The history of the development of aspirin goes back a hundred years. It can prevent excessive activation of the coagulation function of platelets, thereby reducing thrombus formation. Currently it is widely used to prevent brain disease.the strokesOne of the antiplatelet drugs for recurrence. However, long-term use of aspirin to prevent blood clots may cause side effects of the drug such as gastrointestinal bleeding or ulcer symptoms such as melena, abdominal pain, and bloating. Neurologists remind stroke patients that if they notice unusual gastrointestinal bleeding while taking aspirin, they should not stop taking the medication on their own and return to their doctor as soon as possible to discuss switching to appropriate antiplatelet medications. Needed
Lin Junxiang, director of the department of neurology at Yuanlin Christian Hospital in Taiwan, said stroke can be divided into infarct type or hemorrhagic stroke depending on its size. Among them, myocardial type stroke is caused by blockage of cerebral blood vessels by thrombus. , causes ischemia of brain cells. This is the most common type clinically. Research shows that the risk of stroke recurrence is as high as 25%. Factors such as increasing age, hypertension, hyperlipidemia and hyperglycemia, and arrhythmias can predispose to recurrence of myocardial-type stroke. Therefore, patients who have had a stroke for the first time,health insuranceAspirin can be used to further reduce the occurrence of blood clots to prevent recurrence of stroke.
Regarding the side effects of aspirin, director Lin Junxiang pointed out that when taking aspirin, the coagulation function of platelets is inhibited, which may actually cause bleeding. Among them, gastrointestinal bleeding is more likely to occur, such as melena, bleeding gums, bruising, abdominal pain, and bloating are common side effects. In outpatient clinics, doctors will remind patients taking aspirin to be careful of bleeding side effects, especially those in high-risk groups such as the elderly or those with a history of bleeding. If any abnormality is detected in the gastrointestinal tract, the doctor will also assist in referral to the gastroenterology department for arrangements. Gastroscopy.
With the advancement of medicine, several antiplatelet drugs have been developed at this stage, which have proven to be effective in preventing stroke and have fewer side effects than aspirin. Director Lin Junxiang pointed out that the current health insurance payment scheme is mainly based on aspirin, but if patients develop gastrointestinal bleeding and ulcers after taking aspirin, they can be evaluated and combined with other antiplatelet drugs after gastroscopy. can be replaced. Director Lin took 70-year-old Uncle Wang as an example. He started taking aspirin after the stroke. Unexpectedly, he started feeling stomach discomfort and pain in half a year. After the doctor changed his antiplatelet medication, his stomach symptoms completely resolved. He was treated for two months. Years later, there have been no more strokes.
“Preventing stroke is a lifelong affair. It is not like a cold that requires only two or three days to recover. It depends on regular patient visits, consistent medication and good control of risk factors! ” Director Lin Junxiang told patients that once the drug is stopped suddenly, the effect of inhibiting platelet coagulation will be lost, and the blood vessels will shrink again, increasing the risk of stroke. Therefore, if side effects occur while taking aspirin, you should inform the doctor during a follow-up visit and ask them to stop it on their own instead of replacing it with another drug that has both the therapeutic effect and safety of antiplatelet drugs.
In addition, for certain groups at high risk of stroke recurrence, particularly those with severe blood vessel blockage, it is recommended that the attending physician evaluate whether two antiplatelet drugs should be combined with one another to reduce the chance of stroke recurrence. Need to combine in time. The public is urged to discuss individual treatment expectations with the physician. Discuss appropriate treatment options.
Source: Health Medical Network
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