Ukuxhomekeka kweMpendulo
I-Benzodiazepines yiklasi lemishishini echazwe ngokunyanga kwonyango nokuxhatshazwa kweentlungu ezixhatshazwayo. Kukho imbambano encinci ukuba i-benzodiazepines ingakwazi ukuxhatshazwa ngokwenyama nangokwengqondo. Yintoni ephakanyiswayo kwingxoxo, nangona kunjalo, ubungakanani beengxaki phakathi kwabasebenzisi abathatha aba mayeza kuphela ngenjongo yokwelapha kwonyango lokuxhalabisa.
Ukuze ufumane umfanekiso ocacileyo weengozi zokuxhomekeke kwi-benzodiazepine, kubalulekile ukwenza ukwahlukana phakathi kokuxhomekeka kweziyobisi kunye nokulutha kweziyobisi. Ngaba ukuxhomekeka komzimba kwi-benzodiazepine kufana nokulutha? Ukuba iimpawu zokurhoxiswa zivela ekunqanyeni i-benzodiazepine, ngaba oku kuthetha ukuba umlutha wenziwe?
Ukuxhomekeka
Ukuxhomekeka kwimizimba kwisilwanyana kunokuqatshelwa ngamagqabantshintshelo ekuhoxisweni ukuba izilwanyana ziye zayeka okanye zinciphisa. Nangona ukuxhomekeke kwimizimba kunokuba yinkalo yokulutha, ayikho, kwaye ngokwayo, umlutha. Enyanisweni, ukuxhomekeke emzimbeni kuyiphumo lamachiza amaninzi. Ngokomzekelo, ukuxilongwa kwemithi ethile yegazi kunokubangela ukuba kuxhomekeke kumzimba. Sekunjalo, la mayeza ayikhokelela ekutheni umlutha.
Ukuxhomekeke kwimizimba kunokuba yiphumo elilindelekileyo lokusetyenziswa kwexesha elide lwe-benzodiazepines. Ukuxhomekeka okunjalo kunokubangela iimpawu zokuhoxiswa xa unyango lugqityiwe ngokukhawuleza okanye luye lwahla ngokukhawuleza.
Ezi zimpawu zingabandakanya:
- uxhalaba
- isifo sohudo / isisu esicasulayo
- kulala
- iincampu zomzimba
- intloko
- kuncitshiswa
- ukuphefumula ngokukhawuleza
- ukuthuthumela
- ukuxhamla
Ukuba umntu uyaxhomekeka kwi-benzodiazepine, ukuxhatshazwa kweengxaki kunokugwenywa ngokukhawuleza ukunciphisa umlinganiselo weyeza kunyaka.
Umlutha
Ukuxhatshazwa kweziyobisi izifo zobuchopho ezichongwe ngamalungu okuxhomekeka kwenyama kunye nengqondo. Ukuchithwa kwe-Detoxification kungabangela ekupheleni kokuxhomekeka komzimba, kodwa iqela leengqondo lihlala ligxininise kumlutha. Yilo nxalenye eyenza ukugcina ubunzima kubunzima kubagulayo. Akukho nonyango yokuxhatshazwa nokulondoloza ukuxhamla ngokuqhelekileyo yinto eqhubekayo yokufuna abo bahluphekileyo.
Ukuxhatshazwa kweziyobisi kumphumo kwiziphumo zokufuna iziyobisi kunye nokuqhubeka nokusetyenziswa ngaphandle kwemiphumo emibi. Iimpawu zokufuna iziyobisi kunye ne-benzodiazepine zingabandakanya ukufumana izidakamizwa kumniki omnye okanye ngokungekho mthethweni ukufumana iziyobisi ngaphandle komyalelo wonyango.
Umlutha we-benzodiazepines okanye ezinye iziyobisi zingakhokelela kwimiphumo emibi kwimisebenzi eminingi yobomi. Le miphumo ingaquka ukulahlekelwa kwemveliso yomsebenzi, iintsapho okanye iingxaki zobudlelwane okanye imiba esemthethweni. Ukuxhatshazwa kweziyobisi kubangela ukusetyenziswa okuqhubekayo kweziyobisi ngaphandle kwemiphumo emibi.
Ngokutsho kweMerika Society of Addiction Medicine, ukutshaya iziyobisi kunokungafani nokuxhomekeka kweziyobisi. Akunabo bonke abantu abanexhomekeke emzimbeni kwiziyobisi baya kuqhubeka nokuphuhlisa umlutha. Kukholelwa ukuba abantu abathile baxhomekeke okanye bathatshelwe ukuxhatshazwa ngokusekelwe kwimpembelelo yezinto eziphilayo, ezengqondo nezentlalo.
Iimpawu zokuxhatshazwa kweziyobisi zingabandakanya:
- Iziphumo zokufuna iziyobisi (ukufumana iziyobisi kumagqirha amaninzi, ukufumana ngokungekho mthethweni isiza)
- izifiso zeziyobisi
- ukukhathalela ngokufumana iziyobisi
- ukusebenzisa kakubi iziyobisi ngenxa yokuxilisa okanye ukuzonwabisa
- ukuxhomekeka kunye nokuhoxiswa ekumiseni iyeza
- ukuphazamiseka kwimisebenzi yokuphila yesiqhelo (ukunciphisa umkhiqizo wokusebenza, ukunciphisa ukukhuthaza)
- iingxaki zobudlelwane
- imiba yomthetho
- Ukuqhubeka nokusetyenziswa nangona ziphumo ezimbi
Ukutsaliswa kwamathambo
Ukuziphatha ngokufuna iziyobisi kuyinto eqhelekileyo yokulutha. Kodwa, olu hlobo lendlela yokuziphatha lunokuba ngumphumo wezibonakaliso zangempela ezingakhange ziphathwe ngokwaneleyo.
Ngokomzekelo, umntu onemiqondiso yokuxhalabisa kunye nokwethuka unokubandakanya ukuziphatha okufuna iziyobisi ukufumana iimpawu zakhe. Oku akukho umlutha wenene ngenxa yokuba umntu akafunanga izilwanyana ngenjongo yolonwabo kwaye akabonakali iimpawu zokufuna iziyobisi xa kukho iimpawu zokuphazamiseka zonyango ngokufanelekileyo.
Ukusetyenziswa kwexesha elide uBenzodiazepine
Abantu abaninzi abanqunywe i-long-term benzodiazepine yonyango yokuxhalabisa ehambelana nokuphazamiseka kwesifo okanye enye ingxaki yokuxhalaba ixhala malunga nokuba "ngumlutha." Abanye oogqirha banokulonda unyango lwe-benzodiazepine ngenxa yolu hlobo olufanayo. Izifundo ezininzi zicebise ukuba ukusebenzisa i-benzodiazepine yangexesha elide kusebenza kwaye kukhuselekile kwaye akukhokelela ekugqithiseni ukuba abantu abaninzi baphathwe ngokuxhalabisa. Kodwa, kubantu abathile, ukusebenzisa i- benzodiazepine kunokukhokelela ekugqiliseni. Olu mngcipheko lubonakala lukhulu kulabo abanembali yobutywala okanye ezinye iziyobisi okanye abo baphatha kakubi utywala okanye ezinye iziyobisi.
Kubalulekile ukukhumbula ukuba i-benzodiazepines ngokubanzi ikhuselekile kwaye isebenzayo xa isetyenziswe njengoko iyalathwayo. Ukunyamezela nokuxhomekeka kungabangela, kwaye kunokulindeleke, ngokusetyenziswa kwexesha elide. Kodwa, le nto ayilona into efanayo nomlutha. Ukuba ucinga ukuba unengxaki yokulutha umlutha, khumbula ukuba uncedo lukhoyo. Thetha ugqirha okanye omnye umboneleli wezempilo malunga neendlela zokonyango.
Imithombo:
Isikolo, uJames E., MD kunye noFeinberg, uSteven D., MD, MPH. "Ukusetyenziswa kakubi kweNgcaciso kunye neMiyeza yokuLawulwa kweMvavanyo." Jan 2008. 1983; 286: 1876-7.
ULongo, uLance P., MD kunye noJohnson, Brian, MD. "Umlutha: INgxenye I. I-Benzodiazepines - Iimiphumo zecala, Ubungozi obunobungozi kunye nezinye iindlela." I- American Academy ye-Physicians Family . 01 Matshi 2000. 2121-2131.
Pomerantz, Jay M., MD. "Ingozi yokungafaniyo neBenzodiazepines." Ixesha leengqondo . 01 uAgasti 2007. IVu. 24, No. 7.
US Ulawulo Lokusetyenziswa Kogunyaziso. " Izidakamizwa zokusetyenziswa kakubi: i-Benzodiazepines. "Ibuyiswe ngomhla we-Febhuwari 20, 2016.