Kuphephile yini ukuphuza umuthi olwa nokukhathazeka ngotshwala?
Imfundo Yezempilo UkuxubaAbanye abantu baphuza utshwala ukunqanda ukukhathazeka. Abanye bathatha iXanax. Abanye bathatha iXanax futhi utshwala, njengengilazi noma ezimbili zewayini. Kepha lokhu, odokotela nosokhemisi bathi, akuphephile.
Akufanele neze uhlanganise ama-benzodiazepines notshwala, kusho U-Anna Lembke, MD , umqondisi wemithi yokulutha izidakamizwa eStanford University School of Medicine ePalo Alto, eCalifornia. Uthi imiphumela ingaba yingozi.
Ukuxuba izindlela zokuphuza utshwala nokukhathazeka
I-Benzodiazepines ibhekisa esigabeni semithi leyo Xanax (alprazolam) nokunye okwaziwayo imishanguzo yokulwa nokukhathazeka , njenge I-Ativan (lorazepam) kanye I-Valium (diazepam), ungena ku-.
Uma uhlanganisa [i-benzodiazepines notshwala] ungaba nesibindi ukuxhumana kwezidakamizwa , kufaka phakathi ukweqisa okubulalayo, uthi.
Ingxenye yesizathu ukuthi womabili ayizidambisi. Ngayodwana, bangayekelela imisipha, bakwenze uzele, futhi banciphise imizwa yokwethuka, ukwesaba nokuxakaniseka. Ngokubambisana, benza zonke lezo zinto ngamandla amakhulu. Kepha akupheleli lapho kwenziwa i-combo. Ukuzithatha ngasikhathi sinye kungakhulisa amandla emiphumela emibi ethile esabekayo, njengokucindezeleka kokuphefumula (okwaziwa nangokuthi yi-hypoventilation).
Ngokwemigomo ye-layman, ukucindezeleka kokuphefumula kulapho ukuphefumula kwakho kwehlisela ezingeni eliyingozi. Futhi uma lokhu kwenzeka, ubungozi bemiphumela bukhulu. Isimo esibi kakhulu? [Ulala] uyeke ukuphefumula, kusho uDkt Lembke.
Ngeshwa, ukusetshenziswa kotshwala nemithi yokukhathazeka zombili kudlange ngokwanele ukuthi lesi simo esibi kakhulu asikho kude. Izinkinga zokukhathazeka yizifo ezivame kakhulu ezingokwengqondo e-United States, ezithinta u-18.1% wabantu abadala unyaka nonyaka, ngokusho kwe Inhlangano Yokukhathazeka Nokucindezeleka YaseMelika . Futhi odokotela babeka i-benzodiazepines ukwelapha ukukhathazeka ngamanani anyukayo. A isifundo sishicilelwe kwi-Journal of the American Medical Association (JAMA) ibika ukuthi inani lokuvakashelwa odokotela okuholele ekutheni kunikezwe umuthi we-benzodiazepine licishe laphindeka kabili phakathi kuka-2003 no-2015, lenyuka lisuka ku-3.8 laya ku-7.4%. Ngaphezu kwalokho, i-benzodiazepines iya ngokuya ibekelwa ukukhathazeka okuncane kuya kokuphakathi lapho kuhloselwe ukukhathazeka okukhulu noma okukhulu, kusho uLembke.
Ngokuqondene nokusetshenziswa kotshwala, i Ucwaningo Lukazwelonke Ngokusetshenziswa Kwezidakamizwa Nempilo ukuthole lokho ngo-2016, ama-54.6% abantu abadala abangama-26 nangaphezulu babengabasebenzisi botshwala bamanje . Sekukonke, ama-benzodiazepines okungenani abenesibopho sako Ukufa okuhlobene nokudlula ngokweqile okungu-11,537 ngo-2017 , ngokusho kweNational Institute on Drug Abuse.
Ukuthatha lapha ukuthi uma usebenzisa i-benzodiazepine ukukhathazeka, qiniseka ukuthi uyisebenzisa kahle. Lokhu kusho ukulinda kuze kube yilapho umuthi ungaphandle kwesistimu yakho ngaphambi kokushaya ihora lokujabula. Isikhathi esibekiwe salokhu, noma kunjalo, asibekiwe etsheni.
Kuxhomeke ezintweni ezimbalwa, kusho URachel Firebaugh, Pharm.D. , uprofesa osizayo emtholampilo e-University of Washington School of Pharmacy eSeattle. Uyachaza ukuthi isilinganiso semithi kanye nenani lotshwala obandakanyekayo yizinto ezibalulekile. Ukube bekuyinani elincane lotshwala nomthamo ophansi we-benzo, bekungaba nengozi encane, usho kanje.
Imiphumela emibi ye-Benzos notshwala
UDkt Lembke uthi abantu kufanele balinde eyodwa noma mhlawumbe ngisho ezimbili ezinsukwini ezimbalwa ngemuva kokuthatha i-benzodiazepine ngaphambi kokuphuza, kugcizelelwa ukuthi amanye ama-benzodiazepines asebenza isikhathi eside (njengeValium) futhi azohlala ohlelweni lwakho isikhathi eside kunamanye (uXanax uthathwa njengomdlali omfushane). Futhi ngenkathi eveza ukuthi ukweqisa ngokweqile kungenzeka kubantu abathatha neminye imishanguzo kadokotela kanye / noma yezokungcebeleka (kufaka phakathi ama-opioid), unxusa nabantu ukuthi bafune usizo lwezokwelapha ngokushesha uma kwenzeka kusolakala ukuthi ukweqisa ngokweqile.
UDkt Firebaugh uthi izimpawu zokudlula ngokweqile zingabandakanya ukuphefumula kanzima, ukulahlekelwa ukwazi, nokungakwazi ukuvusa umuntu. Futhi qaphela isizungu, ukukhuluma okungaqondakali, ukudideka nobuthakathaka.
Kubalulekile futhi ukuqaphela ukuthi i-benzodiazepines iyalutha kakhulu, uDkt. ULembke noFirebaugh bathi, ikakhulukazi kulabo asebevele balwa nabo ukuphuza ngokweqile noma ukusebenzisa kabi .
Abantu abaningi bathola ama-benzos anqunyiwe futhi abazi ukuthi bayalutha, kusho uDkt Lembke. Okusemqoka ukuthi sisebenzisa ama-benzos kaningi futhi ngokunganaki. Ziyizidakamizwa ezimbi kakhulu futhi kufanele zisetshenziswe ezimweni ezimbi kakhulu.
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