华夏棋牌

HPV疫苗来啦,该怎么选择呢?

2018-06-22  来自: 商丘市公安法医医院HPV科 浏览次数:121

华夏棋牌ZUOZHE | DINGLANFANG NANJINGYIKEDAXUEFUSHUFUCHANYIYUAN

华夏棋牌LAIYUAN | YIXUEJIEFUCHANKEPINDAO

华夏棋牌ERJIA、SIJIAYIMIAOFENFENSHANGSHI。BUJIUDEJIANGLAI,ZAIQUANGUOGEDIDESHEQUYIYUANDOUKEYIJINXINGSIJIAYIMIAODEJIEZHONG,NEIMEERJIAYIMIAOHESIJIAYIMIAOYOUSHENMEQUBIE,ZENMEJINXINGXUANZENI?XIAMIANWOMENJIULAIBIJIAOXIAZHEILIANGZHONGYIMIAO。

ERJIAYIMIAOHESIJIAYIMIAOJUNSHIMIEHUODEJIYINZHONGZUYIMIAO,QIANZHESHIYOUHPV16HE18XINGDEQIAODANBAIL1ZHIZAODEBINGDUYANGKELIZUCHENG,ERHOUZHEZESHIYOUHPV16、18、6HE11XINGDEQIAODANBAIL1ZHIZAODEBINGDUKELIZUCHENG。ZHUYAOTONGGUOTIYEMIANYIYINGDA,SHIDEJITICHANSHENGKANGHPVDEMIANYIQIUDANBAI(IgG),CONGERDUIGONGJINGNIANMOZHONGGANRANDEHPVBINGDUCHANSHENGFANGYUZUOYONG。

预防的疾病种类及有效率

QQ图片20171123180456.png

NAXIERENSHIYIJIEZHONGHPVYIMIAO?

华夏棋牌2017NIANMEIGUOFUCHANKEYISHIXIEHUI(ACOG)TUIJIANHPVERJIAYIMIAOSHIYONGYU9-26SUINVXING,HPVSIJIAYIMIAOSHIYONGYU9-26NVXINGHENANXING。YUEZAOJIEZHONGCHANSHENGDEMIANYIXIAOYINGYUEGAO,ZUIJIAJIEZHONGNIANLING11-12SUI。26-45SUINVXINGTUIJIANJIEZHONGHPVJIUJIAYIMIAO,DANGRANERJIAHESIJIAYESHIKEYIJIEZHONGDE,DANYOUXIAOLIHUIJIANGDI(2JIZHENGJU)。

第一针在任何时候均可以接种,第二针在第一针接种后1-2个月接种,第三针在第一针接种后6个月接种。目前没有证据表明后续需要进行加强接种。

HPVYIMIAOANQUANXINGRUHE?

华夏棋牌GENJUMEIGUOFUCHANKEYISHIXIEHUIJIHANGUOFUKEZHONGLIUXUEHUILIANGGEZHINANSUOSHU,YIMIAODEBULIANGFANYINGZHUYAOWEIZHUSHEBUWEIDEJUBUZHENGZHUANG,JISHAOCHUXIANQUANSHENBULIANGFANYING。SUOYI,YIMIAOSHIANQUANDE。

YUEJINGQI、RENSHENQI、BURUQIKEYIJIEZHONGMA?

1、SUIRANZHINANZHONGWEITIJIYUEJINGQISHIFOUKEYIJIEZHONG,DANGENJUYIMIAOJIEZHONGDEJIBENYUANZE,YUEJINGQIFEIJINJI,SUOYIYUEJINGQISHIKEYIJIEZHONGDE。

2、2017NIANACOGZHINANZANBUTUIJIANRENSHENQIJIEZHONGYIMIAO,DANYEBUTUIJIANYIMIAOJIEZHONGQIANCHANGGUIJINXINGRENSHENJIANCE。

华夏棋牌DUIYURENSHENQIJIANWUYIJIEZHONGLEHPVYIMIAODEQINGKUANG,YEWUXUJINXINGLIUCHAN,KEYIJIXURENSHEN,MUQIANDEYANJIUSHUJUWEIFAXIANYIMIAOHEXINSHENGERSHENGCUNLV、XIANTIANXINGCHUSHENGQUEXIANLV、LIUCHAN、SITAILV、YIWEIRENSHENLVXIANGGUAN。

如果疫苗接种开始后发现被接种者已妊娠,建议该流程的后续接种应等到分娩后再完成,但不需要重新开始新的流程,只需接种剩余未接种的针剂。

3、BURUQIDENVXINGKEYIJIEZHONGRENHEZHONGLEIDEHPVYIMIAO,YINWEIDUIMUQINHEYINGER,MIEHUOYIMIAORUHPVYIMIAOBUYINGXIANGMURUWEIYANGDEANQUANXING。

华夏棋牌SUOYI,BEIYUNQIJIAN、BURUQISHIKEYIJIEZHONGYIMIAODE。YIMIAOJIEZHONGWANKEYILIJIHUAIYUN。HAIMEIYOUJIEZHONGWANCHENGFAXIANHUAIYUN,KEYIDENGDAOFENMIANJIESHUHOUWANCHENGHOUXUDEJIEZHONG。YUNQIMUQIANZANBUTUIJIANJIEZHONGYIMIAO。

2017年ACOG指南不推荐疫苗接种前进行HPV-DNA的检查,即使被接种者感染了HPV,仍推荐进行接种。

华夏棋牌JIEZHONGHPVYIMIAOYOUSHENMEJINJIZHENG?

1.YANZHONGMIANYIQUEXIANBINGDEJIXINGQI。MIANYIYIZHIDECUNZAIBINGBUSHIHPVYIMIAOJIEZHONGDEJINJIZHENG,LIRUHIVGANRANHUOQIGUANYIZHIHUANZHE,DANMIANYIGONGNENGDIXIAHUANZHEDEMIANYIYINGDAKENENGBUTAIYOUXIAO。YINCI,KEZAIYINGYONGMIANYIYIZHIJIDEFEIJIXINGJIBINGQIJIEZHONGHPVYIMIAO,DANJIEZHONGHOUJIANYIFUCHAKANGTIDIDUYIPINGGUMIANYIDEYOUXIAOXING。

2.ZHONG、ZHONGDUJIBINGDEJIXINGQI,HUOFARE、GANMAO,DAIJIBINGPINGWENHOUKEYIJINXINGJIEZHONG。

3.DUI HPV YIMIAOCHENGFENHUOXINGCHENGFENHUORENHEFULIAOCHENGFENYOUCHAOMINFANYINGZHE,BIRUDUIDANBAIZHI、JIAOMUGUOMINZHEJINYONG。

4.RENSHENQINVXING。

JIEZHONGHOUXUYAOZHUYISHENME?

接种HPV疫苗后,被注射者可能出现全身不良反应:

FARE(ZHUYAOSHIXIAOYU39DUDIRE)、PILAO、TOUTONG、JIROUTONG、EXIN、OUTU、KESOU、FUXIE,BIJIAOSHAOJIANHAIYOUPIZHEN、QIANMAZHEN;

局部不良反应:

TENGTONG、JUBUSHUIZHONG、HONGBAN、YINGJIE、SAOYANG。

BUFENHUANZHE(YOUQISHINIANLINGXIAOYU15SUIDEQINGSHAONIAN)ZAIJIEZHONGSHIHUIFASHENGYUNJUE,YINCI,KEKAOLVPINGWOJIEZHONG,BINGZAIZHUSHEHOULIUGUAN15FENZHONG。RUGUOHUANZHEJIEZHONGHOUDEBULIANGFANYINGBIAOXIANFUHECHAOMINFANYING,HOUXUJIEZHONGXUYAOSHENZHONGHUOZHONGZHI。

华夏棋牌ZAINALIKEYIJIEZHONGHPVYIMIAO?

主要为当地的社区卫生服务中心和一些医院,以社区卫生服务中心为主。目前HPV二价和四价疫苗均未全国覆盖,所以需要向所在地的社区卫生服务中心进行咨询和预约。

HPVERJIAYIMIAOMEIZHENJIAGEYUEWEI580 YUAN,QUANCHENG3JIGONGJI1800YUANZUOYOU,SIJIAYIMIAOMEIZHENJIAGEYUE950YUAN,QUANCHENG3ZHENGONGJI3000YUANZUOYOU,JUTIDINGJIAHUIYINDIYUBUTONGYOUYIXIECHABIE。

笔者提醒大家的是,接种结束后仍然需要进行常规的宫颈癌筛查。

CANKAOWENXIAN:

1、MEIGUOFUCHANKEYISHIXUEHUI(ACOG):Human Papillomavirus Vacccination(NO.704).Obstet Gynecol.2017,Jun;129(6):e173-178;

2、HANGUOFUKEZHONGLIUXUEHUI(KSGO):Preventive vaccination against cervical cancer.J Gynecol Oncol.2016,May;27(3):e30.


SHANGQIUZHONGTIESHIJUYIYUAN(YUANSANJUYIYUAN)HPVJISHUYINGYONGZHONGXINSHISHANGQIUSHIYIYUANNEIZHUANYEFANGZHIHPV(RENRUTOULIUBINGDU)、JIANRUISHIYOUDEKESHI,ZHUZHIHPVGONGJINGSHANGPINEILIUBIAN CIN 1JI,CIN 2JI ,JIANRUISHIYOUDENGHPVGANRANXINGJIBING。

GAIKEYUBEIJINGZHONGYIYAODAXUE,BEIJINGZHONGYIYANJIUYUAN,XIANYANGSENXINSHENGWUKEJIYOUXIANGONGSISHENGLUKEJIQIANGQIANGLIANHE,ZHILIYUHPVLVSELIAOFAZAIYUDONGDIQUDEPUJIHETUIGUANG。

关键词: HPV疫苗   商丘HPV疫苗   商丘HPV宫颈高危治疗