Methadone iyi inogadzirwa nemishonga yeopioid kana mishonga, iyo inowanzogadziriswa semushonga uye nzira yekuderedza kuderedza kushandiswa kwewapioid kusagadzikana, kunyanya, kubatsira vanhu kukunda heroin kusagadzikana. Simba rinotyisa, methadone rinowanzonyoreswa kuti ritambure kurwadziwa kwakanyanya. Maitiro makuru ekurapa kwe methadone ndeyokuderedza heroin kurega zviratidzo, kudzivirira heroin nedzimwe nhengo dzehupi dzinokonzera kufara uye kuderedza marwadzo ekuona.
Methadone inogona kuoneka sehwendefa, poda, kana mvura, uye inowanzoitwa semuyero wemuromo wakaenzana nenzira yesirasi yakasvibirira, kana kuti inotapira roramisi kana cherry yakavhenganiswa inwiwa. Methadose, inoshandiswa mishonga ye methadone, inowedzera katatu kupfuura methadone, inoda kuti muchengeti muduku uwedzere kupiwa.
Sei Uchishandisa Methadone?
Pane zvikonzero zvitatu zvakakonzera kuti vanhu vanodhakwa heroin vanoshandisa methadone-kusiya heroin, kutsungirira kurwadziwa, uye kuderedza dambudziko rinokonzerwa nekupinza heroin.
Sokurapa, methadone haisi kumisa hutachiona hweopioid; pane kudaro, iyo inotsiva heroin. Vanhu vanotora methadone sezvavanorayirirwa vachiri kukanganisa maopioid pamwero wepanyama, sezvo methadone inodzivirira maopioid receptors muuropi iyo kazhinji inodzivirirwa ne heroin. Izvi zvinomisa chishuvo icho vanhu vanonzwa che heroin pavanenge vachitora iyo muhombe huru kwenguva yakareba uye vanovadzivisa kuti varege kurwara kubva heroin kuregera.
Methadone for Pain Management
Methadone dzimwe nguva inogona kurondedzerwa nokuda kwekurwadza kwakanyanya kana kusingaperi, kwakadai sekurwadziwa dzimwe nguva kunowanikwa nevanhu vane chirwere chekenza. Kunyange zvazvo kune dzimwe nzira dzakasiyana-siyana dzakasiyana-siyana dzokusununguka, kune zvikonzero zvekuchiraira nei methadone ingave sarudzo yakanaka.
Methadone inogona kubatsira pakugadzirisa kusuruvara kwepfungwa uye mupfungwa dzimwe nguva kunotambura nevanhu vane kenza uye mamwe mamiriro ezvinhu anorwadza, uyewo kurwadziwa kwakanyanya mumuviri.
Sevanhu vanove vakapindwa muropa ne heroin vane huwandu hwakanyanya hwekunzwa kurwadziwa, kazhinji kubva pamatambudziko akare, methadone inobatsirawo kudzivisa kurwadziwa kwepfungwa kunogona kukurira munguva yekurega. Pane humwe huwandu hunopinda muzviratidzo zvemuviri zvekutambudzika uye mupfungwa, uye, semethadone inotarisira zvose zvemarudzi ekurwadziwa, izvi zvinogona kubvumira vanhu kunzwa "zvakajairika," uye vanoenderera mberi nehupenyu hwavo vasingatongorudzi kurwadziwa kunogona kuita kuti vatsvake heroin.
Izvi zvinowirirana ne -self-medication hypothesis , iyo inyanzvi inotsanangura kushandiswa kwezvinodhaka maererano nevanhu vane dambudziko risina kutenderwa kana kurwara-somuenzaniso, kurwadziwa kusina kunzwisiswa kana kusateererwa shure kwekunetseka mupfungwa dambudziko (PTSD). Heroin inogona kuva nemigumisiro yekuderedza zviratidzo zvezvinhu zvose izvi, zvichiita kuti upenyu huve huri kutakura. Nokudaro, maererano ne-self-medication hypothesis, vanhu vanoshandisa heroin "vanozvidzora" marwadzo avo kana zviratidzo zvePTSD ne heroin, uye vanogona kuita zvakanyanya kubudirira nemethadone.
Kutarisana Nezvinetso Zvakatarisana
Sezvo methadone inoshanda chete pamwero wepanyama kuti uvhare marwadzo, kusagadzikana manzwiro, uye zvishuwo, inongova kurapa kwakasarudzwa kwe heroin muropa. Methadone haibatsiri kugadzirisa chinokonzera mamiriro ezvinhu aripo munhu angave nawo, uye, kunyange zvazvo inogona kuperera mafungiro, haina kukonzera zvinokonzera manzwiro akaipa munhu angave ari kuitika, akadai sokunyadziswa, kutya, kutsamwa, kana kuzvidemba . Saka, zvakakosha kuti kana iwe ukasarudza kutora methadone, kuti iwe unowanawo nzira munguva yakareba yekugadzirisa manzwiro angaita kuti uwedzere kusvuta.
Kune nzira dzakawanda dzekuita izvi. Imwe yenzira dzakanakisisa dzekutarisana nematambudziko ako epfungwa ndeyokuita chirongwa chekurapa, kana iwe uchisimbiswa pa methadone, uye hupenyu hwako hunogadziriswa zvakanaka uye husina chaotic. Ikoko kune dzimwe nzira dzakawanda dzokurapa dzakagadzirwa kuti dzishandise zviratidzo zvepfungwa zvekushaya zvinodhaka, kusanganisira cognitive behavioral therapy, manzwiro-focusing therapy, mhuri therapy, uye mazano ekuroorana. Mishonga inogona kupiwa mune mumwe munhu, imwe pane zvidzidzo zvekurapa kune chiremba, chiremba wepfungwa, mutungamiri, kana imwe nyanzvi yehutano hwepfungwa, kana mumapoka evanhu vose vari muchiitiko chakafanana cherapa, uye mapurogiramu akawanda ekurapa anoshanda anosanganisira vose uye boka remishonga, mune imwe chirongwa chezuva remangwanani, kana chirongwa chinorarama-mukati kana chekugara.
Imwe dambudziko rinogona kuderedza hutachiona hweHininine chirwere chepfungwa chisina kutendeuka. Matambudziko ehutano hwepfungwa mune vanhu vanoshandisa heroin kubva pakuora mwoyo, kuzvidya mwoyo, kucherechedza dambudziko rekushungurudzika, uye mushure mekunetseka kwepfungwa dambudziko, kune zvinetso zvakakomba asi zvinoporesa zvakadai schizophrenia. Iyi mamiriro ose anoshanda kurapwa kuburikidza nemishonga, psychotherapy, kana kusanganiswa kwemaviri, uye inogona kuvandudza zvikuru hupenyu hwevanhu vanoshandisa heroin, uye kukwanisa kwavo kurarama vasina zvinodhaka.
Methadone seChirangaridzo Chekugadzirisa
Kukuvadza kuderedza nzira idzi inzira dzekubatsira vanhu vanoshandisa zvinodhaka, zvakadai sa heroin , vasingadi kuti varege mishonga. Panzvimbo pokuisa pfungwa pakurapa kudhakwa, kukuvara kunowedzera kunowedzera kuderedzwa kunokonzerwa nehupenyu hunoshandiswa nevanhu. Izvi zvinogona kuvhiringidza muviri, zvepfungwa, kana zvekugara.
Dambudziko remuviri rinogona kuitika kubva heroin kushandiswa, zvikurukuru injection heroin kushandisa, yakawanda. Kunyanya, kuvhara mishonga yakadai se heroin-kunyanya pazuva rega-kunogona kukuvadza mitsetse, uye kunogona kuita kuti mitsetse iwe. Injecting inogona kutungamirira kukutapurirwa kwezvirwere, zvakadai sehepatitis neHIV, kuburikidza nekugovana masero nemichina pamwe nevamwe vashandisi vezvinodhaka. Kudzokorora-kushandisa zvishandiso, uye kujova mishonga yakasvibiswa kunogona kutungamirira kumarudzi akasiyana-siyana ehutachiona uye chepfu, iyo inogona kutyisa upenyu.
Chimwe chikuvadza chaiwo chemuviri chinogona kuitika kubva heroin kushandiswa inopfuura kudarika . Kana imwe nguva chirwere che heroin chave chichijowa, muviri unofanirwa kurarama nemigumisiro yemishonga pamuviri, iyo inogona kusanganisira kuderedza kufema uye kufara kwemwoyo kusvika pakatarisana nomunhu wacho asingazivi. Iyi ndiyo nzira inowanzoshandiswa nevashandisi ve heroin kufa nekudarika.
Kunyange zvazvo overdose inogona kuchinjwa, kushandisa chirongwa ichoxone, izvi zvinongogoneka kana munhu anoshandisa heroin anopiwa mushonga nomumwe munhu. Muzviitiko zvakawanda, izvi zvichaitwa nehutachiona, kana ambulense inonzi panguva, kunyange iyoxone inogona kutarisirwa neshamwari-shamwari, shamwari, nhengo yemhuri, kana mumwe wekutanga kubatsira, kana vane ruzivo rwechirwere. Zvinosuruvarisa, kana munhu ari kushandisa heroin oga, haakwanisi kudana rubatsiro kana vasingazivi, zvinoreva kuti kudarika kunogona kungodzokororwa chete kana vakawanikwa munguva.
Nemhaka yokuti methadone inowanzopiwa mumuromo wemuromo pane kliniki ye methadone uye isingawanzo injowa, utachiona hwehutachiwana hunopera. Nokudaro methadone inofungidzirwa sechimiro chekuderedza kukuvadza.
Batsirwa
Methadone ine nguva yakareba kupfuura heroin, saka inongoda kutorwa kamwe chete pazuva. Izvi zvinogona kubatsira zvikuru kune vanhu vave vachiedza kutora maitiro akawanda e heroin zuva, vachiita nekuwana uye kuvhara chirwere chinotevera che heroin chinonyanya kukoshesa mabasa ezuva nezuva. Nemhaka yokuti methadone yakareba yakakwirira uye kubviswa kwe heroin, zviri nyore kuti vanhu varambe vachiita nezvimwe zvinhu zvehupenyu hwavo.
Pasi pose, vanhu vari mumethadone vanowanzobudirira mukusiya heroin kune avo vasina mishonga. Vanhu vanosiya heroin vasina methadone vane mikana yakawanda yekudzokazve uye vane ngozi yakanyanya yokudarika shure mushure mekurega kuzvidzora kana kuderedza chirwere chezuva nezuva.
Methadone inoratidzika seyo inobatsira hutano hwekubereka, zvichienzaniswa ne heroin. Kutsvakurudza kunoratidza kuvandudzwa kwekusimudzira kwekuenda kumwedzi kwevakadzi vanove vachinetseka zvikuru ne heroin muropa. Varume pa methadone vane unhu hushoma huri nani kune avo vari heroin.
Drawbacks
Kunyange zvazvo kugadzirisa methadone kunobatsira zviuru zvevanhu kusiya heroin, inodhaka yemishonga. Kuvhiringidzika kwe heroin kana imwe opiate inongoendeswa kune zvinodhaka zvinodhaka. Vanhu vazhinji vanotora methadone havadi kuenda kumakiriniki emethadone nokuda kwemaitiro avo ezuva nezuva. Asi kana methadone inopiwa kuvhiringidzika kuti ishandiswe pamba, mukana wokudarika uye / kana kutengesa mishonga yemutemo kutenga heroin inowedzera.
Uyu ndiwo muenzaniso wekuoma kunoramba kuripo nekuvimbana pakati pevashandisi nevashandi vanoda kuvanetsa-kusagadzikana kunoratidzika kunge simba rakasimba repfungwa iro vanhu vanogara vachiita zvinopesana nevanoda ivo pachavo kuitira kuti vawane mishonga yavo yekusarudza, kunyange kana zvinoreva kutengesa methadone inobatsira kuti varege.
Methadone handiyo chete mishonga inogona kukubatsira kuti usiye heroin. Zvimwe zvinogona kusanganisira buprenorphine uye Suboxone.
Shoko Rinobva
Chisarudzo chekutora methadone kuti ikubatsire kurega heroin munhu wega uye unobva pane zvimwe zvinhu, kusanganisira nguva yakadini yave uchishandisa heroin, kukura kwako kwakanyanya sei, iwe wakatoedza kurega pasina methadone. Inogonawo kuvimba kana iwe wakashandisa heroin nekusvuta kana nejojo. Munyika yakaisvonaka, iwe unogona kuregera heroin usinganetseki nezvekudzoka zvakare nekuderedza, uye vamwe vanhu, zvikuru avo avo vanongoshandisa heroin nguva nenguva uye mumadhora maduku, vanogona kuita izvi. Zvisinei, kana wakanga uchitora heroin kwemwedzi inenge mitanhatu nguva dzose, ungawana zvakaoma kusiya.
Taura nachiremba wako nezvekuwana rubatsiro nemirairo yakakodzera kwauri. Uye yeuka: Kunyange zvazvo methadone inogona kubatsira kudzora rutivi rwepanyama rwekutsvaira kwako, kuti upedze kupora kwako iwe uchave uchida rubatsiro kuti ubatsire nehutano hwepfungwa dzako.
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