Migumisiro Yokusvuta uye Nicotini paBD

Kutsvakurudza kwakaratidza kuti pane kuwirirana pakati peikotine uye kupisa kwechirwere chirwere (IBD) . Zvisinei, chii chinoshungurudza ndechokuti kusvuta kunoratidzika kune zvinopesana nemhando mbiri mbiri dzeBD-ulcerative colitis uye Crohn's disease.

Kugadzikana Pakati peUlcerative Colitis uye Kusvuta

Kuchengetedza chirwere chetachiona chinowanzoreva sechirwere chevasina kusvuta.

Vaimbova vacheti ndivo vari pangozi yakanyanya yekukura kwekuonda kwehutachiona, asi vemazuva ano vanosvuta vane ngozi shoma. Iyi tsika inoratidza kuti kusvuta fodya kunogona kudzivisa kutanga kwemaronda ekuronda.

Vatsvakurudzi vakaona kuti ndiyo nicotine mumidzanga yefodya ine simba rakanaka pane zviratidzo zvekuonda kwehutachi. Nicotine inowanzoitika mumutambo ine fodya yakawanda kunhengo dzakawanda uye zvirongwa mumuviri. Nicotine inonyanya kukanganisa, uye vanhu vakawanda vanosvuta fodya vane dambudziko rokusiya pasinei nehutano hwehutano hwakanyanya.

Inotaridzirwa kuti nicotine mumidzanga inokanganisa musara unotapira mukati mekoloni. Izvi zvinogona kugadzirisa chirwere chemvura (chiyero icho chikafu chekudya chinofamba nenzira yeGI tract).

Nicotine uye zvirwere zveCrohn

Kusvuta fodya zvinokonzera kukanganisa chirwere cha Crohn. Vanhu vanosvuta, kana kuti vakamboputa munguva yakapfuura, vane dambudziko rakakura rekuwedzera chirwere cheCrohn kupfuura vasiri kusvuta.

Varwere veCrohn avo vane utsi vane huwandu huwandu hwekudzokazve uye kudzokorora kuvhiyiwa uye zvinogona kuda kurwisa kusagadzikana kwezvirwere. Vanhu vane chirwere cheCrohn vanokurudzirwa zvakasimba navanachiremba vavo kuti varege kusvuta kuti vadzivirire kupisa-ups kwechirwere.

Secondhand Smoke

Kusvuta kushandiswa kwevana pakati pevana kunobatsira pamusangano weBD.

Vana vanoratidzirwa utsi hwechipiri vanoderedza dambudziko rekuonda chirwere chechirwere uye kuwedzera kungozi yekukura chirwere cha Crohn.

Inofanira Kuva Yekare Yevodya Nehutachiona Hwakadzika Chiedza Zvakarezve?

Zvimwe zvidzidzo zvakaratidza kuti vaimbova vachemi vanoita kuti varwere varware uye vadzoke zvakare kune kusvuta vanoona zviratidzo zvishomanana. Zvisinei, kusvuta pachako kunotakura zvimwe zvipingamupinyi zvehutano zvakakomba. Vanachiremba havangati vaudze kuti murwere anotanga kusvuta, sezvo njodzi dzekusvuta dzinopfuura chero zvingave zvichibatsira .

Ko Zvakadini NeNikotine Patches?

Iye zvino iyo nicotine (iyo inozivikanwawo sekuti transdermal nicotine) inowanikwa pakusvuta kusvuta, zvinokwanisika kuongorora zvinokonzerwa neicotine pachako pasina kuisa muviri kune dzimwe mungozi dzehutano hwekusvuta. Mhedziso yemishonga inowanzodzidzwa nevatsvakurudzi vari rudzi rwekuedza kunozivikanwa sechidzidzo cheviri-blind blind-controlled controlled. Mune rudzi urwu rwekudzidza, vamwe varwere vanopiwa mishonga mitsva asi vamwe vakagadzirirwa dummy yekugadzirira (placebo). Havasi varwere kana vanachiremba vanovadzidza vanoziva kuti ndiani ari kugamuchira mishonga chaiyo uye ari kugamuchira placebo kusvikira chidzidzo chapera.

Mune zvidzidzo zviviri zvakasarudzwa zve-placebo zvakapetwa kaviri-mapofu, nicotine mapepa akawanikwa ari nani pane placebo pakuita kuti kuregererwa kuve kwakagadzirisa chirwere chekurwara.

Zvinosuruvarisa, migumisiro yemaikirini yakange yakajairika uye yaisanganisira kusuruvara, kuchena, uye musoro. Vadzidzi vadzidza vakanga vasati vambosvuta vakawana migumisiro yakanyanya kunyanya kunetseka.

Mune imwe dzidzo, vanhu vane kuruboshwe-sided ulcerative colitis avo vakanga vasisati vapindura kurapwa nemuromo wemalamine vakapiwa transdermal nicotine uye mesalamine enemas. Iko kusanganiswa kwetsva kwaive kubudirira mukuderedza kuregererwa muna 12 kubva kune vatori vechidzidzo 15.

Nicotine haina kuonekwa seinobatsira sekurapa kwekuchengetedza; hazvigone kubatsira varwere kugara muregere. Pane kudaro, zvinoratidzika kuva nemigumisiro yakanaka kune chirwere chinoshanda ( flare-ups ).

Kuti kudzivirire migumisiro yemigumisiro kubva pachigamba, vatsvakurudzi vari kuwedzera nzira dzokusunungura nicotine zvakananga kumakoroni. Mune rumwe ruzivo, nicotine capsule yakasikwa kuti iite zvakananga pamakoloni kwemaawa matanhatu.

Izvi Zvose Zvinorevei Kune Vanhu Vane Ulcerative Colitis?

Zvose zvinokonzera nicotine pamusoro pekuonda kwehutachiona hazvisati zvinyatsojeka, asi zvinopa chirevo chinokurudzira chekugadzirwa kwezvitsva zvitsva. Sezvo nicotine inoshanda pamakolon zviri nani kunzwisisa, varwere vane ulcerative colitis dzimwe nguva vanobatsirwa nemishonga mitsva inobva pane izvi.

Sources:

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Mahid SS, Minor KS, Stromberg AJ, Galandiuk S. "Kushanda uye kusasvuta kusvuta muhucheche kunobatana nekuvandudzwa kwechirwere chechirwere chechirwere." Inflamm Bowel Dis Apr 2007 13; 431-438. 28 Meyi 2009.

Pullan RD, Rhodes J, Ganesh S, et al. "Kutumira nicotine yehutachiona hwehutachiona hwehutachiona." N Engl J Med Mar 1994; 330: 811-815. 28 Meyi 2009.

Sandborn WJ, Tremaine WJ, Offord KP, et al. Transdermal nicotine yekunyorera kusvika pamwero yakagadzirisa chironda chekuonda. "Kuongorora kwakasarudzwa, kamwe-maviri-mapofu, uye-placebo-kutongwa." Ann Intern Med Mar 1997; 126: 364-371. 28 Meyi 2009.

Sandler RS, Sandler DP, McDonnell CW, Wurzelmann JI. "Kufana nehutano hwehusi hwehusi hwehupenyu uye hutachiwana hwehutachiona hwehutachiona." Am J Epidemiol Mar 1992; 135: 603-608. 28 Meyi 2009.