Ukomeje kunywa urumogi? Ugomba kumenya ibijyanye n'iyi ndwara yo kuruka cyane (Cannabis Hyperemesis Syndrome - CHS)

Tekereza, umaze imyaka myinshi ukoresha urumogi. Mbere na mbere, nta kibazo cyari gihari. Ariko nyuma y'igihe runaka, uhita utangira kuruka cyane no kuribwa mu nda. Ibi ntibibaho umunsi umwe cyangwa ibiri, ahubwo bibaho rimwe na rimwe. Igitangaje ni uko, uburyo bwonyine bwo kuruhuka kuri ubu bubabare bukomeye ari ukwiyuhagira bishyushye. Ese waba warigeze kugira ibi? Niba ari uko bimeze, ntubifate nk'ibisanzwe. Uyu munsi turimo kuvuga kuri iyi ndwara. Mu buvuzi, tuyita Cannabinoid Hyperemesis Syndrome (CHS) .

Mu magambo make, iyi CHS ni iki?

Reka tworoshye iri zina gato. "Hyperemesis" yerekeza ku kuruka cyane. "Cannabinoids" yerekeza ku bintu bikomoka ku bimera biboneka mu kimera cya cannabis. Ushobora kuba warumvise THC (Tetrahydrocannabinol) na CBD (Cannabidiol) . Ibi nabyo ni ubwoko bwa cannabinoids. Ibi bintu bifatanye na receptor za cannabinoid mu bwonko bwacu, mu ruti rw'umugongo, mu gifu, no mu bindi bice by'umubiri.

Muri make, CHS ni indwara irangwa no kugira isesemi ikomeye, kuruka, no kubabara mu nda bitewe no kunywa urumogi igihe kirekire. Ikintu kiyiranga ni uko igabanuka by'agateganyo iyo wiyuhagiye cyangwa wiyuhagiye mu bwogero bushyushye.

CHS ikunze kugaragara gute?

Mu by’ukuri, biragoye ku bashakashatsi kuvuga neza uburyo iyi ndwara ikunze kugaragara. Impamvu ni uko atari buri wese ufite ibi bimenyetso ushaka inama kwa muganga kandi ntabwire muganga we ko anywa urumogi.

Ariko, ubushakashatsi bumwe bwagaragaje ko 32.9% by'abakoresha urumogi kenshi binjira mu Ishami ry'Ubutabazi bw'Imbere (ETU) bafite ibimenyetso bya CHS. Kubera ko ikoreshwa ry'urumogi riri kwiyongera muri Sri Lanka, iyi ndwara ishobora kuba ikunze kugaragara kurusha mbere hose.

Ni ibihe bimenyetso bya CHS? Twabimenya dute?

Ibimenyetso bya CHS bikunze kugaragara nyuma yo kunywa urumogi igihe kirekire, akenshi mu gihe cy'imyaka myinshi. Ariko, si buri wese ukoresha urumogi uhora arwara CHS.

Ibintu by'ingenzi biranga iyi ndwara ni ibi bikurikira:

• Isesemi idashira: Ibi bigaragarira cyane cyane mu gitondo.
• Kuruka kenshi: Hari igihe ushobora kuruka kugeza kuri eshanu mu isaha. Ushobora kumva ugiye kuruka, ariko hari n'igihe utaruka (kuruka).
• Kubabara mu gifu cyane:Ushobora kugira ububabare bwo mu gifu bukabije.
• Ubwoba bwo kuruka: Ibi bishobora gutera ubwoba bwo kurya cyangwa no kunywa amazi.
• Ibiryo nta buryohe bwabyo.

Ikintu kidasanzwe kandi gitangaje muri ibi byose ni uko ibi bimenyetso bigabanuka by'igihe gito iyo wiyuhagiye mu buryo bushyushye. Niyo mpamvu abantu benshi barwaye CHS bashishikazwa no kwiyuhagira mu buryo bushyushye amasaha menshi ku munsi. Ibi biba akamenyero.

Hari ibyiciro bitatu by'indwara ya CHS:

Ibi bimenyetso ntibihora bibaho mu buryo bumwe. Abaganga bagaragaje ibyiciro bitatu by'ingenzi by'iyi ndwara.

"Scromiting" ni iki?

Hari abantu bakoresha iri jambo mu gusobanura ubwoko bukabije bwa CHS. Ni uruvange rw'amagambo "gutaka" na "kuruka." Rivuga ububabare bukomeye bwo kuruka butuma umuntu ataka.

Kuki ibi bibaho? Ni iki gitera CHS?

Abahanga mu bya siyansi ntibaramenya impamvu nyayo ya CHS, ariko igitekerezo nyamukuru ni uko iterwa no gukangura cyane sisitemu y’umubiri ya endocannabinoid (ECS) iyo urumogi rukoreshejwe igihe kirekire .

Muri make, imibiri yacu ifite sisitemu karemano igenzura isesemi no kuruka. Bikekwa ko iyo iyi sisitemu ihora ikira ibimenyetso bivuye kuri urumogi, iba idafite ubuziranenge, isesemi no kuruka bigatangira kubaho mu buryo butunguranye.

Ni nde uri mu kaga gakomeye ko kugira iyi ndwara?

Abantu bakoresha urumogi igihe kirekire, ubusanzwe imyaka 10-12, ni bo bafite ibyago byinshi byo kurwara CHS. Ibi nibyo bikomeye cyane cyane ku bakoresha urumogi nibura rimwe mu cyumweru ndetse n'abatangiye gukoresha urumogi bakiri bato .

Ni gute umuganga asuzuma ibi nka CHS?

Iyo ugiye kwa muganga ufite ibi bimenyetso, azakubaza ahanini ibimenyetso byawe, amateka y'ubuzima bwawe, n'imyitwarire yawe kugira ngo amenye niba ari CHS.

Muganga ashobora kukubaza ibibazo nk'ibi:

• Umaze igihe kingana iki ukoresha urumogi?
• Uyikoresha kangahe?
• Ni ryari uruka cyangwa ukumva ufite isesemi ku munsi?
• Ese hari ibiryo byongera kuruka?
• Ese wagabanutse ibiro nta mpamvu?
• Ese ufite akamenyero ko koga mu mazi ashyushye kugira ngo ugabanye ibimenyetso?

Ubusanzwe abaganga bakoresha ibi bipimo kugira ngo bapime CHS:

• Gukoresha urumogi kenshi mu gihe kirenga umwaka.
• Kuruka cyane bibaho rimwe na rimwe.
• Kubabara mu gifu.
• Ibimenyetso birashira iyo uhagaritse kunywa urumogi.
• Kugira ubushake bukomeye n'akamenyero ko koga mu mazi ashyushye.

Kugira ngo umuganga wawe amenye neza ko nta zindi ndwara zibaho, ashobora kandi gutumiza ibizamini nko gupima amaraso, gupima inkari, cyangwa gupima CT cyangwa MRI.

Ni ubuhe buryo bwo kuvura CHS?

Dore ikintu cy'ingenzi cyane kandi wenda kidashimishije kurusha ibindi kumva.

Nta wundi muti ushobora kuvura ibi burundu. Umaze guhagarika kunywa urumogi, ushobora kugira ibimenyetso n'ingaruka mbi mu byumweru bike. Ariko uko igihe kigenda gihita, byose bizashira.

Niba ufite ikibazo cyo kureka urumogi, bivuze ko uri imbata yarwo, ushobora kubona ubufasha. Vugana na muganga wawe cyangwa umujyanama mu by’ubusinzi.

Niba ufite CHS ikomeye, ushobora gukenera kujya mu bitaro. Aho ngaho,

• Niba umubiri wabuze amazi mu mubiri bitewe no kuruka, tanga ibinyobwa biva mu miyoboro y'amaraso ( saline ) na electrolytes.
• Gutanga imiti igabanya ububabare (ariko ntabwo bigira ingaruka nziza kuri CHS).
• Gutanga ubundi buryo bwo kuvura, nka cream ya capsaicin, kugira ngo ugabanye ububabare.

Nubwo kwiyuhagira bishyushye bishobora gutanga ubutabazi bw'agateganyo, si umuti. Kwiyuhagira mu mazi ashyushye cyane bishobora gutera ibyuya no kongera kubura amazi.

Izindi ngorane zishobora guterwa na CHS

Iyo CHS idavuwe neza, ni ukuvuga ko iyo ikoreshwa ry'urumogi ridahagaritswe, hashobora kubaho ingorane zikomeye.

• Kubura amazi mu mubiri: Kuruka buri gihe bishobora gutuma urugero rw'amazi mu mubiri rugabanuka cyane.
• Kudahuza kwa electrolyte: Ihungabana ry'umunyu n'imyunyu ngugu mu mubiri.
• Imirire mibi no kugabanya ibiro.
• Kubora kw'amenyo: Biterwa n'uburozi mu kuruka.
• Kwangirika k'umuyoboro w'ibiribwa: Kuruka cyane bishobora gutera indwara nka Boerhaave's syndrome cyangwa Mallory Weiss tear .
• Gutwika amazi ashyushye: Kuramo ihumure mu gukoresha amazi ashyushye cyane.

Ni ryari ugomba kujya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU)?

Ingorane ikomeye ya CHS ni ukubura amazi mu mubiri. Niba ufite kimwe muri ibi bimenyetso bikurikira byo kubura amazi mu mubiri, jya mu bitaro bikuru bya hafi vuba.

CHS ni ikibazo kidashimishije kandi giteje akaga gishobora kubaho iyo umuntu anywa urumogi igihe kirekire. Niyo mpamvu ari ngombwa kwitonda mu gihe akoresha urumogi n'ibirukomokaho. Niba ubona ko ufite CHS cyangwa ukeneye ubufasha bwo kureka urumogi, nyamuneka vugana na muganga. Biteguye kugufasha.