Isu takawana iyo inonyanya kufarirwa tsamba mune yega nyika mu2020

Kambani

Pakutanga kuona, Alaska neNew Mexico zvinogona kunge zvisingaite kunge zvakafanana. Asi, ivo vanogoverana zvakafanana zvakatemerwa mushonga. Sei? Kunyange zvinhu zvakawanda zvachinja mu2020, chinhu chimwe chisati chiri kuda kwevanhu kwemishonga yekunyorera.

Mugore rose, SingleCare yakaramba ichipa zvidzikisira pane zvakatemwa nevanhu, zvingave zvekurwara kwemwaka munzvimbo dzakanyanya kana mishonga yemwoyo yezvisingaperi. SingleCare vaongorori vakaongorora yedu yemadhora ekunyora ye2020 uye vakawana mishonga yakazadzwa kwazvo mumatunhu ese.

Saka ndeupi mushonga wakakurumbira kwaunogara? Uye nei? Verenga pamusoro kuti uwane.

Zvizhinji zvakajairika zvinodhaka zvinodhaka nehurumende:

1. Lisinopril (Prinivil / Zestril)
2. Vhitamini D
3. Levothyroxine sodium (Synthroid)
4. Amoxicillin (Amoxil)
5. Amlodipine besylate (Norvasc)
6. Ibuprofen (Motrin)
7. Amphetamine / dextroamphetamine (Adderall)
8. Alprazolam (Xanax)

Enda kune imwe nyika-ne-nyika kuparara

1. Lisinopril (Prinivil)

Yakawanda yakatemwa mishonga muAlaska, Arkansas, Delaware, Iowa, Idaho, Illinois, Massachusetts, Minnesota, Missouri, Montana, North Carolina, Nebraska, New Hampshire, New Mexico, Nevada, Ohio, Oklahoma, Oregon, Texas, Virginia, Vermont, Washington , Washington

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Lisinopril mushonga unorapa BP (hypertension) —chinowanzoitika muU.S. Inenge hafu yevanhu vakuru vanogara nayo, sekureva kwe U.S. Centers for Disease Kudzora nekudzivirira (CDC). Uye pane anecdotal humbowo kuti COVID-19 denda (uye kushushikana kwainounza) iri kutyaira iwo manhamba akatokwira. Ndivo vanhu vazhinji vangangoda lisinopril tsamba, iyo inogona kutsanangura chikamu chechikonzero icho chiri ichomishonga inonyanya kuzivikanwa pakati pevashandisi veSingleCare munenge hafu yemakumi mashanu ematunhu.

Mishonga senge lisinopril (iyo ACE inhibitor) inozorodza tsinga dzeropa uye kudzivirira kudzikira, zvichiita kuti zvive nyore kumoyo kupomba ropa kuburikidza netsinga dzako. Nekuti lisinopril yakajairika, isingadhuri, uye inoshanda, yakave yakatemwa kwakawanda kweanopfuura makore makumi maviri.

Pamusoro pezvo, lisinopril ine mabhenefiti akakosha mukudzora kufambira mberi kwechirwere cheitsvo, kunyanya mune vane chirwere cheshuga, anodaro Barry Gorlitsky ,MD,nephrologist uyemunyori weiyo blog KidneyAide. Iyo inoderedzawo kushushikana pamoyo, inoderedza kufa kune avo vane chirwere chemwoyo, uye inovandudza mashandiro emoyo. Iyo yekutanga mutsara anti-hypertensive inokurudzirwa kune varwere vadiki nevakuru, inokurudzirwa na masangano mazhinji ekurapa , kusanganisiraiyo American Moyo Sangano.

Kune ese aya zvikonzero, lisinopril ndimambo, Dr. Gorlitsky anodaro.

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piri. Vhitamini D

Yakawanda yakatemwa mushonga mu Alabama, Kentucky, New York, West Virginia

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Iwe unotora vhitamini D zvakasikwa paunoshandisa nguva muzuva, uye zvakare iri mukati zvizhinji zvezvikafu zvaunodya . Asi mune dzimwe nzvimbo dzine zuva shoma kana mukana wekuwana zvitsva, vhitamini D mazinga anogona kukurumidza kuwira pazasi peyakajairwa. Zvinoreva, inogona kuve yakakosha mune yako mushonga kabhineti.

Kushayikwa kweVitamin D kwakajairika, uye kwave kuri kwakabatana kushushikana, kusingaperi kuneta chirwere, kufutisa, chirwere cheshuga, hypertension, fibromyalgia, uye osteoporosis, pakati pezvimwe zvinhu. Kune vamwe, yekuwedzera-the-counter yekuwedzera inokwana. Kune muyero wepamusoro, ungangoda mushonga.

Vitamin D inonyanya kutaurwa muvanhu vane kushaikwa kwakasimba uye / kana sechikamu chehurongwa hwekurapa kudzivirira kana kunonoka kufambira mberi kweosteoporosis, Dr. Emmel anotsanangura. Inowanzo rongedzerwa kuvarwere vakura, izvo zvinogona kutsanangura kuti nei ichikwirisa rondedzero muWest Virginia, iyo ine Yechitatu yakakwira huwandu hwevagari vakwegura Munyika.

Nekushomeka kweVitamin D kunowanzo kuve kunosanganisirwa nekusakwana kwezuva kubuda kwezuva, Dr. Emmel anoti hazvishamise kuti iri pane inonyanya kuzivikanwa runyorwa rweNew York, zvichipiwa mamiriro ekunze. Akanga achishamisika zvishoma pamusoro pedzimwe nyika pane urwu runyorwa, asi kufunga vhitamini D ndiyo yaive tsamba yekumusoro pamusoro pechinyorwa mumatunhu mazhinji. gore rapera, pakave nekuderera kunooneka mukuzivikanwa kwayo muna 2020. Zvichida zvinoreva kuti vanhu vazhinji vanga vachishingairira kunze kwegore rino sezvo matanho ekuvharira pasi akavachengeta kubva kune mamwe marongero enharaunda.

RELATED: Yakawanda sei vhitamini D yandinofanira kutora?

3. Levothyroxine sodium (Synthroid)

Yakawanda yakatemwa mushonga mu Arizona, Colorado

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Levothyroxine inobatsira kuunza utachiona hwehormone kumashure kune akajairwa kune vanhu vane utachiona husingashande (inozivikanwawo sehypothyroidism). Iri idambudziko rehutano muU.S., rinokanganisa 5 muvanhu zana munyika yose.

Zviratidzo zvinosanganisira kuneta, kuwedzera uremu, kupatira, kuwedzera kunzwisisika kuchitonhora, kuonda kwebvudzi, uye kushushikana. Mamiriro acho anogona kuuya nezvakasikwa (dzimwe nguva semhedzisiro yekukwegura). Inogona zvakare kukonzerwa nekukuvara (senge hutachiona kana radiation) kune, kana kubviswa kweiyo, gland yegland. Hypothyroidism inowanzoonekwa kana basa reropa richiratidza zvakaderera pane zvakajairika mamazinga eiyo thyroid.

Nei levothyroxine yakakurumbira muArizona neColorado? Mamiriro aya akawandisa mumadzimai uye vanhu vanopfuura makore makumi matanhatu, saka pamwe huwandu hwevanhu mumatunhu aya hunotsanangura izvo, Dr. Emmel anodaro. (Arizona, iko, ine yakakwira muzana muzana vakadzi kupfuura varume , uye zvakare inokwira kumusoro mu vanhu vakura -Asi Colorado inozivikanwa pasina.) Zvakajairika saka hazvishamise kuona uyu mushonga padyo nepamusoro pemitemo yakanyanya kushandiswa.

Levothyroxine zvakare dzimwe nguva inoshandiswa kurapa zvimwe zvinetso zvetachiona, zvakaita segomarara rekenza.

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4. Amoxicillin (Amoxil)

Yakawanda yakatemwa mushonga mu California

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Iwe ungangodaro wakanzwa nezve amoxicillin kare-ndiyo imwe yemishonga inorwisa mabhakitiriya inorondedzerwa mukirasi yepenicillin. Iyo inoshandiswa kurapa hutachiona hutachiona, Dr. Emmel anodaro. Kana ikashandiswa nemazvo, chingave chombo chine simba kurwisa zvirwere zvakaita se strep huro, hutachiona hwezeve nzeve, hutachiona hwemabayo, uye hutachiona hwekufema.

Nehurombo, [inowanzo] shandiswa kurapa zvirwere izvo zvinogona kunge zvichikonzerwa nemavhairasi, Dr. Emmel anodaro. Uye nekuti amoxicillin hairape hutachiona hutachiona, zvinoreva kuti yakanyanyisa-yakatemwa.

Imwe kubva pamatanhatu ekupa mishonga yemishonga inorwisa mabhakitiriya haina basa, sekureva kwe CDC . Kunyanyisa kushandisa mishonga iyi kunogona kutungamira antimicrobial kuramba , mamiriro anoitika kana mabhakitiriya nemavirusi asisapindure kumushonga, zvichiita kuti hutachiona uhu huome kurapa uye hunogona kunge hune njodzi.

Asi, kuziva nezvayo kuri kukura mumakore achangopfuura. Icho chokwadi chekuti amoxicillin yaive yakakurumbira Rx mumatunhu manomwe mu2019, asi imwe chete gore rino inogona kunge iri chiratidzo chekuti varapi vari kuzvinyora zvishoma vakasununguka kupfuura zvavaimboita kare.

RELATED: Chii chinoitika kana ukasapedza mishonga inorwisa mabhakitiriya?

5. Amlodipine besylate (Norvasc)

Yakawanda yakatemwa mushonga mu Connecticut, Louisiana, Mississippi, New Jersey

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Seimwe nhengo yekirasi yemishonga inozivikanwa secalcium chiteshi blockers (CCB), amlodipine besylate inobata yakakwira BP (hypertension) uye angina (kurwadziwa kwepfupa kwakakomba kunokonzerwa nekuderedzwa kweropa kusvika pamwoyo).

Iyo mishonga yakachengeteka uye isingadhuri, Dr. Emmel anodaro. Zvakawanda senge lisinopril, iko kusanganisa kwekushandisa kweyakajairika mamiriro, uye nemutengo wayo wakaderera, zvinotungamira mukushandisa kwakanyanya kwazvo.

Kuwedzera kweropa kwakabatana neyakawedzera njodzi yekurohwa, kurohwa nemoyo, uye matambudziko eitsvo, ese ayo mishonga mukirasi yeCCB inobatsira kudzivirira. Pamusoro pezvo, lisinopril yaive munhau gore rino se ingangoita njodzi yezvinetso kana uchitapukirwa neCOVID-19. Kunyangwe kutsvagisa kwanga kusingaenderane, uye vanachiremba vakakurudzira varwere vanoramba vachitora yavo ACE inhibitors, kunetsekana uku kungave kwakatungamira kune spike mukuzivikanwa kwemamwe madhiragi- senge amlodipine - mumatunhu akanyanya kutapukirwa nehutachiona, seLouisiana neNew Jersey.

Zvikonzero nei mumwe mushonga unganyorerwe pamusoro peumwe unosiyana. Lisinopril iri nani mushonga wekutanga wehypertension kana murwere ane chirwere cheshuga, kutadza kwemoyo, uye kana chirwere chemwoyo chakapfuura, sekureva kwaDr Emmel. Zvichakadaro, amlodipine inobatsirawo kurapa angina (inowanzo kukonzerwa nechirwere chetsinga), ichiita kuti inyanye mishonga inganyorerwe kana murwere achinetseka nazvo. Zvinokwanisika kuti iyo nyika uko amlodipine inonyanya kufarirwa ine yakakwira chiitiko che angina.

RELATED: Ndezvipi zvakajairika zveBP?

6. Ibuprofen (Motrin)

Yakawanda yakatemwa mushonga mu Florida, Georgia, Hawaii, Maryland

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Vazhinji vanhu vakasvika kune ibuprofen pane imwe nguva muhupenyu hwavo. Iyi nonsteroidal anti-inflammatory drug (NSAID) inobatsira kudzikisa marwadzo nekuzvimba. Inobata misoro, kurwadziwa nemhasuru, kupisa, uye kuzvimba kwemajoini, pamwe nemimwe mamiriro akasiyana. Inogona kutengwa pamusoro pekambani mune madosi epasi.

Mishonga yakasimba yebuprofen inogona kunyorerwa kune varwere vane marwadzo asingagumi, senge arthritis uye endometriosis.Ibuprofen 400 mg, 600 mg, uye 800 mg isimba remushonga. Vanachiremba vanogona kunge vari kuisa izvi kakawanda kudzivirira kushandiswa kweopioid, anodaro Joanna Lewis, Pharm.D., muvambi we Vanotungamira Vanachiremba .

Florida ine wechipiri wepamusoro wevagari vakwegura, uye Hawaii iri pachinhanho chechinomwe pachikamu icho- icho chinogona kutsanangura kukwidziridzwa mune ichi chirevo mumatunhu iwayo.

Sezvo an anti-kuzvimba, Dr. Lewis anoti ibuprofen inogona kubatsira pazvirwere zvakawanda zvakasiyana, ichicherekedzawo zvakare mushonga unowanzo kupihwa kuvanhu mushure mekuzvara.

RELATED: Ibuprofen dosages

7. Amphetamine / dextroamphetamine (Adderall)

Yakawanda yakatemwa mushonga mu Indiana, Kansas, Maine, Michigan, North Dakota, Pennsylvania, Rhode Island, South Carolina, South Dakota, Utah, Wisconsin

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Amphetamine / dextroamphetamine mushonga unokurudzira unoshandiswa kurapa kushomeka kwehutano kusagadzikana (ADHD). Inonyanya kushandiswa muvacheche-vezera vana vechidiki uye vechidiki vakuru, saka huwandu hwevanhu hunogona kunyatsotsanangura chero mutsauko mukushandisa kwayo kumatunhu, Dr. Emmel anoratidza. Saizvozvo, Indiana neSouth Carolina ndedzimwe dzepamusoro shanu nyika dzeADHD kuongororwa. Uye zvese kunze kweSouth Dakota neUtah zvine huwandu hwakanyanya hweADHD kuongororwa kwehuwandu, maererano ne CDC .

Iyo mishonga inofungidzirwa kudzikamisa kusagadzikana uye kugadzirisa kunetseka. Inonyanya kubudirira kana ichishandiswa sechikamu chechirongwa chekurapa chakazara chine marapirwo akasiyana siyana.

Secentral nervous system inokurudzira,amphetamine / dextroamphetamine inogonawo kubata narcolepsy-chirwere chehope chinoratidzirwa nezvikamu zvisingaperi zvekuneta kwemasikati uye kamwe kamwe, nguva dzekurara dzisingadzoreki).

RELATED: ADHD mishonga uye mishonga

8. Alprazolam (Xanax)

Yakawanda yakatemwa mushonga mu Tennessee

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Muna Kubvumbi, mishumo yakatanga kutenderera kuti mishonga yekurwisa kushushikana, sealprazolam, yanga ichikwira mukuzivikanwa- kumusoro 34% . Zvichida hazvishamise ipapo, kuti uyu mushonga wakasvika pamusoro pechinyorwa kune imwe nyika gore rino. Kunyanya muTennessee, iyo yakatarwa senyika ne yakanyanya mwero yekushushikana kutanga kwegore rino.

Nhengo yekirasi yemishonga inonzi benzodiazepines, alprazolam inoshanda nekumisikidza makemikari echisikigo atove mumuviri kuti akonzere kudzikamisa pamusoro peiyo central nervous system.
Sezvo nemishonga inorwisa-kuzvidya moyo, mhedzisiro yealprazolam inowanzo kunzwikwa kana uchitanga mushonga uye kana uchibva pauri. Kurega zviratidzo zvinogona kuitika kana uchisiya alprazolam inotonhora turkey. Neichi chikonzero, varwere vanofanirwa kushanda navanachiremba vavo kudzikisa dhivha yavo zvishoma nezvishoma kana vakafunga kurega kutora uyu mushonga.

RELATED: 62% yevaAmerica vanonetseka, sekutsvaga kwatsva

Mazhinji mishonga yakatemwa mumatunhu ese

1. Alaska: Lisinopril
2. Alabama: Vhitamini D
3. Arkansas: Lisinopril
4. Arizona: Levothyroxine sodium
5. California: Amoxicillin
6. Colorado: Levothyroxine sodium
7. Connecticut: Amlodipine besylate
8. Delaware: Lisinopril
9. Florida: Ibuprofen
10. Jojiya: Ibuprofen
11. Hawaii: Ibuprofen
12. Iowa: Lisinopril
13. Idaho: Lisinopril
14. Illinois: Lisinopril
15. Indiana: Amphetamine / dextroamphetamine
16. Kansas: Amphetamine / dextroamphetamine
17. Kentucky: Vhitamini D
18. Louisiana: Amlodipine besylate
19. Massachusetts: Lisinopril
20. Maryland: Ibuprofen
21. Maine: Amphetamine / dextroamphetamine
22. Michigan: Amphetamine / dextroamphetamine
23. Minnesota: Lisinopril
24. Missouri: Lisinopril
25. Mississippi: Amlodipine besylate
26. Montana: Lisinopril
27. North Carolina: Lisinopril
28. North Dakota: Amphetamine / dextroamphetamine
29. Nebraska: Lisinopril
30. New Hampshire: Lisinopril
31. New Jersey: Amlodipine besylate
32. New Mexico: Lisinopril
33. Nevada: Lisinopril
34. New York: Vhitamini D
35. Ohio: Lisinopril
36. Oklahoma: Lisinopril
37. Oregon: Lisinopril
38. Pennsylvania: Amphetamine / dextroamphetamine
39. Rhode Island: Amphetamine / dextroamphetamine
40. Maodzanyemba Carolina: Amphetamine / dextroamphetamine
41. Maodzanyemba Dakota: Amphetamine / dextroamphetamine
42. Tennessee: Alprazolam
43. Texas: Lisinopril
44. Utah: Amphetamine / dextroamphetamine
45. Virginia: Lisinopril
46. Vermont: Lisinopril
47. Washington: Lisinopril
48. Wisconsin: Amphetamine / dextroamphetamine
49. West Virginia: Vhitamini D
50. Wyoming: Lisinopril

Ruzivo rwakakurumbira rwemishonga yemishonga inoratidza zvinyorwa zvinonyanya kuzadzwa kuburikidza neSingleCare kubva munaNdira 1, 2020 kusvika Gumiguru 31, 2020, kusanganisa maopioid uye uremu-kurasikirwa nemishonga.