Indlela oosokhemesti abanokukunceda ngayo ukuthintela ukusetyenziswa gwenxa kweziyobisi ngugqirha

Ukuphuma

Ukusetyenziswa gwenxa kweziyobisi ngugqirha ukuthatha iyeza olinikwe ngenye indlela ngaphandle kokuyalelwa, okanye ukuthatha amayeza omnye umntu-nokuba kukunceda ngeentlungu, okanye ukunyuka.

Phantse isiqingatha sabemi baseMelika kungenzeka ukuba bathathe iyeza likagqirha kwiintsuku ezingama-30 ezidlulileyo, ngokweedatha ezivela Amaziko oLawulo noThintelo lwezifo (I-CDC). Intsingiselo, kukho amayeza amaninzi ajikeleza kumakhaya kwilizwe liphela. Uninzi lwabantu luthatha njengokuyalelwa, kodwa malunga ne-6% yabaneminyaka eli-12 nangaphezulu-abantu abamalunga nezigidi ezili-18- baye balisebenzisa gwenxa iyeza kunyaka ophelileyo. Ukusetyenziswa gwenxa kweziyobisi kunye noLawulo lweeNkonzo zeMpilo yeNgqondo (SAMHSA).

Ukusetyenziswa gwenxa kweziyobisi vs ukuphathwa gadalala?

Ukusetyenziswa gwenxa kwamayeza amiselweyo , ekwabizwa ngokuba kukungasebenzisi lonyango, kunokuthetha:

• Ukuthatha amayeza ngenye indlela engeyiyo emiselweyo
• Ukuthatha amayeza omnye umntu
• Ukuthatha amayeza ukuze unyuke

Kungabi msulwa, njengokulibala ukuthatha iidosi ezimbini mihla le okanye ukusebenzisa amayeza omnye umntu kwiintlungu ezisemthethweni. Kodwa, nokuba yeyiphi na inkuthazo, ukusetyenziswa gwenxa ngokulula kunokuba kukusebenzisa gwenxa iziyobisi, kunye neziphumo eziyingozi.

Iiklasi ezintathu zamayeza kagqirha aqhelekileyo asetyenziswa gwenxa zii-opioids, inkqubo ye-nervous system depressants, kunye nezivuseleli. Xa kuthathwe ngokungafanelekanga kunokukhokelela ekubeni likhoboka, utyelelo lwe-ER, okanye ukugqithisa kunye nokufa.

Oosokhemesti bangumgca omnye wokuzikhusela ngokuchasene nobhubhane weziyobisi.

Luthini uxanduva lukasokhemesti?

Njengabaqeqeshi bezempilo, i I-Arhente yoNyanzeliso lweziyobisi (I-DEA) ithathela ingqalelo oosokhemesti abanoxanduva lokuthintela ukusetyenziswa gwenxa kwamayeza kunye nokuphambukiswa kweziyobisi.

Phantsi komthetho womdibaniso, oosokhemesti banoxanduva olufanayo nommeli ukuqinisekisa ukuba into elawulwayo yenzelwe injongo esemthethweni yezonyango kwaye ikhosi yesiqhelo yoqeqesho, uchaza uTanya Karwaki, Ph.D., umhlohli IYunivesithi yaseWashington School of Pharmacy . Oosokhemesti babelana nabacebisi uxanduva lokuqinisekisa ukumiselwa kwento elawulwayo iyasebenza ngaphambi kokuba ikhutshwe. Ukongeza ekuthobeleni imithetho yomanyano, oosokhemesti kufuneka bathobele nemithetho yelizwe apho beziqhelanisa khona kubandakanya nemithetho yokujonga inkqubo.

Ngumsebenzi onzima, othabatha ibhalansi yomgwebo wobuchule kunye nonxibelelwano nabathengi bakho.

Iimpawu zokusetyenziswa gwenxa kweziyobisi

Kukho izikhombisi ezithile onokuzijonga ukunceda ukufumanisa ukuba izigulana zifuna nini na unyango ukuze ziphucule ubomi, okanye zifuna izizathu ezingekho mthethweni. Kukho iiflegi ezininzi ezibomvu ekufuneka zithathelwe ingqalelo, ezinye zazo zibandakanya imiba yokuziphatha (izoyikiso zesigulana, ukugqobhoza okugqithisileyo, ukudideka, ukunxila, ukuphazamiseka, uninzi lwezinto ezilawulwa yi-opioid, iikhemesti ezininzi); amayeza athile (ubuninzi okanye iiopioid ezidityanisiweyo, i-benzodiazepines, kunye / okanye i-carisoprodol); kunye nemicimbi engekho mthethweni (isigulana siyavuma ukuba sabelane nomhlobo okanye isihlobo, ubhaliso lwe-DEA okanye iphepha-mvume likarhulumente alisebenzi, okanye amayeza awasetyenziswanga ngendlela engeyiyo kunye nabanikezeli bendawo yokusebenza), utsho uJeffrey Fudin, uFarm.D., umnini kunye nomhleli wokulawula IntlunguDr.com .

Iimpawu zokulumkisa

UKarwaki uthi, Iiflegi ezibomvu ezinokuthi zilumkise usokhemesti zinokubandakanya:

• isigulana sihlawula imali,
• isigulana sihamba umgama ongaqhelekanga ukuzalisa iphepha laso,
• isigulana esihlala sicela ukucelwa kwakhona, kwaye
• isimilo sokuziphatha esingaqhelekanga njengokusebenza ngokungakhathali.

Ukubiza iyeza ngegama lalo lesitalato, umzekelo usithi ziDemmies endaweni yeDemerol, inokuba sesinye isibonakaliso sesilumkiso, ngokwe INgqungquthela kaZwelonke yokuSetyenziswa gwenxa kweziyobisi .

Ummiselo okanye iimpawu zesilumkiso sikagqirha

Izigulana ayizizo kuphela izaphuli mthetho. Oogqirha banokuququzelela ukusetyenziswa gwenxa kweziyobisi, okanye imigqaliselo inokwenziwa. Kwicala lokumisela i-equation, iiflegi ezibomvu zinokubandakanya ukumisela ukubhala ubungakanani obukhulu ngokungaqhelekanga okanye ezinye iipateni ezimiselweyo ezingabonwayo kuluntu lwezonyango olungqongileyo, kunye nokubhala ngaphandle kwendawo yabo ekhethekileyo, ucacisa uKarwaki.

Ukongeza, ezi ndlela zokubonisa zinokubonisa imigqaliselo engekho mthethweni okanye eyenziweyo, ngokuka nika :

• Imiyalelo ngaxeshanye yeziyobisi ezingqubanayo, ezinje ngezivuseleli ezifanayo kunye noxinzelelo
• Imimiselo emininzi yamachiza afanayo avela kugqirha ofanayo kwizigulana ezininzi ezahlukeneyo
• imigqaliselo ebonakala igqibelele kakhulu okanye ibhalwe ngokucocekileyo
• imimiselo ebonakala ikopiweyo
• izikhokelo ezibhalwe ngokupheleleyo ngaphandle kwezishunqulelo zoogqirha eziqhelekileyo
• Imigqaliselo ebhalwe kwimibhalo yesandla eliqela okanye imibala ye-inki

Nokuba umntu ogcwalisa amayeza akabonakalisi zimpawu zokulumkisa, kubalulekile ukuba aqwalasele amayeza ngokwawo ukuze abonakalise ubuqhetseba okanye ukusetyenziswa gwenxa.

Unokwenza ntoni usokhemesti?

Usokhemesti okrokrela ukusetyenziswa gwenxa kweziyobisi ngugqirha kufuneka athobele imithetho yomanyano kunye neyaseburhulumenteni malunga nemigqaliselo esemthethweni, utshilo uKarwaki. Oko kunokuthetha ukuthatha inyathelo. Kuxhomekeka kwimeko ethile, jonga la manyathelo alandelayo.

1. Nxibelelana nommeli.

Ukuba unenkxalabo malunga nokunyaniseka okanye ukusetyenziswa kommiselo, unelungelo kunye noxanduva lokufumana ulwazi oluninzi. Oosokhemesti banokufuna ukunxibelelana nommeli kwaye baqwalasele ukwala ukuzalisa amayeza athile, utshilo uKarwaki.

Ukuthetha nogqirha kunokukunceda ubone ukuba kutheni isigulana sidinga amayeza, kwaye ubone ukuba ngaba iyavumelana neempawu ezibonakalayo zomthengi.

2. Nxibelelana nezinye iikhemesti ezizalise imigqaliselo yesigulana.

Mhlawumbi ikhemesti igcwalise amayeza afanayo kugqirha owahlukileyo kutshanje. Xa amathumbu akho ekuxelela ukuba kukho umba, awunakukhathaza ukufuna ulwazi oluthe kratya.

Ukuba ufumanisa ipatheni yemigqaliselo emibi, okanye ukuxhatshazwa unokuqhagamshelana ne-DEA okanye abasemagunyeni bakarhulumente. Ukuba umgqalisi ngokucacileyo akalunganga kwaye kukho inkxalabo yoluntu kunye / okanye ukhuseleko kwizigulana, usokhemesti unembopheleleko yokuxela lo msebenzi kwibhodi yezobuchwephesha kulawulo lwabo, kodwa ukuba isigulana siyabandakanyeka, kunokuba kufanelekile ukufaka ifayile ingxelo ngamapolisa endawo, utshilo uGqirha Fudin.

3. Buza isigulana iinkcukacha ezingaphezulu.

Kunokubakho isizathu esisemthethweni sokuba isigulana sidinga ukugcwaliswa kwangoko okanye sihlawule imali. Ukuncokola nomthengi wakho kunokwandisa umbono wakho ngale meko, kwaye kuncede ekulawuleni ukusetyenziswa gwenxa kweziyobisi. Qhagamshelana nelizwe lakho Inkqubo yokujonga iziyobisi (PDMP) ukubona ukuba iinkcukacha ezichazwa sisigulana sakho ziyahambelana neepateni ozibonayo kwiziko ledatha.

4. Cebisa isigulana okanye uthumele isigulana kunyango lweziyobisi.

Ukuba amanqaku akho ophando ongezelelweyo malunga nokusetyenziswa gwenxa kweziyobisi, unokufuna ukuba nengxoxo malunga nobungozi bokusetyenziswa gwenxa kweziyobisi kunye namanyathelo alandelayo. Oosokhemesti banokucebisa abaguli kwaye banikezele ngokudluliselwa okanye ngezixhobo malunga nokusetyenziswa gwenxa kweziyobisi, utshilo uKarwaki. Njenge:

• Inombolo yoncedo yeSAMSHA kuzwelonke : 1-800-662-UNCEDO
• IZiko leLizwe leZibonelelo zeziyobisi
• Izibonelelo zeZiko laseMelika laseMelika

5. Kwala ukugcwalisa amayeza amiselweyo.

Zininzi izizathu zokuba ungangakwazi ukugcwalisa amayeza-ngaphandle kokurhanelwa ukuba usebenzisa iziyobisi. Kunokubakho ulwazi oluphosakeleyo, ukubhalwa ngesandla ngugqirha akubikho semthethweni, iyeza alikho kwisitokhwe, okanye linokudibana ngendlela eyingozi nomnye ummiselo.

Kodwa ukuba uyakholelwa ukuba amayeza asetyenziswa ngokungekho mthethweni, ungafuna ukuqaphela ukwala ukuwuzalisa-ukuba nje uphakathi kwamalungelo akho phantsi kwemithetho yelizwe.