Kune huwandu hwezvidzidzo zvakakosha zvakakurudzirwa kune vanhu vakuru vanorarama neHIV . Kunyange zvazvo mazano aya akafanana neavo vasina vanhu vane utachiona, HIV inogona kuderedza kushanda kweimwe zvirwere, kunyanya kune avo vane maitiro ekudzivirira zvirwere, uye, saizvozvowo, zvinoda kuchinja kwemazivo kana zvimwe zvingaitwa.
Sekutonga kwechigunwe, vanhu vane HIV havangafanirwi vachengetedzwa nemishonga inoratidzwa neaktentenuated.
Idzi idzi zvirwere zvinoshandisa kushaya simba kwehutachiona huri kurarama, hunokonzera zvirwere kuti huve nehutachiona hwehutachiona. Kunetseka ndechokuti kunyange hutachiwana husina simba hunogona kukonzera zvirwere kune avo vane zvakanyanya kupera simba rekudzivirira zvirwere.
Kusiyana neizvi, zvirwere zvinoshandisa chirwere chisingaiti (kana kuti "kuurayiwa") hachirevi njodzi yezvirwere zvekudzivirira muviri. Kune dzimwe nguva, asi, kunyange kune vanhu vane simba rakasimba rekuzvidzivirira mumuviri, inowanzofungidzirwa kuti kuuraiwa zvirwere zvepiritori zvinosarudzwa pane mararamiro akachengetedzwa. Semuenzaniso, kurwiswa kwechirwere kunogamuchirwa kune vanhu vane HIV (kubva pahutachiona hunouraya hunoshandiswa); sprays semasipera seFluMist haasi (sezvavanounza hutachiwana hwehutachiona hwettenenated).
Zvakakosha kucherechedza kuti apo mamwe majekiseni anorayirwa kune vose vakuru vari kurarama neHIV, vamwe vanokurudzirwa chete kune avo vanofunga kuti vari pangozi yeimwe zvirwere-zvichida nekuda kwekufamba, makore, kana kuwedzerwa kwehutachiwana mukati mevanhu vanotambura.
Uye, sekuenzanisa nemarayiti ehurumende nemamwe marudzi ose ehutano hwehutano, zvinokurudzirwa kuti uchengete kopi yemabhuku ako ekudzivirira munzvimbo yakachengeteka.
Yakapiwa Vaccines yeVakuru Vane HIV, 18 Makore Ezera kana Vakwegura
| Chirwere Chirwere | Dosage | Nyaya |
Hepatitis A (HAV) | Dhiviri-nhamba dzenzoro dzakapiwa kupfuura imwe kana 1.5 yegore | Yakakurudzirwa kuvashandi vehutano, varume vanoita zvepabonde nevarume (MSM) , vashandisi vezvinodhaka zvinokonzerwa nemishonga (IDUs), vanhu vane chirwere chisingaperi chechiropa chinonzi hemophiliacs, uye vanhu vanoenda kune dzimwe nzvimbo dzenyika dzine mazinga akareba eHIV (anenge masvondo maviri kusvikira mana) kuenda). |
Hepatitis B (HBV) | Mamwe maviri, matatu-, kana mana-mazamu omutsetse pamusoro pemwedzi mina kusvika kumwedzi | Inokurudzirwa kune vose vakwegura vane HIV kana pasina humwe hutachiona hwehutachiona (hwekare hutachiwana) kana hutachiona hwehutachiona. Ropa rekuongorora rinofanira kuitwa mushure mekudzivirira kuongorora kuti HBV antibody response is enough. Kana zvisina kudaro, mamwe mapfupa anogona kudiwa. |
Nhatu-nhepfenyuro yakatevedzana pamusoro pemwedzi mitanhatu kana kuti madhara mana pamusoro pegore rimwe | Inogona kushandiswa mune izvo zvinoda zvose HAV neHBV vacheche. | |
Haemophilus Influenzae Rudzi B (HiB) | Mumwe kupfura | Inogona kufungidzirwa nekuda kwekuchengetedzwa kwezvirwere kune avo vari pangozi yepamusoro yehutachiona hwehutachiona hwehutachiona (kusanganisira bhakiteriya meningitis). Kurukura nachiremba wako kana mutapi wehutano. |
Nhatu-nhamba dzenzoro mumwedzi mitanhatu | Yakurudzirwa varume vaduku kuburikidza nemakore makumi maviri nemaviri, vakadzi vaduku kuburikidza nemakore makumi maviri nemaviri, varume vanoita zvepabonde nevarume (MSM), vanhu vane zvirwere zvekudzivirira zvirwere mumakore makumi maviri nemaviri kudai vakanga vasati vapedzwa zvizere pavakanga vachiri vaduku. Kwete kukurudzirwa panguva yekuzvitakura. | |
Rimwe dose gore negore | Yakakurudzirwa kune vose vanhu vakuru vane HIV, kunyange zvazvo zvirwere zvinopinda muropa zvinokonzerwa. Dzivisa zvirwere zvemanyoka zvinopisa. | |
Rimwe kana maviri shots | Yakakurudzirwa kuvanhu vakuru vane CD4 dzinopfuura 200 masero / mL. Hazvidiwi kune vanhu vakaberekwa kare 1957. Yakakurudzirwa kuvadzidzi vekoroji kana vanhu vanofamba kune dzimwe nzvimbo dzenyika dzakawedzera mazana ehutachiona hunotakura zvirwere (kusanganisira meningococcal meningitis). Ingadi inoda kudzokorora mumakore mashanu kana ichiri pangozi yehutachiona. | |
Pneumococcal (bhakitiriya pneumonia) | Rimwe kana maviri shots | Yakakurudzirwa kuvanhu vose vakuru vane HIV nguva pfupi mushure mekuwana HIV inowanikwa, kunze kwokunge chirwere ichi chakaitika mumakore mashanu. Kana chirwere chinopiwa apo CD4 yomuviri yevanhu iri pasi pe 200 masero / mL, re-vaccina kana kamwe CD4 inopfuura 200 masero / mL. Dzokorora imwe nguva mushure memakore mashanu. |
Mumwe kupfura | Dzokorora makore gumi nerimwe. | |
Tetanus, Diphtheria, uye Pertussis (Tdap) | Mumwe kupfura | Inokurudzirwa kune vose vakwegura vane makore makumi matanhatu nemashanu kana vaduku uye inofanira kupiwa panzvimbo yeTd booster inotevera. Inogona kupiwa pakarepo makore maviri mushure mekupedzisira Td nyanzvi yevashandi vehutano uye vanhu vari pedyo nevana vari pasi pemakore gumi nemaviri. |
Zviratidzo zviviri-mahedheni anopfuura mavhiki mana kusvika masere | Yakakurudzirwa kuvanhu vakuru vane CD4 dzinopfuura 200 masero / mL. Hazvidiwi kune mumwe munhu akaberekwa asati asvika 1980. Haafaniri kukurudzirwa panguva yekuzvitakura. Sezvokurarama zvakachengetedzwa, hazvifaniri kushandiswa kune vanhu vane CD4 nhamba pasi pe200 cells // mL. |
> Sources:
> Dhipatimendi reUnited Health of Health and Human Services (DHHS). "Yakakurudzirwa Immunisms for HIV Positive Adults." Washington, DC; July 1, 2014.
> US Centers for Disease Control and Prevention (CDC). "Hepatitis A Mibvunzo yeZvipatara." Atlanta, Georgia; July 8, 2014.
> US Centers for Disease Control and Prevention (CDC). "Kudzivirira uye Kudzora Haemophilus influenzae Rudzi b Matambudziko: Mazano eDare Rinokurudzira pamusoro pekudzivirira kuvhara (ACIP)." Kufa uye Kuipa Kwemavhiki Yega (MMWR). February 28, 2014; 63 (RR01): 1-14.
> US Centers for Disease Control and Prevention (CDC). "HPV Vaccines." Atlanta, Georgia; July 8, 2014.
> US Centers for Disease Control and Prevention (CDC). "Mazano Akashandiswa Pakushandiswa Kwemishonga yeMenisococcal Conjugate Kambani Inokurudzira Kuzvidzivirira (ACIP), 2010." Kufa uye Kuipa Kwemavhiki Yega (MMWR). January 28, 2011; 60 (03): 72-76.