Zvakachengeteka here kutora anti-kufunganya mishonga nedoro?
Hutano Dzidzo Iyo Kusanganisa-UpVamwe vanhu vanonwa doro kudzora kuzvidya mwoyo. Vamwe vanotora Xanax. Vamwe vanotora Xanax uye doro, segirazi kana maviri ewaini. Asi izvi, vanachiremba uye vemishonga vanoti, hazvina kuchengetedzeka.
Iwe haufanire kumbobatanidza benzodiazepines nedoro, anodaro Anna Lembke, MD , director wekupindwa muropa nemishonga kuStanford University Chikoro cheMishonga muPalo Alto, California. Mhedzisiro, anodaro, inogona kuuraya.
Kusanganisa doro uye kushushikana meds
Benzodiazepines inoreva kirasi yemishonga iyo Xanax (alprazolam) uye mamwe anozivikanwa anti-kunetseka mishonga , zvakaita se Ativan (lorazepam) uye Valium (diazepam), kuwira mukati.
Kana iwe ukabatanidza [benzodiazepines nedoro] unogona kuita chakakomba kudyidzana kwezvinodhaka-zvinodhaka , kusanganisira ovhadhozi inouraya, anodaro.
Chikamu chechikonzero ndechekuti ese ari maviri anonyaradza. Somunhu mumwe nemumwe, vanogona kuzorodza mhasuru, kukuita kuti uve nehope, uye kudzikamisa kunzwa kwekutya, kutya, uye kusagadzikana. Pamwe chete, ivo vanoita zvese izvo zvinhu zvine kusimba kukuru. Asi izvi hazvisi izvo zvese combo zvinoita. Kuzvitora panguva imwe chete zvinogona kukudziridza mikana yezvimwe zvinokanganisa mhedzisiro, sekufema kwekuora mwoyo (inozivikanwawo se hypoventilation).
Mukutaura kwema layman, mweya wekufema ndipo apo kufema kwako kunononoka kusvika padanho rine njodzi. Uye kana izvi zvikaitika, njodzi yemhedzisiro yakakomba. Yakaipisisa kesi mamiriro? [Iwe] unorara uye rega kufema, Dr. Lembke anodaro.
Nehurombo, iko kunwa kwedoro uye mishonga yekuzvidya moyo zvese zviri zviviri zvakaringana zvekuti iyi mamiriro ezvinhu akaipisisa haasvike kure. Kushushikana kusagadzikana ndiko kwakanyanya kurwara kwepfungwa muUnited States, kuchikanganisa 18.1% yevakuru vanhu gore rega rega, sekureva Kuzvidya Mwoyo uye Kushungurudzika Sangano reAmerica . Uye vanachiremba vari kupa benzodiazepines kurapa kushushikana pamitengo inowedzera. A kudzidza kwakaburitswa mune iyo Journal yeAmerican Medical Association (JAMA) inoshuma kuti huwandu hwekushanya kwachiremba kwakakonzera benzodiazepine kunyorerwa zvakapetwa ruviri pakati pa2003 na2015, ichiwedzera kubva pa3.8 kusvika 7.4%. Zvakare, benzodiazepines iri kuramba ichinyorerwa kushushikana kwakadzikama kusvika pakati nepakati pavanenge vachinyatso kunetsekana zvakanyanya, Lembke anodaro.
Kana iri yekushandisa doro, iyo Yenyika Kuongorora nezveKushandisa Zvinodhaka nehutano akawana izvozvo mu2016, 54.6% yevakuru 26 uye vekare vaive vanoshandisa doro razvino . Mune zvese, benzodiazepines anga aine chikamu chakatarisana nacho 11,537 kufa kwakabatana-overdose kwakabatana muna 2017 , maererano neNational Institute on Drug Abuse.
Iko kunotora apa ndekwekuti kana iwe uri kushandisa benzodiazepine kunetseka, ita shuwa kuti uri kuishandisa nemazvo. Izvi zvinoreva kumirira kusvikira mushonga wabuda muhurongwa hwako usati warova nguva yekufara. Nguva yenguva yeizvi, zvisinei, haina kuiswa mumatombo.
Izvo chaizvo zvinoenderana nezvinhu zvishoma, anodaro Rachel Firebaugh, Chiremba. , mukiriniki mubatsiri purofesa paYunivhesiti yeWashington Chikoro cheFarmacy muSeattle. Anotsanangura kuti chipimo chemushonga uye huwandu hwedoro rinobatanidzwa zvinhu zvakakosha. Dai raive shoma shoma doro uye muyero wakaderera webenzo, paizove nenjodzi yakaderera, anodaro.
Benzos uye doro mhedzisiro
Dr. Lembke vanoti vanhu vanofanirwa kumirira imwe kana pamwe kunyange piri mazuva mushure mekutora benzodiazepine usati wanwa, uchisimbisa kuti mamwe benzodiazepines ari kuita kwenguva refu (saValium) uye anogara musystem yako kwenguva refu kupfuura vamwe (Xanax inonzi ipfupi kuita). Uye iye achinongedzera kuti kuwedzererwa kunowanzoitika kune vanhu vari kutorawo imwe mishonga uye / kana yekuvaraidza zvinodhaka (kusanganisira maopioid), anokurudzirawo vanhu kuti vatsvage kurapwa nekukasira kana paine kufungidzirwa kwekuwedzeredza.
Dr. Firebaugh vanoti zviratidzo zvekuwedzeredza zvinogona kusanganisira kunetseka kufema, kurasikirwa nekuziva, uye kutadza kumutsa mumwe munhu. Uyezve tarisira dzungu, kutaura kwakashata, kuvhiringidzika, uye kushaya simba.
Izvo zvakakoshawo kuti uzive kuti benzodiazepines inodhakwa zvakanyanya, Dr. Lembke naFirebaugh vanoti, kunyanya kune avo vatonetsana navo kunwisa doro kana kushandisa zvisina kufanira .
Vanhu vazhinji vanopihwa mabenzos uye havazivi kuti vakapindwa muropa, anodaro Dr. Lembke. Chinokosha ndechekuti isu tinoshandisa benzos kakawanda uye zvakare zvakanyanya. Iyo mishonga yakakomba uye inofanirwa kungoshandiswa chete mune zvakakomba mamiriro.
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