Mazuva ano, vazhinji vedu tinotora mishonga yezvirwere zvinopfuura chimwe chete. Ungave uchitora imwe yeBP yako, imwe yecholesterol yako, uye imwe yechirwere cheshuga chako. Ungatotora mushonga wekurwadziwa pahuro kubva kupharmacy. Asi wakambofunga here kuti mishonga iyi inogona "kutaurirana", uye dzimwe nguva "kurwa" nemumwe nemumwe? Ndizvo zvatinodaidza kuti drug interactions, kana kuti "Drug Interactions". Iyi inyaya yakakosha yatinofanira kuziva tese.
Chii chinonzi kusangana kwemishonga?
Muchidimbu, "Kudyidzana Kwemishonga" zvinoreva kuti mushonga waunotora unochinja mashandiro awo nekuda kwechimwe chinhu chinopinda mumuviri wako (chinogona kunge chiri chimwe mushonga, chikafu, chinwiwa, mavitamini), kana chimwe chirwere chaunacho. Izvi zvakafanana nemotokari dziri mumugwagwa. Kana mota yega yega ikaenda nenzira yayo, hapana dambudziko. Asi kana mota imwe ikauya nenzira isiriyo, panogona kuitika tsaona, handiti? Chinhu chimwe chete chinoitika nemishonga.
Kana kutaurirana kwakadai kukaitika, zvinhu zvitatu zvikuru zvinogona kuitika:
- Kuderera kwekushanda kwemushonga: Izvi zvinoreva kuti mushonga wacho hausi kushanda nemazvo. Kunyangwe ukatora mushonga weBP, kana usinganyurwe zvakanaka nemuviri nekuda kwechimwe chinhu, BP haizodziki.
- Kupfuura mwero: Dzimwe nguva mushonga unotanga kushanda zvakanyanya, izvo zvinogona kukuvadza kupfuura kubatsira.
- Migumisiro kana chepfu: Mishonga miviri inogona kushanda pamwe chete uye kukonzera mimwe migumisiro mitsva kana chepfu.
Chimbofunga, chero mushonga waunotora ungangosangana nezvinhu zvakaita se:
- Mumwe mushonga waunotora (unogona kuva mushonga wakanyorwa nachiremba kana mushonga weOTC waunotenga kubva kupharmacy).
- Mishonga yekuwedzera chikafu yakaita semavhitamini, mapiritsi esimbi, uye mishonga yemishonga.
- Unogona kutenga chikafu kana zvinwiwa.
- Doro.
- Fodya.
- Mimwe mishonga.
Kwete zvinhu izvi chete, asi mimwe mishonga ingasakukodzera nekuda kwezvimwe zvirwere zvaunazvo. Semuenzaniso, mushonga wechimwe chirwere unogona kuwedzera chimwe chirwere chaunacho.
Asi musazvidya mwoyo. Kazhinji, mishonga iyi inongoshanda kwenguva pfupi uye inogadziriswa. Chiremba wenyu anogona kuchinja mwero wemishonga yenyu kana kukuudzai kuti murege kudya zvimwe zvekudya kwenguva yakati. Asi mimwe mishonga inogona kuva yakakomba zvikuru uye inotoisa upenyu pangozi. Saka kuziva nezvayo uye kutora matanho ekudzivirira kunogona kukubatsirai kuti muwane rubatsiro rwakanyanya kubva mukurapwa kwenyu.
Ndiani ari panjodzi huru?
Kusangana nemishonga kunogona kuitika kune chero munhu wezera ripi zvaro, asi kana uri kutora mishonga yakawanda kana kuti uine zvirwere zvakasiyana-siyana, njodzi yacho yakakura zvikuru.
Kazhinji, sezvatinokura, tinova nezvirwere zvisingaperi. Saka huwandu hwemishonga yatinotora hunowedzera. Funga nezvazvo, kana paine makemikari akawanda uye maitiro anoshanda pamwe chete mumuviri wako, mikana yekuti chimwe chinhu chisafambe zvakanaka inowedzerawo, handiti?
Zvakafanana nekugadzira pati. Kana ukataura neshamwari shoma dzaunoziva, unokwanisa kuita pati yakanaka. Asi kana ukataura nevaenzi vakawanda, pane mukana wekuti pave nekusawirirana. Kungofanana nevanhu vari papati, mishonga inogona kutaurirana nenzira dzisina hushamwari.
Saka usaedza kugadzirisa zvinhu izvi wega. Haugone kufanotaura kuti mushonga mumwe chete uchakanganisa sei muviri wako, tisingatauri nezvezvichaitika kana ukatora mishonga yakawanda pamwe chete.
Ndosaka zvichikosha kutaura nachiremba wako usati watora chero mushonga mutsva kana wekuwedzera, kana usati waita chero shanduko pane runyorwa rwemishonga yauri kushandisa parizvino. Chiremba wako anogona kukubatsira kuona kuti ndeipi mishonga yakakunakira, inobatsira zvikuru, uye yakachengeteka, uye kana yakachengeteka kutorwa yoga kana pamwe chete nemimwe mishonga.
Ndedzipi mhando huru dzemishonga inobatanidzwa?
Kudyidzana uku kunogona kukamurwa kuita zvikamu zvikuru zvina. Ngationei kuti ndezvipi.
| Rudzi rwekutaurirana | Zvakatsanangurwa zviri nyore |
|---|---|
| Kudyidzana kwemishonga nezvinodhaka | Mushonga mumwe chete unogona kukanganisa kushanda kwemumwe mushonga wauri kutora. |
| Kudyidzana kwemishonga nekuwedzera | Mushonga unoshanda nevhitamini, mineral, kana mishonga yekuwedzera yaunotora. |
| Kudyidzana pakati pemishonga nechikafu/chinwiwa | Chimwe chinhu chaunodya kana kunwa chinogona kukanganisa kushanda kwemushonga. |
| Kudyidzana kwemishonga nemamiriro emuviri | Mhedzisiro isingatarisirwi yemushonga waunotora nekuda kwechirwere chaunacho. |
1. Kudyidzana kwemishonga nezvinodhaka
Uyu ndiwo rudzi rwatinowanzoona. Mushonga mumwe unoshandura mashandiro anoita mumwe mushonga. Izvi zvinogona kuitika:
- Pakati pemishonga miviri inonyorerwa nachiremba.
- Pakati pemishonga miviri yawakatenga ku pharmacy.
- Pakati pemushonga wakanyorerwa nachiremba nemushonga wawakatenga kupharmacy.
Uyewo, fodya, doro, kana zvimwe zvinodhaka zvinogona kukanganisa mishonga yauri kutora zvokonzera migumisiro isingadiwe.
Zvinhu zvinogona kuitika nekubatana kwakadaro:
- Migumisiro inogona kuwedzera: Fungidzira uchitora mishonga miviri ine chinhu chimwe chete chinoshanda pamwe chete. Semuenzaniso, kana ukatora mushonga wekurwadziwa une acetaminophen pahuro panorwadza wozotora mumwe mushonga une acetaminophen padzihwa, huwandu hweacetaminophen hunosvika mumuviri wako huchawedzera. Izvi zvinogona kuwedzera migumisiro kana kutokonzera kukuvadzwa kwechiropa.
- Mishonga ingasashanda zvakanaka: Mimwe mishonga inoshanda pakurwisana. Mumwe unogona kuvharira puroteni mumuviri, nepo mumwe uchiikurudzira. Muchiitiko ichi, mishonga yese haizove nemigumisiro yaidiwa.
- Mashandiro anoita mushonga anogona kuchinja: Mimwe mishonga inokanganisa kuti mimwe mishonga inopindwa sei mumuviri. Uyewo, mimwe mishonga inochinja kumhanya kunoita chiropa chedu kupwanya mimwe mishonga. Izvi zvinogona kukonzera kuti mushonga upwanye nekukurumidza woshaya simba, kana kuti unogona kugara mumuviri kwenguva yakareba wosimba zvakanyanya.
Saka, usati watora chero mushonga mutsva (ingava mushonga wakanyorwa nachiremba kana kuti mushonga weOTC), iva nechokwadi chekutaura nachiremba wako. Muudze nezvemishonga yese yauri kutora parizvino. Kana uchishandisa doro, fodya, kana mimwe mishonga, zvakakosha kuti uzvidzivirire pachena nezvazvo.
2. Kudyidzana kwemishonga nekuwedzera
Tinowanzo funga kuti nekuti zvinhu zvakaita semavhitamini nezvimwe zvinowedzerwa kubva mumiti "zvakasikwa," hazvikuvadzi. Chikanganiso chikuru ichocho. Zvimwe zvinowedzerwa zvinogona kuderedza kana kuwedzera kushanda kwemishonga yaunotora, kana kukonzera migumisiro ine njodzi.
Chimwe chezvinonyanya kuipa iSt. John's wort.Mushonga wemishonga. Unoshanda nemishonga yakawanda, dzimwe nguva nenzira inotyisidzira hupenyu. Semuenzaniso, St. John's wort inogona kukonzera chirwere chine njodzi chinonzi Serotonin Syndrome kana ikatorwa neSSRIs, rudzi rwemishonga inoshandiswa kurapa zvirwere zvakaita sekuora mwoyo.
Zvimwe zvinhu zvinogona kukonzera matambudziko akawanda:
- Zvinobva mugariki: Izvi zvinoderedza ropa. Kana uri kutora mishonga inoderedza ropa yakaita seWarfarin, kana kuti uri kugadzirira kuvhiyiwa, kutora mishonga iyi kunogona kukonzera kubuda ropa rakawanda.
- Goldenseal: Izvi zvinokanganisawo nzira iyo chiropa chinopwanya mishonga uye zvinogona kukonzera matambudziko nemishonga yakawanda.
- Mishonga yegreen tii ine concentrated: Iyi haisi green tii yatinonwa, asi mishonga yegreen tii ine concentrated. Iyi inogona kusangana ne "pseudoephedrine" inowanikwa mune mimwe mishonga yechando.
Iyi ingori mienzaniso mishoma. Usati watora chero mushonga wekuwedzera, zvakakosha kuti ubvunze chiremba wako kuti uve nechokwadi chekuti hauna njodzi kwauri. Unofanira kufunga kaviri nezvekuutora, kunyanya kana uine chimwe chezvirwere zvinotevera:
- Kana uri kutora mushonga une huwandu hushoma hwekurapa: Izvi zvinoreva kuti huwandu hwemushonga hunofanira kunge hwakanyatsojeka mumuviri. Kunyangwe wakawandisa kana kuti mushoma zvinogona kuva nengozi. Zvimwe zvinovaka muviri zvinogona kukanganisa chiyero ichi. Mienzaniso: Carbamazepine, Phenytoin, uye Warfarin, izvo zvinoshandiswa kudzivirira kugwinha kweropa.
- Kana uri kugadzirira kuvhiyiwa: Zvimwe zvinovaka muviri zvinogona kukanganisa mishonga inoshandiswa pakurapa, kuwedzera kubuda ropa, uye kukanganisa BP kana kurova kwemoyo.
3. Kudyidzana pakati pemishonga nechikafu/chinwiwa
Ehe, zvaunodya uye zvaunonwa zvinogonawo kuchinja mashandiro emishonga yako. Zvimwe zvekudya nezvinwiwa:
- Zvinogona kudzivirira kuti mushonga usapindwe mumuviri.
- Kugayiwa kwemushonga kunogona kuchinjwa, kuwedzera kana kuderedza kushanda kwawo.
- Zvinogona kunonotsa kubviswa kwemushonga mumuviri uye kukonzera chepfu.
Ngationei kuti ndezvipi zvekudya nezvinwiwa zvikuru zvinokonzera matambudziko akadai.
| Rudzi rwechikafu/chinwiwa | Mishonga inogona kukonzera migumisiro yakaipa (mienzaniso) |
|---|---|
| Muchero weGrapefruit | Mimwe mishonga inoderedza cholesterol (statins), mishonga inopiwa mushure mekuisirwa nhengo, uye mimwe mishonga inopfuura 85 inoshanda pamwe chete nazvo. |
| Zvigadzirwa zvemukaka | Inoderedza kunwa kwemishonga yakaita selevothyroxine, mimwe mishonga inorwisa mabhakitiriya, uye bisphosphonates yezvirwere zvemapfupa. |
| Zvikafu zvakapfuma muvhitamini K (mashizha emiriwo) | Inokanganisa mashandiro emishonga inobvisa ropa (Warfarin). (Inofanira kutorwa zvine mwero zvichienderana nekurairwa nachiremba). |
| Zvikafu zvine tyramine yakawanda (chizi chakachekwa, nyama dzakachekwa) | Inogona kupindirana nemishonga yakaita se monoamine oxidase inhibitors (MAOIs) yekuderedza kushungurudzika uye kukonzera BP yakakwira zvine njodzi. |
| Doro | Mishonga yakaita se'Metronidazole' inogona kushanda pamwe chete nemishonga yakawanda, kusanganisira 'Warfarin' ne'Paracetamol', zvichikonzera njodzi. |
Ndosaka mimwe mishonga ichinzi inotorwa usina chinhu mudumbu usati wadya, uye mimwe ichinzi inotorwa panguva yekudya. Saka, tevera mirairo yachiremba wako nemazvo.
4. Kusangana kwemishonga nemamiriro ezvinhu
Chinoitika munyaya iyi ndechekuti mushonga waunotora wechirwere chimwe unotowedzera kuipa kwechimwe chirwere chaunacho.
Semuenzaniso, mimwe mishonga yekubvisa mhino yakavharika inoshandiswa kurapa dzihwa inogona kuwedzera BP. Kana uine BP yakakwira, izvi zvinogona kuva nengozi kwauri.
Uyewo, mishonga inoderedza marwadzo (NSAIDs) (semuenzaniso, Ibuprofen, Naproxen) nemamwe masteroids anogonawo kuwedzera BP. Kana uine chimwe chezvirwere zvinotevera, unofanira kungwarira zvikuru paunenge uchitora mishonga mitsva.
- Chirwere cheshuga
- Kukwira kweropa
- Dambudziko reGlaucoma
- Prostate yakakura
- Chironda chemudumbu
Kudziviswa kwemishonga iyi kunogona sei kuitwa?
Pane zvimwe zvinhu zviri nyore, asi zvakakosha zvikuru zvaunogona kuita kuti uzvidzivirire kubva mumamiriro ezvinhu ane njodzi aya.
1. Chengeta runyoro rwezvese zvaunotenga.
Gadzira bhuku kana bepa rine ruzivo rwemushonga wega wega, mavhitamini, uye mishonga yekuwedzera yaunotora. Isa ruzivo runotevera mariri:
- Zita rakazara remushonga/chinowedzerwa.
- Chinhu chinoshanda chirimo.
- Sei uchitora?
- Huwandu hwekunwa (muyero) nenguva dzekunwa.
- Zvinofanira kutora nguva yakareba sei?
- Mirayiridzo yakakosha, senge usati wadya uye wapedza kudya.
- Zita rachiremba akanyorera mushonga.
Rambai muchinyora runyoro urwu. Ipai chiremba wemhuri yenyu, nyanzvi, nevamwe vanachiremba venyu vese kopi yerunyoro urwu yazvino. Kana zvichibvira, torai mishonga yenyu yese kubva ku pharmacy imwe chete. Nenzira iyi, vachazivawo nezvemishonga yenyu. Chengetai kopi yerunyoro urwu muchikwama chenyu nguva dzese.
2. Taura nachiremba wako usati watanga chero chinhu.
Ichi ndicho chinhu chakakosha. Kutaurirana ndicho chinhu chikuru pano.
- Gara uchibvunza usati watora mushonga mutsva , mavhitamini, kana mishonga yekuwedzera. Hazvina basa kuti chinhu chaunogona kuwana kupharmacy here kana kuti wave uchichitora kwemakore. Miviri yedu nezvinodiwa pakurapwa zvinochinja nekufamba kwenguva.
- Kana usinganzwisisi chimwe chinhu nezvemushonga, bvunza.
- Bvunza zvekuita kana ukarasikirwa nemushonga.
- Udza chiremba wako kana ukaona mimwe migumisiro mitsva.
- Ndiudzei kana muchifunga kuti mushonga wacho hausi kushanda.
Kana chiremba wako akakunyorera mushonga mutsva, usakanganwa kubvunza mibvunzo iyi:
- Ndinofanira kutora marii uye kangani pazuva?
- Ndinofanira kuitora nekudya here kana kuti ndisina kudya?
- Ndezvipi zvekudya nezvinwiwa zvandinofanira kurega pandinenge ndichitora mushonga uyu?
- Ndinofanira kurega kushandisa mimwe mishonga yandinenge ndichitora pari zvino here?
- Ndezvipi zvimwe zvinhu zvinogona kukonzera matambudziko? Chii chaunofanira kutaura nezvazvo kana zvikaitika?
3. Chengeta zvinhu zvese zvakarongeka.
Zvakakoshawo kutora mushonga wako nemazvo uye panguva yakakodzera. Zvinhu zvakaita seizvi zvinogona kubatsira:
- Namatira karenda ine nguva yemishonga panzvimbo inoonekwa, senge pafiriji.
- Shandisa bhokisi remapiritsi rine mishonga yezuva nezuva (chengeta kure nevana).
- Isa zviyeuchidzo pafoni yako.
- Udza mumwe munhu kumba nezvenguva yaunoshandisa mushonga.
Zvakanaka kuva neruzivo nezvezvinhu zvakaita se "drug interaction checkers" paInternet. Asi hazvimbotsivi zano rachiremba wako. Nekuti chiremba wako anoziva iwe nenhoroondo yako yese yezvekurapa.
Mharidzo Yekuenda Nayo Kumba
- Udza chiremba wako nezvemishonga yese yaunotora, ingava vhitamini, mishonga yemishonga, doro, kana fodya.
- Gara uine runyoro rwezvese zvaunotora uye uratidze chiremba wese.
- Usati watanga chero chinhu chitsva (kunyangwe mushonga unotengwa pasina kunyorerwa chiremba), iva nechokwadi chekubvunza chiremba wako.
- Kana usinganzwisise mirairo yemushonga wako, usatya kubvunza zvakare. Zvakakosha kuti uchengetedzeke.
- Hutano hwako hunogona kuoma, asi neruzivo rwakakodzera uye kutaurirana zvakanaka nachiremba wako, unogona kuramba wakachengeteka uye uine hutano hwakanaka.
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