I-COVID-19 isiphakamise izimpilo zethu zonke kodwa njengoba ukukhishwa kwemithi yokugoma kwenzeka ezweni lonke, ekugcineni sekunokuphela okubonakala…kodwa kuphela uma abantu abanele begonywa. Ngakho-ke uma umngane wakho/umamncane/osebenza naye ekutshela ukuthi bayacabanga hhayi ukuthola umgomo, ukhathazeke ngokuqondakalayo—kubo kanye nomphakathi wonkana. Uhlelo lwakho lokusebenza? Yazi amaqiniso. Sikhulume nochwepheshe ukuthola ukuthi ubani ngempela okungafanele athole umgomo (qaphela: leli yiqembu elincane kakhulu labantu), kanye nendlela yokubhekana nokukhathazeka kwalabo abangabazayo ngawo.
Qaphela: Ulwazi olungezansi luhlobene nemithi emibili yokugomela i-COVID-19 etholakala manje kubantu baseMelika futhi yathuthukiswa izinkampani ezithaka imithi i-Pfizer-BioNTech kanye neModerna.
Ubani okungafanele nakanjani awuthole umgomo
Ubani okufanele akhulume nodokotela wakhe ngaphambi kokuthola umgomo
Linda, ngakho-ke kufanele yini abesifazane abakhulelwe bathole umgomo noma cha?
Ukuthola umuthi wokugomela i-COVID ngenkathi ukhulelwe noma umhlengikazi kuyisinqumo somuntu siqu, kusho UNicole Calloway Rankins, MD, MPH , ibhodi eligunyazwe i-OB/GYN kanye nomsingathi we Konke Mayelana Nokukhulelwa Nokuzalwa i-podcast. Kunedatha elinganiselwe kakhulu mayelana nokuphepha kwemithi yokugomela i-COVID-19 kubantu abakhulelwe noma abahlengikazi. Uma ucabangela ukuthi uwuthole yini umgomo ngenkathi ukhulelwe noma uncelisa, kubalulekile ukubuza umhlinzeki wakho wokunakekelwa kwezempilo esimweni sobungozi bakho, uyasitshela.
Isibonelo, uma unezinkinga zempilo ezicashile ezandisa ubungozi bakho bokuba nohlobo olubi kakhulu lwe-COVID-19 (njengesifo sikashukela, umfutho wegazi ophakeme noma isifo samaphaphu), ungase uthambekele kakhulu ekutholeni umgomo ngenkathi ukhulelwe noma uncelisa. Ngokunjalo, uma usebenza endaweni yokunakekelwa kwezempilo engcuphe kakhulu njengekhaya lasebekhulile noma isibhedlela.
Khumbula ukuthi kukhona ubungozi nganoma iyiphi indlela. Ngomuthi wokugoma wamukela ubungozi bemiphumela emibi yomuthi wokugoma, esikwaziyo ukuthi mincane kuze kube manje. Ngaphandle komuthi wokugoma wamukela ubungozi bokuthola i-COVID, esaziyo ukuthi kungaba yingozi enkulu.
Iphuzu elibalulekile: Uma ukhulelwe, khuluma nodokotela wakho ukuze uhlole ubungozi bese unquma ukuthi umgomo ukulungele yini.
Umakhelwane wami uthi sebevele bene-COVID-19, ngabe lokho kusho ukuthi abawudingi umgomo?
I-CDC incoma ukuthi nalabo asebene-COVID-19 bathole umgomo. Isizathu salokhu ukuthi ukungatheleleki ekuthelelekeni kuyashintshashintsha ngandlela thile futhi kunzima kakhulu ukwenza ukuhlolwa komuntu ngamunye kwakho njengesici esinqumayo ukuthi umuntu kufanele akuthole noma cha, kuchaza uDkt. Vojdani. Ukusabela kwabo kulokho kwaba ukuncoma ukugoma ukuze umuntu aqiniseke ukuthi banezinga lokugomela elikhonjiswe ocwaningweni lwesigaba sesi-3 oluvela kubakhi bomgomo. Njengoba i-COVID emele inkinga enkulu kangaka yezempilo emhlabeni wonke ngiyakuqonda lokhu.
Umngane wami ucabanga ukuthi umgomo uhlobene nokungatholi abantwana. Ngimtshele ngithini?
Impendulo emfushane: Akunjalo.
Impendulo ende: Iprotheyini ebalulekile ukuze i-placenta isebenze kahle, i-syncytin-1, ithi akufane nephrotheni ye-spike eyakhiwe ngokuthola umgomo we-mRNA, kuchaza uDkt Rankins. Kube nenkolelo-mbono engamanga eyasakazwa yokuthi amasosha omzimba akheka kuphrotheni ye-spike ewumphumela wokugoma angabona futhi avimbe i-syncytin-1, ngaleyo ndlela aphazamise ukusebenza kwe-placenta. Laba bobabili babelana ngama-amino acid ambalwa, kodwa awafani ngokwanele kangangokuthi amasosha omzimba akheke ngenxa yomgomo angabona futhi avimbe i-syncytin-1. Ngamanye amazwi, abukho ubufakazi bokuthi umgomo we-COVID-19 udala inzalo.
Kungani amanye amalungu omphakathi wabaNsundu ewungabaza kangaka umgomo?
Ngokwemiphumela ye ucwaningo lwePew Research Center eshicilelwe ngoDisemba, bangamaphesenti angama-42 kuphela abantu abamnyama baseMelika abathi bazocabanga ukuthatha umgomo, uma kuqhathaniswa namaphesenti angama-63 abantu base-Hispanic namaphesenti angama-61 abantu abadala abamhlophe ababengacabanga. Futhi yebo, lokhu kungabaza kwenza umqondo ophelele.
Omunye umongo womlando: I-United States inomlando wokucwasa ngokwezokwelapha. Esinye sezibonelo ezimbi kakhulu zalokhu kwaba ukwesekwa nguhulumeni I-Tuskegee Syphilis Study eyaqala ngo-1932 futhi yabhalisa amadoda angama-600 aMnyama, angama-399 kuwo ayenogcunsula. Laba bahlanganyeli bakhohliswa ukuthi bakholelwe ukuthi bathola usizo lwezokwelapha lwamahhala kodwa esikhundleni salokho baqashelwa izinjongo zocwaningo. Abacwaningi abazange banikeze ukunakekelwa okuphumelelayo kokugula kwabo (ngisho nangemva kokuba i-penicillin yatholakala ukuthi yelapha ugcunsula ngo-1947) futhi ngenxa yalokho, amadoda abhekana nezinkinga ezinkulu zempilo nokufa ngenxa yalokho. Ucwaningo lwaphela lapho sivezwa emaphephandabeni ngo-1972.
Futhi leso yisibonelo esisodwa nje sokucwasa ngokwezokwelapha. Kunezibonelo eziningi ezengeziwe ze ukungalingani kwezempilo kubantu bebala , okuhlanganisa iminyaka ephansi yokuphila, umfutho wegazi ophakeme kanye nobunzima empilweni yengqondo. Ukucwasa ngokwebala kukhona phakathi kokunakekelwa kwezempilo (Abantu abamnyama banjalo mancane amathuba okuthola imithi yezinhlungu efanele futhi uhlangabezana namazinga aphezulu ngokulinganayo okufa ahlobene nokukhulelwa noma ukubeletha , Ngokwesibonelo).
Kodwa kusho ukuthini lokhu ngomgomo we-COVID-19?
Njengowesifazane omnyama, ngiphinde ngibe nokungathembani okuqhubekayo kohlelo lokunakekelwa kwezempilo okusekelwe endleleni uhlelo lokunakekelwa kwezempilo olusiphathe ngayo, ngokomlando namanje, kusho uDkt. Rankins. Kodwa-ke, isayensi nedatha kuqinile futhi iphakamisa ukuthi umuthi wokugoma uyasebenza futhi uphephile kubantu abaningi. Ngokuphambene, siyazi ukuthi i-COVID ingabulala abantu abanempilo futhi ingaba nemiphumela edabukisayo yesikhathi eside esesiqala ukuyiqonda manje, uyanezela.
Nansi enye into okufanele icatshangelwe: I-COVID-19 ithinta abantu abamnyama nabanye abantu bebala elibi kakhulu. Idatha evela ku-CDC imibukiso ukuthi ngaphezu kwengxenye yamacala e-COVID-19 e-United States abephakathi kwabantu abamnyama nabamaLatinx.
KuDkt. Rankins, lokho kwakuyisici esinqumayo. Ngiwutholile umgomo, futhi ngethemba ukuthi abantu abaningi bazowuthola.
Umugqa ongezansi
Akukacaci kahle ukuthi bangaki abantu baseMelika abangadinga ukugonywa ukuze bafinyelele ukungatheleleki kwemihlambi (okungukuthi, izinga leli gciwane elingeke lisakwazi ukusabalala ngalo kubantu). Kepha uDkt Anthony Fauci, umqondisi weNational Institute of Allergy and Infectious Diseases, uDkt. muva nje uthe ukuthi inani kuzodingeka libe phakathi kwamaphesenti angama-75 kuya kwangu-85. Lokho… okuningi. Ngakho, uma wena kungaba uthole umgomo, kufanele.
Kuyaqondakala ukungabaza okuthile okusha, kodwa kubalulekile ukubeka imizwelo eceleni futhi ubheke ubufakazi obuhlosiwe, kusho uDkt Vojani. Ubufakazi buthi lo mgomo uholela ekwehleni okukhulu kwezimpawu ze-COVID-19 kulabo abagonyiwe futhi uvimbele ukulaliswa esibhedlela nokufa. Kuze kube manje, imiphumela engemihle yesikhashana ibonakala imnene futhi iyalawuleka ikakhulukazi uma iqhathaniswa ne-COVID-19 uqobo futhi azikho izinkinga ze-autoimmune ezibonwe kuze kube manje. Lokhu kuphambene nokutheleleka okuthwala izinga elishaqisayo lokukhathala okungapheli kanye nesifo esithathelwanayo esithathelwanayo sokuzivikela komzimba.
Uma othile ekutshela ukuthi akafuni ukuwuthola umgomo futhi abekho kwelinye lamaqembu angafaneleki okukhulunywe ngenhla, ungamnikeza amaqiniso futhi umkhuthaze ukuthi akhulume nomhlinzeki wakhe wokunakekela oyinhloko. Ungakwazi futhi ukudlulisa lawa magama avela kuDkt. Rankins: Lesi sifo sibi kakhulu, futhi le mithi yokugoma izosiza ukusinqanda, kodwa kuphela uma senele ukusithola.
OKUhlobene: Umhlahlandlela Wakho Omkhulu Wokuzinakekela Ngesikhathi se-COVID-19
