Crack

Also produced with leaves of Erythroxylum Coca, base substance for the production of cocaine, crack cocaine and sulfatepaste is smoked in pipes by users. For being a cheaper drug is highly used and cause great dependence due to the sense of euphoria generated by her.

Users become more violent, and many begin to practice crimes due to the need to use more and more quantities of the drug. Users ' neurons are destroyed and the ability to concentrate, and the logic, are clearly harmed, moreover, self-control isalmost nonexistent and the behavior becomes involuntary.

Take only 10 seconds for it to take effect, generating euphoria and excitement, breathing and rapid heart rate, followed bydepression, delirium and "cleft" by new doses. "Crack" refers to the non-isolated cocaine in a salt water solution, after atreatment of salt dissolved in water with baking soda. The thick and dry pieces have some impurities and also contain baking soda. The last burst or crack: "crack" as the name.

Five to seven times more potent than cocaine, crack cocaine is also more cruel and deadly than she. Has an overwhelming power to disrupt the personality, acting at very short notice and creating huge psychological dependence. As well as cocaine,does not cause physical dependence, the body signals the lack of drugs.

The first sensations are euphoric, brightness and well-being, described as the snap, lightning, the "forpus", in the language of the users. The second time, they no longer appear. Soon the neurons are harmed and the heart enters the drift (from 180 to 240 beats per minute). There is risk of cerebral hemorrhage, fissure, hallucinations, delusions, seizures, acute and death.

The lung if fragments. Respiratory problems such as nasal congestion, cough and expectoration of mucus insistent blacksindicate the damage suffered.

Headaches, dizziness and fainting, tremors, thinness, sweating, pallor and nervousness £ craqueiro. Other important signs areeuphoria, disinhibition, psychomotor agitation, tachycardia, dilation of the pupils, increased blood pressure and severe sweating. Burns are common on the lips, tongue and face by the proximity of the flame of the lighter on the pipe, in whichthe stone is smoked.

The crack induces miscarriages and premature births. The surviving babies have smaller brain and cry of pain when touched or exposed to light. Take longer to talk, walk and go to the bathroom alone and have immense difficulty of learning.

The pipe to the brain

1. crack is burned and its aspirated smoke passes through the alveoli

2. Via alveoli crack falls in circulation and reaches the brain

3. In the central nervous system, the drug acts directly on neurons. The crack blocks the recapture of the neurotransmitter dopamine, maintaining the chemical any longer in the synaptic spaces. With this motor and sensory activities aresuperestimuladas. The drug increases blood pressure and heart rate. There is a risk of seizure, heart attack and stroke

4. crack is distributed by the body through the bloodstream

5. In the liver, it is metabolized

6. The drug is eliminated through urine.

Crack treatment

Patients who use crack necessarily need assessment and medical treatment and often have need of hospitalization that maybe desired and requested by the individual, in this case a voluntary hospitalization, or unwanted, unfolding to involuntaryprocedures or compulsory.

The treatment of people diagnosed as addicted to crack must first of all be planned by a professional specializing in the area of preference the psychiatrist. Unfortunately this is not possible in whole Brazil. This will evaluate a number of factors,among them: degree of motivation (the extent to which the addict wants to stop using crack), quality of social relationships(if still in touch and how is the relationship with the families), clinical complications (WEIGHT LOSS, infections, anemia), risk situations (domestic violence or experience in environments that allow the use and stimulate consumption)psychiatricComorbidities, (depression, schizophrenia, bipolar affective disorder) and other technical factors of health.

The professional should also assess whether the individual has performed some type of previous treatment and has the possibility to live in society during detoxification, as for example, you can continue to work and live with family members in the first few weeks of interruption of use. The evaluation of these criteria should always be held detailed and carefully, so that the professional will be able to decide, preferably together with the patient, if the best therapeutic plan should be in a full-time REGIME (psychiatric hospitals, Rehabilitation Clinics, Therapeutic Communities) or outpatient (basic health units,Psychosocial Attention Center CAPS AD, Day Hospital, outpatient specialties and Office).

The indication for hospitalization will be pointed to especially when there is an individual's exposure to high-risk situationsto life itself, how to present complications in the physical or mental health of high gravity, live in an environment of risk,suffer threats, suicidal, homicidal or present behaviors of depredation of heritage.

The hospitalization may be undertaken on a voluntary basis, when the individual, not understanding the seriousness of the problem, accept and consent to treatment; involuntary, when does not accept treat, and due to the severity of the case, thefamily and the doctor choose hospitalization as being safer and more adequate; or compulsory, when the Judge determinesthe admission in accordance with the criteria laid down by law and with the doctor's opinion as technical assistant in the field of health.

10,216/2001 Federal law aims to protect the rights of people with mental disorders, obviously including chemical dependency and provides that:

"Art. 8. The voluntary or involuntary admission shall only be authorized by a physician duly registered in the Regional Council of Medicine of the State in which CRM locate the establishment.

§1 the involuntary psychiatric hospitalization shall, within seventy-two hours, be communicated to the State Public Ministryby the technical manager of the establishment in which has occurred, and this same procedure be adopted when their high.

§2 termination of involuntary commitment shall be by written request of the familiar, or legal guardian, or when establishedby the controller.

Art. 9A compulsory hospitalization is determined, in accordance with current legislation, the competent judge, who will take into account the security conditions of establishment, the safeguarding of patient, other inmates and staff.

Forensic psychiatrists and psychologists are of fundamental importance in Legal cases like these, as they may assess theindividual's mental capacity, or sanity noting its limitations and risks to assist in the process in front of the judge.

Very important to know that hospitalization is a measure that should be thoroughly evaluated, as it is not indicated for all cases, much less in any institution. The individual may develop picture of intense anguish, revolt and even havestrengthened the desire to use drugs if the location does not have technical/clinical or ethical preparation to handle thesepeculiar needs of chemical dependency. For this reason, it is necessary initially to evaluation by a medical professional,preferably a psychiatrist specializing in chemical dependency, in order to facilitate and accompany the desiredmultidisciplinary treatment.

Another factor also assisting the family in these situations of discomfort to everyone who have some relationship with thecarrier of chemical dependency.