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On March 6, 2018, Yu Liqin recently found a 4mm nodule in his left lung during a physical examination in his unit, and after going to the hospital for a chest CT scan, the doctor's advice to him was to follow up regularly without treatment. Yu Liqin didn't know much about lung nodules and asked the doctor: "This won't grow into lung cancer, right?" ”
The doctor explained to him: "Your lung nodule is smaller than 5mm, and it is a solid nodule, and the risk of turning into lung cancer is very low, and you only need to follow up once a year. But if you have a long-term history of smoking, which is the main cause of lung cancer, the best way to prevent lung cancer is to quit smoking. ”
Yu Liqin has developed the habit of smoking since he was in college, and now he does not leave his cigarettes, and if he does not smoke two cigarettes a day, his heart is itchy and panicked, and his hands will tremble slightly. But the doctor's words can't be regarded as wind in the ears, Yu Liqin still reduced the number of cigarettes he smoked every day, and the remaining half of the pack of cigarettes took a week to smoke.
Passing by the small store where he often bought cigarettes on his home, Yu Liqin touched the empty cigarette case in his trouser pocket, and walked in uncontrollably. The boss saw Yu Liqin's face, and took out a cigarette from the cigarette cabinet and handed it to him, Yu Liqin hurriedly waved his hand and said, "Just ask for a pack, a pack." ”
The boss's eyebrows were raised, and his voice dragged out a question: "What's wrong?" Quit? Yu Liqin sighed and told his boss about his discovery of a lung nodule. After hearing this, the boss waved his hand: "What is this, I have more pulmonary nodules, and I still smoke and I don't see anything, if you are worried, you can smoke 'women's cigarettes'." ”
The "women's cigarette" mentioned by the boss is a thin cigarette, which has a thinner and more distinguishing stem than ordinary cigarettes, better matches the shape of women's hands, and has a "trendy" image, so it is the best choice for women who smoke. Yu Liqin took out a cigarette and held it between his fingers, barely feeling any weight, thinking to himself, wouldn't smoking this kind of cigarette mean not smoking? I didn't need to control my cravings and reduce the amount of cigarettes I smoked, so I switched to smoking thin cigarettes.
In August 2018, Yu Liqin had been coughing involuntarily recently, as if a small hairball had flown up from his lungs and brushed his trachea to stimulate him to cough out. However, the cough was not particularly serious, and there was no phlegm in the throat, nor nasal discharge or fever. But after a month, the symptoms of cough have not improved, and Yu Liqin feels strange.
The one-year follow-up time has not yet arrived, and the doctor immediately recognized Yu Liqin when he saw him again, and heard Yu Liqin say that he has been coughing recently, and thought to himself that it shouldn't be, how can a 4mm lung nodule grow and not have coughing symptoms so quickly? So Yu Liqin was given a chest CT review, but the result was unexpected by the doctor.
Yu Liqin's original 4mm nodule has grown to 12mm, and a new 3mm nodule was found in the right lung. The doctor looked at the CT film suspiciously, and asked Yu Liqin if he had been under too much pressure recently, otherwise only the living environment and living habits would have changed a lot, and the lung nodules would grow so fast.
Yu Liqin also wondered, his life was obviously business as usual, there was no change, and even he smoked cigarettes, how could it make the lung nodules bigger? The doctor grabbed the key words in his words and asked Yu Liqin: "Have you changed to smoking thin cigarettes?" Yu Liqin was confused and asked, "What's wrong?" The thin stick cigarette is finished in four puffs, as if it is not smoked, it is definitely better than smoking ordinary cigarettes. ”
The doctor shook his head helplessly and explained to him, "Your idea is that there is a typical misunderstanding about the dangers of cigarettes. Cigarettes do not cause less harm to the human body because of their smaller diameter, and the harmful substances produced by the combustion of thin cigarettes are not less than ordinary cigarettes, and even higher. ”
Some experts have conducted such an experiment, the thin cigarette and the ordinary cigarette were burned in two closed spaces with the same PM2.5 content, and the indoor PM2.5 content of the thick cigarette was 58.9 μg/m³ and the indoor PM2.5 content of the thin cigarette was 60.8 μg/m³ after the combustion.
In addition, a thin-stem cigarette contains no less carcinogens such as nitrosamines and fused cyclic aromatic hydrocarbons than ordinary cigarettes. Many smokers mistakenly think that thin-stick cigarettes are less harmful to the body and can smoke a few more, but they don't know that they bring greater harm to the lungs.
When the pulmonary nodule is more than 10 mm and there are obvious uncomfortable symptoms, surgical resection can be performed clinically. Fortunately, Yu Liqin's lung nodule biopsy pathology was benign. After the operation, Yu Liqin still had palpitations, and the doctor once again emphasized the importance of quitting smoking with him, and warned him not to look for alternatives, even if he is addicted to smoking, if he does not want to shorten his life, there are three kinds of cigarettes that must not be smoked.
1. E-cigarettes
An e-cigarette is an electronic product made in imitation of a traditional cigarette, with the same look and feel as a cigarette. It converts nicotine and the like into vapor through atomization and other methods for users to smoke easily. Compared with traditional cigarettes, there are a variety of metal elements in the emissions of e-cigarettes, and inhaling excessive e-cigarettes is easy to cause damage to the brain and nerves, and memory gradually declines.
In recent years, the market for e-cigarettes has been expanding, and various e-cigarette products have emerged in an endless stream. For example, some e-cigarettes add synthetic cannabinoids, and long-term use of cannabinoids can easily lead to dizziness, vomiting, and even shock and even sudden death in severe cases.
2. Cigars
Cigars are pure natural tobacco products made by drying, fermenting, and aging the whole tobacco leaves, and are generally more expensive. There is data to suggest that smoking cigars is higher than the nicotine absorbed by smoking cigarettes, which is more likely to induce lung disease. In addition, long-term cigar smoking can also easily develop cancers of the mouth, tongue or throat.
Moreover, the tobacco concentration of cigars is very high, and the time required to dissipate cigar smoke is longer than that of cigarettes, which is more likely to lead to passive second-hand smoke by people around them, especially for pregnant women and children, second-hand smoke will affect pregnancy and fetal health, not only harmful to themselves but also to others.
3. Popping cigarettes
Popping cigarette refers to adding a bead containing spice that can be squeezed into the filter of ordinary cigarettes, which will have a burst feeling when squeezed, which can strengthen the aroma and make the smoker get a more comfortable experience. Therefore, popping cigarettes are more addictive than ordinary cigarettes, which in turn increases the amount of smoking, which will paralyze the brain and increase damage to the respiratory system in the long run.
Regardless of the type of cigarette, it contains nicotine. Nicotine is an unpleasant, bitter, colorless and transparent oil solution, which is highly volatile, can quickly dissolve into water and alcohol, and is easily absorbed by mucous membranes when inhaled into the mouth and nose. Nicotine entering the body will cause blood vessels to constrict, blood pressure to rise, and heartbeat to increase, and long-term inhalation of nicotine will accelerate the damage of blood vessel walls and atherosclerosis, so nicotine is an accomplice to various cardiovascular events.
Therefore, in order to prevent various respiratory diseases and cardiovascular diseases, it is best for people to quit smoking as soon as possible, especially for people with various chronic diseases and the elderly.
(Note: "Review: Smokers who love to smoke "thin stick cigarettes": What do you think after knowing this truth?) The names of the people are pseudonyms, and some of the pictures are network pictures; Reprinting and plagiarism are prohibited in the article)