Ngaba kufuneka uthathe i-aspirin yemihla ngemihla?
Ulwazi lweziyobisiUkuthatha i-aspirin yedosi ephantsi yemihla ngemihla kudala kucetyiswa zii-cardiologists njengendlela elula nesebenzayo yokunceda ukuthintela imicimbi yeentliziyo ezinje ngokuhlaselwa kwentliziyo kunye nemivumbo, engababulali abakhokelayo eMelika. I-Aspirin inegunya lokucoca igazi kwaye ilwa nokwenziwa kwamahlwili egazi anokuthintela ukuhamba kwegazi kwimithambo kwaye ikhokelele kwisifo sentliziyo.
Izifundo ezibini ezisandula ukupapashwa, ezaziwa njenge Yenyuka kwaye FIKA , ndibize le ngcebiso ukuba ibuze, ngakumbi kwizigidi zabantu abasempilweni abasebenzisa i-aspirin njengendlela yokunciphisa umngcipheko wokuba nesifo sentliziyo okokuqala okanye ukubetha. Ngokukhanya kwezi zifundo, iAmerican Heart Association (AHA) kunye neAmerican College of Cardiology (ACC) kutshanje bahlaziye izindululo malunga nokusetyenziswa kweeasprini zemihla ngemihla, beqaphela ukuba kubantu abaninzi baseMelika, ngakumbi abantu abadala abasempilweni kunye nabo banomngcipheko wokopha, iingozi zigqithile kwizibonelelo.
Kukho uphando olubonisa ukufa okungaphezulu kunye nokuphuma okungaphezulu ngaphandle kokuncitshiswa kweziganeko zentliziyo kubantu abasempilweni abathatha i-aspirin yemihla ngemihla, utshilo u-Erin Michos, MD, MHS, umlawuli onxulumene nesifo sentliziyo kwi-Johns Hopkins University School of Medicine naye owayesebenza kwikomiti yokubhala ukwenzela i Isikhokelo se-AHA / i-ACC se-2019 kuthintelo olusisiseko lwezifo zentliziyo . Kubantu ngaphandle kwembali yesifo sentliziyo okanye ngaphandle komngcipheko othile, ukusetyenziswa kweeasprini zemihla ngemihla kungenza ingozi kunokulunga.
I-aspirin yemihla ngemihla kunye nesifo sentliziyo
Uninzi isifo sentliziyo Imivumbo sisiphumo se ukuphuma kwegazi , ngokwe-AHA. Oku kwenzeka xa ipleyiti — into enamafutha eyenziwe yicholesterol, inkunkuma yeselula, ikhalsiyam nezinye izinto — isakha phezu kweendonga zemithambo. I-Plaque iyanciphisa imithambo eyenza kube nzima ukuba igazi lidlule. Ukuqhekeka kwamacwecwe kunokubangela ukwenziwa kwamahlwili egazi anokungena kwimithambo yegazi kwaye ayivale. Xa ukuhamba kwegazi kuye entliziyweni kuchaphazeleka, isifo sentliziyo sinokwenzeka. Ukuba ukuhamba kwegazi kwingqondo kuthintelwe, isifo sinokubakho.
I-Aspirin isaziwa njengeyeza elichasene neplatelet. Iiplatelets ziiseli ezincinci zegazi ezikunceda kwigazi lakho. I-Aspirin inciphisa igazi kwaye iphazamise indlela yayo yokujiya, ukuyenza inciphise ukuba amahlwili egazi aya kwenza kwaye avale imithambo. Ngelixa ezinye izifundo zicebise ukuba i-aspirin inokuhlisa uxinzelelo lwegazi (ukuba noxinzelelo lwegazi oluphezulu ngumngcipheko wesifo sentliziyo), iingcali zilumkisa ukuba izifundo khange ziqhutywe kakuhle kwaye iziphumo bezingqubana.
Izibonelelo zokusetyenziswa kweeasprini zemihla ngemihla
Inye kwabahlanu Abantu abaye bahlaselwa sisifo sentliziyo esinye baya kulaliswa esibhedlele ngomnye kwisithuba seminyaka emihlanu, inika ingxelo i-AHA. Oogqirha bancomela ukusebenzisa i-aspirin yedosi esezantsi kubantu abanembali yesifo sentliziyo kuba uphando-oluthile Izifundo ezingama-200 kubantu abangaphezu kwama-200,000 -Bonisa ukuba kunciphisa amathuba okuba nesiganeko sesibini sentliziyo. Esinye sezifundo zokuqala esalatha kunxibelelwano sashicilelwa kwifayile ye- ILancet ngo-1988 kwaye yabonisa ukuba inyanga enye yokusebenzisa i-aspirin yedosi ephantsi yaqala kwangoko emva kokuhlaselwa sisifo sentliziyo okanye ukubetha Ukufa kwama-25 kwizigulana ezili-1 000 kunye ne-10-15 yeziganeko zentliziyo ezingafiyo .
Zeziphi ezinye izibonelelo zeasprini?
- Kubonakala ngathi kunciphisa ukubakho komhlaza othile, ngakumbi umhlaza wekolon, kodwa kufuneka uphando oluninzi.
- Ifumaneka ngokubanzi kwaye ayibizi kakhulu.
Umngcipheko wokusetyenziswa kweeasprini zemihla ngemihla
I-Aspirin inokubonakala ngathi ayinachiza ngokwaneleyo, kodwa, enyanisweni, ukusetyenziswa kwayo kuthwala iziphumo ebezingalindelekanga.
Ngokophando olupapashwe kwiphephancwadi Inye, ukusetyenziswa kweasprini kwandisa umngcipheko womntu wokopha emathunjini ngu 40% . Kwaye ngelixa usenokucinga ukopha kwamathumbu kukhetha uhlaselo olukhulu lwentliziyo, cinga kwakhona.
Ngokuqinisekileyo kukho izizathu ezilungileyo zokuthatha i-aspirin, kodwa ayisiyo ichiza elibi ngokupheleleyo, amanqaku UChristina Wee, MD , MPH, unjingalwazi oncedisayo kwezonyango eHarvard Medical School kunye nombhali-mbhali wamva nje inqaku epapashwe kwiIzibhengezo zoNyango lwaNgaphakathikukuxhaphaka kokusetyenziswa kweasprini kuthintelo oluphambili lwesifo sentliziyo. Ukuba uphakathi okanye umncinci kwaye usempilweni, isilonda esophayo isenokuba yinto onokuphinda ubuye kuyo. Kodwa ukuba ubuthathaka okanye umntu osele ekhulile onemicimbi engaphantsi, eso silonda sopha sisenokubangela ukuba ulahlekelwe ligazi elininzi, elinokuthi ngokuqinisekileyo lithintele ukubetha kwentliziyo njengoko intliziyo yakho ngoku kufuneka ipompe nzima ukufumana igazi eliphethe ioksijini. kwindlela yakho.
Ukopha emathunjini kunokuba yinto enkulu, wongeza uGqirha Michos. Ingakhokelela kwi-anemia, kwaye inokubeka uxinzelelo olukhulu entliziyweni yakho. Ukopha akuyiyo into engenamsebenzi. Inokubangela ukubola kunye nokusweleka.
Ngenxa yokwanda komngcipheko wokopha, i Izikhokelo ze-AHA / ACC kuthintelo oluphambili lwezifo zentliziyo notshintsho ngokubhekisele ekusebenziseni iasprini. Ngelixa kusacetyiswa ukuba abo sele benesifo sentliziyo okanye ukubetha basebenzise i-aspirin yedosi ephantsi yemihla ngemihla ukuthintela esinye isiganeko sentliziyo (ditto abo banesenti okanye abatyandwayo) izinto zahlukile kwabo bangenayo intliziyo isifo. Izikhokelo ezitsha ngoku zicebisa ngokuchasene nokusebenzisa iasprini ukuthintela uhlaselo lwentliziyo okanye ukubetha kumaqela athile anomngcipheko omkhulu wokopha ngaphakathi.
Izigulana ezinobungozi obuphezulu zibandakanya:
- abo baneminyaka engama-70 nangaphezulu abazama ukuthintela isifo sentliziyo sokuqala okanye ukubetha kwentliziyo
- abo nabuphi na ubudala abaneemeko (ezinjengezilonda) okanye bathathe iziyobisi (ezinjeii-anticoagulants okanye ii-nonsteroidal anti-inflammatories, okanye i-NSAIDS, ezinje nge ibuprofen ezinganyusa umngcipheko wokopha.
Kuthekani ukuba awusifumanisanga isifo sentliziyo kodwa unemingcipheko enkulu kuso — umzekelo, uyatshaya okanye unesifo seswekile? Ukusetyenziswa kwe-aspirin kunokuba kufanelekile, kodwa uyakufuna uncedo logqirha ekuvavanyeni nasekuchazeni umngcipheko wakho. Ukuba ucetyiswa ukuba uyeke ukuthatha i-aspirin, ungakhathazeki malunga neengozi zempilo. Ukuyekisa iasprini kubanda turkey akufuneki kubangele nayiphi na ingozi, utshilo uGqirha Michos
Ufanele ukuthatha iasprini engakanani ngosuku?
Uninzi lwezifundo ezijikeleze i-aspirin kunye nokuthintela ukuhlaselwa yintliziyo kugxile kwi-aspirin yedosi ephantsi yemihla ngemihla (ngamanye amaxesha ibizwa ngokuba yi-aspirin yomntwana, eligama elingalunganga kuba iintsana kungafanelekanga ukuba zithathe i-aspirin), ichazwa njenge-75-100 mg ngosuku. Ngokophando olupapashwe kwi- BMJ , le dose isezantsi yafunyanwa ukuba isebenze njengeedosi eziphezulu ekuthinteleni ukuhlaselwa yintliziyo yesibini kunye nemivumbo.
Kodwa ngaphambi kokuba ufikelele kwithebhulethi, yiba nengxoxo nomboneleli wakho wezempilo. Imbali yakho yezonyango inokukwenza ube ngumgqatswa ongalunganga kunyango lweasprini lwemihla ngemihla, okanye ugqirha wakho unokucinga ukuba uyakusebenzelwa ngcono ziimimiselo kunye nezinye iziyobisi ezinyanga isifo sentliziyo.
Usebenzisa iasprini okanye hayi yinto ekufuneka uthethe ngayo nogqirha wakho, ulumkisa uGqirha Michos. Kungenxa yokuba iyeza elinjenge-aspirin liyafumaneka ekhawuntareni oko akuthethi ukuba kukhuselekile okanye kufanelekile. Xoxa ngayo yonke into oyithathayo nogqirha wakho.
