Kunyanya Kuwanda uye Kurapa-Kunokonzera Kusagadzikana Kwepfungwa
Kushungurudzika, kushamiswa uye hagoni kurangarira zvinhu? Kunyange zvazvo zviratidzo izvi zvingave zvakakonzerwa neAlzheimer uye mamwe marudzi ehutementia , panogona kunge imwe, zvichida kuchinja, inokonzera : mishonga. Mishonga yakawanda kwazvo, inonzi polypharmacy , inogona kukanganisa mano ako ekufunga zvakajeka, yeuka nekuita zvisarudzo zvakakodzera.
Zvinodhaka-Zvinokonzerwa Nokusaziva Kwepfungwa
Maererano nekumwe kutsvakurudza, kushaya njere kwepfungwa kwakange kune 22 muzana yevaya vanotora mishonga mishanu kana mishoma, asi iyo yakawanda yakawedzera kusvika 33 muzana kune vanhu vakatora mishonga inopfuura mitanhatu uye 54 muzana mune avo vanotora mishonga 10 kana kupfuura.
Chidzidzo chechipiri kubva kubva ku12 muzana wekutengesa kwema demasasi kunogona kunge kwakabatana nehuwandu hwemapurisa. Chidzidzo chechitatu chakaona kuti njodzi yekuvandudza dirium yakanga inopfuura kaviri kune avo vaitora mishonga inopfuura mitanhatu. Zviratidzo zvepfungwa dzisinganzwisisiki kana kukanganisa kunoitika kana munhu ari kutora mishonga yakawanda inofanira kuongororwa zvakakwana.
Makirasi Akumusoro-Mungozi
Maererano nebhuku rinonzi Clinical Geriatrics , "makirasi emishonga zvinogona kukanganisa cognition uye kushanda kune vakwegura zvinosanganisira anticholinergic zvinodhaka , psychotropic zvinodhaka , analgesics , sedative-hypnotics , uye zvinodhaka nemavara maduku."
Chii Chinonzi Polypharmacy?
Izwi rokuti poly rinoreva vazhinji, uye pharmacy rinoreva mishonga. Nokudaro, kuwedzera kwepamuviri ndeyepamusoro pezvakawanda (zvinotsanangurwa sezvinopfuura zvishanu kune imwe nzvimbo uye mamwe anopfuura matanhatu mune vamwe) mishonga inoshandiswa kurapa munhu. Iko kune mamiriro ezvinhu mazhinji umo mishonga yakawanda inodiwa uye yakakodzera, asi kushandiswa kwemishonga yakawanda, kunyanya kune vakwegura, zvakare ine mikana yezvisingatarisirwi zvakaipa zvisina kunaka.
8 Zvinokonzerwa nePolyrmacy
Pane zvakawanda zvinoita kuti zvive nehuwandu hwehuwandu hwemapurisa, kusanganisira zvinotevera:
1. Vanachiremba vakawanda
Kakawanda, vanhu vanoenda kuna vanopfuura chiremba, saiye nyanzvi, kune zvakasiyana-siyana. Kana iwe usingatauri zvakajeka kuti mishonga inorayirwa nevamwe vanachiremba, kana kana marekodi ako ezvokurapa asina kunyatsotumirwa kune chiremba anotevera, mishonga yakawanda yakawanda inogona kurongerwa.
2. Herbs uye Zvimwewo
Iwe unofanirwa kuudza chero mishonga yemakwenzi kana zvimwe zvinowedzera zvaunotora kuna chiremba wako. Kunyange zvazvo zvingangove zvakasikwa zvakakwana, zvinogona kuchinja maitiro ako muviri wako unobata mishonga uye inopa mukana wokubatana nemishonga.
3. Kuzvidzivirira
Vamwe vanhu vanofunga kuti kana mapiritsi maviri akanaka, mana ari nani. Kana kuti, vanokwereta mishonga kubva kune vavakidzani vavo kune zvakasiyana-siyana uye marwadzo. Yeuka kuti kusanganisa uye kuzvirondedzera mishonga kunogona kuva nemigumisiro yakaipa, zvose zvisingabatsiri dambudziko ramunotarisira kugadzirisa, uye yekukonzera kusanganisa kwezvinodhaka zvinodhaka.
4. Mishonga-Ichitenderera Chimiro
Kunyanya mumitemo yedu, zvakajairika kutsvaga mushonga wezvose. Kunzwa kunetseka? Tora mapiritsi. Mabvi ako anorwadza? Iva nemumwe mushonga. High cholesterol? Heanoi imwe piritsi. Zvechokwadi, kune mishonga inoshamisa inowanika - uye inogona kunge iri mhinduro chaiyo yaunoda. Asi, kune dzimwe mamiriro ezvinhu, pane dzimwe nzira dzinogona kuedzwa kutanga, dzakadai sekupa mazano, kurapa muviri kana kudya kwakanaka uye kuronga muviri.
5. Mishonga yekurapa Zvikanganiso
Kune vamwe vanhu, kutora mishonga zvakakodzera inetso. Hazvishamisi kuti vanhu vakanganwe kuti vakatora mishonga yavo uye vanotora imwe chirwere, vaitore panguva isina kunaka yemasikati, vaitore nechikafu kana iyo isina kuve isina, kana kuwana mazita emishonga akavhiringidzika uye kutora piritsi isina kunaka.
Dzimwe nguva, chirongwa chekushandisa mishonga chinogona kubatsira kudzivirira maitiro ezvakaipa.
6. Kupfuura-the-Counter Medicine Usage
Kune dzakawanda kupfuura-the-counter mishonga inowanikwa pasina mishonga, asi sezvinoita herbs uye zvinowedzera, iwe unogona kutora mishonga yakawanda yemishonga iyi, uye inogonawo kuwirirana zvisina kunaka nemimwe mishonga.
7. Hospitalizations
Dzimwe nguva mimwe mishonga inorayirwa kana mumwe munhu ari muchipatara, uye iyo inofanirwa kwechiitiko chechinguva. Asi, sezvo nguva ichienderera mberi, iyo mishonga haigone kuregererwa. Paunenge uchienda kuchipatara chekutsvaga mushure mekugara muchipatara, bvunza chiremba wako kuti aongorore mishonga yauri kutora kuti ave nechokwadi chokuti vose vakakodzera.
8. Kurapa Mishonga Mamwe Matambudziko Nezvimwe Mishonga
Iri idambudziko rakajairika. Somuenzaniso, kana mushonga unobatsira pakukonzera kuvhiringidzwa, chiremba angaronga imwe piritsi panzvimbo yekukurudzira kuti iwe uite zvakawanda, unwe mvura yakawanda uye udye zvakawanda zve fiber. Maererano nemamiriro ako ezvinhu, mushonga iwoyo unogona kuva chaizvo zvaunoda kuti udzivise kusangana kwakakomba kwakafanana nekudzivirira kwemuviri. Asi, zvakare zvinogoneka kuti kune vamwe vanhu, vasiri mishonga inoswedera pedyo vanogona kugadzirisa dambudziko racho nenzira inobudirira.
Vakwegura Vakuru neMishonga
Maererano nekuongorora kwakabudiswa muna 2005 mu Pharmacotherapy , 40% yevanhu vakuru vanotora mishonga inopfuura mashanu pavhiki, uye 10% inotora kupfuura 10 pavhiki.
Uyezve, kutarisirwa kunofanira kutorwa nekurapa mishonga yevanhu vakwegura, nokuti miviri yavo inowanzopindura zvakanyanya kune mishonga. Kunyanya, vanhu vakwegura vanowanzogadzirisa, kugovera, kugovera nekushandisa zvinodhaka zvishoma nezvishoma, ndicho chikonzero kune kazhinji pane zvakasiyana-siyana zvinotungamirirwa uye mazano ekuenzanisa kune vakwegura kupfuura vanhu vakawanda.
Kudzivirira
Ramba uine hutano hwehutano hwako nemishonga yako yose yakanyorwa, pamwe nekuongororwa kwemishonga imwe neimwe. Kana iwe usingazivi kuti nei uri kutora mushonga, bvunza chiremba wako. Paunoenda kunechiremba, tora rekodhi yako newe.
Vashandi vezvechiremba vanokurudzirwa kuti "vatange kuderera uye vaende zvishoma" nemishonga, uyewo kutarisira mishonga iri muBhuku reBhuku, kuumbwa kwemishonga inogona kunge isina kukodzera kune vakwegura vakwegura.
Shoko kubva
Kunyange zvazvo mishonga inogona kubatsira uye yakakodzera kugadzirisa mamwe mamiriro ezvinhu, yeuka kuti kubatana kunogona kuve nemigumisiro inogona kuwirirana nemimwe mishonga. Kuziva kuti mishonga yakawanda yakawanda inogona kuunza kukanganiswa uye zvinetso zvekurangarira zvingakubatsira kuona izvozvi zvinonetsa iwe pachako kana mumwe munhu waunoda. Usanetseka kubvunza chiremba wako nezvemishonga ipi neipi yaunotora kuitira kuti iwe mose muve pachena pane chikonzero nei vachidikanwa nokuda kwehutano hwako uye hukama.
Sources:
Mishonga yeKliniki Mukukwegura. 2008 June; 3 (2): 383-389. Kuita zvepabonde: Kunyengedza, asi kukwanisa. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2546482/
Consultant360. Mishonga-Inokonzerwa Nechirwere Chekufungidzira Muvanhu Vakwegura. Bhuku 16, Nhamba 08, August, 2008.http: //www.consultant360.com/articles/medication-related-cognitive-impairments-elderly-0
> Hein, C., Forgues, A., Piau, A., Sommet, A., Vellas, B. uye Nourhashémi, F. (2014). Migumisiro yePolyrmacy paChiitiko cheDhiriamu muVakuru Vakwegura Vanotambudzika. Nyaya yeAmerican Medical Directors Association , 15 (11), pp.850.e11-850.e15.
Linnebur, S. University of Colorado School of Pharmacy. Kuwedzera Kwoupfumi muVana Muchembera. http://www.ucdenver.edu/academics/colleges/medicalschool/education/continuingmedicaleducation/Family%20Medicine%20Review%202011%20Documents/fmfall2011/wed4-Polypharmacy_in_Elderly_Patients_Fam_Med_Conf.pdf
> Maher RL, Hanlon JT, Hajjar ER. Mishonga yeKliniki Migumisiro yePolyrmacy muVakuru. Nyanzvi yekuongorora nezvekuchengetedza zvinodhaka . 2014; 13 (1): 10.1517 / 14740338.2013.827660. doi: 10.1517 / 14740338.2013.827660.