Unofanira kutora aspirin yezuva nezuva here?

Zvinodhaka Info

Kutora yakaderera-dosi yezuva nezuva aspirin yakagara ichikurudzirwa naana cardiologist senzira iri nyore uye inoshanda yekubatsira kudzivirira zviitiko zvemoyo dzakadai sekurwadziwa kwemoyo nekurohwa, zvinova ndizvo zvinouraya muUnited States. Aspirin ine kugona-kutapudza kweropa uye inorwisa kuumbwa kweropa rinogona kuvhara ropa kuyerera mutsinga uye kunotungamira kuchirwere chemoyo.

Zvidzidzo zviviri zvichangobva kuburitswa, zvinozivikanwa se KUMBIRA uye SVIKA . Tichifunga nezvezvidzidzo izvi, iyo American Heart Association (AHA) uye neAmerican College yeCardiology (ACC) vachangobva kugadzirisa mazano avo pamashandisirwo ezuva nezuva easpirin, vachiona kuti kune vazhinji vekuAmerican, kunyanya vakwegura vane hutano uye avo vane njodzi dzekubuda ropa, njodzi kupfuura zvikomborero.

Pane tsvagiridzo inoratidza kufa kwakawanda uye kubuda kweropa kwakawanda pasina kudzikiswa kwezviitiko zvemoyo muvanhu vane hutano vanotora aspirin yemazuva ese, anodaro Erin Michos, MD, MHS, director director wezvekudzivirira cardiology kuJohn Hopkins University Chikoro cheMishonga uyo akashandawo mukomiti yekunyora. yeiyo 2019 AHA / ACC Nongedzo paPamberi Kudzivirirwa kweCardiovascular Disease . Mune vanhu vasina nhoroondo yehosha yemoyo kana vasina zvimwe zvine njodzi nazvo, kushandiswa kwezuva nezuva kweaspirini kunogona kukuvadza kupfuura kunaka.

Asipurini yezuva nezuva uye chirwere chemwoyo

Zvizhinji chirwere chemwoyo uye kurohwa ndiwo mhedzisiro ye yakavharwa kuyerera kweropa , maererano neAHA. Izvi zvinoitika apo dombo — chinhu chine mafuta chinoumbwa necholesterol, tsvina yemaseru, calcium, uye zvimwe zvinogadzirwa — zvinowanda pamadziro etsinga. Chidimbu chinotetepa tsinga dzichiita kuti zviomere ropa kudarika. Makwenzi akakwenenzverwa anogona zvakare kukonzera kuumbika kweropa rakagwamba rinogona kugara mutsinga nekuvharisa. Kana kuyerera kweropa kumoyo kuchikanganiswa, kurwiswa kwemoyo kunogona kuitika. Kana kuyerera kweropa kuenda kuuropi kuchingobvumidzwa, sitiroko inogona kuitika.

Aspirin inozivikanwa sey antiplatelet mishonga. Maplatelet madiki masero eropa anobatsira ropa rako kugwamba. Aspirin inopinza ropa uye inopindira nekugwamba kwayo, ichiita kuti pasatomboita magadziko eropa achaumba uye kuvhara tsinga. Nepo zvimwe zvidzidzo zvichiratidza kuti asipurini inogona kudzikisa kukwira kweropa (kuve nePP yakanyanya njodzi yechirwere chemoyo), nyanzvi dzinoyambira kuti zvidzidzo hazvina kuitwa zvakanaka uye mhedzisiro yacho yanga ichipesana.

Kubatsira kwekushandisa asipurini zuva nezuva

Mumwe muvashanu vanhu vakarwara nemoyo mumwe vanozoiswa muchipatara nemumwe mukati memakore mashanu, inodaro AHA. Vanachiremba vanokurudzira kushandisa kwepasi-aspirin mune vanhu vane nhoroondo yehosha yemoyo nekuti kutsvagurudza - zvimwe 200 zvidzidzo muvanhu vanopfuura mazana maviri ezviuru -Kuratidzira kunoderedza mikana yekuve neyechipiri yemoyo chiitiko. Chimwe chezvidzidzo zvekutanga zvichinongedzera kubatana chakadhindwa mu Lancet muna 1988 uye yakaratidza kuti mwedzi mumwe wekushandisa yakaderera-asipurini kushandiswa kwakatanga pakarepo mushure mekurwadziwa kwemoyo kana sitiroko kunogona kudzivirira 25 kufa mukati mevarwere chiuru uye gumi nemashanu kusvika gumi nemashanu zviitiko zvisina kumira zvemwoyo .

Ndezvipi zvimwe zvakanakira aspirin?

• Zvinotaridza kudzikamisa kuitika kwevamwe kanzira, kunyanya gomarara rekoloni, asi kumwe kutsvagurudza kunodiwa.
• Inowanikwa zvakanyanya uye isingadhuri.

Ngozi dzekushandisa maaspirin ezuva nezuva

Aspirin ingaite senge isingakuvadzi zvakakwana mushonga, asi, muchokwadi, kushandiswa kwayo kune mhedzisiro.

Zvinoenderana nekutsvaga kwakaburitswa mumagazini PLoS Imwe, kushandiswa kweaspirini kunowedzera njodzi yemunhu yekubuda ropa mudumbu na 40% . Uye nepo iwe uchigona kufunga kuti kumwe kubuda kweropa kuno sarudzika pakurwara kukuru kwemoyo, funga zvakare.

Pane zvirokwazvo zvikonzero zvakanaka zvekutora asipurini, asi hachisi chinhu chisina kunaka zvachose, manotsi Christina Wee, MD , MPH, mutevedzeri purofesa wemishonga paHarvard Medical School uye co-munyori weazvino chinyorwa rakaburitswa muAnnals yeMukati Mishongapane kuwanda kweaspirin kushandiswa kwekutanga kudzivirira kwehutano hwemwoyo. Kana iwe uine zera repakati kana mudiki uye uine hutano, chironda chinobuda ropa chingave chinhu chaunogona kupora kubva. Asi kana iwe usina kusimba kana munhu akura ane zichemo, icho chironda chekubuda ropa chinogona kukukonzera kurasikirwa neropa rakawanda, iro rinogona kuita kuti chirwere chemwoyo chiwone sezvo moyo wako ikozvino uchifanira kupomba zvakanyanya kuti uwane ropa rinotakura oxygen. kune yako system.

Kubuda ropa mudumbu kunogona kuve kwakakura, anowedzera Dr. Michos. Inogona kutungamira kukushaya ropa, uye inogona kuisa kushushikana kwakawanda pamoyo wako. Kubuda ropa hachisi chinhu chisina basa. Inogona kukonzera kuwanda kwehurwere uye kufa.

Nekuda kweiyi yakawanda yekubuda ropa njodzi, iyo AHA / ACC nhungamiro pamusoro pekudzivirira kwekutanga kwehutano hwemwoyo hwakachinja zvine chekuita nekushandisa asipurini. Kunyange zvichiri kurairwa kuti avo vakatove nekurwadziwa kwemoyo kana sitiroko vanoshandisa aspirin yemazuva ese yekudzivirira chimwe chiitiko chemoyo (ditto avo vane stents kana vakapfuura nekuvhiya) zvinhu zvakasiyana kune avo vasina moyo chirwere. Iyi mitsva mirayiridzo ikozvino inorayira pakushandisa aspirin kudzivirira chirwere chemwoyo kana sitiroko mune mamwe mapoka ane njodzi huru yekubuda ropa mukati.

Varwere vane njodzi huru vanosanganisira:

• avo vari makumi manomwe nekupfuura avo vari kuyedza kudzivirira yekutanga kurohwa kwemoyo kana sitiroko
• avo ve chero zera vane mamiriro (akadai maronda) kana kutora zvinodhaka (sengeanticoagulants kana nonsteroidal anti-inflammatories, kana NSAIDS, senge ibuprofen ) izvo zvinogona kukwidza njodzi yavo yekubuda ropa.

Ko kana iwe usina kuwana chirwere chemwoyo asi uine zvimwe zvakakonzera njodzi pazviri- semuenzaniso, unoputa kana kuti une chirwere cheshuga? Kushandiswa kweAspirin kunogona kukodzera, asi iwe uchazoda rubatsiro rwachiremba wako mukuyera nekutsanangudza njodzi yako chaiyo. Kana iwe ukayambirwa kurega kutora aspirin, usanetseka nezve njodzi dzehutano. Kumisa asipurini inotonhorera turkey hakufanirwe kuisa chero njodzi, anodaro Dr. Michos.

Ndeapi maaspirin aunofanira kutora pazuva?

Zvizhinji zvezvidzidzo zvakakomberedza asipurini uye kudzivirira kwekurwisa kwemoyo zvinotarisana nezuva rezasi-dhizini aspirin (dzimwe nguva inonzi sevacheche aspirin, iri zita risiri iro sezvo vacheche havafanirwe kutora aspirin), inotsanangurwa se75-100 mg pazuva. Zvinoenderana nekutsvaga kwakaburitswa mu BMJ , ichi chipasi chepasi chakawanikwa chichiita seyakanyanya madhizaini mukudzivirira kurohwa kwemoyo kwepiri uye sitiroko.

Asi usati wasvika pahwendefa, ita hurukuro neako mupi wehutano. Nhoroondo yako yezvekurapa inogona kukuita iwe mukwikwidzi asina kukodzera kurapa kwezuva nezuva aspirin, kana chiremba wako angafunga kuti unozoshumirwa zvirinani nema statins nemimwe mishonga inobata chirwere chemwoyo.

Kushandisa aspirin kana kuti kwete chimwe chinhu chaunoda kutaura nezvako nachiremba wako, anonyevera Dr. Michos. Kungoita kuti mushonga wakaita seaspirini uripo pakaunda hazvireve kuti wakachengeteka kana wakakodzera. Kurukurai zvese zvamunotora nachiremba wako.