Imisemburo myinshi ya Shingrix ni ukubabara mu maboko hamwe n'ibimenyetso bya grippe (kubabara mu ngingo, umunaniro, umutwe, gushika, ibicurane, ikibazo cyo mu gifu) bihera mu minsi 2 kugeza 3. Kuri hafi 17% by'abantu babona reaction mbi ihagije yo kubuza ibikorwa bya buri munsi. Impfumu ya mbere idakomeye ntabwo ari impamvu yo gusiba iya kabiri.

TL;DR: Ibikomeye

  • Imisemburo isanzwe ya vaccine ya Shingrix imara iminsi 2 kugeza 3, kandi abantu benshi bagaruka bisanzwe mu cyumweru.
  • Kubabara ahateretse urushingiye ni reaction ikunze kuvugwa cyane, ikaba yibasira hafi 78% by'ababiherewe.
  • Kuri hafi 17% babona reaction mbi ihagije yo guhagarika ibikorwa bisanzwe bya buri munsi, bityo ufate iminsi 48 yoroheje.
  • Impfumu ya kabiri kenshi ivugwa ko iremereye kurushaho, kandi ni yo yonyine ikugabira kurinda byuzuye.
  • Hari urutonde rugufi rw'ibimenyetso bivuga kwiruka kuri 911, aho gutegereza ko bihera. Biherereye hasi cyane kuri iyi page.

Imisemburo myinshi ya Shingrix ni ukubabara mu maboko n'iminsi 48 ikomeye

Imisemburo isanzwe ya Shingrix, nk'uko CDC ivuga ku bushakashatsi bw'umutekano wa vaccine, ni ukubabara, gutukura no kwiyongera aho urushingiye rwacishijwe, hamwe n'ububabare mu ngingo, umunaniro, umutwe, gushika, ibicurane n'ikibazo cyo mu gifu. Kenshi bimara iminsi 2 kugeza 3. Ni ibintu bitangaje kuruta kuba bibi, kandi bihera byonyine bidakeneye kuvurwa ku bice byinshi by'abantu.

Kubabara ahateretse urushingiye ni ikibazo gikunze kuvugwa cyane, kivugwa na hafi 78% by'ababiherewe. Ibimenyetso byose mu mubiri ntibikunze kwizana ariko birasanzwe bihagije ku buryo utagombye gutungurwa nabyo.

Umubare ukwiriye gutekerezwaho ni uyu. Mu bushakashatsi bugera kuri 8 bw'abantu barenga 10.000, hafi 17% by'abantu bagize reaction "igice cya 3", bivuze imwe yari mbi ihagije yo kubuza ibikorwa bisanzwe bya buri munsi: hafi 1 mu 10 ku bintu byo ku rubuga rw'inyuma no hafi 1 mu 10 ku bintu byose mu mubiri.

Soma ibi bisobanuwe neza. Reaction mbi kuri iyi vaccine ni ibintu by'abazicye, ariko ntabwo ari ibintu bidasanzwe. Kuva kuri umwe mu icumi kugeza kuri babiri, abantu bacikanwa n'umunsi umwe. Ni urutonde rw'imiterere ya reactogenicity rurenze cyane ibyo ari ibisanzwe nyuma ya vaccine ya grippe, ni yo mpamvu igice cyo kwitegura cyo hasi cyane ari cyo cy'ingenzi muri page.

Kumva nabi ni vaccine irimo gukora, ntabwo ari impamvu yo gusiba impfumu ya kabiri

Imisemburo myinshi ya vaccine ya Shingles ni ikimenyetso cyo ko ubudahangarwa bwawe bwasubiza uko vaccine yagenewe kubikora, ntabwo ari ikimenyetso ko hari ikintu cyagenze nabi. Kubabara, ibicurane, kugarama ku saa tatu n'igice ku munsi wa mbere: ni reaction y'ubudahangarwa ikora akazi kayo.

Hari reaction imwe ihindura gahunda koko. Anaphylaxis nyuma y'impfumu ya mbere bisobanuye ko utagomba guhabwa impfumu ya kabiri, ugahagarara. Ibyo ni ibintu bitandukanye n'ukuntu wumva wacitse intege imbere y'amasaha 36, kandi gutandukanya kwabyo biruta ibindi byose biri kuri iyi page.

Ku bandi bose, CDC yigisha abaturage iravuga ko mugomba guhabwa impfumu ya kabiri kugira ngo mugire uburinzi buhagije nubwo iya mbere yaguteye imisemburo. Reaction ku mpfumu ya mbere ntibishobora kuvuga reaction ku mpfumu ya kabiri, kandi impfumu zombi zirakenewe.

Dore icyo gusiba igice bitwara. Imibare yingenzi yo kurinda, nk'uko CDC ibivuga, ni 97% byo kurinda shingles ku bantu bakuru bari hagati ya 50 na 69, 91% ku bantu bakuru bari hejuru ya 70, na 91% bo kurinda postherpetic neuralgia ku bantu bakuru bari hejuru ya 50. Iyo mibare ivuga urutonde rwuzuye rw'impfumu ebyiri. Impfumu imwe ntibishobora kukugeza aho.

Impamvu imwe iyi vaccine yumvikana iremereye kuruta izindi ni uko ifite adjuvants, yateguwe kugira ngo itere ubudahangarwa bukomeye mu bantu bakuze bakeza ubudahangarwa ku vaccines zoroshye. Kwishyura ni impamo: reactiveité nyinshi, kurinda byiza kuruta.

Imisemburo ya Shingrix imara icyumweru kimwe irarenga

Imisemburo ya Shingrix imara iki? Kenshi iminsi 2 kugeza 3, abantu benshi bagaruka bisanzwe mu cyumweru. Ibyo ni byo bipimwa.

Nuko hano niho ufashe umwanzuro, bikavugwa rimwe: ibimenyetso bigomba kugenda bigaragara neza ku munsi wa 3 kandi bikagenda ku munsi wa 7. Icyo ari cyo cyose gikomeje kuba cyangwa kibi cyane nyuma y'icyumweru gikwiriye kubonwa n'umuganga. Ntabwo ari ibimenyetso "biri hejuru", ntabwo ari "bifite akamaro". Bikomeje kuba cyangwa bikaba bibi.

Ku ruhanga rw'inyuma rw'inyuma by'umwihariko, abanywanyi basiga ubusobanuro mu majwi aho kugira uburyo bwo kwipimisha, rero hano hari inama ngirakamaro (ntabwo ari climax yashyizwe hanze na CDC, kandi bikwiriye kwemeza na muganga wawe): bikwiye kwitabwaho niba gutukura cyangwa kwiyongera bikomeje kwiyongera nyuma y'amasaha 72, bikanywaho hafi santimetero 4 (cm 10), cyangwa bigahinduka cyane, bikabyimba, bikirundura cyangwa bikanywaga. Kwiyongera nyuma y'iminsi itatu ni kimwe mu bintu bikomeye. Reaction isanzwe iyongera ikagabanya.

Imyitwarire imwe ivugwa kure cyane kuruta uko abantu babitega, mu byumweru nyuma ya vaccine aho kuba mu minsi. Imyitwarire myinshi ntibivuze ko hari ikibi, ariko bisobanura ko "byamaze kurenza igihe kuva ku nshinge" bidashobora kwizewe, kandi bikwiriye kuganirwa aho kwishyira kure.

Niba utizera ni ibihe misemburo bisaba umuganga kuruta ibyo bisaba irindi joro, gusura urubuga muri make ni uburyo bwiza bwo kubikemura. August's $39 online urgent care visit ikuganisha ku muganga wemewe na Leta Zunze Ubumwe za Amerika ushobora gusuzuma ibicurane bikomeje kuba cyangwa reaction ku ruhanga rwakomeje kuba kwibwira kandi akemeza niba kuvura cyangwa imiti byakwaba byiza. Bya bisobanuwe neza ku bisanzwe: gusura videwo ntibikubona anaphylaxis kandi ntibikubona ibimenyetso by'imitsi bivugwa.

Igihe cyiza cyo gucunga imisemburo ni mbere yo guhabwa urushingiye

Inama nyinshi zo kugabanya imisemburo ya Shingrix zitangira nyuma yo kumva ibikomere, kandi ibyo ni ibinyuranye. Hamwe na 17% by'amahirwe yo kugira reaction idindiza ibikorwa, gutakaza umunsi munini ni igisubizo cyizewe, kandi igikoresho cyoroheje cyane ni guteganya.

Ibintu bitanu byafasha koko:

  • Fata urushingiye kugira ngo amasaha 24 kugeza 48 azasigare ari yoroheje. Ntabwo ari ku munsi mbere y'urugendo, ntabwo mbere y'akazi utabona, ntabwo nijoro mbere y'ubukwe. Ku wa kane nimugoroba ni byiza kuruta ku wa mbere mu gitondo ku bakozi benshi.
  • Koresha ikibatsi cyawe kidakoreshwa cyane. Kubabara ni impamo kandi bimara iminsi ibiri.
  • Komeza kugenda kw'ikibatsi. Gukoresha bisanzwe biruta kugikingira. Gukama ikibatsi kibabaza kigenda gikomera.
  • Koresha igikoresho gikomeye mu masaha 24 ya mbere ku bubabare bw'ahateretse, hanyuma gishyushye cyoroheje kandi ugende nyuma yaho.
  • Inzira n'ikiruhuko cy'ukuri ku bicurane, gushika no kuneshwa. Uyu ni umunsi wo gukuraho ibintu.

Ku bijyanye no kugabanya ububabare: acetaminophen cyangwa ibuprofen umaze gutangira kugerageza ni ibintu bisanzwe, bifite akamaro. Gufata ikintu mbere ya vaccine ni ikibazo gitandukanye, kandi gufata imiti buri gihe mbere yo gutanga ntabwo ari inama ya CDC. Niba uhitamo, umubaze umuzungurishije wawe ahubwo ko ubifata nk'ibyemejwe.

Niba ufata imiti yo gukumira amaraso cyangwa imiti ihagarika amaraso, tegereza ibikomere byinshi mu gice cy'inyuma. Vugana n'umuntu uha urushingiye, kandi uhamye igitutu nyuma cy'igihe kirenze uko wabyumva. Ni gahunda ngirakamaro, ntabwo ari urwitwazo rwemewe, kandi ntabwo ari impamvu yo gusiba vaccine.

Ikibazo: nta kimwe muri ibi kivura neza reaction y'igice cya 3. Igikoresho gikomeye n'amazi bifasha iminsi 48 ikomeye kwihanganirwa; ntibihindura niba ubudahangarwa bwawe bwemeje guha reaction ikomeye. Agaciro k'ukuri ko gutegura ni uko ihindura igitero cyihishe mu butinganyi. Umuntu wese ugusezeranya uburinzi bwa Shingrix budafite imisemburo aragurisha ikintu.

Gukurikirana bifasha kuruta uko abantu benshi babyitega, kuko ikintu ukeneye koko ni uburyo, ntabwo ari ubukana. Programu yo gufasha ubuzima nka August AI irashobora kugufasha kwandika ibimenyetso umunsi ku wundi, kugira ngo ku munsi wa kane wabone niba urimo wiyongera cyangwa wugabanya aho kuguma kwibaza ku kwibuka. Ni icyongeyeho ku kwita ku buzima, ntabwo cyihuje na cyo, kandi ntibifata ibyemezo by'ubuvuzi.

Impfumu ya kabiri kenshi iremereye, kandi ibyo ntabwo ari impamvu yo kuyitindisha

Impfumu ya kabiri ya Shingrix itangwa mu mezi 2 kugeza 6 nyuma ya mbere ku bantu bakuru bafite ubudahangarwa bwiza bari hejuru ya 50, hamwe na gahunda yihutirwa y'ukwezi 1 kugeza 2 yemererwa abantu bakuru bari hejuru ya 19 bafite ubudahangarwa buke.

Ibyavugwa kenshi nyuma y'impfumu ya kabiri ni umutwe, gushika, umunaniro n'ububabare mu ngingo. Ubu bwoko bugaragara buri gihe mu bantu bavugana na bo, kandi bikwiriye gutegurwa. Ariko hano hari ibyo abantu benshi bazakubwira: nta comparator yashyizwe hanze hagati y'impfumu ya mbere n'iya kabiri. Urubuga ruri rushyiramo imibare myiza yo "ni kangahe mbi" impfumu ya kabiri yihariye. Uburyo bw'inyuma buranditse. Imibare ntabwo.

Ihame rya CDC rigana kure cyane kuruta impungenge z'abantu benshi: reaction ku mpfumu ya mbere ntibishobora kuvuga iya kabiri, kandi abantu bamwe bagenda babyoroherwa igihe cya kabiri. Kwijijisha impfumu ya kabiri ya Shingrix kubera uko iya mbere yagenze birumvikana, kandi ntibishobora kuvuga.

Niba wamaze kurenga ikindi gihe cy'amezi 6, ntugomba kwizera ko urutonde rwagombye. Umubaze umuzungurushije cyangwa muganga wawe ku nama ya vuba ku mpfumu ya nyuma aho kwivanga, kuko guhabwa impfumu ya kabiri ya Shingrix kurenze igihe kirimo byiza kuruta kutayihabwa na gato. Gutanga gahunda zombi icyarimwe, mu muzungurushije cyangwa mu rugo rumwe, ni uburyo bworoheje bwo kwirinda ikibazo burundu.

Imyitwarire ibiri nt ibisanzwe "imisemburo isanzwe"

Wiruka kuri 911 cyangwa ugende mu bitaro by'ubutabazi ubu nibwo:

  • Urabona ibishushyu, kwiyongera k'umunwa cyangwa ijosi, kugorana guhumeka, umutima wihuta, kubabara cyangwa intege nke. Ibi bishobora kuvuga anaphylaxis.
  • Urabona intege nke nshya cyangwa zikwiriye, kwikora cyangwa kutumva mu maboko cyangwa amaguru, cyangwa kugorana gutambuka, guhumeka cyangwa kumeza mu minsi cyangwa ibyumweru nyuma y'urushingiye. Ibi bishobora kuvuga Guillain-Barré syndrome.

Fata gahunda mu cyumweru gitaha nibwo:

  • Imisemburo ikomeje kuba nyuma y'iminsi 7, ibicurane bidahagarara, reaction ku ruhanga rw'inyuma ikomeje kwiyongera nyuma y'amasaha 72, cyangwa ufite ibimenyetso bito ariko bishya by'imitsi.

Vugana n'umuganga mbere yo gutangira nibwo:

  • Ufite shingles ubu, uri mpanuka, wigeze ugira reaction nziza cyane kuri vaccine, wigeze ugira anaphylaxis nyuma y'impfumu ya mbere, cyangwa ufite indwara ikomeye cyane. Muri uko kwanyuma, CDC ivuga gutegereza kugeza wiyongeje, nubwo grippe nto idasaba gutinda.

Ikinyuranyo cya Guillain-Barré gikeneye kugira akamaro aho kugira ubwoba. Ubushakashatsi bwakozwe ku 3,729,863 by'impfumu zatanzwe ku bantu 2,113,758 ba Medicare bakuze bari hejuru ya 65 bwerekanye hafi 3 GBS zikomeye kuri buri milikoni y'impfumu mu minsi 42 nyuma ya vaccine, hafi 6 kuri buri milikoni nyuma y'impfumu ya mbere, nta numwe wabonetse nyuma ya kabiri. FDA yongeyeho warning ku bisabwa ku ya 24 Werurwe 2021, ivuga ko imibare yerekana uhuza aho kuba impamvu, kandi ko inyungu z'urukingo zikomeje kuruta ingaruka. Kuri milikoni 3 ni umubare ushobora guhuza n'ikoreshwa ry' 97% mu gusiba shingles. Huza; ntubireke bikugereho.

Imihango yose wibona ishobora kwandikwa kuri VAERS, sisitemu y'igihugu yo kwandika umutekano wa vaccine.

Niba koko utabona neza uruhushya rwawe, August AI Symptom Checker yo ubuntu irashobora kugufasha gutekereza ku guhura. Ntabwo ari urwitwazo rwo kwiruka kuri 911, kandi niba hari ikintu kiri ku rutonde rwa mbere gikwerekerana, wirukire kuri 911 aho kugira ngo ukore application.

Ibibazo bikunze kwibazwa

Imisemburo ya Shingrix irakomeye ku bantu bakiri bato?

Birashoboka. Inkomoko nyinshi zivuga ko imyitwarire irushaho kuba ikomeye ku bantu bakiri bato, ariko umubare wa CDC w'17% ntabwo watanzwe hashingiwe ku myaka. Bityo umuntu w'imyaka 72 ntashobora kwizera ko bikwerekerana nk'uko umuntu w'imyaka 52 ashobora. Kubera ko urwego rwo kugabanywa kwa Shingles (50 kugeza hejuru ku bantu bakuru bafite ubuzima, 19 kugeza hejuru ufite ubudahangarwa buke), ni ikibazo gikomeye, ntabwo ari ibyemezo byemejwe.

Shingrix ishobora kugutera shingles?

Oya. Shingrix ni vaccine ya recombinant, bivuze ko idafite virusi nzima kandi ntishobora gutera indwara. Niba rash ya shingles igaragara bidatinze nyuma ya vaccine, ibyo biva ku virusi iba irimo mu maboko yawe igaruka ku giti cyayo, aho kuba vaccine. Ni nayo mpamvu kugira shingles ubu ari impamvu yo gutinda, aho kuba impamvu yo kwikanga urushingiye.

Nshobora guhabwa Shingrix icyarimwe n'urukingo rwa grippe cyangwa COVID-19?

Mubisanzwe yego, mu maboko atandukanye ku mugoroba umwe, ariko umubaze umuzungurushije cyangwa muganga uyiha. Kwishyura bifatika birakwiriye gutekerezwaho: guhuriza hamwe iminsi ni byiza, kandi bisobanura kandi ko imisemburo yose y'impfumu ebyiri igaragaza ku munsi umwe, bikaba bigorana kumenya ni uruhe rushinze iki.

Imisemburo ikomeye kuri Shingrix bivuze kurinda byiza?

Oya. Ubukomezi bw'imyitwarire ntibubona ubudahangarwa. Abantu baserutse mu mpfumu zose nta kintu kirenze kubabara mu maboko ntibafite kuruta abantu bakoresha umunsi mu buriri, kandi nta kintu mu mibare yerekana ko wahagarara ku miterere yawe. Imisemburo mito ni amahirwe, ntabwo ari vaccine yananiwe.

Shingrix ishobora gutera imisemburo iguma?

Ntabwo kenshi. Nta rwego rwemewe rwa za reaction z'igihe kirekire ziva kuri Shingrix urengana urubuga rugufi rwa Guillain-Barré rushyizwe hejuru, FDA igaragaza nk'uhuza aho kuba impamvu. Imyitwarire isanzwe ivanwaho mu minsi. Imyitwarire ikomeje kuruta icyumweru irashobora kuba ifite ibisobanuro, ni yo mpamvu bikwiriye gusuzumwa aho gutegereza.

Icyo wibuka mbere y'impfumu ya Shingrix yawe ikurikira

Iminsi ibiri kugeza itatu yo kumva bikomeye ni ibisanzwe. Nyuma y'iminsi irindwi, cyangwa bikaba bibi igihe icyo ari cyo cyose, ni umubare wo kwiruka. Urutonde rwa 911 rugufi kandi rurakomeye, kandi nta kintu kiriho gitinda kugeza mu gitondo.

Impfumu ya mbere ikomeye ntabwo ari impamvu yo gusiba iya kabiri, kuko imibare y'uburinzi ni iya serivisi yazuzuye. Uburyo bwizewe cyane bwo kugabanya imisemburo ya Shingrix ni ugusukura gahunda yawe mbere y'uko urushingiye rwinjira, aho kwihanganira nyuma.

Programu yo gufasha ubuzima nka August AI irashobora kugufasha kwandika uko impfumu ya mbere yagenze, bikaba byoroshya gutegura impfumu ya kabiri cyane kuruta kwishingikiriza ku kwibuka nyuma y'amezi atandatu. Ni icyongeyeho ku kwita ku buzima, ntabwo cyihuje na cyo, kandi ntabwo ari umuyobozi w'ubuvuzi.

Inyandiko: Ingingo iyi ni ku bw'amakuru gusa kandi ntibyemewe nk'inama y'ubuvuzi. Horoza umuganga ufite ubumenyi kugira ngo utange imiti n'ibyemezo byo kuvura. Niba ufite ikibazo gikomeye cy'ubuzima, wirukire kuri 911 cyangwa ugende mu bitaro by'ubutabazi bya hafi ako kanya.