Opioid

Opioid ek prakar ki dawa hai jo kendriya tantrika tantra (central nervous system) par kaam karke dard se rahat dilati hai, mastishk aur reedh ki haddi mein maujood opioid receptors se judkar. Opioids dard se rahat dilane mein atyant prabhavi ho sakte hain, lekin ye atyadhik lat lagane wale bhi ho sakte hain aur gambhir side effects paida kar sakte hain jaise neend, bhram, shwasan avsad (respiratory depression) aur nirbharta.

Opioid

Opioids aise padarth hain jo kendriya tantrika tantra mein maujood opioid receptors par kaam karke analgesic prabhav utpann karte hain, arthat dard se rahat dilate hain. Opioids ka upyog madhyam se gambhir dard ke ilaj ke liye kiya jata hai, jaise ki sharirik kriya, chot ya purani bimari se jude dard.

Opioids mastishk aur reedh ki haddi mein opioid receptors se judte hain, jisse dard ki dharana mein kami aati hai aur sahaniya dard ki seema badhti hai. Iske alawa, opioids mastishk ki puraskar (reward) aur prerana (motivation) pranaliyon par bhi prabhav daal sakte hain, jisse sukh aur uphoria ki bhavnayein utpann hoti hain, jo nirbharta ki ore le ja sakti hain.

Opioids ko mukh dwara, injection, sanas dwara ya transdermal patch dwara diya ja sakta hai. Opioids mein morphine, fentanyl, oxycodone, codeine aur hydrocodone jaisi dawayein shamil hain. Halanki opioids dard se rahat ke liye prabhavi hain, unke upyog se neend, bhram, kabz aur shwasan avsad jaise anchahe side effects bhi ho sakte hain. Iske alawa, opioids kuch rogiyon mein sahanshakti, nirbharta aur lat paida kar sakte hain, jisse savdhanipurvak upyog aur swasthya peshevar dwara nikat nigrani avashyak hoti hai.

Opioid antagonists tak sarvjanik pahunch

Naloxone

Naloxone opioids dwara prerit shwasan avsad ko teji se aur prabhavi roop se palatti hai, jo opioids se jude aspatal ke bahar hone wale hriday gati ruk jane (cardiac arrest) ko rok sakti hai.

Naloxone ko bade paimane par aapatkalin chikitsa seva karmiyon dwara le jaya jata hai, lekin kya aap jante hain ki aapatkalin chikitsa sevaon ke aane se pehle ghatnasthal par pahunchne wale anya log (jaise dost, parivar ke sadasya, raahgir) is jeevan rakshak upchar ko de sakte hain?

Aprashikshit raahgir bhi naloxone safaltapurvak de sakte hain, jo mrityu dar kam karne mein prabhavi sabit hua hai.

Is drishtikon ke liye avashyak hai ki log jaante hon ki naloxone ka upyog kab karna hai, dawai tak unki asaan pahunch ho, aur ve ise dene ke liye taiyar hon.

Sarvjanik dwara naloxone ke upyog ko badhane ki ranniti mein shiksha mein sudhar, farmesi se naloxone prapt karne mein badhaon ko kam karna, "ghar par naloxone" karyakram sthapit karna, sarvjanik sthalon par naloxone sthapit karna, tatha opioid vish prabhav ka samna karne wale logon ko prashikshit aur sajjit karna shamil hai.

Opioid shiksha aur naloxone vitran

Opioid_overdose

Overdose shiksha aur naloxone vitran karyakram aksar overdose ki shighra pehchaan aur naloxone ke prabhavi prashasan ke prashikshan par dhyan kendrit karte hain.

Sankshipt shiksha module overdose ki pehchaan aur prabandhan ko behtar banane ke liye paryapt hote hain.

Shaikshik karyakram naloxone ki do khurakein, naloxone deny ka upakaran (intranasal atomizer ya syringe), dastane aur nirdesh card jaisi aapurtiyaan bhi pradan kar sakte hain.

Opioid shiksha aur naloxone vitran ko un samuhon ke liye prathmik chikitsa pathyakram mein jodna uchit hai jinki overdose se sampark hone ki adhik sambhavna hai, jaise kanoon pravartan adhikari, mahotsav aur night club karmi, aur pustakalay adhyaksh.

Dard se rahat aur sambhavit jokhim

Opioid_risks

Opioids dard se rahat dilane ke liye prabhavi dawayein hain, lekin unke upyog se swasthya jokhim bhi ho sakte hain, jaise nirbharta aur shwasan avsad. Opioids kendriya tantrika tantra mein opioid receptors se judkar analgesic prabhav utpann karte hain, lekin ve neend aur bhram jaise side effects bhi paida kar sakte hain.

Opioids ke upyog par savdhanipurvak nigrani rakhna aur jokhimon ko kam karne ke liye vyaktigat upchar yojnayein lagu karna mahatvapurna hai. Opioids ke vikalp, jaise sharirik chikitsa, gair-steroid soojan-rodhi dawayein (NSAIDs) aur gair-pharmacological upchar, side effects ya nirbharta ke uchch jokhim wale rogiyon ke liye vichaar kiye ja sakte hain.

Opioids dard se rahat ke liye ek prabhavi sadhan ho sakte hain, lekin unke upyog ke liye savdhan nigrani aur swasthya jokhimon ko kam karne ke liye vyaktigat drishtikon avashyak hai. Yah mahatvapurna hai ki swasthya peshevar aur rogi opioids se jude jokhimon aur dard ko prabhavi tarike se aur surakshit roop se prabandhit karne ke liye uplabdh vikalpon se avgat hon.

Strot

Mukhya website

  • Cameron Dezfulian, Aaron M. Orkin, Bradley A. Maron, Jonathan Elmer, Saket Girotra, Mark T. Gladwin, Raina M. Merchant, Ashish R. Panchal, Sarah M. Perman, Monique Anderson Starks, Sean van Diepen and Eric J. Lavonas: 8 March 2021 "Opioid-Associated Out-of-Hospital Cardiac Arrest: Distinctive Clinical Features and Implications for Health Care and Public Responses: A Scientific Statement From the American Heart Association" https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000958[Antim baar dekha 8 January 2023]

204

  • Corey S. Davis JD, MSPH, Jessica K. Southwell MPH, Virginia Radford Niehaus JD, MPH, Alexander Y. Walley MD, MSc et Michael W. Dailey MD: 10 October 2014 "Emergency Medical Services Naloxone Access: A National Systematic Legal Review " https://onlinelibrary.wiley.com/doi/10.1111/acem.12485 [Antim baar dekha 8 January 2023]
  • Corey S Davis 1, Jessica K Southwell, Virginia Radford Niehaus, Alexander Y Walley et Michael W Dailey: 21 October 2014 "Emergency medical services naloxone access: a national systematic legal review" https://pubmed.ncbi.nlm.nih.gov/25308142/ [Antim baar dekha 8 January 2023]

381

  • Eliza D Whiteman, Roxanne Dupuis, Anna U Morgan, Bernadette D'Alonzo, Caleb Epstein, Heather Klusaritz et Carolyn C Cannuscio: 24 May 2018 "Public Libraries As Partners for Health" https://www.cdc.gov/pcd/issues/2018/17_0392.htm [Antim baar dekha 8 January 2023]
  • Eliza D Whiteman, Roxanne Dupuis, Anna U Morgan, Bernadette D'Alonzo, Caleb Epstein, Heather Klusaritz et Carolyn C Cannuscio: 24 May 2018 "Public Libraries As Partners for Health" https://pubmed.ncbi.nlm.nih.gov/29806580/ [Antim baar dekha 8 January 2023]

394

  • Scott A Goldberg, Daniel A Dworkis, Vincent T Liao, Andrew J Eyre, Jack Albert, Meghan M Fawcett, Conor M Narovec, James DiClemente et Scott G Weiner: 3 May 2018 "Feasibility of Bystander Administration of Public-Access Naloxone for Opioid Overdose" https://www.tandfonline.com/doi/abs/10.1080/10903127.2018.1461284?journalCode=ipec20 [Antim baar dekha 8 January 2023]
  • Scott A Goldberg, Daniel A Dworkis, Vincent T Liao, Andrew J Eyre, Jack Albert, Meghan M Fawcett, Conor M Narovec, James DiClemente et Scott G Weiner: 3 May 2018 "Feasibility of Bystander Administration of Public-Access Naloxone for Opioid Overdose" https://pubmed.ncbi.nlm.nih.gov/29723076/ [Antim baar dekha 8 January 2023]

395

  • Corey S Davis, Jessica K Southwell, Virginia Radford Niehaus, Alexander Y Walley et Michael W Dailey: 10 October 2014 "Emergency Medical Services Naloxone Access: A National Systematic Legal Review" https://onlinelibrary.wiley.com/doi/10.1111/acem.12485 [Antim baar dekha 8 January 2023]
  • Corey S Davis, Jessica K Southwell, Virginia Radford Niehaus, Alexander Y Walley et Michael W Dailey: 21 October 2014 "Emergency medical services naloxone access: a national systematic legal review" https://pubmed.ncbi.nlm.nih.gov/25308142/ [Antim baar dekha 8 January 2023]

396

  • Alexander Y Walley, Ziming Xuan, H Holly Hackman, Emily Quinn, Maya Doe-Simkins, Amy Sorensen-Alawad, Sarah Ruiz et Al Ozonoff: 31 January 2013 " Opioid overdose rates and implementation of overdose education and nasal naloxone distribution in Massachusetts: interrupted time series analysis" https://www.bmj.com/content/346/bmj.f174 [Antim baar dekha 8 January 2023]
  • Alexander Y Walley 1, Ziming Xuan, H Holly Hackman, Emily Quinn, Maya Doe-Simkins, Amy Sorensen-Alawad et Sarah Ruiz, Al Ozonoff: 30 January 2013 "Opioid overdose rates and implementation of overdose education and nasal naloxone distribution in Massachusetts: interrupted time series analysis" https://pubmed.ncbi.nlm.nih.gov/23372174/ [Antim baar dekha 8 January 2023]

397

  • Shane R Mueller, Alexander Y Walley, Susan L Calcaterra, Jason M Glanz et Ingrid A Binswanger: 6 May 2015 «  A Review of Opioid Overdose Prevention and Naloxone Prescribing: Implications for Translating Community Programming Into Clinical Practice" https://www.tandfonline.com/doi/full/10.1080/08897077.2015.1010032 [Antim baar dekha 8 January 2023]
  • Shane R Mueller, Alexander Y Walley, Susan L Calcaterra, Jason M Glanz et Ingrid A Binswanger: 16 March 2015 « A Review of Opioid Overdose Prevention and Naloxone Prescribing: Implications for Translating Community Programming Into Clinical Practice" https://pubmed.ncbi.nlm.nih.gov/25774771/ [Antim baar dekha 8 January 2023]

398

399

  • Katie E Raffel, Leila Y Beach, John Lin, Jacob E Berchuck, Shelly Abram, Elizabeth Markle et Shalini Patel: 30 March 2018 "Naloxone Distribution and Training for Patients with High-Risk Opioid Use in a Veterans Affairs Community-Based Primary Care Clinic" https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882191/ [Antim baar dekha 8 January 2023]

401

  • Karin E Tobin, Susan G Sherman, Peter Beilenson, Christopher Welsh et Carl A Latkin: 22 April 2008 "Evaluation of the Staying Alive programme: Training injection drug users to properly administer naloxone and save lives" https://www.sciencedirect.com/science/article/abs/pii/S095539590800087X?via%3Dihub [Antim baar dekha 8 January 2023]
  • Karin E Tobin, Susan G Sherman, Peter Beilenson, Christopher Welsh et Carl A Latkin: 22 April 2008 "Evaluation of the Staying Alive programme: training injection drug users to properly administer naloxone and save lives" https://pubmed.ncbi.nlm.nih.gov/18434126/ [Antim baar dekha 8 January 2023]

402