Yayan Josef, Rasche Kurt
Department of Internal Medicine, Division of Pulmonary, Allergy, and Sleep Medicine, HELIOS Clinic Wuppertal, Witten/Herdecke University, Heusner 40, 42283, Wuppertal, Germany.
Adv Exp Med Biol. 2016;952:31-34. doi: 10.1007/5584_2016_71.
Cannabis is the most widely smoked illicit substance in the world. It can be smoked alone in its plant form, marijuana, but it can also be mixed with tobacco. The specific effects of smoking cannabis are difficult to assess accurately and to distinguish from the effects of tobacco; however its use may produce severe consequences. Cannabis smoke affects the lungs similarly to tobacco smoke, causing symptoms such as increased cough, sputum, and hyperinflation. It can also cause serious lung diseases with increasing years of use. Cannabis can weaken the immune system, leading to pneumonia. Smoking cannabis has been further linked with symptoms of chronic bronchitis. Heavy use of cannabis on its own can cause airway obstruction. Based on immuno-histopathological and epidemiological evidence, smoking cannabis poses a potential risk for developing lung cancer. At present, however, the association between smoking cannabis and the development of lung cancer is not decisive.
大麻是世界上吸食最为广泛的非法物质。它可以以植物形式,即大麻单独吸食,但也可与烟草混合。吸食大麻的具体影响难以准确评估,也难以与烟草的影响区分开来;然而,其使用可能会产生严重后果。大麻烟雾对肺部的影响与烟草烟雾类似,会引发咳嗽加剧、咳痰和肺过度充气等症状。随着使用年限的增加,它还会导致严重的肺部疾病。大麻会削弱免疫系统,引发肺炎。吸食大麻还与慢性支气管炎的症状有关。长期大量单独吸食大麻会导致气道阻塞。基于免疫组织病理学和流行病学证据,吸食大麻会增加患肺癌的潜在风险。然而,目前吸食大麻与肺癌发展之间的关联并不明确。