Ukusetyenziswa kweziyobisi-icocaine

I-cocoaine yenziwa ngamagqabi esityalo secoca. I-cocoaine ivela njengomgubo omhlophe, onokunyibilika emanzini. Iyafumaneka njengomgubo okanye ulwelo.

Njengesiyobisi esitratweni, icocaine inokuthathwa ngeendlela ezahlukeneyo:

• Ukuyifaka ngaphakathi ngeempumlo (ukuvutha)
• Ukuyinyibilikisa emanzini kwaye uyijoine emthanjeni (ukudubula)
• Ukuxuba neheroin kunye nokujova emthanjeni (ibhola ekhawulezayo)
• Ukutshaya (olu hlobo lwecocaine ibizwa ngokuba yi-freebase okanye crack)

Amagama esitrato e-cocaine aquka ukubetha, i-bump, i-C, iilekese, uCharlie, i-coca, i-coke, i-flake, ilitye, ikhephu, isantya, itot.

Cocaine sisikhuthazi esomeleleyo. Izinto ezikhuthazayo zenza imiyalezo phakathi kwengqondo yakho nomzimba uhambe ngokukhawuleza. Ngenxa yoko, ulumkile kwaye usebenza ngokomzimba.

Cocaine ikwabangela ukuba nengqondo ikhuphe i-dopamine. I-Dopamine yikhemikhali echaphazelekayo kunye nokucinga. Ikwabizwa ngokuba yimichiza yengqondo elungileyo. Sebenzisa icocaine kunokubangela iziphumo ezithandekayo ezinje:

• Uvuyo (imincili, okanye "ukukhanya" okanye "ukukhawuleza") kunye nokuthintela kancinci, kufana nokunxila
• Uziva ngathi ukucinga kwakho kucace gca
• Uziva ngakumbi kulawulo, ukuzithemba
• Ukufuna ukuba kunye nokuthetha nabantu (ngakumbi ubudlelwane)
• Ukwanda kwamandla

Uziva ngokukhawuleza kangakanani ukuba iziphumo zecocaine zixhomekeke kwindlela esetyenziswa ngayo:

• Ukutshaya: Iziphumo ziqala kwangoko kwaye zinamandla kwaye zihlala kwimizuzu emi-5 ukuya kweli-10.
• Ukujova emthanjeni: Iziphumo ziqala kwimizuzwana eyi-15 ukuya kwengama-30 kwaye kugqitywe imizuzu engama-20 ukuya kwengama-60.
• Ukuhlutha: Iziphumo ziqala kwimizuzu emi-3 ukuya kwemi-5, azinamandla kangako kunokutshaya okanye ukujova, kwaye zihlala imizuzu eli-15 ukuya kwengama-30.

Cocaine inokuwenzakalisa umzimba ngeendlela ezininzi kwaye ikhokelele:

• Umnqweno wokunciphisa ukutya kunye nokwehla kobunzima
• Iingxaki zentliziyo, ezinje ngokubetha kwentliziyo okukhawulezayo, ukubetha kwentliziyo ngendlela engaqhelekanga, ukonyusa uxinzelelo lwegazi kunye nokuhlaselwa sisifo sentliziyo
• Ubushushu bomzimba obuphakamileyo kunye nokugungxula ulusu
• Ukuphulukana nenkumbulo, iingxaki zokucinga ngokucacileyo, kunye nemivumbo
• Ixhala, imood kunye neengxaki zeemvakalelo, indlela yokuziphatha enobundlongondlongo okanye enobundlobongela, kunye nemibono
• Ukuphumla, ukungcangcazela, ukuxhuzula
• Iingxaki zokulala
• Umonakalo wezintso
• Iingxaki zokuphefumla
• Ukufa

Abantu abasebenzisa icocaine banamathuba aphezulu okufumana i-HIV / AIDS kunye ne-hepatitis B no-C. Oku kusuka kwimisebenzi efana nokwabelana ngeenaliti ezisetyenzisiweyo nomntu osele bosulelwe sesinye sezi zifo.Ezinye iindlela zokuziphatha eziyingozi ezinokunxulunyaniswa nokusetyenziswa kweziyobisi, ezinjengokwabelana ngesondo okungakhuselekanga, nazo zinokonyusa ithuba lokosulelwa sesinye sezi zifo.

Ukusebenzisa i-cocaine eninzi kunokubangela ukugqithisa. Oku kwaziwa njengokunxila kwecocaine. Iimpawu zingabandakanya ukwanda kwamehlo, ukubila, ukungcangcazela, ukudideka, kunye nokufa ngesiquphe.

I-cocoaine inokubangela iziphene ekuzalweni xa ithathwa ngexesha lokukhulelwa kwaye ayikhuselekanga ngexesha lokuncancisa.

Sebenzisa icocaine kunokukhokelela ekubeni likhoboka. Oku kuthetha ukuba ingqondo yakho ixhomekeke kwi-cocaine. Awunakho ukulawula ukusetyenziswa kwayo kwaye uyayifuna (uyinqwenela) ukuze ufumane ubomi bemihla ngemihla.

Umlutha ungakhokelela ekunyamezelweni. Ukunyamezelana kuthetha ukuba ufuna i-cocaine ngakumbi nangakumbi ukuze ufumane imvakalelo efanayo. Ukuba uzama ukuyeka ukusebenzisa, unokuba neempendulo. Oku kubizwa ngokuba ziimpawu zokurhoxa kwaye zinokubandakanya:

• Iminqweno eyomeleleyo yesiyobisi
• Ukutshintsha kwemo enokwenza ukuba umntu azive edandathekile, emva koko aphazamiseke okanye axhalabe
• Ndiziva ndidiniwe imini yonke
• Ayikwazi ukugxila
• Ukuphendula komzimba njengokuqaqanjelwa yintloko, iintlungu kunye neentlungu, ukonyusa umdla wokutya, ukungalali kakuhle

Unyango luqala ngokwazi ukuba kukho ingxaki. Nje ukuba uthathe isigqibo sokuba ufuna ukwenza into malunga nokusetyenziswa kwecocaine, inyathelo elilandelayo kukufumana uncedo kunye nenkxaso.

Iinkqubo zonyango zisebenzisa iindlela zokutshintsha indlela yokuziphatha ngokucebisa (ukuthetha ngonyango). Injongo kukukunceda uqonde indlela oziphethe ngayo kwaye kutheni usebenzisa icocaine. Ukubandakanya usapho kunye nabahlobo ngexesha lokucebisa kunokunceda ukukuxhasa kwaye kukugcine ungabuyeli ekusebenziseni (ukubuyela kwakhona) kwesiyobisi.

Ukuba unempawu ezinzima zokurhoxa, kuya kufuneka uhlale kwinkqubo yonyango lokuhlala ngaphakathi. Apho, impilo kunye nokukhuseleka kwakho kunokujongwa njengoko uchacha.

Ngeli xesha, akukho yeza inokunceda ukunciphisa ukusetyenziswa kwecocaine ngokuthintela iziphumo zayo. Kodwa, izazinzulu ziphanda amayeza anjalo.

Njengoko uchacha, jolisa koku kulandelayo ukukunceda ukuthintela ukubuyela umva:

• Qhubeka uye kwiiseshoni zakho zonyango.
• Fumana imisebenzi emitsha kunye neenjongo zokutshintsha imisebenzi ebandakanya ukusebenzisa kwakho iziyobisi.
• Chitha ixesha elininzi nosapho kunye nabahlobo ophulukene nabo xa ubusebenzisa. Cinga ukungababoni abahlobo abangabasebenzisi iziyobisi.
• Zilolonge kwaye utye ukutya okusempilweni. Ukuhoya umzimba wakho kuyanceda ukuba uphile kwiziphumo eziyingozi zokusetyenziswa kwecocaine. Uya kuziva ungcono, nawe.
• Gwema izinto ezibangela. Aba banokuba ngabantu obusebenzisa icocaine. Izinto ezinokubangela ukuba ibe yindawo, izinto, okanye iimvakalelo ezinokukwenza ufune ukusebenzisa icocaine kwakhona.

Izixhobo ezinokukunceda kwindlela yakho yokubuyela kwimeko yesiqhelo zibandakanya:

• Ubambiswano lwaBantwana abangenazo iziyobisi - drugfree.org/
• UbomiRing- www.lifering.org/
• Ukubuyiswa kweSMart- www.smartrecovery.org/
• Cocaine Ongaziwayo - ca.org/

Inkqubo yakho yokuncedisa abasebenzi emsebenzini (EAP) ikwangumthombo olungileyo.

Biza ixesha lokubonana nomboneleli wakho wezempilo ukuba wena okanye umntu omaziyo ulikhoboka lecocaine kwaye ufuna uncedo ukuze uyeke ukusebenzisa. Fowunela kwakhona ukuba uneempawu zokurhoxa ezikukhathazayo.

Ukusetyenziswa gwenxa kweziyobisi-icocaine; Ukusetyenziswa gwenxa kweziyobisi-icocaine; Ukusetyenziswa kweziyobisi-icocaine

IKowalchuk A, iRed BC. Ukuphazamiseka kokusetyenziswa kweziyobisi. URakel RE, uRakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier; 2016: isahluko 50.

IZiko leLizwe lewebhusayithi yokuSetyenziswa gwenxa kweziyobisi. Cocaine. www.drugabuse.gov/publications/research-reports/cocaine/what-cocaine. Ukuhlaziywa ngoMeyi 2016. Kufikeleleke ngoJuni 26, 2020.

I-Weiss RD. Iziyobisi zokuxhatshazwa. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl 31.

• Cocaine