Isingeniso: Iyini i-Nicotine?
I-Nicotine iyi-alkaloid yemvelo etholakala esitshalweni sikagwayi, ikakhulukazi emaqabungeni. Iyisikhuthazi esinamandla esithinta isimiso sezinzwa esiyinhloko futhi ivame ukuhlotshaniswa nemikhiqizo kagwayi. Nakuba ivame ukuqashelwa ngendima yayo ezinkingeni zempilo ezihlobene nokulutha kanye nokubhema, i-nicotine nayo inokusetshenziswa okusemthethweni kwezokwelapha, ikakhulukazi ekwelashweni kokuyeka ukubhema.
Ukusetshenziswa kwe-Nicotine
I-Nicotine inezindlela eziningana zokusetshenziswa kwezokwelapha ezivunyelwe, ikakhulukazi ekusizeni abantu bayeke ukubhema. Izinhlelo ezivame kakhulu zifaka:
- Ukuyeka Ukubhema: Izindlela zokwelapha esikhundleni se-nicotine (ama-NRT) njengeziqeshana, izinsini, ama-lozenge, kanye nama-inhaler zenzelwe ukusiza ekunciphiseni izimpawu zokuhoxa kanye nezifiso ezihambisana nokuyeka ukubhema.
- Ukuthuthukiswa kwengqondo: Ezinye izifundo zisikisela ukuthi i-nicotine ingaba nezinzuzo ezingaba khona ekuthuthukiseni ukunaka nokusebenza kwengqondo, yize lokhu kungavunyelwe ukusetshenziswa.
- Izifo ze-Neurodegenerative: Ucwaningo luyaqhubeka ngemiphumela yokwelapha engaba khona ye-nicotine ezimweni ezifana nesifo sikaParkinson nesifo sika-Alzheimer, ngenxa yezakhiwo zayo zokuvikela izinzwa.
Indlela Esebenza
I-Nicotine isebenza ngokuvuselela ukukhishwa kwama-neurotransmitter ebuchosheni, ikakhulukazi i-dopamine. Lapho i-nicotine ingena egazini, ifika ngokushesha ebuchosheni, lapho ibopha khona kuma-receptor e-nicotinic acetylcholine. Lokhu kubopha kuholela ekukhululweni kwe-dopamine, ehlotshaniswa nenjabulo nomvuzo. Le ndlela yikho okwenza i-nicotine ibe umlutha, njengoba idala umjikelezo wokulangazelela nokuqinisa.
Isilinganiso nokuphathwa
I-Nicotine itholakala ngezindlela ezahlukene, ngayinye ineziqondiso ezithile zokulinganisa:
- Ama-Nicotine Patches: Ngokuvamile kusetshenziswa kanye ngosuku. Isilinganiso siyahlukahluka ngokuya ngenani likagwayi olubhenywayo ngosuku (isb., 21 mg kwababhema kakhulu, 14 mg kwababhemayo abaphakathi nendawo).
- I-Nicotine Gum: Kuhlafunwa njengoba kudingeka, ngokuvamile njalo emahoreni ayi-12. Imithamo evamile ingu-2 mg kanye no-4 mg, kuye ngokuthi umuntu uthembele kangakanani.
- Ama-lozenges e-Nicotine: Incibilikiswa emlonyeni, ngokuvamile njalo emahoreni ayi-12. Itholakala ngamandla angu-2 mg kanye no-4 mg.
- Izifutho ze-Nicotine: Kusetshenziswa njengoba kudingeka, kanti umthamo ojwayelekile ungama-cartridge angu-6-12 ngosuku.
- Isifutho Sekhala Se-Nicotine: Kunikezwa njengoba kudingeka, kanti umthamo ojwayelekile ungaba yi-1-2 spray ekhaleni ngalinye.
Imiphumela Engemihle Ye-Nicotine
Imiphumela emibi evamile ye-nicotine ingafaka:
- I-nausea
- isiyezi
- bekhanda
- Insomnia
- Ukwandisa izinga lenhliziyo
Imiphumela emibi kakhulu ingabandakanya:
- I-palpitations yenhliziyo
- Umfutho wegazi ophezulu
- Ukungezwani komzimba (ukuqubuka, ukulunywa, ukuvuvukala)
- Izinkinga zokuphefumula
Ukusebenzisana kwezidakamizwa
I-Nicotine ingasebenzisana nemithi eminingi kanye nezinto, okuhlanganisa:
- I-Caffeine: Kungathuthukisa imiphumela evuselelayo ye-caffeine.
- Ama-Antidepressants: Eminye imithi yokucindezeleka kungenzeka ukuthi ishintshe ukusebenza kwayo lapho isetshenziswa ne-nicotine.
- Imithi Yomfutho Wegazi: I-Nicotine ingamelana nemiphumela yemithi yokunciphisa umfutho wegazi.
- Eminye Imikhiqizo yeNicotine: Ukusebenzisa imikhiqizo eminingi ye-nicotine ngesikhathi esisodwa kungandisa ingozi yemiphumela emibi.
Izinzuzo zeNicotine
Izinzuzo zezokwelapha zokusebenzisa i-nicotine, ikakhulukazi uma kuziwa ekuyekeni ukubhema, zifaka:
- Izimpawu Zokunciphisa Ukuhoxa: Kusiza ekunciphiseni izifiso kanye nezimpawu zokuhoxa ezihlobene nokuyeka ukubhema.
- Ukugxila Nokunaka Okuthuthukisiwe: Abanye abasebenzisi babika ukusebenza kwengqondo okuthuthukisiwe kanye nokugxila.
- Ukusekelwa Kokuyeka Isikhathi Eside: Ama-NRT angandisa kakhulu amathuba okuyeka ukubhema ngempumelelo uma kuqhathaniswa ne-placebo.
Izimo ze-Nicotine
Abantu abathile kufanele bagweme i-nicotine, okuhlanganisa:
- Abesifazane Abakhulelwe: I-Nicotine ingalimaza ukukhula kwengane esanda kuzalwa.
- Abantu abaneSifo Senhliziyo: Ukwanda kwesilinganiso senhliziyo kanye nomfutho wegazi kungaba yingozi.
- Labo abanesifo sesibindi esibi kakhulu: Ukuphazamiseka kwe-metabolism ye-nicotine kungaholela ebuthi.
Ukuqapha Nezexwayiso
Ngaphambi kokusebenzisa i-nicotine, cabanga ngezinyathelo zokuphepha ezilandelayo:
- Umlando Wezokwelapha: Yazisa umhlinzeki wakho wezempilo nganoma yimuphi umlando wesifo senhliziyo, umfutho wegazi ophakeme, noma izinkinga zokuphefumula.
- Ukuhlolwa Kwelebhu: Kungase kudingeke ukuqapha njalo umfutho wegazi kanye nesilinganiso senhliziyo kulabo abasebenzisa imikhiqizo ye-nicotine.
- Ukugwema Eminye Imikhiqizo Kagwayi: Ukusebenzisa i-nicotine esikhundleni ngenkathi usabhema kungaholela ekweqiseni ngokweqile.
Imibuzo Evame Ukubuzwa
- Iyini i-nicotine? I-Nicotine iyikhemikhali etholakala kugwayi esebenza njengesikhuthazi futhi isetshenziswa ekwelapheni ukuyeka ukubhema.
- I-nicotine isisiza kanjani ukuyeka ukubhema? Kunciphisa izimpawu zokuhoxa kanye nezifiso, okwenza kube lula ukuyeka ukubhema.
- Yiziphi izinhlobo ze-nicotine ezitholakala kuzo? I-Nicotine iyatholakala njengeziqeshana, izinsini, ama-lozenges, ama-inhaler, kanye nama-spray ekhala.
- Ingabe ikhona imiphumela emibi ye-nicotine? Yebo, imiphumela emibi evamile ihlanganisa isicanucanu, isiyezi, kanye nokushaya kwenhliziyo okukhuphukile.
- Ingabe i-nicotine ingaba umlutha? Yebo, i-nicotine iyalutha kakhulu ngenxa yemiphumela yayo ohlelweni lomvuzo lobuchopho.
- Ubani okufanele agweme i-nicotine? Abesifazane abakhulelwe kanye nabantu abanesifo senhliziyo noma isifo sesibindi esibi kufanele bagweme i-nicotine.
- Ngingayisebenzisa kanjani i-nicotine gum? Hlafuna itshungama uma kudingeka, ngokuvamile njalo emahoreni angu-12, kuye ngokuthanda kwakho.
- Ngingayisebenzisa yini i-nicotine ngenkathi ngithatha eminye imithi? Xhumana nodokotela wakho, njengoba i-nicotine ingathintana nemithi ethile.
- Ingabe i-nicotine iphephile kuwo wonke umuntu? Cha, abantu abathile kufanele bagweme i-nicotine ngenxa yezingozi zempilo.
- Yini okufanele ngiyenze uma ngiba nemiphumela engemihle? Xhumana nomhlinzeki wakho wokunakekelwa kwezempilo uma uhlangabezana nemiphumela emibi kakhulu noma mayelana nemiphumela engemihle.
Amagama Omkhiqizo
Amanye amagama amakhulu emikhiqizo ye-nicotine afaka:
- I-Nicorette (i-gum, ama-lozenges)
- I-Habitrol (i-patch)
- I-Nicotrol (i-inhaler, i-nasal spray)
- I-Zonnic (ilozenge)
Isiphetho
I-Nicotine idlala indima eyinkimbinkimbi kokubili ezimweni zokulutha kanye nezokwelapha. Nakuba yaziwa kakhulu ngokuhlotshaniswa kwayo nokusetshenziswa kogwayi kanye nokulutha, iphinde yagunyaza ukusetshenziswa kwezokwelapha, ikakhulukazi ekuyekeni ukubhema. Ukuqonda ukusetshenziswa kwayo, izindlela, kanye nemiphumela emibi engaba khona kubalulekile kunoma ubani ocabanga nge-nicotine njengengxenye yohlelo lwakhe lokwelapha.
Isibhedlela Esingcono Kakhulu Esiseduze Nami eChennai