Ngaba iiCigarettes zinefuthe lokuthambisa?

Umxholo

• Isiphumo sokuhambisa isisu
• Uphando
• Ukutshaya kunye nokugaya ukutya
• Uncedo ngokuyeka
• Umgca wezantsi

Unokuzibuza ukuba ukutshaya iisigarethi kunefuthe kwizisu zakho, njengekofu. Emva kwayo yonke loo nto, ayisiyiyo inikotini, nayo?

Kodwa uphando olwenziweyo phakathi kwendlela phakathi kokutshaya kunye norhudo luxubene.

Funda ukuze ufunde ngakumbi, kunye nezinye iziphumo ebezingalunganga zeecuba.

Isiphumo sokuhambisa isisu

I-Laxatives zizinto ezinokukhulula isitulo esincanyathisiweyo okanye esichaphazeleke emathunjini akho amakhulu (ikholoni), siyivumele ukuba idlule ngokulula kwikholoni yakho.

I-Laxatives inokusetyenziselwa ukubangela ukuphendula kwemisipha kwisisu sakho esihambisa isitulo kunye, esibizwa ngokuba kukuhamba kwamathumbu. Olu hlobo lwe-laxative luyaziwa njenge-laxative evuselelayo kuba "luvuselela" uxinzelelo olutyhala isitulo ngaphandle.

Abantu abaninzi baziva inicotine kunye nezinye izinto eziqhelekileyo ezinjenge-caffeine inefuthe elifanayo emathunjini, ibangela ukukhawulezisa ukuhamba kwamathumbu. Kodwa uphando lubalisa ibali elinzima ngakumbi.

Uphando

Ke, luthini uphando ngokutshaya kunye nokuhamba kwamathumbu? Ngaba ibangela urhudo?

Impendulo emfutshane: Asazi ngokuqinisekileyo.

Ambalwa amakhonkco athe ngqo afunyenwe phakathi kokutshaya icuba kunye nokuhamba kwamathumbu. Kodwa uphando oluninzi lwenziwe kwimiphumo yokutshaya kwisifo sesisu sokuvuvukala (IBD), apho isifo sohudo siyimpawu enkulu.

Into yokuqala yokwazi kukuba ukutshaya kunokwenza iimpawu zorhudo ze-IBD - njengesifo sikaCrohn, uhlobo lwe-IBD - olunzima ngakumbi.Ukutshaya kunye nenkqubo yokwetyisa. (2013). https://www.niddk.nih.gov/health-information/digestive-diseases/smoking-digestive-system

Ukuphononongwa ngo-2018 kophando malunga nokutshaya, isifo sikaCrohn, kunye nolcerative colitis (olunye uhlobo lwe-IBD) kugqitywe kwelokuba unyango lwe-nicotine lunokunceda ukulawula iimpawu zesilonda esibuhlungu kubantu ababetshaya ngaphambili - kodwa okwethutyana. Akukho sibonelelo sexesha elide. Kukwakho neengxelo zokuba ukutshaya kungonyusa ulcerative colitis umsebenzi.UBerkowitz L, et al. (2018). Impembelelo yokutshaya umdiza kwithumbu lokudumba: Iziphumo ezichasayo kwisifo sikaCrohn kunye nesilonda esibuhlungu. INGXELO: 3389 / fimmu.2018.00074

Ngaphezulu, abaphandi bathi ukutshaya kunokuphakamisa umngcipheko wokuphuhlisa isifo sikaCrohn. Inokwenza iimpawu zibe mandundu ngakumbi ngenxa yokudumba kwamathumbu.

Ngaphezu koko, ukutshaya kunokuphakamisa umngcipheko wosulelo lwebacteria oluchaphazela amathumbu kwaye lubangele urhudo.

Uphononongo luka-2015 kubandakanya abathathi-nxaxheba abangaphezulu kwama-20 000 abapapashwe kwi-BMC yezeMpilo kaRhulumente bafumanise ukuba abo batshayayo banesifo esiphezulu sosulelo Shigella iintsholongwane. Shigella yintsholongwane yamathumbu emathumbu ehlala inoxanduva lokutya ityhefu, ekhokelela kurhudo.Das SK, okqhubekayo. (2015). Urhudo kunye nokutshaya: Uhlalutyo lwamashumi eminyaka lwedatha yokujonga evela eBangladesh. INGXELO: 1186 / s12889-015-1906-z

Kwelinye icala, kwa isifundo esinye sifumanise ukuba ukutshaya kubangela ukuba isisu sivelise i-asidi eninzi, ngenxa yoko abantu abatshayayo abanakufane bakhule Ikholera yeVibrio usulelo. Le yenye intsholongwane ebangela ukosuleleka kunye norhudo.

Kwaye kukho uphando oluthe kratya olubonisa ukuba unxibelelwano aluqinisekanga kangakanani phakathi kokutshaya kunye nokuhamba kwamathumbu.

Uphononongo olwenziwe ngo-2005 lwajonga iziphumo zezinto ezininzi ezikhuthazayo, kubandakanya ikofu kunye ne-nicotine, kwiithowuni zethowuni. Eli lixesha lokuxinwa kwe-rectum, enefuthe ekuhambeni kwamathumbu.ISloots CEJ, et al. (2005). Ukukhuthazwa kokuchaswa: Iziphumo zokusetyenziswa kwekofu kunye ne-nicotine kwithoni ye-rectal kunye novakalelo lwe-visceral. INGXELO: 1080/00365520510015872Orkin BA, okqhubekayo. (2010). Inkqubo yokufumana amanqaku e-digital rectal system (DRESS). INGXELO:

Uphononongo lufumanise ukuba ikofu inyuse ithoni ye-rectal ngeepesenti ezingama-45. Ifumene ukunyuka okuncinci (iipesenti ezisi-7) kwitoni yoxinzelelo lwe-nicotine- ephantse yaphakama njengepilisi yamanzi ye-placebo ngepesenti ye-10. Oku kuphakamisa ukuba inicotine ayinakuba nanto yakwenza nokuphosa.

Ukutshaya kunye nokugaya ukutya

Ukutshaya kuchaphazela umzimba uphela, kubandakanya necandelo lakho ngalinye lokwetyisa. Nantsi into enokwenzeka enokubangela okanye ibe mandundu isifo sohudo kunye nezinye iimeko eziphambili ze-GI:

• IGERD. Ukutshaya kunokuyenza buthathaka imisipha yomqala kwaye yenze isisu ukuba siphume siye emqaleni. Isifo se-reflux sesifo se-Gastroesophageal (GERD) senzeka xa iasidi iphela isophagus, ivelisa ukutsha kwentliziyo ixesha elide.UKahrilas PJ, et al. (1990). Iindlela ze-asidi ye-asidi enxulunyaniswa nokutshaya icuba.
• Isifo sikaCrohn. I-Crohn's kukudumba kwexesha elide kwamathumbu kunokubangela iimpawu ezinjengorhudo, ukudinwa, kunye nokwehla kobunzima ngokungaqhelekanga. Ukutshaya kunokwenza ukuba iimpawu zakho zibe qatha ngokuhamba kwexesha. UCosnes J, et al. (2012).Izinto ezichaphazela iziphumo kwisifo sikaCrohn ngaphezulu kweminyaka eli-15. INGXELO: 1136 / gutjnl-2011-301971
• Izilonda Peptic. Ezi zizilonda ezenza isisu esiswini kunye namathumbu. Ukutshaya kunemiphumela emininzi kwinkqubo yokwetyisa enokwenza izilonda zibe mandundu, kodwa ukuyeka ukuyeka kunokutshintsha ngokukhawuleza ezinye zeziphumo. I-Eastwood GL, okqhubekayo. (1988). Indima yokutshaya kwisifo sezilonda.
• Iicolyp polyps. Oku kukukhula okungaqhelekanga komzimba okwenzeka emathunjini. Ukutshaya kunokuwuphinda kabini umngcipheko wokuhlaselwa ziipolyps zomhlaza.UBotteri E, et al. (2008). Ukutshaya icuba kunye nee-polyp adenomatous: Uhlalutyo lweemeta. INGXELO: 1053 / j.gastro.2007.11.007
• Amatye egall. Ezi zizinto ezinzima zokwakha i-cholesterol kunye ne-calcium enokuthi yenze kwi-gallbladder kwaye ibangele iibhlokhi ezinokufuna ukunyangwa. Ukutshaya kunokukubeka emngciphekweni wesifo se-gallbladder kunye nokwenziwa kwenyongo.UAune D, et al. (2016). Ukutshaya icuba kunye nomngcipheko wesifo se-gallbladder. INGXELO:
• Isifo sesibindi. Ukutshaya kwandisa umngcipheko wokuphuhlisa isifo sesibindi esinamafutha. Ukuyeka kunokunciphisa inkqubo kwaye kunciphise umngcipheko weengxaki ngokukhawuleza.UJung H, et al. (2018). Ukutshaya kunye nomngcipheko wesifo esingenamafutha sesibindi: Isifundo seqela. INGXELO: 1038 / s41395-018-0283-5
• Ipancreatitis. Oku kukudumba kwexesha elide, oku kunceda ukwetyisa ukutya kunye nokulawula iswekile yegazi. Ukutshaya kunokubangela ukuvela kunye neempawu ezibi ngakumbi. Ukuyeka kunokukunceda uphilise ngokukhawuleza kwaye uphephe iimpawu zexesha elide.IBarreto SG. (2016). Ukutshaya icuba kubangelwa njani kukudumba kwamadlala okuqatha? INGXELO: 1016 / j.pan.2015.09.002
• Umhlaza. Ukutshaya kunxulunyaniswa neentlobo ezininzi zomhlaza, kodwa ukuyeka ukunciphisa kunciphisa umngcipheko kakhulu. Umhlaza ekutshayeni unokuvela kwi:
  • ikholoni
  • ingcambu
  • isisu
  • umlomo
  • umqala

Uncedo ngokuyeka

Kunzima ukuyeka, kodwa akunakwenzeka. Kwaye ukuyeka kwangoko kunokuba kuncede ekunciphiseni iimpawu ezinokubangelwa yi-nicotine kwindlela yakho yokwetyisa kwaye uphilise umzimba wakho kwiziphumo zawo.

Zama oku kulandelayo ukukunceda uyeke:

• Yenza utshintsho kwindlela ophila ngayo. Yenza umthambo rhoqo okanye ucamngce ukukunceda uphule ezinye izithethe okanye imikhwa oyakhileyo malunga nokutshaya.
• Khuthaza abahlobo bakho kunye nosapho ukuba bakuxhase. Xelela abo basondeleyo kuwe ukuba uceba ukuyeka. Buza ukuba bangakhangela kuwe okanye baqonde iimpawu zokurhoxa.
• Joyina iqela lenkxaso nabanye abaye bayeka ukutshaya ukuze beve ukuqonda kwabo kwaye bafumane uncedo. Maninzi amaqela enkxaso kwi-Intanethi, nawo.
• Cinga ngamayeza Iminqweno ye-nicotine kunye nokurhoxa, njenge-bupropion (iZyban) okanye i-varenicline (Chantix), ukuba iyafuneka.
• Qwalasela ukutshintshwa kwenicotine, njengepatch okanye i-gum, ukukunceda uzikhulule kumlutha. Oku kwaziwa njenge-nicotine therapy (NRT).

Umgca wezantsi

Ke, ukutshaya akunakukukwenza ubhuqe, ubuncinci hayi ngokuthe ngqo. Kukho lonke inani lezinye izinto ezinokuthi zibe noxanduva lokuziva ngokungxamisekileyo ukutyelela indlu yangasese emva kokutshaya.

Kodwa ukutshaya kunefuthe elikhulu kwimpilo yakho esiswini. Yonyusa umngcipheko wokuphazamiseka kwamathumbu kunokubangela urhudo kunye nezinye iimpawu ze-GI.

Ukuyeka kunganciphisa kunye nokuguqula ezinye zeempembelelo. Musa ukuthandabuza ukuzama iindlela ezithile zokuyeka okanye ukufikelela kuncedo lokwahlukana nalo mkhwa.