I-Vaping Akuyona Nje Ingozi, Kuyabulala
-Delile
- Iyini i-Vaping?
- Ingabe Ukuvota Kukubi Kuwe?
- Ingabe Wonke Ama-Vapes Mabi? Kuthiwani Ngokuvota Ngaphandle KweNicotine?
- Kuthiwani nge-CBD noma i-Cannabis Vaping?
- Izingozi Zezempilo Nezingozi Zokuvotela
- Buyekeza kwe-
I- "Vaping" mhlawumbe igama elaziwa kakhulu esilulumagama sethu samasiko njengamanje. Yimbalwa imikhuba nemikhuba eye yasuswa ngamandla aqhuma kangako (kuze kube manje lapho sinezenzo ezakhiwe ezungeze imikhiqizo yama-e-cigarettes) futhi kuze kufike lapho ochwepheshe bezokwelapha bebona ukukhuphuka kwayo njengenkinga yezempilo. Kepha ubungozi bokuphaphama akubonakali buvimbela osaziwayo abathatha ama-JUUL noma intsha yaseMelika. Intsha isebenzisa imikhiqizo ye-nicotine ngesilinganiso esingakaze siyibone emashumini eminyaka, cishe isigamu sabafundi abaphezulu siphume unyaka owedlule.
Lolu hlobo olufakwe kwidijithali lokubhema ugwayi kuthiwa luyindlela "enempilo" esikhundleni sokubhema, ngezikhangiso ezithi i-vaping iphephile. Kodwa kunesibalo sezingozi zezempilo ezihambisana nalo mkhuba wokulutha — kubandakanya ukufa. ICenters for Disease Control and Prevention (CDC) ikubiza ngokuthi "ukuqubuka okungakaze kubonwe ngaphambili." Kube nokufa kwabantu abangama-39 okuqinisekisiwe okuhlobene ne-vaping nezifo ezibikiwe ezingaphezu kuka-2,000. Ake singene emininingwaneni.
Iyini i-Vaping?
IVaping ukusetshenziswa kogwayi kagesi, kwesinye isikhathi obizwa nge-e-cigarette, e-cig, vape pen, noma iJUUL. ICentre on Addiction ikuchaza "njengesenzo sokuhogela nokukhipha umoya i-erosol, evame ukubizwa ngokuthi umusi," ngendlela umuntu angahogela ngayo intuthu kagwayi. (Okwengeziwe lapha: Yini uJuul futhi Ingabe Ingcono Kunokubhema?)
Lezi zinsimbi ezisebenza ngamandla ebhethri zishisa uketshezi (kwesinye isikhathi olunambithekiswayo, futhi luqukethe i-nicotine namakhemikhali) kuya phezulu kuma-degree angama-400; uma leyo ketshezi iba ngumhwamuko, umsebenzisi uhogela futhi isidakamizwa namakhemikhali kuhlakazeka kungene emaphashini lapho kumunceka khona ngokushesha egazini. Njenganoma iyiphi i-nicotine ephezulu, abanye abantu bachaza ukuzizwa bejabule futhi belula, abanye bazizwa bezolile kodwa begxilile. I-nicotine eshintsha imizwa ingaba isidambisi noma isivuseleli, kuye ngomthamo, ngokusho kweSikhungo Se-University of Toronto's Center for Addiction and Mental Health.
"Esinye sezici eziyinhloko zokuthi kungani abantu bevape kungenxa yamakhemikhali e-nicotine kanye nokuqukethwe okuphezulu kwe-nicotine emhosheni," kusho uBruce Santiago, uL.M.H.C., umeluleki wezempilo yengqondo kanye nomqondisi wezempilo weNiznik Behavioral Health. Kodwa ucwaningo luye lwabonisa ukuthi i-nicotine iyalutha kakhulu. (Okukhathaza nakakhulu: Abantu abaqapheli nokuthi ama-e-cigs noma i-vape abayibhemayo iqukethe i-nicotine.)
Akuwona wonke ama-vapes aqukethe i-nicotine, noma kunjalo. "Eminye imikhiqizo ingamaketha ukuthi ayinayo i-nicotine," kusho uSantiago. "Lawa ma-e-cigarettes asachaya umuntu ebuthini obudala izifo, itiyela, ne-carbon monoxide." Ngokwengeziwe, amanye ama-vapes aqukethe i-cannabis noma i-CBD, hhayi i-nicotine-sizokuthola lokho kungekudala. (Bheka: UJuul Uthuthukisa IPod Entsha Ye-Lower-Nicotine Ye-E-Cigarettes, kodwa Lokho Akusho Ukuthi Inempilo Kakhudlwana)
Ingabe Ukuvota Kukubi Kuwe?
Impendulo emfushane: Impela, amaphesenti ayi-100 yebo. I-Vaping ayiphephile. "Akekho umuntu okufanele abheke noma yiluphi uhlobo lokushushuluza njengomsebenzi omuhle, ophephile, wokuzijabulisa," kusho u-Eric Bernicker, MD, udokotela we-thoracic oncologist esibhedlela sase-Houston Methodist. "Kuningi okusaziwa ngobungozi bezempilo bamakhemikhali ahlukahlukene afakwe oketshezini oluvalekayo. Esikwaziyo ukuthi i-e-cigarettes ingumkhiqizo onobuthi owenzelwe ukukhuthaza ukulutheka kwe-nicotine, futhi lokho kuyingozi ebuchosheni nasemizimbeni yethu."
Kunjalo — akusizi ukuthi uyeke ukubhema, akunjalo kukhuthaza ukulutheka. Ukuze uqalise, "futhi akulona ithuluzi lokuyeka eligunyazwe yi-FDA," usho kanje.
Lezi zinkampani zikagwayi we-elekthronikhi zixhaphaza intsha ethatheka kalula engakayiboni imiphumela ye-nicotine esikhathini eside. “Sisengozini yokubona ukuguqulwa okukhulu kwezinzuzo zokuyeka ukubhema ezenziwe emashumini ambalwa eminyaka adlule kuleli zwe,” kusho uDkt. Bernicker. "Iziphuzo ezinamakha zimakethwa ikakhulukazi kubantu abasha abangakaze babheme, njengoba ama-flavour enambitheka kakhulu kune-nicotine." (Ungathola ama-vape flavour afana ne-strawberry, ubisi lwe-cereal, ama-donuts, ne-bubblegum eqhwa.)
Ingabe Wonke Ama-Vapes Mabi? Kuthiwani Ngokuvota Ngaphandle KweNicotine?
"Ukuvota ngaphandle kwe-nicotine kunezingozi eziningi empilweni, okuwukuthi ubuthi obujwayelekile," kusho uDkt Bernicker. "Isici esikhathaza kakhulu salokhu ukuthi asikayazi yonke imiphumela yala makhemikhali ahlukahlukene ngaphandle kokuthi anobuthi emizimbeni yethu." Sidinga ucwaningo oluningi ngaphambi kokuba ukuqhuma kwanoma yiluphi uhlobo kungathathwa njengokuphephile ukude — noma ukuqonda ngokweqiniso zonke izingozi zokuqhuma.
"Kokubili i-nicotine kanye namakhemikhali anephunga elimnandi kungaholela ezinkingeni zenhliziyo kulabo abasebenzisa i-vape, kanye nalabo abachayeka kuwo amasekeni," kusho uJudy Lenane, RN, MHA, isikhulu sezempilo e-iRhythm Technologies, inkampani yokunakekelwa kwezempilo yedijithali. ngokukhethekile ukuqapha inhliziyo. (Okuningi lapha: UJuul wethule i-Smart E-Cigarette entsha-Kepha akusona isisombululo sokwenza i-Teen Vaping)
Kuthiwani nge-CBD noma i-Cannabis Vaping?
Uma kukhulunywa nge-cannabis, ijaji lisaphumile, kodwa abanye odokotela bakholelwa ukuthi ingenye ephephile kunento efana ne-JUUL noma i-e-cig egqugquzelwa yi-nicotine—uma usebenzisa umkhiqizo ophuma kubhrendi ephephile nesemthethweni, okungukuthi.
"Kukonke, i-THC ne-CBD ziphephe kune-nicotine," kusho uJordan Tishler, M.D., ongungoti kanye nongumfundisi eHarvard Medical School. "Kodwa-ke, okwamanje, kunemikhiqizo eminingi yensangu [ehwamukayo] edala ukulimala okukhulu, ngakho-ke ngingakucebisa ukugwema insangu namapeni kawoyela e-CBD." Esikhundleni salokho, uDkt. Tishler uphakamisa ukuhwashisa kwembali yensangu, njengendlela ephephile.
Ukushisa imbali ye-cannabis kusho "ukubeka i-botanical material esitshalweni esiklanyelwe yona, ukukhulula umuthi ezingxenyeni zokhuni zesitshalo," esho. "Phakathi kwezinye izinto, ukwenza lokhu kugwema ukuqhubeka nokusebenza kwabantu, okungaholela emaphutheni angeziwe njengokungcola."
Ngisho nabanye abathengisi be-CBD bayazibamba uma kukhulunywa ngama-vapes, noma kuyimboni enenzuzo enkulu (futhi laba bathengisi bamele ukwenza ingcebo). "Nakuba i-vaping ithathwa njengenye yezindlela ezaziwa kangcono zokuphatha kanye nokwandisa izinzuzo ze-CBD, ubungozi bempilo yabathengi ayaziwa," kusho uGrace Saari, umsunguli we-SVN Space, iwebhusayithi nesitolo esigxile ku-hemp. "Siphatha imikhiqizo eyahlukene ukuze siqondise i-CBD, kodwa i-vaping CBD ayisona isigaba esitshala kuso kuze kube olunye ucwaningo luqinisekisa iphrofayili yokuphepha yaleyo mikhiqizo." (Okuhlobene: Ungayithenga Kanjani Imikhiqizo Engcono Kakhulu Ephephile Neyimpumelelo ye-CBD)
Izingozi Zezempilo Nezingozi Zokuvotela
Odokotela abaningana babelane ngezingozi zezempilo ezihambisana nokuhwamuka, eziningi zazo ezibulalayo."Ucwaningo lubonise ukuthi i-nicotine iyalutha kakhulu futhi ingalimaza ubuchopho obukhulayo bentsha, izingane, nezinsana kwabesifazane abaphuphuma ngesikhathi bekhulelwe (ngokwe-American Heart Association)," kusho uSantiago. "Ama-Vapes aqukethe nezinto eziyingozi njenge-diacetyl (ikhemikhali elixhunyaniswe nesifo samaphaphu esibi), amakhemikhali abangela umdlavuza, izinhlanganisela zezinto eziphilayo eziguquguqukayo (VOCs), nezinsimbi ezisindayo njenge-nickel, ithini nomthofu." Qhubeka ufundele ukuthola imininingwane ethile ngobungozi be-vaping.
Ukuhlaselwa yinhliziyo nokushaywa unhlangothi: "Idatha yakamuva ihlanganisa ngokusobala ukuhlaselwa yisifo senhliziyo, ukushaywa unhlangothi, nokufa nokushiswa ngogwayi kanye ne-e-cigarettes," kusho uNicole Weinberg, MD, udokotela wenhliziyo e-Providence Saint John's Health Centre eSanta Monica, CA. "Uma kuqhathaniswa nabangewona abasebenzisi, abasebenzisi be-vaping babengamaphesenti angu-56 amathuba okuba bahlaselwe isifo senhliziyo futhi bangamaphesenti angu-30 amathuba okuba bahlaselwe isifo sohlangothi. Ekuqaleni okwakubhekwa njengenye indlela ephephile kunogwayi ovamile, manje siyabona ukuthi kwenyusa izinga lokushaya kwenhliziyo, igazi. ingcindezi, futhi ekugcineni kwenyuke uqhekeko oludala lezi zigameko eziyingozi zenhliziyo. "
Ukuthuthuka kobuchopho okukhubekile: Phakathi kwezingozi eziningi "ezingagwemeka" ezivezwa yi-vaping, iNational Institute of Health yabelana ngokuthi ukusetshenziswa kwamapeni e-vape kanye ne-e-cigs kungadala "ukulimala kwesikhathi eside ekukhuleni kobuchopho." Lokhu kucaciswe kakhulu kubasebenzisi bentsha kepha kungathinta ukufunda nokukhumbula, ukuzithiba, ukugxila, ukunaka, nomoya.
I-AFib (I-Atrial Fibrillation): I-AFib "iwukushaya kwenhliziyo evevezelayo noma okungavamile (i-arrhythmia) okungaholela ekuvaleni kwegazi, unhlangothi, ukwehluleka kwenhliziyo nezinye izinkinga ezihlobene nenhliziyo," ngokusho kwe-American Heart Association. Futhi nakuba i-AFib ivame ukubonakala kubantu asebekhulile (abangama-65 nangaphezulu), "ngomkhuba oqhubekayo wokushunqisa phakathi kwentsha kanye nabantu abadala, ngolunye usuku singase sibheke abantu abasha nabancane (ngisho nabafunda esikoleni esiphakeme) abatholakala bene-AFib ngaphandle kokuthi singakuyeka lokhu manje, "kusho uLenane.
Isifo samaphaphu: "I-Vaping ingabangela ukulimala okukhulu kwamaphaphu, ukulimala okungamahlalakhona, nesifo semithambo," kusho uDkt. Bernicker. Futhi uma uke wayibona imibiko mayelana ne-popcorn lung, kuyaqabukela kodwa kungenzeka: "Okunambitheka [kufaka phakathi i-diacetyl] kube nomthelela ekukhuleni kwesifo samaphaphu," kusho uChris Johnston, MD, isikhulu sezokwelapha ePinnacle Treatment Centres eNew Jersey . I-Popcorn lung yisidlaliso sesimo se-bronchiolitis obliterans, okuyisimo esilimaza imigwaqo emincane yamaphaphu futhi ikwenze ukhwehlele futhi uzizwe uphefumula Umphumela omubi kakhulu wokuqhuma, uma kukhulunywa ngamaphaphu akho, njengamanje ubizwa ngokuthi " ukulimala kwamaphaphu okuhlobene ne-e-cigarette- noma i-vaping" futhi ayelapheki futhi kuyabulala; I-CDC ibilokhu ibiza le EVALI. I-National Institutes of Health yabika ukuthi “iziguli ezitholwe zinalesi sifo ziye zabika izimpawu ezinjengalezi: ukukhwehlela, ukuphelelwa umoya, noma ubuhlungu besifuba, isicanucanu, ukuhlanza, noma isifo sohudo, ukukhathala, imfiva, noma ukuncipha komzimba.” I-CDC ibika ukuthi "akukho sivivinyo noma umaki othize okhona wokuxilongwa," kepha ukuhlolwa okuningi kwemitholampilo kubheka ukuvuvukala kwamaphaphu nokubalwa kwamaseli amhlophe aphakeme. Ukuqhubeka nokuqhuma lapho kutholakala ukuthi unokulimala kwamaphaphu okuhlobene nokuhwamuka kungaholela ekufeni. Impilo yakho yamaphaphu eyonakalisiwe nayo ingakushiya ungenwe yinyumoniya, nayo engabulala.
- Umlutha: "Umlutha ungumphumela omubi kakhulu wesikhathi eside," kusho uDkt. Johnston. "Esikhathini esidlule empilweni othile umuntu uchayeka kumuthi oluthwa ngumlutha, lithuba elikhulu lokuthi atholakale enenkinga yokusebenzisa izidakamizwa kamuva empilweni." (Bheka: Indlela Yokuyeka uJuul, nokuthi Kungani Kunzima Kangaka)
Isifo samazinyo: U-Orthodontist uHeather Kunen, D.D.S., M.S., umsunguli womlingani weBeam Street ubone ukuphakama kwezinkinga ezihlobene ne-nicotine ezigulini zakhe ezisencane. “Njengodokotela wamazinyo onakekela kakhulu isiguli esesikhulile, ngiye ngazi kahle ukuthandwa kwendlela yokuphefumula kanye nemiphumela yako empilweni yomlomo,” kusho uKunen. "Ngithola ukuthi iziguli zami ezihlasela i-vape zihlushwa ukwanda komlomo owomile, izimbotshana, kanye nezifo ze-periodontal. Ngixwayisa iziguli zami ukuthi ngenkathi ukufutheka kubonakala kungenangozi futhi kuyindlela enempilo yokubhema ugwayi, lokhu akunjalo neze. Ukugcwala okuphezulu kakhulu kwe-nicotine ku-e-cigarettes kunemiphumela emibi ebalulekile empilweni yomlomo okungafanele ishaywe indiva."
Umdlavuza: Ngokufanayo nogwayi wendabuko, ama-e-cig angase abangele umdlavuza, kusho uDkt. Bernicker. "Asinalo ulwazi olwanele lokulinganisa ngokugcwele izingozi zomdlavuza okwamanje, kodwa imininingwane evela kumagundane isiqala ukutholakala," usho kanje. "Ukusetshenziswa kukagwayi neminye imikhiqizo ye-nicotine kusalokhu kuyimbangela ehamba phambili yomdlavuza wamaphaphu. Njengesazi se-oncologist, ngikhuthaza kakhulu abantu njengamanje abaphefumulayo ukuba bacabange kabusha ukuze kuzuze impilo yabo."
Ukufa: Yebo, ungafa ngokugula okuhlobene nomhwamuko, futhi kube nezigameko ezicishe zibe ngama-40 ezibikiwe kuze kube manje. Uma kungaveli ezifweni ezishiwo ngenhla zamaphaphu, kungavela kumdlavuza, isifo sohlangothi, ukwehluleka kwenhliziyo, noma komunye umcimbi ohlobene nenhliziyo. "Ukulimala kwesikhashana kusuka ekuhwamukeni kubandakanya ukwehluleka kokuphefumula nokufa," kusho uDkt Johnston.
Uma wazi umuntu osemusha onenkinga ye-vaping ne-JUUL, kunohlelo olubizwa nge-This is Quitting-uhlelo lokuqala lohlobo lwalo lokusiza abantu abasha bayeke ukuvutha. Umgomo uwukunikeza "intsha kanye nabantu abadala abasebasha ugqozi nokusekelwa abakudingayo ukuze balahle i-JUUL namanye ama-e-cigarette." Ukuze ubhalisele Ukuyeka, intsha kanye nabantu abadala abathumela umbhalo othi DITCHJUUL ku-88709. Abazali bangathumela umbhalo othi QUIT ku-(202) 899-7550 ukuze babhalise ukuze bathole imilayezo yombhalo eklanyelwe ngokukhethekile abazali bama-vaper.