Kunolwazi oluningi oluphikisanayo mayelana nokuphepha kokusebenzisa i-aspirin ngesikhathi sokukhulelwa. Eminye imithombo ithi itholakale ingozi yokukhulelwa kwesisu , kanti abanye bathi okuphambene. Yikuphi okulungile? Kungenzeka kokubili.
Indlela I-Aspirin Engayandisa Ngayo Ingozi Yokungashayeli
Izifundo ezimbalwa ziye zaxhuma ekilasini lama-painkillers eyaziwa ngokuthi yi-non-steroidal anti-inflammatory drugs (NSAIDs), okubandakanya i-aspirin kanye nenhlamba yonke ye-painkiller ngaphandle kwe-Tylenol, ene-miscarriage.
Ucwaningo olwenziwe ngo-2001 lukhuphuke ekutholeni ngokucacile ukuthi ama-NSAID ngesikhathi sokukhulelwa akhulisa ingozi yokukhulelwa kwesisu ngokulinganiselwa ku-80%.
Ucwaningo oluhlukile luka-2003 lwaluchaza lokho okutholwe, okuphawula ukuthi ama-NSAID ahlobene nokukhulelwa komzimba kanti iTylenol yayingenjalo, eholela abalobi ukuba bacacise ukuthi ama-NSAID ngokwawo angase abangele ukuhlukumeza.
Kodwa ukutadisha kuka-2006 akutholakali ubufakazi bokuhlangana phakathi kwe-aspirin ngesikhathi sokukhulelwa nokukhulelwa kwesisu - ngakho iqiniso alikacaci. Kungenzeka ukuthi enye enye into ebangela inhlangano etholakala ezifundweni zokuqala. (Ngokwesibonelo, kungenzeka ukuthi noma yikuphi isimo esiholela abesifazane ukuba basebenzise ama-NSAID empeleni kuzoba yingozi ekhulayo yokukhulelwa kwesisu.) Kodwa okwamanje, odokotela bancike ekutheni iTylenol iyisinqumo esiphephile kakhulu sokukhulelwa.
Indlela I-Aspirin Engayinciphisa Ngayo Ingozi Yokungashayeli
Kuzwakala sengathi ukuphikisa ukuthi i-aspirin inganciphisa ingozi yokukhulelwa kwesisu ngemuva kokusho ukuthi kungcono ukugwema ukuyisebenzisa ngesikhathi sokukhulelwa.
Impendulo yisilinganiso futhi isizathu sokusetshenziswa.
Ayikho ubufakazi bokuthi i-aspirin inenzuzo yowesifazane okhulelwe ovamile, kodwa i -aspirin ye-dose ephansi ingaba usizo kwabesifazane abaye babhekana nokuhlukunyezwa okuphindaphindiwe okuhlobene ne- antiphospholipid syndrome noma ezinye izifo zokuqeda igazi. Odokotela bavame ukubeka "ingane" i-aspirin ngokuhambisana ne- heparin ukuvimbela ukukhulelwa kwesisu kwabesifazane nalezi zimo, kanti odokotela abathile batusa aspirin kwabanye besifazane abaye bahlaselwa okungajwayelekile okungajwayelekile.
Kodwa kulolu hlobo lweprotocol, umthamo we-aspirin ngokuvamile uyingxenye yesine yezinto ezisezingeni eliphansi le-tablet ye-painkiller, ngakho imiphumela emzimbeni ingahle ihluke kakhulu kuneyomthamo omkhulu. (Futhi phawula ukuthi noma yikuphi ukusetshenziswa kwe-aspirin ngesikhathi sokukhulelwa kufanele kube ngaphansi kokuqondiswa udokotela.)
Kuyini i-Aspirin?
I-Aspirin iyimithi ephikisana ne-NSAID. I-aspirin iyi-salicylate kanye nemithi enqunyiwe kunayo yonke isikhathi.
I-aspirin yamandla-kadokotela inikezwa ukukhulula ubuhlungu besifo samathambo, i-osteoarthritis nezinye izimo ze-rheumatologic. I-aspirin engekho emthethweni, noma i-aspirin engathengwa phezu kwe-counter, isetshenziselwa ukuphatha ama-aches nezinhlungu zansuku zonke, njengezinhloko zekhanda. I-aspirin engabhalwanga nayo ingasetshenziswa futhi ukuphatha imfiva. Ngaphezu kwalokho, i-aspirin nayo inikwe abantu abanesifo senhliziyo ukuvimbela ukuhlasela kwenhliziyo esizayo. I-aspirin isetshenziselwa ukuvimbela isifo.
I-aspirini nezinye izidakamizwa ezingavimba ukuvuvukala (ama-NSAID) zisebenza ngokuvimbela isenzo se-cyclooxygenase enzyme. I-cyclooxygenase idala ukwakheka kwe-prostaglandins okudala ukuvuvukala, umkhuhlane kanye nobuhlungu. Ngakho-ke, i-aspirin ivimbela ngokungaqondile ukukhiqizwa kwe-prostaglandin futhi ngaleyo ndlela kusiza ukwehlisa ukuvuvukala, umkhuhlane kanye nobuhlungu.
Imithombo
UJames, AH, uLR Brancazio, noT. Price, "I-Aspirin nemiphumela yokuzala." Ukuhlolwa Kwama- Obstetrics and Gynecology Jan 2008. Kufinyelelwe ngo-26 Aug 2008.
Keim, SA, no-MA Klebanoff, "Ukusetshenziswa kwe-Aspirin kanye nengozi yokukhulelwa komzimba." Epidemiology Jul 2006.
U-Li, uDe-Kun, uLiyan Liu noRoxana Odouli, "Ukuvezwa kwezidakamizwa ezingezona ukuvuvukala ngesikhathi sokukhulelwa kanye nengozi yokukhulelwa kwesisu: isifundo somphakathi esisekelwe kubantu." BMJ 2003.
U-Nielsen, u-Gunnar Lauge, u-Henrik Toft uSorensen, uHelle Larsen, noLars Pedersen, "Ingozi yokuthola imiphumela embi yokuzalwa nokukhulelwa komzimba kwabasebenzisi abakhulelwe izidakamizwa ezingezona ukuvuvukala komzimba: ukutadisha kwabantu ngokucubungula nokucwaninga kwamacala." BMJ 2001.