E like me kāna ʻoihana, hoʻoikaika ka Luna Hoʻoponopono o MedTvoiLokony i ka hāʻawi ʻana i nā ʻike olakino hilinaʻi i kākoʻo ʻia e ka ʻike ʻepekema hou loa. ʻO ka hae hou "Checked Content" e hōʻike ana ua loiloi a kākau pololei ʻia ka ʻatikala e ke kauka. ʻO kēia hōʻoia ʻelua ʻanuʻu: ʻo ka mea kākau moʻolelo olakino a me ke kauka e ʻae iā mākou e hāʻawi i ka ʻike kiʻekiʻe loa e like me ka ʻike olakino o kēia manawa.
Ua mahalo ʻia kā mākou kūpaʻa ma kēia wahi, a me nā mea ʻē aʻe, e ka Association of Journalists for Health, nāna i hāʻawi i ka Luna Hoʻoponopono o MedTvoiLokony me ka inoa hanohano o ka Luna Hoʻonaʻauao Nui.
ʻO 40 ka nui o ka poʻe ʻEulopa i loaʻa i nā maʻi noʻonoʻo. ʻO ka makaʻu ka mana. ʻO ka lāʻau i manaʻo ʻia he benzodiazepines. Hoʻopau koke lākou i ka hopohopo a hoʻomoe iā ʻoe. Ua kākau nā kauka iā lākou i nā poʻe maʻi me ke kānalua ʻole. Ua hoʻololi ʻia ke hoʻohana pono ʻole ʻia, hoʻohui lākou, hoʻonui i ka hopohopo, a hana i nā āpau hoʻomanaʻo. Pono ʻoe e makaʻu i nā benzodiazepines a pehea e hakakā ai i ka hopohopo? Ua nīnau ʻo Zuzanna Opolska, kahi mea kākau moʻolelo MedTvoiLokony, i kahi psychiatrist koʻikoʻi - Sławomir Murawiec, MD, PhD.
- Ma kahi o 40% o ka poʻe ʻEulopa e loaʻa i nā maʻi noʻonoʻo. ʻOi aku ka maikaʻi ma mua o ka maʻi puʻuwai a me ka maʻi kanesa ma nā helu helu. ʻO ka mea maʻamau ka maʻi hopohopo
- Nīnau nā poʻe maʻi i nā kauka i nā lāʻau e hōʻemi koke i ka hopohopo. Kuhi ʻia kēia mau benzodiazepines. He hui ia o nā lāʻau me nā hopena anxiolytic wikiwiki, sedative, hypnotic a me nā hopena anticonvulsant
- Hoʻokahi miliona poʻe Pelekane e hoʻohui i kēia mau lāʻau lapaʻau, ʻeono miliona poʻe Kelemania e lawe i nā tranquillizers i kēlā me kēia lā. Ma Polani, ua like paha ka nui o ka hanana
Zuzanna Opolska, MedTvoiLokony: Kauka, ua ʻōlelo ʻia he maʻalahi ka hoʻomaka ʻana o nā benzodiazepines, akā paʻakikī loa ka hoʻōki. No ke aha mai?
Sławomir Murawiec, MD, PhD: He paradox kēia i ka psychiatry. Ke nīnau mākou i nā poʻe maʻi i kā lākou makaʻu e pili ana i nā lāʻau lapaʻau psychiatric, ʻōlelo pinepine lākou i nā "hoʻololi pilikino" a me nā "addictions." I ka manawa like, ʻo ka hui kaulana loa o nā lāʻau lapaʻau he benzodiazepines. A ʻo ia wale nō ka hui hoʻohui.
Ua like anei ka pilikia?
ʻAʻole. Ma muli o ka hapalua o ke ola, hiki iā mākou ke hoʻokaʻawale i nā benzodiazepines pōkole, waena a me ka lōʻihi. ʻO nā mea mua he mea weliweli loa.
No ke aha mai?
Loaʻa iā lākou kahi hopena hoʻomaha wikiwiki a maopopo e pau ana ma hope o kekahi mau hola. No laila, aia kahi ho'āʻo e kiʻi i kahi pill hou a hana hou i ka hopena i loaʻa. I kēlā me kēia manawa a mākou e hopohopo nei, a mau loa aku. Ke hilinaʻi nei ko mākou olakino i ka lawe ʻana i nā lāʻau lapaʻau. Pilikia.
No ka mea ʻoi aku ka lōʻihi o ka nahele, ʻoi aku ka ʻino - me ka manawa ʻaʻole lawa ka nui o kēia manawa no mākou?
ʻAe - piʻi ka hoʻomanawanui i ka lāʻau. Ke komo ka mea maʻi i ke ʻano addiction, loaʻa iā mākou kahi pōʻaiʻino. No ka mea i ka wā lōʻihi, pono ʻo ia i nā doses i kiʻekiʻe loa, ʻaʻole naʻe i loaʻa ka hopena i makemake ʻia. Pono e hoʻokūpaʻa, akā naʻe,ʻaʻole i hoʻokomoʻia nā benzodiazepines. Ua like ia me ka waiʻona - nā mea inu a pau, akā ʻaʻole nā mea inu ʻona a pau. Hiki i nā Benzodiazepines ke lilo i mea ho'ohui, akā,'a'ole e lilo ka mea nāna e nānā i ka pila.
Ua hoʻohana mua ʻia kēia mau lāʻau lapaʻau i ka makahiki 60, ʻoiai ua hoʻohana nui ʻia, no ka mea he 30 mau makahiki ma hope mai ua paʻi ʻia nā alakaʻi no kā lākou hoʻohana palekana. Ke kuhikuhi nei nā kauka iā lākou i kēia lā?
ʻO ka mea pōmaikaʻi, ke loli nei kēia. I koʻu hoʻomaka ʻana e hana, nui nā poʻe maʻi ma ka inoa benzodiazepines. Mai nā kauka lapaʻau - nā kauka ʻohana i kēia lā. Manaʻo wau he mea kōkua ʻole ma hope o kēia mīkini. E noʻonoʻo i kahi maʻi i pilikia i ke ola, ua ala, hopohopo, huhū. ʻEha ma ʻaneʻi, kahe ma ʻō. Hele ʻo ia i kahi GP nāna e hana i nā hoʻokolohua āpau, kuhikuhi i nā lāʻau lapaʻau no ka ʻōpū, puʻuwai a ʻaʻohe mea. ʻAʻole naʻe ʻo ia i ʻike i ka hewa o ka mea maʻi. I ka hopena, ʻike ke kauka inā hāʻawi ʻo ia i ka benzodiazepine, ʻoi aku ka maikaʻi o ka mea maʻi. Hooki ʻo ia i ka hele ʻana mai a hōʻike i nā maʻi he nui. ʻO ka mea pōmaikaʻi, i kēia lā, ʻoi aku ka nui o ka ʻike o ke kaumaha ma mua o ka wā ma mua, a ʻoi aku ka nui o nā kauka ʻohana e hoʻohana i nā antidepressants mai ka pūʻulu o ka serotonin reuptake inhibitors (SSRIs) koho no ka mea ʻike lākou he ala ʻoi aku ka maikaʻi ma mua o benzodiazepines.
Ma ka ʻaoʻao ʻē aʻe, ʻaʻole i liʻuliʻu loa nā huaʻōlelo "Ke kaumaha nei au" ʻaʻole i hele ma ka waha.
ʻOiaʻiʻo. ʻO ke kaumaha ka nui o nā pūʻulu o nā hōʻailona: ke kaumaha, anhedonia, i wehewehe ʻia e nā mea maʻi e like me: "Ua hauʻoli wau, ʻaʻole oʻu hoihoi i kekahi mea", hoʻemi i ka hana ola (ka hoʻokele ikaika), nā pilikia hiamoe a me ka hopohopo. ʻOiai hiki i nā benzodiazepines ke hana i ka mea hope loa, ʻaʻole lākou e ho'ōla i ke kaumaha. Ua like ia me ka hakakā ʻana i ke kuni ma mua o ka mālama ʻana i ka maʻi bacteria me ka lāʻau antibiotic. ʻAʻole ia he lapaʻau kumu e hiki ke kōkua. ʻO ka hopena, ua emi ko mākou hopohopo, akā ke kaumaha nei mākou a ʻaʻole naʻe i hoʻoikaika ʻia e hana.
ʻO wai ka mea pilikia loa i ka addiction benzodiazepine? He ʻoiaʻiʻo paha ʻoe e hoʻohui i ka waiʻona?
ʻAʻole wale. ʻO ka maʻi maʻi, ua hoʻolaha nui mākou: poʻe maʻalahi i ka addiction.
ʻOi aku ka pilikia o nā wahine ma mua o nā kāne?
Loaʻa iā mākou nā hui maʻi like ʻole. ʻO ka poʻe ʻōpio e hoʻāʻo i nā lāʻau lapaʻau e hoʻololi i ko lākou kūlana o ka ʻike, a ʻoi aku ka maikaʻi ma mua o ka poʻe psychiatrist e ʻimi nei i nā lāʻau lapaʻau e ʻike i ka hana.
Hele pinepine nā kāne e inu, a hoʻāʻo nā wahine e hōʻoluʻolu i ka pilikia ma ka "hoʻopau ʻana iā lākou iho" a me ke kāohi ʻana i nā manaʻo. ʻOi aku ka nui o nā wahine waena i loaʻa iā lākou iho i kahi kūlana paʻakikī o ke ola, e hoʻāʻo e hōʻoluʻolu i ka ʻeha o ke ola me nā lāʻau. No laila, makemake nui lākou i nā benzodiazepines, i kēia hihia ʻaʻole ia he lāʻau lapaʻau no ka maʻi maʻi, akā lilo i ala e hoʻokō ai i kahi kūlana ola paʻakikī.
ʻAʻole i loaʻa i kekahi poʻe ka pilikia o benzodiazepines a i ʻole ka waiʻona. Hoʻohui lākou iā lākou. ʻO kahi papa me ke aniani a i ʻole ka ʻōmole waina – he aha ka pilikia?
He mea weliweli loa. ʻAʻole ʻōlelo ʻia. A ke hooki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau, waiho ʻia ka mea maʻi me nā pilikia he nui: ma muli o kahi kūlana ola paʻakikī, ma muli o ka nele o ka lāʻau lapaʻau a me ka hoʻohui ʻana i ka waiʻona.
ʻO ka hoʻohana ʻana i nā benzodiazepines i ka poʻe ʻelemakule he hoʻopaʻapaʻa. Ua hōʻoia ka noiʻi ma hope o ia mau lāʻau lapaʻau, ua piʻi aʻe ka pilikia o ka hāʻule ʻana, a no laila haʻi ʻia ka ʻūhā.
E like me nā lāʻau lapaʻau, loaʻa nā hopena ʻaoʻao i ka mālama ʻana i ka benzodiazepine. ʻO ka nui o ka hoʻonui ʻia ʻana o ka hiamoe, hoʻopilikia i ka noʻonoʻo ʻana, nāwaliwali, nā pilikia hoʻomanaʻo a me ka hoʻohui ʻana. Inā hāʻule ka 20 makahiki, e loaʻa iā ia kekahi mau ʻeha i ka hapa nui loa, i ka hihia o kahi 80 makahiki ke kamaʻilio nei mākou e pili ana i kahi kūlana ola. No laila, pono e kaupalena ʻia ka hoʻohana ʻana i nā benzodiazepines i kahi mea nui. Eia kekahi, pono e ʻōlelo ikaika ke kauka i ka mea maʻi e ʻike ʻia kēlā mau hōʻailona.
Ua ʻōlelo ʻia ʻo ka lawe ʻana i kēia mau lāʻau e hoʻonui i ka pilikia o ka hoʻomanaʻo ʻana a me ka dementia.
ʻO nā maʻi hoʻomanaʻo a i ʻole ka emi ʻana o ka naʻau i loaʻa pinepine i ka poʻe e hoʻohana ana i nā benzodiazepines no nā mahina a i ʻole mau makahiki. Eia kekahi, ʻaʻohe o lākou manaʻo e hana, ʻaʻole makemake lākou i ka honua a puni lākou.
No laila, i ka manawa hea ka hoʻohana ʻana i nā lāʻau lapaʻau mai kēia hui?
Inā hoʻohana akamai ʻia, loaʻa nā benzodiazepines i nā noi he nui no ka mea he ākea ka nui o ka hana. I ka neurology, hoʻohana ʻia lākou e mālama i ka hopu ʻana a i ʻole e hōʻemi i ka neʻe ʻana o ka ʻiʻo, i ka anesthesiology premedication, a i ka psychiatry, hoʻohana nui ʻia lākou i nā maʻi hiamoe a me nā maʻi hopohopo.
Nui ko mākou makaʻu i kēia lā…
ʻOiaʻiʻo, nui nā lāʻau lapaʻau i loaʻa ka hopena anxiolytic. I kēia manawa, hoʻohana pinepine ʻia nā antidepressants a i ʻole pregabalin ma mua o nā benzodiazepines. He hua ia o ka gamma-aminobutyric acid (GABA).
ʻAʻole hoʻokaʻawale nā poʻe maʻi ma waena o nā lāʻau anti-anxiety a me nā antidepressants, e kōkua pū ana me ka hopohopo, akā naʻe he papa ʻokoʻa o nā lāʻau lapaʻau.
No laila ʻaʻole pono e hoʻohana ʻia nā benzodiazepines e mālama i ke kaumaha?
ʻAʻole pono lākou e hoʻohana ʻia ma ke ʻano he lāʻau lapaʻau hoʻokahi, akā ʻaʻole ia, hou, ʻaʻole pono e hoʻohana ʻia. ʻO ka manaʻo, lawe nā antidepressants i ʻelua pule e hana ma ke ʻano he 'leafleters'. A inā he hopohopo koʻikoʻi ka mea maʻi, ma waho o ka antidepressant, hāʻawi mākou iā ia i ka benzodiazepine i ka manawa like, i hiki iā ia ke ola i nā pule ʻelua. A laila hoʻihoʻi mākou iā ia, a noho ka mea maʻi ma ka antidepressant.
Pehea e pili ana i nā benzodiazepine? I ka manawa hea e pono ai?
Hana lākou me ka hopohopo a me kahi ʻano hopohopo - ʻo ka mea maʻi maʻi, aia ma ʻaneʻi a i kēia manawa. ʻAneʻane pau mākou i ka noʻonoʻo ʻana, nalowale mākou i ko mākou mau manaʻo a me kā mākou ʻano, manaʻo mākou ua pupule mākou.
I nā maʻi hopohopo, ʻo ka hoʻouka kaua he kumu maikaʻi o kā lākou hoʻohana. ʻO ka lāʻau lapaʻau maʻamau i kēia kūlana ʻo ka hoʻokele ʻana i nā lāʻau lapaʻau mai ka hui antidepressant, pono e lawe mau ʻia. ʻAʻole ia he manaʻo ʻaʻole hiki i ka mea maʻi ke lawe i kahi benzodiazepine - lawe ʻia ma ke kumu pilikia no ka hoʻouka kaua hopohopo, ʻaʻole i kēlā me kēia lā ma ke ʻano he ʻāpana o ka hoʻoponopono pilikia ola.
ʻO ka manawa wale nō, no ka manawa pōkole, no ka mea, ʻo ka hoʻohana maʻamau kahi mea hoʻohui?
Hiki ke hoʻohana mau ʻia nā lāʻau lapaʻau Benzodiazepine. ʻO ka wā pōkole wale nō - mai ʻehā a ʻeono pule. A i ʻole no kekahi manawa me ka hoʻomaha ʻana i mau lā. ʻO ka mea hope e ʻoi aku ka palekana ma ke ʻano o nā hopena lōʻihi.
A pono ʻoe e hoʻomaka me ka liʻiliʻi loa?
Ke hilinaʻi nei, aia kahi pilina ma waena o ka hopena a me ka hopena lapaʻau. ʻO ia ka ikaika o ka hopohopo e hoʻoholo i ka nui o ka dose. Inā huhū loa kekahi, ʻaʻole kōkua ka mea liʻiliʻi loa iā ia.
ʻO ka pilikia nui me nā benzodiazepines ua hoʻohana ʻia lākou ma waho o ka inoa. ʻAʻole nui no ka hoʻoponopono ʻana e like me ke kāohi ʻana i nā pilikia. Lilo ka pill i mea hoʻomaha i ka makaʻu, ka hopohopo, ka ʻike i ke kūlana i loaʻa iā mākou iho - ke kāohi nei i ka mea i kapa ʻia ka ʻeha o ke ola.
ʻAʻole hiki ke haʻalele ʻo Benzodiazepine i ka pō?
ʻAʻole, ke ʻole ʻo ia ka haʻahaʻa haʻahaʻa loa a lawe pōkole wale ʻia. Ma ka ʻaoʻao ʻē aʻe, inā e lawe mākou i nā lāʻau benzodiazepine no ka lōʻihi, ma ke ʻano a i ʻole ke kiʻekiʻe, a laila hiki ke hoʻopau ʻia i ka pō i ka hopena o nā hōʻailona hopohopo koʻikoʻi. A hiki i ka psychosis, hoʻopunipuni, a me ka hopu ʻana.
Ke kani nei me he abstinence syndrome.
ʻAʻole liʻiliʻi, akā piha a ikaika. ʻAʻole ʻoi aku ka wikiwiki o ka wehe ʻana i nā benzodiazepines ma mua o 1/4 o ka hopena i hoʻokahi pule. ʻO kēia nā ʻōlelo aʻoaʻo lapaʻau maʻamau, akā manaʻo wau e hoʻihoʻi lohi.
Sławomir Murawiec, MD, PhD, psychiatrist, psychodynamic psychotherapist. Lunahooponopono o "Psychiatria", pelekikena o ka Scientific Society for Psychodynamic Psychotherapy. No nā makahiki he nui ua pili ʻo ia me ka Institute of Psychiatry and Neurology ma Warsaw. He lālā kumu o ka International Neuropsychoanalytical Society. Laureate o ke Kumu ʻO Stefan Leder, he kūlana i hāʻawi ʻia e ka Polish Psychiatric Association no nā pono i ke kahua o ka psychotherapy.