Ukuthola umuthi wokugoma uShingrix — kuwufanele yini?

Imfundo Yezempilo

Ekuqaleni, ngangicabanga ukuthi amamaki abomvu phezulu nangaphansi kwengalo nesandla sami kwakuwukuqubuka nje. Lapho ziba buhlungu impela futhi kungabonakali ukuthi ziyaphela, ngenza isikhathi sokubonana nodokotela wami. Ngangine-shingles. Ngangihlale ngicabanga ngama-shingles njengesifo esikhula kuphela abadala asebekhulile-kepha ngangineminyaka engama-30 ubudala!

Ngaba nenhlanhla yokuthi ukugqashuka kwami ​​kwahlala kwehlukile engalweni nasesandleni esikhundleni sokusakazeka esifubeni sami noma ebusweni njengoba kuvame ukwenza; kepha ukuba nezinsimbi kwakusabeka. Kwakufanele ngigcine ukuqubuka kumbozwe izingubo lapho ngisesidlangalaleni, okwakusho ukuhambahamba ngiphethe iglavu ngakwesinye isandla. Kusho nokuthi bekumele ngilinde amasonto ambalwa ngaphambi kokuthi ngihlangane nomshana wami osanda kuzalwa.

Yithathe kokuhlangenwe nakho kwami, uma kukhona indlela ongagwema ngayo ama-shingles, kufanele. Ngokujabulisayo, i- Umuthi wokugomela iShingrix inikeza ukuvikela okungaphezu kwama-90% egciwaneni le-herpes zoster.

Yini ama-shingles?

Ama-shingles nenkukhu kukhona kubangelwa igciwane elifanayo . Ngemuva kokuba usuthole inkukhu ezikhukhumezekile futhi seziqalile ukusebenza, i I-varicella-zoster igciwane lihlala lilele emzimbeni iminyaka futhi lingaqala ukusebenza ngokuhamba kwesikhathi ngesimo se-shingles. AmaShingles awathelelani, kepha yigciwane elibangelayo. Abantu abangagonyelwe yizinkukhu (kungaba ngokuba nenkukhu noma ukuthola umuthi wokugomela inkukhu) bangathola ingxibongo kubantu abane-shingles.

Izimpawu ze-shingles zifaka:

• Ukuqhuma okubuhlungu namabhamuza ohlangothini olulodwa lobuso noma komzimba
• Ubuhlungu bekhanda
• Imfiva
• Amakhaza
• Isisu esibuhlungu

Ukuqubuka kuvame ukuba khona, kepha hhayi njalo. Isikhathi esiningi, odokotela bangakwazi ukuxilonga ama-shingles asuselwa kwizimpawu, kepha izivivinyo ziyatholakala uma kunokungaqiniseki okuthile.

Cishe Umuntu oyedwa kwabathathu e-United States izokwakha ama-shingles empilweni yabo. Ama-shingles avame ukusula kungakapheli amasonto amathathu kuya kwama-5, kepha kungadala izingqinamba ezihlala njalo. Inkinga ejwayelekile kunazo zonke yi-postherpetic neuralgia (PHN), ubuhlungu obuvuthayo obuhlala isikhathi eside ngemuva kokuthuthuka nezinye izimpawu. Lokhu kwenzeka kubantu abangaba ngu-1 kwabangu-5 abathola ama-shingles. Ezinye izinkinga ezingavamile kodwa ezinkulu, ezifana nobumpumputhe, nazo zingavela. Indlela engcono yokuvimbela lezi zinkinga ukugwema ukuthola ama-shingles ngokuphelele. Yilapho ukugoma kwe-shingles kungena khona.

Kuyini uShingrix?

Wenziwa yiGlaxoSmithKline (GSK), i-Shingrix iwumuthi wokugomela ohlanganisayo owethulwe futhi wagunyazwa yi-Food and Drug Administration (FDA) ngo-2017. Waba umuthi wokugoma wesibili wamashingisi emakethe, ngemuva kokuthi iZostavax yethulwe ngo-2006. umuthi wokugoma ophilayo. Okusho ukuthi, akunakwenzeka ukuthola ama-shingles noma i-chickenpox kusukela ekugomeni.

Yize kungewona umuthi wokugomela we-shingles kuphela otholakalayo, iShingrix njengamanje ibhekwa njengephumelela kakhulu. Kusebenza ngempumelelo okungu-96% kuya ku-97% ekuvikeleni ama-shingles kubantu abaneminyaka engama-50 kuya kwengama-69, kanye nama-91% asebenzayo uma kuqhathaniswa namashingles kubantu abaneminyaka engama-70 kuya phezulu.

Uhlelo lweShingrix

Umuthi wokugoma unikezwa imijovo emibili engalweni engenhla, zihlukaniswe izinyanga ezimbili kuya kweziyisithupha. Womabili amanani we-Shingrix ayadingeka ukunikela ngokuvikelwa okuphezulu kuma-shingles.

I-Shingrix ikhonjisiwe ukuthi iyasebenzela okungenani iminyaka emithathu , kepha okwamanje isafundelwa ukusebenza kwayo kahle eminyakeni eyishumi futhi kulindeleke ukuthi ihlale isikhathi eside kakhulu.

Akunconyelwa ukuvikela ingxibongo.

Ngubani okufanele athole iShingrix?

I-Shingrix inconyelwe abantu abadala ngaphezulu Iminyaka engu-50 ubudala . I-Shingrix isanconywa noma ngabe umuntu ubesenama-shingles vele; usuvele uthole umuthi wokugomela i-shingles iZostavax; noma awunasiqiniseko sokuthi ngabe bake baba nengxibongo.

Noma ngubani oke waba nenkukhu angathola usiba, kepha abantu abasengozini enkulu bafaka :

• Abantu abangaphezu kweminyaka engama-50 ubudala
• Abantu abanamasosha omzimba ayekethisiwe
• Abantu abathatha imishanguzo eyehlisa amandla amasosha omzimba
• Abantu abaphila nokugula okungamahlalakhona
• Abantu abane-HIV

Ukucindezeleka futhi kungaba yisici .

Ngubani ongafanele athole iShingrix?

Uma ungavikeleki engxenyeni yenkukhu, kufanele uthole umuthi wokugomela inkukhu esikhundleni seShingrix. Uma ungaqiniseki, udokotela wakho angabheka amasosha omzimba nge-bloodwork.

Abantu okwamanje abane-shingles kuzodingeka balinde baze balulame ukuze bathole umuthi wokugoma. Abantu abanemfiva engu-101.3 degrees Fahrenheit noma ngaphezulu, noma abagula kakhulu kuzodingeka nokuthi balinde umuthi wokugoma baze balulame ngokuphelele.

Abantu abakhulelwe noma abancelisayo kufanele babonane nodokotela babo ngaphambi kokuthola umuthi wokugoma.

Njengayo yonke imithi, ungawutholi umuthi wokugoma uma une-aleji kunoma iziphi izithako zawo noma uke wasabela kanzima kuShingrix esikhathini esedlule.

Yimiphi imiphumela emibi kaShingrix?

Imiphumela emibi yomuthi wokugomela iShingrix imvamisa imnene futhi ihlala izinsuku ezimbalwa kuphela. Imiphumela emibi ejwayelekile ifaka phakathi:

• Ubuhlungu, ubomvu, nokuvuvukala endaweni yomjovo
• Ukulunywa kwesayithi lokujova
• Ubuhlungu bekhanda
• Izikhalazo zesisu nokugaya (kufaka phakathi isicanucanu, ukuhlanza, isifo sohudo kanye / noma nobuhlungu besisu)
• Ubuhlungu bemisipha
• Ukukhathala
• Ukugodola, umkhuhlane
• Ngokuvamile ngizizwa ngingaphilile

Ukusabela okubucayi akuvamile, kepha kungafaka:

• Ukusabela okweqile kubandakanya ukuqubuka, isifuba (urticaria)
• Ukuvuvukala kobuso, ulimi, noma umphimbo, okungadala ubunzima bokugwinya noma ukuphefumula (i-angioedema)

Uma uhlangabezana nanoma yimiphi imiphumela emibi ngemuva kokugoma, noma noma yimiphi imiphumela engezansi engekho ohlwini lapha , thintana nochwepheshe wezokunakekelwa kwempilo.

I-Shingrix vs. Zostavax: Imuphi umuthi wokugomela ama-shingles ongcono?

Umuthi wokugoma wokuqala we-shingles, Zostavax , ihlukile kuShingrix ngezindlela eziningi. I-Zostavax (ebizwa nangokuthi umuthi wokugoma i-zoster bukhoma) iyigciwane elibukhoma ngenkathi uShingrix engekho, okwenza kube lusizo kulabo abangakwazi ukuthola imigomo ebukhoma.

I-Shingrix ilawulwa ngemithamo emibili, kanti iZostavax ilawulwa eyodwa.

Ngenxa yokusebenza kwayo, I-Shingrix inconyelwa ngaphezulu kwe-Zostavax , ikakhulukazi kubantu abadala asebekhulile. Ngenkathi iShingrix ingaphezu kwama-90% ngempumelelo, iZostavax icishe isebenze ngo-51%.

Uma ngabe uthole umuthi wokugoma we-Zostavax, kunconywa ukuthi usathola umuthi wokugoma we-Shingrix; kodwa-ke, uma uthole umuthi wokugoma we-Shingrix, awudingi umuthi wokugoma we-Zostavax ngaphandle kokuthi udokotela wakho akwazise kanjalo.

Umuthi wokugoma we-Zostavax usatholakala futhi uvame ukusetshenziswa uma othile engakwazi ukuthola umuthi wokugoma we-Shingrix ngenxa yokungezwani komzimba noma ukusabela okungahambi kahle, noma uma iShingrix ingatholakali.

Qhubeka ufunde : I-Shingrix vs. Zostavax

Kubiza malini iShingrix?

Izindleko zezifundo eziphelele (imithamo emibili) yeShingrix cishe zingama- $ 363.98. Ihlanganiswa izinkampani eziningi zomshuwalense futhi yiMedicare Part D. I-Shingrix ayimboziwe yi-Medicare Part A noma i-Part B, kepha izindleko zingancishiswa usebenzisa isigqebhezana se-SingleCare kuma-pharmacy esisebenzisana nawo, njenge-CVS, iWalmart, nama-Walgreens.

Ukushoda kweShingrix: Ngingayitholaphi iShingrix?

I-Shingrix ifunwa kakhulu. Lezi yizindaba ezimnandi maqondana nokugcina ama-shingles athambile, lapho abantu begoma kangcono kakhulu; kepha ukufunwa bekuphakeme kunalokho obekulindelwe ngumenzi, okusho ukuthi kuyashoda . I-Centers for Disease Control and Prevention (CDC) ilindele ukuthi ukushoda, okuqale ehlobo lika-2018, kuqhubeke kuze kufike ku-2019. I-GSK isebenza ngokushesha okukhulu ukwenza imishanguzo eminingi itholakale. Imithi yokugoma kuthatha izinyanga eziyisithupha kuya kweziyisishiyagalolunye ukwenza.

Ukufunwa okuphezulu ngokwengxenye kungenxa yokusebenza okuhle kweShingrix ngaphezulu kweZostavax. Okunye futhi okudlala isici ukwanda kwabantu abaphakanyiselwa ukuthi bathole umuthi wokugoma — abantu abaneminyaka engaphezu kwengu-50 uma kuqhathaniswa nezincomo zikaZostavax zabantu abangaphezu kweminyaka engama-60.

Kuze kube yilapho ukuthengwa sekufike ekufuneni, osokhemisi nodokotela babeka phambili abantu abathola umthamo wokuqala weShingrix futhi badinga umthamo wabo wesibili, nalabo abasengozini enkulu yokuthola izinkontileka kanye / noma ukuhlupheka ngemiphumela emibi yamaswazi. Ngenxa yokushoda, abantu abaningi balahlekelwe iwindi lezinyanga eziyisithupha; i-CDC ayincomi okwamanje ukuqala kabusha uchungechunge uma uphuthelwa isikhathi sesilinganiso sesibili, kepha kufanele ukuthole ngokushesha okukhulu ngaphakathi kwewindi lezinyanga eziyi-12 kusuka emuthini wokugoma wokuqala.

Okwamanje, ungazama ukubiza amakhemisi ahlukene ukuze ubone ukuthi unawo yini umuthi wokugoma. Njengoba ukunikezwa kuqala ukukhuphuka, amanani amaningi kufanele atholakale kalula.

Abanye ochwepheshe bezokwelapha bancoma ukuthola umuthi wokugoma we-Zostavax ukuze unikeze ukuvikeleka kuze kube yilapho uthola umuthi wokugoma we-Shingrix.

Yithathe kimi, i-shingles yisifo ofuna ukukugwema nakanjani. Kubuhlungu, kuyaphazamisa, futhi kungaba nemiphumela ehlala njalo empilweni yakho. Ukuzivikela kwakho okuhle umuthi wokugoma weShingrix. Uma uneminyaka engama-50 noma ngaphezulu, noma usengcupheni eyengeziwe yokuqhamuka nezinsini, bheka umhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole ulwazi lokuthi ungahlala kanjani uvikelekile.