Hoʻohana hoʻohana - nā lāʻau lapaʻau
Ke lawe ʻole ʻia kahi lāʻau i ke ala i manaʻo ʻia ai e hoʻohana a ua lilo kekahi kanaka iā ia, ua kapa ʻia ka pilikia he maʻi hoʻohana lāʻau lapaʻau. Lawe ka poʻe i loaʻa i kēia maʻi i nā lāʻau no ka mea he hopena psychoactive nā kemika i nā lāʻau. ʻO ka Psychoactive ka hopena i ke ʻano o ka hana o ka lolo. I ka pōkole, hoʻohana ʻia nā lāʻau e kiʻekiʻe.
ʻO nā ʻano lāʻau maʻamau i hoʻohana hewa ʻole ʻia e komo pū me nā depressants, opioids, a me nā stimulants.
NA LUNAHOOPONOPONO
ʻO kēia mau lāʻau i kapa ʻia he tranquilizers a me nā sedative. Kau ʻia lākou e mālama i ka pilikia a me ka pilikia o ka hiamoe.
Nā ʻano lāʻau a me ko lākou mau inoa alanui e komo pū:
- ʻO Barbiturates, e like me Amytal, Nembutal, phenobarbital, Seconal. Loaʻa nā inoa o ke alanui i nā pākeke, nā phennies, nā ʻulaʻula, nā manu ʻulaʻula, nā beies, nā melemele, nā lole melemele.
- ʻO Benzodiazepines, e like me Ativan, Halcion, Klonopin Librium, Valium, Xanax. ʻO nā inoa o ke alanui nā kī, benzos, blues, candy, chill pills, french fries, downers, planks, sleep pills, totem poste, tranks, zanies, a me z-bar.
- ʻO nā lāʻau e hiamoe ai, e like me Ambien, Sonata, Lunesta. Loaʻa nā inoa o ke alanui iā ʻA-, nā pila zombie.
Ke hoʻohana kiʻekiʻe ʻia, hoʻokumu lākou i nā manaʻo o ke ola maikaʻi, hauʻoli nui, a me ka pīhoihoi. Ma ke ʻano he lāʻau lāʻau, hele mai nā mea kaumaha i nā pila a i ʻole nā capsule a ale mau ʻia.
Nā hopena maikaʻi ʻole o nā depressants i ke kino e komo pū:
- Hoemi ʻia ka nānā ʻana i ka nānā
- Hoʻoholo kūpono ʻole
- Ka nele o ka hoʻonohonoho ʻana
- Hoʻohaʻahaʻa koko
- Nā pilikia hoʻomanaʻo
- ʻLelo lohi
Loaʻa paha i nā mea hoʻohana lōʻihi ke hoʻoweliweli i nā ʻōuli haʻalele inā hoʻāʻo lākou e hōʻoki me ka ʻole.
OPIOIDA
ʻO nā Opioids he mea ʻehaʻeha mana. Kau ʻia lākou e mālama i ka ʻeha ma hope o ke kaha ʻana a i ke kaʻina hana niho. Hoʻohana ʻia lākou i kekahi manawa e mālama i ka ʻeha nui a i ʻole ka diarrhea.
ʻO nā ʻano opioids a me ko lākou mau inoa alanui me:
- Codeine. Nui nā lāʻau i loaʻa i ka codeine ma ke ʻano he mea hoʻohui, ʻoi aku hoʻi i nā mea no ka tale e like me Robitussin A-C a me Tylenol me codeine. ʻO nā inoa o ke alanui no ka codeine wale nō ke kāpena cody, cody, c liʻiliʻi, a me ke keiki kula. No Tylenol me codeine, nā inoa o ke alanui me T1, T2, T3, T4, a me nā dors a me nā ʻehā. Hiki i nā syrup Codeine i hui pū ʻia me ka soda ke loaʻa i nā inoa o ke alanui e like me ka inu poni, sizzup, a me ke kī ʻo Texas.
- ʻO Fentanyl. ʻO Drugs nā Actiq, Duragesic, Onsolis, a me Sublimaze. ʻO nā inoa o ke alanui e komo pū me ka apache, ke kaikamahine china, ke keʻokeʻo china, ke kuni hulahula, ka hoa aloha, goodfella, jackpot, pepehi kanaka 8, percopop, tango a me ke kālā.
- Hydrocodone: ʻO nā lāʻau e like me Lorcet, Lortab, a me Vicodin. Loaʻa nā inoa o ke alanui i ka fluff, hydros, v-itamin, vic, vike, Watson-387.
- Morphine. Hoʻopili nā lāʻau me Avinza, Duramorph, Kadian, Ormorph, Roxanol. Loaʻa i nā inoa o ke alanui ka mea moeʻuhane, ka laina mua, ka lāʻau a ke akua, M, miss emma, mister blue, monkey, morf, morpho, vitamin m, mea keʻokeʻo.
- ʻOxycodone. ʻO nā lāʻau ʻo Oxycontin, Percocet, Percodan, Tylox. ʻO nā inoa o ke alanui ka pulupulu, ka heroin puʻu, o.c., bipi, ʻoxy, oxycet, oxycotton, percs, pills.
Ke hoʻohana kiʻekiʻe ʻia, hana nā opioids i kahi kanaka e hoʻomaha a hauʻoli nui. E like me nā lāʻau lapaʻau o ke alanui, hele mai lākou me he pauka, nā huaale a i ʻole nā capsule, syrup. Hiki iā lākou ke ale ʻia, injected, puhi ʻia, hahao ʻia i loko o ka rectum, a i ʻole inhaled ma o ka ihu (snort).
ʻO nā hopena maikaʻi ʻole o nā opioids ma ke kino:
- Konipōpō
- Waha maloo
- Huikau
- Ka nele o ka hoʻonohonoho ʻana
- Hoʻohaʻahaʻa koko
- Nawaliwali, ʻūpī, hiamoe
I nā koina kiʻekiʻe, hiki i ka ʻona opioid ke hopena, kahi e hopena ai i nā pilikia hanu, koma, a make paha.
NA KUMUHANA
ʻO kēia nā lāʻau e hoʻonāukiuki i ka lolo a me ke kino. Hana lākou i nā leka ma waena o ka lolo a me ke kino e neʻe wikiwiki. A ʻo kahi hopena, ʻoi aku ka makaʻala a me ka hoʻoikaika kino o ke kanaka. Hoʻonohonoho ʻia nā stimulants e like me amphetamines e mālama i nā pilikia olakino e like me ka momona, narcolepsy, a i ʻole deficit hyperactivity maʻi (ADHD).
Nā ʻano stimulants a me ko lākou mau inoa alanui e komo pū:
- ʻO Amphetamines, e like me Adderall, Biphetamine, a me Dexedrine. ʻO nā inoa o ke alanui e pili ana i nā bennies, nā nani ʻeleʻele, keʻa, puʻuwai, LA turnaround, ka wikiwiki, nā kalaiwa kalaka, nā mea i luna.
- ʻO Methylphenidate, e like me Concerta, Metadate, Quillivant, a me Ritalin. ʻO nā inoa o ke alanui ʻo JIF, kibbles a me nā ʻāpana, MPH, paina, pōpōpō, skippy, ka lāʻau akamai, wikamina R.
Ke hoʻohana ʻia e kiʻekiʻe, hoʻonāukiuki nā mea stimulants i kahi kanaka e pīhoihoi, makaʻala loa, a hoʻonui i ka ikehu. Hoʻohana kekahi poʻe i nā lāʻau, keu hoʻi i nā amphetamines, i mea e kōkua ai iā lākou e makaʻala i ka hana a i ʻole e hoʻopaʻa haʻawina no kahi hōʻike. Hoʻohana kekahi iā lākou e hoʻonui i kā lākou hana i nā haʻuki.
Ma ke ʻano he lāʻau lāʻau, hele mai lākou ma ke ʻano he huaale. Hiki iā lākou ke ale ʻia, injected, puhi ʻia, a inhaled paha ma o ka ihu (snort).
Nā hopena maikaʻi ʻole o nā stimulants ma ke kino:
- Nā pilikia puʻuwai, e like me ka wikiwiki o ka puʻuwai, ka puʻuwai kūlike ʻole, hoʻonui i ke kahe o ke koko
- ʻO ke ana wela o ke kino kiʻekiʻe a me ka ʻili o ka ʻili
- Ka nele o ka makemake a me ka pohō kaumaha
- Ka hoʻomanaʻo ʻana a me nā pilikia e noʻonoʻo pono nei
- Nā Delusions a me nā hallucination
- Nā pilikia a me nā pilikia o ka naʻau, e like me ka hana kolohe a kolohe paha
- Hoʻomaha ʻole a me nā haʻalulu
ʻAʻole maʻamau ʻoe i ka lāʻau lapaʻau i ka wā e lawe ʻoe iā lākou ma ke ana pono e mālama ai i kou olakino.
ʻO ke ʻano o ka mea addication kaukaʻi ʻia kou kino a me kou noʻonoʻo i ka lāʻau. ʻAʻole hiki iā ʻoe ke kaohi i kāu hoʻohana ʻana a pono ʻoe ia e hele i kēlā me kēia lā o ke ola.
Hoʻohana ka lāʻau i loko o kahi manawa e hiki ai i ke ahonui. ʻO ke ahonui e pono ʻoe i nā lāʻau hou aʻe e loaʻa ka manaʻo like. A inā hoʻāʻo ʻoe e haʻalele i ka hoʻohana ʻana, loaʻa paha i ka noʻonoʻo a me kou kino nā hopena. Kāhea ʻia kēia mau mea he withdrawal hōʻailona, a hiki pū paha:
- Nui ka makemake i ka lāʻau
- Loaʻa ka loli o ke ʻano mai ke kaumaha a hoʻonāukiuki i ka hopohopo
- ʻAʻole hiki ke noʻonoʻo
- Ke ʻike a lohe nei paha i nā mea ʻaʻole ma laila (hallucination)
- Hiki paha i nā hopena o ke kino ke ʻeha i ke poʻo, ʻeha a me nā ʻeha, hoʻonui i ka makemake, ʻaʻole hiamoe maikaʻi
- Nā hōʻailona hoʻoweliweli ola i nā mea hoʻohana lōʻihi o kekahi mau lāʻau
Hoʻomaka ka lapaʻau me ka ʻike ʻana he pilikia. Ke hoʻoholo ʻoe makemake ʻoe e hana i kekahi mea e pili ana i kāu hoʻohana lāʻau, ʻo ka hana hou e loaʻa ai ke kōkua a me ke kākoʻo.
Hoʻohana nā papahana lapaʻau i nā hana hoʻololi i ka lawena ma o ka ʻōlelo aʻoaʻo ʻana (talk therapy). ʻO ka pahuhopu e kōkua iā ʻoe e hoʻomaopopo i kāu ʻano a me ke kumu e hoʻohana ai i nā lāʻau. ʻO ka hoʻokomo ʻana i ka ʻohana a me nā hoaaloha i ka wā ʻōlelo aʻoaʻo hiki ke kōkua iā ʻoe e kāohi iā ʻoe mai ka hoʻi ʻana i ka hoʻohana ʻana (relapsing). Aʻo pū kekahi iā ʻoe i nā papahana hoʻomaʻamaʻa pehea e hana maikaʻi ai i nā hanana i alakaʻi iā ʻoe e hoʻohana a hoʻi hou i ka wā i hala.
Me kekahi mau lāʻau ʻona, e like me opioids, hoʻohana ʻia nā lāʻau e kōkua i ka hōʻemi ʻana i nā hopena o nā opioid ma ka lolo. Hiki ke hoʻohana ʻia nā lāʻau ʻē aʻe e hōʻemi i ka ʻiʻini a me nā hōʻailona haʻalele.
Inā loaʻa iā ʻoe nā hōʻailona haʻalele nui, pono ʻoe e noho ma kahi papahana mālama ola. Ma laila, hiki ke nānā i kou olakino a me kou palekana ke ola ʻoe.
Ke ola ʻoe, kau i ka mea aʻe e pale ai i ka hoʻi hou ʻana:
- E hele mau i kāu kau mālama.
- E ʻike i nā hana hou a me nā pahuhopu e hoʻololi i nā mea e pili ana i ka hoʻohana lāʻau.
- E hoʻonui i ka manawa me ka ʻohana a me nā hoaaloha āu i nalo ai i ka pili iā ʻoe e hoʻohana ana. E noʻonoʻo e ʻike ʻole i nā hoaaloha e hoʻohana mau nei.
- Hoʻomaʻamaʻa a ʻai i nā meaʻai olakino. ʻO ka mālama ʻana i kou kino e kōkua iā ia e hoʻōla mai nā hopena weliweli o ka hoʻohana lāʻau ʻana. E hauʻoli hoʻi ʻoe.
- E hōʻalo i nā mea hoʻouluulu. Hiki i kēia mau mea hoʻowalewale ke hoʻopili i ka poʻe āu i hoʻohana ai i nā lāʻau. Hiki i nā mea hoʻonāuki i nā wahi, nā mea, a i ʻole nā manaʻo e hiki ke makemake iā ʻoe e hoʻohana hou.
Nā kumuwaiwai e kōkua paha iā ʻoe ma kou ala i ke ola hou ʻana:
- LifeRing - www.lifering.org/
- National Coalition Against Prescription Drug Abuse - ncapda.org
- Hoʻōla SMART - www.smartrec Recovery.org/
- Ka launa pū ʻana me nā keiki me ka lāʻau ʻole - drugfree.org/article/medisin-abuse-project-partners/
ʻO kāu papahana kōkua limahana limahana (EAP) kahi kumu waiwai maikaʻi.
Kāhea i kahi manawa me kāu kauka olakino inā ʻoe a i ʻole kekahi mea āu e ʻike nei ua lilo i ka lāʻau lapaʻau a pono i ke kōkua e kū ana. E kāhea pū inā ke haʻalele nei ʻoe i nā ʻōuli e pili ana iā ʻoe.
Hoʻohana maʻi maʻi - nā lāʻau lapaʻau; Hana hoʻomāinoino ʻino - nā lāʻau lapaʻau; Hana ʻino - lāʻau lāʻau kuhikuhi; Hoʻohana lāʻau lāʻau - lāʻau lāʻau kuhikuhi; Nā Narcotics - hoʻohana i nā lāʻau; Opioid - hoʻohana lāʻau; ʻO Sedative - hoʻohana i nā lāʻau; Hypnotic - hoʻohana i nā mea hoʻohana; Benzodiazepine - hoʻohana lāʻau; Stimulant - hoʻohana lāʻau; Barbiturate - hoʻohana i nā lāʻau; Codeine - hoʻohana i nā lāʻau; Oxycodone - hoʻohana lāʻau; Hydrocodone - hoʻohana lāʻau; Morphine - hoʻohana i nā mea hoʻohana; Fentanyl - hoʻohana i nā lāʻau
Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻO ka overdose opioid. www.cdc.gov/drugoverdose/index.html. Hoʻohou ʻia Mei 5, 2020. Loaʻa iā Iune 26, 2020.
Lipari RN, Williams M, Van Horn SL. No ke aha e hoʻohana hewa ʻole ai nā mākua i nā lāʻau lapaʻau? Rockville, MD: ʻO ka hana ʻino a me ka mālama ʻana i nā lawelawe olakino noʻonoʻo; Ke kikowaena no ke olakino pili i ke kino; 2017.
Kowalchuk A, Reed BC. Hoʻohana i nā maʻi. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier; 2016: chap 50.
Pūnaewele National on Abuse Abuse pūnaewele. Ka hoʻohana hewa ʻole ʻana i ka hōʻike noiʻi lāʻau lapaʻau. www.drugabuse.gov/publications/research-reports/misuse-prescription-drugs/overview. Hoʻohou ʻia Iune 2020. Loaʻa iā Iune 26, 2020.
- Hoʻohana Hōʻino Laau Lapaʻau