Jekiseni raJohnson & Johnson Rakamutsa Kukurukurirana NezveKuberekwa Kwekuzvarwa uye Mahombekombe eropa

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Kwayedza svondo rino, iyo US Centers for Disease Control uye Kudya neDrug Administration yakamutsa mhirizhonga nekukurudzira kuti kugoverwa kwechimbichimbi kwechirwere cheJohnson & Johnson COVID-19 mushure memishumo yakaitika yevakadzi vatanhatu vane chirwere chisingawanzo uye chakaipisisa cheropa mushure mekuwana mushonga . Nhau idzi dzakamutsa nhaurirano pasocial media nezve njodzi yekugwamba kweropa, imwe yacho ichitenderedza kubereka.

Kana iyi iri nhau kwauri, hezvino iwe zvaunoda kuziva: Musi waApril 13, CDC neDFA zvakapa chirevo chakabatana vachikurudzira kuti vanopa hutano vambomira kupa jekiseni raJohnson & Johnson. Vakagashira mishumo mitanhatu yevakadzi vaive vawana hutachiona hwehutachiona hwehutachiona (CVST), fomu isingawanzo uye yakaoma yeropa, pamwe chete nemazinga eropa maplatelet. (Dzimwe mbiri nyaya dzakabva dzabuda, imwe iri murume.) Aya kesi akakosha sezvo combo yeCVST uye maplatelet mashoma haafanire kurapwa neyakajairwa kurapwa, anticoagulant inonzi heparin. Pane kudaro, zvakakosha kuvabata neasiri-heparin anticoagulants uye yakakwira-dose intravenous immune globulin, maererano neCDC. Nekuti izvi zviputi zvakakomba uye kurapwa kwakanyanya kuomarara, CDC neFDA zvakakurudzira kumbomira pane jekiseni raJohnson & Johnson uye vari kuenderera mberi nekutarisa zviitiko izvi vasati vapa nhanho inotevera.

Kudzora kubara chinhu mune izvi zvese sei? Vashandisi veTwitter vanga vachisimudza tsiye chaiyo kuCDC uye kudana kweFDA kuti vambomira pamushonga, vachiratidzira njodzi yakawedzera yekugwamba kweropa ine chekuita nekudzora kubereka kwehomoni. Mamwe ma tweets anofananidza huwandu hwezviitiko zveCVST kubva kune wese munhu akagashira mushonga weJohnson & Johnson (vatanhatu kubva angangoita mamirioni manomwe) kusvika pachiyero chemapundu eropa muvanhu vane mahormone ekudzivirira kuberekwa mapiritsi (inenge imwe mu1000). (Yakabatana: Heino Maitiro Ekutora Kuberekwa Kununurwa Kunze Kumusuwo Wako)

Pamusoro, njodzi yekuvhara ropa inobatanidza nekudzivirira kubereka inoita seinonyanya kukosha kudarika njodzi yekuvhara ropa inosanganiswa neJ & J vaccine - asi kuenzanisa zviviri izvi zvakangofanana nekuenzanisa maapuro nemaranjisi.

"Rudzi rwemagwamba eropa angave akabatana nejekiseni anoita senge nekuda kwechikonzero chakasiyana pane icho chine chekuita nekudzora kuzvara," anodaro Nancy Shannon, MD, Ph.D., chiremba wepamusoro uye chipangamazano mukuru wezvekurapa kuNurx. Iwo epashure-ejekiseni makesi ayo iyo FDA neCDC yakadzikira mukati mayo anosanganisira zviitiko zveCVST, rudzi rusingawanzo yeropa muuropi, padivi peyakaderera maplatelet. Kune rimwe divi, mhando yemachira anowanzo kuve nechekuita nekudzivirira kuberekwa akadzika vein thrombosis (kugwamba mumidziyo mikuru) yemakumbo kana mapapu. (Cherechedza: Izvo ndizvo zvinogoneka kudzora kubereka kwehomoni kukonzeresa kugwamba kweropa muuropi, kunyanya pakati peavo vanonzwa migraines neaura.)

Yakadzika vein thrombosis inowanzo kurapwa pamwe nevanoonda ropa, maererano neMayo Clinic. CVST, zvisinei, ishoma pane yakadzika vein thrombosis, uye kana ichionekwa pamwe chete nemazinga eplatelet epasi (sezvazviri nemushonga weJ & J), inoda imwe nzira yekuita pane yakajairwa kurapwa kweherapin. Muzviitiko izvi, kubuda kweropa zvisina kujairika kunoitika pamwe chete neakagwamba, uye heparin inogona kuita kuti zvinhu zviwedzere. Uku ndiko kufunga kweCDC uye FDA kushure kwekupa zano rekumbomira pane jekiseni raJohnson & Johnson.

Pasinei nokuti iwe unogona kuenzanisa zvakananga zviviri izvi, zvakakosha kukurukura nezvengozi yekuvhara ropa kunobatanidza nekutora kuberekwa, uye chinhu chakakosha kutarisa kana iwe watova kana kufunga nezveBC. "Kune mukadzi asina mamiriro ekurapa kana njodzi dzinoratidza kuti anogona kusangana nechironda, mukana wekubatwa neropa wakawedzera zvakapetwa katatu kusvika mashanu pahurongwa hwekudzivirira kubata pamuviri hwehomoni zvichienzaniswa nevakadzi kwete pamhando ipi neipi kudzivirira pamuviri,” anodaro Dr. Shannon. Nezvekutarisa, iyo mwero wekugwamba kweropa pakati pevasina-vakadzi vane zera rekubereka-vakadzi vasingashandise mahormone ekuberekwa kuzvidzora ndeyevashanu kusvika kuvashanu pane gumi, asi pakati pevasina-vakadzi vane zera rekubereka-vakadzi vane zera rekuzvarwa kunze kwe10,000, maererano neFDA. (Yakabatana: Mishonga inorwisa mabhakitiriya Inogona Kuita Kuti Yako Yekuberekwa Kudzora Isanyanya Kubudirira?)

Musiyano wakakosha: Kugwamba kweropa kwakabatana neestrogen-ine kuberekwa kudzora zvakanyanya. "Kana tichitaura nezve njodzi yekugwamba kweropa zvine chekuita nekudzivirira kubereka, tiri kungotaura nezvekudzivirira kuberekwa uko kune estrogen, inosanganisira mapiritsi ekudzivirira kubereka chigamba,” anodaro Dr. Shannon. "Hormonal birth control iyo ine hormone yeprogestin chete haikonzeri njodzi yakawedzerwa iyi. Nzira dzekudzivirira kubereka dzinoshandiswa neprogestin chete dzinosanganisira mapiritsi eprogestin-only (dzimwe nguva anonzi maminipills), pfuti yekudzivirira kuzvara, kuiswa kwekudzivirira kuzvara, uye progestin IUD. ." Sezvo zvakadaro, chiremba wako anogona kukutungamirira kune nzira yeprogestin-chete kana iwe uchida kuenda pakudzivirira kuberekwa asi une zvikonzero zvingaita kuti iwe uwedzere kuvharika, zvakadai sekuva nemakore makumi matatu nemashanu kana kupfuura, kusvuta, kana mumwe munhu ane ruzivo. migraine ine aura.

Kunyange kana kusanganiswa kwekudzivirira kubereka kwehomoni, njodzi yekugwamba “ichiri yakaderera,” anodaro Dr. Shannon. Zvakadaro, hachisi chinhu chekutora zvishoma, nekuti kana pakagwamba kuitika, vanogona kutyisidzira hupenyu kana vasina kuongororwa nekukasira. Saka, zvakanyanya kukosha kuti uzive zviratidzo zveropa kana iwe uri paBC. "Chero kuzvimba, kurwadziwa, kana kupfava kwenhengo, kunyanya gumbo, kunofanirwa kuongororwa nekukurumidza nachiremba sezvo icho chinogona kunge chiri chiratidzo chekuti ropa rakavharwa," anodaro Dr. Shannon. "Zviratidzo zvekuti chirahwe chingave chakaenda kumapapu chinosanganisira kunetseka kufema, kurwadziwa pachipfuva kana kusagadzikana, kukurumidza kana kusajairika kurova kwemoyo, huro husina musoro, kuderera kweropa, kana kufenda. Kana paine munhu anowana izvi anofanirwa kunanga akananga kuEER kana kufonera 911." Uye kana iwe ukagadzira migraine ine aura mushure mekutanga kuzvarwa, iwe unofanirwa kunyatso kuudza chiremba wako. (Zvakafanana: Hailey Bieber Akavhurika NezveKuva Ne "Kurwadza" Hormonal Acne Mushure meKuwana IUD)

Uye, pachinyorwa, "vanhu vanoshandisa mapiritsi ekudzivirira kubereka, zvigamba, kana mhete vakagashira jekiseni raJohnson & Johnson havafanirwe kurega kushandisa dziviriro yavo," anodaro Dr. Shannon.

Zvinogona kubatsira zvakanyanya kuenzanisa njodzi yekugwamba kweropa nekudzora kuzvara uye yekudzivirira yeCCIDID-19 kune izvo zvavakagadzirirwa kudzivirira. Njodzi yekuvhara ropa panguva yekuzvitakura "yakakwira zvakanyanya kupfuura iyo inounzwa nekudzivirira kubereka," anodaro Dr. Shannon. Uye Yunivhesiti yeOxford kudzidza inoratidza kuti njodzi yekuwana hutachiona hwehutachiona sinus thrombosis yakanyanyisa pakati peavo akatapurira neCOVID-19 pane avo vakagamuchira iyo Moderna, Pfizer, kana AstraZeneca vaccine. (Chidzidzo chacho hachina kutaura pamusoro pehuwandu hwecerebral venous sinus thrombosis pakati pevanhu vakange vane chirwere cheJohnson & Johnson.)

Pazasi line? Nhau dzichangoburwa hadzifanire kukumisa kubhuka chirongwa chekudzivirira kana kutaura nezvese sarudzo dzako dzekudzivirira kuzvara nachiremba wako. Asi inobhadhara kudzidziswa pane dzese njodzi dzinogona kuitika kune ese ari maviri, kuti iwe ugone kunyatso chengeta matabu pane hutano hwako.

Mashoko ari munyaya iyi akarurama seye nguva yekudhinda. Sezvo zvigadziriso nezve coronavirus COVID-19 zvichiramba zvichishanduka, zvinokwanisika kuti rumwe ruzivo uye kurudziro munyaya iyi zvachinja kubva pakatanga kuburitswa. Tinokukurudzira kuti uongorore nguva zhinji zviwanikwa zvakaita seCDC, iyo WHO, uye nedhipatimendi rako rezvehutano reveruzhinji kune yakanyanya-kudhara dhata uye kurudziro.

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