Vuto Ndi Benzos

Zamkati

• Mfundo zazikuluzikulu
• Kodi Benzodiazepines Amagwiritsidwa Ntchito Motani?
• Kuopsa kwa Benzos Kwaokha
• Kuopsa Kosakaniza Benzodiazepines Ndi Mowa ndi Opioids
• Benzodiazepines mu nthawi ya Coronavirus
• Kuda Nkhawa Kuwerenga
• Kodi Iron Man 3's Hero Suffer Posttraumatic Stress Disorder?

Mfundo zazikuluzikulu

• Benzodiazepines ndi gulu la mankhwala omwe amagwiritsidwa ntchito kuthana ndi nkhawa, kusowa tulo, khunyu, ndi kutuluka kwa minofu.
• Ngakhale amalembedwa ndi dokotala, "benzo" nkhanza zimatha kubweretsa chizolowezi chomwa bongo.
• Mankhwalawa ndi ochepetsa nkhawa a CNS ndipo amatha kupha moyo makamaka akaphatikizidwa ndi mowa kapena ma opioid.

Ndili ndi zaka 8, ndikukumbukira kuti makolo anga adanditenga ine ndi azichemwali anga kupita nawo m'makanema oyendera Vuto La Angelo (ndi Hayley Mills ndi Rosalind Russell). Kanemayo anali pafupi ndi sukulu ya atsikana onse achikatolika yoyendetsedwa ndi masisitere. Atsikanawo amawoneka osalakwa komanso angelo atagwada m'mipando ya tchalitchi, koma pambuyo pa Misa, anali kusewera ndi masisitere, akusuta ndudu mu Bell Tower, ndikuwononga mitundu yonse yazovuta. Zimandigunda kuti Vuto la Benzos (kapena benzodiazepines) ndilofanana Vuto La Angelo . Pamwambapa, "zopewetsa zazing'ono" izi zimapangidwa kuti zizibweretsa bata ndikuchepetsa nkhawa, komabe benzodiazepines ndi gulu la mankhwala omwe akhoza kukhala owopsa kuposa momwe ambiri amaganizira.

Kodi Benzodiazepines Amagwiritsidwa Ntchito Motani?

Ndikofunika kuzindikira kuti pali malo a benzodiazepines. Amakonda kutumizidwa kuti athetse nkhawa kwakanthawi kochepa kapena kusowa tulo, amagwiritsidwa ntchito pafupipafupi pakuwopsa kwakanthawi kochepa kapena nkhawa yakuthawa, ndipo amathanso kugwiritsidwa ntchito kuthana ndi zovuta zakukomoka komanso kupindika kwa minofu. Alprazolam (kapena Xanax®) ndi imodzi mwamankhwala odziwika bwino kwambiri ku United States (pafupifupi 40 miliyoni yolembedwa mu 2018), ndipo lorazepam (aka Ativan®) adapangitsanso 10 (pafupifupi 24 miliyoni) mu 2018). Kalasi ya benzodiazepine imaphatikizaponso Valium®, Klonopin®, ndi Librium® komanso ena.

Pakanthawi kochepa, benzodiazepines imatha kukhala yothandiza kuthana ndi nkhawa, makamaka ikaphatikizidwa ndi mankhwala ndi zina. Nthawi zambiri, odwala amatha kuwamwa kwa nthawi yayitali kapena muyezo waukulu kuposa momwe amafunira; ndipo mankhwalawa amathanso kupatutsidwa, kugulitsidwa m'misewu, ndikugwiritsanso ntchito "kukwera."

Kuopsa kwa Benzos Kwaokha

Omwe amagwiritsa ntchito benzodiazepines nthawi yayitali atha kupirira mankhwalawa. Kulekerera kumachitika ngati mankhwala omwe adaneneratu sadzakhalanso ndi zotsatira zake atagwiritsidwa ntchito mobwerezabwereza, motero munthuyo ayenera kugwiritsa ntchito mankhwalawa kuti akwaniritse zomwe akufuna. Izi mobwerezabwereza zosowa zakumwa zambiri pamapeto pake zimatha kubweretsa kudalira kwa mankhwalawo, kukulitsa zovuta zina, komanso chiopsezo chosiya kwambiri munthu akafuna kusiya kugwiritsa ntchito mankhwalawo.

Zotsatira zosafunikira za benzodiazepines zitha kuphatikizira kuchepa kwa kuzindikira, kukumbukira kukumbukira, kuzimitsa magetsi (makamaka akaphatikizidwa ndi mowa kapena zinthu zina), chiopsezo chowonjezeka chakugwa kapena ngozi zina, komanso kupupuluma komanso malingaliro ofuna kudzipha. Benzodiazepines ndi mitsempha yapakatikati ya mitsempha (CNS) ndipo imatha kukulitsa kukhumudwa. Kuchulukitsitsa - kaya mwadala kapena mwangozi - ndichotsatira china chenicheni chogwiritsa ntchito benzodiazepine ndikuzunza.

Kuopsa Kosakaniza Benzodiazepines Ndi Mowa ndi Opioids

Kuthekera kokumana ndi zovuta kuchokera ku benzodiazepine kumagwiritsa ntchito kuchulukitsa kophatikizidwa ndi mowa kapena opioids. Mowa, ndichachidziwikire, umakhalanso wopanikizika wa CNS, ndipo kugwiritsa ntchito zinthu ziwiri izi kumatha kukulitsa zizindikilo zakukhumudwa. Itha kusokonezeranso kuweruza ndikuwongolera zomwe zingachitike ndipo imatha kuyambitsa kuwonongeka kwakumbuyo, kuphatikiza kuzimitsidwa.

Mofananamo, kuphatikiza kwa benzodiazepines ndi ma opioid amadziwika kuti ndiwosakanikirana koopsa, popeza onse amapondereza kupuma. Phunziro la 2020 mu JAMA Network adapeza kuti kutenga nawo mbali kwa benzodiazepine pakufa kwa opioid overdose kuwirikiza kawiri kuchoka pa 8.7 peresenti mu 1999 mpaka 21% mu 2017.

Benzodiazepines mu nthawi ya Coronavirus

Kafukufuku Wadziko Lonse wa 2019 pa Kugwiritsa Ntchito Mankhwala Osokoneza bongo ndi Zaumoyo akuwonetsa kuti kugwiritsa ntchito mankhwala a benzodiazepine chaka chatha pakati pa anthu aku America azaka zapakati pa 12 ndi kupitilira kwenikweni anali kugwa: kuchokera pa 2.1% mu 2015 mpaka 1.8% mu 2019. Koma lipoti laposachedwa lawonetsa kuti, m'miyezi yoyambirira za mliri wa coronavirus, kutsika uku mwina kutha. Ripotilo, lochokera ku Express Scripts, limapereka chidziwitso pakuwonekera kwa kugwiritsidwa ntchito kwa benzodiazepine pa COVID-19.

Kampaniyo idapeza kuti kuchuluka kwa mankhwala a benzodiazepine kudakwera ndi 34.1% koyambirira kwa mliri kuyambira February mpaka Marichi 2020. Momwe nkhawa ndi kukhumudwa zakwera pa COVID-19, aku America ambiri atha kukhala kuti akupanga mankhwala a benzodiazepines (komanso mowa ndi mankhwala ena) kuthana ndi nkhawa komanso kusungulumwa. Kuopsa kwakumwa mankhwalawa - komanso zovuta zonse zomwe zimadza chifukwa chogwiritsa ntchito mankhwala osokoneza bongo - zikuyenera kupitilirabe.

Kuda Nkhawa Kuwerenga

Kodi Iron Man 3's Hero Suffer Posttraumatic Stress Disorder?