World No-Tobacco Day 2022: Effects of smoking on voice, treatments | Health

World Health Organization member states created World Tobacco Free Day in 1987 to draw global attention to tobacco pandemic and preventable deaths and diseases, so it is celebrated annually around the world on May 31st. Health experts insist that tobacco is associated with a variety of conditions, each more dangerous than the other and that it is imperative to quit when there is still time, otherwise it can cause unnecessary health risks.

According to Dr Sangeet Jain, a pulmonary medicine and bronchoscopist consultant chest physician at Masina Hospital, it is very difficult to quit because about 80% of smokers try to quit by themselves, relapse in the first month and only 3% stay away. In 6 months. Other factors include increased dependence on nicotine, the risk of withdrawal effects, and lack of willpower. Therefore, what patients are looking for is a reduction in craving, a reduction in nonexistent or withdrawal symptoms, improved health status and treatment side effects.

The effects of tobacco on sound:

Dr Prathana Jagatap, consultant, ENT surgeon at Global Hospital in Parel, Mumbai, told HT Lifestyle, “There are hundreds of chemicals in tobacco products like cigarettes and cigars. Those chemicals can irritate your vocal cords. Every time you inhale the smoke, the smoke goes behind the sound cords to get into your lungs. Any chemical you breathe can cause irritation, sore throat and increased mucus and cough.

He said, “Smoking, including electronic cigarettes, can alter sound characteristics by causing significant changes in the symmetry, amplitude and cycle of the vocal cord compared to non-smokers. The only way to protect your voice is to stop smoking as soon as you can. Sounds like you again with quitting smoking. You usually see dramatic changes in just a few weeks, however, the annoyance of the vocal cord and larynx can take months to get better.

Types of Health Care Caused by Smoking:

• Chronic cough: The act of coughing causes the mucous membranes to slam the vocal cords together to expel the mucus, which increases the inflammation of the vocal cord.

• Chronic laryngitis: Inflammation is the result of the body’s immune system trying to get rid of tobacco smoke chemicals. This process leads to chronic laryngitis, which involves ongoing inflammation, swelling of the vocal cord and frequent sound loss or irritability.

• Polyps: Smoking – along with acid reflux – can cause growth on the vocal cords, which can increase their concentration (polypoid carditis). “Polyps can produce sound changes, such as deep voice. This can lead to shortness of breath with a progressive increase in size.

• Cancer: Habitual smoking can cause cancer. It can cause dysplasia, which can cause precancerous changes to the vocal cords cancer, affecting the oropharynx and larynx.

Dr Poojan Parikh, a pulmonary medicine consultant at Sir HN Reliance Foundation Hospital, explains, “Tobacco smoke contains over 7000 chemicals, many of which are carcinogenic. The health effects of smoking are broadly classified as pulmonary (pulmonary) and extrapulmonary. Lung complications include lung cancer, chronic obstructive pulmonary disease, which includes chronic bronchitis and emphysema.

He said, “Ischemic heart disease, hypertension, diabetes and stroke are some extrapulmonary complications. Smoking in addition to lung cancer increases the risk of larynx, esophagus, bladder cancer. Lung cancer is the leading cause of cancer deaths in men around the world. Increases the risk of miscarriage, birth defect, preterm birth and low weight birth.

Commenting on the impact of smoking on oral heath, he warned that “smoking can increase the risk of oral cancer, causing teething, gums problems, loss of teeth and tooth decay.”

Medical and non-smoking cessation treatments:

Suggesting steps to speed up the healing process, Dr Prayagna Jagatap recommends:

• Maintain acid reflux and allergies.

• Stay hydrated.

Suggesting steps to quit smoking and start a life, Dr Prathana Jagatap advised:

• Take advantage of the tobacco helpline, which provides resources to quit, including professional help from a psychiatrist

• Chew gum or eat peppermint to combat the habit of smoking.

• Talk to your doctor about medications, patches and gums that stop smoking.

• Motivate yourself to quit by considering health risks and other negative consequences.

Exposing the method of smoking cessation, Dr Sangeet Jain recommended:

1. Comprehensive Method – addresses all important aspects of tobacco addiction.

2. Both pharmaceutical and non-pharmaceutical.

3. Evaluation – Will Power and Motivation.

4. Behavioral therapy to combat conditioning.

5. Prescribing the right medication.

They listed non-pharmacological intervention as follows:

1. Individual or group counseling is necessary to address the important role of conditioning in tobacco addiction.

2. Teach coping mechanisms for craving and withdrawal symptoms.

3. Self-help programs, telephone counseling, exercise programs.

Dr Sangeet Jain explained the coping mechanisms that involve the five D’s, which means delay the stimulus, draw your attention, drink water, take a deep breath and discuss it. He was a partial agonist for nicotine replacement therapy (transdermal patch, gum, nasal spray, inhaler and lozenge), bupropion – an atypical antidepressant, varenicline-α4β2 (nAchRs), and the first to treat nortriptyline and nortriptyline. Clonidine.

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