Imajin, yu dɔn de yuz kanaba fɔ lɔng lɔng tɛm. Fɔs, no prɔblɛm nɔ bin de. Bɔt afta sɔm tɛm, wantɛm wantɛm yu bigin fɔ vɔmit bad bad wan ɛn yu bɛlɛ kramp. Dis nɔ kin apin fɔ wan ɔ tu dez, bɔt i kin apin wan wan tɛm. Di strenj tin na dat, di wangren tin we kin mek pɔsin fil fayn frɔm dis bad bad tin we kin mek pɔsin nɔ fil fayn na we i was wam wam. Yu dɔn gɛt dis ɛkspiriɛns? If na so i bi, nɔ dismis am as nɔmal tin. Tide wi de tɔk bɔt dis kɔndishɔn. Insay mɛrɛsin, wi kin kɔl am Cannabinoid Hyperemesis Syndrome (CHS) .
Simply put, wetin na dis CHS?
Okay, mek wi simplify dis nem likl. "Hyperemesis" de tɔk bɔt we pɔsin de vɔmit bad bad wan. "Cannabinoids" de tכk bכt di kεmikכl kכmpawnd dεm we de insay di kanaba plant. Yu go mɔs dɔn yɛri bɔt THC (Tetrahydrocannabinol) ɛn CBD (Cannabidiol) . Dis na di kayn kanaba dεm bak. dis kεmikכl dεm de tay pan di kanaba rεsεpכta dεm na wi bren, spεnal kכd, dijestiv sistεm, εn כda pat dεm na di bכdi.
Fɔ tɔk am simpul wan, CHS na wan sik we de sho se yu kin gɛt siriɔs nɔys, vɔmit, ɛn bɛlɛ pen we yu de yuz kanaba fɔ lɔng tɛm. Wan tin we de sho se dis kin mek i fil fayn fɔ sɔm tɛm we yu was ɔ shawa wit ɔt.
Dis nɔto jɔs wan sayd ɛfɛkt we pɔsin kin gɛt we i de yuz kanaba. Dis na wan sik wae kin mek yu gɛt siriɔs wɛl bɔdi prɔblɛm. So, i rili impɔtant fɔ mek wi no bɔt dis.
Aw kɔmɔn tin fɔ CHS?
Fɔ tɔk tru, i nɔ kin izi fɔ mek di wan dɛn we de stɔdi bɔt dis sik tɔk klia wan aw dis sik kin bɔku. Di rizin na dat nɔto ɔlman we gɛt dɛn sik ya kin go to dɔktɔ ɛn nɔ kin tɛl dɛn dɔktɔ se dɛn de yuz marijuana.
Bɔt wan stɔdi sho se 32.9% pan di wan dɛn we kin yuz kanaba bɔku tɛm we kin prɛzɛnt to di Imejɛnsi Dipatmɛnt (ETU) bin gɛt sɔm sayn dɛn fɔ CHS. Wit di yus fɔ kanaba we de go ɔp na Sri Lanka, dis kɔndishɔn kin kɔmɔn pas aw i bin de bifo.
Wetin na di sayn dɛm fɔ CHS? Aw wi kin no am?
Di CHS simptom dɛm kin bigin fɔ apia afta dɛn dɔn yuz kanaba fɔ lɔng tɛm, bɔku tɛm fɔ sɔm ia. Bɔt nɔto ɔlman we de yuz kanaba kin kɔntinyu fɔ gɛt CHS.
Di men tin dɛm wae de sho dis kayn sik na:
- Nɔs we nɔ de dɔn: Dɛn kin fil dis mɔ na mɔnin.
- Yu kin vɔmit bak: Sɔntɛnde yu kin vɔmit te fayv tɛm insay awa. Yu kin fil lɛk se yu go vɔmit, bɔt tɛm de bak we yu nɔ de vɔmit (retching).
- Bɛlɛ pen bad bad wan:Yu kin gɛt bɛlɛ pen we yu nɔ go ebul fɔ bia.
- Fɔ fred fɔ vɔmit: Dis kin mek yu fred fɔ it ɔ ivin drink wata.
- Di it nɔ de te.
Di tin we spɛshal ɛn we kin mek yu sɔprayz pas ɔl dis na dat, dɛn sik ya kin ridyus fɔ sɔm tɛm we yu was yu wata wit ɔt. Dis na wae mek bɔrku pipul wae gɛt CHS kin tɛmpt fɔ tek ɔt wata fɔ lɔng tɛm insay di de. Dis kin bi abit.
Tri stej dεm de fכ CHS kכndishכn:
Dɛn sayn ya nɔr kin apin di sem we ɔltɛm. Dɔktɔ dɛn dɔn no tri men stej dɛn we dis sik kin gɛt.
| Tɛm | Tɔk bɔt |
|---|---|
| Fɔs pat (Prodromal faz) . | Dis na di fɔs stej. Dis kin apin mɔ pan pipul dɛn we dɔn de yuz kanaba frɔm we dɛn yɔŋ. Na ya yu kin gɛt tin lɛk mɔnin sik ɛn bɛlɛ pen. Pan ɔl we yu kin fred fɔ vɔmit, fɔ tru, yu nɔ de vɔmit. Dis stej kin las fɔ sɔm mɔnt, sɔntɛm ivin fɔ lɔng tɛm. |
| Sɛkɔn pat (Hyperemetic phase) . | Dis na di stej wae de pasmak en big stej wae de kam pan CHS. Bɔku tɛm, i kin las fɔ 24 to 48 awa. Vɔmit ɛn nɔys de we pɔsin nɔ go ebul fɔ bia, we nɔ de stɔp. Na insay dis tɛm di abit fɔ was insay ɔt wata kin bigin. Fɔ it kin lɛf smɔl fɔ lɛ i stɔp. |
| Faz fɔ rikavari | Dis stej kin apin afta yu dɔn stɔp fɔ yuz kanaba kpatakpata. Yu nɔ fɔ yuz ivin smɔl tin. Afta dɛn dɔn stɔp fɔ yuz am, di sayn dɛn kin go dɔŋ smɔl smɔl fɔ sɔm dez ɔ mɔnt, dɔn dɛn kin dɔnawe wit am kpatakpata. |
Wetin na "Scromiting"?
Sɔm pipul dɛn kin yuz dis wɔd fɔ tɔk bɔt di kayn CHS we rili bad. Na wan kɔmbaynshɔn fɔ di wɔd dɛn "skrim" ɛn "vomit." I de tɔk bɔt di bad bad pen we pɔsin kin fil we i de vɔmit we kin mek di pɔsin ala.
Wetin mek dis kin apin? Wetin kin mek pɔsin gɛt CHS?
Sayɛnsman dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt CHS, bɔt di men tiori na dat i kin kam bikɔs di bɔdi in ɛndokanabinoid sistɛm (ECS) kin wok pasmak we dɛn de yuz kanaba fɔ lɔng tɛm .
Fɔ tɔk am simpul wan, wi bɔdi gɛt natura l sistɛm we de kɔntrol di nɔys ɛn vɔmit. Dɛn biliv se we dis sistɛm de gɛt signal ɔltɛm frɔm kanaba, i kin kɔmɔt na di balans ɛn nɔs ɛn vɔmit kin bigin fɔ apin we pɔsin nɔ ebul fɔ kɔntrol am.
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Pipul wae de yuse kanaba fɔ lɔng tɛm, ɔltɛm 10-12 ia, kin gɛt di ay risk fɔ gɛt CHS. Dis risk kin rili bɔku fɔ di wan dɛn we de yuz kanaba at le wan tɛm insay di wik ɛn di wan dɛn we bigin fɔ yuz kanaba we dɛn yɔŋ .
Bɔt mɛmba se nɔto ɔlman we de yuz kanaba fɔ lɔng tɛm kin gɛt CHS. Di rizin fɔ dis stil nɔ klia.
Aw dɔktɔ kin no se dis na CHS?
We yu go to dɔktɔ wit dɛn sik ya, i go mɔs aks yu bɔt yu sik, mɛdikal istri, ɛn yu abit fɔ no if na CHS.
Di dɔktɔ kin aks yu kwɛstyɔn dɛn lɛk dɛn wan ya:
- Aw lɔng yu dɔn de yuz kanaba?
- Aw ɔltɛm yu kin yuz am?
- Us tɛm pan di de yu kin vɔmit ɔ fil nɔs?
- Sɔm it dɛn kin mek pɔsin vɔmit?
- Yu dɔn lɔs yu wet fɔ natin?
- Yu gɛt di abit fɔ was wit ɔt wata fɔ mek yu nɔ gɛt di sik?
Di tin we impɔtant pas ɔl na ya na fɔ tɛl yu dɔktɔ di tru bɔt aw yu de yuz kanaba. If yu ayd am, yu dɔktɔ kin misdiagnose am as ɔda sik, lɛk Cyclic Vomiting Syndrome (CVS), ɛn di tritmɛnt we yu go gɛt go rɔng.
Dɔktɔ dɛn kin yuz dɛn krayteria ya fɔ no if pɔsin gɛt CHS:
- Yu kin yuz kanaba bɔku tɛm fɔ pas wan ia.
- Siriɔs vɔmit we kin apin wan wan tɛm.
- Bɛlɛ de pen.
- Di sayn dɛm kin dɔn we yu stɔp fɔ yuz kanaba.
- Fɔ gɛt strɔng want ɛn abit fɔ was insay ɔt wata.
Fɔ mek shɔ se no ɔda mɛrɛsin nɔ de, yu dɔktɔ kin ɔda bak fɔ du tɛst lɛk blɔd tɛst, urine tɛst, ɔ CT skan ɔ MRI skan.
Wetin na di tritmɛnt dɛm fɔ CHS?
Na dis na di tin we impɔtant pas ɔl ɛn sɔntɛm di tin we nɔ fayn fɔ yɛri.
Di wan ɛn wan tritmɛnt we kin mɛn CHS fɔ ɔltɛm na fɔ stɔp fɔ yuz kanaba kpatakpata.
No ɔda mɛrɛsin nɔ de we go ebul fɔ mɛn dis fɔ ɔltɛm. Afta yu dɔn stɔp fɔ yuz kanaba, yu kin gɛt sɔm sayn ɛn sayd ɛfɛkt fɔ sɔm wiks. Bɔt as tɛm de go, dɛn ɔl go go.
If yu gɛt prɔblɛm fɔ lɛf fɔ yuz marijuana, we min se yu dɔn adikshɔn to am, yu kin gɛt ɛp. Tɔk to yu dɔktɔ ɔ pɔsin we de advays yu bɔt adikshɔn.
If yu gɛt siriɔs CHS, yu kin nid fɔ go na ɔspitul. De,
- If di bɔdi nɔ gɛt wata bikɔs ɔf di vɔmit, gi IV fluid ( saline ) ɛn ilɛktrɔlayt.
- Gi antiemetics (bɔt dɛn wan ya nɔ kin rili wok pan CHS).
- Fɔ gi ɔda tritmɛnt dɛn lɛk kapsaysin krim fɔ ridyus pen.
Pan ɔl we we pɔsin was wit ɔt, i kin mek i fil fayn fɔ sɔm tɛm, i nɔ kin mɛn am. If yu was wit wata we wam pasmak, dat kin mek yu swet ɛn yu nɔ gɛt wata mɔ ɛn mɔ.
Ɔda kɔmplikeshɔn dɛn we kin apin bikɔs ɔf CHS
If dɛn nɔ trit CHS fayn, dat min se if dɛn nɔ stɔp fɔ yuz kanaba, siriɔs prɔblɛm kin apin.
- Di wata we nɔ de na di bɔdi: We yu kɔntinyu fɔ vɔmit, dat kin mek di wata we de na di bɔdi go dɔŋ bad bad wan.
- Ilektrolayt imbalans: Distכbshכn na di bכdi in sכl εn minral lεvεl dεm.
- Malnutrishɔn ɛn weit lɔs.
- Tut de rɔtin: Na bikɔs ɔf di asid we de na di vɔmit.
- Damej to di alimentary canal: If yu vɔmit pasmak, i kin mek yu gɛt tin dɛn lɛk Boerhaave’s syndrome ɔ Mallory Weiss tear .
- Ɔt wata bɔn: Gɛt rilif fɔ yuz tumɔs ɔt wata.
Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)?
Di mɔs siriɔs kɔmplikeshɔn fɔ CHS na di wata we de kɔmɔt na di bɔdi. If yu gɛt ɛni wan pan dɛn sayn ya we de sho se yu nɔ gɛt wata na yu bɔdi, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu wantɛm wantɛm.
| Sɔntin yu nɔ plan! If yu gɛt dɛn sik ya, go na di ETU wantɛm wantɛm! | |
|---|---|
| ⚫ Yurin we rili dak ɔ di amount we de kɔmɔt na di bɔdi rili smɔl | ⚫ Di at rit we de go ɔp |
| ⚫ Kɔnfyushɔn wantɛm wantɛm | ⚫ Di brith rεt we de go ɔp |
| ⚫ Diziz we pasmak | ⚫ Fɔ mek pɔsin nɔ ebul fɔ waka |
| ⚫ Taya pasmak ɔ slip we yu nɔ ɛksplen | |
CHS na wan kɔmplikeshɔn we nɔ kin rili fayn ɛn we denja we kin apin we pɔsin yuz kanaba fɔ lɔng tɛm. Dis na di rizin we mek i impɔtant fɔ tek tɛm we yu de yuz kanaba ɛn di tin dɛn we i de mek. If yu tink se yu gɛt CHS ɔ yu nid ɛp fɔ lɛf fɔ it kanaba, duya tɔk to dɔktɔ. Dɛn rɛdi fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- CHS na rial sik: Dis na rial mεdikal kכndyushכn we de mek yu vכmit bad bad wan εn bεlε pen, we de kכz fכ yus kanaba fכ lכng tεm.
- Di wangren mɛrɛsin na fɔ lɛf fɔ it: Di wangren we fɔ mɛn CHS fɔ ɔltɛm na fɔ stɔp fɔ yuz kanaba kpatakpata.
- Hot wata bat na wan sayn: Fɔ sɔm tɛm we yu de was yu hot wata na wan impɔtant sayn fɔ CHS. Bɔt i nɔto mɛrɛsin ɛn i kin mek pɔsin nɔ gɛt bɛtɛ wata na in bɔdi.
- Tɛl di dɔktɔ di tru: If yu gɛt dɛn sik ya, fɔ go to dɔktɔ ɛn fɔ ɔnɛs bɔt aw yu de yuz kanaba impɔtant fɔ mek yu no di sik ɛn tritmɛnt kɔrɛkt wan.
- Nɔ fred fɔ aks fɔ ɛp: If yu gɛt prɔblɛm fɔ stɔp fɔ yuz kanaba, nɔ shek fɔ go to dɔktɔ ɛn sɔpɔt.
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