\u0130ngiltere’nin Ulusal Sa\u011fl\u0131k Sistemi (NHS) verilerine g\u00f6re doktorlar\u0131n re\u00e7eteyle verdi\u011fi g\u00fc\u00e7l\u00fc a\u011fr\u0131 kesici ila\u00e7 kullanan hastalar\u0131n say\u0131s\u0131 son on y\u0131lda 12 milyondan 24 milyona \u00e7\u0131kt\u0131.<\/p>\n

\u0130ngiltere’deki ara\u015ft\u0131rmalar \u00fclkede yakla\u015f\u0131k 200 bin ki\u015finin bu a\u011fr\u0131 kesicilere ba\u011f\u0131ml\u0131 oldu\u011funu \u00f6ne s\u00fcrd\u00fc.<\/p>\n

Doktorlara ba\u011f\u0131ml\u0131l\u0131k yaratan afyon bazl\u0131 a\u011fr\u0131 kesici re\u00e7etelerini hastalar\u0131na kolayca verdikleri ele\u015ftirisi getiriliyor.<\/p>\n

Guardian gazetesinin haberine g\u00f6re akut ve kronik a\u011fr\u0131 tedavisi i\u00e7in anestezi dal\u0131nda uzman yeti\u015ftiren Faculty of Pain Medicine ve Kraliyet Eczac\u0131l\u0131k Cemiyeti kodein ve tramadol gibi y\u00fcksek afyonlu ila\u00e7lar\u0131n kullan\u0131m\u0131ndaki art\u0131\u015ftan endi\u015feli. Uzmanlar halen on binlerce hastan\u0131n bu ila\u00e7lara ba\u011f\u0131ml\u0131 olabilece\u011fi uyar\u0131s\u0131nda bulunuyor.<\/p>\n

T\u0131p Fak\u00fcltesi dekan\u0131 Dr. Barry Miller \u0130ngiltere’de a\u011fr\u0131 kesici kullan\u0131m\u0131ndaki art\u0131\u015f\u0131n kayg\u0131yla kar\u015f\u0131lanmas\u0131 gerekti\u011fini s\u00f6yledi. Miller “Bu art\u0131\u015f\u0131n bir k\u0131sm\u0131 t\u0131p d\u00fcnyas\u0131ndaki profesyonellerin bu ila\u00e7lar\u0131n etkisini daha iyi anlamas\u0131na ba\u011fl\u0131 olabilir. Ancak gereksiz re\u00e7etelerin verilmesinden endi\u015feliyiz” dedi.<\/p>\n

NHS dijtial verileri ise 2006 y\u0131l\u0131nda bu a\u011fr\u0131 kesicileri kullanan 12 milyon hastan\u0131n 2016 y\u0131l\u0131nda 24 milyona \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ortaya koydu.<\/p>\n

Y\u00fczde 287’lik art\u0131\u015f<\/strong><\/p>\n

Re\u00e7eteli ila\u00e7lar aras\u0131nda oksikodon kullan\u0131m\u0131 387 bin hastadan yakla\u015f\u0131k 1.5 milyon hastaya ula\u015ft\u0131. Bu on y\u0131l i\u00e7inde y\u00fczde 287’lik bir art\u0131\u015fa denk geliyor. Ayn\u0131 d\u00f6nemde morfin s\u00fclfat re\u00e7etelerinde y\u00fczde 236’l\u0131k bir art\u0131\u015f ve fentanil i\u00e7inse y\u00fczde 143’l\u00fck bir art\u0131\u015f ya\u015fand\u0131.<\/p>\n

Miller bu ila\u00e7lar\u0131n \u0130ngiltere’de ya\u015fayan on binlerce hastan\u0131n hayat kalitesini art\u0131rabilece\u011fini ancak NHS personelinin bu ila\u00e7lar\u0131 yazarken fayda yerine daha \u00e7ok zarar vermediklerini iyi d\u00fc\u015f\u00fcnmeleri gerekti\u011fini s\u00f6yledi.<\/p>\n

Kolayl\u0131kla verilen re\u00e7eteler sonucunda baz\u0131 ara\u015ft\u0131rmalar 192 binden fazla hastan\u0131n halihaz\u0131rda bu ila\u00e7lara ba\u011f\u0131ml\u0131 oldu\u011funu ortaya koydu.<\/p>\n

ABD’de de 1999 y\u0131l\u0131ndan bu yana oksikodon, hidrokodon ve metadon gibi ila\u00e7lar\u0131n kullan\u0131m\u0131 d\u00f6rt kat artt\u0131. Verilere g\u00f6re 1991 ile 2011 y\u0131llar\u0131 aras\u0131nda bu ila\u00e7lar\u0131n re\u00e7eteleri y\u0131lda 76 milyondan 219 milyona \u00e7\u0131kt\u0131.<\/p>\n

Uzmanlar \u0130ngiltere’de bu a\u011f\u0131r ila\u00e7lar\u0131n kullan\u0131m\u0131ndaki art\u0131\u015f\u0131 “g\u00f6z \u00f6n\u00fcnde sakl\u0131 bir kamu sa\u011fl\u0131k felaketi” olarak tan\u0131ml\u0131yor.<\/p>\n

\u0130la\u00e7 kullan\u0131m\u0131 konusunda bilgi toplayan DrugWise \u00f6rg\u00fct\u00fcnden Harry Shapiro a\u011fr\u0131 kesici ba\u011f\u0131ml\u0131s\u0131 olan hastalara yard\u0131m edilmesi i\u00e7in daha fazla \u00f6zel merkezlerin kurulmas\u0131 gerekti\u011fini s\u00f6yledi.<\/p>\n

Shapiro “\u0130nsanlar sokaklara \u00e7\u0131k\u0131p torbac\u0131lardan uyu\u015fturucu sat\u0131n alm\u0131yor, a\u011fr\u0131 kesici al\u0131yorlar. Bu g\u00f6z \u00f6n\u00fcnde sakl\u0131, her aile hekimi klini\u011finde ya da a\u011fr\u0131 tedavisi merkezinde g\u00f6r\u00fclen bir sorun” dedi.<\/p>\n

Bu haplar\u0131 kullanan baz\u0131 hastalar da doktorlar\u0131n\u0131n re\u00e7ete yazmas\u0131n\u0131n ard\u0131ndan keyif ama\u00e7l\u0131 kulland\u0131klar\u0131n\u0131 kabul ediyor.<\/p>\n

Afyon i\u00e7erikli bu ila\u00e7lar omurilik, beyin ve sinir sisteminin farkl\u0131 b\u00f6l\u00fcmlerinde etkili.<\/p>\n

Opioid olarak bilinen ila\u00e7lar yaralanmalardan sonra a\u011fr\u0131 hissini azalt\u0131yor. Bu ila\u00e7lar\u0131n en b\u00fcy\u00fck tehlikesi ba\u011f\u0131ml\u0131l\u0131k yaratmas\u0131 ve kullan\u0131m durduktan sonra hastan\u0131n \u015fikayetlerinin artmas\u0131.<\/p>\n

Kodein gibi ila\u00e7lar ise kanser hastalar\u0131 i\u00e7in etkili olabiliyor ancak uzun vadeli a\u011fr\u0131larda etkileri azal\u0131yor. Bu ila\u00e7lar ayr\u0131ca kronik kab\u0131zl\u0131k ve tehlikeli yat\u0131\u015ft\u0131r\u0131c\u0131l\u0131k gibi yan etkilere sahip.<\/p>\n

Oxford \u00dcniversitesi’nde anestezi ve a\u011fr\u0131 y\u00f6netimi b\u00f6l\u00fcm\u00fcnde g\u00f6revli Dr. Jane Quinlan “Kronik a\u011fr\u0131dan \u015fikayet\u00e7i hastalar\u0131n \u00e7o\u011funda opioidler a\u011fr\u0131y\u0131 azaltm\u0131yor, ayr\u0131ca yan etkileri hayat kalitelerini ciddi oranda d\u00fc\u015f\u00fcrebilir. Zaman i\u00e7inde opioid ila\u00e7lar hastay\u0131 a\u011fr\u0131ya daha hassas hale getiriyor” dedi.<\/p>\n

Baz\u0131 uzmanlar ise bu t\u00fcr ila\u00e7 kullan\u0131m\u0131n yasad\u0131\u015f\u0131 uyu\u015fturucu kullan\u0131m\u0131na yol a\u00e7abilece\u011fi uyar\u0131s\u0131nda bulunuyor.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0130ngiltere’nin…<\/p>\n","protected":false},"author":15,"featured_media":58214,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1579],"tags":[],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/110594"}],"collection":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=110594"}],"version-history":[{"count":1,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/110594\/revisions"}],"predecessor-version":[{"id":110595,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/110594\/revisions\/110595"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/58214"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=110594"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=110594"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=110594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}