Alyson McGregor: Why medicine often has dangerous side effects for women
अलीसन मेग्रेगर: महिलांवर औषधाचे धोकेदायक दुष्परिणाम नेहमी का होतात ?
Alyson McGregor studies women's health, especially as it relates to emergency care -- when time-sensitive, life-or-death decisions are made using drugs and treatments mainly tested on men. Full bio
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and the medications they're prescribing
जी औषधे लिहून देतात,
always been the case for everyone.
बरोबर लागू होईल असे नाही.
over the past century
अस्तित्वात आले
half the population?
आधारित होते.
in a medical emergency.
करण्याबाबत माझे प्रशिक्षण झाले आहे.
किती मजेदार आहे हे?
and stubbed toes,
काहींना पायाच्या घोट्याचे दुखणे असते.
through the door to the ER,
चाचण्या घेण्यास सांगतो.
or gender of our patients.
याचा विचार न करता.
any differences between men and women.
याबाबतीत स्त्री पुरुषात फरक असतो.
revealed that 80 percent of the drugs
मूल्यमापन केले असता आढळले ८०% औषधे
त्यांचे दुष्परिणाम.
side effects on women
दुष्परिणामाचा अभ्यास का करीत आहोत.
released to the market?
for a drug to go from an idea
वर्षे लागू करण्यापूर्वी
a regulatory approval process,
नियमन करणाऱ्या यंत्रणेकडे.
to prescribe to you?
ते तुम्हास लिहून देतात.
of dollars of funding
unacceptable side effects
याचे दुष्परिणाम शोधतो.
after that has gone through?
स्त्रिया ही याचा वापर करतात.
used in that laboratory,
ज्या पेशींचा उपयोग या साठी होतो
in the animal studies were male animals,
वापर होतो तेही नर असतात.
performed almost exclusively on men.
our framework for medical research?
popularized in the media,
with the sleep aid Ambien.
over 20 years ago,
of prescriptions have been written,
ते अनेकांना लिहून देण्यात आले.
suffer more sleep disorders than men.
कारण झोपेचे विकार त्यांच्यात अधिक असतात.
recommended cutting the dose in half
करण्याची शिफारस केली.
that women metabolize the drug
in their system.
getting behind the wheel of the car,
ते कार चालवितात तेव्हा
for motor vehicle accidents.
as an emergency physician,
मी विचार करण्यापलीकडे काही करू शकत नाही
that I've cared for over the years
and acted upon 20 years ago
गेल्या वीस वर्षात हा निष्कर्ष काढला आहे
to be analyzed by gender?
लिंग परत्वे केला पाहिजे?
to protect people
without informed consent.
बळी जाण्यापासून
or rules were set into place,
करणे आवश्यक आहे.
to protect women of childbearing age
medical research studies.
happened to the fetus during the study?
at this time actually thought
are pretty homogeneous.
fluctuating levels of hormones
they could get if they had only men.
झालेले निष्कर्ष अंतिम नाहीत.
there was a general assumption
were alike in every way,
and sex hormones.
applied to women.
महिलांना लागू करण्यात आले
of women's health?
संकल्पनेने त्यांचे कोणते नुकसान झाले?
with reproduction:
सारखेच सर्केच असते मानले गेले
to as "bikini medicine."
संबोधले जात असे.
until about the 1980s,
by the medical community
वैद्यकीय समूहाकडून
when they realized that
करणाऱ्या कडून
from all medical research studies
about the unique needs
of evidence has come to light
पुरावा प्रकाशात आला आहे.
men and women are in every way.
भिन्न आहेत प्रत्येक बाबतीत.
a different physiology than normal adults.
सामान्य प्रौढा हून वेगळी असते.
specialty of pediatrics came to light.
बाल वैद्यक शास्त्र निर्माण झाले
in order to improve their lives.
त्यांचे जीवन अधिक संरक्षित करण्यासाठी
can be said about women.
with boobs and tubes.
हाडामासाचा गोळा नाही
anatomy and physiology
with the same intensity.
तितकाच गांभीर्याने झाला पाहिजे.
system, for example.
to try to figure out
महत्वाचे निष्कर्ष काढून
completely different heart attacks.
यांच्या हृद्य विकार यात तफावत असते.
for both men and women,
मृत्यू हे प्रथम क्रमांकाचे कारण आहे.
of having a heart attack than men.
मृत्यू होण्याचे प्रमाण स्त्रियात अधिक आहे.
of crushing chest pain --
प्रचंड वेदना होत असल्याचे सांगतात--
will complain of "just not feeling right,"
"जरा बरे वाटत नाही "अशी
श्वास गुदमरतो पुरेशी हवा मिळत नाही"
women do make up half the population.
स्त्रिया लोकसंख्येचा अर्धा भाग आहे
to help explain some of these differences?
आणखी कोणते पुरावे आहेत?
are smaller in women compared to men,
पुरुषांच्या रक्तवाहिन्याहून अरुंद असतात.
develop disease is different
वेगळ्या रीतीने वाढतात
if someone is at risk for a heart attack,
हे तपासण्यासाठी ज्या चाचण्या
and tested and perfected in men,
at determining that in women.
अचूक म्हणता येणार नाही
about the medications --
that we use, like aspirin.
prevent them from having a heart attack,
हृदय झटका येऊ नये यासाठी.
give aspirin to a healthy woman,
अस्पिरीन दिल्यास काय होईल?
is a fast-paced business.
व्यवसाय जोरात चालतो
men and women that we could be utilizing?
उपचारात याबाबत फरक आहे काय?
get those runny noses
to those stubbed toes
दिलेली वेदनाशामके
every cell has a sex.
प्रत्येक पेशीस स्वतंत्र लिंग असते
presents themselves in society.
ओळख ठरत असते.
transgendered population.
परिवर्तन केलेले आढळतात.
that from the moment of conception,
गर्भधारणेच्या क्षणा पासून
the chromosomes that determine
male or female, man or woman.
chromosomes pictured here --
पहा हे चित्र
would be born with ovaries or testes,
जन्म घेणार हे ठरवित असते.
that those organs produced
अवयवांचा विकास होतो
we see in the opposite sex.
that theory was wrong --
हा सिद्धांत चुकीचा आहे--
from the Whitehead Institute,
यांचे आभार मानले पाहिजे.
डॉ यांग यांचे
that those sex-determining chromosomes
for our entire lives
for the differences we see
औषधाच्या डोसच्या प्रमाणात
between men and women
यामधील फरक जाणवतो
and severity of diseases.
व् त्याच्या तीव्रतेबाबत.
that continue to find that evidence,
पुरावा जमाकरणाऱ्या वैज्ञानिकांना.
to start translating this data
इस्पितळांची आहे.
of a national organization
राष्ट्रीय संघटनेची एकसंपादक
Women's Health Collaborative,
वुमन्स हेल्थ कॉल्याबोरेटीव्ह,
so that it's available for teaching
सर्व माहिती येथे गोळा करतो.
the medical educators to the table.
एकत्र आणण्याचे काम आम्ही करीत आहोत.
has been done since its inception.
आजपर्यंतचे अध्यापन याने बदलेल.
of incorporating the gender lens
पुरुष आहे हे पहिले जाईल लक्ष देऊन
health care providers correctly.
हे प्रशिक्षण असेल.
the Department of Emergency Medicine
एका तुकडीची मी सह निर्माती आहे.
in Emergency Medicine,
आपत्कालीन उपचार.
the differences between men and women
उपचारात असलेल्या फरकाचा.
and sepsis and substance abuse,
that education is paramount.
सर्वात अधिक श्रेष्ठ व परिणामकारक आहे.
model of education.
शिक्षण देण्यासाठी बनविले.
for the nurses, for the students
या सर्वांसाठी आहे.
to the health care leaders.
चालकांना करावा लागेल.
we think about medicine
आमुलाग्र बदलेल.
to the health care system.
on the wheels of inevitability,
उलट करू शकत नाही,
towards change is awareness.
जाणीव होणे.
medical care for women.
घडवून आणण्यासाठी नाही तर
individualized health care for everyone.
उपचार पद्धत शोधण्या साठी ही आहे.
medical care for men and women.
वैद्यकीय क्षेत्र बदलण्याचे.
to ask your doctors
तुमच्या डॉक्टरणा विचारावे
are specific to your sex and gender.
लिंगानुसार आहेत काय?
and together we can all learn.
एकाच वेळी शिकूया.
and my colleagues in this field,
माझ्या सहकाऱ्याची ओळख ठेवा
ABOUT THE SPEAKER
Alyson McGregor - Women's health pioneerAlyson McGregor studies women's health, especially as it relates to emergency care -- when time-sensitive, life-or-death decisions are made using drugs and treatments mainly tested on men.
Why you should listen
Alyson J. McGregor MD is co-founder and director for the Sex and Gender in Emergency Medicine (SGEM) Division (formerly Women’s Health in Emergency Care) within the Department of Emergency Medicine at Warren Alpert Medical School of Brown University.
Her group's aim is to establish research and educational endeavors that promote sex- and gender-specific medicine and women’s health as they relate to emergency care. Dr. McGregor received her medical degree at Boston University School of Medicine and residency training at Brown, where she continues to work as an attending physician at RI Hospital Emergency Department. Dr. McGregor is an Associate Professor of Emergency Medicine and also serves as co-director for the SGEM Fellowship and co-founder of the national organization Sex and Gender Women’s Health Collaborative.
Alyson McGregor | Speaker | TED.com