heroine sahaayathodeyulla chikitsa

heroine-assisted treatment (thoppi), allengil diamerphine assisted treatment, oru tharam marunnu-assisted treatmentine (maatt) soochippikkunnu, avide ardha-synthetic heroine oopiyettu adimakalkku nirddeshikkunnu, methadon allengil buprenorphine (brand namam subutex) polulla oopiyettu replacement therappiyil upayogikkunna sthaapitha marunnukalilonnu upayogichu chikitsa nalkunnu. eee koottam rogikale sambandhichidatholam, heroine sahaayathodeyulla chikitsa avarude saamoohikavum aarogyaparavumaya avastha mechappeduthunnathil mikachathaanennu theliyikkappettittund. heroine sahaayathodeyulla chikitsa swittsarland, jarmmani, netherlands, canada, denmark ennividangalile deseeya aarogya samvidaanathinte bhagamaanu. yunaittad kingdom, norway, beljiyam ennividangalil kooduthal pareekshanangal nadakkunnundu.
charithram.
charithram muthal britteeshukaarkk heroine paripalana samvidaanam undaayirunnu. pathittaandukalaayi raajyathudaneelam noorukanakkinu adimakale athu vitharanam cheythu, avaril bhooribhaagavum doctormarayirunnu. yuu. esinte falamaayi falamaayi ithinu ganyamaaya oonnal nalkiyilla.ezz. mayakkumarunninethire yuddham nadatthi. nadatthi 1990 kalude thudakkathilum doow. joonn marks livarpool, widness, warrington ennividangalil heroine nirddeshikkunna klinikkukal nadatthi, athu valare vivaadamaayirunnu. valia thothilulla pareekshanangalude abhavam kaaranam, chikilsayude falapraapthiyekkurichu upakhyaanaparamaaya thelivukal maathrame undaayirunnulloo. akkaalat europile ettavum valia thuranna mayakkumarunnu ramgangalilonnaaya swittsarland, oru attakuttappanikalkkull marunnayi diamerphine upayogikkaan saadhyathayullathinekkurich valia thothilulla pareekshanangal aarambhicha 1994 ll ithu maari. deerghakaala upayokthaakkale susthiravum kuttakrithyarahithavumaaya jeevitam sthaapikkaan sahayikkunnathil methodoninekkaal thulyamo mikachatho aaya vijayam kaanikkunna oru praayogika paripalana marunnaan diamerphine ennu avar theliyichu. eee phalangal jarmmani, netherlands thudangiya raajyangale svanthamaayi pareekshanangal nadatthaanum oduvil 2009 ll deseeya aarogya samvidaanathinte bhaagamaayi heroine sahaayathodeyulla chikitsa poornnamaayum ulppeduthaanum prothsaahippichu. 
swittsarlandil 1994 muthal adimakalude melnottatthil heroine labhyamaakkiyittund. 
1994-1996-nuu idayil niravadhi padanangal krodeekarikkappettittund. 
sthaanangal.
anugraham.
sameepa varshangalil britishukaar avarude deseeya aarogya sevanathinte niyamaanusritha gadakamaayi heroine paripalana padhathikal ulppeduthunnathilekku neengaan neengaan europian yooniyante mayakkumarunnu, mayakkumarunnu asakti nireekshana kendram varshangalilekkulla maargganirddeshangal purappeduvichu; 1995ll iii. emm. sii. dii. eiii. yude thudakkathinu sesham aadyamaayi, deerghakaalamaayi aavasyavum vitharanavum kuraykkunnathinulla nayangalkk purame "mayakkumarunnu moolamundaakunna aarogya, saamoohika apakadasaadhyathakalum doshangalum kuraykkuka" ennum group vaadichu. mayakkumarunnu, kuttakrithyangal ennivayekkurichulla aikyaraashtrasabhayude oafees, traansnaashanal instittyoott thudangiya grouppukal dosham kuraykkunnathinulla thanthrangal vaadikkunna rekhakal purathirakkiyittundu, ennirunnaalum randaamathethu maathramaan heroine sahaayathodeyulla therappiyekkurichu paraamarshikkunnath.
ethirppu.
mayakkumarunnu rahita america foundeshan polulla grouppukal, heroine sahaayathodeyulla chikitsa mattu dosham kuraykkunnathinulla thanthrangaleyum vimarshichu, niyamavirudhamaaya mayakkumarunnu upayogam polulla chila perumattangal surakshithamaayi pankedukkaamennu thonnunnuvennu aaropikkappedunnu, ithu vardhikkaan edayaakkumennu avakaashappedunnu.
melnottatthilulla kuthivayppu soukaryangal polulla chila dosham kuraykkunnathinulla nadapadikalil atharam poraaymakal nilanilkkunnu. eee soukaryangal upayokthaakkalkk echuaivi polulla rogangal anubadha ozhivakkaan aavashyamaaya vivarangalum upakaranangalum nalkunnu, pakshe avare karinchanthaye aasrayikkunnu. athinaal upayokthaakkal ippozhum ashudhamaaya theruvu mayakkumarunnukalude kuthivayppumaayi bandhapetta aarogya apakadasaadhyatha neridunnu, avarude asakthikkulla dhanasahaayathinte valia saambathika sammarddam avar ippozhum abhimukeekarikkunnu.
ennirunnaalum, heroine sahaayathodeyulla chikilsayude kaaryatthil, upayokthaakkalkk oru tharam farmaceutical grade heroine kuthivayppu pariharam nalkunnu, ithu kuthivayppinu anuyojyamaanennu doctormar karuthunnu. doctormar dossil ganyamaaya mattangal varuthaathirikkukayum kuthivayppinu sheshamulla nireekshanam nalkukayum cheiyunnathinaal, amithamaya alavu apoorvamaanu, naloxon polulla opioid athiraalikal upayogichu vegathil chikilsikkaam. athinaal, heroine sahaayathodeyulla chikilsayilulla rogikalkku niyamavirudhamaaya heroine upayogam nirvachikkunna pradhana sankeernamaaya prasnangalil ninnu aashvaasam labikkum. melpparanja saahacharyangalil edukkunna synthetic heroine neurotoxic allah, malabandham, aashrithathvam ennivaykku purame deerghakaala paarshwafalangal kuravaanu. atharam chikitsa oopshanukalude labhyatha mayakkumarunnu upayogavumaayi bandhapetta apakadasaadhyathakalekkurichu pothujana daaranaye maattiyekkaamennum niyamaviruddha mayakkumarunnu upayogam vardhikkunnathilekku nayichekkaamennum anumaanikkappettirumne, heroine sahaayathodeyulla chikilsayude varavinushesham swittsarlandil heroine durupayogathinte sambhavangal kuthane kuranju. laansettil prasidheekaricha oru padanatthil ingane nigamanam cheythu
koodaathe, atharam chikitsa paripaadikalile rogikalkku "vinashakaramaaya perumaattam" nilanirthaan kazhiyumenna dhaarana rogikal avarude saamoohikavum aarogyaparavumaya saahacharyangalude kaaryatthil ganyamaayi sukham praapikkunnu enna kandethalukalkk virudhamaanu. eee vishayathekkurichulla jarmman padanathekkurichulla oru klinikkal fooloo-upp reportil rogikalil 40 sathamaanavum jolie cheyyaan kazhiyunnavaril 68 sathamaanavum naalu varshathe chikilsaykku sesham jolie kandethiyathayi kandethi. chilar varshangalude bhavanarahithathaykkum kuttakrithyangalkkum sesham oru kudumbam polum aarambhichu.

