Krokodil (Desomorphine): Inesimba, Isina Opioid ine Mhedzisiro Yakakomba
Zvemukati
- Chii chinonzi krokodil (desomorphine)?
- Chii chinoshandiswa?
- Krokodil mhedzisiro
- Ganda necrosis
- Tsvina uye kariketi kukuvara
- Ropa remidziyo kukuvara
- Kukuvara kwepfupa
- Tora woenda nazvo
Opioid mishonga inoderedza marwadzo. Kune mhando dzakasiyana dzeopioid dziripo, kusanganisira idzo dzakagadzirwa kubva kumiti yepoppy, senge morphine, uye synthetic opioid, senge fentanyl.
Kana ikashandiswa sekurairwa, vanogona kuve vanoshanda kwazvo pakurapa marwadzo asina kurerutswa nemimwe mishonga yekurwadziwa, senge acetaminophen.
Opioid inoshanda nekubatanidza kune maopioid receptors muuropi uye kudzivirira marwadzo ekurwadziwa. Ivo vanowedzerawo manzwiro emufaro, ndosaka vari vakapindwa muropa.
Iko kushandiswa zvisizvo kwemaopioid kwasvika padanho rezviyero. Zuva rega rega, vanhu zana nemakumi matatu vanofa neopioid overdose muUnited States, maererano ne. Izvi zvinosanganisira maopioid mune ese mafomu: epakutanga, ekugadzira, kana akasanganiswa nemimwe mishonga.
Desomorphine chinhu chinobaya jekiseni che morphine. Iwe unogona kunge wakanzwa nezvayo nemazita ayo emugwagwa "krokodil." Inowanzo taurwa sechinotsiva chisingadhuri che heroin.
Zita rayo remugwagwa rinobva kune imwe yaro yakawanda ine chepfu mhedzisiro. Vanhu vanoshandisa krokodil vanogadzira scaly, nhema uye girinhi ganda rakafanana neganda regarwe.
Chii chinonzi krokodil (desomorphine)?
Krokodil ndicho chiperengo cheRussia chengwena. Inoenda nemazita mashoma akasiyana uye zviperengo, zvinosanganisira:
- krocodil
- krok
- croc
- alligator mushonga
Yakatanga kuunzwa muRussia mukutanga 2000s. Yakagadzirwa nekugadzira desomorphine kubva ku codeine uye kuisanganisa nemamwe ekuwedzera, akadai se:
- hydrochloric asidhi
- penda mutete
- ayodhini
- peturu
- chakareruka mvura
- red phosphorus (matchbook inokatyamadza nzvimbo)
Izvi zvinowedzera zvinokuvadza zvinogona kunge zviri izvo zvinokonzeresa mhedzisiro.
Russia neUkraine zvinoita kunge zvinonyanya kukanganiswa nemushonga, asi kwave kuri kwekushandisa kwayo pamwe nemhedzisiro muUnited States.
Chii chinoshandiswa?
Iko kushandiswa kwe desomorphine kwakatanga kutaurwa muna 1935 sekurapa kwekurwadziwa kunokonzerwa nekushungurudzika.
Mushonga uyu wakawanikwa uchinyanya kutapudza marwadzo kupfuura morphine nekupfupika uye kushoma kusvotwa. Vanachiremba vakaramba vachishandisa mushonga usati uye mushure mekuvhiyiwa nekuda kwekudzikamisa kwawo.
Haisisiri kushandiswa nhasi. MuUnited States, Drug Enforcing Administration (DEA) inoronga desomorphine seShedhiyo I chinhu. Izvi zvinoreva kuti ine mukana wakakura wekushandisa zvisirizvo pasina chero kubvumidzwa kwekurapa kwekushandisa.
Mahwendefa eCodeine anowanikwa pasina mushonga muRussia. Zvinhu zvisingadhuri uye zviripo zvirinani zvinosanganiswa necodeine kugadzira iyo yekumba kana yemugwagwa vhezheni yemushonga, krokodil.
Vanhu vanoishandisa sechinodhura chinotsiva heroin.
Krokodil mhedzisiro
Chikamu chinozivikanwa chekrokodil chine ganda rakasvibira uye ganda dema rinokurumidza kubuda mushure mekubaya jekiseni.
Kubva pamishumo, vanhu havadi kushandisa mushonga kwenguva yakareba kuti vawane zvachose uye zvakakomba kukuvara kwetishu kunowedzera zvakadzika sebhonzo.
Ngatinyatsoongororai mhedzisiro inokonzeresa iro zita remushonga remushonga pamwe nemamwewo mhedzisiro.
Ganda necrosis
Sekureva kwa, vanhu vanokudziridza kwakanyanya kuzvimba uye kurwadziwa munzvimbo iyo jekiseni iri jekiseni. Izvi zvinoteverwa neganda kushanduka uye kuwedzera. Pakupedzisira nzvimbo hombe dzekuronda dzinoitika panofa munyama.
Iko kukuvara kunofungidzirwa kuti pamwe kunokonzereswa nehuturu mhedzisiro yezvinowedzera zvinoshandiswa kugadzira mushonga, mazhinji acho ari kukuvadza kune ganda.
Mushonga uyu haunawo kucheneswa usati waiswa jekiseni. Izvi zvinogona kutsanangura kuti nei kutsamwa kweganda kunoitika kanenge nekukurumidza mushure mekujowa.
Tsvina uye kariketi kukuvara
Ganda rine ulcerated rinowanzo fambira mberi kusvika mukukuvara kwakanyanya kwemhasuru uye shwashwa. Ganda rinoramba richiita ulcerate, pakupedzisira richitsvedza uye kuburitsa pfupa pasi.
Krokodil ine simba kupfuura morphine. Nekuda kwekurwadziwa-kwayo kunoderedza mhedzisiro, vanhu vazhinji vanoshandisa mushonga vanofuratira iyi mhedzisiro uye vorega kurapwa kusvikira kukuvara kukuru kwaitwa, kusanganisira gonda.
Ropa remidziyo kukuvara
Krokodil inogona kukuvadza tsinga dzeropa dzinodzivirira nyama yemuviri kuwana ropa rainoda. Ropa remidziyo kukuvara kwakabatana nemushonga kunogona kukonzera kukuvara. Inogona zvakare kutungamira ku thrombophlebitis, kunova kuzvimba kwetsinga inokonzerwa neropa.
Kukuvara kwepfupa
Zvirwere zvepfupa (osteomyelitis) uye bone kufa (osteonecrosis) muzvikamu zvemuviri zvakaparadzaniswa nenzvimbo yejekiseni zvakataurwa zvakare.
Hutachiona hunokwanisa kupinda mubhonzo kuburikidza nemaronda akadzika enyama, zvichikonzera hutachiona. Kufa kwepfupa kunoitika kana kuyerera kweropa kusvika pfupa kunonoka kana kumira.
Kudimurwa kunombodiwa pakurapa rudzi rwekukuvara uku.
Kushandisa krokodil kwave kuchisanganiswa nezvimwe zvinoverengeka zvakakomba mhedzisiro uye kusagadzikana, kusanganisira:
- chirwere chemabayo
- yomumuzongoza
- sepsis, inonziwo ropa chepfu
- itsvo kutadza
- kukuvara kwechiropa
- kukuvara kwehuropi
- zvinodhaka zvinodhaka
- rufu
Tora woenda nazvo
Krokodil (desomorphine) chirwere chine njodzi uye chinogona kuuraya chinokonzeresa mhedzisiro.
Maitiro ayo ane chepfu anoonekwa nekukurumidza mushure mekujovera iyo uye kufambira mberi nekukurumidza.
Kana iwe kana mumwe munhu waunoziva ari kushandisa krokodil kana kushandisa zvisirizvo mamwe maopioid, heino nzira yekuwana rubatsiro.