Katemera wa Johnson & Johnson Wayambitsa Kukambirana Pazokhudza Kulera ndi Magazi

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Kumayambiriro sabata ino, US Centers for Disease Control and Food and Drug Administration idadzetsa mphekesera polimbikitsa kuti kufalitsa katemera wa Johnson & Johnson COVID-19 pakadutsa malipoti azimayi asanu ndi m'modzi omwe ali ndi vuto losawoneka bwino la magazi atalandira katemera . Nkhaniyi yadzetsa zokambirana pamawayilesi ocheza nawo za chiopsezo cha magazi, imodzi mwazokhudza kubereka.

Ngati iyi ndi nkhani kwa inu, izi ndi zomwe muyenera kudziwa: Pa Epulo 13, CDC ndi FDA zidapereka chiganizo chogwirizana kuti azaumoyo asiye kwakanthawi kupereka katemera wa Johnson & Johnson. Adalandira malipoti asanu ndi limodzi azimayi omwe adakumana ndi ubongo venous sinus thrombosis (CVST), mawonekedwe osowa ndi owopsa a magazi, kuphatikiza ndi magazi am'magazi ochepa. (Milandu iwiri idatulukapo, m'modzi kukhala wamwamuna.) Milanduyi ndiyodziwika bwino chifukwa combo ya CVST ndi ma platelet otsika sayenera kuthandizidwa ndi mankhwala, anticoagulant otchedwa heparin. M'malo mwake, ndikofunikira kuti muwachiritse ndi ma non-heparin anticoagulants komanso ma globulin oteteza mthupi mwamphamvu kwambiri, malinga ndi CDC. Chifukwa kuundana kumeneku ndikofunikira ndipo mankhwalawa ndi ovuta, CDC ndi FDA adalimbikitsa kuyimitsa katemera wa Johnson & Johnson ndipo akupitilizabe kuyang'ana pamilanduyo asanapereke gawo lotsatira.

Kodi njira zakulera zimakwanira bwanji zonsezi? Ogwiritsa ntchito Twitter akhala akulera nsidze pa CDC ndi kuyitanitsa kwa FDA kuti ayimitse katemerayu, ndikuwonetsa chiwopsezo chowonjezeka chamagulu amwazi omwe amakhudzana ndi kubadwa kwa mahomoni. Ma tweets ena amafanizira kuchuluka kwa milandu ya CVST kuchokera kwa aliyense yemwe walandila katemera wa Johnson & Johnson (asanu ndi mmodzi mwa pafupifupi 7 miliyoni) ndi kuchuluka kwa magazi m'magazi mwa anthu okhala ndi mapiritsi oletsa kubereka (pafupifupi 1 000). (Zogwirizana: Nazi Momwe Mungapewere Njira Yolerera Pakhomo Panu)

Pamwamba, kuopsa kwa magazi okhudzana ndi kulera kumawoneka kwakukulu kwambiri kusiyana ndi chiopsezo cha magazi okhudzana ndi katemera wa J & J - koma kuyerekeza awiriwa kuli ngati kuyerekezera maapulo ndi malalanje.

"Mtundu wamagazi omwe angalumikizidwe ndi katemerayu akuwoneka kuti ndi chifukwa china chosiyana ndi chija chokhudzana ndi kulera," akutero a Nancy Shannon, MD, Ph.D., dokotala woyang'anira ndi mlangizi wamkulu wazachipatala ku Nurx. Milandu yotsatira katemera yomwe a FDA ndi CDC adalowamo imaphatikizaponso zochitika za CVST, mtundu wosowa wamagazi wamaubongo, limodzi ndi ma platelet. Kumbali inayi, mtundu wa minyewa yomwe imagwirizanitsidwa kwambiri ndi kulera ndimitsempha yamagazi (kutsekeka kwamitsempha yayikulu) yamiyendo kapena mapapo. (Zindikirani: Izi ndi Ndizotheka kuthana ndi kubadwa kwa mahomoni kuyambitsa magazi m'magazi aubongo, makamaka pakati pa omwe amakumana ndi mutu waching'alang'ala ndi aura.)

Malinga ndi The Mayo Clinic, matenda am'mitsempha yam'mimba amachiritsidwa ndi magazi ochepetsa magazi. CVST, komabe, ndiyosowa kwambiri kuposa mitsempha yayikulu yam'mimba, ndipo ikawonedwa limodzi ndi ma plateletate ochepa (monga momwe zimakhalira ndi katemera wa J & J), imafunikira njira yina yosiyana ndi momwe amathandizira herapin. Pazifukwa izi, kutuluka magazi kwachilendo kumachitika limodzi ndi magazi, ndipo heparin imatha kupangitsa kuti zinthu ziipireipire. Awa ndi malingaliro a CDC ndi FDA kumbuyo kwa lingaliro loti ayime pang'ono pa katemera wa Johnson & Johnson.

Mosasamala kanthu kuti mungafanizire mwachindunji izi, ndikofunikira kukambirana za chiwopsezo cha magazi omwe amakhudzana ndi kubereka, ndipo ndichinthu choyenera kuwunika ngati muli kale kapena mukuganiza za BC. "Kwa mayi yemwe alibe zovuta zamankhwala kapena zoopsa zomwe zikusonyeza kuti atha kukumana ndi magazi, chiopsezo chokhala ndi magazi chimachulukanso katatu kapena kasanu mukamayanjana ndi mahomoni poyerekeza ndi azimayi omwe alibe kulera, "akutero Dr. Shannon. Mwakutero, kuchuluka kwa magazi pakati pa amayi omwe ali ndi pakati osakwanitsa kubereka omwe sagwiritsa ntchito njira yoletsa mahomoni ndi amodzi kapena asanu mwa 10,000, koma mwa azaka zapakati osabereka omwe amagwiritsa ntchito njira yoletsa mahomoni, ndi atatu kapena asanu ndi anayi. mwa 10,000, malinga ndi FDA. (Zogwirizana: Kodi Maantibayotiki Angapangitse Kuti Kubadwa Kwanu Kusagwire Ntchito?)

Kusiyanitsa kofunikira: Magazi am'magazi amathandizidwa ndi njira zakulera zomwe zili ndi estrogen. “Tikalankhula za chiwopsezo cha kutsekeka kwa magazi pokhudzana ndi kulera, timangonena za njira zakulera zomwe zili ndi estrogen, yomwe imaphatikizapo mapiritsi oletsa kubereka [ie mapiritsi okhala ndi estrogen ndi progestin], mphete zolerera, ndi njira zolerera. chigamba, "akutero Dr. Shannon. "Kuletsa kubereka kwa mahomoni komwe kumakhala ndi mahomoni otchedwa progestin okha sikubweretsa chiopsezo chowonjezereka chotere. Njira zolerera zokhala ndi progestin zokha ndi monga mapiritsi a progestin-only (nthawi zina amatchedwa minipills), njira yolerera, yoletsa kubereka, ndi progestin IUD. . " Ngati ndi choncho, dokotala wanu akhoza kukutsogolerani ku njira ya progestin yokha ngati mukufuna kulera koma muli ndi zifukwa zomwe zingakupangitseni kuti mutenge magazi, monga kukhala ndi zaka 35 kapena kuposerapo, wosuta fodya, kapena wina amene amadwala matendawa. migraine ndi aura.

Ngakhale mutaphatikiza njira zoletsa kubereka za m'thupi, chiopsezo cha kuundana magazi "chikadali chochepa," akutero Dr. Shannon. Komabe, sichinthu choti chizitenga mopepuka, chifukwa ngati magaziwo achitika, amatha kukhala pachiwopsezo ngati sangawazindikire msanga. Chifukwa chake, ndikofunikira kwambiri kudziwa zizindikilo zamagazi ngati muli pa BC. "Kutupa kulikonse, kupweteka, kapena kufooka kwa chiwalo, makamaka mwendo, kuyenera kuyang'aniridwa mwachangu ndi dokotala chifukwa ichi chitha kukhala chizindikiro kuti magazi aumbika," akutero Dr. Shannon. "Zizindikiro zomwe chovala chimatha kupita m'mapapo chimaphatikizapo kupuma movutikira, kupweteka pachifuwa kapena kusapeza bwino, kugunda kwamtima mwachangu kapena mosasinthasintha, mutu wopepuka, kuthamanga magazi, kapena kukomoka. Ngati wina akukumana ndi izi ayenera kulunjika ku ER kapena kuyimba 911." Ndipo ngati mukulitsa mutu waching'alang'ala ndi aura mutangoyamba kulera, muyenera kudziwitsa dokotala. (Zokhudzana: Hailey Bieber Anatsegula Zokhudza Kukhala Ndi Ziphuphu Zam'madzi "Zowawa" Pambuyo Popeza IUD)

Ndipo pankhaniyi, "anthu ogwiritsa ntchito mapiritsi, zigamba, kapena mphete omwe alandila katemera wa Johnson & Johnson sayenera kusiya kugwiritsa ntchito njira zawo zakulera," akutero Dr. Shannon.

Kungakhale kothandiza kwambiri kuyerekeza chiopsezo chotseka magazi ndi njira zakulera komanso katemera wa COVID-19 ndi zomwe adapangidwa kuti aziteteza. Chiwopsezo cha kuundana kwa magazi pa nthawi ya mimba “n’chachikulu kwambiri kuposa chimene chimabwera chifukwa cha kulera,” anatero Dr. Shannon. Ndipo kafukufuku waku University of Oxford akuwonetsa kuti chiopsezo chotenga cerebral venous sinus thrombosis ndichokwera kwambiri pakati pawo. kuthenga kachilombo ndi COVID-19 kuposa omwe adalandira katemera wa Moderna, Pfizer, kapena AstraZeneca. (Kafukufukuyu sananene za kuchuluka kwa ubongo wa venus sinus thrombosis pakati pa anthu omwe adalandira katemera wa Johnson & Johnson.)

Mfundo yofunika? Nkhani zaposachedwa siziyenera kukulepheretsani kusungitsa nthawi ya katemera kapena kuyankhula ndi dokotala wanu njira zonse zolerera. Koma zimapindulitsa kuphunzitsidwa paziwopsezo zonse ziwiri, kotero mutha kuyang'anira thanzi lanu moyenera.

Zomwe zili munkhaniyi ndizolondola monga nthawi yolemba. Pomwe zosintha za coronavirus COVID-19 zikupitilizabe kusintha, ndizotheka kuti zina ndi zina zomwe zanenedwa m'nkhaniyi zasintha kuyambira pomwe zidasindikizidwa koyamba. Tikukulimbikitsani kuti mumayang'anitsitsa pafupipafupi ndi zinthu monga CDC, WHO, ndi dipatimenti yazaumoyo yakwanuko kuti mumve zambiri zamtunduwu komanso malingaliro awo.

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