In the process of COVID-19 vaccination, we often encounter some questions, which situations can be beaten and what situations cannot be beaten? For example, can women who are trying to conceive, breastfeed, and menstruate be vaccinated against COVID-19? Can patients with cardiovascular and cerebrovascular diseases, hypertension and diabetes be vaccinated against COVID-19?
In response to these questions, under the guidance of the Sichuan Provincial Health Commission, the West China Hospital of Sichuan University, the Sichuan Provincial Center for Disease Control and Prevention, and the Sichuan Provincial Health Education Center, Professor Liang Zongan, director of the Department of Respiratory and Critical Care Medicine, was invited to answer for everyone.
1. Can women get the COVID-19 vaccine after trying to conceive, breastfeeding, menstruating, and induced abortion?
A: Women can be vaccinated during menstruation and pregnancy. Lactating women without contraindications can be vaccinated, such as discomfort after receiving the new crown vaccine, it is recommended to be assessed by the relevant department doctor after seeking medical treatment. After the abortion, if the body recovers well and there is no other discomfort, it can be vaccinated.
A: If the cardiovascular disease is in a stable state, it can be vaccinated without affecting the long-term use of drugs.
Cardiovascular diseases are mostly chronic diseases, such as coronary heart disease, heart failure, arrhythmias, etc., which require long-term treatment and control. If you have recently undergone interventional surgery, recovery after surgery is fast, and the disease condition is stable, it will basically not affect vaccination. Even if stents, pacemakers, sealers, prosthetic valves, etc. are implanted in the body, they can be vaccinated.
Patients with hypertension can be vaccinated if their blood pressure is within systolic blood pressure of 160 mmHg and diastolic blood pressure is less than 100 mmHg. Keep a calm mood during vaccination so that the increase in blood pressure does not affect the vaccination.
Patients with diabetes mellitus can be vaccinated with an empty blood glucose ≤ of 13.9 mmol/L without acute complications (ketoacidosis, hypertonic status, lactic acidosis).
3. If you have tuberculosis, COPD, and bradycarditis, can I get the COVID-19 vaccine?
A: Patients can be vaccinated after the end of the previous standardized treatment for tuberculosis and have entered the consolidation phase of anti-tuberculosis treatment. COPD is a non-acute episode with no significant cough and wheezing and can be vaccinated.
4. Can patients with malignant tumors be vaccinated against COVID-19?
A: Those who are stable with endocrine therapy alone, and those who are stable after 3 months or more after the end of antitumors such as radiotherapy and chemotherapy, intravenous targeted drugs, and immune drugs, can be vaccinated.
Patients with stable oral targeted drugs require specialist evaluation of whether they can be vaccinated against COVID-19; chemotherapy, radiotherapy, intravenous targeted drugs, and immunopharmaceuticals are postponed before and after surgery in patients with malignant tumors.
Patients who are terminally staged and do not have antitumor therapy but are in severe condition should not be vaccinated.
Reporter 丨 Li Dan
Source: Sichuan News Network