Kutendeseka Vs Addiction
Benzodiazepines ikirasi yemishonga inowanzogadzirirwa kurapwa kwekuzvidya mwoyo nekutyisidzira kunokonzerwa nekutya chirwere. Pane kukakavadzana kwakanyanya kuti benzodiazepines inogona kunge yakagadzikana mumuviri uye mupfungwa. Chinokonzera kukakavadzana, zvisinei, iyo yakawanda yezvinetso pakati pevashandisi vanotora mishonga iyi chete nokuda kwechikonzero cherapa mukurapwa kwekuzvidya mwoyo.
Kuti uwane mifananidzo yakajeka yezvinetso zvekuchengetedzwa zvinosanganisira benzodiazepine kushandisa, zvakakosha kuita kusiyanisa pakati pekushandisa zvinodhaka nekudhakwa kwezvinodhaka. Kuzvimirira kwepanyama pane benzodiazepine kwakafanana nekunyadzisa here? Kana zviratidzo zvekuregera zvikaitika pakurambidzwa kwe benzodiazepine, izvi zvinoreva here kuti zvinodhaka zvakaitika?
Dependence
Kuzviisa pasi pechirwere kunogona kuonekwa nekuregererwa kwezviratidzo kana mushonga wacho wakangoerekana wakamira kana wakaderera. Kunyange zvazvo kuzvidzora kwepanyama kunogona kuva chikamu chekudhakwa, hachisi, mukati uye pachako, kupindwa muropa. Ichokwadi, kuvimba kwepanyama kunoguma nemishonga yakawanda. Semuenzaniso, rimwe ropa rinoshandiswa nemishonga rinogona kukonzera kuvimba. Kunyange zvakadaro, mishonga iyi haitungamiri kudhakwa.
Kuvimba nemuviri kunogona kuva chiitiko chinotarisirwa chekushandisa kwenguva refu yekurapa kwe benzodiazepines. Kuvimba kwakadai kunogona kukonzera zviratidzo zvekudzoka kana mishonga inomira pakarepo kana kuderera zvakakurumidza.
Zviratidzo izvi zvinogona kusanganisira:
- kuzvidya mwoyo
- chirwere / dumbu chinogumbura
- kusuruvara
- muscle cramps
- headaches
- yakaderedza maitiro
- kufema kufema
- kudengenyeka
- seizures
Kana munhu ari mumuviri anobva pane benzodiazepine, zvinetso zvekuregera zvinogona kudziviswa nekuderera zvishoma nezvishoma kuyerwa kwemishonga kwenguva yakati.
Addiction
Kudhakwa kwezvinodhaka chirwere chepfungwa chinokonzerwa nezvikamu zvekugadzikana kwepanyama uye kwepfungwa. Kudetesa kunogona kukonzera kuguma kwekuzvidzivirira kwemuviri, asi pfungwa yepfungwa inotsigira kubata. Ndicho chikamu chinoita kuti kuchengetedza kusazvidya mwoyo kwakaoma kune vanotambura. Hapana mishonga yekudhakwa uye kuchengetedza kusazvidya mwoyo kazhinji kunoramba kuri kutsvaga kune vanotambura.
Zvinodhaka zvinodhaka zvinokonzera maitiro ekutsvaga zvinodhaka nekupfuurira kushandiswa pasinei nemigumisiro yakaipa. Kuita zvinodhaka zvinodhaka ne benzodiazepine kunogona kusanganisira kuwana mishonga kubva kune anopfuura mumwe mupiro kana kuti kuwana mutemo pasina mvumo pasina chiremba chiremba.
Kushandisa zvinokonzerwa ne benzodiazepines kana zvimwe zvinodhaka zvinogona kukonzera migumisiro yakaipa mumabasa mazhinji ehupenyu. Iyi migumisiro inogona kusanganisira kurashikirwa nebasa rekubereka, matambudziko emhuri kana ukama kana nyaya dzemutemo. Kuita zvinodhaka zvinokonzera kushandiswa kushandiswa kwechirwere pasinei nemigumisiro yakaipa.
Maererano neAmerican Society of Addiction Medicine, kupindwa muropa nezvinodhaka kunopesana nekuderedzwa kwezvinodhaka. Havasi vanhu vose vane chivimbo chekunyama kumushonga unozoenderera mberi kukudziridza kusagadzikana. Zvinotendwa kuti vamwe vanhu vanogadziriswa kana kuti vanotambudzirwa kushaya zvinodhaka zvichienderana nehupenyu, hwepfungwa uye hwehupenyu hwevanhu.
Zviratidzo zvekushandisa zvinodhaka zvinogona kusanganisira:
- mitsva yekutsvaga zvinodhaka (kuwana chiremba kubva kune vanachiremba vakawanda, kuwana mishonga zvisina kukodzera)
- kuchiva kwechirwere
- kufunganya nekuwana mishonga
- kushandisa zvisina kunaka mushonga wekudhakwa kana kufara
- kuvimba uye kubvisa pakumisa mishonga
- kupindira nemabasa ehupenyu huripo (kuderera kwebasa rekubereka, kupera kwechikonzero)
- matambudziko ehukama
- nyaya dzepamutemo
- Kuramba uchishandiswa pasinei nemigumisiro yakaipa
Pseudo-addiction
Kutsvaga zvinodhaka zvinowanzoitwa muropa. Asi, rudzi urwu rwekuzvibata runogonawo kuva nemigumisiro yezviratidzo zvechokwadi izvo zvisina kutongerwa zvakakwana.
Semuenzaniso, munhu ane zviratidzo zvekuzvidya mwoyo uye kutya kunogona kuita muitiro wekutsvaga zvinodhaka kuti aone zviratidzo zvake zvinotungamirirwa. Icho hachisi chetachiona chechokwadi nokuti munhu wacho haadi kutsvaga mishonga yezvinangwa zvemufaro uye haaratidzi mafambiro ekutsvaga zvinodhaka kamwe apo zviratidzo zvinotyisa zvinotarisirwa zvakakwana.
Long-Term Benzodiazepine Shandisa
Vanhu vazhinji vanorayirwa kwenguva yakareba benzodiazepine therapy nokuda kwekufunganya kunobatanidza nekutya chirwere kana chimwe chinetso chokuzvidya mwoyo chinetseka pamusoro pokuva "chidhakwa." Vamwe vanachiremba vangasaita kurapwa kwe benzodiazepine nekuda kwechiitiko chimwe chete. Ongororo dzakawanda dzakaratidza kuti kushandiswa kwenguva refu ye benzodiazepine kunoshanda uye kwakachengeteka uye hakuitisi kudhakwa kwevanhu vakawanda vari kurapwa nokuda kwekuzvidya mwoyo. Asi, kune vamwe vanhu, kushandiswa kwe benzodiazepine kunogona kukonzera kukanganisa. Iyi njodzi inowoneka yakakura kune avo vane nhoroondo yekudhakwa kana zvimwe zvinodhaka zvinodhaka kana avo vanoshingaira kunwa doro kana zvimwe zvinodhaka.
Zvakakosha kuyeuka kuti benzodiazepines inowanzochengeteka uye inoshanda kana inoshandiswa sezvinorayirwa. Kushivirira uye kuvimba kunogona kuguma, uye zvinogona kutotarisirwa, nekushandiswa kwenguva refu. Asi, ichi hachisi chinhu chimwechete sekudhakwa. Kana iwe uchifunga kuti une dambudziko rekushandisa zvinodhaka, yeuka kuti rubatsiro runowanikwa. Taura nechiremba wako kana mumwe mupi wehutano nezvezvokurapa.
Sources:
Mudzidzisi, James E., MD naFeinberg, Steven D., MD, MPH. "Kushatiswa kwePecription uye Over-the-Counter Mishonga." J Am Board Fam Med . Jan 2008. 1983; 286: 1876-7.
Longo, Lance P., MD naJohnson, Brian, MD. "Kuodzwa Mishonga: Chikamu I. Benzodiazepines - Nzira Dzakashata, Dambudziko Dzakashata uye Zvimwe." American Academy of Family Physicians . 01 Apr 2000. 2121-2131.
Pomerantz, Jay M., MD. "Njodzi Inopesana Nokubatsirwa kwaBenzodiazepines." Psychiatric Times . 01 August 2007. Vol. 24, Nha.
US Drug Enforcement Administration. " Zvinodhaka zvekushungurudzwa: Benzodiazepines. "Yakadzorerwa musi waFebruary 20, 2016.