{"id":2578,"date":"2022-05-31T09:11:31","date_gmt":"2022-05-31T06:11:31","guid":{"rendered":"https:\/\/vilniussveikiau.lt\/kodel-zmones-nemeta-rukyti\/"},"modified":"2025-03-18T15:22:18","modified_gmt":"2025-03-18T13:22:18","slug":"kodel-zmones-nemeta-rukyti","status":"publish","type":"post","link":"https:\/\/vilniussveikiau.lt\/lt\/kodel-zmones-nemeta-rukyti\/","title":{"rendered":"Kod\u0117l \u017emon\u0117s nemeta r\u016bkyti?"},"content":{"rendered":"<p><!-- VideographyWP Plugin Message: Automatic video embedding prevented by plugin options. --><\/p>\n<p style=\"text-align: justify;\">Nuo 1987 m. kasmet gegu\u017e\u0117s 31-\u0105j\u0105 yra minima Pasaulin\u0117 diena be tabako. \u0160i\u0105 dien\u0105 visuomen\u0117 skatinama susipa\u017einti su r\u016bkymo \u017eala, o mes kvie\u010diame jus susipa\u017einti, kokios prie\u017eastys da\u017eniausiai trukdo \u017emon\u0117ms mesti r\u016bkyti.<\/p>\n<p style=\"text-align: justify;\">Nors apie 70 proc. r\u016bkan\u010di\u0173 \u017emoni\u0173 nori atsisakyti tabako, tik labai nedidelei daliai tai pavyksta. Savaranki\u0161ko metimo atveju s\u0117kmingai meta r\u016bkyti iki 5 proc. \u017emoni\u0173, o labai motyvuoti pacientai meta 50-70 proc. efektyvumu (1). Taigi, net ir turint labai stipri\u0105 motyvacij\u0105, labai didelei daliai \u017emoni\u0173 nepavysta mesti r\u016bkyti. Kod\u0117l taip yra? Kokios yra prie\u017eastys, kad \u017emon\u0117s taip sunkiai meta r\u016bkyti?<\/p>\n<ul style=\"text-align: justify;\">\n<li><strong>Fizin\u0117 priklausomyb\u0117 ir abstinencijos simptomai.<\/strong> Did\u017eioji dalis atkry\u010di\u0173 \u012fvyksta per pat\u012f pirm\u0105j\u012f r\u016bkymo metimo m\u0117nes\u012f (2). Abstinencijos simptomai atsiranda nustojus r\u016bkyti ir suma\u017e\u0117jus nikotino kiekiui kraujyje. Tai r\u016bkoriams \u012fvyksta kiekvien\u0105 kart\u0105, kai po r\u016bkymo praeina ma\u017edaug 2-3 valandos (3). \u017dmogus tampa dirglus, \u012fsitemp\u0119s, pradeda jausti stipr\u0173 potrauk\u012f u\u017esir\u016bkyti cigaret\u0119 ir smegenims negavus nikotino potraukis did\u0117ja. B\u016btent intensyviausi abstinencijos simptomai pasirei\u0161kia per pirmas dvi savaites po metimo r\u016bkyti, tod\u0117l da\u017eniausiai tuo metu \u017emon\u0117s v\u0117l u\u017esir\u016bko. Simptomus palengvinti gali pakaitin\u0117 nikotino terapija arba psichologin\u0117 pagalba mokantis i\u0161b\u016bti su \u0161iais nemaloniais poj\u016b\u010diais.<\/li>\n<li><strong>\u012esitikinimas, jog r\u016bkymas padeda susitvarkyti su stresu.<\/strong> Ypa\u010d da\u017enai r\u016bkoriai taip galvoja jau met\u0119 r\u016bkyti, tod\u0117l tai yra viena i\u0161 da\u017eniausi\u0173 atkry\u010dio prie\u017eas\u010di\u0173 (4). Visgi tiesa yra visai kitokia \u2013 met\u0119 r\u016bkyti \u017emon\u0117s patiria ma\u017eiau streso (5). R\u016bkoriai patiria didesn\u012f streso lyg\u012f palyginti su ner\u016bkan\u010diais \u017emon\u0117mis, nes par\u016bk\u0119 po trumpalaikio malonumo jau netrukus pradeda jausti abstinencijos simptomus, juos numal\u0161ina kita cigarete ir taip ratas sukasi be galo. R\u016bkymas nepadeda suma\u017einti streso, o j\u012f tik padidina.<\/li>\n<li><strong>Motyvacijos tr\u016bkumas.<\/strong> Nors mesti r\u016bkyti yra nelengva, nema\u017ea dalis \u017emoni\u0173 vis d\u0117lto tai gali padaryti, ta\u010diau kartais jiems pritr\u016bksta motyvacijos. Atlikti tyrimai su finansi\u0161kai pasiturin\u010diais r\u016bkoriais \u2013 jiems buvo pasi\u016blyta 750 doleri\u0173 u\u017e tai, kad jie ner\u016bkyt\u0173 metus, ir tai padidino metimo r\u016bkyti tikimyb\u0119 net trimis kartais (4). Tai i\u0161 dalies parodo, jog u\u017etenka didesn\u0117s motyvacijos ir metimas r\u016bkyti tampa ne toks ne\u012fveikiamas i\u0161\u0161\u016bkis. Pana\u0161iai n\u0117\u0161tumas moterims tampa did\u017eiuliu paskatinimu mesti r\u016bkyti ir metimo r\u016bkyti da\u017enis i\u0161auga de\u0161imtis kart\u0173, palyginti su bendra populiacija (6). \u017dinoma, motyvacija metimo r\u016bkyti procese gali kisti \u2013 tai padid\u0117ti, tai suma\u017e\u0117ti. Tod\u0117l yra labai svarbu t\u0105 motyvacij\u0105 vienais ar kitais b\u016bdais palaikyti.<\/li>\n<li><strong>R\u016bkoriai link\u0119 nuvertinti r\u016bkymo rizik\u0105 sveikatai<\/strong> ir savo \u0161ansus nesusirgti su r\u016bkymu susijusiomis ligomis vertina labai optimisti\u0161kai (7). Tiesa yra ta, kad net 67 proc. r\u016bkori\u0173 mir\u0161ta nuo su r\u016bkymu susijusi\u0173 lig\u0173. Nors r\u016bkantys \u017emon\u0117s \u017eino pakankamai daug apie r\u016bkymo sukeliamas \u0161irdies ir kraujagysli\u0173 ligas, kv\u0117pavimo tak\u0173 ligas, r\u016bkoriai daug ma\u017eiau link\u0119 pripa\u017einti, kad r\u016bkymas gali sukelti reik\u0161ming\u0105 ne\u012fgalum\u0105 ir pakenkti gyvenimo kokybei (8).<\/li>\n<li><strong>R\u016bkymas yra priklausomyb\u0117 ir kaip visos priklausomyb\u0117s gali tur\u0117ti labai skirtingas prie\u017eastis<\/strong> (9). Priklausomyb\u0117 nikotinui susideda ne tik i\u0161 fiziologini\u0173 prie\u017eas\u010di\u0173, bet ir labai skirting\u0173 psichologini\u0173 prie\u017eas\u010di\u0173, taip pat ir elgesio komponent\u0173. Yra labai svarbi psichologin\u0117 priklausomyb\u0117 nuo r\u016bkymo ritual\u0173 ir i\u0161mokimo taip reguliuoti savo emocijas.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Suaugusiems Vilniaus miesto ir Vilniaus rajono gyventojams, norintiems mesti r\u016bkyti, si\u016blome dalyvauti kognityvine ir elgesio terapija paremtoje programoje \u201eTu gali mesti r\u016bkyti\u201c. Programos apra\u0161ym\u0105<span style=\"text-decoration: underline;\"><strong> <a href=\"https:\/\/www.vilniussveikiau.lt\/programa-tu-gali-mesti-rukyti\/\">rasite \u010dia &gt;&gt;&gt;<\/a><\/strong><\/span><\/p>\n<p>Daugiau informacijos el. pa\u0161tu: <a href=\"mailto:adomas.bieliauskas@vvsb.lt\">adomas.bieliauskas@vvsb.lt<\/a><\/p>\n<p style=\"text-align: justify;\"><strong>Literat\u016bros s\u0105ra\u0161as: <\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">A.Veryga, J.Klumbien\u0117, J.Petkevi\u010dien\u0117, N.\u017demaitien\u0117. Tabako kontrol\u0117 ir pagalba metantiems r\u016bkyti. Mokymo knyga. Kauno medicinos universitetas.<\/li>\n<li style=\"text-align: justify;\">Volpp, K. G., Troxel, A. B., Pauly, M. V., Glick, H. A., Puig, A., Asch, D. A., \u2026 AudrainMcGovern, J. (2009). A randomized, controlled trial of financial incentives for smoking cessation. New England Journal of Medicine, 360, 699\u2013709.<\/li>\n<li style=\"text-align: justify;\">Landoni JH. \u201cNicotine (PIM)\u201d. INCHEM. International Programme on Chemical Safety. Retrieved 29 January 2019.<\/li>\n<li style=\"text-align: justify;\">Baumeister RF. Addiction, cigarette smoking, and voluntary control of action: Do cigarette smokers lose their free will? Addict Behav Rep. 2017 Jan 24;5:67-84. doi: 10.1016\/j.abrep.2017.01.003. PMID: 29450229; PMCID: PMC5800589.<\/li>\n<li style=\"text-align: justify;\">Parrott, A. C. (1995). Smoking Cessation Leads to Reduced Stress, but Why? International Journal of the Addictions, 30(11), 1509\u20131516. doi:10.3109\/10826089509055846.<\/li>\n<li style=\"text-align: justify;\">Cooper S, Orton S, Leonardi-Bee J, et alSmoking and quit attempts during pregnancy and postpartum: a longitudinal UK cohortBMJ Open 2017;7:e018746. doi: 10.1136\/bmjopen-2017-018746.<\/li>\n<li style=\"text-align: justify;\">Dillard AJ, McCaul KD, Klein WMP. Unrealistic Optimism in Smokers: Implications for Smoking Myth Endorsement and Self-Protective Motivation. Journal of Health Communication. 2006;11(Suppl1):93\u2013102. doi: 10.1080\/10810730600637343.<\/li>\n<li style=\"text-align: justify;\">Knowledge and perceived risk of smoking-related conditions: a survey of cigarette smokers. Cheryl Oncken M.D., Sherry McKee, Ph.D., Suchitra Krishnan-Sarin, Ph.D., Stephanie O\u2019Malley,Ph.D. Carolyn M.Mazure,Ph.D. Preventive Medicine Volume 40, Issue 6, June 2005, Pages 779-784.<\/li>\n<li style=\"text-align: justify;\">Mannino DM. Why won\u2019t our patients stop smoking? The power of nicotine addiction. Diabetes Care. 2009;32 Suppl 2(Suppl 2):S426-S428. doi:10.2337\/dc09-S353.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Nuo 1987 m. kasmet gegu\u017e\u0117s 31-\u0105j\u0105 yra minima Pasaulin\u0117 diena be tabako. \u0160i\u0105 dien\u0105 visuomen\u0117 skatinama susipa\u017einti su r\u016bkymo \u017eala, o mes kvie\u010diame jus susipa\u017einti, kokios prie\u017eastys da\u017eniausiai trukdo \u017emon\u0117ms [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2579,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":""},"categories":[57],"class_list":["post-2578","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-be-kategorijos","tag-psichoaktyviuju-medziagu-vartojimo-prevencija"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kod\u0117l \u017emon\u0117s nemeta r\u016bkyti? 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