Janyowa daga Opiates da Opioids

Wadatacce

• Wane tasiri opioids ke da shi a jiki?
• Me ke haifar da ficewar opioid?
• Menene alamun cirewar opioid?
• Yaya aka gano cutar opioid?
• Waɗanne jiyya ne ke akwai don cire opioid?
• Menene rikicewar cire opioid?
• Me zan iya tsammani a cikin dogon lokaci?

Menene cirewar opioid?

Opioids rukuni ne na ƙwayoyi waɗanda aka saba ba su don magance ciwo. Opioids sun hada da duka opiates (magungunan da aka samo daga opium poppy, ciki har da morphine, codeine, heroin, da opium) da kuma opioids na roba kamar hydrocodone, oxycodone, da methadone, waɗanda suke da irin wannan tasirin. Magungunan opioids sun hada da:

• Oxycontin (oxycodone)
• Vicodin (hydrocodone da acetaminophen)
• Dilaudid (wayar salula)
• morphine

Kodayake suna da matukar amfani don magance ciwo, waɗannan kwayoyi na iya haifar da dogaro da jaraba ta jiki. Dangane da Cibiyar Nazarin Magunguna ta Kasa, kusan mutane miliyan 2.1 a Amurka kuma tsakanin mutane 26.4 zuwa 36 miliyan a duniya suna cin zarafin opioids.

Wasu haramtattun magunguna, kamar su heroin, suma opioids ne. Methadone opioid ne wanda aka saba bada shi don magance ciwo, amma ana iya amfani dashi don magance alamun cirewa a cikin mutanen da suka kamu da cutar ta opioids.

Idan ka daina ko rage adadin opioids da kake sha, zaka iya samun alamun bayyanar jiki na janyewa. Wannan gaskiya ne idan kun kasance kuna amfani da waɗannan magunguna a manyan allurai fiye da weeksan makonni. Yawancin tsarin da ke jikinku sun canza lokacin da kuka ɗauki adadi mai yawa na opioids na dogon lokaci. Ragewar sakamako yana faruwa saboda yana ɗaukar lokaci don jikinku ya daidaita don daina samun opioids a cikin tsarinku.

Cutar opioid za a iya rarrabata da taushi, matsakaici, matsakaici mai tsanani, kuma mai tsanani. Mai ba ku kulawa na farko zai iya ƙayyade wannan ta hanyar kimanta tarihin amfani da opioid da alamomin ku, kuma ta amfani da kayan aikin bincike kamar Scale na iaukewar Clinical Opiate.

Wane tasiri opioids ke da shi a jiki?

Opioids sun haɗa kansu da masu karɓar opioid a cikin kwakwalwa, laka, da sashin ciki. Duk lokacin da opioids suka haɗu da waɗannan masu karɓar, suna yin tasirin su. Kwakwalwa a zahiri tana kera kayan aikinta, wadanda ke da alhakin dumbin illoli, gami da rage ciwo, rage karfin numfashi, da ma taimakawa wajen hana bakin ciki da damuwa.

Koyaya, jiki baya samar da opioids a adadi mai yawa - ma'ana, ya isa ya magance zafin da ke tattare da karyewar ƙafa. Hakanan, jiki bai taɓa samar da opioids a cikin adadi mai yawa don haifar da yawan zafin jiki ba. Magungunan opioid da magungunan da ba bisa ƙa'ida ba suna yin kwaikwayon waɗannan abubuwan da ke faruwa ta al'ada.

Wadannan kwayoyi na iya shafar jiki ta hanyoyi da dama:

• Opioids na iya shafar ƙwaƙwalwar ƙwaƙwalwa, wanda ke sarrafa ayyuka kamar numfashi da bugun zuciya, ta rage numfashi ko rage tari.
• Opioids na iya yin aiki a kan takamaiman yankuna na kwakwalwa da aka sani da tsarin lalata, wanda ke sarrafa motsin rai, don haifar da jin dadi ko shakatawa.
• Opioids suna aiki don rage zafi ta hanyar shafi laka, wanda ke aika saƙonni daga kwakwalwa zuwa sauran jiki, kuma akasin haka.

Me ke haifar da ficewar opioid?

Lokacin da kuka ɗauki shan magani na opioid na dogon lokaci, jikinku ya zama ba shi da tasirin tasirin. Yawancin lokaci, jikinka yana buƙatar ƙarin ƙwayoyi don samun sakamako iri ɗaya. Wannan na iya zama mai haɗari sosai kuma yana ƙara haɗarin wuce haddi ba zato ba tsammani.

Amfani da waɗannan ƙwayoyi na dogon lokaci yana canza yadda masu karɓar jijiyoyin ke aiki a cikin kwakwalwarka, kuma waɗannan masu karɓar sun dogara da maganin don aiki. Idan kun kamu da rashin lafiya a jiki bayan kun daina shan wani magani na opioid, yana iya zama alama ce cewa kuna dogaro da jiki kan abu. Rashin bayyanar cututtuka sune martani na jiki ga rashin ƙwayoyi.

Mutane da yawa sun dogara da waɗannan ƙwayoyin don kauce wa ciwo ko bayyanar cututtuka. A wasu lokuta, mutane ba su ma san cewa sun zama masu dogaro ba. Suna iya kuskuren janyewa don alamun mura ko wani yanayin.

Menene alamun cirewar opioid?

Alamomin da kake ji zasu dogara da matakin janyewar da kake ji. Hakanan, dalilai masu yawa suna bayyana tsawon lokacin da mutum zai fara jin alamun bayyanar. Saboda wannan, kowa yana fuskantar ficewar opioid daban. Koyaya, yawanci akwai lokaci don ci gaba da bayyanar cututtuka.

Abubuwan bayyanar cututtuka na farko yawanci suna farawa ne a cikin awanni 24 na farko bayan ka daina amfani da maganin, kuma sun haɗa da:

• ciwon jiji
• rashin natsuwa
• damuwa
• lacrimation (idanun hawaye)
• hanci mai zafin gaske
• yawan zufa
• rashin bacci
• hamma sosai sau da yawa

Daga baya bayyanar cututtuka, waɗanda zasu iya zama masu tsanani, suna farawa bayan ranar farko ko makamancin haka. Sun hada da:

• gudawa
• matsewar ciki
• kumburi a kan fata
• tashin zuciya da amai
• aramar ɗalibai kuma mai yiwuwa hangen nesa
• saurin bugun zuciya
• hawan jini

Kodayake ba mai daɗi da raɗaɗi ba, alamomin cutar yawanci suna fara inganta cikin awanni 72, kuma a cikin mako guda ya kamata ku lura da raguwar mawuyacin hali a cikin mummunan alamun rashin saurin cirewa.

Yaran da aka haifa wa iyayen da suka kamu da cutar ko suka yi amfani da opioids yayin da masu juna biyu galibi suna fuskantar bayyanar cututtuka. Waɗannan na iya haɗawa da:

• al'amuran narkewa
• rashin ciyarwa
• rashin ruwa a jiki
• amai
• kamuwa

Yana da mahimmanci a tuna cewa magunguna daban-daban sun kasance a cikin tsarin ku na tsawon lokaci kuma wannan na iya shafar fitowar farawa. Yawan lokacin da alamomin ku na karshe ya dogara da yawan amfani da tsananin jaraba, da kuma abubuwan mutum kamar lafiyar ku baki ɗaya.

Misali, yawanci ana kawar da tabar heroin daga tsarinka da sauri, kuma alamomin zasu fara cikin awanni 12 na amfanin ƙarshe. Idan kun kasance akan methadone, yana iya ɗaukar kwana ɗaya da rabi kafin alamun bayyanar su fara.

Wasu kwararru sun nuna cewa murmurewa na bukatar tsawon aƙalla watanni shida na ƙauracewa duka, yayin da har ila yau mutum zai iya fuskantar alamun bayyanar. Wannan wani lokaci ana kiransa azaman "ƙauracewa ƙaura." Yana da mahimmanci don tattauna alamun bayyanar da ke gudana tare da mai ba da lafiyar ku.

Yaya aka gano cutar opioid?

Don bincika fitowar opioid, mai ba da kulawa na farko zai yi gwajin jiki kuma yayi tambayoyi game da alamun ku. Hakanan zasu iya yin odar fitsari da gwajin jini don bincika kasancewar opioids a cikin tsarinku.

Za a iya yi muku tambayoyi game da amfani da kwayoyi da suka gabata da tarihin lafiyarku. Amsa a bayyane da gaskiya don samun kyakkyawan magani da tallafi.

Waɗanne jiyya ne ke akwai don cire opioid?

Cire opioid na iya zama mara dadi sosai, kuma mutane da yawa suna ci gaba da shan waɗannan kwayoyi don guje wa alamun rashin jin daɗi, ko kuma suna ƙoƙarin sarrafa waɗannan alamun cutar da kansu. Koyaya, magani na likita a cikin yanayin da ake sarrafawa na iya sa ku zama mafi sauƙi kuma ya haifar da babbar dama ta nasara.

Za'a iya magance saurin cirewa tare da acetaminophen (Tylenol), asfirin, ko kuma cututtukan cututtukan ƙwayoyin cuta (NSAIDs) kamar ibuprofen. Yawan ruwa da hutu suna da mahimmanci. Magunguna kamar loperamide (Imodium) na iya taimakawa tare da gudawa da hydroxyzine (Vistaril, Atarax) na iya sauƙaƙe tashin zuciya.

Symptomsarin bayyanar cututtukan ƙaura na iya buƙatar asibiti da sauran magunguna. Medicationaya daga cikin magungunan da aka yi amfani da su a cikin yanayin rashin haƙuri shine clonidine. Clonidine na iya taimakawa rage ƙarfin bayyanar cututtuka da kashi 50 zuwa 75. Clonidine yana da tasiri musamman wajen rage:

• damuwa
• matse ciki
• ciwon jiji
• rashin natsuwa
• zufa
• hawaye
• hanci mai zafin gaske

Suboxone haɗuwa ce ta opioid mai sauƙi (buprenorphine) da mai toshe opioid (naloxone) wanda ba ya samar da yawancin tasirin jarabar wasu opioids. Mai toshe opioid yana aiki galibi a ciki don hana maƙarƙashiya. Idan aka yi masa allura zai haifar da janyewar kai tsaye, don haka haɗuwa ba za a ci zarafinsa fiye da sauran hanyoyin ba. Lokacin amfani da baki, ana iya amfani da wannan haɗin don magance alamun janyewar kuma zai iya gajarta ƙarfi da tsayin detoxification daga wasu, haɗari, opioids.

Ana iya amfani da methadone don maganin kiyayewa na dogon lokaci. Har yanzu yana da iko opioid, amma ana iya rage shi a cikin tsarin sarrafawa wanda da ƙyar zai iya haifar da bayyanar cututtukan ficewa.

Ba a cika yin saurin gurɓataccen abu ba. Ana yin sa a cikin maganin rigakafi tare da kwayoyi masu hana opioid, kamar naloxone ko naltrexone. Akwai wasu shaidu cewa wannan hanyar tana rage alamun, amma ba lallai bane ya tasiri adadin lokacin da aka yi a janye ba. Bugu da kari, yawan amai yakan faru ne yayin janyewa, kuma yiwuwar yin amai a karkashin maganin rigakafi na kara barazanar mutuwa. Saboda wannan, yawancin likitoci suna jinkirin amfani da wannan hanyar, saboda haɗarin sun fi ƙarfin fa'idodi.

Menene rikicewar cire opioid?

Tashin zuciya da amai na iya zama manyan alamun bayyanar yayin aikin janyewar. Numfashi ba da gangan na kayan da aka amayar cikin huhu (wanda aka sani da buri) na iya zama wata matsala mai haɗari da ke tattare da janyewa, saboda yana iya haifar da ci gaban ciwon huhu (ciwon huhu na mura).

Cutar gudawa wata alama ce mai matukar wahala da kuma alamun haɗari. Rashin ruwa da wutan lantarki daga gudawa na iya haifar da bugun zuciya ta hanyar da ba ta dace ba, wanda hakan na iya haifar da matsalolin zagayawa har ma da bugun zuciya. Yana da mahimmanci a maye gurbin ruwan da aka rasa zuwa amai da gudawa don hana waɗannan rikitarwa.

Ko da idan ba ka fuskanci amai ba, tashin zuciya na iya zama mara kyau sosai. Ramunƙarar tsoka da haɗin gwiwa na iya kasancewa a yayin cirewar opioid. Labari mai dadi shine cewa mai bada kulawa na farko zai iya aiki tare da kai ta hanyar samar da zababbun magunguna wadanda zasu iya taimakawa tare da wadannan alamomin janyewar mara dadi.

Yana da mahimmanci a lura cewa wasu mutane na iya fuskantar wasu alamun bayyanar janyewar da ba a lissafa a nan ba. Wannan shine dalilin da ya sa yana da mahimmanci don aiki tare da mai ba da kulawa na farko yayin lokacin janyewa.

Me zan iya tsammani a cikin dogon lokaci?

Idan kun daina shan shan magani na opioid kuma kuna fuskantar bayyanar cututtuka, ku ga likitanku da wuri-wuri. Kwararka na iya taimakawa wajen gudanar da alamomin da kuma daidaita tsarin shan magani. Ya kamata ku daina shan shan maganin opioid ba tare da tuntuɓar likitanku ba.

Neman taimako don jarabar cutar ta opioid zai inganta lafiyar ku gaba ɗaya kuma zai rage haɗarin sake komowa, wuce gona da iri, da rikitarwa masu alaƙa da jarabar cutar ta opioid. Yi magana da likitanka ko mai ba da kiwon lafiya game da shirye-shiryen magani ko ƙungiyoyin tallafi a yankinku. Cigaban ci gaba cikin lafiyar jiki da ƙwaƙwalwa ya cancanci ciwo da rashin kwanciyar hankali na janyewa.