Peb suav nrog kev txhaj tshuaj tiv thaiv. Ntu 9. Kab mob siab B

2024 Tus sau: Seth Attwood | [email protected]. Kawg hloov kho: 2023-12-16 16:06

1. Yog tias muaj ib yam dab tsi uas ruam tshaj qhov txhaj tshuaj tiv thaiv tus tub hluas tiv thaiv kab mob HPV, ces nws yeej yuav txhaj tshuaj tiv thaiv tus menyuam mos liab tiv thaiv kab mob siab B.

2. Zoo li HPV, kab mob siab B yog ib yam kab mob uas kis tau los ntawm kev sib deev lossis ntshav. Yog tias leej niam kis tus kab mob siab B, tus kab mob tuaj yeem kis mus rau tus menyuam hauv qhov chaw mos lossis thaum yug menyuam. Kab mob siab B tsis dhau los ntawm cov kua mis. [12]

3. Hauv 80% ntawm cov neeg laus, tus kab mob no ploj mus yam tsis muaj tsos mob, lossis muaj cov tsos mob me me, thiab lawv tsis paub tias lawv mob. Thaum kis kab mob, lawv tau txais kev tiv thaiv mus ib txhis.

Ntawm qhov seem 20% uas tau kuaj pom tias muaj kab mob siab B, 95% rov qab zoo tag nrho thiab tau txais kev tiv thaiv mus ib txhis.

Ntawm qhov seem 5%, tsuas yog 25% (piv txwv li 0.25% ntawm tag nrho cov neeg mob) yuav tsim, 20-30 xyoo tom qab kis kab mob, cirrhosis ntawm daim siab lossis mob qog noj ntshav. Cov kab mob cirrhosis lossis mob qog noj ntshav no tsis tshwm sim vim tus kab mob nws tus kheej, tab sis vim yog lub cev tiv thaiv kab mob rau nws.

70% ntawm cov neeg mob uas muaj kab mob siab B yog cov neeg quav yeeb quav tshuaj, gay, haus dej caw, cov neeg tsis muaj tsev nyob uas muaj ntau tus neeg koom nrog kev sib deev.

Kab mob siab B kis mus rau cirrhosis lossis mob qog noj ntshav feem ntau hauv cov neeg haus cawv, haus luam yeeb, cov neeg mob siab C, rog rog thiab ntshav qab zib.

4. Vim li cas thiaj txhaj tshuaj tiv thaiv tus menyuam yug tshiab tiv thaiv kab mob STDs, uas nws siv tsis tau? Zoo, tsuas yog vim cov neeg laus quav yeeb quav tshuaj thiab gay tsis kam txhaj tshuaj tiv thaiv. Yog li ntawd, nws tau txiav txim siab txhaj tshuaj tiv thaiv menyuam yaus tam sim tom qab yug menyuam, thaum lawv tseem tsis tuaj yeem tsis kam.

5. Feem ntau yog txhaj peb koob tshuaj tiv thaiv. Thawj yog txoj cai tom qab yug me nyuam; thib ob - ib hlis; thiab thib peb ntawm 6 lub hlis. Qhov no tsuas yog txhaj tshuaj tiv thaiv tam sim tom qab yug menyuam (tshwj tsis yog BCG, uas tsis muaj txiaj ntsig zoo uas nws yuav luag tsis siv nyob qhov twg hauv ntiaj teb). Yog tias koj xav tias txhaj tshuaj tiv thaiv kab mob tom qab yug me nyuam los tiv thaiv kev kis tau los ntawm leej niam, tsis yog. Hauv Teb Chaws Asmeskas thiab lwm qhov, txhua tus poj niam raug kuaj kab mob siab B ua ntej yug me nyuam.

Hauv qee lub tebchaws, txawm li cas los xij, txhua tus menyuam yaus tau txhaj tshuaj tiv thaiv yooj yim vim tias nws pheej yig dua li kev sim txhua tus niam.

6. Ua ntej kev txhaj tshuaj tiv thaiv thoob ntiaj teb rau cov menyuam mos pib xyoo 1990, tsuas yog 1 ntawm 100,000 tus menyuam yaus hnub nyoog qis dua 15 xyoos tau muaj tus kab mob siab B hauv Tebchaws Meskas. Tam sim no, txoj hauv kev kis tus kab mob siab B ua ntej hnub nyoog 20 xyoo yog 0.3 ib lab. Hauv cov teb chaws tsim kho, kab mob siab B yog ib yam kab mob tsawg heev. Hauv teb chaws Africa thiab nyob rau sab hnub tuaj Asia, nws muaj ntau dua.

7. Thawj koob tshuaj tiv thaiv kab mob siab B tau tshwm sim xyoo 1981. Nws tau tsim los ntawm tus kab mob muaj sia, thiab tom qab nws qhia, tus naj npawb ntawm cov neeg kis tus kab mob siab B tau nce sai. Hauv kev tshawb fawb xyoo 1994, nws tau pom tias txawm tias muaj cov tshuaj tiv thaiv, cov neeg mob uas muaj kab mob siab B tsis txo qis.

8. Muaj ntau lub tuam txhab tsim cov tshuaj tiv thaiv no, tab sis hauv cov teb chaws tsim kho lawv tsuas yog siv Recombivax (Merck) thiab Engerix-B (GSK), nrog rau cov tshuaj tiv thaiv ua ke.

Engerix-B muaj aluminium hydroxide thiab Recombivax amorphous aluminium hydrogen phosphate (AAHS, tib yam adjuvant uas Gardasil muaj). Recombivax muaj ob zaug ntau dua txhuas (500mcg vs. 250mcg).

Yav dhau los, lub ntim ntawm Recombivax qhia tias nws muaj txhuas hydroxide. Tam sim no lawv sau nws li no: 0.5 mg ntawm txhuas muab raws li txhuas hydroxyphosphate sulfate, yav tas los hu ua aluminium hydroxide. Qhov no yog lo lus nug ntawm ntau npaum li cas koj tuaj yeem ntseeg cov npe ntawm cov khoom xyaw tshuaj tiv thaiv.

Ob qho tshuaj tiv thaiv yog cog rau hauv cov poov xab thiab yog li muaj 1% cov poov xab protein, uas tuaj yeem ua rau muaj kab mob poov xab.

9. Hauv ntau lub tebchaws nyob sab Europe, cov menyuam yug tshiab tsis tau txhaj tshuaj tiv thaiv kab mob siab B, tab sis tau txhaj tshuaj tiv thaiv 2-3 lub hlis tom qab yug menyuam. Hauv qee lub tebchaws (Finland, Iceland, Denmark, Hungary), cov menyuam yaus tsis tau txhaj tshuaj tiv thaiv kab mob siab B txhua, tab sis tsis muaj kab mob sib kis. Ntawm qhov tsis sib xws, cov neeg tuag los ntawm kab mob siab B hauv lawv yog qis dua li European nruab nrab.

10. Kev sim tshuaj tiv thaiv kev nyab xeeb ntawm cov tshuaj tiv thaiv no tsis muaj pab pawg tswj hwm, vim nws suav tias yog qhov tsis ncaj ncees uas tsis tau txhaj tshuaj tiv thaiv tus menyuam mos liab tawm tsam STDs, uas nws xyaum tsis tuaj yeem kis tau.

Ntau qhov kev tshawb fawb:

11. Cov tshuaj tiv thaiv kab mob siab B rov ua dua thiab muaj kev pheej hmoo ntawm ntau tus kab mob sclerosis: kev tshawb fawb yav tom ntej. (Hernán, 2004, Neurology)

Cov tshuaj tiv thaiv kab mob siab B, peb xyoos tom qab txhaj tshuaj, raug kev txom nyem los ntawm ntau yam sclerosis 3.1 zaug ntau dua li cov uas tsis tau txhaj tshuaj.

Nws kuj tseem tshuaj xyuas ntau lwm cov kev tshawb fawb uas tsis pom muaj kev pheej hmoo ntawm ntau yam sclerosis hauv cov tshuaj tiv thaiv. Piv txwv li, ntawm no yog ib qho kev tshawb fawb uas pom tias tsis muaj kev pheej hmoo ntxiv. Qhov no yog vim lawv siv hnub kuaj mob, tsis yog hnub ntawm thawj cov tsos mob. Kev kuaj mob ntawm ntau yam sclerosis feem ntau yog ua tau ntau xyoo tom qab pib cov tsos mob.

12. Tshuaj tiv thaiv kab mob siab B thiab kev pheej hmoo ntawm CNS inflammatory demyelination thaum yau. (Mikaeloff, 2009, Neurology)

Cov tshuaj tiv thaiv Engerix-B ua rau muaj kev pheej hmoo ntawm ntau yam sclerosis 2.77-fold piv rau lwm cov tshuaj tiv thaiv kab mob siab B.

13. Kev hloov pauv ntawm ntau yam sclerosis hauv Fabkis txij thaum pib txhaj tshuaj tiv thaiv kab mob siab B. (Houézec, 2014, Immunol Res)

Txij li thaum pib txhaj tshuaj tiv thaiv kab mob siab B hauv Fab Kis, tus naj npawb ntawm ntau tus kab mob sclerosis tau nce 65%. Muaj kev sib raug zoo (0.93 / 0.73) ntawm tus naj npawb ntawm cov tshuaj tiv thaiv thiab tus naj npawb ntawm cov neeg mob ntau yam sclerosis hauv 1-2 xyoos.

14. Kev tshawb fawb txog kev tswj xyuas cov xwm txheej loj autoimmune tom qab txhaj tshuaj tiv thaiv kab mob siab B. (Geier, 2005, Autoimmunity, NWS)

VAERS tsom xam. Cov neeg laus txhaj tshuaj tiv thaiv kab mob siab B tsim ntau yam sclerosis 5.2 npaug ntau dua li cov tshuaj tiv thaiv kab mob tetanus. Qhov kev pheej hmoo ntawm vasculitis yog 2.6 npaug ntau dua, plaub hau poob 7.2 zaug, lupus 9 zaug, mob caj dab 2 zaug, rheumatoid mob caj dab 18 zaug, thrombocytopenia 2 zaug, o ntawm lub paj hlwb 14 zaug siab dua.

15. Cov xwm txheej tsis zoo cuam tshuam nrog cov tshuaj tiv thaiv kab mob siab B hauv Asmeskas cov menyuam yaus hnub nyoog qis dua rau xyoo, 1993 thiab 1994. (Fisher, 2001, Ann Epidemiol)

Kev txhaj tshuaj tiv thaiv kab mob siab B nce kev pheej hmoo ntawm mob caj dab los ntawm 5.9 npaug, mob otitis media los ntawm 1.6 zaug, thiab pharyngitis los ntawm 1.4 npaug.

16. Tshuaj tiv thaiv kab mob siab B thiab kab mob siab hauv Teb Chaws Asmeskas cov menyuam yaus hnub nyoog qis dua 6 xyoos, 1993 thiab 1994. (Fisher, 1999, Epidemiology)

Kev txhaj tshuaj tiv thaiv kab mob siab B ua rau muaj kev pheej hmoo ntawm kab mob siab los ntawm 1.5-2.3 zaug.

17. Kev txhaj tshuaj tiv thaiv kab mob siab B ntawm cov txiv neej neonates thiab kev kuaj mob autism, NHIS 1997-2002. (Gallagher, 2010, J Toxicol Environ Health A.)

Cov me nyuam mos liab uas tau txhaj tshuaj tiv thaiv kab mob siab B muaj 3 npaug ntawm kev pheej hmoo siab ntawm kev mob autism, piv nrog cov tsis tau txhaj tshuaj, lossis txhaj tshuaj tiv thaiv tsawg kawg ib hlis tom qab yug me nyuam.

18. Cov tshuaj tiv thaiv kab mob siab B. (Girard, 2005, Autoimmun Rev)

Ib tsab xov xwm tshuaj xyuas txog qhov tshwm sim ntawm autoimmune qhov tshwm sim ntawm kev txhaj tshuaj tiv thaiv kab mob siab B, thiab yuav ua li cas cov tshuaj tiv thaiv no ua ke nrog cov tshuaj pov thawj (tsis yog tag nrho).

19. Kev ncua ncua ntawm qhov kev xav ntawm cov menyuam yug tshiab hauv cov menyuam yug tshiab uas tau txais cov tshuaj tiv thaiv kab mob siab B uas muaj thimerosal: cuam tshuam ntawm lub hnub nyoog gestational thiab qhov hnyav thaum yug. (Hewitson, 2010, J Toxicol Environ Health A.)

Cov menyuam mos liab tau txhaj tshuaj tiv thaiv kab mob siab B nrog thiomersal, thiab piv nrog cov tsis tau txhaj tshuaj.

Cov tshuaj tiv thaiv macaques tau txais kev muaj sia nyob reflexes, nrog rau lub cev muaj zog thiab lub cev muaj zog reflexes, ntau dua li cov tsis tau txhaj tshuaj. Tsawg qhov hnyav thiab yug ntxov ntxov exacerbated cov nyhuv.

Thiomersal (ethyl mercury) tsis tau ntxiv rau kev txhaj tshuaj txij li xyoo 2003 hauv Tebchaws Meskas thiab Tebchaws Europe sab hnub poob, tab sis tseem siv hauv lwm lub tebchaws. Hauv Canada, piv txwv li. Tsis hais Russia, Eastern Europe thiab peb lub ntiaj teb no..

20. Tshuaj tiv thaiv kab mob siab B triple series thiab kev loj hlob tsis taus hauv Asmeskas cov menyuam hnub nyoog 1-9 xyoo. (Gallagher, 2008, Toxicol Environ Chem)

Cov txhaj tshuaj tiv thaiv kab mob siab B muaj 9 npaug ntawm kev pheej hmoo ntawm kev loj hlob tsis taus ntau dua li cov uas tsis tau txhaj tshuaj.

21. Clustering of Cases of IDDM 2 mus rau 4 Xyoo tom qab txhaj tshuaj tiv thaiv kab mob siab B yog ua raws li kev sib koom ua ke tom qab kis kab mob thiab kev loj hlob mus rau IDDM hauv Autoantibody Positive Individuals. (Classen, 2008, Qhib Pediatr Med J)

Txij li thaum pib ntawm kev txhaj tshuaj tiv thaiv, cov menyuam yaus uas muaj ntshav qab zib hom 1 tau nce 61% hauv Fabkis thiab 48% hauv New Zealand.

Hauv tebchaws Ltalis, cov tshuaj tiv thaiv kab mob siab B raug kev txom nyem los ntawm cov menyuam yaus mob ntshav qab zib mellitus 40% ntau dua li cov uas tsis tau txhaj tshuaj.

Kev nce ntawm cov neeg mob ntshav qab zib me nyuam yaus tshwm sim 2-4 xyoos tom qab pib txhaj tshuaj tiv thaiv, uas qhia txog kev sib raug zoo.

22. Mob nkees nkees thiab fipomyalgia tom qab txhaj tshuaj tiv thaiv kab mob siab B: lwm lub kaum sab xis ntawm 'autoimmune (auto-inflammatory) syndrome induced by adjuvants' (ASIA). (Agmon-Levin, 2014, Immunol Res)

Cov tshuaj tiv thaiv kab mob siab B tau cuam tshuam nrog kev mob nkees nkees thiab mob fibromyalgia.

23. Autoimmunity tom qab txhaj tshuaj tiv thaiv kab mob siab B uas yog ib feem ntawm spectrum ntawm 'Autoimmune (Auto-inflammatory) Syndrome induced by Adjuvants' (ASIA): tsom xam ntawm 93 tus neeg mob. (Zafri, 2012, Lupus)

ASIA, los yog Schonfeld's Syndrome, yog lub ntsiab lus dav dav rau cov kab mob autoimmune los ntawm adjuvants thiab suav nrog cov teebmeem autoimmune ntawm aluminium adjuvants, Gulf war syndrome, macrophage myositis (MMF) thiab siliconosis (autoimmune teebmeem ntawm silicone implants). Nws ua rau cov tsos mob ntawm neurological thiab puas siab puas ntsws, kev paub tsis meej, mob nqaij, mob caj dab, mob nkees, insomnia, tsis pom kev thiab teeb meem plab hnyuv, thiab lwm yam.

Nws tshuaj xyuas 93 tus neeg mob uas cuam tshuam nrog cov tshuaj tiv thaiv kab mob siab B.

24. Kev txhaj tshuaj tiv thaiv kab mob autoimmunity. (Cohen, 1996, J Autoimmun)

Cov kab mob autoimmune xws li Reiter's syndrome, mob caj dab, lupus, o ntawm choroid, myasthenia gravis, erythema nodosum, thrombocytopenic purpura, Evans syndrome, thiab demyelinating kab mob ntawm lub hauv paus paj hlwb yog txuam nrog kev txhaj tshuaj tiv thaiv kab mob siab B.

25. Hauv vivo txoj kev tshawb fawb txog tshuaj tiv thaiv kab mob siab B cuam tshuam rau kev mob thiab cov metabolism hauv cov noob qhia. (Hamza, 2012, Mol Biol Rep.)

Epigenetic nyhuv ntawm cov tshuaj tiv thaiv. Cov nas tau txais ib lossis ob koob tshuaj tiv thaiv kab mob siab B (ntawm koob tsim nyog). Tom qab ib hnub, lawv muaj kev hloov pauv tseem ceeb hauv kev qhia txog 144 cov noob hauv lub siab. Cov kws sau ntawv txheeb xyuas kom meej 7 ntawm lawv. Txhua qhov kev hloov pauv tsis zoo thiab ua rau lub siab mob me me. Feem ntau vim yog aluminium.

26. Tshuaj tiv thaiv kab mob siab B induces apoptotic death in Hepa1-6 cells. (Hamza, 2012, Apoptosis)

Cov tshuaj tiv thaiv kab mob siab B rhuav tshem mitochondria thiab tua cov kab mob siab hauv cov nas.

27. Kev cob qhia kev tiv thaiv kab mob hauv cov menyuam mos yug tshiab ntawm cov niam uas muaj tus kab mob HBV. (Hong, 2015, Nature Comm)

Tus kab mob siab B kis los ntawm leej niam mus rau tus me nyuam yuav, tsis zoo li kev ntseeg nrov, ua rau muaj kev loj hlob zoo ntawm lub cev.

28. Vertical HBV kis tau tus mob hauv Yeluxalees hauv lub sijhawm tshuaj tiv thaiv. (Michaiel, 2012, Harefuah)

Cov tshuaj tiv thaiv kab mob siab B tsis ua haujlwm txhua rau hauv cov menyuam mos uas yug los rau cov niam muaj mob.

Txoj kev tshawb no qhia tias tsawg dua 4% ntawm cov menyuam yug los ntawm cov niam muaj mob kis tus kabmob lawv tus kheej.

29. Tus kab mob siab B mob ntev hauv cov tub ntxhais hluas uas tau txhaj tshuaj tiv thaiv menyuam mos thawj zaug. (Wu, 2013, Hepatology)

Cov menyuam muaj hnub nyoog kaum tsib xyoos uas tau txhaj tshuaj tiv thaiv raws li menyuam yaus tau sim tshuaj tiv thaiv kab mob siab B thiab pom tias muaj tsawg heev. Ntawd yog, kev tiv thaiv los ntawm kev txhaj tshuaj yuav xaus txawm tias ua ntej qhov pib ntawm kev sib deev, thaum kawg nws tsim nyog.

Raws li lwm txoj kev tshawb fawb, cov tshuaj tiv thaiv ploj thaum muaj hnub nyoog tsib xyoos.

30. VAERS tau sau tseg 999 tus menyuam yaus hnub nyoog qis dua ib xyoos tuag thiab 390 tus neeg xiam oob qhab tom qab txhaj tshuaj tiv thaiv kab mob siab B hauv Tebchaws Meskas. (uas yog, tus nqi tiag tiag yog 10-100 npaug ntxiv)

31. Cov tshuaj tiv thaiv Israeli Sci-B-Vac tau siv rau hauv cov neeg Ixayees txij li xyoo 2005. Tab sis tsuas yog nyob hauv nruab nrab ntawm cov neeg Ixayees thiab nyob rau sab qab teb (vim tias koj tsis tuaj yeem muab tag nrho lub khw rau ib lub chaw tsim khoom). Cov tshuaj tiv thaiv no tau muab tshem tawm thaum Lub Xya Hli 2015.

Nws tau rov qab los, raws li tsab ntawv tshaj tawm los ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv, vim hais tias cov ampoules tau nkag mus rau hauv lub tshuab sau npe sai heev, uas tuaj yeem ua rau muaj kev cuam tshuam ntawm microcracks thiab cov kab mob sib kis. Tsis pom muaj kab mob ampoules, yog li cov pej xeem tau thov kom tsis txhob txhawj, tab sis cov tshuaj tiv thaiv tau raug tshem tawm. Ob xyoos dhau los txij thaum ntawd los, tab sis cov tshuaj tiv thaiv tsis tau rov qab mus rau lub khw. Tej zaum, lawv tsis tuaj yeem daws qhov teeb meem ntawm cov ntawv lo.

32. Sci-B-Vac yog koob tshuaj thib peb. Thawj tiam yog txhaj tshuaj tiv thaiv. Cov tiam thib ob yog cov tshuaj tiv thaiv kab mob sib txuas (kho hloov kho) uas muaj cov kab mob zoo li cov kab mob. Cov tshuaj tiv thaiv tiam thib peb muaj ob qho antigens ntxiv, thiab yog li ntawd ua rau muaj zog tiv thaiv kab mob.

Tsuas yog luam tawm kev sim tshuaj tiv thaiv kab mob koom nrog 150 tus menyuam yaus. Cov tshuaj tiv thaiv tsis tau txais kev pom zoo los ntawm FDA. Cov txheej txheem ntawm pawg thawj coj saib xyuas kev noj qab haus huv, uas tau tso cai txhaj tshuaj tiv thaiv hauv Ixayees, tau ploj mus rau qhov chaw.

Ntau tus niam txiv hauv pawg FB hais tias cov menyuam yaus los ntawm cov tshuaj tiv thaiv no muaj kev phiv loj heev, kev loj hlob qeeb, thiab lwm yam. Qhov no tsis yog qhov xav tsis thoob, vim nws muaj ob zaug ntau dua aluminium. Nws kuj muaj peb antigens es tsis txhob ntawm ib qho, ntxiv kev pheej hmoo ntawm cov tshuaj tiv thaiv autoimmune. Yog vim li cas qhov no tshwm sim yuav tau tham nyob rau hauv lwm qhov chaw.

Cov tshuaj tiv thaiv kuj tau sau npe hauv Russia.

33. Cov lus qhuab qhia thiab kev xam phaj:

34. Cov tshuaj Ayurvedic zoo li yuav kho tau tus kab mob siab B thiab mob ntev.

35. Cov duab qhia txog cov neeg mob thiab cov neeg tuag los ntawm kab mob siab B, ua ntej thiab tom qab pib txhaj tshuaj tiv thaiv hauv Tebchaws Meskas. Cov ntaub ntawv muab los ntawm CDC.

PAB 12/8

36. Cov kws tshaj lij tshuaj tiv thaiv tau sib cav li cas txog qhov yuav tsum tau txhaj tshuaj tiv thaiv no rau cov menyuam mos? Cia peb mloog Paul Offit.

Nws thawj qhov kev sib cav: tus menyuam tuaj yeem kis tau los ntawm leej niam hla lub qhov dej yug me nyuam. Tab sis, raws li peb twb paub lawm, qhov no, cov tshuaj tiv thaiv tseem tsis tau siv, koj yuav tsum tau muab cov tshuaj immunoglobulin.

Qhov kev sib cav thib ob: tus menyuam tuaj yeem kis tau los ntawm lwm tus tus txhuam hniav, lossis los ntawm qee tus txiv ntxawm. Txoj kev kis kab mob no yog qhov theoretical nkaus xwb. Tsis muaj ib txoj kev tshawb fawb uas ua pov thawj tias ib tus neeg tau kis tus kab mob siab B li no.

Qhov kev sib cav thib peb: Cov neeg uas tau txhaj tshuaj tiv thaiv tam sim tom qab yug me nyuam muaj ntau dua qhov yuav xaus tag nrho peb txhaj tshuaj. Tsis muaj lus pom.

37. Tus kab mob siab B zoo li kuj tau kho nrog vitamin C. [Baur, 1954], [Kirchmair, 1957], [Calleja, 1960], [Morishige, 1978], [Smith, 1988]

TL; DR: Nws ua rau kev txiav txim siab txhaj tshuaj tiv thaiv menyuam yaus tiv thaiv kab mob siab B tsuas yog tias koj tab tom npaj txoj haujlwm ua niam ntiav rau lawv, lossis yog tias tus menyuam pom kev nyiam sib deev, lossis yog tias koj ntshai tias menyuam yaus yuav dhau los ua neeg quav yeeb tshuaj.

Thiab txawm li ntawd los, nws tsis muaj txiaj ntsig los txhaj tshuaj tiv thaiv menyuam mos, tab sis nws tsim nyog tos kom txog thaum muaj hnub nyoog 18 xyoo. Lub caij nyoog ntawm kev cog lus kab mob siab B ua ntej qhov pib ntawm kev sib deev yog xyaum xoom.

Cov tshuaj tiv thaiv muaj 250-500 mcg ntawm txhuas. Ntawd yog, peb koob tshuaj tiv thaiv no muaj 15-30 npaug ntawm txhuas ntau dua li txhuas txhuas uas tus menyuam yuav tau txais los ntawm cov kua mis hauv 6 lub hlis. Los ntawm txoj kev, qhov tseeb hais tias tus me nyuam feem ntau tau txais txhuas los ntawm cov kua mis tsis tau txhais hais tias qhov no yog qhov qub. Qhov no txhais tau hais tias cov niam muaj tshuaj lom nrog txhuas, uas lawv tau txais los ntawm cov zaub mov thiab dej, thiab siv nws pov tseg lawv cov menyuam mos.

Cov tshuaj tiv thaiv feem ntau yuav tsis muaj txiaj ntsig txawm tias cov menyuam yug los rau cov niam muaj mob.

Kev txhaj tshuaj tiv thaiv ua rau muaj kev pheej hmoo ntawm cov kab mob autoimmune xws li ntau yam sclerosis, mob caj dab, mob ntshav qab zib hom 1 thiab ntau lwm yam.

Hauv cov teb chaws tsim kho, qhov kev pheej hmoo ntawm cov teeb meem los ntawm kev txhaj tshuaj tiv thaiv ntau dua qhov kev pheej hmoo ntawm cov teeb meem los ntawm kab mob siab B, thiab txawm tias ntau dua qhov kev pheej hmoo ntawm kev cog lus kab mob siab B.