Ingabe uphathwa yikhanda ngemuva kokubhema ugwayi, noma ngemva kokungabhemi ugwayi usuku lonke bese kuba kusihlwa? Mhlawumbe uzama ukuyeka ukubhema. Ingabe usaphathwa yikhanda elingabekezeleleki? Nakuba abantu abaningi becabanga ngezizathu ezahlukahlukene zalolu khanda olubuhlungu, isizathu sangempela kungaba ukusebenzisa kwakho ugwayi. Namuhla sikhuluma ngaleli 'khanda elibuhlungu le-nicotine'. Ake sibheke kalula ukuthi liyini ngempela, kungani lenzeka, nokuthi lingasuswa kanjani.
Iyini ngempela ikhanda le-nicotine?
Kalula nje, ikhanda le-nicotine liwubuhlungu bekhanda obubangelwa ukusebenzisa i-nicotine noma ukuyeka ukubhema. I-Nicotine iyikhemikhali eyinhloko ebangela umlutha etholakala kusikilidi, ugwayi, ugwayi ohlafunwayo, ugwayi we-e, noma njengoba sikubiza kanjalo, 'ama-vapes.' Kodwa nansi into eyinkimbinkimbi: imikhiqizo kagwayi ayigcini nje ngokuqukatha i-nicotine. Iqukethe
izinkulungwane zamanye amakhemikhali . Ngakho-ke ngezinye izikhathi kungaba nzima ukubona ukuthi ikhanda lakho libangelwa yi-nicotine, elinye ikhemikhali, noma inhlanganisela yazo zonke lezi. Futhi njengoba kunezinye izimbangela eziningi zekhanda, ake sibheke lokhu ngaphambi kokuba sicabange ukuthi konke kubangelwa yi-nicotine.
Kuzwakala kanjani ikhanda le-nicotine? Ziyini lezi zinhlobo?
Uphawu oluyinhloko lwekhanda elibuhlungu yi-nicotine ubuhlungu. Kodwa lobu buhlungu bungazwakala buhlukile kumuntu ngamunye. Ezinye izinhlobo zekhanda ezibuhlungu zitholakale zihlotshaniswa ngqo nokusetshenziswa kwe-nicotine. Ake sibheke ukuthi ziyini.
| Uhlobo lwekhanda elibuhlungu | Imizwa nezimpawu |
|---|
| Ubuhlungu Bekhanda Beqembu | Lolu uhlobo olubi kakhulu lwekhanda. Kuzwakala njengobuhlungu obuhlaba ngommese endaweni eyodwa ekhanda, ngokuvamile nxazonke noma ngemuva kweso. Lobuhlungu bungahlala imizuzu engama-30-45. Ngezinye izikhathi bungafika izikhathi ezingu-8 ngosuku. |
| I-Migraines | Lokhu kubangela ubuhlungu obukhulu obuhlabayo ohlangothini olulodwa noma lonke ikhanda. Abanye abantu bangase bangakwazi ukubuka ukukhanya, babe nobunzima bokuzwa imisindo, futhi bangase babe nesicanucanu nokuhlanza. Nakuba ucwaningo mayelana nokuxhumana phakathi kokubhema ne-migraine luxubene, ukubhema kungenza i-migraine ibe yimbi kakhulu. |
| Ukucindezeleka Ubuhlungu Bekhanda | Lolu uhlobo oluvame kakhulu lwekhanda elibuhlungu. Kuzwakala sengathi ibhande liyaqiniswa ekhanda. Kunomuzwa wokucindezela nokuqina ebunzini, ezinhlangothini zekhanda, nangemuva kwentamo. Intuthu kagwayi ingaba imbangela enkulu yalolu hlobo lwekhanda elibuhlungu. |
Kungani i-nicotine ingibangela ikhanda? Ziyini izimbangela?
Ikhanda elibuhlungu ngokuvamile liwumphumela wokushintshana kwesignali phakathi kobuchopho bethu, imithambo yegazi, kanye nezinzwa ezizungezile. Abacwaningi bakholelwa ukuthi i-nicotine ithinta le nqubo ngezindlela eziningana.
- Ukuminyana kwemithambo yegazi: I-Nicotine iyinto ebangela ukuba imithambo yegazi emzimbeni wethu iminyene. Cabanga ukuthi imithambo yegazi ebuchosheni bakho iminyene. Lokhu kunciphisa inani legazi nomoya -mpilo ofinyelela ebuchosheni bakho. Singakuzwa lokhu njengobuhlungu bekhanda.
- Imizwa iba nomuzwa ojulile: Uma usebenzisa i-nicotine isikhathi eside, imizwa yakho ingase ibe nomuzwa ojulile ebuhlungwini. Lokhu kusho ukuthi ngisho nento encane engavamile ukubangela ikhanda ingaba namandla ngokwanele ukukunika ikhanda elibuhlungu.
- Ukuhoxa ku-Nicotine: Uma ubhema nsuku zonke, ubuchopho bakho bujwayele izinga elithile le-nicotine. Uma uchitha amahora ambalwa ungabhemi, izinga le-nicotine emzimbeni wakho liyehla. Lokhu kubangela ushintsho ekulinganisweni kwamakhemikhali (izinguquko kuma-neurotransmitters) ebuchosheni bakho, okungaholela ekhanda elibuhlungu. Lesi yisona sizathu esiyinhloko esenza uphathwe yikhanda elibuhlungu ezinsukwini zokuqala ezimbalwa zokuyeka ukubhema.
Into ebalulekile ukuthi akuyona nje i-nicotine ekugwayi, kodwa namanye amakhemikhali anobuthi njenge-carbon monoxide kanye nephunga elinamandla elikugwayi nakho kungadala noma kube kubi kakhulu ikhanda.
Ingabe izinto ezifana ne-Nicotine Patch nazo zibangela ikhanda?
Yebo. Izindlela Zokwelapha Ngokushintsha I-Nicotine (NRT) ezisetshenziswa ukusiza ukuyeka ukubhema, njengeziqeshana ze-nicotine kanye ne-nicotine gum, nazo zingabangela ikhanda kwabanye abantu. Lokhu kungenxa yokuthi umzimba wakho ungase uthole
i-nicotine eningi ku-patch kunalokho okudingayo. Noma ungase uthole
okuncane kunalokho okudingayo . Uma uthola ikhanda elibuhlungu kakhulu ngenkathi usebenzisa i-NRT, qiniseka
ukuthi ukhuluma nodokotela wakho . Angakusiza ukuthi unqume umthamo ofanele we-nicotine kuwe.
Yini okufanele ngiyenze ngaleli khanda elibuhlungu futhi kufanele ngibone udokotela?
Uma usola ukuthi uthola ikhanda elibuhlungu ngenxa ye-nicotine, ikhambi elingcono kakhulu nelihlala njalo
ukuyeka ukusebenzisa i-nicotine ngokuphelele . Siyazi ukuthi lokhu akulula njengoba kuzwakala. Kodwa kuyindlela kuphela yokuqeda ikhanda elibuhlungu le-nicotine unomphela. Kodwa khumbula, phakathi namasonto amabili kuya kwamathathu okuqala okuyeka ukubhema, ikhanda elibuhlungu
linganda njengophawu lokuyeka i-nicotine. Lokhu kungokwesikhashana. Udokotela wakho angancoma okulandelayo ukusiza ekuphatheni ikhanda lakho elibuhlungu ngalesi sikhathi:
- Amaphilisi okudambisa ubuhlungu avamile: Ungathenga amaphilisi okudambisa ubuhlungu ekhemisi, njengeParacetamol noma i - Ibuprofen . Kodwa-ke, kungcono ukubuza udokotela ngaphambi kokusebenzisa lawa. Ukusetshenziswa kwe-nicotine kunganciphisa ukusebenza kahle kwale mithi.
- Imithi kadokotela: Uma unesifo esibi njenge -migraine , udokotela wakho angase akunike imithi ethile efana nama-triptan noma ama-CGRP inhibitors. Ungalokothi uwathathe ngaphandle kweseluleko sikadokotela .
Uma uya kudokotela, angase akubuze imibuzo efana nale:
- Ikhanda elibuhlungu liqala nini?
- Sekuyisikhathi esingakanani?
- Ingabe ukwenza noma yini kunciphisa ikhanda?
- Usebenzisa luphi uhlobo lwemikhiqizo kagwayi? (ugwayi, ama-beedis, ugwayi, i-vape)
- Usebenzisa malini ngosuku?
Kuleli qophelo, kubalulekile ukwethembeka ngemikhuba yakho yokubhema. Udokotela wakho ukhona ukukusiza, hhayi ukukwahlulela.
Indlela engcono kakhulu yokuvimbela ikhanda le-nicotine
Njengoba sesishilo ngaphambili,
indlela engcono kakhulu newukuphela kwayo yokuvimbela ikhanda le-nicotine ukugwema yonke imikhiqizo kagwayi. Lokhu ngeke kukusindise nje kuphela ezinhlungwini zekhanda, kodwa futhi nakwezinye izifo eziningi ezimbi. Cabanga nje ngezinzuzo ezingakulethela ukuyeka ukubhema:
- Ingozi yomdlavuza wamaphaphu, isifo sohlangothi, nesifo senhliziyo iyancipha ngokushesha .
- Ngesikhathi uyeka ukubhema iminyaka emi-5, ingozi yakho yokushaywa yisifo sohlangothi icishe ifane neyomuntu ongakaze abheme.
- Ingozi yokuba nomdlavuza womlomo, umphimbo, kanye nesinye incishiswa ngesigamu .
- Ngemva kweminyaka eyi-10, ingozi yokufa ngenxa yomdlavuza wamaphaphu incishiswa ngo-50%.
Lolu uhambo olukhulu. Kodwa uma ungakwazi ukukwenza wedwa, ungabi namahloni okucela usizo. Udokotela wakho angakunikeza isiqondiso, imithi kanye nokusekelwa okudingayo.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu bekhanda bungenzeka ngesikhathi sokusetshenziswa kwe-nicotine (ukubhema, ukubhema i-vaping) kanye nokuhoxiswa kwe-nicotine.
- Indlela engcono kakhulu newukuphela kwayo yokuqeda unomphela leli khanda elibuhlungu ukuyeka ukusebenzisa yonke imikhiqizo kagwayi.
- Ikhanda elibuhlungu lingakhula okwesikhashana phakathi namasonto ambalwa okuqala okuyeka ukubhema, kodwa lizophela ngokuhamba kwesikhathi.
- Uma udinga usizo lokuyeka ukubhema noma uma ikhanda lakho libuhlungu kakhulu, ungalokothi unqikaze ukubona udokotela. Bahlala bekulungele ukukusiza.
- Uma usebenzisa amaphilisi okudambisa izinhlungu ekhanda, kungcono kakhulu ukwenza kanjalo ngaphansi kweseluleko sikadokotela.
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