I-Aspirin kunye nesifo sentliziyo

Izikhokelo zangoku zincoma ukuba abantu abane-coronary artery disease (CAD) bafumana unyango lwe-antiplatelet kunye ne-aspirin okanye i-clopidogrel.

Unyango lwe-Aspirin luluncedo kakhulu kubantu abane-CAD okanye imbali yokubetha. Ukuba ufumene ukuba une-CAD, umboneleli wakho wezempilo unokucebisa ukuba uthathe idosi yemihla ngemihla (ukusuka kwi-75 ukuya kwi-162 mg) ye-aspirin. Idosi yemihla ngemihla ye-81 mg iyacetyiswa kubantu abane-PCI (angioplasty). Ihlala ichazwa kunye nelinye iyeza le-antiplatelet. I-Aspirin inokunciphisa umngcipheko wokuhlaselwa sisifo sentliziyo kunye nesifo sokuphazamiseka kwengqondo. Nangona kunjalo, ukusebenzisa i-aspirin ngaphezu kwexesha elide kunokunyusa umngcipheko wokuphuma kwesisu.

I-aspirin yemihla ngemihla akufuneki isetyenziselwe ukuthintela abantu abasempilweni abasemngciphekweni ophantsi wesifo sentliziyo. Umboneleli wakho uya kuyithathela ingqalelo imeko yakho yezonyango kunye nemingcipheko yokuhlaselwa sisifo sentliziyo ngaphambi kokucebisa ngonyango lweasprini.

Ukuthatha i-aspirin kunceda ukuthintela amahlwili egazi ekubeni abe kwimithambo yakho kwaye kunokunceda ukunciphisa umngcipheko wokuhlaselwa sisibetho okanye isifo sentliziyo.

Umboneleli wakho unokucebisa ukuba uthathe iiasprini zemihla ngemihla ukuba:

• Awunayo imbali yesifo sentliziyo okanye ukubetha, kodwa usemngciphekweni omkhulu wokuhlaselwa sisifo sentliziyo okanye ukubetha.
• Ufumanise ukuba unesifo sentliziyo okanye ukubetha sele.

I-Aspirin inceda ukufumana igazi elingaphezulu kwimilenze yakho. Inokunyanga isifo sentliziyo kunye nokuthintela amahlwili egazi xa unesifo sentliziyo esingaqhelekanga. Mhlawumbi uya kuthatha i-aspirin emva kokuba unyango lweemithambo ezivaliweyo.

Uya kuthatha i-aspirin njengepilisi. I-aspirin yedosi ephantsi yemihla ngemihla (i-75 ukuya kwi-81 mg) yeyona nto iphambili ekukhetheni isifo sentliziyo okanye ukubetha.

Thetha nomboneleli wakho ngaphambi kokuba uthathe i-aspirin yonke imihla. Umboneleli wakho unokutshintsha idosi yakho amaxesha ngamaxesha.

I-Aspirin inokuba neziphumo ebezingalindelekanga ezinje:

• Urhudo
• Ukurhawuzelela
• Isicaphucaphu
• Ukudumba kolusu
• Intlungu yesisu

Ngaphambi kokuba uqale ukuthatha i-aspirin, xelela umboneleli wakho ukuba uneengxaki zokopha okanye izilonda zesisu. Yitsho nokuba ukhulelwe okanye uyancancisa.

Thatha iasprini yakho ngokutya nangamanzi. Oku kunokunciphisa iziphumo ebezingalindelekanga. Kuya kufuneka uyeke ukuthatha eli yeza ngaphambi kotyando okanye umsebenzi wamazinyo. Soloko uthetha nomboneleli wakho ngaphambi kokuba uyeke ukuthatha eli yeza. Ukuba unesifo sentliziyo okanye i-stent ibekwe, qiniseka ukubuza ugqirha wentliziyo ukuba ngaba kulungile ukuyeka ukuthatha i-aspirin.

Unokufuna amayeza ezinye iingxaki zempilo. Buza umboneleli wakho ukuba oku kukhuselekile.

Ukuba uphosa idosi ye-aspirin yakho, yithathe ngokukhawuleza. Ukuba lixesha ledosi yakho elandelayo, thabatha isixa sakho esiqhelekileyo. Musa ukuthatha iipilisi ezingaphezulu.

Gcina amayeza akho kwindawo epholileyo neyomileyo. Zigcine kude nabantwana.

Fowunela umnikezeli wakho ukuba uneziphumo ebezingalindelekanga.

Iziphumo ebezingalindelekanga zinokuba yiyo nayiphi na imiqondiso yokopha okungaqhelekanga:

• Igazi kumchamo okanye ilindle
• Iimpumlo
• Ukutyumka okungaqhelekanga
• Ukopha kakhulu ukusika
• Izitulo zokulibala ezimnyama
• Ukukhohlela igazi
• Ukopha ngokungaqhelekanga ngokuya exesheni okanye ukopha okungalindelekanga kwilungu lobufazi
• Vomit ekhangeleka ngathi yindawo yekofu

Ezinye iziphumo ebezingalindelekanga zinokuba sisiyeziyezi okanye ukuginya.

Biza umnikezeli wakho ukuba unamavili, ukuphefumla ubunzima, okanye ukuqina okanye iintlungu esifubeni sakho.

Iziphumo ezibandakanya ukudumba ebusweni okanye ezandleni zakho. Tsalela umnxeba umboneleli wakho ukuba urhawuzelela, urhashalala, okanye ukubetha ebusweni okanye ezandleni zakho, iintlungu zesisu esibi kakhulu, okanye irhashalala.

Abacoli begazi - iasprini; Unyango lwe-antiplatelet-aspirin

• Inkqubo yophuhliso lwe-atherosclerosis

IAmsterdam EA, uWenger NK, uBrindis RG, et al. Isikhokelo se-AHA / ACC se-2014 solawulo lwezigulana ezingekho kwi-ST-elevation acon coronary syndromes: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zokusebenza. J NdinguColl Cardiol. Ngo-2014; 64 (24): e139-e228. IINKCUKACHA: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

I-Bohula EA, iMorrow DA. I-ST-election infyoction ye-myocardial infarction: ulawulo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 59.

UFihn SD, uBlankenship JC, uAlexander KP, et al. Ngo-2014 i-ACC / AHA / AATS / i-PCNA / i-SCAI / i-STS igxile ekuhlaziyweni kwesikhokelo sokuchongwa kunye nolawulo lwezigulana ezinesifo sentliziyo esisimeleyo. Ukujikeleza. Ngo-2014; 130 (19): 1749-1767. IINKCUKACHA: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

IGiugliano RP, iBraunwald E.I-non-ST yokunyusa ii-syndromes zecoronary. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 60.

UMauri L, uBhatt DL. Ungenelelo ngoncedo lwe-coronary. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 62.

UMorrow DA, de Lemos JA. Isifo sentliziyo esomeleleyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 61.

U-OGara PT, uKushner FG, uAscheim DD, et al. Isikhokelo se-ACCF / AHA sika-2013 kulawulo lwe-ST-elevation myocardial infarction: isishwankathelo sesigqeba: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association Task Force kwizikhokelo zokusebenza. Ukujikeleza. Ngo-2013; 127 (4): 529-555. IINKCUKACHA: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

Ridker PM, Libby P, Buring JE. Iimpawu zomngcipheko kunye nothintelo lokuqala lwezifo zentliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier Saunders; I-2019: isahluko 45.

• UAngina
• I-angioplasty kunye nokubekwa kwindawo entle-umthambo wecarotid
• I-angioplasty kunye nokubekwa ngokufanelekileyo - imithambo yendlela
• Utyando lwevalvu yeAortic -ungena kancinci
• Utyando lwe-aortic valve-luvulekile
• I-atherosclerosis
• Iinkqubo zokupheliswa kwentliziyo
• Utyando lweCarotid-luvulekile
• Isifo sentliziyo
• Utyando lwentliziyo ngokudlula
• Utyando lwentliziyo olugqithisileyo- olungenayo intsholongwane
• Intliziyo yomenzi wentliziyo
• Amanqanaba aphezulu e-cholesterol egazini
• Uxinzelelo lwegazi oluphezulu - abantu abadala
• Isixhobo se-Cardioverter-defibrillator esinokufakwa
• Utyando lweMitral valve -yincinci
• Utyando lweMitral valve-luvulekile
• Umda we-peripheral artery-umlenze

• I-ACE inhibitors
• Angina - ukubhobhoza
• UAngina-yintoni oza kuyibuza ugqirha wakho
• UAngina - xa unentlungu esifubeni
• I-Angioplasty kunye ne-stent-heart-discharge
• I-Angioplasty kunye nokubekwa kwindawo entle-umthambo we-carotid-ukukhutshwa
• I-angioplasty kunye nokubekwa ngokuqinileyo-imithambo yendlela-yokukhutshwa
• Iziyobisi Antiplatelet - P2Y12 inhibitors
• I-Atrial fibrillation - ukukhutshwa
• Ukusebenza emva kokuhlaselwa yintliziyo
• Ukusebenza xa unesifo senhliziyo
• Ibhotolo, imajarini neeoli zokupheka
• Ukucinywa kwentliziyo - ukukhutshwa
• Utyando lweCarotid-ukukhutshwa
• Cholesterol kunye nendlela yokuphila
• Ukulawula uxinzelelo lwegazi oluphezulu
• Kuchazwe amafutha ezempilo
• Iingcebiso zokutya okukhawulezayo
• Ukuhlaselwa yintliziyo - ukukhutshwa
• Ukuhlaselwa sisifo sentliziyo- ukubuza ugqirha
• Utyando lokudlula kwentliziyo-ukukhutshwa
• Utyando lokudlula kwentliziyo-ukukhutshwa kancinci okungafunekiyo
• Isifo sentliziyo - umngcipheko
• Ukungaphumeleli kwentliziyo - ukukhutshwa
• Ukungaphumeleli kwentliziyo - ulwelo kunye ne-diuretics
• Ukungaphumeleli kwentliziyo-ukubeka iliso ekhaya
• Ukungaphumeleli kwentliziyo-yintoni oza kuyibuza ugqirha wakho
• Utyando lwevalvu yentliziyo - ukukhutshwa
• Ufunda njani iilebheli zokutya
• Ukutya kweMeditera
• Umda we-peripheral artery-umlenze-ukukhutshwa
• Stroke - ukubhobhoza

• Ukucoca igazi
• Izifo Zentliziyo