Kunyange zvazvo zvirwere zvinodhaka zvinoshanda chaizvo pakubvisa kuora mwoyo, zvinoita kuti vamwe varwere-kunyanya, vaduku-vangave vachinzwa zvakanyanya pavanotanga kutora kuora mwoyo kana kuti pavanoshandura muyero yavo.
Black Box Warning
Muna Gumiguru 2004, US Federal Drug Administration (FDA) yakabudisa izvo zvinozivikanwa se "bhokisi-rima-nyevero" nyevero inotaura kuti vamwe vanodzvinyirira, iyo inoshandiswa kune vechidiki vane makore makumi maviri nemaviri uye pasi, vanogona kuwedzera mungozi wekuzviuraya nemafungiro.
Zvisinei, FDA yakataura kuti kwakanga kusina sangano rakawanikwa pakati pezvinodhaka nekushandisa kuzviuraya uye mafambiro kuvanhu vakuru pane makore 24. Mukuwedzera, zvinodhaka zvinoratidzika zvichionekwa kuderedza dambudziko kune vanhu vakuru vane makore makumi matanhatu nemaviri kana kupfuura.
Iyi nyema yebhokisi nyevero, iyo ndiyo inonyanya kukurudzira yambiro inogona kubudiswa maererano nemishonga yekurapa, yakarayirwa mushure mekudzokorora kwakakwana kwezvinhu zvose zvinowanikwa mumakiriniki, kusanganisira zvisina kunyorwa, pamusoro pekushandiswa kwevanorwara nevana nevechiri kuyaruka.
Chidzidzo chacho chaisanganisira mamiriyoni makumi maviri nemasere ekuedzwa kwemazuva mapfumbamwe ekurwisana kwakasiyana siyana anoshandiswa mune vanopfuura 4 400 vana nevechiri kuyaruka. Mukuwedzera, pakanga paine mamiriyoni makumi mashanu nemakumi mashanu emakiromita emaminetsi gumi nemaviri ekurwisana akabatana nevarwere vakura mazana manomwe.
Kunyange zvazvo njodzi yekuzviuraya yakasiyana pakati pezvinodhaka, muenzaniso wekuona kuwedzera kuzviuraya kune vechidiki vakaramba vakatendeka kune madzimai ose akadzidza.
Zvinofanira kuonekwa kuti hapana kuzviuraya kwakangoitika pakati pevechidiki vadzidza. Kunyange zvazvo paiva nevamwe kuzviuraya pakati pevanhu vakuru vakadzidza, nhamba dzaive shomanana kuti chero zvipi zvingagadziriswa kuti zvive kana zvinodhaka zvinoshandiswa zvinoshandiswa zvikonzero. Icho chinofanira kutarirwa mupfungwa kuti kuora mwoyo kunowanzozivikanwa pangozi yekuzviuraya uye hakugone kubudiswa kunze kwezviitiko izvi.
Bhokisi rakasvibira rinonyevera zvakare rinoratidza kuti varwere vezera rose vanofanira kuongororwa zvakanyanya pavanotanga kurapwa nevanorwara. Vanofanira kutarisa chero zviratidzo zvekuwedzera kuora mwoyo, kuwedzera kuzviuraya kana kuchinja maitiro. Mukuwedzera, mhuri uye vamwe vakatarisira vanofanira kurayirwa kuti vataure chiremba wemurwere kana mumwe mukana wezvechiremba akakodzera muitiko apo chero matambudziko anoitika.
Zvokutarisira
Kunyanya, iyo FDA inokurudzira kuti mupi wehutano wehutano angabvunzwe kana iwe-kana munhu wauri kutarisira-kuona chimwe chezviitiko zvinotevera:
- pfungwa dzekuzviuraya kana kufa
- kuzviuraya kuzviedza
- chitsva kana kuwedzera kuora mwoyo
- kutsva kana kuwedzera kunetseka
- kutsva kana kuwedzera kukuvadza
- manzwiro okushungurudzika kana kusagadzikana
- panic attack
- zvinetso nehope
- utsinye, kutsamwa kana chisimba
- kushuva
- kuwedzera zvakanyanya mubasa kana kutaura (zviratidzo zvemania)
- chero humwe humwe usingaoneki kuchinja mumanzwiro kana mufambiro
Kunyange zvazvo kucheneswa kwebhokisi bhokisi kunogona kuita kuti vamwe vaone kuti vane hanya, vanofanira kuziva kuti zvikomborero zvinowanikwa pakurapa kuora mwoyo nemunhu anodzvinyirira zvakanyanya kudarika zvinowanzoitika mumatambudziko akawanda. Kutadza kusaora mwoyo kwakaoma zvikuru uye zvinowanzoita kuti munhu azviparadze kupfuura kupesana nehuwandu.
Nyevero inongowanikwa kuitira kuti vanhu vawane ruzivo rwechiitiko ichi uye vatore matanho akakodzera kuti vabatsirwe kana vakatanga kutonzwa zvakanyanya.
Sources:
"Kushungurudzika Kwemishonga Yevana Nevana Vachiri Kuyaruka: Mashoko Kune Vabereki Nevanotarisira." National Institute of Mental Health . National Institutes of Health.
Ho, Dien. "Anodzvinyirira uye FDA's Black-Box Warning: Determining Rational Public Policy muKusisina Uchapupu Hwakakwana." Virtual Mentor . 14.6 (June 2012): 483-488.
"Mishonga Gwaro Rinopesana Nezvemishonga, Kuora Mwoyo uye Zvimwe Zvirwere Zvirwere Zvoutano, uye Kuzviuraya Mifungiro kana Mabasa." US Food and Drug Administration . Dhipatimendi reUnited Health Health and Human Services.
"Mibvunzo nemhinduro pamusoro pekudzivirira kuzvidzora muvana, vana vaduku, uye vakuru: May, 2007." US Food and Drug Administration . Dhipatimendi reUnited Health Health and Human Services.
" Kuratidzirwa Kugadzirwa Kwekushandisa ." US Food and Drug Administration . Dhipatimendi reUnited Health Health and Human Services.