Heroin: Nkhani Zosokoneza
Zamkati
Yemwe Ankangokhala Chidakwa
Tracey Helton Mitchell
Dzina langa ndi Tracey Helton Mitchell. Ndine munthu wamba wokhala ndi nkhani yachilendo. Chizoloŵezi changa choledzeretsa chinayamba ndili wachinyamata, nditapatsidwa opiate kuti ndikachotse mano anzeru. Sindinazindikire kena kake kakang'ono ngati piritsi kangakhale ndi zotulukapo zazikulu chotero pamoyo wanga.
Opiates anali mayankho omwe ndimafuna, onse m'malo amodzi. Ndikatenga ma opiate, mavuto anga onse amawoneka kuti atha. Mavuto anga onse adatha nthawi yomweyo. Ndinapitiliza kuthamangitsa kumangokhalako zaka zina 10, zisanu ndi zitatu mwazo zomwe zinali zosokoneza bongo.
Ndinali wophunzira wodalitsika wokhala ndi ziyembekezo zazikulu, komabe sindinakhutitsidwe ndimomwe ndimamva pakhungu langa. Uwu ndi ulusi wamba womwe umagwirizanitsa ogwiritsa ntchito ambiri. Kupeza mpumulo wakanthawi kwakanthawi kupsinjika, nkhawa, kapena mantha ndizomwe zimachitika mukamagwiritsa ntchito mankhwala osokoneza bongo. Tsoka ilo, popita nthawi, yankho limakhala vuto lokula.
Chakumapeto kwa zaka za m'ma 1990, zaka ziwiri za moyo wanga monga chidakwa cha heroin zidalembedwa mufilimu ya HBO Black Tar Heroin: Kutha Kwakuda Mumsewu. Zaka zanga zomwe ndakhala ndikumwa mowa mwauchidakwa zinatha ndikusowa pokhala. Pamapeto pake ndinatha kusiya kugwiritsa ntchito mankhwala osokoneza bongo, koma ndisanapite patali komwe sindinkaganiza kuti ndingakhale ndi munthu ngati ine.
Ngakhale ogwiritsa ntchito ambiri samafika kumalo omwe ndidapitako, malingaliro ake ndi ofanana. Pali kumverera kwakukulu kuti palibe kothawirako. Ntchito yosiya ikuwoneka ngati yosatheka. Zowawa zakugwiritsa ntchito tsiku ndi tsiku zimachotsa chisangalalo m'moyo pang'onopang'ono mpaka chizolowezi chowononga, chowawa chimalamulira malingaliro anu ndi malingaliro anu.
Kugwiritsa ntchito mankhwala osokoneza bongo kwa zaka zambiri kunawononga thupi langa ndi malingaliro anga. Ndinali ndi matenda opatsirana angapo ofooka okhudzana ndi jekeseni wosasunthika, ndipo ndinali wochepa thupi kwambiri. Ndinalibe ubale wabwino. Koposa zonse, ndinali nditatopa ndikukhala moyo kuti ndigwiritse ntchito.
Anandimanga mu February 1998, ndipo ichi chinali chiyambi cha moyo wanga watsopano. Nditapanga chisankho chopempha thandizo, sindinabwererenso ku chizolowezi choledzeretsa.
Pali njira zambiri zochira. Njira yomwe ndimakhudzira pulogalamu ya 12-step ndi malo okhazikitsira. Kwa ena, kuchira kungaphatikizepo kugwiritsa ntchito mankhwala opatsirana opiate. Mukasankha kuchepetsa kapena kusiya mankhwala osokoneza bongo, njirayi ikhoza kukhala yopweteka poyamba. Komabe, pambuyo povutika koyamba, mudzayamba kumva bwino.
Pezani chithandizo pazomwe mwasankha. Anthu ena amakhala ndi vuto lotha kusiya ntchito pambuyo pake (PAWS), chifukwa chake khalani okonzekera masiku abwino komanso masiku oyipa. Chofunika kukumbukira ndikuti inu angathe bweretsani moyo wanu. Pasanathe sabata limodzi, moyo wanu wonse ungayambe kusintha.
Ndine umboni wotsimikiza kuti kuchira ndikotheka.
Wokondedwa
Bree Davies
Pambuyo pa wachibale wina yemwe ndinali pafupi naye kundiuza kuti akhala akugwiritsa ntchito heroin, ndinadabwa. Ndinakhumudwa, kuda nkhawa, komanso mantha, koma koposa zonse ndinali wosokonezeka. Sindikadadziwa bwanji kuti winawake yemwe ndimamukonda akuchita heroin?
Poyamba ndinkadziimba mlandu. Ndiyenera kuti ndaphonya zizindikilo zoonekeratu. Ndine chidakwa chomwe ndikuyambiranso, ndipo mosakayikira ndikadatha kutengera machitidwe awo ndikadakhala kuti ndimamvetsera. Koma zenizeni, sindinakhaleko.
Kugwiritsa ntchito Heroin - monga kugwiritsa ntchito mankhwala osokoneza bongo - ndichinsinsi kwambiri. Nthawi zambiri, anthu omwe amakhala pafupi kwambiri ndi osokoneza bongo samadziwa kuti munthu akuwagwiritsa ntchito.
Nditatha kuthana ndi vuto lomwe ndidakumana nalo poyamba, ndidayamba kuyang'ana pa intaneti kuti ndidziwe chilichonse. Kodi ndingapeze bwanji thandizo kwa wokondedwa wanga? Ndiyambira pati?
Kusaka koyambirira sikunapangitse chilichonse kuthandizira kapena kupeza zinthu. Mapulogalamu a detox ndi ntchito zothandizira anthu odwala matendawa zimawoneka kuti ndiokwera mtengo kwambiri kapena zatsatanetsatane komanso zovuta kuti ndidziwe ngati wokondedwa wanga angawagwiritse ntchito. Ndinkangofunika wina woti ndiyankhule naye komanso wondithandiza kupanga pulani ya momwe ndingachitire, koma sindinadziwe komwe ndingapite.
Ndinali ndi mnzanga amene anali atakumana ndi zofananazi, choncho ndinamufikira. Anandiuza kuti ndipite kuchipatala cha Harm Reduction Action ku Denver, Colorado, komwe ndimakhala. Zinali zopulumutsa moyo: Ndinatha kulankhula ndi munthu m'maso popanda mantha kapena kuweruza. Kumeneku, ndidatha kudziwa zaupangiri waulere kapena wotsika mtengo kwa ine ndi wokondedwa wanga, mapulogalamu osiyanasiyana a detox m'derali, ndi momwe tingawagwiritsire ntchito. Chofunika kwambiri, chipatalacho chinali malo omwe timatha kumva kuti tili otetezeka polankhula za heroin.
Njira yothandizira "kuchepetsa mavuto" imakhazikitsidwa mozungulira njira ndi chithandizo chomwe chimachotsa manyazi. Manyazi nthawi zambiri amatha kukakamiza ozolowera kubisala ndikutalikirana ndi okondedwa awo.
M'malo mwake, kuchepetsa mavuto kumawoneka kuti kuthandizira iwo omwe ali ndi vuto losokoneza bongo powapatsa chithandizo ndi maphunziro ndikuchepetsa zovuta zomwe zimadza chifukwa chogwiritsa ntchito mankhwala osokoneza bongo. Ndisanayambe kukumana ndi vutoli, ndinali ndisanamvepo za kuchepetsa mavuto.
Ngati inu kapena munthu wina yemwe mumamudziwa akulimbana ndi vuto la heroin ndipo simukudziwa komwe mungapeze thandizo kapena chitsogozo, lingalirani za kuchepetsa mavuto. Zopanda phindu mdziko lonse lapansi zikugwiritsa ntchito mankhwalawa. Kuchotsa manyazi ndi manyazi chifukwa chogwiritsa ntchito heroin ndikuikamo ndikuthandizira ndi maphunziro kumatha kupanga kusiyana pakati pa omwe ali ndi vuto losokoneza bongo komanso omwe akufuna kuthandiza okondedwa awo komanso iwowo.
Wachipatala
Osadziwika
Omwe amagwiritsa ntchito ma heroin omwe amabwera pakhomo pathu nthawi zambiri amakhala mgulu limodzi: adayamba ndikuchita bwino pogwiritsa ntchito mankhwala osokoneza bongo, kapena amapita patsogolo kuchokera ku ma opioid pain analgesics kupita ku heroin.
Ntchito yanga imabwera ndi maudindo atatu akulu:
- Sanjani mbiri yawo yogwiritsa ntchito.
- Akhazikitseni iwo kuchipatala kapena kuwatengera ku chisamaliro chapamwamba.
- Fotokozerani bwino, kuwunika koyenera munyanja zamkuntho pomwe heroin yabowola boti m'boti lawo lamoyo.
Tsiku lililonse timawona zithupsa, mayendedwe, matenda a chiwindi, kukana, ndi matenda amisala. Kumva mawu am'banja lakufa ndikofala. Malo athu posachedwapa amathandizira mayi wina wachikulire yemwe anali wolowetsa minyewa m'mitsempha yoyipa. Sanathenso kubaya dope moyenera, chifukwa chake anali atapanga "kuwonekera pakhungu:" kuwombera heroin pakhungu ndi minofu, ndikupanga zotupa zazikulu, zotupa, komanso zotupa pamiyendo yonse iwiri. Masiku ake akukwera anali atatha kale. Amakhala akuchita heroin kwa nthawi yayitali kotero kuti amangowamwa kuti apewe kuchoka.
Kuchotsa kumapangitsa kuti minofu yanu ikhale pansi, kupundula m'mimba, kukupangitsani, ndikukuwuzani kutentha ndi kuzizira. Kwenikweni, mumapweteka. Mukamachoka, maso anu amang'ambika, mumayasamula pafupipafupi, ndipo kunjenjemera kumakhala kosalamulirika. Nthawi ina ndidamuwona bambo atachepa mpaka kulephera kumangirira nsapato zake. Ndidamuthandiza ndikumuika pa "basi" (ndikumutumiza kuchisamaliro chapamwamba).
Timagwiritsa ntchito Suboxone kuti muchepetse njira yobwererera. Mankhwalawa amakhala ndi buprenorphine ndi naloxone, omwe amakhala m'malo amomwe amalandirira muubongo ngati heroin, ochepetsa ndikuwongolera kugwedezeka kopanda chipale chofewa munthu, monga amachitira dope.
Tili ndi pulogalamu yama taper yomwe imayambira pa mulingo wapakatikati ndikutsitsa munthu mpaka zero patatha pafupifupi milungu isanu ndi umodzi. Anthu omwe ali ndi chizolowezi chomukonda amakonda chifukwa imatha kupereka kudziletsa pang'ono mumtambo wa heroin womwe ungakane pomwe munthuyo sagwira bwino ntchito. Zimathandiza mwakuthupi, koma sizitchuka pakati pa anthu ena ogwira ntchito chifukwa sizichita chilichonse pokhudzana ndi kusuta. Izi zimadza chifukwa chofunitsitsa kusintha, ndipo palibe njira zazifupi zazomwezo.
Kukhala oyera sikoyamba pomwe anthu ambiri amadalira heroin. Kuyamba kumayamba ndikuvomereza kuti vutoli silitha, silinganyalanyazidwe, ndipo pamapeto pake lidzawapha.
Kwa ambiri, zachilendo zakudziletsa zitha kuganiziridwa ngati mankhwala, ndipo zachilendo zikatha, zimayambiranso ntchito. Kuzungulira uku kuyenera kuthyoledwa kuti wogwiritsa ntchito athe kupeza njira yovuta yochira.