තූල් බාබුල්

IThule: Iingozi Ezifihlakeleyo Kumxube Obulalayo

Physician Reviewed — Not Medical Advice

I-Thul yindlela edumileyo, kodwa eyingozi kakhulu phakathi kwabantu bamazwe aseMzantsi Asia afana neIndiya, iSri Lanka . Oku kuquka ukubamba umxube wecuba , i-tar, itshokhwe kunye nezinye izinto emlonyeni. Nangona oku kunokubonakala kuqhelekile xa uqala ukukubona, kukho iikhemikhali ezininzi ezibangela umhlaza ezifihliweyo ngaphakathi komxube omncinci.

Imfihlo Yokudibanisa: Ulungelelwano Olunomlutha

Izithako eziphambili zeTul zezi:

  • Icuba: Icuba lelona candelo liphambili kwi-tul. Icuba liqulethe into enamandla ebangela umlutha ebizwa ngokuba yi-nicotine. I-Nicotine ikhupha i-dopamine yekhemikhali engqondweni. Ngenxa yesi sizathu, baziva bonwabile kwaye behlaziyekile, ngoko ke abantu bakhetha ukusebenzisa i-thul ngokuphindaphindiweyo.
  • I-Areca nut: I-Areca nut ikwanazo nee-alkaloids ezifana ne-arecoline. Oku kunokuba ngumlutha . Ngenxa yepapaya, amathe emlonyeni aba maninzi. Inganyusa nesantya sentliziyo kunye noxinzelelo lwegazi .
  • Itshokhwe: Ilayimu (iCalcium hydroxide) yongezwa kwizinti ezigcinwe emlonyeni ukuze kube lula ukufunxwa kwetshokhwe. Itshokhwe itshintsha ixabiso le-pH yomlomo. Ngenxa yale ndawo i-alkaline, itshokhwe inokungena emzimbeni ngokulula.
  • Ezinye izinongo kunye nezinongo: Iiclove, i-cardamom, i-nutmeg, kunye nezinye izinto ezinxilisayo zongezwa kwi-thul ukuphucula incasa, ivumba, kunye nokunxila. Ezi zinto zinokuba nemiphumo emibi.

Iingozi Ezibulalayo Kwimpilo

Isiphumo esiphambili nesiyingozi kakhulu sokusebenzisa amazinyo ngumhlaza womlomo. Ngokutsho kweWorld Impilo Organisation (WHO), imbangela eyintloko yomhlaza womlomo kukusetyenziswa kwamazinyo.

  • Umhlaza Womlomo: Ngenxa yezinto ezinamandla ezibangela umhlaza ezifumaneka kwi-tul, umhlaza womlomo uthatha indawo enkulu. Ezi zinokuchongwa ikakhulu phantsi kweentlobo ezahlukeneyo:
    • I-Squamous Cell Carcinoma (SCC): Uninzi lwemiphunga yomlomo (ngaphezulu kwama-90%) ikweli hlobo. Le yimiphunga evela kwiiseli ze-epithelial zomlomo. Le miphunga inokuvela naphi na njengemilebe, iintsini, ulwimi, izidlele, incasa.
    • I-Verrucous Carcinoma: Olu luhlobo lomhlaza olukhula kancinci kune-SCC. Kodwa oku kunokusasazeka emathanjeni nakwizicwili ezingqongileyo.
    • I-Minor Salivary Gland Carcinomas: Umhlaza we-salivary gland awuqhelekanga. Kodwa ukusetyenziswa kwe-thul kwandisa umngcipheko wokuvela kwezi zifo.
  • Inkqubo yomhlaza: Ezona zinto zibangela umhlaza kwi-tul zii-nitrosamines ezikwicuba kunye ne-arecoline ekwi-betel nuts. Ezi khemikhali zonakalisa i-DNA kwaye zibangela ukukhula okungaqhelekanga kweeseli. Ilayimu (i-calcium hydroxide) ibonelela ngendawo ene-alkaline ukuze ezi carcinogens zifunxwe emzimbeni. Xa ulwimi lugcinwe emlonyeni ixesha elide, ezi seli zomhlaza ziqala ukukhula.
  • Ezinye iiCancer: Ukongeza kumhlaza womlomo ngenxa yokusetyenziswa kwe-thul,
    • Umhlaza womqala
    • Umhlaza wesisu
    • Umngcipheko womhlaza wepancreatic nawo uyanda.
  • Ukufunyanwa komhlaza: Ukufunyanwa komhlaza womlomo kwangethuba kubaluleke kakhulu. Ukuba uneempawu ezifana nezilonda ezingapholiyo, amabala amhlophe okanye abomvu, ukudumba, ubunzima bokuginya, utshintsho kwilizwi lakho kangangeeveki ezingaphezu kwezimbini, kufuneka ubone ugqirha ngoko nangoko. Uvavanyo lwezonyango, ukuba kuyimfuneko, umhlaza unokuqinisekiswa ngokuthatha iqhekeza lesicwili (biopsy).
  • Unyango: Iindlela zonyango lomhlaza womlomo zimiselwa ngokusekelwe kwizinto ezifana nohlobo, ubungakanani, kunye nokusasazeka komhlaza. Iindlela ezifana notyando, unyango lwemitha, kunye ne-chemotherapy zisetyenziselwa le njongo. Ukuba zifunyenwe kwangethuba, amathuba okuchacha aphezulu kakhulu.
  • Izilonda ezingaphambi komhlaza: Amabala amhlophe okanye abomvu anokuvela ngaphakathi emlonyeni xa amazinyo egcinwa rhoqo emlonyeni. La abizwa ngokuba yi-leukoplakia kunye ne-erythroplakia. La ayisiyiyo umhlaza, kodwa kukho ithuba elikhulu lokuba ngumhlaza.
  • Umoya ombi nokubola kwamazinyo: I-Thul inyusa umsebenzi weebhaktheriya emlonyeni kwaye ibangela iingxaki ezifana nokubola kwamazinyo, isifo seentsini, kunye nomoya ombi.
  • Izifo zentliziyo kunye neStroke: Ngenxa ye-nicotine ekwi-tul, imithambo yegazi iba mncinci, uxinzelelo lwegazi luyanda kwaye umngcipheko wesifo sentliziyo kunye nestroke uyanda.
  • Ezinye iziphumo: Ezinye izifo ezininzi ezifana ne-anorexia, ukudumba kwendlela yokutya, isifo seswekile, isifo sezintso zinokwenzeka ngenxa yokusetyenziswa kwe-tul. Ukuba isetyenziswa kubafazi abakhulelweyo, kukho ithuba lokuzala abantwana abanobunzima obuphantsi, okanye umntwana uza kuzalwa ngaphambi kwexesha.

Umbulali obulala ubomi obutsha: imeko eSri Lanka

Kubuhlungu ukuthi ukusetyenziswa kwe-thul kuyanda phakathi kwesizukulwana esitsha saseSri Lanka. Abanye abantu abaselula bakubona oku njengefashoni. Abanye baphenjelelwa ngabahlobo babo. Abanye abantu bacinga ukuba oku kunika inkangeleko "entle". Kodwa ibali lokwenyani lelokuba i-thul ngumgibe obulalayo wokunciphisa ubomi bomntu nokunikezela kwizifo. Kuyabonakala ukuba amakhwenkwe namantombazana aya esikolweni axhomekeke koku.

  • Intlungu Yomhlaza: Khawucinge nje, uzakuba nosizi nentlungu engakanani xa unesifo somhlaza womlomo? Akunakwenzeka ukutya ukutya, ukusela amanzi nokuthetha. Ubuso bukhubazekile. Akupheleli apho, kufuneka uchithe imali eninzi kumayeza nakunyango ezibhedlele. Kubi kangakanani ukulwa nomhlaza ngexesha apho ufanele wonwabe xa usemncinci?
  • Intlungu Engapheliyo: Unyango lomhlaza alulula. Izinto ezifana ne-chemotherapy (chemotherapy), unyango lwe-radiation (radiotherapy) zibangela iziphumo ezininzi emzimbeni. Ukulahlekelwa ziinwele, ukuphelelwa ngumdla wokutya, ukuziva ugula ngalo lonke ixesha. Kufuneka sinyamezele konke oku kwaye silwe nobomi.
  • Amaphupha alahlekileyo: Ubutsha lelona xesha lihle ebomini. Funda, sebenza, wonwabe, thanda... zonke ezi zinto zifuna umzimba oqinileyo nosempilweni. Konke oku kunokulahleka ngenxa yokusebenzisa izixhobo. Ungacinga ukuba umfana ophupha kakhulu ngekamva, onke loo maphupha aya kufiphala njani ngenxa kaTul?
  • Ukuba ngumthwalo kusapho: Xa umhlaza usenzeka, ngumthwalo omkhulu kungekuphela nje kuye, kodwa nakusapho lonke. Umama, utata, abantakwabo noodade bonke bayalila. Bakwanoxinzelelo olukhulu. Kubuhlungu kangakanani ukuba usapho lubandezeleke ngenxa yokugula kwabo?

Ungayisusa?

Ukuba ukhotyokiswe ziziyobisi, akulula ukuziyeka. Kodwa akunakwenzeka. Kubaluleke kakhulu ukufumana ingcebiso kagqirha kunye nomnqweno wakho woku.

  • Ingcebiso yezonyango: Ugqirha angakunika ingcebiso malunga nenkqubo efanelekileyo yonyango. Mhlawumbi ugqirha angagqiba ekubeni akunike unyango okanye ingcebiso yokutshintsha i-nicotine.
  • Ingcebiso:Ngokusebenzisa iingcebiso zengqondo, sichonga izizathu zokusetyenziswa kweziyobisi size sincede ekuziphatheni.
  • Inkxaso evela kubahlobo nakusapho: Awuwedwa kulo mzabalazo. Cela uncedo kusapho nakubahlobo. Baza kuba namandla amakhulu kuwe.

Ekugqibeleni,

I-Tul ayisiyonto inokungcanyulwa okanye yonwatyiswe. Yindlela eyingozi ekhokelela ekufeni. Ukuhlala kude nale ndlela kuya kuba yeyona nzuzo inkulu oza kuyenza ebomini bakho. Ubutsha lixesha elixabisekileyo elingasayi kuphinda libuye. Musa ukuchitha elo xesha ngokugula nokubandezeleka. Ukuze uphile ubomi obusempilweni nobonwabisayo, eyona nto ilungileyo onokuyenza kukuhlala kude nezinto ezifana ne-tul.

Fundisa isizukulwana sethu esitsha, ungalibali ukwabelana ngaso!