I-cigarettes ingaba yingozi nakakhulu noma ikhulise ingozi ye-MS
Uma kuziwa ezinozini zokubhema, sivame ukucabanga cishe ngomdlavuza wamaphaphu futhi akukho okunye okunye. Kodwa iqiniso elilula ukuthi kukhona ezimbalwa izimpawu zomzimba ukuthi ukubhema ugwayi akulimazi.
Nakuba kungahle kusimangaze ukuthi ukubhema kungenza ngcono izimpawu ze- multiple sclerosis (MS) nje ngokulimaza inhliziyo yomuntu namaphaphu, ucwaningo manje lukhombisa ukuthi ukukhanyisa kungase kukhulise ingozi yokuthuthukisa i-MS kuqala.
Ukubhema ne-MS Risk
Kwakuyi-2003 ukuthi abacwaningi baseNorway baqale babonisa ubudlelwane obucacile phakathi kokubhema kanye nobungozi be-MS. Ngokusho kocwaningo, okuhlolisisa umlando wezokwelapha wabantu abangu-22 312 eHordaland, eNorway, ingozi ye-MS phakathi kwabokubhema yayicishe ibe kabili kubantu abangakaze babheme.
Ngesikhathi abacwaningi baseNorway behluleka ukukhomba imbangela ethile, ososayensi eHarvard School of Public Health bakholelwa ukuthi icala lingase lihlangane nokubhema, ukuphathwa kwezakhi zofuzo, nokuvezwa kwegciwane le- Epstein Barr (igciwane elisondelene kakhulu ne-MS).
Ukuhlanganisa idatha evela kubantu abangu-1,465 abane-MS ababhema, abavutha ukubhema noma ababhema, abacwaningi bakwazi ukuphetha ngokuthi:
- Ukuba khona kwegciwane le-HLA-DR15 kwandisa ingozi ye-MS ngamaphesenti angu-300.
- Umlando we- mononucleosis esithathelwanayo , obangelwa igciwane le-Epstein Barr, wandisa ingozi ngamaphesenti angu-250 engeziwe.
- Ukubhema kwaqhubeka kwandisa ingozi ngamaphesenti angu-150.
Ukubhema nokuguga Ukuqhubeka
Ngaphandle kweengozi yokuthuthukisa i-MS, akungabazeki ukuthi ukubhema kuhlobene ngqo nokuqhubeka kwesifo. Akukhona kuphela ukuthi abantu ababhemayo babengase basheshe baqhubeke nokuphuma emsebenzini wokubuyisela emuva (MSRR) kuya kwi- MS eyinhloko eqhubekayo (PPMS) kuya kwi- MS eyinhloko ye-MS (SPMS) , ngokuvamile babe nomonakalo omkhulu kakhulu ebuchosheni.
Phakathi kokuthola okucwaninga okuhlukahlukene:
- Ucwaningo olwenziwa ngo-2009 olwenziwe yi-Partners Multiple Sclerosis Center eBrigham naseSibhedlela Sabesifazane bethola ukuthi ababhemayo bamanje bangamaphesenti angama-250 amathuba okuba ne-PPMS kunabantu abangakaze babheme, ababhemayo abane-RRMS baqhubekela phambili ku-SPMS izikhathi ezingu-2.5 ngokushesha kunabangaboni.
- Ucwaningo olunjalo oluvela eMenzies Research Institute e-Australia lubonise ukuthi abantu abaqala ukubhema kusencane empilweni (ngaphambi kweminyaka engama-15) babe nethuba lokuthola i-PPMS njenge-diagnosis yabo yokuqala, ngokugcwele ukweqa i-RRMS ngokuphelele.
- Olunye isifundo, ngalesi sikhathi esivela ku-State University yaseNew York eBuffalo, kubonise ukuthi ababhemayo abane-MS babe nobufakazi obuningi bokulimala kwe-cerebral kwi- MRI , umthamo omkhulu wezilonda zobuchopho, nokuningi kwe- brain atrophy ne-shrinkage .
Nakuba kusengakacacisi ngokuphelele ukuthi yiziphi izinto ezigayimayo ezishesha i-MS kubantu ababhemayo, ucwaningo luveza ukuthi kungenzeka ukuthi akusikho i-nicotine.
Ngo-2009, ososayensi abavela e-Institute of Environmental Medicine e-Stockholm baqhathanisa umthelela wokubhema no-snuff waseSweden (i-powder yokhuni enomanzi ebeka ngaphansi komlomo) ekuqhubekeleni kwesifo se-MS. Ngemuva kokuhlola abantu abangu-902 abane-MS nabangu-1 855 ngaphandle, baphetha ngokuthi inhlanzi yayingenaso ukuxhumana no-MS.
Ngakho-ke, amakhemikhali egwayi ugwayi avela kumuntu oyedwa kuphela.
Kungani Ukuyeka Ukubhema Kubalulekile?
Abantu ezigabeni eziphambili kakhulu ze-MS bangase bangaboni iphuzu ekushiyekeni ngoba kungekho bufakazi bokuthi ukuyeka kuzoguqula inkinga yesifo.
Kodwa-ke, kukhona ubufakazi bokuthi ukuyeka kunganciphisa inqubo futhi kusize ukugcina imisebenzi esemqoka yokucabangela (kubandakanya inkumbulo, ukucabanga okungabonakali, namakhono okukhuluma). Ubufakazi busekelwa ucwaningo oluxhumanisa inani umuntu aphuza kulokhu isifo.
Phakathi kwabo, ucwaningo lweBuffalo lwalukhombisa izinga lobuchopho e-atrophy (elibhekiswe ekulahlekelweni kwe-neurons kanye nokukhulumisana kwe-intracellular nerve) okuhlobene ngqo nenani lamaphakheji abhema.
Ucwaningo lwase-Australia luphetha ngokuthi abantu ababhema okulinganayo namaphakethe amabili ngosuku baqoqa ukukhubazeka okuphindwe kathathu njengalabo ababhema kancane kunepakethe ngosuku.
Izwi elivela
Ukuyeka ugwayi akuyona into elula, ikakhulukazi uma ukholelwa ukuthi ikusiza ukuba ubhekane nokucindezeleka kokuphila ne-MS. Kodwa awukwazi ukungazinaki iqiniso lokuthi izinzuzo zokuyeka kude kakhulu kunoma yikuphi ukucutshungulwa kogwayi okungase kutholakale
Uma ungahlali kanjani, kunabantu abangasiza. Qala ngokubiza u-1-800-QUIT-MANJE (1-800-784-8669) ukuxhuma ngqo nge-hotline esebenzayo esifundazweni sakho. I-National Cancer Institute inikeza futhi umlayezo osheshayo we-LiveHelp hotline (ngesiNgisi kuphela) kusukela ngo-8: 00 ekuseni kuya ku-8: 00 ntambama EST.
> Imithombo:
> Healy, B .; U-Ali, E .; Guttmann, C. et al. "Ukuqhuma nokubhema kwezifo eziningana ze-sclerosis." Arch Neurol. 2009; 66 (7): 858-64.
> Hedström, A. Baanhielm, M .; U-Olsson, T .; no-Alfredsson, uL. "Ukubhema ugwayi, kodwa hhayi ukusetshenziswa kweSwitzerland, kukhulisa ingozi ye-multiple sclerosis." I-Neurology. 2009; 73 (9): 696-701.
> Pittas, F .; I-Ponsonby, A .; van der Mei, I. et al. "Ukubhema kuhlobene nenkambo eqhubekayo yesifo nokukhula okuqhubekayo ekukhubazekeni komtholampilo eqenjini elizoba khona labantu abane-multiple sclerosis." J Neurol. 2009; 256 (4): 577-85.
> Sundström, P. noNyström, L. "Ukubhema kuphazamisa ukuchazwa kwezifo eziningi." I-Mult Scler. 2008; 14 (8): 1031-5.
> Zivadinov, R; I-Weinstock Guttman, B .; Hashmi, K. et al. "Ukubhema kuhlotshaniswa nokwanda kwe-lesion kanye ne-brain atrophy ku-multiple sclerosis." I-Neurology. 2009, 73: 7 504-510.