I-Oxycodone kunye notywala: Ukudityaniswa okunokubakho kweLethal

Umxholo

• Isebenza njani i-oxycodone
• Usebenza njani utywala
• Ukuthatha i-oxycodone kunye notywala kunye
• Abantu baxuba kangaphi i-oxycodone kunye notywala?
• Wazi njani ukuba ufuna unyango lweziyobisi?
• Luthini unyango lweziyobisi ze-oxycodone? Ukulutha kotywala?
• Unyango ngokuziphatha okanye ukucebisa
• Amayeza
• Amaqela enkxaso
• Ulufumana njani unyango okanye inkxaso yokulutha
• Ukukhetha umcebisi ngeziyobisi
• Umgca wezantsi

Ukuthatha i-oxycodone kunye notywala kunokuba neziphumo eziyingozi kakhulu. Kungenxa yokuba omabini la machiza ayadandatheka. Ukudibanisa ezi zimbini kunokuba nefuthe lokudibana, oko kuthetha ukuba isiphumo samachiza omabini ngokudibeneyo sikhulu kunokuba sisetyenziswa ngokwahlukeneyo.

Isebenza njani i-oxycodone

I-Oxycodone imiselwe ukukhululeka kwentlungu. Kuxhomekeka kuhlobo lwethebhulethi, inokulawula iintlungu ukuya kuthi ga kwiiyure ezili-12 njengeyeza lokukhupha ixesha. Oku kuthetha ukuba iziphumo zeli yeza zikhutshwa ixesha elide kunokuba zibekho ngexesha elinye.

Amandla e-oxycodone athelekiswa ne-morphine. Isebenza ngenkqubo ye-nervous central ukutshintsha impendulo yethu kunye nokuqonda iintlungu. Ukongeza ekunciphiseni iintlungu, i-Oxycodone inokuchaphazela umzimba ngezi ndlela zilandelayo:

• ukubetha kwentliziyo kunye nokuphefumla
• uxinzelelo lwegazi oluphantsi
• isiyezi
• isicaphucaphu
• ukwanda koxinzelelo kulwelo kwingqondo nasemqolo

Ngenxa yokuba i-oxycodone inokubangela iimvakalelo zokonwaba okanye imincili, ikwangumlutha kakhulu. I-arhente zolawulo kudala zixhalabile yindlela ekukhobokisa ngayo. Ukuya phaya ngeminyaka yee-1960, imibutho efana neOfisi yeZizwe eziManyeneyo yeZiyobisi noLwaphulo-mthetho yayichaza njengechiza eliyingozi.

Usebenza njani utywala

Utywala abusebenzisi iyeza lokunyanga. Abantu batya utywala ikakhulu kwiziphumo zokutshintsha kwemood. Utywala busebenza ngenkqubo ye-nervous system kunye noxinzelelo okanye ukucotha ukusebenza kweendawo ezahlukeneyo zobuchopho.

Xa usela utywala, ezinye zenziwa umzimba wakho. Ukuba uchitha ngaphezulu kunokuba umzimba wakho unokuqhubekeka, ukongeza okuqokelelweyo egazini lakho kwaye uye kwingqondo yakho. Iziphumo zotywala emzimbeni zibandakanya:

• ukucinga okucothayo
• ukunciphisa ukuphefumla kunye nokubetha kwentliziyo
• yehlisa uxinzelelo lwegazi
• Ukungakwazi ukwenza izigqibo
• ukulungelelaniswa okungalunganga kunye nezakhono zemoto
• isicaphucaphu nokugabha
• ukulahleka kwengqondo

Ukuthatha i-oxycodone kunye notywala kunye

I-Oxycodone kunye notywala obuthathwe kunye bunokuba neziphumo ezibi. Iziphumo zokuzixuba zinokubandakanya ukucothisa okanye nokuyeka ukuphefumla okanye intliziyo, kwaye kungabulala.

Abantu baxuba kangaphi i-oxycodone kunye notywala?

Ukusetyenziswa gwenxa kweziyobisi, kubandakanya ne-opioid kunye notywala, iyaqhubeka nokuba yinkxalabo yezempilo e-United States. Ngapha koko, ukujongana nokulutha kunye neeopioid kudweliswe njengenye yezona zinto ziphambili kuRhulumente wase-U.S.

Phantse abantu abangama-88,000 bayasweleka ngenxa yezizathu ezinxulumene notywala unyaka nonyaka, ngokweZiko leLizwe kuTywala kunye noTywala (NIAAA). Phantse i-130 yabantu e-United States bayafa suku ngalunye ngenxa yokugqithisa kweziyobisi ze-opioid, ngokwe-National Institute on Drug Abuse (NIDA).

• Utywala babubandakanyeka ekufeni kunye nakwindwendwe kwigumbi likaxakeka ebandakanya ukusetyenziswa gwenxa kwe-opioids ka-2010, ngokweCenters for Disease Control and Prevention (CDC).
• Ngaphezulu kweepesenti ezingama-50 zolutsha olusebenzisa gwenxa ii-opioid ezichaze ukudibanisa i-opioids kunye notywala kunyaka omnye, ngokwe-NIDA.
• Ngokophando lwakutsha nje kwiphephancwadi, i-Anesthesiology, ukudibanisa utywala kunye ne-oxycodone kukhokelele ekunyukeni okukhulu kwinani lamaxesha abathathi-nxaxheba bafumana ukuyeka okwethutyana ekuphefumleni. Esi siphumo saxelwa ngokukodwa kubathathi-nxaxheba abadala.

Wazi njani ukuba ufuna unyango lweziyobisi?

Eminye imiqondiso yokuba wena okanye umntu omthandayo unokuba likhoboka le-oxycodone, utywala, okanye ezinye iziyobisi zinokubandakanya:

• ukuba nomnqweno onamandla weziyobisi ezikhuphisana nezinye iingcinga okanye imisebenzi
• Ukuziva ngathi ufuna ukusebenzisa iyeza rhoqo, elinokuba mihla le okanye ngamanye amaxesha ngemini
• Ukufuna ngakumbi nangakumbi ichiza ukufumana isiphumo esinqwenelekayo
• ukusebenzisa iziyobisi sele kuqale ukubuchaphazela ubomi bakho, ikhondo lomsebenzi, okanye imisebenzi yasekuhlaleni
• ukuchitha ixesha elininzi kunye nemali okanye ukuzibandakanya ekuziphatheni okuyingozi ekufumaneni nasekusebenziseni iziyobisi
• ukufumana iimpawu zokurhoxa xa uyeka ukuthatha iyeza

Luthini unyango lweziyobisi ze-oxycodone? Ukulutha kotywala?

Zininzi iindlela zonyango ezikhoyo ze-oxycodone okanye utywala. Amanqanaba okuqala onyango abandakanya ukukhutshwa emzimbeni. Oku kubandakanya ukukunceda ngokukhuselekileyo ukuba uyeke ukuthatha iziyobisi.

Unokufumana iimpawu zokurhoxa ngexesha lale nkqubo. Kuba ezi mpawu zinokuba nzima, kungafuneka ukhuphe idetox kwindawo yezonyango phantsi kweliso labaqeqeshi bezonyango ukunceda ukuqinisekisa ukhuseleko lwakho.

Iimpawu ezibonakalayo zokurhoxa kwi-oxycodone kunye notywala zinokuba nzima. Nazi izinto eziqhelekileyo:

• ixhala
• ukuphazamiseka
• ukuphuthelwa
• isicaphucaphu nokugabha
• iintlungu zemisipha
• Iimpawu ezinjengomkhuhlane (ukugodola, impumlo egudileyo, kunye nezinye)
• urhudo
• uloyiko
• ukubetha kwentliziyo ngokukhawuleza
• igazi elonyukayo
• ukubila
• intloko elula
• intloko ebuhlungu
• izandla ezingcangcazelayo okanye ukungcangcazela okugcweleyo emzimbeni
• ukudideka, ukudideka
• ukuxhuzula
• I-delirium tremens (i-DTs), imeko esongela ubomi evelisa izinto ezingekhoyo kunye nokukhohlisa

Kuxhomekeka kwimeko yakho, isicwangciso sakho sonyango sinokuba sesiphathamandla okanye isigulana. Uhlala ekhayeni lakho ngexesha lokunyanga ngaphandle xa uhlala kwiziko lokuvuselela ngexesha lonyango. Umboneleli wakho wezononophelo lwempilo uza kusebenza nawe ukuxoxa ngeendlela onokukhetha kuzo, iingenelo kunye neengozi zomntu ngamnye, nokuba zingabiza malini.

Unokufumanisa ukuba usebenzisa indibaniselwano yezinye zeendlela eziqhelekileyo zonyango.

Unyango ngokuziphatha okanye ukucebisa

Olu hlobo lonyango lunokwenziwa ngengcali yezengqondo, ugqirha wezifo zengqondo, okanye umcebisi ngeziyobisi. Inokwenzeka kwakhona ngokwahlukeneyo okanye kuseto lweqela. Iinjongo zonyango zibandakanya:

• Ukuphuhlisa iindlela zokumelana neminqweno yeziyobisi
• ukusebenza kwisicwangciso sokuthintela ukubuyela umva, kubandakanya nendlela yokuphepha iziyobisi okanye utywala
• Xoxa ngento omawuyenze xa ubuyela umva
• ukukhuthaza uphuhliso lwezakhono zobomi ezisempilweni
• ukugubungela imiba enokuthi ibandakanye ubudlelwane bakho okanye umsebenzi kunye nokujongana nezinye iingxaki zempilo yengqondo

Amayeza

Amayeza afana ne-buprenorphine kunye ne-methadone anokusetyenziselwa ukunceda ukunyanga iziyobisi kwi-opioid ezinje nge-oxycodone. Basebenza ngokuzibophelela kwii-receptors ezifanayo kwingqondo njenge-oxycodone, ke ngoko behlisa iimpawu zokurhoxa kunye neminqweno.

Elinye iyeza, elibizwa ngokuba yi-naltrexone, lithintela ii-opioid receptors ngokupheleleyo. Oku kuyenza ichiza elilungileyo ukunceda ukuthintela ukubuyela umva, nangona kufanele ukuba kuqalwe kuphela emva kokuba umntu erhoxe ngokupheleleyo kwiiopioids.

Ukongeza, iU.S.Ukutya noLawulo lweeDrug (i-FDA) yamkele amayeza ukunceda ukunyanga iziyobisi -naltrexone, acamprosate, kunye ne-disulfiram.

Amaqela enkxaso

Ukujoyina iqela lenkxaso, njenge-Alcoholics Anonymous okanye i-Narcotic Anonymous, kunokukunceda ukuba ufumane inkxaso eqhubekayo kunye nenkuthazo kwabanye abazama ukubuyela kwimeko yesiqhelo okanye abaye bachacha kwikhoboka leziyobisi.

Ukudityaniswa kweeopioid, utywala, kunye nezinye iziyobisi zikwi-overdoses ezibulalayo ze-opioid. Ukuba wena okanye umntu omthandayo ufumana ezi mpawu zilandelayo emva kokuxuba i-oxycodone kunye notywala, kuya kufuneka ufune unyango olukhawulezileyo kwangoko:

• abafundi abane- contract or small pinpoint
• icotha kakhulu, inzulu, okanye awuphefumli
• ukungaphenduli okanye ukulahleka kwengqondo
• ukubetha okubuthathaka okanye ukungabikho
• ulusu olumhlophe okanye imilebe eluhlaza okwesibhakabhaka, iinzipho zeminwe, okanye iinzwane
• ukwenza ingxolo evakala ngokungathi uyangxola okanye uyaminxa

Ulufumana njani unyango okanye inkxaso yokulutha

Uninzi lwezixhobo zenkxaso ziyafumaneka ukunceda kunyango okanye kwinkxaso ukuba wena okanye umntu osondeleyo kuwe uneziyobisi.

• Umnxeba woncedo woNcedo lokuSetyenziswa gwenxa kweziyobisi kunye noLawulo lweeNkonzo zeMpilo yeNgqondo (SAMHSA) (1-800-662-4357) ubonelela ngolwazi kunye nokudluliselwa kunyango okanye kumaqela enkxaso 24/7 kunye neentsuku ezingama-365 zonyaka.
• I-Narcotic Anonymous (NA) inikezela ngolwazi kwaye iququzelele iintlanganiso zamaqela abantu abaxhasa ukoyisa iziyobisi.
• Utywala Ongaziwayo (AA) ubonelela ngoncedo, ulwazi kunye nenkxaso kubantu abanengxaki yokusebenzisa utywala.
• UAl-Anon ubonelela ngenkxaso kunye nokuchacha kusapho, kubahlobo, nakwabathandekayo babantu abanengxaki yokusebenzisa utywala.
• IZiko likaZwelonke lokuSetyenziswa gwenxa kweziyobisi (i-NIDA) linika izibonelelo ezahlukeneyo kunye neendaba ezihlaziyiweyo kunye nophando ngeziyobisi ezahlukeneyo zokuxhatshazwa.

Ukukhetha umcebisi ngeziyobisi

Umcebisi ngeziyobisi unokukunceda okanye umntu osondeleyo kuwe ujongane kwaye woyise umlutha. Nayi imibuzo embalwa yokukunceda ukhethe umcebisi ngeziyobisi:

• Ndicela undixelele kancinci ngemvelaphi yakho kunye neziqinisekiso zakho?
• Uluqhuba njani uvavanyo lwakho lokuqala kunye noxilongo?
• Ngaba ungandichazela indlela yakho yonyango?
• Iyakubandakanya ntoni le nkqubo?
• Yintoni oyilindeleyo kum nakusapho lwam ngexesha lonyango?
• Kwenzeka ntoni ukuba ndibuyela umva ngelixa lonyango?
• Luthini uqikelelo lwakho lweendleko ezichaphazelekayo kunyango kwaye ngaba i-inshurensi yam iya kuyigubungela?
• Ukuba ndikhetha njengomcebisi wam ngeziyobisi, singayiqala njani kungekudala inkqubo yonyango?

Umgca wezantsi

Zombini i-oxycodone kunye notywala ziyadakumba. Ngenxa yoku, ukudibanisa ezi zimbini kungakhokelela kubungozi obunokuba yingozi kunye nokubulala, kubandakanya ukuphulukana nokuqonda, ukuyeka ukuphefumla, kunye nokusilela kwentliziyo.

Ukuba umiselwe i-oxycodone, kuya kufuneka uqiniseke ukuba ulandela ulwalathiso logqirha okanye ikhemesti ngononophelo, kwaye uluthathe kuphela njengoko kumiselwe.

I-Oxycodone ilikhoboka lomlutha kakhulu, ke kuya kufuneka uyazi iimpawu zokuba likhoboka lakho okanye lomntu omthandayo. Kwimeko yokuxhomekeka kwe-opioid okanye yotywala, kukho iintlobo zonyango kunye namaqela enkxaso akhoyo ukunceda ukoyisa umlutha.