I-Aspirin nesifo senhliziyo

Imihlahlandlela yamanje incoma ukuthi abantu abane-coronary artery disease (CAD) bathole i-antiplatelet therapy nge-aspirin noma i-clopidogrel.

Ukwelashwa kwe-Aspirin kuyasiza kakhulu kubantu abane-CAD noma umlando wokushaywa unhlangothi. Uma utholwe une-CAD, umhlinzeki wakho wokunakekelwa kwezempilo angancoma ukuthi uthathe umthamo wansuku zonke (kusuka ku-75 kuye ku-162 mg) we-aspirin. Kunconywa umthamo wansuku zonke ka-81 mg kubantu abake baba ne-PCI (angioplasty). Kuvame ukunikezwa kanye nomunye umuthi we-antiplatelet. I-Aspirin inganciphisa ubungozi bokuhlaselwa yisifo senhliziyo nesifo sohlangothi. Kodwa-ke, ukusebenzisa i-aspirin esikhathini eside kungakhuphula ingozi yokuphuma kwesisu.

I-aspirin yansuku zonke akufanele isetshenziselwe ukuvimbela abantu abanempilo abasengozini ephansi yesifo senhliziyo. Umhlinzeki wakho uzocubungula isimo sakho sezempilo jikelele nezici zobungozi bokuhlaselwa yisifo senhliziyo ngaphambi kokuncoma ukwelashwa kwe-aspirin.

Ukuthatha i-aspirin kusiza ukuvimbela amahlule egazi ukuba akhe emithanjeni yakho futhi kungasiza ekwehliseni ubungozi bokushaywa unhlangothi noma isifo senhliziyo.

Umhlinzeki wakho angancoma ukuthatha i-aspirin yansuku zonke uma:

• Awunawo umlando wesifo senhliziyo noma isifo sohlangothi, kodwa usengozini enkulu yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi.
• Usuvele utholwe unesifo senhliziyo noma isifo sohlangothi.

I-Aspirin isiza ukuthola igazi eliningi ligobhoza liye emilenzeni yakho. Ingelapha isifo senhliziyo futhi ivimbele amahlule egazi lapho ushaya ngamandla ngokweqile. Mhlawumbe uzothatha i-aspirin ngemuva kokwelashwa kwemithambo evinjiwe.

Ngokuvamile uzothatha i-aspirin njengephilisi. I-aspirin yedosi ephansi yansuku zonke (75 kuya ku-81 mg) imvamisa kuyindlela yokuqala yokuvimbela isifo senhliziyo noma isifo sohlangothi.

Khuluma nomhlinzeki wakho ngaphambi kokuthatha i-aspirin nsuku zonke. Umhlinzeki wakho angashintsha umthamo wakho ngezikhathi ezithile.

I-Aspirin ingaba nemiphumela emibi efana nale:

• Uhudo
• Ukulunywa
• Isicanucanu
• Ukuqhuma kwesikhumba
• Ubuhlungu besisu

Ngaphambi kokuba uqale ukuthatha i-aspirin, tshela umhlinzeki wakho uma unezinkinga zokopha noma izilonda zesisu. Yisho futhi ukuthi ukhulelwe noma uncelisa ibele.

Thatha i-aspirin yakho ngokudla namanzi. Lokhu kunganciphisa imiphumela emibi. Ungadinga ukuyeka ukuthatha lo muthi ngaphambi kokuhlinzwa noma umsebenzi wamazinyo. Hlala ukhuluma nomhlinzeki wakho ngaphambi kokuba uyeke ukuthatha lo muthi. Uma uke wahlaselwa yinhliziyo noma wafakwa i-stent, qiniseka ukuthi ubuza udokotela wenhliziyo yakho ukuthi kulungile yini ukuyeka ukuthatha i-aspirin.

Ungahle udinge umuthi wezinye izinkinga zempilo. Buza umhlinzeki wakho uma lokhu kuphephile.

Uma uphuthelwa umthamo we-aspirin yakho, yithathe ngokushesha ngangokunokwenzeka. Uma sekuyisikhathi somthamo wakho olandelayo, thatha inani lakho elijwayelekile. Ungaphuzi amaphilisi angeziwe.

Gcina imithi yakho endaweni epholile, eyomile. Zigcine zikude nezingane.

Shayela umhlinzeki wakho uma unemiphumela emibi.

Imiphumela emibi ingaba yizimpawu zokopha okungavamile:

• Igazi emchameni noma ezindle
• Ukopha ngamakhala
• Ukulinyazwa okungajwayelekile
• Ukopha kakhulu ngokusikeka
• Izitulo ezilindile ezimnyama
• Akhwehlele igazi
• Ukopha okungajwayelekile kokuya esikhathini noma ukopha okungalindelekile kwesitho sangasese sowesifazane
• Vomit ebukeka njengezindawo zekhofi

Eminye imiphumela emibi kungaba yisiyezi noma kube nzima ukugwinya.

Shayela umhlinzeki wakho uma uphefumula, unenkinga yokuphefumula, noma ukuqina noma ubuhlungu esifubeni sakho.

Imiphumela emibi ifaka ukuvuvukala ebusweni noma ezandleni zakho. Shayela umhlinzeki wakho uma kukhona ukulunywa, isifuba, noma ukuncinza ebusweni noma ezandleni zakho, ubuhlungu besisu obubi kakhulu, noma ukuqubuka kwesikhumba.

Abanciphisa igazi - i-aspirin; Ukwelashwa kwama-antiplatelet - i-aspirin

• Inqubo yokuthuthukiswa kwe-atherosclerosis

I-Amsterdam EA, uWenger NK, uBrindis RG, et al. Umhlahlandlela we-2014 AHA / ACC wokuphathwa kweziguli ezine-non-ST-elevation acute coronary syndromes: umbiko we-American College of Cardiology / American Heart Association Task Force ngemihlahlandlela yokusebenza. UJ Am Coll Cardiol. 2014; 64 (24): e139-e228. I-PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

I-Bohula EA, i-Morrow DA. I-ST-elevation infarction ye-myocardial: ukuphathwa. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 59.

UFihn SD, uBlankenship JC, u-Alexander KP, et al. Isibuyekezo esigxile ku-2014 ACC / AHA / AATS / PCNA / SCAI / STS somhlahlandlela wokuxilongwa nokuphathwa kweziguli ezinesifo senhliziyo esizinzile. Ukujikeleza. 2014; 130 (19): 1749-1767. I-PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

IGiugliano RP, iBraunwald E. Non-ST ukuphakama kwama-syndromes abukhali we-coronary. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 60.

UMauri L, uBhatt DL. Ukungenelela kwe-coronary okwenzeka ngamandla. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 62.

UMorrow DA, de Lemos JA. Isifo senhliziyo esisimeme. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 61.

U-OGara PT, uKushner FG, u-Ascheim DD, et al. Umhlahlandlela we-ACCF / AHA ka-2013 wokuphathwa kwe-ST-elevation myocardial infarction: isifinyezo esiphezulu: umbiko we-American College of Cardiology Foundation / American Heart Association Task Force ngemihlahlandlela yokusebenza. Ukujikeleza. 2013; 127 (4): 529-555. I-PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

Ridker PM, Libby P, Buring JE. Izimpawu zobungozi nokuvimbela okuyisisekelo kwesifo senhliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier Saunders; 2019: isahluko 45.

• Angina
• Ukubekwa kwe-Angioplasty nokuqina - umthambo we-carotid
• Ukubekwa kwe-angioplasty kanye ne-stent - imithambo yegazi
• Ukuhlinzwa kwe-aortic valve - kungangenisi kakhulu
• Ukuhlinzwa kwe-aortic valve - kuvulekile
• I-atherosclerosis
• Izinqubo zokukhipha inhliziyo
• Ukuhlinzwa komthambo weCarotid - kuvulekile
• Isifo senhliziyo
• Ukuhlinzwa kokudlula kwenhliziyo
• Ukuhlinzwa kokudlula kwenhliziyo - kukuhlasela kancane
• Umenzi wenhliziyo
• Amazinga aphezulu e-cholesterol egazini
• Umfutho wegazi ophezulu - abantu abadala
• I-cardioverter-defibrillator engafakelwa
• Ukuhlinzwa kwe-Mitral valve - kungena kancane
• Ukuhlinzwa kwe-Mitral valve - kuvulekile
• Ukudlula emthanjeni wokudlula - umlenze

• Ama-ACE inhibitors
• I-Angina - ukukhishwa
• U-Angina - ukuthi ubuze ini kudokotela wakho
• I-Angina - lapho unezinhlungu esifubeni
• Ukukhishwa kwe-angioplasty ne-stent - inhliziyo
• Ukubekwa kwe-Angioplasty kanye ne-stent - umthambo we-carotid - ukukhishwa
• Ukubekwa kwe-angioplasty nokuma okuqinile - imithambo yegazi - ukukhipha
• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Atrial fibrillation - ukukhishwa
• Ukusebenza ngemuva kokuhlaselwa yisifo senhliziyo
• Ukusebenza lapho unesifo senhliziyo
• Ibhotela, imajarini namafutha okupheka
• I-catheterization yenhliziyo - ukukhishwa
• Ukuhlinzwa komthambo weCarotid - ukukhipha
• Cholesterol nendlela yokuphila
• Ukulawula umfutho wegazi ophakeme
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Isifo senhliziyo - ukukhipha
• Isifo senhliziyo - okufanele ubuze udokotela wakho
• Ukuhlinzwa kokudlula kwenhliziyo - ukukhipha
• Ukuhlinzwa kokudlula kwenhliziyo - ukukhipha okungatheni okweqile
• Isifo senhliziyo - izici eziyingozi
• Ukuhluleka kwenhliziyo - ukukhipha
• Ukuhluleka kwenhliziyo - uketshezi kanye nezidakamizwa
• Ukwehluleka kwenhliziyo - ukuqapha ekhaya
• Ukwehluleka kwenhliziyo - okufanele ubuze udokotela wakho
• Ukuhlinzwa kwe-valve yenhliziyo - ukukhipha
• Uwafunda kanjani amalebula okudla
• Ukudla kwaseMedithera
• Ukudlula emthanjeni wokudlula - umlenze - ukukhishwa
• Ukushaywa unhlangothi - ukukhishwa

• Ukuncipha Kwegazi
• Izifo Zenhliziyo