Ukusebenzisa Kabi Imithi Ebhaliwe Yidokotela Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukusebenzisa kabi imithi ebhaliwe yidokotela kwenzeka lapho umuntu ethatha imithi ngezindlela ezingafani nalokho okubhalwe yidokotela yakhe. Lokhu kungase kusho ukuthatha imithamo ephakeme, ukusebenzisa imithi yomunye umuntu, noma ukuqhubeka nokusebenzisa amaphilisi isikhathi eside ngemuva kokuba kudingeke ngokwelapha.

Awuwedwa uma ukhathazekile ngale ndaba. Izigidi zabantu zilwa nokusebenzisa kabi imithi ebhaliwe yidokotela, futhi kungathinta noma ubani kungakhathaliseki iminyaka, isizinda, noma izimo. Ukuqonda izimpawu nokuthola usizo ekuqaleni kungenza umehluko omkhulu ekuphileni.

Iyini imithi ebhaliwe yidokotela ebizwa ngokuthi ukusebenzisa kabi?

Ukusebenzisa kabi imithi ebhaliwe yidokotela kusho ukusebenzisa imithi ebhaliwe yidokotela ngezindlela ezingahlosiwe yisikhungo sakho sezempilo. Lokhu kuhlanganisa ukuthatha imithamo enkulu kunalokho okubhaliwe, ukusebenzisa amaphilisi ukuze uthole ubuhlungu, noma ukuthatha imithi eyingowomunye umuntu.

Imithi ebhaliwe yidokotela esetshenziswa kabi kakhulu ihlukaniswe izigaba ezintathu eziyinhloko. Izinhlungu zokunciphisa ubuhlungu njengokuthi i-oxycodone ne-hydrocodone ziyizona eziphezulu, zilandelwa imithi yokucindezeleka njengokuthi i-Xanax ne-Valium, kanye nezithuthukisi njengokuthi i-Adderall ne-Ritalin.

Okwenza ukusebenzisa kabi imithi ebhaliwe yidokotela kube nzima ngokukhethekile ukuthi le mithi iqala njengokwelashwa okufanele. Abantu abaningi baqala ukuyithatha ngqo njengoba kubhaliwe kodwa kancane kancane bathuthukisa ukuxhomeka noma ukulutha ngokuhamba kwesikhathi.

Ziyini izimpawu zokusebenzisa kabi imithi ebhaliwe yidokotela?

Izimpawu zeqavanga lokusebenzisa kabi imithi ebhaliwe yidokotela zingase zihluke kuye ngohlobo lwemithi esetshenziswa kabi. Noma kunjalo, kunezindlela ezivamile ongaziqaphela kuwe noma kumuntu omkhulekelayo.

Nawa ama-symptom abalulekile okufanele uwabukele:

• Ukuthatha imithi njalo noma ngokweqile kunalokhu okubhalwe yiDoctor
• Ukuphelelwa yimithi ngokushesha futhi ufuna ukugcwaliswa kwemithi ngaphambi kwesikhathi
• Ukuya kubadokotela abaningi noma abahlinzeki bezempilo ngenxa yemithi efanayo
• Ukushintshashintsha kwemizwelo, ukucasuka, noma ukushintsha komuntu siqu
• Ukuhlukana nomndeni, abangane, noma imisebenzi evamile
• Ukwenza izinqumo ezimbi noma ukuziphatha okuyingozi
• Ukushintsha kwesikhathi sokulala, ukulala kakhulu noma ukungakwazi ukulala
• Ukungazinaki imisebenzi emsebenzini, esikoleni, noma ekhaya

Izimpawu zomzimba zingafaka izingqinamba zokuxhumanisa, inkulumo ephazamisekile, noma ukubonakala unempilo kakhulu noma uthule kakhulu. Lezi zimpawu zivame ukuxhomekeka ekutheni umuntu usebenzisa kabi izithuthukisi, izinto eziqeda ukukhathazeka, noma imithi yokwelapha ubuhlungu.

Khumbula ukuthi umuntu ophethwe ukusebenzisa kabi imithi ebhaliwe angazama ukufihla lezi zimpawu. Bangase babe nomthondo mayelana nokusebenzisa kwabo imithi noma babevivinyeka uma bebuzwa ngakho.

Imiphi imikhakha yokusebenzisa kabi imithi ebhaliwe?

Ukusebenzisa kabi imithi ebhaliwe kuvame ukubandakanya izigaba ezintathu eziyinhloko zemithi, ngayinye ineziphetho nezingozi ezahlukene. Ukuqonda le miqondo kungakusiza ukubona izinkinga ezingaba khona ngokucacile.

Imithi yokwelapha ubuhlungu be-Opioid ihlanganisa imithi efana ne-oxycodone, i-hydrocodone, i-morphine, ne-fentanyl. Le miithi ibhalwa ngenxa yobuhlungu obukhulu kuya kokunzima kodwa ingadala imizwa yokujabula uma isebenziswa kabi. Abantu bangase baqhekeze futhi baqhumise lezi zithasiselo noma bazithathe ndawonye ne-alchoholi ukuze bathole imiphumela eqinile.

Izinto eziqeda ukukhathazeka kwesistimu yezinzwa eziyinhloko zihlanganisa imithi yokwelapha ukukhathazeka nokulala njenge-benzodiazepines (Xanax, Valium, Ativan) ne-barbiturates. Uma kusetshenziswa kabi, le miithi inganciphisa ukuphefumula kanye nesivinini senhliziyo kuya emazingeni ayingozi, ikakhulukazi uma ihlanganiswe ne-alchoholi.

Izidakamizwa ezikhuthazayo ezinjengAdderall, Ritalin, neConcerta zivame ukubhalwa ngumtholampilo kubantu abane-ADHD. Abantu bayazisebenzisa kabi le miyekezo ukuze bahlale bephapheme, bathuthukise ukugxila ekufundeni, noma bephelise isisindo. Abantu abafunda emakolishi nabasebenzi ngezinye izikhathi bayazisebenzisa kabi izidakamizwa ezikhuthazayo ukuze bathuthukise ukusebenza kwabo.

Yini ebangela ukusetshenziswa kabi kwemithi ebhaliwe ngumtholampilo?

Ukusetshenziswa kabi kwemithi ebhaliwe ngumtholampilo kuvela ngokuxubana okuyinkimbinkimbi kwezinto, futhi akunakubangelwa yinto eyodwa kuphela. Ukuqonda lezi zizathu kungasiza ekunciphiseni isihlamba futhi kukhombe izixazululo ezisebenzayo.

Izinto eziningi ezivamile zifaka isandla ekusetshenzisweni kabi kwemithi ebhaliwe ngumtholampilo:

• Ukuhlala udinga umuthi okwenzeka ngesikhathi sokwelashwa ngokomthetho
• Isimo sengqondo esingalungile njengokucindezeleka, ukukhathazeka, noma ukulimala kwengqondo
• Ubuhlungu obuhlala bukhona obungalawulwa kahle ngamanani abhaliwe ngumtholampilo
• Ukutheleleka ngokuzalwa kokulutha noma izifo zokusetshenziswa kwezidakamizwa
• Ukungcindezelwa komphakathi, ikakhulukazi kubantu abasebasha nabafundi
• Ukufinyeleleka okulula kwemithi ebhaliwe ngumtholampilo ekhaya noma ngabangani
• Imibono emibi yokuthi imithi ebhaliwe ngumtholampilo iphephile kunezinye izidakamizwa ezingamthetho
• Ukuzilawula ngemithi yobhlungu bomzimba noma lwengqondo olungelaphiwe

Ngezinye izikhathi ukusetshenziswa kabi kwemithi ebhaliwe ngumtholampilo kuqala ngokungenacala. Ungase uthathe iphilisi elengeziwe ngosuku olukhulu lobuhlungu, noma umfundi wekolishi angase asebenzise i-Adderall yomngane ukuze asize ekufundweni kwesikhathi sokugcina. Lezi zigwebo ezibonakala zincinyane zingase ziholele kancane kancane ezigcawini zokusetshenziswa okubi.

Izinto ezingqongile nazo zidlalela indima. Ukukhula endlini lapho ukusetshenziswa kabi kwemithi ebhaliwe ngumtholampilo kuvamile, noma ukuba emagqungwini omphakathi lapho ukwabelana ngemithi kuvamile, kungandisa ingozi.

Nini kufanele ubheke udokotela ngokusetshenziswa kabi kwemithi ebhaliwe ngumtholampilo?

Ukuqaphela ukuthi nini kufanele ucele usizo ngokusetshenziswa kabi kwemithi ebhaliwe ngumtholampilo kungaba inselele, ikakhulukazi njengoba umugqa phakathi kokusetshenziswa okufanele nokusetshenziswa okubi awuchachi kahle. Noma kunjalo, izimpawu ezithile zibonisa ukuthi sekufanele uxhumane nomhlinzeki wezempilo.

Kufanele ucabangele ukufuna usizo lwezokwelapha uma uzihlangabezana uthatha imithi ngendlela ehlukile kunalokho okubhalwe, ngisho nangokuphindaphindiwe. Lokhu kuhlanganisa ukuthatha izilinganiso ezengeziwe ngezikhathi ezinzima, ukugcina amaphilisi ukuze usetshenziswe kamuva, noma ukuzizwa ukhathazekile lapho izinga lakho liyaphela.

Izimpawu eziphuthumayo ezidinga ukunakekelwa kwezokwelapha ngokushesha zihlanganisa ukuhlangenwe nakho izimpawu zokuhoxa uma uyeka ukuthatha imithi, ukudinga izilinganiso eziphezulu kakhulu ukuze ufinyelele umphumela ofanayo, noma ukuqhubeka nokusebenzisa imithi naphezu kwemiphumela emibi ebuhlotsheni bakho noma emisebenzini yakho.

Ungalindi uma ucabanga ngokulimala kwakho, uhlangabezana nezinguquko ezinzima zemodi, noma uma abangane nomndeni bakhombisile ukukhathazeka ngokusetshenziswa kwakho imithi. Lezi zimo zidinga ukulingwa nokweseka kwesiphakamiso ngokushesha.

Iyini imingcele yokusebenzisa kabi imithi ebhaliwe?

Izici ezithile zingenza umuntu abe sengozini enkulu yokuthuthukisa ukusebenzisa kabi imithi ebhaliwe, yize ukuba nemikhawulo yokusongela akusho ukuthi izinkinga zizovela. Ukwazi lezi zici kungakusiza wenze izinqumo ezilwemi ngokusetshenziswa kwemithi.

Imikhawulo yomuntu siqu neyezokwelapha ihlanganisa:

• Umbhalo wangaphambili wokusebenzisa kabi izidakamizwa noma ukulutha
• Ukuhlupheka kwengqondo, ikakhulukazi ukucindezeleka, ukukhathazeka, noma i-PTSD
• Isimo sobuhlungu obuhlala isikhathi eside esidinga ukuphathwa kwemithi isikhathi eside
• Umbhalo womndeni wokulutha noma izifo zokusebenzisa izidakamizwa
• Iminyaka, ngabantu abasebasha nabasha abasezingozini eziphezulu
• Ukuthatha imithi eminingi ebhaliwe ngesikhathi esifanayo
• Umbhalo wokuziphatha okusongela noma ukuphazamiseka

Imikhawulo yemvelo nomphakathi ingabaluleka ngokulinganayo. Lokhu kuhlanganisa ukufinyeleleka okulula kwemithi ebhaliwe, izigaba zomphakathi lapho ukwabelana ngezidakamizwa kuvamile, izindawo ezinzima kakhulu, nokuntuleka kwezinhlelo zokusekela noma amasu okuqeda.

Ukuba nezingozi akusho ukuthi uyaqondene nokuba nezinkinga ngemithi. Abantu abaningi abanengozi eziningi basebenzisa imithi ngokuphepha uma basebenzisana eduze nabaphakeli bezempilo futhi baqaphele izimpawu zokuqapha.

Ziyini izinhlungu ezingaba khona zokusebenzisa kabi imithi?

Ukusebenzisa kabi imithi kungabangela imiphumela emibi yempilo ethonya yonke ingxenye yokuphila kwakho. Lezi zingqinamba zingakhula kancane kancane noma ngokuzumayo, kuye ngohlobo nolwenge lomuthi olusebenziswa kabi.

Ukulimala kwempilo yomzimba kungaba okunzima futhi kwesinye isikhathi kubangele ukufa:

• Ukudlula umthamo, okungabangela ukucindezeleka kokuphefumula, ukungazi lutho, noma ukufa
• Izinkinga zenhliziyo, kufaka phakathi ukushaya kwenhliziyo okungajwayelekile noma ukuhlasela kwenhliziyo
• Ukulimala kwesibindi, ikakhulukazi uma imithi ihlanganiswa notshwala
• Ukungena engcupheni enkulu yokutheleleka uma amaphilisi ephukile futhi ehlanganiswe
• Izimpawu zokukhipha okunzima uma umuthi uqediwe ngokuzumayo
• Ukutholakala okwandayo okudinga imithamo ephezulu ngomphumela ofanayo

Ngaphezu kwempilo yomzimba, ukusebenzisa kabi imithi kuvame ukubangela izinkinga ezinkulu ebuhlotsheni, emsebenzini, nasemisebenzini yansuku zonke. Abantu bangalahlekelwa imisebenzi, bonakalise ubuhlobo bomndeni, noma babhekane nemiphumela yomthetho yokuthola imithi ngokungemthetho.

Izindaba ezinhle ukuthi lezi zingqinamba zivame ukulungiseka ngokwelashwa okuqondile nokusekelwa. Ukungenelela kwangaphambi kwesikhathi kungavimbela ezinye zeziphumo ezinkulu futhi kusize ekuvuseleleni impilo nokuzinza.

Kungenzeka kanjani ukuvimbela ukusebenzisa kabi imithi?

Ukuvimbela ukusebenzisa kabi imithi kuqala ngemfundo nezinqubo ezihlakaniphile zokuphatha imithi. Bobabili iziguli nabaphakeli bezempilo badlala indima ebalulekile ekuthuthukiseni ubungozi bokusebenzisa kabi.

Nazi izinyathelo ezisebenzayo ongazithatha ukuze usebenzise imithi ngokuphepha:

• Hlala ulandela imiyalo yodokotela wakho ngokuqondile, kuhlanganise nesikhathi kanye nesisindo
• Ungalokothi wabelane ngemithi yakho eyenziwe ngokwemiyalelo nabanye
• Gcina imithi ngokuphepha, kude nezingane nabavakashi
• Lahla imithi engasetshenzisiwe ngendlela efanele ezindaweni eziqokiwe zokulahla imithi
• Xhumana ngokukhululekile nodokotela wakho ngezinhlungu kanye nemiphumela yemithi
• Buza imibuzo mayelana nemiphumela emibi kanye nezingozi zokulutha
• Gcina umbhalo wokuhlinzekwa kwemithi yakho bese ubika noma yikuphi ukungafani

Emindenini, ukuvimbela kuhlanganisa ukuba nezingxoxo ezithembekile mayelana nokuphepha kwemithi eyenziwe ngokwemiyalelo, ikakhulukazi nezingane ezineminyaka yobusha. Ukudala indawo lapho intsha izizwa ikhululekile khona ukuxoxa ngengcindezi evela kubangane kanye nemibuzo emayelana nemithi kungaba yisivikelo.

Abanikezeli bezempilo bangasiza ngokubhalela umthamo omncane onamandla isikhathi esifushane esifanele, ukulandelela iziguli njalo, nokuxoxa ngezinketho ezingaphandle kwemithi uma kufaneleka.

Utholakala kanjani ukusetshenziswa kabi kwemithi eyenziwe ngokwemiyalelo?

Ukuxilongwa kokusetshenziswa kabi kwemithi eyenziwe ngokwemiyalelo kuhilela ukuhlolwa okubanzi ngumhlinzeki wezempilo oqeqeshwe ngokukhethekile ekwelapheni ukulutha noma impilo yengqondo. Inqubo iyimfihlo futhi yenzelwe ukuqonda isimo sakho esithile ngaphandle kokwahlulela.

Umhlinzeki wakho wezempilo uzovame ukuqala ngengxoxo eningiliziwe mayelana nezindlela zakho zokusebenzisa imithi, umlando wakho wezokwelapha, nokuthi imithi eyenziwe ngokwemiyalelo ingathinta kanjani impilo yakho yansuku zonke. Bayobuza imibuzo ethile mayelana nomthamo, ubukhulu, nanoma yikuphi ukushintsha endleleni osebenzisa ngayo imithi yakho.

Inqubo yokuxilonga ingase ihlanganise ukuhlolwa komzimba, igazi noma ukuhlolwa kwamathumbu ukuhlola ukuba khona kwemithi, kanye nokuhlolwa kwengqondo ukuthola noma yikuphi ukuphazamiseka kwempilo yengqondo okungase kube nomthelela ekusetshenzisweni kabi kwemithi.

Ungakhathazeki ngokuba eqotho ngokuphelele ngesikhathi sokuhlolwa lokhu. Abahlinzeki bezempilo baboshwe yimithetho yemfihlo futhi bakhona ukusiza, hhayi ukwahlulela. Ukwaziswa okunembile okuhlinzekayo, kuba ngcono kakhulu bangalungisa ukwelashwa ngezidingo zakho ezithile.

Iyini impilo yokusebenzisa kabi imithi?

Ukuphathwa kokusebenzisa kabi imithi kubaluleke kakhulu futhi kuvame ukubandakanya izindlela eziningi ezikanye. Umgomo awukona nje ukuyeka ukusebenzisa imithi ngokungalungile, kodwa ukubhekana nezimbangela eziyisisekelo nokuklama amakhono okuphulukisa isikhathi eside.

Ukuhlanzwa komzimba kungaba yisinyathelo sokuqala uma uthuthukise ukuncika komzimba. Le nqubo ibandakanya ukuphatha ngokuphepha izimpawu zokuhoxa ngaphansi kokunakekelwa kwezokwelapha, okwenza isipiliyoni sibe lula futhi siphephile kakhulu kunokuzama ukuyeka wedwa.

Izindlela zokwelapha ezivamile zihlanganisa:

• Ukwelashwa kokuziphatha ukuze kuhlonishwe izici nokuklama amasu okuqeda izinkinga ezempilo
• Ukuphathwa kokwelashwa ngemithi ngokuncika kwe-opioid usebenzisa imithi efana ne-buprenorphine noma imethadone
• Ukwelulekwa komuntu siqu ukuze kubhekwe izici zomuntu siqu ezinikezela ekusebenziseni kabi izidakamizwa
• Ukwelashwa kweqembu olunikeza ukwesekwa kwabalingani kanye namava ahlanganyelwe
• Ukwelashwa komndeni ukuze kubuyiselwe ubuhlobo nokudala izindawo zokusekela ekhaya
• Ukuphathwa kwezimo zempilo yengqondo ezihambisana nezimo ezinjengokucindezeleka noma ukukhathazeka

Ukuphathwa kungenzeka ezindaweni ezahlukahlukene, kusukela ekwelulekeni kwabaphethwe ngaphandle okukuvumela ukuthi ugcine imisebenzi yakho yomsebenzi kanye nezimfanelo zomndeni, kuya ezinhlelweni zokuhlala ezinika ukwesekwa okukhulu, okungapheli. Umhlinzeki wakho wezempilo uzosiza ekuqondeni ukuthi iyiphi izinga lokunakekelwa elifanele kakhulu isimo sakho.

Ukuphulukisa kuyinqubo, futhi abantu abaningi bayazuza ekwesekeni okuqhubekayo ngisho nangemva kokuphothula ukwelashwa okusemthethweni. Lokhu kungabandakanya ukwelulekwa okuqhubekayo, amaqembu wokwesekwa, noma ukuhlola njalo nabhlinzeki bezempilo.

Indlela yokuphatha ukusebenzisa kabi imithi evela kudokotela ekhaya?

Nakuba ukwelashwa okusemthethweni kubalulekile ekusebenziseni kabi imithi evela kudokotela, kunezinyathelo zokusekela ongazithatha ekhaya ukuze ugcwalise ukwelashwa okusemthethweni futhi ugcine intuthuko yakho yokutakula.

Ukudala indawo ekhaya ephephile kuqala ngokususa imithi engasetshenziswanga nokuqeda izinto ezingakubangela ukusebenzisa kabi imithi. Lokhu kufaka ukungasondeli kubantu noma ezimweni ezikhuthaza ukusebenzisa imithi ngendlela engafanele nokuthola izindlela ezintsha zokubhekana nokucindezeleka noma ubuhlungu.

Amasu okuphatha ekhaya awusizo afaka:

• Ukusetha amasiko ansuku zonke angagxilile ezinhlelweni zokusebenzisa imithi
• Ukuzivocavoca amakhono okuqeda ukucindezeleka njengokuphefumula okujulile noma ukucamngca
• Ukuhlala uxhumene nabangane nomndeni abasekelayo
• Ukuhileleka emisebenzini yomzimba efanele isimo sakho sempilo
• Ukugcina idayari yokulandelela isimo sengqondo, izinto ezikubangela ukusebenzisa kabi imithi, nentuthuko
• Ukuba necebo lokuhlupheka lokuphatha ukunxanela okukhulu noma izikhathi ezinzima

Khumbula ukuthi ukuphatha ukusebenzisa kabi imithi evela kudokotela ekhaya kusebenza kangcono uma kuhlanganiswa nokwelashwa okusemthethweni nokuqapha kwezokwelapha okuqhubekayo. Ungazami ukuphatha ukuyeka noma izinkinga ezinzima wedwa.

Ukukhahlela inethiwekhi yokusekela kubalulekile. Lokhu kungafaka amalungu omndeni, abangane, abahlanganyeli beqembu lokusekela, noma izikhungo eziku-inthanethi ezigxile ekutakula. Ukuba nabantu ongabashaya ucingo ngezikhathi ezinzima kungenza umehluko omkhulu ekuqondeni intuthuko.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yodokotela mayelana nokusebenzisa kabi imithi evela kudokotela kungabonakala kuyinqaba, kodwa ukulungiselela okuhle kusiza uqinisekise ukuthi uthola usizo oluphumelelayo ngangokunokwenzeka. Khumbula ukuthi abahlinzeki bezempilo bakhona ukukusekela, hhayi ukwahlulela isimo sakho.

Ngaphambi kokubhekana nodokotela wakho, buza ulwazi mayelana nokusetshenziswa kwemithi yakho, okuhlanganisa amagama, amazinga, nokuthi uyawasebenzisa kangakanani. Lungela ukuxoxa nganoma yiziphi izinguquko ezenziwe emazingeni omthamo omisiwe nokuthi lezi zinguquko zaqala nini.

Letha uhlu lwemithi yonke oyisebenzisayo njengamanje, okuhlanganisa imithi yokuthengwa ngaphandle kokubhalwa komthamo kanye nezinye izinto ezengeziwe. Lungiselela futhi ulwazi mayelana nomlando wakho wezokwelapha, ukusetshenziswa kwemithi ngaphambili, nanoma yiziphi izinkinga zempilo yengqondo ozibonile.

Cabanga ukubhala phansi imibuzo noma ukukhathazeka okuthile ngaphambi kwesikhathi, njengoba ukukhathazeka ngesikhathi sokubhekana nodokotela kungenza kube nzima ukukhumbula konke ofuna ukukuxoxa ngakho. Izihloko zingase zihlanganise izinketho zokwelashwa, okumele ukulindele ngesikhathi sokuphulukana, noma indlela yokuphatha izimpawu zokuyeka ngokuphephile.

Uma kungenzeka, letha umngane noma ilungu lomndeni omethembayo ukuze likusekele. Bangakusiza ukuba ukhumbule ulwazi olubalulekile oluxoxwe ngesikhathi sokubhekana nodokotela futhi banikeze ukwesekwa ngokomzwelo ngesikhathi esingase kube yingxoxo enzima.

Iyini into ebaluleke kakhulu mayelana nokusetshenziswa kabi kwemithi ebhaliwe?

Ukusetshenziswa kabi kwemithi ebhaliwe kuyisimo sezokwelapha esingathinta noma ubani, kungakhathaliseki ukuthi ukusetshenziswa kwemithi kwaqala kanjani. Into ebaluleke kakhulu okumele uyiqonde ukuthi lokhu kuyisimo esingelashwa, futhi ukufuna usizo kuyisibonakaliso sobukhulu, hhayi ubuthakathaka.

Ukungenela kwangaphambi kwesikhathi kwenza ukwelashwa kube nomphumela omuhle futhi kungavimbela izinkinga ezinzima. Uma ukhathazekile ngokusetshenziswa kwemithi yakho noma ngokwomuntu omkhulekelayo, ungalindi ukuthi inkinga ibe mbi ngaphambi kokufuna usizo lochwepheshe.

Ukuphulukana nokusetshenziswa kabi kwemithi ebhaliwe kungenzeka ngokwesekwa okufanele nokwelashwa. Izigidi zabantu ziye zaphumelela ekuqedeni ukuncika kwemithi ebhaliwe futhi baqhubeke bephila impilo enempilo, ezele ukwaneliseka. Ngokuhlanganiswa okulungile kokunakekelwa kwezokwelapha, ukwelulekwa, nokusekelwa, nawe ungakwazi.

Khumbula ukuthi ukusebenzisa kabi imithi yezokwelapha kuvame ukuqala kancane kancane futhi kungenzeka kubantu abaqale bathatha imithi ngokuqondile njengoba kulotshiwe. Ayikho ihlazo ekuthuthukiseni ukuxhomeka, futhi kukhona ithemba elikhulu ekwelapheni nasekuphileni kabusha.

Imibuzo evame ukubuzwa mayelana nokusebenzisa kabi imithi yezokwelapha

Ungaxhomeka yini emithini yezokwelapha ngisho nalapho uyithatha njengoba kulotshiwe?

Yebo, ukuxhomeka komzimba kungathuthuka ngisho nalapho uthatha imithi yezokwelapha ngokuqondile njengoba udokotela wakho akulotshile. Lokhu kuvame kakhulu emithini yokwelapha ubuhlungu ye-opioid kanye ne-benzodiazepines ezisetshenziswa ekukhathazeni. Ukuxhomeka komzimba kusho ukuthi umzimba wakho uziqhelile kule mithi futhi uhlangabezana nezimpawu zokuhoxa uma uyayekisa.

Kodwa-ke, ukuxhomeka komzimba kuhlukile ekuxhomekeni. Ukuxhomeka kuhilela ukusetshenziswa okuphoqelekile naphezu kwemiphumela emibi, kuyilapho ukuxhomeka kungenzeka ngesikhathi sokwelashwa kwezokwelapha okusemthethweni. Uma ukhathazekile ngokuxhomeka, khuluma nodokotela wakho mayelana nezindlela zokunciphisa kunokuba uyeke imithi ngokuzumayo.

Kuthatha isikhathi esingakanani ukuthuthukisa ukusebenzisa kabi imithi yezokwelapha?

Isikhathi sokukhula kokusebenzisa kabi imithi yezokwelapha sihluka kakhulu kuye komuntu, uhlobo lwemithi, umthamo, kanye nokuvamile kokusetshenziswa. Abanye abantu bangathuthukisa ukuxhomeka ezinsukwini noma emaviki ngemuva kokuqala imithi ethile efana ne-opioids, kuyilapho abanye bengathatha imithi ngokufanele izinyanga noma iminyaka ngaphandle kwezinkinga.

Izici eziyingozi njengomlando wokusebenzisa izidakamizwa ngaphambili, izimo zempilo yengqondo, noma ukuncipha kwemfuyo kungasheshisa ukuthuthukiswa kwamisindo yokusebenzisa kabi. Ikhona ukuba uqaphele izinguquko ezimisweni zakho zokusebenzisa imithi nokugcina ukuxhumana okuvulekile nodokotela wakho.

Ingabe ukusebenzisa kabi imithi yezokwelapha kuhlukile ekusebenziseni kabi izidakamizwa ezingasemthethweni?

Nakuba ukusebenzisa kabi imithi etholakala ngomthetho kuhilela imithi eyenziwa ngokomthetho, izingozi zempilo kanye nekhono lokubamba umlutha kungaba nzima njengokusebenzisa kabi izidakamizwa ezingasemthethweni. Eqinisweni, abanye abantu bakholelwa ngamanga ukuthi imithi etholakala ngomthetho iphephile ngoba yenziwa ezindaweni ezinqunywe umthetho futhi inikezwa odokotela.

Ukwahlukana okukhulu kuwukufinyeleleka nokubukwa komphakathi. Imithi etholakala ngomthetho ivame ukuba lula ukuyithola futhi ingase ibe nomthelela omubi omncane ekuqaleni. Kodwa-ke, izinguquko ezingqondweni ezihambisana nokusebenzisa kabi imithi etholakala ngomthetho zifana nalezo ezibonwa ekusebenziseni izidakamizwa ezingasemthethweni, futhi izindlela zokwelapha zivame ukufana.

Kufanele ngenzeni uma ngicabanga ukuthi umuntu engimazi uyayisebenzisa kabi imithi etholakala ngomthetho?

Uma uthola ukuthi umuntu uyayisebenzisa kabi imithi etholakala ngomthetho, sondela lesi simo ngobubele futhi ugweme ukuba nomshikashika noma ukwahlulela. Veza ukukhathazeka kwakho usebenzisa izibonelo ezithile zokuziphatha okuzibonile, futhi unikeze ukwesekwa kwakho ekufuneni usizo lochwepheshe.

Ungazami ukufihla imithi yabo noma ubabangele ukuthi bayeke, njengoba lokhu kungaba yingozi kuye ngohlobo lwemithi ehilelekile. Esikhundleni salokho, basize bafumane izinsiza zokwelapha ezifanele, unikeze ukubahambisana nabo emihlanganweni, futhi uzifundise ngokubamba umlutha ukuze uqonde kangcono lokho abakubhekana nakho.

Ingabe ukusebenzisa kabi imithi etholakala ngomthetho kuzobonakala ekuhlolweni kwezidakamizwa?

Yebo, ukusebenzisa kabi imithi etholakala ngomthetho kuvame ukubonakala ekuhlolweni okujwayelekile kwezidakamizwa, kufaka phakathi ukuhlolwa kwesisu, igazi, kanye nezinwele. Kodwa-ke, ukuba nemithi etholakala ngomthetho emzimbeni wakho akuyona inkinga ngokuzenzakalelayo uma une-prescription evumelekile futhi uyayithatha imithi njengoba kunqunyiwe.

Izingqinamba zivela uma ukuhlolwa kwezidakamizwa kubonisa amazinga angavumelani nezinani ezinqunyiwe, kubonisa imithi ongenayo i-prescription yayo, noma ithola izimpawu zokuphathwa kabi kwemithi njengokuqhekeza nokugcoba amaphilisi. Uma ubhekene nokuhlolwa kwezidakamizwa, qinisani ngemithi yakho enqunyiwe futhi ulethe amadokhumenti omunye umhlinzeki wakho wezempilo.