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Huaren
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gigivivi

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2024-09-22 11:56:31

这个网页有对Multiple Sclerosis患者给出打疫苗的建议 https://www.va.gov/MS/TREATING_MS/Whole_Health/Vaccines_and_Multiple_Sclerosis_A_Practical_Guide.asp#:~:text=Shingles%20causes%20a%20painful%20rash,due%20to%20disease%2Dmodifying%20treatments.

关于带状孢疹疫苗是这么说的


Shingles Vaccine

The Shingrix vaccine is a subunit vaccine, meaning it provides part of the germ, that helps prevent shingles. Shingles is a painful outbreak of the varicella zoster virus (VZV), the same virus that causes chickenpox. Only a person who has previously had chickenpox can develop shingles. Shingles causes a painful rash and can result in persistent pain after the rash resolves. People with MS may be at higher risk of getting shingles because of reduced immune system function due to disease-modifying treatments. High-dose steroids, often used during relapses, may also increase the risk of a shingles outbreak. The Shingrix vaccine does not contain live virus and is safe for you to get. It is given by intramuscular injection requiring two injections, with the second dose given 2 to 6 months after the first.


说的是多发性硬化(Multiple Sclerosis)患者因为免疫系统功能有损,所以有更大的机会得带状孢疹

Huaren
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gigivivi

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2024-09-22 11:59:17

这篇论文说的是带状孢疹确实会增加多发性硬化的风险: https://academic.oup.com/jid/article/204/2/188/833738


Conclusions. Our findings support the notion that occurrence of MS could be associated with herpes zoster attack. We found a significantly higher risk for MS within 1 year of herpes zoster attack compared with the control population.

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gigivivi

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2024-09-22 12:02:45

这篇论文系统研究了狂犬病疫苗和多发性硬化症状发作之间的关系,结论是目前的数据不支持狂犬病疫苗会引发多发性硬化 https://www.msard-journal.com/article/S2211-0348(21)00173-5/pdf#:~:text=The%20annualized%20relapse%20rates%20in,associated%20with%20clinical%20MS%20relapse.


Conclusions: In this cohort, rabies vaccination was not associated with clinical MS relapse. Larger, prospective studies are needed to confirm these results. 

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gigivivi

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2024-09-22 12:08:06

回复 1楼 gigivivi 的帖子

Gigi, 有带状疱疹引起多发性硬化。然后有个熟人打了狂犬疫苗,引起了多发性硬化。两个列子都在国内,能分析一下这两个列子吗?打这个疫苗有这个风险吗?


3sis2020 发表于 2024-09-22 11:46

回到你的问题,打带状孢疹疫苗会引发多发性硬化吗?从以上文献来看不会。首先带状孢疹会引发多发性硬化,而带状孢疹疫苗能降低带状孢疹的风险,所以应该降低多发性硬化的风险才对。


其次狂犬病疫苗是减活疫苗,和目前市场上主要使用的以蛋白质为成分的带状孢疹疫苗机理很不相同。所以就算狂犬病疫苗可能会增加多发性硬化的风险 (虽然我上面引用的文献说狂犬病疫苗和多发性硬化发作不相关),理论上带状孢疹疫苗应该没有这个副作用。


关于减活疫苗和蛋白质疫苗的区别,欢迎大家去看我写的这篇文章,里面讲得更清楚: https://huaren.us/showtopic.html?topicid=3036639

Huaren
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gigivivi

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2024-09-22 12:12:19

再次声明,我不是医学专业人士,我只不过比较喜欢搜索查看文献,然后总结归纳,所以不保证准确性。欢迎纠错。

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lizzieonline

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2024-09-22 12:17:27

打过中国国产的带状孢疹疫苗后,还能再重新打这个么

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gigivivi

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2024-09-22 12:30:47

lizzieonline 发表于 2024-09-22 12:17

打过中国国产的带状孢疹疫苗后,还能再重新打这个么


打的是哪种中国国产的带状孢疹疫苗?这个最好问问医生, 让医生指导。

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sweetapple123

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2024-09-22 12:42:25

不敢相信华人网友的年纪已经到了打带状孢疹疫苗(50+)了吗
Huaren
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gigivivi

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2024-09-22 14:05:53

回复 298楼 sweetapple123 的帖子

这个,人总是要老的,然后论坛用户的年龄是有一定分布的,有人50+很正常呀?

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yugan2005

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2024-09-22 14:25:05

mark

初始化编辑器...

到底了