How do cigarettes affect the body? - Krishna Sudhir

How do cigarettes affect the body? - Krishna Sudhir
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    Cigarettes aren't good for us.
    That's hardly news--we've known about the dangers of smoking for decades.
    But how exactly do cigarettes harm us?
    Let's look at what happens as their ingredients
    make their way through our bodies,
    and how we benefit physically when we finally give up smoking.
    With each inhalation,
    smoke brings its more than 5,000 chemical substances
    into contact with the body's tissues.
    From the start, tar, a black, resinous material,
    begins to coat the teeth and gums,
    damaging tooth enamel, and eventually causing decay.
    Over time, smoke also damages nerve-endings in the nose,
    causing loss of smell.
    Inside the airways and lungs,
    smoke increases the likelihood of infections,
    as well as chronic diseases like bronchitis and emphysema.
    It does this by damaging the cilia,
    tiny hairlike structures whose job it is to keep the airways clean.
    It then fills the alveoli,
    tiny air sacs that enable the exchange of oxygen and carbon dioxide
    between the lungs and blood.
    A toxic gas called carbon monoxide crosses that membrane into the blood,
    binding to hemoglobin
    and displacing the oxygen
    it would usually have transported around the body.
    That's one of the reasons smoking can lead to oxygen deprivation
    and shortness of breath.
    Within about 10 seconds,
    the bloodstream carries a stimulant called nicotine to the brain,
    triggering the release of dopamine and other neurotransmitters
    including endorphins
    that create the pleasurable sensations which make smoking highly addictive.
    Nicotine and other chemicals from the cigarette
    simultaneously cause constriction of blood vessels
    and damage their delicate endothelial lining,
    restricting blood flow.
    These vascular effects lead to thickening of blood vessel walls
    and enhance blood platelet stickiness,
    increasing the likelihood that clots will form
    and trigger heart attacks and strokes.
    Many of the chemicals inside cigarettes can trigger dangerous mutations
    in the body's DNA that make cancers form.
    Additionally, ingredients like arsenic and nickel
    may disrupt the process of DNA repair,
    thus compromising the body's ability to fight many cancers.
    In fact, about one of every three cancer deaths in the United States
    is caused by smoking.
    And it's not just lung cancer.
    Smoking can cause cancer in multiple tissues and organs,
    as well as damaged eyesight
    and weakened bones.
    It makes it harder for women to get pregnant.
    And in men, it can cause erectile dysfunction.
    But for those who quit smoking,
    there's a huge positive upside
    with almost immediate and long-lasting physical benefits.
    Just 20 minutes after a smoker's final cigarette,
    their heart rate and blood pressure begin to return to normal.
    After 12 hours, carbon monoxide levels stabilize,
    increasing the blood's oxygen-carrying capacity.
    A day after ceasing,
    heart attack risk begins to decrease as blood pressure and heart rates normalize.
    After two days,
    the nerve endings responsible for smell and taste start to recover.
    Lungs become healthier after about one month,
    with less coughing and shortness of breath.
    The delicate hair-like cilia in the airways and lungs
    start recovering within weeks,
    and are restored after 9 months, improving resistance to infection.
    By the one-year anniversary of quitting,
    heart disease risk plummets to half as blood vessel function improves.
    Five years in,
    the chance of a clot forming dramatically declines,
    and the risk of stroke continues to reduce.
    After ten years, the chances of developing fatal lung cancer
    go down by 50%,
    probably because the body's ability to repair DNA is once again restored.
    Fifteen years in, the likelihood of developing coronary heart disease
    is essentially the same as that of a non-smoker.
    There's no point pretending this is all easy to achieve.
    Quitting can lead to anxiety and depression,
    resulting from nicotine withdrawal.
    But fortunately, such effects are usually temporary.
    And quitting is getting easier, thanks to a growing arsenal of tools.
    Nicotine replacement therapy through gum,
    skin patches,
    lozenges,
    and sprays
    may help wean smokers off cigarettes.
    They work by stimulating nicotine receptors in the brain
    and thus preventing withdrawal symptoms,
    without the addition of other harmful chemicals.
    Counselling and support groups,
    cognitive behavioral therapy,
    and moderate intensity exercise
    also help smokers stay cigarette-free.
    That's good news,
    since quitting puts you and your body on the path back to health.
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