He mea morearea te whakamahi tahi i ngā momo tarukino rerekē? (Polysubstance Use Disorder) Me kōrero tātou mō tēnei!

Kua rongo pea koe i ētahi tāngata e whakamahi ana i ngā momo tarukino maha, ahakoa he pire, he tarukino, he waipiro rānei, i te wā kotahi. Ko ētahi tāngata ka tango i tētahi, kātahi ka tango i tētahi atu. Ehara i te mea ngāwari, i te mea iti rānei pērā i tō whakaaro. Koinei te mea e kīia nei ko te whakamahi i ngā momo tarukino maha . I tēnei rā, ka kōrerohia e tātou te pānga o tēnei whanonga ki tō oranga me tō hauora, me pēhea hoki e taea ai e koe te wikitoria.

He aha te Mate Whakamahinga Pūtaiao Maha?

Ki te whakarapopoto, ko te mate whakamahi tarukino maha-pūtaiao te wā e whakamahia ana e koe he momo tarukino neke atu i te kotahi, arā, e rua, neke atu rānei i te wā kotahi, i roto rānei i te wā poto rawa. I mua ko te "Whakamahinga Pūtaiao Maha-pūtaiao". Koinei te wā ka waranga koe ki aua tarukino, ā, ka pāngia ō mahi o ia rā, tō hauora, me tō kounga o te oranga e tō whakamahinga.

Whakaarohia tētahi e tango ana i te rongoā mamae me te waipiro, i te rongoā whakaoho rānei me ngā pire moe. Koinei ngā momo mea ka whai wāhi mai. Kāore i te haumaru te whakaranu i ngā momo rongoā pēnei. Kāore e taea te matapae i ngā pānga ka pā ki tō tinana, ā, i ētahi wā, ka morearea te ora. Engari ko te mea nui ko te mate hinengaro e taea te rongoā i te whakamahi matū maha. Ki te rite koe, he maha ngā huarahi hei tiki āwhina.

He aha ngā mea kei roto i te wāhanga 'polydrugs'?

Ina hoki, ki te whakamahi tahi koe i ngā raau taero e rua, neke atu rānei, ka kiia he whakamahinga raau taero maha. Hei tauira, ki te whakamahi koe i tētahi mea pēnei i te kōkāne i a koe e inu waipiro ana , ka taka tēnei ki tēnei kāwai nā te mea kei te whakamahi koe i ngā mea maha.

E tika ana ngā rongoā kua tohua mō tēnei?

Āe, tino tika. Ahakoa kei te tango koe i tētahi rongoā i whakaritea e te tākuta, ki te whakamahi tahi koe me tētahi atu rongoā, tera pea he whakamahinga maha-drug. Koia te mea nui kia tangohia noa te rongoā i whakaritea e tō tākuta māu, kia rite tonu ki te mea i whakaritea.

Ki te tango koe i tētahi rongoā i ia rā, me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora me ngā tāpiringa. Ka taea e ētahi rongoā te taunekeneke tetahi ki tetahi. Kātahi ka taea e tō tākuta te whiriwhiri i ngā rongoā haumaru mōu. Ka aroturukihia hoki koe e rātou mō ngā pānga taha.

He aha ngā tohu o te mate whakamahi matū maha?

Ka rerekē pea ngā tohu o tēnei mate i ia tangata, i ia tangata. Kei te momo me te nui o te rongoā e whakamahia ana. Ina tango koe i ngā rongoā, ka pāngia pea koe e ēnei e whai ake nei:

• He kare ā-roto o te harikoa nui me te harikoa (euphoria).
• Te āhua nei kei te mama haere tō tinana.
• Te hiamoe.
• I ētahi wā rānei ka nui rawa te hihiri me te manukanuka.

I te memeha haere o ngā pānga o ngā raau taero, arā , ngā tohumate whakamutu , ka puta pea ēnei tohumate:

• Ngā huringa hinengaro pērā i te manukanuka, te ohooho, me te pouri.
• Te mamae o te tinana, te āhua e haehaetia ana ngā uaua.
• Kāore i te moe.
• Te werawera.
• Te korere.
• Whakapairuaki me te ruaki.

Anei ētahi whanonga me ngā tohu e pā ana ki tēnei mate:

• Te whakatairanga i te whakamahinga o ngā tarukino, te wareware i ngā kawenga pāpori me ngā kawenga whaiaro.
• Te whakamahi puku i ngā raau taero mai i ētahi atu.
• Tae noa ki te wā e hiahia ana koe ki ngā rongoā hei mahi i ngā mahi o ia rā.
• Kāore e aro ki ngā mea pēnei i te ma, te āhua, te kai me te inu.
• Te riri, te whakakahore ina kōrero tetahi mō te whakamahinga tarukino.

I ētahi wā, he uaua ki te kite i ēnei tohu nā te mea he tokomaha te hunga e huna ana i ēnei whanonga, ka whakauru atu ki roto i ō rātou oranga o ia rā.

He aha i puta ai tēnei āhuatanga?

Kāore anō kia mōhiotia te tino pūtake o te mate whakamahi raau taero maha, engari e kī ana ngā rangahau ko te āhua waranga o ngā raau taero me ōna pānga ki te roro ngā tino pūtake.

Ki te kī ngāwari, ina whakamahi koe i ngā raau taero, ka whakaohokia te pūnaha utu o tō roro. Ka haere ngā matū pēnei i te dopamine puta noa i tō roro, ka puta he kare "pai" ki a koe, he kare o te harikoa. I roto i te wā, ka tīmata tō roro ki te whakatairanga i ēnei kare "pai" hangai ki ngā kare hauora, ahuareka. Ā tōna wā, ka noho koe hei tangata waranga ki aua kare.

He maha ngā take e whakamatautauria ai te tangata ki te whakamahi i ngā rongoā neke atu i te kotahi. Ko ētahi o ngā take tino noa ko:

• Ina kore e puta te hua e hiahiatia ana i tētahi rongoā, ka ngana te tangata ki te whakatutuki i taua hua mā te whakamahi i tētahi atu rongoā.
• Te ngana ki te ārai i ngā pānga o tētahi rongoā ki tētahi atu (engari kāore e taea e ngā rongoā te mahi i tēnā, te āhua nei e taea ana).
• Āta karohia ngā tohumate tango tarukino ina mutu te whakamahi.
• Whakaroahia te wā whakanui, whakanuia rānei tōna kaha.
• Te whakaiti i te nui o tētahi rongoā e whakamahia ana, me te whakakapi i tētahi atu.
• Te ngana ki te "rongoā i a koe anō" mō ngā āhuatanga hauora tinana, hinengaro rānei.

He momo pēnei kei reira?

Ae, ka taea te wehewehe i tēnei āhuatanga ki ngā momo matua e rua:

1. Te whakamahinga ā-tauira o ngā matū maha: I tēnei wā, e mōhio ana koe ki te whakamahi i tētahi atu rongoā hei whakarei ake i ngā pānga o tētahi rongoā.

2. Te whakamahinga koretake o ngā matū maha:I tēnei āhuatanga, kāore koe i te mōhio kei roto i te rongoā e whakamahia ana e koe tētahi atu rongoā kāore koe i te mōhio. Hei tauira, tera pea kei roto i ētahi rongoā he matū kino pēnei i te `(Fentanyl)` kua konatunatua puku ki roto.

Ko wai te mea tino mōrearea mō tēnei?

Tērā pea he nui ake tō tūponotanga ki tēnei mate nā ēnei take e whai ake nei:

• Mena kei te pāngia koe e te mate whakamahi matū.
• Mena kei te pāngia tētahi o tō whānau, arā, he whanaunga toto, e tētahi mate whakamahi matū pēnei i tēnei.
• Mena he mate hinengaro tōu (hei tauira, te pouri, te manukanuka).
• Mena kei roto koe i tētahi taiao e ngāwari ana te whiwhi i ngā raau taero, mena kei te pāngia tonu koe e aua raau taero.
• Mena kua pāngia koe e ngā wheako kino o tō tamarikitanga.

He aha ngā raruraru pea ka pā mai i tēnei?

He maha ngā raruraru ka puta mai i te whakamahinga o ngā raau taero maha. Ko ngā mea tino kino ko te nui rawa o te horopeta me te mate.

Ko te nui rawa o te rongoā ka nui rawa te kaha o te tinana ki te tango i tētahi rongoā paitini (kotahi, neke atu rānei) kāore e taea te whakahaere. Ka mutu pea te mahi a ngā whekau o tō tinana. Ka taea hoki te whakararu i te ora mēnā kāore e tere te rongoā.

Nō reira, ehara tēnei i te mea hei whakaaro māmā noa iho.

Me pēhea te tautuhi a ngā tākuta i tēnei mate?

Ka tātaritatia tēnei āhuatanga e te tākuta mā te kōrero ki a koe me te pātai atu ki a koe mō ō tohumate, tō hītori whakamahinga tarukino, mēnā kua ngana koe ki te whakamutu, me ō kare ā-roto i te wā i ngana ai koe.

Tērā pea ka whai whakamātautau tinana koe hei tirotiro i tō hauora whānui. Tērā pea ka whai whakamātautau mimi, toto rānei koe hei āwhina i tō maimoatanga kia mōhio ai koe ko ēhea ngā rongoā kei roto i tō pūnaha i tēnei wā.

Kei roto i te Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) a te American Psychological Association e rārangi ana ētahi mate whakamahi matū. Heoi, kāore te putanga hou e whakahua tika ana i te kupu "polysubstance use disorder". Heoi, kei roto aua tohu i raro i ētahi atu mate e pā ana ki ngā matū.

He aha te rongoā mō tēnei?

He maha ngā maimoatanga matua mō te mate whakamahi matū maha:

• Te Whakakore i ngā Paitini: Te tango i ngā matū kino mai i te tinana.
• Tohutohu/Whakaora: Te whakarato āwhina hinengaro me te āwhina whanonga.
• Ngā rongoā: Whakahaeretia ētahi tohumate me te whakaiti i te waranga.

Ka kōrero tō tākuta ki a koe, ka mārama ki ō whāinga maimoatanga, ā, ka āwhina i a koe ki te waihanga i tētahi mahere maimoatanga e tika ana māu. Ka āwhina i a koe ki te whakaiti i tō whakamahinga tarukino, ki te whakamutu rānei i te whakamahinga.

He aha te mea e whakakorengia ai te paitini?

Ko te tango paitini te tukanga horoi i tō tinana i ngā raau taero kino. Ki te pono, koinei tētahi o ngā wāhanga tino uaua o te tukanga maimoatanga. He wheako mamae pea, ā, i ētahi wā ka tino pāngia koe e te kare ā-roto. Tērā pea ka tino pāngia koe e te mate mō ētahi rā tae noa ki te whakakorenga katoa o ngā raau taero i tō tinana. Heoi, kei reira ētahi rongoā hei āwhina i te whakamamae i ēnei tohu.

Ko ētahi e pai ake ana ki te noho ki te hōhipera, ki te pokapū whakaora rānei, ā, ka whai i tēnei tukanga tango paitini i raro i te tirotiro a te rata. Pērā ai, ka whiwhi koe i te tautoko 24-hāora. Heoi, ki te pai ake koe ki te mahi i tēnei mai i te kāinga, kei reira anō ngā kōwhiringa hauora ā-waho.

He aha te kaupapa o te tohutohu/te whakaora?

Ko te kaupapa o te tohutohu he whakatakoto whāinga māu ake, me te mahi tahi me tētahi kaitohutohu hauora hinengaro hei whakatutuki i aua whāinga. Ko ngā whāinga matua o te tohutohu mō te mate whakamahi matū maha ko:

• Hei āwhina i a koe kia mārama he aha koe i whakamahi ai i ngā raau taero.
• Hei mārama ake ki a koe anō, ki ō hihiri, me ō whanonga.
• Hei āwhina i a koe ki te kimi huarahi pai ake hei whakatau i te ahotea, i te pakanga, i ngā mea rānei e whakaoho ana i te whakamahinga o ngā matū.

He maha ngā tikanga tohutohu hei āwhina i te whakahaere i tēnei āhuatanga. Anei ētahi tauira:

• Te Whakaora Hinengaro Whanoke (CBT): I roto i tēnei, ka ako koe i te pānga o ō whakaaro ki ō whanonga. Kātahi ka whakatakoto whāinga, ka mahi ki te whakatutuki i aua whāinga.
• Te Whakahaere Āhuatanga Tūpono: I roto i tēnei, ka whakatakotohia e koe ngā whāinga, ka whakaritea hoki kia whiwhi ai koe i tētahi momo utu ina tutuki i a koe aua whāinga.
• Te Whakaora Whakarei Hihiri: He huarahi tēnei e akiaki ana i a koe ki te whakatakoto i ngā whāinga ka taea te whakatutuki, me te mahi i ngā mahi hei whakatutuki i aua whāinga.
• Te Whakaora Whānau: Kei roto i tēnei ko te hono atu ki te hunga e tata ana ki a koe, hei āwhina i a koe i tō haerenga ki te whakaoranga. I roto i te taiao haumaru, ka taea e kōrua te mārama tetahi ki tetahi, me te mahi tahi ki ngā whāinga noa.

He aha ngā rongoā e hoatu ana mō tēnei?

Tērā pea ka tohua he rongoā e te tākuta, inā koa mēnā kua whakamahia e koe ngā rongoā kei roto ngā opioid (hei tauira, te heroin, te morphine). Ko ngā opioid he matū he pānga kaha ki te tinana, inā koa ka mutu te whakamahi. Ka taea e te rongoā te āwhina ki te whakaiti i ētahi o ngā hiahia nui me ngā tohu mutu o te waranga.

Anei ētahi o ngā rongoā kua whakaaetia e te US Food and Drug Administration (FDA) mō ngā opioids:

• `Buprenorphine`
• `Methadone`
• `Naltrexone`

Ka pā mai hoki ngā pānga taha ki ēnei rongoā. Mā tō tākuta ēnei e whakamārama ki a koe i mua i tō tīmatanga ki te tango i te rongoā. Hei karo i ngā pānga taha, he mea nui kia whai tika koe i ngā tohutohu a tō tākuta, kia mahi hoki i runga i te mahere maimoatanga. Pātai atu ki tō tākuta mēnā he pātai āu.

Kei reira anō ngā rongoā hei whakaiti i te hiahia me ngā tohumate tango i puta mai i te waipiro (hei tauira, `Naltrexone`, `Disulfiram`, `Acamprosate`). Kei reira anō hoki ngā rongoā mō te nikotīni (hikareti) pērā i ngā whakakapinga nikotīni, `Bupropion`, `Varenicline`.

Kia pēhea te tere o taku ora ake i muri i te maimoatanga?

Kāore he wā kua whakaritea mō te katoa, ā, kāore e taea e tetahi te kī pono kia pēhea te roa o tō oranga. He mate mau tonu tēnei. Ko te tikanga, me whakahaere pea e koe tēnei mate whakamahi matū maha mō te toenga o tō oranga.

He aha te tirohanga mō tēnei āhuatanga?

Tērā pea he rerekē tō tirohanga mai i te tangata ki te tangata, ā, ko tō tākuta anake ka taea te hoatu he whakamārama tika mō ngā mea ka tumanakohia e koe i runga i tō āhua.

Engari kia maumahara, he mate ka taea te rongoā i te mate whakamahi matū maha, ā, ka taea te whakaora. Engari he roa, he kaha hoki te maimoatanga. Me whakamātau pea koe i ngā maimoatanga rerekē kia kitea ai te mea e pai ana mōu.

Tērā pea ka hoki anō koe ki te mahi kino. Ko te tikanga ka mutu te whakamahi i ngā raau taero mō tētahi wā, kātahi ka tīmata anō. Ki te tupu tēnei, me tango anō e koe he rongoā whakangote, ka tīmata anō i te huringa maimoatanga. Ka taea tēnei te tupu i ngā wā maha i roto i tō whakaoranga.

Engari kia maumahara, kāore koe i te mokemoke i tēnei haerenga. Kei a koe tonu tō tīma hauora, ō whanaunga. Ka tautoko rātou i a koe ina hiahia āwhina koe.

Ka taea te ārai i tēnei āhuatanga?

He maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te whakawhanake i te mate whakamahi raau taero maha. Engari he mea nui kia mārama koe kāore e taea te ārai katoa i tēnei āhuatanga. He maha ngā āhuatanga taiao, koiora, me te pāpori e pā ana ki te pānga o ngā raau taero ki tō tinana.

Ko te huarahi pai ki te whakaiti i tō tupono ki tēnei mate ko te mātauranga. Mā te ako mō te pānga o ia rongoā ki te tinana tangata ka āwhina i a koe ki te mārama he aha i kore ai e haumaru.

Mena he mate whakamahi matū maha tāu, whakaarohia te pupuri i ēnei taonga hei tiaki i a koe:

• Mena ka nui rawa te horopeta o te rongoā, ka taea e te rongoā pēnei i te "Naloxone" te whakakore i tēnei.
• Ka taea e koe te whakamahi i ngā rīpene whakamātautau Fentanyl hei tirotiro mō ngā matū kino pēnei i te Fentanyl i roto i ngā momo rongoā.
• He nama waea nō tētahi e whakawhirinakihia ana e koe, ā, ka taea e koe te waea atu i roto i tētahi āhuatanga ohorere.

Āhea koe me toro atu ki te tākuta?

Mena kei te whakamahi koe i ngā raau taero, ā, kei te whakararuraru i tō hauora me tō mahi o ia rā, kōrero ki te tākuta. Hei tauira, mena kei te whakararuraru tō hiahia kia "kaha" i ngā wā katoa i tō mahi o ia rā, kei te uaua koe ki te haere ki te kura, ki te mahi rānei, kei te uaua koe ki te pupuri i ō māka me ō mahi, kei te uaua rānei koe ki te pupuri i ngā whanaungatanga ki ngā hoa, he mea nui kia rapu tohutohu hauora i taua wā. Ka taea e te tākuta te āwhina i a koe ki te tiki i te maimoatanga e hiahiatia ana e koe.

He aha tāu e mahi ai i roto i tētahi āhuatanga ohorere?

Mena ka pāngia koe, tō whanaunga rānei e tētahi o ēnei tohu e whai ake nei o te nui rawa o te tarukino, waea atu ki ngā ratonga ohorere (pēnei i te 911) tonu:

• Te ngaronga o te māramatanga (kāore e taea te oho ake).
• He tangi e rite ana ki te ngongoro, ki te whanoke rānei.
• Ka pōturi, ka mutu rānei te manawa.
• He iti ngā kamo o ngā kanohi, ā, he rite te āhua ki te pito o te ngira.
• Ngā ngutu, ngā maikuku rānei kua ahua pōuriuri (kikorangi).

He uaua pea te whakaaro ki tētahi atu mea i tua atu i ngā rongoā e whakamahia ana e koe i taua wā, engari kia mōhio koe ina rite koe ki te tiki āwhina, kei reira tonu te āwhina.

Ko te tono āwhina tētahi o ngā mea tino uaua ka taea e koe te mahi. Ka taea e koe te ngana ki te tono āwhina i tētahi hoa, i tētahi mema rānei o te whānau. Ko tā rātou whakatenatena pea te mea e hiahia ana koe ki te toro atu ki tētahi tākuta.

He mea ka taea te whakaora. He mea nui kia whai rōpū tautoko. Ka noho tahi tō tīma hauora me koe i ia taahiraa o te ara.

Karere Whakamutunga mō te Tango ki te Kāinga

Āe, mai i ngā mea kua kōrerotia e tātou, koinei ngā mea tino nui hei maumahara māu:

• He tino morearea te whakamahinga o ngā matū maha. Ka pā kino pea ki tō tinana, hinengaro, me te oranga.
• He mate hinengaro tēnei ka taea te rongoā, nō reira kaua e mutu te tumanako.
• Ki te mea kei te raru koe, kei te raru rānei tētahi atu e mōhio ana koe i tēnei, kaua e wehi ki te tono āwhina. Kei te rite ngā tākuta, ngā kaiwhakatakoto whakaaro, tō whānau, me ō hoa ki te āwhina i a koe.
• He uaua pea te tukanga maimoatanga, engari he pai te hua. Ka nui te āwhina i a koe ki te whakahoki i tō oranga ki te huarahi tika.
• He haerenga te whakaoranga, ehara i te mea ka puta i te pō kotahi. Tērā pea ka pā mai ngā arai i te ara, engari ka kitea tonutia e koe te kaha ki te ara ake anō.

Ki te hiahia koe ki te ako atu mō tēnei mea, ki te hiahia āwhina rānei koe, tēnā whakapā atu ki tētahi tākuta pono, ki tētahi kaitohutohu hauora hinengaro rānei. Kia maumahara tonu kāore koe i te mokemoke.

mate whakamahi matū maha, whakamahinga tarukino maha, waranga tarukino, whakaranu tarukino, pānga taha tarukino, maimoatanga tarukino, hauora hinengaro, mate whakamahi tarukino