Yuav luag 80% ntawm lub ntiaj teb cov pej xeem raug cuam tshuam los ntawm tib neeg papillomavirus. Ntau tshaj 100 hom kab mob no tau paub tam sim no. Hmoov zoo, feem ntau ntawm lawv tsis muaj mob. Lawv tsuas yog ua rau cov tsos mob ntawm warts, tab sis tsis cuam tshuam rau cov haujlwm tseem ceeb ntawm tag nrho cov kab mob. Tab sis muaj ntau hom oncogenic ntawm HPV uas pom muaj nyob rau hauv tag nrho cov neeg mob uas tau kuaj mob cancer ntawm lub ncauj tsev menyuam, qhov quav, qhov chaw mos los yog larynx.
Cov tshuaj tiv thaiv tib neeg papillomavirus
Cov kws tshawb fawb niaj hnub sib cav tias qhov muaj HPV hauv lub cev tsis tau txhais hais tias ib tus neeg yuav mob qog noj ntshav. Tab sis tus neeg mob zoo li no muaj kev pheej hmoo. Tom qab tag nrho, tus kab mob no hloov hlwb thiab ua rau nws muaj peev xwm rau kev loj hlob ntawm qog.
tuam txhab tshuaj tau tsim cov tshuaj tiv thaiv tshwj xeeb uas txhawb nqa lub cev tiv thaiv kab mob. Thiab qhov no tsis tso cai rau cov kab mob nkag mus rau hauv lub cev thiab nce foothold hauv nws. Tam sim no, cov neeg mob tuaj yeem xaiv qhov tshuaj tiv thaiv - "Gardasil"los yog "Cervarix" ua. Ob qho tshuaj tiv thaiv tiv thaiv ob hom HPV, uas yog qhov kev kwv yees loj ntawm lub ncauj tsev menyuam thiab qhov quav.
Ntseeg ntawm cov tshuaj tiv thaiv Gardasil
Nws yuav tsum nkag siab tias ib qho ntawm cov tshuaj tiv thaiv no tsis tuaj yeem kho tus neeg mob HPV. Tab sis "Gardasil" (kev txhaj tshuaj tiv thaiv) muaj zog tiv thaiv 4 hom HPV. Ntawm cov no, 16 thiab 18 hom kab mob yog oncogenic heev, thiab 6 thiab 11 ua rau qhov chaw mos pob khaus - qhov hu ua qhov chaw mos warts.
Kev txhaj tshuaj tiv thaiv yog qhov zoo tshaj plaws thaum muaj hnub nyoog thaum tus neeg tseem tsis tau muaj sijhawm los kis tus kabmob. Cov tuam txhab tshuaj tiv thaiv pom zoo kom cov menyuam yaus thiab cov tub ntxhais hluas txhaj tshuaj tiv thaiv ua ntej lawv ua kev sib deev.
siv thaj chaw
Yog tias koj xav tau cov tshuaj tiv thaiv Gardasil, ces koj yuav tsum paub tias nws tiv thaiv kev kis kab mob nrog 4 hom tib neeg papillomavirus, uas yog 6, 11, 16 thiab 18. Nrog rau tag nrho lwm hom HPV, tus neeg mob tuaj yeem kis tau. nyob rau hauv lub neej. Tab sis lawv tsis yog qhov txaus ntshai. Cov tshuaj tiv thaiv raws sijhawm tuaj yeem tiv thaiv kev txhim kho ntawm dysplasia, thiab qee zaum txawm tias mob qog noj ntshav ntawm qhov chaw mos, ncauj tsev menyuam, lub qhov quav thiab qhov chaw mos uas tshwm sim los ntawm HPV hom 16 thiab 18 ntawm cov poj niam thiab txiv neej.
Yog tias peb tham txog cov tshuaj tiv thaiv Cervarix, nws tiv thaiv kev txhim kho ntawm tib yam kab mob. Qhov no yog vim qhov tseeb tias nws muaj zog tiv thaiv ob hom HPV - 16 thiab 18.
Muaj peev xwm txaus ntshai
Kev nce ntxiv, tam sim no koj tuaj yeem pom cov ntaub ntawv hais tias "Gardasil" yog tshuaj tiv thaiv cev xeeb tub. Raws li qee tus neeg, kev txhaj tshuaj tiv thaiv ntau ntawm cov menyuam yaus thaum hluashnub nyoog yog ib tug cunning txoj kev npaj ua kom puas cov pejxeem los ntawm nws extinction. Ntau tus tham txog qhov zoo sib xws ntawm cov tswv yim siv cov tshuaj no nrog cov tshuaj tiv thaiv uas tau tsim los ntawm Rockefeller Foundation thiab tau npaj los ua kom nchuav menyuam.
Tsis tas li, cov neeg tawm tsam txhaj tshuaj tiv thaiv hais tias qhov no tsis yog qhov lees paub tias tus neeg mob yuav tsis mob qog noj ntshav. Tab sis cov tuam txhab tshuaj tiv thaiv tsuas yog lees paub qhov tseeb tias lawv cov tshuaj yog tsim los tiv thaiv tib neeg papillomavirus los ntawm kev kho hauv lub cev.
Tsis tas li ntawd, cov kws tshawb fawb tau hais tias qhov ua rau nchuav menyuam thiab yug ntxov ntxov hauv ntau lub npe yog cov tshuaj tiv thaiv "Gardasil". Kev txhaj tshuaj tiv thaiv, raws li kev pom zoo los ntawm cov chaw tsim khoom, yuav tsum tau muab qhov zoo tshaj plaws ua ntej pib kev sib deev lossis tiv thaiv cov teeb meem uas HPV tuaj yeem ua rau. Yog li ntawd, nws tsis muaj txiaj ntsig los tham txog cov teeb meem lossis tsis muaj txiaj ntsig ntawm kev txhaj tshuaj thaum cev xeeb tub. Ntxiv mus, cov lus qhia muaj cov ntaub ntawv hais tias nws tsim nyog los tiv thaiv koj tus kheej los ntawm kev xeeb tub thaum lub sijhawm txhaj tshuaj tiv thaiv thiab tsis txhob nqa tawm yog tias qhov tseeb ntawm cev xeeb tub twb tau lees paub lawm.
Uss
Muaj ob lub tswv yim rau kev tswj hwm cov tshuaj tiv thaiv Gardasil. txhaj koob tshuaj peb zaug. Yog tias koj ua raws li cov txheej txheem ib txwm ua, ces qhov kev txhaj tshuaj thib ob yog nqa tawm ob lub hlis tom qab thawj zaug. Thiab qhov thib peb - txawm tias 4 lub hlis tom qab thib ob. Qhov ntawd yog, chav kawm txhaj tshuaj tiv thaiv tau txuas ntxiv rau rau lub hlis.
Tab sis kuj tseem muaj kev xaiv nrawm. Yog li koj tuaj yeem nkag mus rau qhov koob thib ob ib hlis tom qab thawj zaug, thiab thib peb - peb tom qab thib ob. Ntawd yog, ua tiavHoob no yuav kav 4 lub hlis. Tab sis txawm tias lub sijhawm teem sijhawm raug ua txhaum, koj yuav tsum tsis txhob txhawj. Hoob no yuav raug suav hais tias ua tiav yog tias peb txhaj tshuaj tiv thaiv tiav hauv ib xyoos.
Rau txhua pab pawg hnub nyoog, cov tshuaj tib yam yog siv - 0.5 ml. Nws yog txhaj intramuscularly rau hauv cov leeg deltoid. Koj tuaj yeem txhaj tshuaj rau sab sauv sab nraud ntawm nruab nrab ntawm tus ncej puab.
Tus kws tu neeg mob uas ua cov tshuaj no yuav tsum paub txhua txoj cai rau nws siv. Yog li, ua ntej siv, ib lub syringe pov tseg (vial) nrog cov tshuaj tiv thaiv yuav tsum tau shaken thiaj li tau txais ib homogeneous cloudy suspension. Cov koob tshuaj yog muab rau hauv ib kauj ruam, thiab qhov chaw txhaj tshuaj yog kho nrog 70% cawv.
Yog hais tias txawv teb chaws suav nrog, cov khoom pom nyob rau hauv lub vial lossis koob txhaj tshuaj, nws cov xim hloov lossis tsis sib xws, qhov no qhia tias nws tsis tsim nyog.
Yuav tsum muaj ntaub ntawv
Nyeem txog cov tshuaj tiv thaiv Gardasil, feem ntau koj tuaj yeem pom cov kev xav tias nws tsis pab tshem tawm cov qog nqaij hlav. Nws yeej yog. Nws yog npaj tsuas yog rau kev tiv thaiv nyob rau hauv kev sib raug zoo rau ib tug xov tooj ntawm cov kab mob, cov uas muaj oncological sawv daws yuav. Tsis tas li ntawd, nws tsis tuaj yeem siv los tshem tawm txhua hom HPV. Lub ntsiab lus ntawm nws qhov kev taw qhia tsuas yog nyob rau hauv cov xwm txheej uas tus neeg mob tseem tsis tau kis tus kab mob uas cov tshuaj tiv thaiv tau teev tseg. Nws tsis muaj kev cuam tshuam rau cov kab mob uas twb muaj lawm hauv lub cev uas tau tshwm sim los ntawm HPV. Tsis tas li ntawd, chav kawm tsis tiav tsis tuaj yeem tiv thaiv kev kis kab mob. Yog li ntawd, kev siv cov txheej txheem thaiv kev tiv thaiv kab mob thaum lub sijhawm txhaj tshuajyog yuav tsum tau. Tsis tas li, tsis txhob nyeem cov tshuaj xyuas txog cov tshuaj tiv thaiv Gardasil uas tham txog kev kis kab mob nrog lwm yam kev sib deev. Nws tsis yog ib txoj hauv kev tiv thaiv lwm yam kab mob.
Raws li txhua yam tshuaj tiv thaiv, tsis yog txhua tus neeg mob yuav muaj lub cev tiv thaiv kab mob. Nws pom cov txiaj ntsig hauv 99% ntawm cov neeg kawm. Nrog nws cov lus qhia, cov xwm txheej ntawm kev loj hlob ntawm anaphylactic shock tsis tuaj yeem txiav tawm. Yog li ntawd, yog tias "Gardasil" (cov tshuaj tiv thaiv) ua tiav tom tsev kawm ntawv, tus kws saib xyuas neeg mob yuav tsum muaj tshuaj kho mob xwm txheej ceev ntawm tes. Tus neeg mob yuav tsum tau saib xyuas rau 30 feeb. Cov tshuaj tiv thaiv feem ntau nyob rau hauv daim ntawv ntawm fainting tshwm sim nyob rau hauv cov poj niam hluas thiab cov hluas.
Kev nyuaj siab
Dhau li ntawm cov xwm txheej tsis tshua muaj tshwm sim thaum cov tshuaj tiv thaiv anaphylactic tshwm sim, muaj lwm yam kev mob tshwm sim tom qab txhaj tshuaj tiv thaiv Gardasil. Kev tshuaj xyuas thiab cov ntaub ntawv los ntawm cov chaw tsim khoom qhia tias cov neeg mob feem ntau yws ntawm khaus thiab mob ntawm qhov chaw txhaj tshuaj thiab hauv cov ceg, tsim cov hematoma lossis kub taub hau. Yuav luag txhua tus neeg thib kaum sau qhov o, liab ntawm qhov chaw txhaj tshuaj.
Tsis tas li, ntau tus neeg mob, tom qab lawv tau txhaj tshuaj tiv thaiv Gardasil, sab laug kev tshuaj xyuas txog qhov pom ntawm qaug zog, ua daus no, tsis xis nyob, xeev siab, ntuav, bronchospasm, urticaria. Tab sis nws tsis tuaj yeem ntsuas qhov kev ntseeg tau ntawm cov ntaub ntawv no thiab tsim kom muaj kev sib txuas ntawm cov teeb meem tau piav qhia thiab kev tswj hwm ntawm cov tshuaj.
Kev sib xyaw tshuaj
Yog koj pib kawmKev txhaj tshuaj tiv thaiv Gardasil, tom qab txhaj tshuaj yuav tsum tau ua tsuas yog siv cov tshuaj tiv thaiv uas tau teev tseg. Nws tuaj yeem siv tau ib txhij nrog lwm cov tshuaj. Kev so ib ntus tsis tas yuav tsum yog tus neeg mob yuav tsum tau txais cov tshuaj tiv thaiv kab mob sib xyaw ua ke tiv thaiv kab mob siab B, meningococcus, diphtheria, hnoos hawb pob (siv cov khoom siv tsis muaj cell), tetanus, poliomyelitis. Qhov tseem ceeb tshaj plaws yog txhaj rau hauv ntau qhov chaw.
Tsis tas li, raws li kev tshawb fawb, nws tau pom tias kev siv tshuaj tiv thaiv kab mob hormonal, tshuaj tiv thaiv kab mob, tshuaj tua kab mob, tshuaj tua kab mob, vitamin complexes, tshuaj steroid tsis cuam tshuam rau kev ua tau zoo thiab kev nyab xeeb ntawm cov tshuaj tiv thaiv Gardasil. Cov tshuaj tiv thaiv tsis tau raug sim hauv cov neeg mob noj tshuaj tiv thaiv kab mob.
Immunobiological zog
Hais txog txhua qhov ua tau zoo thiab qhov tsis zoo ntawm cov tshuaj, ntau tus tsis paub meej tias cov tshuaj tiv thaiv ua haujlwm li cas. Nws muaj cov protein ntau purified ntawm tib neeg papillomavirus 6, 11, 16 thiab 18 hom. Tsis tas li ntawd, cov tshuaj tiv thaiv muaj ib qho adjuvant, L-histidine, poov xab protein, polysorbate 80, sodium borate. Raws li kev ntseeg nrov, cov tshuaj tiv thaiv tsis muaj cov kab mob (tuag lossis ciaj sia), nws tsuas muaj cov kab mob zoo li cov kab mob uas tsis tuaj yeem sib ntxiv. Tab sis lawv tso cai rau koj kom tau txais kev tiv thaiv kab mob tsim nyog.
Cov proteins uas muaj nyob rau hauv cov tshuaj tiv thaiv yog tsim los ntawm cais fermentation. Txhua hom kab mob no yog huv si, nws yog adsorbed ntawm ib tug tshwj xeeb adjuvant uas muaj txhuas. Txhua tus neeg uas paub lub hauv paus ntsiab lus ntawm cov tshuaj tiv thaiv, nkag siab tias Gardasil yog tshuaj tiv thaiv kab mob tib neeg papillomavirus. Raws li qhov tshwm sim ntawm nws kev siv, cov tshuaj tiv thaiv yog tsim tawm uas pheej mus rau 36 lub hlis (raws li qee cov lus ceeb toom, lawv tau ua haujlwm rau ntau tshaj 8 xyoo). Tab sis txoj kev tshawb no tsis tau tsim qhov yuav tsum tau txhaj tshuaj tiv thaiv.
Daim ntawv thov
Gardasil (kev txhaj tshuaj) yog siv dav hauv tebchaws Russia. Cov kev pab cuam tau txais los ntawm tsoomfwv qib, raws li cov ntxhais hauv Lavxias tau txhaj tshuaj tiv thaiv dawb. Kev txhaj tshuaj yog ua tiav hauv tsev kawm ntawv, chaw kho mob, chaw kho mob. Tsoom fwv tau ua cov kauj ruam no vim tias kev poob siab cov ntaub ntawv tau sau tseg hauv 2000s. Hauv tebchaws Russia, 18 tus poj niam tuag txhua hnub los ntawm mob qog noj ntshav. Thiab hauv ntiaj teb, qhov kev kuaj mob tau tsim txhua 2 feeb.
Ua kom tiav ntawm oncology, tau kawg, yuav tsis ua haujlwm, tab sis koj tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim cov qog. Tseeb tiag, nrog kev txhaj tshuaj tiv thaiv raws sijhawm, nws muaj peev xwm tiv thaiv kev txhim kho mob qog noj ntshav hauv tsev menyuam, uas tshwm sim los ntawm kev hloov pauv hauv cov hlwb los ntawm tib neeg papillomavirus.
lwm txoj kev kho
Nrhiav lwm cov tshuaj uas tuaj yeem tiv thaiv kev loj hlob ntawm qog noj ntshav tsuas yog tias koj nkag siab tias Gardasil (kev txhaj tshuaj) xav tau dab tsi. Qhov tshuaj tiv thaiv pab tau dab tsi los ntawm, txhua tus kws kho mob gynecologist thiab kws tshuaj tiv thaiv kab mob tuaj yeem piav qhia. Raws li tau hais ua ntej, nws tsis tuaj yeem kho HPV, thiab ntau dua li mob qog noj ntshav, tab sis nws tuaj yeem siv los tshem tawm qhov muaj feem kis tau tus kab mob papillomavirus.tib neeg thiab kev loj hlob ntawm cov kab mob oncological tshwm sim los ntawm lawv.
Lwm txoj kev yog tshuaj tiv thaiv kab mob Cervarix. Piv txwv li, Gardasil (kev txhaj tshuaj tiv thaiv) tshwm sim hauv Ukraine tsuas yog xyoo 2014. Txog thaum lub sijhawm ntawd, kev txhaj tshuaj tiv thaiv tsuas yog siv nrog kev siv tshuaj "Cervarix", uas yog tawm tsam ob hom kab mob - cov kab mob oncogenic heev 16 thiab 18. Txawm li cas los xij, tsis muaj kev txhaj tshuaj thoob ntiaj teb thiab yuav tsum tau txhaj tshuaj hauv Ukraine.
Kev xaiv ntawm cov tshuaj tiv thaiv no yog ua tiav nrog koj tus kws kho mob. Nyob rau tib lub sijhawm, ib tus yuav tsum tsis txhob hnov qab tias lawv muaj peev xwm sib npaug tiv thaiv HPV hom 16, 18 thaum lub sijhawm tus kab mob tseem tsis tau nyob hauv lub cev. Tab sis "Gardasil" muaj peev xwm tiv thaiv lwm 6, 11 hom kab mob uas ua rau qhov chaw mos. Qhov no txhais tau hais tias tus neeg mob, txawm tias tom qab ua tiav qhov kev txhaj tshuaj tag nrho ntawm Cervarix, tuaj yeem tsim cov kab mob condylomas ntawm lub ncauj tsev menyuam thiab sab nraud ntawm qhov chaw mos. Kev siv tshuaj "Gardasil" tsis suav nrog kev txhim kho ntawm cov xwm txheej zoo li no. Tab sis ob qho tib si ntawm cov tshuaj tiv thaiv no tsis tuaj yeem tiv thaiv qhov loj ntawm lwm hom kab mob uas tau teev tseg.
Txoj kev siv
Ua ntej txhaj tshuaj tiv thaiv rau koj, nws yuav tsum tau qhia meej txog cov xwm txheej rau nws qhov chaw cia. Yog li, nws yuav tsum nyob rau hauv qhov chaw txias (ntawm +2 txog +8 0 С), uas tsis nkag mus rau nruab hnub. Tab sis khov nws yog tsis tsim nyog. Cov tshuaj siv tau rau 3 xyoos, tom qab tas sijhawm ntawm lub sijhawm teev tseg, nws yuav tsum muab pov tseg.
Tseem muaj ntau cov lus nug txog kev siv tshuaj tiv thaiv Gardasil hauv lub neej tom ntej. Yog li, piv txwv li, cov chaw tsim khoom thov tias nyob rau hauv qhov kev pab cuam txhaj tshuajTxhua tus tub ntxhais hluas, tsis hais poj niam los txiv neej, thiab cov poj niam hnub nyoog qis dua 45 xyoos tuaj yeem suav nrog. Txawm hais tias muaj ntau qhov kev tshawb fawb qhia tias kev txhaj tshuaj tiv thaiv tom qab 26 xyoo tsis muab qhov kev xav tau ntxiv lawm. Feem ntau, qhov no yuav yog vim qhov tseeb tias tus poj niam ntawm lub hnub nyoog no twb yog tus neeg nqa khoom ntawm tib neeg papillomavirus. Yog li ntawd, cov tshuaj tiv thaiv tsis tuaj yeem tiv thaiv kab mob thiab, raws li, tiv thaiv kev loj hlob ntawm qog noj ntshav.
Ntau tus kws tshaj lij hais tias kev saib xyuas ib txwm los ntawm tus kws kho mob gynecologist thiab kuaj cytological txhua xyoo yuav ua tau zoo dua. Nws yuav tsis pab tiv thaiv tus kab mob, tab sis nws tuaj yeem kuaj pom muaj kev hloov pauv thaum ntxov.
Tau kawg, koj tuaj yeem pom cov ntaub ntawv uas Gardasil tsis tuaj yeem tiv thaiv kab mob qog noj ntshav. Kev tshuaj xyuas qhia tias txawm tias txhaj tshuaj tiv thaiv tuaj yeem tsim mob qog noj ntshav ntawm lub ncauj tsev menyuam, qhov quav, qhov chaw mos lossis lwm qhov chaw mos. Qhov no yuav yog vim qhov tseeb tias cov tshuaj tiv thaiv tiv thaiv ob hom kab mob oncogenic heev - 16, 18. Tab sis nyob rau hauv 30% ntawm cov neeg mob ntawm cov kab mob oncological nrhiav pom, lwm hom kab mob HPV raug pom, kis kab mob uas kuj tuaj yeem dhau los ua tus kab mob oncological. impetus rau kev loj hlob ntawm cancer. Yog li ntawd, nyob rau hauv tsis muaj cov ntaub ntawv yuav tsum tau txhaj tshuaj tiv thaiv yog ib tug panacea rau mob qog noj ntshav. Tsuas yog kev kuaj mob tsis tu ncua los ntawm tus kws kho mob gynecologist thiab smear rau cytology yuav tso cai rau koj tswj koj txoj kev noj qab haus huv.
