Ukuhlushwa Yi-Nicotine? Izimpawu, Izimbangela, Nokwelashwa

Ukuhlushwa yi-nicotine kwenzeka lapho umzimba wakho uba nexwayiso ngokomzimba nangokwengqondo ku-nicotine, okwenza kube nzima ukuyeka ukusebenzisa utshaba noma imikhiqizo ye-nicotine. Lokhu kwenzeka ngoba i-nicotine ishintsha indlela ingqondo yakho esebenza ngayo, idala isizungu lapho udinga khona i-nicotine eyengeziwe ukuze uzizwe uqondile futhi ugweme izimpawu ezingathandeki zokuyeka.

Uma ufunda lokhu, ungase uzibuze ukuthi wena noma othile omkhulekelayo uthuthukise ukuhlushwa yi-nicotine. Izindaba ezinhle ukuthi ukuqonda lesi simo yisinyathelo sokuqala sokuthatha izinqumo ezinolwazi mayelana nempilo yakho nokuthola ukwesekwa okufanele uma ukudingayo.

Iyini ukuhlushwa yi-nicotine?

Ukuhlushwa yi-nicotine kuyisimo sezempilo lapho ingqondo yakho nomzimba wakho uqondiswe ekusebenziseni i-nicotine njalo. Uma i-nicotine ingena egazini lakho, ifinyelela ebuchosheni bakho ngaphakathi kwamasekhondi futhi iqhuba ukukhishwa kwezinto ezikhiqizayo njenge-dopamine okwenza uzizwe ukhululekile.

Ngokuhamba kwesikhathi, ingqondo yakho ijaha ekuchinjeni kwezinto ezikhiqizayo futhi iqala ukuthembela ku-nicotine ukuze isebenze ngokujwayelekile. Lokhu kusho ukuthi udinga i-nicotine ukuze uzizwe njengoba uqondile, futhi ukuhamba ngaphandle kwayo kubangela ukungakhululeki komzimba nokucindezeleka kwengqondo.

Lokhu akuyona indaba yokuzinikela noma ubuthakathaka bomuntu siqu. Ukuhlushwa yi-nicotine kuhilela ukushintsha okuqinisile ekukhiqizweni kwezinto ezikhiqizayo ezingqondweni okwenza kube nzima ukuyeka, kungakho abantu abaningi bedinga ukwesekwa kochwepheshe futhi ngezinye izikhathi imithi ukuze baphephe ngempumelelo.

Ziyini izimpawu zokuhlaselwa yi-nicotine?

Izimpawu zokuhlaselwa yi-nicotine zivame ukuthuthuka kancane kancane, futhi ungase ungaziboni ekuqaleni. Umzimba wakho nengqondo yakho kuzokunika izibonakaliso ezicacile lapho i-nicotine ibe ngaphezu nje komkhuba.

Izimpawu ezivamile zihlanganisa:

• Ukudinga ukusebenzisa imikhiqizo yetshaba noma i-nicotine ekuseni kakhulu
• Ukuzizwa ukhathazekile, uthukuthele, noma ungakhululeki uma ungakwazi ukusebenzisa i-nicotine
• Ukusebenzisa i-nicotine njalo usuku lonke kunalokho obekucwangcise ekuqaleni
• Ukuba nezifiso ezinamandla okunzima ukuzigwema
• Ukuqhubeka nokusebenzisa i-nicotine ngisho noma ufuna ukuyeka
• Ukubhekana nezimpawu zomzimba njengokukhathala kwekhanda noma ukungakwazi ukugxila uma uzama ukuyeka
• Ukulungiselela usuku lwakho ngokuthi nini ungasebenzisa imikhiqizo ye-nicotine
• Ukuzizwa sengathi udinga i-nicotine ukuze ubhekane nokucindezeleka noma uzizwe uqondile

Lezi zimpawu zingaba ezincinyane kuya ezinkulu, futhi wonke umuntu uzibhekana nazo ngokuhlukile. Into ebalulekile okumele uyikhumbule ukuthi lezi zimpawu yindlela yomzimba wakho yokukutshela ukuthi uqale ukuthembela ku-nicotine.

Yini ebangela ukuhlushwa yi-nicotine?

Ukuhlushwa yi-nicotine kuthuthuka ngenxa yendlela i-nicotine ethonya ngayo uhlelo lokukhuthaza ebuchosheni bakho. Uma usebenzisa imikhiqizo yetshaba noma i-nicotine, i-nicotine ifinyelela ebuchosheni bakho ngokushesha futhi ibonisa amangqamuzana ezinzwa ukukhishwa kwe-dopamine, into ekhiqizayo edala imizwa yokujabula nokwaneliseka.

Izici eziningi zisebenza ndawonye ukudala ukuhlushwa:

• Ukuchinja kwezinto ezikhiqizayo ezingqondweni okwenzeka ngokubekwa kwe-nicotine njalo
• Izici zezofu ezibangela abanye abantu ukuba babe sengozini yokulutha
• Iminyaka lapho uqale khona ukusebenzisa i-nicotine, ngabasebenzisi abancane abasezingozini eziphezulu
• Ukuthi ubangakanani futhi ubangakanani ukusebenzisa i-nicotine
• Izici zemvelo njengokucindezeleka, izimo zenhlalo, noma imikhuba yansuku zonke
• Izimo zempilo yengqondo njengokucindezeleka noma ukukhathazeka
• Ithonya lenhlalo lomndeni, abangane, noma izici zokwamasiko

Isilinganiso i-nicotine efinyelela ngaso ebuchosheni bakho futhi idlala indima. Ukubhema kuthumela i-nicotine ngokushesha, kungakho izigxobo zivame ukuba zithandeka kakhulu kunamafomu okuphuma kancane njengeziqephu noma i-gum.

Nini okumele ubona udokotela ngokuhlushwa yi-nicotine?

Kufanele ucabange ukuya kudokotela uma uhlushwa ukulawula ukusetshenziswa kwe-nicotine yakho noma uma kuthonya impilo yakho yansuku zonke. Abantu abaningi bazama ukuyeka ngokwabo izikhathi eziningi ngaphambi kokufuna usizo lochwepheshe, kodwa akukho nhliziyo ekutholeni usizo ekuqaleni kwesinqumo.

Isimo esithile lapho isiqondiso sezokwelapha singaba usizo kakhulu kuhlanganisa lapho uzama ukuyeka izikhathi eziningi ngaphandle kwempumelelo, lapho izimpawu zokuyeka zizizwa zikhulu, noma lapho usebenzisa i-nicotine ukuze ubhekane nokucindezeleka noma ezinye izimpawu. Udokotela wakho angakusiza futhi uma unezimo zempilo ezenza ukusetshenziswa kwe-nicotine kube yingozi kakhulu.

Uma ubhekana nobuhlungu esifubeni, ubunzima bokuqeda umoya, noma ezinye izimpawu ezinkulu ezingase zihlangene nokusetshenziswa kotshaba, kubalulekile ukufuna ukunakekelwa kwezokwelapha ngokushesha. Lokhu kungaba izimpawu zezinkinga ezinkulu zempilo ezidinga ukunakekelwa ngokushesha.

Ziyini izici ezingozini zokuhlaselwa yi-nicotine?

Ukuqonda ukuthi yini eyandisa ingozi yakho yokuthuthukisa ukuhlushwa yi-nicotine kungakusiza ukuba uthathe izinqumo ezinolwazi mayelana nokusetshenziswa kwe-nicotine. Ezinye izici ezingozini ungazilawula, kuyilapho ezinye ziyingxenye ye-biology yakho noma isizinda sakho.

Izici ezingozini ongazithonya zihlanganisa:

• Iminyaka lapho uzama khona i-nicotine okokuqala, ngabasebenzisi abancane abasezingozini eziphezulu kakhulu
• Ukuthi ubangakanani ukusebenzisa imikhiqizo ye-nicotine
• Ukusebenzisa imikhiqizo ye-nicotine ephezulu noma izindlela zokubhema ezithumela i-nicotine ngokushesha
• Ukusebenzisa i-nicotine ukuze ubhekane nokucindezeleka, ukukhathazeka, noma imizwa enzima
• Ukuchitha isikhathi ezindaweni lapho ukusetshenziswa kwe-nicotine kuvamile khona

Izici ezingozini ngaphandle kokulawula kwakho zihlanganisa:

• Ukuba namalungu omndeni anezingozi zokulutha
• Ukushintshashintsha kwezofu okubangela indlela umzimba wakho usabela ngayo ku-nicotine
• Izimo zempilo yengqondo njengokucindezeleka, ukukhathazeka, noma i-ADHD
• Ukukhula ezindaweni lapho amanani okusetshenziswa kotshaba aphezulu khona

Ukuba nezici ezingozini akusho ukuthi uzokuthuthukisa ukuhlushwa yi-nicotine, kodwa ukwazi ngazo kungakusiza ukuba uthathe izinqumo ezivikela impilo yakho nokuphumelela kwakho.

Ziyini izinhlanganisela ezingase zenzeke zokuhlaselwa yi-nicotine?

Ukuhlushwa yi-nicotine kungabangela izinkinga ezinkulu zempilo, kokubili ngokuqhubeka nokusetshenziswa kwe-nicotine nangokuncintisana nokuyeka. Izindaba ezinhle ukuthi izinhlanganisela eziningi zalezi zingase zithuthuke kakhulu uma uyeka ukusebenzisa imikhiqizo ye-nicotine.

Izinhlanganisela zempilo yomzimba zingase zihlanganise:

• Ukungena engcupheni enkulu yesifo senhliziyo nesifo sobuchopho
• Izinkinga zezinso kuhlanganise umdlavuza, i-COPD, nokunciphisa umsebenzi wezinso
• Amanani aphezulu wokutheleleka nokunciphisa ukululama kwamacala
• Izinhlanganisela zokukhulelwa uma ukhulelwe noma uhlela ukukhulelwa
• Izinkinga zamahlombe nesifo samahlombe
• Ukuguga kwesikhumba ngokushesha nokwanda kwama-wrinkles

Izinhlanganisela zengqondo nenhlalo zivame ukubandakanya:

• Ukwanda kokukhathazeka nokucindezeleka uma ungakwazi ukusebenzisa i-nicotine
• Ukuhlupheka kwezezimali ngenxa yebizo lemikhiqizo ye-nicotine
• Ukuhlukaniswa komphakathi ngenxa yemikhawulo yokubhema
• Ukuncipha kokuphila okuhle nokusebenza kwansuku zonke
• Ubunzima bokuhlanganyela emisebenzini engavumeli ukusetshenziswa kwe-nicotine

Ngenkathi lezi zinhlanganisela zingase zizizwe zikhulu, khumbula ukuthi umzimba wakho unamandla okuphulukisa uma uyeka ukusebenzisa i-nicotine. Ukuthuthuka kwezempilo eziningi kuqala ngaphakathi kwamahora kuya ezinsukwini zokuyeka.

Ukuhlushwa yi-nicotine kunqunywa kanjani?

Ukuqonda ukuhlushwa yi-nicotine kuvame ukubandakanya ingxoxo eqotho nodokotela wakho mayelana nezindlela zakho zokusebenzisa i-nicotine nokuthi zithinta kanjani impilo yakho. Ayikho ivivi elilodwa eliqondisa ukuhlushwa, kodwa udokotela wakho uzokubuza imibuzo ethile ukuze aqonde isimo sakho.

Udokotela wakho angase abuze mayelana nokuthi ubangakanani nokuthi ubangakanani ukusebenzisa imikhiqizo ye-nicotine, ukuthi uzama ukuyeka ngaphambili, izimpawu zokuyeka ozibonile, nokuthi ukusetshenziswa kwe-nicotine kufaneleka kanjani emkhubeni wakho wansuku zonke. Bangase futhi babuze ngomlando womndeni wakho wokulutha nanoma yikuphi ukukhathazeka kwempilo yengqondo.

Ngezinye izikhathi udokotela wakho angase asebenzise imibuzo eqinisekisiwe ekusiza ekuqondeni ubukhulu bokuhlushwa. Lezi zithuluzi zibuza ngezinto njengokuthi kungakanani ngemuva kokuvuka usebenzisa i-nicotine, ukuthi uyisebenzisa yini uma ugula, nokuthi kungaba nzima kangakanani ukuhamba ngaphandle kwayo usuku lonke.

Umgomo akuyona ukukwahlulela kodwa ukuqonda isimo sakho esiyingqayizivele ukuze iqembu lakho lezokwelapha likwazi ukuncoma indlela yokwelapha enhle kakhulu. Ukuthembela ngokuqondile ngokusetshenziswa kwe-nicotine yakho kusiza uqinisekise ukuthi uthola ukwesekwa okufanele kuwe.

Iyini ukwelashwa kokuhlaselwa yi-nicotine?

Ukwelashwa kokuhlaselwa yi-nicotine kusebenza kangcono lapho kuhlanganisa izindlela ezahlukene ezilungiselelwe izidingo zakho nezifiso zakho. Izindaba ezinhle ukuthi kunezindlela eziningi ezisebenzayo ezitholakalayo, futhi awudingi ukuthola lokhu wedwa.

Izinketho zemithi ezingasiza ekuthambiseni izifiso nokunciphisa izimpawu zokuyeka zihlanganisa:

• Ukwelashwa kokufakwa kwe-nicotine njengeziqephu, i-gum, noma ama-lozenges
• Imithi yokwelapha njenge-bupropion noma i-varenicline
• Izindlela ezihlangene ezisebenzisa imithi eminingi ngaphansi kokunakekelwa kwezokwelapha

Izindlela zokwesekwa kokuziphatha zihlanganisa:

• Ukuqeqeshwa komuntu siqu ukuthuthukisa amasu okubhekana nezimo nokuqonda izici
• Ukwelashwa kweqembu noma amaqembu wokwesekwa nabanye abhekana namava afanayo
• Ukwelashwa kokuziphatha okuqondisiwe ukushintsha izindlela zokucabanga mayelana nokusetshenziswa kwe-nicotine
• I-telephone quitlines enikeza ukwelashwa mahhala nokusekelwa

Abantu abaningi bathola ukuthi ukuhlanganisa imithi nokukhanselwa kubanika ithuba elihle kakhulu lokuphepha. Udokotela wakho angakusiza unqume ukuthi iyiphi inhlanganisela yokwelashwa engase isebenze kangcono esimweni sakho nasesitayeleni sakho sokuphila.

Indlela yokuphatha ukuhlushwa yi-nicotine ekhaya?

Ukuphatha ukuhlushwa yi-nicotine ekhaya kuhilela ukudala indawo nomkhuba osekelayo imigomo yakho, kungakhathaliseki ukuthi ulungiselela ukuyeka noma usebenza ngokukhululekile ekuyekekeni kokusetshenziswa kwe-nicotine. Ukushintsha okuncane empilweni yakho yansuku zonke kungenza umehluko omkhulu endleleni le nqubo izizwa ngayo.

Amasu okuphatha izifiso zihlanganisa:

• Ukuhlala unezandla nomlomo wakho matasa ngezinye izinto ezempilo njengezikhonkwane ze-carrot noma i-gum engenasukela
• Ukuqeqesha ukuphefumula okujulile lapho izifiso zifika khona
• Ukuhamba okufushane noma ukwenza umsebenzi olula ukuze uzikhiphe engqondweni
• Ukunatha amanzi noma itiye lezimila ukuze usizo ekubambeleleni komlomo
• Ukubiza umngane osekelayo noma ilungu lomndeni uma udinga ukukhuthazwa

Ukushintsha kwendawo okungasiza kuhlanganisa ukususa imikhiqizo ye-nicotine nezinto ezihlobene ekhaya lakho, ukugwema izindawo lapho uvame ukusebenzisa i-nicotine, nokudala imikhuba emisha ngezikhathi lapho uvame ukusebenzisa imikhiqizo ye-nicotine.

Khumbula ukuthi ukuphatha ukuhlushwa yi-nicotine kuyinqubo, futhi kuyinto evamile ukuba nezinsuku ezinzima. Ukuba nesineke nobubele kuwe ngenkathi usebenza emgomeni wakho kubaluleke kakhulu njenganoma iyiphi isu ethile oyizamayo.

Ukuhlushwa yi-nicotine kungavinjelwa kanjani?

Indlela ephumelelayo kakhulu yokuvimbela ukuhlushwa yi-nicotine ukugwema ukusebenzisa imikhiqizo ye-nicotine ngokuphelele, ikakhulukazi phakathi kwesikhathi sobuntwana nobusha lapho ingqondo isathuthuka futhi ibe sengozini yokulutha. Noma kunjalo, amasu okuvimbela angaba usizo kunoma yimiphi iminyaka.

Uma awukaqali ukusebenzisa i-nicotine, ukuhlala unolwazi ngezingozi nokuba namasu okuphatha ukucindezeleka kwabangane kungakusiza ukuba uthathe izinqumo ezivikela impilo yakho yesikhathi eside. Lokhu kungase kubandakanye ukufuna imisebenzi yenhlalo engabandakanyi ukusetshenziswa kwe-nicotine nokwenza izindlela ezempilo zokuphatha ukucindezeleka.

Kubantu abaye bazama i-nicotine kodwa abakaqali ukuhlushwa, ukuqaphela izimpawu zokuqala zokuqala nokuyeka ukusetshenziswa ngaphambi kokuthuthukiswa kokuhlaselwa kubalulekile. Uma uqaphela ukuthi ucabanga nge-nicotine kaningi noma uyisebenzisa ezimweni obungazicwangcisanga, lokhu kungase kube yisikhathi esihle sokuyeka.

Ukufundisa intsha ngezinto ezingokoqobo zokuhlaselwa yi-nicotine, kuhlanganise nokuthi ingathuthuka ngokushesha kangakanani nokuthi kungaba nzima kangakanani ukuyinqoba, kuyabasiza ukuba bathathe izinqumo ezinolwazi mayelana nempilo yabo nekusasa labo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza uqinisekise ukuthi uthola ulwazi olusizo kakhulu nokusekelwa kudokotela wakho. Ukuthembela ngokuqondile ngokusetshenziswa kwe-nicotine yakho, ngisho noma uzizwa uhluphekile, kuvumela udokotela wakho ukuba akunikeze ukunakekelwa okuhle kakhulu.

Ngaphambi kwe-aphoyintimenti yakho, cabanga ukubhala imininingwane mayelana nezindlela zakho zokusebenzisa i-nicotine, kuhlanganise nemikhiqizo oyisebenzisayo, ukuthi uyisebenzisa kangakanani, nezimo eziqalisa ukusetshenziswa kwakho. Phawula futhi noma yikuphi ukuzama okuqale ukukuyeka, okusebenze noma okungasebenzi, nezimpawu ozibonile.

Letha uhlu lanoma iyiphi imithi oyithathayo njengamanje, kuhlanganise nemikhiqizo yokuthengiswa ngaphandle komthetho kanye nezinhlanganisela, njengoba lezi zingase zihlangane nemithi yokuyeka i-nicotine. Uma unemibuzo mayelana nezinketho zokwelapha noma ukukhathazeka ngokuyeka, yibhale phansi ukuze ungakhohlwa ukubuza.

Cabanga ngemigomo yakho nokuthi iyiphi inhlobo yokwesekwa engaba usizo kakhulu kuwe. Udokotela wakho anganikeza izincomo ezinhle uma beqonda ukuthi uthanda ukuyeka kancane kancane noma ngokushesha, ukuthi yiziphi izinkathazo zakho ezinkulu, nezinto onazo ezitholakalayo.

Iyini into ebalulekile mayelana nokuhlushwa yi-nicotine?

Ukuhlushwa yi-nicotine kuyisimo sezempilo esiqinisekile esithinta ukukhiqizwa kwezinto ezikhiqizayo ezingqondweni, hhayi ukwehluleka komuntu siqu noma ukushoda kokuzinikela. Ukuqonda lokhu kungasiza ekuthambiseni ihlazo nobuhlungu obuvame ukwenza ukuyeka kube nzima kunalokho okudingekayo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa okuphumelelayo kutholakala, futhi abantu abaningi baphepha ngempumelelo ukuhlushwa yi-nicotine ngenhlanganisela efanele yokusekelwa, imithi, namasu. Awudingi ukwenza lokhu wedwa, futhi ukufuna usizo kuyisibonakaliso samandla, hhayi ubuthakathaka.

Zonke izinyathelo ozithathayo ekuqondeni nasekuphatheni ukuhlushwa yi-nicotine kuzuzisa impilo yakho, manje nakusasa. Kungakhathaliseki ukuthi uqala nje ukucabanga ngokuyeka noma uzama ngaphambili, kuhlale kukhona izindlela ezintsha nezinto ezisiza ezingase zisebenze kangcono esimweni sakho esiyingqayizivele.

Imibuzo evame ukubuzwa mayelana nokuhlushwa yi-nicotine

Kuthatha isikhathi esingakanani ukuba uhlushwe yi-nicotine?

Ukuhlushwa yi-nicotine kungathuthuka ngokushesha ngokumangalisayo, ngezinye izikhathi phakathi kwamahora noma amasonto okusetshenziswa njalo. Abanye abantu baqaphela izimpawu zokuhlaselwa ngemuva nje kwezigxobo ezimbalwa, ikakhulukazi uma basencane noma banezici ezithile zezofu. Isilinganiso siyancika ekutheni ubangakanani ukusebenzisa i-nicotine, ukuthi ubangakanani ukusebenzisa, nezici zomuntu siqu njengobudala bakho nezofu.

Ungaba yini oluthe xaxa yi-nicotine ngaphandle kokubhema izigxobo?

Yebo, ungathuthukisa ukuhlushwa yi-nicotine kunoma yimuphi umkhiqizo ophethe i-nicotine, kuhlanganise namadivayisi okuphunga, utshaba olungenamoya, i-nicotine gum, noma iziqephu. Ngenkathi indlela yokulethwa ithonya ukuthi ukuhlushwa kuthuthuka ngokushesha kangakanani, i-nicotine ngokwayo yilokho okudala ukulutha kungakhathaliseki ukuthi uyidla kanjani.

Kwenzekani emzimbeni wakho uma uyeka i-nicotine?

Uma uyeka i-nicotine, umzimba wakho uqala ukuphulukisa cishe ngokushesha. Phakathi kwamaminithi angu-20, izinga lenhliziyo yakho kanye nokucindezeleka kwegazi kuqala ukulingana. Phakathi kwezinsuku, umuzwa wakho wokunambitha nokunuka uthuthuka, futhi phakathi kwamasonto, ukujikeleza kwakho kuya kuthuthuka. Izimpawu zokuyeka njengokukhathazeka nezifiso ziyimfashini futhi ngokuvamile zifinyelela ezingeni eliphezulu ezinsukwini ezimbalwa zokuqala ngaphambi kokuthuthuka kancane kancane.

Kungcono ukuyeka i-nicotine kancane kancane noma ngesikhathi esisodwa?

Zombili izindlela zingasebenza, futhi ukhetho oluhle kunalokho kuya ngesimo sakho somuntu siqu nezifiso zakho. Abanye abantu benza kangcono ngokunciphisa kancane kancane okwenza izimpawu zokuyeka zibe lula, kuyilapho abanye bethanda ukuyeka ngokuphelele ngokushesha. Udokotela wakho angakusiza unqume ukuthi iyiphi indlela engase isebenze kangcono kuwe ngokusekelwe ezindleleni zakho zokusebenzisa nesitayela sokuphila.

Bangaki abantu abaningi abazama ukuyeka ngaphambi kokuphepha?

Abantu abaningi benza ukuzama okuhlukile ngaphambi kokuphepha isikhathi eside, futhi lokhu kuyinto evamile. Ukuzama ngakunye kukufundisa okuthile mayelana nokuthi yini esebenzayo nokuthi yini engasebenzi kuwe. Kunokubheka ukuzama okuqale njengokwehluleka, zama ukubabona njengezifundo zokuqeqesha ezikulethela eduze nomgomo wakho wokuba ngaphandle kwe-nicotine.