Tshuaj aspirin Cardio

Lub npe thoob ntiaj teb - acidum acetylsalicylicum.

Kev Sib Sau thiab daim ntawv ntawm kev tso tawm. Cov tshuaj phiv tshuaj yog acetylsalicylic acid. Ntsiav tshuaj 0.1 g txhua 20 pcs. hauv pob.

  • Pharmacological kev txiav txim
  • Kev ntsuas rau siv
  • Cov Yuav Tsum Tau Ua
  • Sab sij huam
Pharmacological kev txiav txim. Nws muaj antipyretic, anti-inflammatory thiab analgesic zoo. Txo cov platelet sib sau ua ke, tiv thaiv kev tsim cov ntshav txhaws.

Kev noj tshuaj ntxiv. Rau cov menyuam yaus hnub nyoog qis dua 2 xyoos, xaiv tau koob tshuaj yog xaiv los ntawm tus kws kho mob. Koob tshuaj ib zaug rau cov menyuam muaj hnub nyoog 2 mus rau 3 xyoos - 1 ntsiav tshuaj, txij li 4 txog 6 xyoo - 2 ntsiav tshuaj, ntawm 7 txog 9 xyoos - 3 ntsiav tshuaj. Ntau lub sijhawm teem sijhawm - 1-3 zaug nyob rau ib hnub. Lub sijhawm kho yog 1-2 lub lis piam.

Sab sij huam. Nrog rau siv ntev, kiv taub hau, mob taub hau, tinnitus, tsis muaj zog, xeev siab, qaug zog, mob epigastric, raws plab yog tau. Muaj qee kis, nrog kev siv sijhawm ntev ntawm kev txhaj tshuaj ntau, qhov mob ntawm lub plab thiab lub qhov txhab ntawm txoj hnyuv hauv lub plab, los ntshav tawm ntawm txoj hnyuv, kev tsis haum tshuaj (ua pob rau ntawm daim tawv nqaij, Quincke's edema, bronchospasm), ua rau lub raum tsis ua haujlwm, hloov mus rau hauv cov kev ua haujlwm ntawm hepatic transaminases hauv cov ntshav, tsis tshua muaj tshwm sim thrombocytopenia. Cov.

Cov Tshuaj Tiv Thaiv thaum noj Aspirin 100. Kev mob qog thiab mob sib deev ntawm txoj hnyuv hauv lub exacerbation theem, "aspirin" hawb pob, muaj cov cim qhia tsis zoo ntawm urticaria, rhinitis "tshwm sim los ntawm kev siv cov tshuaj acetylsalicylic acid thiab lwm yam tshuaj tiv thaiv tsis haum tshuaj, hemophilia, hemorrhagic diathesis, hypoprothrombin rau cov tshuaj.

Cov lus qhia tshwj xeeb. Cov tshuaj yog sau ntawv nrog ceev faj thaum muaj piam thaj-6-phosphate depadrogenase deficiency, lub raum ua haujlwm tsis zoo thiab / lossis lub siab ua haujlwm, hauv cov neeg mob uas tsis muaj cov ntaub ntawv tsis zoo ntawm cov tawv nqaij thiab qhov txhab mob thiab los ntshav los ntawm txoj hnyuv, thiab cov neeg mob uas muaj cov tsos mob dyspeptic. Acetylsalicylic acid ua rau kev ua kom zoo ntawm heparin, kov tsis tau anticoagulants, tshuaj tiv thaiv kab mob rau hauv lub qhov ncauj. Cov tshuaj yuav tsum tsis txhob siv cov tshuaj ib txhij nrog lwm cov tshuaj uas tsis yog tshuaj steroidal, methotrexate. Cov tshuaj txo cov hauj lwm zoo ntawm spironolactone, furosemide, tshuaj uas tshem uric acid.

Chaw tsim tshuaj pausCov. Bayer, Tebchaws Yelemees.

Kev siv cov tshuaj Aspirin 100 nkaus xwb raws li kws kho mob tau hais, kev piav qhia tau muab rau siv!

Dab tsi tshuaj mob plawv yog txaus ntshai rau tib neeg?

Kev Sib Sau thiab daim ntawv ntawm kev tso tawm

Ib ntsiav tshuaj ntawm ASPIRIN CARDIO muaj acetylsalicylic acid 100 mg lossis 300 mg ua cov tshuaj muaj txiaj ntsig, kev zam: cellulose hmoov, hmoov nplej pob kws, plhaub: methacrylic acid thiab ethyl acrylate copolymer 1: 1 (Eudragit L30D), polysorbate 80, sodium lauryl sulfate, talc, triethyl citrate.

Cov chaw muag tshuaj: cov tshuaj tsis haum steroidal tshuaj (NSAIDs).

Pharmacological kev txiav txim

Nws yog qhov tseeb los ntawm cov nyhuv uas acetylsalicylic acid (cov tshuaj ua kom muaj zog) muaj rau hauv lub cev. Tshuaj aspirin Cardio zwm rau hauv pab pawg tsis-tshuaj steroidal anti-inflammatory tshuaj (NSAIDs). Nws cov nyhuv ntawm lub cev tau piav qhia los ntawm kev muaj peev xwm los tiv thaiv prostaglandinsynthetase, ib qho enzyme koom nrog hauv biosynthesis ntawm prostaglandins.

Los ntawm kev txwv cov khoom tsim cov tshuaj tua kabmob (prostaglandins), Aspirin Cardio muaj qhov ua kom loog, tshuaj tiv thaiv kev ua kom tsis haum, tiv thaiv kev tiv thaiv. Cov tshuaj aspirin Cardio ua rau qeeb cov kev sib koom ua ke (clumping) thiab cov nplaum ntawm cov platelets. Qhov no yog vim yog inhibition ntawm lub thromboxane biosynthesis ntawm A2 hauv platelets. Tom qab noj tshuaj Aspirin Cardio, cov txiaj ntsig antiplatelet raug kuaj pom hauv ib lub lis piam (tsawg tshaj tawm hauv cov poj niam tshaj li txiv neej).

Kev ntsuas rau siv

Aspirin Cardio siv thaum lub caij nyoog kho cov kev kho mob ntawm cov mob no:

  • mob myocardial infarction muaj ntau yam txaus ntshai (piv txwv li mob ntshav qab zib mellitus, hyperlipidemia, arterial hypertension,
  • kev rog dhau, haus luam yeeb, muaj hnub nyoog siab) thiab rov qab muaj myocardial infarction.
  • mob stroke (suav nrog chespep hauv cov neeg mob uas muaj kev hloov pauv cerebrovascular).
  • transient cerebrovascular kev huam yuaj.
  • thromboembolism tom qab kev phais mob thiab tawm tsam kev cuam tshuam ntawm cov hlab ntsha (piv txwv li txoj hlab ntshav o hla kev sib tsoo, carotid leeg leeg endarterectomy, hlab ntsha tsis haum, carotid artery angioplasty).
  • txoj hlab ntsws sib sib zog nqus loj thiab mob ntawm lub ntsws txoj hlab ntsws thiab nws cov ceg (piv txwv li, nrog lub caij ntev immobilization uas muaj txiaj ntsig los ntawm kev phais loj).
  • tsis ruaj khov angina pectoris.

Tshuaj aspirin Cardio yog dav siv hauv kev kho mob rau cov vascular vim yog muaj peev xwm ntawm cov tshuaj los txo cov platelet sib sau ua ke. Cov tshuaj tseem ua rau muaj kev pabcuam ntawm analgesic thiab antipyretic effect, txo cov txheej txheem inflammatory.

Cov lus qhia rau kev siv

Cov ntsiav tshuaj aspirin cardio raws li cov lus qhia rau kev siv yog pom zoo kom siv ib zaug ib hnub ua ntej noj mov, ntxuav nrog dej. Cov tshuaj no haum rau kev siv mus sij hawm ntev, qhov kawm yog txiav txim los ntawm tus kws kho mob.

  • Txhawm rau tiv thaiv kom tsis txhob mob plawv ntxiv, ruaj khov thiab tsis khov, cov tshuaj no yog siv rau ntawm 100-300 mg rau ib hnub.
  • Txhawm rau tiv thaiv kom mob stroke thiab cerebrovascular kev raug mob, nrog rau kev txhim kho ntawm thromboembolism hauv lub sijhawm tom qab kev phais mob, cov tshuaj no yog noj 100-300 mg rau ib hnub.
  • Thaum lub sijhawm tiv thaiv tus mob plawv nres, cov tshuaj yog 100 mg rau ib hnub lossis 300 mg txhua lwm hnub.
  • Txhawm rau txhawm rau tiv thaiv txoj hlab ntshav siab thiab txhawm ntshav - 100-200 mg ib hnub lossis 300 mg txhua lwm hnub.
  • Nrog rau kev txhim kho tsis ruaj khov angina, cov tshuaj yog kws kho 100-300 mg. Yog koj xav tias koj muaj lub siab mob, tus neeg mob yuav tsum noj thawj ntsiav tshuaj ntawm cov tshuaj kom sai li sai tau. Cov tshuaj yuav tsum tau zom kom txhawm rau txhawm rau ua kom nqus tau cov txheej txheem thiab qhov muab ntawm cov nyhuv kho kom zoo.

Yog tias koj tsis nco qab noj cov tshuaj aspirin cardio, koj yuav tsum noj cov tshuaj sai li sai tau, kev tswj hwm ntxiv yuav tsum muaj nyob rau hauv txoj kev ib txwm, tab sis koj yuav tsum ncua kev noj cov ntsiav tshuaj uas ploj lawm yog tias lub sijhawm rau noj cov tshuaj yog tsim nyog raws li kev coj noj coj ua.

Pom tau tsa tes yeeb ncuab MUSHROOM ntawm ntsia hlau! Koj cov ntsia hlau yuav raug ntxuav hauv 3 hnub! Coj nws.

Yuav ua li cas kom ceev cov leeg nrawm tom qab 40 xyoo? Daim ntawv qhia yooj yim, sau cia.

Nkees hemorrhoids? Muaj ib txoj kev tawm! Nws tuaj yeem raug kho nyob hauv tsev hauv ob peb hnub, koj xav tau.

Txog qhov muaj cov cab li hais tias ODOR los ntawm lub qhov ncauj! Ib zaug ib hnub, haus dej nrog ib tee ..

Sab sij huam

Thaum siv tshuaj yeeb tshuaj Aspirin Cardio, nws yog ib qho tsim nyog yuav tau soj ntsuam qhov ntau npaum li cas qhia nyob rau hauv cov lus qhia rau kev siv, txwv tsis pub cov kev mob tshwm sim hauv qab no:

  1. Hematopoietic system: ib qho kev txo qis ntawm cov qe ntshav liab, txo qis ntawm cov leukocytes, qhov nce ntawm eosinophils, muaj ntau ntxiv ntawm agranulocytes, txo qis ntawm cov platelets, lub ntsej muag ntawm lub qhov ntswg, qhov zoo li lub plab hnyuv tawm tuaj, qhov tshwm sim ntawm esophageal los ntshav, qhov tshwm sim ntawm hemorrhoidal los ntshav.
  2. Lub hauv nruab nrab thiab ntu ntu paj hlwb: mob taub hau, kiv taub hau,
  3. Cov kab mob hauv lub raum: tsis tshua ua haujlwm ntawm lub raum,
  4. Kab mob ua pa: bronchial spasm, hnoos, laryngeal edema,
  5. Lub plab zom mov: tsam plab, mob plab tsis txaus, ua kom tsis qab los, ua mob rau ntawm tus txiav, mob plab, zoo li lub plab ua paug, ua rau lub siab,
  6. Kev puas tsuaj rau daim tawv nqaij: urticaria, thrombocytopenic purpura, khaus ntawm daim tawv nqaij, ntau yam dermatitis.

Ntxiv rau, kev siv cov tshuaj acetylsalicylic acid ua rau muaj kev pheej hmoo los ntshav. Muaj qee zaus, thaum noj cov tshuaj Aspirin Cardio, kev nce siab hauv cov kev ua ntawm daim siab hloov pauv yog pom, kev txhim kho ntawm bronchospasm.

Cov Yuav Tsum Muaj

Kev siv tshuaj noj ib qho yuav tsum tau ua qhov kev txheeb xyuas nyiaj txiag thiab tshuaj ntsuam cov txheej txheem sib tiv thaiv kom tiv thaiv tau txoj sia nyob hauv txoj sia. Cov no suav nrog:

  • bronchial hawb pob los ntawm kev noj salicylates thiab lwm cov NSAIDs,
  • kev sib xyaw ua ke ntawm bronchial hawb pob, kev mob siab ntsws ntau ntawm lub qhov ntswg thiab qhov ntswg txhaws ntswg thiab tsis haum rau ASA,
  • erosive thiab ulcerative lesions ntawm lub plab zom mov nyob rau hauv mob mob theem,
  • mob hnyuv los ntshav,
  • hemorrhagic diathesis,
  • ua ke siv nrog methotrexate ntawm koob tshuaj 15 mg ib lis piam los yog ntau dua,
  • cev xeeb tub (I thiab III trimesters),
  • kev pub mis
  • cov menyuam yaus thiab cov hluas (txog 18 xyoo),
  • mob raum tsis ua haujlwm (CC tsawg dua 30 ml / min),
  • mob rau daim siab ua hauj lwm loj (qib B thiab siab tshaj nyob ntawm Child-Pugh nplai),
  • NYHA Chav III-IV mob plawv nres,
  • cov tshuaj tiv thaiv tsis haum rau acetylsalicylic acid, cov neeg tsis paub nyob hauv cov tshuaj thiab lwm yam tshuaj NSAIDs.

Cov kev xav tsis zoo thaum siv tshuaj Aspirin cardio raug kuaj pom ntau dhau los ntawm kev siv ntau dhau thiab noj tshuaj tsis noj tshuaj.

Noj ntau dhau

Salicylate intoxication (tshwm sim thaum noj ASA ntawm ib koob ntau dua 100 mg / kg / hnub rau ntau tshaj 2 hnub) yuav yog los ntawm kev siv lub sijhawm ntev ntawm kev siv tshuaj lom ntawm cov tshuaj uas yog ib feem ntawm kev siv tshuaj tsis raug cai (mob ntev mus rau hauv dej) lossis ib zaug los yog ib qho kev raug mob los ntawm kev siv tshuaj lom laus lossis menyuam yaus (mob qaug cawv).

Muaj peb qib ntawm qhov mob hnyav nyob rau hauv cov ntaub ntawv ntawm kev siv ntau dhau.

  1. Thawj qhov kev mob tshwm sim nrog kev txhaj tshuaj ib zaug ntawm Aspirin Cardio tsawg dua 0.15 g / kg ntawm tus neeg mob qhov hnyav. Cov tsos mob: dyspepsia, mob taub hau, pom kev txawv txav, ua npaws.
  2. Qhov tshuaj thib ob tshwm sim nrog ib koob tshuaj Aspirin Cardio los ntawm 0.15 txog 0.3 g / kg ntawm tus neeg mob lub cev, qhov thib peb yog muaj ntau dua 0.3 g / kg.
  3. Thaum muaj tshuaj lom, mob plab zom mov thiab mob qhov ncauj, tshuaj pleev plab tau siv, kev kho mob thaum ua haujlwm. Nws yog qhov tsim nyog los tswj cov pH ntawm cov ntshav thiab kev qhia txog sodium bicarbonate, nyob rau hauv cov teeb meem kev tsis ncaj ncees homeostasis hauv acidic sab. Hemodialysis thiab lub tshuab cua siv lub tshuab ua pa siv tau rau hauv qhov mob hnyav, raws li kev qhia.

Raws li cov ntaub ntawv soj ntsuam, tus nqi nruab nrab ntawm ASPIRIN CARDIO ntsiav tshuaj hauv cov khw muag tshuaj (Moscow) yog 78 rubles.

Cov tshuaj tiv thaiv nrov ntawm Aspirin Cardio yog Trombo Ass, Avix, Axanum, Agrenox, Brilinta, Gendogrel, Disgren, Ilomedin, Ipaton, Kropired, Cardogrel, Clopidal, Lopired, Pingel, Plavix, Platogril, Trombonet, Effient. Feem ntau tus nqi ntawm cov qauv analogues yog qhov sib txawv ntawm cov nqi ntawm cov tshuaj kho mob thawj.

Xim: kev siv cov analogues yuav tsum pom zoo nrog tus kws kho mob koom.

Dosage daim ntawv

Enteric Coated Cov ntsiav tshuaj 100 mg thiab 300 mg

Ib ntsiav tshuaj muaj

cov tshuaj heev - acetylsalicylic acid 100 mg lossis 300 mg,

zam txim: cellulose hmoov, hmoov txhuv nplej siab, eudragit L30D, polysorbate 80, sodium lauryl sulfate, talc, triethyl citrate.

Hloov, biconvex, me ntsis ntxhib, beveled dawb ntsiav tshuaj rau ntug, ntawm lub kink - homogeneous loj ntawm dawb, ncig los ntawm lub plhaub ntawm tib xim

Cov chaw muag tshuaj

Cov Tshuaj Pharmacokinetics

Tom qab kev tswj hwm ntawm qhov ncauj, acetylsalicylic acid (ASA) tau nrawm thiab nrawm los ntawm lub plab zom mov.

Thaum lub sijhawm nqus thiab tam sim ntawd tom qab nws, acetylsalicylic acid hloov mus rau hauv lub ntsiab metabolite - salicylic acid.

Qhov siab tshaj plaws ntawm acetylsalicylic acid nyob rau hauv cov ntshav plasma tau mus txog tom qab 10-20 feeb, qhov siab tshaj plaws ntawm salicylic acid hauv 0.3-2 teev.

Vim tias qhov tseeb nkag rau txheej ntawm Aspirin cardio® ntsiav tshuaj tiv taus cov kua qaub, cov tshuaj ua kom lub zog tsis tso tawm hauv lub plab, tab sis nyob hauv thaj chaw alkaline. Vim tias qhov no, qhov nqus ntawm acetylsalicylic acid tau qeeb los ntawm 3-6 teev piv nrog cov ntsiav tshuaj tsis nrog nrog cov txheej txheej ua ke.

Acetylsalicylic thiab salicylic acids khi rau ntau qhov ntau rau cov protein ntshav thiab tau faib sai heev hauv cov ntaub so ntswg.

Salicylic acid yog tawm hauv cov kua mis thiab hla tus hniav placental.

Salicylic acid yog metabolized feem ntau hauv daim siab nrog kev tsim cov metabolites - salicylurate, salicylophenol glucuronide, salicylacyl glucuronide, gentisic thiab gentizuric acids.

Qhov tshwj xeeb ntawm salicylic acid yog koob tshuaj.

Ib nrab-lub neej thaum noj cov tshuaj hauv cov koob tshuaj qis yog 2-3 teev, thaum noj cov tshuaj hauv qhov siab kawg yog 15 teev. Salicylic acid thiab nws cov metabolites yog txaws feem ntau los ntawm lub raum.

Cov Tshuaj Hauv Tshuaj

Lub tshuab kev ua ntawm acetylsalicylic acid yog ua raws li kev tsis tuaj yeem ntawm kev txwv ntawm cyclooxygenase (COX-1), vim qhov kev sib txuas ntawm thromboxane A2 yog thaiv thiab platelet aggregation yog suppressed. Cov nyhuv antiplatelet yog feem ntau hais rau hauv platelets, txij li lawv tsis muaj peev xwm rov coj los ua cyclooxygenase.

Nws ntseeg tau tias acetylsalicylic acid muaj lwm cov txheej txheem rau kev tawm tsam platelet kev sib cais, uas nthuav dav nws txoj hauv kev hauv ntau cov kab mob vascular.

Acetylsalicylic acid belongs rau cov pab pawg ntawm cov tshuaj uas tsis muaj tshuaj steroidal, thiab muaj cov tshuaj tiv thaiv tsis haum, tshuaj tiv thaiv thiab ua kom mob.

Cov koob tshuaj ntau dua yog siv los daws qhov mob thiab qhov mob me febrile, xws li mob khaub thuas thiab mob khaub thuas, kom txo kub taub hau, txo cov leeg mob thiab mob pob qij txha, nrog rau mob rau mob thiab mob txha nrawm xws li mob caj dab, mob txha caj qaum thiab txha caj qaum txha caj qaum.

Tsuas tshuaj thiab tswj hwm

Txog kev tswj hwm qhov ncauj.

Enteric-coated cardio ntsiav tshuaj, enteric coated, yuav tsum tau noj ua ntej noj mov nrog haus dej kom ntau.

Txhawm rau txo txoj kev pheej hmoo tuag nyob hauv cov neeg mob nrogmob myocardial infarction

Thawj koob tshuaj ntawm 100-300 mg (thawj ntsiav tshuaj yuav tsum tau chewed rau kev nqus sai dua) yuav tsum tau noj los ntawm tus neeg mob sai li sai tau tom qab muaj kev xoom xaim ntawm kev txhim kho ntawm kev mob siab myocardial infarction.

Hauv 30 hnub tom ntej tom qab kev txhim kho ntawm myocardial infarction, ib koob tshuaj ntawm 100-300 mg / hnub yuav tsum tswj hwm.

Tom qab 30 hnub, xav tau kev kho mob ntxiv yuav tsum tau txiav txim siab los tiv thaiv kev txhim kho ntawm kev rov qab myocardial infarction.

Txo txoj kev pheej hmoo ntawm kev muaj mob thiab kev tuag nyob hauv cov neeg mob tom qab myocardial infarction

Rau kev tiv thaiv theem nrab ntawm tus mob stroke

Txhawm rau kom txo qis kev pheej hmoo ntawm TIA thiab mob stroke hauv cov neeg mob TIA

Txhawm rau txo tus mob kev ploj tuag thiab kev tuag nrog kev ruaj khov thiab tsis khov

Rau kev tiv thaiv ntawm thromboembolism tom qab kev phais mob thiab cuam tshuam cov leeg ntshav kev cuam tshuam

Rau kev tiv thaiv ntawm txoj hlab ntsws nqig thiab txoj hlab ntsws thuv ntses ntsws

100-200 mg / hnub lossis 300 mg txhua lwm hnub

Txo txoj kev pheej hmoo ntawm qhov mob myocardial infarction

100 mg rau ib hnub lossis 300 mg txhua lwm hnub.

Sab sij huam

Cov kev mob tshwm sim hauv qab no yog raws cov ntaub ntawv los ntawm cov kev tshaj tawm tom qab kev tshaj tawm kev tshaj tawm thiab ntawm kev paub ntawm kev siv txhua yam tshuaj Aspirin, suav nrog cov ncauj lus rau kev kho mob luv thiab ntev.

Hauv qhov no, lawv cov sawv cev ntau zaus raws li cov pawg CIOMS III tsis tau.

- dyspepsia, mob plab thiab mob hauv plab gastrointestinal

- mob ntawm lub plab zom mov, mob rau lub plab mos ntawm lub plab thiab duodenum (tsis tshua muaj feem ntau ua rau lub plab hnyuv los ntshav thiab perforations nrog sib piv kuaj mob thiab kuaj pom)

Tsis tshua muaj - tsis tshua muaj:

- Cov mob hnyav rau los ntshav ntau, xws li mob ntshav tawm ntshav, ntshav tawm ntawm lub hlwb (tshwj xeeb yog cov neeg mob uas tsis tuaj yeem muaj ntshav siab thiab / lossis tau txais kev kho mob nrog cov tshuaj anticoagulant), uas nyob rau qee qhov tuaj yeem ua rau tuag taus.

- Kev tsis haum siab hnyav, nrog rau kev poob siab anaphylactic

- Hloov ua haujlwm ntawm lub siab nrog kev nce ntxiv hauv kev ua ntawm "nplooj siab" transaminases

Nrog tsis paub zaus:

- los ntshav, xws li mob ntshav tawm los, hematomas, epistaxis (epistaxis), urogenital los ntshav, ntshav tawm hauv cov pos hniav

- hemolysis thiab hemolytic anemia rau cov neeg mob uas muaj cov qauv hnyav ntawm cov piam thaj-6-phosphate dehydrogenase tsis txaus

- Lub raum khiav tsis zoo thiab lub raum tsis ua haujlwm

- Kev tsis haum lub siab nrog rau qhov chaw kuaj mob thiab kuaj pom (asthmatic syndrome, mob sib khuav me me mus rau daim tawv nqaij, ua pa ntawm lub plab, lub plab thiab lub plawv, nrog rau cov tawv nqaij ua pob, urticaria, edema, tawv nqaij khaus, rhinitis, edema cov leeg ntawm lub qhov ntswg, mob plawv-ua pa nyuaj rau lub ntsws)

- tsaus muag thiab lub suab nrov hauv lub pob ntseg, uas tuaj yeem ua tau lub ntsej muag ntawm kev haus tshuaj ntau dhau.

Cov tshuaj sib cuam tshuam

Methotrexate ntawm koob tshuaj 15 mg / vas thiv lossis ntau dua

Nrog rau kev siv tib lub sijhawm ntawm ASA nrog methotrexate, hematological toxicity ntawm methotrexate ntau ntxiv vim qhov tseeb tias NSAIDs txo lub raum kev tshem tawm ntawm methotrexate, thiab salicylates, tshwj xeeb, muab nws tshem tawm ntawm kev sib txuas nrog cov protein ntshav.

Tej kev sib txuam uas xav tau ceev faj

Ibuprofen nrog tib lub sijhawm siv nrog ASA antagonizes nws cov txiaj ntsig zoo rau ntawm platelets.

Hauv cov neeg mob uas muaj kev pheej hmoo ntawm cov kab mob plawv ntau dua, kev siv ibuprofen thiab ASA ua rau txo qis nws cov nyhuv cardioprotective.

Anticoagulants, thrombolytic thiab lwm yam tshuaj antiplatelet

Muaj kev pheej hmoo los ntshav.

Lwm cov NSAIDs uas muaj cov koob tshuaj salicylates ntau (3 g / hnub lossis ntau dua)

Vim yog qhov sib tov ntawm qhov kev txiav txim, muaj kev pheej hmoo ntawm kev mob siab ntawm lub plab hnyuv tev thiab mob ntshav nce ntxiv.

Xaiv Serotonin Reuptake Inhibitors

Vim yog cov synergy ntawm kev nqis tes ua, kev pheej hmoo los ntshav los ntawm lub plab zom mov sab sauv nce.

Los ntawm kev txo lub raum hauv lub raum, ASA ua rau kev nce qis ntawm digoxin hauv ntshav ntshav.

Antidiabetic agents, piv txwv li insulin, sulfonylureas

Kev txhaj tshuaj ntau ntawm ASA txhim kho cov nyhuv ntawm cov tshuaj hypoglycemic vim qhov ua rau lub ntsej muag hypoglycemic ntawm acetylsalicylic acid thiab kev hloov pauv ntawm sulfonylurea derivatives los ntawm kev sib txuas lus nrog cov ntshav ntshav protein.

Diuretics ua ke nrog kev txhaj tshuaj ntawm ASA ntau dua

Muaj ib qho kev txo qis ntawm cov glomerular uas yog qhov txiaj ntsig ntawm qhov txo qis ntawm cov tshuaj syntaglandins hauv ob lub raum.

Systemic glucocorticosteroids (GCS), tshwj tsis yog hydrocortisone, siv rau kev hloov kho rau Addison tus kab mob

Nrog rau kev kho mob corticosteroid, theem ntawm salicylates nyob rau hauv cov ntshav txo qis thiab muaj kev pheej hmoo ntawm kev tsim muaj ntau tshaj ntawm salicylates tom qab tsis kho kev kho mob, txij li corticosteroids ua rau kom zoo tshaj plaws ntawm cov tom kawg.

Angiotensin-hloov pauv enzyme (ACE) inhibitors nyob rau hauv ua ke nrog kev txhaj tshuaj ntawm ASA ntau dua

Muaj ib qho kev txo qis ntawm glomerular pom tshwm sim los ntawm kev txiav txim siab ntawm prostaglandins nrog cov nyhuv vasodilating, ntsig txog, qhov ua kom tsis muaj zog ntawm cov nyhuv hypotensive.

Cov kev mob toxicity ntawm valproic acid nce vim kev txav chaw los ntawm kev sib txuas lus nrog cov ntshav ntshav protein.

Muaj qhov kev pheej hmoo ntawm kev puas tsuaj rau lub plab hnyuv thiab qhov nce ntawm lub sijhawm los ntshav uas yog los ntawm kev sib nrig sib ntxiv ntawm cov teebmeem ntawm ASA thiab ethanol.

Cov tshuaj uricosuric xws li benzbromaron, probenecid

Cov nyhuv uricosuric yog txo qis vim kev sib tw raum tubular tshem tawm uric acid.

Cov lus qhia tshwj xeeb

Cov tshuaj yuav tsum tau siv nrog ceev faj nyob rau hauv cov nram qab no:

- nrog hypersensitivity rau analgesics, anti-inflammatory, anti-rheumatic tshuaj thiab lwm yam kev tsis haum

- muaj keeb kwm muaj qhov mob ua paug rau txoj hnyuv, nrog rau mob leeg los yog ua kom mob rau lub plab los yog muaj ntshav tawm tuaj.

- thaum siv ua ke nrog cov tshuaj tiv thaiv (saib Ntu “Kev Sib Cuam Tshuam Hauv Tshuaj”)

- hauv cov neeg mob uas lub raum tsis zoo los yog lub plawv khiav ua haujlwm (piv txwv li, muaj mob rau lub raum lub raum, kev ua kom lub plawv khiav tsis zoo, txo qis cov ntshav ntau, kev phais mob loj, sepsis, los yog los ntshav ntau), vim tias acetylsalicylic acid tuaj yeem ntxiv kev pheej hmoo rau lub raum puas lossis mob hnyav. lub raum tsis ua hauj lwm

- hauv cov neeg mob uas muaj mob ntshav qabzib ntau-6-phosphate dehydrogenase deficiency (G6FD), acetylsalicylic acid tuaj yeem tsim kev loj hlob ntawm hemolysis lossis hemolytic anemia. Qhov tseeb uas yuav ua rau muaj kev pheej hmoo mob hemolysis suav nrog, piv txwv li, kev noj tshuaj ntau, ua npaws, lossis muaj mob hnyav.

- Yog tias ua rau lub siab ua haujlwm tsis zoo

Ibuprofen tuaj yeem tso cov tshuaj inhibitory ntawm ASA ntawm platelet aggregation. Cov neeg mob uas tau txais kev kho mob ASA thiab noj ibuprofen rau kev kho mob yuav tsum qhia lawv tus kws kho mob.

ASA tuaj yeem ua rau kev mob ntsws bronchospasm, ntxiv rau ua rau muaj kev tawm tsam ntawm tus mob ntsws asthma thiab lwm yam kev ua kom tsis haum ntshav. Kev muaj mob txaus ntshai yog keeb kwm ntawm mob ntsws asthma, quav nyab kub taub hau, lub qhov ntswg ua pob txha caj qaum, mob ntsws ua pa ntawm lub nruab nrog cev, nrog rau kev ua xua rau lwm yam tshuaj (piv txwv, kev tawv nqaij ua pob, khaus, urticaria).

Vim tias cov nyhuv inhibitory hauv platelets, kev siv tshuaj aspirin cardio tej zaum yuav cuam tshuam nrog kev pheej hmoo siab los ntshav. Vim tias qhov peev xwm no los txwv tawm platelet sib sau, uas txuas ntxiv rau ob peb hnub tom qab noj tshuaj, acetylsalicylic acid tuaj yeem ua rau muaj ntshav nce ntxiv thaum lub sijhawm thiab tom qab kev phais mob (suav nrog kev phais mob me, xws li rho tawm hniav).

Kev los ntshav tuaj yeem ua rau muaj kev txhim kho mob raum lossis mob hlwb posthemorrhagic / hlau tsis muaj zog (piv txwv, vim muaj latent microbleeding) nrog cov chaw kuaj mob thiab kuaj ntshav kuaj mob thiab cov tsos mob, xws li asthenia, pallor ntawm daim tawv nqaij, hypoperfusion.

ASA nyob rau hauv cov koob tshuaj qis yuav txo qhov tsis pom kev ntawm uric acid, uas tuaj yeem ua rau muaj kev txhim kho gout hauv cov neeg muaj kev phom sij.

Kev siv kho cov menyuam yaus

Muaj kev sib raug zoo ntawm kev noj tshuaj Aspirin thiab kev loj hlob ntawm Tus Mob Reye thaum siv rau cov menyuam yaus muaj qee yam kabmob kis. Txoj kev pheej hmoo tuaj yeem raug nce ntxiv nrog kev siv tshuaj sib xyaw ua ke uas muaj ASA, tab sis kev sib raug zoo hauv kev txheeb ze tsis tau txheeb xyuas. Kev txhim kho ntawm kev ntuav tsis tu ncua hauv cov kab mob zoo li no tuaj yeem yog tus tsos mob ntawm Reye tus mob.

Reye's syndrome yog ib yam mob uas tsis tshua muaj mob uas ua rau lub hlwb thiab daim siab thiab ua rau neeg tuag taus.

Hauv qhov no, tshuaj aspirin cardio yuav tsum tsis txhob siv rau hauv cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 18 xyoo, tshwj tsis yog muaj lwm yam qhia.

Siv thaum cev xeeb tub

Kev txwv tsis pub muaj prostaglandin synthesis tuaj yeem muaj qhov tsis zoo rau kev xeeb tub thiab kev loj hlob ntawm ib lub cev lossis menyuam mos. Kev tshawb xyuas kabmob sib kis tau qhia tias muaj kev pheej hmoo ntawm malformations thiab malformations thaum siv prostaglandin synthesis inhibitors thaum cev xeeb tub thaum ntxov. Nyob rau tib lub sijhawm, nws ntseeg tau tias qhov kev pheej hmoo nce nrog qhov nce ntxiv thiab sijhawm kho. Muaj cov ntaub ntawv tsis paub meej txog kev sib raug zoo ntawm kev siv cov tshuaj acetylsalicylic acid thiab muaj kev pheej hmoo ntawm kev txiav ua ntej cev xeeb tub. Muaj cov ntaub ntawv kev sib kis hais txog kev txhim kho kev ua haujlwm ntawm kev tsis sib xws yog qhov sib txawv, txawm li cas los xij, kev pheej hmoo ntawm kev tsim muaj cov malformation - tsis ua haujlwm ntawm lub plab phab ntsa anterior tsis tuaj yeem txiav tawm. Kev siv tus neeg siv ASA thaum ntxov cev xeeb tub (1-4 hlis) hauv 14.800 tus poj niam / cov menyuam tsis tau qhia txog kev koom tes nrog kev ua haujlwm ntau ntxiv ntawm kev ua txhaum.

Kev kawm ua ntej pom tau hais tias muaj tshuaj lom deev. Lub sijhawm teem ntawm kev npaj muaj acetylsalicylic acid nyob rau hauv thawj thiab thib ob trimesters ntawm cev xeeb tub tsis tau qhia, kom txog rau thaum nws tau hais qhia los ntawm kev siv khoom hnyav.

Nrog rau qhov no hauv siab, hauv thawj thiab thib ob trimesters ntawm cev xeeb tub, Aspirin cardiohauv koob tshuaj 100 mg tuaj yeem siv tsuas yog tom qab tus kws kho mob tau ua tib zoo ntsuas kev pheej hmoo / txiaj ntsig piv.

Thaum siv cov tshuaj muaj acetylsalicylic acid los ntawm tus poj niam thaum lub sijhawm xeeb tub, lossis hauv thawj lub hlis thiab zaum thib ob ntawm cev xeeb tub, nws yuav tsum tau siv cov tshuaj qis tshaj plaws thiab ua txoj haujlwm luv.

Hauv lub hlis thib peb ntawm cev xeeb tub, txhua tus prostaglandin synthesis inhibitors tuaj yeem ua rau tus menyuam hauv plab:

cardiopulmonary toxicity (nrog ua ntej kaw ntawm botallal duct thiab pulmonary tawg)

raum tsis ua hauj lwm zoo, uas tuaj yeem hloov kho lub raum tsis ua haujlwm nrog oligohydramnios,

Hauv leej niam thiab tus me nyuam hauv qhov kawg ntawm cev xeeb tub:

ua tau nce nyob rau hauv lub sijhawm los ntshav, cov nyhuv antiplatelet, uas tuaj yeem tshwm sim txawm tias muaj koob tshuaj me me

kev tsuj ntawm kev ua haujlwm ntawm kev sib cog lus ntawm lub tsev menyuam, uas tuaj yeem ua kom dhau lub zog lossis lub zog ntev

Hauv qhov no, ASA yog contraindicated rau kev siv hauv peb lub hlis thib plaub ntawm cev xeeb tub.

Daim ntawv thov thaum lub sijhawm lactation

Salicylates thiab lawv cov metabolites yog tawm nrog cov kua mis niam. Kev noj zaub mov uas muaj salicylates thaum lub sijhawm lactation tsis tas yuav tsum txiav kev pub niam mis rau menyuam noj. Txawm li cas los xij, thaum tus kws kho mob tau sau ntawv siv lub sijhawm ntev los ntawm kev siv tshuaj lossis noj tshuaj acetylsalicylic acid nyob rau hauv cov koob tshuaj ntau, kev pub niam mis yuav tsum tsis ua ntxiv.

Cov yam ntxwv ntawm cov nyhuv ntawm cov tshuaj ntawm lub peev xwm tsav lub tsheb lossis cov phom sij phom sij

Xav txog cov kev mob tshwm sim, xws li kiv taub hau, yuav tsum tau saib xyuas thaum tsav tsheb lossis lub tshuab ua phom sij uas yuav muaj kev phom sij.

Cia Koj Saib