vanhu vane mukomana ne hepatitis B
- Vanhu vane chirwere chisingaperi chechiropa, chirwere chepfungwa, HIV, kana chirwere cheshuga
Kune humwe huwandu hwevanhu vari pangozi, asi ani naani anoda chirwere che hepatitis B anogona uye anofanira kuchigamuchira-kusanganisira avo vane MS.
Mishonga Inogona Kuchengetedzwa Kwevanhu vane MS
Kune huwandu hwezvirwere dzinofungidzirwa zvichida dzakachengetedzwa kuvanhu vane MS. Mune zviitiko izvi, kana iwe kana munhu waunoda ane MS, zvakanakisisa kutanga kutanga kukurukura nachiremba wako pamusoro pekuchengetedzwa kwechirwere asati agamuchira.
- Varicella vaccine
- Mishonga-Mumasvi-Rubella vaccine
- Rabies
- Zoster vaccine
- Human Papillomavirus Vaccine (HPV)
- Polio
Varicella Vaccine
Varicella ndiyo hutachiona hunokonzera chickenpox. Iwe unogona kushamisika kuziva kuti varicella vaccine (inorarama hutachiona hwettentenated) inonyanya kudiwa kune vanhu vari kuenda kundotora Gilyena (fingolimod) kana Lemtrada (alemtuzumab) kunze kwekuti munhu atove akaratidzirwa nehuku. Vanachiremba vanogona kutarisa kana munhu akave akaratidzirwa (kufanana nehucheche) nekudhonza muropa wevaricella antibody. Kana pasina hutachiona, chirwere che varicella chinotarisirwa mavhiki matanhatu musati watanga mishonga.
Measles, Mumps, Vaccine Rubella
Mushonga wemapukisi-mumps-rubella ndiyo chirwere chinoraramira, uye zvinonzwisisika kutanga kutanga wakangwarira pamusoro payo. Izvo zvinotaurwa, maererano neNational MS Society, chirwere ichi chinogona kunge chakachengetedzeka kune vanhu vasingatori mishonga inoderedza zvirwere zvavo zvemasimba (seasingazivikanwi corticosteroids kana zvimwe zvirwere-kugadzirisa kurapa). Zvakare, zvakanakisisa kutevera mazano emwana wako weukama, sezvo chirwere chinorarama chinogona kukonzera zvirwere.
Rabies Vaccine
Chirwere chechirwere chinodzivirira chirwere chechirwere chetachiona, iyo chirwere chinogona kutapurirwa kana munhu akarumwa nemhuka inotapukirwa (mitsvuku ndiyo inowanzobva). Chirwere chechirwere chechirwere chirwere chisina kuvhara kana kuurayiwa kuitira kuti chirege kukupa rabies.
Ichi chirwere chinopiwa chete kune avo vari pangozi yakawanda yekuwana chirwere ichi sechiremba kana vanhu vanoenda kunyika umo kurwiswa kwechirwere kunowanzoitika. Inogonawo kupiwa kana munhu atove akataridzirwa kune rimwe remangwana rinogona kutanga.
Sezvo rabies inenge iri nguva dzose inouraya, mukana wekukuvadza chero kupi zvayo kubva kune chirwere chinogona kupfuudza zvakanakira.
Zoster Vaccine
Ikoko yezvinyorwa (iyo inobatsira kudzivirira mapepa maviri uye zvinorwadza zvinorwadza zvinonzi postherpetic neuralgia ) chirwere chinorarama, saka vanachiremba vanowanzochenjerera pakuipa. Izvo zvataurwa, inofungidzirwa zvichida yakachengeteka kune umwe munhu mukuru uyo ave ane chickenpox, sezvo muviri wakatoita kuti uve nechigunun'una. ICDC inokurudzira vachengeti vezvinyorwa zvekuvhima kune vanhu vakuru vane makore 60 kana kupfuura.
HPV Vaccine
Ivhavha yeHIVV inokurudzirwa kuvana vane makore gumi nemana kana gumi nemaviri. Inogona kupererwa kuburikidza nemakore makumi maviri nevatatu muvakadzi nezera remakore makumi maviri nevashanu kana varume kana makore makumi maviri nemaviri kana murume akarara nevamwe varume kana ane HIV / AIDS. Mushonga weKVV unochengetedza zvirwere zvepabonde, kenza yemukomana, uye mamwe maitiro ekenza semukadzi, penile, anal, nemuromo / throir.
Chirwere cheporiyo
Polio chirwere chinoshungurudza hurongwa hwekutya. Vanhu vazhinji havadi chirwere cheporiyo nokuti vakagonywa sevana. Vafambi vekune dzimwe nyika vangadikanwa chikwata chekusimudzira kana vachienda kunzvimbo apo poliyo ichiripo.
Chirwere cheJafi Chirwere Chingave Chisina Kuchengetedzwa Kwevanhu VaMS
Chimwe chidiki chekudzidza vanhu vanomwe nekutorazve-remitting multiple sclerosis yakawana ngozi yakawedzerwa yekudzokazve mumavhiki matanhatu mushure mekudzivirira ne yellow fever , chirwere chinoparadzirwa nemumhutu mune dzimwe nzvimbo dzeSouth America neAfrica.
Nokuda kwechikonzero ichi, National MS Society inokurudzira kuenzanisa njodzi yekuratidzwa kune yellow fever paunenge uchifamba nemukana wemunhu wekuva neSMS flare. Ichi chisarudzo chinonyengera uye chakanaka chinofanira kuongororwa zvakanyatsotarisana nemunhu weurourologist.
Shoko Rinobva
Zvimwe zvirwere zvekutsvakurudza nezvevanhu vane MS zvinogona kubatsira, zvikurukuru zvidzidzo zvikuru zvinotsvaga rubatsiro rwechokwadi rwemamwe mishonga kune vanhu vane MS pamwe nevaya vane utano (sekunge munhu ane MS anogona kuvaka simba rakasimba rekuzvidzivirira mumuviri kumushonga munhu ane utano).
Ichokwadi kuti izvi zvakaoma nekuti zvinokonzerwa nezvimwe zvinhu zvakadai sechirwere-chinoshandiswa kurapwa munhu ari kutora kana nguva iyo chirwere chinotarisirwa.
Somuenzaniso, mushonga unogadzirisa zvirwere zvemuviri (zvakadai seCopaxone kana interferon therapy) zvichienderana nechirwere chinoderedza masimba ezvirwere (steroids, Lemtrada, kana Novantrone) inogona kukanganisa kuti munhu anopindura sei mushonga.
Mufananidzo mukuru pano ndewokuti zvirwere zvinobatsira vanhu vane MS sezvavanokwanisa kudzivirira zvirwere zvinogona kutotanga marara. Asi iva nechokwadi chokuti utaure neurologist yako, sezvo pane zvimwe zvipembenene zvakabatanidzwa-sezvingave zvinokuvadza zvechirwere chinorarama kana kuti iwe wakanga uchingodzoka zvakare.
> Sources:
> Centres for Disease Control and Prevention. (May 2016). Vaccines and Immunizations.
> Mailand MT, Frederiksen JL. Zvirwere uye Multiple Sclerosis: Ongororo Yokugadzirisa. J Neurol. 2016 Sep 7.
> National MS Society. (2016). Vaccinations.
> Williamson EM, Chahin S, Berger JR. Vaccines mu Multiple Sclerosis. Curr Neurol Neurosci Rep . 2016 Apr; 16 (4): 36.