NeRudzi Ruri Dambudziko, Inguva Yekudzima Stigma yeOpioid Crisis

Zuva rega rega, vanhu vanopfuura zana nemakumi matatu muUnited States vanorasikirwa neupenyu nekuda kwekudarika opioid. Izvi zvinoshandura kune anopfuura mazana mana nemakumi mana ehupenyu akarasikirwa nedambudziko rinotyisa reopioid muna 2017 chete.

Vanhu zana nemakumi matatu pazuva chimwe chinhu chinokatyamadza - {textend} uye chimwe chisingazodzoke chero nguva munguva pfupi. Muchokwadi, nyanzvi dzinoti dambudziko reopioid rinogona kuramba richiwedzera risati rave nani. Uye kunyangwe huwandu hwevakafa vane hukama neopioid hwaderera mune mamwe matunhu, ichiri kuwedzera nyika yese. (Huwandu hweopioid overdoses yakawedzera makumi matatu muzana muzana pakati paJuly 2016 naSeptember 2017.)

Zvichitaurwa zviri nyore, tiri kusangana nedambudziko rehutano hweveruzhinji hwehuwandu hukuru hunotibata isu tese.

Izvo zvakakosha kuti uzive, zvisinei, kuti vakadzi vane yavo yakasarudzika seti yezvinhu zvine njodzi kana zvasvika pakushandiswa kweopioid. Vakadzi vanowanzo sangana nekurwadziwa kusingaperi, kungave kwakanangana nezvinetso zvakaita seArthritis, fibromyalgia, uye migraine kana mamiriro akadai seana uterine fibroids, endometriosis, uye vulvodynia inoitika chete muvakadzi.

Tsvagiridzo inowana kuti vakadzi vanowanzo kuve vanyorerwa maopioid ekurapa marwadzo avo, zvese mumadhora akakwirira uye kwenguva yakareba yenguva. Uye zvakare, panogona kuve nehunhu hwekutamba mukutamba izvo zvinoita kuti vakadzi vawedzere kupindwa muropa nemaopioid kupfuura varume. Kumwe kutsvagurudza kuchiri kudikanwa kuti unzwisise kuti sei.

Maopioid anosanganisira ekurapwa ekurapwa uye heroin. Uye zvakare, iyo yekugadzira opioid inozivikanwa se fentanyl, iri makumi masere kusvika zana kusimba kupfuura morphine, yakawedzera kuchinetso. Pakutanga yakagadzirirwa kugadzirisa marwadzo evanhu vane kenza, fentanyl inowanzo kuwedzerwa kune heroin kuwedzera simba rayo. Iyo dzimwe nguva inoshandurwa seinonyanya heroin ine simba, ichiwedzera kune kugona kwekushandisa zvakanyanya uye kuwandisa kufa.

Muna 2016, mamirioni gumi nevanhu vakabvuma kushandisa zvisirizvo maopioid mukati megore rapfuura, vachidonongodza zvikonzero sekudiwa kwekubvisa marwadzo epanyama, kubatsira nekurara, kunzwa zvakanaka kana kukwirira, kubatsira nemanzwiro kana manzwiro, kana kuwedzera kana kuderera zvinokonzerwa nemamwe madhiragi.

Kunyangwe vanhu vazhinji vachitaura kuti vanoda kutora maopioid kudzikamisa marwadzo epanyama, zvinofungidzirwa kuti kushandisa zvisirizvo kana vakatora zvinopfuura chiyero chakatemwa kana kutora mushonga pasina mushonga wavo.

Zvese izvi zvinoramba zvichikurudzira zvikuru vanhukadzi, mhuri dzavo, nenharaunda. Nyanzvi dzinoti, semuenzaniso, vangangoita 4 kusvika ku6 muzana yeavo vanoshandisa zvisizvo maopioid vanoenderera mberi nekushandisa heroin, nepo mimwe mhedzisiro inokuvadza inobata vakadzi kunyanya inosanganisira neonatal abstinence syndrome (NAS), boka remamiriro ezvinhu anokonzerwa nekuratidzwa kwemwana kuzvinodhaka yakatorwa naamai vavo vane nhumbu.

Sa mukoti akanyoreswa pari zvino achishandisa mushonga waamai nemucheche, Ndinozvionera ndoga kukosha kwevanhu vanogamuchira kurapwa kwemamiriro akaita seopioid use disorder (OUD), uye mhedzisiro yakaipa kune vese vanaamai uye vacheche kana kurapwa uku kusingaitike. Ndinoziva zvakare kuti denda iri harina rusarura - {textend} rinobata vanaamai nevana vacheche vanobva kwakasiyana magariro.

Chokwadi, chero munhu anotora maopioid ari panjodzi yekushandisa zvakanyanya, nepo vanhu vaviri chete muvanhu gumi vanotsvaga OUD kurapwa vanozoiwana kana vachida. Ichi ndicho chikonzero zvakakosha kubvisa ruzvidzo uye kunyadziswa kunoenderana neOUD - {textend} uye kukurudzira vakadzi vazhinji kuti vawane kurapwa kwavanoda kuti vararame hupenyu hune hutano.

Kuti zvidaro, isu tinofanirwa:

Ziva kuti OUD chirwere chekurapa. OUD haisarure, uye haisi chiratidzo chehunhu kana kushaya simba. Pane kudaro, sezvimwe zvimwe zvirwere, opioid use disorder inogona kurapwa nemishonga.

Zvipingamupinyi zvakaderera pakurapa uye nekugovana mhedzisiro. Vamiririri vanogona kutaurirana kuti kurapwa kweOUD kunowanikwa, kwakachengeteka uye kunoshanda, uye kunounza mhedzisiro, apo zvakare zvichibatsira kusimudzira mukana wekurapwa kwevarwere nekusimudzira inishuwarenzi kufukidza nekusimbisa kuchengetedzwa kwevatengi.

Wedzera mari yezvekurapa kwakabatsira kurapwa kweOD. Mapoka eruzhinji neakazvimiririra mapoka ane chekuita nezvehutano, hutano hweveruzhinji, vekutanga kupindura, uye nzira yekutonga vanofanirwa kushanda pamwechete kukurudzira kushandiswa kwemishonga inobatsirwa OUD.

Funga nezve mazwi atinoshandisa kana tichitaura nezve OUD. Chinyorwa chiri mumagazini JAMA chinopokana, semuenzaniso, kuti varapi vanofanirwa kutarisa "mutauro wakazara," vachikurudzira panzvimbo pacho kuti titaure nevarwere vedu vane OUD sezvataizoita pakurapa mumwe munhu ane chirwere cheshuga kana BP.

Chikurukuru, kana iwe kana munhu waunoda achigara neODI, isu tinofanirwa kudzivirira kuzvipa mhosva. Kushandiswa kweopioid kunogona kuchinja huropi hwako, kuburitsa zvishuwo zvine simba uye kumanikidzwa izvo zvinogona kuita kuti zvive nyore kupindwa muropa uye kuoma zvakanyanya kurega. Izvi hazvireve kuti shanduko idzi hadzigone kurapwa kana kudzoserwa, zvakadaro. Kungoti iyo nzira yekudzoka ichave yakaoma kukwira.

Beth Battaglino, RN ndiye CEO weHutanoVakadzi. Akashanda muindasitiri yehutano kweanopfuura makore makumi maviri nemashanu achibatsira kutsanangura nekufambisa zvirongwa zveruzhinji pane zvakasiyana nyaya dzevakadzi. Iye zvakare ari mukoti anodzidzira muhutano hwemwana amai.