E hoʻomau i ka hoʻohana ʻana i ka cannabis? Pono ʻoe e ʻike e pili ana i kēia luaʻi nui (Cannabis Hyperemesis Syndrome - CHS)

E noʻonoʻo, ua hoʻohana ʻoe i ka cannabis no nā makahiki. I ka wā mua, ʻaʻohe pilikia. Akā ma hope o kekahi manawa, hoʻomaka koke ʻoe e luaʻi nui a loaʻa nā ʻeha o ka ʻōpū. ʻAʻole kēia e hana no hoʻokahi a ʻelua paha lā, akā hana pinepine ʻia. ʻO ka mea kupanaha, ʻo ka hoʻomaha wale nō mai kēia ʻeha nui ʻo ia ka ʻauʻau wela. Ua loaʻa anei iā ʻoe kēia ʻike? Inā pēlā, mai hoʻokuʻu iā ia he mea maʻamau. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia kūlana. I ka lāʻau lapaʻau, kapa mākou iā ia ʻo Cannabinoid Hyperemesis Syndrome (CHS) .

I ka ʻōlelo maʻalahi, he aha kēia CHS?

ʻAe, e hoʻomaʻalahi iki kākou i kēia inoa. ʻO "Hyperemesis" e pili ana i ka luaʻi nui. ʻO "Cannabinoids" e pili ana i nā hui kemika i loaʻa i loko o ka mea kanu cannabis. Ua lohe paha ʻoe iā THC (Tetrahydrocannabinol) a me CBD (Cannabidiol) . He mau ʻano cannabinoids kēia. Hoʻopaʻa kēia mau kemika i nā mea loaʻa cannabinoid i loko o ko kākou lolo, ke kaula spinal, ka ʻōnaehana digestive, a me nā ʻāpana ʻē aʻe o ke kino.

I ka ʻōlelo maʻalahi, ʻo CHS kahi kūlana i hōʻailona ʻia e ka nausea koʻikoʻi, ka luaʻi ʻana, a me ka ʻeha ʻōpū i hoʻokumu ʻia e ka hoʻohana lōʻihi ʻana i ka cannabis. ʻO kahi hiʻohiʻona o kēia, ʻo ia ka hoʻomaha ʻia no kekahi manawa ma ka ʻauʻau wela a i ʻole ka ʻauʻau ʻana.

Pehea ka maʻamau o CHS?

ʻO kaʻoiaʻiʻo, he paʻakikī i nā kānaka noiʻi ke ʻōlelo pololei i ke ʻano maʻamau o kēia maʻi. ʻO ke kumu, ʻaʻole nā ​​​​mea a pau me kēia mau hōʻailona e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau a ʻaʻole haʻi i kā lākou kauka e hoʻohana ana lākou i ka mariuana.

Eia nō naʻe, ua ʻike ʻia kekahi noiʻi he 32.9% o nā mea hoʻohana cannabis pinepine e hōʻike ana i ka Emergency Department (ETU) i loaʻa nā hōʻailona o CHS. Me ka piʻi ʻana o ka hoʻohana ʻana i ka cannabis ma Sri Lanka, ʻoi aku ka maʻamau o kēia kūlana ma mua o ka wā ma mua.

He aha nā hōʻailona o CHS? Pehea mākou e ʻike ai?

Hoʻomaka pinepine nā hōʻailona CHS ma hope o ka hoʻohana ʻana i ka cannabis no ka manawa lōʻihi, pinepine no kekahi mau makahiki. Eia naʻe, ʻaʻole nā ​​​​mea a pau e hoʻohana mau ana i ka cannabis e loaʻa iā CHS.

ʻO nā ʻano nui o kēia ʻano:

• Ka luaʻi mau: ʻIke nui ʻia kēia i ke kakahiaka.
• Ka luaʻi hou ʻana: I kekahi manawa e luaʻi paha ʻoe a hiki i ʻelima manawa i ka hola. Manaʻo paha ʻoe e luaʻi ana ʻoe, akā aia kekahi mau manawa ʻaʻole ʻoe e luaʻi (retching).
• ʻEha nui o ka ʻōpū:Hiki paha iā ʻoe ke loaʻa i ka ʻeha ʻōpū hiki ʻole ke hoʻomanawanui.
• Makaʻu i ka luaʻi ʻana: Hiki i kēia ke alakaʻi i ka makaʻu i ka ʻai ʻana a i ʻole ka inu ʻana i ka wai.
• ʻAʻohe ʻono o ka meaʻai.

ʻO ka hiʻohiʻona kū hoʻokahi a kupanaha hoʻi o kēia mau mea a pau , ʻo ia ka hoʻemi ʻia ʻana o kēia mau hōʻailona i ka wā e ʻauʻau ai ʻoe i ka wela. ʻO ia ke kumu e hoʻowalewale ʻia ai ka poʻe he nui me CHS e ʻauʻau wela no nā hola o ka lā. Lilo kēia i mea maʻamau.

ʻEkolu mau pae o ke kūlana CHS:

ʻAʻole like mau kēia mau hōʻailona. Ua ʻike nā kauka i ʻekolu mau pae nui o kēia maʻi.

He aha ka "Scromiting"?

Hoʻohana kekahi poʻe i kēia huaʻōlelo e wehewehe i ke ʻano koʻikoʻi loa o CHS. He hui pū ʻana ia o nā huaʻōlelo "screaming" a me "vomiting." Pili ia i ka ʻeha nui o ka luaʻi ʻana e hoʻōho ai ke kanaka.

No ke aha e hana ʻia ai kēia? He aha ke kumu o CHS?

ʻAʻole maopopo i nā kānaka ʻepekema ke kumu pololei o CHS, akā ʻo ke kumumanaʻo nui, ua hoʻoulu ʻia ia e ka hoʻoulu nui ʻana o ka ʻōnaehana endocannabinoid (ECS) o ke kino ke hoʻohana ʻia ka cannabis no ka manawa lōʻihi .

I ka ʻōlelo maʻalahi, he ʻōnaehana kūlohelohe ko ko kākou kino e kāohi ana i ka nausea a me ka luaʻi. Ua manaʻoʻiʻo ʻia i ka wā e loaʻa mau ai kēia ʻōnaehana i nā hōʻailona mai ka cannabis, lilo ia i mea kaulike ʻole a hoʻomaka ka nausea a me ka luaʻi e hana me ka hiki ʻole ke kāohi.

ʻO wai ka mea i pilikia nui no kēia maʻi?

ʻO ka poʻe e hoʻohana ana i ka cannabis no ka manawa lōʻihi, ʻo ia hoʻi he 10-12 mau makahiki, ʻo lākou ka mea nui loa o ka loaʻa ʻana o CHS. He kiʻekiʻe loa kēia pilikia no ka poʻe e hoʻohana ana i ka cannabis ma ka liʻiliʻi hoʻokahi manawa i ka pule a me ka poʻe i hoʻomaka e hoʻohana i ka cannabis i ka wā ʻōpiopio .

Pehea e ʻike ai ke kauka i kēia he CHS?

Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, ​​e nīnau nui ʻo ia e pili ana i kāu mau hōʻailona, ​​​​ka mōʻaukala olakino, a me kāu mau ʻano e hoʻoholo ai inā he CHS ia.

Hiki i ke kauka ke nīnau iā ʻoe i nā nīnau e like me kēia:

• ʻEhia ka lōʻihi o kou hoʻohana ʻana i ka cannabis?
• ʻEhia pinepine kāu e hoʻohana ai?
• I ka manawa hea o ka lā ʻoe e luaʻi ai a i ʻole e nawaliwali ai?
• Ke hoʻonui nei kekahi mau meaʻai i ka luaʻi?
• Ua emi anei kou kaumaha me ke kumu ʻole?
• He ʻano maʻa kou o ka ʻauʻau ʻana i ka wai wela e hōʻemi i nā hōʻailona?

Hoʻohana pinepine nā kauka i kēia mau pae hoʻohālikelike e ʻike ai i ka CHS:

• ʻO ka hoʻohana pinepine ʻana i ka cannabis no nā makahiki he nui.
• Ka luaʻi nui e kū pinepine ʻia.
• ʻEha ʻōpū.
• Nalo nā hōʻailona ke hoʻōki ʻoe i ka hoʻohana ʻana i ka cannabis.
• Loaʻa ka makemake ikaika a me ka maʻa mau o ka ʻauʻau ʻana i ka wai wela.

I mea e hōʻoia ai ʻaʻohe pilikia olakino ʻē aʻe, hiki i kāu kauka ke kauoha i nā hoʻokolohua e like me nā hoʻokolohua koko, nā hoʻokolohua mimi, a i ʻole nā ​​​​scan CT a i ʻole MRI scan.

He aha nā lāʻau lapaʻau no CHS?

Eia ka mea nui loa a ʻo ka mea ʻoluʻolu ʻole paha e lohe ʻia.

ʻAʻohe lāʻau lapaʻau ʻē aʻe e hiki ke ho'ōla mau loa i kēia. Ma hope o kou hoʻōki ʻana i ka hoʻohana ʻana i ka cannabis, hiki iā ʻoe ke loaʻa nā hōʻailona a me nā hopena ʻaoʻao no kekahi mau pule. Akā i ka hala ʻana o ka manawa, e nalo aku lākou a pau.

Inā pilikia ʻoe i ka haʻalele ʻana i ka mariuana, ʻo ia hoʻi ua lilo ʻoe i mea maʻamau, hiki iā ʻoe ke loaʻa ke kōkua. E kamaʻilio me kāu kauka a i ʻole kekahi kākāʻōlelo no ka maʻi ʻona.

Inā loaʻa iā ʻoe ka CHS koʻikoʻi, pono paha ʻoe e lawe ʻia i ka haukapila.

• Inā maloʻo ke kino ma muli o ka luaʻi ʻana, e hāʻawi i nā wai IV ( saline ) a me nā electrolytes.
• Ke hāʻawi nei i nā lāʻau antiemetic (akā, ʻaʻole maikaʻi loa kēia mau mea i ka CHS).
• Ke hāʻawi nei i nā lāʻau ʻē aʻe, e like me ka capsaicin cream, e hōʻemi i ka ʻeha.

ʻOiai hiki i ka ʻauʻau wela ke hāʻawi i ka hōʻoluʻolu no ka manawa pōkole, ʻaʻole ia he lāʻau lapaʻau. ʻO ka ʻauʻau ʻana i ka wai wela loa hiki ke hoʻoulu i ka hou a me ka maloʻo hou ʻana.

Nā pilikia ʻē aʻe e hiki ke hana ma muli o CHS

Inā ʻaʻole mālama pono ʻia ʻo CHS, ʻo ia hoʻi, inā ʻaʻole i hoʻōki ʻia ka hoʻohana ʻana i ka cannabis, hiki ke loaʻa nā pilikia koʻikoʻi.

• Ka maloʻo ʻana: ʻO ka luaʻi mau ʻana e hiki ai ke hoʻohaʻahaʻa loa i ka nui o ka wai o ke kino.
• Ke kaulike ʻole o ke electrolyte: Ka haunaele i ka paʻakai a me nā pae mineral o ke kino.
• ʻAʻole pono ka ʻai a me ka pohō kaumaha.
• Pala niho: Ma muli o ka ʻakika i loko o ka luaʻi.
• Ka hōʻino ʻana i ke kahawai meaʻai: Hiki i ka luaʻi nui ke hana i nā kūlana e like me ka maʻi Boerhaave a i ʻole ka waimaka ʻo Mallory Weiss .
• Wela ka wai wela: E hoʻomaha mai ka hoʻohana ʻana i ka wai wela loa.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?

ʻO ka pilikia koʻikoʻi loa o CHS ka make wai. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona o ka make wai, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.

He pilikia ʻoluʻolu ʻole a weliweli hoʻi ka CHS e hiki ke hana me ka hoʻohana ʻana i ka cannabis no ka manawa lōʻihi. ʻO ia ke kumu he mea nui e makaʻala i ka wā e hoʻohana ai i ka cannabis a me kāna huahana. Inā manaʻo ʻoe he CHS kou a pono paha i ke kōkua e haʻalele i ka cannabis, e ʻoluʻolu e kamaʻilio me ke kauka. Ua mākaukau lākou e kōkua iā ʻoe.