Kev noj qab haus huv txoj kev ua neej hloov cov tshuaj aspirin - dab tsi yog qhov txaus ntshai ntawm analgesic?

2024 Tus sau: Seth Attwood | [email protected]. Kawg hloov kho: 2023-12-16 16:06

Ntau lab tus neeg muaj hnub nyoog nruab nrab thiab cov laus thoob plaws ntiaj teb siv tshuaj aspirin txhua hnub, tsis yog tsuas yog qhov yooj yim tshaj plaws thiab pheej yig tshaj tshuaj kho mob, tab sis kuj txo qis qhov tshwm sim ntawm cov ntshav txhaws hauv cov hlab ntsha los ntawm kev txo cov ntshav viscosity.

Nyob rau hauv rooj plaub tom kawg, cov kws kho mob tau hais kom siv cov tshuaj no txhua hnub rau cov neeg uas twb tau mob plawv lossis mob stroke, lossis cov neeg raug tsim txom los ntawm lwm cov kab mob plawv. Txawm li cas los xij, ib txoj kev tshawb fawb tshiab los ntawm cov kws tshawb fawb tau pom tias cov tshuaj aspirin rau kev tiv thaiv kab mob plawv yog noj los ntawm cov neeg coob coob uas tsis muaj teeb meem plawv.

Hauv lawv txoj haujlwm, cov kws tshawb fawb ntawm Harvard Medical Center Beth-Israel tau siv cov ntaub ntawv los ntawm kev tshawb fawb hauv tebchaws 2017. Los ntawm kev tshawb fawb, nws tau pom tseeb tias kwv yees li 29 lab tus tib neeg hnub nyoog 40 thiab tshaj noj tshuaj aspirin txhua hnub txawm tias tsis muaj kab mob plawv. Kwv yees li 6.6 lab ntawm lawv tau sau tshuaj rau lawv tus kheej yam tsis tau ntsib kws kho mob thawj zaug thiab tsis tau txais cov lus pom zoo li no. Ze li ntawm 10 lab tus tib neeg tshaj 70 leej uas tsis muaj kab mob plawv kuj noj tshuaj aspirin txhua hnub rau kev tiv thaiv. Tag nrho cov neeg no, cov neeg sau ntawv ntawm cov ntawv tshawb fawb, muaj kev pheej hmoo.

Vim li cas cov tshuaj aspirin txaus ntshai?

Cov kws tshawb fawb kos lawv cov lus xaus txog kev phom sij ntawm cov tshuaj aspirin raws li kev tshawb fawb ntau yam uas tau ua nyob rau xyoo tas los no. Tag nrho cov ntawm lawv tau pom tias kev noj tshuaj aspirin ua ib tus neeg sawv cev tiv thaiv kab mob plawv ua rau muaj txiaj ntsig me ntsis, tab sis tib lub sijhawm ua rau muaj kev pheej hmoo rau tib neeg lub neej. Tshwj xeeb tshaj yog thaum nws los txog rau cov neeg laus. Cov tshuaj muaj ib tug xov tooj ntawm cov kev phiv loj heev uas override tag nrho nws zoo.

Cov kev mob tshwm sim tseem ceeb tshaj plaws yog tias kev noj tshuaj aspirin txhua hnub tuaj yeem ua rau muaj kev pheej hmoo ntawm plab hnyuv los ntshav vim tias nws cuam tshuam nrog platelets, cov qe ntshav uas pab ntshav txhaws. Tsis tas li ntawd, kev siv tshuaj aspirin tsis tu ncua ua rau lub plab zom mov, ua rau muaj kev pheej hmoo ntawm kev tsim cov kab mob duodenal. Los ntawm txoj kev, cov kws tshaj lij los ntawm Lub Tsev Kho Mob Beth-Israel tau sau tseg tias qhov muaj kab mob peptic ulcer hauv qee cov neeg teb tsis tau dhau los ua qhov laj thawj rau tib neeg tsis kam noj tshuaj lossis tsawg kawg txo nws cov tshuaj noj txhua hnub.

Lwm txoj kev tshawb nrhiav pom tias kev noj cov tshuaj aspirin tsawg tsawg tau cuam tshuam nrog kev pheej hmoo ntawm kev mob ntshav qab zib hauv cov neeg noj qab haus huv tsis muaj kab mob plawv.

Hauv lwm txoj kev tshawb fawb, cov kws tshawb fawb tau sim nrhiav cov lus teb rau lo lus nug: cov tshuaj puas txo qis kev pheej hmoo ntawm thawj lub plawv nres lossis mob stroke hauv cov neeg laus noj qab haus huv. Cov neeg koom tau muab faib ua ob pawg. Cov neeg nyob hauv thawj pab pawg tau noj cov placebo txhua hnub (ib yam khoom uas tsis muaj cov khoom siv tshuaj), cov neeg hauv pawg thib ob - 100 mg ntawm cov tshuaj aspirin. Raws li qhov tshwm sim, qhov kev tuag thiab qhov tshwm sim ntawm dementia tau siab dua hauv cov tshuaj aspirin ntau dua li cov placebo. Cov txiaj ntsig tau pom tias tsis yog cov tshuaj tuaj yeem ua rau lub neej ntev lossis tiv thaiv kev mob plawv thawj zaug, tab sis, ntawm qhov tsis sib xws, tuaj yeem ua rau muaj kev pheej hmoo rau cov neeg laus.

Thaum twg kuv tuaj yeem noj tshuaj aspirin?

Kev tshawb pom tsis ntev los no tau ua rau American Heart Association thiab American College of Cardiology hloov lawv cov lus qhia siv tshuaj aspirin los tiv thaiv kab mob plawv.

Tam sim no lawv tau taw qhia tias cov neeg muaj hnub nyoog tshaj 70 xyoo uas tsis muaj kab mob plawv (lossis hluas dua, tab sis muaj kev pheej hmoo los ntshav ntau ntxiv) yuav tsum tsis txhob noj tshuaj aspirin txhua hnub rau kev tiv thaiv.

Nyob rau tib lub sijhawm, cov lus pom zoo tshiab qhia tias qee zaum, kev noj tshuaj aspirin tuaj yeem ua tau. Peb tab tom tham txog cov neeg muaj hnub nyoog 40 txog 70 xyoo uas tseem tsis tau muaj kab mob plawv, tab sis muaj kev pheej hmoo loj ntawm lawv. Cov kws kho plawv Asmeskas hais tias qhov no, ib tus neeg tuaj yeem noj ntawm 75 mus rau 100 mg ntawm cov tshuaj aspirin ib hnub. Tab sis nyob rau hauv txhua rooj plaub, tsis muaj tus kheej tshuaj. Noj cov tshuaj, hais cov kws kho plawv, tsuas yog tom qab sab laj nrog koj tus kws kho mob.

Yuav ua li cas kom tsis txhob muaj teeb meem plawv

Cov kws kho plawv hu ua lub neej noj qab nyob zoo - noj zaub mov kom zoo thiab muab cov cwj pwm tsis zoo - txoj hauv kev zoo tshaj plaws los tiv thaiv kab mob plawv.

Kev tawm dag zog tsis tu ncua, tswj lub cev hnyav, tsis txhob haus luam yeeb thiab haus cawv, thiab noj zaub mov ntau, qab zib thiab cov rog tsawg yuav muaj txiaj ntsig zoo dua los txo qis kev pheej hmoo ntawm lub plawv.