Iimpembelelo zeMarijuana kwiMigodi
Ikhonkco phakathi kokutshaya icuba nomdlavuza wamaphaphu ayinakukhunjulwa, kodwa ukutshaya umgqomo kubangela umdlavuza wamaphaphu ? Impendulo emfutshane-mhlawumbi. Masiqwalasele impendulo ende.
Izifundo Ukujonga i-Marijuana ne-Cancer Cancer
Ngo-2006, abaninzi bethu kwiyeza baphwankqiswa xa ukuhlaziywa kophando ukuya kumhla akubonisi ukwanda komdlavuza wamaphaphu onxulumene nokusetyenziswa kwegciwane.
Kwakukho necebiso lokuba inambuzane inomdla wokukhusela umdlavuza wamaphaphu. Iziphumo zakutshanje, ngokuchaseneyo, zibonakala zidibanisa ukutshaya umgqomo nomdlavuza wamaphaphu , nangona iziphumo zidibeneyo, kwaye ukungaqiniseki okukhulu kuhleli.
Olunye uphando lubonisa ukuphindwa kabini kumdlavuza wamaphaphu kubantu abasebenzisa ityhuna abasebenzisa ityhifi (oko kukuthi, kubayeni abavutha umlinganiselo ofanayo, umngcipheko womhlaza wamaphaphu wawuphindwe kabili kubantu abasebenzisa inambuzane). Olunye uphando lubonise ukuba ukusebenzisa ixesha elide le-marijuana kwandisa umngcipheko womhlaza wamaphaphu kubantu abadala (kulolu cwaningo oluchazwe njengeminyaka engama-55 nangaphantsi), kunye nomngcipheko okhulayo ngokulingana nenani lentambo.
Uphando olubanzi lwamazwe ngamazwe olwenziwe ngo-2015, ngokuchaseneyo, lufumene ubudlelwane obuncinane phakathi kokusetyenziswa kwesiqhelo kunye nexesha elide lomdlavuza nomdlavuza wamaphaphu. Kule ngxelo, omnye umbutho wafunyanwa phakathi kwe-usenabis kunye ne-lung adenocarcinoma kodwa akukho mhlobo ufunyenwe phakathi kokusebenzisa i-cannabis kunye ne- squamous cell carcinoma yemiphunga .
Ucwaningo lwe-2018 olupapashwe kwiNcwadi ye-Thoracic Oncology ishicilele ezinye zeengxaki ekuzileni ukuba i-marijuana isebenzisene nomdlavuza wamaphaphu, kwaye i-marijuana ingasebenzisa njani ukulawula iimpawu kubantu abaphila nomhlaza. Ezinye zezi nkxalabo zibandakanya ukuba ezininzi zezifundo ukuya kutsho zibe zifundo ezincinci, ezo zenzeke ziye zaquka iinombolo ezincinci zentsholongwane ezibhema inyosi, ukusetyenziswa kwegciwane, ngokubanzi, kukuxela, kunye nokudibanisa iteksi ukutshaya kunye nokusebenzisa i-marijuana.
Iimpembelelo zeMarijuana kwiMigodi
Abaphandi baye bafumanisa ukuba ukusetyenziswa rhoqo kwentsangu kubangela ukulimala kwi-airways engabonwa ngokubonakalayo nakwi-microscope. Kwakhona kukho iingxelo zonyuka kwiimpawu zokuphefumula ezinjenge- wheezing , ukuphefumula okufutshane , kunye nokukhwehlela okuqhubekayo kubantu abasabayo. Oko kwathiwa, ukutshaya i-marijuana ngokungapheliyo kubonakala kungabangela ukuba kukho utshintsho oluphawulekayo kumsebenzi wamaphaphu, kwaye alubonakali ukwandisa umngcipheko we-COPD, kwaye i- COPD iyingozi yecala lomdlavuza wamaphaphu .
Ukujonga umonakalo wamaphaphu kwenye indawo, nangona kunjalo, kubonakala kukunciphisa umngcipheko. Ucwaningo lwango-2017 olujonge umphumo wokubhema i-cannabh kwimigangatho yemiphunga ekufuneka isetyenziswe ukutshintshwa kufumaneka ukuba imbali ye-cannabis ayinayo impembelelo kwiziphumo zokupasa, kwaye oko kubandakanywa nabokutshaya i-cannabis kwisibini sokuxhaswa kunokuthi kuphuculwe i-pool .
Ingxabano malunga noMarcuana kunye neNgcahla yeCancer
Ekubeni i-marijuana ingekho mthethweni e-US phantsi komthetho we-federal, kunzima ukwenza izifundo ezilawulwayo ezenziwe ngogwayi. Ngenxa yoko, kunceda ukukhangela oko sikukwaziyo malunga nomscago obonisa ukuba unokunyusa ingozi yomhlaza wamaphaphu:
- Uninzi lwee- carcinogens kunye nee-carcinogens ezikhoyo kwingqumbo yengqumbo zikhoyo kumsi womncuba.
- Ukubhema i-marijuana kubangelwa ukuvuvukala kunye nomonakalo weeseli, kwaye uye wadibana neenguqu zangaphambili zomhlaza kumathishu emiphunga.
- I-Marijuana iboniswe ukuba ibangele i-immune system inobungozi, okuyiyo inokubangela ukuba abantu babe nomdlavuza.
Umgca osemgangathweni ekusebenziseni i-marijuana kunye nomngcipheko womhlaza? Nangona i-marijuana inokuba yingozi yomhlaza xa kuthelekiswa nokubhema ugwayi, kukulungele ukuba uqaphele. Kukho izizathu ngaphezu kwengozi yomdlavuza wamaphaphu (kunye nenyaniso yokuba ayikho mthethweni kwiindawo ezininzi) ukuphepha umgqomo.
I-Marijuana inokunyusa umngcipheko womhlaza wengqina, umhlaza wesibeletho, umhlaza wesibeleko, uhlobo lwesifo sengqondo, kunye nomngcipheko we-leukemia kwinzala yabasetyhini abasebenzisa ukhula ngexesha lokukhulelwa.
I-Flip Side: I-Marijuana kwi-Cancer Patients
Xa sithetha nge-marijuana nomhlaza, kukho iingxoxo ezimbini ezahlukeneyo. Xa uthetha malunga nesizathu somhlaza, iziphumo zixutyushwa kunye nezinye iingcamango ezibonisa ukuba ukutshaya i-marijuana kwandisa umngcipheko wesifo somhlaza kunye nabanye bathi inkohlakalo inokuthi ikhusele umdlavuza.
Oko sikuyaziyo, ukuba ukutshaya i-mariju kunokunceda abanye abantu bajamelane nomhlaza . Ngokutsho kweNational Cancer Institute, "i-cannabinoids ingaba neenzuzo ekuphatheni iziphumo ezichaphazeleka ngumhlaza." Ezinye zeempembelelo ezinokuthi ziphucule kunye nokusetyenziswa kokhula ziquka i-nausea, ukulahleka kwesidlo, intlungu kunye nokuphazamiseka kokulala. Kwaye ekubeni isifo somdlavuza- ukuhlanganiswa kweempawu ezibandakanya ukulahlekelwa kwesidlo, ukulahlekelwa kwesisindo esingenakuzenzela kunye nokuxhatshazwa kwemisipha-kuthathwa njengesizathu esichengileyo sokufa kuma-20 ekhulwini labantu abanomdlavuza, ukusetyenziswa kwezigulane zomdlavuza zizigulane zomhlaza kufuneka sifunde kakhulu.
Ngokubhekiselele kwonyango, ubunzima bokufunda izinto ezingekho mthethweni bunophando oluthile. Olunye uphando oluthile lufumene ukuba i-marijuana inokufumana inzuzo kwizigulane ezinomdla wengqondo ephindaphindiweyo. Ngethemba, ngokusemthethweni kwi-United States yonyuke, le mpendulo iya kucaca kwixesha elizayo.
I-Secondhand Marijuana Mosike
Ixhala lokugqibela malunga ne-marijuana yimiphumo engabonakaliyo yogubhu kwiindawo ezingasondeli. Imiphumo yokubamba umsi womsila kwimpilo kunye novavanyo lweziyobisi kufundiswa. Olunye uphando lufumene umsi womncuba ukuba lube nenkxalabo enjengokutshaya iteksi, ngoko-ke ilumkiso lungafanelekile.
ILizwi
Kuze kubekho izifundo ezininzi ezingenziwa, awukwazi ukuqinisekiswa ukuba ukutshaya i-marijuana okanye ukutshatyalaliswa komsi womsila ongasondelanga unomdla. Unemizekelo eyahlukeneyo yokukhetha ngaphandle kokutshaya iindlela zokusebenzisa i-cannabis yezokwelapha kunye ne-cannabis yokuzonwabisa apho kusemthethweni. Ukuba ukhathazeka ngempilo yakho yemiphunga kwaye ubhenca abantu abangaboniyo, kungcono ukuba baqwalasele indlela eyahlukileyo yokuhambisa kunokubhema, njenge-edibles.
Ngokubhekiselele kumngcipheko womhlaza, abaninzi be-oncologists baphinda bacinga ukudubula kwangaphambilini kwindlela yokunyuka kwengwenya inambuzane. Ukususela kulokho esikufundile ngokubhema umsila kunye nomdlavuza wamaphaphu bebesatshiswa ukuba ukutshaya i-cannabis kuya kubangela iingxaki ezifanayo, kodwa oku akuzange kuboniswe ngeli xesha.
Ngokwahlukileyo, inzuzo enokubanjiswa kwe-cannabis kubantu abaphila nomhlaza kunye neengxaki zomhlaza kufuneka ziqwalaselwe ngakumbi. Ngeli xesha asizincinci ukuncedisa abantu abaphuhlisayo okanye baye bahlakulela i-cachexia yomhlaza. Ngenxa yempembelelo yesondlo, i-cannabis ingaba yindlela elula yokujongana nesondlo esinqabileyo esiqhelekileyo kwizigulane zomhlaza.
Inomdla omkhulu ngakumbi mhlawumbi ngexesha langoku kukunciphisa imfuno yokunyanga imilenze ye-opioid kubantu abanomdlavuza abasebenzisa i-cannabis. Ngenxa yobhubhane lwe-opioid overdoses ezigqityiweyo kwiinkonzo zentlungu abaninzi abantu abanomdlavuza abanqwenela ukusebenzisa kwindawo yokuqala. Kwakucatshangelwa ukuba uninzi lwabantu ekupheleni kwemiqathango yomhlaza yayiphantsi kweengxaki zengxaki phambi kokuba i-national attention isichazwe kwi-opioid crisis. Kungenzeka ukuba ukubethelwa kwegunju kumazwe amaninzi, nokuba kusetyenziso lokuzonwabisa okanye unyango, sele lifike ngexesha elifanelekileyo ukulungisa le ngxaki.
> Imithombo:
> Berthiller, J. et al. I-Cannab ukutshaya kunye nomngcipheko womhlaza wemiphunga kumadoda: uhlalutyo oluhlanganisiweyo lwezifundo ezintathu eMaghreb. Umbhalo we-Thoracic Oncology . 2008. 3 (12): 1398-403.
> Chen, A. et al. Ukuxilonga ukuba abantu ababhemayo babenomngcipheko ophantsi kakhulu we-carcinogenicity ngokubhekiselele kwicuba-engeyiyo-bhisikiya ababhemayo: ubungqina obusekelwe ekuhlaziyweni kwakhona kweencwadi zangoku. I-Journal ye-Psychoactive Drugs . 2008. 40 (3): 263-72.
> Huang, Y., Zhang, Z., Tashkin, D. et al. Ukuhlaziywa kwe-Epidemiological yeMarjuana kunye neCarcer: Isibuyekezo. I-Epidemiology ye-Cancer Biomarkers kunye nokukhusela . 2015. 24 (1): 15-31.
> Martinasek, M., McGrogan, J., no A. Maysonet. Uhlolo oluHlolo lweMiphumo yokuphefumula yeMarjuana engaphiliyo. Ukunyamekela . 2016 Aug 9. (Epub ngaphambi kokuprinta).
> Ilitye, E., Warren, G., kunye neK. Cummings. Ukusetyenziswa kwe-Cannabis, umdlavuza weLung, kunye neengxaki ezihlobene. Umbhalo we-Thoracic Oncology . 2018. 13 (4): 480-487.
> Taskin, D. Iimpembelelo zogubhu ukutshaya kwimpompo. Amanqaku e-American Thoracic Society . 2013. 10 (3): 239-47.
> Zhang, L., Morgenstern, H., iGreenland, S. et al. Ingozi yokuHuba kunye neLung Cancer Ingozi: Uhlalutyo olwenziwe kwi-International Lung Cancer Consortium. Journal International of Cancer . 2015. 136 (4): 894-903.