Kusanganiswa kwezvinodhaka kunopa zvipo pane methadone therapy
Opiate kusagadzikana inetso iri kukura muUnited States sezvinoratidzwa nekuparara kweHIV muna 2015 kuIndia iyo yainzi kunoshandiswa kwechirwere Oxycontin . Muchitarisana nehosha yakawanda, mushonga wemishonga unonzi Suboxone (buprenorphine + naloxone) uri kuwedzera kushandiswa kurapa utachiona hweopioid.
Kunzwisisa maOpiates
Mafiripi imhuri yemishonga inonyangadza yakagadzirwa nenzira yakasununguka kana yakagadzirwa kubva kumbeu yeopium poppy plant ( Papaver somniferum ).
Vanoita sevanoratidzira kuti vaore mwoyo mabasa mukati mehutano hwemagetsi, nokudaro vachideredza kurwadziwa nekuderedza kurara.
Kushandiswa kwemaawa akawanda kwenguva refu kunogona kukonzera kuwedzera kushivirira kumushonga. Apo izvi zvinenge zvichiitika, mutengi aizoda kuwedzera muroti kuti aite zvakafanana. Izvi zvinogona kukonzera kuwedzera kwekuvimba kwatakasvika pakuziva sekusvuta . Mune mamwe mamiriro ezvinhu, izvi zvinogona kutungamirira kukurumidza kudarika uye kunyange rufu.
Mamwe emafirimu anowanzoshungurudzwa anosanganisira:
- heroin
- fentanyl
- morphine
- Vicodin (hydrocodone)
- oxycontin
- oxycodone
- codeine
- methadone
Kurapa Opioid Dhiyabhorosi neSuboxone
Suboxone ndeyemishonga yemishonga yemishonga yakagamuchirwa iyo yakagamuchirwa kubva kuU.S. Food and Drug Administration muna 2002 kuti itarise utachiona hweopioid. Yakarongedzerwa sehwendefa rinonyanya kushandiswa kana firimu, ine mishonga miviri inoshandiswa:
- buprenorphine , anopesana nhengo yeopioid, iyo inopa zororo kubva pakuchiva uye kubvisa zviratidzo nekudzivirira maopiate receptors muuropi
- naloxone , anpipi anopikisa, iyo inovhara migumisiro yeopiate drug pachayo
Kushandiswa pamwe chete kunokunda zvimwe zvekukanganisa kwemunhu mumwe nemishonga. Buprenorphine, somuenzaniso, ane mukana wekuita chiropa asi hauna kunyanya kubva apo iyoxone inodzinga opiate madhara.
Naloxone, zvakasiyana, inoshanda kumashure sechidziviriro, inongotanga kushanda apo opiates inopindwa muitiro.
Kana izvi zvikaitika, naloxone inogona kukurudzira kubvisa zviratidzo zvinosanganisira kuora mwoyo, kuora musoro, kuputika, kusagadzikana, kurutsa, uye kudedera.
Kubudirira kweSuboxone Treatment
Suboxone yakawanikwa ichibudirira pakuti inoderedza zvishuwo zvinosanganiswa nekushandiswa kwenguva yakareba opiate apo zvichipa kuvhiringidza kushandiswa ikozvino. Inofananidzwa nemethadone, Suboxone haisi kudhakwa uye kukurumidza kuita (kutora-svota vhiki imwechete kuti iwedzere kufanana nekuenzaniswa nemavhiki kana mwedzi nemethadone).
Suboxone inoratidzikawo kushanda zvakanaka kana yakashandiswa kwenguva refu. Chimwe chidzidzo chakaratidza kuti wechidiki-anobva kune opiate uyo akashandisa Suboxone kwemavhiki gumi nemaviri aive akawandisa kuramba achizvidzora kana achienzaniswa nevamwe vainge vachangopinda mavhiki maviri ekutengesa.
Nzira yekuti Suboxone Inonyorei
Suboxone inorayirwa sechikamu chegadziriro yezvinodhaka zvezvinodhaka uye yekuchengetedza chirwere kana zvichidiwa. Inowanikwa seyero (pasi pezita rezita reBunavail neZubsolve) uye inopiwa nenzira dzakasiyana-siyana kuti ione kuti zvishoma nezvishoma zvinoshandiswa zvekushandisa:
- 12 mg buprenorphine ne 3 mg naloxone
- 8 mg buprenorphine uye 2 mg naloxone
- 4 mg buprenorphine ne 1 mg naloxone
- 2 mg buprenorphine ne 0.5 mg naloxone
Suboxone Treatment Plans
Nepo nzira dziripo dzinogona kusiyana zvichienderana nemishonga epakirini, kune zviyero zvitanhatu kune chirongwa cheSuboxone yekurapa:
- kudya izvo zvinosanganisira kurapwa kwezvechiremba uye nezvepfungwa, ruzivo rwemakirini, uye kuongorora ropa kuitira kuti uve nechokwadi chokuti unogona kutora mushonga usingakuvadzi
- kuiswa mukutendeuka kubva kumaopiates iwe ikozvino uri kuSuboxone nechinangwa chokuderedza "cold turkey" zviratidzo zvekuregera
- kugadzikana uko Suboxone inogadziriswa kusvika kumazamu akadzikisa kuderedza zviratidzo zvekuregererwa kubvumira kuti pakupedzisira kuvhara uye kuregererwa kwemishonga
- kuchengetedza kune avo vane utsinye hwakaoma avo vangada kuenderera mberi, mishonga inotarisirwa kurapwa uye kutsigirwa (kusanganisira kupinda paN Narcotics Anonymous kana kuti isiri-nhanho kutsigira boka)
Kufungisisa kweSuboxone Kushandisa
Suboxone haifaniri kushandiswa kune vanhu vane uwandu hwehutachiona hwehutachiona husingaiti sezvo zvinogona kutungamirira kukura kwezviratidzo. Migumisiro yakajairika inosanganisira misoro, kusuruvara, kurutsa, kuputika kukuru, kuvimbiswa, zviratidzo zvekurega, kusuruvara, kurwadziwa, uye kuunganidza mvura mumakumbo (peri edher).
Suboxone ane mukana wekusashandisa zvisina kunaka kana injowa. Mumamiriro ezvinhu akadaro, nhamba yakaderedzwa yeaconxone haioneki kuderedza "yakakwirira" yakawanikwa kubva ku buprenorphine. Sezvo zvakadaro, Suboxone inongorongedzerwa pasi pechiremba-kutarisirwa kurapwa kana chirongwa chekugadzirisa.
Nemhaka yehutachiona hwehupiyo hutano hwepanyama uye hwepfungwa, kurapwa kunoda boka revanhu vazhinji rinokwanisa kugadzirisa zvose zvezvinoda izvozvo. Kana iwe uchinzwa kuti unogona kubatsirwa kubva kuSuboxone, taura nezvipatara kana masangano ehutano hwepfungwa munharaunda yako kuti uendese kune zvinodhaka zvinodhaka zvirwere.
> Sources
- > Reuters. "Indiana Izvozvi zvirwere zvinokwidza hutachiona hweHIV: hurumende hurumende." Yakabudiswa musi waApril 11, 2015.
- > US Food and Drug Administration. " Kukurukurirana Kunyoresa Mashoko: SUBOXONE (buprenorphine uye naloxone) mafirimu ehurukuro, nokuda kwekunyorwa kwechinyorwa kana kushandiswa kweCIII." Silver Spring, Maryland; October 8, 2002; yakagadziridzwa muna February 2017.
- > Nhamo, G .; Poole, S ;; Subramaniam, G ;; et al. "Kuwedzerwa vs Pfupi-pfupi Buprenorphine-Naloxone Yokurapwa kweApioid-Addicted Youth: A Randomised Trial." JAMA. 2008; 300: 2003-2011.