Zvipingamupinyi zveMitemo Kuwana Chirongwa Chirwere Mishonga
Kana iwe uchida unoda rubatsiro rwekurwadziwa nenzira yemishonga inodhaka yezvinodhaka sezvinonzi narcotics kana opioid, unofanirwa kuziva nezvenhanho dzinotorwa navanachiremba, humwe nyika, uye mapurovhinzi kuti uone kuti varwere vanoda kurwadziwa zvinodhaka, sei vanoita kutora mishonga iyi, uye kana kuti kwete ivo vari kuve vanyengeri vemishonga iyoyo.
Pain Contracts
Vamwe vanachiremba iye zvino vanoda varwere kuti vanyore mabvumirano ekurwadza.
Izvi zvibvumirano zvinofanira kuverengwa uye zvakagamuchirwa nemurwere, kana chiremba haazotauri zvinorwadza-zvinoderedza zvinodhaka zvavanoda.
Sangano rinobudisa pfungwa dzinokosha murwere anofanira kubvumirana nazvo, kusanganisira mashoko akadai:
- Handizoedza kuwana zvinodhaka kubva kune imwe nzvimbo.
- Handizotengesi mishonga yamunondipa ini.
- Ini ndichachengetedza mishonga yangu kuitira kuti irege kubiwa.
- Ini ndichabvumirana nekuongorora miedzo kuti ndione kana ndiri kushandisa zvisina kunaka zvinodhaka munguva yandinovatora.
- Ndinobvuma kusaedza kudzorera mushonga zvakare kare (zvinoreva, murwere ari kutora mishonga yakawandisa zvakanyanya kwazvo).
- .... uye mamwe maonero.
Chirevo chekupedzisira chinotaura kuti kana vakaputsa chero humwe humwe humwe pfungwa, chiremba acharega kugovera mishonga kwavari, kana kuti achavadzinga kubva pakuita kwavo. Ndicho chikonzero chikonzero varwere vangave vachisvibiswa kana vasina kunyorwa.
Tsvaga sampu marwadzo pachikwata.
Kushandiswa kwezvibvumirano izvi zvinorwadza ndechimwe chikonzero chekukakavara pakati pechiremba, sezvo vachifunga kuti kukumbira varwere kuti vasaine chibvumirano chakadaro chinotyora chiremba-murwere.
Vaya vanovashandisa chero zvakadaro vanogona kunge vachinzwa vachinyara pamusoro pokukumbira varwere vavo kuti vasayine zvibvumirano izvi, asi vanozvishandisa nokuti vanonzwa varwere vavo vanoda kuziva zvinetso zvinogona kukura kuburikidza nokushandiswa kwemishonga uye kuzvidzivirira kubva zvinetso zvemutemo.
Vamwe vanachiremba vanotaurira varwere vavo kuti hurumende inoda zvibvumirano izvi, asi kusvika panguva ino, hapana hurumende, hurumende kana hurumende yehurumende inoda zvipikisano zvinorwadza.
Ivo vari vekune imwe hofisi chaiyo yechiremba kana chipatara.
Nyora yacho inoratidzawo kudarika madzimai uye vashandi vekumbikidzira vanoziva kuti vanotarisa mune varwere vanotsvaka zvinodhaka . Ava varwere vachabviswa kana vachida kukumbira zvinorwadza zvinodhaka.
Urine Miedzo
Imwe nzira iyo chiremba anogona kuudza kana murwere wake akatora mishonga yakawanda yeopioid kana kuti kuenzanisa mishonga nezvimwe zvinhu-kusanganisira zvimwe zvinodhaka, marijuana kana doro-ndeyokupa urwere kuongororwa.
Kana chirwere chemuti chinoratidza chete mishonga yakarongedzerwa nachiremba, mune imwe yakagamuchirwa, ipapo murwere ane mukana wakanakisisa wekuenderera mberi kushanda nachiremba wake, kugamuchira mushonga waanoda, kugoverwa mamwe mushonga kuti uende zvishoma nezvishoma kutora mushonga, kana kuti kubvisa marwadzo ake neimwe nzira.
Kune rumwe rutivi, kana zvimwe zvinhu-kana zvakawanda zvezvinorayirwa mishonga-zvinowanika mumurwere weurwere, chiremba angasunungura murwere, kana kungoramba kunyora mushonga mutsva wemishonga inorwadza.
Pane nyaya pamusoro pevarwere vakamboenda kunzvimbo yekukurumidzira kune zvinetso zvinogona kana zvisingaratidze marwadzo anorwadza avo vanotora, avo vanorayirwa kutsvaira kunorwa patsva muE ER. Vanodzidza gare gare kuti chiremba wavo wenguva dzose, uyo ave achivabatsira mukurwadziwa kwekufamba kwenguva, sezvarondedzerwa pamusoro apa, dzidza nezvemamwe madhiragi kubva mumuedzo wemuti, uye rega kuvabata zvakare.
Statewide Databases
Inopfuura makumi matatu nematunhu uye mapurovhinzi manomwe muCanada akagadzira zvinyorwa zvekubatsira maitiro epioid uye zvinodhaka zvezvinodhaka.
Idzi idzi dzinotsvaga chiremba-chiremba-kunyora, chiremba chemishonga-kuparadzanisa, uye kurapa kwevarwere kuzara.
Apo murwere anoona chiremba wake, uye pane mikana iripo yokumunyorera chirwere chinorwadza-relieving mishonga, ipapo chiremba achakwanisa kupinda mudhesi kuti ave nechokwadi chokuti murwere haasi kuedza "dhichiporo shop:" kuunganidza zvinodhaka zvinodhaka kupfuura iye ane kodzero yemutemo kana yemishonga, kana iyo inogona kuva yengozi kwaari kana akadarika.
Hurukuro dziri kuenderera mberi kugoverana uhwu huno ruzivo runogona kuitika mumiganhu yehurumende kuitira kuti varwere havagoni kuenda kunotengeserana kune dzimwe nyika.
Kunyange zvazvo varwere vazhinji vakagumbuka kuti database yakadaro inopesana nehupfumi hwavo, pane zvikonzero zvikonzero zvakakosha zvekutsigira kushandiswa kwemhando iyi yekushandisa:
- Vanachiremba vachakwanisa kunyanya kuisa mishonga kune vakakodzera vakakodzera, panguva dzakakodzera, nekutya zvishoma kuti vanogona kupinda mumatambudziko epamutemo.
- Apo vashandi vekugadzirisa dambudziko vanogona kuwana dhesi rakadaro, varwere vanoenda kuna ER havazogoni kutarirwa mishonga inogona kurwisana nemishonga inorwadza yava kutora. Kana kuti, avo varwere ivavo havazogoni kuregererwa navanachiremba avo nguva dzose kana vakamboenda kune ER kune chimwe chikonzero (ona urine kuongorora pamusoro).
- Varwere vakawanda vanoenderera mberi vachitora marwadzo-kurega zvinodhaka kana vachifunga kuti vanovimba navo, kunyange kana vasipo. Varwere vanogona kurumurwa pamishonga iyi vachakamanikidzwa kuita kudaro, kunyange kana vachifunga kuti hazvigoneki. Vanachiremba vachave nemashoko akakwana pamusoro pehutano hwevarwere hwehutano hwavo, kusanganisira zvinyorwa zvakanyorwa nevamwe vanachiremba, vasati vava neukama nemurwere.
Medscape inonyora runyorwa rwemashoko ayo ari kushandisa zvipi zveshandisi yekudzivirira narcotic uye opioid drug abuse.
Sezvo nguva ichienderera mberi, mitemo inogona kusimbiswa zvakanyanya, uye inogona kuva yakaoma kuvarwere kuwana mishonga yavanoda uye inoda kudzora marwadzo avo.