I-polypharmacy igama elisetshenziselwa ukuchaza ukuchazwa kwemishanguzo eminingi, ishiya isiguli esengozini yokusebenzisana kwezidakamizwa eziyingozi kanye nemiphumela emibi engaba yinkinga njengenkinga yokudideka nokulinganisela. I-Polypharmacy ingenzeka ngezindlela ezihlukahlukene:
- Ukuchaza inombolo ephakeme engavumelekile yemithi
- Ukubeka imithi eminingi engadingeka esimweni esinikeziwe
- Ukubeka imithi engalungile yalesi simo
Ngokusho kwencwadi yocwaningo eyashicilelwe ngo-2013 kwi- Canadian Pharmacy Journal, cishe ingxenye yesithathu (30%) yabadala aseCanada abangaphezu kweminyaka engu-85 babethatha imithi engaphezu kuka-10 ngesikhathi esisodwa, ngokusakazeka okukhulu phakathi kweziguli emakhaya asebekhulile. Iphepha le-2014 elanyatheliswa ngo-2014 libika ukuthi cishe isigamu sabantu abadala asebekhulile bathatha imithi eyodwa noma ngaphezulu engadingekile emzimbeni. Ngempela, abanye abantu abadala asebekhulile bathatha imishanguzo engu-25 ngesikhathi esifanayo, ngokulinganiselwa kwezingu-60 ezihlukene nsuku zonke, ngokusho komhleli. Engeza kulezi zindlela zokuphuza imithi ezingase zandise ngobudala futhi izingozi zokudlula ngaphezulu ziphindwe.
Uma Uthatha Imithi Emibi kakhulu Ngesinye isikhathi
Akunzima ukucabanga ngesiguli esinokukhubazeka okungenangqondo okuxuba iminyango noma ukuhlukunyezwa kwezidakamizwa ezimbi .
Ngempela, abalobi baqokomisa isici esiyinkimbinkimbi sokuthi "ukucacisa izidakamizwa", lapho umshwalense ubhalelwe khona omunye umuthi wokulwa nezimo zomphumela omubi noma ukuxhumana phakathi kwezidakamizwa ezimbili noma ngaphezulu.
I-polypharmacy ingabangela ukuwa okungabhubhisa, izinqulu eziphukile, nokulimala kwekhanda, eziningi zazo ezibhekene nokuvakashelwa okuvinjelwe ekunakekelweni okuphuthumayo kanye nengozi ephezulu yokufa jikelele.
Yini Engenziwa Ukwehlisa I-Polypharmacy?
I-Polypharmacy ingaqondiswa emigqeni emibili: abahlinzeki bezempilo, kanye neziguli ngokwabo.
Abaqhakamisi nabahlengikazi baye bacela ukuqapha okungcono umthwalo wesiguli somuthi wesiguli, ngokulandelela okuthuthukisiwe kwemigomo , nemizamo "yokunciphisa". Abameli bephepha lika-2013 kancane kancane bancibilikisa iziguli emithini yemithi engathandeki futhi bafundisa iziguli mayelana nezingozi nezinzuzo zezidakamizwa ezibekiwe, kanye nolwazi mayelana nendlela yokuphatha imithi eminingi.
Uma wena noma umuntu oyithandayo osolwa ngokuphambene nemithi, nanka ezinye izindlela zokulwa nale nkinga engaba yingozi:
- Gcina uhlu lwemithi yakho yonke kubandakanya amavithamini nezinto ezingaphezu kwezinto. Letha lolu hlu kuwo wonke ama-aphoyintimenti akho bese ulubonisa kubanikeli bakho bokunakekelwa. Buza ukuthi bahlole uhlu nganoma yikuphi ukucindezeleka okungenzeka futhi ukhumbule nokuthi ubuze noma yiziphi izimpawu zakho zingase zibe nemiphumela emibi.
- Iya ku-intanethi. Kukhona amawebhusayithi amaningi ongabheka ukuze ubone ukuthi kunezinkinga ezingenzeka yini emibhalweni yakho ye-polypharmacy. Ukuze ufunde imininingwane eningiliziwe mayelana nemithi, iya kumaDrugs A kuya kuZ.
- Misela udokotela oholayo. Cela udokotela noma umtholampilo ukuba abe "udokotela wakho ohola." Njengengxenye yalolu daba, udokotela wakho uzohlola ukunakekelwa kwakho kuzo zonke ezinye izihlinzeki zakho, bheka phezu kwemithi futhi wenze izingcingo ukuze uqondise ukunakekelwa uma kunesidingo.
- Buza imithi yakho. Abaqhakamisi baqeqeshelwe ukufuna ukusebenzisana kwezidakamizwa nezinye izinkinga - kodwa bangakwenza lokho uma benolwazi lwakho lonke. Banike uhlu lwakho lwemithi yesidakamizwa bese ubacela ukuba babuke phezulu. Lokhu kubaluleke kakhulu uma uthola imithi yakho kusuka ekhemisi engaphezu kweyodwa.
Ihlelwe nguSharon Basaraba
Imithombo:
UBarbara Farrell, uSalima Shamji, u-Anne Monahan, u-Veronique French Merkley. "Ukunciphisa i-Polypharmacy kubantu asebekhulile: Izinkantolo Zokukusiza" Dwala Isikebhe ". Ingabe i-Pharm J (Ott) ka- 2013 Sep; 146 (5): 243-244.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785194/
I-Hajjar ER1, i-Cafiero AC, i-Hanlon JT. "I-Polypharmacy Abaguli Abagugile." J Geriatr Umama wama- 2007 Dec; 5 (4): 345-51. i-doi: 10.1016 / j.amjopharm.2007.12.002.
Maher RL, Hanlon J, Hajjar ER. "Imiphumela Yomtholampilo Ye-Polypharmacy Ebekhulile." I-Opin 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. "Ucwaningo olwenziwa nge-Polypharmacy kanye nokusetshenziswa kwemithi engafanele." I-Toxicol Int. 2012 Jan-Apr; 19 (1): 68-73.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339249/