Ключові слова
наркотичні знеболювальні
марихуана
ПТСР
аноресія
Як цитувати
Анотація
В Україні завершується процедура легалізації медичного канабісу, необхідного приблизно для 6 млн пацієнтів з онкозахворюваннями паліативних стадій, розсіяним склерозом, епілепсією, боковим амніоторофічним склерозом, фіброміалгією, артритом, ВІЛ/СНІДом, глаукомою, посттравматичним стресовим розладом, хворобами Альцгеймера, Паркінсона, синдромами Туретта, Леннокса-Госте, Драве, подразненого кишківника, болем у спині, хронічними болем внаслідок травм спинного мозку, діабетичної нейропатії, постгерпетичної невралгії. Канабіс необхідний таким хворим для подолання спастичності, хронічного болю, нудоти, блювання, анорексії, депресії, підвищеного очного тиску. Він може бути доповненням лікування іншими фармпрепаратами або їх альтернативою. Напередодні набуття чинності відповідного закону необхідно визначити основні напрямки швидкого напрацювання необхідних підзаконних актів (клінічних протоколів, інструкцій тощо) для швидкого початку широкого використання канабісу у клінічній практиці, зокрема у паліативній медицині. Методами системного аналізу та бібліосемантичним проведене дослідження наукових літературних джерел у Google Scholar та PubMed для вивчення головних властивостей медичного канабісу, медико-соціальних ризиків його використання, зокрема побічних дій, збільшення нелегального рекреаційного вживання трав’яного канабісу. Вивчений досвід інших країн, в яких медичний канабіс вже легалізований (США, Канада, Австралія, Данія, Німеччина, Ізраїль, Швейцарія). Визначений перелік нормативно-правових актів України, що можуть регулювати використання медичного канабісу: 27 клінічних настанов, заснованих на доказах; 27 стандартів та протоколів медичної допомоги. Визначені можливі сценарії та запропоновані необхідні заходи щодо прийняття нормативно-правових актів для остаточної декриміналізації канабісу, визначення та прогнозування потреби у канабісі.
Ключові слова: хронічний біль, наркотичні знеболювальні, марихуана, ПТСР, аноресія.
Архівовано: https://doi.org/10.5281/zenodo.12699421
Посилання
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Ewing sarcoma, 22 Jun 2023. State Expert Center of the Ministry of Health of Ukraine [Internet]. Available at: https://www.dec.gov.ua/mtd/sarkoma-yuyinga [accessed 20 Mar 2024]. [In Ukrainian].
Sarcomas of soft tissues of the limbs and trunk, 10 Aug 2023. State Expert Center of the Ministry of Health of Ukraine [Internet]. Available at: https://www.dec.gov.ua/mtd/sarkomy-myakyh-tkanyn-kinczivok-ta-tuluba [accessed 20 Mar 2024]. [In Ukrainian].
Chronic obstructive pulmonary disease, 29 Nov 2019. State Expert Center of the Ministry of Health of Ukraine [Internet]. Available at: https://www.dec.gov.ua/mtd/hronichne-obstruktyvne-zahvoryuvannya-legeni [accessed 20 Mar 2024]. [In Ukrainian].
Chronic lymphoid leukemia, 09 Sep 2022. State Expert Center of the Ministry of Health of Ukraine [Internet]. Available at: https://www.dec.gov.ua/mtd/hronichnyj-limfoyidnyj-lejkoz [accessed 20 Mar 2024]. [In Ukrainian].
Chronic myeloid leukemia, 29 Nov 2019. State Expert Center of the Ministry of Health of Ukraine [Internet]. Available at: https://www.dec.gov.ua/mtd/hronichnyj-miyeloyidnyj-lejkoz [accessed 20 Mar 2024]. [In Ukrainian].
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