Author/Editor		Iljaž, Rade
Title		Predstavitev Brežiškega centra za preprečevanje in zdravljenje odvisnosti od nedovoljenih drog in prikaz primera
Translated title		Presentation of the Brežice centre for prevention and treatment of illicit drug addiction and case report
Type		članek
Source		Odvisnosti
Vol. and No.		Letnik 4, št. 1-2
Publication year		2003
Volume		str. 44-5
Language		eng
Abstract		The misuse of illicit drugs have been spreading in all the regions of Slovenia in last decade and has became an important social, medical and economical problem (1). About 4% of total population between 15 and 39 years are regular heroin users which indicates the drug use as exclusively the youth problem (2). There is a plenty of reasons for a family physician to play more active role in dealing with drug addiction. Some of more important reasons are the following : ◆ Addiction also reflects troubles and scrapes of an addict's family at society at all. ◆ Addiction is the chronic, non-contagious disease of unhealthy living style. ◆ We can speak about an epidemic of illicit drugs addiction. ◆ Each and every drug addict represents some sort of disturbance in function of a local community. ◆ Every family physician has much more contacts with addicts than clinicians do. In the first part of this presentation author presents a Centre for Prevention and Treating Illicit Drug Addiction, located in rural Primary Health Centre near the south Slovenian border. A case report of misdiagnosed heroin addiction in teenage girl is presented in the second part. Prevention and early detection of illicit drugs abuse are both great challenge and opportunity for family physician. Success in dealing with dependence to both illicit and legal drugs could prospectively become an important criteria in quality assess ment of each individual general practice at all.
Summary		Zloraba nedovoljenih drog se je v zadnjem desetletju razširila po vseh slovenskih krajih in je postala pomemben socialni, medicinski in ekonomski problem. Po nekaterih podatkih približno 4 odstotke prebivalstva med 15 in 39 letom poseže po heroinu, kar nakazuje, da je heroinska odvisnost pomembno razširjena med mlajšo populacijo. Obstajajo številni motivi za družinske zdravnike, da prevzamejovečjo pobudo pri obravnavi odvisnosti od drog. Nekateri najbolj pomembni so: ◆ Odvisnost odseva številne težave in stiske družine odvisnika in celotne skupnosti. ◆ Odvisnost je kronična, ponavljajoča se bolezen, nezdravega življenjskega sloga. ◆ Lahko govorimo že o epidemiji odvisnosti od nedovoljenih drog. ◆ Vsaki posamični odvisnik opozarja na motnje v delovanju lokalnih skupnosti. ◆ Posamezni družinski zdravnik je precej pogosteje v stiku z odvisnikom kotje to klinični zdravnik V prvem delu je predstavljen Center za preprečevanje in zdravljenje odvisnosti od nedovoljenih drog, ki deluje v sestavi podeželskega Zdravstvenega doma ob južni slovenski meji. V drugem delu prispevka je prikazan primer spregledane heroinske odvisnosti pri mladoletnici. Preprečevanje in zgodnje odkrivanje odvisnosti od nedovoljenih drog sta velika izziva in priložnosti za zdravnika v družinski in splošni medicini. Uspešnost pri obravnavi odvisnosti kako prepovedanih, tako dovoljenih drog bi v prihodnje lahko bila pomembna kazalca kakovosti dela v splošni oz. družinski medicini.
Descriptors		SUBSTANCE ABUSE STREET DRUGS HEROIN DEPENDENCE PRIMARY HEALTH CARE