Yonke into ofuna ukuyifumana malunga nokugonya kwe-Bexsero

Ulwazi lweziyobisi

I-bacterial meningitis sisifo esibi kakhulu, nesinokuthi sikhokelele esibhedlele kulandelwe ziinyanga zokubuyela kwimeko yesiqhelo-kwaye ke kulomntu uchacha kakuhle. Asinguye wonke umntu onesivumelwano ne-bacterial meningitis unethamsanqa. Ngombulelo, kukho izitofu zokugonya i-meningococcal B ezifana Bexsero oko kunokunceda ukukhusela esi sifo siyingozi.

Yintoni iMeningitis?

Isifo se-Meningococcal, esibangelwa I-Neisseria meningitidis ibhaktiriya, yi isifo esinqabileyo kodwa esinzulu . Ubuncinane kukho iintlobo ezili-12, okanye iiserogroups, ze-meningitis. Iiserogroups A, B, C, W, X, kunye no-Y zezona ziphambili oonobangela yosulelo.

Yintoni iMeningitis B?

I-Serogroup B ingakhokelela kwisifo se-meningococcal serogroup B, esikwabizwa ngokuba yi-meningitis B. Zombini ezi ntlobo zeempawu zinokuba nemiphumo yobomi obude okanye zibulale.

Iimpawu ze-meningitis zibandakanya:

Ukuqala ngesiquphe:

• Ifiva
• Intloko ebuhlungu
• Intamo elukhuni

Ezinye iimpawu zokulumkisa zibandakanya:

• Isicaphucaphu
• Ukuhlanza
• Ubuntununtunu ekukhanyeni
• Ukudideka

Ezi mpawu zisenokungabikho kwiintsana. Endaweni yoko, iintsana zinokubonakala ngathi ziyacotha okanye azisebenzi, ziyacaphuka, ziyagabha, okanye zondle kakubi.

Iimpawu zosulelo lwegazi (sepsis) zinokubandakanya:

• Umkhuhlane okanye ubanda
• Ukudinwa (ukudinwa)
• Ukugabha okanye urhudo
• Izandla kunye neenyawo ezibandayo
• Ukuchama kancinci kunesiqhelo
• Ubuhlungu obukhulu okanye iintlungu kwimisipha, kumalungu, esifubeni, okanye esiswini (isisu)
• Ukuphefumla ngokukhawuleza / ukubetha
• Irhashalala elimnyama

Isifo se-bacterial meningococcal sinokunyangwa ngamayeza okubulala iintsholongwane, kodwa nangonyango, kunjalo iyabulala umntu omnye ukuya kwababini kwabali-10 abangena kule meko.

Funa unyango ngokukhawuleza ukuba uyayibona nayiphi na impawu engentla yesifo se-meningococcal. Rhoqo, iimpawu ziyafana nomkhuhlane, ke kufanelekile ukuba ukhuseleke kwaye uhlolwe. Eyona ndlela yokuthintela le meko kukugonya.

Yintoni iBexsero?

I-Bexsero isitofu esingaphiliyo, esitofwayo esinceda ukuthintela usulelo kwizifo ze-meningococcal ezibangelwa yi-serogroup B. Ngelixa i-Bexsero ingazukuzikhusela kuzo zonke iintlobo zesifo se-meningococcal B, ukusebenza kwe-Bexsero kuqikelelwa ukuba yi-66% ukuya kwi-91% ye-meningitis ejikelezayo. B imicu.

Ngaba uyalifuna iyeza lokuthintela iMenB ukuba ukhe wanalo olunye ugonyo lwe-meningitis?

Ewe . Kukho iintlobo ezimbini ezahlukeneyo zokugonya i-meningitis. Ziyakhusela kwiintlobo ezahlukeneyo zesifo se-meningococcal.

1. I-Meningococcal conjugate (MenACWY) izitofu , njenge Imenactra kwaye IMenveo , khusela ngokuchasene neeserogroups A, C, W, kunye no-Y. Ezi zitofu zihlala zinikwa abantwana abaphakathi kweminyaka eli-11 neli-12 ubudala, benesikhuthazi abaneminyaka eli-16 ubudala.
2. Amayeza okugonya iMenB , ezinje ngeBexsero kunye Trumenba zintsha, kwaye zamkelwa ekupheleni kuka-2014. Ziyakhusela kwisifo se-B. Ukugonywa ngokupheleleyo kwizona ntlobo zixhaphakileyo, ufuna isitofu sokugonya kunye nesitofu sokuthintela iMenB.

Ngubani ofanele afumane ugonyo lwe-Bexsero?

I-Bexsero ivunyiwe kuye nakubani na phakathi kweminyaka eli-10 ukuya kwengama-25 Amaziko oLawulo noThintelo lwezifo (CDC) icebisa amayeza e-meningococcal group B (Bexsero kunye neTrumenba) kulutsha nakubantu abadala abakwiminyaka eyi-16 ukuya kuma-25, kwaye nabani na onomngcipheko wesifo.

Abantwana kunye nabantu abadala bathathwa njengomngcipheko omkhulu, okanye kunokwenzeka ukuba bosulelwe, kwiimeko ezithile, kubandakanya:

• Ukuqhambuka kwesifo se-menogroccalcal se-serogroup
• Ukuhamba uye kwiindawo ezinobungozi obukhulu be-meningitis
• UKUYA gcwalisa ukunqongophala kwecandelo
• I-spleen eyonakalisiweyo okanye i-asplenia
• Unyango ngeSoliris (eculizumab)

Inkqubo ye- i-CDC ikwacebisa izitofu zokugonya zeMenB kubantu abadala abasebenza njengee-microbiologists ezifumaneka rhoqo I-Neisseria meningitidis .

Ngubani ongafanele afumane ugonyo lwe-Bexsero?

Abantu abangadibaniyo nakwezinye izithako zeBexsero okanye abanengxaki yokuguliswa yiBexsero ngaphambili akufuneki ukuba bafumane iyeza lokugonya. Abasetyhini abakhulelweyo okanye abancancisayo kufuneka baxoxe ngokufumana isitofu sokugonya kunye neengcali zonyango. Izifundo zezilwanyana zibonisa ukuba iBexsero ikhuselekile ngexesha lokukhulelwa, kodwa akukho lwazi lwaneleyo lufumanekayo ukubhengeza ngokukhuselekileyo ukukhulelwa kwabantu. Kuyacetyiswa ukuba ugonyo lwe-Bexsero lunikwe oomama abakhulelweyo kuphela ukuba kuyimfuneko, umzekelo, ukuba umama usemngciphekweni omkhulu.

Iifowuni zeencam ezisetyenziselwa iisirinji ezikhethiweyo ziqukethe i-latex yendalo yendalo, enokubangela ukusabela okungalunganga kubantu aba-latex.

Abantu abagula ngokuphakathi okanye abagula kakhulu kufuneka balinde de babe bhetele ukufumana isitofu sokugonya.

I-Bexsero inokunikezelwa ngokukhuselekileyo kubantu abangenakunyanzeliswa, kodwa amajoni abo omzimba angaphendula ngokungenamandla okanye angabi nempendulo yomzimba, enokunciphisa ukusebenza.

Zingaphi iidosi zeBexsero ezifunekayo?

I-Bexsero ilawulwa nge-intramuscularly-ifakwe kwi-muscle nge-syringe. Amanani amabini e-0.5 ml ayimfuneko kukhuseleko oluphezulu, ngokwe Ukutya kunye noLawulo lweeDrug (FDA) izikhokelo. Amanani kufuneka anikwe ubuncinci inyanga enye ngaphandle.

Kungcono ukufumana idosi yesibini kwishedyuli , Ithetha ukusondela kwinyanga enye emva kwethamo lokuqala kangangoko kunokwenzeka. Idosi yesibini yokugonya isasebenza xa ngaphezulu kwenyanga idlulile ukusukela kwidosi yangaphambili ye-Bexsero. Nangona kunjalo, ukusebenza kwethamo lokuqala kuyancipha ngokuhamba kwexesha, ke ukufumana idosi yesibini ngexesha elifanelekileyo kunceda ukuba uqiniseke ukuba ukhuselekile ngokupheleleyo, ngokukhawuleza.

Ngaba i-Bexsero inokunikwa nezinye izitofu zokugonya?

I-CDC ithi isitofu sokugonya seMenB singanikwa ngexesha elinye nogonyo lweTdap, HPV, kunye neMenACWY. Ukuba unikwe kutyelelo olunye, izitofu zokugonya kufuneka zinikezelwe kwindawo eyahlukileyo yenaliti kunye neesirinji ezahlukeneyo.

Bexsero kufuneka ingasetyenziswa ngokutshintsha nezinye izitofu zokugonya zeMenB ukugqiba uthotho lokugonya. Idosi yokuqala yeBexsero kufuneka ilandelwe yidosi yesibini yeBexsero ngokuthe ngqo.

Iziphumo ebezingalindelekanga zeBexsero

Ezinye zeziphumo ebezingalindelekanga ezichazwe kugonyo lwe-Bexsero zibandakanya:

• Iintlungu kwindawo yenaliti
• I-Myalgia (iintlungu zemisipha)
• I-Erythema (ubomvu)
• Intloko ebuhlungu
• Isicaphucaphu
• Ukudinwa
• Ubushushu (ubume obukhuni phantsi kolusu)
• IArthralgia (iintlungu ezidibeneyo)

Ezi ziganeko zichasayo zihlala ziphakathi kwaye zihlala ixesha elifutshane kubamkeli bokugonya.

Ngaba iBexsero ikhuselekile?

Ewe. Ngokusekwe kuvavanyo lweklinikhi kunye nophando lwentengiso ebandakanya abangaphezulu kwama-37,000 abathathi-nxaxheba, U-Bexsero ubonakalise iprofayili yokhuseleko.

Bexsero vs Trumenba

Bexsero kunye Trumenba Zombini ezi zinto ziphindaphindayo zokugonya zeserogroup B meningococcal. Zombini banelayisensi eUnited States yabantu abaneminyaka eli-10 ukuya kwengama-25. IKomiti yeeNgcebiso yeZenzo zoGonyo (ACIP) ayichazi ukukhetha phakathi kwabo.

Iziphumo ebezingalindelekanga zombini ziyafana, iintlungu kwindawo yenaliti, ukudinwa, intloko ebuhlungu, iintlungu zemisipha, kunye nesicaphucaphu phakathi kwezona ziqhelekileyo.

Nangona ezi zitofu zimbini zifana, azitshintshi. IBexsero luphawu lweGlaxoSmithKline (GSK) ngelixa iTrumenba yenziwa yiPfizer.

U-Bexsero ulandela ishedyuli yedosi ezimbini kunye nedosi enye ye-0.5 ml elandelwa sisixa sesibini se-0.5 ml yedosi elawulwa kwinyanga enye kamva.

ITrumenba inayo a ishedyuli yedosi ezimbini okanye ishedyuli yedosi ezintathu . Nabani na oneminyaka eli-10 nangaphezulu osemngciphekweni owandayo wesifo se-menogroccalcal se-serogroup kufuneka alandele ishedyuli yedosi ezintathu. Emva kwethamo lokuqala, idosi yesibini kufuneka inikwe kwiinyanga ezi-1 ukuya kwezi-2 kulandela idosi yokuqala, kwaye idosi yesithathu kufuneka inikwe iinyanga ezintandathu emva kwethamo lokuqala. Ulutsha olusempilweni kunye nabantu abadala abakwiminyaka eyi-16 ukuya kuma-23 abasemngciphekweni wesifo se-meningococcal kufuneka bafumane idosi enye elandelwe yidosi yesibini kwiinyanga ezintandathu kamva.

Yiyiphi na engabizi kakhulu kuxhomekeke kwinani leedosi ezifunekayo. Ikhosi epheleleyo yeBexsero ixabisa malunga ne- $ 341.50. I-Trumenba ixabisa malunga ne- $ 279.04 yeshedyuli yedosi ezimbini, kwaye imalunga ne- $ 418.56 yeshedyuli yedosi ezintathu.

Eyona nto ibalulekileyo ekufuneka uyikhumbule malunga nezitofu zokugonya ezimbini kukuba iibrendi azinakutshintshwa phakathi kweedosi. Naliphi na iyeza elinikiweyo kwidosi yokuqala kufuneka lisetyenziselwe nayiphi na idosi elandelayo.

Ixabisa malini iBexsero?

Uluhlu lweCDC lubeka indleko zeBexsero kwicandelo labucala njenge- $ 170.75 yedosi nganye, kodwa eli xabiso lingahluka ngekhemesti. Iindleko zinokuncitshiswa ngokusebenzisa i-SingleCare ikhuphoni kwii-pharmacy ezithatha inxaxheba. Iigonyo zaBantwana (VFC Inkqubo iya kugubungela indleko zokugonya iMenB (kunye nezinye izitofu zokugonya) kwabo are :

• 16 ukuya kwi-18 yeminyaka ubudala
• I-10 ukuya kwi-18 yeminyaka ubudala kwaye ichongwe njengomngcipheko okhulayo ngenxa yemeko yonyango
• I-10 ukuya kwi-18 yeminyaka ubudala kwaye ichongiwe njengomngcipheko okhulayo ngenxa yokuqhambuka kwesifo se-menogroccalcal se-serogroup

Isifo se-Meningococcal siyothusa, kwaye ulutsha kunye nabantu abadala abancinci banethuba eliphezulu lokosulelwa. Ukulandela inkqubo efanelekileyo yokugonya kungabakhusela.