Ingabe Umlutha Ungaqala ku-ER?

-Delile

• Umlutha Ukufundwa Okubalulekile
• Ukudlala Indima Yevidiyo Yokudlala Ukuqeqeshwa Kwemilutha Yomtholampilo

Ubuhlungu bubola umphefumulo. Ama-opioid angabelapha ngempumelelo ubuhlungu - futhi lapho-ke ukubola umphefumulo nomzimba. Ukwelashwa kobuhlungu kusalokhu kuyinkinga enzima ezweni lonke.

Ucwaningo olusha kuNew England Journal of Medicine luqokomisa ukungcola kwe-opiod ngendlela entsha, kukhombisa ukuthi umuthi owodwa ku-ER ungaholela kanjani ekubeni umlutha opioid ongapheli.

Ocwaningweni, cishe amaphesenti amabili kuphela abantu abanikezwe ama-opioid abagcine bengabasebenzisi abangahlali isikhathi eside - besebenzisa amaphilisi ezinhlungu ngaphezu kwezinsuku eziyi-180 ngonyaka. Kepha abanye odokotela be-ER babeyimibhalo ejwayelekile. Kulaba "bachazi bezinga eliphezulu" izinga lokusetshenziswa okungamahlalakhona lalicishe libe ngama-30% ngaphezulu.

Kepha babevame ukwenza kahle ngaphakathi kweziqondiso zamanje.

Ngabe i-ER Amadokhumenti Inikeza Ama-Opiates Amaningi?

Ucwaningo olukuNew England Journal lwalukhethekile eqenjini lezindlela. Kufundwe labo ababengenayo imishanguzo ye-opioid okungenani izinyanga eziyisithupha kubahlomuli abangama-375,000 be-Medicare, iningi labo elingaphezu kweminyaka engamashumi ayisithupha nanhlanu. Abantu abadala bathatha izindleko eziningi zokunakekelwa kwezempilo, kepha bayiqembu elinzima kakhulu lapho belapha izinhlungu. Abaningi baye benza umsebenzi wezinso wangakhubazeka, noma bane-hypertensive. Ukusebenzisa ubuhlungu obujwayelekile bokunciphisa ama-NSAID, njenge-ibuprofen noma i-naproxen, ngaleyo ndlela kuveza izingozi ezingeziwe. Futhi abantu abaningi abaphenduli ku-tylenol. Lapho othile ophambi kwakho esongelana ngezinhlungu, ikakhulukazi umuntu osekhulile okungenzeka ukuthi akanakho ukusekelwa okuningi kwezenhlalo, wenzani?

Odokotela be-ER bazi kahle ukuthi ubhadane lwe-opioid lwenzani kubantu. Ezimweni eziningi, zingumugqa wokuqala wokwelashwa futhi imvamisa kubahlinzeki bodwa bemilutha ye-opioid. Kwesinye isifundo esivela kuBrigham and Women, odokotela be-ER banikeze ngaphezu kwamaphilisi we-opioid angaphezu kuka-1.5% wesikhathi. Uma bewanika amaphilisi, imvamisa kuba ngamanani ezinsuku eziyi-3-5 ezilindelekile.

Lokhu kufanelana ne-ethos yemithi ye-ER - xazulula inkinga, ngaphakathi nangaphandle. Ama-ER amadokhumenti kufanele anakekele izimo eziphuthumayo. Odokotela "abajwayelekile" bangaphatha okusele. Ama-ER docs, njengalabo abenza umuthi esibhedlela, njengokuthola izikhathi zokuphumula lapho bengasebenzi khona lapho "bengekho". Ukulawulwa kwesikhathi sokuphumula kuyindawo enkulu yokuthengisa yomsebenzi wezokwelapha eziphuthumayo. Odokotela bezimo eziphuthumayo akufanele banikeze ukulandelwa okungapheli - kwesinye isikhathi bayakwenza.

Futhi odokotela abavamile, abagulayo bangase baqhubeke nomuthi we-opioid onikezwe ku-ER. Ama-ER amadokhumenti ajwayele ukuboshwa - ikakhulukazi lapho cishe isigamu sesikhathi sabo sichithwa ekwenzeni amaphepha. Iziguli esezikhulile azithathwa njengamathuba okuba umlutha wama-opioid njengabantu abasha. Futhi sikuphi isikhathi sokuchazela abantu indlela yokwelula? Ukunquma ukwelashwa ngokomzimba, okungenzeka kungakhokhelwa? Lapho ukwelashwa okuningi kobuhlungu manje sekufakwa emibusweni efana nokwelashwa kwengqondo-yokuziphatha, ubani onesikhathi salokho ku-ER?

Kodwa manje siyazi ukuvakashelwa okukodwa ku-ER kungaholela ekuluthweni impilo yonke. Ngabe ama-ER amadokhumende azoba nesikhathi nethuba lokukhuluma nabantu ngokungelapheki kwezidakamizwa kobuhlungu? Ngabe bazoba nokuthambekela, lapho izindinganiso zomsebenzi wabo zixazulula inkinga bese beqhubeka?

Lokhu kusiletha kwenye inkinga "yesibhamu esisodwa".

Icala Elixakile leXanax

Abantu abaningi baseMelika babhekana nokuhlaselwa uvalo. Cishe izingxenye ezimbili kwezintathu zazo zicabanga ukuthi ukuhlaselwa kokuqala ukwethuka kungaba yisifo senhliziyo.

Abaningi baya ku-ER. Abasebenzi bakwa-ER, bakhululekile ukuthi "bakukhiphile" ukuhlaselwa yinhliziyo, bavame ukubanikeza i-xanax, egama layo lingu-alprazolam.

Isebenza ngokushesha. Inkinga ixazululiwe.

Ngaphandle kwesigamu sabantu abaya ku-xanax banesikhathi se-helluva sokuphuma.

Odokotela bengqondo nodokotela bokulala bavame ukungayithandi i-xanax. Ukuphela kwesikhathi engibone ngaso isikhulu sezocwaningo se-NIH sigxekwa esiteji kulapho athi i-xanax ayidalanga nkinga enkulu yokulutha. Ngawo-1980, kwaqhamuka izifundo eziningi ezikhomba ubunzima obuningi bokusuka kwi-xanax; Ngangingomunye walabo bantu ababeqhuba izifundo ezinjalo.

Umlutha Ukufundwa Okubalulekile

Ukudlala Indima Yevidiyo Yokudlala Ukuqeqeshwa Kwemilutha Yomtholampilo