Iyo pharmacy yemunharaunda yakazvisimbisa se injini yechokwadi yekudzivirira muhutano hweveruzhinjiKuva pedyo kwayo, capillarity, uye kuterera kunoita kuti ive nzvimbo yakasarudzika yekudzidzisa, kupa kukasika kuonekwa, kubaya, uye kutsigira vanhu mukuzvitarisira kwavo.
Kubva pamatanho emumugwagwa kuenda kumapurojekiti ekutsvagisa, kuongorora, kubaya uye rutsigiro rwehutano hwepfungwa, basa remushonga wemishonga. Zvinopfuura pakupa mishongaIzvi zvinoratidzwa nemishandirapamwe, misangano yepasi rose, uye zvirongwa zvinonangana nekusimudzira utano nekudzivirira zvirwere, zvine migumisiro inooneka muupenyu hwevanhu.
Nharaunda pharmacy mumugwagwa: dzidzo uye kuongorora
Pachiitiko cheWorld Pharmacists' Day, iyo Spanish Society of Clinical, Family, uye Community Pharmacy (SEFAC) yakamisa Hutano Tende munharaunda yeMadrid yeAluche. Professor José Luis Sierra Cinos, kubva kuDhigirii muHuman Nutrition uye Dietetics paIsabel I University, muchiitiko chakanangana ne Kuunza kukosha kweProfessional Pharmaceutical Assistance Services pedyo nehuwandu hwevanhu uye kusimbisa maonero emufesi semushandi wehutano wepano.
Muzvinafundo Sierra vakabatana munzvimbo dzakakosha senge chikafu, njodzi yemoyo uye hutano hweganda, vachiratidzira dzidzo yezveutano nekukasika kuona sematemo ekudzikisa kukanganisa kwechisingaperi pathologies. Sezvaakasimbisa, kupindira kwese kunoitwa nechitoro chemishonga kunobatsira kuvandudza hupenyu hwehupenyu uye inosimbisa chivimbo chevagari munyanzvi idzi.
Masikati, mapoka emishonga aiita Kuongororwa kwechirwere cheshuga, kuverengera kwenjodzi yemoyo, kurudziro yephotoprotection, uye kushandisa kwakakodzera mishongaVakashanyira vanhu vangangosvika zana, vazhinji vanopfuura makore makumi matanhatu, vachiratidzira kukosha kwemagariro emushonga wemishonga, ane basa razvino rinotarisa. perekedza, dzidzisa uye kusimudzira maitiro ane hutano.
Kubatanidzwa kweIsabel I University muzvirongwa izvi kunoratidza zvakajeka kuzvipira kuhutano hweveruzhinji nekuparadzira kwesainziKuburikidza nekudzidzisa uye kuita, inosimudzira kudzidziswa ine yakazara chiono chehutano hwehutano, ichitarisa pane kudzivirira uye kusimudzira utano kubva munharaunda.
KuSierra, pharmacy yenharaunda nhasi chikamu chakakosha chekuwedzera kutora chikamu, kudzivirira uye kuwanikwa kwehutano hwehutanoKudyidzana pakati pemasangano, nyanzvi, uye vagari, senge iyo inokurudzirwa neSEFAC, inosimbisa dzidzo yehutano uye inobatsira mukusimba kwehurongwa.
Vaccination: iyo pharmacy mubatsiri mukuru
Pfungwa iyoyo zvirinani kudzivirira pane kurapa iri kuwedzera huremu pachirongwa chehutano, ichisimbiswa nezvisarudzo zvakaita sekusikwa kweState Agency for Public Health (AESAP). Muchirevo chechinyorwa chino, kuwedzera basa remufesi mu Kudzivirira, kuongorora, uye kudzivirira zvirwere zvisingatapukira (NCDs) Ibheji yechokwadi yekuvandudza mhedzisiro uye kusimbisa hutano masisitimu.
Pa83rd FIP World Congress yeFarmacy uye Pharmaceutical Sayenzi iyo Global State of Pharmacy Report, ine meseji yakajeka: kubatanidza vemishonga mukudzivirira uye NCD kutarisirwa ndiko inobatsira uye ine simba guruVaccination, imwe yenzira dzinoshanda dzehutano hweveruzhinji, inodzivirira kufa vangangosvika mamirioni maviri neshanu gore rega rega, uye mafemasi anobatsira mukuwedzera kuvharwa nekuvandudza kuwanikwa, kuvaka kuvimba, uye kusvika kune vanhu vasina kuchengetedzwa.
Mukuita, vemishonga vane basa re Kurudzira kubayiwa, chengetedza uye gadzirisa zvekushandisa, chengetedza marekodhi echokwadi, shandisa madosi, uye pindura kune zvakaipa maitiro. zvakadai seanaphylaxis. Uye zvakare, ivo vanotora chikamu mu pharmacovigilance uye vanobatana mukutsvaga nekusimudzira, vachibatsira kuchengetedzwa uye kuenderera mberi kwekuvandudzwa kwemishonga.
Kunyangwe kumwe kusahadzika kuchienderera kune dzimwe nzvimbo nezve kugona kwayo kupa masevhisi ekudzivirira, ayo kuwanikwa, zvikwaniriso uye ruzivo rwekiriniki inovaisa zvakanyanya kuti vafambise nzira dzekudzivirira, kunyanya kubva kuzvitoro zvemishonga. Izvi zvinokanganisa masisitimu inoshanda zvakanyanya, yakatsiga uye ine moyo murefu.
Kuwedzera kwejekiseni muma pharmacy kuri pachena: maererano neFIP global intelligence report (2024), Pakati penyika 117 nematunhu ane data iripo, inotenderwa mu56 Vaccinations muma pharmacy, inomiririra 47,9% yehuwandu. Uku kufambira mberi kwakasimba kunowedzera kuwanikwa uye kusvika.
Apo varwere vanopa mutongo wavo
Mhedzisiro chaiyo inoratidzwa mukugutsikana nemushandisi. MuGermany, imwe nzvero yakaratidza izvozvo vanopfuura 9 pavarwere gumi Vakagutsikana zvikuru nemajekiseni aiitwa muzvitoro zvemishonga. Iyi data inosimbisa pfungwa yekuti kukosha kunoonekwa kune varwere kwakanyanya.
Munyika yose, kutora mifananidzo kwakafanana. Ongororo yenyika muCanada (2023) yakawana kuti ruzhinji rwevakuru vanotenda izvozvo wedzera iyo pharmacy's service portfolio, kusanganisira majekiseni, yaizovandudza kuwanikwa uye kunakaMuRomania, kugutsikana kwakabatana nekudyidzana kwakanaka, kujeka kweruzivo uye ne kuwanikwa uye kugona zvemasevhisi aya.
Kunewo zviratidzo zvakasimba muEurope neUnited States. MuBelgium, vanopfuura 1.200 vagari vakaratidza kutsigira kwavo kugamuchira mishonga yekudzivirira zvirwere muzvitoro zvemishonga. Uye muUS, humbowo kubva 2023 hunoratidza kuti inotaura uko vemishonga vanogona nyora nekupa majekiseni akazvimirira (kana pasi pemitemo yakamira yehurumende) yaive ne9% yepamusoro yejekiseni kupfuura avo vane zvimwe zvinorambidzwa zvinodikanwa zveRSV, pneumococcal, uye shingles vaccine.
Kumisa NCDs kubva muchitoro chemishonga
NCDs inomiririra hutano hwakakura uye mutoro wehupfumi: ivo vanonzi vanopfuura mamiriyoni 43 vanofa gore negore, uye 80% yevanofa nguva isati yakwana vanonyanya kufunga nezvezvirwere zvemwoyo, kenza, chirwere cheshuga uye chisingaperi chekufema pathologies. Community pharmacy, yayo kuwanikwa uye kugara uchidyidzana nevarwere nenharaunda, iri pachinzvimbo chehunyanzvi kudzivirira, kuona uye kubatsira mukutonga kwemamiriro ezvinhu aya.
Mupiro wavo unobata kuenderera mberi kwekutarisira: kubva kune Kudzivirira kwekutanga uye kuongorora, kugadzirisa mishonga uye kutevera kwenguva refuPamusoro pezvo, kubatirana kwemasangano akasiyana-siyana kunobvumira vezvemishonga kuti vaenzanise marapirwo, kuona matambudziko ane chekuita nemishonga, uye kukurudzira kuzvitarisira zvine ruzivo.
- Kugonesa ma pharmacy sevatambi vakakosha mukudzivirira uye kutonga kweNCDs uye kuvabatanidza munzira dzekuchengeta.
- Invest in mhando dzebasa remunhu uye kusimbisa mitemo inogadzirisa zvikonzero zveNCDs.
- Ita zvinopindira uchapupu-based uye pharmacist-inotungamirirwa, nekudyidzana kwevashandi pamwe nekucherechedzwa kwezvitoro zvemishonga senzvimbo dzehutano dzeveruzhinji dzinowanikwa.
- Shandisa hutano hwedhijitari uye hunyanzvi, kusimudzira kuzvitarisira, kuve nechokwadi chekubhadharwa kwakaringana, kuchengetedza tsvakiridzo, uye kuchengetedza vashandi vanokwanisa.
Digestive: zvinhu zvakajairika zvisingafanirwe kufuratirwa
Zvinonyanya kuzivikanwa zviratidzo zvekugaya zvinomuka panguva yekushanya kwemishonga yemazuva ese: chirungurira, reflux, bloating, kana shanduko yebowel rhythm. Pasinei nekuitika kwavo kwakajairika, Hazvikurudzirwi kuzvirerutsa kana kuzvirerutsa., nekuti dzimwe nguva vanogona kuvhara pathologies inoda kuongororwa kwechiremba.
Kubvunzurudzwa kwekiriniki kwakakosha pakusiyanisa chimiro chekushanda kubva kune organic. Nguva uye kuwanda kwezviratidzo zvinofanirwa kuongororwa, uye kutariswa kunofanirwa kubhadharwa Nyevero zviratidzo zvakadai sekurasikirwa uremu usiri nemaune, kubuda ropa, anemia, kana fivhaKana usina chokwadi, kuendeswa kuna chiremba ndiyo sarudzo ine hungwaru kumurwere.
Iyo pharmacy inogona zvakare kusundira mukati kudzivirira kugaya, kusanganisira colorectal cancer: kukurudzira kudya kwakawanda-fiber, kuderedza doro nefodya, uye kukurudzira kurovedza muviri nguva dzose. Nemazano emunhu uye ane hushamwari, iyo counter inova pfungwa inokosha yedzidzo yehutano iyo inokurudzira kutora chikamu muzvirongwa zvekuongorora.
Nekuteerera kwakasimba, kubvunzurudza kwakanangwa uye mameseji akajeka, mufesi anogona tungamira, tarisa zviratidzo zvekunyevera uye kurudzira kutumira panguva, kunze kwekubatsira kuvandudza zviratidzo nemishonga yakakodzera kana zvakakodzera.
Allergy: zano rakachengeteka uye nguva yekutaura
Kuwanda kwezvirwere zveallergic kuri kuramba kuchikura uye, nekuda kwekusagadzikana kwavo, kuunza dambudziko rehutano hweveruzhinjiVarwere vechidiki vazhinji vanorerutsa zviratidzo zvavo kana kutadza kuzviona nemazvo, izvo zvinokanganisa utariri uye kutevedzera.
Munzvimbo iyi, mufesi ane basa rekuita: dzidzisa kushandiswa kwakarurama kwemishonga, simbisa kutevedzera, kuona nyaya dzisina kudzorwa zvakanaka, uye dzinokurudzira kuonana nachiremba pazvinenge zvakakodzera. Iko kusanganiswa kwerutsigiro rwekiriniki uye kutarisa kunopa kuchengetedzwa kwemurwere.
Pakati pezvisarudzo zvekurapa, iyo inonyanya kukosha ndeye bilastine, yechipiri-chizvarwa antihistamine iyo isingakonzere hope kana kukanganisa psychomotor kuita. Mhedzisiro yaro inokurumidza uye inotsigirwa kwemaawa makumi maviri nemana, uye sezvo isina metabolized muchiropa, kuderedza kudyidzanaKune zviratidzo zvinyoro muvakuru nevechiri kuyaruka, zvinogona kukurudzirwa nemirairo yakajeka kubva kuchitoro chemishonga, nguva dzose ichitaura kana zviratidzo zvakanyanya kana kuramba zvichidzorwa zvisina kunaka.
Kuenderera mberi nedzidzo uye kushanda pamwe chete
Kugara uchivandudza kunowedzera kukanganisa kwekupindira kwemishonga. Faes Farma Open Day inoenzanisira kuzvipira uku: zuva rekuvandudza kiriniki rakanangana neakajairika pathologies muma pharmacy emunharaunda, aine mharidzo pa Allergic rhinoconjunctivitis, urticaria, kusagadzikana kwekudya kana kuchinjwa kweiyo locomotor system..
Kukosha kweaya mashoko ari mukupa mukana wakananga kune humbowo uye kukurudzira a nzira dzakasiyana siyana izvo zvinovandudza kunaka kwekutarisira. Kubatana kwezvekurapa-vemishonga kunobatsira kuonekwa kwemigumisiro yakaipa, kudzivirira kupindirana uye dzidzo yekurapa, kuwana hutano huri nani.
Mune sisitimu inosimbiswa nekusingaperi, kuchembera uye kuwandisa kwekuchengetedza kwekutanga, pharmacy yenharaunda inobuda se yekutanga sanitary sefa: kuswedera pedyo nemurwere, kudzidziswa kwakasimba uye kukwanisa kusimbisa kurapwa nekudzivirira apo inonyanya kudiwa.
A capillary network ine social impact
Spain yakaita 22.231 nharaunda dzemishonga, imwe yemanetiweki akakomba muEurope, ine chitoro chemishonga chingangoita chimwe chete chevagari zviuru zviviri. Kuvapo kwavo mumigwagwa inovaita zvakakosha zvekuchengetedza kuitira kutarisirwa kwakakwana kwevanhu.
Nyanzvi dzakawanda dzakawedzera mapotifolio ebasa ravo kuti ibatanidze kudzivirira. Gerino GarcÃa-Zabarte, wezvemishonga muMadrid, anotsanangura kuti akaita sei Glucose uye kuongororwa kweropa, kuongorora kushushikana, bioimpedance, chiyero chevhitamini D, uye kuongorora ganda.Nezvishandiso izvi, ma pharmacy anobatsira ku ziva kare matambudziko anowedzera.
Imwe mupiro unocherechedzwa ndeyekuitwa kwe Customized Dosing Systems (DPS)Kugadzirira mishonga muvhiki nevhiki blister packs kunodzivirira kukanganwa uye kunobatsira kutevedzera, iyo inonyanya kukosha kune vanhu vanotora mishonga yakawanda. Kune murwere, kugamuchira mishonga yavo yakarongeka isununguko; kune pharmacist, vimbiso yekurapa kunodzorwa.
Kumaruwa, kugarisana kwemuchitoro chemishonga kwave kwenhoroondo. Iyo dense kugovera inovimbisa kuti kunyangwe mukati Mumataundi maduku pane nzvimbo yehutanoMatanho akaita seChirongwa cheChishanu muCantabria anorwisa kusurukirwa kusingadiwe nemashopu uye zviitiko zvinomutsiridza hupenyu hwemagariro. Sekutsanangura kunoita mufesi louis noriegaMafemesi anoita se'maradar' anoona mamiriro ezvinhu akatetepa uye anomisikidza zvirevo zvekutumira kune vakakodzera vamiririri vemagariro.
Pharmacy muzvipatara uye marabhoritari
Pharmacy tsika inoenda kure kupfuura iyo counter. Muchipatara, nyanzvi idzi Vanovandudza, kutarisira uye kutarisira marapirwo yakaoma se chemotherapy, parenteral kana intravenous kugadzirira. Mukuwedzera, kune kuvimbiswa kwemishonga kunovimbisa izvozvo muyero uye nzira yekutonga yakakodzera kune pathology uye kuongororwa kwemurwere wega wega.
Varwere vanorwarawo vane kurapwa kwakananga kwemishongaKugadzirisa mibvunzo, kutsanangura madosi, uye kutsanangura nhungamiro yekudzikisa mhedzisiro chikamu cherutsigiro rwunopihwa nevechipatara pharmacy service. Kuziva kuwanikwa uku kunovandudza ruzivo rwemurwere uye kuchengetedzeka panguva yekugara kwavo.
Kupfuura pharmacy yechipatara, kune nzvimbo dzinokosha vemishonga: Kuongororwa kwekiriniki, microbiology uye parasitology, biochemistry, immunology kana radiopharmacyUnyanzvi hwavo hwehunyanzvi hunotsigira kuongororwa kwakakosha uye maitiro ekurapa mukutarisira kwakasarudzika.
Mumakiriniki marabhoritari, chimiro chemishonga chinowanikwa zvakanyanya. Iri ibasa rakasiyana-siyana uye rakasiyana-siyana rinosanganisira biology, physics uye chemistry. Nhasi, huwandu hukuru hwekuongororwa uye kurapwa hunoenderana nebvunzo idzi, uko vezvemishonga, senge avo vari kuEurofins Laboratory muA Coruña, Vanotungamira uye vanovimbisa kunaka yekuongorora maitiro.
Basa rekushanda mumarabhoritari riri kuramba richikura, rinotungamirirwa ne kukwegura kwevanhu uye kuwedzera kwezvisarudzo zvebiochemical. Kuwedzera uku hakuwanzo kuperekedzwa nezvimwe zviwanikwa, izvo zvinosimbisa kudiwa kwe kusimbisa vashandi uye kugona kuchengetedza hutano uye kuchengeteka.
Utano hwepfungwa: tsigiro pasina rusarura
Pachiitiko cheWorld Mental Health Day (Gumiguru 10) zvakakodzera kuyeuka izvozvo muSpain chinopfuura chikamu chimwe muzvitatu chevagari vemo vanotambura nedambudziko rehutano hwepfungwa, rinopfuura 50% kubva pazera re75, nekuwedzera maitiro. Tichifunga manhamba aya, yave nguva yekuitaUye iyo pharmacy inotora chikamu chayo chebasa.
Iyo pharmacy basa rinoita proactively uye nekubatana kune kunatsiridza kutevedzera uye kushandiswa kwakachengeteka kwemishonga, zvichiwedzera tsigiro kumitezo yemhuri navatarisiri. Yakatoratidza izvi panguva yeCOVID-19 denda uye yave kuwanikwa zvakare sea kukosha kwehutano hwehutano kutarisana nedambudziko guru rehutano hwevanhu.
Kuwanikwa kwemufemesi wenharaunda kunomuita nyanzvi yakanakira kuziva zviratidzo nezviratidzo kare yekusagadzikana kwepfungwa kana kuwedzera kwadzo, dudzira zviratidzo izvozvo uye nongedzera pazvinenge zvakakodzera. Unogonawo kurwisa rusarura uye kukurudzira kuzvitarisira, kunzwisiswa sekukwanisa kusimudzira hutano, kudzivirira zvirwere, uye kusangana navo neruzivo rwakavimbika.
Kuzvipira uku kunoratidzwa nezviito zvinobatika. Chirevo che'Mental Health muSpain', chakagadziridzwa neGeneral Council of Official Colleges of Pharmacists pamwe chete neSocial Advisory Council, inopa mufananidzo wakaomarara. kuwanda, zvikonzero uye kusaenzana, uye inokurudzira kubatanidza iyo pharmacy network mumatanho ehutano akadai sentinel network kugadzirisa mushonga, kunatsiridza kutevedzera, uye kuita senzvimbo yekutanga kuonana kuti uwane nhungamiro uye rutsigiro rwemanzwiro.
Pamwe chete nemitsetse yakafanana, mushandirapamwe 'Kushomeka kushoma, kuremekedzwa', yakasimudzirwa naBoehringer Ingelheim, inotsvaga kuputsa rusaruro uye kuita kuti rionekwe basa remushonga wemishonga kudzivirira, kukurumidza kuonekwa uye kutsigirwaChinowedzerwa kune ichi chirongwa che'Rural Mental Health Schools', chinosimudzira kuonekwa kwezviratidzo, kuzvitarisira, uye kutevedzera. kuburikidza nezvikamu zvedzidzo yehutano inodzidziswa nevemishonga.
Pamwe chete, vakabatanidzwa 300 nharaunda dzemishonga muzvikoro makumi matatu neshanu zvepurovhinzi. Vanenge vese nhengo dzemhuri nevarwere (98%) vakagutsikana neruzivo uye sevhisi yakagamuchirwa, uye vanofunga kuti chiitiko ichi chinofanira kuendeswa kune mamwe mapurovhinzi, kubatanidza basa remushonga. pedyo uye yakavimbika rutsigiro nzvimbo.