IHeroin: Amabali oMlutha
Umxholo
Owayesakuba likhoboka
UTracey Helton Mitchell
Igama lam ndinguTracey Helton Mitchell. Ndingumntu oqhelekileyo onebali elingaqhelekanga. Ukuhla kwam kumlutha kwaqala xa ndandikwishumi elivisayo, emva kokuba ndinikwe ii-opiates zokukhutshwa kwamazinyo obulumko. Zange ndayiqonda into encinci njengepilisi enokuba neziphumo ezinkulu kangaka ebomini bam.
Opiates yayizizisombululo endandizifuna, zonke endaweni enye. Xa ndithatha i-opiates, zonke iingxaki zam zazibonakala zinyibilika. Zonke iingxaki zam zanyamalala ngalo mzuzu. Ndiqhubekile nokuleqa olovakalelo kangangeminyaka eli-10 engaphezulu, ezisibhozo zazo bezikwisiyobisi esisebenzayo.
Ndingumfundi othembisayo ogcwele ukulindela okukhulu, kodwa andizange ndoneliseke yindlela endiziva ngayo kulusu lwam. Lo ngumsonto oqhelekileyo odibanisa abasebenzisi abaninzi. Ukufumana isiqabu sexeshana kuxinzelelo, unxunguphalo, okanye uloyiko yindlela eqhelekileyo yokusabela xa usebenzisa iziyobisi. Ngelishwa, ekuhambeni kwexesha, isisombululo siba yingxaki ekhulayo.
Ngasekupheleni kweminyaka yoo-1990, iminyaka emibini yobomi bam njengekhoboka le-heroin yabhalwa kwifilimu ye-HBO I-Black Tar Heroin: Ukuphela okumnyama kwesitalato. Iminyaka yam yobukhoboka obusebenzayo yayiphelile kukungabi namakhaya. Ekugqibeleni ndakwazi ukuyeka ukusebenzisa iziyobisi, kodwa ngaphambi kokuba ndiye kwindawo endandingazange ndicinge ukuba inokwenzeka kumntu onjengam.
Ngelixa abasebenzisi abaninzi bengafikeleli kwiindawo endandisiya kuzo, iimvakalelo ziyafana. Kukho uvakalelo olunamandla lokuba akukho ndawo yokubaleka. Umsebenzi wokuyeka ukusebenzela ubonakala ungenakoyiswa. Iintlungu zokusetyenziswa kwemihla ngemihla zikhupha kancinci uvuyo ebomini ziye kwindawo apho ukutya konke, umkhuba obuhlungu uxela iingcinga kunye neemvakalelo zakho.
Iminyaka yokusebenzisa iziyobisi yathatha umthwalo emzimbeni nasengqondweni yam. Ndandinosulelo oluninzi lwezihlunu ezithambileyo ezinxulumene nenkqubo yenaliti engafakwanga, kwaye ndandibhitye kakhulu. Ndandingenabo ubudlelwane obunentsingiselo. Uninzi lwazo zonke, ndandidiniwe kukuphila nokusebenzisa ukuhlala.
Ndabanjwa ngoFebruwari ka1998, kwaye saqala apho ke ubomi bam obutsha. Xa ekugqibeleni ndenza isigqibo sokucela uncedo, andizange ndibuyele kumlutha osebenzayo.
Zininzi iindlela zokubuyela kwimeko yesiqhelo. Indlela endiyibandakanyeyo ibandakanya inkqubo yamanyathelo ali-12 kunye nendawo yokuvuselela. Kwabanye, ukuchacha kunokubandakanya ukusebenzisa i-opiate therapy. Xa uthatha isigqibo sokunciphisa okanye ukuyeka iziyobisi, le nkqubo inokuba buhlungu ekuqaleni. Nangona kunjalo, emva kokungakhululeki kokuqala, uya kuqala ukuziva ungcono.
Fumana inkxaso malunga nesigqibo sakho. Abanye abantu banamava okurhoxa emva kwexesha (i-PAWS), ke zilungiselele iintsuku ezintle kunye neentsuku ezimbi. Into ebalulekileyo ekufuneka uyikhumbule kukuba nguwe unako buyisa ubomi bakho. Ngaphantsi nje kweveki, ubomi bakho bonke buya kuqala ukuba bungcono.
Ndibubungqina obuphilayo bokuba ukubuyela kwimeko yesiqhelo kunokwenzeka.
Umntu Omthandayo
UBree Davies
Emva kokuba ilungu losapho ndandisondele kakhulu ukuba lindixelele ukuba basebenzise i-heroin, ndothuka. Ndandikhathazekile, ndinenkxalabo, kwaye ndisoyika, kodwa ubukhulu becala ndandibhidekile. Ndingathini ukuba ndingazi ukuba umntu endimthandayo wenza i-heroin?
Ekuqaleni, ndazibeka ityala. Kuya kufuneka ndiphoswe zimpawu ezicacileyo. Ndilikhoboka lotywala ngokwam, kwaye ngokuqinisekileyo ngendikhe ndaziphatha ngokuziphatha kwabo ukuba bendinikele ingqalelo. Kodwa kuyo yonke inyani, andinakuba nayo.
Ukusetyenziswa kweHeroin - njengokusetyenziswa gwenxa kweziyobisi- yinto efihlakeleyo. Rhoqo, abantu abakufutshane nomlutha abazi ukuba umntu usebenzisa ntoni.
Nje ukuba ndikwazi ukufumanisa ukothuka kokuqala kwale meko, ndiye ndaqala ukukhangela i-Intanethi ngalo naluphi na ulwazi. Ndingalufumana njani uncedo lomntu endimthandayo? Ndiqale ngaphi?
Ukukhangela okusisiseko kukhokelele kwinto engenanto ngendlela yokuxhasa okanye ukufikelela kwezixhobo. Iinkqubo ze-Detox kunye neenkonzo zokubuyisela kwimeko yesiqhelo kubonakala ngathi zibiza kakhulu okanye zinenkcukacha kakhulu kwaye zinzima kum ukuba ndazi ukuba umntu wam endimthandayo unokuzisebenzisa. Ndidinga nje umntu endinokuthetha naye andincede ndenze isicwangciso sokwenza, kodwa bendingazi ukuba mandiye phi.
Ndinomhlobo owayekhe wakwimeko efanayo, ke ndaye ndafika kuye. Undikhokhele kwiKlinikhi yokuNciphisa iHarm eDenver, eColorado, apho ndihlala khona. Ibingumsindisi wobomi: bendikwazi ukuthetha nomntu buqu ngaphandle koloyiko okanye isigwebo. Apho, ndakwazi ukufumanisa malunga nokufumana iingcebiso simahla okanye ngexabiso eliphantsi kum nakwisithandwa sam, iinkqubo ezahlukeneyo zokukhupha idosi kuloo ndawo, kunye nendlela esinokuzisebenzisa ngayo. Eyona nto ibaluleke kakhulu, ikliniki yayiyindawo apho siziva sikhululekile xa sithetha ngeheroin.
Indlela "yokunciphisa ingozi" yonyango isekwe macala onke kwizicwangciso kunye nenkxaso ethatha ihlazo kuphumo lweziyobisi. Iintloni zihlala zityhala amakhoboka ngakumbi ekuzimeleni nasekude kude nabantu obathandayo.
Endaweni yoko, ukunciphisa ingozi kujonga ukunceda abo bakumlutha ngokunikela ngenkxaso ebonakalayo kunye nemfundo ngelixa kuncitshiswa iziphumo ezibi ezinxulumene nokusetyenziswa kweziyobisi. Ngaphambi kokuba ndijamelane nale meko, ndandingazange ndeva ngokuncitshiswa komonakalo.
Ukuba wena okanye umntu omaziyo ulwa ne-heroin umlutha kwaye ungaqinisekanga ukuba ungalufumana phi uncedo okanye isikhokelo, cinga ngokunciphisa ingozi. Okungenzi nzuzo kwilizwe liphela kuyalusebenzisa olu hlobo lonyango. Ukuthatha ihlazo kunye nokubekwa bucala ekusebenziseni i-heroin kunye nokuyitshintsha ngenkxaso kunye nemfundo kungenza umahluko omkhulu kumntu onomlutha kunye nabo bafuna ukunceda othandekayo kunye nabo.
Ugqirha
Ongaziwayo
Abasebenzisi be-heroin abangena kwiminyango yethu bahlala bewela kwelinye lamacandelo amabini ngokubanzi: baqala kwaye baqhubela phambili ngokusebenzisa iziyobisi ngokungekho mthethweni, okanye baqhubela phambili ukusuka kwi-opioid pain analgesics eya kwi-heroin.
Umsebenzi wam uza neendima ezintathu eziphambili:
- Yaphula imbali yabo yokusebenzisa.
- Ukuzinzisa kwezonyango okanye ukubathumela kwinqanaba eliphezulu lononophelo.
- Yenza uvavanyo olucacileyo nolunenjongo kwiilwandle ezinolwandle apho iqhawekazi libethe umngxuma kwisikhephe sabo.
Yonke imihla sibona amathumba, amanqaku emikhondo, i-hepatitis, ukukhanyela, kunye nengqondo. Ukuva amalungu osapho aswelekileyo kuqhelekile. Isibonelelo sethu kutshanje siphathe umfazi osele ekhulile owayengumsebenzisi ofakwa ngaphakathi ngemithambo emibi, eqengqelekayo. Wayengasakwazi ukujova i-dope ngokuchanekileyo, ngenxa yoko wayephuculwa ngu "ukuphuma kwesikhumba:" ukudubula i-heroin kulusu nakwizihlunu, kudala ukubola okukhulu, ulonda, kunye neziphumo ezixhonyiweyo kwiingalo zombini. Iintsuku zakhe zokuba phezulu zazide zadlula. Wayesenza i-heroin ixesha elide kangangokuba wayeyithatha nje ukuthintela ukurhoxa.
Ukurhoxiswa kwemisipha kwenza izihlunu kumqolo wakho osezantsi, zisibambe isisu sakho, zikwenze ukuba uphose phezulu, kwaye zikunike ukukhanya okutshisayo nokubandayo. Ngokusisiseko, wenzakalisa. Xa usiya ekurhoxisweni, amehlo akho ayakrazuka, uzamla rhoqo, kwaye ukungcangcazela kunokungalawuleki. Ndakhe ndabona indoda incitshisiwe ukuba ingabinako ukubopha izihlangu zayo. Ndamnceda ndambeka "ebhasini" (wamthumela kwinqanaba eliphezulu lenkathalelo).
Sisebenzisa iSuboxone ukunciphisa inkqubo yokurhoxa. Iyeza eli liqukethe i-buprenorphine kunye ne-naloxone, ezihlala kwiindawo ezifanayo ze-receptor kwingqondo njenge-heroin, ukunciphisa kunye nokwenza lula ukugungqa ngaphandle kwekhephu lomntu ophantsi, njengokwenza idope.
Sineprogram ye-taper eqala kumyinge ophakathi kunye nokwehlisa umntu kwi-zero emva kweeveki ezintandathu. Abantu abanomlutha bayayikhetha kuba inokubonelela ngokuziyekisa kwilifu leheroin elisekwe ngenye indlela apho umntu engasebenzi kakuhle. Inceda ngokwasemzimbeni, kodwa ayithandwa phakathi kwabanye abasebenzi kuba ayenzi nto kwimeko yengqondo yokuba likhoboka. Oko kuza kukuzimisela ukutshintsha, kwaye akukho ndlela imfutshane yokwenza oko.
Ukucoceka akuyiyo indawo yokuqala kubantu abaninzi abaxhomekeke kwiheroin. Ukuqala kuqala ngokuvuma ukuba ingxaki ayinakulawuleka, ayisenakuhoywa, kwaye ekugqibeleni iyakubabulala.
Kwinkoliso, ubuncinci bokuziyeka kunokucingelwa njengesiyobisi, kwaye xa into entsha iphela, baphinde babuyele ekusebenziseni. Lo mjikelo kufuneka wophulwe ukuze umsebenzisi afike kwindlela enzima yokubuyisela kwimeko yesiqhelo.