Pa Epulo 30, 2019, bungwe la US Food and Drug Administration (FDA) lidatulutsa lipoti loti njira zina zochizira matenda osowa tulo zimachitika chifukwa cha zovuta za kugona (kuphatikiza kugona, kuyendetsa galimoto, ndi zina zomwe sizili tcheru).Kuvulala kosowa koma koopsa kapena ngakhale kufa kwachitika.Makhalidwewa amawoneka ngati ofala kwambiri mu eszopiclone, zaleplon, ndi zolpidem kusiyana ndi mankhwala ena omwe amagwiritsidwa ntchito pochiza kusowa tulo.Choncho, a FDA amafuna machenjezo a bokosi lakuda mu malangizo awa a mankhwala ndi malangizo a mankhwala odwala, komanso amafuna odwala omwe adakumanapo ndi khalidwe losagona mokwanira ndi eszopiclone, zaleplon, ndi zolpidem monga taboos..
Eszopiclone, zaleplon, ndi zolpidem ndi mankhwala osokoneza bongo omwe amagwiritsidwa ntchito pochiza matenda akuluakulu ogona ndipo akhala akuvomerezedwa kwa zaka zambiri.Kuvulala koopsa ndi imfa zomwe zimadza chifukwa cha khalidwe lovuta la kugona zimachitika kwa odwala omwe ali ndi mbiri yotereyi kapena opanda khalidwe, kaya akugwiritsa ntchito mlingo wotsika kwambiri kapena mlingo umodzi, mowa kapena opanda mowa kapena zina zoletsa zapakati pa mitsempha (monga sedative, opioids) Kugona molakwika. khalidwe likhoza kuchitika ndi mankhwalawa, monga mankhwala osokoneza bongo, ndi mankhwala oletsa nkhawa.
Zokhudza azachipatala:
Odwala omwe ali ndi vuto la kugona atatenga eszopiclone, zaleplon, ndi zolpidem ayenera kupewa mankhwalawa;ngati odwala ali ndi vuto la kugona, ayenera kusiya kugwiritsa ntchito mankhwalawa chifukwa cha mankhwalawa.Ngakhale kuti sizichitika kawirikawiri, zachititsa kuvulala koopsa kapena imfa.
Zambiri za odwala:
Ngati wodwala sanadzuke atamwa mankhwalawa, kapena ngati simukumbukira zomwe mwachita, mutha kukhala ndi vuto la kugona.Siyani kugwiritsa ntchito mankhwala a kusowa tulo ndikupempha upangiri wamankhwala mwachangu.
Pazaka zapitazi za 26, a FDA adalengeza milandu ya 66 ya mankhwala omwe amachititsa kuti anthu azigona bwino, omwe amachokera ku FDA's Adverse Event Reporting System (FEARS) kapena zolemba zachipatala, kotero pakhoza kukhala milandu yambiri yosadziŵika.Milandu ya 66 inaphatikizapo kumwa mopitirira muyeso mwangozi, kugwa, kutentha, kumira, kukhudzidwa ndi ntchito ya miyendo pa kutentha kwambiri, poizoni wa carbon monoxide, kumira, hypothermia, kugunda kwa galimoto, ndi kudzivulaza (monga mabala owombera mfuti ndi kudzipha) kuyesa).Nthawi zambiri odwala samakumbukira zochitika izi.Zomwe zimachititsa kuti mankhwala ogona tulo amenewa azichititsa kuti munthu azigona movutikira sizikudziwika bwinobwino.
A FDA adakumbutsanso anthu kuti mankhwala onse omwe amagwiritsidwa ntchito pochiza kusowa tulo adzakhudza kuyendetsa galimoto m'mawa ndi zina zomwe zimafunika kukhala tcheru.Kugona kwatchulidwa kuti ndi vuto lodziwika bwino pamalebulo amankhwala pamankhwala onse a kusowa tulo.A FDA amachenjeza odwala kuti azigonabe tsiku lotsatira atamwa mankhwalawa.Odwala omwe amamwa mankhwala a kusowa tulo amatha kuchepa m'maganizo ngakhale atakhala maso m'mawa wotsatira atagwiritsa ntchito.
Zowonjezerapo kwa wodwalayo
• Eszopicone, Zaleplon, Zolpidem zingayambitse makhalidwe ovuta kugona, kuphatikizapo kugona, kuyendetsa galimoto, ndi zina popanda kukhala maso.Makhalidwe ovutawa ogona ndi osowa koma abweretsa kuvulala koopsa ndi imfa.
• Zochitikazi zikhoza kuchitika ndi mlingo umodzi wokha wa mankhwalawa kapena pambuyo pa nthawi yayitali ya chithandizo.
• Ngati wodwala ali ndi vuto la kugona, siyani kumwa msanga ndipo funsani dokotala mwamsanga.
• Imwani mankhwala monga mwauzidwa ndi dokotala.Pofuna kuchepetsa kudzachitika chokhwima zinthu, musati overdose, bongo mankhwala.
• Musatenge eszopiclone, zaleplon kapena zolpidem ngati simungatsimikizire kuti mumagona mokwanira mutatha kumwa mankhwalawa.Mukathamanga kwambiri mutatha kumwa mankhwalawa, mutha kugona komanso kukhala ndi vuto la kukumbukira, kukhala tcheru kapena kugwirizana.
Gwiritsani ntchito eszopiclone, zolpidem (flakes, mapiritsi omasulidwa osasunthika, mapiritsi a sublingual kapena kupopera pakamwa), ayenera kugona atangomwa mankhwalawa, ndikukhala pabedi kwa maola 7 mpaka 8.
Ntchito zaleplon mapiritsi kapena otsika mlingo zolpidem sublingual mapiritsi, ayenera kumwedwa pabedi, ndipo osachepera 4 hours pabedi.
• Mukamagwiritsa ntchito eszopiclone, zaleplon, ndi zolpidem, musagwiritse ntchito mankhwala ena omwe amakuthandizani kugona, kuphatikizapo mankhwala osokoneza bongo.Osamwa mowa musanamwe mankhwalawa chifukwa amawonjezera chiopsezo cha zotsatirapo zoyipa komanso zoyipa.
Zowonjezera kwa ogwira ntchito zachipatala
• Eszopiclone, Zaleplon, ndi Zolpidem zanenedwa kuti zimayambitsa khalidwe lovuta la kugona.Kugona movutikira kumatanthawuza zochita za wodwala popanda kukhala maso, zomwe zingayambitse kuvulala koopsa ndi imfa.
• Zochitikazi zikhoza kuchitika ndi mlingo umodzi wokha wa mankhwalawa kapena pambuyo pa nthawi yayitali ya chithandizo.
• Odwala omwe adakumanapo ndi khalidwe lovuta la kugona ndi eszopiclone, zaleplon, ndi zolpidem amaletsedwa kupereka mankhwalawa.
• Kudziwitsa odwala kuti asiye kugwiritsa ntchito mankhwala osowa tulo ngati adakumana ndi makhalidwe ovuta kugona, ngakhale kuti sakuvulaza kwambiri.
• Popereka eszopiclone, zaleplon kapena zolpidem kwa wodwala, tsatirani ndondomeko ya mlingo mu malangizo, kuyambira ndi mlingo wotsika kwambiri.
• Limbikitsani odwala kuti awerenge malangizo a mankhwala pogwiritsa ntchito eszopiclone, zaleplon kapena zolpidem, ndipo akumbutseni kuti asagwiritse ntchito mankhwala ena a kusowa tulo, mowa kapena central nervous system inhibitors.
(webusaiti ya FDA)
Nthawi yotumiza: Aug-13-2019