E-cigarettes are becoming a fashion among the youth, health is at risk

 E-cigarettes are becoming a fashion among the youth, health is at risk


12-year-old Sarah Griffin, who lives in the UK, suffered from asthma last September. Sarah, who has been in a coma in the hospital for a few days, is now improving. But his addiction to vape has badly damaged his lungs.


According to the BBC, one of the girl's lungs is almost completely destroyed. According to the doctor, his respiratory system has become like that of an 80-year-old instead of a 12-year-old child. Vape, which can make a 12-year-old's respiratory system look like an 80-year-old's, is now gaining popularity not only in Western countries, but also in Eastern countries. Vape (e-cigarette) has started to become a headache among tobacco products.






What is vape?


A vape is an electric cigarette that runs on a battery. People use it to heat liquids into a vapor that can be inhaled. It is considered a cancer-causing tobacco product because the inhaled vapor contains nicotine (a drug that makes tobacco addictive), flavors and toxic substances.





Vape became fashionable in Yuvapindi


Doctors say that the number of school-aged children who use vape in Nepal is increasing. Chest specialist Niraj Bam says, 'Vape has become like a fashion among young people. School and plus two age group studying in urban areas who have started adolescence are getting addicted to vape.


Psychiatrist Dr. Nirajan Bhattarai says that vape has made it easier for young people who are afraid or hesitant to smoke. Even if they want to smoke, children who are afraid and ashamed of their parents will confidently smoke in front of everyone. It has become a problem to openly smoke vape as a style. Because of this, the number of vape users is increasing, Dr. Bhattarai says.



Dr. Nirajan Bhattarai, Psychiatrist

Health risks


Dr. He says that the use of vape, which is being consumed like bomb cigarettes, will cause short-term and long-term health problems. According to him, the short-term effects may include vomiting, nausea, cough, difficulty breathing, mouth burning, and asthma and pneumonia. Long-term effects can include lung infections and damage, heart disease, cancer, and brain problems.


Dr. Bam adds, 'Nicotine products are considered harmful to health, which is why most countries have banned them. It should be banned in Nepal as well.


What do the statistics say?


According to a recent survey in the UK, one in five children between the ages of 11 and 17 use vape. This number is three times more than in 2020.


In the case of Nepal, there has been no research on this. Therefore, it is not possible to estimate how many people use vape. But many people who come to the OPD with lung problems are found to be using vape and hookah. Bam says. Because of this, he says, it will be difficult to control the use of tobacco products like vape and hookah, just as we have to gradually reduce smoking in Nepal.


Greater impact at younger ages


Dr. According to Bam, vaping poses a double threat to the younger age group. First, the various chemicals used in it, nicotine, harms the lungs. It weakens the lungs at an early age. Secondly, once you become addicted, the chances of getting addicted to cigarettes increase even more,” he says. Nicotine affects the brain development of children and adolescents. He says that in the future they will not be able to concentrate on their studies.



Dr. Neeraj Bam, thoracic specialist

Vaping is not a substitute for quitting smoking


In 2003, Hon Lik, a Chinese pharmacist who made e-cigarettes, claimed that he could easily quit smoking with its help. But e-cigarettes, which were created to help people get rid of cigarette addiction, have now become a big challenge for the world. Dr. There is no authentic research that the use of e-cigarettes helps to quit smoking. Bam says.


Is vape less dangerous than cigarettes? Dr. Bam says, 'Of the two types of poison, which one is better is the same thing. The possibility of quitting smoking through e-cigarettes is completely delusional. Harmful substances like nicotine are found in both.


How do you get addicted to vape?


Psychiatrist Dr. According to Bhattarai, vaping every day is likely to become addictive. It seems that after starting to eat under the pressure of social media, peers and friends, it gradually becomes a craving and becomes an addiction. If you start drinking tea during the day, as you get used to it, the more you consume the nicotine in the vape, the more you will become addicted. Nicotine increases the level of dopamine (hormone of pleasure). As a result, the desire to eat increases. The role of nicotine is to depend on it. Most people are taking it in the name of getting rid of smoking addiction. Who gradually becomes addicted to it,' said Dr. Bhattarai says.


Addiction treatment is possible


It is possible to get rid of vape addiction. But with family, own desire and medical treatment is necessary. Bhattarai says. In the treatment of its addiction, depending on the level of addiction, chewing gum and nicotine spray are given to reduce nicotine. After that, some medication and therapy will gradually reduce the desire for nicotine. Bhattarai says.


E-cigarette is becoming a 'gate way' to start smoking

 E-cigarette is becoming a 'gate way' to start smoking


The use of electronic cigarettes (vape) is currently being widely used all over the world. Its use is excessive among young people. Although there is no definite data in Nepal, it is also a fact among us that its use among the youth is increasing day by day. It seems to have started as a way to quit smoking or a solution to tobacco addiction. Recently, it seems that users are using it as a means of entertainment or a different identity.


According to the World Health Organization and various researches, it does not have much of a useful effect in the management of tobacco addiction, on the contrary, it is playing a role as a gateway to start smoking even in people who do not smoke.






What is e-cigarette?


It is a type of electrical device, which heats the liquid tobacco and the flavor used in it and turns it into steam. The user inhales the vapor through the 'mouthpiece' in it. E-cigarettes are available in different forms, types and flavors. E-cigarettes available at various prices are advertised as tobacco-free and tobacco-free. Similarly, the e-cigarettes available in the market are either single-use or multi-use.





What harm does it do?


Regular use of e-cigarettes causes many health complications and harms to human health. Basically, there are various problems in the respiratory system such as persistent dry cough, asthma-like symptoms, wheezing, and constant chest pain. In some cases, the effect of its steam can seriously affect the lungs and even lead to very complicated conditions. According to data, its use significantly increases the risk of various heart diseases and heart attack. Apart from the effects of the nicotine used in it, various mental problems can occur due to the side effects of the chemicals in the developing brain of young people and adults.




Challenges in public health


Unlike the purpose with which e-cigarettes were started, the current major public health challenge is the excessive use of e-cigarettes among young people and adults. If we look at the data of Australia in 2023, more than 17 percent of young people consume it. It seems that one out of every two young people will use e-cigarettes in their lifetime.


What is even more alarming is that even children of 12 years of age or below have been found to be using it regularly. In the Australian state of Victoria alone, more than 14 percent of children between the ages of 12 and 17 are caught in its clutches. Among them, 48 percent don't even smoke and after some time they are also caught in the habit of smoking. Taking these data as a basis, it is becoming a gateway for non-smokers to start smoking. In some cases, it has been found that the user children do not even have proper knowledge about its bad effects and harm.


Another challenge is the regulation of more than 200 chemical elements in it, which act as flavor. What should not be forgotten is that harmful tobacco products have been found in more than 21 percent of e-cigarettes advertised and marketed as tobacco-free.



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E-cigarettes are becoming a fashion among the youth, health is at risk

Solutions


Taking Nepal's involvement in the World Health Organization's Framework Convention for Tobacco Control as a basis, it seems that e-cigarettes should be regulated as tobacco products. However, in various countries including Australia, stricter legal provisions than those in the framework have been adopted for its regulation. Even in Nepal, as there are debates about its regulation, it seems that a strict legal system should be in view of the public health risk. It has to be properly managed in time as well as economic and social risks. It seems that there should be a complete ban on its export, production, marketing and commercialization. In addition, it seems that a clear message should be conveyed regarding the prohibition of its use in public places, schools, hotels, restaurants and other places.


It seems that there is a need to collect and research data on the use of e-cigarettes and the actual situation in Nepal from the government and non-government. Compared to other countries, it seems that it is necessary to identify the level of risk our young people are and adopt corresponding strategies.


It is the need of today to create and adopt youth-targeted health awareness and public health promotion programs involving the youth as well. Parents also need to be aware that their children are not involved in such kind of culture. In order to discourage the possible use in educational institutions, schools and hostels, it seems that it is necessary to conduct school-targeted awareness programs and to include materials about the harms and side effects of e-cigarettes in the curriculum, to increase the knowledge of children and youth and to develop the skills to avoid smoking.


Smokers can get throat cancer, voice changes should be checked

 Smokers can get throat cancer, voice changes should be checked


Cigarettes contain various cancer-causing chemicals such as 'hydrocarbon', 'benzene' and others. Its effect is from the lungs to all parts of the body. Among them, cigarette smoke in the throat is more likely to cause cancer.


The neck does not mean only the neck. It includes food pipe to larynx. Cigarette smoke can cause cancer in these parts.






Many people may have a question, how many cigarettes can you get cancer? Or how many years of smoking can cause cancer?


There is no exact answer. Human body, conditions are different. It can damage some people quickly and others after a long time. There is no guarantee that most smokers will get cancer. However, the risk of cancer is high for smokers.





And be careful


You have been smoking for a long time. In this situation, your voice changed. As the voice can be hoarse, it can be slurred. Let's not pretend that we have a cold or a cold at this time. Because if there is a change in the voice for three consecutive weeks, then a cancer test should be done.


If there is cancer in the throat of those who smoke cigarettes, the voice starts to change. Then it becomes difficult to swallow food. Breathing becomes difficult. As if having increased breath. When neck pain starts, you should go to the doctor. A biopsy should be done. Because changes in voice and wheezing are the primary symptoms of cancer.



Dr. Arun Casey

Cancer of nose and ear also


Smokers are not only at risk of developing throat, but also nose and ear cancer. If there are problems like sore throat, nasal allergy, it can be a symptom of cancer.


Besides, smoking also causes other ear related problems.


Treatment is easy in the initial moment


As soon as there is a change in the voice of the smoker, he must go to the hospital. The sooner you can go to the hospital, the faster the treatment can be.


The longer one smokes, the higher the risk of cancer. As soon as the symptoms of cancer appear, if you go to the hospital and consult a doctor, treatment is possible according to the stage of the cancer.


Endoscopy should be done to find out which part of the neck is swollen or has symptoms of cancer. If cancer is suspected during endoscopy, a biopsy should be done. A biopsy is used to determine if it is cancer or not.


The treatment method depends on how far the cancer has spread and what stage it is. If you reach the hospital in the first stage, its treatment is easy. If there is second and third stage, the treatment is complicated. For example, if a first-stage cancer is detected in a person's respiratory tract, it can be removed with a laser.


If the second and third stage cancer is detected in the same person, if it has spread too much, the larynx itself may have to be removed by major surgery. You may have to live with a hole in your neck for the rest of your life.


Let's quit smoking


Therefore, smoking should be avoided to avoid various health problems along with cancer. The risk of asthma, cancer and other health problems can be avoided from the day after quitting smoking.

Winter joint pain problems and remedies

 Winter joint pain problems and remedies


There is a special relationship between winter and joint pain. In winter, when the temperature drops, the muscles start to stretch. As a result, the veins around the joints begin to swell. It increases stiffness and pain in the joints. Especially those who have problems with joints or joints, the pain increases more than before in winter.


Most people relax more in winter. This reduces physical activity. As the days are shorter and the nights are longer, the lifestyle changes. Therefore, our eating habits also change. We also reduce exercise. Therefore, the problem of joint pain increases.






Reasons why joint pain increases in winter


Due to the low atmospheric pressure in the winter season, swelling of the joints and muscles is a problem. Therefore, joint pain also increases.





In winter, when the air pressure is low, the fluid in the joints starts to thicken, due to which the problem of joint pain increases. Due to the problem of joint pain, it is difficult to get up, sit and even do daily work. In the winter season, the temperature starts to decrease. As a result, the blood vessels of the body begin to shrink and the flow of blood slows down. In this case, the problem of joint pain is more.


People who already have rheumatic problems also suffer from joint pain in winter season. In the cold season, the amount of vitamin D in the body is reduced due to the shortness of the sunlight, which increases the pain in the bones and joints.


Not paying attention to diet and lack of calcium in food can also cause joint pain in winter.


Avoidance


Special attention should be paid to certain things to avoid cold and joint pain. The first thing is to keep the body warm. Warm clothes should be worn and the heater should warm the room.


To avoid joint pain in winter season, you should keep yourself active and make time for daily exercise. If you can't go out, you can do yoga and light exercise at home. Doing this will reduce the problem of joint pain.


The problem of joint pain in winter may also be due to lack of vitamin D. In such a situation, you should sit in the sun for some time every day to make up for its deficiency. Also, you should include foods rich in vitamin D in your diet, such as mushrooms, eggs, fish, etc.


Foods rich in calcium help to keep the body healthy. Bone pain occurs due to lack of calcium in the body. Therefore, calcium-rich foods such as milk, cheese made from milk, broccoli, salmon, spinach, rajma, almonds, tofu, etc. should be consumed in abundance.


In winter, hot water bags can also reduce the pain. It relaxes the joints. Hot oil massage also relieves pain.


Due to the low temperature in winter, people feel less thirsty, so many people do not drink enough water. In such a situation, if you drink less water, the fluid cannot flow properly in the joints and the problem is joint pain. In this case, drinking plenty of water in winter can prevent joint pain.


If there is a problem of joint pain in the elderly, the process of going up and down the stairs should be reduced. Do not go for morning walk in very cold weather. Normal exercises should be done at home.


If the joint pain does not subside even after paying attention to the above, it may be due to other bone and nerve diseases. Therefore, you should consult the relevant doctor.


Who is more at risk of diabetes?

 Who is more at risk of diabetes?


Diabetes is a chronic health problem. Diabetes is a health problem that occurs when the body's pancreas does not produce enough insulin or when the body's insulin cannot be used effectively.


Insulin is a type of hormone that controls blood glucose. Disturbances in insulin also cause disturbances in the amount of glucose or sugar in the blood. A pregnant woman's glucose level is 95. Other people should have 100 under normal conditions or 140 two hours after eating. The condition that is more than that is called diabetes. If not controlled in time, it can cause serious damage to many body systems, especially nerves and blood vessels.






Diabetes (Type 2 type) has been increasing worldwide for the past three decades. According to the World Health Organization (WHO), 422 million people worldwide are currently suffering from diabetes. Most of them are citizens of low and middle income countries. Similarly, 1.5 million people die every year due to diabetes. A global target has been set to halt the rise in diabetes and obesity by 2025.


Types of diabetes





Like other diseases, there are many types of diabetes. Mainly it can be divided into four types namely type one, type two, gestational and secondary.


Type 1 diabetes: This is an auto immune disease. This disease, which usually occurs in children, is caused by the body's own immune system. The cells in the body that make insulin are called beta cells, which are located in the pancreas. Sometimes the body's immune system damages the beta cells and prevents them from making insulin. Due to the lack of insulin production in the body, the glucose in the blood becomes unbalanced. In the case of type 1 diabetes, children have problems like diarrhea and vomiting.


Type 2 diabetes: About 95 percent of people have type 2 diabetes. This is due to lifestyle, obesity and genetics. Nowadays, it has been found that type 2 diabetes is also caused by stress.


Gestational diabetes: Diabetes that occurs during pregnancy is called gestational diabetes. Diabetes occurs after 24 weeks of pregnancy due to imbalance in hormones. It can affect pregnancy and unborn baby.


Secondary diabetes: Secondary diabetes is a disorder that occurs when beta cells cannot produce insulin due to external factors. When drinking more alcohol, hypothyroid hormone is high and insulin cannot work. It is diabetes caused by other health problems. Secondary diabetes is also cured when the disease is cured.


How to know if you have diabetes?


There are two types of symptoms of diabetes, classic and non-classic. Diabetic patients experience increased hunger, thirst and urination. In this case, urine is more at night. If you don't have to get up the night before, you have to get up one or two or three times during the night when you have sugar. The only thing that will decrease is the weight. This is called a classic symptom.


Non-classical symptoms may include non-healing wounds, fatigue, and ringworm. But one thing to understand is that 50% of people with diabetes have no symptoms. You may have diabetes without knowing it.




Under what conditions will the test be conducted?


Even healthy people should check their sugar at least once a year. When testing like that, not only random sugar, fasting sugar, but 'glycosylated hemoglobin' should be tested, which can tell the blood sugar level of a person for three months. Testing can also be done on the basis of risk (risk factor). For example, if a family member has diabetes, is obese, has a stressful life, does not eat well, does not have a habit of physical exercise, or is planning to have children, it should be tested.


Sometimes the physical condition that we do not notice can also be a symptom of diabetes. For example, the neck looks dirty, the armpits look black. This condition is often seen in children, but it is more easily seen in women. We think this is due to the black sun. But because of diabetes and those who are about to develop diabetes, these symptoms should be tested.


What kind of people are at risk of diabetes?


In the past, people over the age of 50 were considered to be at risk for diabetes. Then it was said that people above 45 years of age can be allowed. But nowadays people above 30 years of age are also prone to diabetes. If there is diabetes in the family, if there is more weakness, then at least once a year a diabetes test must be done.


The changes in people's lifestyles after the Covid epidemic are also increasing the risk of diabetes. After covid, physical exercises from children to adults have decreased and children are also spending more time on laptops and mobile phones. Like in the past, cycling and participating in outdoor sports have disappeared. During the covid era, studying, playing, and entertaining were all on laptops and mobiles. Such physical inactivity also increases the risk of diabetes.


What is the risk of other diseases when having diabetes?


Half of people with diabetes have no symptoms. Diabetes causes health complications. Such complications may come after 5, 10, 15 years. Diabetes can cause problems in the heart, eyes, blood circulation in the legs and kidneys.


Diabetic patients are twice as likely to have heart attack and heart disease. It has been found that almost 90 percent of diabetic patients die due to heart disease. Moreover, the vision is worldwide Diabetes has also been found to be the cause of absence. It damages the retina of the eye, which leads to blindness.


Similarly, the risk of stroke in diabetic patients is 10 to 15 times higher and it also causes paralysis. Even now, diabetes is seen as the reason for having to amputate a leg after an accident. Similarly, diabetes is the main cause of kidney failure.


Something to note


Diabetes is normal, I can control it, I am told nothing happened. Most patients take medicine as soon as they get a little gastric. But instead of taking sugar medicine, there is a tradition that we should eat it and not talk about it. But this should not be done. Even if there are no bad symptoms, it weakens the person and sooner or later, complications can occur at any time. It causes dismemberment.


Most people think that obese people are more likely to develop diabetes. But people with more belly fat are more at risk of type 2 diabetes than fat-lean people. Therefore, more attention should be paid to losing weight than losing weight.


So don't despair if you get diabetes. Adjust your lifestyle, because this is a disease of lifestyle. Take medicine regularly. Consult a doctor on time. Get tested. Don't be careless because there are no symptoms. Raise children in a healthy manner.

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