Kufanana nemishonga yavainayo, haisi nguva dzose inoshandiswa sezvinorayirwa
Wakambove wakanetseka kuchengeta mishonga yako yezuva nezuva yakananga here? Sezvo vanhu vachikura, vanowanzotanga kutora mishonga inopfuura imwe uye kutarisa mapiritsi anoda kutorwa panguva ipi yemazuva inogona kuva yakaoma. Pinda mu-multi-chamber pillbox: chipukisi chepasi-tech chakagadzirirwa kukubatsira kuchengeta zvinhu zvose zvakarongeka uye zvakachengeteka.
Asi mabhokisi emapillloti aya anoshanda sei pakuita?
Maererano nechekuongorora kwakaitwa muna 2009 naOdette Gould, purofesa wepfungwa paGomo reAllison University muSackville, NB, vangave vasiri ivo vanobudirira - kana vakachengeteka - sezvavanenge vachida kuva. Kuburikidza nekudzidza kwake kwakabudiswa muCanada Pharmacist Journal, Gould nevamwe vaaishanda navo vakaona kuti vashomanana vanhu vanoita sevari kushandisa mapirobhoesheni sezvavanenge vachida kushandiswa .
Nezvekutsvakurudza
Vanachiremba vanotsanangura kutora mishonga yemishonga zvakakodzera sekunamatira kana kutevedzwa kwemishonga yemishonga. Mukuedza kunatsiridza kuomerera, vanachiremba nevasimistari vanowanzokurudzira mapirobhokisi uye mabhanti mapepa: mapepa emapiritsi ega akazara mupurasitiki uye akaiswa chisimbiso nemafuta. Mukufungidzira, kusarudza mapiritsi kana mapoka emapiritsi maererano nezvinofanira kutorwa kunoita kuti vaite panguva yakajeka kuti vayeuke.
Gould neboka rake vakaongorora vanhu 135 kubva pakati pemakore makumi mana nemakumi mana nemana makumi mapfumbamwe nemashanu, avo vose vakagara vachizvimiririra mukati mevanhu panguva yekudzidza.
Vatevedzeri vakatora mavhareji matanhatu emishonga imwe neimwe, ne75 muzana vachishandisa mapiritsibhoki dzimwe nguva. Vazhinji vatsvakurudzi vekutsvakurudza vakati vanoshandisa mapiritsi kana blister map packs nokuti zviri nyore, vanoita kuti zvive nyore kuyeuka kushandisa zvinodhaka uye kunobatsira nyore nyore mitemo yemishonga inodhaka.
Kunyange zvazvo vakawanda vakapindura vakafarira mapirobhokisi avo, uye inenge hafu yezvidzidzo zvakati havana kumboshayiwa chirwere, 39 muzana yevashandi vepillbox vakaratidza kuti vanoshaya chirwere kana kuitora nguva yakareba kupfuura yaitarisira, imwe kana katatu pavhiki. Vazhinji vatiwo vanoisa mishonga pamwe chete muimba imwe chete yezuva rimwe nerimwe, pasinei nokuti vane mitemo inoda kutorwa zvakasiyana panguva dzakasiyana dzezuva.
Chii chinotinetsa?
Zvakawanikwa naGould zvinogona kunge zvisingaratidzi nengozi, asi kazhinji kubudirira, kusataura nezvekuchengetedzwa, kwechirwere kunoenderana kana zvatorwa. Kushandura zvisina kunaka pakachengetedza bhokisi repillbox remazuva manomwe rinotambanudza kukanganisa kwemavhiki ose ekukosha kwemishonga.
Kune mamwe matambudziko angangodaro, zvakare. Zvichienderana nezviyeuchidzo kuchengetedza mishonga yakawanda zvakananga kungava dambudziko. Kubva pakuziva mapiritsi kana zvisingabvi muzvinyorwa zvayo zvinogona kunge zvisingaitiki kana shanduro yemagetsi inenge yasarudzwa, rudzi rwechirwere runoshandurwa kana ruvara kana chimiro chepiritsi chinoshandurwa nemuti. Mune zvimwe zviitiko mishonga inotakurwa muzvigadzirwa zvakakosha kuti uchengete hunyoro kana chiedza; mamiriro ezvinhu mapillbox haagoni kugonesa. Vakawanda vakataurirana vakati vanoshandisa bhogi replastiki kana mhuka kuti vatakure mapiritsi pavanofamba.
Zvichida zvakanyanya kunetseka zvakasimbiswa mukutsvakurudza kunosanganisira kukanganisa kwekukanganisa kutumira mapiritsi kubva pamishonga yavo yemishonga kusvika pamapiritibhokisi. Zvidzidzo zvishomanana chete zvakati vaive nemumwe munhu anoongorora kuti vaone kuti vaizozvinyora nenzira yakarurama maererano nemavara ezvinyorwa, vachitaura kuti vaiziva mushonga wavo wemishonga "nemoyo." Muzvikamu zvakawanda zvechipatara, kuzadza mapepa emapilllopu kunoonekwa sekuoma kwakakwana kunoda wechipiri wehutano wehutano kuti aongorore kuti yakarurama .
Kunyange zvazvo 82 muzana yevanhu vakapindura vakatsanangura ivo pachavo sehutano hwakanaka kana hutano hwakanaka, kurangarirwa pakati pevanhu kunyange vakwegura kurarama vanhu vakwegura vane kugadzikana kwekufungisisa kunogona kutyisidzira kukwanisa kwavo kushandisa zvinodhaka panguva uye mumatare akakodzera.
Ichokwadi, vanotsvakurudza vanotaura zviitiko zvezvinyorwa zvinoputika nemishonga inotorwa pakarepo.
Vamwe vatsvakurudzi vakawana maitiro akafanana. Mune rimwe remakumi maviri negore re2012 rongororo ye 312 varwere muBoston, 76 muzana yevakuru vakwegura vanogara munharaunda yacho vakange vasina kukanganisa pakati pemishonga yaive yakatemwa uye kuti zvinodhaka-mishonga uye zvisiri izvo-zvakatora zvechokwadi.
Kushandisa maBillboxes Zvakachengeteka
Kunyange Gould neboka rake vachitsvaga kutsvakurudza kwakawanda pamusoro pemigumisiro yemapillboxes uye mablister pakiti pakunamatira zvinodhaka nekuteerera, zvidzidzo zvavo zvinoratidza kuti kushandiswa kwezvigadzirwa izvi zvingasave zvakajeka sezvavanenge vachida kuva. Pamwe chete, kana ukashandisa mabhokisi ekurapa, iva nechokwadi chekuti uri kuvashandisa zvakanaka. Mukuru wako wemishonga kana mutapi wehutano anofanira kukuziva kuti iwe unoshandisa mabhokisi emapillloti, uye zvinenge zvakare kuchenjera kuti mumwe munhu aongorore basa rako kuti aone kuti wakaronga mishonga yako zvakanaka.
Sources:
Bedell SE, Jabbor S, Goldberg R, Glaser H, Gobble S, Young-Xu Y, Graboys TB, Ravid S. Kusiyana kwemishonga yekushandisa mishonga: huwandu hwavo uye hunofanirwa mune zvekubuda kunze. Arch Intern Med . 2000; 160: 2129-34.
Odette N. Gould, Laura Todd, naJanice Irvine-Meek. "Kubvuma maDhiyabhorosi ari munharaunda Muenzaniso: MaPillboxes anoshandiswa sei?" Canadian Pharmacist Journal. ISSN 1715-1635, 01/2009, Bhuku 142, Nyaya 1, peji 28 - 35.
"FDA Mishonga Yekuchengetedzwa Kwemishonga Kukurukurirana: Kunyanya kuchengetedza nekugadzirisa zvinodiwa kunofanira kuteverwa kuPradaxa (dabigatran etexilate mesylate) makutu."
http://www.fda.gov/Drugs/DrugSafety/ucm248746.htm