Indlela i-FDA isingatha ngayo ukuyeka ukusebenza
Uma ucabangela ukuthenga i- Clomid (clomiphene) ku-inthanethi-ngaphandle kokubona udokotela futhi ngaphandle kwemithi-cabanga futhi. Empeleni, inkinga ekhulayo e-US lapho iziguli ezingekho kuphela kuphela kodwa odokotela bawela phansi.
Isizathu sokuthi abantu bangacabanga ukuthi lokhu kuyindlela engacacile ngokunikezwa ukuthi izidakamizwa zibiza kuphela phakathi kuka- $ 10 no-$ 100 umjikelezo . Kodwa, ngokusekelwe kokubukezwa okungahleliwe kwamakamelo okuxoxa e-intanethi, kusobala ukuthi umkhuba abanye abantu abangawamukeli kuphela kodwa bakhuthaze abanye ukuba bakwenze.
Iseluleko sethu? Musa.
Ngokuqinisekile, ungase ube nenhlanhla bese uphawula "impela" imithi, kodwa wazi kanjani ngokuqinisekile? Ngomuthi ofana ne-Clomid, okuhloswe ukugqugquzela ukuvuthwa , ukukhulelwa kungase kuhlobene nanoma yiziphi izinombolo. Ngakho-ke, ngenkathi ungase ucabange ukuthi ungumthombo wobuthakathaka bakho, kungase kube yilezi zidakamizwa.
Okubi nakakhulu, ukuthenga noma imuphi umuthi kusuka emthonjeni ongaphansi-ohloniphekile kungaphetha ukulimaza okungaphezu nje kwe-pocketbook yakho. Kungagcina kulimaza impilo yakho.
Nazi izizathu ezine ukuthi kungani ungalokothi uke uthenge i-Clomid ngemithi:
1. Ungathola imithi yokukhohlisa.
Ngenkathi umcabango wokuthi othile uzothatha isikhathi ukudala uhlobo lokukhohlisa kwesinye isidakamizwa esingabizi kangako singase sibonakale singenasici, sekuye kwaba yinto evamile kakhulu e-US kunokuba abaningi baqaphele.
NgoNovemba 6, 2016, i-US Food and Drug Administration (i-FDA) yase-United States isiqinisekisile ukulingana kwenkinga ngenkathi ikhishwe incwadi ku odokotela isixwayiso ngomkhuba wokuthenga izidakamizwa kumawebhusayithi angaphandle noma okungekho emthethweni.
Esitatimendeni sabo, izikhulu ze-FDA ziqokomisa izinkinga ezivame ukubhekana nazo lapho zibhekene nenkinga ekhulayo, okungukuthi:
- Lezi zidakamizwa zingase zibe yinkohliso, zingcolile, zingasebenzi, noma zingaphephile.
- Izidakamizwa kungenzeka ukuthi azizange zihlolwe ngokuphepha nokusebenza.
- Izidakamizwa zingase zibe nezithako ezingalungile zezithako ezisebenzayo.
- Izidakamizwa zingaqukatha izithako eziyingozi.
Ngo-2016, i-FDA yathumela izincwadi ezingaphezu kuka-1,300 ezenzweni zezokwelapha e-US ezithengile imithi engavunyelwe esuka ku-TC Medical, umhlinzeki ongagunyaziwe we-Botox. Ephendula izigameko, uTC Medical yavuma inecala lokuhlehlisa umkhankaso wezinyanga eziningi wokuthungela imikhiqizo kadokotela engaqondakali eMelika.
Lokhu kungomunye wamacala amaningana ashushiswa ngokungekho emthethweni yi-FDA eminyakeni yamuva.
Ngaphezu kwalokho, kusukela ngo-2010, i-FDA ithole izikhalazo ezingaphezu kuka-1 400 zemiphumela emibi evela ezidakamizwa ezithengwa kumthombo ongenakwenzeka onthanethi. Njengoba inikezwe ukuthi imibiko ikhishwe ngokuphendula umcimbi wezokwelapha omkhulu, kungacatshangwa nje ukuthi isibalo siyiphupho ebhakedeni ngokwezinga langempela le nkinga.
2. Ungathola izidakamizwa eziphelelwe yisikhathi.
Ngendlela efanayo nezidakamizwa ezithile ezifakiwe, ezinye zibiwe njalo futhi zithengiselwa abathengi ngenzuzo enkulu. Ngo-2010, umuthi wezidakamizwa e-Eli Lilly yokugcina impahla e-Enfield, Connecticut wanikeza amaRandi ayizigidi eziyizigidi ezingu-100 ezidakamizwa ezivame ukufakwa, kuhlanganise ne-antipsychotics nemithi yomdlavuza.
Ngonyaka odlule, ukugqekeza okufanayo kufakwe imali eyizigidi ezingu-13 zamaRandi emithini yezokwelapha evela ku-GlaxoSmithKline, okubandakanya i-Advair yezidakamizwa eziyizigidi ezingu-5 zamaRandi.
Nakuba lokhu kusikisela ukuthi amawebhusayithi amaningi angekho emthethweni angaba nemithi "yangempela", cabanga futhi. Isitoreji esingalungile noma izinga lokushisa ngokweqile lingagcina imithi yokugcoba, kanti izidakamizwa eziphelelwe yisikhathi zingase zingasebenzi kuphela kodwa zingagcina zilimaza.
I-Clomid ine-shelf yeminyaka emithathu futhi idinga ukugcinwa emazingeni okushisa ngaphezu kwama-59 o- F nangaphansi kuka-86 o F. Nakuba engeyona isidakamizwa esibucayi ikakhulukazi, noma yikuphi ukudlula kokushisa kunganciphisa ukusebenziseka kwezidakamizwa.
Izidakamizwa eziphelelwe isikhathi kwanoma yiluphi uhlobo, okwamanje, kufanele zigwenywe. Uma uthola izidakamizwa ezibuzayo, isibonakaliso sokuqala senkinga yilapho ilebula lokuphelelwa yisikhathi likhishwa, likhishwa, noma lilahlekile.
Ungayithathi.
3. Ungase ube nesenzo esibi ku-Clomid.
Uma uthengisa i-Clomid emthonjeni ongenakwenzeka ngoba unenkinga yokukhulelwa futhi ungafuni ukubona udokotela, uthanda kakhulu ukucela inkathazo. Ukuzivocavoca akukaze kube yinto ehlakaniphile, futhi, nge Clomid, ubungozi noma iyiphi inombolo yemiphumela emibi, okufaka:
- I-Mood iyashintsha
- Ukushisa okushisayo
- Ubuhlungu besisu, ngezinye izikhathi bunzima
- Ukuphazanyiswa okubonakalayo
- Ukwakhiwa kwe-cyst ovarian
- Ukwehliswa kwe- endometrium yokugcoba kwe- uterine
- Ukukhiqizwa kokunciphisa kwe- mucus yomlomo wesibeletho (okunganciphisa ukulingana kokukhulelwa)
Ngisho noma ngabe uthola ukuthi uphinde ukhethe ukhethe ukuthi isimo sakho singabhekwa, akuhlakaniphile ukucabanga ukuthi unamakhono okuphatha lezi nezinye izinkinga.
4. Ungathola imininingwane yakho yekhadi lesikweletu.
Amaqiniso alula: ngo-2017 yedwa, amaRandi ayizigidi ezingu-16 zamaRandi abiwe ngabathengi baseMelika ngokusebenzisa ukukhwabanisa okuhlobene ne-intanethi. Phakathi kokukhathazeka okuyinhloko kwaba nokwanda kwezigameko zokukhwabanisa kwekhadi-hhayi-present (CNP).
Ekugcineni, ithuba lokhu kwenzeke ngewebhusayithi engathengisa ngemithi imithi kadokotela kuyoba ngaphezulu kunokuthenga itholakala kumthombo wezomthetho. Kungumqondo ovamile.
Izwi elivela ku-Verywell
Uma intengo kungesizathu sokuthi uthenga i-Clomid ngaphandle kwemithi kadokotela, kukhona ama-izaphulelo esakhiweni ongayithola kalula ku-intanethi bese uya endaweni yakho yekhemisi, ekulondolozeni amaphesenti angu-50 noma ngaphezulu.
Uma ufuna i-Clomid ngokungemthetho ngoba udokotela wakho ucabanga ukuthi kufanele uyigweme, thatha isikhathi sokulalela lokho okukhathazayo. Kungakhathaliseki ukuthi ufuna ukukhulelwa, kungase kube khona izingozi zempilo ezingase zingabandakanyi i-Clomid njengendlela enhle kakhulu kuwe. Uma namanje ungabaza, funa umbono wesibili ochwepheshe oqeqeshiwe wokuzala.
Noma ngabe yini oyenzayo, ungacabangi ukuthi iwebhusayithi ephikisayo ingaba "isenzo sokugcina." Kuyindawo yokubhuka okufanele uyigweme ngokuphelele. Uma uke waba yisisulu sokudayiswa kwezidakamizwa, ungafaka umbiko ongaziwa ku-intanethi nehhovisi le-FDA ye-Criminal Investigation.
> Imithombo:
> Eaton, J. "Izidakamizwa ezingekho emthethweni zikhukhumeza ama Pharmacies kanye nezibhedlela zesizwe." I-AARP Health Bulletin; ikhishwe ngoMeyi 2016.
> Isu seJavelin kanye noCwaningo. (2017) 2017 Ukukhwabanisa Ubunikazi : Ukulondeka Ukuxhumana Okuxhunyiwe. I-Pleasanton, eCalifornia: Isu seJavelin noCwaningo.
> Ukuphathwa Kwezokudla Nezidakamizwa zase-US. "I-FDA Imibuzo Yezincwadi Odokotela Abangase Bathengi Izidakamizwa Ezibhalwe Ngokweqile noma ezingavunyelwe." I-Silver Spring, e-Maryland; ibuyekezwe ngomhla ka-Agasti 17, 2017.