I-Polypharmacy ne-Drug-Incuced Impairment Yengqondo
Udidekile, ugxile futhi awukwazi ukukhumbula izinto? Nakuba lezi zimpawu zingabangelwa yi- Alzheimer's nezinye izinhlobo ze-dementia , kungaba khona enye, mhlawumbe eguquguqukayo, imbangela : imithi. Imithi eminingi kakhulu, ebizwa ngokuthi i- polypharmacy , ingathinta ikhono lakho lokucabanga ngokucacile, khumbula futhi wenze izinqumo ezifanele.
Ukukhubazeka Kokuqondisisa Ngokwemithi
Ngokwesinye isifundo, ukukhubazeka kwengqondo kwaba khona ngamaphesenti angu-22 alabo abathwala imithi emihlanu noma embalwa, kanti lelo nani lakhuphuka laba ngamaphesenti angu-33 kubantu abathatha imithi engaphezu kwemihlanu namaphesenti angu-54 kulabo abathatha imithi engu-10 noma ngaphezulu.
Ucwaningo lwesibini oluvela kulawo maphesenti angu-12 e- dementias lungase luhlobene nokuyi-polypharmacy. Ucwaningo lwesithathu lwathola ukuthi ingozi yokuthuthukisa i-delirium yayingaphezu kokuphindwe kabili kulabo ababethatha imithi engaphezu kwemihlanu. Izimpawu zokukhubazeka okuncane okungaqondakali noma i- delirium eqhubekayo uma umuntu ethatha imithi eminingi kumele ihlolwe njalo.
Amakilasi aphezulu okusetshenziswa kwezidakamizwa
Ngokusho kwephephandaba i- Clinical Geriatrics , "amakilasi ezidakamizwa angakwazi ukulimaza ukuqonda nokusebenza kubantu asebekhulile ahlanganisa izidakamizwa ze- anticholinergic , izidakamizwa ze-psychotropic , ama- analgesics , i- sedative-hypnotics , nezidakamizwa ezinefasitela elincane lokwelapha."
Kuyini Ukuphefumula?
Igama elithi poly lisho eziningi, futhi ikhemisi libhekisela kwimithi. Ngakho-ke, i-polypharmacy yilapho iningi kakhulu (echazwe njengezingaphezu kweziyisihlanu emithonjeni ethile nangaphezulu kweziyisithupha kwezinye) imithi isetshenziselwa ukuphatha umuntu. Kukhona izimo eziningi lapho izidakamizwa eziningi zidingeka futhi zifanelekile, kodwa ukusetshenziswa kwemithi eminingi, ikakhulukazi kubantu abadala, futhi kunakho konke okungahle kube nemiphumela emibi engalindelekile.
8 Izimbangela ze-Polypharmacy
Kunezici eziningana ezithinta i-polypharmacy, kufaka phakathi okulandelayo:
1. Odokotela abaningi
Ngokuvamile, abantu bazoya kudokotela abangaphezu kweyodwa, njengesazi, ngokukhathazeka okuhlukile. Uma ungakhulumi ngokucacile ukuthi yimiphi imithi enqunywe abanye odokotela, noma uma amarekhodi akho ezokwelapha engahambisani kahle nodokotela olandelayo, imithi eminingi ingase ibekwe.
2. I-Herbs kanye nezithako
Kufanele ubike noma yimaphi amakhambi noma izithako ozithathela kudokotela wakho. Ngisho noma kungenzeka ukuthi yinto engokwemvelo, ingaba nomthelela ekutheni umzimba wakho uthatha kanjani imithi futhi ube nomthelela wokuxhumana nemithi.
3. Ukuzithiba
Abanye abantu bacabanga ukuthi uma amaphilisi amabili emuhle, amane angcono. Noma, baboleka imithi emakhelwane babo ngezinhlungu nezinhlungu ezehlukene. Khumbula ukuthi imithi yokuxuba nokuzimela ingaba nemiphumela engalungile, kokubili engasizi inkinga onethemba lokuyixazulula, nokudala ukusebenzisana kwezidakamizwa ezilimazayo.
4. Amasiko aDokotela-Axhomekile
Ikakhulukazi emasikweni ethu, kuvamile ukufuna umuthi wento yonke. Uzizwa ucindezelekile? Thatha iphilisi. Ibhulo lakho libuhlungu? Unomuthi othile. I-cholesterol ephakeme? Nakhu elinye iphilisi. Yiqiniso, kukhona imithi emangalisayo etholakalayo - futhi ingase ibe ikhambi ngqo oyidingayo. Kodwa, kwezinye izimo, kunezinye izindlela ezingahlolwa kuqala, ezifana nokwelulekwa, ukwelashwa ngokomzimba noma ukudla okunempilo nokuzivocavoca umzimba.
5. Amaphutha Okuphatha Imithi
Kwabanye abantu, ukuthatha imithi ngokufanele kuyinselele. Akuvamile ukuthi abantu bakhohlwe ukuthi bathatha imithi yabo bese bathatha elinye umthamo, bayithathe ngesikhathi esingalungile sosuku, bayithathe ngokudla uma kungenjalo, noma uthole amagama omuthi adidekile futhi athathe iphilisi engafanele.
Ngezinye izikhathi, uhlelo lokuphatha imithi lungasiza ukuvimbela lezi zinhlobo zamaphutha.
6. Ukusetshenziswa kwe-Over-the-Counter Medicine
Kunezidakamizwa eziningi kakhulu ezingaphezu kwemithi ezitholakalayo ngaphandle kwemithi kadokotela, kepha njengezindlovu nezithako, ungathatha imithi eminingi kakhulu, futhi ingakwazi ukusebenzisana kabi neminye imithi.
7. Izibhedlela
Ngezinye izikhathi imithi eyengeziwe inqunywe uma othile eboshwe esibhedlela, futhi ihloselwe isimo sesikhashana. Kodwa, njengoba isikhathi siqhubeka, lawo mithi angeke iphele. Uma uya endaweni yokuqokwa kwadokotela emva kokuhlala esibhedlela, cela udokotela wakho ukuthi abukeze imithi oyithathayo ukuqinisekisa ukuthi konke kulungile.
8. Ukwelapha Imithi Yemizimba Yomsindo Ngenye Imithi
Lena inkinga ejwayelekile kakhulu. Isibonelo, uma umuthi unomthelela ohlangothini wokubangela ukuqothulwa, udokotela angase anikeze elinye iphilisi esikhundleni sokuncoma ukuthi usebenzise okuningi, uphuze amanzi amaningi futhi udle amafrethi amaningi. Ngokusekelwe esimweni sakho, lo muthi ungase ube yilokho okudingayo ukuvimbela ukucindezeleka okunzima njengokufana nokuvimbela isisu. Kodwa, kungenzeka ukuthi kwabanye abantu, izindlela ezingezona izidakamizwa zingaxazulula inkinga ngokuphumelelayo.
Abadala abadala kanye nemithi
Ngokwesifundo esashicilelwe ngo-2005 ku- Pharmacotherapy , abantu abadala abangama-40% bathatha imithi engaphezu kwemihlanu ngeviki, kanti u-10% uthatha ngaphezulu kuka-10 ngesonto.
Ukwengeza, ukunakekelwa kufanele kuthathwe ngokumisela imithi yabantu abadala, ngoba imizimba yabo ivame ukusabela ngokujulile emithini. Ngokuyinhloko, abantu asebekhulile bavame ukugcoba, ukubamba, ukusabalalisa nokudakisa izidakamizwa kancane kancane, yingakho ngokuvamile kunesethi ehlukene yezinkombandlela kanye nezincomo zokulinganisa kwabasebekhulile kunabantu abaningi.
Ukuvimbela
Gcina irekhodi lakho lempilo yakho yonke imishanguzo yakho ebalulwe, kanye nokuxilongwa kwemithi ngayinye. Uma ungazi ukuthi kungani uthatha imithi, cela udokotela wakho. Uma uya kudokotela, ulethe irekhodi lakho nawe.
Ochwepheshe bezokwelapha bakhuthazwa ukuba "baqale futhi bahambe kancane" ngemithi, futhi banakekele imithi ehlu lwaBoba, ukuhlanganiswa kwezidakamizwa okungenzeka kungalungile kubantu abadala.
Izwi kusuka
Nakuba imithi ingaba usizo kakhulu futhi ifanelekile ukuphatha izimo ezithile, khumbula ukuthi ukuxolelana ngamunye okungenzeka kunemiphumela emibi engakwazi ukuxhumana neminye imithi. Ukuqaphela ukuthi imishanguzo eminingi ingadala ukudideka nezinkinga zememori kungakusiza ukuthi ubone lokhu kukhathazeka kuwe noma kumuntu omthandayo. Unganqikazi ukubuza udokotela wakho mayelana nomuthi owodwa owenzayo ukuze nonke nicacise ukuthi kungani kudingekile impilo yakho nenhlalakahle.
Imithombo:
Ukwelashwa Kwemitholampilo Ekuguga. 2008 Juni; 3 (2): 383-389. I-Polypharmacy: Edukisa, kodwa ephathekayo. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2546482/
I-Consultant360. Ukulimala Okuhlobene Nezokwelapha Emphakathini Abadala. Umqulu 16, Inombolo 08, Agasti, 2008.http: //www.consultant360.com/articles/medication-related-cognitive-impairments-elderly-0
> Hein, C., Forgues, A., Piau, A., Sommet, A., Vellas, B. noNourhashémi, F. (2014). Impact of Polypharmacy on the Occurrence of Delirium in Iziguli Eziphuthumayo Eziphuthumayo. I-Journal ye-American Medical Directors Association , 15 (11), iphe.850.e11-850.e15.
Linnebur, S. University of Colorado School of Pharmacy. I-Polypharmacy Abaguli Abagugile. http://www.ucdenver.edu/academics/colleges/medicalschool/education/continuingmedicaleducation/Family%20Medicine%20Review%202011%20Documents/fmfall2011/wed4-Polypharmacy_in_Elderly_Patients_Fam_Med_Conf.pdf
> Maher RL, Hanlon JT, Hajjar ER. Imiphumela Yomtholampilo Ye-Polypharmacy Endala. Umbono wochwepheshe mayelana nokuphepha kwezidakamizwa . 2014; 13 (1): 10.1517 / 14740338.2013.827660. i-doi: 10.1517 / 14740338.2013.827660.