Kugwiritsa ntchito mankhwala ambiri ndi mawu omwe amagwiritsidwa ntchito polongosola kuikidwa kwa mankhwala ambiri, kusiya odwala pangozi ya kuyanjana kwa mankhwala osokoneza bongo komanso mavuto omwe angayambitse ngati chisokonezo ndi mavuto. Kupha anthu ambiri kumachitika m'njira zosiyanasiyana:
- Kufotokoza za mankhwala osayenera moyenera
- Kulemba mankhwala ena omwe angakhale ofunikira pa chikhalidwe chopatsidwa
- Kufotokozera mankhwala osayenera pa chikhalidwe chimenecho
Malinga ndi kalata yofufuzira yomwe inafalitsidwa mu 2013 mu Journal of Pharmacists Journal, pafupifupi anthu atatu (30%) a ku Canada okalamba omwe ali ndi zaka zoposa 85 adatenga mankhwala oposa khumi ndi aŵiri pa nthawiyo, ndipo ambiri amakhala odwala m'midzi ya okalamba. Patsamba la 2014 lomwe linafalitsidwa mu 2014 likuti pafupifupi theka la akulu akulu amatenga mankhwala amodzi kapena ambiri omwe sali oyenera mankhwala. Zoonadi, ena okalamba akumwa mankhwala oposa 25, pomwe ndi mankhwala osapitirira 60, malinga ndi mkonzi. Onjezerani kuzimvetsa izi kwa mankhwala omwe angapitirire ndi msinkhu ndipo kuopsa kwa kupitirira malire kumawonjezeka.
Ngati Mumatenga Mankhwala Ambiri Panthaŵi Yake
Sizovuta kulingalira wodwala amene ali ndi vuto lalingaliro lomvetsa chisoni ngakhale kuphatikizapo zovuta kapena zovuta zomwe zimachitika ndi mankhwala .
Inde, olembawo akutsindika chinthu chovuta kwambiri cha "kulongosola zozizwitsa", pamene mankhwala amalembedwa mankhwala ena kuti athetse zizindikiro za zotsatira zolakwika kapena kugwirizana pakati pa mankhwala awiri kapena awiri oyenera.
Kupha anthu ambiri kungayambitse kugwa kwakukulu, ziuno zosweka, ndi kuvulala pamutu, zambiri zomwe zimawerengera kuchepetsa kuchepa kwa chithandizo chodzidzimutsa komanso kuopsa kwa kufa kwa anthu onse.
Kodi N'chiyani Chingachitike Kuti Pulogalamu Yambiri Yopanda Padzikoli Ipewe?
Kukhazikitsa mtima kosatha kungathetsedwe pazigawo ziwiri: ndi opereka chithandizo chamankhwala, komanso odwala okha.
Akatswiri a zamankhwala ndi madokotala akuyitanitsa kuyang'anitsitsa bwino kwa wodwalayo mankhwala onse, ndi kufufuza bwino malamulo , ndi kuyesa "kuchepetsa". Mapepala a 2013 adalimbikitsa pang'onopang'ono kuyeretsa odwala pa mankhwala osokoneza bongo komanso kuphunzitsa odwala za mankhwala omwe amalembedwa, komanso kudziwa momwe angagwiritsire ntchito mankhwala osiyanasiyana.
Ngati inu kapena munthu amene mumakonda mankhwala osokoneza bongo, pali njira zina zothetsera vuto ili loopsya:
- Lembani mndandanda wa mankhwala anu onse kuphatikizapo mavitamini ndi zinthu zina. Bweretsani mndandanda ku malo anu onse osankhidwa ndikuwonetseni kwa osamalira anu. Afunseni kuti ayang'ane mndandanda wa zovuta zilizonse ndipo kumbukirani kufunsa ngati zizindikiro zanu zingakhale zowawa.
- Pitani pa intaneti. Pali malo ambiri omwe mungathe kuwunika kuti muwone ngati pali mavuto omwe angakhale nawo mu regimen yanu ya polypharmacy. Kuti mudziwe zambiri zokhudza mankhwala, pitani ku Mankhwala A mpaka Z.
- Sankhani dokotala wotsogolera. Funsani dokotala wa banja kapena geriatriana kuti akhale "wotsogolera wotsogolera" wanu. Monga mbali ya gawoli, dokotala wanu adzayang'anira chisamaliro chanu kuchokera kwa ena onse opereka, yang'anani pa mankhwala ndi kuimbira foni kuti azisamalira bwino ngati kuli kofunikira.
- Funsani wamasitolo wanu. Akatswiri a zamaphunziro amaphunzitsidwa kuyang'ana kuyanjana kwa mankhwala ndi mavuto ena - koma angathe kuchita izi ngati ali ndi zambiri. Apatseni malemba anu mankhwalawa ndipo muwafunse kuti ayang'ane. Izi ndi zofunika makamaka ngati mutalandira mankhwala anu ku mankhwala osapitirira oposa.
Kusinthidwa ndi Sharon Basaraba
Zotsatira:
Barbara Farrell, Salima Shamji, Anne Monahan, Veronique French Merkley. "Kuchepetsa Kupha Anthu Okalamba kwa Okalamba: Milandu Yokuthandizani" Dulani Bwato ". Kodi Pharm J (Ott), 2013 Sep; 146 (5): 243-244.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785194/
Hajjar ER1, Cafiero AC, Hanlon JT. "Kuchita Zambiri Pakati pa Okalamba Okalamba." J Geriatr Pansi pa Dec 2007, 5 (4): 345-51. lembani: 10.1016 / j.amjopharm.2007.12.002.
Maher RL, Hanlon J, Hajjar ER. "Kuchokera M'zipatala Zotsatira za Kupha Anthu Okalamba Okalamba." Ofufuza Opin Drug Saf . 2014 Jan; 13 (1): 57-65.
Sujit Rambhade, Anup Chakraborty, Anand Shrivastava, Umesh K. Patil, ndi Rambhade Asish. "Kafukufuku Wokhudza Kugwiritsa Ntchito Pulogalamu Yophatikizapo Anthu Ndiponso Kugwiritsa Ntchito Mankhwala Osayenera." Toxicol Int. 2012 Jan-Apr; 19 (1): 68-73.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339249/