Pehea ka Controversial Medication Suboxone Kōkua iaʻu e hoʻokahuli i ke kolohe opiate

Anter

• ʻO kahi hana kakahiaka ʻokoʻa loa i kēia manawa
• Pehea e hana ai i ka suboxone?
  
• Ka hopena - a me ka hoʻokolokolo - o ka lawe ʻana iā Suboxone
• 3 mau mea e pili ana iā Suboxone e haʻi wau i nā hoaaloha a ʻohana paha:
  

ʻO nā lāʻau lapaʻau e mālama ai i ka lāʻau opiate e like me methadone a i ʻole Suboxone he maikaʻi, akā hoʻopaʻapaʻa nō naʻe.

Pehea mākou e ʻike ai i ke ʻano o ka honua a mākou e koho ai - a kaʻana like ʻana i nā ʻike i hiki ke hoʻopaʻa i ke ʻano o kā mākou mālama ʻana i kekahi i kekahi, no ka maikaʻi. He kuanaʻike mana kēia.

E noʻonoʻo i ke ala ʻana i kēlā me kēia kakahiaka me ka piʻo ʻana o kāu pū waikū, pulu i loko o kāu mau pale i pulu i ka hou, haʻalulu kou kino holoʻokoʻa. Kohu a hina hoʻi kou noʻonoʻo e like me ka lani hoʻoilo o Portland.

Makemake ʻoe e kiʻi i ke aniani o ka wai, akā kau ʻia kāu papa helehelena me nā ʻōmole hū ʻole o ka inu a me nā pila. Ke hakakā nei ʻoe i ka makemake e hoʻolei, akā pono ʻoe e lālau i ka kini ʻōpala ma hope o kou wahi moe.

Hoʻāʻo ʻoe e huki pū no ka hana - a i ʻole e kāhea hou aku i ka maʻi.

ʻO kēia ke ʻano o ke kakahiaka awelika no kekahi mea me ka hoʻohaʻahaʻa.

Hiki iaʻu ke haʻi i kēia mau kakahiaka me nā kikoʻī maʻi, no ka mea ʻo kēia kaʻu ʻoiaʻiʻo a ma loko o koʻu mau makahiki he 20 a 20.

ʻO kahi hana kakahiaka ʻokoʻa loa i kēia manawa

Ua hala nā makahiki ma hope o kēlā mau pō pōpō pōpilikia pōpilikia.

E ala wau i kekahi mau kakahiaka ma mua o kaʻu pīhoihoi a kū i ka wai a me kaʻu puke noʻonoʻo. ʻO nā kakahiaka ʻē aʻe i hiamoe nui a hoʻonele paha wau i ka manawa ma ka pāpili kaiaulu.

ʻO kaʻu mau hana maikaʻi ʻole maikaʻi loa mai kahi booze a me nā lāʻau.

ʻO ka mea nui loa, ʻoluʻolu wau ma mua o ka makaʻu ʻole i nā lā nui - mahalo i kaʻu hana a me kahi lāʻau i kapa ʻia ʻo Suboxone.

E like me ka methadone, kauoha ʻia ʻo Suboxone e mālama i ka hilinaʻi opiate. Hoʻohana ʻia ia no nā mea ʻelua o ka opioid, a, i koʻu hihia, hōʻalo heroin.

Hoʻopaʻa ia i ka lolo a me ke kino e ka hoʻopili ʻana i nā mea loaʻa i ka lolo o ka lolo. ʻ sayslelo kaʻu kauka he mea like ʻo Suboxone i ka poʻe me ka maʻi kō e lawe ana i ka insulin e hoʻokūpaʻa a mālama i ko lākou kō kō.

E like me nā poʻe ʻē aʻe e mālama nei i kahi maʻi maʻi, hoʻoikaika pū wau, hoʻomaikaʻi i kaʻu papaʻai, a hoʻāʻo e hoʻohaʻahaʻa i kaʻu ʻai ʻana caffeine.

Pehea e hana ai i ka suboxone?

• ʻO Suboxone kahi agioist opioid ʻāpana, ʻo ia hoʻi ka pale ʻana i nā poʻe e like me aʻu e hilinaʻi nei i ka opiate mai ka manaʻo kiʻekiʻe. Noho ia i ke kahe o ke kanaka no kahi manawa lōʻihi, ʻaʻole like me nā opiates hana pōkole e like me heroin a me nā painkillers.
• Hoʻokomo pū ʻia ʻo Suboxone i kahi deterrent hoʻomāinoino i kapa ʻia ʻo Naloxone e pale aku ai i ka poʻe mai ka ʻū a i ʻole ke kī ʻana i ka lāʻau.

Ka hopena - a me ka hoʻokolokolo - o ka lawe ʻana iā Suboxone

No nā makahiki ʻelua mua aʻu e lawe nei, hilahila wau i ka ʻae ʻana aia wau ma Suboxone no ka mea ua paʻa i ka hoʻopaʻapaʻa.

ʻAʻole nō wau i hele i nā hālāwai Narcotics Anonymous (NA) no ka mea ʻo ka lāʻau i hōʻāhewa ʻia i ko lākou kaiāulu.

I ka 1996 a me ka 2016, ua hoʻokuʻu ʻo NA i kahi puke liʻiliʻi e ʻōlelo ana ʻaʻole maʻemaʻe ʻoe inā ʻoe ma Suboxone a i ʻole methadone, no laila ʻaʻole hiki iā ʻoe ke kaʻana like i nā hālāwai, i mea kākoʻo, a i luna hoʻomalu paha.

ʻOiai ʻo NA e kākau nei he "manaʻo ʻole ko lākou no ka mālama ʻana i ka methadone," ʻaʻole hiki iā lākou ke komo piha i ka hui i manaʻo ʻia e like me ka hoʻopiʻi ʻana i kaʻu hana.

ʻOiai ua makemake wau i ka comradery i hāʻawi ʻia e nā hālāwai NA, ʻaʻole au i hele aku iā lākou no ka mea ua komo wau i loko a makaʻu i ka hoʻokolokolo a nā lālā o ka hui ʻē aʻe.

ʻOiai, ua hiki iaʻu ke hūnā aia wau ma Suboxone. Akā manaʻo ʻia he pono ʻole i loko o kahi papahana e haʻi nei i ka ʻoiaʻiʻo o kaʻoiaʻiʻo. Ua pau wau me ka hewa a haʻalele i kahi wahi ke ake wau e apo ʻia.

ʻAʻole maka wale ʻia ʻo Suboxone ma NA wale nō, akā ma ka hapanui o nā hale hoʻōla a i ʻole nā ​​home sober, e hāʻawi nei i ke kākoʻo no ka poʻe e hakakā nei i ka ʻāpiki.

Eia nō naʻe, ke ulu nei nā helu o nā noiʻi e hōʻike ana he kūpono a palekana hoʻi kēia ʻano lāʻau no ka hoʻōla lāʻau.

ʻO Methadone a me Suboxone, ʻike ʻia he buprenorphine, kākoʻo ʻia a koi ʻia e ke kaiāulu ʻepekema, e like me ka, The National Institute on Drug Abuse, and Substance Abuse and Mental Health Services Administration.

ʻIke pū kekahi ka ʻōlelo anti-Suboxone i ka weliweli ke piʻi ka kiʻekiʻe ma kahi o 30,000 mau make ma muli o nā opiates a me heroin a me 72,000 ka nui o ka make ʻana o ka lāʻau i make ma 2017.

ʻO kahi noiʻi i paʻi ʻia i ʻike ʻia ua hōʻemi ʻo Suboxone i ka make ma luna o 40 mau pākēneka a me methadone e 60 pākēneka.

ʻOiai ka maikaʻi o ka hōʻoia o kēia mau lāʻau a me ke kākoʻo o nā hui olakino kūwaho, eia wale nō ka 37 pākēneka o nā papahana hoʻōla hoʻōla e hāʻawi i kahi lāʻau i ʻae ʻia e FDA e mālama i nā lāʻau opiate e like me methadone a i ʻole Suboxone.

E like me ka 2016, 73 pākēneka o nā keʻena lapaʻau i ukali i ka 12-ʻanuʻu kokoke loa inā nele i nā hōʻike no kona pono.

Kauoha mākou i ka aspirin e kōkua ai i ka pale ʻana i ka puʻuwai puʻuwai a me EpiPens e pale aku ai i nā hopena maʻi maʻi, no laila no ke aha mākou e kuhikuhi ʻole ai iā Suboxone a me methadone e pale aku ai i ka make make nui?

Manaʻo wau ua hoʻokumu ʻia ia i ka stigma o ka hōʻalo a me ka ʻoiaʻiʻo o ka nui e hoʻomau i ka ʻike iā ia ma ke ʻano he "koho pilikino."

ʻAʻole maʻalahi iaʻu ke kiʻi i kahi palapala kauoha Suboxone.

Aia kekahi āpau koʻikoʻi ma waena o ka pono e pono ai ka lapaʻau a me ka helu o nā keʻena lapaʻau a me nā kauka i loaʻa nā hōʻoia kūpono e kuhikuhi ai i ka methadone a i ʻole Suboxone no ka hoʻōla.

ʻOiai he nui nā mea pale i ka loaʻa ʻana o kahi keʻena maʻi Suboxone, ua loaʻa iaʻu kahi keʻena maʻi he hoʻokahi hola a me ka hapalua kaʻa mai koʻu hale aku. He ʻano lokomaikaʻi, mālama ko lākou limahana a me kā lākou aʻoaʻo aʻoaʻo ʻalo.

Mahalo wau i ke komo ʻana i Suboxone a manaʻoʻiʻo ʻo ia kekahi o nā mea i kōkua i koʻu kūpaʻa a hoʻi ʻana i ke kula.

Ma hope o ʻelua mau makahiki o ka hūnā ʻana, ua haʻi koke wau i koʻu ʻohana, ka mea i kākoʻo nui i kaʻu ʻano hoʻōla o ke ʻano maʻamau.

3 mau mea e pili ana iā Suboxone e haʻi wau i nā hoaaloha a ʻohana paha:

• ʻO ka noho ʻana ma Suboxone ke manaʻo nei e hoʻokaʻawale i kekahi manawa no ka mea he lāʻau stigmatized ia.
• ʻAʻole ʻae ka hapa nui o nā pūʻulu he 12 iaʻu i nā hālāwai a manaʻo paha iaʻu he "maʻemaʻe."
• Ke hopohopo nei wau i ka hopena o ka poʻe inā haʻi wau iā lākou, ʻo ka poʻe hoʻi i ʻāpana o ka papahana 12-ʻanuʻu e like me Narcotics Anonymous.
• No koʻu mau hoaaloha i hoʻolohe, kākoʻo, a paipai i ka poʻe e like me aʻu i ka hoʻōla ʻole nontraditional: mahalo nui wau iā ʻoe. Makemake wau i nā poʻe āpau i ke ola hou ʻana he mau hoa kākoʻo a ʻohana.

ʻOiai wau ma kahi maikaʻi i kēia manawa, ʻaʻole wau makemake e hāʻawi i ka illusion a maikaʻi ʻole ʻo Suboxone.

ʻAʻole wau makemake i ka hilinaʻi ʻana i kēia kiʻi ʻalani ʻalani liʻiliʻi i kēlā me kēia kakahiaka e hele i waho o kahi moe, a i ʻole ka hana ʻana me ka constipation mau a me ka nausea e hele pū me ia.

I kekahi lā lana koʻu manaʻo e loaʻa koʻu ʻohana a haʻalele wau i ka lawe ʻana i kēia lāʻau (ʻaʻole ia e koi ʻia i ka wā hāpai). Akā ke kōkua nei iaʻu i kēia manawa.

Ua koho wau i ke kākoʻo kuhikuhi, aʻoaʻo, a me koʻu ʻuhane iho a me ka hana maʻamau e noho maʻemaʻe. ʻOiai ʻaʻole wau e ukali i nā ʻanuʻu he 12, ke manaʻoʻiʻo nei au he mea nui e lawe i nā mea i kēlā me kēia lā a mahalo wau i kēia manawa, maʻemaʻe wau.

Ke kākau nei ʻo Tessa Torgeson i kahi memo e pili ana i ka hoʻōla a me ka hoʻōla hou ʻana mai kahi kuana hōʻemi ʻino. Ua paʻi ʻia kāna kākau ʻana ma ka pūnaewele ma The Fix, Manifest Station, Role / Reboot, a me nā mea ʻē aʻe. Aʻo ʻo ia i ka haku mele a me ka kākau ʻana i ka hana ma ke kula hoʻōla. I kona manawa kaʻawale, pāʻani ʻo ia i ke kika kī a alualu i kāna pōpoki, ʻo Luna Lovegood