Izinkampani Zezidakamizwa Eziphenywa YiSenethi Ngokuthola Isixhumanisi Esingaba khona Esiwumqedazwe We-Opioid

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Uma ucabanga "ubhadane," ungase ucabange ngezindaba zakudala mayelana nesifo se-bubonic noma ezesabekayo zanamuhla ezifana ne-Zika noma izifo ezithathelwana ngocansi eziyizimbungulu. Kepha esinye sezifo eziwumshayabhuqe ezinkulu nezethusayo iMelika ebhekene nazo namuhla asihlangene nokukhwehlela nokuthimula, noma ukukhuluphala ngokweqile. Izidakamizwa. Futhi asikhulumi ngohlobo olungekho emthethweni.

Inani elikhulu labantu baseMelika lilutha ngokweqile futhi libulala ngokweqile ama-opioid. Abantu abalinganiselwa ku-33,000 bathola ukufa okuhlobene ne-opioid ngonyaka ka-2015 e-U.S. Cishe abayi-15,000 balabo baxhunyaniswa ngqo nezidambisi zemithi, ngokusho kweCenters for Disease Control and Prevention. Leyo nombolo ine kane kusukela ngo-1999. Akudingeki ukusho, akulungile. (Ulwazi lungamandla, ngakho-ke nakhu konke okudingeka ukwazi ngaphambi kokuthatha amaphilisi ezinhlungu kadokotela.)

Yingakho ikomidi leSenate livula uphenyo lokuthi ngabe imikhuba yezinkampani ezinkulu eziyisihlanu zemithi yase-U.S, zonke ezikhiqiza amaphilisi ezinhlungu kadokotela, ikusizile yini ukuhlukunyezwa okwedlulele kwe-opioid okuholele ekufeni kwabantu abaningi ngokweqile. ISenethi ibheka iPurdue Pharma, isigaba sikaJohnson & Johnson sikaJanssen, i-Insys, iMylan, kanye neDepomed, icela imininingwane mayelana nokuthengisa nezinto zokumaketha, izifundo zangaphakathi mayelana nezidakamizwa, ukuhambisana nezivumelwano ezisemthethweni, kanye neminikelo emaqenjini abameli, ngokusho kokukhululwa Ikomidi Lezigele laseMelika Lezokuphepha Kwasekhaya Nezindaba Zikahulumeni.Umbiko we-opioid bhubhane wekomidi uthi lezi zinkampani zisebenzisa amaqhinga okuthengisa angabazisayo (njengokubeka engcupheni ubungozi bokulutha umlutha nokuqala iziguli ngemithamo ephezulu ngokweqile) nokunikeza ukukhishwa kwemali okungekho emthethweni ukukhuthaza odokotela nabahlengikazi ukuthi banikeze imikhiqizo yabo ye-opioid.

"Lesi sifo siwumphumela wecebo elibaliwe lokuthengisa nokukhangisa abakhiqizi abakhulu be-opioid okusolwa ukuthi balandele eminyakeni engama-20 edlule ukukhulisa isabelo sabo semakethe nokwandisa ukuncika kubantu abanamandla futhi ngokuvamile ababulala izinhlungu ... kubikwa ukuthi abenzi bazo bafuna amanye amasu, ukwehlisa ubungozi bokulutha emikhiqizweni yabo nokukhuthaza odokotela ukuthi banikeze ama-opioid kuwo wonke amacala obuhlungu nasemithamo ephezulu, "kubhala uSenator wase-US uClaire McCaskill waseMissouri ezincwadini azibhalela izinkampani.

Ama-opioid ahlangana nama-receptors kumaseli ezinzwa emzimbeni nasengqondweni ukukhiqiza injabulo ngaphezu kokukhululeka kobuhlungu, okuyisizathu sokuthi bavame ukuhlukunyezwa, ngokusho kweNational Institute on Drug Abuse (NIDA). Ama-opioid kadokotela ahlanganisa i-oxycodone (isb: i-OxyContin), i-hydrocodone (isb: i-Vicodin), i-morphine, ne-methadone, asetshenziselwa ukwelapha ubuhlungu obumaphakathi kuya kobunzima futhi ngokuvamile anqunywe ngemva kokuhlinzwa noma ukulimala, noma izimo ezifana nomdlavuza, ngokusho ku-CDC. Bese kuba khona i-fentanyl yezemithi-i-synthetic opioid pain reliever enamandla ngokuphindwe izikhathi ezingu-50 kuya kweziyi-100 kune-morphine, futhi isetshenziselwa ukwelapha ubuhlungu obukhulu kuphela. Nakuba ungathola incwadi kadokotela i-fentanyl, kukhona futhi imakethe edwetshiwe engekho emthethweni yomuthi, i-CDC ebika ukuthi iyimbangela yokufa okuningi okuhlobene ne-fentanyl kanye nokweqisa izidakamizwa.

I-CDC ilinganisela ukuthi ngo-2014 kuphela, abantu baseMelika abangaphezu kwezigidi ezimbili babencike emithini yokudambisa izinhlungu i-opioid. Ngenkathi isigamu sokufa okulinganiselwe kwe-opioid kuvela ezintweni okunye ukwedlula amaphilisi ezinhlungu kadokotela, le mithi ingaba amasango kokunye ukusetshenziswa kwe-opioid (kufaka phakathi imithombo engekho emthethweni, njenge-heroin). Eqinisweni, abasebenzisi abasha abane kwabahlanu be-heroin baqale ukusebenzisa amaphilisi ezinhlungu, ngokusho kwe-American Society of Addiction Medicine. Eqinisweni, ukuphuza amaphilisi ezinhlungu kadokotela wokulimala kwebhasikidi yilokho ekugcineni okuholela ekubeni umlutha we-heroin wale ntokazi.

Ezinye zezinkampani ziphendule izincwadi zikaMcCaskill: U-Purdue Pharma utshele i-CNBC, "Inkinga ye-opioid iphakathi kwezinselelo zezempilo eziphezulu zezwe lethu, yingakho inkampani yethu izinikele iminyaka eminingi ukuba yingxenye yesixazululo." Futhi okhulumela i-J & J Janssen uthe, "Sikholwa ukuthi senze ngokufanelekile, ngokuzibophezela, nangokuzizuzela iziguli maqondana nemithi yethu yezinhlungu ze-opioid, evunyelwe yi-FDA futhi ephethe izixwayiso ezigunyazwe yi-FDA mayelana nezingozi ezaziwayo zemithi yonke ilebula yomkhiqizo." UMylan uthe "bayayamukela intshisekelo yesenator kulolu daba olubalulekile futhi sihlanganyela nezinkathazo zayo maqondana nokusetshenziswa kabi kwama-opioid kadokotela," futhi "yize singumdlali omncane kule ndawo, sizibophezele ekusizeni ukuthola izixazululo odabeni lokuhlukunyezwa kwe-opioid nokusebenzisa kabi. "

Akunandaba ukuthi uphenyo lwembulani, kubalulekile ukwazi izinto zakho uma kukhulunywa ngalokho okuku-Rx slip kusuka kudokhumenti yakho. Kufanele wazi nezimpawu ezijwayelekile zokuncika kanye nokuxhashazwa kwezidakamizwa. Ezinye izindaba ezinhle ukukusiza uzizwe a okuncane kangcono ngale nkinga edumazayo: Ukuzivocavoca umzimba kungaba yinto nje engcono kakhulu yokulwa nokulutha kwe-opioid. (Ngemuva kwakho konke, umgijimi ophakeme ngokuqinile unamandla njengesidakamizwa.)

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