{"id":7923,"date":"2019-08-15T14:13:55","date_gmt":"2019-08-15T18:13:55","guid":{"rendered":"http:\/\/localhost:10028\/uncategorized\/the-prescription-opioid-and-heroin-crisis\/"},"modified":"2019-08-15T14:13:55","modified_gmt":"2019-08-15T18:13:55","slug":"receteli-opioid-ve-eroin-krizi","status":"publish","type":"post","link":"https:\/\/napolilaw.lemonadestand.org\/tr\/article\/receteli-opioid-ve-eroin-krizi\/","title":{"rendered":"Re\u00e7eteli Opioid ve Eroin Krizi"},"content":{"rendered":"<p>A\u011fr\u0131, hepimizin bir \u015fekilde hayat\u0131m\u0131z boyunca deneyimledi\u011fi veya \u015fekillendirdi\u011fi bir \u015feydir ve her zaman bir an \u00f6nce gitmesini isteriz.<\/p>\n<p>Bir yaralanmadan, ameliyat sonras\u0131 iyile\u015fme s\u00fcrecinden veya bir hastal\u0131ktan kaynaklanan \u015fiddetli a\u011fr\u0131yla ya\u015fad\u0131\u011f\u0131n\u0131zda, rahatlama i\u00e7in \u00e7aresiz kald\u0131\u011f\u0131n\u0131z bir a\u015famaya ula\u015fabilirsiniz.<\/p>\n<p>Pek \u00e7ok doktor hastalar\u0131na a\u011fr\u0131 kesici haplar, bazen oksikodon ve morfin gibi olduk\u00e7a etkili olanlar\u0131 \u00f6nerir ve ilaca g\u00fcvenmemek i\u00e7in en iyi giri\u015fimlerine ra\u011fmen bir\u00e7ok insan bu haplar\u0131 kullan\u0131r ve bu, re\u00e7eteli opioid k\u00f6t\u00fcye kullan\u0131m\u0131na giden kap\u0131y\u0131 a\u00e7abilir ve a\u015f\u0131r\u0131 durumlarda eroin kullan\u0131m\u0131na yol a\u00e7abilir.<strong>\u00a0<\/strong><\/p>\n<h2><strong>Re\u00e7eteli A\u011fr\u0131 Haplar\u0131n\u0131n Tehlikeleri<\/strong><\/h2>\n<p>\u201c\u0130nsanlar genellikle re\u00e7eteli a\u011fr\u0131 kesicilerin, t\u0131bbi olarak re\u00e7ete edildikleri i\u00e7in yasa d\u0131\u015f\u0131 ila\u00e7lardan daha g\u00fcvenli oldu\u011funu varsayarlar; ancak, bu ila\u00e7lar bir doktorun \u00f6ng\u00f6rmedi\u011fi nedenlerle veya \u015fekillerde veya miktarlarda al\u0131nd\u0131\u011f\u0131nda veya re\u00e7ete edildikleri ki\u015fiden ba\u015fka biri taraf\u0131ndan al\u0131nd\u0131\u011f\u0131nda, ba\u011f\u0131ml\u0131l\u0131k, a\u015f\u0131r\u0131 doz ve \u00f6l\u00fcm gibi ciddi olumsuz sa\u011fl\u0131k etkilerine neden olabilir. \u00f6zellikle di\u011fer uyu\u015fturucular veya alkolle birle\u015ftirildi\u011finde\u201d (<a href=\"https:\/\/www.drugabuse.gov\/publications\/research-reports\/heroin\/how-heroin-linked-to-prescription-drug-abuse\" target=\"_blank\" rel=\"noopener\">DrugAbuse.gov<\/a>).<\/p>\n<p>\u00c7o\u011fu hastaya g\u00fc\u00e7l\u00fc a\u011fr\u0131 kesiciler al\u0131rken di\u011fer ila\u00e7lar\u0131 kullanman\u0131n veya alkol t\u00fcketmenin riskleri anlat\u0131l\u0131rken, baz\u0131 hastalar bu uyar\u0131lar\u0131 g\u00f6rmezden gelir ve yine de yapar.<\/p>\n<p>Di\u011ferleri a\u011fr\u0131lar\u0131ndan daha h\u0131zl\u0131 veya daha iyi bir \u015fekilde kurtulmak isterler ve a\u011fr\u0131lar\u0131ndan dolay\u0131 eksik olduklar\u0131 rahatlamay\u0131 ve &#039;iyi duyguyu&#039; elde etmek i\u00e7in re\u00e7ete edilenden fazlas\u0131n\u0131 kullan\u0131rlar veya ila\u00e7lar\u0131 birlikte kullan\u0131rlar.<\/p>\n<p>Bunlar\u0131n hepsi \u00e7ok tehlikeli davran\u0131\u015flard\u0131r ve a\u011fr\u0131 kesicilerden eroin gibi yasa d\u0131\u015f\u0131 uyu\u015fturuculara h\u0131zla ge\u00e7ebilen opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131na kap\u0131 aralayacakt\u0131r.<\/p>\n<p>Modern t\u0131p insanl\u0131k i\u00e7in harikalar yaratm\u0131\u015ft\u0131 ve ya\u015famlar\u0131m\u0131z\u0131 bir\u00e7ok y\u00f6nden geni\u015fletti ve iyile\u015ftirdi - ancak yaln\u0131zca ila\u00e7lar ama\u00e7land\u0131\u011f\u0131 gibi kullan\u0131ld\u0131\u011f\u0131nda ve bu ila\u00e7lar\u0131 kullanan ki\u015fi ba\u011f\u0131ml\u0131l\u0131k sorunlar\u0131na e\u011filimli olmad\u0131\u011f\u0131nda.<\/p>\n<p>Doktorlar ve t\u0131p uzmanlar\u0131 bu haplar\u0131n olumsuz yanlar\u0131n\u0131 tart\u0131\u015fmaya isteksiz olduklar\u0131 veya hastalar\u0131n\u0131 cayd\u0131rmak istemedikleri i\u00e7in, a\u011fr\u0131 kesici ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 konusu genellikle hasta kons\u00fcltasyonlar\u0131 s\u0131ras\u0131nda s\u00f6z edilmez veya ge\u00e7i\u015ftirilir.<\/p>\n<p>Pek \u00e7ok insan, uyu\u015fturucu ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131n ve k\u00f6t\u00fcye kullan\u0131m\u0131n\u0131n zamanla meydana geldi\u011fi ve yaln\u0131zca halihaz\u0131rda alkol veya uyu\u015fturucu kullanan ki\u015filerin ba\u011f\u0131ml\u0131l\u0131kla ilgili bir sorun ya\u015fayaca\u011f\u0131 yan\u0131lg\u0131s\u0131na kap\u0131l\u0131r - bu tehlikeli bir yan\u0131lg\u0131d\u0131r.<\/p>\n<p>Ba\u011f\u0131ml\u0131l\u0131k h\u0131zl\u0131 bir \u015fekilde - birka\u00e7 hafta i\u00e7inde - olabilir ve belirli ilaca ba\u011fl\u0131d\u0131r.<\/p>\n<p>G\u00fc\u00e7l\u00fc opioid a\u011fr\u0131 haplar\u0131 re\u00e7ete edilen ki\u015filer, ilaca ba\u015flad\u0131ktan sonraki bir hafta i\u00e7inde a\u015f\u0131r\u0131 kullan\u0131m d\u00fczeyine ula\u015fabilir ve ne kadar ald\u0131klar\u0131n\u0131 derinle\u015ftirerek bir hafta ila on g\u00fcn i\u00e7inde ba\u011f\u0131ml\u0131 hale gelebilir.<\/p>\n<h2><strong>\u00a0<\/strong><strong>Aranacak Belirtiler<\/strong><\/h2>\n<p>G\u00f6re\u00a0<a href=\"http:\/\/www.mayoclinic.org\/diseases-conditions\/prescription-drug-abuse\/basics\/symptoms\/CON-20032471\" target=\"_blank\" rel=\"noopener\">Mayo Klini\u011fi<\/a>, re\u00e7eteli opioid a\u011fr\u0131 kesici ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131n fiziksel belirtileri ve uyar\u0131 i\u015faretleri \u015fu fiziksel belirtileri i\u00e7erir:<\/p>\n<ul>\n<li>Mide sorunlar\u0131 - ola\u011fand\u0131\u015f\u0131 kab\u0131zl\u0131k, \u015fi\u015fkinlik, gaz ve mide bulant\u0131s\u0131 alevlenmeleri<\/li>\n<li>Uyu\u015fukluk - enerji eksikli\u011fi, \u00e7ok uyumak, dinlenmi\u015f hissetmemek, ola\u011fand\u0131\u015f\u0131 uyku d\u00fczenleri<\/li>\n<li>Yava\u015f nefes alma - \u00f6zellikle uyurken nefes alma sorunlar\u0131 s\u0131k g\u00f6r\u00fcl\u00fcr<\/li>\n<li>Zihinsel sorunlar - kafa kar\u0131\u015f\u0131kl\u0131\u011f\u0131, odaklanma eksikli\u011fi, haf\u0131za kayb\u0131, yava\u015f tepkiler, zay\u0131f d\u00fc\u015f\u00fcnme<\/li>\n<li>Zay\u0131f Koordinasyon - el yordam\u0131yla hareket etme, sendeleme, d\u00fc\u015fme, dengesizlik ve bir \u015feyleri d\u00fc\u015f\u00fcrme<\/li>\n<li>Artan a\u011fr\u0131 istismarc\u0131lar\u0131, istedikleri rahatlamay\u0131 elde etmek i\u00e7in arabuluculuklar\u0131n\u0131n daha y\u00fcksek dozlar\u0131na ihtiya\u00e7 duyarlar.<\/li>\n<\/ul>\n<p>Ayr\u0131ca, fark edilmesi ve tam yerini belirlemesi daha zor olmakla birlikte, afyon kullan\u0131m\u0131n\u0131n veya ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131n meydana gelebilece\u011fine dair g\u00fc\u00e7l\u00fc g\u00f6stergeler olabilece\u011fine dair zihinsel ve davran\u0131\u015fsal i\u015faretler de vard\u0131r:<\/p>\n<ul>\n<li>H\u0131rs\u0131zl\u0131k ve Yalan - uyu\u015fturucu i\u00e7in para \u00e7almak, ba\u015fkalar\u0131n\u0131n ila\u00e7lar\u0131n\u0131 \u00e7almak ve para ya da ila\u00e7 almak i\u00e7in yalan s\u00f6ylemek<\/li>\n<li>Al\u0131\u015fkanl\u0131k De\u011fi\u015fikli\u011fi - daha \u00f6nce yapmad\u0131klar\u0131 \u015feyleri birdenbire yapmalar\u0131 veya bir zamanlar keyif ald\u0131klar\u0131 \u015feyleri art\u0131k yapmamalar\u0131<\/li>\n<li>K\u00f6t\u00fc Ki\u015fisel Se\u00e7imler - mali durumlar\u0131, i\u015f ve okul faaliyetleri hakk\u0131nda k\u00f6t\u00fc se\u00e7imler yapma ve ili\u015fki sorunlar\u0131 ya\u015fama<\/li>\n<li>Y\u00fcksek Etki - daha enerjik ya da canlanm\u0131\u015f ya da a\u015f\u0131r\u0131 yat\u0131\u015ft\u0131r\u0131c\u0131 ve kay\u0131ts\u0131z g\u00f6r\u00fcn\u00fcmle &#039;y\u00fcksek&#039; gibi g\u00f6r\u00fcnmek<\/li>\n<li>De\u011fi\u015fen Doktorlar Genellikle - doktor atlamas\u0131 olarak bilinir, daha fazla re\u00e7ete almak i\u00e7in birden fazla doktora giden ki\u015fi<\/li>\n<\/ul>\n<p>Pek \u00e7ok doktor hastalar\u0131na a\u011fr\u0131 kesici ila\u00e7lar verir ve bu iyi niyetle yap\u0131lsa da, opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 ve eroin kullan\u0131m\u0131n\u0131n h\u0131zla a\u015fa\u011f\u0131 do\u011fru gitmesine yol a\u00e7abilir.<strong>\u00a0<\/strong><\/p>\n<h2><strong>A\u011fr\u0131 Kesicilerle Opioid Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131ndan Nas\u0131l Kurtulunur?<\/strong><\/h2>\n<p>Her g\u00fcn binlerce insan a\u011fr\u0131 kesici almaya ba\u015fl\u0131yor ve binlercesi de bir dereceye kadar bunlara ba\u011f\u0131ml\u0131 hale geliyor.<\/p>\n<p>&quot;Kentucky haber kayna\u011f\u0131 Courier-Journal, yak\u0131n zamanda, Dr. Karsten Kueppenbender ile konu\u015ftu.\u00a0<a href=\"http:\/\/blogs.courier-journal.com\/healthbytes\/2013\/11\/12\/taking-painkillers-avoid-addiction-or-dependence\/\" target=\"_blank\" rel=\"noopener\">ba\u011f\u0131ml\u0131l\u0131k psikiyatristi\u00a0<\/a>Harvard&#039;a ba\u011fl\u0131 McLean Hastanesi&#039;nde.<\/p>\n<p>Baz\u0131 a\u011fr\u0131 kesiciler son derece ba\u011f\u0131ml\u0131l\u0131k yapabilse de, baz\u0131 durumlarda bu haplara hala me\u015fru bir ihtiya\u00e7 oldu\u011funu fark etti.<\/p>\n<p>Harvard&#039;dan ara\u015ft\u0131rmac\u0131lar ayr\u0131ca, re\u00e7eteli a\u011fr\u0131 kesici kullanan [\u00e7o\u011fu] insan\u0131n bunlarla bir sorun ya\u015famad\u0131\u011f\u0131na da dikkat \u00e7ekti.<\/p>\n<p>Bu rahatlat\u0131c\u0131 ama ka\u00e7 ki\u015finin her g\u00fcn g\u00fc\u00e7l\u00fc a\u011fr\u0131 kesiciler kulland\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcn\u00fczde bunun k\u00fc\u00e7\u00fck bir y\u00fczdesi bile olduk\u00e7a b\u00fcy\u00fck bir rakam.<\/p>\n<p>Ve a\u011fr\u0131 kesici ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131n genellikle opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131n nas\u0131l ba\u015flad\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcn\u00fczde, bu daha da korkun\u00e7 bir ger\u00e7ektir.<\/p>\n<p>Ba\u011f\u0131ml\u0131 olma riskinizi en aza indirmek i\u00e7in a\u011fr\u0131 kesici haplar\u0131 g\u00fcvenle alman\u0131n baz\u0131 yollar\u0131 \u015funlard\u0131r:<\/p>\n<ol>\n<li>Kesin Talimatlar\u0131 Takip Edin<br \/>\nRe\u00e7eteli a\u011fr\u0131 kesicilere ba\u011f\u0131ml\u0131 hale gelmemek i\u00e7in yapabilece\u011finiz en iyi \u015fey, kullan\u0131m dozaj\u0131na ve kullan\u0131m s\u00fcresine tam olarak doktorunuzun s\u00f6yledi\u011fi \u015fekilde uymakt\u0131r. \u0130nsanlar, g\u00fc\u00e7l\u00fc opioid a\u011fr\u0131 kesicileri yaln\u0131zca \u00f6ng\u00f6r\u00fclen s\u00fcre boyunca ve doktorlar\u0131n\u0131n emretti\u011fi dozaj seviyesinde almal\u0131d\u0131r - daha fazlas\u0131n\u0131 yapmak, yolun a\u015fa\u011f\u0131s\u0131nda ekleme ile ilgili sorunlar istiyor! Asla doktorunuza sormadan daha fazla almay\u0131n veya kullan\u0131m\u0131 uzatmay\u0131n.<\/li>\n<li>A\u011fr\u0131 Haplar\u0131ndan Ka\u00e7\u0131nmay\u0131n<br \/>\n\u0130nsanlar g\u00fc\u00e7l\u00fc a\u011fr\u0131 kesici haplara ba\u011f\u0131ml\u0131 hale gelmekten endi\u015fe duyduklar\u0131nda, bir\u00e7ok insan, a\u011fr\u0131 biraz rahatlamadan art\u0131k i\u015flev g\u00f6remeyecekleri bir seviyeye gelene kadar haplardan ka\u00e7\u0131nman\u0131n en iyisi oldu\u011funu d\u00fc\u015f\u00fcn\u00fcr. Ancak bu, normal dozun yeterince h\u0131zl\u0131 rahatlama sa\u011flamad\u0131\u011f\u0131 ve a\u011fr\u0131y\u0131 sonland\u0131rmak i\u00e7in daha fazla almaya ba\u015flad\u0131klar\u0131 bir duruma yol a\u00e7abilir. Bu haplar\u0131 \u00f6nerildi\u011fi \u015fekilde almak daha iyi bir fikirdir.<\/li>\n<li>Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n Uyar\u0131 \u0130\u015faretlerini Bilin<br \/>\nOpioid bazl\u0131 a\u011fr\u0131 haplar\u0131 s\u00f6z konusu oldu\u011funda ba\u011f\u0131ml\u0131l\u0131\u011fa kar\u015f\u0131 korunman\u0131za yard\u0131mc\u0131 olmak i\u00e7in yapabilece\u011finiz bir \u015fey, uyar\u0131 i\u015faretleri konusunda e\u011fitim almakt\u0131r. Ne arayaca\u011f\u0131n\u0131z\u0131 bildi\u011finizde, kendinizi ve sevdiklerinizi takip etme ve geli\u015fmekte olan bir sorun olabilece\u011fine dair i\u015faretler arama olas\u0131l\u0131\u011f\u0131n\u0131z daha y\u00fcksektir. Dikkat etmeniz gereken belirtiler ve opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131ndan ka\u00e7\u0131nmak i\u00e7in \u00f6nerileri hakk\u0131nda sa\u011fl\u0131k uzman\u0131n\u0131zla konu\u015fun.<\/li>\n<li>H\u00e2l\u00e2 Haplara \u0130htiyac\u0131n\u0131z Var m\u0131?<br \/>\nNeredeyse t\u00fcm vakalarda, a\u011fr\u0131 kesici ba\u011f\u0131ml\u0131s\u0131 olan ki\u015filer, a\u011fr\u0131lar\u0131 olmad\u0131\u011f\u0131 ve art\u0131k kullanmak i\u00e7in ger\u00e7ek bir nedenleri olmad\u0131\u011f\u0131 halde a\u011fr\u0131 kesici kullan\u0131rlar. Bu olduk\u00e7a a\u00e7\u0131k g\u00f6r\u00fcnebilir, ancak baz\u0131 insanlar i\u00e7in a\u011fr\u0131 olup olmad\u0131\u011f\u0131n\u0131 ger\u00e7ekten bilmek zor olabilir, \u00e7\u00fcnk\u00fc v\u00fccutlar\u0131 opioidleri \u00e7ok ister ve yoksunluk belirtileri kendini g\u00f6stermeye ba\u015flad\u0131\u011f\u0131nda onlara ac\u0131 hissi verir. A\u011fr\u0131 kesici ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 bazen te\u015fhis etmek \u00e7ok zor.<\/li>\n<li>Alternatif Se\u00e7enekler Aray\u0131n<br \/>\n\u015eu anda veya ge\u00e7mi\u015fte uyu\u015fturucu ve alkol sorunlar\u0131 nedeniyle ba\u011f\u0131ml\u0131l\u0131k riski ta\u015f\u0131yan ki\u015filer i\u00e7in, bu g\u00fc\u00e7l\u00fc opioid a\u011fr\u0131 haplar\u0131ndan hep birlikte ka\u00e7\u0131nmak daha iyi olabilir. Bu ki\u015filer, endi\u015feleri ve ba\u011f\u0131ml\u0131l\u0131k potansiyeli hakk\u0131nda doktorlar\u0131yla konu\u015fmal\u0131 ve a\u011fr\u0131lar\u0131yla ba\u015f etmek i\u00e7in daha az riskli bir ila\u00e7 veya daha do\u011fal bir y\u00f6ntem i\u00e7in ba\u015fka hangi se\u00e7eneklerin oldu\u011funu g\u00f6rmelidir.<\/li>\n<\/ol>\n<p>Her g\u00fcn binlerce insan a\u011fr\u0131 kesici almaya ba\u015fl\u0131yor ve binlercesi de bir dereceye kadar bunlara ba\u011f\u0131ml\u0131 hale geliyor.<\/p>\n<p>Bunun nedeni, g\u00fc\u00e7l\u00fc opioid bazl\u0131 a\u011fr\u0131 kesici haplar\u0131n olduk\u00e7a ba\u011f\u0131ml\u0131l\u0131k yaratan do\u011fas\u0131 ve bir ki\u015finin bu ila\u00e7lar\u0131n v\u00fccutta neden oldu\u011fu reaksiyona ba\u011f\u0131ml\u0131 hale gelme olas\u0131l\u0131\u011f\u0131d\u0131r.<\/p>\n<p>\u0130la\u00e7 ne kadar g\u00fc\u00e7l\u00fcyse, ba\u011f\u0131ml\u0131l\u0131k olas\u0131l\u0131\u011f\u0131 da o kadar g\u00fc\u00e7l\u00fcd\u00fcr ve olumsuz yan etki olas\u0131l\u0131\u011f\u0131 da o kadar g\u00fc\u00e7l\u00fcd\u00fcr.<\/p>\n<p>\u201cBa\u011f\u0131ml\u0131l\u0131k riskine ra\u011fmen, bir\u00e7ok ameliyat hastas\u0131, bir ayl\u0131k veya daha fazla opioid hap\u0131 i\u00e7in re\u00e7ete al\u0131yor.<\/p>\n<p>Ge\u00e7en y\u0131l yay\u0131nlanan bir ara\u015ft\u0131rmaya g\u00f6re, yakla\u015f\u0131k y\u00fczde 6&#039;s\u0131 ameliyatlar\u0131ndan \u00fc\u00e7 ay veya daha uzun s\u00fcre sonra hala bunlar\u0131 kullan\u0131yor. <em>JAMA Cerrahisi<\/em>.<\/p>\n<p>Opioid krizi \u00e7ok b\u00fcy\u00fck ve zengin ve fakir, erkek ve kad\u0131n, kentsel alanlarda ve k\u0131rsal alanlarda ya\u015fayan herkesi etkiliyor. Durdurulmal\u0131 ve ameliyat sonras\u0131 iyile\u015fme s\u0131ras\u0131nda opioid kullan\u0131m\u0131n\u0131 azaltmak \u00e7\u00f6z\u00fcm\u00fcn b\u00fcy\u00fck bir par\u00e7as\u0131\u201d (<a href=\"https:\/\/www.medicinenet.com\/script\/main\/art.asp?articlekey=209834\" target=\"_blank\" rel=\"noopener\">T\u0131p A\u011f\u0131<\/a>).<\/p>\n<h2><strong>Opioid Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 \u0130\u00e7in Tedavi Se\u00e7enekleri<\/strong><strong>\u00a0<\/strong><\/h2>\n<p>Opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131, ila\u00e7lara basit bir fiziksel ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n \u00f6tesine ge\u00e7er ve opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 i\u00e7in \u00f6zel tedavi gerektirir.<\/p>\n<p>Birisi detoks s\u00fcrecinden ge\u00e7tikten ve yoksunluk semptomlar\u0131ndan muzdarip olduktan sonra bile, fiziksel ba\u011f\u0131ml\u0131l\u0131k \u00e7oktan k\u00f6k salm\u0131\u015f olabilir.<\/p>\n<p>Durum b\u00f6yle oldu\u011funda, ki\u015finin n\u00fcksetmesi ve tekrar opioid kullanmaya ba\u015flamas\u0131 \u00e7ok daha kolayd\u0131r.<\/p>\n<p>Bu durum, devam eden, neredeyse kar\u015f\u0131 konulamaz d\u00fcrt\u00fclerin neredeyse sabit olmas\u0131n\u0131 ve iyile\u015fen ba\u011f\u0131ml\u0131n\u0131n her g\u00fcn yeniden opioid kullanmaya ba\u015flama d\u00fcrt\u00fcs\u00fcyle m\u00fccadele etmesini sa\u011flar.<\/p>\n<p>\u00c7e\u015fitli dan\u0131\u015fmanl\u0131k terapileri mevcuttur ve hi\u00e7bir y\u00f6ntemin en iyi veya garantili bir ba\u015far\u0131 olmad\u0131\u011f\u0131n\u0131 hat\u0131rlamak \u00f6nemlidir \u00e7\u00fcnk\u00fc iyile\u015fmenin \u00e7o\u011fu ki\u015fisel ve \u00e7evresel fakt\u00f6rlere ba\u011fl\u0131d\u0131r.<\/p>\n<p>Bunu ak\u0131lda tutarak, opioid ba\u011f\u0131ml\u0131l\u0131klar\u0131 i\u00e7in mevcut olan baz\u0131 tedavilere bakal\u0131m:<\/p>\n<h3>Ba\u011f\u0131ml\u0131l\u0131k \u0130\u00e7in Bireysel ve Grup Terapisi<\/h3>\n<p>Herhangi bir dan\u0131\u015fmanl\u0131k hi\u00e7 almamaktan daha iyi olsa da, bireysel terapi se\u00e7enekleri yerine genellikle grup terapisi \u00f6nerilir.<\/p>\n<p>Grup terapisinde, birden fazla ki\u015fi taraf\u0131ndan meydan okunur ve desteklenirsiniz, b\u00f6ylece ortaya \u00e7\u0131kt\u0131klar\u0131nda ayartmalara direnmeye daha haz\u0131rl\u0131kl\u0131 olabilirsiniz.<\/p>\n<p>Bununla birlikte, bireysel terapi, di\u011ferlerine kar\u015f\u0131 a\u00e7\u0131lma ve d\u00fcr\u00fcst olma konusunda sorun ya\u015fayanlar i\u00e7in yard\u0131mc\u0131 olabilir.<\/p>\n<p>Bire bir tedavi almak, ba\u011f\u0131ml\u0131l\u0131\u011fa e\u015flik eden OKB, depresyon, kayg\u0131 vb. ba\u015fka durumlar oldu\u011funda da yard\u0131mc\u0131 olabilir.<\/p>\n<p>Opioid Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 i\u00e7in Ayakta Tedavi ve Evde Tedavi<\/p>\n<p>Yat\u0131l\u0131 terapi, opioid ba\u011f\u0131ml\u0131s\u0131 ki\u015fiye, ba\u011f\u0131ml\u0131l\u0131k davran\u0131\u015f\u0131na ba\u015flamas\u0131na neden olan durumlardan ve uyaranlardan ge\u00e7ici olarak ka\u00e7mas\u0131n\u0131 sa\u011flar.<\/p>\n<p>Yat\u0131l\u0131 tedavi se\u00e7ene\u011fi arayan bir ki\u015fi, tedavi tesisindeyken evini ve i\u015fini terk eder ve \u00e7o\u011fu zaman t\u00fcm d\u0131\u015f ileti\u015fimi keser.<\/p>\n<p>Tedavi s\u00fcresi birka\u00e7 hafta veya birka\u00e7 ay s\u00fcrebilir.<\/p>\n<p>Ayakta tedavi programlar\u0131, devam eden re\u00e7eteli ila\u00e7 k\u00f6t\u00fcye kullan\u0131m\u0131 tedavisi i\u00e7in en fazla se\u00e7ene\u011fi ve en y\u00fcksek derecede esnekli\u011fi sunar.<\/p>\n<p>Bir ki\u015fi haftal\u0131k hatta g\u00fcnl\u00fck olarak gelebilir ve hayatlar\u0131na ellerinden geldi\u011fince devam ederken rutin m\u00fccadelelerle ba\u015fa \u00e7\u0131kmalar\u0131na yard\u0131mc\u0131 olmak i\u00e7in k\u0131sa s\u00fcreli tedavi seanslar\u0131 alabilir.<\/p>\n<h3>Bili\u015fsel Davran\u0131\u015f\u00e7\u0131 Terapi Tedavi Se\u00e7enekleri<\/h3>\n<p>Bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi, bir ki\u015fiye ba\u011f\u0131ml\u0131l\u0131k e\u011filimlerini tetikleyebilecek ve istekleri daha da g\u00fc\u00e7lendirebilecek ruh hallerini, d\u00fc\u015f\u00fcnceleri ve durumlar\u0131 tan\u0131mas\u0131 i\u00e7in ihtiya\u00e7 duydu\u011fu ara\u00e7lar\u0131 sa\u011flar.<\/p>\n<p>Bir terapist, ki\u015finin g\u00fcnl\u00fck ya\u015famlar\u0131n\u0131, rutinlerini ve al\u0131\u015fkanl\u0131klar\u0131n\u0131 ayarlamas\u0131na yard\u0131mc\u0131 olur, b\u00f6ylece ilk etapta tetikleyicilerden ve ayartmalardan daha iyi ka\u00e7\u0131nabilir.<\/p>\n<p>Bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapide \u00f6\u011frenilen beceriler \u00f6m\u00fcr boyu s\u00fcrebilir, bu nedenle bir\u00e7ok terapist bu tedavi se\u00e7ene\u011fini ilk se\u00e7enek olarak \u00f6nerir.<\/p>\n<p>Do\u011fru uyu\u015fturucu tedavisi plan\u0131, bireyin benzersiz durumuna, ihtiya\u00e7lar\u0131na ve m\u00fccadelelerine uyacak \u015fekilde gerekti\u011fi gibi uyarlanacakt\u0131r.<\/p>\n<p>Bu nedenle, siz veya sevdi\u011finiz biri opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131ndan muzdaripse, size ve benzersiz durumunuza en uygun opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 tedavisini bulman\u0131z gerekti\u011finden emin olun.<\/p>\n<p>Ve tabii ki, opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 yard\u0131m\u0131na ihtiya\u00e7 duymaman\u0131n en iyi yolu, her \u015feyden \u00f6nce ba\u011f\u0131ml\u0131 olmaktan ka\u00e7\u0131nmakt\u0131r, bu nedenle, kullan\u0131m\u0131 kontrol alt\u0131nda tutmak i\u00e7in ailenizle, arkada\u015flar\u0131n\u0131zla ve doktorunuzla konu\u015fun ve onlara kar\u015f\u0131 de\u011fil, onlarla birlikte \u00e7al\u0131\u015f\u0131n.<\/p>","protected":false},"excerpt":{"rendered":"<p>A\u011fr\u0131, hepimizin bir \u015fekilde hayat\u0131m\u0131z boyunca deneyimledi\u011fi veya \u015fekillendirdi\u011fi bir \u015feydir ve her zaman bir an \u00f6nce ge\u00e7mesini isteriz. birlikte ya\u015farken\u2026<\/p>","protected":false},"author":3,"featured_media":7924,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[785],"tags":[878,942,957,958,959,960],"class_list":["post-7923","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-opioid-crisis","tag-insurance-claims","tag-opioid-crisis","tag-heroin-crisis","tag-opioid-and-heroin-crisis","tag-opioid-epidemic","tag-addiction"],"acf":[],"page_builder_type":"gutenberg","gutenberg_data":[],"_links":{"self":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/7923","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/comments?post=7923"}],"version-history":[{"count":0,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/7923\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media\/7924"}],"wp:attachment":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media?parent=7923"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/categories?post=7923"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/tags?post=7923"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}