Cabanga nje, ubulokhu usebenzisa insangu iminyaka eminingi. Ekuqaleni, bekungekho nkinga. Kodwa ngemva kwesikhashana, ngokuzumayo uqala ukuhlanza kakhulu futhi ube nezinhlungu esiswini. Lokhu akwenzeki usuku noma ezimbili, kodwa kwenzeka ngezikhathi ezithile. Into exakile ukuthi, ukuphela kwempumuzo kulokhu kungakhululeki okukhulu ukugeza ngamanzi ashisayo. Ingabe uke waba nalokhu okuhlangenwe nakho? Uma kunjalo, ungakuthathi njengento evamile. Namuhla sikhuluma ngalesi simo. Kwezokwelapha, sikubiza ngokuthi i-Cannabinoid Hyperemesis Syndrome (CHS) .
Kalula nje, iyini le CHS?
Kulungile, ake senze leli gama libe lula kancane. Igama elithi "Hyperemesis" libhekisela ekuhlanzeni okukhulu. Igama elithi "Cannabinoids" libhekisela kumakhemikhali atholakala esitshalweni sensangu. Cishe uke wezwa nge -THC (Tetrahydrocannabinol) kanye ne-CBD (Cannabidiol) . Lezi futhi ziyizinhlobo zama-cannabinoid. La makhemikhali abopha kuma-receptor e-cannabinoid ebuchosheni bethu, emgogodleni, ohlelweni lokugaya ukudla, nakwezinye izingxenye zomzimba.
Kalula nje, i-CHS yisimo esibonakala ngokucanuzela okukhulu okuvamile, ukuhlanza, kanye nobuhlungu besisu obubangelwa ukusetshenziswa isikhathi eside kwensangu. Isici esiphawulekayo salokhu ukuthi ikhululeka okwesikhashana ngokugeza noma ukugeza ngamanzi ashisayo.
Lokhu akuyona nje imiphumela emibi yokusebenzisa insangu. Lesi yisimo esingabangela izinkinga ezinkulu zempilo. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Ivame kangakanani i-CHS?
Uma ngikhuluma iqiniso, kunzima kubacwaningi ukusho ukuthi lesi simo sivame kangakanani. Isizathu siwukuthi akubona bonke abanalezi zimpawu abafuna iseluleko sezokwelapha futhi abatsheli udokotela wabo ukuthi basebenzisa insangu.
Kodwa-ke, olunye ucwaningo luthole ukuthi ama-32.9% abantu abasebenzisa insangu njalo abafika eMnyangweni Wezimo Eziphuthumayo (ETU) babenezimpawu ze-CHS. Njengoba ukusetshenziswa kwensangu kuyanda eSri Lanka, lesi simo singase sivame kakhulu kunangaphambili.
Ziyini izimpawu ze-CHS? Sizibona kanjani?
Izimpawu ze-CHS zivame ukuqala ukuvela ngemva kokusebenzisa insangu isikhathi eside, ngokuvamile iminyaka eminingana. Kodwa-ke, akuwona wonke umuntu osebenzisa insangu ohlala eba ne-CHS.
Izici eziyinhloko zalesi simo yilezi:
- Ukucanuzela okuqhubekayo: Lokhu kuzwakala ikakhulukazi ekuseni.
- Ukuhlanza okuphindaphindiwe: Ngezinye izikhathi ungahlanza kuze kube kahlanu ngehora. Ungase uzizwe sengathi uzohlanza, kodwa kukhona nezikhathi lapho ungahlanzi khona (ukuphinde uhlanze).
- Ubuhlungu obukhulu besisu:Ungase uzwe ubuhlungu besisu obungabekezeleleki.
- Ukwesaba ukuhlanza: Lokhu kungaholela ekwesabeni ukudla noma ngisho nokuphuza amanzi.
- Ukudla akunambitheki.
Isici esiyingqayizivele nesimangazayo kakhulu salokhu ukuthi lezi zimpawu ziyancipha okwesikhashana uma ugeza ngamanzi ashisayo. Yingakho abantu abaningi abane-CHS bethanda ukugeza ngamanzi ashisayo amahora amaningi ngosuku. Lokhu kuba umkhuba.
Kunezigaba ezintathu zesimo se-CHS:
Lezi zimpawu azihlali zenzeka ngendlela efanayo. Odokotela bathole izigaba ezintathu eziyinhloko zalesi sifo.
| Isigaba | Incazelo |
|---|---|
| Isigaba sokuqala (isigaba se-Prodromal) | Lesi yisigaba sokuqala. Lokhu kuvame kakhulu kubantu abebesebenzisa insangu kusukela besebancane. Lapha ungase uzwe izinto ezifana nokucasuka kwasekuseni kanye nobuhlungu besisu. Nakuba ungase wesabe ukuhlanza, empeleni awuhlanzi. Lesi sigaba singahlala izinyanga, mhlawumbe ngisho neminyaka. |
| Isigaba sesibili (isigaba se-Hyperemetic) | Lesi yisigaba esinzima kakhulu nesibaluleke kakhulu se-CHS. Ngokuvamile sihlala amahora angama-24 kuya kwangu-48. Kukhona ukuhlanza okungabekezeleleki, okungapheli kanye nesicanucanu. Kungalesi sikhathi lapho umkhuba wokugeza ngamanzi ashisayo wakheka khona. Ukudla cishe kuyaphela ngokuphelele. |
| Isigaba sokululama | Lesi sigaba senzeka ngemva kokuba usuyeke ngokuphelele ukusebenzisa insangu. Akufanele usebenzise ngisho nenani elincane. Ngemva kokuyeka ukuyisebenzisa, izimpawu ziyancipha kancane kancane ezinsukwini noma ezinyangeni ezimbalwa, bese zinyamalala ngokuphelele. |
Kuyini "i-Scromiting"?
Abanye abantu basebenzisa leli gama ukuchaza uhlobo olubi kakhulu lwe-CHS. Liyinhlanganisela yamagama athi "ukuklabalasa" kanye "nokuhlanza." Libhekisela ebuhlungwini obukhulu bokuhlanza obubangela umuntu ukuba akhale.
Kungani lokhu kwenzeka? Yini ebangela i-CHS?
Ososayensi abakayazi imbangela eqondile ye-CHS, kodwa inkolelo-mbono eyinhloko ukuthi ibangelwa ukukhuthazwa ngokweqile kwesistimu ye-endocannabinoid (ECS) yomzimba lapho insangu isetshenziswa isikhathi eside .
Kalula nje, imizimba yethu inesimiso semvelo esilawula isicanucanu nokuhlanza. Kukholelwa ukuthi uma lesi simiso sihlala sithola izimpawu ezivela ku-cannabis, siyaphambana futhi isicanucanu nokuhlanza kuqala ukwenzeka ngendlela engalawuleki.
Ubani osengozini enkulu yalesi simo?
Abantu abasebenzisa insangu isikhathi eside, ngokuvamile iminyaka eyi-10-12, basengozini enkulu yokuthola i-CHS. Le ngozi iphezulu kakhulu kulabo abasebenzisa insangu okungenani kanye ngesonto kanye nalabo abaqale ukuyisebenzisa besebancane .
Kodwa khumbula ukuthi akuwona wonke umuntu osebenzisa insangu isikhathi eside othola i-CHS. Isizathu salokhu asikacaci.
Udokotela ukuxilonga kanjani lokhu njenge-CHS?
Uma uya kudokotela onalezi zimpawu, uzobuza kakhulu ngezimpawu zakho, umlando wezokwelapha, kanye nemikhuba yakho ukuze anqume ukuthi ngabe yi-CHS.
Udokotela angase akubuze imibuzo efana nale:
- Usunesikhathi esingakanani usebenzisa insangu?
- Uyisebenzisa kangaki?
- Yisiphi isikhathi sosuku ohlanza ngaso noma ozizwa unesicanucanu?
- Ingabe ukudla okuthile kwandisa ukuhlanza?
- Uke wehlisa isisindo ngaphandle kwesizathu?
- Ingabe unomkhuba wokugeza ngamanzi ashisayo ukuze unciphise izimpawu?
Into ebaluleke kakhulu lapha ukutshela udokotela wakho iqiniso ngokusebenzisa kwakho insangu. Uma uyifihla, udokotela wakho angase ayithole kabi njengenye inkinga, njenge-Cyclic Vomiting Syndrome (CVS), futhi ukwelashwa okutholayo kuzoba okungalungile.
Odokotela bavame ukusebenzisa lezi zindlela zokuxilonga i-CHS:
- Ukusetshenziswa njalo kwensangu isikhathi esingaphezu konyaka.
- Ukuhlanza okukhulu okwenzeka ngezikhathi ezithile.
- Ubuhlungu besisu.
- Izimpawu ziyanyamalala uma uyeka ukusebenzisa insangu.
- Ukuba nesifiso esinamandla kanye nomkhuba wokugeza emanzini ashisayo.
Ukuze aqiniseke ukuthi azikho ezinye izimo zezokwelapha, udokotela wakho angase a-ode nokuhlolwa okufana nokuhlolwa kwegazi, ukuhlolwa komchamo, noma ukuhlolwa kwe-CT noma ukuhlolwa kwe-MRI.
Yiziphi izindlela zokwelapha i-CHS?
Nansi into ebaluleke kakhulu futhi mhlawumbe engathandeki kakhulu ongayizwa.
Ukwelashwa okuwukuphela kwakho okungayelapha unomphela i-CHS ukuyeka ngokuphelele ukusebenzisa insangu.
Ayikho eminye imithi engakwelapha lokhu unomphela. Ngemva kokuyeka ukusebenzisa insangu, ungase ube nezimpawu nemiphumela emibi amasonto ambalwa. Kodwa ngokuhamba kwesikhathi, konke kuzophela.
Uma unenkinga yokuyeka insangu, okusho ukuthi uyisigqila sayo, ungathola usizo. Khuluma nodokotela wakho noma umeluleki wokulutheka.
Uma une-CHS embi kakhulu, kungadingeka ukuthi ulaliswe esibhedlela. Lapho,
- Uma umzimba uphelelwe amanzi emzimbeni ngenxa yokuhlanza, nikeza uketshezi oluphuma emzimbeni ( usawoti ) kanye nama-electrolyte.
- Ukunikeza imithi yokulwa nokugabha (kodwa lokhu akusebenzi kahle ku-CHS).
- Ukuhlinzeka ngezinye izindlela zokwelapha, njengokhilimu we-capsaicin, ukuze kuncishiswe ubuhlungu.
Nakuba ukugeza ngamanzi ashisayo kungase kunikeze impumuzo yesikhashana, akulona ikhambi. Ukugeza ngamanzi ashisayo kakhulu kungabangela ukujuluka nokuphelelwa amanzi emzimbeni.
Ezinye izinkinga ezingase zenzeke ngenxa ye-CHS
Uma i-CHS ingelashwa kahle, okungukuthi, uma ukusetshenziswa kwensangu kungamiswa, kungaba nezinkinga ezinkulu.
- Ukuphelelwa amanzi emzimbeni: Ukuhlanza okuqhubekayo kungabangela ukuthi izinga lamanzi emzimbeni lehle ngendlela eyingozi.
- Ukungalingani kwama-electrolyte: Ukuphazamiseka kwamazinga kasawoti namaminerali emzimbeni.
- Ukungondleki kahle kanye nokwehlisa isisindo.
- Ukubola kwamazinyo: Ngenxa ye-asidi ekuhlanzeni.
- Ukulimala komsele wokudla: Ukuhlanza ngokweqile kungabangela izimo ezifana ne -Boerhaave's syndrome noma i-Mallory Weiss tear .
- Ukusha kwamanzi ashisayo: Thola impumuzo ekusebenziseni amanzi ashisayo kakhulu.
Kufanele uye nini e-Emergency Treatment Unit (ETU)?
Inkinga enkulu kakhulu ye-CHS ukuphelelwa amanzi emzimbeni. Uma unezinye zezimpawu ezilandelayo zokuphelelwa amanzi emzimbeni, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
| Isimo Esiphuthumayo! Uma unalezi zimpawu, iya ku-ETU ngokushesha! | |
|---|---|
| ⚫ Umchamo omnyama kakhulu noma inani elikhishwayo linciphile kakhulu | ⚫ Ukwanda kwesilinganiso senhliziyo |
| ⚫ Ukulahlekelwa ingqondo ngokuzumayo (Ukudideka) | ⚫ Ukwanda kwesilinganiso sokuphefumula |
| ⚫ Isiyezi esikhulu | ⚫ Ukuquleka |
| ⚫ Ukukhathala okukhulu noma ukulala okungachazeki | |
I-CHS iyinkinga engathandeki kakhulu futhi eyingozi engenzeka ngokusetshenziswa kwensangu isikhathi eside. Yingakho kubalulekile ukuqaphela lapho usebenzisa insangu nemikhiqizo yayo. Uma ucabanga ukuthi une-CHS noma udinga usizo lokuyeka insangu, sicela ukhulume nodokotela. Bakulungele ukukusiza.
Umlayezo Wokuya Nawe Ekhaya
- I-CHS iyisifo sangempela: Lesi yisimo sangempela esibangela ukuhlanza okukhulu kanye nobuhlungu besisu, okubangelwa ukusetshenziswa kwensangu isikhathi eside.
- Ukuphela kwendlela yokwelapha ukuyeka: Okuwukuphela kwendlela yokwelapha i-CHS unomphela ukuyeka ngokuphelele ukusebenzisa insangu.
- Ukugeza ngamanzi ashisayo kuyisibonakaliso: Ukuphumula okwesikhashana ekugezeni ngamanzi ashisayo kuyisibonakaliso esiyinhloko se-CHS. Kodwa-ke, akulona ikhambi futhi kungaholela ekuphelelweni kwamanzi emzimbeni.
- Tshela udokotela iqiniso: Uma unalezi zimpawu, ukubona udokotela kanye nokwethembeka ngokusebenzisa kwakho insangu kubalulekile ukuze uthole ukuxilongwa okunembile kanye nokwelashwa.
- Ungesabi ukucela usizo: Uma unenkinga yokuyeka ukusebenzisa insangu, ungangabazi ukufuna iseluleko nokusekelwa kwezokwelapha.
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