Kua whakaaro koe mēnā ko tētahi mea i tīmata koe hei mahi mā te ngahau, hei whakamamae rānei i te ahotea, ka nui rawa atu pea māu e whakahaere? I whakaaro koe ka taea e koe te "mutu i ngā wā katoa," engari ināianei kāore e taea e koe te mutu, ā, kei te pā ki tō hauora, ki ō whanaungatanga, me tō mahi? Ki te pērā, ehara i te mea ko koe anake. I tēnei rā kei te kōrero tātou mō tēnei mate kino, engari ka taea te rongoā.
He aha te Mate Whakamahinga Matū (SUD)?
Ki te whakarapopototia, ko te mate whakamahi matū, ko te mea rānei i kīia i mua ko te "waranga tarukino," he āhuatanga hauora hinengaro . Ehara i te ngoikore, ehara hoki i te whanonga kino. He mate. Mena kei te raru tō hauora me tō oranga i tō āhua whakamahi i tētahi matū (waipiro, tupeka, tetahi atu tarukino), koinā te mea e kīia ana e mātou ko te "Mate Whakamahi Matū (SUD)".
Whakaarohia pēnei... Ina whakamahia ēnei mea e tātou, ka tukuna he matū e kiia nei ko te `(Dopamine)` i roto i tō tātou roro. Mā tēnei ka tino harikoa tātou, ka marino hoki. Engari ina memeha haere te pānga o te tarukino, ka ngaro atu hoki taua harikoa. Kātahi ka hiahia tō tātou roro me tō tātou tinana ki te whiwhi anō i taua "ahua pai". Ahakoa te kino o tēnei mō tō tātou hauora , kāore e taea e tātou te whakahaere i taua hiahia. Ka pā kino tēnei āhuatanga ki tō hauora hinengaro, ki ō whanaungatanga whānau, ki te mātauranga, ki te mahi, ki ngā mea katoa. I ētahi wā, ka taea te whakararu i te ora.
Ko te mea nui, he ngawari, he pākiki, he kino rānei tēnei āhua. Ahakoa te wāhanga kei roto koe, kia maumahara he āhua ka taea te rongoā, ā, ka taea te whakaora . Ki te rite koe, he maha ngā huarahi hei tiki āwhina.
He aha ngā momo matua o tēnei āhuatanga?
Ka taea te hono atu i tēnei raruraru ki ngā momo rongoā rerekē. Ko ngā momo tino noa ko:
- Te mate whakamahi waipiro
- Te mate whakamahi kokaini
- Te mate whakamahi tarukino
- Te mate whakamahi tupeka
- Te mate whakamahi methamphetamine
- Mate whakamahi opioid (mate whakamahi opioid)
I ētahi wā, ka whakamahia pea e te tangata neke atu i te kotahi ngā tarukino i te wā kotahi. Hei tauira, ka whakamahia pea e ia te tupeka me te waipiro. Ka kiia tēnei ko te "Polysubstance use disorder".
He aha ngā tohu o tēnei mate?
Ka rerekē ngā tohu o tēnei mate i runga i te momo rongoā e whakamahia ana e koe. E rua ngā momo tohu matua.
| Kāwai āhuatanga | Whakaahuatanga |
|---|---|
| Te haurangi | Koinei ngā pānga poto e puta tonu mai ana i muri i te tango i te rongoā. Kei roto i ēnei ko te hiamoe, te marino nui, te tino harikoa, me te piki haere o ngā kare ā-roto. Ka pā hoki ēnei ki tō kaha whakatau me tō mahi hinengaro me te tinana. |
| Te tangohanga | Ka puta tēnei ina memeha haere ngā pānga o te rongoā, ā, ka tīmata te wehe atu i te tinana. He tino kino ēnei tohu. Kei roto i ēnei ko te ruaki, te whakapairuaki, te mamae o te puku, te werawera nui, te kore moe, te wiri o ngā uaua, me te maha o ngā huringa o te wairua. |
Me pēhea koe e mōhio ai mēnā he raruraru whakamahi tarukino tāu?
He pātai tino nui tēnei. Mena kua pāngia koe e te rua o ngā tohu e whai ake nei i roto i ngā marama 12 kua pahure ake nei, tera pea kei a koe tēnei raruraru. Whakaarohia tēnei me te pono.
| Tohu / āhuatanga | Hei whakarāpopototanga... |
|---|---|
| Te whakanui ake i te rahi me te wā | Ka whakamahia e koe ngā raau taero i roto i te nui rawa atu, i te wā roa atu rānei i tāu i whakaaro ai. |
| Te kore e taea te whakahaere | Ahakoa ka ngana koe ki te whakaiti, ki te whakamutu rānei i te whakamahinga, e kore e mahi. |
| Hiahia | He kaha te hiahia me te hihiri ki te whakamahi i ngā raau taero tata tonu te rā roa. |
| E pau ana te wā | He nui te wā o te rā e pau ana i te kimi raau taero, te whakamahi i aua raau taero, me te whakaora i a ia anō. |
| Whakakape | Nā tēnei whakamahinga kāore e taea te whakatutuki tika i ngā kawenga i te mahi, i te kura, i te kāinga rānei. |
| Ngā take pāpori me ngā take whaiaro | Ka puta he raruraru ki te whānau me ngā hoa, engari kei te whakamahi tonu koe. |
| Te whakarērea o ngā mahi whakangahau | Koia te take i whakarērea ai e rātou ngā mahi pāpori me ngā hākinakina i pārekareka ai rātou ki mua. |
| Te whakamahinga mōrearea | Ahakoa ngā āhuatanga mōrearea tinana, ka whakamahia tonutia ngā raau taero (hei tauira, i a koe e taraiwa ana). |
| Te wareware i ngā take hauora | Ka whakamahi tonu rātou i ngā raau taero ahakoa e mōhio ana rātou kei te whakararuraru, kei te whakanui rawa rānei i tētahi raruraru tinana, hinengaro rānei. |
| Te ātete nui ake (Manawanui) | Kāore he pānga o te iti o te rongoā i tangohia e au i mua. Nō reira me nui ake taku rongoā inaianei kia rite ai te ahua o mua. |
| Ngā tohu o te tango | Ina mutu, ina whakaitihia rānei te whakamahinga o te tarukino, ka puta ngā tohu kino kua whakahuatia ake nei (te ruaki, te mamae o te tinana, te wiri). Ka ngaro atu ēnei tohu ina tīmata anō te whakamahinga. |
He aha i puta ai tēnei āhuatanga?
Kāore he take kotahi mō tēnei, engari e kī ana ngā rangahau ko te āhua whakawara o ngā raau taero nā ngā panonitanga o te "pūnaha utu" o te roro.
He maha ngā take e whanake ai tēnei mate:
- Te awe pāpori: Te tīmatanga o te awe o ngā hoa, te whiwhi rānei i te mana o te hapori.
- Te Pākiki: Kei te tīmata te kite he aha te momo kare ā-roto ka puta mai.
- Hei whakanui ake i te mahi: Tīmata ki te mahi pai ake i te mahi, i te kura rānei (hei tauira, te ako i muri i te moe).
- Hei whakamamae i te ahotea: Te whakamahi hei whakamamae i te pouri, te manukanuka, te wehi, me te pouri mō te wā poto.
He aha ngā raruraru ka pā mai i tēnei?
Ko te raruraru tino kino, tino whakamate hoki o tēnei mate ko te nui rawa o te rongoā . Koinei te wā ka nui rawa te rongoā ka tangohia e koe i te wā kotahi. He āhuatanga ohorere hauora tēnei. Hei tauira, ki te nui rawa te opioid ka tangohia e koe, ka pā ki te wāhanga o te roro e whakahaere ana i te manawa. Ki te kore e rongoatia wawetia, ka mutu pea te manawa, ā, ka mate pea koe.
Ētahi atu raruraru:
- Matepukupuku
- Te pouri
- Ngā mate urutā (pērā i te hepatitis B, C, me te HIV)
- Ngaronga o te mahara
- Te ngaronga o te mātauranga me te mahi
- Te pakaru o ngā whanaungatanga whānau me ngā whanaungatanga pāpori
- Te whai wāhi ki ngā whanonga haumaru, turekore, me te mōrearea
Me pēhea te tātaritanga me te rongoā a te tākuta i tēnei mate?
Kāore he whakamātautau kotahi hei tautuhi i tēnei. Ka arotakehia e te tākuta tō hītori hauora me ō whanonga whakamahi tarukino. Mena e tika ana, ka taea e rātou te whakahaere whakamātautau hei whakatau i ngā momo me te nui o ngā tarukino i roto i tō tinana.
Kia maumahara, ki te mea e 2-3 ō tohumate o runga ake nei, ka kiia he ngawari . Ki te mea e 4-5 ō tohumate, ka kiia he ngawari . Ki te mea e 6, neke atu rānei ō tohumate, ka kiia he kino .
Ngā tikanga maimoatanga
Ko te taahiraa tuatahi o te maimoatanga ko te tango i te rongoā mai i te tinana (Whakahaere tango, te Whakakorenga rānei i te paitini). Ka tino uaua tēnei, i te hinengaro me te tinana. Nō reira, ko te mea tino haumaru ko te mahi i tēnei i raro i te tirotiro a te tākuta, me te rongoā hei whakaiti i ngā tohu o te 'Tangohanga'.
I muri i tēnā, e rua ngā kōwhiringa maimoatanga matua:
1. Te Tohutohu me te Whakaora:
- Te Whakaora Whanoke Hinengaro (CBT): Ka āwhina i a koe ki te tautuhi i ō tauira whanonga me ō whakaaro kino, me te whakarerekē i aua tauira.
- Whakaora Whānau: Ka āwhina i te whakapai ake i ngā whanaungatanga me ngā tauira whanonga ki ngā mema o te whānau.
- Ngā rōpū āwhina-whaiaro: Mā te whai wāhi atu ki ngā rōpū pēnei i a Narcotics Anonymous ka taea te whakarato i te kaha nui ki te wikitoria i tēnei āhuatanga me te tautoko a ētahi atu.
2. Rongoā:
Mō ētahi momo tarukino, kei reira ngā rongoā hei whakarerekē i te matū o te roro, hei whakaiti hoki i te hiahia ki ngā tarukino me ngā tohumate tango.
- Mō ngā opioid: `(Methadone)`, `(Buprenorphine)`, `(Naltrexone)`
- Mō te waipiro: `(Naltrexone)`, `(Acamprosate)`, `(Disulfiram)`
- Mō te tupeka: Ngā pāti nikotīni, ngā rehu ihu, te kapia ngaungau, ngā rongoā pēnei i te Bupropion, te Varenicline rānei.
Ka taea te ora katoa mai i tēnei mate?
He mate pumau tēnei mō te wā katoa. Engari he tino taea te whakaora. He rite ki te haerenga. He rerekē ngā huarahi mahi a ia tangata, ia tangata.
He wāhanga pea o tēnei haerenga te hokinga mai o te tarukino. Ko te tikanga me mutu te whakamahi i ngā raau taero mō tētahi wā, kātahi ka tīmata anō ki te whakamahi. Ehara i te mea kua rahua koe. Ko te tikanga me arotake anō e koe tō mahere maimoatanga. He mea nui kia whai pūnaha tautoko kaha, tae atu ki te whānau, ngā hoa, me te tīma hauora.
Āhea koe me toro atu ki te tākuta?
Ki te mea kei te whakaaro koe kua noho hei tikanga tō whakamahi i tētahi mea, ā, kāore e taea e koe te whakamutu i a koe anō, me toro atu ki te tākuta. Kaua e wehi, kaua hoki e whakama ki te tono āwhina. Ehara tēnei i te he nāu, he mate hauora tēnei me rongoā.
He uaua te rapu maimoatanga. He uaua te wā e pau ana ki te whakarērea i ngā raau taero. He mea whakararuraru te tohutohu i te hinengaro. Engari ko te whakaoranga te taonga tino utu nui ka taea e koe te whiwhi. I a koe e tīmata ana i tēnei haerenga, tonoa he āwhina mai i tētahi hoa pono, i tētahi mema whānau rānei. Mā tā rātou whakatenatena koe e kaha ai ki te toro atu ki tētahi tākuta.
Karere Tangohia ki te Kāinga
- Ehara te mate whakamahi matū (SUD) i te ngoikore nōu, engari he mate hauora hinengaro e hiahia ana kia rongoatia.
- Ko te rapu āwhina te taahiraa tuatahi, te taahiraa nui rawa atu hoki hei puta atu i tēnei āhuatanga. Kaua e whakama.
- He haerenga te whakaoranga. Tērā pea ka hoki anō koe ki te ara, engari kāore tēnā e kī ana kua hinga koe. Ko te mea nui ko te ngana anō.
- Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, tēnei raruraru, kōrero ki tētahi tākuta whai tohu i tēnei rā tonu. Kāore koe i te mokemoke.
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