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【VAPE謠言終結系列】電子煙比紙菸不好?英國癌症研究協會專家,解惑電子煙常見的10個問題

【VAPE謠言終結系列 】電子煙比紙菸不好?

英國癌症研究協會專家,來解惑電子煙常見的10個問題...

 

10 common questions about e-cigarettes answered
專家解答:對電子菸常見的10個問題

Following a high-profile Royal College of Physicians’ report encouraging smokers to consider e-cigarettes as a less harmful alternative, we asked Dr Andy McEwen, executive director of the National Centre for Smoking Cessation and Training, to answer some of the most commonly asked questions about the devices.

2016年5月17日,「英國癌症研究協會CancerResearchUK」針對4月份英國皇家醫師學會RCP發布的「鼓勵吸菸者使用電子菸作為更加健康的替代品」的相關報告,採訪了安迪-麥卡文博士(Dr. Andy McEwen),作為國家戒菸訓練中心(NCSCT)的執行董事,針對用戶最常見的有關電子菸的問題給出了以下答案:
 

1. Are e-cigarettes less harmful than smoking? 電子菸的危害有比香煙少嗎  ?

Dr McEwen: Yes. Experts think that e-cigarettes are, based on what we know so far, less harmful than cigarettes. 
Smoking is associated with a number of very serious health risks to both the smoker and to others around them. So switching from tobacco to e-cigarettes substantially reduces a major health risk.

麥卡文博士:是的,專家們已知的研究結果來看,電子菸的危害確實要比菸草少。吸菸對會周邊的人帶來非常嚴重的健康高風險,從菸草轉換使用電子煙能夠大幅降低這些風險

 

 

2. Is nicotine dangerous? 尼古丁危險嗎?

Dr McEwen: Nicotine doesn’t cause smoking-related diseases, such as cancers and heart disease, but it is addictive. However, there’s a common misconception that you can overdose on nicotine using e-cigarettes. But you are in no danger of poisoning yourself, nor have there been any cases of overdose from inhaling the nicotine-containing fluid that an e-cigarette vaporises, known as e-liquid. So you can use your e-cigarette as often as you need to help manage nicotine withdrawal and urges to smoke.Much the same as with Nicotine Replacement Therapy, if you do have more nicotine than you’re used to, then you might feel a little nauseous or lightheaded, both of which pass quickly. If this happens, just reduce the level of nicotine in the e-liquid that you buy, or use the e-cigarette less.

麥卡文博士:吸菸產生的各種疾病並非是由尼古丁引起的,比如癌症及心臟疾病,但是它會容易成癮。很多人誤以為使用電子菸會過量攝入尼古丁,事實證明在使用電子菸油的時候沒有危害健康的影響,所以你可以在菸癮發作的時候使用電子煙,來控制尼古丁的吸入量。
這和「尼古丁」替代療法是一樣的,使用該療法的時候會因為尼古丁的攝入量的問題產生頭暈和噁心的狀況,很快就會消失。如果在使用電子煙時發生這種狀況,可以使用低尼古丁含量的煙油。

 

 

3. Do e-cigarettes produce harmful chemicals or blow up? 電子菸會產生有害化學物質或者爆炸嗎?

Dr McEwen: Some studies have found chemicals in e-cigarette vapour that are known to cause health problems. But these studies have tended to use artificial conditions, and when good quality e-cigarettes are used normally (e.g. not overheated), there are far fewer harmful chemicals present in the vapour than in tobacco smoke. If the e-liquid is being overheated it tends to produce an acrid, unpleasant taste – you’ll know if this happens.
As with any rechargeable device, such as mobile phones and laptops, it’s important to charge e-cigarettes with the right charger, and don’t leave it unattended while charging. Ensure that you buy from reputable suppliers and avoid generic charging equipment. There have been reported cases of e-cigarettes causing fires, but far fewer than the number caused by cigarettes, which are the most common cause of lethal house fires.

麥卡文博士:目前一些研究發現,在電子煙產生的煙霧裡仍會有一些引發健康問題的化學物質,但是這些研究結果都是容易發生在「人為的情況」品質合格的電子煙,在正常使用時,所產生的有害物質遠遠低於傳統香菸。
當煙油被過渡加熱時,會產生一些讓人不太舒服的刺鼻氣味,但你會發現,而且可以及時控制。

作為一種可充電的電子設備,比如手機和筆記本電腦,使用正確的充電器是非常重要的,同時儘量不要在無人值守的情況下充電。
確保你在信譽良好的商家購買正品的電子菸,來防止出現充電的問題。我們看到過一些電子菸引發火災的報導,但是遠遠少於傳統香菸引發的火災,香菸也是引發火災最常見的原因。

編:信譽良好的商家譬如說HC VAPE :D

 

 

4. Is it OK to smoke and vape at the same time?  可以同時抽電子菸和真煙嗎?

Dr McEwen: There’s no evidence that smoking cigarettes and vaping at the same time is any worse than just smoking tobacco. But the greatest health benefits are seen when people stop smoking tobacco completely, so quitting smoking should be the goal.
Some people manage to switch completely to vaping quickly, while others take a little time. You may have to try a number of different e-cigarettes and e-liquids before you find one that helps you to stop smoking completely, but this is quite normal.

麥卡文博士:沒有證據證明同時抽香菸和電子煙會比只抽傳統菸草的香菸危害更大。當然最有益於健康的昰完全不要抽菸(草),應該把戒菸作為目標。

很多人會快速徹底的從香菸轉換到電子菸,有的人會需要花點時間。在這之前,你應該多試試不同的電子煙設備以及煙油,來幫助您徹底的戒菸,這相當正常。

 

 

5. Can I use an e-cigarette in the Stop Smoking Services? 我可以在戒菸中心使用電子菸嗎? (抱歉這是在說英國不是在說台灣)

Dr McEwen: Yes. If you choose to use an e-cigarette, Stop Smoking Services can still support you in your quit attempt – and these services the most effective way to quit. Their trained stop smoking practitioners provide behavioural support, advice on what might be the best way for you to stop and access to approved stop smoking medications.

麥卡文博士:是的,只要你想戒菸,戒菸中心都會支持您使用任何 - 這也是目前最有效的戒菸方法。他們會有訓練有素並成功戒菸的人來給您行動上的支持,並且給出最佳的建議,讓您擺脫菸癮。

 

 

6. Which e-cigarette should I start with? 我一開始該使用什麼樣的電子菸?

Dr McEwen: This is very much a personal choice. The refillable tank system e-cigarettes might take a bit of getting used to, but they allow you to use more flavours, and generally deliver more nicotine than e-cigarettes that look like tobacco cigarettes. Users tend to say these types are more satisfying. Specialist e-cigarette retailers can give you advice, and you can also chat to other e-cigarette users on a range of internet forums.
How much nicotine you need will depend upon how much nicotine you’re used to getting from your cigarettes. And, of course, how much nicotine you get from your e-liquid will depend upon the type of e-cigarette that you use and how you use it. As a rough guide, most 20-a-day smokers find that 18mg/ml (1.8 per cent) nicotine is sufficient, so you could start with this and see how you get on.

麥卡文博士:這得根據個人的選擇來。可注油式電子菸可能需要一段時間去適用,但是這類電子菸可以讓您選擇更多的口味,比那些類似真煙的電子菸能更好的控制尼古丁的攝入量。
很多用戶認為這類電子菸更好。另外電子菸銷售商也會根據您的情況來給出建議,或者你可以和其他電子菸用戶溝通或者在一些論壇上尋找建議。

煙油尼古丁含量要根據您的實際菸癮來選擇。當然實際的尼古丁攝入量也會根據您使用的電子菸設備不同而不同。一般一天抽一包煙的用戶,可以選擇18mg/ml的煙油就足夠了。但是對於新型的儲油式電子煙,要選擇更低的含量,因為它們能攝入更多的尼古丁。

 

 

7. How should I use my e-cigarette to help me to stop smoking? 我該怎樣使用電子菸來幫助戒菸呢?

Dr McEwen: Using an e-cigarette is different from smoking a cigarette. It usually involves taking slower and longer puffs over a longer period of time. This is because e-cigarettes heat a coil in a liquid (think of a kettle). You may find you need to take a few puffs on an e-cigarette at times when you wouldn’t have smoked, but this is nothing to worry about, and the way you use your e-cigarette will develop over time. It’s not like a cigarette, which you smoke from start to finish. With an e-cigarette you can use it once or twice, and then put it away. If you find you’ve got it in your mouth all the time, you might need to use a stronger e-liquid. 
If you get a bit of a cough when you use your e-cigarette, this isn’t unusual and it might help to switch from an e-liquid with a high proportion of propylene glycol to one with more vegetable glycol, which can be more soothing.

麥卡文博士:電子菸與香菸不同。你在使用電子煙的時候一口煙花的時間比較長,因為電子菸需要花時間來加熱霧化芯並霧化煙油,但是這並不影響使用。電子菸和真煙不同,您在抽菸時會一根煙從頭抽到尾,而在使用電子菸時,您可以抽一兩口就把它放到一邊。如果您一直想抽,可能需要更高尼古丁濃度的煙油了。

如果您在使用電子菸的時候出現咳嗽的狀況,不要擔心,去換一個VG(植物性甘油)含量比PG(丙二醇)高的煙油,這種煙油會更舒緩。

 

 

8. Will e-cigarettes be cheaper for me than smoking?  電子菸比真煙便宜嗎?

Dr McEwen: Yes, and you’ll notice savings very quickly compared with buying cigarettes. A starter kit for the tank-style devices can range from £20-70. You’ll then only need to replace the atomiser (heating coil or ‘head’) occasionally for a couple of pounds and, more regularly, buy your e-liquid, which can start at £3.00 for 10 ml. How often you need to change the atomiser will depend on how you use the device, but typically it’ll be around every two weeks or when you get a ‘burnt’ taste or low vapour production.

麥卡文博士:是的,你會很快的發現比香菸省很多錢。一套可換霧化器的設備一般在20-70英鎊(新台幣 $800 - 2800)之間,以後你只需要花一兩鎊去更換霧化芯即可,另外您只需花3英鎊(新台幣 $120)左右去購買10ML的煙油。多長時間更換霧化芯取決於您使用的頻率,一般狀況下約兩周左右,不然你可能會嚐到焦味或是產生的蒸氣減少。

 

 

9. Can I use e-cigarettes in places where I can’t smoke?  我可以在禁止抽菸的場所使用電子菸嗎?

Dr McEwen: There are no laws preventing or restricting where you can use e-cigarettes. Some places, such as some sports stadiums and most airports, do not allow vaping while others do. If there are no signs indicating this then you should always ask. But it helps to be respectful when using e-cigarettes around others, especially non-smokers.

麥卡文博士:目前還沒有法律規定禁止使用電子菸的場所。有一些地方比如體育館、機場會禁止使用;尊重他人,特別是不吸菸的人群,如果沒看到禁止標誌的時候,儘量先去詢問工作人員。

 

 

10. Is second-hand vapour from e-cigarettes dangerous? How can I protect my children? 電子菸產生的二手菸有危害嗎?我該如何保護我的孩子?

Dr McEwen: Unlike second-hand smoke from cigarettes – which is known to cause cancer – there’s no evidence that second-hand e-cigarette vapour is dangerous to others. Some studies have found traces of toxic chemicals in second-hand vapour, but at such low levels that they’re not harmful to those around you. E-cigarettes aren’t recommended for use by non-smokers and children.
In order to prevent accidental poisoning, for example by young children drinking e-liquids, you should store your e-cigarettes and liquids away safely, just as you would with household cleaning products and medicines.

麥卡文博士:傳統香菸產生的二手菸能夠引發癌症,但是尚未有證據證明電子煙產生的二手煙霧有什麼危害。有一些研究發現電子煙的二手菸霧裡含有有害化學物質,但是含量非常低,還不足以對周圍人群產生健康印象。另外不建議不吸菸人群和兒童使用電子煙。

為了避免兒童接觸到電子煙油,甚至誤食˙煙油,您應該把電子煙油儲存在安全的,遠離兒童的地方,就像我們收藏家中的清潔用品和藥品一樣。

 

原文網址出處:https://scienceblog.cancerresearchuk.org/2016/05/17/10-common-questions-about-e-cigarettes-answered/
翻譯與校稿:www.HCVAPE.com

 

【HCVAPE翻譯與校稿,歡迎轉載】

【如有刊誤,歡迎指正】

作者:HC VAPE|發布時間:2019年9月16日上午 01:38:56


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