Polypharmacy da Drug-Induced Tashin hankali
Gyaguwa, dazed kuma ba zai iya tuna abubuwa ba? Duk da yake wadannan cututtuka na iya haifar da cutar Alzheimer da sauran nau'in lalata , akwai yiwuwar wani, mai yiwuwar yiwuwar, dalilin : magani. Magunguna masu yawa, da ake kira polypharmacy , zasu iya rinjayar da ikon yin tunani a hankali, tuna da yin shawarwari masu dacewa.
Magungunan ƙwarewar ƙwayoyin cuta
Bisa ga binciken daya, rashin tausin zuciya ya kasance a cikin kashi 22 cikin 100 na wadanda ke shan likita biyar ko marasa lafiya, yayin da hakan ya karu zuwa kaso 33 cikin mutanen da suka dauki fiye da biyar magunguna da kuma kashi 54 cikin 100 wadanda ke daukar magunguna 10 ko fiye.
Nazarin na biyu daga kashi 12 cikin dari na rikice-rikice na iya dangantaka da polypharmacy. Wani bincike na uku ya gano cewa hadarin ƙaddamar da delirium ya fi sau biyu a cikin wadanda ke daukar magungunan fiye da biyar. Kwayar cututtuka na rashin nakasassu ko rashin tausayi wanda ke bunkasa lokacin da mutum ke karɓar magunguna masu yawa ya kamata a bincika sosai.
Ƙungiyoyin Harkokin Kwayoyi masu Girma
Bisa ga mujallar Clinical Geriatrics , "kundin magungunan kwayoyi tare da yiwuwar rashin lahani da aiki a cikin tsofaffi sun hada da kwayoyi masu tayar da hankali , kwayoyi masu kwakwalwa , da cututtuka , da magunguna , da kuma kwayoyi tare da fitilar warkewa."
Mene ne Polypharmacy?
Kalmar poly tana nufin mutane da yawa, kuma kantin magani yana nufin magunguna. Saboda haka, polypharmacy ne lokacin da yawa (wanda aka fi sani da fiye da biyar a wasu kafofin kuma fiye da shida a wasu) ana amfani da magunguna don magance mutum. Akwai tabbas yanayi da yawa da magungunan magunguna suka wajaba kuma ya dace, amma yin amfani da magungunan magungunan, musamman a tsofaffi, ma yana da damar yiwuwar mummunar tasiri.
8 Sanadin polypharmacy
Akwai dalilai masu yawa don taimaka wa polypharmacy, ciki har da waɗannan masu zuwa:
1. Multiple Physicians
Sau da yawa, mutane za su je likita fiye da ɗaya, kamar gwani, don damuwa daban-daban. Idan ba ka bayyana a fili abin da wasu likitocin ke ba da magani ba, ko kuma idan ba a aika da asirin lafiyarka ga likitan gaba ba, za'a iya tsara magunguna da yawa.
2. Ganye da Ƙari
Ya kamata ka bayar da rahoto ga kowane ganye ko karin kayan da kake ciki zuwa likitanka. Ko da yake suna iya kasancewa na al'ada, zasu iya rinjayar yadda jikinka ke shayar da magani kuma yana samar da yiwuwar hulɗa da magunguna.
3. Magungunan Kai
Wasu mutane suna jin cewa idan kwayoyi biyu sun yi kyau, hudu sun fi kyau. Ko kuwa, suna karbar magunguna daga maƙwabtan su saboda matsaloli daban-daban. Ka tuna cewa hadawa da magungunan kai tsaye suna iya samun sakamako mara kyau, dukansu ba su taimaka wa matsala da kake son magancewa ba, da kuma haifar da haɗin magungunan miyagun kwayoyi.
4. Al'adu na Magunguna
Musamman a cikin al'adunmu, yana da mahimmanci don neman magani don komai. Feeling m? Dauki kwaya. Gashinku yana jin zafi? Yi wasu magani. High cholesterol? Ga wani kwaya. Hakika, akwai maganin magunguna masu kyau - kuma suna iya zama ainihin magani da ake bukata. Amma, a wasu lokuta, akwai wasu hanyoyin da za a iya gwada da farko, irin su shawara, farfadowa na jiki ko kuma abincin da ya fi dacewa da kuma motsa jiki.
5. Kurakuran Gudanarwa na Mura
Ga wasu mutane, shan shan magani da kyau shi ne kalubale. Ba abin mamaki ba ne ga mutane su manta da cewa sun dauki maganin su kuma sun dauki wani kashi, suna ɗaukar shi a lokacin da ba daidai ba, suna daukar shi tare da abinci lokacin da ba tare da su ba, ko kuma sun sami sunayen magunguna masu rikitarwa da kuma daukar kwayar cutar mara kyau.
Wani lokaci, tsarin kula da magani yana taimakawa wajen hana wadannan kurakurai.
6. Yin amfani da Magungunan ƙwayoyi
Akwai wasu magunguna masu yawa waɗanda ba su da takardun magani ba tare da takardun magani ba, amma kamar ganye da kari, har yanzu zaka iya daukar magungunan nan da yawa, kuma zasu iya yin hulɗa tare da wasu magunguna.
7. Gidajen asibiti
Wani lokaci wasu magungunan magungunan sune wajabta lokacin da mutum yana asibiti, kuma an yi su ne don matsanancin lokaci. Amma, yayin da lokaci ya ci gaba, waɗannan magunguna ba za a iya katsewa ba. Lokacin da kake zuwa wurin likita mai biyo bayan wani asibitin asibiti, tambayi likita don duba magungunan da kake ciki don tabbatar da cewa duk suna da dacewa.
8. Yin maganin Magunguna tare da wasu Magunguna
Wannan matsalar matsala ce. Alal misali, idan magani yana da tasiri mai tasiri na haifar da maƙarƙashiya, likita zai iya tsara wasu kwayoyin maimakon yin shawarar cewa kayi karin aiki, sha yalwa da ruwa kuma ku ci kuri'a na fiber. Bisa ga yanayinka, wannan maganin zai zama daidai abin da kake buƙata don hana babban tsanani kamar ƙuƙwalwar hanji. Amma, yana iya yiwuwa ga wasu mutane, hanyoyin da ba a miyagun ƙwayoyi ba zasu iya magance matsalar kamar yadda ya kamata.
Tsofaffin Yara da Magunguna
Bisa ga wani binciken da aka buga a shekara ta 2005 a Pharmacotherapy , kashi 40 cikin 100 na tsofaffi suna daukar fiye da magunguna biyar a mako guda, kuma kashi 10% ya dauki fiye da 10 a mako.
Bugu da ƙari, dole ne a dauki kula da magungunan maganin magunguna don tsofaffi, saboda jikinsu suna da karfin amsawa ga magunguna. Musamman ma, tsofaffi sukan tayar da hankali, shawo, rarraba da kwayoyi masu suturar da hankali, wanda shine dalilin da yasa sau da yawa akwai jagororin jagoranci da kuma maganganun sakonni ga tsofaffi fiye da yawan jama'a.
Rigakafin
Kula da bayanan lafiyar ku tare da dukkanin magunguna da aka jera, da kuma ganewar asali ga kowane magani. Idan baku san dalilin da yasa kuke shan magani ba, ku tambayi likitanku. Lokacin da kake zuwa likita, kawo rikodin tare da kai.
Ana ƙarfafa masu aikin likita don "farawa da jinkirin" tare da magunguna, da kuma kulawa da magungunan da ke cikin jerin Beers, hada da kwayoyi waɗanda zasu iya zama marasa dacewa ga tsofaffi.
Kalma daga
Yayinda magunguna zasu iya taimakawa da dacewa don bi da wasu sharuɗɗa, tuna cewa kowane tsangwama zai iya samun sakamako mai lalacewa wanda zai iya hulɗa da wasu magunguna. Sanin cewa magunguna da yawa zasu iya haifar da rikicewa da ƙwaƙwalwar ƙwaƙwalwar ajiya zai iya taimaka maka gane wannan damuwa a kanka ko kuma wanda kake so. Kada ku yi shakka ku tambayi likitanku game da kowace magani da kuke ɗauka don ku fahimci abin da ya sa suke bukata don lafiyarku da jin daɗin ku.
Sources:
Harkokin Gudanar da Harkokin Clinical a Tsarin. 2008 Yuni; 3 (2): 383-389. Polypharmacy: Kashewa, amma sarrafawa. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2546482/
Consultant360. Magungunan Lafiya na Makiya a cikin Matufi. Volume 16, Lamba 08, Agusta, 2008.http: //www.consultant360.com/articles/medication-related-cognitive-impairments-elderly-0
> Hein, C., Forgues, A., Piau, A., Sommet, A., Vellas, B. da Nourhashmi, F. (2014). Imfani da polypharmacy a kan abin da ke faruwa na Delirium a cikin tsofaffi marasa lafiya gaggawa. Journal of American Medical Directors Association , 15 (11), pp.850.e11-850.e15.
Linnebur, S. Jami'ar Colorado School of Pharmacy. Polypharmacy a cikin tsofaffin marasa lafiya. 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. Sakamakon Clinic na polypharmacy a tsofaffi. Kwararrun masana kan lafiyar miyagun ƙwayoyi . 2014; 13 (1): 10.1517 / 14740338.2013.827660. Doi: 10.1517 / 14740338.2013.827660.