💉 Heroin
Source: Harm Reduction Victoria · DanceWize Victoria SSB
Guudmar
Herowan waa daawe gacan-dhaawac oo ah opioid ah oo dhimista gacan-dhawaca ah oo laga sameeyay morphine, kaas oo si degdeg ah u jajabiyay neefeeskii iyo cardiga, oo ah khatari aad u weyn oo lagu dhiman karo.
Herowan waa daawe gacan-dhaawac (gacantaas dhaawaca) oo dhimista nidaamka jiidka ee xarunta (CNS), kaas oo jajabiyaya neefeeskii iyo cardiga. Waa opiate laga sameeyay morphine, oo ah walxo dabiici ah oo laga soo saaro geedo opium. Australiayga, herowan inta badan waa powder cas oo yar.
Markii la qaato, herowan si degdeg ah waxay galaan maskaxda, tirada opioid receptors ah, kaas oo keenaya farxad aad iyo gacan-dhaawac aad. Sannadaha dambe, herowan adduunka oo dhan waxaa si sii kordhaya lagu dareejiinayaa fentanyl aad u xoogan, carfentanyl iyo xylazine, kaas oo keenaya dib-u-dhaca dhimashada adduunka. Naloxone (Narcan) waa daawe amaan ah, oo bilaash ah, kaas oo si buuxa u jilkeyn kara dhimashada herowan — hayso hadii aad ama qof kasta oo ku wareega ah opioids.
Isticmaal ka badbaado badan
Naloxone bilaash yaho oo si buuxa u jilkeyn karta dhimashada herowan — had iyo jeer hayso oo ogee halka ay jirto Ismitaag ku wareega dad aad iskula hallinayso; haddii iyada lagu yagleelo, weydiiso saaxiib inaad kula xisaabto Ismitaag yaraysan si degdeg ah marka lagu joogo — ismitaag aad oo yar oo ka yar jidkaad hore u ismitaagaysid Ballanta herowan waxay ka duwan tahay batch ilaa batch — ballan yar oo hore Adhibi daaweynta ah oo kale; hadda furan ama walaac iyada keliyada labada gacan, biyo, filtarado ama malmal Gubay gacan iyo goobta ismitaaga oo soap iyo biyo leh kahor iyo gadaal Ragga ismitaaga ee kala duwan si aad u dhawrto veins-ka; awood Dispose of syringes oo si halal ah NSP (Needle and Syringe Program) goobta Marka cuqulaysiga: haji gacan-la-taagga ciyaarta; jir qudhoon oo gacan-la-taagga
⚠ Ha ku darin
KHATARI: Alcohol, ketamine, GHB/GBL/1,4-B, benzodiazepines iyo dhimistiyo kale (seexad sii kordhaya, la-o-galay, hypoxia iyo dhimashada dhimashada); MXE (herawan uu kariyaa); DXM (CNS depression, neefeeskii dhibaatada, yaraynta ismitaag-tolelaance oo lagu dhiman karo); Cocaine (yaraysa waxyaalaha la-o-galay — khatari dhimashada marka cocaine sii tagay); Tramadol (illaj-risk sii kordhaya); Lyrica iyo anticonvulsants kale; qaar antihistamines-ka. TAXADIR: PCP (yaraysa ismitaag-tolelaance); N2O (risk sare oo la-o-galay iyo illaj); Meth iyo stimulants kale (waxyaalaha la-o-galay — dhimashada marka stimulant sii tagay); MAOIs. Aad u khatari ah: asthma, COPD, neefeeskii dhibaatada, qalbi ama jirka dhaqdhaaqii, depression weyn ama welwel.
🚨 Haddii wax qaldamaan
Haddii qof dhimo: wac 000, la sii daaji naloxone, dhig recovery position. Naloxone bilaash ayaa laga heli kara pharmacies iyo NSP badan — hayso. Ismitaag-ka yaraysi waxaa bilaabta saacadaha gudaheeda oo waxaa ka mid ah xanuun weyn oo jirka iyo laafo, dhererka, qasilo, seexad aan la helin — raadi gargaarka daaweyaaha.
Roadside saliva tests-ka herawan ma ogaan laakiin waxay ogaan karaan waxyaalaha kale oo lagu dhacsaday.
Saameynta
Farxad aad u weyn oo lagu soo rogi karo iyo gacan-dhaawac kulul iyo seexad Qoolo, seexad iyo daciif Xaniiq, qasilo, afka qallalool iyo xanuunka calooshka Neefeeskii jajabsan iyo cardiga yaraysan Gacan-dhaawac (waxyaalaha aan la dagin) iyo pupil-ka yaryar Caloosh yaraysan, kulul iyo dhererka Dardargelyo sare: hypoxia (daaliyaha oxygen), illaj Dhergad wanaag: veins-ka laga jaray, abscesses, qalbigu walbahaarka lagu buuxiyo, khatari HIV/Hep B&C Ismitaag — labaduba jidka jirka iyo maskaxda
Qiyaasta iyo muddada
Ismitaag IV ama cuqulaysi. IV ismitaaga: Guud ahaan waqtiga 4–5 saac; Bilaabka 15 ilbiriqsi; Badhi 30 daqiqa–2 saac; Hoos u dhaca 6–12 saac; Wixii dambe 3–5 maalmood. Half-life-ka herowan waa 2–3 daqiqa (si degdeg ah u beddelam morphine, half-life labaduba 6 saac).
Daaweyaale imtixaad: Shaħa ilaa 3 maalmood; Timo ilaa 90 maalmood; Dhiig ilaa 2 maalmood. Fentanyl test strips waa jira Australiayga.