Mukupitiriza kugwiritsa ntchito chamba? Muyenera kudziwa za kusanza kwakukulu kumeneku (Cannabis Hyperemesis Syndrome - CHS)

Tangoganizirani, mwakhala mukugwiritsa ntchito chamba kwa zaka zambiri. Poyamba, panalibe vuto. Koma patapita kanthawi, mwadzidzidzi mumayamba kusanza kwambiri komanso kupweteka m'mimba. Izi sizichitika kwa tsiku limodzi kapena awiri, koma zimachitika nthawi ndi nthawi. Chinthu chachilendo n'chakuti, mpumulo wokhawo wa kusasangalala kwakukulu kumeneku ndi kusamba ndi madzi otentha. Kodi mwakumanapo ndi izi? Ngati ndi choncho, musaganize kuti ndi zachilendo. Lero tikulankhula za vutoli. Mu zamankhwala, timalitcha kuti Cannabinoid Hyperemesis Syndrome (CHS) .

Mwachidule, kodi CHS iyi ndi chiyani?

Chabwino, tiyeni tichepetse pang'ono dzinali. "Hyperemesis" imatanthauza kusanza kwambiri. "Cannabinoids" imatanthauza mankhwala omwe amapezeka mu chomera cha chamba. Mwina mwamvapo za THC (Tetrahydrocannabinol) ndi CBD (Cannabidiol) . Izi ndi mitundu ya cannabinoids. Mankhwalawa amamangirira ku ma cannabinoid receptors mu ubongo wathu, msana, m'mimba, ndi ziwalo zina za thupi.

Mwachidule, CHS ndi vuto lomwe limadziwika ndi nseru, kusanza, ndi kupweteka m'mimba komwe kumachitika chifukwa chogwiritsa ntchito chamba kwa nthawi yayitali. Chizindikiro cha izi ndichakuti limachepa kwakanthawi posamba kapena kusamba ndi madzi otentha.

Kodi CHS ndi yofala bwanji?

Kunena zoona, n'zovuta kwa ofufuza kunena momwe vutoli limachitikira kawirikawiri. Chifukwa chake n'chakuti si aliyense amene ali ndi zizindikirozi amafunsira upangiri kwa dokotala ndipo sauza dokotala wawo kuti amamwa chamba.

Komabe, kafukufuku wina adapeza kuti 32.9% ya ogwiritsa ntchito chamba pafupipafupi omwe amapita ku Dipatimenti Yothandiza Anthu Odwala Zadzidzidzi (ETU) anali ndi zizindikiro za CHS. Popeza kugwiritsa ntchito chamba kukuchulukirachulukira ku Sri Lanka, vutoli likhoza kukhala lofala kwambiri kuposa kale.

Kodi zizindikiro za CHS ndi ziti? Kodi timazizindikira bwanji?

Zizindikiro za CHS nthawi zambiri zimayamba kuonekera munthu akagwiritsa ntchito chamba kwa nthawi yayitali, nthawi zambiri kwa zaka zingapo. Komabe, si aliyense amene amagwiritsa ntchito chamba nthawi zonse amakhala ndi CHS.

Makhalidwe akuluakulu a vutoli ndi awa:

• Kusanza kosalekeza: Izi zimamveka makamaka m'mawa.
• Kusanza mobwerezabwereza: Nthawi zina mungasanze mpaka kasanu pa ola limodzi. Mungamve ngati mukufuna kusanza, koma palinso nthawi zina zomwe simungasanze (kubwerera m'mbuyo).
• Kupweteka kwambiri m'mimba:Mungakhale ndi ululu wosapiririka m'mimba.
• Kuopa kusanza: Izi zingayambitse mantha odya kapena kumwa madzi.
• Chakudyacho sichikoma.

Chinthu chapadera komanso chodabwitsa kwambiri pa zonsezi ndichakuti zizindikirozi zimachepa kwakanthawi mukasamba ndi madzi otentha. Ichi ndichifukwa chake anthu ambiri omwe ali ndi CHS amayesedwa kusamba ndi madzi otentha kwa maola ambiri patsiku. Izi zimakhala chizolowezi.

Pali magawo atatu a matenda a CHS:

Zizindikiro zimenezi sizimachitika mofanana nthawi zonse. Madokotala apeza magawo atatu akuluakulu a matendawa.

Kodi "Scromiting" ndi chiyani?

Anthu ena amagwiritsa ntchito mawuwa pofotokoza mtundu woopsa kwambiri wa CHS. Ndi kuphatikiza kwa mawu oti "kufuula" ndi "kusanza." Mawuwa amatanthauza ululu waukulu wa kusanza womwe umapangitsa munthu kufuula.

Nchifukwa chiyani izi zimachitika? N’chiyani chimayambitsa CHS?

Asayansi sakudziwabe chomwe chimayambitsa CHS, koma mfundo yaikulu ndi yakuti imayamba chifukwa cha kukondoweza kwa dongosolo la endocannabinoid (ECS) la thupi pamene chamba chikugwiritsidwa ntchito kwa nthawi yayitali .

Mwachidule, matupi athu ali ndi dongosolo lachilengedwe lomwe limalamulira nseru ndi kusanza. Amakhulupirira kuti dongosololi likamalandira mauthenga ochokera ku chamba nthawi zonse, limakhala losakhazikika ndipo nseru ndi kusanza zimayamba kuchitika mosalamulirika.

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Anthu omwe amagwiritsa ntchito chamba kwa nthawi yayitali, nthawi zambiri zaka 10-12, ali pachiwopsezo chachikulu chotenga matenda a CHS. Chiwopsezochi ndi chachikulu makamaka kwa iwo omwe amagwiritsa ntchito chamba kamodzi pa sabata komanso omwe adayamba kugwiritsa ntchito chamba ali aang'ono .

Kodi dokotala amazindikira bwanji izi ngati CHS?

Mukapita kukaonana ndi dokotala yemwe ali ndi zizindikirozi, iye adzakufunsani makamaka za zizindikiro zanu, mbiri yanu yachipatala, ndi zizolowezi zanu kuti adziwe ngati ndi CHS.

Dokotala angakufunseni mafunso monga awa:

• Kodi mwakhala mukugwiritsa ntchito chamba kwa nthawi yayitali bwanji?
• Kodi mumagwiritsa ntchito kangati?
• Kodi mumasanza kapena kumva nseru nthawi yanji patsiku?
• Kodi zakudya zina zimawonjezera kusanza?
• Kodi mwachepetsa thupi popanda chifukwa?
• Kodi muli ndi chizolowezi chosamba m'madzi otentha kuti muchepetse zizindikiro?

Madokotala nthawi zambiri amagwiritsa ntchito njira izi pozindikira matenda a CHS:

• Kugwiritsa ntchito chamba pafupipafupi kwa nthawi yoposa chaka chimodzi.
• Kusanza kwambiri komwe kumachitika nthawi ndi nthawi.
• Kupweteka m'mimba.
• Zizindikiro zimatha mukasiya kugwiritsa ntchito chamba.
• Kukhala ndi chilakolako champhamvu komanso chizolowezi chosamba m'madzi otentha.

Kuti atsimikizire kuti palibe matenda ena, dokotala wanu angakupatseninso mayeso monga kuyezetsa magazi, kuyezetsa mkodzo, kapena CT scans kapena MRI scans.

Kodi mankhwala a CHS ndi otani?

Apa ndiye chinthu chofunikira kwambiri komanso mwina chosasangalatsa kwambiri kumva.

Palibe mankhwala ena omwe angachiritse vutoli kwamuyaya. Mukasiya kugwiritsa ntchito chamba, mungakhale ndi zizindikiro ndi zotsatirapo zake kwa milungu ingapo. Koma pakapita nthawi, zonse zimatha.

Ngati mukuvutika kusiya chamba, zomwe zikutanthauza kuti ndinu woledzera nacho, mutha kupeza thandizo. Lankhulani ndi dokotala wanu kapena mlangizi wa zizolowezi zoledzera.

Ngati muli ndi CHS yoopsa, mungafunike kupita kuchipatala. Kumeneko,

• Ngati thupi lasowa madzi m'thupi chifukwa cha kusanza, perekani madzi a m'mitsempha ( saline ) ndi ma electrolyte.
• Kupereka mankhwala oletsa kutsekula m'mimba (koma izi sizigwira ntchito bwino mu CHS).
• Kupereka mankhwala ena, monga kirimu ya capsaicin, kuti muchepetse ululu.

Ngakhale kusamba ndi madzi otentha kungathandize kwakanthawi, si mankhwala. Kusamba ndi madzi otentha kwambiri kungayambitse thukuta komanso kutaya madzi m'thupi.

Mavuto ena omwe angachitike chifukwa cha CHS

Ngati CHS sichithandizidwa bwino, ndiko kuti, ngati kugwiritsa ntchito chamba sikuletsedwa, mavuto aakulu angachitike.

• Kusowa madzi m'thupi: Kusanza kosalekeza kungapangitse kuti madzi m'thupi akhale ochepa kwambiri.
• Kusalinganika kwa ma electrolyte: Kusokonezeka kwa kuchuluka kwa mchere ndi mchere m'thupi.
• Kusadya bwino ndi kuchepetsa thupi.
• Kuwola kwa dzino: Chifukwa cha asidi m'masanzi.
• Kuwonongeka kwa ngalande ya chakudya: Kusanza kwambiri kungayambitse matenda monga Boerhaave's syndrome kapena Mallory Weiss tear .
• Kupsa ndi madzi otentha: Pezani mpumulo pogwiritsa ntchito madzi otentha kwambiri.

Kodi muyenera kupita ku Emergency Treatment Unit (ETU) liti?

Vuto lalikulu kwambiri la CHS ndi kutaya madzi m'thupi. Ngati muli ndi zizindikiro zotsatirazi za kutaya madzi m'thupi, pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi nthawi yomweyo.

CHS ndi vuto losasangalatsa komanso loopsa lomwe lingachitike pogwiritsa ntchito chamba kwa nthawi yayitali. Ichi ndichifukwa chake ndikofunikira kusamala mukamagwiritsa ntchito chamba ndi zinthu zake. Ngati mukuganiza kuti muli ndi CHS kapena mukufuna thandizo kuti musiye chamba, chonde lankhulani ndi dokotala. Ali okonzeka kukuthandizani.