Ripoti Latsopano Lanena Akazi Atha Kukhala Ndi Chiwopsezo Chambiri Chosokoneza Ma Painkiller

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Chilengedwecho, chikuwoneka kuti chili ndi mwayi wofanana pankhani ya zowawa. Komabe pali kusiyana kwakukulu pakati pa amuna ndi akazi momwe amamvera ululu komanso momwe amachitira ndi chithandizo. Ndipo kusamvetsetsa kusiyana kofunikira kumeneku mwina kungaike amayi pachiwopsezo chachikulu chamavuto, makamaka pankhani ya ma opioid amphamvu, monga Vicodin ndi OxyContin, lipoti latsopano.

Ndi mliri wa opioid pakuchepetsa kupweteka kwamankhwala komwe kunapangitsa kuti anthu opitilira 20,000 afe mopitilira muyeso mu 2015 okha-azimayi amatha kukhala pachiwopsezo chokhala oledzera, malinga ndi "United States for Non-Dependence: An Analysis of Impact of Opioid Overprescribing in. America, "lipoti lofalitsidwa lero ndi Plan Against Pain. Mmenemo, ofufuza adayang'ana zolembedwa za mamiliyoni aku America omwe adachitidwa opareshoni mu 2016 ndipo adalandira mankhwala opatsirana movomerezeka ndi madotolo awo. Adapeza kuti 90% ya odwala omwe adachitidwa opareshoni amalandila mankhwala a opioid, omwe amakhala ndi mapiritsi 85 pa munthu aliyense.

Koma ngati zimenezi sizikudabwitsa, anapeza kuti amayi anapatsidwa mapiritsi amenewa ndi 50 peresenti kuposa amuna, komanso kuti amayi ndi 40 peresenti ya mwayi wogwiritsa ntchito mapiritsi mosalekeza kusiyana ndi amuna. Zowonongeka zina zosangalatsa: Amayi achichepere ndi omwe anali pachiwopsezo chachikulu pambuyo pa opaleshoni ya bondo, ndipo pafupifupi gawo limodzi mwa magawo anayi a iwo amamwabe mankhwala opha ululu miyezi isanu ndi umodzi atatha opaleshoni. (Osanenapo, azimayi amatha kuthyola ACL yawo.)Azimayi opitilira 40 amayeneranso kupatsidwa mankhwalawa ndipo atha kufa chifukwa cha bongo. Zinthu zowopsa.

Mwachidule? Azimayi amamwa mankhwala opha ululu kwambiri ndipo nthawi zambiri amakhala oledzera, ndipo zotsatira zake zimakhala zoopsa. (Kutenga mankhwala opha ululu povulala basketball kudatsogolera wothamanga wamkazi uyu ku chizolowezi cha heroin.) Zomwe zimapangitsa kuti pakhale kusiyana pakati pa amuna ndi akazi sizimveka bwino koma ndi funso lomwe akuyenera kukambirana ndi madotolo ndi odwala, atero a Paul Sethi, MD, dokotala wa opaleshoni ya mafupa ku Orthopedic & Neurosurgery Specialists ku Greenwich, Connecticut.

Gawo la yankho likhoza kukhala la biology. Amayi amawoneka kuti akumva kuwawa kwambiri kuposa amuna, pomwe ubongo wa akazi umawonetsa zochitika zambiri zam'madera azowawa zaubongo, malinga ndi kafukufuku wakale yemwe adafalitsidwa mu Journal of Neuroscience. Pomwe kafukufukuyu ankachitikira pa makoswe, izi zitha kufotokoza chifukwa chake azimayi amafunikira kawiri monga morphine, opiate, kumva mpumulo monga amuna. Kuphatikiza apo, azimayi amakhala ndi vuto lowawa kwanthawi yayitali, monga mutu waching'alang'ala, womwe nthawi zambiri umachiritsidwa ndi ma opioid, akutero Dr. Sethi. Pomaliza, akuwonjezera kuti sayansi ikuyang'ana ngati kuchuluka kwa azimayi pakudalira opioid kungakhale chifukwa chakusiyana kwamafuta amthupi, kagayidwe kake, ndi mahomoni. Choyipa kwambiri: Izi ndi zinthu zonse zomwe akazi sangalamulire.

"Mpaka titakhala ndi kafukufuku wambiri, sitinganene motsimikiza chifukwa chake amayi amakhudzidwa kwambiri ndi opioids kuposa amuna," akutero. "Koma tikudziwa kuti izi zikuchitika ndipo tiyenera kuchitapo kanthu."

Kodi mungatani ngati wodwala kuti muchepetse chiopsezo chanu? "Funsani mafunso ambiri kwa dokotala wanu, makamaka ngati mukufuna opaleshoni," akutero Dr. Sethi. "Ndizodabwitsa kuti madokotala angakuuzeni zoopsa zonse za opaleshoni koma osanena chilichonse chokhudza mankhwala opweteka."

Pongoyambira, mutha kufunsa za kupeza chilolezo chofupikitsa, tinene masiku 10 m'malo mwa mwezi, ndipo mutha kufunsa kuti mupewe ma opioid "omasulidwa" atsopanowa, chifukwa awa ndi omwe amayambitsa kudalira, akutero Dr. Sethi. (Pofuna kuthana ndi mliriwu pothetsa mavuto onse awiriwa, CVS idangolengeza kuti yaleka kudzaza mankhwala opatsirana opioid omwe ali ndi masiku opitilira asanu ndi awiri ndipo amangopereka njira zotulutsira nthawi yomweyo.) Akuwonjezeranso kuti inunso khalani ndi zosankha zina kupatula ma opioid othandizira kupweteka mkati ndi pambuyo pa opaleshoni, kuphatikizapo mankhwala oletsa kutupa omwe angagwiritsidwe ntchito pochita opaleshoni komanso mankhwala oletsa kupweteka kwa nthawi yayitali omwe angachepetse ululu mpaka maola 24 pambuyo pake. Chinsinsi ndicho kukambirana ndi dokotala wanu ndi dokotala wanu za nkhawa zanu ndikukonzekera ndondomeko yochepetsera ululu yomwe mumamva bwino.

Kuti mumve zambiri zothana ndi zowawa popanda ma opioid, kuphatikiza mafunso omwe mungafunse dokotala ndi zomwe mungachite, onani Plan Against Pain.

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