Pezani f mungagwiritse ntchito okalamba
Ndikofunika kudziwa nthawi yayitali mankhwala anu a inhaler adzatha kuti musadzadziwe mosayembekezereka mankhwala ndikumapeto ndi kuukira kwa mphumu . Mwamwayi, simungathe kuwona mkati mwa doister ngati botolo la mapiritsi kuti mudziwe ngati mankhwala anu atha. Ndiye kodi munthu angadziwe bwanji mankhwala omwe atsala?
Chiwerengero cha kunyodola mumsewu uliwonse chiyenera kusindikizidwa kumbali ya inhaler.
Mudzagawanitsa chiwerengero cha mlingo mu doister ndi mlingo wa mlingo womwe umatengedwa pa tsiku. Mwachitsanzo, Flovent , mankhwala olamulira a steroid , ali ndi zipolowe 120 pa pepala. Ngati wothandizira zaumoyo wanu adayankha kampu 1 kawiri pa tsiku, inhaler yanu idzakhala masiku 60 (120 ogawanika ndi 2). Albuterol inhalers, koma bronchodilator wopulumutsa, ali ndi mfupa 200 pa inhaler. Ngati mumagwiritsa ntchito ziwombankhanga 2 patsiku, kupulumutsira kwanu kowonjezera kumatha masiku 100 okha. Ngati mukugwiritsa ntchito bronchodilator yanu yaifupi yowirikiza pawiri kapena sabata kapena ngati mukufuna kulipiritsa kangapo kawiri, kambiranani kuwonjezera mankhwala anu olamulira ndi wothandizira zaumoyo wanu.
Ngati mutasunga zolemba tsiku ndi tsiku momwe mumagwiritsira ntchito wotsogolera ndi kupulumutsa wanu nthawi zambiri, mudzatha kuwauza masiku angapo kuti inhaler yanu ikhale yotalika bwanji. Kawirikawiri ndimalimbikitsa odwala anga kuti alembe tsiku "lakufa" pa wotsogolera wawo inhaler akalitenga ku pharmacy.
Odwala amangozindikira momwe inhaler idzathera ndi kulemba tsiku limene likuyembekezeka kuthamanga mu inhaler kuti athe kunyamula mankhwalawa. Ndimalangizanso odwala kuti azikhala nawo nthawi yowonjezera.
Zakale Zomwe Zimatuluka M'thupi
Kodi nthawi zambiri mumachita zotani mukamayeretsa kasupe mankhwala anu?
Kapena inu mumapeza mphumu yakale yowonjezera mu bokosi la gloves pamene mukuyeretsa galimoto yanu, m'kadole yachikale yachikale ku khitchini, kapena mutakhala pansi pa sitolo yanu ya sock ndipo muzindikire kuti zikuwoneka kuti zatsala pang'ono. Tsopano inu mukuganiza za mtengo ndi kudabwa: Kodi ndingagwiritse ntchitobe? Sindikufuna kuwononga, koma kodi ndizotetezeka? Kodi idzagwirabe ntchito pamene ndikufunikira? Kodi ndibwino kugwiritsa ntchito mankhwala a asthma atha nthawi?
Mwalamulo, mankhwala onse ayenera kukhala ndi tsiku lomaliza. Chodabwitsa n'chakuti, zochepa zazing'ono zimakhala kunja kwa ogulitsa zokhudzana ndi izi ndizochepa zomwe zimakhudzana ndi mankhwala a mphumu. Makampani a zamankhwala sapereka ndemanga kapena kupereka chitsogozo kwa madokotala ponena za kugwiritsira ntchito mankhwala awo kupitirira tsiku lolembedwa kutsiriza. Izi zikutheka chifukwa cha zoletsedwa ndi malamulo ndi mavuto, koma wina amatha kuona kuti ndi zoipa kwa bizinesi.
Mu 1987, a FDA akhala akuchita ndondomeko yotchedwa Shelf Life Extension Program (SLEP) (kapena kuwona izi kwa asilikali.) Pulogalamuyi imayezetsa zida za mankhwala kuti zikhazikike pambuyo pa tsiku lomaliza ndipo zakhala zikupulumutsa asilikali $ 100 pa dola iliyonse yomwe idaperekedwa poletsa kufunika kochotsa mankhwala pokhapokha atakhala pa shelefu.
Izi zimakhudzanso masoka achilengedwe ndi zina zoopsa.
Malinga ndi The Medical Letter, 88% mwa mankhwala osiyanasiyana 122 omwe amasungidwa m'mabotolo awo oyambirira omwe sanatulutse anakhalabe okhazikika kuposa zaka zisanu pambuyo pake. Pa 18% yomwe pamapeto pake inalephera, palibe amene adalephera chaka chimodzi. Ngakhale kuti nkhaniyi sinafotokoze mwachindunji mankhwala a mphumu, kutentha kapena chinyezi (ganizirani bafa yanu) amadziwika kuti azifupikitsa moyo wa theka la mankhwala. Onaninso kuti mankhwalawa mu SLEP anasungidwa osatsegulidwa, m'malo abwino - osati bokosi lanu kapena kabati. Mwamwayi, mutangotenga mankhwala anu kunyumba kuchokera ku mankhwala ndikuyamba kuwagwiritsa ntchito, sakuwasungiranso pansi pazimene zimagwiritsidwa ntchito mu SLEP kafukufuku.
Mankhwala mumdima wouma, ozizira, ndi amdima sangakhale ochepa. Kuwonjezera pamenepo, njira zothetsera mavuto ndi kusungunula sizikhalabe zokha malinga ngati zolimba kapena ufa - izi zimakhala zofuna kuti mphumu ikhale yovuta. Chofunika kwambiri kwa odwala mphumu ndi matenda, ziwalo za EpiPen zimadziwika kuti zimatha kutayika pambuyo pake.
Kodi izi zikutanthauza chiyani kwa inu? Monga wodwala ndi wogula, muyenera kufufuza ndikutsatira masiku otsiriza. Pomwe mutsegulidwa ndikudziwidwa ndi chilengedwe, palibe njira yodziwiritsira ntchito momwe ilili ndipo palibe deta yolondola imene imalola kuti yankho lovomerezeka likuwonekera pa funso lakuti "Kodi ndingagwiritse ntchito kanthawi kofikira?". Ngati palibe njira yabwino yopezeka, mankhwala otha msinkhu amatha kukhala othandiza ndipo palibe chisonyezero chakuti sali otetezeka. Ndakhala ndikudwala odwala kundiuza kuti adagwiritsira ntchito mankhwala osokoneza bongo patatha zaka zambiri ndipo alibe mavuto. Ndakhalanso ndi odwala akundiuza kuti sali othandiza.
Simukuyenera kugwiritsa ntchito mankhwala olamulira pambuyo pa tsiku lomaliza kuchokera pamene mukuwagwiritsa ntchito tsiku ndi tsiku monga gawo la mapulani anu a mphumu . Ngati mphumu yako ikuyendetsedwa bwino simudzasowa kapena kumaliza kupulumutsidwa kwa asthma mu chaka. Ndikulangiza odwala anga kuti azitha kuwasintha chaka chilichonse. SLEP imasonyeza kuti mankhwala ambiri adakali ogwira ntchito osachepera chaka chitatha. Kuti muteteze chitetezo chanu komanso kuti mankhwala a mphumu akugwiritseni ntchito, sindikupemphani kuti mupulumutseni kwambiri patatha nthawi yawo yomaliza. Kupuma kwanu kumadalira pa izo.
> Zotsatira:
> Njira Yopangira Mankhwala Operekera. Kodi Nthenda Yanu Yachifuwa Imayamba Kuuluka?
> Kalata Yachipatala. Mankhwala Osokoneza Bongo Atatha Tsiku Lomwe Anatha. Med Lett Mankhwala Ther. 2009 Dec 14; 51 (1327): 100-1.
> Lyon, RC et al. Mapulogalamu Okhazikika a Zamagwiritsidwe Ntchito Zamagwiritsidwe Opitirira Patapita Nthawi Yoperekera. J Pharm Sci 2006; 95: 1549.
> Simons, FER et al. EpiPen yapita > ndi > EpiPen Jr Autoinjectors: Zakale Zazikulu Zawo? J Zachilombo ka Immunol 2000; 105: 1025.