ʻO ka aspirin a me ka maʻi puʻuwai

Paipai nā alakaʻi i kēia manawa i ka poʻe me nā maʻi aʻa koko (CAD) e loaʻa i ka antiplatelet therapy me aspirin a i ʻole clopidogrel.

He kōkua nui ʻo Aspirin therapy no ka poʻe me CAD a i ʻole ka mōʻaukala o ka hahau. Inā ua ʻike ʻia ʻoe me CAD, hiki i kāu kauka olakino ke koi aku iā ʻoe e lawe i kahi lāʻau o kēlā me kēia lā (mai 75 a 162 mg) o aspirin. Paipai ʻia kahi mahele lāʻau o 81 mg i kēlā me kēia lā no ka poʻe i loaʻa iā PCI (angioplasty). Hoʻonohonoho pinepine ʻia me kahi lāʻau antiplatelet hou. Hiki i ka Aspirin ke hōʻemi i ka makaʻi o ka puʻuwai a me ka hahau ʻana ischemic. Eia nō naʻe, hiki i ka hoʻohana ʻana i ka aspirin ma luna o ka wā lōʻihi ke hāpai i kou makaʻu no ke kahe ʻana o ka ʻōpū.

ʻAʻole pono e hoʻohana i ka aspirin i kēlā me kēia lā no ka pale ʻana i ka poʻe olakino i ka makaʻu haʻahaʻa no ka maʻi puʻuwai. E noʻonoʻo ka mea hāʻawi i kāu olakino olakino āpau a me nā mea pilikia no ka hōʻeha puʻuwai ma mua o ka paipai ʻana i ka aspirin therapy.

ʻO ka lawe ʻana i ka aspirin e kōkua i ka pale ʻana i nā clots koko mai ka hana ʻana i loko o kāu mau aʻa a kōkua paha e hoʻohaʻahaʻa i kou makaʻi no ka hahau a me ka puʻuwai puʻuwai.

E ʻōlelo paha kāu mea hāʻawi e lawe i ka aspirin i kēlā me kēia lā inā:

• ʻAʻohe ou moʻolelo o ka maʻi puʻuwai a i ʻole ka hahau, akā nui kou makaʻu no ka puʻuwai a i ʻole ka hahau.
• Ua ʻike ʻia ʻoe me ka maʻi puʻuwai a i ʻole ka hahau ʻana i kēia manawa.

Kōkua ʻo Aspirin i ke kahe ʻana o ke koko i kou mau wāwae. Hiki iā ia ke mālama i kahi puʻuwai puʻuwai a pale i nā kahe o ke koko ke loaʻa ʻoe i kahi puʻuwai puʻuwai maʻamau. E lawe paha ʻoe i ka aspirin ma hope o kou mālama ʻana i nā aʻa paʻa.

E lawe paha ʻoe i ka aspirin ma ke ʻano he pill. ʻO ka aspirin haʻahaʻa haʻahaʻa i kēlā me kēia lā (75 a 81 mg) ʻo ia ka koho mua loa no ka pale ʻana i nā maʻi puʻuwai a i ʻole ka hahau.

E kamaʻilio i kāu mea hāʻawi ma mua o ka lawe ʻana i ka aspirin i kēlā me kēia lā. Hoʻololi paha kāu mea hāʻawi i kāu lāʻau mai kēlā me kēia manawa.

Hiki i nā aspirin ke loaʻa nā hopena ʻē aʻe e like me:

• Pohā
• Kāwili
• Nusea
• ʻ Skinhū ʻili
• ʻEha ʻeha

Ma mua o kou hoʻomaka ʻana e lawe i ka aspirin, e haʻi aku i kāu mea hoʻolako inā he pilikia kahe ʻana o ke koko a me nā maʻi maʻi ʻōpū paha. E ʻōlelo hoʻi inā he hāpai ʻoe a hānai waiu paha.

Lawe i kāu aspirin me ka meaʻai a me ka wai. Hiki i kēia ke hoʻemi i nā hopena ʻaoʻao. Pono paha ʻoe e hōʻoki i ka lawe ʻana i kēia lāʻau ma mua o ke kaha ʻana a i ʻole ka hana niho. E kamaʻilio mau i kāu mea hāʻawi ma mua o kou kū ʻana i ka lawe ʻana i kēia lāʻau. Inā ua loaʻa ʻoe i kahi puʻuwai puʻuwai a i ʻole stent kau, e ʻike pono e nīnau i kāu kauka puʻuwai inā maikaʻi inā e hoʻōki i ka lawe ʻana i ka aspirin.

Pono ʻoe i ka lāʻau no nā pilikia olakino ʻē aʻe. E nīnau i kāu mea hāʻawi inā palekana kēia.

Inā haʻalele ʻoe i kahi lāʻau o kāu aspirin, e lawe ia i ka wā hiki wawe. Inā ʻo ka manawa kēia no kāu mahele lāʻau e hiki mai ana, e lawe i kāu nui maʻamau. Mai lawe i nā huaʻai keu.

E mālama i kāu mau lāʻau i kahi me, a me kahi maloʻo. E mālama iā lākou mai nā keiki aku.

Kāhea i kāu mea hāʻawi inā loaʻa nā hopena ʻaoʻao.

Hiki i nā hopena ʻino ke hōʻailona o ke kahe mau ʻana o ke kahe.

• ʻO ke koko i ka mimi a i ʻole nā ​​noho
• Nā Nosebleeds
• ʻEha ʻaʻano Kauna ʻole
• Kaumaha kahe mai nā ʻoki
• Nā noho pāʻele
• ʻApu ʻana i ke koko
• ʻO ke kahe menstrual kaumaha kaumaha ʻole a i ʻole ke kahe ʻole o ka maʻi kōā
• ʻO Vomit e like me nā papa kope

Hiki i ka hopena ʻē aʻe ke lōlō a paʻakikī hoʻi i ka ale ʻana.

Kāhea i kāu mea hāʻawi inā loaʻa ka wheezing, ka hanu paʻakikī, a i ʻole ka ʻūiki a ʻeha paha i loko o kou umauma.

Hoʻopili nā hopena ʻē aʻe i ka pehu i kou alo a i ʻole nā ​​lima. Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ka makaʻu, ka hives, a me ke kani ʻana i kou alo a i ʻole nā ​​lima, ʻehaʻeha o ka ʻōpū maikaʻi ʻole, a i ʻole ka ʻeha o ka ʻili.

Nā mea lahilahi o ke koko - aspirin; Antiplatelet therapy - aspirin

• Ke kaʻina hoʻomohala o atherosclerosis

Amsterdam EA, Wenger NK, Brindis RG, a me al. ʻO 2014 AHA / ACC alakaʻi no ka mālama ʻana i nā mea maʻi me ka ʻole ST-kiʻekiʻe kiʻekiʻe syndromes coronary: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kulekele hana. ʻO J Am Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Bohula EA, ʻApōpō DA. Infarction myocardial ST-kiʻekiʻe: hoʻokele. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 59.

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS nānā nui i ka papa kuhikuhi no ka ʻike a me ka mālama ʻana i nā mea maʻi me ka maʻi puʻuwai ischemic paʻa. Kaapuni. 2014; 130 (19): 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

Giugliano RP, Braunwald E. Non-ST kiʻekiʻe a me nā syndrome coronary. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 60.

Mauri L, Bhatt DL. Hoʻopili coronary pākēnē. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 62.

ʻApōpō DA, de Lemos JA. Maʻi maʻi ischemic paʻa. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 61.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA alakaʻi no ka mālama ʻana i ka infarction myocardial ST-kiʻekiʻe: hōʻuluʻulu mana: kahi hōʻike o ka American College of Cardiology Foundation / American Heart Association Task Force e pili ana i nā kulekele hana. Kaapuni. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

ʻO Ridker PM, Libby P, Buring JE. Nā māka makaʻu a me ka pale mua ʻana i nā maʻi puʻuwau coronary. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier Saunders; 2019: chap 45.

• Angina
• Hoʻokomo ʻia ka Angioplasty a me stent - carotid artery
• Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea
• ʻOki kino Aortic - invasive minimally
• ʻOki kino Aortic - wehe
• Atherosclerosis
• Nā kaʻina hana hoʻopau Cardiac
• ʻOki kino o Carotid artery - hāmama
• Maʻi maʻi coronary
• ʻOki kino bypass
• ʻOki kino bypass - minimally invasive
• Puʻuwai puʻuwai
• Nā pae kolesterol kiʻekiʻe
• Ke koko kiʻekiʻe - nā mākua
• Imi i ka cardioverter-defibrillator
• ʻOki kino mitral - invasive minimally
• ʻOki kino Mitral - wehe
• Holo ke ākea peripheral - wāwae

• Nā mea kāohi ACE
• Angina - hoʻokuʻu
• Angina - he aha e nīnau aku ai i kāu kauka
• Angina - ke loaʻa iā ʻoe ka ʻeha o ka umauma
• Angioplasty a me stent - puʻuwai - hoʻokuʻu
• Hoʻokomo ʻia ka Angioplasty a me stent - carotid artery - hoʻokuʻu
• Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea - hoʻokuʻu
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• Aibrial fibrillation - hoʻokuʻu
• Ke hana nei ma hope o ka hōʻeha o kou puʻuwai
• Ke hana nei inā loaʻa ka maʻi puʻuwai
• ʻO ka pata, ka margarine, a me nā aila kuke
• Catheterization Cardiac - hoʻokuʻu
• ʻOki kino aʻa Carotid - hoʻokuʻu
• ʻO Cholesterol a me ka nohona
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
• Puʻuwai puʻuwai - hoʻokuʻu
• Ka hōʻeha puʻuwai - he aha e nīnau aku ai i kāu kauka
• ʻOki kino bypass - hoʻokuʻu
• ʻOki kino bypass Heart - minimally invasive - hoʻokuʻu
• Maʻi maʻi puʻuwai - nā mea weliweli
• Hewa ka puʻuwai - hoʻokuʻu
• Hewa ka puʻuwai - nā wai a me nā diuretics
• Ka maikaʻi ʻole o ka naʻau - ka nānā ʻana i ka home
• Hewa ka puʻuwai - he aha e nīnau aku ai i kāu kauka
• ʻO ke kīpoki puʻuwai puʻuwai - hoʻokuʻu
• Pehea e heluhelu ai i nā lepili ʻai
• Papaʻai Mediterranean
• Holo ke ākea peripheral - wāwae - hoʻokuʻu
• Hahau - hoʻokuʻu

• Kaʻi Manamana
• Nā maʻi puʻuwai