Cov kws muag tshuaj yeeb dawb txiav lawv cov tshuaj heroin nrog dab tsi?
Tso lus
Heroin feem ntau yog "txiav" lossis sib xyaw nrog ntau yam tshuaj kom tau txais txiaj ntsig. Cov tswv lag luam siv dab tsi tau hloov pauv ntau, tshwj xeeb tshaj yog nyob rau xyoo tas los no, hloov los ntawm cov tshuaj diluents mus rau cov neeg quav yeeb quav tshuaj txaus ntshai thiab muaj zog.
Cov lus hauv qab no qhia txog cov khoom siv uas siv, lawv lub hom phiaj, thiab cov kev phom sij cuam tshuam.
| Hom | Piv txwv | Lub hom phiaj / nyhuv | Associated Dangers & Notes |
|---|---|---|---|
| Tsob Ntoo Inactive Diluents | Qab zib (lactose), starch, ci dej qab zib, mannitol | Bulk up cov khoom kom tau nyiaj ntau dua. | Feem ntau pharmacologically tsis ua haujlwm tab sis ua rau muaj kev pheej hmoo rau kev noj qab haus huv los ntawm cov tshuaj tsis paub thiab cov kab mob sib kis. |
| Tsob Ntoo Active Adulterants | Caffeine, paracetamol (acetaminophen), lidocaine, procaine | Mimic lossis txhim kho tus mob heroin (piv txwv li, caffeine rau "rush," hauv zos tshuaj loog rau loog). | Muaj peev xwm ua rau cov kev mob tshwm sim tsis tau npaj txhij thiab ua rau muaj teeb meem ntau dhau. |
| Niaj hnub no, muaj hwj chim Adulterants | Fentanylthiab analogues (carfentanil, p-fluorofentanyl) | Muab cov teebmeem opioid muaj zog ntawm ib feem ntawm tus nqi; feem ntau muag li heroin los yog tov nrog nws. | Kev pheej hmoo overdose heev.Fentanyl yog 50-100x muaj zog tshaj li tus heroin. Ib koob tshuaj 2 mg tuaj yeem ua rau tuag taus. |
| Xylazine("Tranq") | Veterinary sedative; prolongs cov teebmeem ntawm opioids. | Ua rau tawv nqaij rwj / qhov txhab.Tsis thim rov qab los ntawm naloxone (Narcan), nce overdose fatality txaus ntshai. |
⚠️ Qhov Tseem Ceeb Tseem Ceeb Hnub no
Qhov tseem ceeb tshaj plaws kev hem thawj yog los ntawmfentanyl, nws cov analogues (xws li p-fluorofentanyl), thiab xylazine. Cov no tsis yog yooj yim diluents; lawv yog cov muaj zog, cov tshuaj nquag uas tsim cov khoom lag luam uas tsis tuaj yeem pom thiab txaus ntshai heev.
Muaj peev xwm tsis tau pom dua: Ib pawg tuaj yeem muaj "hotspots" ntawm cov ntsiab lus fentanyl, ua rau ib txwm noj tshuaj tuag.
Resistance to Overdose Reversal: Xylazine-induced sedation thiab ua pa nyuaj siab yogtsis thim rov qab los ntawm naloxone, ua overdoses nyuaj rau kho.
Complex "Brews": Txoj kev kuaj feem ntau yog cov sib tov sib xyaw. Ib qho piv txwv 2024 los ntawm New York muaj13 yam tseem ceeb, suav nrog tus heroin, ob hom fentanyl, xylazine, caffeine, acetaminophen, thiab lidocaine.
Qhov kev deev luag poj luag txiv no feem ntau tshwm sim hauv cov khoom siv. Hauv ib rooj plaub hauv Asmeskas, tus neeg muag khoom tau muag ib qho ua ntej- sib xyaw "tus neeg txiav txiav" hu ua "Bonita"- muaj mannitol, lidocaine, thiab acetaminophen- nyob rau hauv ntau mus rau qib siab - cov neeg muag khoom.
🛡️ Cov Lus Qhia Txog Kev Txom Nyem Tseem Ceeb
Muab cov kev phom sij no, yog tias koj lossis ib tus neeg koj paub nyob rau hauv qhov xwm txheej uas siv tshuaj yeeb yuav tshwm sim, cov kauj ruam no yog qhov tseem ceeb:
Xav tias tag nrho cov tshuaj hauv txoj kev muaj fentanyl.Qhov no suav nrog tus heroin, cocaine, methamphetamine, thiab cov tshuaj cuav.
Siv fentanyl thiab xylazine kuaj strips.Cov no tuaj yeem pab txheeb xyuas qhov muaj (tab sis tsis yog tus nqi) ntawm cov tshuaj no hauv cov qauv ua ntej siv. Lawv muaj los ntawm ntau lub koom haum txo kev puas tsuaj.
Tsis txhob siv ib leeg.Kom muaj ib tus neeg tuaj yeem hu rau 911 thaum muaj xwm txheej ceev.
Nqa naloxone (Narcan).Paub siv nws li cas. Nco ntsoov, ntau koob tshuaj yuav xav tau rau fentanyl, thiab nws yuav tsis thim rov qab xylazine.
Pib qis, mus qeeb.Yog tias koj siv, noj ib koob tshuaj me me ua ntej, vim tsis paub tias muaj zog npaum li cas.
Txhawm rau nrhiav cov ntawv xeem dawb, naloxone, lossis txuas nrog qhov kev pab cuam txo kev puas tsuaj hauv zos, koj tuaj yeem mus saib cov peev txheej xws li harmreduction.org.
Kuv vam tias qhov kev qhia ntxaws ntxaws no yuav pab tau. Koj puas xav paub ntau ntxiv txog yuav ua li cas thiaj paub txog cov cim qhia ntawm opioid overdose lossis yuav ua li cas tswj naloxone?
