4
「生 蛇」(帶狀疱疹) Get vaccinated before you get Shingles (Herpes Zoster) 「生蛇」是由水痘病毒引起的疾病。小時候曾患 水痘,病毒會潛藏在人體神經裡處於休眠狀態, 並於日後再度活躍引致「生蛇」。 身體免疫力下降,如壓力過大、睡眠不足、大病 初愈、年紀漸長、糖尿病或癌症病人是發病的高 危因素。 Varicella (chickenpox) is a highly contagious viral disease with fever and a vesicular skin rash and is caused by varicella-zoster virus (VZV). The virus can be reactivated when there is a decrease in host cell-mediated immunity, manifesting as Herpes Zoster (or shingles). Excessive stress, lack of sleep, recovery from serious illnesses, ageing, and chronic diseases such as diabetes all predispose one to Shingles. 接種帶狀疱疹疫苗(一劑) 能預防帶狀疱疹「生蛇」和後遺神經痛,以及 減輕帶狀疱疹引起急性及長期的痛症。 Getting ZOSTAVAX injection (one dose) can prevent herpes zoster "Shingles" and Post-herpetic neuralgia. It helps to alleviate the acute and long-term pain caused by herpes zoster. 適合接種帶狀疱疹疫苗人士 People suitable for getting vaccinated 50歲或以上人士 People aged 50 or above 曾經患有帶狀疱疹的人士 People with a history of herpes zoster/ Shingles 過往有患有水痘的人士People with a history of chickenpox 如何治療帶狀疱疹 How to treat Shingles 一般止痛藥不能有效控制病情 Common painkillers cannot effectively control the disease 患者必須在 72 小時內服用抗水痘病毒藥物 Patients should receive specific Antiviral agent within 72 hours after the onset of diagnostic rash 其他治療為介入性疼痛治療術:利用局部麻醉藥物打針在生蛇的神經以阻斷 疼痛的網絡傳導路徑,同時截斷疼痛的惡性循環 Other treatment includes interventional pain therapy: By injecting local anaesthetic drug to effect a nerve block in the affected area in order to block the pain pathway responsible for the vicious cycle of pain. 下列人士不適宜注射疫苗或需要諮詢醫生意見 The following are not recommended to take vaccine or doctor’s advice should be sought: 對凝膠或新黴素有過敏反應 Those with history of severe reaction to gelatin or neomycin 曾患血液凝固問題 Those with blood clotting disorder 患有中度或嚴重疾病並且發燒 Those have a moderate-to-severe illness with a fever 曾接受高劑量的類固醇 Those receiving corticosteroids treatment. 孕婦 Pregnant ladies (請向你的婦產科醫生查詢 please consult your O&G doctor) 未經治療的肺結核患者 Patient with untreated tuberculosis 免疫系統已受損 如免疫缺陷、白血病、淋巴瘤或愛滋病患者 Those with compromised immune system, for example: immune disorders, leukemia, lymphoma, or HIV/AIDS) 預防帶狀疱疹疫苗優惠 Special offer on Shingles Preventive Vaccine Code: CONVOY, Class S (登記時必須出示此單張。Please present this leaflet at the clinic reception to enjoy this special offer.) 帶狀疱疹疫苗 Shingles Preventive Vaccine $1,250 每針 per dose 注射疫苗前醫生講解 $300 A doctor consultation is required prior to the injection (接受醫生講解後,不論接種疫苗與否,均須繳付醫生講解費用。 Once consultation is taken, the fee will be charged whether the vaccine is taken or not.) 有效期 Offer Valid Period: 01 Feb 2015 till 31 May 2015 查詢 Enquiries [email protected] 3183-9983 / 3183-9985 / 3183-9982 (Mon to Fri 9 am to 6:30 pm) 服務中心 / Servicing Centres (毋須預約 No appointment is required) 中環皇后大道中 18 號新世界大廈 2 3 3/F., New World Tower Two, 18 Queen’s Road Central 2890 2222 Mon - Fri Sat 9:00am to 6:00pm 9:00am to 12:30pm 尖沙咀漢口道 4 號騏生商業中心 11 11/F., Kaiseng Commercial Centre, 4 Hankow Road, Tsimshatsui 2369 3329 Mon - Fri Sat 9:00am to 6:00pm 9:00am to 12:30pm 荃灣港鐵站南豐中心 712 Unit 712, Nan Fung Centre, Tsuen Wan MTR Station, Tsuen Wan 2415 6777 Mon – Fri Sat 9:00am to 1:00pm 2:00pm to 6:00pm 9:00am to 12:30pm 備註: 1. 以上參考資料及優惠券均由韋予力醫務所(「參與商戶」)提供。 2. 所有產品/服務均由參與商戶提供及銷售予客戶。而有關產品/服務之質素及供應量,一概由參與商戶負責。康宏金融將不會作任何陳述或保證任何產品及/或服務之質素。如客戶對產品及/或 服務有爭議或投訴,應直接聯絡有關參與商戶。

預 防「生 蛇」 Get vaccinated before you get …cam.convoy.com.hk/eDM/ci/2015/feb/Convoy-ShinglesVaccine...接 種 疫 苗 預 防「生 蛇」 (帶狀疱疹) Get vaccinated

  • Upload
    buikien

  • View
    238

  • Download
    0

Embed Size (px)

Citation preview

Page 1: 預 防「生 蛇」 Get vaccinated before you get …cam.convoy.com.hk/eDM/ci/2015/feb/Convoy-ShinglesVaccine...接 種 疫 苗 預 防「生 蛇」 (帶狀疱疹) Get vaccinated

接 種 疫 苗 預 防「生 蛇」(帶狀疱疹)

Get vaccinated before you get Shingles (Herpes Zoster)

「生蛇」是由水痘病毒引起的疾病。小時候曾患

水痘,病毒會潛藏在人體神經裡處於休眠狀態,

並於日後再度活躍引致「生蛇」。

身體免疫力下降,如壓力過大、睡眠不足、大病

初愈、年紀漸長、糖尿病或癌症病人是發病的高

危因素。

Varicella (chickenpox) is a highly contagious viral disease with fever and a vesicular skin rash and is caused by varicella-zoster virus (VZV). The virus can be reactivated when there is a decrease in host cell-mediated immunity, manifesting as Herpes Zoster (or shingles). Excessive stress, lack of sleep, recovery from serious illnesses, ageing, and chronic diseases such as diabetes all predispose one to Shingles.

接種帶狀疱疹疫苗(一劑) 能預防帶狀疱疹「生蛇」和後遺神經痛,以及

減輕帶狀疱疹引起急性及長期的痛症。

Getting ZOSTAVAX injection (one dose) can prevent herpes zoster "Shingles" and Post-herpetic neuralgia. It helps to alleviate the acute and long-term pain caused by herpes zoster. 適合接種帶狀疱疹疫苗人士 People suitable for getting vaccinated

• 50歲或以上人士 People aged 50 or above

• 曾經患有帶狀疱疹的人士 People with a history of herpes zoster/ Shingles

• 過往有患有水痘的人士People with a history of chickenpox

如何治療帶狀疱疹 How to treat Shingles

一般止痛藥不能有效控制病情

Common painkillers cannot effectively control the disease

患者必須在 72 小時內服用抗水痘病毒藥物

Patients should receive specific Antiviral agent within 72 hours after the onset of diagnostic rash

其他治療為介入性疼痛治療術:利用局部麻醉藥物打針在生蛇的神經以阻斷

疼痛的網絡傳導路徑,同時截斷疼痛的惡性循環

Other treatment includes interventional pain therapy: By injecting local anaesthetic drug to effect a nerve block in the affected area in order to block the pain pathway responsible for the vicious cycle of pain.

下列人士不適宜注射疫苗或需要諮詢醫生意見 The following are not recommended to take vaccine or doctor’s advice should be sought:

對凝膠或新黴素有過敏反應

Those with history of severe reaction to gelatin or neomycin 曾患血液凝固問題

Those with blood clotting disorder

患有中度或嚴重疾病並且發燒

Those have a moderate-to-severe illness with a fever 曾接受高劑量的類固醇

Those receiving corticosteroids treatment.

孕婦 Pregnant ladies

(請向你的婦產科醫生查詢 please consult your O&G doctor)

未經治療的肺結核患者 Patient with untreated tuberculosis

免疫系統已受損 如免疫缺陷、白血病、淋巴瘤或愛滋病患者

Those with compromised immune system, for example: immune disorders, leukemia, lymphoma, or HIV/AIDS)

預防帶狀疱疹疫苗優惠 Special offer on Shingles Preventive Vaccine Code: CONVOY, Class S

(登記時必須出示此單張。Please present this leaflet at the clinic reception to enjoy this special offer.)

帶狀疱疹疫苗 Shingles Preventive Vaccine $1,250 每針 per dose

注射疫苗前醫生講解 $300

A doctor consultation is required prior to the injection

(接受醫生講解後,不論接種疫苗與否,均須繳付醫生講解費用。

Once consultation is taken, the fee will be charged whether the vaccine is taken or not.)

有效期 Offer Valid Period: 01 Feb 2015 至 till 31 May 2015

查詢 Enquiries [email protected] 3183-9983 / 3183-9985 / 3183-9982 (Mon to Fri 9 am to 6:30 pm)

服務中心 / Servicing Centres (毋須預約 No appointment is required)

中環皇后大道中 18 號新世界大廈 2 期 3 樓

3/F., New World Tower Two, 18 Queen’s Road Central

2890 2222 Mon - Fri Sat

9:00am to 6:00pm 9:00am to 12:30pm

尖沙咀漢口道 4 號騏生商業中心 11 樓

11/F., Kaiseng Commercial Centre, 4 Hankow Road, Tsimshatsui

2369 3329 Mon - Fri Sat

9:00am to 6:00pm 9:00am to 12:30pm

荃灣港鐵站南豐中心 712 室

Unit 712, Nan Fung Centre, Tsuen Wan MTR Station, Tsuen Wan

2415 6777 Mon – Fri

Sat

9:00am to 1:00pm 2:00pm to 6:00pm 9:00am to 12:30pm

備註:

1. 以上參考資料及優惠券均由韋予力醫務所(「參與商戶」)提供。

2. 所有產品/服務均由參與商戶提供及銷售予客戶。而有關產品/服務之質素及供應量,一概由參與商戶負責。康宏金融將不會作任何陳述或保證任何產品及/或服務之質素。如客戶對產品及/或服務有爭議或投訴,應直接聯絡有關參與商戶。

Page 2: 預 防「生 蛇」 Get vaccinated before you get …cam.convoy.com.hk/eDM/ci/2015/feb/Convoy-ShinglesVaccine...接 種 疫 苗 預 防「生 蛇」 (帶狀疱疹) Get vaccinated

Q1:甚麼是「生蛇」? What is Shingles?

「生蛇」(即帶狀疱疹) 是由水痘病毒引起的疾病。小時候染了水痘後,病毒會潛藏在人體神經裡處於休眠

狀態,日後可能再度復發。引致「生蛇」的病毒會沿著脊髓神經,去到其所聯接的皮膚表面形成紅疹、水

泡。而背部及腰部的一側是最常見的發病位置。 "Shingles" (ie, Herpes Zoster) is a painful eruption caused by the Varicella virus, which causes chickenpox, usually in childhood. Recovery from chicken pox is incomplete as the virus can lie dormant in the dorsal nerve ganglions for many years and recrudesce when our cell-mediated immunity is low, resulting in Shingles. The typical painful rash comprises vesicles on red patches in the area (or dermatome) supplied by the affected nerve root. The back and area around the waist are common affected sites.

Q2:「生蛇」會引致的癥症 Common symptoms of shingles (Herpes Zoster)

「生蛇」所帶來的疼痛是尖銳的、激烈的,往往令人難以入睡、影響工作及生活。 患者初期會感到患處未出疹前有嚴重赤痛或有“針拮”觸電的感覺,其後出現紅疹水泡;水泡並漸漸破裂、

變乾及結痂 。有些人在紅疹消退後仍感不適,甚至輕輕的觸摸,也可以出現異常的痛楚。 「生蛇」後有可能會導致後遺神經痛。後遺神經痛主要是神經線受損引致,患處暴露於冷空氣,以及皮膚

觸及外物時,感覺有如被火燒的疼痛。 The pain caused by “Shingles” is sharp, intense, and often interferes with sleep, greatly affecting work and daily living. It can be summarized as neuralgic in nature and quite similar to toothache. The small blisters are located over the red patches and they will gradually burst, dry and scabbed over. Many will continue to experience pain for months even after the skin rash has healed. For such unfortunate people, the affected skin seems to become hyper-sensitised and even a gentle touch is sensed as pain. Post-herpetic neuralgia (PHN) is a chronic neuropathic pain syndrome caused by peripheral sensory nerve damage and altered central nervous system signal processing.

輕微

皮膚上只有輕微的

紅疹,有少許水泡

出現。

中度

中度的「生蛇」會呈

現出帶狀的紅疹及

水泡群。

嚴重

嚴重的「生蛇」,水

泡可以合併成一個

大體積,似燙傷一

樣。 Ophthalmic Visual impairment, ptosis, pain, facial scarring

Disseminated Only minor skin rashes, blisters on the hands

Cutaneous Band-like rash and blisters group on the trunk.

Page 3: 預 防「生 蛇」 Get vaccinated before you get …cam.convoy.com.hk/eDM/ci/2015/feb/Convoy-ShinglesVaccine...接 種 疫 苗 預 防「生 蛇」 (帶狀疱疹) Get vaccinated

Q3:ZOSTAVAX 能治療帶狀疱疹嗎? Can ZOSTAVAX treat Shingles?

帶狀疱疹疫苗不能用於治療現有的帶狀疱疹或與現有的帶狀疱疹伴隨的疼痛。但注射帶狀疱疹疫苗可預防「生蛇」及減輕帶狀疱疹引起急性及長期的痛症。 No, ZOSTAVAX is not acute treatment for Shingles. It is a vaccine you can get to help reduce your risk of getting Shingles in future, and it cannot be used to treat Shingles or the nerve pain that may follow Shingles, once you have it. ZOSTAVAX is also not a treatment for chickenpox.

根據藥廠的大型臨床研究指出 ZOSTAVAX® 疫苗有效預防:

According to the study conducted by the pharmaceutical company, ZOSTAVAX is indicated for:

帶狀疱疹「生蛇」Prevention of Herpes Zoster (shingles)

後遺神經痛 Prevention of post-herpetic neuralgia (PHN)

請注意疫苗不是百份百保護每個人,有少部份人在接種後仍會患有帶狀疱疹「生蛇」。

Please note that ZOSTAVAX does not protect everyone. Some people may still get Shingles even after receiving the vaccine.

Q4:為什麼建議五十歲或以上人士接種帶狀疱疹疫苗? Why are seniors over 50 recommended to have this vaccine?

在紅疹痊癒後,患者仍能感覺到該神經疼痛,這情況可以持續數月或數年。根據下圖,五十歲或以上人士

的免疫系統開始減弱,所感受的痛楚程度及時間會較年輕的人士長久。帶狀疱疹是一種在老年人中常見的

疾病,而隨於年紀的增長,病情及痛楚會更嚴重。所以我們建議 50 歲或以上人士盡快接種疫苗,以減低疾

病帶來的併發症。 Our immune system declines as we age. According to medical research (see table below), the chance of PHN pain persisting for more than 90 days after the onset of herpes zoster rash is significantly higher for those over 50 and Shingles is more common among older adults. It is therefore recommended that senior citizens over 50 get vaccinated as soon as possible to minimise their risk of serious complications of this disease.

Duration of Zoster-Associated Pain 帶狀疱疹相關疼痛的持續時間

Source from Kost RG, et al.1 © 1996 Massachusetts Medical Society. Kost RG, Straus SE. N Engl J Med. 1996;335:33–42. 2. de Moragas JM, Kierland RR. Arch Dermatol. 1957;75:193–196.

Page 4: 預 防「生 蛇」 Get vaccinated before you get …cam.convoy.com.hk/eDM/ci/2015/feb/Convoy-ShinglesVaccine...接 種 疫 苗 預 防「生 蛇」 (帶狀疱疹) Get vaccinated

Q5:帶狀疱疹疫苗的安全性如何? 保護期有多長? What is its safety profile and duration of protection?

帶狀疱疹疫苗在 2006 年已經獲美國 FDA 批准使用,至今已在歐美等國家安全地使用 1,600 萬劑以上。Herpes zoster vaccine was approved for use by the U.S. FDA in 2006. Since then, more than 14 million doses have been used Worldwide. [NB: Different countries may have different funding policies for different age groups].

Vaccine Efficacy on the Incidence of HZ – Pooled SPS and STPS

帶狀疱疹發病疫苗的有效性

Reference: Schmader KE et al. Clin Infect Dis. 2012; 10.1093/cid/cis638:1-9.

Q6:帶狀疱疹疫苗(ZOSTAVAX)可以跟其他疫苗一同注射嗎? Can ZOSTAVA be injected together with other vaccines?

根據美國疾病控制與預防中心的指示,預防生蛇(帶狀疱疹)疫苗本可以同其他疫苗同時接種,例如: 季節性

流感疫苗;但注射了 ZOSTAVAX 的人士應避免在 4 星期內接種肺炎鏈球菌疫苗【Pneumovax23】,因為肺炎鏈

球菌疫苗會令 ZOSTAVAX 的免疫原性或功效降低。

U.S. Centers for Disease Control and Prevention (CDC) recommends that ZOSTAVAX and PNEUMOVAX23 be administered 4 weeks apart if the person is eligible for both vaccines. This is because concomitant use will result in reduced immunogenicity or effectiveness of ZOSTAVAX. Inactivated influenza vaccine using a separate syringe and ZOSTAVAX injection can be administered at the same visit for eligible persons.

Q7:帶狀疱疹疫苗 (ZOSTAVAX)有副作用嗎? Any side effects from ZOSTAVAX vaccination?

注射 ZOSTAVAX® 疫苗後,注射部位或會出現輕微紅、腫、痛;有些人或會感到

頭痛。但這些症狀在數天內會自然消失。若接種後有任何不適,應盡快與你的醫

生聯絡。

The injection site may become slightly red, swollen and tender. Some may experience a mild headache. However, these symptoms are self-limiting and will disappear in a few days. Nevertheless anyone with persistent or serious discomfort after vaccination should contact the doctor ASAP.

0

1020

30

4050

60

70

8090

100

Year

1

Year

2

Year

3

Year

4

Year

5

Year

6

Year

7

Vac

cine

Eff

icac

y on

HZ

(%)