Txawm hais tias koj tau muab tshuaj opiates rau teeb meem kev kho mob lossis pib noj tshuaj opiates ua si, kev vam khom lossis kev quav yeeb quav tshuaj tuaj yeem txhim kho sai heev. Kev vam khom feem ntau yog ua los ntawm cov tsos mob thim rov qab thiab ua siab ntev (ua rau xav tau koob tshuaj ntau dua), thaum kev tiv thaiv yog tus yam ntxwv los ntawm kev tsim txom yuam kev ua ke nrog lub cev thiab lub paj hlwb vam khom kev kho mob. Yog tias koj ntseeg tias koj yuav vam khom lossis quav yeeb quav tshuaj, nws yog qhov zoo tshaj los nrhiav kev kho mob kom ntseeg tau tias koj txo qis koj txoj kev siv tshuaj kom nyab xeeb thiab muaj txiaj ntsig, txawm hais tias nws tuaj yeem maj mam txiav koj tus kheej tawm ntawm kev ua tshuaj nyob hauv tsev ib yam. Kawm paub yuav ua li cas thiaj li tawm ntawm opiates tuaj yeem pab koj rov qab mus rau kev noj qab haus huv zoo tshaj plaws, tshem tawm cov kev tsis zoo uas tshwm sim los ntawm kev siv yeeb tshuaj, thiab rov qab mus rau qhov qub, ua haujlwm tau zoo.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Kaw Tawm Qhib Hauv Tsev
Kauj Ruam 1. Txiav txim siab txiav tawm
Kev quav tshuaj yog qhov nyuaj ntawm lub cev thiab/lossis kev xav ntawm lub hlwb ntawm cov tshuaj (hauv qhov no yog opiates), thiab kev quav yeeb quav tshuaj tsis yog los ntawm qhov tsis muaj lub siab xav; txawm li cas los xij, lub zog yuav ua lub luag haujlwm hauv kev kov yeej kev quav tshuaj. Muaj lub siab xav muaj zog thiab mob siab rau txiav tawm yog qhov tseem ceeb ntawm kev rov qab quav tshuaj niaj hnub no.
- Thawj kauj ruam kom rov zoo yog lees tias koj muaj teeb meem thiab ua qhov kev xaiv los nrhiav kev rov zoo.
- Txiav txim siab koom nrog pab pawg txhawb nqa. Txawm hais tias koj muaj cov phooj ywg txhawb nqa thiab cov neeg hauv tsev neeg hauv koj lub neej, nws yuav pab tau kom nyob ib puag ncig koj tus kheej nrog lwm tus neeg uas tau dhau los ntawm kev quav yeeb quav tshuaj lossis kev vam khom thiab nkag siab thawj qhov koj tab tom hla.
- Narcotics Anonymous (NA) thiab SMART Rov Qab yog cov pab pawg txhawb nqa uas tuaj yeem pab koj yog tias koj tab tom tawm tsam nrog kev siv yeeb tshuaj.
- Qee zaum, yog tias tib neeg tsis nyiam NA, lawv koom nrog Alcoholics Anonymous pawg yog tias lawv pom zoo ua kom huv huv. Qee tus neeg pom muaj kev ua phooj ywg zoo nyob hauv AA hla NA.
Kauj Ruam 2. Cia siab tias yuav muaj tsos mob tshwm sim
Cov neeg uas tau dhau los lossis ua rau quav yeeb quav tshuaj feem ntau yuav muaj kev mob me me, nruab nrab, lossis mob hnyav. Cov tsos mob yuav txawv ntawm ib tus neeg mus rau lwm tus, tab sis feem ntau suav nrog:
- Kev nyuaj siab
- Kev txhawj xeeb
- Chim siab
- Mob
- Xeev siab/ntuav
- Raws plab
- Mob ntshav siab
- Tachycardia (lub plawv dhia nrawm heev)
- Qaug dab peg
Kauj Ruam 3. Ntsuas koj qib kev siv
Yog tias koj tau siv opiates raws li qhov xav tau thiab tsis tau siv opiates txhua hnub, koj yuav tsum tuaj yeem tsum tsis txhob siv opiates yam tsis tas yuav txo qis koj li kev siv. Koj yuav hnov mob ntxiv tom qab txiav kev siv tshuaj yeeb, tab sis yuav tsum tsis txhob muaj cov tsos mob tseem ceeb; txawm li cas los xij, yog tias koj tau siv opiates nyob rau niaj hnub thiab tau tsim kho nruab nrab mus rau qhov hnyav lossis kev quav yeeb quav tshuaj, koj yuav xav tau txo qis koj li kev siv.
- Kev vam khom yog cim los ntawm kev siv tshuaj txuas ntxiv txhawm rau zam kev tshem tawm cov tsos mob. Txawm hais tias cov neeg siv nyob ib puag ncig tseem tuaj yeem ntsib qee qib ntawm kev txaus siab los ntawm kev siv cov tshuaj opiate, lub hom phiaj tseem ceeb ntawm cov neeg siv khoom siv tshuaj yog txhawm rau txo qhov mob, ntau dua li qhia meej kom ua kom siab.
- Kev quav tshuaj ua haujlwm nyob rau hauv txoj hauv kev txiaj ntsig ntawm lub hlwb, ua rau kev coj tus cwj pwm txhawm rau kom tau txais thiab siv tshuaj. Kev quav tshuaj feem ntau yog cim los ntawm kev siv tshuaj nrog lub hom phiaj kom tau txais siab, ntau dua li txhawm rau kho qhov mob.
- Nws yog qhov ua tau kom nyob ntawm opiates yam tsis muaj kev quav yeeb quav tshuaj; txawm li cas los xij, cov neeg quav tshuaj feem ntau tseem nyob ntawm lub cev thiab lub hlwb.
Kauj Ruam 4. Pib txo koj qhov kev siv
Txoj kev nyab xeeb tshaj plaws kom tsis txhob siv cov tshuaj opiate, tshwj xeeb yog hauv tsev yam tsis muaj kev saib xyuas kev noj qab haus huv, yog kom txo qis koj cov kev siv txhua hnub lossis txhua lub lim tiam. Qhov no yuav pab txo qis cov tsos mob tshwm sim tom qab txiav kev siv tshuaj.
- Muaj qee qhov kev tsis pom zoo yuav ua li cas txo qis kev siv cov tshuaj opiate. Qee tus kws kho mob pom zoo kom txo qis kev siv tshuaj yeeb los ntawm 10 feem pua txhua txhua rau ob lub lis piam. Lwm tus pom zoo kom txo qis kev siv tshuaj yeeb los ntawm 20 txog 50 feem pua txhua lub lim tiam.
- Feem pua ntawm kev txo qis kev siv tshuaj yuav sib txawv, nyob ntawm qhov hnyav ntawm kev quav tshuaj.
- Qhov koj txiav qis dua ntawm kev siv tshuaj sai dua, koj yuav muaj peev xwm pom cov tsos mob thim rov qab. Lub sijhawm tag nrho ntawm kev siv tshuaj kuj yog qhov tseem ceeb: ntev dua koj tau siv cov tshuaj opiates, qhov qeeb ntawm koj qhov txiav tawm yuav tsum yog.
Kauj Ruam 5. Nres thiab zam kev siv yeeb tshuaj
Thaum koj tau kaw qhov nqes mus rau qhov tsawg kawg nkaus tuaj yeem ua tau, koj yuav tsum muaj peev xwm txiav txim siab siv cov tshuaj opiate kom nyab xeeb. Thaum koj tau tso tseg lawm, nws tseem ceeb heev uas koj yuav tsum zam kev siv tshuaj yeeb yav tom ntej, tshwj tsis yog koj tus kws kho mob pom zoo.
- Lub sijhawm ntawm taper yuav sib txawv, nyob ntawm koj xav tau thiab qhov hnyav ntawm koj kev siv cov tshuaj opiate. Hmoov tsis zoo, tsis muaj lub sijhawm txiav thiab qhuav ntawm taper. Tham nrog koj tus kws kho mob txog ntev npaum li cas txhawm rau txuas ntxiv ua ntej koj tsis siv tag.
- Hloov mus rau cov tshuaj tsis-steroidal anti-inflammatory (NSAIDs) xws li tshuaj aspirin, ibuprofen, thiab acetaminophen.
- Yog tias koj tau txais opiates tsis raug cai, txiav tawm txhua txoj kev sib raug zoo nrog cov tswv lag luam thiab lwm yam kev quav tshuaj uas koj tau paub. Tshem tawm qhov kev ntxias kom sim opiates dua yuav txhim kho koj txoj kev vam meej.
Txoj Kev 2 ntawm 3: Tsim Txoj Kev Npaj Nrog Koj Tus Kws Kho Mob
Kauj Ruam 1. Ntseeg koj tus kws kho mob qhov kev txiav txim siab
Yog tias koj tau tham nrog koj tus kws kho mob txog koj kev siv tshuaj yeeb, tej zaum yuav muaj qee qhov laj thawj uas yog vim li cas koj tus kws kho mob yuav tau qhia kom koj tawm ntawm cov tshuaj opiates. Cov laj thawj kho mob ib txwm rau txo qis ntawm opiates suav nrog:
- Kev txo qhov mob tsis txaus- Ntau tus neeg uas mob mob hnyav thiab noj tshuaj ntau dhau ntawm kev paub txog kev tswj hwm qhov mob, nrog rau kev ua haujlwm zoo dua qub thiab kev xav tag nrho, tom qab txo qis lossis txiav kev siv tshuaj yeeb.
- Kev txo qis ntawm qhov mob - Thaum qhov mob tau dhau los ua kev tswj hwm lossis ploj mus tag nrho, koj tus kws kho mob yuav pom zoo kom tsis txhob siv cov opiates.
- Cov kev phiv tsis zoo - Qee cov tib neeg ntsib teeb meem tsis zoo lossis txaus ntshai cuam tshuam nrog kev siv tshuaj yeeb, suav nrog (tab sis tsis txwv rau) cem quav, ua kom lub cev tsis tsaug zog, tsaug zog tsaug zog, raug mob (txhawb nqa los ntawm kev quav yeeb quav tshuaj lossis sedation), thiab ntau dhau
- Opiate kev tsim txom/kev quav tshuaj - Feem ntau cov kws kho mob yuav pom zoo kom txo qis lossis tshem tawm kev siv cov tshuaj opiate yog tias muaj kev tsim txom lossis kev quav yeeb quav tshuaj
Kauj Ruam 2. Xav txog kev tshuaj xyuas mus rau kev kho mob
Txawm hais tias qee tus tib neeg tuaj yeem ua tiav los ntawm kev ua yeeb yam hauv tsev yam tsis muaj kev pab kho mob, qee tus kws tshaj lij kho mob yuav pom zoo tso tshuaj rau tus neeg mob hauv tsev rau cov neeg uas muaj kev tiv thaiv ntev lossis hnyav. Qhov zoo ntawm qhov chaw pw hauv tsev kho mob yog tias cov kws kho mob tuaj yeem nyob ntawm tes ib teev los pab kho cov tsos mob ntawm kev tshem tawm.
- Kev kho tus neeg mob hauv tsev kho mob feem ntau pom zoo rau cov neeg uas tsis muaj tshuaj kho mob (feem ntau yog cov uas mob hnyav heev uas tshem tawm tuaj yeem ua rau qhov mob lawv hnov), tsis tau ua tiav hauv cov khoos kas kho mob sab nrauv, tsis ua raws li cov lus qhia kho mob sab nrauv, lossis xav kom tshem tawm ntau yam tshuaj.
- Cov kev pab kho mob hauv tsev muaj nyob hauv tsev kho mob thiab ntawm cov chaw kho mob nyob. Koj tuaj yeem nrhiav chaw kho mob hauv tsev tau los ntawm kev tshawb fawb online, lossis nug koj tus kws kho mob thawj zaug rau kev pom zoo. Xyuas kom tseeb tias lub chaw yuav siv koj daim ntawv pov hwm kev noj qab haus huv thiab koj paub tias nws yuav raug nqi ntau npaum li cas ua ntej.
- Kev tshem tawm cov neeg mob hauv tsev feem ntau siv sijhawm peb txog plaub hnub, txawm hais tias nws yuav siv sijhawm ntev dua, nyob ntawm qhov mob hnyav. Feem ntau cov neeg mob hauv lub cev tshem tawm cov tshuaj lom yog tom qab koom nrog 28 hnub kev kho kom rov zoo rau kev saib xyuas tas li.
Kauj Ruam 3. Xaiv lub phiaj xwm tshuaj ntxuav lub cev
Muaj ntau txoj kev npaj detox muaj rau cov neeg mob hauv tsev kho mob. Txhua txoj kev npaj muaj nws qhov zoo thiab qhov tsis zoo, thiab nws yog qhov tseem ceeb los tham nrog koj tus kws kho mob thiab/lossis kws tshaj lij txog kev quav tshuaj kom txiav txim siab txoj kev npaj uas yog rau koj.
- Kev Kho Mob Kom Ruaj Khov Kho Mob - Txoj phiaj xwm kev tshem tawm no cuam tshuam nrog txo qis qhov ntau npaum li cas ntawm opiates. Tapering tau ua tiav hauv qhov chaw tswj hwm kev kho mob uas tso cai rau cov kws saib xyuas mob muab cov tshuaj tsim nyog los pab tiv thaiv qhov cuam tshuam ntawm kev tshem tawm, yog tias cov kev tshwm sim tshwm sim.
- Kev tshem tawm sai sai - Txoj phiaj xwm no cuam tshuam kev siv tag nrho cov tshuaj opiate tam sim ntawd. Koj yuav raug tshuaj loog thiab muab cov tshuaj tiv thaiv kab mob hauv cov hlab ntshav (xws li naltrexone, naloxone, thiab nalmefene) kom ntseeg tau tias koj tsis tau txais txiaj ntsig zoo ntawm cov opiates koj tom qab noj. Tom qab kwv yees li plaub txog yim teev nyob rau hauv kev tso tshuaj loog tag nrho, koj lub cev dhau mus sai thiab tshem tawm sai, tab sis koj yuav tsis ntsib qhov tsis zoo ntawm lub cev los ntawm kev thim tawm. Feem ntau koj yuav raug tso tawm hauv 48 teev tom qab kev tshuaj xyuas thiab tshuaj xyuas. Muaj kev pheej hmoo ntawm teeb meem los ntawm kev siv tshuaj loog, txawm li cas los xij, suav nrog kev pheej hmoo tuag.
- Kauj Ruam Tshem Tawm Kev Ruaj Ntseg - Hauv txoj kev npaj no, opiate blockers zoo li naloxone tau muab tso rau hauv cov hlab ntshav thiab tshem tawm kev tswj hwm cov tshuaj tau tswj hwm qhov ncauj, mus txog tib qhov txiaj ntsig zoo tshaj plaws ntawm kev tshem tawm sai sai tab sis nyob rau lub sijhawm ntau dua. Kev tshem tawm cov tshuaj sai sai yuav tsis tau them se ntau ntxiv rau lub cev ntau dua li kev tshem tawm sai sai. Hauv kev tshem tawm cov tshuaj sai sai, koj tau ceeb toom thiab tsaug zog tag nrho lub sijhawm, tab sis koj cov tsos mob ntawm kev tshem tawm tau raug saib xyuas zoo thiab hais daws sai sai nrog tshuaj.
- Buprenorphine - Qhov no yog cov tshuaj opioid siv los pab tshem tawm cov tsos mob thiab pab kom yooj yim koj tawm opiates. Nws yog ib nrab opioid agonist, txhais tau tias koj yuav ntsib kev zoo siab dua, tsis muaj kev vam khom, thiab kev tshem tawm yog qhov me dua li nrog lwm cov opiates. Nws tuaj yeem txo qis kev tshaib kev nqhis, tshem tawm cov tsos mob tawm, thiab thaiv qhov cuam tshuam ntawm lwm yam opioids. Tsis yog txhua tus kws kho mob tuaj yeem sau tshuaj buprenorphine yog li koj yuav tsum nrhiav tus kws tshaj lij kev quav tshuaj uas muaj peev xwm ua tau. Nws los txog peb hom kev tswj hwm suav nrog los ntawm lub qhov ncauj, los ntawm thaj, lossis los ntawm kev txhaj tshuaj.
- Tshuaj txiav yeeb (Methadone) - Qee tus kws kho mob pom zoo siv tshuaj txiav yeeb (methadone) txhawm rau pab cov neeg quav yeeb quav tshuaj tawm ntawm kev quav yeeb quav tshuaj. Tshuaj txiav yeeb (Methadone) yog txoj kev siv ntau tshaj plaws ntawm kev haus tshuaj tua kab mob hauv lub cev. Hauv kev kho tshuaj txiav yeeb, koj yuav tau txais kev txhaj tshuaj txhua hnub ntawm cov tshuaj siv tshuaj yeeb tshuaj methadone los ntawm lub tsev kho mob pom zoo nyob rau lub sijhawm ntev txog 21 hnub, tom qab uas koj yuav tsum tuaj yeem txiav tawm tag nrho kev siv tshuaj yeeb dawb. Methadone detox tseem ua rau koj mob siab rau lub sijhawm tshem tawm thiab tej zaum yuav tsis tiv thaiv koj kom tsis txhob siv lwm yam opiates.
Txoj Kev 3 ntawm 3: Tswj Cov tsos mob ntawm Kev Tshem Tawm
Kauj Ruam 1. Kho cov teeb meem kev xav
Coob leej neeg ntsib kev hloov pauv lub siab, kev nyuaj siab, thiab kev ntxhov siab thaum lawv dhau los ntawm kev tshem tawm. Tias yog vim opiates tuaj yeem cuam tshuam rau tus neeg lub siab, thiab tseem ua raws li tus neeg mob loog. Raws li qhov tshwm sim, ntau tus neeg dhau los ntawm kev tshem tawm pib hnov qhov mob siab rau ntawm cov xwm txheej uas tau tshwm sim ua ntej lossis thaum lub sijhawm lawv quav yeeb quav tshuaj. Kev kho rau qhov no yuav txawv, nyob ntawm koj tus kws kho mob tau qhia kom ua.
- Qee tus kws kho mob tau sau tshuaj antidepressants lossis kev ruaj ntseg zoo los pab tswj cov tsos mob ntawm kev nyuaj siab thiab kev hloov pauv.
- Koj tus kws kho mob tuaj yeem tswj hwm clonidine (0.1 mg peb zaug ib hnub) lossis hydroxyzine (25 txog 50 mg txhua plaub rau rau rau teev) los tswj kev ntxhov siab thiab ntxhov siab ntsig txog cov tsos mob ntawm kev thim rov qab.
Kauj Ruam 2. Siv tshuaj rau teeb meem plab
Coob leej neeg dhau los ntawm kev rho tawm opiate tau ntsib teeb meem hnyav rau lub plab zom mov. Feem ntau muaj xws li mob plab, raws plab, xeev siab, thiab ntuav.
- Txog kev mob plab thiab/lossis raws plab, noj 0.125 mg koob tshuaj hyoscyamine txhua txhua plaub rau rau rau teev. Cov tshuaj no yuav tsis pom zoo rau cov neeg hnub nyoog 65 xyoos thiab laus dua, vim nws tuaj yeem ua rau muaj cov tsos mob zoo li dementia hauv qee tus neeg mob.
- Txhawm rau kho mob xeev siab thiab/lossis ntuav, noj Phenergan (12.5 txog 25 mg txhua plaub rau rau rau teev) lossis Zofran (plaub mg txhua 12 teev).
Kauj Ruam 3. Tswj qhov mob cuam tshuam nrog kev txiav/tshem tawm
Yog tias koj dhau los lossis ua rau quav yeeb quav tshuaj thaum kho mob hnyav lossis mob ntev, koj yuav hnov mob ntxiv thaum lub sijhawm txiav/tshem tawm. Txhawm rau tswj qhov mob no, sim noj cov tshuaj NSAIDs tom khw, uas tsis muaj kev pheej hmoo ntawm kev vam khom lossis tsis zoo.
- Ibuprofen tej zaum yuav muab rau hauv 400 txog 600 mg koob txog li peb zaug hauv ib hnub (feem ntau yog noj nrog zaub mov); Txawm li cas los xij, cov neeg laus lossis cov neeg uas muaj kab mob hauv lub raum, keeb kwm ntawm GI los ntshav, lossis siv warfarin ntev yuav tsum tsis txhob muab ibuprofen.
- Noj 500 mg koob tshuaj acetaminophen txhua plaub rau rau rau teev, tsis pub ntau tshaj 3, 250 mg hauv 24 teev. Qhov no yuav yog qhov kev nyiam tshaj plaws ntawm kev nqis tes ua rau cov neeg mob uas tsis tuaj yeem noj ibuprofen.
Kauj Ruam 4. Sim so thiab tsaug zog
Qee tus neeg dhau los ntawm kev quav yeeb quav tshuaj ua rau muaj kev tawm hws hmo ntuj thiab tsis tsaug zog, uas tuaj yeem ua rau nws nyuaj rau so kom txaus. Qhov no yog tshwm sim ib feem los ntawm kev dhau los ua kev vam khom ntawm cov tshuaj opioid sedative los ua kom tsaug zog. Txhawm rau tswj kev tawm hws hmo ntuj thiab txhawb kom muaj kev so kom tsaug zog ntau dua, sim ua kom sov hauv chav txias me ntsis dua li ib txwm muaj, thiab khaws cov tog hauv ncoo thiab paj ntaub ntxiv. Yog tias kev pw tsis tsaug zog tseem yog teeb meem, tham nrog koj tus kws kho mob txog kev sau tshuaj tsis pw tsaug zog.
Lub tswv yim
- Haus dej txhua hnub. Dej yaug tawm cov co toxins hauv koj lub cev thiab pab koj ob lub raum kom tshem tawm txhua yam ntawm koj lub cev.
- Tsis txhob muaj caffeine, vim nws tuaj yeem ua rau cov tsos mob ntawm kev ntxhov siab, ntxhov siab, thiab raws plab.
- Yog tias koj tab tom tawm tsam kev quav yeeb quav tshuaj, ua siab ncaj rau koj tsev neeg yog li lawv tuaj yeem pab txhawb nqa koj. Koj kuj tseem tuaj yeem txiav txim siab ua kev sab laj nrog tsev neeg yog li koj txhua tus tuaj yeem sib tham txog koj kev quav yeeb quav tshuaj hauv qhov chaw nyab xeeb.
