Asmeskas Pom Zoo "Ncua Sijhawm" Ntawm Johnson & Johnson COVID-19 Cov Tshuaj Tiv Thaiv Vim Ntshav Ntsws Ntshai

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Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob (CDC) thiab Kev Tswj Xyuas Khoom Noj thiab Tshuaj (FDA) tau hais qhia tias kev tswj hwm ntawm Johnson & Johnson COVID-19 cov tshuaj tiv thaiv "raug ncua" txawm hais tias muaj 6.8 lab koob tshuaj uas twb tau siv lawm hauv Asmeskas los txog niaj hnub no. Cov xov xwm no los ntawm kev sib koom ua ke uas qhia tias cov kws kho mob txwv tsis pub siv tshuaj tiv thaiv Johnson & Johnson kom txog thaum muaj kev ceeb toom ntxiv. (Muaj feem cuam tshuam: Txhua Yam Koj Yuav Tsum Paub Txog Johnson & Johnson's COVID-19 Vaccine)

Qhov kev pom zoo tshiab no yog qhov tshwm sim ntawm cov ntshav tsis tshua muaj tab sis hnyav hu ua cerebral venous sinus thrombosis (CVST) tau pom hauv qee tus tib neeg uas tau txais tshuaj tiv thaiv tshwj xeeb hauv Asmeskas, raws li tsab ntawv tshaj tawm. Hauv qhov no, "tsis tshua muaj" txhais tau tias tsuas yog rau qhov xwm txheej qhia txog tom qab txhaj tshuaj tiv thaiv ntshav tawm ntawm cov ze li 7 lab koob tshuaj. Hauv txhua qhov xwm txheej, cov ntshav khov tau pom ua ke nrog thrombocytopenia, aka qib qis ntawm cov ntshav platelets (cov xov tooj ntawm tes hauv koj cov ntshav uas tso cai rau koj lub cev ua rau txhaws kom nres lossis tiv thaiv ntshav). Txog tam sim no, tsuas yog cov neeg mob CVST thiab thrombocytopenia tom qab txhaj tshuaj tiv thaiv Johnson & Johnson tau nyob hauv cov poj niam hnub nyoog 18 thiab 48, 6 txog 13 hnub tom qab tau txais cov tshuaj tiv thaiv ib zaug, raws li FDA thiab CDC.

CVST yog hom mob stroke tsawg, raws li Tsev Kho Mob Johns Hopkins. (ICYDK, mob stroke tseem ceeb piav qhia txog qhov xwm txheej uas "cov ntshav xa mus rau ib feem ntawm koj lub hlwb raug cuam tshuam lossis txo qis, tiv thaiv cov ntaub so ntswg ntawm lub hlwb kom tsis txhob tau txais cov pa oxygen thiab cov as-ham," raws li Mayo Clinic.) CVST tshwm sim thaum cov ntshav txhaws hauv lub paj hlwb venous sinuses (pockets nruab nrab ntawm cov txheej txheem sab nraud ntawm lub hlwb), uas tiv thaiv cov ntshav los ntawm lub hlwb. Thaum cov ntshav tsis tuaj yeem tso ntshav tawm, tuaj yeem tsim tau, txhais tau tias cov ntshav tuaj yeem pib nkag mus rau hauv cov ntaub so ntswg. Cov tsos mob ntawm CVST suav nrog mob taub hau, tsis pom kev, tsaus muag lossis tsis nco qab, tsis tswj kev txav chaw, qaug dab peg, thiab tsis nco qab, raws li John Hopkins Tshuaj. (Muaj feem cuam tshuam: Puas yog qhov txhaj tshuaj tiv thaiv COVID-19?)

Muab cov ntawv ceeb toom tsawg kawg ntawm CVST tawm ntawm txhua tus neeg uas tau txais cov tshuaj tiv thaiv Johnson & Johnson COVID-19, tej zaum koj yuav xav tsis thoob yog tias CDC thiab FDA cov lus teb yog qhov ua dhau los. Qhov tseeb tias cov ntshav txhaws thiab qis platelets tshwm sim hauv kev sib xyaw ua ke yog qhov ua rau cov xwm txheej no tseem ceeb, hais tias Peter Marks, MD, Ph.D., tus thawj coj ntawm FDA Center for Biologics Evaluation and Research, hauv kev tshaj tawm xov xwm. "Nws yog lawv tshwm sim ua ke uas ua tus qauv thiab tus qauv ntawd zoo heev, zoo ib yam li tau pom hauv Tebchaws Europe nrog lwm yam tshuaj tiv thaiv," nws hais. Nws zoo li Dr. Marks tau hais txog cov tshuaj tiv thaiv AstraZeneca, muab cov xov xwm hais tias ntau lub tebchaws hauv Tebchaws Europe tau ncua sijhawm luv luv lawv siv cov tshuaj tiv thaiv lub hli dhau los vim muaj kev tshaj tawm txog ntshav txhaws thiab platelets tsawg.

Feem ntau, cov tshuaj coagulant hu ua heparin tau siv los kho ntshav khov, raws li CDC thiab FDA cov lus tshaj tawm. Tab sis heparin tuaj yeem ua rau cov ntshav platelet poob qis, yog li nws tuaj yeem ua rau muaj kev phom sij thaum siv los kho cov neeg uas twb muaj cov ntshav platelet tsawg, xws li rau cov poj niam uas muaj J & J teeb meem. Kev siv tshuaj tiv thaiv ncua yog ib qho kev mob siab rau "kom ntseeg tau tias cov kws kho mob tau paub tias yog lawv pom cov neeg uas muaj cov ntshav qis, lossis yog tias lawv pom cov neeg uas muaj ntshav khov, lawv yuav tsum tau nug txog keeb kwm ntawm kev txhaj tshuaj tiv thaiv tsis ntev los no thiab tom qab ntawd ua raws li qhov kev kuaj mob thiab kev tswj hwm ntawm cov tib neeg, "piav qhia Dr. Marks thaum lub sijhawm luv luv.

Nws yog ib qho tseem ceeb kom nco ntsoov tias tsuas yog vim CDC thiab FDA qhia tias "ncua" tsis tas yuav txhais tau tias kev tswj hwm tshuaj tiv thaiv Johnson & Johnson yuav raug tso tseg tag nrho. "Peb tau pom zoo tias cov tshuaj tiv thaiv yuav tsum tau ncua raws li kev tswj hwm," Dr. Marks tau hais thaum lub sijhawm luv luv. "Txawm li cas los xij, yog tias ib tus kws saib xyuas kev noj qab haus huv tau sib tham nrog tus neeg mob ib leeg thiab lawv txiav txim siab tias qhov txiaj ntsig/kev pheej hmoo rau tus neeg mob ntawd tsim nyog, peb yuav tsis tso tseg tus kws kho mob los ntawm kev txhaj tshuaj tiv thaiv." Cov txiaj ntsig yuav ntau dua qhov txaus ntshai hauv "feem ntau ntawm cov neeg mob," nws hais ntxiv.

Yog tias koj yog ib ntawm lab tus neeg Asmeskas uas twb tau txhaj tshuaj tiv thaiv Johnson thiab Johnson lawm, tsis txhob poob siab. Anne Schuchat, MD, tus thawj coj ntawm CDC tau hais tias "Rau cov neeg uas tau txhaj tshuaj tiv thaiv ntau tshaj li ib hlis dhau los, qhov kev pheej hmoo tshwm sim tsawg heev nyob rau lub sijhawm no," said Anne Schuchat, MD, tus thawj coj ntawm CDC, thiab thaum lub sijhawm tshaj tawm xov xwm. "Rau cov tib neeg uas nyuam qhuav tau txais cov tshuaj tiv thaiv nyob rau ob peb lub lis piam dhau los, lawv yuav tsum paub nrhiav cov tsos mob. Yog tias koj tau txais cov tshuaj tiv thaiv thiab ua rau mob taub hau, mob plab, mob ceg, lossis ua tsis taus pa, koj yuav tsum tiv tauj koj. tus kws kho mob thiab nrhiav kev kho mob. " (Muaj feem cuam tshuam: Koj Puas Ua Haujlwm Tom Qab Tau Txais Kev Tiv Thaiv COVID-19?)

Cov ntaub ntawv hauv zaj dab neeg no muaj tseeb raws li lub sijhawm nias. Txawm li cas los xij, raws li qhov xwm txheej nyob ib puag ncig COVID-19 txuas ntxiv mus, nws muaj peev xwm tias qee cov ntaub ntawv tau hloov pauv txij li kev tshaj tawm. Thaum Kev Noj Qab Haus Huv tab tom sim khaws peb cov dab neeg raws li qhov tseeb tau, peb kuj txhawb kom cov neeg nyeem kom paub txog xov xwm thiab cov lus pom zoo rau lawv tus kheej hauv zej zog los ntawm kev siv CDC, WHO, thiab lawv lub chaw saib xyuas kev noj qab haus huv hauv zej zog los ua cov peev txheej.

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