Jekiseni reHepatitis A neHepatitis B (inowanikwa nekuiswa mutsinga)
Mhando dzinowanikwa
Twinrix, Twinrix Adult, Twinrix Junior
Nezve mushonga uyu
Jekiseni yeHepatitis A nehepatitis B inoshandiswa kudzivirira hutachiona hunokonzerwa nemarudzi ese anozivikanwa ehutachiona hwehepatitis A nehepatitis B. Jekiseni inoshanda nekukonzera muviri wako kugadzira dziviriro yake (antibodies) kurwisa chirwere ichi. Hepatitis A chirwere chakakomba chechiropa chinogona kukonzera rufu. Inokonzerwa nehutachiona hwehepatitis A (HAV), uye inopararira kazhinji kuburikidza nezvokudya kana mvura yakasvibiswa. Hepatitis A inogonawo kupararira nekubata kwepedyo munhu nemumwe nevanhu vakabatwa (semuenzaniso pakati pevanhu vanogara mumba rimwe chete). Kunyange zvazvo vamwe vanhu vakabatwa havaoneki kurwara, vanokwanisa kuparadzira hutachiona kuvamwe. Hepatitis A haina kujairika kuU.S. nemamwe mativi enyika ane huwandu hwakakwirira hwekutsvaira uye mvura nemarara (marara) masisitimu akanaka. Zvisinei, inyaya yakakomba yehutano mune dzimwe nyika dzisina masisitimu akadaro. Kana uri kuenda kunyika dzakati kana nzvimbo dziri kure (dzisina vanhu vakawanda), jekiseni yehepatitis A ichakubatsira kudzivirirwa kubva kuchirwere chehepatitis A. Hepatitis B inokonzerwa nehutachiona hwehepatitis B (HBV), uye inopararira nekubata nemafuta emuviri, akadai seropa, mate, semen, kana mafuta emuviri; nekubaya zvinhu zvinopinza kana kugovana zvinhu zvinopinza; kana kubva kuna mai kuenda kumwana. Jekiseni yeHepatitis A nehepatitis B inokurudzirwa kune vanhu vose vane makore 18 ekuberekwa kana kupfuura vari panjodzi yekutapukirwa kubasa ravo kana maitiro akati, kana kubva pakuenda kunzvimbo dzinotevera munyika: Jekiseni yeHepatitis A neHepatitis B inokurudzirwawo kune: Jekiseni iyi inofanira kupiwa chete ne kana pasi pekutarisirwa kwemudokotera. Chigadzirwa ichi chinowanikwa mumafomu anotevera emishonga:
Usati washandisa mushonga uyu
Pakusarudza kushandisa jekiseni, ngozi dzokutorwa kwejekiseni dzinofanira kuyeranidzwa nezvakanaka zvichaita. Iyi sarudzo iwe nechikamu chako muchaita. Kune jekiseni iri, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero mhinduro isina kujairika kana chirwere cheallergic kumushonga uyu kana mishonga ipi zvayo. Uyewo udza nyanzvi yako yehutano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvechiratidzo kana zvinosanganiswa zvakanaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera nemigumisiro yevaccine yehepatitis A nehepatitis B mune vanhu vevana. Kuvimbika uye kushanda hazvina kusimbiswa. Ongororo dzakakodzera pane hukama hwezera nemigumisiro yevaccine yehepatitis A nehepatitis B hazvina kuitwa mune vanhu vakwegura. Zvisinei, hapana matambudziko chaiwo evagare akanyorwa kusvika pari zvino. Hapana ongororo dzakakwana muvakadzi dzekuona njodzi yemwana pakushandisa mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona kuitika pamwe nengozi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyange zvazvo mishonga yakati haifanirwi kushandiswa pamwe chete, mune mamwe mamiriro mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyange kana kuwirirana kungangoitika. Mune izvi, chiremba wako angada kuchinja dose, kana mamwe matanho angave achifanira. Paunenge uchigamuchira jekiseni iri, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwavo uye hazvisi zvese zvinosanganisirwa. Kugamuchira jekiseni iri nechero mishonga inotevera kazhinji hakurudzirwi, asi kungada mune zvimwe zviitiko. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja dose kana kuti ungashandisa imwe kana ese mishonga. Mishonga yakati haifanirwi kushandiswa panguva yekudya kana pedyo nenguva yekudya kana kudya marudzi akati ezvokudya sezvo kuwirirana kungangoitika. Kushandisa doro kana fodya nemishonga yakati kungakonzerawo kuwirirana kuitika. Kurukurai nehutano hwako hwenyanzvi kushandiswa kwemushonga wako nezvokudya, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwejekiseni iri. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Munetsana kana mumwe munyanzvi wehutano akarovedzwa achakupai uyu mushonga. Uyu mushonga unopihwa seinjekiseni mutsandanyama, kazhinji munzvimbo ye deltoid (tsoka kana ruoko rwakakwirira). Uyu mushonga kazhinji unopihwa se 3 kana 4 doses. Doses mbiri dzekutanga dzinopiwa kwemwedzi 1 (kune varwere vanowana 3 doses) kana mazuva 7 akaparadzana (kune varwere vanowana 4 doses). Dose yechitatu inopiwa kwemwedzi inenge 6 (kune varwere vanowana 3 doses) kana mazuva 21 kusvika ku 30 (kune varwere vanowana 4 doses) mushure me dose yekutanga. Dose yekuwedzera inopiwa kwemwedzi inenge 12 (kune varwere vanowana 4 doses) mushure me dose yekutanga. Kuti uwane dziviriro yakanaka kwazvo kubva pakusangana neHAV kana HBV, unofanirwa kuzadzisa purogiramu yako yekupa mushonga.