Ingabe i-nicotine ingakusiza ulahlekelwe isisindo?

Muva nje, imithi ejovayo efana ne-Ozempic®, Wegovy®, ne-Mounjaro® ishanele izwe lonke, njengoba abantu beyisebenzisela ukunciphisa isisindo ngesikhathi esifushane. Ngesikhathi esifanayo, omunye umkhuba wokulahlekelwa isisindo ukhula ngokuthandwa naphezu kwezingozi ezingase zibe khona.

Lo mkhuba ubandakanya abantu abaphakamisa izikhwama ze-nicotine, njenge I-Nuplus noma i-Velo, njengendlela yokucindezela isifiso sakho sokudla futhi ikusize ulahlekelwe isisindo. Le nhlangano entsha isithandwa kakhulu abaningi sebeqalile ukubhekisela ezikhwameni ezinjenge-nicotine njengokuthi “igalaji likaphethiloli i-Ozempic®.” Kodwa-ke, ngemuva kwalokhu kuthambekela kwakamuva kuneqiniso elingabazekayo nelingase libe yingozi.

Imiphumela ye-nicotine emzimbeni wakho

Umphumela obaluleke kakhulu we-Nicotine, ngokusho kwe Kecia Christensen, APRN-NP, I-Pulmonary and Thoracic and Cardiac Surgery, ingabe umlutha. “Intsha eningi izwa ukuthi kungcono kunokubhema, kodwa ngokushesha izithola isiyimilutha,” kusho uChristensen. “Ngenxa yokuthi i-nicotine ingenye yezinto ezilutha kakhulu futhi inzima kakhulu ukuyiyeka.”

Omunye umphumela obalulekile we-nicotine ukuthi ishintsha ubuchopho bakho. “Njalo lapho usebenzisa i-nicotine, ubuchopho bakho bukhiqiza izinzwa ze-nicotine - iphindaphinda inani le-nicotine ngokusetshenziswa ngakunye,” kusho uChristensen. "Lapho la ma-receptors engenalutho, ubuchopho bakho bukutshela ukuthi uwagcwalise futhi, okuyindlela okwenzeka ngayo ukulutheka."

Lapho ama-nicotine receptors egcwele, i-dopamine-ikhemikhali yokuzizwa kahle yomzimba-iyakhululwa, yingakho abantu beba imilutha ye-nicotine ngokushesha kangaka-baqala ukulangazelela umuzwa wokukhululwa kwe-dopamine. Kodwa-ke, lobu budlelwano obuqondile bembangela-nomphumela phakathi kwe-dopamine ne-nicotine ekugcineni buholela abantu ukuthi bayeke ukufuna ezinye, izindlela ezinempilo zokukhulula i-dopamine (ukuzivocavoca umzimba, ukuphefumula okujulile, ukugeleza kwamanzi, ukuzindla).

INicotine nayo iyisakhi se-vasoconstrictive, okusho ukuthi iqinisa imithambo yegazi. I-vasoconstriction eningi kakhulu ingaholela ukwanda kwengozi yoku:

• Isifo se-coronary artery
• Umfutho wegazi ophezulu
• Umfutho wegazi ophezulu
• Ikhanda elibuhlungu
• Isifo senhliziyo
• Isifo sohlangothi

Okokugcina, i-nicotine, futhi ikakhulukazi izikhwama ze-nicotine, nazo zingaholela ekukhathazekeni, ukucasuka, ukuqwasha kanye nezilonda zomlomo ezivela ezikhwameni eziphula ulwelwesi lwamafinyila emlonyeni wakho.

INicotine nokuncipha kwesisindo

Abantu abaningi basebenzisa izikhwama ze-nicotine njengosizo lokwehlisa isisindo ngenxa yenkolelo yokuthi i-nicotine iqeda isifiso sokudla. Kodwa empeleni i-nicotine ayikucimi ukudla,” kusho uChristensen. “Abantu abazama ukuyeka ukubhema noma ukusebenzisa i-nicotine yanoma yiluphi uhlobo bavame ukuzuza amakhilogremu ambalwa engeziwe ngenxa yesidingo sokugcwalisa ukunxanela i-nicotine ngokunye, okuvame ukudla, ikakhulukazi ushukela. Ekugcineni, zikhona azikho izimfanelo ezithile ezicindezela isifiso sokudla ku-nicotine.

Ngokufanayo, abaningi bakholelwa ngephutha ukuthi i-nicotine inyusa izinga lakho lokugayeka kokudla. “Ngokufana ne-caffeine, i-nicotine inyusa izinga lokushaya kwenhliziyo yakho ngenxa yezakhi zayo ze-vasoconstrictive, ezingase zithuthukise izinga lokugayeka kokudla kwakho, kodwa akufakazelwa,” kusho uChristensen. “Ngaphezu kwalokho, lezi zakhiwo yingakho kuwumkhiqizo oyingozi kangaka kubantu abanezinkinga zenhliziyo noma zokujikeleza kwegazi noma labo abadinga ukupholisa isilonda ngemva kokuhlinzwa.”

Izikhwama ze-Nicotine ziqhathaniswa neminye imikhiqizo ethatha indawo ye-nicotine

Kunokunye ukugomela okungamanga kokuthi lezi zikhwama ze-nicotine ziyafana nemikhiqizo yokuyeka ukubhema osekunesikhathi eside ikhona njenge-nicotine lozenges, gum, patches noma izifutho zamakhala. Nokho, le mikhiqizo yokubuyisela i-nicotine ilawulwa yi-FDA, kanti izikhwama ze-nicotine azikho.

“Ngenxa yokuthi izikhwama azilawulwa, ungase uthole i-nicotine eyengeziwe kunaleyo obuyithola kugwayi,” kusho uChristensen. “Ekugcineni, asazi ukuthi ingakanani i-nicotine noma yiziphi ezinye izithasiselo ezikulezi zikhwama.”

Indlela engcono yokwehlisa isisindo kunezikhwama ze-nicotine

“Ngikholelwa kakhulu ukwehla kwesisindo esikoleni esidala,” kusho uChristensen ama-calories ngaphakathi nama-calories ashisiwe.” Ezinye izici zinomthelela esisindweni sakho, njengezimo ezithile zempilo ezifana ne-prediabetes, ukungajwayelekile kwe-hormone, noma i-hypothyroidism, kodwa ngokuvamile, le ndlela yokwehlisa isisindo isasebenza kahle.

"Okokuqala, udinga ukwazi ukuthi mangaki ama-calories umzimba wakho udinga ukugijima nsuku zonke," kusho uChristensen. “Ukwazi le nombolo (ama-calories akho okugcina), bese udala a 500-calories ukushoda nsuku zonke, noma ngokudla ama-calories amancane noma ukushisa ama-calories nge-cardio/weight training exercise, kuzoholela Amakhilogremu angu-1 kuya kwangu-3 okuncipha kwesisindo ngesonto.”

Nakuba ukusebenzisa ukushoda kwekhalori kuhamba kancane kunokusebenzisa imithi efana ne-Ozempic®, kwenziwa ngamabomu futhi kunempilo – ikakhulukazi uma udla imisoco efanele ngokudla okunomsoco. “Ngikhuthaza iziguli ukuthi faka umthombo wamaprotheni kukho konke ukudla, gwema ushukela, ukulawula ingxenye, futhi uthole ama-carbohydrates ezintweni ezinempilo njengemifino nokusanhlamvu,” kusho uChristensen.

I-Nicotine ayinabungozi

"Kubantu abacabanga ukuthi i-nicotine ayiyona into enkulu - ikakhulukazi uma ungabhemi - ngingabatshela ukuthi bayibuke njengokuphazamiseka kokusebenzisa izidakamizwa," kusho uChristensen. "Uma abantu bengaboni ngale ndlela, baphila enganekwaneni."

Ngaphezu kwalokho, njengogogo nomkhulu bethu eminyakeni engu-50 edlule, lapho kungekho muntu owayazi ukuthi ugwayi uyingozi kangakanani, asazi ukuthi ungakanani umonakalo ongase ubangelwe yi-vaping yesikhathi eside noma ukusebenzisa izikhwama ze-nicotine.

"Ngingaxwayisa noma ngubani osebenzisa noma ocabanga ngokusebenzisa izikhwama ze-nicotine uma ecabanga ukuthi iphephile ngoba akuwona umkhiqizo kagwayi," kusho uChristensen. "Kusathinta umzimba wakho nengqondo futhi kungase kubangele izinguquko zamakhemikhali ebuchosheni." INicotine iwumlutha futhi inzima kakhulu ukuyiyeka, kungakhathaliseki ukuthi isukaphi