dangers of smoking to health
Currently, the number of smokers, especially teenage smokers continues to grow, particularly in developing countries. This situation is a challenge for improving community health status. Even the World Health Organization (WHO) has warned that in the decade 2020-2030 the tobacco will kill 10 million people per year, 70% of them occur in developing countries.

Through resolution 1983, the World Health Organisation (WHO) has set 31 May as World Tobacco Free Day every year.

Dangers of smoking to health body has been investigated and proven by many people. Adverse effects of smoking were already clearly known. Many studies have shown that smoking increases the risk of spread of various diseases. Such as heart disease and blood vessel disorders, lung cancer, oral cancer, larynx cancer, cancer osefagus, bronchitis, high blood pressure, impotency, as well as disorders of pregnancy and fetal defects.

Recent studies also indicate the existence of danger of secondhand-smoke, the smoke inhaled by people for non-smokers around smokers, or commonly known also by the passive smoker.

CHEMICAL SUBSTANCE

Cigarettes must not be separated from raw materials of manufacture, namely tobacco. In Indonesia, clove and tobacco plus other ingredients are mixed to make clove cigarette. In addition to cigarette, tobacco can also be used as-rolled cigarettes, cigarettes, cigars, cigarettes, pipes, and smokeless tobacco (Chewing tobacco or chewing tobacco).

Gas component of cigarette smoke is carbon monoxide, ammonia, acid hidrosianat, nitrogen oxides, and formaldehyde. Particle form of tar, indole, nicotine, karbarzol, and cresol. These substances are toxic, irritating, and cause cancer (carcinogens).

Nicotine

Substances most frequently discussed and researched people, the nerve poison the body, improve blood pressure, cause constriction of peripheral blood vessels, and cause cravings and dependence on the wearer. 4-6 mg of nicotine levels by an adult who smoked every day can make someone addicted. In the United States, white cigarettes on the market has a level of 8-10 mg of nicotine per stem, while in Indonesia, 17 mg nicotine-yield per stem.

Lead (Pb)

Lead generated by a cigarette as much as 0.5 ug. A pack of cigarettes (the contents of 20 sticks) which sucked up in one day will generate 10 ug. While the danger threshold of lead into the body is 20 ug per day. Can be imagined, when a heavy smoker inhale an average of 2 packs of cigarettes per day, how many of these harmful substances into the body!

GAS carbon monoxide (CO)

Carbon Monoxide has a strong tendency to bind to hemoglobin in red blood cells. Supposedly, this hemoglobin binds with oxygen vital to respiration of body cells, but because the CO gas is stronger than oxygen, the CO gas is taking place "on the side" of hemoglobin. Be, hemoglobin coupled with CO gas. CO gas concentration in the blood of nonsmokers is less than 1 percent, while in the blood of smokers reached 4 to 15 percent. Many times over!

TAR

Tar is a collection of thousands of components of solid chemicals in cigarette smoke, and carcinogenic. At the time of cigarettes smoked, tar into the oral cavity as a dense vapor. Once chilled, it will become solid and form a brown sludge on the surface of teeth, respiratory tract, and lungs. Precipitation varies between 3-40 mg per cigarette, while the levels of tar in cigarettes ranged from 24 to 45 mg.

Lung IMPACT

Smoking can cause changes in the structure and function of airways and lung tissue. In large airways, mucous cells enlarge (hypertrophy) and increased mucus glands (hyperplasia). In small airways, there was mild inflammation caused by the increasing constriction of cells and mucus buildup. In lung tissue, an increase in the number of inflammatory cells and damage to the alveoli.

Due to changes in airway anatomy, the smoker will arise changes in lung function with all sorts of clinical symptoms. This became the main basis of the occurrence of chronic pulmonary obstructive disease (PPOM). It says smoking is the cause of PPOM, including pulmonary emphysema, chronic bronchitis, and asthma.

The relationship between smoking and lung cancer has been investigated in the last 4-5 decades. There were close relationship between cigarette smoking, particularly cigarettes, with the incidence of lung cancer. There is even expressly stated that the cigarettes as the main cause of lung cancer.

Cigarette smoke particles, such as benzopiren, dibenzopiren, and urethane, a carcinogen known as a material. Tar is also associated with risk of cancer. Compared with nonsmokers, the possibility arises of lung cancer in smokers reach 10-30 times more frequently.

IMPACT ON THE HEART

Many studies have proven the existence of the relationship of smoking and coronary heart disease (CHD). Of the 11 million deaths per year in industrialized countries, the WHO reported more than half (6 million) due to interruption of blood circulation, in which 2.5 million were coronary heart disease and 1.5 million are stroke. MOH survey in 1986 and 1992, have increased mortality from heart disease of 9.7 per cent (ranked third) to 16 percent (ranked first).

Smoking is a major factor causing the heart blood vessel disease. Not just cause of coronary heart disease, smoking is also bad for the brain and peripheral blood vessels.

Smokers smoke exhaled smoke can be divided into primary (main stream smoke) and smoke the side (side stream smoke). The main smoke is tobacco smoke that is inhaled directly by smokers, whereas the addition of smoke is tobacco smoke spread into the free air, which would be inhaled by another person or passive smokers.

Has 4000 types of chemicals found in cigarettes, with 40 species of which are carcinogenic (can cause cancer), in which more of this toxic material found on the side smoke such as carbon monoxide (CO) 5 times more commonly found on the side instead of smoke The main smoke, benzopiren 3 times, and ammonia 50 times. These materials can last up to several hours in space after the smoking stops.

Generally the focus of research aimed at the role of nicotine and carbon monoxide. Both these materials, in addition to increased oxygen demand, also disrupt the oxygen supply to the heart muscle (myocardial) so that the adverse myocardial work.

Nicotine interfere with the sympathetic nervous system due to increasing myocardial oxygen demand. Besides smoking causes addiction, nicotine also stimulates the release of adrenaline, increased heart rate, blood pressure, cardiac oxygen demand, and cause arrhythmia. Nicotine also obstructing the nerve, brain, and many other body parts. Nicotine activated with the consequent emergence of Platelet adhesion Platelet (clotting) to blood vessel walls.

Carbon monoxide causes hemoglobin desaturasi, directly reducing oxygen supply to the entire body including the myocardial tissue. CO replace oxygen in hemoglobin, interfering with the release of oxygen, and accelerates atherosclerosis (calcification / thickening of blood vessel walls). Thus, physical exercise capacity lowered CO, increased blood viscosity, thus simplifying the clotting of blood.

Nicotine, CO, and other substances in cigarette smoke proved to be damaging the endothelial (inner wall of blood vessels), and facilitate the occurrence of blood clots. In addition, cigarette smoke affect the lipid profile. Compared with nonsmokers, total cholesterol, LDL cholesterol, and triglyceride blood of smokers is higher, whereas HDL cholesterol is lower.

Coronary Heart Disease

Smoking is proven to be the biggest risk factor for sudden death.

Risk of coronary heart disease increased by 2-4 times in smokers compared with nonsmokers. This risk increases with age and number of cigarettes smoked. Research shows that smoking risk factors work synergistically with other factors, like hypertension, lipid levels, or high blood sugar, to tercetusnya CHD.

Please note that the risk of death from coronary heart disease decreases by 50 percent in the first year after smoking was stopped. As a result of clotting (thrombosis) and calcification (atherosclerosis), blood vessel walls, smoking will clearly damage the blood vessels peripheral.

PPDP involving arteries and veins in the leg or arm is often found in young adult smokers, often will end up with amputation.

DISEASE (Stroke)

Blockage of blood vessels of the brain that many emergent or stroke associated with smoking. Risk of stroke and death risk higher in smokers compared with nonsmokers.

In a study conducted in the United States and England, was found smoking habits increase the likelihood of the emergence of AIDS in HIV. In the group of smokers, AIDS resulting in an average 8.17 months, whereas in the group of nonsmokers arise after 14.5 months. Immune decline in smokers initiated more easily affected by AIDS so important to quit smoking once in a defensive measure against AIDS.

Now more and more investigated and reported adverse effects on pregnant women smoking, impotence, decrease in immune individuals, including in patients with viral hepatitis, gastric cancer, and others. From the point of health economics, the impact of diseases that arise from smoking will clearly add to costs, both for individuals, families, corporations, even countries.

Diseases that arise from smoking affect the supply of labor, especially skilled workers or executive staff, with sudden death or disability arising obvious cause large losses for the company. Decline in labor productivity raises corporate earnings decline, the economic burden that is not too little for individuals and families. Expenditures for health care costs increase, families, corporations, and government.

SMOKING HABITS

It should attempt to stop smoking is the duty and responsibility from all levels of society. Information and counseling, particularly among the younger generation, can also be linked with efforts to overcome the dangers of narcotics, school health efforts, and informing the general public health.

Community role model figures, including officials, religious leaders, teachers, health workers, artists, and sportsmen, deservedly become a role model by not smoking. It should also be restrictions on smoking opportunities in public places, schools, public transport and workplaces; regulation and control of tobacco advertising campaign; put health warnings on cigarette packages and cigarette advertising.

No smoking climate must be created. This should be carried out simultaneously by us all, who wants the state and nation achieve a healthy and prosperous Indonesia.

GATES DRUGS

The most serious consequence of chronic use of nicotine is addictive. Once someone becomes a smoker, it will be difficult to end the practice both physically and psychologically. Smoking becomes a compulsive habit, starting with the ceremonial lighting a cigarette and exhaling smoke made repeatedly.

Because the addictive nature (making a person become addicted) in the Diagnostic and Statistical cigarette Manual of Mental Disorders (DSM IV) grouped in Nicotine Related Disorders. While WHO categorize it as a form of addiction. Pharmacologic and behavioral processes that determine tobacco addicted to a process that raises addicted to drugs, like heroin and cocaine.

Nicotine affects the properties of the brain with dopamine the same processes as those drugs. In order psychoactive properties of addictive substances, nicotine is more addictive than heroin cause, cocaine, alcohol, caffeine and marijuana. According to Flemming, Glyn and Ershler levels of smoke is beginning to become drug abuse (drug abuse). Try smoking is significantly open opportunities using illegal drugs in the future.

Based on known epidemiological data approximately 20% of smokers have eight times the risk of drug abuse, and risky eleven times to be heavy drinkers than those who do not smoke. Special attention on this issue is associated with the increasing number of teenage smokers.

Dealing with problems in adolescent smoking is expected to prevent problems that would arise in the future regarding these habits, one of which is drug abuse prevention. According to Teddy Hidayat, Soul Medicine Specialist, Youth at high risk are adolescents who have pemuasaan properties immediately, less able to delay the desire, feeling empty and easily bored, anxious, anxiety, and depression.

An understanding of the nature of smoking habits and tendencies of personality someone will help efforts to stop these harmful habits. For the prevention of smoking habits in children and adolescents. Parents and teachers a big role to supervise, provide correct information, and most importantly do not become examples of the behavior of the addicted individual smoking habits.

MENTAL HEALTH Disturb

Smoking is closely associated with disability and decreased quality of life. In a study in Germany since the year 1997-1999 which involved 4181 respondents, concluded that respondents who have the nicotine dependence have a worse quality of life, and nearly 50% of respondents smokers have at least one type of psychiatric disorders. Also note also that mental patients tended more often to be smokers, ie 50% of patients in mental disorders, 70% of patients seeking treatment maniakal outpatient and 90% of patients seeking treatment skizrofen road.

Berdasaran study from CASA (Columbian University `s National Center On Addiction and Substance Abuse), adolescent smokers have twice the risk of experiencing symptoms of depression than adolescents who do not smoke. Active smokers were more likely having a panic attack than those who do not smoke Many studies prove that smoking and depression is an interlocking relationship. Depression causes people to smoke and smokers usually have symptoms of depression and anxiety (anxiety).

Most patients with depression admitted to smoking in his life. History of depression was related to whether there is any drug withdrawal symptoms (withdrawal) of nicotine when a person decides to quit smoking. As many as 75% of depression sufferers who tried to quit smoking experience withdrawal symptoms drug. This is certainly related to the increasing number of business failures to quit smoking and relapse in patients with depression.

In addition, the substance of nicotine withdrawal symptoms similar to symptoms of depression. However, it was reported that drug withdrawal symptoms experienced by patients with more physical symptoms of depression such as reduced concentration, sleep disturbance, fatigue, and weight gain).

Nicotine as a drug psychiatric disorders smoking as a form of therapy for psychiatric disorders is still a controversial debate. Psychiatric disorders can cause a person to smoking and smoking can cause psychiatric disorders, although the amount is very small, about 70% of smokers do not have symptoms of mental disorder.

In general, smoking can lead to increased concentration, reduce hunger, reduce anxiety, and depression. In some studies nicotine is shown to be effective for the treatment of depression. Basically nicotine provides a promising opportunity for use as a psychoactive drug. However, nicotine has a very narrow terapheutic index, which ranges between the appropriate dose for therapeutic and toxic doses is very narrow.

Therefore considered a form of nicotine in pure form but not in the form of analogues. However, the thought of nicotine as a drug is not in the habit of smoking. Like morphine is used as a powerful analgesic (pain barrier), Requirement in the supervision of a physician. Gravity, this time nicotine can be obtained freely and easily in a cigarette, it needs to be aware because smoking does not necessarily become a justification for the treatment of symptoms of psychiatric disorders.

REPRODUCTIVE SYSTEM

A study of smoking and reproductive conducted throughout the 2 decades that concluded that smoking can cause damage to the reproductive system of a person starting from puberty until adulthood

In the study Dr. Sinead Jones, director of The British Medical Association's Tobacco Control Resource Centre, found that women who smoke have a relatively small possibility to get a descent.

men will have 2 times the risk of infertile (infertile) as well as experiencing the risk of DNA damage in sperm cells. While the results of research on pregnant women increased incidence of miscarriage. The study said that from 3000 to 5000 events per year in the UK miscarriage, is closely linked to smoking.

120,000 British men aged between 30 sampai50 years experience impotence due to smoking. Even worse, smoking has implications in 1200 cases of cervical cancer per year.

WOMEN SMOKING, EARLY MENOPAUSE

Women who smoke are likely to begin menopause before age 45 years and also make them face the risk of osteoporosis and heart disease, Norwegian researchers reported.

"In between as many as 2123 women aged 59 to 60 years, those who currently smoked, 59% more likely to experience premature menopause compared with women who do not smoke," said Dr. Thea F. Mikkelsen from the University of Oslo and colleagues.

For the heaviest smokers, the risk of premature menopause has almost doubled. However, women who formerly smoked, but stopped at least 10 years before menopause, basically less likely to stop menstruating compared with smokers before age 45 years.

There is evidence that smoking later in life makes a woman more likely to experience premature menopause, while smokers who quit before middle age may not be affected, Mikkelsen and his team said in the Online journal, BMC Public Health.

They investigated the relationship further and determine whether to become passive smokers may also affect the time of menopause. The researchers found that nearly 10% of women entering menopause before age 45 years.

GOVERNMENT POLICIES

According Menkessos, this rapid growth make Indonesia is expected to reach record, especially with a variety of health problems severe enough, among them related to smoking. While it is recognized Menkessos, restrictions limiting the activity of smoking in public places could still be more assertive.

Although the PP No 81/1999 as amended by Regulation 38/2000 on Tobacco for Health Security is introduced, but it was recognized, law enforcement was not there so do not have the strength.

detikcomTingginya target state revenue from cigarette excise which reached Rp 17 trillion in 2001 assessed budget has caused the government does not consistently enforce security PP No.38/2000 on cigarettes for health.

VII Commission of the Parliament urged to regulate cigarettes were made in the form of the Act, so that people will have a fairly strong bargaining position. In addition, the Parliament will be able to conduct rigorous oversight of government and the tobacco industry.

Food and Drug Monitoring Agency (BPOM) will take firm action against tobacco companies that broadcast cigarette advertising in electronic media below at 21:30 local time. "If the warning is ignored, BPOM will do its laws in accordance with laws and regulations that apply," he asserted. Cigarette advertisements which violate the provisions of Regulation No.81 year 1999 about Cigarettes For Health and Safety Regulation No.38 year 2000 concerning the Amendment of Government Regulation No. 81 year 1999 will be subject to imprisonment of five years and a criminal fine of Rp100 million. Cigarette tax receipts in 2000 reached Rp 10.27 trillion, while health spending caused by smoking according POM data from the Directorate General of Health in the same year reached Rp 11 trillion.

STOP SMOKING

Several reasons to stop smoking

1. Impotence

Smoking reduces the blood flow needed to achieve a state of erection. Because That matter, cigarettes can affect penile erection days.

2. Facial wrinkles

Smoking can reduce the flow of oxygen and nutrients needed by your skin cells constrict blood vessels around the face. So will cause wrinkles.

3. Berbercak teeth and breath odor.

Particles from cigarette smoke can give a yellow to brown spots on your teeth, and this will also trap odor-producing bacteria in your mouth. Abnormalities of the gums and teeth are also more common in smokers.

4. You and around 'become smelly.

Cigarette smoking has an unpleasant smell and stick to everything, from your hair and skin to clothes and items around you. And the smell is absolutely not something that evokes a sense of spouse and friends.

5. Brittle bones

Numerous studies have found an association between smoking and osteoporosis in men and women. One study observed cases of hip fractures in elderly women, and concluded that one out of 8 cases of bone fractures caused by bone loss caused by smoking.

6. Depression

Some scientists consider cigarettes contain substances that can cause an increase in mood. These substances are usually implies reduced when a person suffers from depression. That is also the reason why people under stress or depression tend to seek 'refuge' to cigarettes.

7. A bad role model for children.

Every day, 3,000 children in the U.S. dliperkirakan who become addicted to smoking cigarettes. If they keep smoking, 1,000 of them will surely die from smoking-related diseases.

8. Fire

if you're careless, when smoking fixation and dispose of cigarette butts are still burning to any place can cause a fire.

9. Poor blood circulation

Red blood cell has been designed by nature to carry oxygen around the body. In smokers, the oxygen molecules is replaced by components of cigarette smoke, thus inhibiting oxygen transport that are important to cell life.

10. Impressed stupid

If smokers defend their dependence, there is one truth that they could not deny: Like the slogan says, smoking is a killer. so, if there is still a continuing habit of it, it would look stupid.

THREE MAIN THING

Seeing the dangers that smoking can inflict, it is among us need to shoulder to shoulder to do three main things:

ü Communication and information about the dangers of smoking, both for the direct or passive smoking smokers.

ü Provide special places for people who smoke to nonsmokers not exposed to negative impacts.

ü Do not feel reluctant to provoke the smokers, in case you feel disturbed.

STOP SMOKING STRATEGY

Here are strategies you can use to quit smoking:

1. Plan the time to stop

Plan when you will quit smoking for good. The timing may be just a few days later or 2 weeks. By the day quit smoking, you reduce the number of cigarettes smoked each day.

2. Drugs

Drugs to help reduce the symptoms of quitting smoking until the worst effects exceeded. You have a choice of either drugs or prescription drugs based on over-the-counter (without prescription). Discuss these options with your doctor.

3. Help yourself

In planning and maintaining your desire to stop smoking, find information about smoking and diseases caused by various credible sources like the American Cancer Society, American Lung Association, Centers for Disease Control and Prevention or the local sites such as the Indonesian Cancer Foundation, Heart Foundation of Indonesia, the Committee National Smoking Control Problems. Help yourself with the information to convince you to stay away from cigarettes after quitting smoking.

4. Support groups

Whether you meet online or at a support group. Seek support from people who are also trying to quit smoking.

5. Counseling

Counselling is face to face meeting with a trusted physician, psychologist, nurse or counselor. This forum will discuss any matters that prevent you to stop smoking and ways to overcome them.

6. Cold turkey

Is a direct strategy to quit smoking. If you choose cold turkey then you will experience symptoms of tobacco withdrawal symptoms, like all people who quit smoking as impatient (restlessness), increased appetite, irritability.

It is recommended that you seek help when you quit smoking, either support or treatment.

7. Sport

Exercise can help you cope with stress and an increased body weight after you quit smoking.

8. Invite a Friend / Family

Ask a friend or family member who did not smoke for providing their time if you are experiencing difficult times.

9. Alternative therapy

Some smokers try hypnosis or acupuncture methods to help them quit smoking, though not many of which proved successful. However, when the method is to make you stop smoking, it means that your methods are matched.

To quit smoking, you need a personal approach. What works for others may not work for you

WHAT SHOULD YOU DO?

If you are a smoker and plan to have children, stop smoking now! (Experts recommend that you stop smoking at least one month before conception). Consult a physician or other health professionals to help eliminate your smoking habit. There are so many techniques on offer, find the most appropriate thing to do.

Here are 7 ways to quit smoking we recommend:

1. Clean up and discard. Clean up and dispose of all cigarettes that you have.

2. Make a note and a warning. Write a note such as "You are now non-smokers" and stick to the places you visit frequently - in bed, the table etc..

3. Do it again and again. Stay stopped smoking on the day that you specify to do so. Do not halting it.

4. Concentrate on the job every day to divert the desire to smoke.

5. Think positive. Think of yourself as a nonsmoker. If there are bids smoking from friends, tell your friends it firmly "I do not smoke."

6. Ask for support from family, close friends and peers to help you get rid of this smoking habit.

7. Fight the urge to smoke:

* Divert attention when you want to smoke. Say to yourself "Later!" And do other positive things.

* Sigh heavily. Pull the breath for five seconds and release slowly.

* Drink plenty of water. Avoid beverages containing caffeine such as coffee, tea or cola.

* Sibukan yourself with activities. This is important so that you do not always think to smoke. Activities that could be done for example gardening, reading books etc..

* Make exercise at least three times a week for 20 minutes each session.

* Washing your hands or shower when you want to smoke.

* Chew something like chewing gum, etc..

* Pray that you be given strength and a constant desire to quit smoking

At first the struggle to quit smoking requires a very heavy. Do not be surprised if there are signs such as irritability, difficult to control the feelings, lack of concentration, anxiety, insomnia, cough, decreased pulse rate, and increases appetite. This phase is called the phase of withdrawal. Will go away after three to four weeks.