Ukutshaya amayeza okuyeka

Umboneleli wakho wezempilo unokukunika amayeza anokukunceda uyeke ukusebenzisa icuba. La mayeza aqukethe inikotini kwaye awenzi mkhuba. Basebenza ngendlela eyahlukileyo kunee-nicotine patches, iintsini, izitshizi, okanye i-lozenges.

Amayeza okuyeka ukutshaya anokunceda:

• Nciphisa umnqweno wecuba.
• Nciphisa iimpawu zokurhoxa.
• Gcina ukuba uqale ukusebenzisa icuba kwakhona.

Njengolunye unyango, la mayeza asebenza kakuhle xa eyinxalenye yenkqubo ebandakanya:

• Ukwenza isigqibo esicacileyo sokuyeka kunye nokuseta umhla wokuyeka.
• Ukwenza isicwangciso sokukunceda ujongane neminqweno yokutshaya.
• Ukufumana inkxaso kugqirha, kumcebisi, okanye kwiqela lenkxaso.

UKWAKHIWA (Zyban)

I-Bupropion yipilisi enokuthi inciphise umnqweno wakho wecuba.

I-Bupropion ikwasetyenziselwa abantu abanokudakumba. Kuyanceda ukuyeka icuba nokuba awunangxaki zokudakumba. Akucaci gca ukuba bupropion inceda njani kwiminqweno yecuba kunye nokuyeka icuba.

I-Bupropion akufuneki isetyenziselwe abantu aba:

• Baneminyaka engaphantsi kwe-18
• Ukhulelwe
• Unembali yeengxaki zonyango zokuxhuzula, ukusilela kwezintso, ukusebenzisa utywala kakhulu, ukuphazamiseka kwindlela yokutya, i-bipolar okanye isifo sokudakumba, okanye ukonzakala entloko

Indlela yokuyithatha:

• Qala i-bupropion 1 iveki ngaphambi kokuba ucwangcise ukuyeka ukutshaya. Injongo yakho kukuthatha iiveki ezisi-7 ukuya kwezi-12. Thetha nogqirha wakho ngaphambi kokuba uthathe ixesha elide. Abanye abantu, ukuthatha ixesha elide kunceda ukuthintela ukuqala ukutshaya.
• Eyona idosi ixhaphakileyo yithebhulethi ye-150 mg kanye okanye kabini ngemini ubuncinci iiyure ezingama-8 phakathi kwedosi nganye. Gwinya ipilisi yonke. Musa ukuhlafuna, ukwahlula, okanye ukuchoboza. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga, kubandakanya ukubanjwa.
• Ukuba ufuna uncedo ngeminqweno xa uqala ukuyeka, ungathatha i-bupropion kunye neepototches, iinsini, okanye i-lozenges. Buza ugqirha wakho ukuba oku kulungile kuwe.

Iziphumo zeliyeza zinokubandakanya:

• Umlomo owomileyo.
• Iingxaki zokulala. Zama ukuthatha idosi yesibini emva kwemini ukuba unale ngxaki (thatha ubuncinci iiyure eziyi-8 emva kwethamo lokuqala).
• Yeka ukuthatha eli yeza kwangoko ukuba uneenguqu kwindlela oziphethe ngayo. Oku kubandakanya umsindo, ukuphazamiseka, ukudakumba, iingcinga zokuzibulala, okanye ukuzama ukuzibulala.

IVARENICLINE (CHANTIX)

IVarenicline (Chantix) iyanceda ngokulangazelela inicotine kunye neempawu zokurhoxa. Isebenza kwingqondo ukunciphisa ifuthe lomzimba lenicotine. Oku kuthetha ukuba nokuba uqala ukutshaya kwakhona emva kokuyeka, ngekhe ufumane ulonwabo olukhulu xa usela eli chiza.

Indlela yokuyithatha:

• Qala ukuthatha eli yeza kwiveki e-1 ngaphambi kokuba ucwangcise ukuyeka icuba. Okanye, ungaqala ngokuthatha amayeza, emva koko ukhethe umhla kwiiveki ezi-4 zokuyeka. Enye indlela kukuqalisa ngokuthatha amayeza, emva koko uyeke kancinci ukutshaya kwezi veki zili-12 zizayo.
• Thatha emva kokutya ngeglasi epheleleyo yamanzi.
• Umboneleli wakho uya kukuxelela indlela yokuthatha eli yeza. Uninzi lwabantu luthatha ipilisi enye ye-0.5 mg ngosuku ekuqaleni. Ekupheleni kweveki yesibini, uya kuba uthatha ipilisi ye-1 mg kabini ngemini.
• MUSA ukudibanisa eli chiza namachaphaza e-nicotine, iintsini, ukutshiza okanye i-lozenges.
• Abantwana abangaphantsi kweminyaka eyi-18 akufuneki bathathe eli chiza.

Uninzi lwabantu luyayinyamezela i-varenicline kakuhle. Iziphumo ebezingalindelekanga aziqhelekanga, kodwa zinokubandakanya oku kulandelayo ukuba ziyenzeka:

• Intloko ebuhlungu, iingxaki zokulala, ubuthongo kunye namaphupha angaqhelekanga.
• Ukuqunjelwa, irhasi yamathumbu emathumbu, isicaphucaphu, kunye notshintsho kwincasa.
• Ukudakumba, iingcinga zokuzibulala nokuzama ukuzibulala. Biza ugqirha wakho ngoko nangoko ukuba unayo nayiphi na le mpawu.

QAPHELA: Ukusetyenziswa kweli yeza kunxulunyaniswa nomngcipheko okhulayo wokuhlaselwa sisifo sentliziyo kunye nokubetha.

AMANYE AMAYEZA

La mayeza alandelayo anokunceda xa olunye unyango lungakhange lusebenze. Izibonelelo azingqinelani, ngenxa yoko zithathwa njengonyango lodidi lwesibini.

• I-Clonidine iqhele ukusetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu. Inokukunceda xa iqalwa ngaphambi kokuyeka. Eli chiza liza njengepilisi okanye ipaki.
• I-Nortriptyline yenye ye-anti-depressant. Iqala kwiintsuku ezili-10 ukuya kwezi-28 ngaphambi kokuyeka.

Ukutshaya ukuyeka - amayeza; Icuba elingenamsi - amayeza; Amayeza okuphelisa icuba

UGeorge TP. Inikotini kunye necuba. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 32.

Siu AL; Umsebenzi woKhuseleko kwi-US. Ukungenelela kokuziphatha kunye nonyango lokuyeka ukutshaya kubantu abadala, kubandakanya nabasetyhini abakhulelweyo: Ingxelo yengcebiso yengcebiso ye-US. UAnn Intern Med. 2015; 163 (8): 622-634. IINKCUKACHA: 26389730 www.ncbi.nlm.nih.gov/pubmed/26389730.

Iwebhusayithi yoLawulo lwezoKutya kunye nokuSebenzisa iziyobisi. Ngaba ufuna ukuyeka ukutshaya? Iimveliso ezivunyiweyo ze-FDA zinokunceda. www.fda.gov/ForConsumers/ConsumerUpdates/ucm198176.htm. Ukuhlaziywa ngoDisemba 11, 2017. Kufikeleleke ngoFebruwari 26, 2019.