Mofanana ndi mankhwala omwe ali nawo, sagwiritsidwa ntchito nthawi zonse
Kodi mwakhala mukuvutika kuti musamale bwino mankhwala anu a tsiku ndi tsiku ? Pamene anthu amakalamba, nthawi zambiri amayamba kumwa mankhwala oposa limodzi ndikuwunika mapiritsi omwe ayenera kuthandizidwa pa nthawi yomwe ingakhale yovuta. Lowetsani mapiritsi a mapiritsi ambiri: chipangizo chochepetsera chingwe chomwe chinakonzedwa kuti chikuthandizeni kusunga chilichonse chokonzekera ndi chitetezo.
Koma ma bokosi a mapiritsiwa akugwira ntchito bwanji?
Malingana ndi kafukufuku wochepa wa 2009 wa Odette Gould, pulofesa wina wa sayansi pa yunivesite ya Mount Allison ku Sackville, NB, iwo sangakhale othandiza - kapena otetezeka - monga momwe akufunira kukhala. Kupyolera mu phunziro lake lomwe linafalitsidwa mu Journal of Canadian Pharmacists Journal, Gould ndi anzake adapeza kuti anthu owerengeka amaoneka kuti amagwiritsa ntchito mapiritsi omwe akuyenera kuti agwiritsidwe ntchito .
About Research
Madokotala amatsata kumwa mankhwala oyenera monga kulumikiza kapena kutsatira mankhwala. Poyesera kuti apitirize kumamatira, madokotala ndi osamalidwa kawirikawiri amalimbikitsa mapepala a mapiritsi ndi mapepala amatsitsi: mapepala a mapiritsi paokha omwe amanyamula pulasitiki ndi osindikizidwa ndi zojambulazo. Mwachidziwitso, kusankha mapiritsi kapena magulu a mapiritsi malinga ndi nthawi yomwe akuyenera kutengedwa kumapangitsa kuti pakhale nthawi yosavuta kukumbukira.
Gould ndi gulu lake anafufuza anthu 135 a zaka zapakati pa 49 ndi 94, onse omwe adakhala motetezeka m'deralo panthawi yophunzira.
Ophunzira amamwa pafupifupi 6.5 mankhwala, ndipo 75 peresenti amagwiritsa ntchito mapiritsi osachepera nthawi zina. Ofufuza ambiri amanena kuti amagwiritsa ntchito mapiritsi kapena mapuloteni chifukwa ali oyenera, zimakhala zosavuta kukumbukira kugwiritsa ntchito mankhwala osokoneza bongo ndipo zimathandiza kuchepetsa zovuta zowononga mankhwala.
Ngakhale anthu ambiri atayankha makhadi awo a mapiritsi, ndipo pafupifupi theka la nkhaniyi adanena kuti iwo sanaphonye mlingo, 39 peresenti ya ogwiritsa ntchito mapiritsi amasonyeza kuti akusowa mlingo kapena amatenga nthawi yambiri kusiyana ndi kuyembekezera, kamodzi katatu pa sabata. Ambiri adanenanso kuti amaika mankhwala onse pamodzi pakhomo limodzi tsiku ndi tsiku, ngakhale kuti ali ndi malamulo omwe ayenera kutengedwa mosiyana nthawi zosiyanasiyana.
Kodi Chakumva Chiyani?
Zomwe Gould anapeza zingakhale zopweteka, koma nthawi zambiri mphamvu, osatchula chitetezo, cha mankhwala imadalira pamene yatengedwa. Kusokoneza bongo pamene mukugwiritsira ntchito bokosi la mapiritsi asanu ndi awiri kumatulutsa zotsatira za zolakwika pa mankhwala onse a sabata.
Palinso mavuto ena omwe angakhalepo, naponso. Malingana ndi kukumbukira kusunga mankhwala ambiri molunjika kungakhale kovuta. Kudalira kumwa mankhwala pokhapokha ngati kutuluka kwa mankhwalawa sikungatheke pamene ma generic akutchulidwa pambuyo pake, mankhwalawa amasinthidwa kapena mtundu wa mapiritsi umasinthidwa ndi wopanga. Nthaŵi zina mankhwala amadzaza muzitsulo zapadera kuti asunge chinyezi kapena kuwala; Mawonekedwe a mapiritsi sangathe kutsimikizira. Ambiri mwa anthu omwe anafunsidwawo adanena kuti amagwiritsa ntchito thumba la pulasitiki kapena minofu kuti anyamule mapiritsi pamene akuyenda.
Mwina chodetsa nkhaŵa chachikulu chomwe chikugwiritsidwa ntchito mufukufuku wokhudzana ndi kuthekera kwa kulakwitsa pamapiritsi awo kuchokera pamagulu awo a mapiritsi. Nkhani zochepa zokha zinati iwo ali ndi wina wofufuza kuti atsimikizidwe kuti azisankha bwino molingana ndi malemba a vial, ponena kuti adziwa mankhwala awo "mwa mtima." M'madera ambiri a chipatala, kudzaza mapepala a mapiritsi kumawoneka ngati ovuta okwanira kuti apeze katswiri wachiwiri wathanzi kuti afufuze molondola .
Ngakhale kuti 82 peresenti ya anthu omwe anafunsidwawo adzifotokozera okha kuti ali ndi thanzi labwino kapena labwino, kukumbukira ngakhale pakati pawo anthu okalamba omwe ali ndi vuto lalingaliro lodziŵika bwino kungawononge kuthekera kwawo kugwiritsa ntchito mankhwala nthawi ndi mlingo woyenera.
Ndipotu, ochita kafukufuku amafotokoza zochitika za phalaphala ndi mankhwala omwe amachotsedwa mosavuta.
Ofufuza ena apeza njira zofanana. M'chaka chimodzi cha 2000 odwala 312 ku Boston, 76 peresenti ya anthu achikulire omwe amakhala mmudzimo anali ndi kusiyana pakati pa mankhwala omwe anauzidwa ndi mankhwala omwe amamwa mankhwala osagwiritsidwa ntchito.
Kugwiritsira ntchito ma bokosilo mosamala
Ngakhale Gould ndi gulu lake akuyitanitsa kafukufuku wochuluka wokhudzana ndi momwe magulu a mapilitsi amakhudzidwira komanso mapepala amatsitsimadzi pamagwiridwe a mankhwala ndi kutsata, phunziro lawo likuwonetsa kuti kugwiritsa ntchito zipangizozi sikungakhale molunjika monga momwe akufunira kukhala. Osachepera, ngati mumagwiritsa ntchito mapulogalamu a mapiritsi, onetsetsani kuti mukuwagwiritsa ntchito bwinobwino. Wothandizira zamankhwala kapena wothandizira zaumoyo akuyenera kudziwa kuti mumagwiritsa ntchito mapepala a mapiritsi, ndipo zikanakhalanso zanzeru kuti wina ayang'ane ntchito yanu kuti atsimikizire kuti mwasankha mankhwala anu moyenera.
Zotsatira:
Bedell SE, Jabbour S, Goldberg R, Glaser H, Gobble S, Young-Xu Y, Graboys TB, Ravid S. Kusiyanasiyana kwa kugwiritsa ntchito mankhwala: chiwerengero cha mankhwala omwe amawagwiritsa ntchito. Arch Intern Med . 2000; 160: 2129-34.
Odette N. Gould, Laura Todd, ndi Janice Irvine-Meek. Zida Zovomerezeka Zomwe Zili M'gulu: Kodi ma bokosi a mapilitsi amagwiritsidwa ntchito bwanji? " Madokotala a ku Canada Journal. ISSN 1715-1635, 01/2009, Voliyumu 142, Chigawo 1, tsamba 28 - 35.
"FDA Drug Safety Communication: Kufunika kosungirako zinthu ndi kusamalidwa kuyenera kutsatiridwa ndi makapisozi a Pradaxa (dabigatran etexilate mesylate)."
http://www.fda.gov/Drugs/DrugSafety/ucm248746.htm