Make clear 3 problems of second liver vaccine

Today is day of have an inoculation of immunity of children of the 18th whole nation of Chinese, the theme this year is " immunity is vaccinal, precautionary second liver " . So far, 32 provinces of Chinese inland, municipality, municipality directly under the Central Government executed children of second liver vaccine to plan immunity entirely, the whole nation already had new life of several ten million vaccinal free second liver is vaccinal. Inject vaccine is proper can what person needs Nbsp; 　 　 of vaccine of vaccinal second liver hepatitis B incidence of a disease is resided all the time in our country do not fall high, current, the healthy person that has 10% becomes the person be carried chronically of second liver virus, want to control this kind of disease, the most significant step is vaccine of vaccinal hepatitis B. Generally speaking, the person that every had not contracted second liver virus should inject second liver is vaccinal. Above all, the person that virus of liver of our country most second is carried originates new student the infection that reachs children period, this shows, new student precaution is weighed particularly should, all new students ought to vaccinal second liver is vaccinal. Because of the new student to force of immunity of least of second liver virus, and immune function is still diseased, once suffer,catch, very difficult cleared virus and the person that become second liver virus to carry. Next, the children before school age also should undertake have an inoculation. The 3rd it is HBsAg positive person it is dangerous that conjugal etc is engaged in having infection second liver occupational person, if the personnel of intimate contact blood, cure protects personnel, blood,dialytic patient waits. The 4th it is the person that gets infection of second liver virus accidentally, the pinhead that like positive of meaning tegument HBsAg blood pollutes is stabbed, or be splashed by HBsAg electropositive blood at eye conjunctiva or oral cavity mucous membrane, the blood that inputs HBsAg positive, all answer vaccinal second liver is vaccinal. Antigen of surface of hepatitis B virus should be checked before vaccinal second liver is vaccinal (antibody of HBsAg) , surface (fight - HBs) and core antibody (fight - HBc) , the second liver that often says namely " two half-and-half " , when assay result comes out, whether to undertake vaccination according to decide as a result, for instance, electronegative person must inject, exterior antibody (fight - HBs) is electropositive person must not inject, because of him (she) antibody has produced inside body. Additional, if the infant of two years old of less than does not have intimate contact history, need not use laboratory test, liver of direct inject second is vaccinal. The antibody that produces after inject second liver is vaccinal can prevent infection of second liver virus and second liver to come on only, did not prevent action to the virus sex hepatitis of other type. Vaccinal person contract the virus such as liver of armour, third, the fifth of the ten Heavenly Stem, age possibly still. Vaccine of vaccinal second liver can is in charge of how long 　 is current, vaccine of vaccinal second liver is the most significant step that prevents infection of second liver virus, be in commonly vaccinal after liver of 3 needles second is vaccinal, the have an inoculation of 90% above person the antibody that is aimed at second liver virus can produce inside body, and gain immune strength. According to the medical investigation of our country, at vaccinal the first time after liver of 3 needles second is vaccinal 15 years, 51% have an inoculation person the neutralization that pair of second liver virus still contain inside body antibody, the antigen of surface of second liver virus of vaccination crowd is carried rate still compare not vaccinal person apparent on the low side. For the crowd with vaccinal to vaccinal second liver proof, the immune force of crowd of half the number can maintain 15 years at least. But not be to say, do not need vaccine of liver of multiple cropping second inside 15 years. Every have an inoculation person the circumstance is different, level of the antibody after liver of second of some people have an inoculation is vaccinal is higher, duration is longer, but after liver of second of some people have an inoculation is vaccinal, antibody level is inferior, duration is shorter. Chance of patient of liver of second of some people contact is less, the dangerous sex that contracts second liver virus is inferior (if) of second liver patient is not had inside the family, chance of patient of liver of second of some people contact is more, the dangerous sex that contracts second liver virus is taller (if there is second liver patient inside the family, or often contact blood and haemal products) . Accordingly, second liver vaccine should not want multiple cropping, how long needs multiple cropping, to everybody, should distinguish treat. To affecting the person with tall crises of second liver virus, disappear when antibody of liver of the second inside body or too low when, should liver of multiple cropping second is vaccinal. If there is the person that antigen of surface of second liver virus is carried in the home, and liver of second of have an inoculation of other family member is vaccinal near 10 years, at this moment, the dangerous sex of virus of liver of second of domestic member infection is opposite taller, had better undertake multiple cropping of second liver vaccine. Second liver vaccine is specific how the new student of positive of HBsAg of vaccinal 　 mother had better be vaccine of globulin of immunity of hepatitis B of associated have an inoculation and second liver, use injection globulin of immunity of 2 hepatitis B and vaccine of 3 second liver (7 2 a month after be born, months, months inject 1 times each) plan, to the new student protective rate can be amounted to 97.13% . The new student of maternal HBsAg negative vaccine of the odd liver that use second is OK, inject every time commonly 10 μ G, inject 3 times (after be born instantly, a month and 6 months) the precautionary result that can obtain satisfaction. The vaccinal method of the children before school age has two kinds, one kind is first exsanguinate checks HBsAg to reach fight - HBs, both have an inoculation all undertakes again when negative. Another kind of method is not to have serological examination, undertake have an inoculation directly, adopt 0, 1, 6 plan (first) of the vaccinal, have an inoculation after a month, have an inoculation after 6 months, 3 times each inject liver of second of 10 μ G is vaccinal. Because become philtrum great majority to already had contacted second liver virus, susceptible person belongs to minority only, should detect first before have an inoculation HBsAg and fight - HBs, both have an inoculation all undertakes again when negative, adopt 0, 1, 6 plan are vaccinal, each inject liver of second of 10 μ G is vaccinal. If produce accident infection, should instantly (24 hours in, had jumped over earlier) flesh notes 200IU of adult of 10IU/kg(of globulin of hepatitis B immunity: 3~4 raises) , two week hind are pressed again 0, 1, 6 plan are vaccinal, each inject liver of second of 10 μ G is vaccinal. Conditional woman can be before marriage vaccinal second liver is vaccinal. The have an inoculation before marriage is not repellent new student groovy have an inoculation is accepted after be born, both union is much better. Vaccine of vaccinal second liver is helpful for block breaking before woman marriage " mother, baby " or " father, baby " transmission way. The mother of the future after inject is vaccinal but the immune force of pair of second liver virus that will carry vaccinal place to arise is delivered directly fetal, if their husband contracted second liver virus, be in what what produce inside body to fight through have an inoculation - the second liver virus that HBS can resist be entered in marital seminal fluid, protective oocyte and oosperm are not affected. (the exercitation edits: Plum apricot)