Nhamba yezvidzidzo zvinotitungamirira kunzvimbo yakachengetedzwa yekushandisa zvinodhaka kune vakwegura
VaAmerica vanotora mishonga yakawanda. Iko US Census Bureau yakashuma muvhareji weAmerica wakazadzwa nemitemo 12.2 muna 2013. Nhamba yacho yakawedzera kusvika pamitemo 27.8 yevaya vanopfuura makore makumi matanhatu nemashanu . Apo patinotarisa pedyo, tinoona kuti vakwegura vane makore 65 kusvika ku99 vakashandisa zvirevo 27.3 gore negore uye avo vanopfuura makumi emakore makumi masere ekuberekwa vanoshandiswa 29.1 pagore.
Kunyange kana chikamu chezvirevo izvi zvinomiririra zvizere zvemishonga imwechete, vakwegura vachiri kutora mishonga yakawanda panguva.
Chidzidzo che2013 muMayo Clinic Proceedings chakaratidza kuti 51.6 kubva muzana veAmerica vanotora mishonga mune zvinodhaka zviviri zvinodhaka uye 21.2 muzana mune zvishanu kana kupfuura zvikamu pagore.
Mishonga imwe neimwe yemishonga inogadzirisa maitiro uye mapiritsi atorwa pamwe chete kuwedzera kungozi yekubatana kwezvinodhaka-zvinodhaka. Ngatirege kukanganwa kuti kupfuura-the-counter mishonga, kunyange mishonga inowedzera, inogona kukonzera matambudziko avo. "Zvakasikwa" hazvireve kuti zvinodzivirira.
Vakuru havangotori mishonga yakawanda chete asi vanewo zvirwere zvakawanda zveutano. Vose vanenge 32 muzana veMedhara vanobhadhara vane zvirwere zviviri kana zvitatu zvisingaverengeki, 23 kubva kune makumi mana kusvika mashanu uye 14 muzana matanhatu kana kupfuura. Mimwe mishonga inogona kukonzera zvinetso zvichienderana nezvinetso zvezvehutano zvaunazvo.
Dr. Mark Beers, geriatrician, yakagadziriswa mitemo muna 1991 kunoderedza kushandiswa kwemishonga ine ngozi kune vakwegura. Iyo yekutanga inonzi Beer Criteria yakarongedzerwa kuderedza kushandiswa kwemishonga yakanyanya kune ngozi kune vakwegura vanorarama munzvimbo dzekuchengetedza kwenguva refu.
Nzira yacho yakarongedzwa muna 1997, 2003 uye muna 2012 uye yakawedzerwa kusanganisira kushandiswa kwemishonga zvisinei nokuti uri kugara kupi, muchipatara, unyanzvi hwokurapa unyanzvi kana imba. Nyanzvi dzakasiyana-siyana dzakagadziriswa dzikaungana kuti dzigadzirise mitemo inoshandisa uchapupu-based medicine uye kurongeka kwekuongorora.
Inonyanya kuongororwa 2012 nzira dzakaputsika muzvikamu zvitatu:
- Zvichida zvisina kukodzera mishonga uye makirasi ekudzivirira kune vakwegura vakuru
- Zvichida mishonga isina kukodzera uye makirasi okudzivisa kuvakuru vakwegura vane dzimwe zvirwere uye syndromes iyo mishonga yakanyorwa inogona kuwedzera
- Mishonga inoshandiswa nekuchenjerera kune vakwegura vakuru
Kunyange zvazvo zvisiri kurayirwa kuti iwe unotora doro nemishonga yako, zvinokurudzirwa kuti iwe kuderedze kushandiswa kwemishonga inowira pasi peBeer criteria. Tora zvakanaka mishonga yako yemishonga. Pane imwe yemishonga yako imwe yemakumi mashanu neatatu yakanyorwa muBhuku reBeer?
> Sources:
> Campanelli CM. American Geriatrics Society Updated Updated Beers Zviratidzo Zvichida Mishonga Isingakodzeri Kushandisa Vakwegura Vakuru:
> IAmerican Geriatrics Society 2012 Nyuchi Dzakagadziriswa Ongororo Panowanikwa Ongororo. J Am Geriatr Soc. 2012 Apr; 60 (4): 616-631.
> Centers for Medicare neMedicaid Services. Zvirwere Zvisingagumi Pakati peMedare Vanobatsira, Chartbook: Edition 2012.
> IMS Institute for Healthcare Informatics. Mishonga Kushandisa nekugadzirisa mari yehutano.
> Zhong W, Maradit-Kremers H, St. Sauver JL et al. Zera uye zvepabonde Zviratidzo zveMishonga Inorondedzera Mukududzirwa kwevanhu veAmerica. Mayo Clinic Proceedings. 2013 Jul; 88 (7): 697-707.