Khawucinge nje, ubusoloko usebenzisa i-cannabis kangangeminyaka. Ekuqaleni, bekungekho ngxaki. Kodwa emva kwexesha elithile, ngequbuliso uqala ukuhlanza ngamandla kwaye ube neentlungu zesisu. Oku akwenzeki kangangeentsuku ezimbini, kodwa kwenzeka rhoqo. Into engaqhelekanga kukuba, ukuphela kokukhululeka koku kubandezeleka kukuhlamba ngamanzi ashushu. Ngaba ukhe waba nalo eli thuba? Ukuba kunjalo, musa ukulithatha njengento eqhelekileyo. Namhlanje sithetha ngale meko. Kwizonyango, siyibiza ngokuba yiCannabinoid Hyperemesis Syndrome (CHS) .
Kalula nje, yintoni le CHS?
Kulungile, masiyenze lula le gama kancinci. Igama elithi "Hyperemesis" libhekisa ekuhlanzeni kakhulu. Igama elithi "Cannabinoids" libhekisa kwiikhemikhali ezifumaneka kwisityalo se-cannabis. Mhlawumbi ukhe weva nge -THC (Tetrahydrocannabinol) kunye ne-CBD (Cannabidiol) . Ezi zikwaluhlobo lwee-cannabinoids. Ezi khemikhali zibopha kwii-receptors ze-cannabinoid engqondweni yethu, emgogodleni, kwinkqubo yokugaya ukutya, nakwezinye iindawo zomzimba.
Ngamafutshane, i-CHS yimeko ebonakaliswa sisicaphucaphu esiqatha, ukuhlanza, kunye nentlungu yesisu ebangelwa kukusebenzisa intsangu ixesha elide. Uphawu oluphawulekayo lwale nto kukuba ithomalaliswa okwethutyana ngokuhlamba okanye ukuhlamba ngamanzi ashushu.
Oku akupheleli nje kwimiphumo emibi yokusebenzisa i-cannabis. Le yimeko enokubangela iingxaki ezinkulu zempilo. Kungoko ke, kubaluleke kakhulu ukukwazi oku.
Ixhaphake kangakanani i-CHS?
Inyaniso kukuba, kunzima kubaphandi ukutsho ukuba le meko ixhaphake kangakanani. Isizathu kukuba ayinguye wonke umntu onezi mpawu ofuna ingcebiso kugqirha kwaye akaxeleli ugqirha wakhe ukuba usebenzisa intsangu.
Nangona kunjalo, olunye uphando lufumanise ukuba ama-32.9% abantu abasebenzisa i-cannabis rhoqo abaya kwiSebe leeNgxamiseko (i-ETU) babeneempawu ze-CHS. Njengoko ukusetyenziswa kwe-cannabis kusanda eSri Lanka, le meko isenokuba yinto eqhelekileyo kunangaphambili.
Zithini iimpawu ze-CHS? Siyibona njani?
Iimpawu ze-CHS zihlala ziqala ukubonakala emva kokusetyenziswa kwe-cannabis ixesha elide, rhoqo kangangeminyaka eliqela. Nangona kunjalo, ayinguye wonke umntu osebenzisa i-cannabis ohlala efumana i-CHS.
Iimpawu eziphambili zale meko zezi:
- Isicaphucaphu esingapheliyo: Oku kuvakala ngakumbi kusasa.
- Ukuhlanza okuphindaphindiweyo: Ngamanye amaxesha ungahlanza ukuya kuthi ga kahlanu ngeyure. Usenokuziva ngathi uza kuhlanza, kodwa kukwakho namaxesha apho ungahlanzi khona (ukurhoxa).
- Intlungu ebuhlungu yesisu:Usenokuba neentlungu zesisu ezinganyamezelekiyo.
- Ukoyika ukuhlanza: Oku kunokubangela ukoyika ukutya okanye ukusela amanzi.
- Ukutya akunancasa.
Eyona nto ingaqhelekanga neyimangalisayo kuyo yonke le nto kukuba ezi mpawu ziyancipha okwethutyana xa uhlamba ngamanzi ashushu. Yiyo loo nto abantu abaninzi abane-CHS bethanda ukuhlamba ngamanzi ashushu iiyure ngemini. Oku kuba ngumkhwa.
Kukho izigaba ezintathu zemeko ye-CHS:
Ezi mpawu azisoloko zisenzeka ngendlela efanayo. Oogqirha bachonge amanqanaba amathathu aphambili esi sifo.
| Isigaba | Inkcazo |
|---|---|
| Isigaba sokuqala (isigaba seProdromal) | Eli linqanaba lokuqala. Oku kuqheleke kakhulu kubantu abasebenzisa i-cannabis ukususela besebancinci. Apha unokufumana izinto ezifana nokugabha kwasekuseni kunye nentlungu yesisu. Nangona usenokuba noloyiko lokuhlanza, awuhlanzi. Eli nqanaba linokuhlala iinyanga, mhlawumbi neminyaka. |
| Isigaba sesibini (isigaba se-Hyperemetic) | Eli lelona nqanaba linzima neliphambili le-CHS. Lihlala lithatha iiyure ezingama-24 ukuya kuma-48. Kukho ukuhlanza okunganyamezelekiyo, okungapheliyo kunye nesicaphucaphu. Kungeli xesha apho umkhwa wokuhlamba ngamanzi ashushu uvela khona. Ukutya phantse kuyeke ngokupheleleyo. |
| Isigaba sokuchacha | Eli nqanaba lenzeka emva kokuba uyeke ngokupheleleyo ukusebenzisa intsangu. Akufanele usebenzise nokuba yincinci. Emva kokuyeka ukuyisebenzisa, iimpawu ziyancipha kancinci kancinci kwiintsuku okanye kwiinyanga ezimbalwa, zize ziphele ngokupheleleyo. |
Yintoni "iScromiting"?
Abanye abantu basebenzisa eli gama ukuchaza uhlobo olubi kakhulu lwe-CHS. Liyindibaniselwano yamagama athi "ukukhwaza" kunye "nokuhlanza." Libhekisa kwintlungu enzulu yokuhlanza ebangela ukuba umntu akhale.
Kutheni oku kusenzeka? Yintoni ebangela i-CHS?
Izazinzulu azikayazi eyona nto ibangela i-CHS, kodwa ingcamango ephambili kukuba ibangelwa kukukhuthazwa kakhulu kwenkqubo ye-endocannabinoid (ECS) yomzimba xa i-cannabis isetyenziswa ixesha elide .
Ngamafutshane, imizimba yethu inenkqubo yendalo elawula isicaphucaphu nokuhlanza. Kukholelwa ukuba xa le nkqubo ihlala ifumana iimpawu ezivela kwi-cannabis, ayilungelelani kwaye isicaphucaphu nokuhlanza kuqala ukwenzeka ngendlela engalawulekiyo.
Ngubani osengozini enkulu yokuba nale meko?
Abantu abasebenzisa i-cannabis ixesha elide, ngesiqhelo iminyaka eli-10-12, basengozini enkulu yokuhlaselwa yi-CHS. Lo mngcipheko uphezulu ngakumbi kwabo basebenzisa i-cannabis ubuncinane kanye ngeveki kunye nabo baqale ukuyisebenzisa besebancinci .
Kodwa khumbula ukuba ayinguye wonke umntu osebenzisa i-cannabis ixesha elide ofumana i-CHS. Isizathu soku asikacaci.
Ugqirha uyifumanisa njani le nto njenge-CHS?
Xa usiya kugqirha oneempawu ezinjalo, uza kukubuza kakhulu ngeempawu zakho, imbali yakho yezonyango, kunye nemikhwa yakho ukuze abone ukuba yi-CHS na.
Ugqirha angakubuza imibuzo efana nale:
- Usebenzisa i-cannabis ixesha elingakanani?
- Uyisebenzisa kangaphi?
- Ngowuphi umhla ohlanzayo okanye uzive unesicaphucaphu?
- Ngaba ukutya okuthile kuyandisa ukuhlanza?
- Ngaba ulahlekelwe bubunzima ngaphandle kwesizathu?
- Ngaba unomkhwa wokuhlamba ngamanzi ashushu ukuze unciphise iimpawu?
Eyona nto ibalulekileyo apha kukuxelela ugqirha wakho inyani malunga nokusebenzisa kwakho intsangu. Ukuba uyayifihla, ugqirha wakho usenokuyifumanisa njengenye imeko, efana neCyclic Vomiting Syndrome (CVS), kwaye unyango olufumanayo luya kuba lungalunganga.
Oogqirha basebenzisa ezi ndlela zokuchonga i-CHS:
- Ukusetyenziswa rhoqo kwe-cannabis ixesha elingaphezu konyaka.
- Ukuhlanza kakhulu okwenzeka rhoqo.
- Intlungu yesisu.
- Iimpawu ziyanyamalala xa uyeka ukusebenzisa intsangu.
- Ukuba nomnqweno omkhulu kunye nomkhwa wokuhlamba emanzini ashushu.
Ukuqinisekisa ukuba akukho ezinye iimeko zonyango, ugqirha wakho unokuyalela iimvavanyo ezifana novavanyo lwegazi, uvavanyo lomchamo, okanye ii-CT scans okanye ii-MRI scans.
Ziziphi iindlela zonyango ze-CHS?
Nantsi eyona nto ibalulekileyo kwaye mhlawumbi eyona ingathandekiyo ukuyiva.
Unyango olulodwa kuphela olunokunyanga i-CHS ngokusisigxina kukuyeka ngokupheleleyo ukusebenzisa i-cannabis.
Akukho nyango limbi elinokunyanga oku ngonaphakade. Emva kokuba uyekile ukusebenzisa i-cannabis, unokuba neempawu kunye nemiphumo emibi kangangeeveki ezimbalwa. Kodwa ngokuhamba kwexesha, zonke ziya kuphela.
Ukuba unengxaki yokuyeka intsangu, oko kuthetha ukuba ulikhoboka layo, ungafumana uncedo. Thetha nogqirha wakho okanye umcebisi wokulutha.
Ukuba une-CHS enzima, kunokufuneka ulaliswe esibhedlele. Apho,
- Ukuba umzimba uphelelwe ngamanzi emzimbeni ngenxa yokuhlanza, nika ulwelo lwe-IV ( i-saline ) kunye nee-electrolytes.
- Ukunika amayeza okuthomalalisa ukugabha (kodwa la mayeza awanamsebenzi kangako kwi-CHS).
- Ukubonelela ngezinye iindlela zonyango, ezifana ne -capsaicin cream, ukunciphisa iintlungu.
Nangona ukuhlamba ngamanzi ashushu kunokubangela isiqabu sexeshana, akuyonto iphilisayo. Ukuhlamba ngamanzi ashushu kakhulu kunokubangela ukubila kunye nokuphelelwa ngamanzi emzimbeni.
Ezinye iingxaki ezinokwenzeka ngenxa ye-CHS
Ukuba i-CHS ayinyangwa ngokufanelekileyo, oko kukuthi, ukuba ukusetyenziswa kwe-cannabis akuyekwa, iingxaki ezinkulu zinokwenzeka.
- Ukuphelelwa ngamanzi emzimbeni: Ukuhlanza rhoqo kunokubangela ukuba amanqanaba amanzi emzimbeni abe phantsi ngendlela eyingozi.
- Ukungalingani kwe-electrolyte: Ukuphazamiseka kwamanqanaba etyuwa kunye neeminerali emzimbeni.
- Ukungondleki kakuhle kunye nokunciphisa umzimba.
- Ukubola kwamazinyo: Ngenxa yeasidi emhlanzweni.
- Ukonakala komjelo wokutya: Ukuhlanza kakhulu kunokubangela izifo ezifana neBoerhaave's syndrome okanye iMallory Weiss tear .
- Ukutsha ngamanzi ashushu: Fumana isiqabu ekusebenziseni amanzi ashushu kakhulu.
Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU)?
Eyona ngxaki inzima ye-CHS kukuphelelwa ngamanzi emzimbeni. Ukuba unezinye zeempawu ezilandelayo zokuphelelwa ngamanzi emzimbeni, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane ngoko nangoko.
| Ingxamiseko! Ukuba unale mpawu, yiya kwi-ETU ngoko nangoko! | |
|---|---|
| ⚫ Umchamo omnyama kakhulu okanye ubungakanani obuphumayo buncitshisiwe kakhulu | ⚫ Ukunyuka kwesantya sentliziyo |
| ⚫ Ukulahlekelwa yingqondo ngequbuliso (Ukudideka) | ⚫ Ukunyuka kwesantya sokuphefumla |
| ⚫ Ukudinwa kakhulu | ⚫ Ukuquleka |
| ⚫ Ukudinwa kakhulu okanye ukozela okungachazekiyo | |
I-CHS yingxaki engathandekiyo neyingozi enokwenzeka xa usebenzisa i-cannabis ixesha elide. Yingakho kubalulekile ukuba uqaphele xa usebenzisa i-cannabis kunye neemveliso zayo. Ukuba ucinga ukuba une-CHS okanye ufuna uncedo lokuyeka i-cannabis, nceda uthethe nogqirha. Bakulungele ukukunceda.
Umyalezo Wokuya Ekhaya
- I-CHS sisifo sokwenyani: Esi sisifo sokwenyani esibangela ukuhlanza okukhulu kunye nentlungu yesisu, ebangelwa kukusetyenziswa kwe-cannabis ixesha elide.
- Unyango kuphela kukuyeka: Indlela ekuphela kwayo yokunyanga i-CHS ngokusisigxina kukuyeka ngokupheleleyo ukusebenzisa i-cannabis.
- Ukuhlamba ngamanzi ashushu luphawu: Ukukhululeka okwethutyana kwiibhafu zamanzi ashushu luphawu oluphambili lwe-CHS. Nangona kunjalo, ayilonyango kwaye inokukhokelela ekomeni kwamanzi amaninzi.
- Xelela ugqirha inyani: Ukuba unale mpawu, ukubona ugqirha kunye nokunyaniseka malunga nokusebenzisa kwakho intsangu kubalulekile ukuze ufumane ukuxilongwa ngokuchanekileyo kunye nonyango.
- Musa ukoyika ukucela uncedo: Ukuba unengxaki yokuyeka ukusebenzisa intsangu, ungathandabuzi ukufuna iingcebiso zonyango kunye nenkxaso.
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