O ABC dos E-cigarros

19 de novembro de 2018

À medida que o vaping se torna mais popular, especialmente entre os adolescentes, aqui estão as respostas para algumas perguntas básicas sobre seus efeitos sobre a saúde.

cigarro-eletronico-6E-cigarros são produtos relativamente recentes cujos efeitos a longo prazo são desconhecidos, mas contêm muito menos produtos químicos perigosos do que aqueles liberados na queima de tabaco.

O termo “cigarro eletrônico” refere-se a um dispositivo alimentado por bateria que aquece um tanque ou cartucho de líquido que normalmente contém nicotina, aromatizantes e outros produtos químicos , mas não o alcatrão causador de câncer encontrado nos cigarros de tabaco. Os usuários inalam e exalam o vapor. Os dispositivos vêm em várias formas, incluindo aqueles que se parecem com canetas, pen drives e narguilés . Muitos consumidores estão confusos sobre as implicações para a saúde dos cigarros eletrônicos. Esta é uma cartilha sobre o que a pesquisa até agora mostra sobre esses dispositivos.

Sim. Mas isso não significa que eles estão seguros.

E-cigarros contêm muito menos substâncias químicas perigosas do que as liberadas na queima de tabaco. Os cigarros de tabacogeralmente contêm 7.000 produtos químicos, incluindo quase 70 conhecidos como carcinogênicos. E-cigarros também não liberam alcatrão, o resíduo do tabaco que danifica os pulmões, mas também contribui para o sabor dos produtos de tabaco. Nos Estados Unidos, os cigarros estão associados a 480 mil mortes por ano de doenças coronarianas, derrame e numerosos cânceres, entre outras doenças.

A pesquisa sobre os cigarros eletrônicos é jovem porque os produtos só existem há pouco mais de uma década. Exacerbado pela tensão de um determinado dispositivo, certos sabores de e-cigarros podem irritar as vias aéreas, dizem os pesquisadores: benzaldeído (adicionado a líquidos com sabor de cereja), cinamaldeído (dá sabor de canela) e diacetil (sabor amanteigado que pode causar danos ao tecido pulmonar chamado “pulmão de pipoca”.) Alguns sabores se tornam irritantes quando adicionados a líquidos vaping. O processo de transformar substâncias químicas líquidas em vapor libera partículas prejudiciais para os pulmões e a atmosfera, inclusive metais pesados.

 

Não está claro. Mas a estudos observacionais de sua eficácia revelam resultados mistos. Alguns mostram que a maioria dos usuários adultos são ex-fumantes, sugerindo que os dispositivos são úteis para ajudá-los a sair. Outros revelam que muitos usuários de cigarros eletrônicos também fumam cigarros convencionais. Outros ainda dizem que uma grande porcentagem de usuários de cigarros eletrônicos, particularmente adolescentes, nunca fumou cigarros tradicionais. Um estudo de 2018 concluiu que os cigarros eletrônicos não ajudavam os fumantes a parar mais rapidamente do que os fumantes que não os usavam. Mas neste verão , um comitê do Parlamento britânico endossou de forma retumbante eles, chegando mesmo a sugerir que e-cigarros sejam disponibilizados por prescrição através do Serviço Nacional de Saúde.

A nicotina não é conhecida por causar câncer. É como timulante e sedativo , ajudando a liberar dopamina nos centros de prazer do cérebro. Algumas pesquisas sugerem que pode melhorar a memória e a concentração – embora o tabagismo a longo prazo tenha sido associado ao declínio cognitivo. A nicotina inalada pode aumentar a frequência cardíaca e a pressão sanguínea. A principal causa de alarme é que a nicotina é altamente viciante. É a substância química no tabaco e nos cigarros eletrônicos que liga o usuário.

O cérebro humano se desenvolve em meados dos anos 20. Pesquisadores temem que os adolescentes que são vape sejam os mais afetados pelo vício em nicotina, que eles podem desenvolver com menos exposição do que os adultos necessitam.

Embora os estudos não tenham mostrado conclusivamente que os cigarros eletrônicos podem ser usados ​​para ajudar os fumantes adultos a parar, há evidências substanciais de que os adolescentes que os utilizam têm um risco maior de fumar cigarros.

Os adolescentes também estão usando vapes para inalar a maconha. “Parece que as crianças que usam e-cigarros são mais propensas a usar maconha em geral – fumadas ou vaped. Existe um efeito de gateway? Estamos apenas recebendo dados agora. Mas é preocupante ”, disse o Dr. Rachel Boykan, professor associado da escola de medicina de Stony Brook, que pesquisa a adolescência e o controle do tabaco.

Não há protocolos amplamente aceitos para adolescentes. A recomendação que as famílias consultem um profissional médico. Intervenções limitadas com terapias de reposição de nicotina como adesivos, chicletes ou medicamentos podem ser eficazes em adolescentes mais velhos, disse ela. Mas “isso deve ser feito em conjunto com uma boa avaliação, já que transtornos mentais como depressão e ansiedade e uso de outras substâncias são comuns em crianças com transtorno do uso de nicotina”, alertou.

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