Kugwiritsa Ntchito Aspirin Oyambirira Kungathe kuchepetsa Magazi Kuphimba
Funso lodziwika bwino lomwe anthu omwe ali ndi vuto la mtima nthawi zambiri amakhala ndi-ngati atayambiranso-ayenera kuyesa ndi kuyamwa aspirin atangomaliza kuitana 911. Koma popeza chifuwa cha mtima ndi choopsa choopsa, zingatheke bwanji Kodi aspirin imodzi imapindula bwanji?
Chifukwa Chiyani Tengani Aspirin Pamene Mukudikira Achilengedwe?
Matenda a mtima, omwe amatchedwanso myocardial infarction , kawirikawiri amakhala mtundu wa matenda oopsa kwambiri (ACS).
ACS imayambitsidwa ndi kupasuka kwa chipika pakati pa mitsempha yamakono . Chiphuphuchi chimapangitsa kuti thrombus ( magazi oundana ) apangidwe mu mitsempha, zomwe zimapangitsa kuti asungidwe. Gawo la minofu ya mtima likuperekedwa ndi mitsempha kenako imayamba kufa. Imfa ya minofu ya mtima ndiyo yomwe imatanthawuza matenda a myocardial infarction.
Izi zikutanthawuza kuti, panthawi yomwe mukudwala matenda a mtima, mbali yaikulu ya vuto ndi kukula kwa magazi m'mitsempha yokhudzidwa. Kupanga magazi awa kumadalira kwambiri pa mapulogalamu a magazi , omwe ndi maselo ang'onoang'ono a magazi omwe ntchito yawo ndi kutenga nawo mbali magazi.
Chifukwa chiyani Aspirin?
Zimatheka kuti aspirin-ngakhale pang'ono ting'ono-ingathe kuchitapo kanthu mofulumira komanso mwamphamvu kuchitapo kanthu pa mapaleletti, choncho ikhoza kulepheretsa kukula kwa magazi. Kuletsa kukula kwa magazi kumakhala kovuta ngati mukudwala matenda a mtima kuyambira pamene magazi ena amatha kupyolera mu mitsempha yamatumbo amatha kusunga maselo a mtima m'mimba kuti afe.
Mayesero akuluakulu apadera owonetsetsa kuti ngati aspirin imagwiritsidwa ntchito nthawi yomweyo ndi vuto lalikulu la mtima, kufa kwa milungu isanu itachepetsedwa ndi 23 peresenti. Ichi ndi chifukwa chake kusaka ndi kumeza aspirin nthawi zambiri ndi chimodzi mwa zinthu zoyamba zomwe mudzafunsidwa mukadzafika mu chipinda chodzidzimutsa ndi MI.
Koma nthawi ndi yofunika-maminiti owerengeka. Choncho ngati mukuganiza kuti mwina muli ndi vuto la mtima, akatswiri ambiri tsopano amalangiza odwala kuti asayembekezere kufikira atalandira thandizo lachipatala-kutafuna ndi kumeza aspirin mukangoganizira zokwanira odwala opaleshoni.
Mwa njira iyi, mukhoza kuyamba mankhwala nthawi yomweyo.
Ndi Mtundu Wotani, Ndi Mtundu Wotani?
Malingaliro omwe alipo tsopano kwa anthu omwe angakhale ndi vuto la mtima ndikuthamanga ndi kumeza aspirin wamkulu osapaka (325 mg) mwamsanga. Kutchera kapena kupweteka aspirin kumalowa m'magazi anu mwamsanga-mkati mwa mphindi zinayi kapena zisanu-ndipo ofufuza awonetsa zotsatira zake pamaplatelet mkati mwa nthawi yochepa.
Kuika aspirin yonse ndi madzi, monga momwe mungathere, kumatenga mphindi 10 mpaka 12 kuti mukwaniritse zomwezo. Kusiyanasiyana kwa nthawi ino kungawoneke kuti ndi kochepa, koma, kachiwiri, maminiti owerengeka pamene mtima wanu uli pachiopsezo.
> Zotsatira:
Kuyesedwa kwafupipafupi kwa streptokinase, intirvenous streptokinase, oral aspirin, onse awiri, kapena ngakhale pakati pa 17,187 milandu yomwe akuganiza kuti ndi yothamanga kwambiri yotchedwa "cardiovascular infarction": ISIS-2. ISIS-2 (Phunziro Lachiwiri la Padziko Lonse la Kupulumuka Osadziwika) Gulu Lothandizira. Lancet 1988; 2: 349.
Wright RS, Anderson JL, Adams CD, ndi al. 2011 ACCF / AHA Kukonzekera Kwambiri kwa Malangizo Otsogolera Odwala Osakhazikika Angina / Osati ST-Elevation Myocardial Infarction (Kusinthira Chitsogozo cha 2007): Lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines . Kuyendayenda kwa 2011; 123: 2022.