NginguDokotela, futhi nganginomlutha wama-opioid. Kungafikela Noma ngubani.

-Delile

• Umuntu wakho ojwayelekile onenkinga yokulutha, egqoke ijazi elimhlophe nje
• Ukuphelelwa ngumsebenzi nokuthola usizo
• Indlela entsha eya phambili

Ngonyaka odlule, uMongameli Trump wamemezela ubhadane lwe-opioid njengesimo esiphuthumayo sezempilo yomphakathi kazwelonke. UDkt Faye Jamali wabelana ngamaqiniso alesi simo esibucayi ngendaba yakhe yokulutha nokululama.

Okuqale njengosuku olugcwele ubumnandi lokugubha izinsuku zokuzalwa zezingane zakhe kuphele ngokuwa okwashintsha impilo kaDkt Faye Jamali unomphela.

Ngasekupheleni kwedili lokuzalwa, uJamali waya emotweni yakhe wayothathela izingane izikhwama.Ngesikhathi ehamba endaweni yokupaka, washelela waphula isihlakala sakhe.

Ukulimala kwaholela ekutheni uJamali, owayeneminyaka engu-40 ubudala, ahlinzwe kabili ngo-2007.

"Ngemuva kokuhlinzwa, udokotela wamathambo wanginikeza inqwaba yemithi yezinhlungu," kusho uJamali etshela abeHealthline.

Ngeminyaka eyi-15 yokuhlangenwe nakho njengodokotela wokubulala izinzwa, wayazi ukuthi umuthi kadokotela wawungumkhuba ojwayelekile ngaleso sikhathi.

"Satshelwa esikoleni sezokwelapha, ukuhlala, kanye nezindawo zethu zokusebenza [zokwelashwa] ukuthi ... kwakungekho nkinga yokulutha ngale mithi uma yayisetshenziselwa ukwelapha ubuhlungu bokuhlinzwa," kusho uJamali.

Ngenxa yokuthi wayebhekene nezinhlungu eziningi, uJamali wayethatha uVicodin njalo emahoreni amathathu kuya kwamane.

“Ubuhlungu baba ngcono ngezindondo, kodwa engikuqaphelile ukuthi ngesikhathi ngithatha izindondo, angizange ngibe nengcindezi enkulu. Uma ngangilwa nomyeni wami, ngangingenandaba futhi kwakungangilimazi kangako. Imeds bekubonakala ukuthi yenza konke kulungile, ”usho kanje.

Imiphumela engokomzwelo yezidakamizwa yehlisele uJamali emthambekeni oshelelayo.

Bengingakwenzi kaningi ekuqaleni. Kepha uma benginosuku olumatasatasa, ngicabange, Uma bengingathatha nje eyodwa yalezi Vicodin, ngizozizwa ngingcono. Yaqala kanjalo-ke, ”kuchaza uJamali.

Wabuye wakhuthazelela i-migraine ikhanda ngesikhathi sakhe seminyaka. Lapho i-migraine ishaya, kwesinye isikhathi wayezithola esegumbini labezimo eziphuthumayo ethola umjovo wezidakamizwa ukuze adambise izinhlungu.

“Ngelinye ilanga, ekupheleni komsebenzi wami, ngaqala ukuphathwa yikhanda elibi kakhulu. Silahla imfucuza yethu ngemishanguzo ekupheleni kosuku emshinini, kepha kwafika kimi ukuthi esikhundleni sokuyichitha, ngingavele ngithathe imishanguzo yokwelapha ikhanda lami futhi ngigweme ukuya ku-ER. Bengicabanga ukuthi ngingudokotela, ngizovele ngizijove, ”kukhumbula uJamali.

Wangena endlini yangasese wajova izidakamizwa engalweni.

"Ngazizwa nginecala ngokushesha, ngazi ukuthi ngeqe umugqa, futhi ngazitshela ukuthi ngeke ngiphinde," kusho uJamali.

Kepha ngakusasa, ekupheleni kokushintsha kwakhe, i-migraine yakhe yaphinda yashaya. Wazithola ebuyela endlini yangasese, ejova izindondo.

“Ngalesi sikhathi, okokuqala ngqa, ngaba nenjabulo ehambisana nomuthi. Ngaphambi kokuba inakekele ubuhlungu. Kepha isilinganiso engizinikeze sona singenze ngaba nomuzwa wokuthi kukhona okonakele ebuchosheni bami. Ngangiziphathe kabi kakhulu ngokufinyelela kule nto emangazayo iminyaka eminingi kangaka ngingakaze ngiyisebenzise, ​​”kusho uJamali. "Yileso sikhathi lapho ngibona sengathi kudunwe ingqondo yami khona."

Ezinyangeni ezimbalwa ezalandela, kancane kancane wakhuphula isilinganiso sakhe ngomzamo wokujaha lowo muzwa wokujabula. Ngezinyanga ezintathu, uJamali wayephuza ama-narcotic aphindwe kayishumi kunalapho ejova okokuqala.

Njalo lapho ngijovile, ngangicabanga ukuthi, Ngeke ngiphinde. Angikwazi ukuba umlutha. Umlutha umuntu ongenakhaya emgwaqweni. Ngingudokotela. Ngingumama webhola. Lokhu ngeke kube yimi, "kusho uJamali.

Umuntu wakho ojwayelekile onenkinga yokulutha, egqoke ijazi elimhlophe nje

Ngokushesha uJamali uthole ukuthi inkolelo yokuthi "umlutha ojwayelekile" ayilungile futhi ngeke imgcine ephephile ekulutheni.

Ukhumbula isikhathi lapho axabana khona nomyeni wakhe futhi wahambisa imoto esibhedlela, waqonda egumbini lokululama, futhi wahlola imithi emshinini wezidakamizwa ngaphansi kwegama lesiguli.

“Ngithe sawubona kubahlengikazi ngavele ngaqonda endlini yangasese ngajova. Ngavuka phansi ngemuva kwehora elilodwa noma amabili inaliti isesandleni sami. Ngangizihlanze ngazichamela. Ubungacabanga ukuthi bengizokwethuka, kodwa esikhundleni salokho ngizihlanze futhi ngithukuthelele umyeni wami, ngoba ukube besingenayo leyo mpi, bekungeke kudingeke ukuthi ngiyojova, ”kusho uJamali.

Ingqondo yakho izokwenza noma yini ukukugcina usebenzisa. Ukulutha kwe-opioid akuyona ukwehluleka kokuziphatha noma kokuziphatha. Ingqondo yakho iyashintsha, ”kuchaza uJamali.

UJamali uthi ukucindezeleka komtholampilo akwenzile eneminyaka engama-30, ubuhlungu obungapheli obuvela esihlakaleni nasemakhazeni, nokufinyelela kuma-opioid kumenza abe umlutha.

Kodwa-ke, izimbangela zokulutha ziyahlukahluka kuye ngomuntu. Futhi akungabazeki ukuthi lolu daba seludlangile e-United States, lapho iZikhungo Zokulawulwa Kwezifo Nokuvimbela Zibika ukuthi ngaphezu kwase-United States kusuka emithonjeni eyeqile yokunqwabelana ehlobene ne-opioid phakathi kuka-1999 no-2016.

Ngokwengeziwe, ukufa ngokweqile okuxhunywe kuma-opioid kadokotela kwakuphindwe izikhathi ezi-5 ngo-2016 kunango-1999, nabantu abangaphezu kuka-90 befa usuku ngalunye ngenxa yama-opioid ngo-2016.

Ithemba likaJamali ukugqashula umlutha wezinkolelo ovame ukuvezwa kwabezindaba nasezingqondweni zabantu abaningi baseMelika.

Lokhu kungenzeka kunoma ngubani. Uma usulomlutha wakho, akukho lutho umuntu angakwenza uze uthole usizo. Inkinga ukuthi, kunzima ukuthola usizo, ”kusho uJamali.

"Sizolahlekelwa yisizukulwane salesi sifo ngaphandle kokuthi sibuyise imali futhi ngaphandle kokuthi siyeke ukucwilisa lokhu njengokuhluleka kwabantu ngokokuziphatha noma ngobugebengu," esho.

Ukuphelelwa ngumsebenzi nokuthola usizo

Emasontweni ambalwa ngemuva kokuba uJamali evuke efile endlini yangasese emsebenzini, wabuzwa ngabasebenzi besibhedlela ngenani lemithi abekade eyihlola.

"Bangicela ukuthi ngidlulise ibheji lami bangitshela ukuthi ngangimisiwe kuze kube baphothula uphenyo lwabo," kukhumbula uJamali.

Ngalobo busuku, wavuma kumyeni wakhe ukuthi kwakwenzekani.

“Leli bekuyisikhathi esiphansi kunazo zonke empilweni yami. Besivele sinezinkinga emshadweni, ngabona ukuthi uzongixosha, athathe izingane, bese kuthi uma engenamsebenzi futhi angabi namndeni, ngilahlekelwe yikho konke, ”usho kanje. "Kodwa ngivele ngigoqe imikhono yami ngambonisa omkhondo ezingalweni zami."

Ngenkathi umyeni wakhe eshaqekile - uJamali wayengavamile ukuphuza utshwala futhi engakaze asebenzise izidakamizwa phambilini - wathembisa ukumeseka ekuvuseleleni nasekululameni.

Ngakusasa, wangena ohlelweni lokululama kwabagulayo eSan Francisco Bay Area.

Usuku lwami lokuqala ekuvuseleleni, bengingazi ukuthi ngilindeleni. Ngibonakala ngigqoke kahle ngifake umgexo weparele, bese ngihlala phansi eduze kwalo mfana othi, ‘Uzele ini lapha? Utshwala? ’Ngathi,‘ Cha. Ngijove izidakamizwa. ’Wethuka,” kusho uJamali.

Cishe izinyanga ezinhlanu, wachitha usuku lonke elulama futhi waya ekhaya ebusuku. Ngemuva kwalokho, wachitha izinyanga ezimbalwa ngaphezulu eya emihlanganweni nomxhasi wakhe futhi esebenzisa imikhuba yokuzisiza, njengokuzindla.

“Ngibe nenhlanhla enkulu yokuthi ngithole umsebenzi nomshwalense. Benginendlela ephelele yokululama eqhubeke unyaka, ”usho kanje.

Ngesikhathi elulama, uJamali wabona inhlamba ezungeze ukulutheka.

“Kungenzeka ukuthi lesi sifo bekungewona umthwalo wami, kodwa ukululama kungumsebenzi wami ngamaphesenti ayikhulu. Ngifunde ukuthi uma ngilulama nsuku zonke, ngingaba nokuphila okumangazayo. Empeleni, impilo engcono kakhulu kunangaphambilini, ngoba empilweni yami yakudala, bekufanele ngindize izinhlungu ngaphandle kokubuzwa ubuhlungu, ”kusho uJamali.

Cishe eminyakeni eyisithupha elulame, uJamali wathola ukuxilongwa ngomdlavuza webele. Ngemuva kokuhlinzwa izikhathi eziyisithupha, walimala waba ne-mastectomy ephindwe kabili. Kukho konke lokho, wakwazi ukuthatha imishanguzo yezinhlungu izinsuku ezimbalwa njengoba kuyalelwe.

“Ngizinike umyeni wami, futhi bengingazi ukuthi bakuphi endlini. Nami ngaqinisa imihlangano yami yokululama ngalesi sikhathi, ”usho kanje.

Ngesikhathi esifanayo, umama wakhe wacishe wabulawa isifo sohlangothi.

“Ngikwazile ukubhekana nakho konke lokhu ngaphandle kokuthembela entweni ethile. Nakuba kuzwakala kungenangqondo, ngiyabonga ngokuhlangenwe nakho kwami ​​ngokuba umlutha, ngoba ekululameni, ngithole amathuluzi, ”kusho uJamali.

Indlela entsha eya phambili

Kuthathe iMedical Board of California iminyaka emibili ukubuyekeza udaba lukaJamali. Ngesikhathi bemfaka ebucayini, ubeselulama iminyaka emibili.

Kwaphela iminyaka eyisikhombisa, uJamali wayehlolwa umchamo kanye ngesonto. Kodwa-ke, ngemuva konyaka emisiwe, isibhedlela sakhe samvumela ukuthi abuyele emsebenzini.

UJamali ubuyele emsebenzini kancane kancane. Ezinyangeni ezintathu zokuqala, othile wayehamba naye emsebenzini ngaso sonke isikhathi futhi eqaphe nomsebenzi wakhe. Udokotela ophethe ukululama kwakhe uphinde wanquma i-opioid blocker naltrexone.

Ngonyaka ngemuva kokuphothula ukuhlolwa kwakhe ngo-2015, washiya umsebenzi wakhe e-anesthesia ukuze aqale umsebenzi omusha wezokwelapha, okubandakanya ukwenza izinqubo ezifana neBotox, fillers, kanye nokuvuselelwa kwesikhumba se-laser.

“Ngineminyaka engama-50 manje, futhi ngijabule kakhulu ngesahluko esilandelayo. Ngenxa yokululama, nginesibindi sokuthatha izinqumo ezilungele impilo yami, ”usho kanje.

UJamali unethemba lokuthi uzoletha okuhle kwabanye ngokukhuthaza ukuqwashisa ngomlutha we-opioid kanye noshintsho.

Yize kwenziwa imizamo yokusiza ekunciphiseni inkinga ye-opioid, uJamali uthi kuningi okusamele kwenziwe.

“Amahloni yiwona enza abantu bangalutholi usizo abaludingayo. Ngokwabelana ngodaba lwami, angikwazi ukulawula ukwahlulela kwabantu ngami, kodwa ngikwazi ukusiza umuntu oludingayo, ”usho kanje.

Ithemba lakhe ngukuqeda lo mkhuba oweqisayo ovezwa kakhulu kwabezindaba nasezingqondweni zabantu abaningi baseMelika.

Indaba yami, uma ifika phansi, ayihlukile kunaleyo engenamakhaya edubula ekhoneni lomgwaqo, ”kusho uJamali. “Uma ubuchopho bakho sebudunyiwe ngama-opioid, noma ungeke ubukeke njengomsebenzisi ojwayelekile, wena kukhona umuntu osemgwaqweni. Wena kukhona umlutha we-heroin.

UJamali ubuye achithe isikhathi ekhuluma nodokotela abazithola bekulesi simo abekade ekuso.

"Uma lokhu kuqale ngenxa yokulimala kwamathambo komunye umuntu ofana nami oneminyaka engama-40 ongenalo umlando wezinkinga zezidakamizwa noma zotshwala, kungenzeka kunoma ngubani," kusho uJamali. "Futhi njengoba sazi kuleli, kunjalo."