Ukusetshenziswa kwama-antiplatelet agents ezifana ne-aspirin noma i-clopidogrel (i-Plavix) kuyindlela ephumelelayo yokuvimbela isifo . Ngesinye isikhathi, lapho abantu behlushwa isifo ngesikhathi besithatha i-aspirin yabo njalo, babhekwa "ukwehluleka kwe-aspirin", kanti abanye odokotela bathi lezi ziguli kufanele zengeze i-agent ye-antiplatelet yesibili ohlelweni lwabo ukuze kuvinjelwe ukushaywa okuqhubekayo.
Kodwa ubufakazi bokuthi lokhu kuyinto enengqondo yokwenza kungabikho, futhi ukwenza lokhu, kusukela ekubukweni kwempilo yomphakathi, kungase kubangele ngisho nokulimala kunokuhle.
Okungenani lokhu ukubuyekezwa kusanda kushicilelwa kwezincwadi ngamazinga okuphuza lapho i-aspirin nezinye izithandani ezibhekene nezifo ezisetshenziselwa ukuvimbela ukuvinjelwa kwesifo somzimba kubonakala sengathi kusho. Ucwaningo lubonisa ingozi ephakeme kakhulu yokukhipha igazi lapho i-aspirin isetshenziswa ngokuhambisana ne-clopidogrel, noma i- coumadin . Amanani athile okuphuma kwegazi abikwa kanje: 4.8% nge-aspirin yedwa, 2.9% nge-clopidogrel yedwa, 3.6% nge-aspirin kanye ne-Aggrenox, kodwa i-10.1% i-aspirin kanye ne-clopidogrel, futhi i-16.8% i-aspirin ne-coumadin.
Ukuphuma kwegazi okukhulu kwenzeka ngamanani aphansi ka-1% nge-aspirin yedwa, u-0.85% nge-clopidogrel, kodwa u-1.7% nge-aspirin kanye ne-clopidogrel, no-2.5% nge-aspirin kanye ne-coumadin. Futhi ngokudabukisayo lokhu kuza ngaphandle kokuvikeleka kwesifo sohlangothi lapho i- aspirin ne-Plavix zisetshenziswa ndawonye.
Lezi zinamba ziphathelene futhi kufanele zibhekwe ngokuqinile ngaphambi kokuba i-aspirin ne-clopidogrel (i-Plavix) isetshenziselwe ukuvimbela ukushaywa yisifo somzimba.
Lokho kusho ukuthi, i-aspirin ne-Plavix esebenzisana ndawonye kungasiza ekuvimbeleni ezinye izibhamu, njengoba kuboniswe isifundo eshicilelwe eNew England Journal of Medicine lapho ukuhlanganiswa kwe-aspirin ne-clopidogrel kunciphisa ingozi yokushaywa okokuqala kubantu abane-fibrillation ye-atrial abangakwazi uthathe u-coumadin ngezizathu ezihlukahlukene.
Nakuba ingozi yokuphuma kwegazi yanda kakhulu kuleso sibalo uma kuqhathaniswa nalabo abasebenzisa i-aspirin yedwa, izinzuzo zokuhlanganiswa kwe-aspirin ne-clopidogrel zingase zibe ngaphezu kwezingozi.