Whakaarohia, kua maha ngā tau e whakamahi ana koe i te tarukino. I te tīmatanga, kāore he raruraru. Engari i muri i tētahi wā, ka tīmata te ruaki kino, ka mamae te puku. Kāore tēnei e tupu mō te rā kotahi, e rua rānei, engari ka puta i ētahi wā. Ko te mea rerekē, ko te kaukau wera anake te mea e whakaora ai i tēnei mamae nui. Kua pāngia koe e tēnei wheako? Ki te mea koinā, kaua e whakakorea he mea noa. I tēnei rā kei te kōrero tātou mō tēnei āhuatanga. I roto i te rongoā, e kiia ana ko te Cannabinoid Hyperemesis Syndrome (CHS) .
He aha te tikanga o tēnei CHS?
Āe, me whakamāmā ake tēnei ingoa. Ko te "Hyperemesis" e pā ana ki te ruaki nui. Ko te "Cannabinoids" e pā ana ki ngā matū kei roto i te tipu cannabis. Kua rongo pea koe i te THC (Tetrahydrocannabinol) me te CBD (Cannabidiol) . He momo cannabinoids anō hoki ēnei. Ka herea ēnei matū ki ngā kaiwhakawhiwhi cannabinoid i roto i tō tātou roro, te taurakira, te pūnaha nakunaku, me ētahi atu wāhanga o te tinana.
He māmā noa iho, ko te CHS he mate e tohuhia ana e te whakapairuaki kino, te ruaki, me te mamae o te puku i puta mai i te whakamahinga roa o te tarukino. Ko tētahi āhuatanga o tēnei ko te whakaora i te wā poto mā te kaukau wera, te kaukau rānei.
Ehara i te mea he pānga taha noa iho tēnei o te whakamahi i te tarukino. He āhuatanga tēnei ka pā mai he raruraru hauora nui. Nō reira, he mea tino nui kia mōhio ki tēnei.
He pēhea te noa o te CHS?
He pono, he uaua ki ngā kairangahau te kī tika i te whānui o tēnei mate. Ko te take, ehara i te mea ko te hunga katoa e pāngia ana e ēnei tohu e rapu tohutohu hauora, ā, kāore hoki e kōrero ki tā rātou tākuta kei te whakamahi rātou i te tarukino.
Heoi, i kitea i roto i tētahi rangahau e 32.9% o ngā kaiwhakamahi tarukino auau e haere ana ki te Tari Whawhati Tata (ETU) he tohu o te CHS. I te mea kei te piki haere te whakamahinga tarukino i Sri Lanka, tera pea ka nui ake te kitea o tēnei mate i tērā o mua.
He aha ngā tohu o te CHS? Me pēhea tātou e mōhio ai?
Ko ngā tohumate o te CHS ka tīmata te puta i muri i te whakamahinga roa o te tarukino, he maha ngā tau. Heoi, ehara i te mea ko te hunga katoa e whakamahi tonu ana i te tarukino ka pāngia e te CHS.
Ko ngā āhuatanga matua o tēnei āhuatanga ko:
- Whakapairuaki tonu: Ka tino kitea tēnei i te ata.
- Ruaki auau: I ētahi wā ka ruaki koe kia rima ngā wā i te hāora. Tērā pea ka rite koe ki te ruaki, engari tera anō ētahi wā kāore koe e ruaki (ruaki).
- Te mamae nui o te puku:Tērā pea ka pāngia koe e te mamae o te puku e kore e taea te manawanui.
- Te wehi kei ruaki: Ka taea e tēnei te arahi ki te wehi ki te kai, ki te inu wai rānei.
- Kāore he reka o te kai.
Ko te āhuatanga tino ahurei, tino miharo hoki o tēnei katoa, ko te whakaiti i ēnei tohu mō te wā poto ina kaukau koe i te wai wera. Koia te take e hiahia ana te tini o te hunga whai CHS ki te kaukau i te wai wera mō ngā hāora i te rā. Ka noho tēnei hei tikanga.
E toru ngā wāhanga o te āhua o te CHS.
Kāore ēnei tohu e puta mai i ngā wā katoa i te āhua kotahi. Kua tautuhia e ngā tākuta ngā wāhanga matua e toru o tēnei mate.
| Wāhanga | Whakaahuatanga |
|---|---|
| Wāhanga Tuatahi (Wāhanga Prodromal) | Koinei te wāhanga tuatahi. He mea tino noa tēnei i roto i te hunga kua whakamahi i te tarukino mai i te tamarikitanga. I konei ka pāngia pea koe e ngā āhuatanga pēnei i te ruaki o te ata me te mamae o te puku. Ahakoa ka mataku pea koe kei ruaki, kāore koe e ruaki. Ka roa pea tēnei wāhanga mō ngā marama, tae atu ki ngā tau. |
| Wāhanga Tuarua (Wāhanga Hyperemetic) | Koinei te wāhanga tino kino, tino nui hoki o te CHS. E 24 ki te 48 hāora te roa. Ka ruaki tonu, ka whakapairuaki hoki, kāore e taea te manawanui. I tēnei wā ka puta te tikanga o te kaukau i te wai wera. Tata mutu katoa te kai. |
| Wāhanga whakaora | Ka puta tēnei wāhanga i muri i tō mutu katoa i te whakamahi i te tarukino. Kaua e whakamahi ahakoa he iti noa iho. I muri i te mutu o te whakamahi, ka heke haere ngā tohu i roto i ētahi rā, i ētahi marama rānei, kātahi ka ngaro katoa. |
He aha te "Scromiting"?
Ka whakamahia tēnei kupu e ētahi hei whakaahua i te momo CHS tino kino. He huinga kupu tēnei o "screaming" me "vomiting." E pā ana ki te mamae nui o te ruaki e meinga ai te tangata kia hamama.
He aha tēnei ka puta ai? He aha ngā take o te CHS?
Kāore anō kia mōhiotia e ngā kaipūtaiao te tino take o te CHS, engari ko te ariā matua he mea nā te nui rawa o te whakaohooho o te pūnaha endocannabinoid (ECS) o te tinana ina whakamahia te cannabis mō te wā roa .
He māmā noa iho, he pūnaha taiao tō ō tātou tinana e whakahaere ana i te whakapairuaki me te ruaki. E whakaponohia ana ina whiwhi tonu tēnei pūnaha i ngā tohu mai i te tarukino, ka kore e taurite, ā, ka tīmata te whakapairuaki me te ruaki me te kore e taea te whakahaere.
Ko wai te mea tino mōrearea ki tēnei mate?
Ko te hunga e whakamahi ana i te tarukino mō te wā roa, arā, 10-12 tau te roa, ko rātou te hunga tino mōrearea ki te whakawhanake i te CHS. He tino teitei tēnei mōrearea mō te hunga e whakamahi ana i te tarukino i te iti rawa kotahi i te wiki , me te hunga i tīmata ki te whakamahi i te tarukino i te wā taitamariki .
Engari kia maumahara ehara i te mea ko te hunga katoa e whakamahi ana i te tarukino mō te wā roa ka pāngia e te CHS. Kāore anō kia mārama te take mō tēnei.
Me pēhea te tautuhi a te tākuta i tēnei hei CHS?
Ina haere koe ki te kite i tētahi tākuta me ēnei tohu, ka pātai ia mō ō tohu, tō hītori hauora, me ō whanonga hei whakatau mēnā he CHS.
Tērā pea ka pātai atu te tākuta ki a koe i ēnei pātai:
- Kia pēhea te roa o tō whakamahi i te tarukino?
- E hia ngā wā e whakamahia ana e koe?
- He aha te wā o te rā ka ruaki koe, ka whakapairuaki rānei?
- Ka whakanui ake rānei ētahi kai i te ruaki?
- Kua ngaro tō taumaha, kāore he take?
- He tikanga tāu ki te kaukau i te wai wera hei whakaiti i ngā tohu?
Ko te mea nui i konei ko te kōrero pono ki tō tākuta mō tō whakamahinga tarukino. Ki te huna e koe, tera pea ka hē te tātaritanga a tō tākuta hei mate kē atu, pērā i te Cyclic Vomiting Syndrome (CVS), ā, ka hē te maimoatanga ka whiwhi koe.
Ko ēnei paearu te tikanga a ngā tākuta hei tātaritanga i te CHS:
- Te whakamahi pinepine i te tarukino mō te neke atu i te tau.
- Te ruaki nui e puta ana i ētahi wā.
- Mamae puku.
- Ka ngaro ngā tohu ina mutu te whakamahi i te tarukino.
- He kaha te hiahia me te āhua o te kaukau i te wai wera.
Hei whakarite kia kore he mate hauora kē atu, ka tonoa pea e tō tākuta he whakamātautau pēnei i te whakamātautau toto, te whakamātautau mimi, te matawai CT, te matawai MRI rānei.
He aha ngā maimoatanga mō te CHS?
Anei te mea tino nui, ā, koinei pea te mea tino whakarihariha ki te whakarongo.
Ko te whakamutu rawa i te whakamahi i te tarukino te maimoatanga kotahi hei whakaora tuturu i te CHS.
Kāore he rongoā kē atu e taea te whakaora i tēnei mate mō ake tonu atu. I muri i tō whakamutu i te whakamahi i te tarukino, tera pea ka pā mai ngā tohu me ngā pānga taha mō ētahi wiki. Engari i roto i te wā, ka memeha katoa.
Mena kei te raru koe ki te whakamutu i te tarukino, arā, kei te waranga koe ki te tarukino, ka taea e koe te rapu awhina. Kōrero ki tō tākuta, ki tētahi kaitohutohu waranga rānei.
Mena he kino rawa tō CHS, me kawe pea koe ki te hōhipera.
- Mena kua matewai te tinana i te ruaki, hoatu he wai tote ki roto i te tinana ( he wai tote ) me ngā electrolytes.
- Te hoatu i ngā rongoā ārai ruaki (engari kāore ēnei i te tino whai hua mō te CHS).
- Te whakarato i ētahi atu maimoatanga, pērā i te kirīmi capsaicin, hei whakaiti i te mamae.
Ahakoa he whakaora wā poto pea te kaukau i te wai wera, ehara i te rongoā. Ka taea e te kaukau i te wai wera rawa te whakaputa werawera, ā, ka nui haere te matewai.
Ētahi atu raruraru ka puta mai i te CHS
Ki te kore e rongoatia tika te CHS, arā, ki te kore e mutu te whakamahi i te tarukino, ka puta pea ngā raruraru nui.
- Te matewai: Ka taea e te ruaki tonu te whakaiti i te nui o te wai o te tinana.
- Te kore taurite o te irahiko: Te raruraru i roto i ngā taumata tote me ngā kohuke o te tinana.
- Te kore kai pai me te whakaheke taumaha.
- Te pirau niho: Nā te waikawa o te ruaki.
- Te kino ki te awa kai: Ka taea e te ruaki nui te whakaputa i ngā āhuatanga pēnei i te mate a Boerhaave me te roimata Mallory Weiss .
- Ngā wera o te wai wera: Kia ora ai koe i te whakamahi i te wai wera rawa.
Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU)?
Ko te raruraru tino kino o te CHS ko te matewai. Mena kei a koe tētahi o ngā tohumate matewai e whai ake nei, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
| Āwhati! Ki te pā mai ēnei tohu, haere tonu ki te ETU! | |
|---|---|
| ⚫ He mimi tino pouri, he iti rawa rānei te nui o te mimi i whakaputaina | ⚫ Te pikinga o te tere o te ngakau |
| ⚫ Te ngaro ohorere o te māramatanga (Pōhēhētanga) | ⚫ Te tere o te manawa |
| ⚫ Te pōuri nui | ⚫ Te hemo o te ngākau |
| ⚫ Te ngenge nui, te hiamoe kore whakamārama rānei | |
He raruraru tino kino, tino morearea hoki te CHS, ka puta pea i te whakamahinga roa o te tarukino. Koia te take he mea nui kia tūpato i te wā e whakamahi ana i te tarukino me ōna hua. Ki te whakaaro koe kei a koe te CHS, ki te hiahia āwhina rānei koe ki te whakamutu i te tarukino, tēnā kōrero ki te tākuta. Kei te rite rātou ki te āwhina i a koe.
Karere Tangohia ki te Kāinga
- He mate tūturu te CHS: He mate tūturu tēnei e puta ai te ruaki nui me te mamae o te puku, nā te whakamahinga roa o te tarukino.
- Ko te whakamutu anake te rongoā: Ko te huarahi anake hei whakaora tuturu i te CHS ko te whakamutu rawa i te whakamahi i te tarukino.
- He tohumate te kaukau wai wera: Ko te whakaora wā poto i te kaukau wai wera he tohumate matua o te CHS. Heoi, ehara i te rongoā, ā, ka piki ake te matewai.
- Kōrerotia te pono ki te tākuta: Mena kei a koe ēnei tohu, he mea nui te toro atu ki te tākuta me te kōrero pono mō tō whakamahinga tarukino hei tātaritanga me te maimoatanga tika.
- Kaua e wehi ki te tono āwhina: Mena kei te raru koe ki te whakamutu i te whakamahi tarukino, kaua e mangere ki te rapu tohutohu me te tautoko hauora.
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