{"id":3134,"date":"2021-03-30T10:13:54","date_gmt":"2021-03-30T08:13:54","guid":{"rendered":"https:\/\/semmelweis.hu\/genomikai-medicina\/?page_id=3134"},"modified":"2024-09-06T09:08:20","modified_gmt":"2024-09-06T07:08:20","slug":"covid-19-informaciok","status":"publish","type":"page","link":"https:\/\/semmelweis.hu\/genomikai-medicina\/covid-19-informaciok\/","title":{"rendered":"COVID-19 &#8211; inform\u00e1ci\u00f3k"},"content":{"rendered":"<div>\n<div class=\"gmail_signature\" dir=\"ltr\" data-smartmail=\"gmail_signature\">\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<div dir=\"ltr\" style=\"text-align: justify\"><span style=\"font-size: 18pt\"><strong>V\u00e9d\u0151olt\u00e1ssal kapcsolatos inform\u00e1ci\u00f3k<\/strong><\/span><\/p>\n<div>\n<p>Sz\u00e1mos megkeres\u00e9st kapunk a SARS-Cov-2 (Covid) v\u00e9d\u0151olt\u00e1ssal kapcsolatosan. Ez\u00e9rt k\u00e9sz\u00edtett\u00fcnk \u00d6n\u00f6knek egy r\u00f6vid \u00e1ltal\u00e1nos t\u00e1j\u00e9koztat\u00f3t, amelyben az \u00e1ltalunk gondozott betegs\u00e9gcsoportokkal kapcsolatos \u00e1ltal\u00e1nos k\u00e9rd\u00e9sekre t\u00e9r\u00fcnk ki.<\/p>\n<p><strong>I. Genetikusan meghat\u00e1rozott betegs\u00e9g, amely nem \u00e9rinti az immunrendszert<\/strong><\/p>\n<p>A SARS-Cov-2 (Covid) elleni v\u00e9d\u0151olt\u00e1s beadat\u00e1sa nem ellenjavallt. A v\u00e9d\u0151olt\u00e1s kock\u00e1zata nem nagyobb az eg\u00e9szs\u00e9ges popul\u00e1ci\u00f3 kock\u00e1zat\u00e1n\u00e1l. A vakcin\u00e1ci\u00f3t (v\u00e9d\u0151olt\u00e1s bead\u00e1s\u00e1t) javasoljuk. K\u00fcl\u00f6n\u00f6sen javasoljuk az olt\u00e1st v\u00e1zizom-gyenges\u00e9g t\u00fcneteit okoz\u00f3 betegs\u00e9gekben (neuromuscularis k\u00f3rk\u00e9pek), ahol egy t\u00fcd\u0151gyullad\u00e1s k\u00f6vetkezm\u00e9nye az \u00e1tlagosn\u00e1l s\u00falyosabb lehet.<\/p>\n<p><strong>II. Autoimmun betegs\u00e9g, vagy olyan genetikusan meghat\u00e1rozott betegs\u00e9g, amely az immunrendszert vagy a t\u00fcd\u0151t \u00e9rinti<\/strong><\/p>\n<p><em>a. Stabil \u00e1llapot, csak kis d\u00f3zis\u00fa immunrendszert befoly\u00e1sol\u00f3 kezel\u00e9st kap<\/em><\/p>\n<p>Autoimmun betegs\u00e9g eset\u00e9n -lehet\u0151s\u00e9g szerint- a betegs\u00e9g stabil \u00e1llapot\u00e1ban javasolt az olt\u00e1s bead\u00e1sa, az immunrendszer m\u0171k\u00f6d\u00e9s\u00e9t befoly\u00e1sol\u00f3 gy\u00f3gyszerek d\u00f3zis\u00e1n az olt\u00e1s miatt nem sz\u00fcks\u00e9ges m\u00f3dos\u00edtani (1).<\/p>\n<p><em>b. Akutan rosszabbod\u00f3 betegs\u00e9g eset\u00e9n<\/em><\/p>\n<p>Amennyiben \u00d6n nagy d\u00f3zis\u00fa szteroid kezel\u00e9sben, plasmapheresisben, Rituximab kezel\u00e9sben r\u00e9szes\u00fcl vegye fel a kapcsolatot kezel\u0151orvos\u00e1val.<\/p>\n<p><strong>III. Genetikusan meghat\u00e1rozott betegs\u00e9g, amelyben nem aj\u00e1nlott az mRNS-alap\u00fa v\u00e9d\u0151olt\u00e1s (Pfizer, Moderna):<\/strong>\u00a0Aicardi-Gouti\u00e8res szindr\u00f3ma<\/p>\n<p>Az olt\u00e1s az egy\u00e9n, illetve k\u00f6rnyezete, csal\u00e1dtagjai v\u00e9delme \u00e9rdek\u00e9ben mindenkinek javasolt, kiv\u00e9ve a lent olvashat\u00f3 eseteket.<\/p>\n<\/div>\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<p>Azon szem\u00e9lyek, akiknek k\u00f3rt\u00f6rt\u00e9net\u00e9ben b\u00e1rmely olt\u00f3anyaggal, gy\u00f3gyszerrel azonnali t\u00fal\u00e9rz\u00e9kenys\u00e9gi reakci\u00f3 szerepel, nem kaphatj\u00e1k meg a v\u00e9d\u0151olt\u00e1st.<\/p>\n<\/div>\n<\/div>\n<div>\u00a0<\/div>\n<div dir=\"ltr\">\n<div dir=\"ltr\">\n<div>A vakcina m\u00e1sodik adagj\u00e1t nem szabad beadni azoknak sem, akik t\u00fal\u00e9rz\u00e9kenys\u00e9gi reakci\u00f3t mutattak az els\u0151 olt\u00e1s alkalmaz\u00e1sa sor\u00e1n.<\/p>\n<p>Tov\u00e1bbi ellenjavallatok:<\/p>\n<ul>\n<li>Az olt\u00f3anyag akt\u00edv, illetve egy\u00e9b \u00f6sszetev\u0151i elleni t\u00fal\u00e9rz\u00e9kenys\u00e9g olt\u00e1si ellenjavallat.<\/li>\n<li>Terhess\u00e9g, vagy aktu\u00e1lisan tervezett v\u00e1rand\u00f3ss\u00e1g<\/li>\n<li>S\u00falyos, l\u00e1zzal j\u00e1r\u00f3 akut az olt\u00e1skor \u00e9ppen zajl\u00f3 fert\u0151z\u00e9s<\/li>\n<li>Akut st\u00e1diumban lev\u0151 autoimmun betegs\u00e9g<\/li>\n<li>Immunszuppressz\u00edv (immunrendszert er\u0151sen gyeng\u00edt\u0151) ter\u00e1pia pl.: nagy d\u00f3zis\u00fa (intrav\u00e9n\u00e1s) szteroid kezel\u00e9s, monoclonalis ellenanyaggal t\u00f6rt\u00e9n\u0151 kezel\u00e9s<\/li>\n<li>M\u00e1s olt\u00e1ssal val\u00f3 egy\u00fctt ad\u00e1s: a Pfizer-BioNTech COVID-19 vakcina m\u00e1s olt\u00f3anyaggal egyidej\u0171leg nem adhat\u00f3 be. M\u00e1s, nem COVID-19 elleni v\u00e9d\u0151olt\u00e1s legal\u00e1bb 4 hetes id\u0151k\u00f6zzel adhat\u00f3.<\/li>\n<\/ul>\n<p>Mindegyik olt\u00f3anyag az aktu\u00e1lis hazai \u00e9s nemzetk\u00f6zi orvos-szakmai aj\u00e1nl\u00e1soknak megfelel\u0151en, az illet\u00e9kes hazai gy\u00f3gyszer\u00fcgyi hat\u00f3s\u00e1g enged\u00e9ly\u00e9vel \u00e9rhet\u0151 el. Az olt\u00f3anyagot bead\u00f3 Orvoskoll\u00e9ga kompetenci\u00e1ja szem\u00e9lyre szabottan annak eld\u00f6nt\u00e9se, hogy a beadand\u00f3 hat\u00f3anyag alkalmaz\u00e1si el\u0151irata t\u00fckr\u00e9ben az esetlegesen ismert k\u00f3rel\u0151zm\u00e9nyek, gy\u00f3gyszerallergi\u00e1k (esetlegesen az olt\u00f3anyaggal t\u00f6rt\u00e9n\u0151 keresztreakci\u00f3k m\u00e9rlegel\u00e9se) \u00e9s ha voltak eddigi olt\u00e1sok ut\u00e1ni esem\u00e9nyek ismeret\u00e9ben aktu\u00e1lisan fenn\u00e1ll-e ellenjavallat.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<p><strong>Forr\u00e1s:<\/strong><\/p>\n<ol>\n<li><em>Annals of the Rheumatic Diseases Published Online First: 05 June 2020. doi: 10.1136\/annrheumdis-2020-217877\u00a0<\/em><\/li>\n<li><a href=\"https:\/\/www.gov.uk\/government\/publications\/covid-19-vaccination-women-of-childbearing-age-currently-pregnant-planning-a-pregnancy-or-breastfeeding\">https:\/\/www.gov.uk\/government\/publications\/covid-19-vaccination-women-of-childbearing-age-currently-pregnant-planning-a-pregnancy-or-breastfeeding<\/a>\u00a0<\/li>\n<\/ol>\n<p><strong>Hasznos linkek:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.umdf.org\/coronavirus\/\">https:\/\/www.umdf.org\/coronavirus\/<\/a><\/li>\n<li><a href=\"https:\/\/ern-euro-nmd.eu\/ern\/wp-content\/uploads\/2020\/12\/WMS-COVID-19-advice-updated-1-12-2020.pdf\">https:\/\/ern-euro-nmd.eu\/ern\/wp-content\/uploads\/2020\/12\/WMS-COVID-19-advice-updated-1-12-2020.pdf<\/a><\/li>\n<li><a href=\"https:\/\/www.parkinsons.org.uk\/news\/coronavirus-vaccine-and-parkinsons\">https:\/\/www.parkinsons.org.uk\/news\/coronavirus-vaccine-and-parkinsons<\/a><\/li>\n<li><a href=\"https:\/\/www.movementdisorders.org\/COVID-19-Pandemic-MDS\/MDS-COVID-19-Vaccine-Statement-for-Patients.htm\">https:\/\/www.movementdisorders.org\/COVID-19-Pandemic-MDS\/MDS-COVID-19-Vaccine-Statement-for-Patients.htm<\/a><\/li>\n<li><a href=\"https:\/\/www.ataxia.org.uk\/latest-news\/covid-19-vaccine-update\/\">https:\/\/www.ataxia.org.uk\/latest-news\/covid-19-vaccine-update\/<\/a><\/li>\n<li><a href=\"https:\/\/www.dystonia.org.uk\/news\/covid-19-vaccinations\">https:\/\/www.dystonia.org.uk\/news\/covid-19-vaccinations<\/a><\/li>\n<li><a href=\"https:\/\/www.alz.org\/alzheimers-dementia\/coronavirus-covid-19-vaccine\">https:\/\/www.alz.org\/alzheimers-dementia\/coronavirus-covid-19-vaccine<\/a><\/li>\n<li><a href=\"https:\/\/www.hda.org.uk\/getting-help\/covid-19-information-and-advice-hub\">https:\/\/www.hda.org.uk\/getting-help\/covid-19-information-and-advice-hub<\/a><\/li>\n<li><a href=\"https:\/\/epi-care.eu\/covid-19-vaccines-and-people-with-epilepsy\/\">https:\/\/epi-care.eu\/covid-19-vaccines-and-people-with-epilepsy\/<\/a><\/li>\n<li><a href=\"https:\/\/semmelweis.hu\/koronavirus\/files\/2020\/11\/COVID-19-betegtajekoztato-2020-11-26.pdf\">Inform\u00e1ci\u00f3k COVID-19 t\u00fcnetek eset\u00e9n: mikor mit tehet\u00fcnk?<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"gmail_quote\">\n<div dir=\"ltr\">\n<div style=\"text-align: justify\">\u00a0<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>V\u00e9d\u0151olt\u00e1ssal kapcsolatos inform\u00e1ci\u00f3k Sz\u00e1mos megkeres\u00e9st kapunk a SARS-Cov-2 (Covid) v\u00e9d\u0151olt\u00e1ssal kapcsolatosan. Ez\u00e9rt k\u00e9sz\u00edtett\u00fcnk \u00d6n\u00f6knek egy r\u00f6vid \u00e1ltal\u00e1nos t\u00e1j\u00e9koztat\u00f3t, amelyben az \u00e1ltalunk gondozott betegs\u00e9gcsoportokkal kapcsolatos \u00e1ltal\u00e1nos k\u00e9rd\u00e9sekre t\u00e9r\u00fcnk ki. I. Genetikusan meghat\u00e1rozott betegs\u00e9g, amely nem \u00e9rinti az immunrendszert A SARS-Cov-2 (Covid) elleni v\u00e9d\u0151olt\u00e1s beadat\u00e1sa nem ellenjavallt. A v\u00e9d\u0151olt\u00e1s kock\u00e1zata nem nagyobb az eg\u00e9szs\u00e9ges popul\u00e1ci\u00f3 kock\u00e1zat\u00e1n\u00e1l. A &hellip;<\/p>\n","protected":false},"author":101429,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-3134","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/genomikai-medicina\/wp-json\/wp\/v2\/pages\/3134","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/genomikai-medicina\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/semmelweis.hu\/genomikai-medicina\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/genomikai-medicina\/wp-json\/wp\/v2\/users\/101429"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/genomikai-medicina\/wp-json\/wp\/v2\/comments?post=3134"}],"version-history":[{"count":10,"href":"https:\/\/semmelweis.hu\/genomikai-medicina\/wp-json\/wp\/v2\/pages\/3134\/revisions"}],"predecessor-version":[{"id":3876,"href":"https:\/\/semmelweis.hu\/genomikai-medicina\/wp-json\/wp\/v2\/pages\/3134\/revisions\/3876"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/genomikai-medicina\/wp-json\/wp\/v2\/media?parent=3134"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/genomikai-medicina\/wp-json\/wp\/v2\/categories?post=3134"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/genomikai-medicina\/wp-json\/wp\/v2\/tags?post=3134"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}