Ukuqonda iiNzuzo kunye neengozi ze-Aspirin Therapy
Ngokubhekiselele kwiindleko, ukufumaneka kunye nokunceda, i-aspirin yenye yezona ziza kunqoba kwezobugcisa zonyango. Okokuqala ngaphandle kwimihlathi yamakhulu eminyaka edlulileyo, i-aspirin sele ikhona njengendlela elula yokuqulunqwa kwamanqaku. I-Aspirin isebenza ngokuphumelelayo njenge-painkiller, inxamnye ne-anti-inflammatory, kunye nezenzo ezikhusela kwizifo ezinzulu ezifana nokuhlaselwa kwentliziyo kunye nesifo.
Nangona kungabikho ukuxilongo lwegazi lwe-aspirin ecacileyo, iinzuzo ezikhuselekileyo zinkulu kangangokuba ukuphathwa rhoqo kwe-aspirin ngoku kunconywa yi-American Heart Association njengento efanelekileyo yokugcina intliziyo enempilo.
Sibanzi
I-Aspirin uhlobo lweekhemikhali ebizwa ngokuthi "salicylate." Iisalicylates ezilula ziye zasetyenziswa njengentlungu kunye nokunciphisa umkhuhlane ukususela ngexesha lamaGrike asendulo, ngaphezu kweminyaka eyi-1 500 edlulileyo. Nangona i-aspirin inenani elikhulu lezenzo ezinokuthi zenzeke emzimbeni, ezo ezinxulumene nentliziyo yezempilo zichanekileyo kwaye ziqondwa kakuhle. Emzimbeni, i-aspirin inqanda ukubunjwa kweekhemikhali ezibizwa ngokuthi "i-prostaglandins" ngokuthintela i-enzyme ebalulekileyo ekufuneka yenziwe. Phakathi kwezinto ezininzi ze-prostaglandines kukuba banakho ukukhuthaza iiseli zegazi ukuba zihlangane kunye. Ngaloo ndlela, ngokuthintela ukwakheka kwe-prostaglandin, i-aspirin inciphisa amathuba okuphuma kwegazi emitanjeni yakho yegazi.
Ekubeni inani elikhulu lokuhlaselwa yintliziyo kunye nokubetha kubangelwa yincinci, ngokukhawuleza kwakha i-blood clots, ubuchule be-aspirin ukukhusela ukubunjwa kwala macala amancinci kuthetha ukuba ukuhlaselwa kwintliziyo kunye nemivimbo ingabi ncinane.
Isisombululo esinconywayo
I-Aspirin dosing iyahluka kakhulu kuxhomekeke kwisizathu sokuba kuthathwa.
Amaxesha amaninzi adingekayo ukuze kuphuculwe intlungu okanye ukulawula umkhuhlane. Nangona kunjalo, ngenjongo yokukhuselwa kweemvakalelo zentliziyo, kufuneka kubekho amanani amancinci amancinci. Oku kungenxa yokuba i-aspirin inomsebenzi omkhulu wokuvimbela i-prostaglandin nakwizinga elisezantsi, kwaye kuthatha amanani amaninzi akhula ukufumana amanani amancinci kunye amancinci enzuzo eyongezelelweyo.
Uphando olwenziweyo malunga neendlela ezithile ze-aspirin alunzima kakhulu kodwa luye lwavelisa idatha enokuthi yenziwe ngokubanzi kwiingcebiso ezimbalwa eziphambili, kuquka:
- Umlinganiselo wesilinganiso se-dose sinokungama-75mg ngosuku
- Umlinganiselo ophezulu wanconywayo wemihla ngemihla u-325mg ngosuku
- Umngcipheko weempembelelo ezichaphazelekayo zihlala zihlala ziphakathi kwezi zimbini zexabiso
Iimiphumo zangaphandle
Nangona i- aspirin ngokuqhelekileyo yinyango ekhuthazwe kakuhle , inako ukudala iziphumo zecala. Imiphumo ebalulekileyo ye-aspirin ngokuqhelekileyo:
- Umngcipheko wokwanda kwegazi
- Isisu okanye isisu somsindo
- Utyhefu
Inani elincinci labantu linemiphumela engavumelekile enobungozi kumlinganiselo amancinci we-aspirin. Ngelixa likhulu, le mpendulo ingabonakali, iyabonakala ngokugqithiseleyo (ukuchithwa, ukuhlanza), kwaye inokuphathwa.
Ngubani omele awuthabathe
I-Aspirin ibonise inzuzo kubantu abaneentlobo ezahlukeneyo zeengxaki ze-cardiovascular.
Abantu abafanele baqwalasele ukuthatha i-aspirin ba ndakanya:
- Abantu abaneembali zokuhlaselwa kwentliziyo
- Abasetyhini abadala kunama-65
- Abantu abaye bafumana isifo sofuba
- Nabani na onomyinge ophezulu kwengozi yesifo senhliziyo
Kubalulekile ukuqonda ukuba ngelixa i-aspirin inokunceda abantu abaninzi abanokuba okanye abasengozini, izifo zenhliziyo, iinkcukacha zembali yakho yonyango kunokuthi ukuba i-aspirin ayiyiyo into enhle.
Ngubani ongayithathi
Ngenxa yokuba i-aspirin yandisa umngcipheko wokuphuma kwamanzi, abantu abangafanele bathathe i-aspirin bafumana imbali ethile yegazi elingavamile okanye uhlobo olunegazi lokugula.
Ukongeza kubantu abanokuphazamiseka kwegazi, i-aspirin ayinakukhetha kakuhle abantu abanalo:
- Ukuphefumula kwenye ikhambi elifana ne-aspirin
- Isifuba
- Izifo zesifo
- Ulcers
- Gout
Ukongezelela, i-aspirin ayinakuze yanikwa abantwana okanye abaselula abanomkhuhlane okanye iimpawu ezifana nezifo.
Ikamva le-Aspirin
Nangona iinjongo ezibonakaliswe ngokucacileyo ze-aspirin, ihlala isetyenziswa phantsi. Kwimizamo yokwandisa ukusebenzisa i-aspirin kwizigulane, amanyathelo angamaqela olawulo lwezonyango aye ahlolisisa ngokucokisekileyo iingcebiso zabo ezisemthethweni. Ekuqaleni kuka-2007, i-American Heart Association - ekuphenduleni idatha esanda kuhlalutya - ihlaziywe iziphakamiso zabo ezisemthethweni ukuba bonke abafazi abangaphantsi kwama-65 bajongwa njengonyango lwe-aspirin.
Imithombo:
I-Hennekens, i-CH, i-Dyken, i-ML, i-Fuster, i-V. Aspirin njenge-arhente yokwelapha kwisifo senhliziyo. Ingxelo yabasebenzi bezempilo kwi-American Heart Association. Uhambo luka-1997; 96: 2751.
Cook, NR, Chae, C, Mueller, FB, et al. Ukusetyenziswa kakubi kweyeza kunye nokusetyenziswa kakubi kweAspirin ekukhuselweni nasekuPhilweni kweZifo zeCardiovascular. MedGenMed 1999; : E1.
Burch, JW, Stanford, N, Majerus, PW. Inhibition of platelet prostaglandin synthetase nge-aspirin yomlomo. J Clin Invest 1978; 61: 314.
Patrono, C. I-Aspirin njengesichengululo seziyobisi. N Engl J Med 1994; 330: 1287.
Hennekens, CH, Sechenova, O, i-Hollar, D, i-Serebruany, i-V. Intsalela ye-aspirin ekhatyweni nasekukhuselweni kwezifo zenhliziyo: izikhokelo zamanje nezizayo. J Cardiovascular Pharmacology and Therapeutics 2006.