Indlela amayeza aphikisayo uSuboxone andinceda ngayo ukuba ndoyise i-Opiate Addiction

Umxholo

• Inkqubo eyahlukileyo kusasa ngoku
• Isebenza njani i-suboxone?
  
• Ukusebenza-kunye nokugweba-kokuthatha i-Suboxone
• Izinto ezi-3 malunga neSuboxone ndingaxelela abahlobo okanye usapho:
  

Iziyobisi zokunyanga i-opiate addiction njenge methadone okanye i-Suboxone ziyasebenza, kodwa zisenempikiswano.

Sibona njani iimilo zehlabathi esizikhethele zona- kunye nokwabelana ngamava anyanzelisayo kunokubangela ukuba siphathane ngcono. Lo ngumbono onamandla.

Khawufane ucinge ngokuvuka ntsasa nganye kunye nealam ekhwankqisayo ekhalayo, ufakwe emanzini akho amdaka abile, umzimba wakho wonke ungcangcazela. Ingqondo yakho inenkungu kwaye ingwevu njengesibhakabhaka sasebusika sasePortland.

Ufuna ukufikelela kwiglasi yamanzi, kodwa endaweni yoko indawo yakho yokulala ebusuku ifakwe iibhotile ezingenanto zeebhotile kunye neepilisi. Ulwa nomnqweno wokuphosa, kodwa kufuneka ubambe inkunkuma ecaleni kwebhedi yakho.

Uzama ukuyitsalela umsebenzi - okanye ubize abagulayo kwakhona.

Yile nto inje ngentsasa ephakathi komntu onomlutha.

Ndiyakwazi ukubalisa ezi ntsasa ngeenkcukacha ezingathandekiyo, kuba le yayiyinyani yam kwaye ndiqhubeke kwiminyaka yam yeshumi elivisayo kunye ne-20s.

Inkqubo eyahlukileyo kusasa ngoku

Iminyaka idlulile ukusukela oko kwakusokolisayo kusasa.

Ngezinye iintsasa ndivuka ngaphambi kwe-alam kwaye ndifikelele emanzini nakwincwadi yam yokucamngca. Olunye usuku ekuseni ndilala kakhulu okanye ndichitha ixesha kwimidiya yoluntu.

Imikhwa yam emitsha emibi ikude kakhulu notywala kunye neziyobisi.

Okubaluleke ngakumbi, ndiyakwamkela kunokuba ndoyike iintsuku ezininzi- enkosi kwindlela yam yesiqhelo kunye nonyango olubizwa ngokuba yiSuboxone.

Ngokufana ne-methadone, i-Suboxone imiselwe ukunyanga ukuxhomekeka kwe-opiate. Isetyenziselwa zombini iziyobisi ze-opioid, kwaye, kwimeko yam, isiyobisi se-heroin.

Izinzisa ingqondo kunye nomzimba ngokuncamathisela kwii-opiate receptors zendalo zobuchopho. Ugqirha wam uthi i-Suboxone ilingana nabantu abanesifo seswekile abathatha i-insulin ukuzinzisa nokulawula iswekile yegazi labo.

Njengabanye abantu abalawula isigulo esinganyangekiyo, ndiyazilolonga, ndiphucula indlela enditya ngayo, kwaye ndizama ukwehlisa ukutya okutyiwa yi-caffeine.

Isebenza njani i-suboxone?

• I-Suboxone yi-opioid agonist, oko kuthetha ukuba kuthintela abantu abanjengam esele be-opiate abaxhomekeke kukuziva bephezulu. Ihlala egazini lomntu ixesha elide, ngokungafaniyo ne-opiates emfutshane esebenza njenge-heroin kunye neentlungu.
• I-Suboxone ibandakanya ukunqunyanyiswa gadalala okubizwa ngokuba yiNaloxone ukuthintela abantu ukuba bangarhuqi okanye batofe amayeza.

Ukusebenza-kunye nokugweba-kokuthatha i-Suboxone

Kwiminyaka emibini yokuqala bendiyithatha, bendineentloni zokuvuma ukuba bendikwi-Suboxone kuba ingene kwimpikiswano.

Khange ndiye nakwiintlanganiso zeNarcotics Anonymous (NA) kuba amayeza agwetywa ngokubanzi kwindawo abahlala kuyo.

Ngo-1996 nango-2016, i-NA yakhupha incwadana ethi awucocekanga ukuba uku-Suboxone okanye i-methadone, ngenxa yoko awunakho ukwabelana kwiintlanganiso, ube ngumxhasi, okanye igosa.

Ngelixa i-NA ibhala ukuba "abanalo uluvo kulondolozo lwe-methadone," ukungabinakho ukuthatha inxaxheba ngokupheleleyo kwiqela beziva ngathi kugxekwa unyango lwam.

Nangona bendirhalela ukubuyiswa kwakhona kweentlanganiso ze-NA, andizange ndiye kuzo ngenxa yokuba ndangena ngaphakathi ndisoyika isigwebo samanye amalungu eqela.

Ewe, ndingazifihla ukuba ndikwiSuboxone. Kodwa ndaziva ndinganyanisekanga kwinkqubo eshumayela ukunyaniseka okupheleleyo. Ndizigqibele ndiziva ndinetyala kwaye bendiphepha endaweni apho bendirhalela ukwangiwa.

I-Suboxone ayijongwa kuphela kwi-NA, kodwa kuninzi lokubuyisela okanye izindlu ezingenangqondo, ezinika inkxaso kubantu abalwa nokulutha.

Nangona kunjalo, inani elikhulayo lezifundo libonisa ukuba olu hlobo lonyango lusebenza kwaye lukhuselekile ekubuyiseleni iziyobisi.

IMethadone kunye ne-Suboxone, eyaziwa njenge-buprenorphine, iyaxhaswa kwaye iyacetyiswa luluntu lwenzululwazi, kubandakanya iZiko leLizwe lokuSetyenziswa gwenxa kweziyobisi, kunye nokuSetyenziswa gwenxa kweziyobisi kunye noLawulo lweeNkonzo zeMpilo yeNgqondo.

I-anti-Suboxone rhetoric ikwava iyingozi xa bekukho lonke ixesha lokufa kwabantu abangama-30,000 ngenxa ye-opiates kunye ne-heroin kunye nama-72,000 ewonke okusweleka kweziyobisi ngo-2017.

Uphononongo lwakutsha nje olupapashwe lufumanise ukuba i-Suboxone yehlise i-overdose yokufa kwabantu ngama-40 epesenti kunye ne-methadone ngama-60 epesenti.

Ngaphandle kokusebenza okuqinisekisiweyo kwala mayeza kunye nenkxaso yemibutho yezempilo yamazwe aphesheya, ngelishwa kuphela iipesenti ezingama-37 zeenkqubo zokuvuselela iziyobisi zinikezela ngesiyobisi esivunyiweyo se-FDA sokunyanga i-opiate addiction njenge methadone okanye iSuboxone.

Ukusukela ngo-2016, iipesenti ezingama-73 zoncedo lonyango zilandele indlela enamanyathelo ali-12 nangona ingenabungqina bokusebenza kwayo.

Sinika i-aspirin ukunceda ukuthintela ukuhlaselwa yintliziyo kunye ne-EpiPens ukukhusela ukungahambelani komzimba, ngoko kutheni singenakumisela i-Suboxone kunye ne-methadone ukukhusela ukufa kwabantu abaninzi?

Ndicinga ukuba isekelwe kwihlazo lokulutha kunye nenyaniso yokuba abaninzi bayaqhubeka nokuyijonga "njengokuzikhethela."

Kwakungekho lula kum ukufumana amayeza eSuboxone.

Kukho umsantsa obonakalayo phakathi kwesidingo sonyango kunye nenani leeklinikhi kunye noogqirha abaneziqinisekiso ezifanelekileyo zokumisela imethadone okanye iSuboxone yokulutha.

Nangona bekukho izithintelo ezininzi ekufumaneni iklinikhi yaseSuboxone, ekugqibeleni ndiyifumene iklinikhi ekuyiyure enesiqingatha ukusuka endlwini yam. Banomntu onobubele, onenkathalo kunye nomcebisi ngeziyobisi.

Ndiyabulela ukuba ndinofikelelo kwiSuboxone kwaye ndikholelwa ukuba yenye yezinto ebenegalelo kuzinzo lwam kwaye ndibuyele esikolweni.

Emva kweminyaka emibini ndiyigcine iyimfihlo, kutshanje ndiye ndaxelela usapho lwam, olwaluxhasa kakhulu indlela yam yokufumana kwakhona.

Izinto ezi-3 malunga neSuboxone ndingaxelela abahlobo okanye usapho:

• Ukuba kwi-Suboxone uziva uzivalela wedwa ngamanye amaxesha ngenxa yokuba iyeza elinje.
• Uninzi lwamaqela anezinyathelo ezili-12 awandamkeli ezintlanganisweni okanye andijonge "ndicocekile."
• Ndinexhala lokuba abantu bazophendula njani ukuba ndiyabaxelela, ngakumbi abantu abayinxalenye yenkqubo yamanyathelo ali-12 anjengeNarcotics Anonymous.
• Kubahlobo bam abaphulaphuleyo, baxhasa, kwaye bakhuthaza abantu abafana nam ekuvuseleleni ngokwesiqhelo: Ndiyakuxabisa kwaye ndikuxabisile. Ndiyathanda ukuba bonke abantu abachaphazelekayo babe nabahlobo kunye neentsapho ezixhasayo.

Nangona ndikwindawo elungileyo ngoku, andifuni ukunika inkohliso nokuba i-Suboxone igqibelele.

Andikuthandi ukuxhomekeka kulo mfanekiso mncinci wefilimu weorenji ntsasa nganye ukuphuma ebhedini, okanye ukujongana nokuqhinwa okungapheliyo kunye nobucaphucaphu obuza nayo.

Ngenye imini ndiyathemba ukuba nosapho kwaye ndiyeke ukuthatha la mayeza (ayikhuthazwa ngexesha lokukhulelwa). Kodwa iyandinceda okwangoku.

Ndikhethe inkxaso yonyango, intuthuzelo, kunye nobumoya bam kunye nesiqhelo ukuhlala ndicocekile. Nangona ndingalandeli amanyathelo ayi-12, ndiyakholelwa ukuba kubalulekile ukuthatha izinto ngosuku olunye ngexesha kwaye ndinombulelo wokuba ngalo mzuzu, ndicocekile.

UTessa Torgeson ubhala imemo malunga nokulutha kunye nokubuyiselwa kwimeko yokunciphisa ingozi. Ukubhalwa kwakhe kupapashwe kwi-Intanethi eThe Fix, kwisikhululo soBonakaliso, kwiNdima / kwiReboot, nabanye. Ufundisa ukwakhiwa kunye nokubhala ngobuchule kwisikolo sokubuyisela kwimeko yesiqhelo. Ngexesha lakhe lasimahla, udlala ibass kwaye asukele ikati yakhe, uLuna Lovegood