IHeroin: Izindaba Zomlutha
-Delile
Owayengumlutha
UTracey Helton Mitchell
Igama lami nginguTracey Helton Mitchell. Ngingumuntu ojwayelekile onendaba engajwayelekile. Ukwehla kwami ekubeni umlutha kwaqala ngisemusha, ngemuva kokuthi nginikezwe ama-opiate wokukhishwa kwamazinyo okuhlakanipha. Angikaze ngibone ukuthi into encane njengephilisi ingaba nemiphumela emikhulu kangaka empilweni yami.
Ama-opiates kwakuyizisombululo engangikade ngizifuna, zonke endaweni eyodwa. Lapho ngithatha ama-opiates, zonke izinkinga zami zabonakala zincibilika. Zonke izinkinga zami zanyamalala ngalowo mzuzu. Ngiqhubeke nokujaha lowo muzwa iminyaka eyishumi eyengeziwe, eyisishiyagalombili ebingumlutha osebenzayo.
Bengingumfundi othembisayo ogcwele okulindelwe okukhulu, kepha angikaze ngigculiseke ngendlela engizizwa ngayo esikhunjeni sami. Le yintambo ejwayelekile kakhulu ehlanganisa abasebenzisi abaningi. Ukuthola ukukhululeka kwesikhashana ekucindezelekeni, ekukhathazekeni, noma kokwesaba kuyindlela ejwayelekile yokusabela lapho usebenzisa izidakamizwa. Ngeshwa, ngokuhamba kwesikhathi, isisombululo siba yinkinga ekhulayo.
Ngasekupheleni kweminyaka yama-1990, iminyaka emibili yempilo yami njengomlutha we-heroin yabhalwa kwifilimu ye-HBO IBlack Tar Heroin: Ukuphela Okumnyama Komgwaqo. Iminyaka yami yokuba umlutha osebenzayo yayiphelile ngokungabi nakhaya. Ekugcineni ngakwazi ukuyeka ukusebenzisa izidakamizwa, kodwa hhayi ngaphambi kokuba ngithole indawo engingakaze ngiyicabange ukuthi ingafinyelela kumuntu onjengami.
Ngenkathi abasebenzisi abaningi bengafiki ezindaweni engaya kuzo, imizwa iyafana. Kunalowo muzwa okhungathekisayo wokuthi akukho ukuphunyula. Umsebenzi wokuyeka ukubukeka ubonakala ungehlulwe. Ubuhlungu bokusetshenziswa kwansuku zonke bukhipha intokozo kancane kancane empilweni buye ezingeni lapho umkhuba odla konke, nobuhlungu ubeka imicabango nemizwa yakho.
Iminyaka eminingi ngisebenzisa izidakamizwa yalimaza umzimba nengqondo yami. Nganginezifo eziningi ezithambile zezicubu ezihlobene nenqubo yokujova engavuleki, futhi ngase nginciphe kakhulu. Ngangingenabo ubudlelwano obunenjongo. Ngaphezu kwakho konke, ngangikhathele ukuhlala nokusebenzisa nokusebenzisa ukuphila.
Ngaboshwa ngoFebhuwari ka-1998, futhi lokho kwaba ukuqala kwempilo yami entsha. Lapho ekugcineni ngenza isinqumo sokucela usizo, angikaze ngibuyele ekubeni umlutha osebenzayo.
Ziningi izindlela zokululama. Indlela kimi yayihilela uhlelo lwezinyathelo eziyi-12 kanye nesikhungo sokuvuselela. Kwabanye, ukululama kungahle kuhilele ukusebenzisa i-opiate replacement therapy. Lapho uthatha isinqumo sokunciphisa noma ukuyeka izidakamizwa, inqubo ingahle ibe buhlungu ekuqaleni. Kodwa-ke, ngemuva kokungakhululeki kokuqala, uzoqala ukuzizwa ungcono.
Thola ukwesekwa ngesinqumo sakho. Abanye abantu babhekana ne-post-acute withdrawal syndrome (i-PAWS), ngakho-ke zilungiselele izinsuku ezinhle nezinsuku ezimbi. Into ebalulekile okufanele uyikhumbule ukuthi wena can buyisela impilo yakho. Kungakapheli nesonto, impilo yakho yonke ingaqala ukuba ngcono.
Ngiwubufakazi obuphilayo bokuthi ukululama kungenzeka.
Othandekayo
UBree Davies
Ngemuva kokuthi ilungu lomndeni ebengisondelene kakhulu nalo lingitshele ukuthi bebesebenzisa i-heroin, ngamangala. Ngangicasukile, ngikhathazekile, futhi nginovalo, kodwa ngaphezu kwakho konke ngangididekile. Bengingazi kanjani ukuthi umuntu engimthandayo wenza i-heroin?
Ekuqaleni ngangizibeka icala. Kumele ngiphuthelwe ezinye izimpawu ezisobala. Ngiwumlutha wotshwala obuyelulama ngokwami, futhi impela bengingaqhubeka nokuziphatha kwabo ukube benginake. Kodwa empeleni, bengingeke ngikwazi.
Ukusetshenziswa kweHeroin - njengokusebenzisa kabi izidakamizwa - kuyinto eyimfihlo kakhulu. Imvamisa, abantu abasondelene kakhulu nomlutha abazi nhlobo ukuthi umuntu usebenzisa ini.
Lapho sengikwazi ukubhekana nokushaqeka kokuqala kwalesi simo, ngaqala ukufuna i-Intanethi ukuthola noma yiluphi ulwazi. Ngingaluthola kanjani usizo kothandekayo wami? Kufanele ngiqale kuphi?
Usesho oluyisisekelo luholele kokungenalutho olusekelayo noma izinsiza ezifinyelelekayo. Izinhlelo ze-detox kanye nezinsizakalo zokuvuselela kwaba sengathi zibiza kakhulu noma zinemininingwane eminingi futhi ziyinkimbinkimbi kimi ukwazi ukuthi othandekayo wami angazisebenzisa yini. Bengidinga nje umuntu engizokhuluma naye futhi angisize ngenze uhlelo lwento engizoyenza, kepha bengingazi ukuthi ngibheke kuphi.
Nganginomngane owayekade ebhekene nesimo esifanayo, ngakho ngamthinta. Ungikhombe eMtholampilo Wokunciphisa Ukulimala eDenver, eColorado, lapho ngihlala khona. Kwakusindisa impilo: ngakwazi ukukhuluma nomuntu mathupha ngaphandle kokwesaba noma ukwahlulela. Lapho, ngikwazile ukuthola ukwelulekwa mahhala noma ngezindleko eziphansi kimi nakothandiweyo wami, izinhlelo ezahlukahlukene zokukhipha ubuthi emzimbeni endaweni, nokuthi singazisebenzisa kanjani. Okubaluleke kakhulu, umtholampilo kwakuyindawo lapho sasingazizwa siphephile uma sikhuluma ngeheroin.
Indlela yokwelashwa "yokunciphisa ukulimala" isuselwa kuzinqubo nokusekelwa okukhipha ihlazo ekubeni umlutha. Ihlazo livame ukusunduza imilutha iqhubeke ngokufihla futhi iqhelele kude nabathandekayo.
Esikhundleni salokho, ukunciphisa ukulimala kubukeka kusiza labo abasezicini zokulutha ngokunikela ngosizo olusebenzayo nemfundo ngenkathi kuncishiswa imiphumela emibi exhunywe ekusebenziseni izidakamizwa. Ngaphambi kokuba ngibhekane nalesi simo, ngangingakaze ngizwe ngokuncishiswa komonakalo.
Uma wena noma umuntu omaziyo elwa nobunzima be-heroin futhi ungaqiniseki ukuthi ungalutholaphi usizo noma isiqondiso, cabanga ngokunciphisa ukulimala. Okungenzi nzuzo ezweni lonke kusebenzisa lolu hlobo lokwelashwa. Ukukhipha ihlazo nokucwaswa ekusebenziseni i-heroin nokukufaka esikhundleni sokwesekwa nemfundo kungenza umehluko omkhulu kumuntu onomlutha nalabo abafuna ukusiza othandekayo wabo kanye nabo ngokwabo.
Umtholampilo
Ongaziwa
Abasebenzisi be-heroin abangena eminyango yethu bavame ukuwela kwesinye sezigaba ezimbili ezijwayelekile: baqala futhi bathuthuka ngokusebenzisa izidakamizwa ezingekho emthethweni, noma badlulela phambili besuka kuma-analgesics ezinhlungu ze-opioid baya kwi-heroin.
Umsebenzi wami uza nezindima ezintathu ezinkulu:
- Phula umlando wabo wokusebenzisa.
- Baqinise ngokwezokwelapha noma ubadlulisele ezingeni eliphezulu lokunakekelwa.
- Nikeza ukuhlolwa okucacile, okuyinjongo olwandle olunesiphepho lapho i-heroin ishaye khona imbobo esikebheni sabo sokuphila.
Nsuku zonke sibona amathumba, ama-track marks, i-hepatitis, ukuphika kanye ne-psychosis. Ukuzwa amazwi amalungu omndeni afile kuyinto evamile. Isikhungo sethu sisanda kwelapha owesifazane osekhulile owayengumuntu osebenzisa imithambo ngemithambo emibi, egingqikayo. Wayengasakwazi ukujova idope kahle, ngakho-ke wayesebenze ngcono ngokuthi “kuqhamuke isikhumba:” adubule i-heroin esikhunjeni nasemisipheni, edala imiphumela emikhulu yamathumba, enezilonda, nehlonishwayo kuzo zombili izingalo. Izinsuku zakhe zokuphakama zase ziphelile. Wayekade enza i-heroin isikhathi eside kangangokuba wayevele eyithatha ukugwema ukuhoxa.
Ukuhoxa kwenza imisipha ebuhlungwini obungemuva, iqumbe isisu sakho, ikwenze uphonsa, futhi ikunikeze ukushisa okubandayo nokubandayo. Empeleni, ulimaza. Lapho uhamba ngokuhoxa, amehlo akho ahlengezela phezulu, uzamula njalo, futhi ukuvevezela kungalawuleka. Ngake ngabona indoda incishiswe ukungakwazi ukubopha izicathulo zayo. Ngamsiza ngamfaka "ebhasini" (ngamdlulisela ezingeni eliphakeme lokunakekelwa).
Sisebenzisa i-Suboxone ukwenza lula inqubo yokuhoxa. Lesi sidakamizwa siqukethe i-buprenorphine ne-naloxone, ehlala ezindaweni ezifanayo zokwamukela ebuchosheni njenge-heroin, yenza lula futhi ihlehlise ukuqhaqhazela ngaphandle kweqhwa kumuntu ongaphansi, njengoba kungenza idophi.
Sinohlelo lwe-taper oluqala kumthamo ophakathi nendawo futhi lwehlisela umuntu eqandeni ngemuva kwamasonto angaba yisithupha. Abantu abanomlutha bayayithanda ngoba ingahlinzeka ngokuyeka kancane efwini le-heroin elenziwa ngenye indlela lapho umuntu engasebenzi kahle. Kuyasiza ngokomzimba, kepha ayithandwa phakathi kwabanye abasebenzi ngoba ayenzi lutho ngengqondo yokulutha. Lokho kuza ngokuzimisela kokushintsha, futhi azikho izinqamuleli zalokho.
Ukuhlanzeka akuyona indawo yokuqala kubantu abaningi abathembele kwi-heroin. Ukuqala kuqala ngokuvuma ukuthi inkinga ayilawuleki, ngeke isashaywa indiva, futhi ekugcineni izobabulala.
Kwabaningi, ubusha bokuziyeka bungacatshangwa njengesidakamizwa, futhi lapho ubusha buqeda, babuyele emuva busetshenziswe. Lo mjikelezo kufanele wephulwe ukuze umsebenzisi akwazi ukubhekana nomgwaqo onzima wokululama.