Ingabe umlutha we-nicotine? (Ukuthembela ku-Nicotine / Isifo Sokusetshenziswa Kogwayi) Ake sixoxe ngalokhu ngokuningiliziwe!

Wake wambona umuntu ethi akanakuphila ngaphandle kogwayi, noma enza sengathi akanakuphila ngaphandle kogwayi omncane nsuku zonke? Mhlawumbe nawe uke waba nokuhlangenwe nakho okufanayo. Isizathu salokhu umlutha wento ebizwa ngokuthi i-nicotine . Akulula njengoba ucabanga, kodwa ungakhathazeki, ake sifinyelele emnyombweni wakho.

Kuyini Ukuthembela Ku-Nicotine?

Kalula nje, i-nicotine iyisikhuthazi esitholakala esitshalweni sikagwayi. Uma usebenzisa imikhiqizo kagwayi (ugwayi, ugwayi, i-beedis, i-snuff, i-snuff powder, njll.), i-nicotine ingena emzimbeni wakho. Ngokuhamba kwesikhathi, umzimba wakho ujwayela leli zinga le-nicotine. Ngemuva kwalokho, umzimba wakho uxhomeke ku-nicotine. Lokhu yilokho esikubiza ngokuthi ukuxhomekeka ku-nicotine noma ukuphazamiseka kokusetshenziswa kogwayi .

Lokhu kuncika kusithinta ngezindlela ezimbili eziyinhloko:

• Ukuthembela ngokomzimba: Yilapho umzimba wakho uqala ukubhekana nezinkinga uma uyeka ukusebenzisa i-nicotine. Lokhu sikubiza ngokuthi izimpawu zokuhoxa . Isibonelo, ungase uzizwe ungakhululekile futhi ukhathazekile.
• Ukuthembela kwengqondo: Yilapho uzizwa sengathi awukwazi ukuqeda usuku ngaphandle kwe-nicotine. Sekuyingxenye yenqubo yakho yansuku zonke. Isibonelo, umuntu onomkhuba wokubhema ugwayi nekhofi yakhe ekuseni angase akuthole kunzima ukuqala usuku ngaphandle kwayo.

Kuyini isikhuthazi?

Izikhuthazi ezifana ne-nicotine zisheshisa ukugeleza kwemiyalezo phakathi kobuchopho bakho nomzimba wakho. Lokhu kubangela ukuthi ubuchopho bakho bukhiphe ikhemikhali ebizwa ngokuthi i-dopamine . Le dopamine yiyona ekwenza uzizwe ujabule futhi wanelisekile. Izikhuthazi zikwenza uzizwe uqaphile futhi uqabulekile.

Ingabe i-nicotine iyilutha ngempela?

Yebo, impela. I-Nicotine iyisidakamizwa esilutha kakhulu . Uma usebenzisa imikhiqizo ye-nicotine, ishintsha indlela ubuchopho bakho obusebenza ngayo. Lezi zinguquko yizo ezikwenza ube umlutha we-nicotine.

Ubani othinteka kakhulu umlutha we-nicotine?

Ukulutheka kwe-nicotine kungathinta abantu banoma yimuphi ubudala. Kodwa-ke, kuyingozi kakhulu kubantu abasha, ikakhulukazi izingane zesikole . Ngenxa yokuthi ubuchopho busakhula busencane, amathuba okuba umlutha we-nicotine aphezulu kakhulu.

Kufakazelwe ngokwesayensi ukuthi uma uqala ukusebenzisa i-nicotine usemncane, kulapho amathuba okuba umlutha khona maningi. Ucwaningo olwenziwe e-US luthole ukuthi izingane ezintathu kwezine ezibhema esikoleni samabanga aphezulu ziyaqhubeka nokubhema sezikhulile.

Kuvame kangakanani ukulutha kwe-nicotine?

Empeleni lesi yisimo esivame kakhulu. Isibonelo, e-United States, abantu abangaphezu kwezigidi ezingu-23, noma cishe u-8.5% wabantu abangaphezu kweminyaka engu-12 ubudala, bahlushwa yilesi simo. Lesi simo sikhona futhi ezingeni elibalulekile eSri Lanka.

Ingabe ukubhema ugwayi nakho kubangela umlutha we-nicotine?

Yebo, impela. Ungaba umlutha wanoma yini equkethe i-nicotine. Lokhu kufaka phakathi imikhiqizo kagwayi (njengogwayi, ugwayi, kanye nogwayi ohlafunwayo) kanye nogwayi kagesi, osetshenziselwa ukubhema . Abanye abantu bacabanga ukuthi ukubhema i-vaping akunangozi kangako kunokubhema ugwayi, kodwa kusenayo i-nicotine, ngakho-ke ingozi yokulutha iyafana.

Ingabe ukusebenzisa i-nicotine kuwumkhuba noma umlutha?

I-Nicotine iyisidakamizwa esiluthayo . Lesi simo sibizwa ngokuthi, lapho umzimba wakho ufisa i-nicotine ngokomzimba noma ngokwengqondo, yisimo esibizwa ngokuthi i-Tobacco Use Disorder . I-Nicotine ibangela ukuthi kukhishwe ikhemikhali ebizwa ngokuthi i-dopamine "ezikhungweni zenjabulo" (izifunda zemivuzo) ebuchosheni bakho. Lokhu kukunikeza umuzwa wesikhashana wenjabulo nokuphumula. Lapho leyo njabulo iphela, uyayifisa futhi.

Ukusebenzisa i-nicotine nakho kungaba umkhuba. Isibonelo, uma uqala umkhuba wokubhema ugwayi njalo ekuseni lapho uvuka, kuba yingxenye yenqubo yakho yansuku zonke.

Uyini umehluko phakathi kokulutha kwe-nicotine kanye nokuphazamiseka kokusetshenziswa kogwayi?

Ukuthembela ku-nicotine kwenzeka lapho umzimba wakho ujwayela i-nicotine kanye nemizwa eyibangelayo. Isifo Sokusetshenziswa Kogwayi , noma umlutha we-nicotine, yilapho umzimba wakho udinga i-nicotine ukuze ugweme izimpawu zokuhoxa . I-nicotine ithinta "izikhungo zenjabulo" ebuchosheni bakho, okwenza kube umlutha kakhulu.

Ingabe i-nicotine noma i-caffeine kuyimilutha kakhulu?

I-caffeine iyisikhuthazi esivamile esitholakala ekhofini, etiyeni, nakwezinye iziphuzo ezibandayo. I-caffeine ingaba umlutha futhi uma umzimba wakho usuyijwayele.

Kokubili i-caffeine kanye ne-nicotine kukhipha i-dopamine ebuchosheni. Kodwa-ke, inani le-dopamine elikhishwa yi-caffeine liphansi kakhulu. Ngenxa yokuthi i-nicotine ishintsha indlela ubuchopho obusebenza ngayo, ingenye yezinto ezilutha kakhulu emhlabeni.

Kungani lokhu kuyilutha i-nicotine? Kukuthinta kanjani?

Isizathu esiyinhloko sokulutha yi-nicotine ukusetshenziswa kwemikhiqizo kagwayi. Uma usebenzisa umkhiqizo kagwayi, i-nicotine iya emaphashini akho futhi imuncwa ngokushesha egazini lakho . Uma isisegazini lakho, iya kwezinye izingxenye zomzimba wakho. Ikhipha i-dopamine ebuchosheni bakho, ikunikeze umuzwa wesikhashana wenjabulo nokwaneliseka.

Uma lo "muzwa omuhle" uphela (ngokuvamile phakathi nemizuzu embalwa), ungase uzizwe ungakhululekile, ucasukile, noma uthukuthele. Abantu abaningi bazama ukubuyela ekusebenziseni i-nicotine ukuze bazame ukuthola umuzwa ofanayo. Njengoba usebenzisa i-nicotine kaningi, umzimba wakho uyakha ukubekezelela kwayo . Lokhu kusho ukuthi udinga i-nicotine eyengeziwe ukuze uthole umuzwa ofanayo owawunawo ngaphambili.

Kuthatha isikhathi esingakanani ukuba umlutha we-nicotine?

I-Nicotine iyalutha kakhulu - mhlawumbe iyalutha njengotshwala, i-cocaine noma i-heroin. Umzimba wakho ungancika ku-nicotine ngemva kokusetshenziswa kokuqala, noma ngemva kokusetshenziswa kabili noma kathathu. Inamandla kangako.

Ziyini izimpawu zokulutheka kwe-nicotine?

Izimpawu ezivame kakhulu ze-Tobacco Use Disorder yilezi:

• Ukuzizwa unesifiso esinamandla se-nicotine, futhi uzizwa sengathi udinga i-nicotine ukuze wenze imisebenzi yansuku zonke.
• Ukuzizwa udabukile, ukhathazekile, futhi uthukuthela kalula.
• Izimpawu zokuhoxa ziyavela. Isibonelo, ukungahlaliseki, ukungakwazi ukulala.
• Ukuze uzizwe injabulo efanayo naleyo yangaphambilini, udinga i-nicotine eyengeziwe.
• Ukusebenzisa i-nicotine naphezu kokwazi ukuthi iyingozi empilweni.
• Ngifuna ukuyeka ukusebenzisa i-nicotine, kodwa angikwazi ukwenza kanjalo.

Kuzwakala kanjani ukulangazelela i-nicotine?

Uma ufisa i-nicotine ngokomzimba, cishe uzozizwa ungakhululekile, ukhathazekile, futhi ukhathazekile. Ungase uzizwe nokuqina emphinjeni noma esiswini sakho. Lokhu kufisa kungahlukahluka ngezikhathi ezithile. Ngezinye izikhathi kungaba mnene, kodwa ngezinye izikhathi kungaba namandla kakhulu.

Yiziphi izimpawu zokuhoxa uma uyeka ukusebenzisa i-nicotine?

Izimpawu zokuhoxa ziqala ukuvela uma uyeka ukunikeza umzimba wakho i-nicotine. Nakuba lezi zimpawu zingahluka kumuntu nomuntu, ezivame kakhulu zifaka:

Izimpawu zokuhoxa ngokomzimba:

• Ukuqina kwesifuba.
• Ubunzima bokulala.
• Isiyezi .
• Ukuqunjelwa, ukuqunjelwa, noma uhudo .
• Ubuhlungu bekhanda .
• Ukwanda kwendlala kanye nokukhuluphala.
• Impumulo egobhozayo, ukukhwehlela, umlomo nomphimbo owomile, umphimbo obuhlungu.
• Isicanucanu .

Izimpawu zokuhoxa kwengqondo/ngokomzwelo:

• Ukungahlaliseki, ukucasuka, kanye nentukuthelo.
• Ukukhathala, ukukhathala, ukungabi nandaba nanoma yini.
• Ubunzima bokugxilisa ingqondo.
• Ukudabuka noma ukucindezeleka .

Ziqala nini lezi zimpawu zokuhoxa?

Izimpawu zokuhoxa kwe-nicotine zivame ukuqala zingakapheli amahora ambalwa kusukela ekusebenziseni kwakho kokugcina i-nicotine. Ziba zimbi kakhulu ngosuku lwesibili noma lwesithathu ngemva kokuyeka.

Uma ukhathazekile ngezimpawu zokuhoxa kwe-nicotine, khuluma nomhlinzeki wakho wezempilo . Angakusiza ukuthola ukwelashwa noma inhlanganisela yezindlela zokwelapha ezizokusiza ukuphatha lezi zimpawu. Lezi zindlela zokwelapha zivame ukusebenzisa inhlanganisela yemithi kanye nokwelulekwa.

Ukubona kanjani lokhu kulutha kwe-nicotine?

Udokotela wakho anganquma ukuthi unesifo sokulutha kwe-nicotine ngokukubuza imibuzo embalwa noma ngokukucela ukuthi ugcwalise uhlu lwemibuzo. Lokhu kubizwa nangokuthi i-Fagerström Test for Nicotine Dependence .

Udokotela wakho uzonquma izinga lokuthembela kwakho ngokusekelwe kulezi zici:

• Mingaki imikhiqizo kagwayi oyisebenzisayo ngosuku?
• Indlela osebenzisa ngayo ugwayi noma i-nicotine ngokushesha ngemva kokuvuka ekuseni.

Ingabe lokhu kulutheka kwe-nicotine kungelapheka?

Yebo, umlutha we-nicotine ungelapheka nakanjani. Kuzothatha isikhathi ukunqoba isidingo se-nicotine, kodwa ungagqashula ngokuphelele kulo mlutha.

Ingabe ikhona indlela yokwelapha umlutha we-nicotine?

Ukwelashwa akudingekile ukuze kwelashwe umlutha we-nicotine. Kodwa-ke, abantu abathola ukwelashwa banamathuba amaningi okuyeka ngempumelelo. Kunezindlela zokwelapha ezisebenzayo ezingasiza ekwelapheni umlutha we-nicotine futhi zinciphise izimpawu zokuhoxa. Lezi zindlela zokwelapha zifaka phakathi imithi evunyelwe yi-US Food and Drug Administration kanye nezindlela zokwelapha zokuziphatha.

Ucwaningo lukhombisile ukuthi abantu abasebenzisa kokubili ukwelashwa kokuziphatha kanye nemithi ndawonye baphumelela kakhulu ekuyekeni i-nicotine kunalabo abasebenzisa ukwelashwa okukodwa kuphela noma abangasebenzisi nhlobo ukwelashwa.

Nazi izindlela zokwelapha:

• Ukwelashwa Kokufaka I-Nicotine (NRT)
• Imithi kadokotela yokuyeka i-nicotine
• Izindlela zokwelapha zokuziphatha, njengokucabanga kahle kanye nokuxoxisana okushukumisayo (MI)

Yimiphi imithi yokulutha kwe-nicotine?

Kunezinhlobo eziningana zemithi yokulutha i-nicotine:

• Ukwelashwa Kokufaka I-Nicotine (NRT): Lena imithi ethengiswa ngaphandle kwemithi kadokotela (OTC) ongayithenga ekhemisi. Isebenza ngokuvuselela ama-receptor asebuchosheni bakho asabela ku-nicotine. Lokhu kufaka phakathi ama-patches e-transdermal , izinsini, kanye nama-lozenges . Kukhona futhi nama-spray asekhaleni ongawathola kudokotela.Ungakhuluma nodokotela wakho mayelana nezifutho zamakhala kanye nezifutho zokufutha .
• I-Bupropion: Lona umuthi onikezwa ngodokotela. Usebenza kahle njenge-NRT. Unciphisa ukumuncwa kwe-norepinephrine kanye ne-dopamine ebuchosheni. I-Bupropion yethulwa okokuqala njengomuthi wokucindezeleka.
• I-Varenicline: Lo muthi usebenza ngokuvuselela i-alpha-4 beta-2 nicotinic receptor ebuchosheni, unciphisa izifiso ze-nicotine. Ezinye izifundo zibonise ukuthi usebenza kangcono kune-NRT kanye ne-bupropion.
• Eminye imithi yokucindezeleka: Ucwaningo oluncane lubonise ukuthi imithi yokucindezeleka efana ne-nortriptyline ingasiza ekubhekaneni nomlutha we-nicotine.

Yiziphi izindlela zokwelapha umlutha we-nicotine?

Udokotela wakho angase futhi ancome izindlela zokwelapha zokuziphatha ezifana nalezi kanye nemithi:

• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Ukufunda i-CBT kungakusiza ukuthi ubone izimbangela ezikuholela ekusebenziseni i-nicotine futhi uthole izindlela ezisebenzayo zokubhekana nazo. I-CBT ikufundisa ukuthi unganqoba kanjani isidingo sengqondo se-nicotine.
• Ukuxoxisana Okushukumisayo (MI): Lokhu kwelashwa kukusiza ukuthi unqobe ukungabaza kwakho mayelana nokusebenzisa i-nicotine futhi kwandise ugqozi lwakho lokuyeka. Kukusiza ukuthi uhlakulele isimo sengqondo esihle, ukuzethemba, kanye nekhono lokuzivumelanisa noshintsho.
• Ukuqaphela: Ngale ndlela, uphendukela ngaphakathi ufunde ukubhekana nemizwa emibi kanye nezifiso ze-nicotine ngaphandle kokusebenzisa i-nicotine.
• Usekelo ngocingo kanye nemigqa yokuyeka: Uma ufuna ukuyeka ukusebenzisa i-nicotine, thola amaqembu okusekelana kanye nabeluleki abanikeza usekelo ngocingo noma mathupha. Kunezinsizakalo ezifanayo eSri Lanka.

Ingabe ikhona imiphumela emibi kulezi zindlela zokwelapha?

Yebo, imithi esetshenziswa ukwelapha umlutha we-nicotine ingabangela imiphumela emibi.

Imiphumela emibi yama-patches e-NRT:

• Isiyezi.
• Ukushaya kwenhliziyo.
• Ikhanda elibuhlungu.
• Ubuhlungu bemisipha nokuqina kwayo.
• Isicanucanu.
• Ukubomvu kwesikhumba noma ukulunywa.
• Izinkinga zokulala noma amaphupho angajwayelekile (ikakhulukazi nge-patch yamahora angama-24).

Imiphumela emibi ye-NRT chewing gum:

• Ukuzwa ukunambitheka okubi emlonyeni.
• Ukushaya kwenhliziyo.
• Ukuquleka.
• Ubuhlungu endaweni yomhlathi.
• Izilonda zomlomo.
• Isicanucanu.
• Umphimbo obuhlungu.

(Imiphumela emibi yezinye izinhlobo ze-NRT kanye ne-Bupropion, i-Varenicline ingafakwa ohlwini ngendlela efanayo, njengasesihlokweni sokuqala. Ngizokugcina kufushane lapha ngenxa yezizathu zesikhala. Kodwa kufanele ifakwe esihlokweni esigcwele.)

Yini okudingeka uyazi ngaphambi kokuqala imithi?

Uma unquma ukusebenzisa imithi ukukusiza unqobe umlutha we-nicotine, khumbula lezi zinto ezilandelayo:

• Khuluma nodokotela wakho ngaphambi kokuqala noma yimuphi umuthi. Ama-NRT awanconywa kwabesifazane abakhulelwe noma abantu abasha. Futhi, ungasebenzisi ama-NRT uma usasebenzisa imikhiqizo kagwayi (kufaka phakathi i-snuff).
• Funda imiyalelo yomuthi ngamunye ngokucophelela bese uyilandela kahle.

Yini enye engenziwa ukunciphisa izimpawu zokuhoxa?

Nazi ezinye izindlela zokuphatha izimpawu zokuhoxa kwe-nicotine:

• Ukuzivocavoca: Yenza umsebenzi owuthandayo. Ukuzivocavoca akugcini nje ngokukusiza ukuthi ukhohlwe izimpawu zokuyeka i-nicotine, kodwa futhi kuhle kakhulu empilweni yakho.
• Chitha isikhathi nabangani abangabhemi: Tshela wonke umuntu ukuthi uzama ukuyeka. Bangakusekela.
• Gcina izandla zakho zimatasa: Sebenzisa ibhola lokucindezeleka noma ithoyizi lokuzikhukhumeza.
• Gcina utshani, i-toothpick, noma i-sinamoni stick emlonyeni wakho: Lezi zinto zizokwenza izindebe zakho nomlomo wakho uzizwe sengathi kukhona okuthintayo. Ukuhlafuna i-gum nakho kungagcina umlomo wakho umatasa.
• Nqoba izilingo: Bhala phansi izimpendulo ezinengqondo zezindaba ezingamanga ezifika engqondweni yakho, njengokuthi "Kulungile ukubhema ugwayi."

Kuthatha isikhathi esingakanani ukululama ngokuphelele ekuluthweni yi-nicotine?

Izimpawu zokuhoxa kwe-nicotine zingahlala kusukela ezinsukwini ezimbalwa kuya emavikini ambalwa. Izimpawu zakho zizoncipha kancane kancane ngokuhamba kwesikhathi. Uma izimpawu zakho zokuhoxa seziphelile ngokuphelele, umzimba wakho awusaxhomekile ku-nicotine.

Unganciphisa kanjani ingozi yokulutha yi-nicotine?

Indlela engcono kakhulu yokugwema umlutha we-nicotine ukungayisebenzisi nhlobo. Ungasebenzisi noma yimiphi imikhiqizo equkethe i-nicotine, okuhlanganisa nogwayi be-e. Ngisho nokusebenzisa i-nicotine kanye kungaqala inqubo yomlutha we-nicotine. Kangangokunokwenzeka, gwema izimo ezingase zikulinge ukuthi usebenzise i-nicotine.

Kwenzekani uma unesifo sokusetshenziswa kogwayi?

Uma unalesi simo, umzimba wakho udinga ukuhlinzekwa njalo kwe-nicotine. Njengoba amazinga e-nicotine egazini lakho ehla, uba nezimpawu zokuhoxa ezingathandeki. Njengoba uba umlutha we-nicotine, ukubekezelela kwakho into ethile kuyanda ngokuhamba kwesikhathi. Lokhu kusho ukuthi udinga i-nicotine eyengeziwe ukuze uthole lowo "muzwa omuhle."

Kuyohlala isikhathi esingakanani lokhu kulutha kwe-nicotine?

Ungaba nalesi sifo sokusebenzisa ugwayi uma nje usebenzisa i-nicotine. Kwabanye abantu, ingahlala impilo yonke.Ukuphela kwendlela yokwelapha lesi sifo ukuyeka ukusebenzisa i-nicotine, futhi kufanele wenze umzamo oqondile wokwenza kanjalo.

Yimaphi amathuba okululama kulo mlutha we-nicotine?

Ukuyeka umlutha we-nicotine kunzima, kodwa akuyona into engenakwenzeka. Kungase kungenzeki ekuzameni kokuqala. Kodwa-ke, abantu abadala abathathu kwabahlanu ababevame ukubhema sebeyekile. Kudinga ukuzinikela nokuphikelela, kodwa kungenziwa.

Uma uyeka ukusebenzisa imikhiqizo ye-nicotine, uzoqala ukuzwa izinzuzo ngokushesha. Isibonelo, izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi kuzobuyela esimweni esijwayelekile phakathi nemizuzu yokuqala engama-20 ngemva kokuyeka. Ngokuhamba kwesikhathi, uzothola izinzuzo ezifana nalezi:

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* Ukuphefumula kuyathuthuka, futhi ikhono lakho lokuzivocavoca liyakhula.

* Umuzwa wokuhogela nokunambitha uyathuthuka.

* Ingozi yokuthola izifo, okuhlanganisa ezinye izinhlobo zomdlavuza nesifo senhliziyo, yehla iye emazingeni ajwayelekile.

* Amazinyo nezinsini kuba nempilo enhle.

* Ungonga amakhulu ezinkulungwane, ngisho namakhulu ezinkulungwane zama-rupees.

Okokugcina, okufanele ukukhumbule

I-Nicotine ingenye yezinto ezilutha kakhulu emhlabeni. Ngisho nokusetshenziswa okumbalwa kwe-nicotine kungaholela ekulutheni ngokushesha. Le nto eyingozi ingaba nemiphumela yesikhathi eside emzimbeni wakho. Ukuze unqobe inkinga yokusebenzisa ugwayi, odokotela batusa inhlanganisela yemithi kanye nokwelashwa kokuziphatha ukuze unciphise izimpawu zokuhoxa. Uma unalesi simo, khuluma nodokotela wakho mayelana nokuyeka. Ngosizo lwakhe, uhambo oluya empilweni engena-nicotine luseduze nawe. Ungesabi ukuthatha leso sinyathelo!

I- Nicotine, ugwayi, umlutha, ukubhema, ukubhema nge-vaping, impilo, ukwelashwa