Sigaretnono: Na míakpɔ nusi tututu sigaret wɔna ɖe wò ŋutilã ŋu.

Àte ŋu anye amesi doa sigaret zi ɖeka gbesiagbe, alo ne mia kple xɔlɔ̃wo miedo go. Le ame aɖewo gome la, enye numame, le ame bubuwo gome la, enyea modzakaɖeɖe. Gake ɖe nènya nusi dzɔna ne sigaret ƒe dzudzɔ sia ge ɖe wò ŋutilã mea? Mina míaƒo nu tso eŋu egbea, bɔbɔe ŋutɔ.

Nukae nye sigaret? Nukae le eme?

Kpuie ko la, atamanono nye nuwɔna si wotsɔa sigaret, si wotsɔ atama ƒuƒu wɔe, xatsa ɖe aŋgba me, eye emegbe wogbɔa dzudzɔ si le eme. Ne èsi sigaret la ƒe nugbɔ ɖeka la, ègbɔa dzudzɔ si dona tso eƒe nugbɔ kemɛa. Dzudzɔ sia toa wò yaƒoƒomɔ̃wo me yia wò lãkusiwo me, afisi wògena ɖe wò ʋukawo me le hetsɔnɛ yia wò ahɔhɔ̃ kple wò ŋutinu bubuawo katã me.

Togbɔ be atama sigaret ŋue míele nu ƒom tsoe wu hã la, ame aɖewo zãa sigaret, pɔmpi, marijuana (`marijuana/weed/ze`), alo gbetikewo hã.

Sigaret si wozãna ɖaa le fiasea me la dometɔ aɖewoe nye:

• Atama : Esiawoe nye atama (`Nicotiana tabacum`) numiemie ƒe aŋgba kple ke siwo ƒu, siwo me wode nuɖuɖuvivinuwoe.
• Pepa si le afima: Esiae nye pepa si me woxatsa atama la ɖo.
• Nusi wotsɔna tsia sigaret (si le sigaret la dzi): Ne ègbɔ ya la, atama si le bibim la ƒe akpa gãtɔ aɖewo tsia tsilénu sia me. Gake nusiwo gblẽa nu le ame ŋu la dometɔ geɖe toa eme hegena ɖe ŋutilãa me.

Nukatae sigaretnono va zu numame na amewo?

Ame geɖe dzea sigaret nono gɔme elabena wosena le wo ɖokui me be yewokpɔa dzidzɔ vie eye yewoɖe dzi ɖi. Gake ne ènya dze egɔme ko la, esesẽna ŋutɔ be nàdzudzɔ, ne ènya alesi wògblẽa nu le wò ŋutilã ŋu gɔ̃ hã. Nusi koŋ gbɔ wòtsoe nye atike si woyɔna be nicotine si le sigaret me. Nicotine sia gblẽa nu le ahɔhɔ̃a ŋu, eye ne mèxɔe o la, èsena le ɖokuiwò me be yemevo o eye mèɖea dzi ɖi o.

Ne nicotine ge ɖe ahɔhɔ̃a me la, eɖea atike siwo nana nèkpɔa dzidzɔ eye nèsena le ɖokuiwò me be yeƒe lãme sẽ.Ablɔɖe nana ame. Ne èno sigaret vɔ la, àte ŋu ase le ɖokuiwò me be:

• Seselelãme be yeƒe dzi dze eme eye yeƒe dzi dze eme.
• ‘Afɔkpodzi’ vi aɖe, abe agbe va nye ŋutilã me ene.
• Edze abe ele bɔbɔe be míaƒe susu nanɔ dɔ ŋu ene.

Tsɔ kpe ɖe eŋu la, atamanono nye hadomenuwɔna ƒe akpa aɖe na ame aɖewo, si nye woƒe gbesiagbedɔwo ƒe akpa aɖe, abe kɔfi nono le ŋdi me ene. Ame aɖewo kpɔnɛ be sigaret kpena ɖe yewo ŋu yewoɖea modzaka, yewoƒe dzi dzea eme hafi doa go le amehawo ŋkume, alo woƒe susu nɔa dɔme. Ame bubuwo lɔ̃a eƒe vivi, alo sese le wo ɖokui me be yelé sigaret ɖe asi.

Nukae dzɔna ɖe wò ŋutilã dzi ne èsi sigaret?

Zi ale si nèsi sigaret ko la, edzea nu gblẽm le wò ŋutilã ŋu. Bu eŋu kpɔ ko, atike akpe geɖe siwo dona ne atama ƒe dzobibi la dze woƒe mɔzɔzɔ gbegblẽ gɔme xoxo hafi nègbɔ ya ɖeka gɔ̃ hã. Na míakpɔ alesi mɔzɔzɔ ma awɔ dɔe ɖa.

Ne èsi sigaret eye nètsɔe de nu me la...

Ne èsi sigaret la, dzoxɔxɔa ɖea nicotine, kple tar, si nye atama ƒe nugbagbevi aɖe dona. Ne ètsɔ sigaret la de nu me la, aŋɔ sia ƒoa ɖi wò ɖawo. Dzudzɔa nana wò ŋutigbalẽ ƒuna, ena wòvuvuna, eye wòna wò ɖawo gade to ɖe edzi. Ne dzudzɔa ge ɖe wò ŋɔti me la, egblẽa nu le lãmekawo ƒe nuwuƒewo ŋu. Le ɣeyiɣi aɖe megbe la, esia ate ŋu aɖe wò ʋeʋẽse dzi akpɔtɔ.

Ne ègbɔ sigaret ƒe dzudzɔ...

Ne ègbɔ ya tso sigaret me la, dzudzɔa toa tsilénu aɖe me. Esia wɔnɛ be atama kakɛ gãwo mete ŋu gena ɖe eme o. Gake aŋɔ, nicotine, kple atike akpe ɖeka bubu siwo me aɖi le la toa tsiléƒea. Aŋɔ sia ƒoa ɖi wò aɖuwo, ƒoa ɖi wò aɖuwo, eye wòƒoa ɖi wò aɖe. Egblẽa nu le wò aɖu ƒe lãkusi ŋu, si wɔnɛ be aɖu ƒe gbegblẽ kple aɖudɔléle ƒe afɔkua dzina ɖe edzi . Ate ŋu aɖe nuɖuɖu siwo nèlɔ̃na wu ƒe vivi hã dzi akpɔtɔ.

Esi dzudzɔa le zɔzɔm to wò yaƒoƒomɔ̃wo dzi la...

Aŋɔ sia gena ɖe wò ŋɔti kple gbeɖiɖikawo me eye wòzɔa mɔ yia wò lãkusiwo me. Esia ate ŋu ana nàkɔ akɔta. Ne ele mɔ zɔm to wò yaƒoƒomɔ̃wo me la, nuwo abe aŋɔ kple hydrogen cyanide (ya si me aɖi le ŋutɔ) ene nana be nu suesuesue siwo le abe taɖa ene siwo le wò yaƒoƒomɔ̃wo me (siwo woyɔna be cilia) megawɔa dɔ o. Abe ʋuʋudedi ƒe ɖa ene la, ɖa siawoe léa dɔlékuiwo kple nu bubu siwo gblẽa nu le ame ŋu hekplɔa wo doa goe le wò lãkusi me. Ne nusiawo gblẽ la, anɔ eme be gbɔgbɔmedɔlélewo adze dziwò .

Ne dzudzɔ yɔ lãkusiwo me eye wòge ɖe ʋua me...

Ne dzudzɔ ge ɖe lãkusi me la, egblẽa nu le yakotoku suesuesue (alveoli) siwo le afima ŋu. Esia ate ŋu ahe nɔnɔmewo abe emphysema , si nye aklãdɔléle ƒomevi aɖe si nɔa anyi didi si woyɔna be COPD (aklãdɔ si xea mɔ na aklãdɔ si nɔa anyi didi) vɛ. Tso wò yakotokuwo (alveoli) me la, carbon monoxide si dona tso dzudzɔa me gena ɖe wò ʋukawo me. Esia nye afɔku ŋutɔ elabena carbon monoxide sia ɖɔlia oxygen si le wò ʋumenugbagbevi dzĩwo me eye wògena ɖe wò ʋukawo me boŋ. Esia wɔnɛ be oxygen meganɔa wò lãmenugbagbeviwo kple lãkusiwo me o. Oxygen ƒe anyimanɔmanɔ sia ate ŋu ana gbɔgbɔtsixe tsi ƒowò. Lãmenugbagbevi siwo le wò ŋutilã me ɖenɛ fiana be oxygen mele yewo si o, gake esia nana be vuvu kple ʋuʋudedi geɖe wu ƒoa ƒu, si wɔnɛ be gbɔgbɔ sesẽna ɖe edzi.

Ne nicotine le zɔzɔm to wò ʋukawo me la, egblẽa nu le wò ʋukawo me. Esia wɔnɛ be woƒona eye wole kpuie. Ʋumenugbagbeviwo dzea wo ŋu léle ɖe asi gɔme, si wɔnɛ be dɔléle sesẽwo abe ʋu ƒe sisi, dzidɔ, kple ʋusɔgbɔdɔ ene xɔxɔ ƒe afɔkua dzina ɖe edzi . Le ŋutsuwo gome la, ʋu ƒe sisi sia si dzi ɖe kpɔtɔ ate ŋu ana ŋutsu ƒe tsitretsitsi ƒe dɔmawɔmawɔ nyuie gɔ̃ hã .

Ne atikewo to ʋua me yi ŋutilã ƒe akpa bubuwo...

Ne wonya ge ɖe ʋukawo me ko la, atike siwo le sigaret ƒe dzudzɔ me zɔna toa wò ŋutilã katã me. Esia ate ŋu agblẽ nu le wò ŋutilã ƒe akpa siawo ŋu:

• Ƒuwo: Nicotine ɖea calcium ƒe xɔxlɔ̃ kple lãmenugbagbevi siwo tua ƒuwo ƒe wɔwɔ dzi kpɔtɔna. Esia wɔnɛ be wò ƒuwo nɔa tsɛ eye wogbãna.
• Ŋkuwo: Atike siwo le sigaret me kple oxygen ƒe anyimanɔmanɔ gblẽa nu le wò ŋkuwo ŋu. Esia ate ŋu ana ŋku ƒe ʋuʋu, ŋku ƒe ʋuʋu, kple ŋku ƒe nukpɔkpɔ gɔ̃ hã nabu .
• Dɔlélenutsiŋutete : Sigaretnono nana ame ƒe ŋutilã vuvu eye wògbɔdzɔa dɔlélenutsiŋutete. Esia wɔnɛ be dɔléle kple dɔléle siwo dɔlélenutsiŋutete hena vɛ bɔbɔe wu .
• Lãmetsiŋusẽ: Nicotine ate ŋu ana lãmetsiŋusẽ natrɔ, si ate ŋu akpɔ ŋusẽ ɖe wò vidzidzi (ŋutete be nàdzi vi) dzi.
• DNA: Nuwo abe arsenic, nickel, kple radioactive polonium ene ate ŋu agblẽ nu le wò DNA ŋu, eye woate ŋu axe mɔ na mɔ̃ siwo wò ŋutilã zãna tsɔ dzranɛ ɖo hã. DNA ƒe gbegblẽ ate ŋu ahe kansa kple vidzidzi ƒe kuxiwo vɛ to tsinyenye ƒe gbegblẽ me .

Ne nicotine ɖo wò ahɔhɔ̃ me la...

Nicotine tso ʋua me yia wò ahɔhɔ̃ me tẽ. Le afima la, enaa ahɔhɔ̃a ƒe lãmeka aɖewo wɔa dɔ, eye wòɖea dzesi siwo ‘se le wo ɖokui me be yele nyuie’ abe dopamine, adrenaline, endorphins, kple serotonin ene ɖe go. Esiae naa ‘afɔkpodzi’ kple ‘buzz’ ma si nèkpɔna ne èno sigaret la wò. Ðeko wòle abe ɖe nicotine ƒo wò ahɔhɔ̃ ƒe abɔtawo eye wònana nèɖea dzi ɖi, dzi le dzɔyem, alo le agbe ene. Sɛkɛnd ʋɛ aɖewo koe wòxɔna hafi nète ŋu noa sigaret gbãtɔ ma, eye nusiawo katã dzɔna.

Ne èkpɔ dzesi siwo fia be yeadzudzɔ atikeawo...

Wò aklã wɔa dɔ tso nicotine ŋu, eye ne èno sigaret gaƒoƒo ʋɛ aɖewo ko la, edona le wò aɖuɖɔ me. Emegbe ŋutilãa bu ‘afɔkpodzi’ ma eye sigaret bubu dzroa wò. Ne mènoe o la, èdzea edzudzɔ ƒe dzesiwo kpɔkpɔ gɔme . Esiawo dometɔ aɖewoe nye dzimaɖitsitsi, dzimaɖitsitsi, dzikudodo, kple alɔ̃madɔmadɔ . Vivivi la, nicotine (si nye ‘mɔɖeɖe ɖe nu ŋu’) va zu numame na wò ŋutilã, eye nèhiã nicotine geɖe hafi nàse le ɖokuiwò me be esɔ gbɔ nenema. Woyɔa esia be nicotine dzi nɔnɔ .

Ne èfɔ fu la, alesi dzudzɔ kpɔa ŋusẽ ɖe fugboea dzii...

Sigaretnono le fufɔɣi ate ŋu ana ʋuka siwo le vidzidɔa kple vidzidɔ me natsi, si ana ʋu si ate ŋu aɖo fugboea gbɔ la nagbɔdzɔ. Carbon monoxide, nicotine, kple atike bubu siwo gblẽa nu le ame ŋu ate ŋu anɔ ʋu sia me. Esia ate ŋu ana ɔksidzin maganɔ vidzĩa si o eye wòagblẽ nu le vidzĩa ƒe DNA ŋu. Anɔ bɔbɔe be vidada siwo noa atama le fufɔɣi la ƒe fu afɔ . Vidzĩ siwo atamanolawo dzi hã ate ŋu anye esiwo ƒe kpekpeme mede o, dzi kple lãkusi me kuxiwo, eye woƒe tsitsi nahe ɖe megbe .

Lãmesẽkuxi kawoe atamanono hena vɛ?

Ne ame akpa gãtɔ bu atamanono ŋu la, aɖuɖɔtoe me dɔdzẽ koe vaa susu me na wo. Gake le nyateƒe me la, atamanono ate ŋu ahe dɔléle vovovo geɖe vɛ le wò ŋutilã ƒe akpa sia akpa kloe eye wòagagblẽ ɖe edzi. Wo dometɔ ʋɛ aɖewoe nye esi:

• Kansa: Kansa ƒomevi siwo atamanono ate ŋu ahe vɛ la ƒe xexlẽdzesi blibo le ete.
• Aklãdɔlélewo: Esiawo dometɔ aɖewoe nye dɔlélewo abe `COPD` (aklãdɔ si xea mɔ na dɔléle si nɔa anyi didi), `yɔmekpe`, `asrã`, kple `aklã me fibrosis`.
• Dzidɔ kple ʋuka me dɔlélewo:Esiawo ate ŋu ana dzidɔ, ʋusɔgbɔdɔ, alo dzi ƒe dɔmawɔmawɔ nyuie.
• Ŋkudɔlélewo: ŋku ƒe ʋuʋu, ŋku ƒe dɔmawɔmawɔ nyuie, ŋku ƒe dɔmawɔmawɔ nyuie, kple ŋkumaʋumaʋu gɔ̃ hã.
• Nɔnɔme siwo dzɔna le vidzidzi me: Vidzĩ siwo vidada siwo no atama le fufɔɣi dzi ƒe kpekpeme si bɔbɔ kple vidzidzi ƒe gbɔdzɔgbɔdzɔ.
• Fuɖeɖe.
• Suklidɔ ƒomevi 2 lia.
• Ƒunukpeƒetetedɔ (RA) kple dɔléle bubu siwo dɔlélenutsiŋutete hena vɛ.
• Gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie (erectile dysfunction).
• Vidzidzi ƒe kuxiwo (vidzidzi sesẽ).
• Tsitsi kaba (ʋuʋudedi, tsitsi kaba).

Nu vevitɔ enye be ne mèno atama o hã la, àte ŋu agbɔ dzudzɔa kokoko ne ame aɖe le atama nom le teƒe si te ɖe ŋuwò (woyɔa esia be `dzudzɔ evelia`). Esia ate ŋu agblẽ nu le wò lãmesẽ hã ŋu ŋutɔ.

Sigaretnono kple kansa

Sigaretnono ate ŋu ahe kansa ƒomevi vovovo geɖe xɔxɔ ƒe afɔku vɛ alo adzii ɖe edzi. Kpeɖodziwo hã li be amesiwo noa atama esime wole kansadɔ dam la ƒe atikewɔwɔ mate ŋu awɔ dɔ nyuie o eye ate ŋu adzɔ be woƒe kansa nagatrɔ ava. Sigaretnono ate ŋu ahe kansa ƒomevi siwo gbɔna vɛ:

• Ʋumenugbagbeviɣidɔ (`Acute myeloid leukemia`) .
• Tsinyegoe me kansa
• Vidzidɔ me kansa
• Dɔdzẽ si le dɔgboa me
• Nuɖuɖutome kansa
• Ayiku me kansa
• Aɖuɖɔtoe me kansa kple ŋɔti me kansa bubuwo
• Aklã me dɔdzẽ
• Aklã me dɔdzẽ
• Nu me kansa
• Dɔdzẽ si le dɔgboa me
• Dɔgbo me kansa

Ðe lãkusiwo hayana ne wodzudzɔ atamanonoa?

Ɛ̃! Ne èdzudzɔ atamanono la, wò lãkusiwo kple yaƒoƒomɔ̃wo adze hayahaya gɔme vaseɖe afi aɖe.Le kwasiɖa ʋɛ aɖewo me ne èdzudzɔ atamanono la, dɔdzẽ kple ʋuʋudedi si dona le ŋutilãa me dzi aɖe akpɔtɔ. Le ɣleti ʋɛ aɖewo megbe la, cilia mawo siwo ŋu míeƒo nu tsoe va yi la agadze tsitsi gɔme ake. Le nyateƒe me la, wò ŋutilã ƒe dɔwɔwɔ geɖe adze hayahaya gɔme ne èdzudzɔ atamanono.

Ɣeyiɣi didi si esia xɔna nɔ te ɖe ɣeyiɣi didi si nèno atama kple alesi gbegbe wògblẽ nu le wò lãkusi ŋu dzi. Kuxi aɖewo, abe vidzidzimakpɔmakpɔ ene, adze egɔme anɔ nyonyom kabakaba. Gake ɖewohĩ womate ŋu atrɔ nusiwo gblẽ dometɔ aɖewo keŋkeŋ gbeɖe o – womate ŋu atrɔ nɔnɔmewo abe COPD kple aklã me fibrosis ene o. Gake ne èdzudzɔ atamanono ƒe ʋɛ aɖewo la, afɔku si le eme be nàxɔ kansa kple dɔléle bubuwo dzi aɖe akpɔtɔ ŋutɔ, ɖewohĩ anɔ abe alesi ame si menoa atama o le ene.

Aleke mawɔ adzudzɔ atamanono?

Mɔ geɖe li siwo dzi nàto adzudzɔ atamanono. Ðewohĩ ahiã be miate mɔnu vovovo geɖe kpɔ ɖekae vaseɖe esime miakpɔ ɖeka si awɔ dɔ na mi. Alo ahiã be nàtrɔ ɖe mɔnu bubu ŋu ne mɔnu ɖeka mewɔ dɔ o. Wo dometɔ aɖewoe nye esi:

• Koklozi fafɛ: Esia fia be woadzudzɔ atamanono keŋkeŋ atike alo nicotine aɖeke manɔmee. Mɔnu sia ate ŋu akpɔ dzidzedze na ame aɖewo, gake ate ŋu anye nuwɔna sesẽ aɖe le ƒomedodo si le wò ŋutilã kple nicotine dome ta.
• Nicotine ɖɔliɖɔli ƒe atikewɔwɔ: Esia lɔ aŋe si me nicotine le, atike siwo wotsɔna tsia aɖuɖɔe, atike siwo wotsɔna ƒoa aŋɔe, atike siwo wotsɔna ƒua gbe ɖe ŋɔti me, alo atike siwo wogbɔna ɖe eme ɖe eme.
• Atikewo: Wò ɖɔkta ate ŋu aŋlɔ atikewo abe bupropion alo varenicline ene be wòakpe ɖe ŋuwò nàɖe atikeawo zazã ƒe dzesiwo kple dzodzrowo dzi akpɔtɔ.
• Agbenɔnɔ ƒe tɔtrɔ: Nuwo abe kamedede geɖe wu, wò gbesiagbedɔwo tɔtrɔ, alo susuŋudɔwɔwɔ ƒe atikewɔwɔ (CBT) ate ŋu akpe ɖe ŋuwò nàse le ɖokuiwò me be yeƒe lãme sẽ eye nàdzudzɔ numame siwo do ƒome kple atamanono.

Ne atamanolae menye la, aleke mawɔ akpɔ ɖokuinye dzii?

Menye ɣaɣlaƒee wònye be ne ènoa atama la, nu nyuitɔ si nàte ŋu awɔ na ɖokuiwòe nye be nàdzudzɔ. Gake esi nèle edzudzɔm la, àte ŋu akpe ɖe wò ŋutilã ŋu wòahaya to kamedede, nuɖuɖu siwo me nunyiame le ɖuɖu, kple tsi geɖe nono me. Èɖanye atamanola fifia alo èdzudzɔ o, ƒo nu kple wò ɖɔkta tso alesi nàdo aɖuɖɔtoedɔdzẽ kpɔ le ɣeyiɣi nyuitɔ dzi ŋu. Ate ŋu akpe ɖe ŋuwò nàde dzesi kansa kaba eye wòaɖe wò agbe.

Nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui (Take-Home Message) .

Amewo noa atama le hadome kple dekɔnu ta tso blema ke. Susu siwo ta nènoa atama egbea hã meto vovo kura o: sigaret ate ŋu anye wò gbesiagbedɔwo ƒe akpa aɖe – alo ate ŋu anye mɔ si dzi nàto agbɔ ɖe eme tso numame ma gbɔ.

Gake fifia míenya alesi atamanono gblẽa nu le wò lãmesẽ ŋu, kple amesiwo dome nèle ƒe lãmesẽ hã. Esi wotsɔ ka sesẽ de nicotine ɖe wò ahɔhɔ̃ me ta la, enye nyateƒe be mele bɔbɔe be nàdzudzɔ atamanono le esi nènya be afɔku le eme ta ko o. Kadodo sia gɔmesese kple nusita wòsesẽna ŋutɔ be woadzudzɔ ate ŋu akpe ɖe ŋuwò. Eye mègaŋlɔ be be yeanyo dɔme na ɖokuiwò ne èle edzi yim o. Tso atamanono dzi va zu amesi dzudzɔa atamanono nye nusi yia edzi, nyametsotso si nèwɔna gbesiagbe.

Tsɔ kpe ɖe mɔ siwo dzi nàto adzudzɔ atamanono ŋu la, ate ŋu akpe ɖe ŋuwò hã be ale si nàse le ɖokuiwò me be yeƒe lãme asẽ le ɣeyiɣi didi aɖe megbe la nanɔ susu me na wò. Àte ŋu atrɔ ɖe nusiwo doa dzidzɔ na wò tsã la wɔwɔ ŋu, agase vivi na nuɖuɖu ƒe vivi kple ʋeʋẽ ake, akpɔ wò lɔlɔ̃tɔwo ƒe lãmesẽ ta, eye nàdzra ga ɖo. Bia kpekpeɖeŋu tso xɔlɔ̃wo, ƒometɔwo, kple wò ɖɔkta gbɔ – gblɔ tɔtrɔ si wɔm nèle la na wo eye nàbia alesi woate ŋu akpe ɖe ŋuwòe.

` Sigaretnono, sigaret, nicotine, kansa, lãmesẽ, lãkusi, dzidɔ, atamanono dzudzɔ