Amai vako, baba vako, ambuya vako, tete vako... Vanhu ava vanotora mishonga mingani pazuva? Pamwe inopfuura imwe, pamwe kunyange mishanu kana mitanhatu, handiti? Tinofunga kuti izvi zvakajairika nekuti tinorwara mumwe mushure memumwe sezvatinokura. Asi wakambofunga here kuti haisi mishonga yese inopiwa munhu mukuru yakakodzera ivo? Kutaura zvazviri, migumisiro yemimwe mishonga inogona kuva yakakura kupfuura mabhenefiti emushonga. Nekuda kweizvi, vanachiremba vanofanirwa kunyatsoteerera izvi.
Zvichitaurwa zviri nyore, chii chinonzi Beers Criteria?
Zvakanaka, ngatirambei tichinyora zviri nyore. Zvinodiwa zveBeers hazvisi zverudzi rwedoro. Irondedzero yemirayiridzo yakaunzwa neAmerican Geriatrics Society. Rondedzero iyi inosanganisira mishonga inofanira kupiwa nekungwarira kwakanyanya kana kuti inogona kukuvadza vanhu vane makore anopfuura makumi matanhatu nemashanu .
Funga nezvazvo nenzira iyi. Huwandu hwemushonga unopiwa mwana mudiki hwakasiyana nehuwandu hunopiwa munhu mukuru, handiti? Saizvozvowo, muviri wemunhu wechidiki haupinduri mushonga sezvinoita muviri wemunhu mukuru. Nhengo dzavo, dzakadai seitsvo dzavo nechiropa, dzinogona kunge dzisisina kushanda zvakanaka. Nokudaro, vangasakwanisa kushivirira mimwe mishonga, kana kuti vangava nemigumisiro isingatarisirwi.
Ongororo yakawana kuti vanhu vanopfuura 90% vane makore anopfuura 65 vanotora mushonga mumwe chete pazuva. Vanhu vanopfuura 66% vanotora mishonga inopfuura mitatu pamwedzi. Saka kana ukatora mishonga yakawanda kudaro, mikana yekuti mumwe mushonga ushande nemumwe yakakura. Ndosaka vanachiremba vachishandisa runyorwa urwu runonzi Beers Criteria. Runonziwo Beers List .
Ndezvipi zvinhu zvishanu zvikuru zviri muBeers Criteria?
Gwaro iri rakakamurwa kuita zvikamu zvishanu zvikuru, izvo zvichabatsira vanachiremba kunzwisisa zvekufunga nezvazvo vasati vanyora mushonga.
- Mishonga inofanira kudziviswa kuvanhu vane makore anopfuura makumi matanhatu nemashanu ekuberekwa (kunze kweavo vanowana rubatsiro rwakakosha muchipatara): Iyi mishonga inogona kukonzera kukuvara kupfuura kubatsira kana ikapihwa vakwegura.
- Mishonga inofanira kudziviswa nevanhu vane mamwe matambudziko ehutano: Semuenzaniso, kune munhu ane chirwere chemwoyo, kune mimwe mishonga inogona kuita kuti chirwere ichocho chiwedzere kuipa. Mishonga yakadaro inosanganisirwa muchikamu ichi.
- Mishonga inokonzera kusawirirana (Kudyidzana Kwemishonga) kana ikatorwa nemimwe mishonga: Dzimwe nguva mushonga wakachengeteka kana ukatorwa wega unogona kuva nengozi kana ukatorwa nemumwe mushonga. Chikamu chino chinotarisa izvozvo.
- Mishonga inofanira kudziviswa nekuti ine migumisiro yakawanda kupfuura zvayakanakira:Kunyange hazvo mimwe mishonga ichigona kubatsira pakurapa, migumisiro yacho (semuenzaniso kudonha kakawanda, kuvhiringidzika) inogona kuva yakanyanya kuipa.
- Mishonga inokanganisa mashandiro eitsvo uye inofanira kuderedzwa kana kubviswa : Kushanda kweitsvo kunodzikira nekukura. Nokudaro, mimwe mishonga inobviswa mumuviri zvishoma nezvishoma. Rondedzero iyi inopa mazano ekuderedza huwandu hwemishonga yakadaro kana kuidzivisa zvachose.
Chinhu chakakosha ndechekuti iyi ingori gwara rekubatsira chiremba wako kuita sarudzo. Hazvikanganisi ruzivo rwechiremba wako kana kunzwisisa kwake mamiriro ako ezvinhu.
Ndeapi marudzi emishonga ari pane urongwa uhwu? (Mimwe mienzaniso)
Kune mhando dzemishonga dzinosvika zana pane iyi runyorwa. Sezvo zvingave zvakaoma kutaura nezvadzo dzese, ngatitarisei mimwe mienzaniso yakajairika uye kuti nei dzichigona kukuvadza vakwegura. Paunoona izvi, uchanzwisisa kukosha kweizvi zvakanyanya.
| Rudzi rweMishonga | Zvikonzero nemienzaniso yekukuvadza |
|---|---|
| Mishonga yekurwadziwa kwemusoro | Semuenzaniso: (Meperidine) . Inogona kukonzera chepfu muuropi uye kuvhiringidzika kwepfungwa . |
| Mishonga yeAllergy (Antihistamines) | Semuenzaniso: (Brompheniramine) . Kuvhiringidzika , kusashanda zvakanaka kwepfungwa , uye kupenga zvinogona kuitika. |
| Mishonga yeAnxiolytics | Semuenzaniso: Benzodiazepines . Kusashanda zvakanaka kwemuviri , kusaziva zvakanaka, uye kusafamba zvakanaka zvinogona kukonzera kuwa. |
| Madhiragi | Semuenzaniso: (Mabharbiturate) . Aya ane njodzi huru yekudhakwa uye kudhakwa zvakanyanya . |
| Zvinozorodza Tsandanyama | Zvinokonzera migumisiro yakaipa yakadai sekuvhiringidzika, muromo wakaoma , uye kuvimbiwa . |
| Mishonga inorwisa mabhakitiriya | Semuenzaniso, kana Ciprofloxacin ikatorwa pamwe chete nemishonga inobvisa ropa rakanyanya seWarfarin , njodzi yekubuda ropa inowedzera. |
| Mishonga yeShuga | Semuenzaniso: (Chlorpropamide) . Njodzi yekuderera kweshuga muropa (Hypoglycemia) yakanyanya. |
| Mishonga inoderedza marwadzo isiri yesteroidal (NSAIDs) | Semuenzaniso: (Aspirin) inopfuura 325mg pazuva. Maronda emudumbu uye kubuda ropa mudumbu zvinogona kuitika. |
Usavhunduke nerunyorwa urwu! Izvi hazvirevi kuti mishonga iyi haifanirwe kupihwa vakwegura. Mune zvimwe zviitiko zvakakosha, kana pasina imwe sarudzo, chiremba wako anogona kukupa mushonga uyu. Asi achaita izvi mushure mekudzidza mamiriro ako uye achinyatso tarisa.
Sei migumisiro yemishonga ichichinja sezvatinokura?
Izvi zvakare chinhu chakakosha kuziva. Kukwegura zvinoreva kuti muviri wese unochinja zvishoma. Nekuda kwekuchinja uku, mashandiro anoita mishonga yatinotora mumuviri anochinjawo.
- Mushonga unotora nguva yakareba kuti ubve mumuviri:Sezvatinokura, chiropa neitsvo zvinoshanda zvishoma nezvishoma. Nhengo mbiri idzi dzinopwanya mishonga inopinda mumiviri yedu dzoibvisa semarara. Kana izvi zvikadzikira, mishonga inoramba iri mumuviri kwenguva yakareba. Ndosaka vanhu vakuru vachipiwa mishonga mishoma.
- Mushonga unopiwa wechirwere chimwe chete unogona kukanganisa chimwe: Fungidzira kuti munhu ane BP yakakwira uye marwadzo emajoini. Mimwe mishonga inoderedza marwadzo (NSAIDs) inopiwa yekurwadziwa kwemajoini inogona kuwedzera BP zvakanyanya. Nokudaro, chiremba anosarudza mushonga mushure mekufunga nezvezvinhu izvi zvese.
- Kuchinja kwemararamiro: Zvinhu zvakaita sehuwandu hwemabasa ako, zvaunodya, uye kunyange huwandu hwemafuta mumuviri wako zvinogona kukanganisa mashandiro emishonga yako. Saka paunotaura nachiremba wako, zvakakosha kuvaudza nezvechero mishonga yekuwedzera yaunotora, mishonga yechivanhu, uye kudya kwako.
Vanachiremba vanoshandisa sei izvi?
Chiremba asati anyorera munhu ane makore anopfuura makumi matanhatu nemashanu mushonga, achanyatsoongorora nhoroondo yako yese yezvekurapa, zvirwere zvauri kutora, nemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yeAyurvedic).
Zvadaro, anoongorora kana mushonga mutsva waachakupa uri pane runyorwa rweBeers Criteria. Kana uri pane runyorwa, anofunga kuti njodzi dzekukupa dzingave dzakaita sei, uye kana paine imwe nzira yakachengeteka.
Kazhinji, vanachiremba vane mimwe mishonga yavanogona kushandisa panzvimbo peiyo iri pane iyi runyorwa. Zvisinei, sezvandambotaura, dzimwe nguva zvingava zvakakosha kupa mushonga iwoyo. Muzviitiko zvakadaro, chiremba wako achakutarisa nguva dzose uye achakutarisa zvakanyanya kuti aone migumisiro yakaipa.
Saka, kana uine mibvunzo kana zvinokunetsa nezvemushonga uri kutorwa naamai vako, baba, ambuya, kana tete vako, usatya kutaura nachiremba wavo zvakananga nezvazvo. Zvinokunetsa zvako zvakakosha zvikuru kuti vachengetedzeke.
Mharidzo Yekuenda Nayo Kumba
- Zvinodiwa zveBeers runyorwa rwemirayiridzo inobatsira vanachiremba kunyora mishonga kuvanhu vane makore anopfuura makumi matanhatu nemashanu.
- Sezvatinokura, maitiro anoita muviri kumishonga anochinja, uye mimwe mishonga inogona kukuvadza.
- Zvakakosha kuzivisa chiremba wako nezvemishonga yese, mavhitamini, uye zvimwe zvinovaka muviri zvauri kutora iwe kana hama yako yakwegura.
- Usamborega kutora mushonga wawakanyorerwa kana kuchinja mwero wemushonga usina kurairwa nachiremba wako.
- Kana muine matambudziko kana migumisiro yemushonga wamuri kutora, taurai nachiremba wenyu nekukasika.Udza chiremba nezvazvo.
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