Mwana wanga wamwamuna, ali ndi zaka 15, anapatsidwa OxyConti, anadwala kwa zaka zambiri, ndipo ali ndi zaka 32 anamwalira yekha ndi kuzizira m'malo opaka magalimoto.. Awa ndi amayi ake a Christopher Tejo akuyankhula, ndipo umboni wake ukupezeka mu mutu 1 wa mndandanda wakuti "Painkiller,” lomwe lakhala likupezeka pa nsanja ya Netflix kwa masiku angapo tsopano (mutha kuwona kalavani pansipa).
Koma tiyeni titengepo mbali imodzi imodzi. OxyConti, OxyContin, ndi Oxycodone ndi mankhwala ochokera kubanja lomwelo omwe amaperekedwabe kuti athetse ululu kwa maola 12. Mukapeza kuti mwakulemberani ndi GP wanu, musanamwe, kulikonse padziko lapansi kapena muzochitika zilizonse, sizingapweteke kuwerenga zomwe bungwe ladziko lanu loyang'anira Medicines and Healthcare Products Regulatory Agency likunena.
Pankhani yomwe ili pafupi, Spanish Agency for Medicines and Health Products imachenjeza momveka bwino za kuopsa kwa kumwa mankhwalawa. Mutha kupeza zambiri pa ulalo wotsatirawu: CIMA :::. PROSPECTUS OXYCONTIN 5 mg MAPAGEJI OTULUKA OTULUKA (aemps.es). Mukachiwerenga, ngati mukuganizabe kumwa mankhwalawa, chonde kumbukirani nkhani yomwe yaperekedwa kumayambiriro.
Tiyeni titenge zolemba zingapo pazidziwitso izi, popeza zonse ndizofunika:
Kugwiritsiridwa ntchito limodzi kwa opioid, kuphatikizapo oxycodone, ndi mankhwala osokoneza bongo monga benzodiazepines kapena mankhwala okhudzana nawo kumawonjezera chiopsezo cha kugona, kupuma movutikira (kuvutika kupuma), chikomokere, ndipo akhoza kuika moyo pachiswe. Choncho, kugwiritsa ntchito nthawi imodzi kuyenera kuganiziridwa ngati njira zina zothandizira mankhwala sizingatheke.
(…) Mankhwalawa ali ndi oxycodone, yomwe ndi opioid. Kugwiritsiridwa ntchito mobwerezabwereza kwa opioid painkillers kungapangitse kuti mankhwalawa asagwire ntchito (mumazolowera, zomwe zimadziwika kuti kulolera). Kugwiritsiridwa ntchito mobwerezabwereza kwa OxyContin kungayambitsenso kudalira, nkhanza, ndi kumwerekera, zomwe zingayambitse moyo wopitirira muyeso.
Apanso, chonde werengani ulalo womwe uli pamwambapa mosamala kuti muwone kuchuluka kwa chidziwitsochi chomwe chingapulumutse moyo wanu. Kapena, ndikukulimbikitsani kuti muwerenge bukuli "Empire of Pain"Wolemba Patrick Radden Keefe, mtolankhani wochokera ku New Yorker, pomwe mndandanda wa "Painkiller" pa nsanja ya Netflix wakhazikitsidwa.
Ndiponso, kuchiyambi kwa mutu uliwonse, owonerera adzapeza umboni wa wachibale wa winawake wokhudzidwa ndi “khansa” yapadziko lonse imeneyi wosonyezedwa monga mapiritsi. Izi zimawonjezera gawo losangalatsa lomwe limakulitsa zomwe zaperekedwa.
Mwina chiwopsezo chokhacho kwa owonera ndikukhulupilira kuti iyi ndi ntchito yongopeka, potero akudzipatula ku zenizeni zenizeni, zomwe zimakhala ndi zikwi, kapena si mamiliyoni, a omwerekera omwe gululi lapanga padziko lonse lapansi, pansi pa chishango cha makampani opanga mankhwala, oyimilira azachipatala, madokotala, ndi ma dispenser.
Osatchulanso za anthu oyipa osawerengeka omwe amalumikizidwa ndi kuzembetsa mankhwalawa omwe amapereka omwerekera kamodzi Forensic Medicine yamanga khosi m'khosi mwawo, ndikungowasiya pambuyo pake. Nkhani ina yofunika yomwe yabweretsedwa pazenera yaying'ono ndipo idadziwika padziko lonse lapansi ndi "Nyumba". Iyi ndi nkhani ya dokotala yemwe moyo wake udawonongeka kosatha chifukwa chokonda kumwa opiates, makamaka oxycodone.
Kuphatikiza pa zolemba zambiri zomwe zilipo pamutuwu, mutha kupezanso zambiri kudzera mu mndandanda womwe watsitsidwa tsopano "Dopesick." Uwu unali mndandanda woyamba pamutuwu ku USA.
Chosangalatsa ndichakuti, kupitilira zongopeka, zomwe nthawi zambiri zimaphatikiza mutu wa oxycodone m'magawo ake, ngakhale kugwira anthu ena ozembetsa zomwe zili m'botolo lililonse lomwe lingapezeke mwalamulo padziko lonse lapansi, kupatula pamindandanda iwiriyi ndi buku lomwe latchulidwa kale, nthawi zambiri amakhala ochepa. kufotokoza za nkhaniyi. Ndichoncho chifukwa chiyani?
Mwina yankho lili m'buku lotchulidwalo "Empire of Pain.” Pachikuto chakumbuyo cha bukhuli, tikupeza chidule cha zomwe zili mkati mwake:
“Dzina la Sackler limakongoletsa makoma a mabungwe olemekezeka kwambiri: Harvard, Metropolitan, Oxford, Louvre… Iwo ali m'gulu la mabanja olemera kwambiri padziko lonse lapansi, osamalira zaluso ndi sayansi. Magwero a chuma chawo akhala akukayikitsa, mpaka adadziwika kuti adachulukitsa kudzera mu OxyContin, mankhwala opha ululu omwe adayambitsa vuto la opioid ku United States. "
"Empire of Pain" imayamba panthawi ya Kukhumudwa Kwakukulu, ndikulemba nkhani ya abale atatu azachipatala: Raymond, Mortimer, ndi Arthur Sackler wosatopa, wopatsidwa chidziwitso chapadera cha malonda ndi malonda. Zaka zingapo pambuyo pake, adathandizira chuma choyamba cha banja popanga njira yamalonda ya Valium, chotsitsa chotsitsa.
Zaka makumi angapo pambuyo pake, anali Richard Sackler, mwana wamwamuna wa Raymond, yemwe adakhala utsogoleri wamabizinesi am'banjamo, kuphatikiza Purdue Pharma, kampani yake yopanga mankhwala. Potengera njira za amalume ake a Arthur polimbikitsa Valium, adayambitsa mankhwala omwe amayenera kusintha: OxyContin. Zinasonkhanitsa mabiliyoni a madola, komabe pamapeto pake zinawononga mbiri yake.
Kodi mukukhulupirira kuti mbiri ya anthu owopsawa ili ndi zotsatirapo zilizonse kwa anthu masauzande ambiri omwe azunzidwa komanso mazana a zikwi za achibale omwe awona miyoyo ya omwe adakodwa ndi mankhwalawa ndi zotuluka zake zikutha?
Komabe, a Sacklers sakuwoneka kuti ndi okhawo omwe ali ndi mlandu. Mwina ndi nthawi yoti muyambe kusokoneza mbiri ya mabungwe ena. Mayunivesite otchuka komanso malo osungiramo zinthu zakale otchuka omwe tawatchulawa akuyenera kuganizira ngati kukhala ndi dzina lotere lokongoletsa makoma awo kumawapangitsa kukhala okhudzidwa ndi tsokali. Nanga bwanji za mawailesi, mabungwe, ngakhalenso andale padziko lonse amene, ine ndikutsimikiza, apindula ndi chichirikizo cha banja limeneli pakati pa opereka ndalama?
Koma ndiroleni ine ndidziletse kuti ndisakhale mmodzi wonena izi; m'malo mwake, ndiloleni ndifanane ndi malingaliro a Patrick Radden ndikumaliza ndi mawu ake:
(tsamba 573 la bukhu) Monga ndafotokozera m’buku lonseli, OxyContin inali kutali ndi kukhala opioid yokhayo yomwe idalengezedwa mwachinyengo kapena kuzindikirika chifukwa cha nkhanza zake zofala, ndipo kusankha kwanga kuyang'ana pa Purdue sikukutanthauza kuti palibe makampani ena opanga mankhwala omwe sakuyenera kugawana nawo pamavuto. Zomwezo zitha kunenedwa kwa a FDA, madokotala omwe adalemba malangizowo, ogulitsa ogulitsa omwe amagawa opioid, ndi ma pharmacies omwe adakwaniritsa malangizowo.
(…) Nthambi zonse zitatu za banja la a Sackler zidawonetsa chidwi chochepera pa chiyembekezo cha kusindikizidwa kwa bukuli. Mkazi wamasiye wa Arthur ndi ana ake ankakana kaŵirikaŵiri chiitano cha kukambitsirana, monga momwe anachitira nthambi ya m’banja la Mortimer. Nthambi ya a Raymond idasankha kutsutsa kwambiri, mpaka kufika polemba ganyu loya, Tom Clare, yemwe amayendetsa zapamwamba kampani yazamalamulo yomwe ili ku Virginia, yomwe imagwira ntchito zowopseza atolankhani kuti "afa" zisanasindikizidwe.
Ndikufuna kuti ndizindikire kuti mawu akuda kwambiri ndi kuwonjezera kwanga, ndipo zolakwika zilizonse m'mawuwa ndi zanga. Zikuwonekeratu kuti mafakitale opanga mankhwala amatha kugwiritsa ntchito mphamvu zawo kuwononga anthu omwe ali ndi mitundu ina ya mankhwala, nthawi zambiri amagwiritsa ntchito mawu olimbikitsa abwino kwambiri, omwe amavomerezedwa ndi atolankhani osasamala akafika pakufufuza, kapena ndi chisamaliro chosasamala pankhani yazaumoyo. njira zoyendetsera ntchito, nthawi zina chifukwa chokopeka ndi mphatso kapena zokometsera.
Samalani ndi opiates, mosasamala kanthu za mtundu wawo. Zimakhala zosokoneza komanso zowopsa, zomwe zimakhala ndi zotsatira zoyipa. Malinga ndi contraindications awo, iwo zingawononge thanzi lanu kapena moyo wanu.
Komabe, kodi mabungwe azachipatala ndi andale padziko lonse amavomereza zimenezi? Zili kwa ife kuonetsetsa kuti sitingathe, pamapeto pake, monga gulu lokhazikika ndi chikoka cha makampani akuluakulu ogulitsa mankhwala, omwe chidwi chawo chokha ndi nkhonya za madola.
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