I-U.S. Incoma "Ukumisa Isikhashana" Emgomeni kaJohnson & Johnson COVID-19 Ngenxa Yokukhathazeka Kwehlule Legazi

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ICenters for Disease Control and Prevention (CDC) kanye neFood and Drug Administration (FDA) incoma ukuthi ukuphathwa komgomo kaJohnson & Johnson COVID-19 “kumiswe isikhashana” yize imithamo eyizigidi eziyi-6.8 isivele inikezwe e-US kuze kube manje. Lezi zindaba ziza ngesitatimende esihlanganyelwe esiphakamisa ukuthi abahlinzeki bezempilo bayeke ukusebenzisa umuthi wokugomela uJohnson & Johnson kuze kube kuphinde kwaqashelwa. (Okuhlobene: Konke Odinga Ukukwazi Ngokugoma KukaJohnson & Johnson's COVID-19)

Lesi sincomo esisha siwumphumela wohlobo lwegazi olungajwayelekile kodwa olunzima olubizwa nge-cerebral venous sinus thrombosis (CVST) etholakala kwabanye abantu abathole umuthi wokugoma othize e-U.S., Ngokwesitatimende. Kulokhu, "okungavamile" kusho izehlakalo eziyisithupha kuphela ezibikiwe zehlule legazi langemva kokugonywa kuleyo mithamo ecishe ibe yizigidi eziyisi-7. Esimweni ngasinye, ihlule legazi lalibonakala lihambisana ne-thrombocytopenia, okuyizinga eliphansi lamaplatelet egazi (izicucu zamangqamuzana egazini lakho ezivumela umzimba wakho ukuba wakhe amahlule ukuze amise noma avimbele ukopha). Kuze kube manje, amacala kuphela abikiwe we-CVST ne-thrombocytopenia kulandela umuthi wokugoma kaJohnson & Johnson abekwabesifazane abaphakathi kweminyaka engu-18 no-48, izinsuku eziyisithupha kuya kwezi-13 ngemuva kokuthola umuthi wokugoma owodwa, ngokusho kwe-FDA ne-CDC.

I-CVST wuhlobo lwe-stroke engavamile, ngokusho kukaJohns Hopkins Medicine. (ICYDK, isifo sohlangothi sichaza isimo lapho "ukuphakelwa kwegazi lengxenye yobuchopho bakho kuphazamiseka noma kuncishiswa, kuvimbela izicubu zobuchopho ekutholeni umoya-mpilo nezakhi zomzimba," ngokusho kweMayo Clinic.) I-CVST yenzeka lapho ihlule legazi izono zesibindi ezinobuthi (izikhwama eziphakathi kwezingqimba ezingaphandle zobuchopho), ezivimbela ukuphuma kwegazi ebuchosheni. Lapho igazi lingakwazi ukuphuma, ukopha kungakha, okusho ukuthi igazi lingaqala ukuvuza ezicutshini zobuchopho. Izimpawu ze-CVST zifaka phakathi ikhanda, ukungaboni kahle, ukuquleka noma ukulahlekelwa ukwazi, ukulahlekelwa ukulawula ukunyakaza, ukuxhuzula, nokuquleka, ngokusho kukaJohn Hopkins Medicine. (Okuhlobene: Usebenza Kangakanani Umgomo we-COVID-19?)

Njengoba kunikezwe inani eliphansi lemibiko ye-CVST kubo bonke abantu abathole umuthi wokugoma kaJohnson & Johnson COVID-19, ungahle uzibuze ukuthi impendulo ye-CDC ne-FDA iwukusabela ngokweqile yini. Iqiniso lokuthi ama-clots egazi namaplatelet aphansi enzeka ngokuhlangana yikho okwenza la macala aqapheleke kakhulu, kusho uPeter Marks, MD, Ph.D., umqondisi we-FDA Center for Biologics Evaluation and Research, esithangamini nabezindaba. "Ukwenzeka kwabo ndawonye okwenza iphethini futhi lelo phethini lifana kakhulu nalokho okwabonakala eYurophu ngomunye umuthi wokugoma," esho. Kungenzeka ukuthi uDkt.

Imvamisa, isidakamizwa esiyi-coagulant esibizwa nge-heparin sisetshenziselwa ukwelapha amahlule egazi, ngokusho kwesitatimende esihlangene se-CDC ne-FDA. Kepha i-heparin ingadala ukwehla kwamazinga eplatelet, ngakho-ke kungaba yingozi uma isetshenziselwa ukwelapha abantu asebenenani eliphansi lamaplatelet, njengakwabesifazane abayisithupha abanezinkinga ze-J & J. Ukumisa isikhashana ukusetshenziswa komuthi wokugoma kuyimizamo "yokuqinisekisa ukuthi abahlinzeki bayazi ukuthi uma bebona abantu abanegazi eliphansi, noma uma bebona abantu abanamahlule egazi, kudingeka babuze ngomlando wokugoma wakamuva bese benza okuthile ngokufanele ekuxilongweni nasekuphathweni kwalabo bantu, "kuchaza uDkt. Marks ngesikhathi kunesithangami.

Kubalulekile ukuqaphela ukuthi ngenxa yokuthi i-CDC ne-FDA ziphakamisa ukuthi "kumiswe isikhashana" akusho ukuthi ukuphathwa komuthi wokugoma kaJohnson & Johnson kuzomiswa ngokuphelele. "Sincoma ukuthi umuthi wokugoma umiswe kancane maqondana nokuphathwa kwawo," kusho uDkt Marks ngesikhathi kunesithangami. "Kodwa-ke, uma umhlinzeki wezempilo oyedwa enengxoxo nesiguli ngasinye futhi enquma ukuthi inzuzo/ingozi yaleso siguli ngasinye ifanelekile, ngeke simvimbe lowo mhlinzeki ekunikezeni umgomo." Izinzuzo zizodlula izingozi "ezimweni eziningi," engeza.

Uma ungomunye wezigidi zabantu baseMelika asebewutholile umgomo kaJohnson noJohnson, ungathuki. "Kubantu abathole umuthi wokugoma esikhathini esingaphezu kwenyanga eyedlule, ubungozi buphansi kakhulu ngalesi sikhathi," kusho u-Anne Schuchat, M.D., umqondisi oyinhloko we-CDC, nangenxa yesithangami nabezindaba. "Kubantu abasanda kuthola umuthi wokugoma emasontweni ambalwa edlule, kufanele bazi ukuthi babheke noma yiziphi izimpawu. Uma uthola umuthi wokugoma bese uba nekhanda elibuhlungu, ubuhlungu besisu, ubuhlungu bomlenze, noma ukuphefumula okuncane, kufanele uthinte umhlinzeki wezempilo futhi afune ukwelashwa. " (Okuhlobene: Ungasebenza Yini Ngemuva Kokuthola Umuthi Wokugoma i-COVID-19?)

Imininingwane ekule ndaba inembile njengesikhathi sokushicilela. Kodwa-ke, njengoba isimo esizungeze i-COVID-19 siqhubeka nokuvela, kungenzeka ukuthi enye idatha ishintshile selokhu yashicilelwa. Ngenkathi ezempilo zizama ukugcina izindaba zethu zisesikhathini ngangokunokwenzeka, sibuye sikhuthaze abafundi ukuthi bahlale benolwazi ngezindaba nezincomo zemiphakathi yabo ngokusebenzisa i-CDC, i-WHO, kanye nomnyango wabo wezempilo womphakathi njengezinsizakusebenza.

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