Njengazo iziyobisi eziquletheyo, azihlali zisetyenziselwa njengoko zikhokelwe
Ngaba uye wakha nzima ukugcina imithi yakho yemihla ngemihla ngqo? Njengoko abantu bekhula, bahlala beqala ukuthatha isigqirha esingaphezu kweyodwa kunye nokubeka esweni ukuba zeziphi iipilisi kufuneka zithathwe ngethuba luni lusuku lunokuba ngumngeni. Faka ifowuni yeepilisi yee-multi-class: isixhobo esisezantsi esilungiselelwe ukukunceda ugcine yonke into ehlelekile kwaye iphephile.
Kodwa ezi bhokisi zeepilisi zisebenza njani ngokwenene?
Ngokomzekelo omncinci ka-2009 ngu-Odette Gould, uprofesa wezesayikweni kwiYunivesithi yase-Mount Allison eSackville, NB, abanako ukusebenza ngokufanelekileyo- okanye kukhuselekile- njengoko kuhloswe ukuba. Ngokufunda kwakhe okupapashwe kwiNgxelo ye-Pharmacists yaseCanada, uGould kunye noogxa bakhe bafumanisa ukuba bambalwa abantu babonakala besebenzisa iibhokisi zeepilisi njengoko zisetyenziswe ukuba zisetyenziswe .
Malunga noPhando
Oogqirha bachaza ukuthatha imithi echanekileyo ngokuhambelana nokuthobela okanye ukuthotyelwa kwirejimenti yeziyobisi. Kwimizamo yokuphucula ukuthobela, oogqirha kunye nabasokhemisti bavame ukucebisa iibhokisi zeepilisi kunye neepakethe zephilisi: iipiliti zamapilisi ngokwawo ezipakishwe kwiplastiki kwaye zitywinwe ngefestile. Kwiingcamango, ukuhlunga iipilisi okanye iipilisi zeepilisi ngokubhekiselele xa ziza kuthathwa xa zithathwa zibenza kuthathe ixesha elilula ukulikhumbula.
UGould kunye neqela lakhe lihlolisise abantu abangama-135 phakathi kweminyaka engama-49 no-94 ubudala, bonke behlala ngokuzimela ngaphakathi kuluntu ngexesha lokufunda.
Izifundo zathatha umyinge wamayeza ama-6.5, kunye neepesenti ezingama-75 zisebenzisa ibhokisi yeepilisi ubuncinane ixesha elithile. Uninzi lwabathathi-nxaxheba bathetha ukuba basebenzisa iibhokisi zeepilisi okanye iipakethe ze-blister kuba zikulungele, zenza kube lula ukukhumbula ukuthabatha iziyobisi kwaye kunceda lula lula iirimim ziyeza.
Nangona abaninzi abasabelayo bathanda iibhokisi zeepilisi, kwaye malunga nesiqingatha sezifundo bathi abazange baphoswe umthamo, iipesenti ezingama-39 zabasebenzisi beepilisi zithi zilahlekile umthamo okanye zithatha ixesha elide kunokuba lilindeleke, enye ibe kathathu ngeveki. Uninzi luphinde luthi babeka onke amayeza kwiqela elinye lemihla ngemihla, nangona kunemimiselo efuneka ukuba ithathwe ngokwahlukileyo ngamaxesha ahlukeneyo omhla.
Yiyiphi inkxalabo?
Ukufunyanwa kweGould kungabonakali kuyingozi, kodwa ngokuqhelekileyo ukusebenza, kungabhekiseli ukhuseleko, kwesilwanyana kuxhomekeke xa kuthathwa. Ukungahambi kakuhle ngexesha ukubeka ibhokisi yeepilisi yeentsuku ezi-7 kwandula umphumo wephutha malunga neyonke iyeza.
Kukho ezinye iingxaki ezinokuthi nazo. Ukuxhomekeka kwimemori ukugcina imithi echanekileyo inokuba ngumngeni. Ukuxhomekeka ekuqapheliseni iipilisi xa kuphuma ngaphandle kwe-odal ye-prescription ingenakwenzeka xa i-generic version isetyenziswe kamva, uphawu lwezonyango lutshintshile okanye umbala okanye uhlobo lwepilisi luguqulwa ngumenzi. Kwamanye amaxesha amayeza aphethwe kwiibhobho ezizodwa ukugcina umswakama okanye ukukhanya; Imiqathango yebhokisi yeepilisi ayinakuqinisekisa. Inani labaphenduli bathetha ukuba basebenzisa iplastiki okanye izicubu zokuphatha iipilisi xa behamba.
Mhlawumbi into ebaluleke kakhulu ekugqibeleni yocwaningo olubandakanyekayo unokuba nephutha ekutshintshiseni iipilisi ezivela kwiimvalo zogunyaziso kwibhokisi yepilisi. Izifundo ezimbalwa kuphela zathi umntu othile ukhangele ukuqinisekisa ukuba babezilungise ngokuchanekileyo ngokubhaliweyo kweebhile, bethetha ukuba bayazazi imithi yabo yonyango "ngentliziyo." Kwiindawo ezininzi zesibhedlele, ukuzalisa iibhokisi zeepilisi kubonakala kunzima ngokwaneleyo ukufuna unonophelo lwezempilo lwe sibini ukujonga ukuchaneka .
Nangona ama-82 ekhulwini abaphenduliweyo abachazela ngokwabo ukuba benobuhle okanye obuhle kwimpilo, ukukhunjulwa kweememori phakathi kwabantu abahlala bekhulile kunye nokuphazamiseka kwengqiqo kungaphazamisa ukukwazi kwabo ukuthatha iziyobisi ngexesha kunye nakwii-dosage ezifanelekileyo.
Enyanisweni, abaphandi baxela iziganeko zeepakethe ze-blister ngamachiza athathwe ngaphandle.
Abanye abaphandi bafumene iipateni ezifanayo. Ngomnye u-2000 ukuhlolwa kwezigulane ezingama-312 eBoston, amaphesenti angama-76 abantu abadala asekuhlaleni babekho ukungafani phakathi kwamaphi amayeza awamiselweyo kwaye yiyiphi imithi - imithi kunye nemithi engekho mthethweni-bayithatha.
Ukusebenzisa iiBillboxes ngokukhuselekileyo
Nangona uGould kunye neqela lakhe befuna ucwaningo olungakumbi malunga nempembelelo yeebhokisi zeepilisi kunye neepakethe ze-blister ekumamathiseni iziyobisi nokuthotyelwa, ukufundiswa kwazo kubonisa ukuba ukusetyenziswa kwezi zixhobo akunakwenzeka ngokungathi ngqo njengoko kuhloselwe ukuba. Okona kuncinci, ukuba usebenzisa iibhokisi zeepilisi, qiniseka ukuba uyisebenzisa ngokukhuselekileyo. I-pharmist yakho okanye umboneleli wezempilo kufuneka azi ukuba usebenzisa iibhokisi zeepilisi, kwaye kuya kuba bubulumko ukuba umntu ahlole umsebenzi wakho ukuqinisekisa ukuba uhlenga amayeza akho ngokufanelekileyo.
Imithombo:
I-Bedell SE, i-Jabbour S, i-Goldberg R, i-Glaser H, i-Gobble S, i-Young-Xu Y, i-Graboys TB, i-Ravid S. Ukungahambisani nokusetyenziswa kwamachiza: ubungakanani babo kunye nokuqikelela kwindlela yokugula. Arch Intern Med . 2000; 160: 2129-34.
Odette N. Gould, uLaura Todd, noJanice Irvine-Meek. Iimpawu zokuxhaswa kwiSampuli zommandla: njani iiBillboxes zisetyenzisiwe? Journal of Pharmacy Journal. ISSN 1715-1635, 01/2009, Umqulu 142, Issue 1, iphe. 28 - 35.
"I-FDA Ukhuseleko Lwabizo Lweziyobisi: Kufuneka kulandelwe iimfuno zePradaxa (dabigatran etexilate mesylate) zePaldaxa (dabigatran etexilate mesylate)."
http://www.fda.gov/Drugs/DrugSafety/ucm248746.htm