Kodi ndi njira zabwino kwambiri kwa anthu okhala ndi COPD?
Anthu omwe ali ndi matenda osokoneza bongo omwe amalephera kubweretsa matenda (COPD) akulangizidwa kuti asiye ndudu. Poyankha, ena ayamba kugwiritsa ntchito ndudu zamagetsi-zomwe zimadziŵika kuti e-ndudu -mwina njira yabwino "yopanda fodya kapena njira zochepetsera pang'onopang'ono.
Choyamba chololedwa kumsika mchaka cha 2003, zipangizozi zakhala zikulandiridwa bwino ndi iwo omwe amadzimva kuti sakhala otsimikiza pakuponyera chizolowezicho.
Ena sakhala okondwa kwambiri, akutsindika kuti palibe umboni wosonyeza kuti akugwiritsa ntchito kusuta fodya pomwe mapulogalamuwa akuwopsya okha.
Kufufuza kwachuluka kwa e-ndudu kunayambitsa US Food and Drug Administration (FDA) kuti adziwe mwatsatanetsatane kayendedwe ka magetsi onse apakompyuta mu 2016. Izi zimaphatikizapo zigawo za e-ndudu komanso e-zamadzi, cartridges, flavorings, ndi atomizers.
Koma kodi izi zikutanthauza kuti e-ndudu ndi "owopsa," kapena ali ndi katundu omwe amawapangitsa kukhala oyenerera kwa anthu omwe ali ndi COPD?
Momwe E-Cigarettes Agwirira Ntchito
Ndudu zamagetsi zimagwiritsidwa ntchito mothandizidwa ndi mankhwala a chikonga, madzi, ndi propylene glycol. Zimakhala zooneka bwino ndipo zimapangidwa kuti ziziwoneka ngati ndudu. Pamene mutenga chiwombankhanga pa imodzi, betri imatenthetsera yankho ndikupanga mpweya yomwe mungathe kuikamo.
Zochita, zomwe zimayambitsa kusokonezeka, zimatchedwa "kutha."
Nthendayi imakhala yovuta kwambiri yomwe imapezeka mu fodya yomwe imakhala yovuta kwambiri kwa kusuta fodya koma siyo yokha imaonedwa ngati khansa (kuchititsa khansa). Izi zikuperekedwa kuti pochotsa phula kuzochitikira kusuta fodya, anthu omwe amagwiritsa ntchito ndudu za e-cigaretta adzakhala ndi njira yopezera fodya.
Phindu la Kugwiritsa Ntchito Egalimoto
Ngakhale kuti malamulo a FDA ndi ovuta kwambiri komanso malamulo a boma ndi a m'derali amaletsa kugwiritsa ntchito kwawo poyera, otsutsa amakhulupirira kuti zokhudzana ndi ndudu za e-cigaretti zimaposa zozizwitsa. Pali kafukufuku wothandizira maganizo awa.
Phunziro loyamba lomwe linatulutsidwa mu 2017 ndipo linalandizidwa ndi Cancer Research UK linapeza kuti anthu omwe anasuta ndudu zapamwamba kupita ku e-ndudu okha anali ndi tizirombo tomwe tomwe timapitirizabe kusuta. Ofufuzawo adatsimikizira kuti kudya kwa nicotine kunalibe kusiyana ndi ndudu zonse komanso kuti "pangokhala pangozi yochepa kwambiri" yogwirizana ndi kugwiritsa ntchito nthawi yayitali.
Zotsatira zomwezo sizinapezeke mwa anthu omwe amagwiritsira ntchito e-ndudu basi monga njira yothetsera. Mwa anthuwa, mlingo wa ma carcinogens mu madzi a thupi ndi ofanana ndi ngati iwo adapitirizabe kusuta fodya yekha.
Maphunziro ena, panthawiyi, adatsutsa kuti e-ndudu sizithandiza anthu kusiya kusuta. Kafukufuku wa 2016 wa anthu osuta 7,551 anafotokoza kuti e-ndudu inathandiza 18 peresenti kusiya bwino kusuta fodya-pafupifupi katatu kuchuluka kwa anthu a ku United States.
Kuteteza kwa E-Cigarette Ntchito
Mosasamala kanthu kafukufuku wogwira ntchito yogwiritsira ntchito ndudu, otsutsa akhala akutsutsana kwambiri ndi zotsatira, akutsindika kuti amangopereka chithunzi chabe cha zotsatira zotheka. Ngakhale potsata maphunziro osuta fodya, owerengeka akhala akuyang'ana patali kuposa miyezi isanu ndi umodzi kuti aone momwe phinduli likhalitsa.
Komanso, otsutsana omwewo amasonyeza kuti kuopsa kwa ndudu ya e-eti kumawonjezera bwino kwambiri kuposa pangozi ya tar. Malinga ndi kafukufuku wa 2016 kuchokera ku yunivesite ya Connecticut, kusuta fodya kungachititse kuti DNA iwonongeke m'mapapu monga fodya, zomwe zimachititsa kuti pakhale ngozi yaikulu ya khansa.
Kwa iwo, a FDA ndi a US a General Surgeon General amachenjeza, akulangiza anthu kuti:
- Ndudu zowonjezera zingawononge achinyamata kukhala ndi chizolowezi cha nicotine ndikuwatsogolera, m'malo mowachotsa, ndudu zonse. Kuchokera mu 2005, ntchito ya e-ndudu kwa achinyamata yakula ndi 900 peresenti.
- Ena e-ndudu angakhale ndi zowonjezera zowononga kwa anthu. M'mabuku otsindikizidwa posachedwapa, a FDA adapeza kuti amawotcha m'makina awiri a e-cigaretti komanso mapulaneti apamwamba a formaldehyde mumagetsi a e-cigarette apamwamba. Chowonadi ndikuti ife sitidziwa nkomwe chomwe chiri mu njira zambiri za e-madzi zogulitsidwa.
- Kutsekemera kwanthaŵi yaitali kwa flavorings (ya diacetyl yoteroyo yomwe imagwiritsa ntchito kutsanzira popcorn batala) imayambitsa kuwonongeka kwa mapapu osasinthika, malinga ndi a US Surgeon General.
- Nicotine yokha silingakhoze kuonedwa ngati yotetezeka ngati ingakhudzire kwambiri ubongo wamunthu wachinyamata komanso imayambitsa vuto la mwana wosabadwa (zomwe zimachititsa kuchepetsa kubereka, kubadwa msanga, ndi chiopsezo chowonjezereka cha matenda a mwana wodwala mwadzidzidzi).
Njira Yabwino Yopewera Kusuta
Momwe mumasankhira kusuta fodya ndi nkhani yokha. Komabe, mu nkhani ya COPD, muyenera kulingalira zinthu ziwiri zofunika:
- Kugwiritsira ntchito ndudu za e-cigaretti njira yodulayo ndi yosiyana mosiyana ndi kuyendetsa popanda e-ndudu. Mlingo wa kulephera ndi wofanana kwambiri. Ngati mukufuna kukana, ndi bwino kusiya nthawi imodzi ndikugwiritsa ntchito zothandizira kusuta.
- Sitikudziwa bwino momwe kutentha (kapena zina mwa zosakaniza zomwe zikukhudzidwa) zimakhudza COPD. Mufupikitsa, zimakhala zachilendo kwa ena kumamva kupweteka, kukakokera, kukwiya maso, ndi pakamwa. Ena omwe amawombera alibe mavuto. Ponena za zotsatira za nthawi yaitali, sitidziwa momwe kutuluka kapena kupweteka mapapo.
Momwemo, mukufunikira kupanga chidziwitso chodziwitsa musanasankhe chithandizo chimodzi chosuta fodya. Izi zimaphatikizapo e-ndudu kapena njira ina iliyonse yoperekera malonda pamsika. Lankhulani ndi dokotala wanu kuti mupeze njira yomwe ili yabwino kwa inu.
> Zotsatira:
> Rahman. A .; Hann, N .; Wilson, A .; et al. "E-Cigarettes ndi Kusuta Kusuta: Umboni kuchokera ku Kukonzekera Kwadongosolo ndi Meta-Analysis." PLoS One. 2015.
> Shahab, L .; Goniewicz, M .; Blount, B ;; et al. "Nicotine, Khancenjeni, ndi Toxin Zikuwonetseratu Kutengera Kwambiri Kwambiri Kwambiri kwa Nkhaku ndi Nicotine." An Annals of Internal Medicine . 2017; 366 (6): 390-400.
> US Department of Health and Human Services. "Kugwiritsira Ntchito kwa Cigarette Pakati pa Achinyamata ndi Achinyamata Achikulire: Lipoti la Dokotala Wamkulu. "Washington, DC; 2016.
> Utsogoleri wa US Food and Drug Administration. "Zipangizo zamakono, E-Cigarettes, ndi njira zina zopezeka ku Nicotine Delivery (ENDS)." Silver Spring, Maryland; April 2017.