Konke Ofuna Ukukwazi NgamaSedatives

-Delile

• Zisebenza kanjani?
• Izinhlobo zokuthambisa
• I-Benzodiazepines
• Izibonelo zemithi
• Lokho abakuphathayo
• Ama-barbiturates
• Izibonelo zemithi
• Lokho abakuphathayo
• I-Hypnotics (non-benzodiazepines)
• Izibonelo zemithi
• Lokho abakuphathayo
• Ama-opioid / izidakamizwa
• Izibonelo zemithi
• Lokho abakuphathayo
• Okuqhamuka uma udla imishanguzo
• Ukuthembela nokulutha
• Izimpawu zokuncika
• Izimpawu zokuhoxa
• Ukubona izimpawu zokuncika nokuhoxa
• Ukuqapha kwe-opioid
• Ezinye izixwayiso
• Ezinye izindlela zokuthambisa
• Ukubonana nodokotela nini
• Okubalulekile

Ama-sedatives ayihlobo lwemithi kadokotela ebambezela umsebenzi wakho wobuchopho. Zijwayele ukusetshenziselwa ukukwenza uzizwe ukhululeke ngokwengeziwe.

Odokotela bavame ukunquma imishanguzo yokwelapha izimo ezifana nokukhathazeka nokuphazamiseka kokulala. Bazisebenzisa futhi njengezinzwa ezijwayelekile.

Ama-sedatives yizinto ezilawulwayo. Lokhu kusho ukuthi ukukhiqizwa kwabo nokuthengisa kwabo kulawulwa. E-United States, i-Drug Enforcement Administration (DEA) ilawula izinto ezilawulwayo. Ukuzithengisa noma ukuzisebenzisa ngaphandle kwale mithetho kuyicala lenhlangano.

Ingxenye yesizathu sokuthi izidambisi zilawulwa kakhulu ukuthi zingaba umlutha omkhulu. Zingadala ukuthi abantu bathembele kubo ngaphezu kwamandla abo.

Kubalulekile ukuthi uqaphele lapho usebenzisa le mithi ukugwema ukuncika nokulutha. Ungazithathi ngaphandle uma udokotela wakho ekuyalile. Yithathe kuphela njengoba kunqunyiwe.

Ake singene emininingwaneni eminingi mayelana nokuthi zisebenza kanjani, yiziphi izinyathelo okufanele uzithathe uma uzisebenzisa, nezinye izindlela ezingaba yingozi ongafuna ukuzisebenzisa.

Zisebenza kanjani?

Ama-sedatives asebenza ngokuguqula ukuxhumana okuthile kwezinzwa ohlelweni lwakho oluphakathi lwezinzwa (CNS) kuya ebuchosheni bakho. Kulokhu, ziphumuza umzimba wakho ngokubambezela ukusebenza kobuchopho.

Ngokuqondile, ama-sedatives enza ukuthi i-neurotransmitter ebizwa nge-gamma-aminobutyric acid () isebenze isikhathi esengeziwe.I-GABA inesibopho sokunciphisa ijubane lobuchopho bakho. Ngokukhuphula izinga lalo lomsebenzi ku-CNS, izidambisa amandla zivumela i-GABA ukuthi ikhiqize umphumela onamandla kakhulu ekusebenzeni kobuchopho bakho.

Izinhlobo zokuthambisa

Nakhu ukuwohloka okusheshayo kwezinhlobo ezivamile zokuthambisa. Zonke ziyizinto ezilawulwayo.

I-Benzodiazepines

Izibonelo zemithi

• i-alprazolam (Xanax)
• I-lorazepam (Ativan)
• i-diazepam (Valium)

Lokho abakuphathayo

• ukukhathazeka
• ukuphazamiseka kovalo
• ukuphazamiseka kokulala

Ama-barbiturates

Izibonelo zemithi

• i-pentobarbital sodium (iNembutal)
• i-phenobarbital (Luminal)

Lokho abakuphathayo

• esetshenziselwa ukubulala izinzwa

I-Hypnotics (non-benzodiazepines)

Izibonelo zemithi

• i-zolpidem (Ambien)

Lokho abakuphathayo

• ukuphazamiseka kokulala

Ama-opioid / izidakamizwa

Izibonelo zemithi

• i-hydrocodone / i-acetaminophen (i-Vicodin)
• i-oxycodone (OxyContin)
• i-oxycodone / acetaminophen (i-Percocet)

Lokho abakuphathayo

• ubuhlungu

Okuqhamuka uma udla imishanguzo

Ama-sedatives angaba nemiphumela emibi yesikhathi esifushane nesikhathi eside.

Eminye yemiphumela emibi ongayibona ifaka phakathi:

• ubuthongo
• isiyezi
• ukungaboni kahle
• ukungakwazi ukubona ukujula noma ibanga njengokujwayelekile (ukungaboni kahle)
• isikhathi sokuphendula kancane ezintweni eziseduze kwakho (ukucabanga okungakhubazekile)
• ukuphefumula kancane
• ungabuzwa ubuhlungu obukhulu njengokujwayelekile (kwesinye isikhathi kungabi ngisho nobuhlungu obukhali noma obukhulu)
• unenkinga yokugxila noma ukucabanga (ukungaboni kahle)
• ukukhuluma ngokunensa noma uklolodela amagama akho

Ukusetshenziswa kokuthambisa isikhathi eside kungaholela emiphumeleni emibi elandelayo:

• ukukhohlwa njalo noma ukulahlekelwa inkumbulo yakho (amnesia)
• izimpawu zokudangala, njengokukhathala, imizwa yokuphelelwa yithemba, noma imicabango yokuzibulala
• izimo zempilo yengqondo, njengokukhathazeka
• ukungasebenzi kwesibindi noma ukwehluleka kwesibindi kusuka ekulimaleni kwezicubu noma okweqile
• ukwakha ukuncika ezintweni ezingadambisa amandla okungaholela emiphumeleni engalungiseki noma izimpawu zokuhoxa, ikakhulukazi uma uyeka ukuzisebenzisa ngokungazelelwe

Ukuthembela nokulutha

Ukuncika kuyakhula lapho umzimba wakho uncika emzimbeni ekudambiseni futhi ungakwazi ukusebenza ngokujwayelekile ngaphandle kwawo.

Izimpawu zokuncika

Kungenzeka ukuthi uhlangabezana nokuncika uma uzithola ubathatha njalo futhi uzizwa ukuthi ngeke uyeke ukubathatha. Lokhu kungabonakala ikakhulukazi uma wedlula umthamo wakho obekiwe noma inani eliphephile.

Ukuncika futhi kuyabonakala lapho udinga umthamo ophakeme ukufeza umphumela ofanayo. Lokhu kusho ukuthi umzimba wakho usujwayele umuthi futhi udinga okuningi ukufeza umphumela oyifunayo.

Izimpawu zokuhoxa

Ukuthembela kuthanda ukubonakala kakhulu uma uhlangabezana nezimpawu zokuhoxa. Lokhu kwenzeka lapho umzimba wakho uphendula ngokungabi bikho kwezidambisi ezinezimpawu ezingathandeki noma ezibuhlungu zomzimba nezengqondo.

Izimpawu ezijwayelekile zokuhoxa zifaka:

• ukukhathazeka okwengeziwe
• ukucasuka
• ukungakwazi ukulala

Kwezinye izimo, ungagula noma ube nokuhlushwa uma ungumzimba usetshenziselwe inani eliphakeme le-sedative bese uya ku- "turkey ebandayo" ngaphandle kokuzinciphisa umuthi.

Ukuncika kuya ngokuya ngokubekezelela komzimba wakho kumuthi. Kungenzeka ezinyangeni ezimbalwa noma ngokushesha masonto ambalwa noma ngaphansi.

Abantu abadala asebekhulile bangaba kwizidakamizwa ezithile, njenge-benzodiazepines, kunabantu abasha.

Ukubona izimpawu zokuncika nokuhoxa

Kunzima ukubona ukuthembela. Uphawu olucacile ukuthi awukwazi ukuyeka ukucabanga ngokuthatha lesi sidakamizwa.

Lokhu kungacaca uma ucabanga ngokucindezela ngemithi uma unanoma iluphi uphawu oluhlobene nesimo osisebenzisela ukuselapha futhi ucabange ukuthi ukuyisebenzisa ukuphela kwendlela ozokwazi ukubhekana nayo.

Kulezi zimo, isimilo sakho nokuziphatha kwakho kungashintsha khona manjalo (imvamisa kube kubi) lapho ubona ukuthi awukwazi ukuba naso ngaso leso sikhathi.

Ezinye zalezi zimpawu, ikakhulukazi ukuguquka kwemizwelo, zingenzeka ngokushesha.

Ezinye izimpawu zikhomba ekuhoxisweni. Lezi zimpawu zingavela izinsuku ezimbalwa noma amasonto ngemuva kokuyeka ukusetshenziswa. Izimpawu zokuhoxa zingabandakanya:

• isicanucanu
• ukuhlanza
• ukulahlekelwa ukwazi

Ukuqapha kwe-opioid

Ama-opioid athambekele ekubeni umlutha futhi akhiqize izimpawu eziyingozi ezingaholela ekweqeni ngokweqile. Lezi zimpawu zifaka:

• ukuphefumula okuhamba kancane noma okungekho
• kwehle izinga lokushaya kwenhliziyo
• ukukhathala ngokweqile
• abafundi abancane

Shayela u-911 noma izinsizakalo eziphuthumayo zasendaweni yakho uma wena noma othandekayo uhlangabezana nalezi zimpawu ngenkathi usebenzisa ama-opioid. Ukudlula ngokweqile kwe-opioid kunengozi enkulu yokufa.

Hlala ukhuluma nodokotela wakho ngaphambi kokuthatha i-opioid ukugwema izimpawu ezingaba yingozi noma ezibulalayo zokulutha kwe-opioid nokudlula ngokweqile.

Ezinye izixwayiso

Noma uthatha imithamo emincane yezidakamizwa njengokubekiwe ngudokotela wakho, usenganakekela kakhulu ukuqinisekisa ukuthi uhlala uphephile:

• Gwema utshwala. Utshwala futhi busebenza njengokuthambisa, ngakho ukuphuza nokuthatha isidambisi ngasikhathi sinye kungahlanganisa imiphumela kuholele ezimpawu eziyingozi, ezisongela impilo, njengokulahlekelwa ukwazi noma ukumisa ukuphefumula.
• Ungahlanganisi ama-sedatives ndawonye noma neminye imithi enemiphumela efanayo. Ukuxuba ama-sedative ndawonye noma ukuwaphuza neminye imithi ebangela ukozela, njengokuthi, kungaholela emiphumeleni emibi eyingozi, noma ukweqisa ngokweqile.
• Ungathathi imishanguzo lapho ukhulelwe ngaphandle kokubonisana nodokotela. Ama-sedatives ngamanani aphezulu ngaphandle kokuthi athathwe endaweni yezokwelapha elawulwayo.
• Ungabhemi insangu. Ukusebenzisa insangu kunganciphisa imiphumela yezidakamizwa, ikakhulukazi lezo ezisetshenziselwa ukubulala izinzwa. Ucwaningo lwango-2019 luthole ukuthi abasebenzisi bensangu badinga umthamo ophakeme wezidakamizwa ukuze bathole imiphumela efanayo nedosi ejwayelekile yomuntu ongasebenzisi insangu.

Ezinye izindlela zokuthambisa

Uma ukhathazekile ngokuthuthukisa ukuncika emithini yokwelapha, khuluma nodokotela wakho ngezinye izindlela.

Ama-anti-depressants, njengama-SSRIs, angasiza ekwelapheni ukukhathazeka noma ukuphazamiseka kovalo. Amasu okunciphisa ingcindezi nawo angasiza, njenge:

• ukuzivocavoca umzimba
• ukuzindla
• i-aromatherapy enamafutha abalulekile (ikakhulukazi i-lavender)

Ukuzijwayeza ukuhlanzeka ngokulala kungenye yethuluzi lokusiza ukuphatha ukuphazamiseka kokulala. Lala uvuke ngasikhathi sinye (ngisho nangezinsuku zakho zokuphumula) futhi ungasebenzisi i-elekthronikhi eduze nesikhathi sokulala. Nawa amanye amathiphu ayi-15 okulala kahle ebusuku.

Uma ushintsho lwendlela yokuphila lungakusizi ukulala, khuluma nodokotela wakho mayelana nokuthatha izithasiselo, njenge.

Ukubonana nodokotela nini

Khuluma nodokotela wakho uma uzizwa sengathi awukwazi ukuzivimba ekusebenziseni izidakamizwa.

Umlutha ukuphazamiseka kwengqondo. Ungazizwa sengathi kukhona okungahambi kahle kuwe noma othandekayo onomlutha noma ukuthi wehluleka wena noma abanye.

Finyelela kwesinye sezisetshenziswa ezilandelayo ukuze uthole usizo nokusekelwa:

• Shayela Inombolo Kazwelonke Yezokuphathwa Kokuhlukunyezwa Kwezidakamizwa Nokunakekelwa Kwezempilo Yengqondo ku-800-662-HELP (4357) ukuthola ukuhanjiswa kwamahhala, okuyimfihlo nokwaziswa mayelana nokulutha.
• Iya kuwebhusayithi ye-SAMHSA ukuthola isikhungo sokwelashwa kwezidakamizwa eduze kwakho.
• Iya kuwebhusayithi esemthethweni yeNational Institutes of Health ukuthola amathiphu nezinsiza mayelana nezidakamizwa nokulutha.

Udokotela wakho futhi angakwazi ukuncoma umeluleki wokulutha umlutha, owelapha, noma isikhungo sokwelapha esingabhekana nemiphumela yezokwelapha neyengqondo yokulutha.

Uma unezinto ezikukhathazayo nganoma iziphi izidakamizwa ezitholwa udokotela wakho, buza udokotela noma usokhemisi le mibuzo:

• Ingabe kuyalutha?
• Malini kakhulu umthamo?
• Ingabe ikhona imiphumela emibi eyingozi?

Ukuba nengxoxo evulekile nethembekile nochwepheshe kungakusiza uzizwe ukhululekile ukuzisebenzisa.

Okubalulekile

Izindlela ezinamandla zinamandla. Behlisa ukusebenza kobuchopho futhi baphumule ingqondo yakho.

Zingaba ukwelashwa okusebenzayo kwezimo ezikwenza uzizwe unentambo ngokweqile, wesabe, ube nentuthwane, noma ukhathele, njengokukhathazeka noma ukuphazamiseka kokulala. Kodwa futhi bangaba umlutha, ikakhulukazi uma besetshenziswa kabi.

Khuluma nodokotela wakho ngaphambi kokuba uqale ukuthatha izidakamizwa futhi uqiniseke ukuthi ulandela izinkomba zabo.

Usizo luyatholakala ngezindlela eziningi uma ukhathazekile ngokulutha kwezidakamizwa. Unganqikazi ukufinyelela.