I-Polypharmacy ligama elisetyenziselwa ukuchaza ukunyangwa kwamayeza amaninzi, ukushiya isigulane esichengeni lwezinto ezinobungozi kunye neziphumo ezinobungozi ezinokungadideki kunye neengxaki zokulinganisela. I-Polypharmacy ingenzeka ngeendlela ezahlukeneyo:
- Ukumisela inani elingafanelekanga lamachiza
- Ukumisela amayeza amaninzi angayimfuneko kwiimeko ezinikeziweyo
- Ukumisela iyeza elingafanelekanga kuloo meko
Ngokwephepha lokuphanda elipapashwe ngo-2013 kwi- Journal of Pharmacy Journal, malunga neyesithathu (30%) yabadala aseCanada abangaphezu kweminyaka engama-85 babethatha amayeza angama-10 atyunjwe ngexesha, kunye nokuxhaphaka okuphezulu phakathi kwezigulane kumakhaya asebekhulile. Iphepha le-2014 elipapashwe ngo-2014 libika ukuba phantse isiqingatha sabantu abadala asebekhulile bathatha imimiselo eyodwa okanye eminye engayimfuneko yempilo. Enyanisweni, abanye abantu abadala asebekhulile bethatha amayeza ahlukeneyo angama-25 ngokufanayo, kunye namayeza angama-60 ahlukeneyo imihla ngemihla, ngokwemviwo. Ukongeza kule nyiva kumachiza anokunyuka kunye nobudala kunye neengozi zokugqithisa ngaphezulu.
Ukuba Uthabatha Amaninzi amaninzi ngexesha
Akunzima ukuzicingela isigulane esinokuphazamiseka kwengqondo edibanisa imimiselo okanye ukubandezeleka kwezidakamizwa ezimbi .
Enyanisweni, abalobi baqakathekisa into eyinkimbinkimbi "yokumisela i-cascades", apho i-prescription ibhaliwe enye enye imithi yokulwa neempawu zempembelelo embi okanye ukusebenzisana phakathi kwezibini okanye ezinye izidakamizwa ezimiselweyo.
I-Polypharmacy ingakhokelela ekuwa kwezinto ezinokutshabalalisa, iinqabetho eziphukileyo, kunye nokulimala kwentloko, ezininzi zazo ezithintela ukutyelela ukunakekelwa kwimeko engxamisekileyo kunye nobungozi obuphezulu bokufa kwabantu .
Yintoni Enokuyenza Ukukhusela I-Polypharmacy?
I-Polypharmacy inokubhekiswa kwimiba emibini: ngababoneleli bezempilo kunye nezigulane ngokwabo.
Abagqirha kunye nabagqirha baye bacela ukuba kubekwe iliso kangcono yesigulane somthwalo wegciwane, ngokulandela ukulandelwa kwemimiselo, kunye nokuzama "ukunyanzelisa". Amaphephandaba amaphepha ka-2013 ngokukhawuleza agqithisa izigulane kwiimichiza ezinobungcali kunye nokufundisa izigulane malunga neengozi kunye neenzuzo zamachiza awamiselweyo kunye nolwazi malunga nendlela yokulawula imimiselo emininzi.
Ukuba wena okanye umntu omthandayo ogqithiseleyo uphazamiso lwemichiza, nali ezinye iindlela zokulwa nale ngxaki inokuba yingozi:
- Gcina uluhlu lwawo onke amayeza akho kuquka iivithamini kunye nezinto ezingaphezulu kwee-counter. Yizisa olu luhlu kubo bonke abaqeshwayo bakho kwaye ubonise kubanikezeli bakho abanonophelo. Buza ukuba bahlole uluhlu lwaluphi na uxinzelelo olunokwenzeka kwaye khumbula ukuba ubuze nokuba kukho naziphi iimpawu zakho ezinokuthi zibe nemiphumo emibi.
- Yiya kwi-intanethi. Kukho iiwebhusayithi ezininzi onokuzijonga ukuba zikhona iingxaki ezikhoyo kwiirimim yakho ye-polypharmacy. Ukufunda ulwazi olunzulu malunga neyeza, uye kwiiDrugs A ukuya kuZ.
- Unyule ugqirha okhokelayo. Buza udokotela wentsapho okanye ugqirha ukuba abe "ugqirha wakho". Njengengxenye yale nxaxheba, ugqirha uya kuhlola ukunyamekela kwakho kubo bonke abanye ababoneleli, jonga kwimithi kwaye wenze iifowuni ukulungiselela ukunakekelwa xa kuyimfuneko.
- Buza wakho okhemisi. Ama-Pharmacist aqeqeshiwe ukujonga ukusebenzisana kwezidakamizwa kunye nezinye iingxaki - kodwa banokwenza oko kuphela ukuba banakho ulwazi lwakho lonke. Banike uluhlu lwakho lwemiyalelo kwaye ubacele ukuba bajonge. Oku kubaluleke ngakumbi ukuba ufumana amayeza akho kwi-pharmacy enye.
Ehlelwe nguSharon Basaraba
Imithombo:
UBarbara Farrell, uSalima Shamji, u-Anne Monahan, i-Veronique isiFrentshi iMerkley. "Ukunciphisa i-Polypharmacy kwi-Elderly: Iziganeko zokukunceda" Uhlabe iinqanawa. " Ngaba i-Pharm J (Ott) ka- 2013 Sep; 146 (5): 243-244.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785194/
Hajjar ER1, AC Cafiero, Hanlon JT. "I-Polypharmacy kwiziguli eziguga." J Geriatr I-Pharmacother 2007 Dec; 5 (4): 345-51. i-doi: 10.1016 / j.amjopharm.2007.12.002.
Maher RL, Hanlon J, Hajjar ER. "Iziphumo zeKlinikhi yePolyrmacy asebekhulile." Ingcali ye-Opin Drug Saf . 2014 Jan; 13 (1): 57-65.
I-Sujit Rambhade, i-Anup Chakraborty, i-Anand Shrivastava, i-Umesh K. i-Patil, ne-Ashish Rambhade. "Uphando lwePolyrmacy kunye nokusetyenziswa kwemithi engafanelekanga." I-Toxicol Int. 2012 uJan-Apr; 19 (1): 68-73.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339249/