Apla Naidu

Consultant Gynaecologist since KL. Schooling in SAHC, Alor Star, 1967. Graduated from UM in 1974. In Private Practice at Sentul KL, 631 Jalan Sentul

[Noor Hisham Abdullah @DGHisham]

VAKSIN ASTRA ZENECA DAN KESAN SAMPING DARAH BEKU

Kesan sampingan yang dikatakan berkait dengan vaksin Astra Zeneca adalah kesan darah beku atau Vaccine Induced Immune Thrombotic Thrombocytopenia  (VITT ). 

Ia adalah penyakit di mana darah membeku bersama dengan sel darah kuning menjadi kurang. Perkara ini HANYA berlaku dalam sela masa 4 hari hingga 4 minggu selepas menerima vaksinasi. Orang ramai diminta tidak risau kerana vaksinasi terakhir AZ telah berlalu bertahun lamanya. Kes mahkamah yang diwar-warkan adalah kes yang berlaku di United Kingdom sewaktu pandemik COVID-19. Ia bukan berdasarkan kes yang berlaku baru-baru ini.

Kementerian Kesihatan Malaysia pada waktu itu telah menerima laporan bahawa VITT ini boleh berlaku dalam sela masa 4 hari hingga 4 minggu selepas vaksinasi. Namun yang demikian, vaksin ini masih perlu digunakan untuk program vaksinasi kerana kadar kematian akibat COVID-19 dalam kalangan masyarakat yang tidak divaksin amat tinggi, dan ketika itu stok vaksin tidak mencukupi waktu itu. Golongan berisiko tinggi adalah golongan yang pernah mempunyai sejarah pembekuan darah sebelum ini. Golongan berisiko ini tidak dibenarkan menerima vaksin jenis Astra Zeneca. Kementerian Kesihatan Malaysia juga mengeluarkan garis panduan bagi menyaring golongan yang berisiko tinggi bagi tidak menerima vaksin jenis ini, dan juga bagi pengesanan awal sekiranya kesan sampingan ini berlaku AEFI. (Boleh rujuk gambar).

Selain langkah berjaga-jaga ini, insiden kesan samping darah beku (VITT) juga sangat rendah iaitu 4 kes berlaku dalam 1 setiap juta suntikan. Jika dibandingkan dengan risiko darah beku dan platelet rendah selepas jangkitan COVID-19 itu sendiri, ia lebih selamat. Selepas jangkitan COVID-19, risiko kesan darah beku daripada jangkitan thrombotic thrombocytopenia (TT) ini adalah setinggi 165 000 kes dalam 1 juta jangkitan. Insiden darah beku di kalangan perokok pula adalah lebih tinggi iaitu hampir 1800 kes dalam 1 juta perokok. Tiada lagi kes VITT dikesan dan dilaporkan kini. 

Kes serangan jantung, stroke dan masalah pembekuan darah yang masih lagi berlaku kini TIADA KAITAN dengan vaksin kerana tiada lagi program vaksinasi menggunakan vaksin ini kebelakangan ini. Astra Zeneca vaksin juga tidak digunakan Untuk dos penggalak (Booster dose).

Serangan jantung, stroke dan masalah pembekuan darah yang masih berlaku kini adalah disebabkan faktor risiko lain seperti merokok, masalah kolesterol, dan masalah kencing manis. Orang ramai diminta membezakan antara kesan samping darah beku (VITT) dengan masalah pembekuan darah yang lain. Kriteria diagnosa VITT mestilah ianya berlaku dalam sela masa 4 minggu selepas vaksinasi dan perlu ada nilai platelet yang rendah. Diagnosa tidak boleh dibuat dengan mata kasar tanpa pemeriksaan dan pengesahan oleh pegawai perubatan. Kita perlu berhati-hati dengan analisa fakta dan salah tafsir yang akan menyebabkan kekusutan dan kekeliruan di kalangan masyarakat.

[Dr Mahathir Mohamad @chedetofficial]

𝐖𝐀𝐑

1. There is a war going on between Russia and Ukraine. It is a fight between David and Goliath. Ukraine has lost thousands of soldiers and civilians. Four million Ukrainians have migrated to neighbouring countries and Ukrainian towns and cities have been bombed and rocketed until no building is up standing.

2. Russian losses are less serious than Ukraine.

3. This war is totally unnecessary and unfortunate. Ukraine was once a member of the USSR (Union of Soviet Socialist Republics). But Russia decided to dismantle the USSR and free the members. Russia also disbanded the Warsaw Pact, the organisation to counter the formation of NATO, the western alliance against Russia. Obviously the threat from Russia was much reduced.

4. The western alliance should also disband NATO. But instead the western alliance decided to strengthen NATO by inviting the former members of the Warsaw Pact to join NATO. This increased the threat by NATO against Russia.

5. Russia did not object until Ukraine which had borders with Russia was invited to join NATO. If Ukraine joined NATO, Russia would have a potential enemy at its borders. Russia objected.

6. The western alliance kept promoting the membership of Ukraine in NATO. But it did not approve Ukraine’s membership.

7. Russia was provoked by the possibility of Ukraine joining NATO. If it did then Russia would have NATO at its border. Russia could be attacked by NATO and not just by Ukraine.

8. Russia pre-empted by invading Ukraine. As Ukraine was not a member of NATO, the western alliance was not obliged to get directly involved in the war between Ukraine and Russia.

9. Consequently only Ukraine is the country being attacked by Russia. And as we can see only Ukraine is damaged by the war, only Ukrainian soldiers and civilians are being killed, only Ukrainian people are forced to migrate to other countries.

10. The western alliance is free from war or Russian attacks. But they are busy supplying Ukraine with weapons and funds so Ukraine can keep on fighting and suffering Russian attacks. The war would weaken Russia and NATO would actually become stronger.

11. Poor Ukraine. It is being destroyed so that the western alliance would become a stronger threat against Russia.

12. Ukraine cannot hope to be rebuilt by the western alliance after the war. Whether it wins or lose does not matter. The damage suffered by the country is horrendous. The cost of rebuilding would run into trillions of dollars. And the western alliance would not want to spend its money to rebuild Ukraine.

[Apla Naidu @apla_naidu]

@anwaribrahim Congratulations to the Sepak takraw team. It’s a rare achievement to get it on the World stage

[Noor Hisham Abdullah @DGHisham]

“The time to repair the roof is when the sun is shining”
JFK
https://t.co/dID4031aX0

[Apla Naidu @apla_naidu]

In US PGA golf tournament, Sahith Theegala Reddy, with a score of-14 is lying 2nd in the standings. Wishing him the best. Hope he wins tommorow. He will be the 2nd Indian origin golfer, after Vijay Singh to do well

[Apla Naidu @apla_naidu]

In the present Century, migration of people is a common occurrence.Refugees being settled in other countries, especially in the West is daily occurrence.Children born to this migrants become natives in the countries where their parents settled down.We should not bicker about Race

[Apla Naidu @apla_naidu]

@chedetofficial I wanted to be considered as a Malaysian.iam born here. I can speak Malay and English fluently.also Tamil. What more I need to do to proof my Malaysianess.?

[Apla Naidu @apla_naidu]

@chedetofficial In the West, if you are born there you are considered as a citizen or bumiputra or son of the soil.
Malaya is called Tanah Melayu,named after the predominant race .No one is questioning it. What actually is troubling you, Tun. ? No one calls Malaya Tanah China or Tanah India .

[Apla Naidu @apla_naidu]

@pushpathak Merry Christmas, Puspha

[Apla Naidu @apla_naidu]

Covid 19 Pandemic is ending - Omicron is a blessing in disguise - Koon Yew Yin
https://t.co/o7tppfQHD3

[Apla Naidu @apla_naidu]

Those requiring pfizer booster dose, you are welcome to sentul medical centre, 631 jalan sentul KL . Can Waze the location. Quick service

[Apla Naidu @apla_naidu]

@chedetofficial Wishing Tun, a speedy recovery, from SAHOCA Naidu

[Malaysian Medicine @MyMedicalRsrc]

Khairy: No Guarantee Covid-19 Vaccination Will Stop At Third Dose https://t.co/2lxFVXQtG5

[The Prince and Princess of Wales @KensingtonRoyal]

Delighted to share a new image of the family, which features on this year’s Christmas card 🎄

[Khairy Jamaluddin 🇲🇾🌺 @Khairykj]

MOH @KKMPutrajaya strongly advises senior citizens & those with comorbidities to cancel overseas travel and avoid crowded public areas due to developments around VOC Omicron.

[Khairy Jamaluddin 🇲🇾🌺 @Khairykj]

National Rt is 1.04. Keep your masks on. Avoid crowded places. Senior citizens, especially, should get their booster jabs when it’s available to them. Practice #TRIIS.

[Apla Naidu @apla_naidu]

I reached a lifetime climb of 1,000 floors and earned the Skydiver badge today with Fitbit! https://t.co/gTQ7RrQfZZ #Fitstats