Mental Health and Opioid Dependence: Amalumikizidwa Bwanji?

Zamkati

• Matenda amisala ndi ma opioid
• Opioids ndi kukhumudwa
• Nchiyani chimayambitsa kulumikizana?
• Zowopsa zogwiritsa ntchito opioid
• Momwe mungapewere kudalira
• Samalirani thanzi lanu lamaganizidwe
• Tsatirani malangizo
• Yang'anirani zizindikiro zakudalira
• Tengera kwina

Opioids ndi gulu la opweteka kwambiri. Amaphatikizapo mankhwala monga OxyContin (oxycodone), morphine, ndi Vicodin (hydrocodone ndi acetaminophen). Mu 2017, madotolo aku United States adalemba zochuluka kuposa zamankhwalawa.

Madokotala amapereka mankhwala opioid kuti athetse ululu pambuyo pa opaleshoni kapena kuvulala. Ngakhale mankhwalawa amathandiza kwambiri popewetsa ululu, amakhalanso osokoneza bongo.

Anthu omwe ali ndi thanzi lam'mutu monga kukhumudwa kapena nkhawa amatha kulandira mankhwala a opioid. Alinso pachiwopsezo chachikulu chotenga kudalira mankhwalawa.

Matenda amisala ndi ma opioid

Kugwiritsa ntchito ma opioid ndikofala kwambiri pakati pa anthu omwe ali ndi mavuto azaumoyo. Pafupifupi 16 peresenti ya anthu aku America ali ndi matenda amisala, komabe amalandira zoposa theka la mankhwala onse opioid.

Anthu omwe ali ndimatenda amisala komanso nkhawa amakhala ndi mwayi wambiri wogwiritsa ntchito mankhwalawa kuposa omwe alibe mavuto amisala. Amakhalanso ndi mwayi wogwiritsa ntchito ma opioid molakwika.

Kukhala ndi matenda amisala kumawonjezeranso mwayi wokhala ndi ma opioid nthawi yayitali. Akuluakulu omwe ali ndi vuto lamavuto amatha kutenga mankhwalawa kwa nthawi yayitali kuposa omwe alibe matenda amisala.

Opioids ndi kukhumudwa

Ubale wobwereza uliponso. Umboni ukusonyeza kuti kugwiritsa ntchito opioid kumathandizira pamavuto amisala.

Kafukufuku wa 2016 mu Annals of Family Medicine adapeza kuti pafupifupi 10% ya anthu omwe adalemba ma opioid adayamba kukhumudwa patatha mwezi umodzi atamwa mankhwalawo. Akamagwiritsa ntchito ma opioid, amakhala pachiwopsezo chachikulu chokhala ndi nkhawa.

Nchiyani chimayambitsa kulumikizana?

Pali zifukwa zochepa zomwe zingapangitse kulumikizana pakati pa thanzi lam'mutu ndi kudalira opioid:

• Ululu ndi chizindikiro chofala kwa anthu omwe ali ndi matenda amisala.
• Anthu omwe ali ndi nkhawa komanso mavuto ena azaumoyo amatha kugwiritsa ntchito ma opioid kuti adzichiritse okha ndikuthawa mavuto awo.
• Opioids sangagwire ntchito mwa anthu omwe ali ndi matenda amisala, zomwe zimapangitsa kuti pakhale kufunika kochulukirapo.
• Anthu omwe ali ndi matenda amisala atha kukhala ndi majini omwe amachulukitsa chiopsezo chawo.
• Zovuta monga kuzunzidwa kwakuthupi kapena kwamaganizidwe zimatha kuyambitsa matenda amisala komanso mankhwala osokoneza bongo.

Zowopsa zogwiritsa ntchito opioid

Ngakhale ma opioid ali othandiza kuthetsa ululu, amatha kubweretsa kudalira thupi komanso kusuta. Kudalira kumatanthauza kuti mukufunikira mankhwalawa kuti agwire bwino ntchito. Kuledzera ndipamene mupitiliza kugwiritsa ntchito mankhwalawa, ngakhale amadzavulaza.

Opioids amakhulupirira kuti amasintha umagwirira ubongo m'njira yomwe imakupangitsani kufuna zochulukirapo za mankhwalawa kuti akhale chimodzimodzi. Popita nthawi, kumwa Mlingo wokulirapo kumabweretsa kudalira. Kuyesera kutsika ma opioid kumatha kuyambitsa zizindikiro zakusiya monga thukuta, kusowa tulo, nseru, ndi kusanza.

Anthu omwe amatenga ma opioid ambiri amatha kumapeto kwambiri.Tsiku lililonse, anthu opitilira 130 amafa chifukwa chogwiritsa ntchito mankhwala opioid ku United States. Mu 2017, anthu aku America opitilira 47,000 adamwalira ndi mankhwala osokoneza bongo, malinga ndi National Institute on Drug Abuse. Kukhala ndi matenda amisala kumakulitsanso mwayi wambiri wopitirira muyeso.

Momwe mungapewere kudalira

Ngati mukukhala ndi nkhawa, nkhawa, kapena matenda ena amisala, Nazi zinthu zingapo zomwe mungachite kuti mupewe kudalira ma opioid.

Samalirani thanzi lanu lamaganizidwe

Pewani kugwiritsa ntchito ma opioid ngati chithandizo chamankhwala. M'malo mwake, pitani kwa katswiri wazamisala, wama psychologist, kapena akatswiri ena azaumoyo kuti mukambirane za mankhwala ena omwe angakuthandizeni. Chithandizo chake chingaphatikizepo mankhwala opondereza kupsinjika, upangiri, ndi chithandizo chachitukuko.

Tsatirani malangizo

Ngati mukufuna kumwa ma opioid mukatha opaleshoni kapena mutavulala, gwiritsani ntchito ndalama zomwe dokotala wanu wakupatsani. Mukamaliza kumwa mankhwalawo kapena simukumva kuwawa, siyani kumwa mankhwalawo. Kukhala pa mankhwalawa kwa nthawi yochepera milungu iwiri kumakupangitsani kuti musamadalire iwo.

Yang'anirani zizindikiro zakudalira

Ngati mukumwa opioid yayikulu kuti mupeze zomwe mukufuna, mutha kukhala odalira. Kuchotsa mankhwalawa kumadzetsa zisonyezo zakusiya monga kukwiya, nkhawa, kusanza, kutsegula m'mimba, ndi kunjenjemera. Onani dokotala wanu kapena katswiri wazakumwa kuti akuthandizeni kusiya kugwiritsa ntchito mankhwalawa.

Tengera kwina

Opioids amathandiza kwambiri kupweteka. Zitha kukhala zothandiza pochiza zowawa kwakanthawi kochepa, monga opaleshoni kapena kuvulala. Komabe amathanso kubweretsa kudalira kapena kusuta akagwiritsa ntchito kwakanthawi.

Anthu omwe ali ndi nkhawa komanso mavuto ena azaumoyo amatha kudalira ma opioid. Kugwiritsa ntchito ma opioid kumathandizanso kuti pakhale chiopsezo chokhala ndi vuto laumoyo.

Ngati muli ndi vuto la thanzi, lankhulani ndi dokotala musanamwe ma opioid. Kambiranani za kuopsa kwake, ndipo funsani ngati pali njira zina zopewera ululu zomwe mungayesere m'malo mwake.