Prevenar 13 bụ nkwadebe nwere polysaccharides nke ọrịa plọmonia ọrịa pathogenic. Iji pneumococcal conjugates, a na-agba ọgwụ mgbochi ndị mmadụ na-eme ugboro ugboro iji gbochie mmerụ ahụ nke usoro na-efe efe na mkpali na usoro iku ume. Ọgwụ dị mkpa maka mmepụta ọgwụ mgbochi n'ụdị immunosuppressive ọnọdụ.
International Nonproprietary Aha
Ee e.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13.jpg)
Prevenar 13 bụ nkwadebe nwere polysaccharides nke ọrịa plọmonia ọrịa pathogenic.
ATX
J07AL02.
Ha weputara udi ya na ihe mebere ya
A na-eme ọgwụ ahụ n'ụdị nkwusioru maka itinye ya na okpu akwara. 1 otu nke ọgwụ ọgwụ nwere olu nke 0,5 ml nwere pneumococcal conjugates nke serotypes ndị a dị ka:
- 1;
- 2;
- 3;
- 4;
- 6 A, B;
- 7F;
- 9V;
- 14;
- 19 A, F;
- 23F.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-2.jpg)
A na-eme ọgwụ ahụ n'ụdị nkwusioru maka itinye ya na okpu akwara.
Ihe mejupụtara ọgwụ ahụ gụnyere ọgwụ ụdị oligosaccharide 18C na ebu protein protein diphtheria CRM-197. Na nke ikpeazụ, polysaccharides pneumococcal na-etolite mgbagwoju anya. Ihe ndi ozo bu mmanu ndi ozo bu sodium chloride. N ’anya, nkwusioru ya bụ otu nzukọ na-acha ọcha.
Ndụ ma ọ bụ
Ogwu ahụ adịghị ndụ. Maka mmepe ya, ejighi ụmụ nje nje pathogenic ma ọ bụ nke nwụrụ anwụ.
Omume ọgwụ
Site na iwebata ọgwụ mgbochi n'ime ahụ, mmepụta ọgwụ mgbochi kpụ ọkụ n'ọnụ na polysaccharides conjugated nke nje pathogenic nke prọonia. Ọgwụ nje na-enye gị ohere ịmepụta nzaghachi ọrịa dị mkpa ma mee ka usoro ahụ ji alụso ọrịa ọgụ ọgụ ruo oge ị ga-eme ka ọrịa ghara ịba ụba. Acgba ọgwụ mgbochi ọrịa na-enye gị ohere ịkwadebe ahụ maka mmeri nke ụdị stereotypes niile nke pneumococcal polysaccharide.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-3.jpg)
N'okpuru mmetụta nke lymphocytes, polysaccharides nje na-adaba na ngwaahịa metabolic.
Mlọ ọgwụ
Mgbe polysaccharides nke eriri nje pịrịonia na-abanye n'ọbara akwara, a na-amata ndị na-enyere T-aka aka, nke na-amalite izochi cytokines iji mee ka ndị na - eme T-killers, B-lymphocytes na monocytes. N'okpuru mmetụta nke lymphocytes, polysaccharides nje na-adaba na ngwaahịa metabolic. Nke ikpeazụ a enweghị ike ime nchọpụta, maka na ha yiri ihe ndị agwakọtara n'ime ahụ. Ya mere, enweghi ike ikpebi usoro ọgwụ ọgwụ nke metabolites.
Gini bu ogwu ogbugba?
Gba ọgwụ mgbochi ọrịa a na-arụ ọrụ dabere n'ọnọdụ ndị a:
- n'oge ezubere dị ka kalenda mba ahụ maka igbochi ọrịa pneumococcal na-anaghị efe efe (ntiwapụ etiti ntị, oyi ịba n’etiti obodo) na ọrịa ịba (nje meningitis, ọrịa pneumococcal na ọbara, sepsis, pneumonia) ọdịdị;
- dị ka ihe mgbochi maka ndị nwere ọrịa immunosuppressive bụ ndị nọ n'ihe egwu dị elu nke ibute ọrịa.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-4.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-5.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-6.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-7.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-8.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-9.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-10.jpg)
Ndị nke a gụnyere ndị ọrịa nwere usoro ịmụ ọria nke ọrịa ahụ, ndị ọrịa bu nje HIV yana ndị mmadụ na-anata ọgwụgwọ immunosuppressive. Ihe mgbochi dị ala nwere ike ịmalite megide ndabere nke:
- ọrịa na-adịghị ala ala nke akụkụ okuku ume na akwara;
- ọnụnọ nke ihe mkpuchi cochlear;
- ọgwụgwọ kansa;
- ụkwara ume ọkụ;
- ọnya nke mbufụt tubercle;
- ịka nká;
- omume ojoo.
Gba ọgwụ mgbochi ọrịa dị ụmụaka amụrụ ọhụrụ na ndị nọ n'ìgwè nwere nnukwu ìgwè mmadụ.
Ihe ngbanwe
Contragba ọgwụ mgbochi bụ ọgwụ mgbochi ọrịa nke anụ ahụ na protein protein na-ebu diphtheria, ihe inyeaka nke Prevenar 13. A machibidoro ya iwu ịgba ọgwụ mgbochi nke ndị megoro mmeghachi omume anaphylactoid na ọgwụ gara aga.
Achọghị ọgwụ nkwụchi ike maka ọnọdụ ajọ ọrịa, ọrịa na-adịghị ala ala n'oge oke ma ọ bụ mmebi nje. Ọ bụ ịgba ọgwụ mgbochi ka a na-eme mgbe mmadụ gbakechara.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-18.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-19.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-20.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-21.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-22.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-23.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-24.jpg)
Mgbe na ihe ọgwụ mgbochi megide
Ọkpụkpụ intramuscular nke Prevenar 13 dị mkpa iji mepụta azịza mgbochi dịka ịdọ aka ná ntị banyere ọnọdụ ndị a:
- ọla kọpa;
- Usoro mkpali na usoro iku ume nke elu: sinusitis, mbufụt nke sinuses, nnukwu tonsillitis;
- meningitis
- otitis media;
- nje na-efe efe.
Ọgwụ ahụ na-enyere aka belata ihe egwu nke ọrịa site na mmeri nke ọrịa catarrhal nke ọrịa na-efe efe. Karịsịa mgbe ụmụaka na-arịa ọrịa na-erubeghị afọ ise na ndị nwere obere ọgụ. Acgba ọgwụ mgbochi ọrịa a na-ebu dịka esi eme atụmatụ.
Manybọchị ole
Onu ogugu ogwu nke onye oria bu n’onye oria onye ori. Ná nkezi, a na-amalite ọgwụ mgbochi maka ụmụaka site na ọnwa 2 ruo ọnwa isii. A na-eme ọgwụ ahụ na ọkwa 4 dịka usoro nhazi oge na usoro ịgba ọgwụ mgbochi siri ike guzobere:
- A na-ewepụta atọ atọ dị mkpa iji gbaa oge n'etiti nchịkwa ụbọchị iri atọ.
- 4 gbara ọgwụ mgbochi ọrịa mgbe ị ruru afọ 15 ọnwa.
Ọ bụrụ na amalitere ọgwụgwọ ọgwụ n'etiti oge ahụ site na ọnwa 7 ruo 11, a na-enye ọgwụ mgbochi abụọ mbụ na nkeji nke ọnwa 1. A na-etinye ọgwụ ịgba ikpeazụ n'oge afọ 2. N'okwu a, a na-agba ọgwụ mgbochi naanị na 3 agba.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-32.jpg)
Ọ bụrụ na iwebata ọgwụ ịgba ọgwụ mgbochi dị na afọ 1 ma ọ bụ afọ abụọ nke ndụ, tinyezie inje 2 na oge dị n'etiti injections nke ọnwa abụọ.
Ọ bụrụ na iwebata ọgwụ ịgba ọgwụ mgbochi dị na afọ 1 ma ọ bụ afọ abụọ nke ndụ, tinyezie inje 2 na oge dị n'etiti injections nke ọnwa abụọ. A na-achịkwa ndị ọrịa okenye karịa afọ 18 Prevenar otu ugboro.
Kedu otu esi anabata
Enwere ike ịgbalite mmeghachi omume nke mgbochi ahụ na ahụ ọkụ yana adịghị ike n'ozuzu ya. Ọ bụrụ na ọnọdụ okpomọkụ agabigala ókè ahụ + + 38 Celsius ma imi imi jupụtara, ịkwesịrị ịchọ enyemaka ahụike.
Enwere ike ijegharị mgbe ịgba ọgwụ mgbochi
N'ime otu ọnwa mgbe nchịkwa ọgwụ ahụ gasịrị, a na-atụ aro izere ịga ije na ebe ndị mmadụ jupụtara, n'ihi na ihe ize ndụ nke ibute ọrịa site na ịkpọtụrụ ndị na-ebute pneumococcal na-abawanye. Mgbe ị na-eleta ụlọ ọgwụ, mechie nkpuchi. N'oge oge oyi, ịhapụ ụlọ anaghị akwadoro. Inwere ike ije ije naanị na ihu igwe na-ekpo ọkụ. Mgbe ogwu ahụ gachara, a machibidoro ụlọ akwụkwọ ọta akara ụbọchị iri atọ.
Ọ ga - ekwe omume ya na ọrịa shuga
Site na mgbanwe mgbanwe na ngbanwe shuga ọbara, usoro ahụ ji alụso ọrịa ọgụ nwere ike ịda mba, ya mere, a ga-agbachi ndị ọrịa shuga. Ploumococcal polysaccharides agaghị emetụta ọkwa glucose plasma n'ime ọbara.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-33.jpg)
N'ime otu ọnwa mgbe nchịkwa ọgwụ ahụ gasịrị, a na-atụ aro izere ịga ije na ebe ndị mmadụ jupụtara, n'ihi na ihe ize ndụ nke ibute ọrịa site na ịkpọtụrụ ndị na-ebute pneumococcal na-abawanye.
Ofzọ nke ngwa
A na-agbanye mkpokoro n'ime akụkụ nwere akwara dị omimi dị omimi: akwara dị mma (ndị ọrịa karịrị afọ 2), ihu ihu nke apata ụkwụ (ruo afọ 3). Nchịkwa ọgwụ intramuscularly jikwa 0,5 ml nke ọgwụ otu ọgwụ.
Tupu ojiji, a gharịrị ịma jijiji na ọgwụ ahụ iji nweta nkwụchi otu. Agaghị eji ọgwụ ahụ ma ọ bụrụ na enwere akụkụ ala ọzọ n'ụdị ọgwụ ma ọ bụ mgbe agba ahụ gbanwere.
Amachibidoro ịmebata ọgwụ ahụ n'ime arịa ma ọ bụ n'ime gluteus maximus.
Ndị ọrịa mgbe ebugharị haemocytoblasts chọrọ usoro mgbochi site na inje 4 nke ọgwụ ahụ n'otu usoro onunu ogwu. A na-eme ntụtụ mbụ site na ọnwa 3 ruo ọnwa isii mgbe ọ gbasasịrị. A na-eji irigasị abụọ ndị ọzọ na-esochi otu ọnwa. A na-enye ọgwụ ikpeazụ mgbe ọ gbasịrị ọgwụ mgbochi atọ na nkeji nke ọnwa 6.
Ekwesịrị ka amata nwa amụrụ n’oge oge ịgba ọgwụ mgbochi 4. Ọbara mbụ bụ mgbe ọnwa atọ gachara, a na -eme ntụtụ 2 ugboro abụọ site na etiti otu ọnwa. A na-edozi usoro 4 n'ime ọnwa 12-15.
Nsonaazụ
N'ebe a na-ahụ ntụtụ, mmepe nke ọzịza ga - ekwe omume, akpụkpọ ahụ na - agbachi mbọ ike ma na - acha uhie uhie. N'oge nwata, ahụ ya na-adị elu.
Ọkpụkpụ afọ
A na-egosipụta mmeghachi omume na-adịghị mma na sistem nri diges n'ụdị afọ ọsịsa, ọsịsọ ọgbụgbọ, yana mbelata agụụ. N'ọnọdụ ndị pụrụ iche, enwere ihe ize ndụ nke hyperbilirubinemia, jaundice, na mbufụt nke imeju.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-34.jpg)
Na nwata, mgbe i theachara ogwu ahu, okpomoku na aru elu.
Ahụhụ Hematopoietic
N'ọnọdụ ndị a na-adịghị ahụkebe, enwere mmụba nke lymph nodes, mmụba nke ọkwa leukocytes na T-lymphocytes.
Sistemụ akwara Central
N'ime ụmụaka, afọ mbụ nke ndụ nwere ike ịmalite ọnọdụ iwe iwe. Nwatakịrị ahụ na-ebe ákwá, obi mgbawa. Ọtụtụ mgbe, ndị mmadụ na-enwe isi ọwụwa, nke na-eme ka obi tọọ mmadụ ụjọ, na-esokwa mgbakasị ahụ na nsogbu nke ụra. E nwere ihe egwu di egwu.
Site na sistem iku ume
Na-emegide nzụlite nke usoro ahụ ji alụso ọrịa ọgụ, dyspnea na bronchospasm nwere ike ịmalite. N'ime ụmụaka, ụkwara nwere ike ịmalite, imi mkpọchi nwere ike ịpụta.
Site na usoro mkpụrụ ndụ ihe nketa
N’ihe banyere ike na-egbu oge ịsị na nsogbu na mmiri itegharị, edema nke tolitere nke onwe ya nwere ike ịmalite.
Site na usoro akwara obi
N’ọnọdụ ndị a na-adịghị ahụkebe, ọnụego obi na-abawanye.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-35.jpg)
Na-emegide nsogbu nke usoro ahụ ji alụso ọrịa ọgụ, dyspnea nwere ike ịmalite site na iji ọgwụ a.
Ahụhụ
Na ọnụnọ nke hypersensitivity, mmeghachi omume nfụkasị ahụ nwere ike ịmalite, gosipụtara n'ụdị rashes, itching na redness na anụ ahụ. N'ọnọdụ ndị a na-adịghị ahụkebe, omume nke Quincke edema ga-ekwe omume.
Ntụziaka pụrụ iche
N'ime nkeji iri atọ mgbe ịgba ọgwụ mgbochi ahụ gasịrị, onye ọrịa ahụ kwesịrị ịnọ n'okpuru nlekọta ahụike siri ike. Nke a dị mkpa maka enyemaka ngwa ngwa mgbe ihe omume mmeghachi omume anaphylactoid mere.
Ekwesịrị ịkpachara anya mgbe ị na-ahazi ndị nkwụsị ahụ maka ndị ọrịa nwere nkwarụ ọbara na thrombocytopenia.
Mmanya ndakọrịta
N'ime ụbọchị abụọ tupu ịgba ọgwụ mgbochi yana mgbe awa 48 gasịrị nchịkwa ọgwụ, mmanya na-etinyere ọgwụ ethanol nwere. Mmanya ethyl na-eme ka usoro ahụ ji alụso ọrịa ọgụ gharazie ike ma gbochie ụmị ọkpụkpụ, nke nwere ike imetụta mmepụta ọgwụ mgbochi.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-36.jpg)
N'ime ụbọchị abụọ tupu ịgba ọgwụ mgbochi yana mgbe awa 48 gasịrị nchịkwa ọgwụ, mmanya na-etinyere ọgwụ ethanol nwere.
Mmetụta ikike ịchịkwa usoro
Vgba ọgwụ mgbochi adịghị emetụta arụmọrụ nke akụkụ akwara na akụkụ akwara. Ọ dị mkpa icheta banyere enwere ike ịdaba na nsonaazụ isi ọwụwa. N'ihi ihe ize ndụ ndị dị adị, a ghaghị ịkpachara anya mgbe ị na-anya ụgbọ ala, na-achịkwa usoro ndị dị mgbagwoju anya ma na-eme ihe ndị ọzọ chọrọ nnukwu ọsọ nke mmeghachi omume anụ ahụ na nke mmụọ.
N'oge ime na lactation
Emebeghị nnyocha preclinical banyere mmetụta ọgwụ a na-enwe n'ahụ ụmụ nwanyị dị ime, ya mere akwadoghị ọgwụ mgbochi maka ndị otu a. Mmeghe nke Prevenar 13 nwere ike mezuo na ọnọdụ immunosuppressive dị egwu n'okpuru nlekọta ahụike siri ike na nkwenye nke onye ọrịa.
N'oge ịgba ọgwụ mgbochi ọrịa, ọ dị mkpa ịkwụsị ị breastụ mmiri ara ma nyefee nwata ahụ nri.
Gba ọgwụ mgbochi ụmụaka nke Prevenar 13
N'ime ụmụaka, a na-achọpụta ọbara mgbali elu. Dr. Komarovsky kpebiri na dị ka 40% nke ikpe na ụmụaka na-erubeghị afọ 2, okpomọkụ na-agbago + 37 ... + 38 Celsius C, na 37% - karịa 39 Celsius. N'ime nkeji iri atọ mgbe nchịkwa gasịrị, nwata ahụ kwesịrị ịnọ n'okpuru nlekọta dọkịta.
N’oge agadi
A na-enye ndị gaferela afọ 60 ọgwụ mgbochi maka immunodeficiency, ọrịa na-efe efe ugboro ugboro na akụkụ okuku ume na ohere nke sepsis.
Ngwa maka ọrụ ezughi oke ọrụ
Ọrịa akụrụ anaghị emetụta ụzọ ọgwụ ọgwụ yana ọdịmma mmadụ niile gbasara ịgba ọgwụ mgbochi.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-37.jpg)
Ọrịa akụrụ anaghị emetụta ụzọ ọgwụ ọgwụ yana ọdịmma mmadụ niile gbasara ịgba ọgwụ mgbochi.
Jiri maka ọrụ imeju na-arụ ọrụ
Pneumococcal polysaccharides anaghị enwe mgbanwe na sel ịba ọcha n'anya, ya mere, na mmeri nke imeju, a na-anabata nchịkwa nke ọgwụ.
Dodoụbiga ya ókè
Enweebeghị ọnọdụ ịdoụbiga mmanya ókè. Acgba ọgwụ mgbochi ọrịa a bụ naanị n'ọnọdụ ịnọ n'okpuru nlekọta ahụike. N'ihe banyere iji ọgwụ na-ezighi ezi, ọ ga-ekwe omume iji bulie ma ọ bụ nwekwuo ohere nke nsonaazụ.
Mmekọrịta na ọgwụ ndị ọzọ
Enwere ike iji ọgwụ a jikọta ya na ọgwụ mgbochi ndị ọzọ na-enweghị ndụ na ndụ, nke agụnyere na kalenda ọgwụ mgbochi mba. N'okwu a, ọgwụ mgbochi ịrịa pneumococcus enweghị ike agwakọta ya na ụzọ ndị ọzọ maka nchịkwa parenteral n'otu igbe.
A na-ahapụ ndị ọrịa karịa afọ 50 ka ha nye ọgwụ mgbochi ọrịa yana ọrịa nje na-enweghị ike.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-38.jpg)
Ọ dị mkpa iji chịkwaa ọnọdụ nke hemostasis na usoro ọgwụgwọ na anticoagulants.
Jiri nlezianya
Nkwekọrịta nke Prevenar 13 na mgbochi adsorbed pertussis-diphtheria-tetanus ka a ga-anabata. N'okwu a, ọ dị mkpa iji nyochaa ọnọdụ nwa ahụ. Ọ bụrụ na ahụ adịghị gị, jụọ dọkịta. Site na nchikota otutu ogwu di iche iche, odi nkpa itinye uzo injection na aru di iche iche iji belata ihe oburu ighakota ogwu n’ahu.
Ọ dị mkpa iji chịkwaa ọnọdụ nke hemostasis na usoro ọgwụgwọ na anticoagulants.
Agaghị atụ aro maka ịgwakọta ọnụ
Ekwesighi iji ọgwụ a ya na ogwu BCG megide ụkwara nta. Ogwu dị ndụ nwere ike ịgbagọ nsonaazụ ma ọ bụ belata mmepụta nke ọgwụ mgbochi megide ọrịa pneumococcal.
Analogs
The nwere ike dochie ọgwụ ịgba ọgwụ mgbochi ndị a:
- Pneumo 23;
- Pentaxim;
- Sinflorix.
Ọnọdụ ezumike Prevenara 13 site na ụlọ ahịa ọgwụ
A naghị ere ọgwụ mgbochi a n'ebe ndị ọ na-ere ọgwụ nye ndị ọrịa ịre ahịa ngagharị.
Enwere m ike ịzụta na ndenye ọgwụ
Ntinye nke nkwusioru ahu bu nke emere ya na onodu onyonye na nsogbu nke nsogbu anaphylactic ure ma obu mmeghachi omume ndi ozo. Izu oke nwere oke.
Ọnụahịa
Onu ogugu nke ogwu ahu bu 1877 rubles.
Ọnọdụ nchekwa Prevenara 13
Ejikwala ọgwụ ahụ. A na-echekwa nkwusioru ahụ na ọnọdụ okpomọkụ nke + 2 ... + 8 Celsius C n'ebe dịpụrụ iche site na ìhè anyanwụ.
Bọchị mmebi
36 ọnwa.
Emeputa
Ngalaba Na-ahụ Maka Ọgwụ na Wyeth, USA.
![](http://img.diabetesentity.com/img/sayd-2020/1231/13-39.jpg)
Ntinye nke nkwusioru ahu bu nke emere ya na onodu onyonye na nsogbu nke nsogbu anaphylactic ure ma obu mmeghachi omume ndi ozo.
Nyocha maka Prevenar 13
Radislav Rusakov, 38 afọ, Lipetsk
Mgbe ọ bụla nwa nwoke ahụ na-efe efe n'ihi oyi, yana ọrịa ashma na-efe ya. Dọkịta ahụ nyere ọgwụ mgbochi Prevenar 13. Ọ dịghị mmeghachi omume na-adịghị mma, mana mgbe otu izu gasịrị, okpomọkụ ya ruru 37 Celsius. Odoro ụbọchị 3 ma gafee na nke ya. N’okwu a, obi dị nwata ahụ mma. Isi ihe bụ na ogwu ahụ nyeere aka. A naghị ahụ ụkwara ume ọkụ na oyi. Ọnọdụ nwatakịrị nọ n’ime izu abụọ ka ọ ka mma, agụụ na-akpa ike, ka sie ike imebi ihe. Nsonaazụ nke ebe nchekwa anaghị echekwa ogologo oge, n'ihi na ịgbagharị ọgwụ mgbochi dị mkpa naanị mgbe afọ ise gasịrị.
Zinaida Molchanova, 30 afọ, Yaroslavl
Nwatakịrị ahụ na-arịakarị ọrịa, yabụ, ha gara dọkịta. Ọkachamara ahụ kwuru ka ewebata ọgwụ mgbochi Prevenar 13. Mgbe ogwu ogbugba ahụ gasịrị, okpomoku na flatulence bilitere. N’ebe ngbanwe isi ya itching otutu. Ma n'oge oyi, nwata ahụ arịaghị ọrịa ọbụla otu mgbe. Ọ dị mkpa ịgbaso ntuziaka dọkịta mgbe ịghasịrị nchịkwa ma ghara inye ọgwụ antipyretic.