Kushandisa zvinhu - mishonga yemishonga
Kana mushonga ukasatorwa nenzira yaunoda kuti ushandiswe uye munhu akapindwa muropa nawo, dambudziko rinodaidzwa kunzi mushonga wekushandisa zvinodhaka. Vanhu vane dambudziko iri vanotora mishonga nekuti makemikari ari mumishonga ane maitiro epfungwa. Psychoactive zvinoreva kuva nemhedzisiro munzira iyo uropi hunoshanda. Muchidimbu, mishonga inoshandiswa kukwira.
Mhando dzakajairika dzemishonga dzinoshandiswa zvisirizvo dzinosanganisira kushungurudzika, maopioid, uye zvinokurudzira.
VANODZORERWA
Iyi mishonga inozivikanwawo seyodzikamisa uye sedatives. Vanorayirwa kuti varape kushushikana uye matambudziko ekurara.
Mhando dzemishonga nemazita emigwagwa anosanganisira:
- Barbiturates, senge Amytal, Nembutal, phenobarbital, Seconal. Mazita emigwagwa anosanganisira barbs, phennies, reds, red bird, tooies, yellows, yellow jackets.
- Benzodiazepines, senge Ativan, Halcion, Klonopin Librium, Valium, Xanax. Mazita emigwagwa anosanganisira mabara, benzos, blues, zvihwitsi, chill mapiritsi, mafrizi eFrance, pasi, mapuranga, mapiritsi ekurara, matanda e totem, matangi, zanies, uye z-bar.
- Mimwe mishonga yekurara, yakadai saAbien, Sonata, Lunesta. Mazita emigwagwa anosanganisira A-, zombie mapiritsi.
Kana zvashandiswa kukwira kumusoro, zvinokonzeresa manzwiro ehupenyu, mufaro wakanyanya, uye mufaro. Semishonga yemumugwagwa, zvinoodza mwoyo zvinouya mumapiritsi kana makapisi uye zvinowanzo kumedzwa.
Zvinokuvadza zvinokonzeresa zvekushungurudzika mumuviri zvinosanganisira:
- Kuderera kwekutarisa span
- Kutadza kutonga
- Kusava nekubatana
- Yakadzikisa BP
- Matambudziko ekurangarira
- Kutaura kwakadzikira
Vashandisi venguva-refu vanogona kuve nehupenyu hunotyisidzira huremo hwekudzima kana vakaedza kumisa mushonga nechimbichimbi.
OPIOIDS
Opioid ane simba marwadzo. Ivo vanorayirwa kurapa kurwadziwa mushure mekuvhiyiwa kana maitiro emazino. Dzimwe nguva anoshandiswa kurapa kukosora kwakanyanya kana manyoka.
Mhando dzeopioid uye mazita emigwagwa anosanganisira:
- Codeine. Kune mishonga yakawanda ine codeine sechinhu chinowanikwa, kunyanya iya yekukosora yakaita saRobitussin AC uye Tylenol ine codeine. Mazita emigwagwa e codeine chete anosanganisira kaputeni cody, cody, mudiki c, uye mukomana wechikoro. ZveTylenol ine codeine, mazita emigwagwa anosanganisira T1, T2, T3, T4, uye madors uye mana. Codeine sirasi yakasanganiswa nesoda inogona kuva nemazita emigwagwa akadai sepepuru yakamwa, sizzup, kana Texas tii.
- Fentanyl. Zvinodhaka zvinosanganisira Actiq, Duragesic, Onsolis, uye Sublimaze. Mazita emigwagwa anosanganisira apache, china musikana, china chena, fever fever, shamwari, goodfella, jackpot, kuuraya 8, percopop, tango nemari.
- Hydrocodone: Zvinodhaka zvinosanganisira Lorcet, Lortab, uye Vicodin. Mazita emigwagwa anosanganisira fluff, hydros, v-itamin, vic, vike, Watson-387.
- Morphine. Zvinodhaka zvinosanganisira Avinza, Duramorph, Kadian, Ormorph, Roxanol. Mazita emigwagwa anosanganisira muroti, mutsetse wekutanga, mushonga wamwari, M, miss emma, mister bhuruu, tsoko, morf, morpho, vhitamini m, zvinhu zvichena.
- Oxycodone. Zvinodhaka zvinosanganisira Oxycontin, Percocet, Percodan, Tylox. Mazita emigwagwa anosanganisira donje, hillbilly heroin, oc, ox, ox, oxycet, oxycotton, percs, mapiritsi.
Kana yakashandiswa kukwirira, maopioid anoita kuti munhu anzwe akasununguka uye anofara zvakanyanya. Semishonga yemumugwagwa, anouya sehupfu, mapiritsi kana makapisi, manyuchi. Vanogona kumedzwa, kubayiwa jekiseni, kusvuta, kuiswa mukati mechikamu, kana kufemerwa kuburikidza nemumhino (kunonokerwa).
Zvinokuvadza zvinokonzerwa nemaopioid pamuviri zvinosanganisira:
- Kuzvimbirwa
- Muromo wakaoma
- Kuvhiringidzika
- Kusava nekubatana
- Yakadzora BP
- Kushaya simba, dzungu, kurara
Mune yakakwira madosi, opioid kudhakwa kunogona kukonzeresa, izvo zvinogona kukonzera matambudziko ekufema, koma, kana kufa.
ZVINOKUNDA
Iyi mishonga inokurudzira uropi nemuviri. Dzinoita kuti mameseji ari pakati pehuropi nemuviri afambe nekukurumidza. Nekuda kweizvozvo, munhu wacho akangwarira uye akasimba panyama. Zvinokurudzira zvakadai seamphetamines zvinorayirwa kurapa matambudziko ehutano sekufutisa, narcolepsy, kana kucherechedzwa kwekushomeka kwehutano kusagadzikana (ADHD).
Mhando dzekusimudzira uye mazita emigwagwa anosanganisira:
- Amphetamines, akadai seAdderall, Biphetamine, uye Dexedrine. Mazita emigwagwa anosanganisira mabennies, runako rutema, michinjikwa, moyo, LA kutendeuka, kumhanya, vatyairi vemarori, kumusoro.
- Methylphenidate, senge Concerta, Metadate, Quillivant, uye Ritalin. Mazita emigwagwa anosanganisira JIF, mabhuru uye mabheti, MPH, chinanazi, r-bhora, skippy, iyo yakangwara mushonga, vhitamini R.
Kana ikashandiswa kukwirira, zvinokurudzira zvinoita kuti munhu anzwe kufara, akasvinura zvikuru, uye awedzere simba. Vamwe vanhu vanoshandisa iyo mishonga, kunyanya maamphetamine, kuvabatsira kuti vagare vakamuka pabasa kana kudzidza bvunzo. Vamwe vanozvishandisa kusimudzira mashandiro avo mumitambo.
Semishonga yemumugwagwa, anouya semapiritsi. Vanogona kumedzwa, kubayiwa jekiseni, kusvuta, kana kupepetwa nemumhino (kusvirwa).
Zvinokuvadza mhedzisiro yezvinokurudzira mumuviri zvinosanganisira:
- Matambudziko emwoyo, akadai sekumhanyisa kwemoyo, kurova kwemoyo zvisina kujairika, kuwedzerwa kweropa
- Tembiricha yepamusoro yemuviri uye kupukuta kweganda
- Kurasikirwa nechido uye kurasikirwa nekurema
- Kuyeuka ndangariro uye matambudziko kufunga zvakajeka
- Kunyengera uye kufungidzira
- Mafungiro uye matambudziko emanzwiro, akadai sehasha kana kuita chisimba
- Kuzorora uye kudedera
Iwe haugone kupindwa muropa nemishonga yekunwa iwe paunotora iwo padosi chaiyo yekurapa mamiriro ako ehutano.
Kupindwa muropa kunoreva muviri wako nepfungwa zvinoenderana nemushonga. Iwe haugone kudzora mashandisiro ako uye unoida kuti upfuure nehupenyu hwezuva nezuva.
Kushandisa zvinodhaka kwenguva yakareba kunogona kukonzera kushivirira. Kushivirira kunoreva kuti iwe unoda zvakanyanya uye zvakanyanya zvemushonga kuti uwane iwo iwo manzwiro. Uye kana iwe ukaedza kurega kushandisa, pfungwa dzako nemuviri zvinogona kuita maitiro. Izvi zvinonzi zviratidzo zvekuregera, uye zvinogona kusanganisira:
- Kuda kwakasimba kwechirwere
- Kuva nemamiriro ekuchinja kubva pakunzwa kushushikana kusvika mukushushikana kusvika kunetseka
- Kusakwanisa kukoshesa
- Kuona kana kunzwa zvinhu zvisipo (kufungidzira)
- Kuita kwepanyama kunogona kusanganisira kutemwa nemusoro, kurwadza uye kurwadziwa, kuwedzera kudya, kusarara zvakanaka
- Zviratidzo zvinotyisidzira hupenyu muvashandisi venguva-refu yemamwe madhiragi
Kurapa kunotanga nekuziva kuti pane dambudziko. Paunenge iwe wafunga kuti iwe unoda kuita chimwe chinhu nezve kushandisa kwako zvinodhaka, chinhanho chinotevera ndechekuwana rubatsiro nerutsigiro.
Zvirongwa zvekurapa zvinoshandisa maitiro ekuchinja maitiro kuburikidza nekuraira (hurukuro yekurapa). Chinangwa ndechekubatsira iwe kuti unzwisise maitiro ako uye kuti nei uchishandisa zvinodhaka. Kusanganisira mhuri neshamwari panguva yekupangwa mazano zvinogona kubatsira kutsigira iwe kuti urege kudzokera pakushandisa (kudzokerazve). Zvirongwa zvekurapa zvakare zvinokudzidzisa maitiro ekuita zvirinani nemamiriro ezvinhu akakutungamira kuti ushandise kana kudzokerazve munguva yakapfuura.
Nezvimwe zvinodhaka, zvakadai seopioid, mishonga inogona zvakare kushandiswa kubatsira kudzikisira mhedzisiro yeopioid pauropi. Mimwe mishonga inogona kushandiswa kudzikisira kushuva uye kubvisa zviratidzo.
Kana iwe uine zvakakomba zvekusiya zviratidzo, ungangoda kugara pane inorarama-mune yekurapa chirongwa. Ikoko, hutano hwako uye chengetedzo zvinogona kuongororwa sezvaunopora.
Sezvaunopora, tarisa pane zvinotevera kubatsira kudzivirira kudzokazve:
- Ramba uchienda kunzvimbo dzako dzekurapa.
- Tsvaga zviitiko zvitsva uye zvinangwa kutsiva izvo zvaisanganisira kushandisa zvinodhaka.
- Tora nguva yakawanda nemhuri uye neshamwari dzawakarasa kubata nadzo pawanga uchishandisa. Funga kusaona shamwari dzichiri kushandisa.
- Exercise uye idya zvine hutano chikafu. Kuchengeta muviri wako kunobatsira kuti upore kubva pamhedzisiro inokuvadza yekushandisa zvinodhaka. Iwe uchanzwa zvirinani, zvakare.
- Dzivisa zvinokonzera. Izvi zvinokonzeresa zvinogona kusanganisira vanhu vawakashandisa zvinodhaka navo. Zvinokonzeresa zvinogona zvakare kuve nzvimbo, zvinhu, kana manzwiro anogona kuita kuti iwe ude kushandisa zvekare.
Zviwanikwa zvinogona kukubatsira munzira yako yekudzosa zvinosanganisira:
- HupenyuRing - www.lifering.org/
- National Coalition Kurwisa Kunyorerwa Kunodhaka Zvinodhaka - ncapda.org
- SMART Kudzoresa - www.smartrecovery.org/
- Kubatana kwevana vasina zvinodhaka - drugfree.org/article/medicine-abuse-project-partners/
Yako yekubasa chirongwa chekubatsira mushandi (EAP) zvakare yakanaka zviwanikwa.
Shevedza musangano kuti uwane musangano wako wekuchengeta hutano kana iwe kana mumwe munhu waunoziva akapindwa muropa nemishonga yekunwa uye anoda rubatsiro kumira. Zvakare fona kana iwe uine zviratidzo zvekusiya izvo zvinokunetsa iwe.
Dambudziko rekushandisa zvinodhaka - mishonga yemishonga; Kushandisa zvinodhaka - mishonga yemishonga; Kushandisa zvinodhaka - mishonga yemishonga; Kushandisa zvinodhaka - mishonga yemishonga; Narcotics - kushandisa zvinhu; Opioid - kushandisa zvinhu; Kunyaradza - kushandisa zvinhu; Hypnotic - kushandisa zvinhu; Benzodiazepine - kushandisa zvinhu; Stimulant - kushandisa zvinhu; Barbiturate - kushandiswa kwezvinhu; Codeine - kushandisa chinhu; Oxycodone - kushandiswa kwezvinhu; Hydrocodone - kushandiswa kwezvinhu; Morphine - kushandiswa kwezvinhu; Fentanyl - kushandisa zvinhu
Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Opioid ovhadhozi. www.cdc.gov/drugoverdose/index.html. Yakagadziridzwa May 5, 2020. Yakasvika June 26, 2020.
Lipari RN, Williams M, Van Horn SL. Nei Vakuru Vachishandisa Zvisina Kunyoresa Zvinodhaka? Rockville, MD: Kushungurudzwa Kwemishonga uye Mental Health Services Administration; Center for Maitiro Ehutano; 2017.
Kowalchuk A, Reed BC. Zvinetso zvekushandisa zvinodhaka. Mune: Rakel RE, Rakel DP, eds. Chinyorwa cheMhuri Mishonga. 9th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 50.
National Institute yeDrug Abuse webhusaiti. Kushandisa zvisizvo mishonga yekutsvagisa zvinodhaka. www.drugabuse.gov/publications/research-reports/misuse-prescription-drugs/overview. Yakagadziridzwa June 2020. Yakasvika June 26, 2020.
- Kunyorerwa Kunodhaka Zvinodhaka