Kudzivisa maOpioid hakudziviriri kupindwa muropa. Izvo Zvinongokuvadza Vanhu Vanozvida

Zvemukati

• Purdue akaudza vanachiremba ava kuti kune mushonga unoshanda zvakanyanya, usingadzoreki unonzi Oxycontin akagadzirira kugadzirisa dambudziko iri. Kana chete.
• Asi kuita izvo zvinorambidzwa kwete chete kusanzwisisa dambudziko reopioid pachayo - {textend} zvingave zvinokuvadza zvakanyanya kuvarwere vasingaperi uye vanorwadza zvakanyanya.
• Chinhu chacho ndechekuti, isu tatova nematoni ekurambidzwa pane zvinyorwa zveopioid, asi hapana chinoratidza kuti vari kudzivirira kupindwa muropa uye zvese zvinoratidza kuti vari kukuvadza varwere venguva refu.
• Saizvozvowo, kushandisa zvisirizvo mishonga yakanyorwa kunochengetedzeka pane kushandisa zvisirizvo "mumigwagwa" zvinodhaka, kunyangwe kana munhu asiri murwere asingarware asi aine chirwere cheopioid.

Denda reopioid harisi nyore sezvarinoitwa kuva. Heino chikonzero.

Kekutanga kupinda kwandakaita muimba yekudyira yevarwere vepatient kwandaizogara mwedzi waitevera, boka revarume vane makore ekuma50 rakanditarisa, ndokutarisana, ndokuti pamwe chete, "Oxy."

Ndakanga ndiri 23 panguva iyoyo. Kwaive kubheja kwakachengeteka kuti chero munhu ari pasi pemakore makumi mana pakurapwa aive aripo, zvirinani muchikamu, zvekushandisa zvisirizvo OxyContin. Ini pandakanga ndiripo nekuda kwechinyakare kudhakwa kwechinyakare, ndakakurumidza kunzwisisa kuti sei ivo vakaita fungidziro iyoyo.

Maive muna Ndira 2008. Gore iro, vanachiremba muUnited States vaizonyora huwandu hwezvinyorwa zveopioid pachiyero che78.2 pavanhu zana.

Inotyaira kumashure kweaya manhamba aive Purdue Pharma, ivo vanogadzira opioid inodhakwa OxyContin, iro zita reiyo oxycodone. Kambani yakashandisa mabhiriyoni emadhora kushambadza mushonga uyu vasina kutaura nyaya izere, vachishandisa kutya kwavanachiremba kuti vari kurwadziwa.

Purdue akaudza vanachiremba ava kuti kune mushonga unoshanda zvakanyanya, usingadzoreki unonzi Oxycontin akagadzirira kugadzirisa dambudziko iri. Kana chete.

Isu tinoziva izvo izvo Purdue yaiziva ipapo: OxyContin ndizvo kunyanya kupindwa muropa, kunyanya pamadhora epamusoro maPurdue reps aikurudzira vanachiremba kunyorera. Ndokusaka nzvimbo yangu yekurapa yaive izere nevanhu vachiri kuyaruka, makumi maviri, uye makumi matatu, avo vakapindwa muropa neOxyContin.

Kunyanya kushingairira kutsanangura maopioid kwakakwira muna2012, kwakaona zvirevo zvakanyorwa muUnited States, zvichienzana nezvinyorwa makumi masere nemasere nemazana matatu zvakanyorwa pavanhu zana.

Iko kuzvikudza kwezviito zvePurdue, uye kunyanyisa kutsanangura kwakaguma, kazhinji nei - {textend} kana vezvematongerwo enyika vachitaura nezve kugadzirisa dambudziko reopioid - {textend} ivo vanotanga nekutaura nezvekushandisa kurambidzwa pamitemo yeopioid.

Asi kuita izvo zvinorambidzwa kwete chete kusanzwisisa dambudziko reopioid pachayo - {textend} zvingave zvinokuvadza zvakanyanya kuvarwere vasingaperi uye vanorwadza zvakanyanya.

Muna 2012, rimwe remasimba anokonzera denda iri raive rekunyorerwa maopioid, asi izvo hazvina kudaro kwemakore anoda kusvika manomwe. Pane imwe nguva vanachiremba vakanzwisisa kugona kwekupindwa muropa nemishonga iyi, kunyanya OxyContin, ivo varimo mukuraira kwavo.

Zvinyorwa zveOpioid zvakadzikira gore rega rega kubva 2012, asi huwandu hwevakafa vane hukama neopioid hwakaramba huchikwira. Muna 2017, pakanga paine 47,600 vakafa-vane hukama neopioid muUnited States. Asingasviki hafu (17,029) yeavo aisanganisira mishonga yekunyorera maopioid.

Kupfuurirazve, kutsvagisa kunoratidza ruzhinji rwevanhu vanoshandisa zvisirizvo zvinyorerwa opioid usadaro uzviwane kubva kuna chiremba, asi zvisizvo shandisa zvisirizvo mishonga yakatemerwa mhuri kana shamwari.

Saka, nei chero ipi nyaya iyi? Vanhu vane vavariro dzakanaka vanogona kubvunza, "Kana tsamba yekunyorera maopioid ine chekuita zvishoma nedenda reopioid, haisi kuvadzora chinhu chakanaka here?"

Chinhu chacho ndechekuti, isu tatova nematoni ekurambidzwa pane zvinyorwa zveopioid, asi hapana chinoratidza kuti vari kudzivirira kupindwa muropa uye zvese zvinoratidza kuti vari kukuvadza varwere venguva refu.

Trish Randall, uyo ane kurwadziwa kusingaperi kubva kuchirwere chisingawanzozivikanwa chinonzi pancreas divisum, anorondedzera kuve ari kwenguva refu, maopioid ane mwero mukuru sekutarisana ne "fungidziro yemhondi yekuongorora."

Anotsanangura zvimwe zvezvirambidzo izvi muSefa:

“Murwere anofanira kutevedzera mamiriro akaita sepepa akanyorwa chete, asina runhare; musangano-wemunhu wega wega mazuva makumi maviri nemasere; uye weti bvunzo uye mapiritsi kuverenga pane chero kana ese maapoindi, kana pamaawa makumi maviri nemana chiziviso chero nguva ini yandinogamuchira kufona. Chiremba mumwe chete uye imwe pharmacy ndiyo inogona kubata zvakatemwa. Mimwe mamiriro ezvinhu haangasanganise fodya, doro kana zvinodhaka zvisiri pamutemo (pane dzidziso yekuti varwere vanorwadziwa vanofanirwa kuodzwa moyo kuti varege kupindwa muropa), uye kunzi vapinde musangano wepfungwa kana wepfungwa. ”

Kana maopioid ekunyora asingabatanidzwe mukufa kukuru kune hukama neopioid, zvine utsinye kuumba zvirambidzo zvinodzivirira vanhu vane kurwadziwa kusingaperi kuti vawane zororo ravanoda.

Kana zvirambidzo zvikaiswa kune avo vane kurwadziwa kusingaperi uye vasingakwanise kuwana mishonga yavanoda, pane njodzi huru yavanotendeukira kumaopioid emusika mutema seheroin kana synthetic fentanyl. Uye iyo madhiragi inotakura njodzi yakanyanya kuwanda yekuwedzeredza kunouraya.

Saizvozvowo, kushandisa zvisirizvo mishonga yakanyorwa kunochengetedzeka pane kushandisa zvisirizvo "mumigwagwa" zvinodhaka, kunyangwe kana munhu asiri murwere asingarware asi aine chirwere cheopioid.

Ichokwadi chisina kugadzikana. Isu takagadzirirwa kufunga nezve mumwe munhu kushandisa zvisirizvo maopioid sekuita chimwe chinhu chinokuvadza chinofanira kumiswa. Asi kushandisa zvisirizvo mishonga yekunyorera zvakachengeteka zvakanyanya pane kushandisa dema-musika maopioid.

Heroin uye synthetic opioid senge fentanyl inowanzo chekwa nemimwe mishonga uye ine masimba akasimba zvakasiyana, zvichiita kuti zvive nyore kudarika. Kuwana zvakaenzana nemishonga iyi kubva mupharmacy zvinoita kuti vanhu vazive kuti uye chii chavari kushandisa.

Handisi kureva kuti tinofanirwa kudzokera kumazuva e81.3 epioid zvirevo pavanhu zana. Uye mhuri yeSackler kuseri kwePurdue Pharma inofanirwa kuve nemhosva yekuwedzeredza kuchengetedzeka kweOxyContin uye kudzikisira njodzi dzayo dzine njodzi.

Asi varwere vasingaperi vanorwadziwa uye vanhu vane opioid yekushandisa kusagadzikana havafanirwe kubhadhara maSacklers 'zvisirizvo, kunyanya kana kuita kudaro kusingadzikise denda reopioid. Mari yekurapa (kusanganisira kurapwa-kubatsirwa kurapwa) kune avo vanozvida zvinonyanya kushanda kupfuura kudzikisira zvakatemwa nevarwere vanorwadziwa. zvingangoitika vanozvishandisa zvisizvo.

Iyo pendulum yemushonga maopioid yakanyatso swedera kure zvakanyanya kune rumwe rutivi, asi kuiregedza ichienda kure zvakanyanya kune imwe nzira inongokuvadza zvakanyanya, kwete zvishoma.

Katie MacBride munyori wekuzvimiririra uye anoshamwaridzana mupepeti weAnxy Magazine. Unogona kumuwana achishanda muRolling Stone uye Chinyama Chikara, pakati pezvimwe zvitoro. Akapedza akawanda egore rapfuura achishanda pachinyorwa pamusoro pezvekushandisa kwevanachiremba cannabis. Parizvino anoshandisa nguva yakawandisa pane Twitter.