Yu gɛt adikshɔn to dɛn pen kil ya bak? Lɛ wi tɔk bɔt Opioid Yuz Disɔda!

Tide wi go tɔk bɔt wan tɔpik we rili sɛnsitiv, bɔt we rili impɔtant. Yu go dɔn yɛri se sɔm kayn mɛrɛsin dɛn de we de mek yu fil pen we yu fɔ tek tɛm wit. Dɛn kɔl dɛn tin ya opioid . If yu yuz dɛn di rɔŋ we, dat min se if yu tek dɛn tumɔs we yu nɔ gɛt dɔktɔ advays, ɔ if yu tek dɛn fɔ ɔda tin, yu kin gɛt adikshɔn to dɛn we yu nɔ ivin no. Dis na wetin wi kin kɔl Opioid Yuz Disɔda (OUD) .

Fɔ tɔk am simpul wan, wetin na Opioid Yuz Disɔda?

Imajin se dɔktɔ dɔn gi yu wan opioid fɔ sɔm pen. Bɔt yu kin tek am pas di mɔni we dɛn tɛl yu fɔ tek, ɔ fɔ lɔng tɛm pas di tɛm we dɛn tɛl yu fɔ tek am. Afta sɔm tɛm, yu nɔ go ebul fɔ liv if yu nɔ gɛt di drɔg, yu kin fil lɛk se yu fɔ tek am, ɛn if yu nɔ tek am, yu nɔ kin gɛt rɛst ɛn i nɔ kin izi fɔ yu. Dis kin bigin fɔ afɛkt di tin dɛn we yu de du ɛvride, di padi biznɛs we yu gɛt wit yu fambul, yu wok, ɛn ɔl ɔda tin. Fɔ tɔk am simpul wan, dis na we yu opioid yus de kɔmɔt pan kɔntrol ɛn mek prɔblɛm na yu layf.

Dis kin apin bak difrɛn difrɛn we dɛn. Sɔm pipul dɛn kin gɛt sɔm kayn sik , ɔda wan dɛn kin gɛt sɔm kayn sik , ɛn sɔm kin gɛt siriɔs sayn . E kin bi bak wan sik wae de kam wae yu de liv yu layf (krεse) . So, i rili impɔtant fɔ no ɛn fɛn tritmɛnt kwik kwik wan.

Wetin na dɛn opioid ya?

Opioid na wan grup fɔ drɔgs, we de apin na di wɔl (Opiates) ɛn we dɛn mek wit kemikal (Opioids), we de ɛp fɔ pul pen. Dɛn kin wok bay we dɛn de du sɔntin pan wi nɛv sɛl dɛn fɔ mek wi nɔ fil pen.

Dɔktɔ dɛn kin gi dɛn tin ya fɔ tin dɛn lɛk bad bad pen afta aksidɛnt, pen afta dɛn dɔn ɔpreshɔn, ɛn sɔntɛnde fɔ pen fɔ lɔng tɛm. Fɔ ɛgzampul:

• `Oksikodɔn`
• `Oksimɔfon`
• `Mɔfin`
• `Kɔdɛn`
• `Fentanyl`

Apat frɔm dɛn wan ya, Heroin we dɛn mek wit Morphine, na ilɛgal drɔgs bak we de insay dis sem kategori.

Dɛn opioid ya nɔr kin jɔs pul pen, bɔt dɛn kin mek sɔm pipul dɛn fil fayn ɛn rilaks (euphoria). As tɛm de go, dɛn nid fɔ inkrisayz di doz fɔ di drɔg fɔ gɛt di sem rilif ( tolerance ). Dis na di rizin we mek di risk fɔ gɛt adikshɔn kin bɔku.

Bɔt mɛmba se nɔto ɔlman we tek dis mɛrɛsin fɔ shɔt tɛm lɛk aw dɔktɔ tɛl am, go gɛt adikshɔn. If yu fala di instrɔkshɔn dɛn gud gud wan, di risk fɔ gɛt adikshɔn nɔ go bɔku.

Wetin na di difrɛns bitwin adikshɔn ɛn dipɛnsin?

Dɛn tu tin ya kin mek pɔsin kɔnfyus smɔl, bɔt i impɔtant fɔ ɔndastand.

Opioid dipεndεns na we yu bכdi de yus to di drog. Dis min se as tɛm de go, di doz we yu tek nɔ kin wok fayn (tolerance) ɔ yu kin gɛt sɔm sayn dɛm fɔ lɛf fɔ tek di mɛrɛsin lɛk nɔs, vɔmit, ɛn bɔdi pen we yu stɔp fɔ tek di mɛrɛsin.Di sayn dɛn we de sho se pɔsin dɔn lɛf fɔ tek di mɛrɛsin .

Opioid Yuz Disɔda (OUD) kin go fa fawe. Na ya, di we aw yu de yuz drɔgs de mek yu gɛt prɔblɛm na yu layf, bɔt yu nɔ ebul fɔ kɔntrol am. Dis kin involv ɔl tu di dipɛnshɔn pan bɔdi ɛn di dipɛnshɔn pan saykilɔjik. Dis min se di drɔg de tek ova yu tinkin, filin, ɛn akshɔn, ɛn yu kin gɛt strɔng want (craving) fɔ tek am.

Udat kin gɛt dis? Aw i kɔmɔn?

Opioid yuse disɔda kin kam pan ɛnibɔdi, ilɛksɛf na in ej, in trayb, man ɔ uman, ɔr soshal stetmɛnt.

Dɛn se bitwin 3% ɛn 19% pan di pipul dɛm wae de tek prɛskrishɔn opioid pen kil kin gɛt dis sik. We i nɔ kin izi fɔ gɛt dɛn mɛrɛsin ya, sɔm pipul dɛn kin tɔn to tin dɛn we pɔsin kin gɛt izi wan, lɛk heroin. Dis de sho aw dis sik kin denja.

I pas 20 milyɔn pipul dɛn ɔlsay na di wɔl, ɛn pas 3 milyɔn pipul dɛn na Amɛrika, we gɛt dis sik. I dɔn bi wan sik we de prɛd na sɔm kɔntri dɛn. Dɛn opioid ya de mek pas 100,000 pipul dɛn we de day ɔlsay na di wɔl ɛvri ia.

Wetin na di sayn dɛm wae de sho se pɔrsin nɔr de yuz opioid?

Di American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5) se pɔsin we gɛt dis sik kin sho sɔm pan dɛn sayn ya:

• Fɔ tek opioid bɔku pas aw dɛn tɛl yu fɔ tek ɔ fɔ lɔng tɛm pas aw dɛn gi yu.
• Wan strɔng want ɔ want fɔ tek opioid.
• Tray fɔ ridyus ɔ kɔntrol di yus bɔt i nɔ ebul.
• Kɔntinyu fɔ yuz di mɛrɛsin pan ɔl we i kin mek prɔblɛm de wit ɔda pipul dɛn ɔ pɔsin in yon rilayshɔnship.
• Fɔ spɛn bɔku tɛm fɔ fɛn, yuz, ɔr fɔ wɛl frɔm opioid.
• Nɔ ebul fɔ du di wok we dɛn fɔ du na wokples, skul, ɔ os bikɔs dɛn de yuz opioid.
• Mis ɔ ridyus ɔda impɔtant tin dɛn.
• Yuz opioid ivin insay di fyzikal denja situeshɔn (e.g., we yu de drayv).
• Kɔntinyu fɔ yuz opioid pan ɔl we yu gɛt prɔblɛm wit yu bɔdi ɔ maynd we di opioid dɛnsɛf kin kam wit.
• ova tεm, i nid fכ gεt hכy dכz fכ achy di sem ifekt ( tכlerεns ).
• Diskɔmfɔt wae yu de stɔp di mɛrɛsin (opioid withdrawal syndrome) ɔr de tek opioid ɔr sɔmtin lɛk dis fɔ avɔyd dɛn diskɔmfɔt dɛm.

If yu tink se yu gɛt wan ɔ tu pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan.

Wetin na di sayn dɛm wae de sho se yu nɔr de tek di opioid wae yu stɔp fɔ tek opioid?

If yu de dipen pan opioid na yu bɔdi, fɔ stɔp dɛn wantɛm wantɛm kin mek yu gɛt dɛn prɔblɛm ya:

• Pen ɔlsay na di bɔdi
• Chil, fiva
• Bɛlɛ de at
• Di pupil dɛn we dɔn dilayt
• Restlessness, we pɔsin de agyu
• Wɔri
• Nɔs, fɔ vɔmit
• De want ɔltɛm
• Di at rit ɛn blɔd prɛshɔn de go ɔp
• We pɔsin de swet
• Nɔ ebul slip

Aw pɔsin kin gɛt adikshɔn to dis sik?

Bɔku rizin dɛn de fɔ dis. I kɔmplikt smɔl.

• Opioid dεm de afekt di bren kεmεstri: Opioid dεm de mek di sεntr dεm na wi bren we de kכntro tin dεm lεk gladi εn bכdi. we dεn tek dεm, wan nyurotransmit we dεn kכl `εndorfin` de kכmכt. Dis kin mek yu nɔ fil pen ɛn mek yu fil gladi. We di tin dɛn we di drɔg de du dɔn, da gladi at de bak nɔ de igen. Dɔn yu kin fil fɔ tek di drɔg bak fɔ fil da gladi at de. dipεndεns na di bכdi kin divεlכp ivin insay sכm sכm 4 to 8 wik.
• Di we aw pɔsin kin gɛt opioid ɛn aw i kin gɛt am: Dɛn kin gɛt mɔ sik bay we dɛn gi dɛn mɛrɛsin fɔ mɛn pen, we dɛn fambul ɔ padi dɛn kin yuz am, ɛn sɔntɛnde dɛn kin tek am bay we dɛn de tek drɔgs we nɔ rayt. Sɔntɛnde, i kin izi fɔ fɛn heroin pas drɔgs we di lɔ se. Tide, bɔku drɔgs dɛn we dɛn kin sɛl lɛk heroin, kɔkɛyn, ɛn sɔm pils kin gɛt bɔku bɔku di denja opioid fentanyl. Dɛn tin ya kin mek pɔsin in layf de pan denja.
• Jɛnɛtik ɛn bayolojikal tin dɛm: Risach dɔn sho se 40% to 60% pan di risk fɔ gɛt adikshɔn to ɛni drɔg na bikɔs ɔf jɛnɛtik tin dɛm. If pɔrsin na yu fambul wae de nia yu (mama ɛn papa, brɔda ɛn sista) gɛt dis sik, yu kin gɛt dis sik bak.
• Mental hεlth εn כda mεdikal kכndyushכn dεm: Stɔdi dεn dɔn sho se na lɛk af pan di pipul dɛm wae gɛt maynd sik kin de pan denja fɔ gɛt drɔg adikshɔn, ɛn lɛk af pan di pipul dɛm wae gɛt drɔg adikshɔn kin gɛt mɛntɛl sik. Fɔ ɛgzampul, tin dɛm lɛk pwɛl hat , wɔri hat , ADHD, bipolar disorder, ɛn PTSD kin afɛkt dis. Dɔn bak, pipul dɛm wae gɛt bɔdi sik lɛk krɛse pen kin gɛt risk bak fɔ gɛt disɔda fɔ yuz opioid.
• Adverse Childhood Experiences (ACEs): Mama ɛn papa ɛn pikin nɔ gɛt bɛtɛ rilayshɔnship, fɛt-fɛt na os, we dɛn de trit pikin dɛn bad, ɛn we dɛn mama ɛn papa de put dɛn na jel na tin dɛn bak we kin mek di risk fɔ yuz drɔgs bɔku.

Aw yu no dis?

No wan tɛst nɔ de fɔ no dis. Dɔktɔ go tek tɛm luk yu mɛdikal istri ɛn aw yu de yuz opioid. Dɛn kin yuz tin dɛn bak lɛk fɔ tɛst fɔ tek drɔgs, fɔ wach aw pɔsin de tek drɔgs, ɛn ɔda tin dɛn.

Dɛn kin no if at le tu pan di DSM-5 simptom dɛm we wi bin dɔn tɔk bɔt de .

• If 2-3 kwaliti dɛn: Mild OUD
• If 4-5 sayn dɛn de: Mɔdaret OUD
• 6 ɔ mɔ sayn dɛm: Siviɔs OUD

Wetin na di tritmɛnt dɛn?

Bɔt gud tin na dat, tritmɛnt dɛn de we go ɛp dis sik. Bɔt di tritmɛnt we dɛn kin gɛt kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bikɔs dis na tin we kin apin fɔ lɔng tɛm, i impɔtant fɔ kɔntinyu fɔ gɛt tritmɛnt fɔ mek i wɛl ɛn fɔ mek i nɔ gɛt di sik bak.

Bɔku we dɛn de fɔ trit pɔsin:

• Ɔtpeshɛnt advays
• Intensiv ɔutpeshɛnt tritmɛnt
• Tritmɛnt fɔ shɔt tɛm na os
• Kɔmyuniti dɛm wae de mɛn pipul dɛm fɔ lɔng tɛm, lɛk kɔmyuniti dɛm wae nɔr gɛt drɔgs

Di wan we de wok fayn pas ɔl na we dɛn jɔyn mɛrɛsin ɛn advays (Mɛdikeshɔn-Assisted Treatment - MAT).

Saykotɛrapi fɔ OUD

Cognitive Behavioral Therapy (CBT) na wan big saykotɛrapi we dɛn kin yuz fɔ dis. Na ya, saykayatrist ɔr advaysa kin tɔk dip wan bɔt aw yu de tink ɛn aw yu de fil. Dɛn kin ɛp yu fɔ ɔndastand aw di tin dɛn we yu de tink bɔt kin afɛkt di tin dɛn we yu de du. Tru dis, dɛn kin ɛp yu fɔ chenj di tin dɛn we yu de tink ɛn biev we nɔ fayn ɛn mek yu tink ɛn abit dɛn we nɔ fayn.

Program dɛn fɔ ɛp yusɛf fɔ OUD

Fɔ tek pat pan sɛlf-ɛp grup dɛm lɛk `Narcotics Anonymous` na big sɔpɔt bak fɔ tritmɛnt. Tru dis, pɔrsin kin ɔndastand in kɔndishɔn, sheb ɛkspiriɛns wit ɔda pipul dɛm, ɛn ɛp insɛf fɔ impɔtant.

Mɛrɛsin fɔ OUD

Sɔm mɛrɛsin de wae kin ɛp fɔ trit dis sik bay wae yu de chenj aw yu bren de woke. Dɛn tin ya kin ridyus di krayv, ridyus di simptom dɛm fɔ lɛf fɔ it, ɛn blok di yufɔrik ifɛkt dɛm fɔ opioid.

Tri men kayn mɛrɛsin de we di US Food and Drug Administration (`FDA`) dɔn gri fɔ:

• `Mɛtadɔn` : Dis de ridyus di simptom dɛm fɔ lɛf fɔ it ɛn di krayv dɛm. Na spɛshal klinik dɛn nɔmɔ yu kin gɛt am.
• Buprenorphine : Dis de blok di ifekt dɛm we opioid de gi, i de ridyus di simptom dɛm fɔ lɛf fɔ it ɛn di krayv dɛm. Yu kin tek am as pil ɔ as injɛkshɔn ɛvri mɔnt.
• `Naltrexone` : Dis de blok di gladi gladi we yu kin gɛt frɔm opioid. Yu kin tek am as pil ɔ as injɛkshɔn ɛvri mɔnt.

Ɛni kɔmplikeshɔn de pan di tritmɛnt?

I sɔri fɔ no se, pɔsin we gɛt OUD kin gɛt di ay risk fɔ day insay di fɔs 4 wiks we i bigin fɔ tek di tritmɛnt ɛn insay di fɔs 4 wiks we i gɛt di sik bak afta i dɔn stɔp di tritmɛnt.

Di rizin fɔ dis na bikɔs dɛn kin tray fɔ tek di sem doz we dɛn bin de yuz bifo, bɔt bikɔs di bɔdi in tolɛreshɔn dɔn go dɔŋ, di doz kin tu ay ɛn mek dɛn tek ɔvados.

Aw yu go avɔyd dis?

• If yu ɔr pɔrsin na yu famili nid tritmɛnt fɔ pen, tɔk to yu dɔktɔ bɔt mɛrɛsin wae nɔr gɛt opioid fɔ mɛn pen ɔr ɔda tritmɛnt.
• If dɛn dɔn gi yu opioid, tek am jɔs lɛk aw yu dɔktɔ tɛl yu, di mɔnt we dɛn gi yu, ɛn di tɛm we dɛn gi yu. Nɔ tek ɛkstra dos. Nɔ brok, krɔs, ɔ sɔlv di pils dɛn.
• If yu fil se yu de dipen pan di mɛrɛsin, ɔ if di doz we dɛn gi yu nɔ de kɔntrol yu pen, nɔ ɛva inkrisayz di doz fɔ yusɛf. Tɛl yu dɔktɔ wantɛm wantɛm.
• Nɔ ɛva sheb yu mɛrɛsin wit ɔda pɔsin. Kip dɛn na say we sef usay pikin dɛn nɔ go ebul fɔ rich.
• If yu gɛt ɛni opioid we lɛf frɔm tritmɛnt, trowe dɛn fayn fayn wan. (Yu kin aks yu famasi.)
• Tɔk to yu pikin dɛm bɔt di denja dɛm fɔ opioid ɛn di nid fɔ yuz dɛm jɔs lɛk aw dɛn tɛl yu.

Wetin kin apin if dɛn nɔ gi dɛn tritmɛnt? (Prɔgnosis) .

If dɛn nɔ trit am, bɔku tɛm di tin we kin kɔmɔt frɔm OUD nɔ kin fayn. Pipul wae gɛt siriɔs OUD kin gɛt bɔrku risk fɔ:

• Injury lɛk fɔdɔm ɛn motoka aksidɛnt.
• Di sik dɛn we pɔsin kin gɛt frɔm blɔd lɛk Epataytis B (HBV), Epataytis C (HCV), ɛn HIV kin pas tru di nidul we dɛn de sheb.
• Fɔ put pɔsin na jel.
• Opioid we dɛn kin yuz pasmak.
• Day frɔm opioid ɔvados.
• Fɔ kil yusɛf.

Di nɔmba fɔ pipul dɛn we gɛt OUD kin day 10 tɛm pas di jenɛral pipul dɛn.

Bɔt mɛmba se OUD na sik we pɔsin kin mɛn. Bɔt na 1 pan ɛvri 4 pipul dɛn nɔmɔ we gɛt OUD kin gɛt pɔshɔnal tritmɛnt.

Medication-assisted treatment (MAT) de ridyus di yus fɔ opioid, di wan dɛn we de day we dɛn tek am pasmak, ɛn di prɛd fɔ sik dɛn we de pas. I de mek di soshal fכnshכn εn di tritmεnt rεtεnshכn bכku.

Wetin na di sayn dɛm fɔ di opioid ɔvados?

Ɔvados kin apin we pɔsin tek tumɔs opioid, ɔ we dɛn tek ɔda drɔgs wit opioid. Di sayn dɛm na:

• Nɔr de ansa, nɔr de mɛmba natin.
• We yu de blo slo ɔ i de stɔp.
• di blak pupil dεm na di yay dεm rili sכm (`pinpoint pupils`).
• Snor ɔ sawnd we de kɔmɔt na di trot.
• Kol, klem skin.
• Blu lip ɔ finga nel.

We dis kayn tin apin, dɛn nid fɔ du sɔntin kwik kwik wan. di ifekt dεm we ovados kin gi kin rivεs kwik kwik wan bay we dεn gi yu wan dכg we dεn kכl `Naloxone` (dεn kin kכl dεm bכku tεm wit di brand nem `Narcan®`). Bɔt ivin if dɛn gi `Naloxone`, dɛn nid fɔ go to dɔktɔ wantɛm wantɛm.

If pɔsin we yu sabi gɛt prɔblɛm lɛk dis, aw yu go ɛp?

Fɔ no se pɔrsin wae yu lɛk gɛt OUD kin rili tranga ɛn kin mek yu fil bad. Na sɔm tin dɛn we yu kin du fɔ ɛp pɔsin lɛk dat:

• Tɔk kwik: Di kwik we pɔsin we gɛt OUD gɛt tritmɛnt, na di mɔ i go fayn. Tɔk to dɛn bɔt di tin dɛn we de mɔna yu ɛn ɛp dɛn fɔ fɛn tritmɛnt.
• Trit wit sɔri-at:Ilɛksɛf yu nɔ gri wit am, tek tɛm lisin to wetin dɛn gɛt fɔ tɔk. Di mɔ we yu de lisin to dɛn, na di mɔ dɛn go abop pan yu.
• Peshɛnt: Nɔ tink se dis prɔblɛm go sɔlv wit wan tɔk ɔ wan akshɔn. OUD na kɔmpleks sik we kin de fɔ lɔng tɛm.
• Tink bɔt yusɛf bak: Fambul ɛn padi dɛm fɔ pipul dɛm wae gɛt OUD kin fil strɛs, pwɛl hat, sɔri, ɛn de fil lɛk dɛn wangren. Tink bɔt yu yon maynd wɛlbɔdi bak. Gɛt ɛp if yu nid am.
• Kip Naloxone (Narcan®) na yu an: If yu fambul tek ovados, Naloxone kin sev yu layf. If i pɔsibul, kip Naloxone na yu an ɔltɛm.

Ustɛm a fɔ go to dɔktɔ?

If yu dɔn ɔlrɛdi de tek opioid mɛrɛsin ɛn yu gɛt ivin smɔl saspek se yu de kam adikshɔn to am, tɔk to yu dɔktɔ wantɛm wantɛm.

If yu sɔspɛkt se yu pikin ɔ yu padi de yuz opioid bad bad wan, go to dɔktɔ kwik kwik wan.

Opioid yuse disɔda na kɔmpleks mɛntɛl ɛn bren kɔndishɔn. Opioid de afɛkt yu bren ɛn yu ebul fɔ disayd fɔ du sɔntin. Dɛn chenj ya kin mek i nɔ izi fɔ stɔp fɔ tek opioid, ivin if yu want. If yu ɔr pɔrsin wae yu lɛk gɛt dis sik, go to dɔktɔ kwik kwik wan. Dɔktɔ we tren kin gayd yu fɔ du di tritmɛnt we yu nid.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

• Opioid na pawaful pen kil, bɔt dɛn kin denja fɔ adikshɔn if dɛn yuz am di rɔŋ we.
• Nɔ ɛva yuz dɛn tin ya if yu nɔ gɛt dɔktɔ advays. Fɔ fala di doz we dɛn tɛl yu fɔ tek ɛn di tɛm we yu fɔ tek am.
• If yu ɔ ɔda pipul dɛn notis sayn dɛn we de sho se yu gɛt adikshɔn, nɔ shem ɔ fred, ɛn go to dɔktɔ wantɛm wantɛm.
• Tritmɛnt de ɛn fɔ wɛl. So nɔ sɔfa yu wan, aks fɔ ɛp.
• Fɔ tich ɔda pipul dɛn kin ɛp bak fɔ fɛt dis prɔblɛm.

A op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, duya nɔ shem fɔ tɔk to dɔktɔ.

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