Kunyanya kufanana izwi izwi rinoshandiswa kurondedzera kuiswa kwemishonga yakawanda, achisiya murwere ari pangozi yekubatana kwezvinodhaka zvinodhaka uye zvinogona kuipa migumisiro yakafanana nekuvhiringidzika uye zvinetso zvemari. Kuparadzaniswa kwehurumende kunogona kuitika nenzira dzakasiyana-siyana:
- Kunyora nhamba isina kukodzera yemishonga
- Kunyora mimwe mishonga inogona kudiwa kune imwe mamiriro ezvinhu
- Kurondedzera mishonga isina kukodzera yemamiriro iwayo
Maererano netsamba yekutsvakurudza yakabudiswa muna 2013 muCanada Pharmacist Journal, inenge yechitatu (30%) yevakwegura vechiCanada vanopfuura makore makumi mashanu vaitora mishonga inosvika gumi yakatemwa panguva imwe chete, ine kupararira kwakanyanya pakati pevarwere mumisha yevachengeti. Bhuku ra2014 rakabudiswa muna 2014 rinoshuma kuti inenge hafu yevakuru vakwegura inotora mimwe mitemo kana kuti yakawanda isiri mishonga inokosha. Zvechokwadi, vamwe vanhu vakwegura vari kutora mishonga inosvika 25 yakasiyana, pamwe chete nemasero makumi matanhatu ezuva nezuva, maererano nehurukuro. Wedzera kune izvi zvinonzwisisika kumishonga inogona kuwedzera nezera uye nengozi dzepamusoro-soro dzinowedzera.
Kana Iwe Uchitora Mishonga Yakawanda Pamwechete
Hazvisi zvakaoma kufungidzira murwere ane hutano husina kunyatsofungisisa kusanganisa mitemo kana kuti anotambura nemishonga yakashata .
Zvechokwadi, vanyori vanoratidza chinhu chinonetsa che "kuronga mhenje", umo mishonga inonyorwa kune imwe mishonga inopesana nezviratidzo zvekusava nemafungiro asina kunaka kana kuwirirana pakati pemamwe maviri kana kupfuura mamwe mishonga yakatemwa.
Kunyanya kufanana kunogona kukonzera kuwira kunoparadza, kuputsa mahudyu, uye kukuvadzwa kwepamusoro, mazhinji ayo anotaura nezvekudzivirirwa kushanyira kutarisirwa kwekukurumidzira uye kuwedzera kwehutano hwehutano huwandu.
Chii Chingaitwa Kudzivirira Polypharmacy?
Kuwedzera kwehupfumi kunogona kutariswa pamativi maviri: nevanochengetedza utano, nevarwere pachavo.
Maparammacist uye vanachiremba vakadanirwa kutarisa zviri nani nezvehuwandu hwemushonga wezvinodhaka, nekutsvakurudza kwakanaka kwezvinyorwa , uye kuedza "kuderedza". Mune pepa 2013 mapepanhau anokurudzira zvishoma nezvishoma kutsungirira varwere kubva pamishonga yakaoma uye kudzidzisa varwere pamusoro pengozi nemigumisiro yemishonga yavanorayirwa, pamwe chete neruzivo pamusoro pekugadzirisa mitemo yakawanda.
Kana iwe kana mumwe munhu waunoda kukanganisa kudarika mishonga yemishonga, heino dzimwe nzira dzokurwisa dambudziko iri rinogona kuva dambudziko:
- Ramba uine mishonga yemishonga yako yose kusanganisira mavitamini uye pamusoro pe-counter-items. Uya nehuwandu kune zvese zvawakagadza uye uzviratidze kuvarapi vako. Vabvunze kuti vatarise mazita ezvimwe zvipingamupinyi zvinogona kuitika uye yeukawo kubvunza kana chimwe chezviratidzo zvako chingangova nemigumisiro.
- Enda online. Kune mawebsite akawanda unogona kutarisa kuti uone kana kune matambudziko angangodaro muhurumende yako yehupfumi. Kuti udzidze ruzivo rwakanyanya pamusoro pemishonga, enda kune Zvinodhaka A kusvika kuZ.
- Sarudza chiremba anotungamirira. Kumbira mushandi wemhuri kana kuti geriatrician kuti ave "chiremba wako." Sechikamu chebasa iri, chiremba wako achaongorora kutarisira kwako kubva kune vamwe vese vanopa vese, tarisa pamusoro pemishonga uye kutumira foni kuti uratidze kutarisirwa kana zvichidiwa.
- Kumbira mushonga wemishonga. Maparammaca akadzidziswa kutsvaga kushamwaridzana kwemishonga nemamwe matambudziko - asi vanogona kungoita izvozvo kana vane ruzivo rwako rose. Vapei tsamba yako yekunyorwa uye uvakudze kuti vatarise. Izvi zvinonyanya kukosha kana iwe ukawana mishonga yako kubva kune imwe pharmacy imwe chete.
Yakarongedzwa naSharon Basaraba
Sources:
Barbara Farrell, Salima Shamji, Anne Monahan, Veronique French Merkley. "Kuderedza Kurapa Kwepamuviri Muvanhu Vakwegura: Mhosva Dzakakubatsira" Dombo Dombo " ..Farm J (Ott) 2013. Sep. 146 (5): 243-244.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785194/
Hajjar ER1, Cafiero AC, Hanlon JT. "Kuwedzera Kwoupenyu Hwevanhu Vakwegura Vakwegura." J Geriatr Pharmacother 2007 Dec; 5 (4): 345-51. doi: 10.1016 / j.amjopharm.2007.12.002.
Maher RL, Hanlon J, Hajjar ER. "Kurapa Migumisiro yePolyrmacy Mukukwegura." Nyanzvi Opin Drug Saf . 2014 Jan; 13 (1): 57-65.
Sujit Rambhade, Anup Chakraborty, Anand Shrivastava, Umesh K. Patil, uye Ashish Rambhade. "Ongororo Inotaura nezvePolyrmacy uye Kushandiswa Kwemishonga Usina Kukodzera." Toxicol Int. 2012 Jan-Apr; 19 (1): 68-73.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339249/