Kodi n'kovuta kusiya kusuta? Tiyeni tikambirane za NRT (Nicotine Replacement Therapy)

Kodi mwayesa kangati kusiya kusuta? Koma patatha masiku angapo, mungamve chilakolako chofuna kuyatsanso, pamodzi ndi zizindikiro zosiya kusuta. Izi si vuto lanu. Chifukwa chachikulu cha izi ndichakuti thupi lanu ndi malingaliro anu ali ndi chizolowezi cha nikotini yomwe ili mu ndudu. Koma musadandaule, simuyenera kudutsa ulendowu nokha. Lero tikulankhula za njira yothandiza kwambiri yomwe ingagwiritsidwe ntchito kukuthandizani. Imeneyo ndi mankhwala obwezeretsa nikotini , kapena monga momwe timatchulira azachipatala , Nicotine Replacement Therapy (NRT) .

Mwachidule, kodi NRT ndi chiyani?

NRT ndi njira yochizira yomwe imagwiritsa ntchito zinthu (monga kutafuna chingamu, ma patches) zomwe zili ndi nikotini yochepa kwambiri kuti muchepetse chilakolako chachikulu komanso zizindikiro zosiya kusuta zomwe mumakumana nazo mutasiya kusuta. Kunena zoona, imangopereka nikotini ya mankhwala m'thupi mwanjira yowongoleredwa, popanda poizoni wambiri woopsa, monga carcinogens, omwe amapezeka mu ndudu.

Koma ndikofunikira kukumbukira izi. NRT imathandiza kokha ndi zizindikiro zakuthupi. Kusuta fodya ndi chizolowezi chomwe chimakhala cha thupi monga momwe chilili cha m'maganizo, m'maganizo, komanso pagulu. Chifukwa chake, ngati muphatikiza NRT ndi njira zina, monga upangiri, mumakhala ndi mwayi waukulu wosiya kusuta kwamuyaya.

Kodi chithandizochi n'choyenera kwa ndani?

NRT ikulimbikitsidwa makamaka kwa anthu omwe ali ndi chizolowezi chogwiritsa ntchito nikotini kwambiri ndipo ali ndi chikhumbo chachikulu chosiya kusuta. Kuti mudziwe momwe mumagwiritsira ntchito nikotini, onani ngati muli ndi zizindikiro izi.

Mitundu ya zinthu za NRT ndi momwe mungagwiritsire ntchito

Pali mitundu ingapo ya mankhwala a NRT. Ena amapezeka mu kauntala, pomwe ena amafunika kulembedwa ndi dokotala.

1. Chingamu cha Nikotini

Izi zili ngati chingamu wamba. Mutha kuzitafuna mukangomva ngati mukufuna kusuta ndudu.

• Kagwiritsidwe Ntchito: Ngati mukumva kukoma kwa tsabola kapena kumva kuyabwa mukamatafuna chingamu, gwirani chingamu pakati pa tsaya lanu ndi chingamu kwa mphindi pafupifupi 30.
• Zinthu zoti muzindikire: Kutafuna chingamu kuyenera kuchitika mphindi 15 mutamwa chakumwa monga khofi, tiyi, kapena madzi a lalanje. Muyenera kukonzekera kusiya kugwiritsa ntchito patatha milungu pafupifupi 12.

2. Mapiritsi a Nikotini

Izi zili ngati Strepsils pakhosi lopweteka. Mumaziyika mkamwa mwanu ndipo zimasungunuka pang'onopang'ono.

• Kagwiritsidwe Ntchito: Ikani chopukutira pakati pa tsaya lanu ndi chingamu. Pamene chikusungunuka, nikotini imalowa m'thupi lanu.
• Zinthu zoti muzindikire: Musagwiritse ntchito zoposa chimodzi nthawi imodzi. Monga kutafuna chingamu, muyenera kuchepetsa kuchuluka kwa mankhwala omwe mumagwiritsa ntchito pakapita nthawi.

3. Chigamba cha Nikotini

Izi zili ngati chigamba chomwe mumachimangirira pakhungu lanu. Mukachipaka m'mawa, chimatulutsa nikotini pang'ono m'thupi lanu tsiku lonse.

• Kagwiritsidwe Ntchito: Pakani pakhungu loyera, louma, lopanda tsitsi (monga pachifuwa chapamwamba, pamkono). Sinthani malo opaka tsiku lililonse. Mungathe kuvala kwa maola 16 mpaka 24. Palibe chifukwa chochotsera mukamasamba.
• Zinthu zoti muzindikire: Mphamvu ya chigamba chomwe chili choyenera kwa inu chimadalira kuchuluka kwa ndudu zomwe mumasuta patsiku.

4. Chopumira cha Nikotini

Izi zimafunika chilolezo cha dokotala . Chipangizo chomwe chimaoneka ngati chosungira ndudu cha pulasitiki.

• Kagwiritsidwe Ntchito: Mumaika katiriji yokhala ndi nikotini ndikupumira (puff). Komabe, si bwino kupumira kwambiri m'mapapo mwanu. Nikotini imayamwa kwambiri kuchokera kumbuyo kwa pakhosi panu.
• Zofunika:Izi siziyenera kusokonezedwa ndi E-cigarettes (vaping). Ma inhalers ndi mankhwala ovomerezeka ndi madokotala. Vaping si njira yovomerezeka yosiyira kusuta.

5. Kupopera Mphuno ndi Nikotini

Izi zimafunanso chilolezo cha dokotala . Popeza nikotini imalowa m'thupi mwachangu kwambiri, madokotala amalangiza anthu omwe ali ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo.

• Kagwiritsidwe Ntchito: Thirani m'mphuno zonse ziwiri. Kuchuluka kwa nikotini kumawonjezeka mkati mwa mphindi 5-10.
• Zinthu zoti muzindikire: Popeza izi zitha kukhala zosokoneza monga ndudu, ndikofunikira kwambiri kutsatira mlingo womwe dokotala wanu wakupatsani.

Kodi njira za NRT zingagwiritsidwe ntchito pamodzi?

Inde. Nthawi zina kugwiritsa ntchito njira zingapo kungapangitse zotsatira zabwino. Mwachitsanzo:

• Njira Yaitali: Mutha kuchepetsa zizindikiro zosiya kumwa mowa mwa kuvala chigamba cha nicotine tsiku lonse.
• Njira yothanirana ndi vutoli: Ngati mwadzidzidzi mwayamba kulakalaka ndudu, mungagwiritse ntchito chingamu cha nicotine kapena lozenge.

Koma kumbukirani, musanagwiritse ntchito njira ziwiri ngati izi pamodzi, muyenera kulankhula ndi dokotala wanu ndikufunsani njira yoyenera komanso yotetezeka kwa inu.

Zotsatirapo ndi zoopsa za NRTs

Mankhwala aliwonse a NRT akhoza kukhala ndi zotsatira zake. Chifukwa chake, werengani malangizo omwe ali pa phukusi mosamala musanagwiritse ntchito. Zina mwa zotsatira zoyipa zomwe zimapezeka kawirikawiri zalembedwa patebulo pansipa.

Chinthu choyenera kusamala nacho kwambiri: Poizoni wa Nikotini

Ichi ndi chinthu choopsa kwambiri. Kusuta fodya mukugwiritsa ntchito mankhwala a NRT, kapena kugwiritsa ntchito NRT yoposa kuchuluka komwe kumalimbikitsidwa , kungapangitse kuchuluka kwa nikotini m'thupi kukhala poizoni. Komanso, mankhwala awa ayenera kusungidwa mosamala kwambiri kutali ndi ana aang'ono ndi ziweto. Ngakhale pang'ono kumwa mankhwalawa kungakhale koopsa.

Zizindikiro zoyambirira za poizoni wa nikotini ndi izi:

• Kusanza ndi kusanza
• Kutulutsa malovu kwambiri
• Kuwawa kwam'mimba
• Kutuluka thukuta
• Kugunda kwa mtima mwachangu komanso kupuma mofulumira (hyperpnea)
• Kuvuta kuyenda, kutayika bwino kwa mphamvu (ataxia)
• Kunjenjemera, mutu, ndi chizungulire
• Kugwidwa ndi khunyu

Nanga bwanji ngati NRT sigwira ntchito?

Kusiya kusuta si chinthu chomwe mungachite nthawi imodzi. Nthawi zina muyenera kuyesa kangapo. Zimenezo ndi zachilendo. Ngati NRT sikugwira ntchito kwa inu, khalani olimba mtima. Simuli nokha. Lankhulani ndi dokotala wanu kachiwiri. Iye akhoza kukupatsani mankhwala ena a NRT, mlingo wosiyana, kapena njira ina yochiritsira.

Kuwonjezera pa NRT, palinso mapiritsi ena opanda nikotini, monga varenicline ndi bupropion, omwe angakuthandizeni kusiya kusuta. Dokotala wanu angakulangizeni kugwiritsa ntchito limodzi mwa mapiritsiwa pamodzi ndi NRT.

Ndikofunikanso kwambiri kuthana ndi mavuto amisala ndi chikhalidwe cha anthu omwe amasuta fodya. Chifukwa chake, kutenga nawo mbali mu mapulogalamu opereka uphungu kumapereka mpumulo ndi mphamvu zambiri. Chofunika kwambiri ndi kusataya mtima.