Lawa kwakungamakilasi ezidakamizwa ayegcwele kakhulu ku-SingleCare ngo-2020

Inkampani

Uma kukhulunywa ngokonga imali ekhemisi, abasebenzisi be-SingleCare bayazi ukuthi bangaletha ikhadi labo ngezaphulelo emigqeni engaphezu kuka-10,000. Futhi ngonyaka owedlule, abanikazi bamakhadi basebenzise ngokugcwele lokhu kulondolozwa, ukugcwalisa imiyalo egijimise umdlalo kusuka emithini ye-thyroid kuya ekwelapheni izinduna.

Uma kukhulunywa ngezigaba ezivame kakhulu zezidakamizwa zango-2020, kwavela izitayela eziningi. Ama-antihypertensives ayedumile — akumangalisi ngenxa yokwanda kokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi kubantu baseMelika — njengoba kwakunjalo ngamagciwane egilo kanye nama-antidiabetics. Amavithamini, ukudambisa izinhlungu, nama-antihistamine nakho bekuyizidingo zango-2020. Futhi ngokucindezeleka kwanda ngenxa yobhadane lomhlaba wonke lwe-COVID-19, imishanguzo yokulwa nengcindezi ibalwa phezulu, nayo.

Izigaba zezidakamizwa ezigcwaliswe kakhulu zango-2020 *

Kunokuningi okutholakele okuningi okuzotholakala ohlwini oluphelele. Ngakho-ke ngaphandle kokuchitha isikhathi, nazi izigaba eziyishumi ezivame kakhulu zezidakamizwa (kanye nemithi emihlanu ephezulu esigabeni ngasinye) ku-SingleCare ngo-2020:

Isigaba sezidakamizwa	I-Rx edumile
1. Ama-antihypertensives	Thola isigqebhezana se-lisinopril
Thola isigqebhezana se-losartan
Thola isigqebhezana se-lisinopril / hydrochlorothiazide
Thola isigqebhezana se-enalapril
Tholaisigqebhezana se-losartan / hydrochlorothiazide
2. Izidambisamagciwane	Thola isigqebhezana se-trazodone
Thola isigqebhezana se-escitalopram
Thola isigqebhezana se-sertraline
Thola ikhuphoni le-fluoxetine
Thola ikhuphoni le-citalopram
3. Ama-thyroid agents	Thola i-levothyroxineisigqebhezana
Thola izigqebhezana ze-thyroid
Thola ikhuphoni le-Synthroid
Thola isigqebhezana se-Euthyrox
Thola isigqebhezana se-methimazole
4. Ama-analgesics / anti-inflammatories	Thola isigqebhezana se-ibuprofen
Thola isigqebhezana se-meloxicam
Thola isigqebhezana se-naproxen
Thola isigqebhezana se-ketorolac
Thola ikhuphoni le-diclofenac sodium
5. Ama-Antidiabetics	Thola isigqebhezana se-metformin
Thola isigqebhezana se-glipizide
Thola isigqebhezana se-metformin ER
Thola isigqebhezana se-glimepiride
Thola isigqebhezana seLantus Solostar
6. Amavithamini	Thola isigqebhezana sikavithamini D
Thola isigqebhezana sikavithamini D3
Thola isigqebhezana sikavithamini C
Thola isigqebhezana sikavithamini B-6
Thola isigqebhezana sikavithamini B-1
7. Amapenicillin	Thola isigqebhezana se-amoxicillin
Thola isigqebhezana se-amoxicillin / clavulanate
Thola isigqebhezana se-penicillin v potassium
Thola ikhuphoni le-dicloxacillin
Thola isigqebhezana se-ampicillin
8. AmaDermatologicals	Thola ikhuphoni le-triamcinolone acetate
Thola ikhuphoni le-diclofenac sodium
Thola isigqebhezana se-mupirocin
Thola isigqebhezana se-tretinoin
Thola isigqebhezana se-hydrocortisone
9. Abavimbela iBeta	Thola i-metoprolol succinate ER coupon
Thola isigqebhezana se-metoprolol tartrate
Thola isigqebhezana se-carvedilol
Thola isigqebhezana se-atenolol
Thola isigqebhezana se-Bystolic
10. Ama-antihistamine	Thola isigqebhezana se-cetirizine
Thola isigqebhezana se-loratadine
Thola isigqebhezana se-fexofenadine
Thola isigqebhezana se-promethazine
Thola isigqebhezana se-banophen

1. Ama-antihypertensives

Imithi yomfutho wegazi ophakeme kwakuyisigaba sezidakamizwa esivame kakhulu phakathi kwabasebenzisi bekhadi le-SingleCare ngo-2020, okungamangalisi ku-Bethesda, udokotela wokunakekelwa oyinhloko wase-Maryland UMathewu Mintz, MD, FACP .Imbangela eyodwa yokufa kwabantu e-U.S (ngisho ne-COVID-19) yisifo senhliziyo, kusho uDkt Mintz. Enye yezinto ezibambe iqhaza ekuhlaselweni yinhliziyo wumfutho wegazi ophakeme noma umfutho wegazi ophakeme. Umfutho wegazi ophakeme wenyusa nengozi yokushaywa unhlangothi (okuyimbangela yesibili eholela ekufeni e-U.S.), Yingakho kubaluleke kakhulu ukugcina amazinga enempilo, echazwa njengeumfutho wegazi ngaphansi kuka-120/80 mmHg.,ngokusho kwe- Ikholeji yaseMelika Yezenhliziyo .

Ngeshwa, abantu abaningi baseMelika bayashoda: ama-45% ane-hypertension, ngokusho kwe Izikhungo Zokulawulwa Nokuvikelwa Kwezifo (CDC), futhi cishe umuntu oyedwa kwabane onezimo ezilawulwayo. Ngenkathi izinguquko zendlela yokuphila njengokuzivocavoca umzimba nokudla ukudla okunempilo kungasiza kakhulu ekwehliseni umfutho wegazi, kwesinye isikhathi azanele ngokwazo, futhi kulapho-ke umuthi ungadingeka khona - ikakhulukazi kubantu abadala baseMelika.

Umfutho wegazi ophakeme uthinteka kakhulu ngeminyaka, kusho uDkt. Mintz. Njengoba sikhula, imithambo yethu yegazi iyaguga futhi iqine, kubangele ukwanda kwengcindezi yegazi. Ngesinye isikhathi, umfutho wegazi ophakeme kwakucatshangwa ukuthi inqubo yokuguga engokwemvelo, kepha manje sesiyazi ukuthi ukwelapha umfutho wegazi ophakeme kunganciphisa ukuhlaselwa yinhliziyo nokushaywa unhlangothi kubantu abadala.

OKUSHIWO: Ungayinciphisa kanjani umfutho wegazi ngokushesha futhi ngokwemvelo

2. Izidambisamagciwane

Ngaphandle kwegama labo, imishanguzo ewela esigabeni se-antidepressant yelapha izifo eziningi zengqondo, kufaka phakathi ukukhathazeka okujwayelekile (GAD), i-obsessive compulsive disorder (OCD), i-post-traumatic stress disorder (PTSD), kanye nesifo sokukhathazeka komphakathi.

Cishe abantu abadala abayizigidi ezingama-40 e-U.S. Banenkinga ethile yokukhathazeka, ngokusho kwe- Inhlangano Yokukhathazeka Nokucindezeleka YaseMelika , nokho kuphelaU-37% walabo bantu bayelashwa. Enye into engahle isetshenziselwe ukusebenzisa i-antidepressant ngo-2020 kungenzeka ibe wubhubhane. Kwabaningi, izingqinamba zempilo yengqondo beziyinselelo ethile ngesikhathi sokuhlukaniswa, ngoku isifundo esisodwa okuphakamisa ukuthi amazinga okucindezeleka aphindeke kathathu kubantu abadala base-U.S. kulo nyaka odlule.

OKUSHIWO: Imithi elapha ukukhathazeka nokudangala

3. Ama-thyroid agents

Esinye isifo esivamile kubantu baseMelika yisifo se-thyroid — ngaphezu kuka-12% wabantu bazoba nesimo esithile se-thyroid ngesikhathi sokuphila kwabo, ngokusho kwe I-American Thyroid Association . Abesifazane, ikakhulukazi, bayakwazi ukuthinteka; banamathuba aphindwe kahlanu kuya kwayisishiyagalombili kunamadoda okudala inkinga.

Izimo zendlala yegilo ziyahlukahluka — kusuka ku-hyperthyroidism, lapho i-thyroid ikhiqiza khona ama-hormone amaningi kakhulu — kuya ku-hypothyroidism, lapho i-thyroid ikhiqiza khona ama-hormone ambalwa kakhulu.Kunezimbangela eziningi ze-hypothyroidism kodwa imbangela evame kakhulu yisifo se-autoimmune esaziwa njenge-Hashimoto's thyroiditis, kusho uDkt Mintz. Iziguli ezinama-thyroid azenzi ngokwanele i-hormone yegilo ngokuvamile zidinga ukushintshwa kwe-thyroid, njenge-levothyroxine. Ngaphandle kwayo, iziguli zingaba nezimpawu ze-thyroid ephansi okubandakanya ukuzuza kwesisindo, isikhumba esomile, ukuqunjelwa, kanye nokulahleka kwezinwele.

OKUSHIWO: Ukwelashwa kwe-Hypothyroidism nemithi

4. Ama-analgesics / anti-inflammatories

Ngokuvamile okubizwa ngokuthi ukudambisa izinhlungu, ama-analgesics eza ngezindlela eziningi, kusukela kumaphilisi asetafuleni (iTylenol) kuya emithini kadokotela (meloxicam). I-analgesic ethandwa kakhulu phakathi kwabasebenzisi bekhadi le-SingleCare ngo-2020 kwaba, mhlawumbe ngokungamangazi, ibuprofen.

Ngokujwayelekile ibizwa ngokuthi i-Advil noma iMotrin, ibuprofen iyi-i-nonsteroidal anti-inflammatory drug (NSAID) esetshenziselwa ukwelapha umkhuhlane nezinhlungu futhi itholakala ngaphandle kwencwadi kadokotela. (Odokotela bangaphinde banikeze ibuprofen ngomthamo ophakeme.) Phakathi kwama-NSAID angaphezu kwamakhompiyutha, ibuprofen ithathwa njengeyimnene kakhulu epheshaneni le-GI.

OKUSHIWO: Ingabe iTylenol iyi-NSAID?

5. Ama-Antidiabetics

Ukuzulazula eduze kwamaphakathi kohlu lukaSingleCare lwango-2020 kukhona ama-antidiabetics, okuthandwa kakhulu yi-metformin (okuvame ukubizwa ngokuthi yiGlucophage, iRiomet, noma iGlumetza).

IMetformin isebenza ngezindlela eziningi ukusiza ukulawula amazinga kashukela egazini,kusho uKristi C. Torres, Pharm.D. e-Austin, eTexas, ilungu le-SingleCare's Medical Review Board.Kubambezela ukukhiqizwa kwe-glucose. Kubuye kunciphise ukumuncwa kwamathumbu kweglucose. Ekugcineni, ithuthukisa ukuzwela kwe-insulin ngokwandisa ukusebenzisa i-peripheral glucose glucose. Umphumela wokugcina walezi zenzo amazinga aphansi kashukela egazini nokulawulwa okungcono kwe-glycemic kweziguli ezinesifo sikashukela.

I-CDC ilinganisela ukuthi abantu baseMelika abayizigidi ezingama-34.2 (babo bonke ubudala) banesifo sikashukela, kanti amazinga esifo sikashukela anda ngokukhula.

OKUSHIWO: Izibalo zesifo sikashukela

6. Amavithamini

Amavithamini bekungokunye ukuthengwa okuthandwayo phakathi kwabasebenzisi be-SingleCare ngo-2020, i-vitamin D (ngezindlela ezahlukahlukene) ukudlula izimbangi zayo. U-Vitamin D udlala izindima eziningi emzimbeni, kufaka phakathi ukusiza ukumuncwa kwe-calcium, ukusebenza kwamasosha omzimba, kanye nemisebenzi yemisipha nezinzwa, ngokusho kwe Izikhungo Zikazwelonke Zezempilo . Uvithamini D omncane kakhulu angaholela emathanjeni aqhekekile, isimo esaziwa ngokuthi ama-rickets ezinganeni nase-osteomalacia kubantu abadala. Ngaphezu kokungezelelwa, uvithamini D ungatholakala ngokuvezwa ukukhanya kwelanga nezinhlanzi ezinamafutha njenge-salmon ne-tuna. Ngemuva kukavithamini D, uvithamini C kwaba ukuthengwa okuthandwa kakhulu, kwalandelwa uvithamini B-6 novithamini B-1.

OKUSHIWO: Imaphi amavithamini okufanele ngiwathathe?

7. Amapenicillin

Umcwaningi waseScotland uSir Alexander Fleming wathola i-penicillin ngo-1928, futhi phakathi nekhulu leminyaka elilandelayo, lo muthi usuphenduke umuthi olwa namagciwane onqunywa kakhulu emhlabeni wonke.Yize ama-antibiotic akhiqizwa i-penicillin kade aqhubeka isikhathi eside, asasebenza ezifweni ezahlukahlukene futhi ngaleyo ndlela aqhubeke athandwa, kuchaza uDkt. Mintz. Ngaphandle kokubangela ukungezwani komzimba, kwesinye isikhathi okungaba kubi, ama-antibiotics e-penicillin avame ukubekezelelwa ngabantu abaningi.

IPenicillin, kanye ne-amoxicillin yayo ehlobene nayo , asetshenziselwa ukwelapha ukutheleleka okuningana kwamagciwane, kufaka phakathi indlebe, ukuphefumula okuphansi, umgudu wokuchama nokutheleleka kwesikhumba. Ngokwazi ukusebenza ngempumelelo, i-amoxicillin iyakwazi ukwelapha ibanga elibanzi lamagciwane kune-penicillin. Kodwa-ke, akukho muthi — noma yimuphi owela emndenini we-penicillin — ongasetshenziswa noma okufanele usetshenziselwe ukwelapha izifo ezibangelwa amagciwane.

OKUSHIWO: Unayo ngempela i-penicillin yokungezwani komzimba? Hlola futhi.

8. AmaDermatologicals

Njengoba igama lingasikisela, ama-dermatologicals asetshenziselwa ukwelapha izimo zesikhumba, naphakathi kwabasebenzisi be-SingleCares, ukhilimu we-triamcinolone wawuthandwa kakhulu.I-topical triamcinolone isetshenziselwa ukwelapha izimo ezahlukahlukene zesikhumba kufaka phakathi i-exfoliative dermatitis, ukusabela kwe-hypersensitivity, kanye nokusabela okuhlobene ne-lupus ne-Stevens-Johnson syndrome, kusho uDkt Torres. [Ukunamathisela kwamazinyo] kungasetshenziswa ngokwezihloko phezulu emlonyeni ukuvuvukala komlomo.

Abagijimayo esigabeni se-dermatologicals bafaka i-tretinoin, i-vitamin A etholakala ngenye indlela eyaziwa ngokuthi i-Retin-A, elapha induna nesikhumba esonakaliswe ilanga; i-finasteride, enye eyaziwa ngokuthi yiPropecia, okuyithebhulethi yomlomo esetshenziselwa ukwelapha ukulahleka kwezinwele emadodeni; kanye ne-hydrocortisone, esetshenziselwa ukwelapha isikhumba esilumayo, esivuvukile futhi engenza izimpawu ze-eczema zibe lula.

OKUSHIWO: I-Psoriasis vs. eczema: Ungabaphatha ngendlela efanayo?

9. Abavimbela iBeta

Ama-beta blockers ayisigaba sesibili semithi yomfutho wegazi ukukleliswa phakathi kwabasebenzisi be-SingleCare kulo nyaka. Basebenza ngokuvimba i-beta adrenergic receptors enhliziyweni nasemasculature, okubangela ukwehla kwenhliziyo nokukhipha kwenhliziyo, kusho uDkt Torres. Zingabhalwa ngezizathu ezahlukahlukene kubandakanya umfutho wegazi ophezulu, i-angina (ubuhlungu besifuba), nokwehluleka kwenhliziyo.

Ama-beta blocker ajwayele ukunikezwa neziguli ezike zahlaselwa yisifo senhliziyo, kungeza uDkt Torres, njengoba kukhonjisiwe ukuthi zinciphisa amazinga okufa.

OKUSHIWO: Yini i-beta blocker?

10. Ama-antihistamine

Ukuqeda uhlu oluphezulu lwe-10 ngama-antihistamine, avimba ama-histamine receptors futhi asetshenziselwa izimo eziningi ezihlobene nokungezwani komzimba. Lokhu kungafaka i-allergen rhinitis (ukuphuma kwamakhala), ukulunywa, kanye nokuzwela kwe-hypersensitivity, kusho uDkt Torres. Ama-antihistamine nawo angasetshenziselwa ukusabela kokulunywa yizimbungulu futhi, kwezinye izimo, njengekhambi lesikhashana lokuqwasha. UBenadryl (diphenhydramine) uyaziwa ukuthi ubangela ukozela okukhulu njengomphumela oseceleni, futhi kwesinye isikhathi kusetshenziswa ngenhloso yokusiza ngokulala, kusho uDkt Torres. Hlola nodokotela wakho ngaphambi kokusebenzisa iBenadryl, noma kunjalo, ngoba izimo ezithile azihambelani nemithi.

OKUSHIWO: I-Benadryl engazeli: Yikuphi ongakhetha kukho?

* Izigaba zemithi ezigcwaliswe kakhulu zibalwe ngemithi kadokotela egcwele igcwalisa ngeSingleCare kusuka ngoJanuwari 1, 2020 kuya ku-Okthoba 31, 2020, ngaphandle kwama-opioid nezidakamizwa zokwehlisa isisindo.