Isiyobisi esidibeneyo sinikeza iingenelo ngaphezu kweyeza le-methadone
I-Opiate umlingo yingxaki ekhulayo e-US njengoko kuboniswe ukugqityhulwa kwe-HIV e-Indiana elalibanjelwe ukusetyenziswa kakubi kweziyobisi i- Oxycontin . Xa ubhekene nesibhubhane esandayo, isilwanyana semithi esibizwa ngokuthi yiSuboxone (buprenorphine + naloxone) sisanda kusetshenziselwa ukunyanga umlutha we-opioid.
Ukuqonda iiOpiates
Iimbophelo zintsapho yezilwanyana zonyango ezithathwa ngokwemvelo okanye ngokwasemgangathweni kwimbewu yesityalo se-opium poppy ( Papaver somniferum ).
Ziyasebenza njengemidabu yokunyanzeliswa komsebenzi kwinkqubo yesantya, kunye nokunciphisa ubuhlungu nokunciphisa ubuthongo.
Ukusebenzisa i-opiate ixesha elide kunokubangela ukunyamezela okukhulu kwilisi. Xa oko kwenzeka, umsebenzisi uya kufuneka atyuse umthamo ukuze afumane impembelelo efanayo. Oku kunokubangela ukuxhomekeka okunyukayo esiye saziyo njengomlutha. Kwezinye iimeko, oku kungakhokelela ekugqithiseni ngengozi kunye nokufa.
Ezinye zezona zinto zixhaphake kakhulu zibandakanya:
- heroin
- fentanyl
- morphine
- Vicodin (i-hydrocodone)
- oxycontin
- oxycodone
- ikhowudi
- methadone
UkuPhatha i-Opioid Addiction ne-Suboxone
I-Suboxone ngumhlaza wezonyango zomlomo owamkelwa imvume evela kwi-US Food and Drug Administration ngo-2002 ukunyanga umlutha we-opioid. Ubekwe njengelinye ithebhulethi okanye ifilimu, iqulethe ezimbini izidakamizwa ezisetyenziswayo:
- u-buprenorphine , umphikisi opioid oyingxenye, onika ukukhululeka ekuthandeni nasekukhutsheni iimpawu ngokunqanda i-opiate receptors ebuchosheni
- naloxone , umphikisi opiate, ovimba iziphumo zeziyobisi ze-opiate ngokwazo
Ukusetyenziswa okudibeneyo kunqoba ezinye zeziphene zezilwanyana. I-Buprenorphine, umzekelo, inokuthi ibe ngumlutha kodwa ingaphantsi kangangoko i-naloxone ichitha i-opiate.
I-Naloxone, ngokuphambene nayo, isebenza kwimvelaphi njengento evimbelayo, iqala ukusebenza xa i-opiates ifakwe kwi-system.
Xa kwenzeka, i-naloxone inokubangela ukuba iimpawu zokuhoxisa zibandakanya isicathulo, intloko, ukujuluka, ukungazinzi, ukuhlanza nokuthuthumela.
Ukusebenza kweSuboxone Treatment
I-Suboxone ifumaneke ukuba isebenza ngempumelelo ekunciphiseni izifiso ezinxulumene nokusetyenziswa kwe-opiate ixesha elide ngelixa linikezela ukungasebenzisi ukusetyenziswa kwangoku. Xa kuthelekiswa ne- methadone , i-Suboxone ayilula kwaye iyasebenza ngokukhawuleza (ukuthatha ijikelezi ngeveki ukuxosha ukuthelekiswa neveki okanye iinyanga nge methadone).
I-Suboxone nayo ibonakala isebenza bhetele xa isetyenziswe ixesha elide. Olunye uphando lubonise ukuba ulutsha oluxhomekeke kwi-opiate olusebenzisa i-Suboxone iiveki ezili-12 lwalukwazi ukuhlala lungabonakali xa kuthelekiswa nabalingane abaye bafumana unyango lwe-weekly detox.
Indlela i-Suboxone ibhalwe ngayo
I-Suboxone inqunywe njengenxalenye yesicwangciso sokuchithwa kweziyobisi kunye nokulungisa unyango xa kufuneka. Itholakala njenge-generic (ngaphantsi kwegama lomnxeba iBunavail kunye neZubsolve) kwaye linikezelwa ngamaqumrhu ahlukeneyo ukuqinisekisa ukusetyenziswa kokucoca ngokukhawuleza kokusetyenziswa:
- 12 mg buprenorphine kunye ne-3 mg naloxone
- 8 mg buprenorphine kunye ne-2 mg naloxone
- 4 mg buprenorphine kunye ne-1 mg naloxone
- 2 mg buprenorphine ene-0.5 mg naloxone
Iiplani zeSuboxone Treatment
Nangona iindwendwe ziyakwazi ukuhluka ngoxhomekeke kumaziko enonyango, kukho amanyathelo amane ukuya kwiplani yeSuboxone yonyango:
- ukubandakanya okubandakanya uvavanyo lwezokwelapha kunye nolwazi lweengqondo, iskrini sonyango lomchamo, kunye nokuhlolwa kwegazi ukuqinisekisa ukuba unokuthatha isilwanyana ngaphandle kokulimaza
- ukutshintshwa kwenguqu kwii-opiates okwangoku uya kwi-Suboxone ngenjongo yokunciphisa "i-turkey ebandayo"
- ukuzinza apho i-Suboxone ilungiswa kwiqondo eliphantsi ukukhusela iimpawu zokurhoxisa ukuvumela ukuba kugqitywe ngokukhawuleza kunye nokuyeka unyango
- ukugcinwa kwabo banomlutha okhuselekileyo onokufuna ukuqhubeka, unyango olujongene nophelo kunye nenkxaso (kubandakanywa ukuhamba kwiqela leNkathazo elingabonakaliyo okanye elingenanto yeqela)
Ukuqwalaselwa kokusetyenziswa kweSuboxone
I-Suboxone ayifanele isetyenziswe kubantu abane-moderation ukuxakeka kakubi kwesibindi njengoko kunokukhokelela ekugqibeleni kweempawu. Iziphumo eziqhelekileyo ezibandakanya intloko, isisonguluko, ukuhlanza, ukukhupha ngokugqithiseleyo, ukumbombola, iimpawu zokuxoshwa, ukungazinzi, iintlungu, kunye nokuqokelela kwamanzi emilenzeni (i-edema yedolophu).
I-Suboxone inokusetyenziswa kakubi xa ifakwe. Kwimeko enjalo, i-doxone ephantsi kakhulu ye-naloxone ayibonakali ukunciphisa "iphakamileyo" efunyenwe kwi-buprenorphine. Ngaloo ndlela, i-Suboxone iyakunikwa kuphela phantsi kwonyango ojongene nophando okanye inkqubo yesondlo.
Ngenxa yokuba umlutha we-opioid ugulo lwangokwenyama nolokwengqondo, unyango lufuna iqela lezemfundo ezininzi likwazi ukujongana nezo zidingo zombini. Ukuba uziva unokuzuza kwi-Suboxone, qha ga mshelana nezibhedlele okanye i-arhente zempilo yengqondo kwingingqi yakho ukuze uthunyelwe kumaziko angonyango okhuselekileyo.
> Imithombo
- > Reuters. "I-Indiana iintsholongwane ze-HIV ziphakamisa amacala ayi-100: amagosa ezempilo karhulumente." Kukhishwe ngo-Apreli 11, 2015.
- > Ulawulo lweZiko lokuTya kunye neDrug. "Iimbali eziphambili zokuchazela ulwazi: I- SUBOXONE (buprenorphine kunye ne-naloxone) ifilimu engaphantsi, ngokusetyenziswa kweelwimi okanye kwi-C1I." Silver Spring, eMaryn; Oktobha 8, 2002; hlaziywa ngoFebruwari 2017.
- > Woody, G .; Poole, S .; Subramaniam, G .; okqhubekayo. "Ukwandiswa kwexesha elifutshane le-Buprenorphine-Naloxone elifutshane kwi-Treatment of Youth Opioid-Addicted Youth: I-Trial-Tried Trial." JAMA. 2008; 300: 2003-2011.