schizophrenia aanee tambakhuche dhoomrapan

schizophrenia aanee tambakhuche dhoomrapan yancha drudhpane sambandh aahe. dhoomrapan heey schizophrenia asalelya lokanchya aarogyala haanee pohochavate aanee tyanchya aakalanshaktivar nakaratmak parinam karate.
20 deshantil abhyasatoon asey disun aale aahe qee schizophrenia asalele lock heey nidan nasalelya lokanpeksha dhoomrapan karanyachi shakyata jaast asate. udaharanarth, 2006 madheel samanya loksankhyechya 20 takkyanchya tulanet, americet schizophrenia asalelya 90 takke kinwa tyahoon adhik lokanni dhoomrapan kele.
samanya lokanpeksha tasech itar manasopacharvishayak nidan asalelyanpeksha schizophrenia asalelya lokanmadhye dhoomrapan adhik prachalit aahe heey jaree siddha jhaale asale, taree yaa farkache sadhya konatehi nishchit spashtikaran nahee. anek samajik, mansik aanee jaivik spashtikaran prastavit kele gele aahet, parantu aaj sanshodhan neurobiologiver kendrit aahe.
schizophrenia asalelya lokanmadhye dhoomrapan karnyachya vadhiv pramanamule anek gambhir parinam hotat, jyat mrutyuche vadhate praman, aatmahatyeche vartan aanee hriday v raktavahinyasambandhi rogancha vadhata dhoka, upcharachi parinamkarakta qamee hone aanee adhik aarthik adachani yancha samavesh aahe. abhyasatoon asehi disun aale aahe qee purush loksankhyemadhye, schizophrenia spectrum vikar jhalyamule rugnala tambakhuchya jaast vaparacha dhoka asato. parinami, schizophrenia asalelya lokanmadhye dhoomrapan rokhanyasathi mansik aarogya vyavsayikanni ladha dene mahattvache aahe asey sanshodhakanche mutt aahe.
karane.
schizophrenia asalelya lokanmadhye dhoomrapan karnyachya vadhiv pramananche spashtikaran denyasathi anek siddhant prastavit kele gele aahet.
mansik aanee samajik siddhant.
anek mansik aanee samajik spashtikaran prastavit kele gele aahet. suruvatichi spashtikarane manovishleshak siddhantavar aadharit hotee.
samajik-aarthik/paryavaraniy gruhitak" neey prastavit kele qee schizophrenia asalele anek lock berojgar aanee nishkriy asalyamule dhoomrapanamule parinam hotat, tyamule dhoomrapanamule kantalvanepana door hoto. sanshodhanat asey aadhalun aale aahe qee schizophrenia asalelya lokanmadhye dhoomrapan karnyachya atyant pramanasathi keval heey spashtikaran karanibhoot tharoo shakat nahee.
vyaktimatva gruhitak' heey dhoomrapan aanee uchch patalivaril majjatantu aanee chinta yanchyatil sambandhavar kendrit hote. yaa gruhitkane asey prastavit kele qee schizophrenia lakshan mhanoon chinta dhoomrapanat yogdan deu shakate.
manasshastriy sadhan gruhitak" assa yuktivad karate qee dhoomrapan karnare nikotinacha vapar tanav qamee karane aanee nakaratmak bhavna vyavasthapit karane yasarkhya vividh paryavaraniy paristhitinna pratisad mhanoon tyanchya mansik sthiteet ferfar karnyasathi karatat. yaa gruhitkavaril sanshodhanat asey namood kele aahe qee schizophrenia asalele lock anekada samasyanna rachnatmak marganni samore jaau shakat naheet, mhanoon dhoomrapan heey eka mansik sadhan mhanoon vaparnyamule adhikadhik dhoomrapan honyache dushtchakra houu shakate.
swa-aushadhanche gruhitak" assa yuktivad karate qee schizophrenia asalele lock schizophrenia, schizophrenia upcharansathi vaparale jaanare manovikarachya virodhi aushadh kinwa donhimule kamataratemule sandnyanatmak kamataratechi bharpai karnyasathi nikoteencha vapar karatat.
sandnyanatmak prabhavanche gruhitak" asey suchavate qee nikotinache sandnyanatmakatevar sakaratmak parinam hotat, mhanoon neurocognitive disfunction sudharanyasathi dhoomrapan kele jaate.
yaa gruhitkanmadhye, sansthatmakata aanee kantalvanepanache parinam haah eka ghatak anekada samavisht asato. tathapi, schizophrenia asalele lock sansthatmakata aanee kantalvanepana yaa donhincha anubhav anubhav itar gatanchya tulanet jaast pramanat aanee dirgh kalavadhisathi dhoomrapan karatat.
manovikarachya virodhi parinamanshi anekada sambandhit asalela aanakhi eka ghatak aahe. asamanya manovikrutivirodhi aushadhe dhoomrapan thambavanyachya virodhat kaam karoo shakatat, kaaran dhoomrapan thambavanyachi chinhe, jase qee chidchidi manahsthiti, mansik mandapana aanee vadhaleli bhook, yaa vyatirikt asamanya manovikrutivirodhi aushadhanchya dushparinamanshi nigadit asatat. kahijan asehi tark karatat qee dhoomrapan heey manovikarachya virodhi aushadhanche dushparinam qamee karnyasathi karya karate. tathapi, schizophrenia niyantrit kelyanantar dhoomrapan aanee manovikarachya virodhi vaparamadhye konatahi sambandh asalyache sanshodhan darshavit nahee.
aanakhi eka varanvar samavisht honara ghatak mhanje dhoomrapanasandarbhat 'vadhaleli mansik tikshnata', joou schizophreniamadhye kalantarane kalantarane mansik mandatemule mahattvacha aahe. tathapi, schizophrenia asalele lock aanee samanya loksankhya yaa doghannahi haah parinam anubhavata yeto, tyamule schizophrenia asalelya lokanmadhye dhoomrapan vadhalyache teey purnapane spasht karoo shakat nahee.
2003 saalee 50,000 hoon adhik swedish saktichya sainikanchya abhyasat asey aadhalun aale qee cigaret odhanyacha nantarchya aayushyat schizophrenia vikasit honyachya jokhamivar eka lahan parantu lakshaniy sanrakshanatmak parinam hota. schizophrenia asalelya anek lokanni yaa aajarache nidan honyachya khoop aadhi tambakhoojanya padarthanche sevan kele aahe aanee israyali saktichya abhyasat asey aadhalun aale aahe qee nirogi kishoravayin dhoomrapan dhoomrapan bhavishyat tyanchya dhoomrapan naan vapar samvayaskanpeksha schizophrenia honyachi shakyata jaast asate.
teeka.
schizophreniamadhye dhoomrapan karnyachya samajik aanee mansik spashtikarananvar eka mothee teeka mhanje bahutek abhyasanmadhye schizophrenia asalelya rugnancha vaiyaktik drushtikon samavisht karnyat ayashasvi tharale aahet. vaiyaktik drushtikonansaha abhyasanmadhye asey aadhalun aale aahe qee schizophrenia asalele lock samanyatah samajik dabav aanee sanskrutik aanee samajik-aarthik ghatkansah samanya loksankhyepramanech tyach karanansathi dhoomrapan karnyas suruvat karatat. sadhyache dhoomrapan karnare schizophrenia asalele lock dekhil dhoomrapan karanyachi samaan karane schizophrenia nasalelya lokansarkhich detat, pramukhyane vishranti, savayichi shakti aanee majjatantu sthir hone. tathapi, 28 takke lock shravanvishayak matibhramanna pratisad dene aanee aushadhanche dushparinam qamee karane yasah mansik samasyancha hawala detat. vaiyaktik drushtikonanchya abhyasat aadhalanare pramukh vishay mhanje savay aanee dincharya, samajikaran, vishranti aanee nikotinache vyasan. assa yuktivad keela jaato qee dhoomrapanamule rachana aanee kriyakalap upalabdh hotat, jyaa donhicha gambhir mansik aajaar asalelyanchya jeevanat abhav asoo shakato.
aanakhi eka mothee teeka, dhoomrapan aanee schizophrenia yanchyatil sambandh serve sanskratinmadhye titkach majboot aahe yaa nishkarshavar aadharit aahe. yaa nishkarshavarun asey soochit hote qee hii sanghatana keval samajik kinwa sanskrutik nahee, tarr tyat eka majboot jaivik ghatak aahe.
jaivik siddhant.
jaivik siddhant dopaminechya bhoomikevar laksh kendrit karatat, visheshtah samajik maghar aanee udasinata yasarkhi nakaratmak lakshane prefrontal cortexmadhil dopaminechya kamataratemule kashee houu shakatat, tarr bhram aanee matibhram yasarkhi sakaratmak lakshane mesolymbic margatil atirikt dopaminemule houu shakatat. nikotinmule dopamineche prakashan vadhate, tyamule asey gruhit dharale jaate qee dhoomrapanamule prefrontal cortexmadhil dopaminechi kamatarata door honyas madat hote aanee asha prakare nakaratmak lakshane door hotat.
tathapi, nikotin sakaratmak lakshananshi kassa sanvad sadhate heey aspasht aahe, kaaran yaa siddhantavarun asey disun yete qee nikotin mesolembic margavar atirikt dopamine vadhvel aanee tyamule sakaratmak lakshane dekhil vadhatil. eka siddhantanusar, nakaratmak lakshananvar nikotinache fayadeshir parinam heey sakaratmak lakshananmadhye kamataratemule sambhavya vadhipeksha jaast aahet. aanakhi eka siddhant pranyanchya pratimanvar aadharit aahe, jeey darshavite qee dirghakalin nikoteenchya vaparamule akheris dopaminemadhe ghat hote, jyamule sakaratmak lakshane qamee hotat. tathapi, manvi abhyas parasparvirodhi parinam darshavtat, jyat schizophrenia asalelya dhoomrapan vaparnmadhye sarvat sakaratmak lakshane aanee nakaratmak lakshananmadhye ghat asalyache dhorane kahee abhyasancha samavesh aahe.
sanshodhanache aanakhi eka kshetra mhanje schizophrenia aanee dhoomrapanamadhye nicotinic receptorschi bhoomika. abhyasat ughad nicotinic receptorschi vadhaleli sankhya disun aalee aahe, jee dhoomrapan aanee schizophrenia yaa donhinchya vikrutiche spashtikaran deu shakate. tathapi, itarancha assa yuktivad aahe qee nicotinic receptorsmadhye vaadh hii schizophreniapeksha satat jaast dhumrapan kelyane hote.
schizophreniamadhye dhoomrapan aanee sanvedanatmak sambandh yanchyatil sambandh haah vadacha aanakhi eka srot aahe. nikotin shravan gating, ghuskhori karnare paryavaraniy aavaj tapasanyachi kshamata sudharnyas madat karoo shakate. yamule laksh vadhanyas aanee shravanbhransh qamee honyas madat houu shakate, jyamule schizophrenia asalelya lokanna vatavaran adhik prabhavipane jaananyas aanee sahajpane sahajpane karyanmadhye sahbhagi honyas madat houu shakate. tathapi, sanshodhan asey darshavite qee keval haah parinam dhoomrapan darr vadhis karanibhoot tharoo shakat nahee.
parinam.
schizophrenia asalelya lokanmadhye dhoomrapan vadhalyane yaa loksankhyevar anek parinam hotat. schizophrenia asalelya lokanmadhye akali mrutyuchi vaadh haah eka uttam prakare nondavalela parinam aahe. schizophrenia asalelya lokanmadhil ayurman samanyatah samanya loksankhyeche 80-85% asate, jeey aatmahatyesarkhya donhi anaisargik karananmule hote parantu hriday v raktavahinyasambandhi rogasarkhya naisargik karananmule dekhil hote, jyat dhoomrapan haah eka mahattvacha vaataa aahe. schizophrenia asalelya lokanmadhye dhoomrapan roganche praman jaast asate, hrudayavikarachya mrutyuchi shakyata 30 takke jaast asate aanee shwasan rogamule mrutyu honyachi shakyata 60 takke jaast asate. schizophrenia asalele done trutiyansh lock coronary hrudayavikarane martat, tarr samanya loksankhyechya eka trutiyanshpeksha qamee. schizophrenia, tasech madhumeh aanee uchch raktadab asalelya lokanmadhye daha varshanchya coronary hrudayavikaracha dhoka lakshaniyaritya vadhato.
tambakhuche dhoomrapan kahee manovikarachya virodhi aushadhanche chayapachay vadhavate, vadhavate heey enzyme jeey tyanna vighatit karate teey jordarpane sakriy karoon aanee dhoomrapan karnare aanee dhoomrapan naan karnare yanchyatil yaa patalyanmadhye lakshaniy farak aadhalato. closapine sevan sevan 50 takkyanni aanee olanzapine sevan sevan 30 takkyanni vadhavanyachi shifaras kelee jaate. dhoomrapan thambavanyachya parinami manovikarachya aushadhanche praman vadhu shakate jyamule vishaktata yeu shakate, jyamule matra qamee karnyachya drushtine parinamanche nirikshan karane aavashyak aahe; anek lakshane lakshaniyaritya bighadu shakatat aanee tivra thakwa aanee punha yenyachya jokhamisah daure dekhil shakya aahet. tyachpramane jeey punha dhoomrapan suru karatat tyanna tyanusar tyanche praman samayojit karanyachi aavashyakta asoo shakate. badalanare parinam tambakhuchya dhuratil sanyuganmule hotat, nikotinmule navhe; tyamule nikotin replacement therapichya vaparacha dhoomrapan thambavanyaitakach parinam hoto aanee tarihi dekhrekh aavashyak asate.
jaivik parinamanvyatirikt, schizophrenia asalelya lokanvar dhoomrapanamule sakhol samajik parinam hoto. eka motha parinam aarthik aahe, kaaran schizophrenia asalele lock tyanchya utpannachi eka asman rakkam sigaretvar kharch karatat asey aadhalun aale aahe. sarvajanik madativar schizophrenia asalelya lokanchya abhyasat asey aadhalun aale aahe qee tyanni $596 yaa sarasari masik sarvajanik sahayya utpannapaiki, kinwa sumare 27.36% paiki, sigaretvar darmaha sarasari $142 kharch kele. kahincha assa yuktivad aahe qee yamule aanakhi samajik parinam hotat kaaran schizophrenia asalele lock nantar manoranjan aanee samajik karyakramanvar paise kharch karoo shakat naheet jyamule kalyanala chalana milel kinwa tyanna ghar kinwa poshan parvadanar nahee.
tambakhu udhyogachi bhoomika.
dhoomrapan aanee schizophrenia yanchyatil sambandh jaree changlya prakare prasthapit asale taree, yaa sambandhat eka ghatak vicharat ghetala pahije too mhanje tambakhu udhyogachi bhoomika. schizophrenia asalelya lokanni dhoomrapan karane aavashyak aahe aanee tyanna dhoomrapan sodane dhokadayak aahe yaa vishvasala chalana denyasathi udhyogane kelelya ektrit prayatnanche antargat udyog dastaivajanvar aadharit sanshodhan darshavate. asha pracharamadhye schizophrenia asalele lock dhoomrapanamule kamataratemule aarogyachya parinamanpasun advitiyapane pratirakshit aahet (khote siddha jhaale aahe) aanee schizophrenia asalelya lokanna swayam-aushadhopachar karnyasathi tambakhuchi aavashyakta aahe yaa kalpanela samarthan samarthan sanshodhanache nirikshan karane kinwa samarthan karane samavisht aahe. udhyogane rugnalayatil prabhaganna sigaretahi puravali aanee rugnalay-aadharit dhoomrapan bandee rokhanyachya prayatnanna pathimba deela. jaree heey schizophreniamadhye nikoteenchya parinamanchi badnami karat nasale taree assa yuktivad keela jaato qee tambakhu udhyogachya prayatnanmule schizophrenia asalelya lokanmadhye dhoomrapan karnyachya pramanat ghat jhaali tasech dhoomrapan thambavanyas protsahan denyasathi vaidyakeey dhoranancha vikas qamee jhaala.
chikitsalayin parinam.
asey purave aahet qee schizophrenia lakshane bighadalyashivay pharmacological therapy (varenicline kinwa bupropians) aanee nikotin replacement yaa donhicha vapar karoon bahuvidh dhoomrapan thambavanyache karyakram prabhavi tharoo shakatat. aitihasikdrushtya, gambhir mansik aajaar asalelya rugnanna aadhich lakshaniy tanav aanee apangatva anubhavave lagate aanee tyamule tyanna aanandadayak, jaree vinashkari, assa upkram mhanoon dhoomrapan karanyachi parvanagi dilee pahije yaa tarkavar aadharit, mansik aarogya pradatyanni schizophreniamadhye dhumrapanakade durlaksh kele aahe. mansik aarogya puravathadaranni, visheshtah antargarbhachya paristhitit, cigarets changlya vartanache bakshis dene kinwa aushadhanchya anupalanas protsahit karnyasathi cigaret rokhane yasarkhya rugnachya vartanat ferfar karnyacha eka marg mhanoon sigaretcha vapar karnyache aitihasik udaharan dekhil aahe. tathapi, rogasathicha eka jokhim ghatak dekhil kadhoon takalyane dirghakalin aarogya parinamanmadhye lakshaniy sudharana houu shakate asey dhorane sanshodhanat dhoomrapanala virodh vapar doctoranmadhye prabal drushtikon disun aala aahe.
dhoomrapan thambavane heey aata samanyatah mansik aarogya chikitsakanche uddisht asale taree, heey uddisht sadhya karnyasathi yashasvi dhorane dhorane anubhavjanya sanshodhanacha abhav aahe. tathapi, serve abhyasanmadhye dhoomrapan qamee jhalyache disun aale aahe, jaree nirmulan aavashyak nahee. satat-mukt bupropian, nikotin replacement therapy, asamanya manovikrutivirodhi aanee sandnyanatmak-vartanukichya therapichya vaparas samarthan denare purave aadhalale aahet. jevha done kinwa adhik bund karnyachya dhoranancha vapar keela jaato, tasech vishisht manovikrutivirodhi aushadhanaivaji asamanya manovikrutivirodhi aushadhancha vapar vapar rugnansathi changle parinam disun yetat. dhoomrapan thambavalyanantar sakaratmak lakshane kinwa dushparinam vadhalyache konatehi purave naheet, tarr nakaratmak lakshane qamee jhalyache purave aahet.
dhoomrapan thambavanyavyatirikt, schizophrenia asalelya lokanmadhye dhoomrapan honyache praman mansik aarogya pradatyandvare mulyamapanasathi atirikt upayayojananchi dekhil aavashyakta aahe. sanshodhak assa yuktivad karatat qee puravathadaranni tambakhuchya vaparache moolyankan dainandin vaidyakeey saravat samavisht kele pahije, tasech raktadab aanee electrocardiography nidanasarkhya upayayojanandvare hriday v raktavahinyasambandhi aarogyache satat moolyankan kele pahije. aarogya seva kendranni paryay naan deta dhoomrapan karnyas manai kelee tarr, visheshtah kaaran, maghar ghetalyane lakshananche sadarikaran aanee upcharanna milanara pratisad badaloo shakato aanee lakshane gondhaloon jaau shakatat kinwa aanakhi tivra houu shakatat, yababatitahi naitik aanee vyavharik chinta aahet. sigaretchya kamataratemule kamataratemule aakramakta, veshyavyavasay, taskari aanee samanya vyatyay yasarkhya parinamanchi dekhil chikitsakanna jaaniv asali pahije. heey parinam soochit karatat qee puravathadaranna rugnanna cigaret midvinyat aanee/kinwa vaparavar laksh thevanyas madat karanyachi aavashyakta asoo shakate, jaree yamule naitik chinta dekhil houu shakatat.
nikotindware lakshyit kelelya α7 nicotinic acetylcholine receptorsna tras denari jee. tii. ess.-21 sarkhi prayogik aushadhe schizophrenia lakshaniy upcharansathi umedvar mhanoon suchavali gelee aahet.

