\u201cE dua aspirin\u00ebn, kam nevoj\u00eb psikologjikisht p\u00ebr t\u00eb\u201d, p\u00ebrs\u00ebrit presidenti i Shteteve t\u00eb Bashkuara, Donald Trump, i cili ka treguar se prej m\u00eb shum\u00eb se 25 vitesh merr \u00e7do dit\u00eb acid acetilsalicilik. Ai ia atribuon mavijosjet n\u00eb duar dhe nj\u00eb pjes\u00eb t\u00eb shqet\u00ebsimeve t\u00eb tij doz\u00ebs s\u00eb lart\u00eb t\u00eb ila\u00e7it q\u00eb p\u00ebrdor: 325 miligram\u00eb n\u00eb dit\u00eb, rreth kat\u00ebr her\u00eb m\u00eb shum\u00eb se e ashtuquajtura \u201cdoz\u00eb e ul\u00ebt\u201d q\u00eb rekomandohet sot. Mjek\u00ebt thuhet se i kan\u00eb k\u00ebshilluar ta rishikoj\u00eb k\u00ebt\u00eb zgjedhje, por ai e mbron duke iu referuar ides\u00eb s\u00eb p\u00ebrhapur, megjith\u00ebse t\u00eb thjeshtuar, t\u00eb \u201cgjakut m\u00eb t\u00eb holl\u00eb\u201d.<\/p>\n
Por si vepron n\u00eb t\u00eb v\u00ebrtet\u00eb aspirina? Dhe, mbi t\u00eb gjitha, a ndihmon v\u00ebrtet? Kur mund t\u00eb b\u00ebj\u00eb m\u00eb shum\u00eb d\u00ebm sesa mir\u00eb?<\/p>\n
Si vepron n\u00eb t\u00eb v\u00ebrtet\u00eb aspirina<\/p>\n
Aspirina \u00ebsht\u00eb nj\u00eb antiinflamator i fuqish\u00ebm, por nuk e \u201chollon\u201d gjakun n\u00eb kuptimin e zakonsh\u00ebm t\u00eb fjal\u00ebs. Veprimi i saj kryesor \u00ebsht\u00eb pengimi i pakthyesh\u00ebm i funksionit t\u00eb trombociteve, qelizat q\u00eb ndihmojn\u00eb n\u00eb mpiksjen e gjakut. K\u00ebt\u00eb e b\u00ebn duke bllokuar enzim\u00ebn COX-1 dhe duke ulur prodhimin e tromboksanit A2.<\/p>\n
Rezultati \u00ebsht\u00eb nj\u00eb aft\u00ebsi m\u00eb e vog\u00ebl e gjakut p\u00ebr t\u00eb formuar mpiksje. Ky mekaniz\u00ebm \u00ebsht\u00eb i dobish\u00ebm p\u00ebr parandalimin e infarkteve dhe goditjeve ishemike n\u00eb tru, t\u00eb shkaktuara nga bllokimi i nj\u00eb ene gjaku, por sjell edhe rritje t\u00eb rrezikut t\u00eb gjakderdhjes.<\/p>\n
\u00c7\u00ebshtja e doz\u00ebs<\/p>\n
Nj\u00eb pik\u00eb p\u00ebr t\u00eb cil\u00ebn sot ka pajtim t\u00eb gjer\u00eb shkencor \u00ebsht\u00eb r\u00ebnd\u00ebsia e doz\u00ebs. Kur p\u00ebrdorimi i aspirin\u00ebs \u00ebsht\u00eb i nevojsh\u00ebm, ajo zakonisht p\u00ebrshkruhet n\u00eb doz\u00ebn m\u00eb t\u00eb ul\u00ebt q\u00eb jep efektin e k\u00ebrkuar, p\u00ebrgjith\u00ebsisht 75\u2013100 miligram\u00eb n\u00eb dit\u00eb, ose 81 miligram\u00eb n\u00eb Shtetet e Bashkuara.<\/p>\n
Doza m\u00eb t\u00eb larta, si 325 miligram\u00ebt q\u00eb p\u00ebrmend presidenti amerikan, nuk japin automatikisht mbrojtje m\u00eb t\u00eb madhe p\u00ebr zemr\u00ebn. Studimi ADAPTABLE, q\u00eb krahasoi 81 me 325 miligram\u00eb te pacient\u00ebt me s\u00ebmundje kardiovaskulare, nuk gjeti ep\u00ebrsi t\u00eb doz\u00ebs m\u00eb t\u00eb lart\u00eb dhe as ndryshim dometh\u00ebn\u00ebs n\u00eb gjakderdhjet e r\u00ebnda. Megjithat\u00eb, shum\u00eb pjes\u00ebmarr\u00ebs kaluan nga doza e lart\u00eb te ajo e ul\u00ebt, \u00e7ka kufizon interpretimin e rezultateve.<\/p>\n
P\u00ebr k\u00ebt\u00eb arsye, p\u00ebrdorimi afatgjat\u00eb i nj\u00eb doze t\u00eb till\u00eb te nj\u00eb person 80-vje\u00e7ar k\u00ebrkon vler\u00ebsim individual dhe mbik\u00ebqyrje mjek\u00ebsore.<\/p>\n
Parandalimi i infarktit: kur ndihmon dhe kur k\u00ebrkon kujdes<\/p>\n
Gjat\u00eb dhjet\u00eb viteve t\u00eb fundit, studimet kan\u00eb sqaruar m\u00eb mir\u00eb se cil\u00ebt pacient\u00eb p\u00ebrfitojn\u00eb nga aspirina.<\/p>\n
Dallimi kryesor \u00ebsht\u00eb mes parandalimit t\u00eb nj\u00eb ngjarjeje t\u00eb p\u00ebrs\u00ebritur dhe parandalimit t\u00eb nj\u00eb ngjarjeje t\u00eb par\u00eb.<\/p>\n
N\u00eb rastin e par\u00eb b\u00ebhet fjal\u00eb p\u00ebr pacient\u00eb q\u00eb kan\u00eb kaluar infarkt, goditje n\u00eb tru ose kan\u00eb kryer nd\u00ebrhyrje n\u00eb arteriet e zemr\u00ebs. P\u00ebr k\u00ebta pacient\u00eb, p\u00ebrfitimi i aspirin\u00ebs \u00ebsht\u00eb i mb\u00ebshtetur nga prova t\u00eb forta shkencore. Analiza q\u00eb bashkojn\u00eb rezultatet e disa studimeve, t\u00eb publikuara n\u00eb revista si The Lancet dhe New England Journal of Medicine, tregojn\u00eb ulje t\u00eb konsiderueshme t\u00eb ngjarjeve t\u00eb p\u00ebrs\u00ebritura kardiovaskulare.<\/p>\n
M\u00eb i diskutuesh\u00ebm \u00ebsht\u00eb p\u00ebrdorimi te personat pa histori t\u00eb m\u00ebparshme s\u00ebmundjesh kardiovaskulare. Studimet e m\u00ebdha ASPREE, ARRIVE dhe ASCEND kan\u00eb treguar se te disa grupe p\u00ebrfitimi \u00ebsht\u00eb i kufizuar ose kund\u00ebrpeshohet nga rritja e komplikacioneve t\u00eb gjakderdhjes.<\/p>\n
Mbi baz\u00ebn e k\u00ebtyre provave, rekomandimet e vitit 2022 t\u00eb Task Forc\u00ebs amerikane p\u00ebr Sh\u00ebrbimet Parandaluese, USPSTF, p\u00ebrcaktojn\u00eb se:<\/p>\n
Nga mosha 60 vje\u00e7 e lart, nuk rekomandohet nisja e aspirin\u00ebs p\u00ebr t\u00eb parandaluar nj\u00eb infarkt apo goditje t\u00eb par\u00eb n\u00eb tru, sepse rreziku i gjakderdhjeve serioze rritet me mosh\u00ebn.
\nNga mosha 40 deri n\u00eb 59 vje\u00e7, te personat me rrezik t\u00eb shtuar kardiovaskular, vendimi duhet t\u00eb merret individualisht dhe n\u00eb konsultim me mjekun.
\nTrump, 80 vje\u00e7, i p\u00ebrket nj\u00eb grupmoshe q\u00eb k\u00ebrkon kujdes t\u00eb ve\u00e7ant\u00eb. Megjithat\u00eb, p\u00ebr t\u00eb gjykuar trajtimin e tij duhet t\u00eb dihet arsyeja konkrete p\u00ebr t\u00eb cil\u00ebn i \u00ebsht\u00eb p\u00ebrshkruar aspirina dhe historia e plot\u00eb sh\u00ebndet\u00ebsore. Rekomandimi p\u00ebr t\u00eb mos e nisur ila\u00e7in pas t\u00eb 60-ave p\u00ebr parandalimin e nj\u00eb infarkti t\u00eb par\u00eb nuk n\u00ebnkupton nd\u00ebrprerjen automatike t\u00eb nj\u00eb trajtimi ekzistues.<\/p>\n
Rreziqet: aspirina nuk \u00ebsht\u00eb nj\u00eb ila\u00e7 \u201ci pad\u00ebmsh\u00ebm\u201d<\/p>\n
Aspirina nuk \u00ebsht\u00eb nj\u00eb ila\u00e7 pa rreziqe. Veprimi i saj mbi trombocitet shton mund\u00ebsin\u00eb e gjakderdhjes, ve\u00e7an\u00ebrisht n\u00eb stomak dhe zorr\u00eb, si edhe brenda kafk\u00ebs.<\/p>\n
Rreziku ndikohet nga mosha, doza, s\u00ebmundjet e tjera dhe barnat q\u00eb pacienti merr nj\u00ebkoh\u00ebsisht.<\/p>\n
Mavijosjet e shpeshta, si ato q\u00eb p\u00ebrmend Trump, mund t\u00eb shfaqen gjat\u00eb trajtimit me ila\u00e7e q\u00eb pengojn\u00eb bashkimin e trombociteve. Megjithat\u00eb, vet\u00ebm prania e tyre nuk mjafton p\u00ebr t\u00eb p\u00ebrcaktuar shkakun.<\/p>\n
Mavijosjet, ky\u00e7et e \u00ebnjtura dhe insuficienca venoze<\/p>\n
Mavijosjet n\u00eb duart e presidentit jan\u00eb t\u00eb pajtueshme me nj\u00eb efekt an\u00ebsor t\u00eb p\u00ebrdorimit t\u00eb ila\u00e7eve antiagregante, q\u00eb pengojn\u00eb trombocitet t\u00eb bashkohen dhe t\u00eb formojn\u00eb mpiksje.<\/p>\n
M\u00eb e nd\u00ebrlikuar \u00ebsht\u00eb \u00e7\u00ebshtja e \u00ebnjtjes s\u00eb ky\u00e7eve t\u00eb k\u00ebmb\u00ebve. Sht\u00ebpia e Bardh\u00eb ka folur p\u00ebr insuficienc\u00eb venoze kronike, nj\u00eb gjendje e shpesht\u00eb n\u00eb mosh\u00eb t\u00eb avancuar dhe q\u00eb favorizohet nga mungesa e aktivitetit fizik. N\u00eb k\u00ebt\u00eb gjendje, venat e kan\u00eb m\u00eb t\u00eb v\u00ebshtir\u00eb ta kthejn\u00eb gjakun nga k\u00ebmb\u00ebt drejt zemr\u00ebs.<\/p>\n
Masat kryesore t\u00eb trajtimit p\u00ebrfshijn\u00eb p\u00ebrdorimin e \u00e7orapeve kompresive, l\u00ebvizjen dhe kontrollin e pesh\u00ebs. Sipas artikullit, Trump ka pranuar se ka hequr dor\u00eb nga \u00e7orapet kompresive sepse nuk i p\u00eblqenin.<\/p>\n
Efektet an\u00ebsore dhe rastet q\u00eb k\u00ebrkojn\u00eb kujdes<\/p>\n
P\u00ebrdorimi i aspirin\u00ebs k\u00ebrkon vler\u00ebsim t\u00eb posa\u00e7\u00ebm dhe n\u00eb disa raste mund t\u00eb jet\u00eb i kund\u00ebrindikuar, ve\u00e7an\u00ebrisht kur pacienti ka:<\/p>\n
Ul\u00e7er\u00eb aktive n\u00eb stomak ose zorr\u00eb, apo histori gjakderdhjeje nga aparati tret\u00ebs.
\nAnemi t\u00eb shkaktuar nga humbja e vazhdueshme e gjakut.
\nAlergji ndaj aspirin\u00ebs ose disa barnave antiinflamatore josteroide.
\nD\u00ebmtim t\u00eb r\u00ebnd\u00eb t\u00eb funksionit t\u00eb veshkave.
\nMbajtje t\u00eb l\u00ebngjeve dhe \u00ebnjtje t\u00eb gjymtyr\u00ebve, q\u00eb k\u00ebrkojn\u00eb shqyrtimin e shkakut dhe t\u00eb trajtimit.
\nP\u00ebrdorim t\u00eb nj\u00ebkohsh\u00ebm t\u00eb antikoagulant\u00ebve, ila\u00e7e q\u00eb pengojn\u00eb mpiksjen e gjakut, pa mbik\u00ebqyrje mjek\u00ebsore.
\nTe t\u00eb moshuarit, vendimi duhet t\u00eb marr\u00eb parasysh gjendjen e p\u00ebrgjithshme, s\u00ebmundjet shoq\u00ebruese dhe rrezikun individual t\u00eb gjakderdhjes.<\/p>\n
Rasti i Trumpit nxjerr n\u00eb pah nj\u00eb problem m\u00eb t\u00eb gjer\u00eb: marrjen \u201cnga zakoni\u201d t\u00eb barnave q\u00eb k\u00ebrkojn\u00eb rishikim periodik. Aspirina nuk \u00ebsht\u00eb nj\u00eb garanci universale kund\u00ebr infarktit. \u00cbsht\u00eb nj\u00eb ila\u00e7 q\u00eb mund t\u00eb jap\u00eb p\u00ebrfitime t\u00eb r\u00ebnd\u00ebsishme kur p\u00ebrdoret p\u00ebr arsyen e duhur, te pacienti i duhur dhe n\u00eb doz\u00ebn e p\u00ebrshtatshme.<\/p>","protected":false},"excerpt":{"rendered":"
\u201cE dua aspirin\u00ebn, kam nevoj\u00eb psikologjikisht p\u00ebr t\u00eb\u201d, p\u00ebrs\u00ebrit presidenti i Shteteve t\u00eb Bashkuara, Donald Trump, i cili ka treguar se prej m\u00eb shum\u00eb se 25 vitesh merr \u00e7do dit\u00eb acid acetilsalicilik. Ai ia atribuon mavijosjet n\u00eb duar dhe nj\u00eb pjes\u00eb t\u00eb shqet\u00ebsimeve t\u00eb tij doz\u00ebs s\u00eb lart\u00eb t\u00eb ila\u00e7it q\u00eb p\u00ebrdor: 325 miligram\u00eb n\u00eb […]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-101550","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/zennihost.com\/test\/wp-json\/wp\/v2\/posts\/101550","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zennihost.com\/test\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zennihost.com\/test\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/zennihost.com\/test\/wp-json\/wp\/v2\/comments?post=101550"}],"version-history":[{"count":0,"href":"https:\/\/zennihost.com\/test\/wp-json\/wp\/v2\/posts\/101550\/revisions"}],"wp:attachment":[{"href":"https:\/\/zennihost.com\/test\/wp-json\/wp\/v2\/media?parent=101550"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zennihost.com\/test\/wp-json\/wp\/v2\/categories?post=101550"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zennihost.com\/test\/wp-json\/wp\/v2\/tags?post=101550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}