Ukuqonda Izinzuzo Nengozi Ye-Aspirin Therapy
Ngokwezindleko, ukutholakala, nokusebenza, i-aspirin ingenye yezinqola ezinkulu zesayensi yezokwelapha. Okokuqala okuhlukaniswe ne-willow amagxolo amakhulu eminyaka adlule, i-aspirin manje itholakale njengendlela elula yokuqamba kabusha. I-aspirin iphumelela njenge-painkiller, i-anti-inflammatory, futhi inezenzo ezihlinzeka ukuvikelwa ezifweni ezinzima ezifana nokuhlasela kwenhliziyo nokushaywa yisifo.
Nakuba kungakafiki ukuxhumeka kwegazi le-aspirin ecacile, izinzuzo zokuzivikela zinkulu kakhulu kangangokuba isimiso, ukuphathwa kwansuku zonke kwe-aspirin manje kunconywa yi-American Heart Association njengengxenye ejwayelekile yokugcina inhliziyo enempilo.
Sibutsetelo
I-aspirin uhlobo lomkhiqizo olubizwa ngokuthi "salicylate." Ama-salicylates alula asetshenziselwa ubuhlungu nokunciphisa umkhuhlane kusukela ngesikhathi samaGreki asendulo, eminyakeni engaphezu kwengu-1 500 edlule. Nakuba i-aspirin inesibalo esikhulu sezenzo ezingenzeka emzimbeni, lezo ezihlobene nenhliziyo yehliziyo ziqondile futhi zizwakala kahle. Emzimbeni, i-aspirin inqanda ukwakheka kwamakhemikhali abizwa ngokuthi "i-prostaglandins" ngokuvimbela i-enzyme ebalulekile edingekayo ekwakheni. Phakathi kwezakhiwo eziningi ze-prostaglandins yikhono labo lokugqugquzela amaseli egazi ukuba abambe ndawonye. Ngakho-ke, ngokuvimbela ukwakheka kwe-prostaglandin, i-aspirin inciphisa amathuba okugcoba kwegazi okwenziwa emithanjeni yakho yegazi.
Njengoba inani elikhulu lokuhlaselwa kwenhliziyo nokushaywa komzimba libangelwa yizincane, ngokuzenzekela ukwakha ama-blood clots, ikhono le-aspirin ukuvimbela ukubunjwa kwalawa maqabunga amancane kusho ukuthi ukuhlaselwa kwenhliziyo nokushaywa komzimba kungencane.
Isilinganiso esinconywe
I-aspirin dosing ihluka kakhulu kuye ngokuthi kungani kuthathwa.
Ngezinye izikhathi ukudinga okukhulu kunesidingo sokuphumula ubuhlungu noma ukulawula imfiva. Kodwa-ke, ngenhloso yokuvikelwa kwenhliziyo, kuningi okudingekayo. Lokhu kungenxa yokuthi i-aspirin inomsebenzi omkhulu wokuvimbela i-prostaglandin ngisho nangokwezinga elincane, futhi kuthatha amanani okwandisa kakhulu ukuze kubonakale inzuzo encane yenzuzo eyengeziwe.
Ucwaningo lwangempela mayelana nezilinganiso ezithile ze-aspirin luyinkimbinkimbi kodwa lunikeze idatha engahle yenziwe ngeziphakamiso ezimbalwa eziyisisekelo, kufaka phakathi:
- Isilinganiso sezinga eliphakanyisiwe lingu-75mg ngosuku
- Isilinganiso esiphezulu sezincomo zansuku zonke singama-325mg ngosuku
- Ingozi yemiphumela emibi ingaguquki njalo phakathi kwalezi zimiso ezimbili zokulinganisa
Imiphumela Ezingenakwenzeka
Nakuba i- aspirin ngokuvamile imithi ebekezelelwe kahle , inamandla okubangela imiphumela emibi. Imiphumela emibi ebalulekile ye-aspirin ngokuvamile:
- Ingozi yokwanda kwegazi
- Ukucasuka kwesisu noma emathunjini
- Ubuthi
Inombolo encane yabantu inezinyathelo ezingavamile ezinobuthi ezinomthelela omncane we-aspirin. Ngenkathi isisindo sína, lezi zimpendulo zivamile, ziqaphele kalula (ziphazamise, zihlanza), futhi zingelashwa.
Ubani Okufanele Akuthathe
I-aspirin ibonise inzuzo kubantu abanezinkinga ezihlukahlukene zezinhliziyo.
Abantu okufanele bacabange ukuthatha i-aspirin kufaka:
- Abantu abanomlando wokuhlasela kwenhliziyo
- Abesifazane abadala kuneminyaka engama-65
- Abantu abaye babhekana nesifo esivamile
- Noma ubani onomthelela ophezulu engozini yesifo senhliziyo
Kubalulekile ukuqonda ukuthi nakuba i-aspirin ingasiza abantu abaningi abanakho noma abasengozini, isifo senhliziyo, imininingwane yomlando wakho wezokwelapha ingasho ukuthi i-aspirin ayiyona into enhle.
Ngubani Okungafanele Awuthathe
Ngenxa yokuthi i-aspirin yandisa ingozi yokuphuma kwegazi, abantu abangafanele bathathe i-aspirin ngokuvamile banomlando wokuphuma kwegazi okungavamile noma uhlobo oluthile lwegazi lokuphuza.
Ngokungeziwe kubantu abanezinkinga zokuphuma kwegazi, i-aspirin kungenzeka ingabi ikhetho elihle kubantu abane:
- Ukuphefumula komunye umuthi onjenge-aspirin
- I-asthma
- Isifo sezinso
- Izilonda
- Gout
Ukwengeza, i-aspirin akufanele ihlinzekwe izingane noma intsha enemfiva noma izimpawu ezinjenge-flu.
Ikusasa le-Aspirin
Naphezu kwezinzuzo ezicacile ze-aspirin, ihlala ingaphansi kokusetshenziswa. Emzamweni wokwandisa ukusetshenziswa kwe-aspirin ezigulini, izinhlangano eziningana ezilawula ezokwelapha ziye zabuyekeza ngokucophelela izincomo zabo ezisemthethweni. Ekuqaleni kuka-2007, i-American Heart Association - ngokuphendula idatha esanda kuhlaziywa - ivuselele izincomo zabo ezisemthethweni ukuchaza ukuthi bonke abesifazane abangaphezu kuka-65 bayabhekwa njengendlela yokwelashwa yesikhumbuzo se-aspirin.
Imithombo:
Hennekens, CH, Dyken, ML, Fuster, V. Aspirin njengenhlangano yokwelapha isifo senhliziyo. Isitatimende sabaqeqeshi bezempilo kusukela e-American Heart Association. Ukujikeleza ngo-1997; 96: 2751.
Cook, NR, Chae, C, Mueller, FB, et al. Ukusebenzisa kabi imishanguzo kanye nokusebenzisa ngaphansi kwe-Aspirin ekuvimbeleni nasekwelashweni kwezifo zenhliziyo. I-MedGenMed 1999; : E1.
Burch, JW, Stanford, N, Majerus, PW. Ukuvinjelwa kweplatelet prostaglandin synthetase ngomlomo we-aspirin. J Clin Invest 1978; 61: 314.
Patrono, C. Aspirin njengomuthi we-antiplatelet. N Engl J Med 1994; 330: 1287.
Hennekens, CH, Sechenova, O, Hollar, D, Serebruany, V. Isifo se-aspirin ekwelapheni nasekuvinjweni kwesifo senhliziyo: izinkomba zamanje nezesikhathi esizayo. J I-Pharmacy and Therapeutics yezokwelapha 2006.