Ukuvimbela ama-Opioid akuvimbeli umlutha. Ilimaza Nje Abantu Abayidingayo

-Delile

• U-Purdue utshele labodokotela ukuthi kunesidakamizwa esisebenza kahle kakhulu, esingasebenzi kahle esibizwa nge-Oxycontin ekulungele ukuxazulula inkinga. Uma kuphele.
• Kepha ukusebenzisa leyo mikhawulo akugcini nje ngokungaqondi kahle inkinga ye-opioid uqobo - {textend} kungaba yingozi kwiziguli ezibuhlungu ezingamahlalakhona nezishubile.
• Iqiniso ukuthi sesivele sinemikhawulo eminingi emiyalweni ye-opioid, kepha akukho okubonisa ukuthi bavimbela ukuluthwa nakho konke okukhombisa ukuthi balimaza iziguli ezibuhlungu ezingamahlalakhona.
• Ngokufanayo, ukusebenzisa kabi imishanguzo kadokotela kuphephe kunokusebenzisa kabi izidakamizwa “zasemgwaqweni”, noma ngabe umuntu engesona isiguli esibuhlungu esingalapheki kepha enenkinga yokusebenzisa i-opioid.

Ubhadane lwe-opioid alulula njengoba lwenziwe. Nakhu ukuthi kungani.

Ngesikhathi sokuqala ngingena endaweni yokudlela yesikhungo sokwelapha iziguli lapho ngangizosebenzisa khona inyanga elandelayo, iqembu lamadoda aneminyaka engama-50 ubudala langibuka kanye, labhekana, lathi ngazwi linye, “Oxy.”

Ngangineminyaka engu-23 ngaleso sikhathi. Kwakungukubheja okuphephile ukuthi noma ngubani ongaphansi kweminyaka engama-40 ekwelashweni wayekhona, okungenani ngokwengxenye, ngokusebenzisa kabi i-OxyContin. Ngenkathi ngilapho ngibe notshwala obudala obudala, ngavele ngaqonda ukuthi kungani bekwenzile lokho kucabanga.

KwakunguJanuwari 2008. Ngalowo nyaka, odokotela e-United States babezobhala inani eliphelele lemiyalelo ye-opioid ngesilinganiso sama-78.2 kubantu abayi-100.

Amandla aqhuba lezo zinombolo kwakunguPurdue Pharma, abenzi be-opioid elutha kakhulu i-OxyContin, igama lomkhiqizo le-oxycodone. Le nkampani yachitha izigidigidi zamarandi ukumaketha lesi sidakamizwa ngaphandle kokuxoxa udaba oluphelele, yasebenzisa ukwesaba kodokotela ukuthi babedala izinhlungu.

U-Purdue utshele labodokotela ukuthi kunesidakamizwa esisebenza kahle kakhulu, esingasebenzi kahle esibizwa nge-Oxycontin ekulungele ukuxazulula inkinga. Uma kuphele.

Manje siyazi ukuthi yini iPurdue eyayiyazi ngaleso sikhathi: OxyContin kuyinto umlutha omkhulu, ikakhulukazi emithamo ephezulu ama-Purdue reps ayekhuthaza odokotela ukuthi bakunikeze. Kungakho isikhungo sami sokwelapha sasigcwele abantu abasebasha, ama-20s, nama-30s, ababeyimilutha ye-OxyContin.

Ukuqokwa ngokweqile kwama-opioid kwaphakama ngo-2012, okwakubhalwa imiyalo ebhalwe e-United States, okulingana nemiyalo engama-81.3 ebhalwe kubantu abayi-100.

Ukuzikhukhumeza kwezenzo zikaPurdue, kanye nokuchazwa ngokweqile okuyingozi okwavela, imvamisa kungani - {textend} lapho osopolitiki bekhuluma ngokukhuluma ngenkinga ye-opioid - {textend} baqala ngokukhuluma ngokufaka imikhawulo emiyalweni ye-opioid.

Kepha ukusebenzisa leyo mikhawulo akugcini nje ngokungaqondi kahle inkinga ye-opioid uqobo - {textend} kungaba yingozi kwiziguli ezibuhlungu ezingamahlalakhona nezishubile.

Ngo-2012, enye yezimbangela zokushayela kwalesi sifo kwakuyi-opioid kadokotela, kodwa lokho bekungenzeki cishe iminyaka eyisikhombisa. Lapho nje odokotela beqonde amandla okulutha alezi zidakamizwa, ikakhulukazi i-OxyContin, sebenikezwe ukunikezwa kwabo.

Imiyalo ye-opioid yehle njalo ngonyaka kusukela nge-2012, kepha inani lokufa okuhlobene ne-opioid liyaqhubeka nokukhuphuka. Ngo-2017, kwakukhona ukufa kwabantu abangu-47,600 okuhlobene ne-opioid e-United States. Ngaphansi kwengxenye (17,029) yalezo ezithinta ama-opioid kadokotela.

Ngaphezu kwalokho, ucwaningo luphakamisa iningi labantu abasebenzisa kabi ama-opioid kadokotela ungakwenzi uyithole kudokotela, kodwa usebenzise kabi imithi enikezwe umndeni noma abangane.

Ngakho-ke, kungani kukhona okunye kwalolu daba? Abantu abanezinhloso ezinhle bangase babuze, “Uma ama-opioid kadokotela ahlobene ngisho kancane nobhadane lwe-opioid, ingabe ukubabekelela akuyona into enhle?”

Iqiniso ukuthi sesivele sinemikhawulo eminingi emiyalweni ye-opioid, kepha akukho okubonisa ukuthi bavimbela ukuluthwa nakho konke okukhombisa ukuthi balimaza iziguli ezibuhlungu ezingamahlalakhona.

UTrish Randall, onobuhlungu obungapheli besimo esingajwayelekile esibizwa ngokuthi yi-pancreas divisum, uchaza ukuba sema-opioid esikhathi eside, nesezingeni eliphakeme njengobhekene "nezinga okusolwa ngalo njengombulali."

Ubeka eminye yale mikhawulo ku-Hlunga:

“Isiguli kufanele sihambisane nemibandela efana nemiyalelo yamaphepha kuphela, singangeni ocingweni; ukuqokwa komuntu siqu njalo ezinsukwini ezingama-28; nokuhlolwa komchamo nokubalwa kwamaphilisi nganoma yisiphi isikhathi noma kukho konke ukuqokwa, noma ngesaziso samahora angama-24 noma kunini lapho ngithola khona ucingo. Udokotela oyedwa kuphela kanye nekhemisi elilodwa abangaphatha imiyalo. Ezinye izimo azibandakanyi ugwayi, utshwala noma izidakamizwa ezingekho emthethweni (ngombono wokuthi iziguli ezibuhlungu kufanele zikhuthazwe ukuba zingabi umlutha), nokuthi zidingelwe ukuya emihlanganweni yabezengqondo noma yezengqondo. ”

Lapho ama-opioid kadokotela engabandakanyeki ekufeni okuningi okuhlobene ne-opioid, kuyisihluku ukudala imikhawulo evimbela abantu abanezinhlungu ezingapheli ekutholeni usizo abaludingayo.

Lapho kubekwa imingcele kulabo abanezinhlungu ezingapheli futhi bengakwazi ukuthola imishanguzo abayidingayo, kunengozi enkulu abazoyiphendukela kuma-opioid emakethe emnyama njenge-heroin noma i-fentanyl yokwenziwa. Futhi leyo mithi inengozi enkulu kakhulu yokweqisa ngokweqile okubulalayo.

Ngokufanayo, ukusebenzisa kabi imishanguzo kadokotela kuphephe kunokusebenzisa kabi izidakamizwa “zasemgwaqweni”, noma ngabe umuntu engesona isiguli esibuhlungu esingalapheki kepha enenkinga yokusebenzisa i-opioid.

Kuyiqiniso elingathandeki. Sibekelwe ukucabanga ngomuntu osebenzisa kabi ama-opioid kadokotela enza into eyingozi okufanele imiswe. Kepha ukusebenzisa kabi imishanguzo kadokotela kuphephe kakhulu kunokusebenzisa ama-opioid emakethe emnyama.

IHeroin kanye nama-opioid okwenziwa afana ne-fentanyl avame ukusikwa nezinye izidakamizwa futhi abe namandla ahlukahlukene, okwenza kube lula ukweqisa. Ukuthola okulingana nalezi zidakamizwa ekhemisi kuqinisekisa ukuthi abantu bazi ukuthi badla ini nokuthi malini.

Angikuphakamisi ukuthi kufanele sibuyele emuva ezinsukwini zemigomo ye-opioid engu-81.3 kubantu abangu-100. Futhi umndeni wakwaSackler ngemuva kwePurdue Pharma kufanele ubekwe icala ngokuphequlula ngokweqile ukuphepha kwe-OxyContin nokubeka phansi izingozi zayo eziyingozi.

Kepha iziguli ezibuhlungu ezingapheli nabantu abanenkinga yokusebenzisa i-opioid akufanele badinge ukukhokhela iziphambeko ze-Sacklers, ikakhulukazi lapho ukwenza kanjalo kunganqandi ubhadane lwe-opioid. Ukwelashwa ngezimali (kufaka phakathi ukwelashwa okusizwa yimithi) kulabo abakudingayo kusebenza kakhulu kunokunciphisa imiyalo ebhalwe iziguli ezibuhlungu uma kwenzeka nje bazisebenzisa kabi.

I-pendulum yama-opioid kadokotela ibijika kakhulu ohlangothini olulodwa, kepha ukuyivumela ijike kakhulu kolunye uhlangothi kuzolimaza kakhulu, hhayi ngaphansi.

UKatie MacBride ungumbhali ozimele futhi ungumhleli ohambisanayo we-Anxy Magazine. Ungawuthola umsebenzi wakhe eRolling Stone naseDaily Beast, phakathi kwezinye izindawo. Uchithe ingxenye enkulu yonyaka odlule esebenza kumbhalo obhalwe phansi mayelana nokusetshenziswa kwezingane insangu yezokwelapha. Njengamanje uchitha isikhathi esiningi kakhulu ku Twitter.