Cov Tuam Txhab Tshuaj Nyob Hauv Kev Tshawb Fawb los ntawm Senate rau Qhov Muaj Peev Xwm Txuas Rau Opioid Kab Mob Sib Kis
Zoo Siab
Thaum koj xav tias "muaj kev sib kis," koj yuav xav txog cov dab neeg qub txog tus kab mob npaws npaws lossis niaj hnub niaj hnub ntshai xws li Zika lossis kab mob STIs super. Tab sis ib qho ntawm kev sib kis loj tshaj thiab txaus ntshai tshaj plaws America ntsib niaj hnub no tsis muaj dab tsi ua rau hnoos thiab txham, lossis txawm tias rog dhau. Nws yog tshuaj. Thiab peb tsis tham txog yam tsis raug cai.
Cov neeg Amelikas coob coob tau muaj kev quav yeeb quav tshuaj-thiab tuag ntau dhau los ntawm-opioids. Kwv yees li ntawm 33,000 tus neeg raug kev txom nyem los ntawm kev tuag ntawm opioid nyob rau xyoo 2015 hauv Teb Chaws Asmeskas Txog 15,000 ntawm cov no tau txuas ncaj qha rau cov tshuaj tua kab mob, raws li Lub Chaw Tiv Thaiv Kab Mob thiab Tiv Thaiv. Tus lej ntawd muaj quadrupled txij li xyoo 1999. Needless hais, nws tsis ua li cas. (Kev paub yog lub zog, yog li ntawm no yog txhua yam koj yuav tsum paub ua ntej noj cov tshuaj tua kab mob.)
Tias yog vim li cas Pawg Neeg Saib Xyuas Senate tau qhib qhov kev tshawb xyuas seb qhov kev coj ua ntawm tsib lub tuam txhab tshuaj loj hauv Teb Chaws Asmeskas, txhua tus tsim cov tshuaj tua kab mob, tau ua rau muaj kev tsim txom opioid uas ua rau ntau tus neeg tuag ntau dhau. Lub Senate tab tom saib mus rau Purdue Pharma, Johnson & Johnson's Janssen division, Insys, Mylan, thiab Depomed, thov cov ntaub ntawv hais txog kev muag khoom thiab kev lag luam cov ntaub ntawv, kev tshawb fawb sab hauv ntawm kev quav tshuaj, ua raws li kev cai lij choj, thiab pub dawb rau cov pab pawg neeg tawm tswv yim, raws li kev tshaj tawm los ntawm Tsoom Fwv Teb Chaws Asmeskas Pawg Neeg Soj Ntsuam ntawm Kev Ruaj Ntseg Hauv Lub Tebchaws thiab Kev Ua Haujlwm ntawm Tsoomfwv.Pawg Neeg Saib Xyuas opioid kev kis mob sib kis hais tias cov tuam txhab no siv cov lus nug txog kev muag khoom (xws li txo qis kev pheej hmoo ntawm kev quav yeeb quav tshuaj thiab pib cov neeg mob ntau dhau ntau npaum li cas) thiab muab nyiaj rov qab tsis raug cai los txhawb cov kws kho mob thiab kws saib xyuas mob kom sau lawv cov tshuaj opioid.
"Qhov kev sib kis no yog qhov tshwm sim ncaj qha los ntawm kev suav kev muag khoom thiab kev lag luam tawm tswv yim loj opioid cov tuam txhab lag luam tau liam tias tau ua raws li 20 xyoo dhau los los nthuav lawv txoj kev lag luam thiab nce kev vam khom rau cov muaj zog-thiab feem ntau cov tshuaj tua kab mob tuag taus ... cov neeg tsim khoom tau tshaj tawm nrhiav, ntawm Lwm cov tswv yim, kom txo qis kev pheej hmoo ntawm kev quav tshuaj rau lawv cov khoom lag luam thiab txhawb cov kws kho mob kom sau tshuaj opioids rau txhua qhov mob thiab siv tshuaj ntau, ” sau US Senator Claire McCaskill ntawm Missouri hauv nws cov ntawv rau cov tuam txhab.
Opioids cuam tshuam nrog cov neeg txais khoom ntawm cov hlab ntsha hauv lub cev thiab lub hlwb los tsim kev zoo siab ntxiv rau kev kho qhov mob, uas yog vim li cas lawv feem ntau raug tsim txom, raws li National Institute on Drug Abuse (NIDA). Cov tshuaj opioids suav nrog oxycodone (piv txwv li: OxyContin), hydrocodone (ex: Vicodin), morphine, thiab methadone, uas yog siv los kho qhov mob nruab nrab-rau- mob hnyav thiab feem ntau raug kho tom qab phais lossis raug mob, lossis rau cov mob xws li mob qog noj ntshav, raws li mus rau CDC. Tom qab ntawd muaj cov tshuaj fentanyl-ib qho tshuaj kho mob opioid uas yog 50 mus rau 100 npaug ntau dua li morphine, thiab tsuas yog siv los kho qhov mob hnyav. Thaum koj tuaj yeem tau txais daim ntawv fentanyl, kuj tseem muaj kev ua lag luam tsis raug cai rau cov tshuaj, uas CDC tshaj tawm yog qhov ua rau feem ntau fentanyl cuam tshuam txog kev tuag thiab kev siv ntau dhau.
CDC kwv yees tias xyoo 2014 ib leeg, ntau dua 2 lab tus neeg Asmeskas tau vam khom cov tshuaj pleev tshuaj opioid. Thaum ib nrab kwv yees kwv yees kev tuag opioid yog los ntawm yam lwm yam dua li cov kws kho mob sau tshuaj, cov tshuaj no tuaj yeem nkag mus rau lwm qhov kev siv opioid (suav nrog cov khoom siv tsis raug cai, xws li heroin). Qhov tseeb, plaub ntawm tsib tus neeg siv yeeb tshuaj tshiab tau pib siv tshuaj kho mob, raws li American Society of Addiction Medicine. Qhov tseeb, noj tshuaj kho mob kom raug mob pob yog qhov kawg ua rau muaj kev quav yeeb quav tshuaj rau tus poj niam hluas no.
Qee lub tuam txhab tau teb rau McCaskill cov ntawv: Purdue Pharma hais rau CNBC, "Cov teeb meem opioid yog ntawm peb lub tebchaws cov teeb meem kev noj qab haus huv tshaj plaws, uas yog vim li cas peb lub tuam txhab tau mob siab rau nws tus kheej ntau xyoo los ua ib feem ntawm kev daws teeb meem." Thiab tus kws tshaj lij J&J Janssen tau hais tias, "Peb ntseeg tias peb tau ua raws li qhov tsim nyog, muaj lub luag haujlwm, thiab muaj txiaj ntsig zoo tshaj plaws ntawm cov neeg mob hais txog peb cov tshuaj kho mob opioid, uas tau pom zoo los ntawm FDA thiab nqa FDA cov lus ceeb toom txog kev paub txaus ntshai ntawm cov tshuaj ntawm txhua daim ntawv lo khoom. " Mylan tau hais tias lawv "zoo siab txais tos cov neeg sawv cev ntawm qhov kev txaus siab rau qhov tseem ceeb no thiab peb qhia nws cov kev txhawj xeeb txog kev siv cov tshuaj opioids tsis raug," thiab "txawm tias yog ib tus neeg ua si me me hauv cheeb tsam no, peb tau cog lus los pab nrhiav kev daws teeb meem ntawm kev tsim txom opioid. thiab siv tsis raug."
Tsis muaj teeb meem dab tsi qhov kev tshawb nrhiav nthuav tawm, nws yog qhov tseem ceeb kom paub koj cov khoom thaum nws los txog rau dab tsi ntawm Rx daim ntawv los ntawm koj daim ntawv. Koj kuj yuav tsum paub txog cov cim tshwm sim ntawm kev quav yeeb quav tshuaj thiab kev tsim txom. Qee cov xov xwm zoo los pab koj xav tias ib me ntsis zoo dua txog qhov teeb meem tsis txaus ntseeg no: Kev tawm dag zog tsuas yog qhov zoo tshaj plaws los pab tiv thaiv kev quav yeeb quav tshuaj. (Tom qab tag nrho, tus neeg ncaws pob lub siab yog qhov muaj zog zoo li tshuaj.)