{"id":226713,"date":"2024-05-14T15:00:43","date_gmt":"2024-05-14T15:00:43","guid":{"rendered":"https:\/\/bm.dev.synology.me\/?p=226713"},"modified":"2024-05-14T15:00:43","modified_gmt":"2024-05-14T15:00:43","slug":"vaccinul-impotriva-rujeolei-ar-putea-fi-mai-putin-eficient-la-copiii-nascuti-prin-cezariana","status":"publish","type":"post","link":"https:\/\/bm.dev.synology.me\/?p=226713","title":{"rendered":"Vaccinul \u00eempotriva rujeolei ar putea fi mai pu\u0163in eficient la copiii n\u0103scu\u0163i prin cezarian\u0103"},"content":{"rendered":"<p>\nPotrivit unui studiu realizat de un grup de cercet\u0103tori de la Universitatea din Cambridge, Marea Britanie, \u015fi de la Universitatea Fudan, China, prima doz\u0103 de vaccin \u00eempotriva rujeolei ar putea fi de 2,6 ori mai ineficient\u0103 la copiii n\u0103scu\u0163i prin cezarian\u0103 dec\u00e2t la cei n\u0103scu\u0163i prin na\u015ftere natural\u0103. Oamenii de \u015ftiin\u0163\u0103 au ar\u0103tat c\u0103 la primii o singur\u0103 doz\u0103 de vaccin nu reu\u015fe\u015fte s\u0103 provoace un r\u0103spuns imunitar suficient pentru a-i imuniza \u00eempotriva infec\u0163iei, ar\u0103t\u00e2nd \u00een acela\u015fi timp c\u0103 administrarea unei a doua doze induce o \u201eimunitate puternic\u0103&#8221; \u00eempotriva bolii.<\/p>\n<p>\nStudiul, citat de La Repubblica, a fost publicat \u00een revista Nature Microbiology.<\/p>\n<p>\n\u00cenainte de introducerea vaccinului \u00eempotriva rujeolei, \u00een anii 1960, \u015fi de programele ample de vaccinare, epidemiile de rujeol\u0103 se produceau aproximativ o dat\u0103 la doi-trei ani \u015fi provocau aproximativ dou\u0103 milioane \u015fi jum\u0103tate de decese \u00een fiecare an. Vaccinarea a ajutat la reducerea semnificativ\u0103 a inciden\u0163ei bolii, dar aceasta r\u0103m\u00e2ne \u00een continuare o cauz\u0103 major\u0103 de morbiditate \u015fi mortalitate: se estimeaz\u0103 c\u0103 \u00een 2022 au murit de rujeol\u0103 140.000 de persoane, majoritatea \u00een \u0163\u0103rile subdezvoltate \u015fi mai ales copii sub cinci ani.<\/p>\n<p>\nCele \u015fase regiuni ale Organiza\u0163iei Mondiale a S\u0103n\u0103t\u0103\u0163ii au stabilit obiective de eliminare a rujeolei &#8211; ceea ce presupune atingerea unor niveluri foarte ridicate de imunitate \u00een r\u00e2ndul popula\u0163iei (cel pu\u0163in 95% acoperire vaccinal\u0103).<\/p>\n<p>\nDezvoltarea sistemului imunitar al unui copil este legat\u0103 (\u015fi) de microbiom, adic\u0103 de setul de microorganisme din intestinul copilului. Iar \u00een ultimii ani, mai multe studii au \u00eencercat s\u0103 \u00een\u0163eleag\u0103 dac\u0103 na\u015fterea natural\u0103 favorizeaz\u0103 transferul acestor microorganisme de la mam\u0103 la nou-n\u0103scut, care ar putea beneficia cumva de acest proces de \u201emo\u015ftenire&#8221; a sistemului imunitar.<\/p>\n<p>\n\u201eAm constatat c\u0103 modul \u00een care ne na\u015ftem, prin cezarian\u0103 sau prin na\u015ftere natural\u0103&#8221;, a explicat Henrik Salje, unul dintre autori \u015fi profesor la Departamentul de genetic\u0103 al Universit\u0103\u0163ii din Cambridge, \u201eare consecin\u0163e pe termen lung asupra imunit\u0103\u0163ii noastre la boli, pe m\u0103sur\u0103 ce cre\u015ftem. La copiii n\u0103scu\u0163i prin cezarian\u0103, vaccinul \u00eempotriva rujeolei este mult mai probabil s\u0103 e\u015fueze, a\u015fa c\u0103 am dori s\u0103 ne asigur\u0103m c\u0103 ace\u015ftia primesc o a doua doz\u0103 pentru a fi proteja\u0163i \u00een mod adecvat \u015fi, de asemenea, pentru a proteja restul popula\u0163iei prin men\u0163inerea unei cote de imunizare ridicate\u201d.<\/p>\n<p>\nPentru a studia acest fenomen, cercet\u0103torii au adunat date din alte studii privind un total de peste 1.500 de copii n\u0103scu\u0163i \u00een regiunea Hunan din China \u015fi, \u00een special, probe de s\u00e2nge la intervale periodice de la na\u015fterea copiilor p\u00e2n\u0103 la v\u00e2rsta de 12 ani. \u00cen acest fel, ei au putut examina evolu\u0163ia nivelului de anticorpi \u00eempotriva rujeolei \u00een primii ani de via\u0163\u0103 \u015fi dup\u0103 vaccinare \u015fi au constatat c\u0103 12% dintre copiii n\u0103scu\u0163i prin cezarian\u0103 nu aveau un r\u0103spuns imunitar la prima vaccinare: dublu fa\u0163\u0103 de cei n\u0103scu\u0163i prin na\u015ftere natural\u0103.<\/p>\n<p>\nAutorii recomand\u0103 administrarea celei de-a doua doze \u00een special pentru copiii n\u0103scu\u0163i prin cezarian\u0103.<\/p>\n<p>\nConform ultimelor estim\u0103ri ale Organiza\u0163iei Mondiale a S\u0103n\u0103t\u0103\u0163ii, 21% dintre copii se nasc prin cezarian\u0103.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vaccinul \u00eempotriva rujeolei, o boal\u0103 grav\u0103 care a afectat milioane de vie\u0163i \u00eenainte de introducerea sa, nu are acela\u015fi efect la to\u0163i copiii. Prima doz\u0103 de vaccin ar putea fi de 2,6 ori mai pu\u0163in eficient\u0103 la copiii n\u0103scu\u0163i prin cezarian\u0103, relev\u0103 un studiu.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[510],"tags":[35617,42974,14930],"class_list":["post-226713","post","type-post","status-publish","format-standard","hentry","category-actualitate","tag-cezariana","tag-rujeola","tag-vaccin"],"_links":{"self":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/226713","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=226713"}],"version-history":[{"count":0,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/226713\/revisions"}],"wp:attachment":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=226713"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=226713"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=226713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}