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Yıl:2017; Cilt: 18; Sayı: 2>> Özet
TAM METİN
Bağımlılık Dergisi; 2017;18(2):65-68
Salvia Divinorum Kötüye Kullanımı: Bir Olgu Sunumu
F Gürlek, E Taşdemir, T Teker
Bursa Training and Research Hospital, Bursa
Günümüzde uyuşturucu ve keyif veren maddeler özellikle genç ve adolesan yaş grubunu tehdit etmektedir. Bu maddelerin oldukça yaygın ve çeşitli olması ulaşımlarını da kolaylaştırmıştır. Kullanımları düşük sosyoekonomik ve sosyokültürel durum ile de yakından ilişkilidir. Psikoaktif ve halüsinojenik etkisi uzun yıllardır bilinen Salvia divinorum bitkisi de bu amaçla suistimal edilmektedir. Biz burada Salvia divinorum'un kötüye kullanılması sonrasında hareketsizliğe bağlı böbrek yetmezliği ve rabdomiyoliz gelişen bir olgu sunduk. Olgunun salvia kullanımı sonrası dört gün süre ile hareketsiz kaldığı ve ek başka uyuşturucu kullanmadığı bilinmektedir. Bu olgu sunumunda Salvia divinorum'un etkilerini araştırdık. Elbette, tek bir vaka raporunun Salvia divinorum'un potansiyel etkisini net olarak açıklayabileceğini düşünmüyoruz. Ayrıca, olgumuzun psikososyal özellikleri, düşük gelir düzeyine sahip bireylerde uyuşturucu kullanma riskinin daha yüksek olabileceğini desteklemektedir. Yüksek dozda kullanılan salvia divinorumun etki süresinin bilinenden çok daha uzun olabileceği ve madde bağımlılığının düşük sosyoekonomik durumla ilişkisi literatür ışığında tartışılmıştır
Salvia Divinorum Abuse: A Case Report
Nowadays, narcotic and enjoyable substances threaten especially adolescents and young people. These substances are fairly common and various. This makes them easier to access. Their use is also closely associated with low socio-economic and socio-cultural conditions. It has been known psychoactive and hallucinogenic effects of Salvia divinorum for many years. It is abused for this purpose. In this study, we presented a patient who developed renal failure and rhabdomyolysis due to immobility after abuse of Salvia divinorum. It has been known that the patient remained immobility for four days after using Salvia divinorum and did not use any additional drugs. In this case report, we examined the effects of Salvia divinorum. Of course, we do not think that a single case report can clearly the effect potential of Salvia divinorum. Considering that there were only a few studies in the literature on this regard, we believe that this case can contribute to the literature. Furthermore, the psychosocial features of our case support that the risk of drug use may be higher in individuals with lower levels of income. It has been discussed that the duration of action of Salvia divinorum used at high doses may be longer than usual and substance dependence is associated with low socio-economic status

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