Ngaba umlutha ungaqala kwi-ER?

Umxholo

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Intlungu ibola umphefumlo. Iiopioids zinokunyanga ngokufanelekileyo iintlungu- kunye emva koko ukubola komphefumlo nomzimba. Unyango lweentlungu luhlala luyingxaki enzima kwilizwe lonke.

Isifundo esitsha kwi-New England Journal of Medicine sigxininisa ukungcola kwe-opiod ngendlela entsha, ebonisa indlela amayeza athile kwi-ER anokukhokelela ngayo kwizidakamizwa ze-opioid ezingapheliyo.

Kwisifundo, malunga neepesenti ezimbini kuphela zabantu abanikwe i-opioids abagqibe ukuba ngabasebenzisi abangagungqiyo- besebenzisa iipilisi zentlungu ngaphezulu kweentsuku ezili-180 ngonyaka. Kodwa abanye oogqirha be-ER babesoloko bemiselwa rhoqo. Kula “magqirha aphezulu” izinga lokusetyenziswa okungapheliyo belimalunga ne-30% ngaphezulu.

Kodwa bahlala besebenza kakuhle ngaphakathi kwezikhokelo ezikhoyo.

Ngaba amaxwebhu e-ER anika iiOpile ezininzi?

Uhlolisiso kwiNew England Journal lwalukhethekileyo kwiqela leendlela. Kwafundisisa abo babengenayo i-opioid prescription ubuncinci iinyanga ezintandathu kuma-375,000 abaxhamli be-Medicare, uninzi lwabo ngaphezulu kweminyaka engamashumi amathandathu anesihlanu. Abantu abadala bathatha uninzi lweendleko zokhathalelo lwempilo, kodwa liqela elinzima ngakumbi xa kunyangwa iintlungu. Uninzi luye lwonakalisa umsebenzi wezintso, okanye uxinzelelo lwegazi. Sebenzisa iintlungu ezisemgangathweni zokunciphisa ii-NSAID, ezinje nge-ibuprofen okanye naproxen, ke oko kuvelisa umngcipheko owongeziweyo. Kwaye abantu abaninzi abaphenduli kwi-tylenol. Xa umntu ophambi kwakho esonganyelwa ziintlungu, ngakumbi umntu omdala osenokungabi nayo inkxaso eninzi kwezentlalo, wenza ntoni?

Oogqirha be-ER bayazi kakuhle ukuba yintoni ubhubhane lwe-opioid lwenza ebantwini. Kwiimeko ezininzi, zilolona nyango lokuqala lonyango kwaye zihlala zingababoneleli abakhoboka be-opioid. Kwisifundo esinye esivela eBrigham kunye nabafazi, oogqirha be-ER banikezela ngaphezulu kweepilisi ze-opioid ezingama-30 nje nge-1.5% yexesha. Ukuba bayazinika iipilisi, zihlala ngeedosi kulindeleke iintsuku eziyi-3-5.

Oku kuhambelana ne-ethos ye-ER iyeza-sombulula ingxaki, ngaphakathi nangaphandle. Amaxwebhu e-ER kufanelekile ukuba anyamekele imeko kaxakeka. "Oqhelekileyo" oogqirha banokusingatha okuseleyo. I-ER docs, njengabo benza amayeza esibhedlele, njengamaxesha okuphumla kude nomsebenzi apho bengekho "emnxebeni." Ukulawulwa kwexesha lokuzonwabisa yeyona nto iphambili ekuthengiseni ikhondo lomsebenzi kunyango olungxamisekileyo. Oogqirha bexesha likaxakeka akufuneki babonelele ngokulandelelana okungapheliyo-ngamanye amaxesha bayakwenza.

Kwaye rhoqo, oogqirha abagula ngaphandle banokuqhubeka nokuyalelwa i-opioid enikezelwe kwi-ER. Amaxwebhu e-ER ahlala etshatiswa-ngakumbi xa phantse isiqingatha sexesha labo belichitha besenza amaphepha. Izigulana ezalupheleyo azithathwa njengezinokuba likhoboka leziyobisi ze-opioid njengabantu abancinci. Kwaye liphi ixesha lokuchazela abantu indlela yokwolula? Ukuyalela unyango lomzimba, olungenakuhlawulwa? Xa uninzi lonyango lweentlungu ngoku luyehliselwa kulawulo njengonyango lokuziphatha, ngubani onalo ixesha lokwenza oko kwi-ER?

Kodwa ngoku siyazi ukuba ukutyelela omnye kwi-ER kunokubangela ukuba ube ngumlutha wobomi bonke. Ngaba i-ER docs iya kuba nexesha kunye nethuba lokuthetha nabantu malunga nokunyanga okungekho kweziyobisi kwintlungu? Ngaba baya kuba nokuthambekela, xa i-ethos yomsebenzi wabo isombulula ingxaki kwaye iqhubeke?

Oku kusizisa kwenye ingxaki "yompu omnye".

Ityala elingaqhelekanga leXanax

Abantu abaninzi baseMelika bafumana uloyiko. Phantse ezibini kwisithathu kubo bacinga ukuba uhlaselo lokuqala loloyiko lunokuba sisifo sentliziyo.

Uninzi luya kwi-ER. Abasebenzi be-ER, bakhululekile ekubeni "bakhuphe ngaphandle" isifo sentliziyo, bahlala bebanika i-xanax, enegama eliqhelekileyo eligama lingu-alprazolam.

Isebenza ngokukhawuleza. Ingxaki isonjululwe.

Ngaphandle kwesiqingatha sabantu abaya kwixanax banexesha lokuhamba.

Oogqirha bengqondo kunye noogqirha bokulala bahlala bengayithandi i-xanax. Elinye ixesha endikhe ndabona ngalo ukuba igosa lophando le-NIH ligqabile eqongeni kuxa wathi i-xanax ayenzi ngxaki enkulu yokuba likhoboka. Ngoo-1980, kwavela uphando oluninzi lubonisa ubunzima obuninzi bokuhamba xanax; Ndingomnye wabo bantu babeqhuba izifundo ezinjalo.

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