Ngaihtuah teh, kum tam tak chhung chu cannabis i hmang tawh a ni. A tirah chuan buaina a awm lo. Mahse rei vak lo hnuah chuan rang takin i luak chhuak tan a, i pum a na bawk. Hei hi ni khat emaw ni hnih emaw chhung chu a thleng lo va, a hun hunah a thleng thin. Thil mak tak chu, he hrehawmna nasa tak atanga chhanchhuahna awm chhun chu tui lum taka inbual hi a ni. Hetiang thil tawn hi i tawng tawh em? Chutiang a nih chuan thil pangngai angin hnawl suh. Vawiin hian he dinhmun hi kan sawi dawn a ni. Damdawi lamah chuan Cannabinoid Hyperemesis Syndrome (CHS) kan ti a.
A awlsam zawngin, he CHS hi eng nge ni?
Okay, he hming hi tlem han awlsam deuh ila. "Hyperemesis" tih hian luak chhuak nasa tak a kawk a ni. "Cannabinoids" tih hian cannabis plant-a chemical compound awmte a kawk a ni. THC (Tetrahydrocannabinol) leh CBD (Cannabidiol) tih hi i hre tawh ngei ang. Hengte hi cannabinoid chi hrang hrang an ni bawk. Heng chemical te hi kan thluak, ruhro, chaw ei leh taksa peng dang a cannabinoid receptor te nen an inzawm tlat a ni.
A awlsam zawngin, CHS hi cannabis rei tak hman avanga a hun laia natna khirh tak, luak chhuak, leh pum na tihna a ni. Hei hi a ziarang pakhat chu tui lum emaw, inbual emaw hian rei lo te chhung atan a hahdam thei a ni.
Hei hi cannabis hman avanga side effect mai a ni lo. Hei hi hriselna lama harsatna lian tak thlen thei dinhmun a ni. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.
CHS hi engtiang chiahin nge a hluar?
Dik tak chuan he natna hi engtiang chiahin nge a awm tih hi zirchiangtute tan chuan sawi a harsa hle. A chhan chu heng symptoms nei zawng zawng hian damdawi lam thurawn an zawng vek lo va, an doctor hnenah marijuana an hman thu an hrilh ngai lo.
Mahse, zirchianna pakhatah chuan Emergency Department (ETU)-a cannabis hmang fo zinga 32.9% chuan CHS symptom an nei tih hmuhchhuah a ni. Sri Lanka ramah hian cannabis hman a pun zel avangin he natna hi a hma aiin a hluar zawk mai thei.
CHS natna lan chhuah dante chu engte nge ni? Engtin nge kan hriat chian?
CHS symptoms hi hun rei tak cannabis hman hnuah a lang tan tlangpui a, kum engemawzat chhung a lang fo thin. Mahse, cannabis hmang chhunzawm zel zawng zawng hian CHS an nei vek lo.
Hetiang dinhmuna a lan dan ber chu:
- Persistent nausea: Hei hi zing lamah hriat a ni bik.
- Luak chhuak leh thin: A chang chuan darkar khatah vawi nga thleng i luak thei bawk. I luak dawn angin i inhria mai thei a, mahse i luak loh (retching) hun pawh a awm bawk.
- Pum natna nasa tak: 1.1.Tuar theih loh khawpin pum na i nei thei.
- Luak hlauhna: Hei hian ei emaw, tui in emaw hlauhna a thlen thei.
- Chaw chu a thlum lo.
Heng zawng zawnga thil danglam bik leh mak tak chu tui lum taka i inbual hian heng symptoms te hi rei lo te chhung atan a tlahniam thin hi a ni. Hei vang hian CHS vei tam tak chu ni khatah darkar tam tak tui lum taka inbual tura thlem an ni. Hei hi tih dan phung a lo ni ta a ni.
CHS condition hi stage thum a awm a, chungte chu:
Heng symptoms te hi a inang reng reng lo. Doctor ten he natna hi a bulpui ber pathum an hmuchhuak a.
| Hunbi | Hrilhfiahna |
|---|---|
| A hmasa ber (Prodromal phase) 1.1. | Hei hi a bul tanna a ni. Hei hi an naupan lai atanga cannabis hmang thinte zingah a tam hle. Hetah hian zing natna leh pum na ang chi thil i tawng mai thei. I luak hlau mai thei a, mahse a takah chuan i luak chhuak lo. He stage hi thla tam tak chhung a daih thei a, kum tam tak pawh a daih thei bawk. |
| A thawh hnihna (Hyperemetic phase) 1.1. | Hei hi CHS natna nasat ber leh a lian ber a ni. Darkar 24 atanga 48 chhung a daih tlangpui. Tuar theih loh, chawl ngai lo leh luak chhuak leh rilru hahna a awm. Hetih lai hian tui lum a inbual dan hi a lo piang ta a ni. Chaw ei chu a tawp vek tawh mai. |
| Recovery phase a ni | He stage hi cannabis hman i chawlhsan vek hnuah a thleng thin. Tlemte pawh i hmang tur a ni lo. Hman a chawlhsan hnuah ni engemaw zat emaw, thla engemaw zat emaw chhungin a natna lan chhuahna chu a tlahniam zauh zauh a, chutah chuan a bo vek a ni. |
"Scromiting" tih hi eng nge ni?
Mi thenkhat chuan he thumal hi CHS natna khirh ber sawina atan an hmang thin. "Screaming" leh "vomiting" tih thumal inzawmkhawm a ni. Chu chuan mi chu a au chhuah tir thin, luak chhuak natna nasa tak a kawk a ni.
Engvangin nge hetiang hi a lo awm? Eng thilin nge CHS hi a thlen?
Scientist-te chuan CHS hi a chhan dik tak an la hre lo a, mahse a theory ber chu cannabis hi hun rei tak hman a nih chuan taksa endocannabinoid system (ECS) overstimulation vang a ni tih hi a ni
A awlsam zawngin kan taksa hian natural system a nei a, chu chuan nausea leh vomiting a control thei a ni. He system hian cannabis atanga signal a dawn reng hian a out of balance a, nausea leh vomiting hi thunun theih lohvin a awm tan niin an ngai.
Hetiang dinhmun hi tute nge hlauhawm ber?
Cannabis hun rei tak, a tlangpuiin kum 10-12 vel hmang thinte chu CHS vei theihna chance sang ber an ni. He risk hi kar khatah vawi khat tal cannabis hmang thin leh kum naupan lai atanga cannabis hmang tan te tan chuan a sang hle a ni .
Mahse, cannabis rei tak hmangtu zawng zawng hian CHS an vei vek lo tih hre reng ang che. Hei hi a chhan erawh hriat chian a la ni lo.
Engtin nge doctor chuan hei hi CHS a nih thu a hriat theih ang?
Heng symptoms nei doctor i pan hunah chuan CHS a nih leh nih loh hriat nan i symptoms te, medical history te leh i tih dan te a zawt ber ang.
Doctor chuan hetiang zawhna hi a zawt thei che a ni:
- Eng chen nge cannabis i hman tawh?
- Engzat nge i hman?
- Nitin engtik laiin nge i luak emaw, i rilru a na emaw?
- Chaw thenkhat hian luak chhuak a tipung em?
- Chhan awm lovin i taksa rihna i tihtlem tawh em?
- Symptoms tihziaawmna turin tui lum-a inbual thin i nei em?
Hetah hian a pawimawh ber chu i doctor hnenah i cannabis hman dan dik tak hrilh hi a ni. I thup chuan i doctor chuan natna dang, Cyclic Vomiting Syndrome (CVS) ang chi a ni tih a hre sual thei a, enkawlna i dawn chu a dik lo ang.
Doctor-te chuan CHS hmuhchhuah nan heng tehfungte hi an hmang tlangpui a:
- Kum khat chuang zet cannabis hman fo.
- A hun hunah luak chhuak nasa tak.
- Pum natna.
- Cannabis i hman tawh loh chuan a symptoms chu a bo vek.
- Tui lum-a inbual duhna leh tih dan chak tak neih.
Damdawi lam thil dang a awm loh nan i doctor chuan thisen test, zun test, emaw CT scan emaw MRI scan emaw ang chi test a ti thei bawk.
CHS enkawl dan tur chu engte nge ni?
Hetah hian thil pawimawh ber leh ngaihthlak nuam lo ber pawh a ni mai thei.
CHS tidam thei tur enkawlna pakhat leh awmchhun chu cannabis hman tawh loh vek hi a ni.
Hei hi damdawi dang reng rengin a tidam thei lo. Cannabis i hman tawh loh hnuah kar engemaw zat chhung chu symptom leh side effect i nei thei a ni. Mahse hun kal zelah an kal bo vek ang.
Marijuana bânsan harsatna i neih a, chu chu addict tihna a nih chuan ṭanpuina i dawng thei ang. I doctor emaw, addiction counselor emaw nen inbia ang che.
CHS na tak i neih chuan damdawi inah dah a ngai mai thei. Sawtah,
- Luak chhuak avanga taksa tui a tlakchham chuan IV fluids ( saline ) leh electrolytes pek tur a ni.
- Antiemetics pek (mahse hengte hi CHS-ah chuan a hlawk vak lo).
- Natna tihziaawmna turin enkawlna dang, capsaicin cream ang chi pek.
Tui lum taka inbual hian rei lo te chhung atan hahdamna a pe thei a, mahse damdawi a ni lo. Tui lum lutuka inbual hian thawk hah a thlen thei a, tui a tichhe zual thei bawk.
CHS avanga harsatna dang lo awm thei te
CHS hi uluk taka enkawl a nih loh chuan, chu chu cannabis hman hi tihtawp a nih loh chuan harsatna lian tak a thleng thei tihna a ni.
- Dehydration: Luak chhunzawm zel hian taksa tui level hlauhawm takin a tlahniam thei a ni.
- Electrolyte imbalance: Taksa chi leh mineral level tihbuai.
- Ei leh in tha lo leh taksa rihna tlahniam.
- Ha a chhe: Hmuhchhuahnaah acidity a awm vang a ni.
- Alimentary canal chhiatna: Luak tam lutuk hian Boerhaave’s syndrome emaw Mallory Weiss tear ang chi natna a thlen thei a ni.
- Tui lum a kang: Tui lum lutuk hman avanga hahdamna hmu rawh.
Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang?
CHS natna khirh ber chu dehydration a ni. A hnuaia tarlan te hi dehydration symptoms i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
| Rikrum! Heng symptoms te hi i neih chuan ETU ah kal nghal rawh! | |
|---|---|
| ⚫ Zun a thim hle emaw, a chhuah zat a tlem hle | ⚫ Lung chakna a sang |
| ⚫ Thil hriatna hloh nghal (Confusion) . | ⚫ Thâwk chakna a tisang |
| ⚫ Luak chhuak nasa lutuk | ⚫ Fainting tih hi a ni |
| ⚫ Chauh lutuk emaw, sawifiah theih loha mutthilh emaw | |
CHS hi harsatna nuam lo leh hlauhawm tak a ni a, hun rei tak cannabis hman a nih chuan a thleng thei a ni. Hei vang hian cannabis leh a thil siamte hman hunah fimkhur a pawimawh hle. CHS i vei nia i hriat emaw, cannabis bânsan tura tanpuina i mamawh emaw chuan doctor nen inbia ang che. I tanpui turin an inpeih reng a ni.
Take-Home Thuchah a ni
- CHS hi natna tak tak a ni: Hei hi natna tak tak a ni a, chu chuan luak chhuak nasa tak leh pum na a thlen a, hun rei tak chhung cannabis hman avanga lo awm a ni.
- Damdawi awmchhun chu tihtawp a ni: CHS tihdam theihna awmchhun chu cannabis hman tawh loh vek hi a ni.
- Tui lum inbual hi a chhinchhiahna a ni: Tui lum inbual atanga rei lo te chhunga chhanchhuah hi CHS chhinchhiahna pawimawh tak a ni. Mahse, damdawi a ni lo va, tui tlakchhamna a tipung thei a ni.
- Doctor hnenah thudik hrilh rawh: Heng symptoms te hi i neih chuan doctor pan a, cannabis hman dan dik taka sawi hi a dik taka hriatchhuah leh enkawl nan a pawimawh hle.
- Ṭanpuina dil hlau suh: Cannabis hman tihtawp harsatna i neih chuan damdawi lam thurawn leh puihna dil hreh suh.
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