Ingabe udokotela wakho uke wabiza "Obecalp" noma "Cebocap" ukuzolalisa ikhanda lakho, ukunciphisa isisu sakho sithukuthele, noma unciphise ubuhlungu bakho? I-Obecalp neCebocap empeleni yi-placebos-izidakamizwa ezikhohlisayo. I-Obecalp imane nje igama elithi placebo lihlehlisiwe emuva. I-Cebocap yigama lephilisi elenziwe nge-lactose, eliyishukela.
Odokotela Do Prescribe Placebos
Abacwaningi baseYunivesithi yaseChicago bakhipha imiphumela yocwaningo ebonisa ukuthi amaphesenti angu-45 abaqashiwe (abadokotela basekhaya baseChicago) babekade bememezela iziguli zabo.
Kulo odokotela ababekayo indawo yokubeka indawo, amaphesenti angu-34 atshela iziguli ukuthi imithi ayinakulimaza futhi ingase isize; Amaphesenti angu-19 athi nje kwakungumuthi; Amaphesenti angu-9 athi imithi "ayikho imiphumela ethize"; futhi amaphesenti angu-4 kuphela etshela iziguli zabo ukuthi zibeka i-placebo.
Ucwaningo lubonakala lubonisa ukuthi abanye odokotela basebenzisa indawo ye-placebos emisebenzini yabo yokwelapha ngomzamo wokusiza iziguli. Ucwaningo oluthile olwenziwe mayelana nezinkinga zokuziphatha eziphathelene nodokotela lubike ukuthi amaphesenti angama-34 alabo abathintekayo athi kuyamukeleka ukubeka i-placebo kwisiguli esingadingi ukwelashwa kodwa kusobala kuso.
Izinhlobo zezindawo
Kunezinhlobo ezimbili ze-placebos:
- Izindawo ezihlanzekile noma ezingasebenzi, ezifana namaphilisi ashukela noma ama-saline injection
- Ama-placebos angcolile noma asebenzayo, njengokumisela i-antibiotic yokutheleleka ngegciwane noma i-vithamini noma ngabe isiguli asiyidingi
Izindawo Zokusebenza Zingasebenza
Nakhu ukumangala kwangempela: Ngezinye izikhathi, ngokuvamile okwanele ukubalwa, i-placebos isebenza ukusiza isiguli.
Naphezu kokuthi akukho muthi wangempela ophuzwayo, iziguli zizwa zingcono. Ubuhlungu babo noma ezinye izimpawu ziyahamba. Ngisho nasekuhloleni okuvivinya ngokucophelela kwe- clinical lapho i-placebos isetshenziselwe khona ukulawula, ezinye iziguli zithuthukisa ngoba zicabanga ukuthi zithola imithi yangempela.
Umphumela lowo- umphumela we-placebo-manje usephambili futhi uqala ezingxoxweni zokuxhumana komzimba. Imithi yaseNtshonalanga (ngokuphambene neMpumalanga, ngokuvamile imithi engcono kakhulu) iqala ukwamukela lolu xhumano lomzimba njengengqondo yokwelapha yangempela.
Izindawo Zokuhlala Zingaba Ukwelashwa Okusemthethweni Esikhathini Esizayo
Omunye uprofesa wezokwelapha waseHarvard, u-Ted Kaptchuk, uye wahlola ucwaningo olusenqenqemeni lwe-placebos ngemiphumela emangalisayo emangalisayo: Ukunikeza abantu indawo yokubeka ibulayi evulekile, amaphilisi ashukela abaguli abaziyo amaphilisi ashukela, uye asiza ekunciphiseni izimpawu zeziguli izinkinga zempilo ezingapheli ezifana nesifo sofuba esiswini (IBS) kanye nobuhlungu obuphansi emuva.
Kule nkinga, ukukhululeka kwesimpawu akuhlangene nesimo sengqondo noma ngisho nokulindela ngesineke, njengoba iningi lalezi ziguli libone odokotela abaningi abanempumelelo encane. Kunalokho, uKapchuchuk ukholelwa ukuthi izinkinga ze-neurotransmitters zenziwa kuzinzwa zeziguli ngokuxhumana nodokotela onakekelayo futhi zithola imithi futhi lokhu kusiza ekunciphiseni izimpawu zomzimba. Ucwaningo oluningi luzodingeka lwenziwe isikhathi eside kakhulu, kodwa ukubukeka okubonakalayo okuthembisayo kubantu abanokuhlupheka okungapheli, ukukhathala, kanye ne-malaise.
Izingozi ezingenzeka zokuziphatha zezindawo
Ukusetshenziswa kwe-placebos njengendlela yokwelapha iziguli ngaphandle kolwazi lwabo kubhekene nemibuzo ephathelene nokuziphatha, okubandakanya:
- Ikhono lempilo yesiguli ukungaphuthuki kusukela i-placebo akuyona imithi yangempela.
- Isinqumo sokuthi noma ukutshela isiguli ukuthi umuthi uyinkohliso noma cha.
- Ukuthi udokotela uvele ehluleka ukucabanga ukuthi izinkinga zesiguli zikhona ekhanda lakhe.
- Ikhono lokukhwabanisa kufanele uma umuntu elimaza noma efa ngenxa yokuthi ayengaphathwa kabi noma engaziwa futhi enqunywe i-placebo.
Iziphi Iziguli Ezicabangela Ngama-Placebos
Ucwaningo olulodwa eqenjini leziguli ezihlelwe ukuthola ukuthi yiziphi izinkolelo zabo eziphathelene nodokotela ababeka i-placebo.
Ucwaningo lwaphetha ngokuthi kwakukhona izinkolelo ezimbili eziyisisekelo phakathi kwaleli qembu: Iqembu elilodwa lalinombono omubi odokotela ababeka indawo ye-placebos uma kunezimpendulo ukuthi udokotela wayekhohlisayo futhi / noma bakholelwa ukuthi i-placebo ayisebenzi. Babecabanga ukuthi ukukhohlisa kungase kuncishiswe uma udokotela emtshela isiguli ukuthi imithi ebekiwe yilabo abahlala khona. Elinye iqembu leziguli lalinombono omuhle wokubeka i-placebos uma nje bekwazi ukusebenza, noma ngabe lokhu kwakuhilela ukukhohlisa odokotela. Ngokusobala, ucwaningo olwengeziwe luyadingeka ukuze kutholakale indlela engcono kakhulu yokusebenzisa kahle imiphumela emihle ye-placebos emisebenzini yomtholampilo.
> Imithombo:
> Bishop FL, Aizlewood L, Adams AEM. Ukuthi nini futhi kungani i-Placebo-Prescribing iyamukeleka futhi ayamukeleki: Isifundo Seqembu Lokugxila Kweziguli. I-Newman CE, ed. PLoS ONE . 2014; 9 (7): e101822. i-doi: 10.1371 / iphephandaba.pone.0101822.
> I-Medscape. Izidakamizwa Eziphezulu Zokuziphatha: Odokotela be-Medscape 2012.
> Ukuxoshwa B. I-Hypothesis Eyingozi Emtholampilo: Nika Iziguli Izidakamizwa Abazi ukuthi Awusebenzi. I-Vox. Ishicilelwe ngo-Juni 2, 2017.
> University of Chicago Medical Center. Abafundi bangaphakathi bathi Benza i-Placebos ngezikhathi ezithile. Ukukhishwa komphakathi. NgoJanuwari 3, 2008.