Ingabe ujwayele ukuzama ukuyeka ukubhema, kodwa ngemva kosuku olulodwa noma ezimbili, uzozithola usubuyele lapho waqala khona? Akulula njengoba ucabanga. Abantu abaningi bayayeka ukuzama ukuyeka ukubhema ngenxa yokungakhululeki ngokomzimba kanye nokucindezeleka kwengqondo abakuzwayo lapho bezama ukuyeka ukubhema. Kodwa ungakhathazeki, akudingeki udlule kulolu hambo wedwa. Kunezindlela zokwelapha ezingakusiza. Namuhla, sizokhuluma ngenye yezindlela ezinjalo.
Kalula nje, kuyini ukwelashwa kokufaka esikhundleni se-nicotine (NRT)?
Ukwelashwa Kokufaka I-Nicotine Replacement Therapy (NRT) kuyindlela yokwelapha esetshenziselwa ukunciphisa izifiso kanye nezimpawu zokuhoxa ngemva kokuyeka ukubhema. Kuhilela ukusebenzisa eminye imikhiqizo equkethe i-nicotine (njenge-chewing gum noma ama-patches) ngemithamo ephansi kakhulu.
Cabanga ngakho, ugwayi awugcini nje ngokuqukatha i-nicotine. Kunezinkulungwane zamanye amakhemikhali ayingozi futhi anobuthi, njengezinto ezibangela umdlavuza, angena emizimbeni yethu naleyo nsizi. Imikhiqizo ye-NRT iqukethe kuphela inani eliphansi le-nicotine elilawulwayo. Ayinawo lawo ma-toxin ayingozi. Ngakho-ke, akusiza ukuthi uqede kancane kancane umlutha we-nicotine ngaphandle kokulimala kogwayi.
Kodwa khumbula lokhu. I-NRT ayilona umlingo. Inganciphisa ukungakhululeki kwakho ngokomzimba. Kodwa i-NRT yodwa ayanele ukuvimba imikhuba yengqondo, yemizwa, neyenhlalo ekushukumisela ukuba ubheme (isibonelo, ukubhema ugwayi ngenkathi uphuza itiye nabangani). Ngakho-ke, ukusebenzisa ezinye izindlela, njengokwelulekwa, kanye ne-NRT, kubaluleke kakhulu ukuze uthole imiphumela ephumelelayo.
Ubani lokwelashwa kwe-NRT okufanelekela kakhulu?
I-NRT inconywa kubantu abalutha kakhulu ugwayi (ukulutheka kakhulu yi-nicotine) futhi abafuna ukuyeka. I-Nicotine iyisikhuthazi esitholakala kugwayi. Uma ubhema ugwayi isikhathi eside, umzimba wakho kanye nobuchopho bakho kuyajwayela amazinga e-nicotine. Khona-ke awukwazi ukuphila ngaphandle kwe-nicotine. Yilokhu esikubiza ngokuthi ukulutheka.
Lezi zimpawu zizokusiza ukuthi ubone ukuthi umlutha kakhulu kagwayi.
| Isici | Kusho ukuthini lokhu? |
|---|---|
| Ukubhema okungaphezu kwephakethe likagwayi ngosuku. | Lokhu kubonisa ukuthi umzimba udinga inani elikhulu le-nicotine njalo. |
| Ukubhema ugwayi kungakapheli imizuzu emihlanu uvukile ekuseni. | Isidingo esinamandla somzimba sokunqoba izimpawu zokuhoxa ezibangelwa ukungatholi i-nicotine ubusuku bonke. |
| Ukubhema ugwayi ngisho noma ugula. | Naphezu kokungakhululeki ngokomzimba, ukuthembela kwengqondo nangokomzimba ku-nicotine kusalokhu kuphezulu kakhulu. |
| Ukuvuka ebusuku bese ubhema ugwayi. | Ukulutheka kubi kakhulu kangangokuthi ngisho nokulala kuyaphazamiseka lapho amazinga e-nicotine ehla. |
| Ukubhema ugwayi ukuze ugweme izimpawu zokuhoxa. | Lokhu kuyisibonakaliso esicacile sokuthi ubhajwe emjikelezweni ofanayo kaninginingi. |
I-NRT ngokuvamile iphephile kubantu abadala. Kodwa-ke, ayifanele abesifazane abakhulelwe nezingane ezincane. Futhi, uma unesifo sesibindi noma sezinso, ukusebenzisa i-NRT kungaba yingozi. Ngakho-ke, kubaluleke kakhulu ukukhuluma nodokotela wakho ngaphambi kokuqala lokhu kwelashwa futhi uthole iseluleko sokuthi kulungile yini kuwe.
Izinhlobo zemikhiqizo ye-NRT nendlela yokuyisebenzisa
Kunezinhlobo eziningana zemikhiqizo ewela ngaphansi kohlelo lwe-NRT. Eminye ingathengwa ngaphandle kwencwadi kadokotela, kanti eminye idinga incwadi kadokotela.
Izinhlobo eziyinhloko yilezi:
- I-Nicotine Gum
- Ama-Nicotine Lozenges
- Ama-patches esikhumba se-Nicotine
- Izifutho ze-Nicotine
- Izifutho Zekhala Ze-Nicotine
Kunamaphuzu amaningana abaluleke kakhulu lapho usebenzisa lawa.
- Odokotela batusa ukuqala i-NRT isonto noma amabili ngaphambi kokuyeka ukubhema, noma ngosuku olufanayo oyeka ngalo.
- Umthamo wokuqala we-NRT unqunywa inani logwayi obheme ngalo ngosuku olwedlule.
- Kufanele wehlise kancane kancane inani le-nicotine oyisebenzisayo ngokuhamba kwesikhathi.
- Gcina le mikhiqizo kude nezingane ezincane nezilwane ezifuywayo, ngoba ngisho nenani elincane lingabangela ubuthi obukhulu be-nicotine.
Manje ake sibone ukuthi singayisebenzisa kanjani ngayinye yalezi zinhlobo.
I-Nicotine Gum
Ungathenga lokhu ngaphandle kwekhawuntara emakhemisi. Kuhlafunwa njengetshungama ejwayelekile, kukhipha i-nicotine. Uma uzwa umuzwa wokuhlaba emlonyeni wakho, kufanele ubambe itshungama phakathi kwesihlathi sakho nezinsini cishe imizuzu engama-30.
- Lokhu kufanele kusetshenziswe okungenani imizuzu eyi-15 ngemva kokuphuza iziphuzo ezifana nekhofi, itiye, kanye neziphuzo ezine-asidi ezifana namawolintshi.
- Emasontweni okuqala ayisithupha, ungasebenzisa eyodwa njalo emahoreni amabili uma uzizwa unesifiso sokubhema. Ngemva kwalokho, kufanele unciphise kancane kancane imvamisa yokusetshenziswa.
- Ungasebenzisi okungaphezu kweyodwa ngesikhathi. Hlela ukuyeka ukuyisebenzisa ngokuphelele ngemva kwamasonto angaba ngu-12.
Ama-Nicotine Lozenges
Lokhu kungathathwa ngaphandle komlomo. Kufana ne-lozenge yomphimbo obuhlungu. Uma uyibeka emlonyeni wakho bese uyibamba phakathi kwesihlathi sakho nezinsini, i-nicotine iyakhishwa njengoba incibilika.
- Emasontweni okuqala ayisithupha, kufanele usebenzise eyodwa njalo emahoreni amabili, bese unciphisa inani olisebenzisayo ngokuhamba kwesikhathi.
- Akukuhle ukusebenzisa okungaphezu kweyodwa ngesikhathi.
Ama-Nicotine Patches
Lokhu kungathathwa ngaphandle kwe-patch. Kufana ne-patch. Uyifaka endaweni ehlanzekile, eyomile, engenazinwele emzimbeni wakho ekuseni (isb., ehlombe, esifubeni esingaphezulu, engalweni engenhla). Ngemuva kwalokho, uzobe umunca inani elincane le-nicotine usuku lonke.
- Amandla e-patch ekufanele anqunywa inani likagwayi owubhemayo ngosuku.
- Ngokuvamile, i-patch eyodwa ingashiywa amahora angu-16 kuya kwangu-24. Akudingeki uyikhumule, ngisho nalapho ugeza.
- Ungayinamathelisi endaweni efanayo nsuku zonke, shintsha indawo.
Izifutho ze-Nicotine
Ukuze usebenzise lokhu, udinga ngempela incwadi kadokotela. Inekhatriji equkethe i-nicotine. Uma uphefumula kuyo, i-nicotine imuncwa ngemuva komphimbo wakho.
- Okubaluleke kakhulu, lokhu akusiwo ugwayi kagesi (ugwayi kagesi noma i-vaping). I-NRT inhaler iyindlela yokwelapha ephephile nevunyelwe ngokwezokwelapha.
- Lesi akusona isikhathi esihle sokuphefumula ngokujulile. Kufanele uphefumule kafushane, kancane.
- Ungadli noma uphuze imizuzu eyi-15 ngaphambi noma ngesikhathi sokusebenzisa.
Izifutho Zekhala Ze-Nicotine
Lokhu kudinga nencwadi kadokotela. Lesi yisifutho samakhala. Uma sifuthwa emakhaleni womabili, i-nicotine ingena emzimbeni zingakapheli imizuzu emi-5-10 futhi inciphise ngokushesha ukunxanela ugwayi.
- Lokhu kuvame ukunikezwa labo abanomlutha omkhulu. Ngenxa yokuthi kusebenza ngokushesha, kunethuba elikhulu lokuba umlutha.
- Kufanele usebenzise isilinganiso esiqondile esinqunywe udokotela wakho. Ungadluli inani eliphezulu lezikhathi ongalisebenzisa ngazo ngosuku.
- Ngokuvamile akukhuthazwa ukusebenzisa lokhu isikhathi esingaphezu kwezinyanga ezintathu.
Ingabe izinhlobo ezimbili zemikhiqizo ye-NRT zingasetshenziswa ndawonye?
Yebo, ngezinye izikhathi odokotela bayatusa lokho. Lokhu kungathuthukisa imiphumela. Kubizwa ngokuthi ukwelashwa okuhlanganisiwe.
Kalula nje, kuhilela ukusebenzisa umkhiqizo osebenza isikhathi eside (njenge-nicotine patch) osebenza usuku lonke, kanye nomkhiqizo osebenza isikhathi esifushane (njenge-chewing gum noma i-spray) osetshenziswa kuphela lapho kufika isifiso sokubhema.
Ngokwesibonelo:
- I-patch ye-nicotine kanye ne-nicotine gum
- I-inhaler ye-nicotine ene-patch ye-nicotine
Kodwa lokhu akuyona into okufanele uyenze wedwa. Kufanele nakanjani ubuze udokotela wakho ukuthi iyiphi inhlanganisela engcono kakhulu esimweni sakho nokuthi yimiphi imithamo ongayisebenzisa.
Izinzuzo kanye nemiphumela emibi engaba khona ye-NRT
Inzuzo enkulu yokusebenzisa i-NRT ukuthi kwandisa amathuba okuphumelela ekuyekeni ukubhema ngo-50% kuya ku-70%. Lokhu kusho ukuthi inikeza usizo olukhulu.
Futhi njengayo yonke imithi, imikhiqizo ye-NRT ingabangela imiphumela emibi kwabanye abantu, ngakho-ke kungcono ukuyiqaphela ngaphambi kokuyisebenzisa.
| Uhlobo lomkhiqizo we-NRT | Imiphumela emibi engaba khona |
|---|---|
| Kuvamile kuzo zonke izinhlobo | Isicanucanu, ikhanda elibuhlungu, ukushaya kwenhliziyo okusheshayo. |
| I-Nicotine patch | Ukuluma noma ukubomvu kwesikhumba lapho kufakwa khona i-patch, izinkinga zokulala, noma amaphupho angajwayelekile. |
| Itshungama yokuhlafuna i-nicotine | Umphimbo obuhlungu, izilonda zomlomo, ama-hiccups. |
| Ama-lozenges e-nicotine | Ukuqunjelwa, umphimbo obuhlungu, ukukhwehlela, ukuvuvukala kwesifuba. |
| Isifutho sekhala se-nicotine | Ukuvuvukala kwekhala nomphimbo, ikhala eligobhozayo, amehlo anamanzi, ukuthimula, ukukhwehlela (lokhu kwenzeka kuphela emasontweni okuqala angu-1-2 bese kuyanyamalala). |
| I-inhaler ye-nicotine | Ukukhwehlela, ukungakhululeki komlomo nomphimbo, ikhala eligobhozayo, ukungakhululeki esiswini. |
Ubuthi beNicotine - Qaphela kakhulu ngalokhu!
Lesi yisimo esiyingozi kakhulu. Ukusebenzisa imikhiqizo ye-NRT eningi kakhulu, noma ukubhema ngenkathi usebenzisa i-NRT, kungabangela amazinga e-nicotine emzimbeni ukuba akhuphuke kakhulu ngendlela eyingozi. Lokhu kubizwa ngokuthi ubuthi be-nicotine noma ukudlula ngokweqile. Lokhu kungenzeka, ikakhulukazi uma ingane encane idla ingxenye encane yalo mkhiqizo.
Uma wena noma ingane yakho ithola izimpawu ezilandelayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
| Izimpawu eziyingozi zobuthi be-nicotine | |
|---|---|
| - Isicanucanu nokuhlanza | - Ukuthela amathe ngokweqile |
| - Ubuhlungu besisu | - Ukujuluka ngokweqile |
| - Isilinganiso senhliziyo sishesha kakhulu | - Ukuphefumula okusheshayo nokujulile |
| - Ukungakwazi ukulawula umzimba, ubunzima bokuhamba | - Ukuthuthumela |
| - Ikhanda elibuhlungu kanye nesiyezi | - Ukuquleka |
Esimweni esiphuthumayo, ungashayela neNational Poison Information Centre eseColombo National Hospital ukuze uthole iseluleko. | |
Kuthiwani uma indlela ye-NRT ingangisebenzeli?
Ukuyeka ukubhema akuyona into engenziwa kanye. Abantu abaningi kufanele bazame izikhathi eziningana. Uma ungayitholi imiphumela obuyilindele nge-NRT, akusikho ukuphela komhlaba. Ungakhathazeki. Khuluma nodokotela wakho futhi. Angase akwazi ukuncoma umkhiqizo ohlukile we-NRT, umthamo ohlukile, noma uhlelo lokwelashwa oluhluke ngokuphelele.
Ngaphezu kwe-NRT, kukhona namaphilisi angewona awe-nicotine (isib. i-varenicline, i-bupropion) angakusiza ukuthi uyeke ukubhema. Udokotela wakho angase akuncome ukuthi uthathe elinye lalawa kanye ne-NRT.
Futhi, njengoba sishilo ekuqaleni, kubaluleke kakhulu ukuqeda umlutha wengqondo kanye nomlutha womzimba. Izinhlelo zokwelulekwa (izinhlelo zokuyeka ukubhema) zingasiza kakhulu ngalokho. Buza udokotela wakho ngalokho futhi. Into ebaluleke kakhulu ukungayeki.
Umlayezo Wokuya Nawe Ekhaya
- Ukuyeka ukubhema kuwuhambo olunzima. Ukwelashwa Kokufaka I-Nicotine (NRT) kuyindlela efakazelwe ngokwezokwelapha engakusiza kulolo hambo.
- Imikhiqizo ye-NRT iqukethe inani elilawulwayo le-nicotine kuphela, ngaphandle kobuthi obuyingozi obutholakala kusikilidi.
- Ngaphambi kokuqala i-NRT , qiniseka ukuthi ukhuluma nodokotela bese ukhetha indlela kanye nomthamo okulungele wena.
- Gcina imikhiqizo ye-NRT ngokuphephile kude nezingane nezilwane ezifuywayo . Ubuthi be-nicotine buyingozi kakhulu.
- I-NRT ayilona ikhambi eliphelele. Ukuze uthole imiphumela ephumelelayo, kubaluleke kakhulu ukuthola ukwesekwa ngokwengqondo nangokokuziphatha, njengokwelulekwa.
- Ungayeki ngoba nje wehlulekile kanye. Khuluma nodokotela wakho bese uqhubeka uzama uze uthole indlela esebenza kahle kuwe.
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