Ukutshiza akuyongozi nje, kuyabulala

Umxholo

• Yintoni Ukuvota?
• Ngaba ukuvota kukubi kuwe?
• Ngaba zonke iiVapes zilungile? Kuthekani ngeVaping Ngaphandle kweNikotini?
• Kuthekani nge-CBD okanye i-Cannabis Vaping?
• Imingcipheko yezempilo kunye neengozi zokuvota
• Uphengululo lwe

"Ukuvota" lelona gama lidumileyo kwisigama sethu senkcubeko ngalo mzuzu. Zimbalwa imikhwa kunye neendlela eziye zathathwa ngamandla (ukuya kuthi ga apho sinezenzi ezenziweyo malunga nemveliso ye-e-cigarettes) ukuya kuthi ga kwinqanaba apho iingcali zonyango zibona ukunyuka kwayo njengengxaki yezempilo. Kodwa iingozi zokuphuphuma azibonakali ngathi zithintela abantu abadumileyo be-JUUL okanye abakwishumi elivisayo baseMelika. Ulutsha lusebenzisa iimveliso zenicotine kwinqanaba esingakhange silibone kumashumi eminyaka, phantse isiqingatha sabafundi abakumabanga aphezulu ukuba baphumelele kunyaka ophelileyo.

Olu hlobo lokutshaya lwecigaretti luthathwa njengenye indlela "esempilweni" yokutshaya, iintengiso zisitsho ukuba umphunga ukhuselekile. Kodwa kukho iingozi zempilo ezihambisana nalo mkhwa ukhobokisayo—kuquka nokufa. Amaziko oLawulo lweSifo kunye noThintelo (CDC) ayibiza ngokuba "kukuqhambuka okungazange kubonwe ngaphambili." Kubekho ama-39 aqinisekisiweyo okusweleka okunxulumene nomphunga kunye nezifo ezingaphezu kwe-2,000 ezixeliweyo. Makhe singene kwiinkcukacha.

Yintoni Ukuvota?

Ukuvota kukusetyenziswa kwesigarethi se-elektroniki, ngamanye amaxesha esibizwa ngokuba yi-e-cigarette, e-cig, ipeni yevape, okanye iJUUL. IZiko lokuLutha likwachaza "njengesenzo sokuphefumlela ngaphakathi kunye nokuphefumla i-erosol, ehlala ibizwa ngokuba ngumphunga," ngendlela umntu angafaka ngayo umsi wecuba. (Ngakumbi apha: Yintoni uJuul kwaye ngaba ingcono kunokutshaya?)

Ezi zixhobo zisebenzisa ibhetri zishushubeza ulwelo (ngamanye amaxesha olunencasa, kwaye luqulathe inicotine kunye neekhemikhali) ukuya kuthi ga kwiidigri ezingama-400; Nje ukuba ulwelo lube ngumphunga, umsebenzisi uphefumla kwaye iziyobisi kunye neekhemikhali zisasazeke kwimiphunga apho zingena ngokukhawuleza kwigazi. Njengayo nayiphi na i-nicotine ephezulu, abanye abantu bachaza ukuziva be-buzzy kunye nentloko elula, abanye baziva bezolile kodwa begxininisekile. Ukutshintsha kwezinto kwi-nicotine kunokuba kukuthomalalisa okanye ukuvuselela, ngokuxhomekeke kwidosi, ngokweZiko laseYunivesithi laseToronto leZiko leziyobisi kunye neMpilo yengqondo.

UBruce Santiago, uL.M.C., ongumcebisi wezempilo yengqondo kunye nomphathi weklinikhi we-Niznik Behavioural Health uthi: "Kodwa uphando lubonakalisile ukuba inicotine ikhoboka kakhulu." (Okukhathaza nangakumbi: Abantu abazi nokuba i-e-cigs okanye i-vape abayitshayayo iqulethe inicotine.)

Ayisiyo yonke imiphunga enenicotine, nangona. "Ezinye iimveliso zingazithengisa njenge-nicotine-free," utshilo uSantiago. "Ezi zi-cigarettes zisabeka umntu kwi-toxins ebangela izifo, i-tar, kunye ne-carbon monoxide." Ukongeza, ezinye ii-vapes ziqulethe i-cannabis okanye i-CBD, hayi inikotini- siza kufika kuyo kungekudala. (Jonga: IJuul Uphuhlisa iPod entsha yeNikotine eNtsha ye-E-Cigarettes, kodwa oko akuthethi ukuba isempilweni)

Ngaba ukuvota kukubi kuwe?

Impendulo emfutshane: Ngokuqinisekileyo, iipesenti ezili-100 ewe. Ukuvota akukhuselekanga. "Akukho mntu kufuneka acinge nangayiphi na indlela yokuphefumla umsebenzi okhuselekileyo, okhuselekileyo kunye nokuzonwabisa," utshilo u-Eric Bernicker, MD, ugqirha we-oncologist we-thoracic e-Houston Methodist Hospital. "Kuninzi okungaziwayo malunga nemingcipheko yezempilo yeekhemikhali ezahlukeneyo ezibandakanyiweyo kulwelo olunomphunga. Into esiyaziyo kukuba i-e-cigarettes yimveliso enetyhefu eyilelwe ukukhuthaza ukuba likhoboka le-nicotine, kwaye oko kuyingozi kwiingqondo nakwimizimba yethu."

Injalo loo nto—akuncedi ukuba uyeke ukutshaya abaxhasi umlutha. Ukuqalisa, "ayisiyiyo isixhobo sokupheliswa esivunyiweyo se-FDA," utshilo.

Ezi nkampani zemidiza ye-elektroniki zihlasela ulutsha olunomdla olunokubona iimpembelelo zenicotine kwixesha elide. "Sisemngciphekweni wokubona ukubuyela umva kweenzuzo zokuyeka ukutshaya ezenziwe kule minyaka ingamashumi idlulileyo, utshilo uGqirha Bernicker. "Ulwelo olunencasa luthengiswa ngokukodwa kubantu abancinci abangazange batshaye, njengoko iincasa zinencasa ngakumbi kunenicotine." (Unokufumana i-vape flavour efana ne-strawberry, ubisi lwe-cereal, i-donuts kunye ne-icy bubblegum.)

Ngaba zonke iiVapes zilungile? Kuthekani ngeVaping Ngaphandle kweNikotini?

UGqirha Bernicker uthi: "Ukuvumba ngaphandle kwenikotini kunemingcipheko emininzi kwezempilo, oko kukuthi, ityhefu ngokubanzi." "Eyona nto ixhalabisayo yile yokuba asikazazi iziphumo ezizezinye zale michiza ngaphandle kokuba iyityhefu kwimizimba yethu." Sifuna uphando olongezelelekileyo phambi kokuba umphunga walo naluphi na uhlobo ugqalwe ukhuselekile ukude-okanye ukuqonda ngokwenyani zonke iingozi zomphunga.

"Zombini inikotini kunye neekhemikhali ezinencasa zinokukhokelela kwiingxaki zentliziyo kwabo bavapayo, kunye nabo bathe bachanabeka kuyo," utshilo uJudy Lenane, RN, MHA, igosa eliyintloko leklinikhi kwi-iRhythm Technologies, inkampani yokhathalelo lwempilo yedijithali. Igxile ekubekweni esweni kwentliziyo. (Okuninzi apha: UJuul Usungule i-E-Cigarette eNtsha eyiSmart-Kodwa ayisiSisombululo kuVu lokuLutsha)

Kuthekani nge-CBD okanye i-Cannabis Vaping?

Xa kufikwa kwi-cannabis, ijury lisaphumile, kodwa abanye oogqirha bakholelwa ukuba yeyona ndlela ikhuselekileyo kwinto efana neJUUL okanye i-nicotine-fueled e-cig—ukuba Usebenzisa imveliso evela kuhlobo olukhuselekileyo nolusemthethweni, oko kukuthi.

"Ngokubanzi, i-THC kunye ne-CBD zikhuselekile kune-nicotine," utshilo u-Jordan Tishler, MD, ingcali ye-cannabis kunye nomhlohli kwiHarvard Medical School. "Nangona kunjalo, okwangoku, zininzi iimveliso ze-cannabis [ezenza umphunga] ezibangela ukwenzakala kakhulu, ke ndingacebisa ukuba uphephe i-cannabis kunye neepeni zeoyile ze-CBD." Endaweni yoko, uGqirha Tishler ucebisa ukuba aphefumle intyatyambo ye-cannabis, njengenye indlela ekhuselekileyo.

Ukuvaporisa intyatyambo ye-cannabis kuthetha "ukubeka umhlaba wezinto zenzululwazi kwisixhobo esenzelwe yona, ukukhulula iyeza kwiindawo ezinesityalo," utshilo. "Phakathi kwezinye izinto, ukwenza oku kuthintela ukuqhubekekiswa phambili koluntu, oku kungakhokelela kwiimpazamo ezongezelelweyo njengokungcola."

Nabanye abathengisi be-CBD bayabambezela xa kufikwa kwii-vapes, nangona ilishishini elinengeniso kakhulu (kwaye aba bathengisi bema ukwenza ubutyebi). "Nangona i-vaping ithathwa njengenye yeendlela ezaziwa ngcono zokulawula kunye nokwandisa izibonelelo ze-CBD, umngcipheko kwimpilo yabathengi awukaziwa," utshilo uGrace Saari, umseki we-SVN Space, iwebhusayithi egxile kwi-hemp kunye nevenkile. "Sineentlobo ngeentlobo zeemveliso zokulawula i-CBD, kodwa i-vaping ye-CBD ayilodidi esityala imali kulo de uphando oluqhubekayo luqinisekise ukhuseleko lwezo mveliso." (Idibeneyo: Ungazithenga njani iiMveliso ze-CBD eziKhuselekileyo neziSebenzayo)

Imingcipheko yezempilo kunye neengozi zokuvota

Oogqirha abaliqela babelane ngemingcipheko yezempilo eyayanyaniswa ne-vaping, uninzi lwayo olubulalayo."Uphando lubonise ukuba inikotini iyakhobokisa kakhulu kwaye inokwenzakalisa ubuchopho obukhulayo bolutsha, abantwana, kunye nabantwana abakhulelweyo kubasetyhini abakhuphayo ngelixa bekhulelwe (ngokweAmerican Heart Association)," utshilo uSantiago. "Ii-vapes ziqulethe izinto ezinobungozi ezifana ne-diacetyl (ikhemikhali edityaniswe nesifo esibi semiphunga), iikhemikhali ezibangela umhlaza, i-volatile organic compounds (VOCs), kunye neentsimbi ezinzima ezifana ne-nickel, i-tin kunye nelothe." Qhubeka ufunda ukuze ufumane iinkcukacha ezithe ngqo malunga neengozi zomphunga.

• Ukuhlaselwa yintliziyo kunye nokubetha "Idatha yamva nje idibanisa ukwanda kokuhlaselwa kwentliziyo, ukubetha, kunye nokufa kunye ne-e-cigarettes," utshilo uNicole Weinberg, MD, ugqirha wentliziyo kwiziko lezeMpilo e-Providence Saint John eSanta Monica, CA. "Xa kuthelekiswa nabantu abangasebenzisiyo, abasebenzisi be-vaping babengama-56 ekhulwini amathuba okuba bahlaselwe sisifo sentliziyo kunye nama-30 ekhulwini amathuba okuba bahlaselwe sistroke. uxinzelelo, kwaye ekugqibeleni yonyuse ukuqhekeka kwamacwecwe okubangela ezi ziganeko zengozi yentliziyo. "

• Ukukhula kwengqondo okuxineneyo: Phakathi kweengozi ezininzi "ezinokuthintelwa" ezibangelwa ngumphunga, iZiko leSizwe lezeMpilo labelana ukuba ukusetyenziswa kweepeni ze-vape kunye ne-e-cigs kunokubangela "ubungozi bexesha elide kuphuhliso lobuchopho." Oku kuthe ngqo ngakumbi kubasebenzisi bolutsha kodwa kunokuchaphazela ukufunda kunye nenkumbulo, ukuzeyisa, ukugxila, ingqalelo, kunye nomoya.

• I-AFib (i-Atrial Fibrillation): I-AFib "kukungcangcazela okanye ukubetha kwentliziyo ngendlela engaqhelekanga (arrhythmia) enokuthi ikhokelele ekuhlanjeni kwegazi, ukubetha, ukusilela kwentliziyo kunye nezinye iingxaki ezinxulumene nentliziyo," ngokwe-American Heart Association. Kwaye nangona i-AFib ibonakala kubantu abadala (65 nangaphezulu), singayinqanda le nto ngoku, utshilo uLenane.

• Isifo semiphunga: UGqr. Bernicker uthi: “I-vaping inokubangela ukwenzakala kakhulu kwemiphunga, ukwenzakala okungapheliyo kwemiphunga, kunye nesifo semithambo. Kwaye ukuba ubonile iingxelo malunga nemiphunga ye-popcorn, inqabile kodwa inokwenzeka: "Iincasa [kubandakanya i-diacetyl] ziye zabandakanyeka kuphuhliso lwesifo se-popcorn lung," utshilo uChris Johnston, MD, igosa eliyintloko lezonyango kwiPinnacle Treatment Centres eNew Jersey. . I-Popcorn lung ligama lesiqhulo lemeko ye-bronchiolitis obliterans, eyimeko eyonakalisa iindlela zomoya ezincinci zemiphunga yakho kwaye ikwenza ukhohlele kwaye uzive uphefumla nzima Esona siphumo sinokubakho sokuphefumla, xa sifika kwimiphunga yakho, okwangoku sihlelwa njenge " i-e-cigarette- okanye vaping-associated vaping injury "kwaye zombini azinyangeki kwaye ziyabulala; I-CDC ibize le EVALI. Amaziko kaZwelonke ezeMpilo axele ukuba "abaguli abafunyaniswe benesi sigulo baye baxela iimpawu ezinje: I-CDC ibika ukuba "akukho luvavanyo oluthile okanye umakishi okhoyo malunga nokuxilongwa kwayo," kodwa uninzi lovavanyo lweklinikhi lujonge ukudumba kwemiphunga kunye nenani eliphakamileyo leeseli ezimhlophe. Ukuqhuba umphunga xa ufunyaniswe ukuba unokwenzakala kwimiphunga enxulumene nomphunga kunokukhokelela ekufeni. Impilo yakho yemiphunga etshisiweyo inokushiya usenokuba nenyumoniya, nayo enokubulala.

• Ukuba likhoboka: UGqirha Johnston uthi: "Ukuba likhoboka yeyona nto ibalulekileyo yexesha elide." "Kwasekuqaleni ebomini umntu ubonakaliswe kwiziyobisi ezikhobokileyo, amathuba amaninzi okufunyaniswa ukuba unengxaki yokusetyenziswa kweziyobisi kamva ebomini." (Jonga: Ungamyeka njani uJuul, kwaye kutheni kunzima kangaka)

• Isifo samazinyo: I-Orthodontist uHeather Kunen, D.D.S., M.S., umseki weBeam Street uye wabona i-uptick kwiingxaki ezinxulumene ne-nicotine kwizigulane zakhe ezincinci. "Njengogqirha wamazinyo okhathalela ikakhulu umguli osele ekhulile, ndiye ndakuqonda kakuhle ukuthandwa kokunyuka kwempembelelo kunye neziphumo zayo kwimpilo yomlomo," utshilo uKunen. "Ndifumanisa ukuba izigulana zam ezine-vape zinengxaki ephezulu yomlomo owomileyo, imingxuma, kunye nesifo se-periodontal. Ndilumkisa izigulana zam ukuba ngelixa i-vaping ibonakala ingenabungozi kwaye enye indlela enempilo yokutshaya icuba, akunjalo kwaphela. Ukuxinana okuphezulu kakhulu kwenicotine kwi-e-cigarettes kunefuthe elibi kwimpilo yomlomo ekungafanelekanga ukuba ingahoywa. "

• Umhlaza: Ngokufana ne-cigarettes yendabuko, i-e-cigs inokukhokelela kumhlaza, utsho uDkt Bernicker. “Asinalo ulwazi olwaneleyo lokulinganisa ngokupheleleyo umngcipheko womhlaza okwangoku, kodwa idatha evela kwiimpuku iyaqala ukufumaneka,” utshilo. "Ukusetyenziswa kwecuba kunye nezinye iimveliso ze-nicotine kuhlala kungunobangela ophambili womhlaza wemiphunga. Njengesazi se-oncologist, ndibakhuthaza ngamandla abantu abaphefumlayo ukuba baphinde baqwalasele impilo yabo."

• Ukufa: Ewe ungasweleka ngenxa yokugula okunxulumene nomphunga, kwaye bekukho phantse iimeko ezingama-40 ezixeliweyo ukuza kuthi ga ngoku. Ukuba ayiveli kwezi zifo zemiphunga sele zikhankanyiwe, inokuba isuka kumhlaza, ukubetha, ukusilela kwentliziyo, okanye omnye umsitho onxulumene nentliziyo. Umonakalo wexesha elifutshane ophuma emphefumlweni uquka ukusilela kokuphefumla kunye nokufa, utshilo uGqirha Johnston.

Ukuba uyazi umntu okwishumi elivisayo onengxaki yokufunxa kunye ne-JUUL, kukho inkqubo ebizwa ngokuba yi-This is Quitting-inkqubo yokuqala yokunceda abantu abatsha bayeke ukukhupha umphunga. Injongo kukunika "ulutsha kunye nabantu abadala abanomdla kunye nenkxaso abayidingayo ukulahla i-JUUL kunye nezinye i-e-cigarettes." Ukubhalisela oku Kukuyeka, ulutsha kunye nabantu abadala abancinci bathumela umyalezo othi DITCHJUUL ku-88709.

Uphengululo lwe