Ngesizwe Esisenkingeni, Yisikhathi Sokususa Isihlamba Senkinga Ye-Opioid

Usuku ngalunye, abantu abangaphezu kwe-130 e-United States balahlekelwa yizimpilo zabo ngenxa yokweqisa i-opioid. Lokho kuhumusha izimpilo ezingaphezu kwe-47,000 ezilahlekile kule nkinga embi ye-opioid ngo-2017 kuphela.

Abantu abayikhulu namashumi amathathu ngosuku yisibalo esimangazayo - {textend} futhi ongeke anciphe noma kunini. Eqinisweni, ochwepheshe bathi inkinga ye-opioid ingaba yimbi kakhulu ngaphambi kokuba ibe ngcono. Futhi yize inani lokufa okuhlobene ne-opioid lehlile kwezinye izifundazwe, lisakhula ezweni lonke. (Inani lama-opioid overdoses lenyuke ngamaphesenti angama-30 ezweni lonke phakathi kukaJulayi 2016 noSepthemba 2017.)

Kalula nje, sibhekene nenkinga yezempilo yomphakathi yenani elikhulu elisithinta sonke.

Kubalulekile ukwazi, noma kunjalo, ukuthi abesifazane banezici zabo ezihlukile zokubeka engcupheni uma kukhulunywa ngokusetshenziswa kwe-opioid. Abesifazane banamathuba amaningi okuzwa ubuhlungu obungapheli, noma ngabe buhlobene nezinkinga ezifana ne-arthritis, i-fibromyalgia, ne-migraine noma izimo ezifana ne-uterine fibroids, i-endometriosis, ne-vulvodynia eyenzeka kuphela kwabesifazane.

Ucwaningo luthola ukuthi abesifazane basemathubeni amaningi okunikezwa ama-opioid ukwelapha izinhlungu zabo, ngemithamo ephakeme nangesikhathi eside.Ngaphezu kwalokho, kungahle kube nokuthambekela okungokwemvelo ekudlaleni okwenza abesifazane babe yimilutha ye-opioid kalula kunabesilisa. Kusadingeka olunye ucwaningo ukuqonda ukuthi kungani.

Ama-opioid afaka phakathi imithi yokwelashwa yobuhlungu kanye ne-heroin. Ngaphezu kwalokho, i-opioid yokwenziwa eyaziwa ngokuthi i-fentanyl, enamandla ngokuphindwe ka-80 kuya kwayi-100 kune-morphine, ingeze enkingeni. Kuthuthukiswe ekuqaleni ukuphatha izinhlungu zabantu abanomdlavuza, i-fentanyl ivame ukungezwa kwi-heroin ukwandisa amandla ayo. Kwesinye isikhathi kufihlwa njenge-heroin enamandla kakhulu, okunezela ekuthini ukusetshenziswa kabi nokufa ngokweqile.

Ngaphezu kwengxenye eyodwa kwezintathu yabantu abadala base-U.S. Basebenzise imishanguzo yezinhlungu kadokotela ngo-2015, kanti ngenkathi iningi lalabo abathatha imishanguzo yezinhlungu kadokotela bengayisebenzisi kabi, abanye bayayisebenzisa.

Ngo-2016, abantu abayizigidi eziyi-11 bavuma ukusebenzisa kabi ama-opioid kadokotela ngonyaka owedlule, bebeka izizathu ezinjengesidingo sokuqeda izinhlungu zomzimba, ukusiza ngokulala, ukuzizwa kahle noma ukuphakama, ukusiza ngemizwa noma imizwa, noma ukwandisa noma ukunciphisa imiphumela yezinye izidakamizwa.

Yize abantu abaningi bebika ukuthi badinga ukuthatha ama-opioid ukukhulula izinhlungu zomzimba, kubhekwa njengokusebenzisa kabi uma bethatha okungaphezu komthamo obekiwe noma bathathe umuthi ngaphandle kwemithi yabo.

Konke lokhu kuqhubeka nokuba nomthelela omkhulu kwabesifazane, imindeni yabo, nasemiphakathini. Ochwepheshe bathi, ngokwesibonelo, ukuthi cishe amaphesenti ama-4 kuye kwayi-6 alabo abasebenzisa kabi ama-opioid azoqhubeka nokusebenzisa i-heroin, kanti eminye imiphumela emibi ethinta abesifazane ikakhulukazi ihlanganisa neonatal abstinence syndrome (NAS), iqembu lezimo ezibangelwa ukuvezwa kwengane emithini bathathwe ngumama wabo okhulelwe.

Njengomhlengikazi obhalisiwe njengamanje osebenzisa umuthi kamama nowomntwana, ngiyazi mathupha ngokubaluleka kwabantu abathola ukwelashwa ngezimo ezinjenge-opioid use disorder (OUD), kanye nemiphumela emibi yomama nezingane ezisanda kuzalwa lapho lokho kwelashwa kungenzeki. Ngiyazi futhi ukuthi lolu bhubhane alubandlululi - {textend} luthinta omama nezinsana kuzo zonke izizinda zomnotho.

Ngempela, noma ngubani ophuza ama-opioid usengozini yokusebenzisa ngokweqile, kuyilapho kuphela abantu ababili kwabayishumi abafuna ukwelashwa kwe-OUD abazokwazi ukukuthola lapho bekufuna. Yingakho kubalulekile ukuthi kususwe ukucwaswa kanye nehlazo elihambisana ne-OUD - {textend} nokukhuthaza abesifazane abaningi ukuthi bathole ukwelashwa abakudingayo ukuze baphile impilo enempilo.

Ukufeza lokho, kufanele:

Yazi ukuthi i-OUD ukugula okwelashwa. I-OUD ayikhethi, futhi ayisona isibonakaliso sokuthamba kokuziphatha noma kobuntu. Esikhundleni salokho, njengezinye izifo, ukuphazamiseka kokusebenzisa i-opioid kungelashwa ngemithi.

Izithiyo eziphansi zokwelashwa kanye nemiphumela yokwabelana. Izishayamthetho zingakhuluma ngokuthi ukwelashwa kwe-OUD kuyatholakala, kuphephile futhi kuyasebenza, futhi kuletha imiphumela efakazelwe, kuyilapho kusiza nokwenza ngcono ukufinyelela ekwelashweni kweziguli ngokukhuthaza ukumbozwa kwemishwalense nokuphoqelela ukuvikelwa kwabathengi.

Nweba uxhaso lwezokwelapha olusizwa ngokwelashwa nge-OUD. Amaqembu womkhakha womphakathi nowangasese abandakanyeka kwezokunakekelwa kwezempilo, ezempilo yomphakathi, abaphenduli bokuqala, kanye nohlelo lwezobulungiswa kumele basebenze ngokubambisana ukukhuthaza ukusetshenziswa kwezindlela ezisiza ngokwelashwa ze-OUD.

Cabanga ngamagama esiwasebenzisayo uma ukhuluma nge-OUD. I-eseyi ephephabhukwini i-JAMA ithi, ngokwesibonelo, ukuthi odokotela kufanele babheke "ulimi olulayishiwe," kuncoma esikhundleni salokho ukuthi sikhulume neziguli zethu ezine-OUD njengoba singenza lapho welapha umuntu onesifo sikashukela noma umfutho wegazi ophakeme.

Okubaluleke kakhulu, uma wena noma othandekayo uhlala ne-OUD, kufanele sigweme ukuzisola. Ukusetshenziswa kwe-opioid kungaguqula ubuchopho bakho, kukhiqize izifiso ezinamandla nezimpoqo ezingenza kube lula ukuba umlutha futhi kube nzima kakhulu ukuyeka. Lokho akusho ukuthi lezo zinguquko azikwazi ukwelashwa noma ukuhlehliswa, noma kunjalo. Ukuthi indlela ebuyela emuva kuzoba umqansa onzima.

UBeth Battaglino, RN uyi-CEO ye-HealthyWomen. Usebenze embonini yezokunakekelwa kwezempilo iminyaka engaphezu kwengu-25 esiza ekuchazeni nasekuqhubeni izinhlelo zokufundisa umphakathi ezinhlobonhlobo zezinkinga zezempilo zabesifazane. Uphinde abe ngumhlengikazi osebenza ngempilo yengane yomama.