Kamil YAMAK, Berrak KARATAN

Yanıkların Yıkıcı Bir Nedeni: Sentetik Kannabinoid Suistimali

Sentetik kannabinoidler, kannabinoid reseptörlerinin agonistleri olan insan yapımı kimyasallardır. Küresel olarak, 2000'lerden beri psikoaktif etkileri nedeniyle yasa dışı olarak pazarlanmaktadır. Türkiye'de ilk sentetik kannabinoid trafiği 2010'ların başında tespit edilmiştir. O zamandan beri, psikiyatrik ve bedensel komplikasyonları büyüyen bir endişe haline gelmiştir. Ülkemizde yaygın bir sentetik kannabinoid türü olan Bonzai, depresyondan öforiye kadar çeşitli zihin değiştirici etkilere sahiptir. Bu değişen zihin durumu, kullanıcıları travmaya yatkın hale getirmektedir. Bu çalışmada, Bonzai ile ilişkili yanık vakaları ile ilgili deneyimlerimizi sunduk. Ocak 2018 - Aralık 2020 tarihleri arasında Plastik Cerrahi ile Ortopedi ve Travmatoloji Kliniklerine toplam 12 hasta Bonzai ilişkili yanık nedeniyle sevk edildi. Hastaların yaşları 18 ile 57 arasında değişmekte idi (ortalama yaş: 33,5 yıl). Toplam yanık yüzey alanı %2 ile %40 arasında idi. Beş hasta yanık nedeniyle ameliyat edildi; bu hastaların hepsinde komplikasyon gelişti ve hastalar ikincil ameliyatlar geçirdi. İki hasta hastaneye kabul edildikten sonra vefat etti, üç hasta ise taburculuk sonrası takibe gelmedi. Hastaneden taburcu olduktan sonra sadece bir hastanın uyuşturucudan arınmış olduğu doğrulandı. Bu çalışmada, her yaştan ve her kesimden insanı etkileyebilen bu sentetik ilacın endişe verici tehlikesine dikkat çekmeyi amaçlıyoruz.

Anahtar Kelimeler:

Bonzai, Trauma, Reconstructive Surgery, Drug, Addiction, Travma, Rekonstrüktif Cerrahi, Bağımlılık

A Devastating Cause of Burns: Synthetic Cannabinoid Abuse

Synthetic cannabinoids are human-made chemicals that are agonists of cannabinoid receptors. Globally, they have been marketed illegally for their psychoactive effects since the 2000s. The first synthetic cannabinoid traffic in Turkey was detected in the early 2010s. Since then, their psychiatric and psychological complications have become a growing concern. Bonzai, a common form of synthetic cannabinoid in our country, has varying mind-altering effects, from depression to euphoria. This altered state of mind makes users prone to trauma. Herein, we present our experiences of Bonzai-related burn cases. A total of 12 patients were referred to the Plastic Surgery, Orthopedics, and Traumatology Clinics between January 2018 and December 2020; their ages ranged from 18 to 57 years (average age: 33.5 years). The total burn surface area ranged from 2% to 40%. Five patients had been operated on due to burn injuries; all of these patients had complications and secondary surgeries. Two patients were lost after admission to the hospital, and three patients were lost during follow-up. Only one patient was verified to be clean from drugs after discharge from the hospital. We aim to point out the alarming danger of this synthetic drug, which can affect all ages and walks of life.

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