By Ghada Abukuwaik

اعداد الصيدلانية الدكتورة غادة زهير ابو كويك

·         التدخين يسبب السرطانسرطان الرئة  

هو السبب الرئيسي للوفاة من السرطان في الولايات المتحدة لكل من الرجال والنساء. تقريبا هناك 160,000 الوفيات الناجمة عن سرطان الرئة في عام 2013. (الرجال: 87,2600؛ المرأة: 72,220 حالة وفاة)

·         التدخين يتسبب في مشاكل صحية خطيرة.

مثل امراض القلب، والسكتة الدماغية، وأمراض الرئة مثل انتفاخ الرئة والتهاب القصبات، وعرقلة مجرى الهواء المزمن.

·         التدخين يسبب الوفاة وفي المتوسط، يموت المدخنون عشر سنوات اقل من غير المدخنين.

·         التدخين يتسبب في الإجهاد.النيكوتين يؤدي فعلا إلى زيادة التوتر ومستويات التوتر في الجسم

·         الاكتئاب أكثر شيوعاً في المدخنين والأشخاص الذين يتم التشديد على.

أسباب 'الإقلاع عن التدخين

 تخفيض خطر الإصابة بالسرطان وتحسين صحة القلب وتحسين الصحة العقلية لي ولعائلتي واصدقائي وتوفير المال

كيف تقلع عن التدخين

ضع خطة لذلك واستعمل المساعدات الصيدلانية كما هو وارد ادناه ولا تتراجع فصحتك وعائلتك بحاجة ماسة للاقلاع عن هذه العادة الكريهة والمميتة.

1.    *  Smoking causes cancer.

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• Lung cancer is the leading cause of cancer death in the United States for both men and women.In 2013 there were roughly 160,000 deaths from lung cancer. (Men: 87,2600; Women: 72,220)

2.    *  Smoking causes serious health problems.

• e.g. heart disease, stroke, and lung diseases such as emphysema, bronchitis, and chronic airway obstruction

3.    *  Smoking causes death.

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• On average, smokers die ten years earlier than non-smokers.

4.  *    Smoking causes stress.

• Nicotine actually increases tension and stress levels in your body.

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5.   *   Depression is more common in smokers and in people who are stressed.

Reasons to Quit Smoking

• Decrease cancer risk
• Improve heart health
• Improved mental health
• For my family and friends
• Feel better overall
• Save money

Making a Quit Plan

1. Choose a quit date.

§  Sooner is better than later! Choose a date within two weeks of today.

2. Identify your individual triggers.

§  Feeling stressed, lonely, or down

§  While driving, especially during long drives

§  After eating a meal or while drinking coffee

3. Create practical ways to handle each of your triggers.

§  List the situations that make you want to smoke.

§  Next to each trigger, write a practical approach for avoiding or dealing with it.

4. List the reasons you want to quit.

5. Tell friends and family about your decision.

6. Remove reminders of smoking.

§  Cigarettes, ash trays, lighters, etc.

7. Set up rewards.

Nicotine Replacement Therapy,

reduces withdrawal.

Provides a small amount of nicotine to the body

There are over-the-counter and prescription options.

Most can be used in combination.

 Over-the-Counter

1.      Nicotine Patch

§  Placed directly on the skin

§  Alternate sites of use

§  Wear for up to 24 hours

§  Provides a small, steady amount of nicotine to the body

§  Can be used even if you are still smoking cigarettes

2.      Nicotine Gum

§  Slowly release nicotine to the body

§  Chew until tingling occurs, then ‘park’ beside the cheek

§  Repeat this process until all nicotine is gone or craving subsides

§  Do not eat or drink within 15 minutes of use

3.      Nicotine Lozenge

§Similar to a piece of hard candy

§Slowly releases nicotine to the body

§Allow to slowly dissolve in the mouth

§Can be used anytime a craving hits

Prescription

1.      Nicotine Inhaler

§Cartridge and mouthpiece

§Used alone

§Used after quitting cigarettes

§Individualized dose of nicotine

§Dose can be adjusted

2.      Nicotine Nasal Spray

§Pump bottle of liquid nicotine

§Used similarly to other nasal sprays

§Dose is individualized

§  Typically one or two doses per hour

Prescription Tablets

3.      Bupropion (Zyban)

• Helps reduce withdrawal
• Helps reduce urge to smoke
• Can use with nicotine replacement therapies

4.      (Chantix)

• Helps reduce withdrawal and urge to smoke
• Blocks effects of nicotine if you smoke while taking

What is withdrawal? Withdrawal is your body responding to a lack of nicotine.

Ways to deal with withdrawal.

1. Keep smoking cessation medications on hand – gum, mints, patches, whatever product you are using.
2. Exercise!
3. Check in regularly with your pharmacist for support advice on developing practical solutions to cravings and triggers.

4. Call 1-800-QUIT-NOW and speak with a counselor.
5. Check in with the friends and family.

Cravings usually last about 5-10 minutes.

Create ways to deal with cravings:

• Call or text someone.
• Read a magazine or book. Play a game.
• Get active! Take a walk or jog; go up and down the stairs or around the office.
• Eat a handful of carrot or celery sticks, try peppermint candy, or drink some water.

Find healthy ways to deal with stress.

• Listen to your favorite song or create a playlist of songs that help you unwind.
• Watch a funny video or TV show.
• Review your reasons for quitting and find inspiration there.
• Exercise! Get outside if you can. Walk, jog, play a sport, or practice yoga.
• Chat with a friend.

What to do if you ‘Slip Up’

Don't be discouraged.

Don't use your slip as excuse to start smoking again!

Identify the trigger.

Learn from your experience.