Yintoni ikhemesti yokudibanisa?

Imfundo yezeMpilo

Ushiya iofisi kagqirha wakho unesifo kunye nonyango. Kodwa iyeza libandakanya imiyalelo ekhethekileyo: ukuyizalisa kwikhemesti ehlanganisayo. Yima, yintoni? Uyifumana phi indawo enjalo? Ke ngoku ntoni ngu ikhemesti edibeneyo, kunjalo?

Musa ukumangaliswa ukuba awulazi eli gama-xa kuthelekiswa neekhemesti eziqhelekileyo, iikhemesti ezihlanganisiweyo ezinikezelweyo zimbalwa kwaye ziphakathi. Kwiikhemesti zasekuhlaleni ezingama-56,000 eUnited States ezingama-7 500 kuphela ziinkonzo ezihlanganisiweyo, ngokuka- Umbutho woosokhemisti baseMelika . Yongeza kuloo nto yokuba uninzi lwamayeza amiselweyo awadingi kuxutywa kwaye, ewe, kunokwenzeka ukuba ubukho bazo ziindaba kuwe. Ukuba ukhe ufune ikhemesti yokudibanisa, uya kudinga iinkcukacha ezimbalwa malunga nokuba ziyintoni, benza ntoni, kunye nendlela yokufumana elungileyo.

Yintoni ikhemesti yokudibanisa?

Ngokusisiseko, ikhemesti exubeneyo-okanye ikhemesti eyikhemesti-ikhemesti eyenza amayeza athile kwasekuqaleni, utshilo uLars Brichta, Pharm.D., Umlawuli wemicimbi yezonyango kunye neyenzululwazi IKhemistryRX , ikhemesti ehlanganisayo ePhiladelphia egxile kunyango lweemeko zolusu kunye nezifo ezinqabileyo. Nangona kunjalo, ezi khemesti ziyinto esisiseko.

Uninzi lweekhemesti luhambisa nje amayeza afika kwikhemesti. Kwiikhemesti ezixubileyo, oosokhemesti ngokwenyani benza amayeza athile kwisigulana ngasinye kunye neemfuno zabo ezizodwa, ukuba nje elo chiza alifumaneki kumenzi weziyobisi. Izithako zigcinwa zisesandleni, kwaye xa isigulana sifuna unyango oluthile, usokhemesti odibanisa izinto ezininzi uyadibanisa kwezi zithako. Ngesi sizathu (kunye nezinye), iziyobisi ezimbaxa zixolelwe ekuvunyelweni yi-FDA , kwaye endaweni yoko zilawulwa ziibhodi zikarhulumente zekhemesti ngokusekwe kwimigangatho ebekwe ngu Indibano ye-United States ye-Pharmacopeial (USP) . Iipilisi kunye neepilisi aziqhelekanga. Kodwa, i-liquids, i-creams, i-ointments, i-lozenges, i-suppositories, kunye ne-capsules zihlala zidibeneyo.

Kutheni ndifuna iziyobisi ezimbaxa?

Ukuba umthunywa ukuthumela kwikhemesti ehlanganisayo, kunokuba kungenxa yokuba:

1. Unokwaliwa.

Iipilisi ezininzi ziqulethe izinto ezingasebenziyo ezithi zibekho xa kusenzeka izinto ezifana ne-lactose, i-gelatin okanye idayi ithi u-Jesica Mills, Pharm.D., Umnini Owensboro Family Pharmacy kunye nokuPhila eKentucky. Ezi zongezelelo zibeka ingxaki kubantu abaneemvakalelo ezithile. Ukwenza ikhompawundi kungenza ukuba basebenzise amayeza ngaphandle komngcipheko wokungabikho komzimba. Siyakwazi ukudibanisa isithako esisebenzayo sonyango ngaphandle kokugcwaliswa kwaye sikubeke kwifom engamanzi engenazinto zomzimba, utshilo uGqirha Mills.

Mbini. Ummiselo womntwana.

Uninzi lwamayeza lwenziwe ngabantu abadala engqondweni, kwaye loo madosi ahlala engalunganga ebantwaneni (ikakhulu ngenxa yobunzima babo), utshilo uGqirha Mills. Kwaye, abantwana abancinci bahlala befuna amayeza ngendlela engamanzi kuba abakwazi ukuginya iipilisi. Ukudityaniswa kuvumela usokhemesti ukuba azenzele iifom zedosi emntwaneni ngokwenza ingxelo engamanzi yeyeza eliqhele ukuhanjiswa kwifom yepilisi, okanye ukuphucula incasa yamayeza ukuze umntwana abe nakho ukuwuthatha ngokulula.

3. I-cocktail yeepilisi oyifunayo ingaba yingozi.

Iyeza elisekwe kwikrimu lokudumba kunye ne-nerve okanye ulawulo lweentlungu, umzekelo, zihlala zinezithako ezisebenzayo ezithandathu. Ukuba isigulana besinokuzithatha zonke ezi zinto [njengemithi] yomlomo, kunokubakho uxinzelelo lwe-nervous system kwaye oko kungasenza ukuba sikhathazeke ngokwazi kwabo ukugcina ukusebenza kwemiphunga, utshilo uGqirha Mills. Ngokubeka ezi zithako kwikrimu kwaye siyisebenzise ngqo kwindawo [echaphazelekayo], siyakwazi ukuthintela iziphumo ebezingalunganga [zenkqubo] yeyeza.

Zine. Amayeza afuna ukwenziwa ngokwezifiso ukuhlangabezana neemfuno zakho zonyango.

Ukuba umntwana unosulelo lwe-staph, umzekelo, unyango ngamayeza okubulala iintsholongwane ongezwe kwi-cream ye-diaper rash. Oku akuyi kufaneleka ukuba usulelo khange khapha irhashalala, kwaye kungcono kuye wonke umntu obandakanyekayo ukuba usokhemesti wenza ukuxuba. Akunakwenzeka ukunika abazali iityhubhu ezintathu kwezine zeoyile kwaye ulindele ukuba bazisebenzise ngendlela eyiyo okanye zonke ngexesha elinye, utshilo uGqirha Mills, esongeza ukuba izigulana zihlala zingenazo izixhobo okanye izixhobo zokudibanisa amayeza ekhaya kunjalo.

Ukwenza ngokwezifiso kukwaqhelekile kwizithambiso zonyango lwehomoni, umlomo, ukuhlamba ngamehlo, amayeza kunye neefosikori zehemorrhoids okanye i-anal fissures, kunye ne-transdermal gels / iikhrimu / ioyile yeemeko ezithile zesikhumba.

5. Amayeza awafumaneki kwezorhwebo.

Kwiimeko ezinqabileyo, isigulana sinokufuna iyeza elingenziwanga yinkampani eyenza amayeza kwaye ke ngoko ayisilo ichiza elifumaneka ngokulula ukuze usokhemesti ahambise ngalo, utshilo uGqirha Brichta. Ngamanye amaxesha akunenzuzo kumenzi omkhulu ukwenza [la] mayeza… kodwa ezi zigulana ngokucacileyo zisaludinga unyango, utshilo.

6. Amayeza akho akakho kwilebula.

Ngamaxesha athile, usokhemesti unokufuna ukudibanisa amayeza ukuze awasebenzise ngaphandle kwelebheli, utshilo uGqirha Mills. Oku kuthetha ukuba imiselwe imeko engeyiyo eyamkelwe yi-FDA ukuba inyange. Ababoneleli ngezempilo banokuyalela amayeza, kodwa idosi inokufuna ukulungiswa - yiyo loo nto isidingo sokudibanisa.

Umzekelo, utshilo uGqirha Mills I-Naltrexone , iyeza elisetyenziselwa ukunyanga i-opioid kunye nokusetyenziswa gwenxa kotywala okuvela kwithebhulethi ye-50 mg. [Olunye uphononongo lubonisa] ukuba eli yeza kwimiligram enye ukuya kwesihlanu linokunceda kwimicimbi yokuzimela, utshilo. Kuba akukho ndlela yokwahlulahlula ipilisi ye-50 mg ukufumana idosi ye-3 mg, [edibanisa] iikhemesti zinoku-odola iNaltrexone powder, zilinganise [isixa esifanelekileyo] kwaye emva koko uyibeke kwisingxobo somguli ukuba asithathe.

Ezinxulumene: Iziyobisi ezingekho kwilebula: Yintoni ekufuneka uyazi

Ndiyifumana njani ikhemesti yokudibanisa kufutshane nam?

Ukuba ugqirha wakho ubhale iyeza elichiza iziyobisi, kufuneka ulizalise kwikhemesti ehlanganisayo. Uninzi lweekhemesti zentengiso zibonelela ngenqanaba lokudibanisa kodwa azibhengezwanga kakhulu ngenxa yenani elincinci labantu abafuna amayeza ahlanganisiweyo, utshilo uGqirha Mills. Kuxhomekeka kwiinkonzo zekhemesti ezifumanekayo kwivenkile yakho yeziyobisi, kusenokufuneka ufune ikhemesti egxile ekuhlanganiseni.

Kubalulekile ukuba uqiniseke ukuba ikhemesti oyikhethayo iyahlangabezana nemigangatho ethile. Oku kunokuba ngumceli mngeni, utshilo uGqirha Brichta, kuba ukuhlanganisa iikhemesti ngoku akufuneki ukuba kufumaneke isatifikethi selizwe sokuhambisa iziyobisi ezixubileyo. Nangona kunjalo, bona are kuvavanywa rhoqo yibhodi yabo yasesokhemesti ukuqinisekisa ukuba onke amanyathelo ayathathwa, utshilo uGqirha Mills. Banokhetho lokufaka isicelo sokuqinisekiswa kunye IBhodi yokuQinisekiswa kweKhemesti (PCAB), inkqubo yokuzithandela efuna ukuhambelana nemigangatho yokhuseleko engqongqo. UGqirha Brichta ubongoza abaguli ukuba basebenzise ii-PCAB-ezamkelweyo ziikhemesti nanini na kunokwenzeka.

Ngokubhekisele kwinto efunwa ngusokhemesti, uGqirha Mills uthi oosokhemesti abaninzi abanamaphepha mvume baqeqeshwe ubuncinci kwisiseko seekhemesti, kwaye uninzi luyacelwa ukuba lubonakalise ubuchule ekuhlanganiseni ukuze kuphumelele iimviwo zebhodi yekhemesti zikarhulumente. Oosokhemesti onqwenela ukugxila ekudibaniseni, kwaye asebenze ekhemesti ezixineneyo, angenza njalo ngokuthatha iiklasi eziqhubekayo zemfundo kunye noqeqesho olongezelelweyo, uyongeza.

Abanye bade bakhethe ukugxila ekudibaneni okuyinyumba, okubandakanya amayeza afakwa ngqo kumthambo wesigulana okanye kwiliso. La mayeza kufuneka adityaniswe kwilebhu ekhethekileyo engenazintsholongwane, kuba ukuba iyeza lingcoliswe ziibhaktheriya kuyingozi kakhulu kwisigulana (uninzi lweekhompawundi ezingenazintsholongwane zilawulwa ngaphakathi, kwaye ke zisetyenziswa kuphela ezibhedlele nakwezinye iisetingi zonyango).

Ke ngubani olawula ukudibanisa iikhemesti? Ngelixa amazwe abonelela ngokubeka iliso kwiikhemesti zemveli ezixubileyo, iilebhu ezikhethekileyo ezinkulu ezingenazintsholongwane ezithumela iimveliso phakathi kwamazwe (okanye amaziko abhalisiweyo okuthunyelwa kwabasebenzi) zilawulwa Ukutya kunye noLawulo lweziyobisi UMthetho woMgangatho woKhuseleko kunye noKhuseleko . Umthetho watyikitywa waba ngumthetho kwi-2013 ukuphendula a Ukuqhambuka kwe-fungal meningitis kulandelwe kwiziko elinyumba laseNew England . Ukuqhambuka kwasulela abaguli abangama-753, kwabulala abangama-64 kubo. Umphathi onoxanduva wagwetywa iminyaka esibhozo entolongweni.

Ngaba i-inshurensi yam iya kuzihlawulela iziyobisi ezimbaxa?

Ukuphendula oko kuqhambuka iinkampani ezininzi zeinshurensi ziyeke ukugubungela iziyobisi ezihlanganisiweyo uGqr. IiMills kunye neBrichta zitsho. Uya kudinga ukukhangela umgaqo-nkqubo wakho malunga nezinto ezithile, kodwa kunokwenzeka ukuba kuya kufuneka uhlawule ngaphandle kweepokotho. Ngelishwa, amayeza ayabiza, utshilo uMills.

Uninzi lweekhrimu [ezidityanisiweyo] zinokuxabisa ngaphezulu kweedola ezili-100 ngesikhongozelo, ke oko kube nefuthe elikhulu kwabo bakumaqela ezentlalo noqoqosho angabanakho ukufumana amayeza awodwa, utshilo.

Ukufumana ukwamkelwa kwangaphambili ngamanye amaxesha kuyanceda, utshilo uGqirha Brichta. I-ChemistryRX isebenzisa ababini, abasebenzi abasisigxina abazinikele ekuncedeni abaguli ukuba bayifumane, kodwa ayisiqinisekiso. Ukuhlawulwa kwe-inshurensi kuye kwaba nzima kakhulu; Kuthatha umzamo omkhulu, utsho.

Iindaba ezimnandi? Amanye amayeza ahlanganisiweyo-afana ukumiswa kwe-omeprazole -Iye yathandwa kakhulu ngoku inokuthengwa ngokuthengisa, oko kuthetha ukuba ungasebenzisa i-SingleCare yakho ikhadi lokonga ikhemesti . Ukujonga ukuba ngaba amayeza akho ayafaneleka, jonga isixhobo sethu sokuthelekisa amaxabiso okanye uthethe nosokhemesti wakho.