Umphumela we-Cannabis kuma-Lung Diseases afana ne-Bronchitis ne-Emphysema
Ingabe inambuzane ejwayelekile isebenzisa isifo esithathelwanayo se-pulmonary (COPD) ? Ngamazwe amaningi nangokwakheka ngokomthetho noma ukusetshenziswa kwezokwelapha ze-cannabis, futhi nge-COPD manje eyisizathu esilandelayo sokufa e-US, lo mbuzo obalulekile.
I-COPD nokubhema ugwayi
Abantu abaningi abaveza ukukhathazeka mayelana nemiphumela yokuphefumula okungenzeka ukuthi bayobhema, baqaphele ukubaluleka kokubhema ugwayi onempilo yamaphaphu.
Ngokubambisana, i-akhawunti ye-COPD nomdlavuza wamaphaphu cishe abangaba ngu-300 000 abafa minyaka yonke e-United States yodwa, enobungozi obukhulu bokubhema.
Kungani Kukhathazeka NgeMariju Nempilo Yokuphefumula?
Kunezizathu ezimbalwa zokuthi ukubhema inambuzane kuye kwaphakamisa ukukhathazeka ngempilo yamaphaphu.
Ukukhathazeka okunye kubangelwa ukuba khona kwama-irritants kanye nama- carcinogens (amakhemikhali abangela umdlavuza) enotshini enotshani efana namakhemikhali ayingozi emotweni kagwayi. Kungase kubonakale kunengqondo ukuphetha ngokuthi imiphumela yokubhema inambuzane izofana nokufanayo. Yize lokhu kungenangqondo, kubalulekile ukubuka izifundo eziye zahlola umphumela wokugubha intuthu empilo yamaphaphu ngokuqondile.
Yini Ucwaningo Olukusitshela Ngayo Imfucumfucu Nempilo Yomsila?
Abacwaningi baye babheka imiphumela yocansi yentuthu empilo yamaphaphu ngendlela engaphezu kweyodwa. Lokhu kufaka:
Izimpawu ze-COPD ne-Marijuana Ukubhema
Izimpawu zokuphefumula ziye zabikwa kulabo ababhema inambuzane kubandakanya ukuvuthwa, ukukhwehlela, ukukhiqiza isikhukhula, nokuphefumula.
Lezi zimpawu zihambisana kakhulu nohlobo lwe-COPD eyaziwa ngokuthi i-bronchitis engapheli, nakuba izimpawu zodwa aziboni ukuxilongwa. Ukuthola ukuxilongwa kwe-COPD kudinga ukuthi kubonakale ukuthi kukhona ukuvinjelwa okungenakugwenywa ekuvivinyweni komsebenzi we-pulmonary .
Umsebenzi wePulmonary Test and Usennabis Ukusetshenziswa
Uma ubheka ukuhlolwa komsebenzi we-pulmonary, kubonakala sengathi abantu abaneminyaka engama-20 "ehlangene" yabasebenzisi be-cannabis abanalo ushintsho olubalulekile ekuhlolweni kwe-spirometry .
(Unyaka owodwa ohlangene wawuyosho ukuthi umuntu uphuza ugwayi wama-365 nsuku zonke ngonyaka owodwa.)
Labo abanomlando omkhulu wokubhema inambuzane (iminyaka engaphezu kwengu-20 yokuhlangana) banamathuba amabili okushintshashintsha isilinganiso se-FEV1 / FVC ngaphansi kwamaphesenti angu-70, kodwa ngokungafani nalabo abanezifo ezivimbelayo njengeCOPD, ushintsho okuhlobene nokwanda kwe-FVC ( amandla okuphoqeleka okuphoqelekile ) kunokuba ukwanda ku-FEV1 ( ivolumu yokuphoqa okuphoqelelwe ngomzuzwana owodwa. )
Kungani i-cannabis ingabangela ukwanda kwe-FVC engaqiniseki, nakuba abanye abacwaningi bakholelwa ukuthi kungenzeka ukuthi ihlobene nemiphumela emibili ye-bronchodilation kanye nemiphumela ephikisanayo yokuvuvukala kwe-cannabis.
Izifundo lapho abantu bebhema ngokuyinhloko i-resin isinabisi exutshwe nogwayi, noma kunjalo, bathole ukunciphisa ukuhlolwa kwemisebenzi yamaphalenda.
Imiphumela ye-Biopsy kanye ne-Marijuana Ukubhema
Ukuqothulwa kwamadonga ezinwabuzelayo kubantu ababhemayo kokubili ugwayi kanye nensangu kubonise izinguquko ezingase zandulele ukuxilongwa kwe-COPD.
Ukutholakala kwezifo ze-Lung kanye nokusetshenziswa kwe-Cannabis
Ukuze ukhulume ngokuthi yiziphi izifundo ezibonisa ngokuqondene ne-COPD kanye nembuni ukusebenzisa ngaphezulu, kubalulekile ukuchaza amagama ambalwa. Isifo se-Chronic obstructive pulmonary (COPD) yisifo se-lungs esivimbelayo futhi sihlanganisa:
- I-bronchitis engapheli
- Emphysema
- Bronchiectasis
Ngokuvamile, izifundo ezibheke ukusetshenziswa kwe-cannabis zithole ingozi ngokuthobeka yokwanda kwe- emphysema enezinkunzi. I-bullae ibhekisela kuma-blebs noma amaphakheji emoyeni akhiwa emaphashini ngenxa yokuphuka kwamathishu emaphaphu nge-emphysema. Uma lezi zithinta "i-pop" zingabangela i- pneumothorax yangempela (ukuwa kwamaphaphu,) isimo esivame kakhulu kulabo ababhema inambuzane.
Izifundo ezibhekene ne-bronchitis engapheli zixubekile . Ezinye izifundo ziye zathola ukuhlangana phakathi kokubhema inambuzane ne-bronchitis engapheli ngaphandle kwemiphumela yokubhema ugwayi, kodwa abanye abatholanga ukuxhumana phakathi kwalaba ababili.
Ngokuvamile, ukuxhuma kubonwe kuphela (uma kunesixhumanisi) kulabo abasebenzisa insangu isikhathi eside.
Ucwaningo olwanyatheliswa eCanada Medical Journal, lwaphakamisa ukukhathazeka, yize kuphela kulabo ababhema. Kwavezwa ukuthi kulabo ababhemayo abaneminyaka engama-40 nangaphezulu, babekhona izikhathi ezingaphezu kwezingxenye ezimbili nesigamu ngaphezu kokungaboni ukuthuthukisa u-COPD ngenkathi behlanganisa ukubhema ugwayi kanye nokubhema ugwayi kwandisa amathuba okuthuthukisa i-COPD izikhathi ezingaphezu kwezintathu nengxenye ingozi kunokuba labo abangabhemi (bebagwayi noma insangu). Ngokuyinhloko, lokhu kusho ukuthi ukwengeza inambuzane ekuxukeni ukubhema ugwayi kwandisa amathuba okuthuthukisa i-COPD ngengxenye eyodwa. Kodwa-ke, ucwaningo lwaphetha ukuthi ukubhema ubuthi kuphela akuhlobene nengozi eyengeziwe yempawu zokuphefumula noma i-COPD.
I-Marijuana yezokwelapha ne-COPD Risk
Izifunda eziningi manje zamukela inambuzane yezokwelapha, futhi ngisho neNational Cancer Institute ithi lokhu kungasiza kubantu abanomdlavuza, ukunciphisa ubuhlungu kanye nesicucu futhi mhlawumbe ngisho nokusiza nge- cachexia (imbangela eqondile yokufa ngamaphesenti angu-20 abantu abanomdlavuza.) Ngamanye amazwi, kubalulekile ukwazi ukuthi ukusetshenziswa kwezokwelapha kungaba yingozi. Ngesikhathi samanje, esekelwe kwizifundo kuze kube yimanje, ukusetshenziswa kwe-marijuana yokwelapha akucatshangwa ukuthi kuyingozi emaphashini ngamanani aphansi okubalwa.
Ingozi ye-Marijuana neLung Cancer
Uma ubheka ingozi yokugubha inambuzane ku-COPD, kubalulekile ukubheka umphumela ongenakwenzeka we-cannabis kumdlavuza wamaphaphu, ikakhulukazi uma sisebenzisa ingxabano yokuthi amaningi amakhemikhali akhona ngosiyi ugwayi abekhona ngotshani, futhi enza ukudonsa kusukela ngaleso sikhathi. Ngokumangazayo mhlawumbe, kubonakala sengathi ingozi enkulu kakhulu yomdlavuza wamaphaphu ehlobene nokubhema inambuzane .
Eminye imithombo yamanoni kanye nempilo yengculazi
Lapho ukhuluma ngesihloko esingathandeki njengendlela yokusebenzisa inambuzane kanye nemiphumela emibi emiphakathini, kubalulekile ukukhomba ukuthi, kulabo abakhathazekile, kunezinye izindlela zokusebenzisa i-cannabis. "Izidakamizwa" noma "amaconsi" asetshenziswe iziguli eziningi zomdlavuza weqa amaphaphu, aqede noma yimuphi umphumela omubi ongase ube nomphumela ngenxa yokungena. Ukulungiselelwa kuyatholakala futhi okuphansi ku-THC, futhi kucatshangwa ukuthi kuncane uma kukhona, umphumela we-psychoactive.
Ngezansi eMariju Ukubhema Nengozi yeCOPD
Ucwaningo lwe-marijuana lokubhema nesifo se-lung, kuyilapho kungenasiphelo ngokuphelele, kungase kuqinisekiswe labo abatshontsha inambuzane, ikakhulukazi labo abenza kanjalo ngenxa yezizathu zezokwelapha. Okusho ukuthi, uma nje ungabhemi ugwayi. Ukubhema i-cigarette yiyona nto eyingozi kakhulu ekuthuthukiseni i-COPD. Ngaphezu kwalokho, ukubhema ugwayi kungabangela izimo zezokwelapha futhi kuyimbangela yamanqamu amaningana .
Kubalulekile ukuveza ukuthi, ukubhema njalo njalo kuhlotshaniswa nezimpawu ezingasetshenziswa njalo kanye nokuvuvukala okukhulu kwe-airway.
Ngokuqinisekile, kunezimo ezengeziwe, kokubili ezenhlalo nezomnotho, ikakhulukazi ezindaweni lapho i-cannabis engekho emthethweni. Ngakolunye uhlangothi, njengoba sifunda ukuthi i-cannabis ingasiza kanjani labo abahluphekayo, ikakhulukazi labo abanomdlavuza, kudingeka sikhombise ukuthi inambuzane akuyona i-monster engase ivele ibonakale isekelwe kumakhemikhali afana nentuthu yensangu kuphela .
> Imithombo:
> Kempker, J., Honig, E., noG. Martin. Imiphumela ye-Marijuana Exposure on Exiratory Airflow. Isifundo Sabantu Abadala Abathintekayo Esifundweni Sezempilo Sikazwelonke saseMelika kanye Nokudla. Amanothi we-American Thoracic Society . 2015. 12 (2): 135-41.
> Lutchmansingh, D., Pawar, L., noD. Savici. Ukumisa i-Cannabis: I-Primer ye-Odokotela Emiphumeleni Ye-Pulmonary of Marijuana. Imibiko Yokunakekelwa Kwamanje Yokuphefumula . 2014. 3 (4): 200-205.
> Martinasek, M., McGrogan, J., no A. Maysonet. Ukubuyekezwa Okuhlelekile Kwezenzo Zokuphefumula ZaseMarijuana Engenayo. Ukunakekelwa kokuphefumula . 2016. 61 (11): 1543-1551.
> Riberiro, L., no-P. Ind. Umphumela we-Cannabis Ukubhema ngomsebenzi wokubopha kanye nezimo zokuphefumula: Ukubuyekezwa Kwezincwadi Ezihleliwe. I-NPJ Primary Care Medicine Respiratory Medicine . 2016. 26: 16071.