Probably, many remember that the “path” to the vaccination room in childhood always ran through a pediatrician. The doctor carried out an examination, listened to something with a phonendoscope, peered at the “papers” with analyzes and only then wrote out the direction. And the situation has not changed with age.
After all, each vaccination is a load on the immune system and other systems of the body. And, if something is wrong with the latter, the risk of severe complications increases many times over.
Basic readiness parameters
For those who consider themselves relatively healthy and have no hereditary predispositions to vascular diseases and thrombosis, it is enough to check before vaccination:
clinical blood test with leukocyte count,
general urine analysis,
basic biochemistry
the level of C-reactive protein.
A general (clinical) blood test will show:
whether there is systemic inflammation,
deficiency of immune cells,
allergies at the moment,
anemia, which sharply reduces the protective and restorative abilities of the body,
Latent inflammation, not reflected in the general analysis, will show an increase in C-reactive protein.
Analysis of urine will “highlight” urinary infections (if any), even if the latter are unnoticeable, as well as violations of the filtration capacity of the kidneys (protein, erythrocytes in the urine).
And the basic biochemistry will allow to exclude damage to the liver, kidneys, as well as the risk or degree of iron deficiency (which is a factor in weakening the immune system) and diabetes, even the latent course of which “hurts” painfully in the blood vessels and general health.
And, among other things, you can see the presence of antibodies to coronavirus; data on the initial level of antibodies will be needed to assess the post-vaccine immune response.
For those at risk
Today, people with chronic diseases are allowed to vaccinate against COVID-19. But only in the case of remission, confirmed by laboratory and instrumental research data (ultrasound, ECG, CT and others).
And a special risk group is represented by people with blood clotting disorders or risk factors for their development. So, a screening coagulogram (clotting test) and an analysis for homocysteine are shown not only for those who already have corresponding disorders, but also in the case of a burdened heredity for thrombosis or the presence of risk factors for its development (taking contraceptives, excess estrogen, obesity, metabolic disorders folate, smoking and others).
Those who have had heart attacks and strokes are also recommended to check the lipid balance (to exclude the existing atherosclerosis) and the level of ultrasensitive C-reactive protein, which allows to identify the risk of changes in blood vessels at the earliest, preclinical stage.
Identification of abnormalities in “vascular” analyzes requires consultation with the attending physician for the selection of a suitable vaccine https://en.wikipedia.org/wiki/COVID-19_vaccine and the development of tactics for “post-vaccination” observation.
Well, if the deviations are of a critical nature, the issue of obtaining a medical withdrawal from vaccination is considered.
