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Detoxification

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Mohammad Samin

The document discusses detoxification and withdrawal from opioid addiction. It describes the acute effects of heroin use and contrasting withdrawal symptoms, including relief of pain versus induced pain. It also covers neonatal withdrawal syndrome in infants, with symptoms like yawning, sneezing, and diarrhea. Detoxification in Afghanistan typically involves symptomatic therapy, vitamins, hydrotherapy, tapering off opioids, and psychotherapy, but no substitution therapy. The risks of sharing syringes for drug use are also mentioned.

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Detoxification
Detoxification ‫ب‬ ‫بب‬‫ب‬‫ببب‬ ‫بببب‬ :
: ‫ببببب‬ ‫بببب‬ ‫ببببب‬ ‫بببب‬ ‫بببب‬ ‫ببب‬ ‫ببب‬ ‫بب‬ ‫ببببب‬ ‫بببب‬ ‫بب‬ ‫بب‬ ‫ببببببببب‬ ‫ب‬ ‫بببب‬ ‫بببب‬ ‫بببب‬ ‫ببب‬ ‫بببب‬ ‫ببب‬ ‫ببب‬ ‫بب‬ ‫ببب‬ ‫بببببببب‬ ‫ب‬ ‫بببب‬
‫بب‬ ‫ببببب‬ ‫بب‬ ‫بب‬ ‫بب‬ ‫ب‬ ‫ببب‬ ‫بببب‬withdrawal ‫ب‬ ‫بببببببب‬ ‫ب‬ ‫ببب‬ ‫بب‬ ‫بببببب‬ ‫ببببب‬ ‫بب‬ ‫بببببب‬ ‫بب‬ ‫ببببب‬ ‫ببب‬
Detoxification
‫ههه‬ ‫ههههههه‬ ‫هه‬ ‫ههههههه‬ ‫هههه‬ :‫هههههههه‬ ‫ههههههههه‬withdrawal ‫ههههه‬ ‫هههههههه‬ ‫ههههههههههههه‬ ‫ههههه‬ ‫ه‬ ‫هه‬ ‫هه‬ ‫ههههه‬ ‫ههههه‬ ‫ههه‬ ‫ههههههه‬ ‫ههههههه‬ ‫ههه‬ ‫ههههههه‬-)‫هههه‬ ‫هه‬ ‫هه‬ ‫هههه‬ ‫هه‬ ‫ههههه‬ ‫هههه‬ ‫ه‬ ‫ههه‬ ‫هه‬ ‫ههه‬ ‫هههههههههه‬
No Acute effects of heroin Withdrawal symptoms 1 Relief Pain Induce pain 2 Suppress cough Induce cough 3 Dry mouth Lacrimation , Rhinorrhea , Sneezing 4 Euphoria Dysphoria 5 Hypertension & Bradycardia Hypertension & tachycardia 6 Muscle relaxation Muscle spasm 7 Hypothermia Hyperthermia 8 Constipation Diarrhea or Nausea / vomiting 9 Induce sleep Insomnia 10 Myosis Mydriasis 11 Ataxia 12 Itching 13 Urine retention Spontaneous Ejaculation 14 Respiratory Depression Tachypnea
• 1- • 2- . • 3-. • 4- • 5- . • 6- . • 7- . • 8- . • 9- . • 10-
.................... • 11- • 12- . • 13- . • 14- . • 15- . • 16- . • 17- Piloerection. • 18-Spontaneous ejaculation. • 19-Hyperthermia . • 20- Dehydration .
Neonatal withdrawal SyndromeNeonatal withdrawal Syndrome • S/S occur within the first 24 hrs and may last up to 8 days and may include, • Yawning. • Sneezing. • Decreased Moro reflex. • Increased tendon reflexes. • Tremor. E. Moro (1874- 1951) German Pediatrician
Neonatal withdrawal Cont…Neonatal withdrawal Cont… • Hunger but irregular sucking. • Loud cry. • Watery diarrhea. • Vomiting. • Fever. • Cyanosis. • Convulsion and dehydration.
Confirmation of DiagnosisConfirmation of Diagnosis • 1- Finding of Opioid metabolites in mother’s or Neonate urine. • History of mother addiction.
‫هه‬ ‫ه‬ ‫ههه‬ ‫هه‬ ‫هه‬ ‫ههههه‬ ‫ه‬ : ‫هه‬ ‫هههه‬ ‫ههه‬ ‫هههههه‬ ‫ه‬‫ه‬ ‫ه‬ ‫ه‬ ‫ههههههه‬ ‫ه‬ ‫هه‬ -withdrawal ‫ههه‬ ‫ه‬ ‫ههه‬ ‫ه‬ ‫ههه‬ ‫ه‬ ‫ه‬ ‫ههههههه‬ ‫ه‬ . ‫هه‬ ‫ه‬‫ههه‬ ‫ه‬ ‫ههه‬ ‫ه‬ ‫ه‬ ‫ه‬ ‫ه‬ ‫هه‬ ‫هه‬ ‫ه‬ ‫هه‬ - ‫ههههه‬ ‫ههههه‬ ‫هههه‬ ‫هه‬)multiple drug users(. ‫ه‬‫ههههه‬ ‫ه‬ ‫ههه‬ ‫ه‬ ‫ه‬ ‫ه‬ ‫ههه‬ - . ‫هههه‬ ‫هههههه‬ ‫هههههههه‬ ‫ه‬‫هههههه‬ ‫ه‬ ‫هههه‬ ‫ههههه‬ - . ‫هههه‬ ‫ه‬‫ههه‬ ‫ههه‬ ‫هههههه‬ ‫هه‬ ‫هه‬ ‫ههه‬ - . ‫هه‬ ‫هههه‬
‫هه‬ ‫هههه‬ ‫هههه‬ ‫ههههه‬ - ‫ههه‬ ‫ههههه‬ ‫هه‬ ‫ههه‬ . ‫هه‬ ‫ههههه‬ ‫ه‬ ‫هه‬ ‫هههه‬ ‫ههه‬ - ‫ههه‬ ‫هه‬ ‫ههه‬ ‫هههههههه‬ . ‫هه‬ ‫هههههه‬ ‫ه‬ ‫هه‬ ‫ههههه‬ - . ‫ههه‬ ‫هه‬ ‫هه‬ ‫هههه‬ ‫ههههه‬ ‫ههههه‬ ‫هه‬ - . ‫هههه‬ ‫هههههههه‬ ‫هههه‬ -
DetoxificationDetoxification • There is a combination of several treatment methods in Afghanistan. • 1-Symptomatic therapy. • 2- Vitamin therapy. • 3- Hydrotherapy or cold bathing. • 4- Tapering off. • 5-Spychotherapy but no substitution therapy or acupuncture.
These people are smoking Opium
It is too dangerous to share the syringe
Dr. Mohammad Samin (Stanikzai)

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Detoxification

  • 4. : ‫ببببب‬ ‫بببب‬ ‫ببببب‬ ‫بببب‬ ‫بببب‬ ‫ببب‬ ‫ببب‬ ‫بب‬ ‫ببببب‬ ‫بببب‬ ‫بب‬ ‫بب‬ ‫ببببببببب‬ ‫ب‬ ‫بببب‬ ‫بببب‬ ‫بببب‬ ‫ببب‬ ‫بببب‬ ‫ببب‬ ‫ببب‬ ‫بب‬ ‫ببب‬ ‫بببببببب‬ ‫ب‬ ‫بببب‬
  • 5. ‫بب‬ ‫ببببب‬ ‫بب‬ ‫بب‬ ‫بب‬ ‫ب‬ ‫ببب‬ ‫بببب‬withdrawal ‫ب‬ ‫بببببببب‬ ‫ب‬ ‫ببب‬ ‫بب‬ ‫بببببب‬ ‫ببببب‬ ‫بب‬ ‫بببببب‬ ‫بب‬ ‫ببببب‬ ‫ببب‬
  • 7. ‫ههه‬ ‫ههههههه‬ ‫هه‬ ‫ههههههه‬ ‫هههه‬ :‫هههههههه‬ ‫ههههههههه‬withdrawal ‫ههههه‬ ‫هههههههه‬ ‫ههههههههههههه‬ ‫ههههه‬ ‫ه‬ ‫هه‬ ‫هه‬ ‫ههههه‬ ‫ههههه‬ ‫ههه‬ ‫ههههههه‬ ‫ههههههه‬ ‫ههه‬ ‫ههههههه‬-)‫هههه‬ ‫هه‬ ‫هه‬ ‫هههه‬ ‫هه‬ ‫ههههه‬ ‫هههه‬ ‫ه‬ ‫ههه‬ ‫هه‬ ‫ههه‬ ‫هههههههههه‬
  • 8. No Acute effects of heroin Withdrawal symptoms 1 Relief Pain Induce pain 2 Suppress cough Induce cough 3 Dry mouth Lacrimation , Rhinorrhea , Sneezing 4 Euphoria Dysphoria 5 Hypertension & Bradycardia Hypertension & tachycardia 6 Muscle relaxation Muscle spasm 7 Hypothermia Hyperthermia 8 Constipation Diarrhea or Nausea / vomiting 9 Induce sleep Insomnia 10 Myosis Mydriasis 11 Ataxia 12 Itching 13 Urine retention Spontaneous Ejaculation 14 Respiratory Depression Tachypnea
  • 9. • 1- • 2- . • 3-. • 4- • 5- . • 6- . • 7- . • 8- . • 9- . • 10-
  • 10. .................... • 11- • 12- . • 13- . • 14- . • 15- . • 16- . • 17- Piloerection. • 18-Spontaneous ejaculation. • 19-Hyperthermia . • 20- Dehydration .
  • 11. Neonatal withdrawal SyndromeNeonatal withdrawal Syndrome • S/S occur within the first 24 hrs and may last up to 8 days and may include, • Yawning. • Sneezing. • Decreased Moro reflex. • Increased tendon reflexes. • Tremor. E. Moro (1874- 1951) German Pediatrician
  • 12. Neonatal withdrawal Cont…Neonatal withdrawal Cont… • Hunger but irregular sucking. • Loud cry. • Watery diarrhea. • Vomiting. • Fever. • Cyanosis. • Convulsion and dehydration.
  • 13. Confirmation of DiagnosisConfirmation of Diagnosis • 1- Finding of Opioid metabolites in mother’s or Neonate urine. • History of mother addiction.
  • 14. ‫هه‬ ‫ه‬ ‫ههه‬ ‫هه‬ ‫هه‬ ‫ههههه‬ ‫ه‬ : ‫هه‬ ‫هههه‬ ‫ههه‬ ‫هههههه‬ ‫ه‬‫ه‬ ‫ه‬ ‫ه‬ ‫ههههههه‬ ‫ه‬ ‫هه‬ -withdrawal ‫ههه‬ ‫ه‬ ‫ههه‬ ‫ه‬ ‫ههه‬ ‫ه‬ ‫ه‬ ‫ههههههه‬ ‫ه‬ . ‫هه‬ ‫ه‬‫ههه‬ ‫ه‬ ‫ههه‬ ‫ه‬ ‫ه‬ ‫ه‬ ‫ه‬ ‫هه‬ ‫هه‬ ‫ه‬ ‫هه‬ - ‫ههههه‬ ‫ههههه‬ ‫هههه‬ ‫هه‬)multiple drug users(. ‫ه‬‫ههههه‬ ‫ه‬ ‫ههه‬ ‫ه‬ ‫ه‬ ‫ه‬ ‫ههه‬ - . ‫هههه‬ ‫هههههه‬ ‫هههههههه‬ ‫ه‬‫هههههه‬ ‫ه‬ ‫هههه‬ ‫ههههه‬ - . ‫هههه‬ ‫ه‬‫ههه‬ ‫ههه‬ ‫هههههه‬ ‫هه‬ ‫هه‬ ‫ههه‬ - . ‫هه‬ ‫هههه‬
  • 15. ‫هه‬ ‫هههه‬ ‫هههه‬ ‫ههههه‬ - ‫ههه‬ ‫ههههه‬ ‫هه‬ ‫ههه‬ . ‫هه‬ ‫ههههه‬ ‫ه‬ ‫هه‬ ‫هههه‬ ‫ههه‬ - ‫ههه‬ ‫هه‬ ‫ههه‬ ‫هههههههه‬ . ‫هه‬ ‫هههههه‬ ‫ه‬ ‫هه‬ ‫ههههه‬ - . ‫ههه‬ ‫هه‬ ‫هه‬ ‫هههه‬ ‫ههههه‬ ‫ههههه‬ ‫هه‬ - . ‫هههه‬ ‫هههههههه‬ ‫هههه‬ -
  • 16. DetoxificationDetoxification • There is a combination of several treatment methods in Afghanistan. • 1-Symptomatic therapy. • 2- Vitamin therapy. • 3- Hydrotherapy or cold bathing. • 4- Tapering off. • 5-Spychotherapy but no substitution therapy or acupuncture.
  • 17. These people are smoking Opium
  • 18. It is too dangerous to share the syringe
  • 19. Dr. Mohammad Samin (Stanikzai)