Iinkampani zeziyobisi phantsi koPhando yiSenethi yeNxulumano enokwenzeka kwi-Opioid Epidemic
Umxholo
Xa ucinga "ubhubhane," unokucinga ngamabali amadala malunga nesibetho se-bubonic okanye izoyikiso zale mihla ezinje ngeZika okanye ii-STI ze-super-bug. Kodwa esona sifo sikhulu nesoyikisayo iMelika ejongene nayo namhlanje ayinanto yakwenza nokukhohlela kunye nokuthimla, okanye nokutyeba kakhulu. Ngamachiza. Kwaye asithethi ngohlobo olungekho mthethweni.
Inani elikhulu labantu baseMelika likhoboka leziyobisi ze-opioid. Kuqikelelwa ukuba abantu abangama-33,000 babulawa zizifo ezinxulumene ne-opioid ngo-2015 e-U.S. Malunga ne-15,000 yabo yayixhumene ngqo neepilisi zokunyanga iintlungu, ngokweZiko loLawulo lweZifo noThintelo. Elo nani linayo iphindwe kane ukusukela ngo-1999. Ngaphandle kokuthetha, ayilunganga. (Ulwazi ngamandla, yiyo yonke into ekufuneka uyazi ngaphambi kokuba uthathe iipilisi zeentlungu.)
Kungenxa yoko le nto ikomiti yeSenate ivula uphando malunga nokuba iinkqubo ezintlanu eziphambili zamayeza zase-US, zonke ezivelisa amayeza okuphelisa iintlungu, ziye zalusebenzisa gwenxa uxinzelelo lwe-opioid olukhokelele ekuswelekeni kwabantu abaninzi. I-Senate ijonge kwi-Purdue Pharma, icandelo likaJohnson & Johnson's Janssen, i-Insys, iMylan, kunye ne-Depomed, icela ulwazi malunga nokuthengisa kunye nempahla yokuthengisa, izifundo zangaphakathi malunga nokulutha, ukuthotyelwa kokuhlaliswa okusemthethweni, kunye neminikelo kumaqela abameli, ngokukhutshwa ngu iKomiti yeSenethi yase-US yoKhuseleko lweLizwe kunye neMicimbi kaRhulumente.Ingxelo yekomiti yesifo se-opioid ithi ezi nkampani zisebenzisa iindlela zokuthengisa ezithandabuzekayo (njengokunciphisa umngcipheko wokuba likhoboka kunye nokuqala izigulana kwiidosi eziphezulu kakhulu) kunye nokubonelela ngezohlwayo ezingekho mthethweni ukukhuthaza oogqirha nabongikazi ukuba banike iimveliso zabo ze-opioid.
"Lo bhubhane sisiphumo ngqo sokubala kunye necebo lokuthengisa abenzi abakhulu be-opioid batyholwa kule minyaka ingama-20 idlulileyo ukwandisa isabelo sabo sentengiso kunye nokwandisa ukuxhomekeka kubantu abanamandla nabasoloko bebulala iintlungu ... ezinye iindlela, ukunciphisa umngcipheko wokulutha kwiimveliso zabo kunye nokukhuthaza oogqirha ukuba bamisele i-opioids kuzo zonke iimeko zentlungu kunye namanani aphezulu, "wabhala uSenator wase-US uClaire McCaskill waseMissouri kwiileta zakhe eziya kwiinkampani.
I-opioids isebenzisana ne-receptors kwiiseli zemithambo-luvo emzimbeni nasengqondweni ukuvelisa euphoria ngaphezu kokuthomalalisa iintlungu, nto leyo ebangela ukuba basoloko bexhatshazwa, ngokutsho kweZiko leSizwe lokuSebenzisa iziyobisi (NIDA). I-opioids yonyango ibandakanya i-oxycodone (ex: i-OxyContin), i-hydrocodone (ex: i-Vicodin), i-morphine, kunye ne-methadone, ezisetyenziselwa ukunyanga iintlungu ezixineneyo kwaye zihlala zimiselwe emva kotyando okanye ukwenzakala, okanye iimeko ezinje ngomhlaza, ngokutsho kwi-CDC. Emva koko kukho amayeza e-fentanyl-i-opioid pain reliever ye-50 ukuya kuma-100 enamandla ngakumbi kune-morphine, kwaye isetyenziselwa kuphela ukunyanga iintlungu. Ngelixa unokufumana i-fentanyl kagqirha, kukwakhona imakethi engekho semthethweni yeziyobisi, ethi i-CDC inike ingxelo ngoyena nobangela wokufa okuninzi okunxulumene nefentanyl kunye nokugqithisa.
I-CDC iqikelela ukuba ngo-2014 kuphela, ngaphezu kwezigidi ezi-2 zaseMelika zazixhomekeke kumayeza okuphelisa iintlungu. Ngelixa isiqingatha sokufa kwe-opioid kuvela kwizinto enye Ngaphandle kwezidambisi zentlungu, la machiza anokuba ngamasango kolunye usetyenziso lwe-opioid (kubandakanya imithombo engekho mthethweni, njengeheroin). Ngapha koko, abane kwi-heroin entsha baqala ukusebenzisa iipilisi zokuthomalalisa iintlungu, ngokwe American Society of Addiction Medicine. Ngapha koko, ukuthatha amayeza okudambisa iintlungu kumonzakalo webhasikithi yeyona nto ikhokelela ekubeni likhoboka leheroin kulo mfazi uselula.
Ezinye zeenkampani ziphendule iileta zikaMcCaskill: uPurdue Pharma uxelele i-CNBC, "Ingxaki ye-opioid iphakathi kwemiceli mngeni yezempilo kwilizwe lethu, yiyo loo nto inkampani yethu izinikele iminyaka ukuba yinxalenye yesisombululo." Isithethi se-J & J Janssen sathi, "Siyakholelwa ukuba senze ngokufanelekileyo, ngentembeko, kwaye sinomdla kwizigulana malunga namayeza eentlungu ze-opioid, ezamkelwe yi-FDA kwaye zithwala izilumkiso ezigunyaziswe yi-FDA malunga nemingcipheko eyaziwayo yamayeza kwi yonke ileyibhile yemveliso." U-Mylan uthe "bayayamkela umdla we-senator kulo mbandela ubalulekileyo kwaye sabelana ngeengxaki zakhe malunga nokusetyenziswa gwenxa kwe-opioids kagqirha," kwaye "nangona singumdlali omncinci kule ndawo, sizibophelele ekuncedeni ukufumana isisombululo kumcimbi wokuphathwa gadalala kwe-opioid. nokusetyenziswa gwenxa. "
Nokuba uphando lutyhila ntoni na, kubalulekile ukwazi izinto zakho xa kufikwa kwinto ekwisiliphu se-Rx esivela kugqirha wakho. Kuya kufuneka uyazi nezimpawu eziqhelekileyo zokuxhomekeka kwiziyobisi kunye nokuxhatshazwa. Ezinye iindaba ezimnandi ukukunceda uzive a encinci bhetele malunga nalo mbandela udimazayo: Ukuzilolonga kunokuba yeyona nto ilungileyo ukunceda ukulwa umlutha we-opioid. (Emva kwayo yonke loo nto, ukuphakama kwembaleki yomelele njengeziyobisi.)